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0228 COTUIT BAY DRIVE
_ .__ OZ� �Tu�`T ��" ,. l � . �. . ��`� �. _ _ r C v i r .....�_.r.__. JnM .� :...:'. 3 I'-.� ,�. An. �:c, .�,r,�'Ykn� �'7iMd A�,���Y a �- _ _ _„s.,, „ I , f 1 l I i i, f t { f 1� r k 91 �r.l Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept a�x,�rwai e • Posted Until Final Inspection Has Been Made. t6sq ,� FOMa�° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit Permit No. B-20-1504 Applicant Name: Maureen McKone Approvals Date Issued: 06/23/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/23/2020 Foundation: Location: 228 COTUIT BAY DRIVE,COTUIT Map/Lot: 056-015 Zoning District: RF Sheathing: Owner on Record: MCKONE, FRANCIS L,estate of Contractor Name: Framing: 1 Address: 228 COTUIT BAY DR Contractor License: 2 COTUIT, MA 02635 - Est. Project Cost: $22,000.00 Chimney: Description: Replacement windows Permit Fee: $ 112.20 ! Insulation: Fee Paid:� $ 112.20 Project Review Req: REPLACEMENT WINDOWS NO STRUCTURAL CHANGES Date: 6/23/2020 Final: Plumbing/Gas (((( Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ' Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: S� is TOWN,'OF BARNSTABLE'BUILDING PERMIT APPLICATION Map Parcel �F AR�ISTA�.E `ApplicatioI `�0 Health Division 2013 SEP '25 P111 3: 50 Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ao��5 !a 10 pj, - Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address c Village � � Ci Owner rjeat l c+�Ait�&, kaN-rol Address Telephone Permit Request vv 1/iS`�o1 cYJ Square feet: 1 st floor: existing Y1 Mroposed �2 2nd floor: existing proposed _Total new'0 Zoning District E Flood Plain Groundwater Overlay Project Valuation S • Construction Type 6 0016 Lot Size SS/f— Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family P--" Two Family Cl Multi-Family (# units) Age of Existing Structure -?SiHistoric House: ❑Yes UIQo On Old King's Highway: ❑Yes krNo Basement Type: Lt Full rawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) W0 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count (not including baths): existing �/b new First Floor Room Count Heat Type and Fuel: as ❑ Oil ❑ Electric ❑ Other Central Air: Urles ❑ No Fireplaces: Existing_New 0 Existing wood/coal stove: ❑Yes b-No Detached garage:.❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size .� _ Attached garage: 'existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization Cl Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use* APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address f 0 1 �Box P d go License # 0-A)t+ / '' l.A-- ©r &3_ Home Improvement Contractor# of o&v-p -au s*am _cL �Y►'la�:� a�Morker's Compensation # ,ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO . 1_EW3 )CA&I-5 SIGNATUR CIA DATE f FOR OFFICIAL USE ONLY 1 APPLICATION# ? DATE ISSUED 1 MAP/PARCEL NO. r `> ADDRESS VILLAGE OWNER " DATE OF INSPECTION: �kFO.UNDATI.ON��' z sxcP �a°; �° :`t�►1it, FRAME FIREPLACE r ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING"- DATE CLOSED OUT ASSOCIATION PLAN NO. r • The Commonwealth of Massachusetts UfDepartment of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia _ Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): G lit + t Address: P-o=,W)c to &0 City/State/Zip: 00k ' M14DA& Phone#: •�� ��-����9�� Are yo n employer?Check the appropriate box: Type of project(required): 1. am a employer with t 4. ❑ I am a general contractor and I employees(frill and/or part-time).* have-hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. emodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' P ❑9. Building addition [No workers' comp.insurance comp.insurance.* 10.El repairs or additions required.] 5. ❑ We are a corporation and its P officers have exercised their 11. Plumb' 3.❑ I am a homeowner doing all work �repairs or additions P myself [No workers' comp, right of exemption per MGL 12.❑Roof repair insurance required]t c. 152, §1(4),and we have no employees. [No workers' 13.[_1 Oilier comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they art doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box mast attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. X am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: O/ Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: o � Attach a copy of the workers' compensation p 'cy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year imprisonment,as.well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Xdo hereby certi r the pains pen es ofperjury that the information provided above is a and correct. Si mature Date: Phone#: t�0 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"_..every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as."an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other Iegal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign,and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's'address,telephone and fax number: The Commonwealth of Massachusetts Departmmt of Industrial Accidents Office of kvestigatims 600 WasWngtoa Street Boston,MA 02111 Tol.#617-727-4900 ext 406 or 1-877-MASWE Revised 4-24-07 Fax#617-727-7749 WWW.mass gov/dia aco Er CERTIFICATE OF LIABILITY INSURANCE 8/09/2""Y'3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTeND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE ACOWRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:It the certl(letta holder Is an ADDITIONAL INSURED,the pollaypaa)must be endorsed.H SUBROGATION IS WAIVED,WAIKi to the tam/end aondltlons o1 tM polloy,certetr►Policies may require an atdom menL A statmnerd an this w1ficate does not comer tights to the aatlReeta holder In lieu at such ando►semern14 PRODUCER CONTACT NAME: FAX Awlied Risk = Nwanm Bu vices, =c- (Pqr N0%Eldl: 877 236-3420 (Arc,w): 877 234-4 21 10825 Old Mill Rd E-MAIL CDlaba, as 65154 ADDRESS: PRODUCER CUSTOMER ID a (877)230-6610 INSURERS)AFFORDING COVERAGE NAIL i INSURED INSURER A: Continental Indemnity Co. 20238 cuw G&WWGW INSURER& dba Qca~ BUILIA cad RsmaftlinQ INSURERC: PO sm LOGO CDtuit, MR 02635-1080 INSURER D. INSURER E: CTL 1273 767949 INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN �(REDUCED BY PAID CLAIMS. SUSR LTR TYPE OF INSURANCE INSRL WVD POLICY NUMBER MOLICY E NMlD LIMR3 GENERAL LIABILITY EACH OCCURRENCE 5 COUMERCIAL GENERAL LIABILITY ❑ ❑ DAMAGESI RENTED eoavmma a PREMISES E CLAIMS MADE OCCUR MED EXP am psmwO _ PERSONAL a ADV IIWURY a GENERAL AGGREGATE a GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOPAGO S POLICY MPROJEcT MLOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT l ANY AUTO El 0 BODILY DILY I s II INJURY Po ,an a _ ALL OWNED AUTOS BODILY INJURY IP& SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS mcmem a NOWUMED AUTOS a a UMBRELLAWB OCCUR EACHOCCURRENCE EXCESS UAB CLAIMS4MAOE AGGREGATE 5 DEDUCTIBLE 0 El S RETENTION $ S YJC STATU- WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y I N rytnNtt) E.L.FACHACCIDgn, a 100,000 EXCLUDEO?ANY PROPRIETORIPARTNER1 NIA 807D0-01-O /312iE � OFFICIDUMEMBER E.L olsEASE-ttAeNrwrEt $ 100,000 eyesaescrroeurmar E.L.OISEAS"OLICYUIUT a 5001000 SPECIAL PROVISIONS brrbw DESCRIPTION OP OPERATIONS f LOCATIONS I VOWLES 1Arttch Amd tot,Addnlenal Remarb ScttsdWiL n emre aPace b requIMI) CERTIFICATE HOLDER CANCKLILATION godQ SHOULD ANY OFTHEAUG"MSCRIDED POUCIea ee CANCELLED REPORE THE Ckvm EE Pt PROVISIONS. ATON DATE ERE F,NOTICE WILT.BE DELIVERED IN ACCORDANCE WITH PO 1080 TH O*Uit, Dept 02633-1080 AUTHORIZED REPRESENTATIVE K��^ Mtw psoje 1783118 ACORD 25(2009W The ACORD name and tope are rogbte,ad mans of ACORD DINS-2000 ACORD CORPORATIOIL All rlahtt raservad. N'lassaehusetts- Department of PtiWie SafetN Board of Buildinu2 Regulations and Standa►'dS Construction Supervisor License One-and Two-Family Dwellings License: CS 7T754 CAREY C GROVER PO BOX 1080 COTUIT, MA 02635" C Expiration. 1112W2013 (lmunissi nx1 Trt 7083 3 Ln n r7 D i( W> m O y 'r T < m' 3 Z O C x co'p D o m rp .n A NvA z o '� g' v � X m � " < e .. 9 .N m A� O 'w 3 ; m o � z Z::. o"Z G7 Z Qo E. io -► m tv ►- oar 77 A al am ; k off' H 'o oo, C7 I A > o fD M � d N N R H C p m 7 O r Town of Barnstable Regulatory Services i F y asess g Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Sheet,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, V 2 -K e•l 5 �L 16 f - , as Owner of the subject property hereby authorize (s v Cs� UY'l�- to act on ray behalf, in all matters relative to work authorized by this building peunit Ivow, (Address of Jo **Pool fences and alarms are the responsibility of the applicant. Pools are not to.be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Ownet ' Signature Applicant L% r Print Name Print N c1 , - Dat QTORMS:OWNERPERMISSIONPOOIS 62012 Town of Barnstable Regulatory Services RiA1VCi•ARf ri + Thomas F.Geiler,Director 5 `� Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.barnstable.ma.us O ice: 50 8-862-403 8 Fax: 50 8-790-623 0 HOMEOWNER LICENSE EXEIVLPTTON Please Print DATE: JOB LOCATION: ntanber street village "HOMEOWNER": name home phone R work phone# CURRENT MAILING ADDRESS: city/town state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. a DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signahue of Homeowner Approval of Bwldmg Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\deml&\AppData LUcal\McrosofliFPmdows\Temporary Internet Files\ContentoutlooMQRE6ZUBN\EXPRFSS.doc Revised 053012 \J i l CQ " ic) 02 V +� p^ V3 CU g 41 , 77, /* 4 � 6 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #r, Health Division Date Issued ( a Conservation Division ''% Application Fee .S Planning Dept. Permit Fee KIZ Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address ` Village Owner Addressd1/� Telephone _�� Permit Request --QM/ za.r & A!� k 4 S- 1-5—Y141 Square feet: 1 st floor: existing proposedW 2nd floor: existing JLOe proposed Total new Zoning District RF Flood Plain Groundwater Overlay Project Valuation Construction Typelb f Lot Size 9T�s2 s�; Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U--'Two Family ❑ Multi-Family (# units) Age of Existing Structure O Historic House: ❑Yes D-< On Old King's Highway: ❑Yes 4r< Basement Type: Q+"6`lI ❑ &wl ❑Walkout 0 Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) ��� N �• Number of Baths: Full: existing_ new Half: existing 74® rev _ Number of Bedrooms: 1,3 existing&new o Total Room Count (not�as le ' g baths): existing _ new First Floor Ro'j m Cour Heat Type and Fuel: ❑ Oil ❑ Electric ❑ Other - Central Air: 0,Ye-s ❑ No Fireplaces: Existing New Existing woo coal:s1ove: Odes o rl Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing" new size_ Attached garage: U`existing ❑ new siz&?y'�!Si�hed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � �� C �� Telephone Number Address 0_r,&QZ �ac License#�� 6y4�_,� ��� ��> Home Improvement Contractor# Worker's Compensation # L6-i o_,s- l ALL CONSTRUCTION DEB S RESULTING FROM THIS PROJECT WILL BE TAKEN TO c SIGNATURE DATE a C'ti FOR OFFICIAL USE ONLY APPLICATION# - DATE ISSUED MAP tPARCEL NO. ADDRESS ' VILLAGE OWNER ' DATE OF INSPECTION: l FOUNDATIONl�h�IZ I rit FRAME HfePrafy- 2J 1A3 ZJlb INSULATION FIREPLACE 'r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL I� - GAS: ROUGH FINAL -; FINAL BUILDING ? I? fy}{'SS DATE CLOSED OUT i1 � i 1 f • �L,�,.�X V.� JYf i.� Vi�a 1 ASSOCIATION PLAN NO--ow' Jt �TKE Tdw.n- of Barantable Regulatory E6r. s r 1 b ama�F. Geaer,Director `e $iILrdIIIg D1YI51011 T`hamas P.errpr CB O,Bm7ding Coinmi. aner 260 Mait Stri•4 HY ais,MA D260 I' • �q�y.Eo•�a.barnsta6Ia.uta_tts - . 'Offices 508-8624038 Paz: 508-790- M' PLAN R-EY-Ew Owncr- ''` C4A)e - Map/Paiul: 'project Address 2�$ B uilder- The faIIow, g iterne were.noised.on reviewzng: o V� " I ".A �e�r�Ti ear/ L E The Commonwealth of Massachusetts Department of Industrial Accidents . Office of Investigations ' A 600 Washington Street Boston, MA 02111 - www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciaa's/Plumbers Appficant Information Please Print Le 'bl Name(Business/Organization/fndividnal): .Address: . f' ®, X ao - — - City/State/Zip: Phone#: tt:> Are you employer?Check the appropriate box: Type of project(required); 1.[ a employer with 4• ❑ I am a general contractor and I 6 e c employees(full and/or part-time).* have hired the sub-contractors ❑N w onstruchon 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Drdin! working for me in any capacity. employees and have workers' 9 addition [No workers' comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t o. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp,insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractnrs have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'cgmpensafion insurance for my employees.. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lies#: Expiration Date: �y 3 Job Site Address: City/State/Zip: Attach a copy of the workers' compensa ' n policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u thepains%and-penalti ofperjury that the information provided above is true and correct Si tore: - Date: D O Phone#: or wn oDzc City or Town: PermiVUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector. 5.Plumbing Inspector 6. Other Caiatgct Person- Phone#: I ly tCs ` License or registration vindividul use on alid i found return to* �pamac/��e I L� expiration date. I ulation ie �Pc�"�'Zp02C°ealt1z a� ulatton before the exp p{f►ce of Consumer Affairs and Business Reg office of Consumer Afta'rs&Business Suite 5170 ME IMPROVEMENT CONTRA. Type: 1 10 Park Plaza' Vegistration: 144322 DBA Boston,MA02116 piration: 912312014 , GROVER BUILDING+tREMODELIFIG / nature - CAREY GROVER `c`F , '1 r ��'� Not v d without signature 56 BOWDOIN RP %r, 1 Unijersecretary J MASHPEE,MA 02649 iMassachusetts- Department of Public SafetN Board of Building Regulations and Standards Construction Supervisor. License One-and.Two-Famlly Dwellings License: CS T7754 CAREY C GROVER PO BOX 1080 COTUIT- MA•02635 ` �--�— !yam Expiration: 1 1/221201 3 Commissiimner' Tr#: 7083'. ' r I DATE(MWDD/1'YYV) ACORN' CERTIFICATE-OF-LIABILITY INSURANCE 08/20/2012 THIS CERTIFICATE t3 ISSUED AS A FAATTER OF INFORMATION OPJLV AND CopFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATEUOEIS NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDEDHOR ZED RE BY THE PRESENTATIVE SENTA VE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE THIS CONTRACT BETWEEN THE ISSUING INfiUREfl(5), OR'PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT:H the rerHfleate holder le an ADDITIONAL INSURED,the P011WISS)must be endorsed K StJBROt4AT10N IS WAIVED,subcoder I t to the terms and conditions of the poll0p,Coitaln polldes map requltie en endortu+medt.A atatemsnt on this certificate dose not yonter rights to Ins ceriltcate harder in flout of such enddrusment(6)• CONTACT PRODUCER PHONE FAX' Applied Risk it shwas ce services, .Issa., .(Ax,No,Ext) (877)23C_420 IArc.No>: (9T?)034-oa21 10825 Old Kill A4 e4AAIL 0a� DIIi 68154 ADDRESS:Omaha, _-- PRODUCeR CUSTOMER ID N �.— — (877)236-.4420 INSURERIB)AFFDRDING CQVERAGE NAIC/ INSURED ContinpntralnQamtlitg .Co. 28259 Grover, C�Jce� INSURER B: _• -- dba omncrlmr BuildiW and Ralmar7a11na INSURER C- PO --— PO BOX 1080 INSURER D: Cotisitr ba 02§3S+1080 INSURER E'. — CtL 1273 659657 NSURER F.-— COVERAGES CERTIFicros umoiR: REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED'B£LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDtCAT .'NOTWITHSTANDING ANY REQUIREMENT,TERM QR CONDITIbN flF ANY'CDNTRACT OR OTHER'DOCUMENT WITH RESPECT TO EQ WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED HYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS.ANIS CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY f3F MID fYp LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER 11hY0 IM GENERAL UABILITY ! EAC_ KOOCGURRENCe S ❑ I .DAMACE TO RENTED $ ' COMWIERCIRL GENERAL U EMI ABILITY l j PRSEStm EeoPrerce '. 4MAIMS• I MEDEXP o�+.pew $ ' MADE ❑OCCUR PERSONAL&ADV INJURY S GENERALAOGREGATE_.: GEW-AGGREGATE LIMIT APPLIES PER: PIIODUCTS=COMP_ PP $ POLICY PROJECT 171.6C _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AWY AlJTO - U ~..— . BODILYINII1RYiPer ALL OWNED AUTOSMY INJU '•' SCHEDULED AUTOS I I rPRCZPERTY DAMAGE. HIR$DAUTOS I Pe a«ife _---- NON•OWNED AUTOS -- t S.. I EACH OCCURRENCE,.__ UMBRELLAI�AB OCCUR I -- ; EXCESS UK CLAIMS•MADE a ^ AGGREGATE 3 OEOUCTI6LE IL—I RETENTION S S WC STATU- OTH WORKERSCOMPEN&AT1011 i ..I AND EMPLOYERS'LIABI Y/N E1.EACHACCIDEN7„ § -3-04.1.000 ANY PROPRIETDAIPAAiNr'7L I ExECUTIveoFFIc1EMeER FI/A 5-80570a-a1-05Q8/31/2012 a/31/23 . F-XCLUDED7 E.L DISEASE-EA EMPLOYEE S 500,00 a (MartdMMtn NHJ. 11 yas, ' -- dascrlbe under . EL:DISEASE�oucr SPECIAL PROVISIONS belotr. Ll DESCRIPTI6N OF OFERATWttS!LOCA1hDNS I VEHICLES(Attach Aeord lot,Additbnal Ramar4$chedul'U inure space to ragwree) . CERTIFICATE HOLDER hANCELL ION; SHOULD ANY OF 711E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE wd 0MID&diM EXPIRATION DATE THFAF,OF,.NOTICE WILL BE DELIVERED IN ACCORDAtiCE WITN B HBO THE POLICY PROVISION6 02635-1080 AUTHORIZED REPRESENTATIVE o�'"'^ 17-9311.0 AI;tTII Pz*JW MMMMW ACORD 4S(2009/09) The ACORD name and logo are regletered marks of ACORD 8 2008 ACORD CORPORATION, All rights reserved. __ FERENCES: F o06 Rats rJ ,Assessors Map: 056 N�o°ke�cn°� Parcel: 015 ZONE:RF Setbacks: Jer° Fran t:30'min SF p N (��a` Side: 15'min f.�°f�e d �' Rear: 15'min Rl M° 0\6 R°n VA �50 0 76.1' 0 _— N8108'08" t,0 o CO I? J — esµ m a ;S- ' �ooa'Dec o Z _ �s� O 0 1 #228 19.2' �. 1x sty w/f I. Dwelling ` 10 `\ L, Pa \\ �a6�0 \,\ Lot 98 Z w f 38.5' m: \ v 0 50.3' e ENT 7 N ',�,0 00 0�l Lot 97 Ag �9i\r -- 29,127tSF _ gc i • JeF � t �\ael Lot 69 Lot 96 a0 `S, SE Lot 70 certify that the structure M ,nnA. 02649 McKONE RESIDENCE PH: (508)(508)274-1166 FAX (508) 539-9402 228 COTUIT BAY DRIVE COTU 16 S of,THE T • BARNSTABLE, S Town of Barnstable �IFD MA' n Regulatory Services Thomas F. Geiler,,Director Building ]Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnsta ble.ma.us Office: SOS-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 6 Dlv� --.,.as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job i Signature of 6wner Date Print Name IF Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTOR Muilding permit formsTXPRESS.doc Revised 072110 HE To<, of Barnstable 0, Regulatory Services 'S` ASS.Lass. Thomas F. Geiler, Director y ( �, 639:�A`° Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta bl e,ma.us Office: 548-862-4038 Fax: 508-790-6230 ------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "FIOMEOWNER" name home phone N work phone N CURRENT MAILNG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OFFIOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person whotconstructs,more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit.to the Building Official on is form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109,1.1) o A. o ,.,, The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that hd/she unders'6lids the Town of Barnsta&le Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner. Approval of Building Official Note: Three-family dwellings con tairiing;35,000:cubic•feet or larger will be'reiluired to comply with the State'B'uilding Code Section.127.0 Construction Control. HOMEOWNER IS EXEMPTION. The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing ofconstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor..The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she'understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care I amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 f Generated by REScheck-Web Software Compliance Certificate Project Title: McKone-228 Cotuit Bay Drive Energy Code: 2009 IECC Location: Cotuit,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 228 Cotuit Bay Drive Carey Grover Archi-Tech Associates,Inc. Cotuit,Massachusetts 02635 Grover Custom Building 6 School Street P.O.Box 1080 Cotuit,Massachusetts 02635 Cotuit,Massachusetts 02635 508420-5335 508-364-5651 :Compliance: Passes Compliance:3.4%Better Than Code Maximum UA:89 Your UA:86 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. AssemblyGross Cavity Cont. Glazing UA or or D•• Floor:All-Wood Joist/Truss Over Uncond.Space 193 30.0 0.0 6 Wall:Wood Frame,16in.D.C. 429 19.0 0.0 15 CW225:Wood Frame,2 Pane w/Low-E 26 0.290 8 CW225:Wood Frame,2 Pane w/Low-E 26 0.290 8 CW225:Wood Frame,2 Pane w/Low-E 26 0.290 8 CW225:Wood Frame,2 Pane w/Low-E 26 0.290 8 CW225:Wood Frame,2 Pane w/Low-E 26 0.290 8 CW225:Wood Frame,2 Pane w/Low-E 26 0.290 8 CW225:Wood Frame,2 Pane w/Low-E 26 0.290 8 Ceiling:Cathedral 84 22.0 0.0 4 Ceiling:Flat or Scissor Truss 107 22.0 0.0 5 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck-Web and to comply with the mandatory requirements listed in the'REScheck Inspection Checklist. Name-Title Se 6 r—e Date Project Title: McKone-228 Cotuit Bay Drive Report date: 10/30/12 Data filename: Page 1 of 1 'f 2009 IECC Energy Efficiency Certificate Insulation . Ceiling/Roof 22.00 Wall 19.00 Floor I Foundation 30.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.29 Door CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments: ANY CONSTRUCTION THAT INCREASES m BEYOND 1200 SQ.FL PER LEVEL f S REQUIRE SPACE a INSTALLATION OF ADDITIONAL '�E REQUIf T THE - -- SMOKE DETECTORS. NOTE:A SEPARATE PERMIT IS REQUIRED FOR THE ¢ INSTALLATION OF SMOKE DETECTORS- PERA TDOES NO THE ELECTRICAL = j SATISFY THIS REOUiREhf'ctlT. gg s Az o7 _ --• .,a w DEG. — ewwn«•oKocA SITTIN6�� of ` ' �I D m.Taa ra. 0 I D HI ew•wwaa rmiw :re.o.m wru F.1 V 6 �o V) ............................ rs wa -- ��' LRA,V- DECK I� Z- ...........................: ..................� ............................. . rmrw m-� KITLNEN ........... ......................................... ....... ........... DEN .. ............. O..o.. BASEMENT PORMAL DININ$ a - s Mill (A s�► 5aL't� `,�s ^ F I P.5 T F L O O R P L A N FOUNDATION PLAN oo•cc.�.. .. o c ' .c... •.. .•.o wae.wo.mw...aoa.. t �y� � N O o. _ o A LL I 'p"2� NALL/DEro lE6Eim -- U1 ";.Ir'mTS?e: eo.wo.ne �o. .fp1f,nn+e.,o-+rc.mrn CUT T� LL (u w n.n,fOR�'O�b w e.e. •.x....rzlm .,ee 'm"' u C O o �Y 00� wYeNN�o.� ".�..�"' „Y c.a.om .•a,ems mn® xro xorzs 'v V No c LL 0 M SSq Ion Iro.• u well oc.e+nc. yG�, acm • = FA .rne s G(IIRP" j POUNDATION DETAIL ,,,,��ooV FES NONP� 11\n A_1 6AIED Fg1C �` .m of ° ................... _ D ................. • � I _ I I m m ° r I < I eSN I ° < I D I I D o........... o I Z � I Z I I ........... ............... &I I I � ILA— I f " a I ^ ° I y r i m Il < ............ i llt Z o £ a 2 a 1 I I 2 /J I;OhIMON � ; k• � � N oaa " I m tom O G WE O� Nn=y -a •a my d m t' ,ate Z CAN CSC 8 P Z> � �g FER 5>•ti � �°4� g - ......... --- D s I S Additions&Alterations to the b�;; �•y - D McKone Residence �'=;�•°- SO y 228 Cotuit Bc Drive ••'xa e�:a A R C H I—T B C H y ASS 0 C I A T E S fi edml street t soe�m.was r sm cm.sw o I Cotuit,Massachusetts tym, � �� °°mlt.®ma aido�badedaaam¢can UUU N Exterior Elevations/Section ; arch i t e c l u r a l d e s i g n architechassodates.com GENERAL FOUNDATION5 MASONRY 3.CONNECTORS SHOWN ARE AS 10.ALL PLYWOOD SHALL BE APA -. .-....__. - - ----- -- ------ MANUFACTURED BY SIMPSON PERFORMANCE RATED PANELS CONFORMING STRI.STRUCTURAL ORAWIN55 ARE I.THE ALLOrtABLE PRESUMED SOIL 1.MASONRY CONSTRUCTION SHALL MUST B APTIE PROVED INC.SUBSTITUTIONS TO THE FOLLOWING MINUM/M REQUIREMENTS: BEARING CAP(ITY 15 3000 P5F, CONFORM TO THE REOU REMENTS M51 BE APPROVED IN INSTALLATION TO BE USED WITH THE ENTIRE BY THE ENGINEER. INSTALLATION A./4'.SPAN ST RATING 16'.R TIC.EXPOBIRE I, 5E7 OF DRAWINGS. - WHICH IS TO BE VERIFIED IN TFF FIELD OF SPECIFICATIONS FOR MASONRY IN ALL CONNECTORS SHALL BE 3/4',SPAN RATING 16'. BEFORE CONSTRUCTION. STRENGT O M 53NRY F14 500 IN STRICT ACCORDANCE WITH THE STRENGTH OF MASONRY FM=1500 P51. THE MANUFACTURERS INSTRUCTIONS B. RATING INS-EXP05URE I,I/2', R _ 2.ALL SAFETY REGULATIONS a MUST EMPLOY ALL REQUIRED SPANPAN RATING Ib'. ARE TO BE STRICTLY FOLLOWED. 2.FOOTINGS SHALL BE CARRIED 2,VERTICAL REINFORCING OF MASONRY FASTENERS. „a METHODS OF CONSTRICTION a TO LOWER ELEVATION THAN 5HOYPN C.ROOF SHEATHING-EXPOSURE 1,5/6', ERECTION OF STRUCTURAL MATERIALS ON THE ORAWIN65 IF REQUIRED TO WALLS SHALL BE AS INDICATED ON SPAN RATING W. I5 THE CONTRACTOR5 RESPONSIBILITY. REACH PROPER BEARING CAPCITY, THE DRAWINGS. ALL CORES OF - 4.ALL CONNECTORS SHALL BE t� F C MASONRY UNITS SHALL BE FILLED HOT DIP GALVANIZED. WITH GROUT. REINFORCING BAR B.THE CONTRACTOR 15 RESPON51BLE 3.WALLS AC11NG A5 RETAINING WALLS LAPS SHALL BE 2'-(,'MIN. 2 fi DESIGN CRITERIA o FOR DISSEMINATION EM ALL SHALL NOT BE BACKFILLOR WITHOUT 5.BEFORE INSTALL ALL CONNECTOR FASTENERS BT),Nl e S REV ISIONS/REOURES. TO BRACING UNTIL ALL SUPPORTING SOIL BEFORE LOADING THE JOINT. TIN' THE'a/OCONTRACTORS. a SLABS ARE IN PLACE/AT 3 FOR HORIZONTAL JOINT 1HALL�BE EQUAL 1 APPLICABLE T5 8TH EDITI CODE ON U SIR N0.2 ADEQUATE STRENGTH. TO OUR-OTALL TRUSS MAWFACTERED 6.SPLIT WOOD 15 NOT ACCEPTABLE 2�' �'x1 4.RESONABLE CARE HAS BEEN WITH WIRE CONFORMING TO TO A5TM A 82 FOR ANY CONNECTION. AEGIS _ TAKEN IN THE PREPARATION OF 4.COMPACT ALL FILL UNDER FOOTINGS /COAU.ORD ATED FOR CORROSION PROTECTION 2.DE516N WIND SPEED: ILO MPH gOFpgSIO �G V W ALL ORAAW65 AND SPECIFICATIONS. /SLABS TO THE SPECIFIED DENSITY IN ANCE WITH ASTM A 153, HOWEVER THE ENGINEER DOES NOT a VERIFY. CLASS B-2. ALL WIRE SHALL BE 1.ALL EXP05ED FRAMING MEMBERS GUARANTEE AGAINST HUMAN ERROR 9 GAGE MINIMUM. PROVIDE MINIMUM SHALL BE TREATED PER AWPA a FOR THAT REASON IT 15 IMPERATIVE LAP OF 6'/USE PREFABRIATED T5 C2/C9 CCA 0.25 A MEMBERS IN STRUCTURAL DESIGN CRITERIA THAT THE CONTRACTOR SHALL CHECK OR CORNER SECTIONS AT ALL CONTACT WITH 501L SHALL BE' I--n ALL DIMENSIONS 1 DETAILS 1 MU5T WALL INTERSECTIONS. TREATED PER AWPA C23/C24 -FIR57 FLOOR 40 PSF LL /N VERIFY ALL CONDITIONS,DIMENSIONS, STRUCTURAL STEEL CCA 0.60.JOB SITE FABRICATIONS 15 P5F OL a ELEVATIONS AT THE SITE.ALL GUTS I BORES SHALL BE TREATED IN NM DISCREPANCIES SHALL BE BROUGHT I.DESIGN,FABRICATION a ERECTION 4.CONNRETE MASONRY UNITS SHALL ACCORDANCE WITH AYFA STD.MA. -SECOND FLOOR 30 RIF LL TO THE ATTENTION OF THE ENGINEER SHALL BE IN ACCORDANCE WITH CONFORM TO ASTM C 90. 15 P5F OL V V) - THE AISC SPECIFICATION FOR -ATTIC/STO. 20 P5F LL 1+'1 Tn STRUCTURAL STEEL FOR BUILDINGS, B.ALL MANUFACTURED LVL WOOD FRAMING 10 P5F DL i1 5.THE CONTRACTOR SHALL SUBMIT LATEST EDITION. 5.CONCRETE BRICK SHALL CONFORM MEMBERS SHALL HAVE THE FOLLOWING GOMPl.ETE SHOP DRAWINGS FOR TO A51M 655. PHYSICAL PROPERTIES AS A MINIMUM: •ROOF 65L 30 P5F 5L ALL CONCRETE REINFORCING,ALL 15 P5F DL STRUCTURAL STEEL,a BOTH 2.STRUCTURAL SHAPES SHALL CONFORM b.GROUT SHALL CONFORM TO THE E=19 W XI0bP51,FB=2800,FV=240. (�) CALCU.ATIONS a SHOP DRAWINGS TO THE FOLLOWING: -EXT. ALLS/STOR, 15 PLF OL V FOR ALL MANIFACTURERED LUMBER REMIREMENT5 OF A5TM C 146 a -INT.WALL$/STOR, 50 PLF OL PRODUCTS a THEIR CONNECTORS A.WIDE FLANGE MEMBERS ASTM SHALL HAVE A COMPRESSIVE 9.ALL FLOOR JOISTS SHALL BE AS FOR REVIEW PRIOR TO FABRICATION. A992 GRADE 50 STRENGTH OF 3000 PSI. MANUFACTURERED BY BOISE CASCADE -DECKS/FORCHES 40 P5F AW a AS SIZED ON THE DRINGS. ALL 10 P5F B.CHANNELS/ANGLES A5TM A36, 1.VERTICAL 1 BOND BEAM FASTENING,BEARING,BRACING a 5TIFFENIN6 SHALL BE IN STRICT ACCORDANCE C.HS5 ROUND a RECTANGULAR TUBES REINFORCEMENT SHALL CONFORM WITH THE MANUFACTURER-5REOULREMENT5, n. CONCRETE TO A5TM A 500.GRADE B FY=46 K51. TO THE REQUIREMENTS OF ASTM A615. = w a c I.ALL CONCRETE WORK AND MATERIALS N- N SHALL COMPLY WITH THE SPECIFICATIONS 3.ALL GALVANIZING SHALL CONFORM 8.MORTAR SHALL CONFORM TO THE m Ic N �CI 501STRUCTURALREQUIREMENTS OF A5TM C 210 CONCRETE FOR BUILDINGS 70 ASTM A 123. AND SHALL BE TYPE M OR 5. m co M 4.BOLTED CONNECTIONS SHALL BE WITH 2.ALL CONCRETE SHALL HAVE A 28 q-DAY HIGH STRENGTH BOLT5 IN ACCORDANCE QUALITY ASSURANCE TESTING e ... O COMPRESSIVE STRENGTH OF 3000 PSI, WITH THE SPECIFICATION FOR INSPECTION SMALL BE PERFORMED J N WITH MAXIMUM I INCH AGGREGATE a STRUCTURAL JOINTS USING ASTM A 325 IN ACCORDANCE WITH THE MAXIMUM 6%AIR ENTRAINMENT FOR OR A 490 BOLTS. REQUIREMENTS OF ACI 530.11ASCE 6/88. EXTERIOR CONCRETE EXPOSED TO MOISTURE. 5.ANCHOR BOLTS SHALL BE A51M A 301. FRAMING LUMBER a CONNECTORS 3.ALL REINFORCING STEEL SHALL BE DEFORMED BARS OF NEW BILLET STEEL 6.PeLDS SMALL BE MADE BY OPERATORS - r QJ W CONFORMING TO ASTM A 615 GRADE 60. CERTIFIED BY THE STANDARD 1.ALL FRAMING LUMBER SHALL BE - U>z N QUALIFICATION PROCEDURE OF THE KILN DRIED 111%MAXIMUM MOISTURE ....mU o C v O AMERICAN I'IELOIN6 SOCIETY. CONTENT. LUMBER SHALL MEET �....m :n N O Z 4.CONCRETE COVER OF REINFORCING BARS AS A MINIMUM THE FOLLOWING o:2k b SHALL BE AS FOLLOWS: DE516N VALUES FOR SPRUCE-PINE-FIR: Icro�usmU =- VT 1.WELDING SHALL BE IN ACCORDANCE A.2X STUDS CONSTRUCTION GRADE m A.3'AT CONCRETE PLACED DIRECTLY WITH THE AIMS 01.1 CODE FOR WELDING a m 2 AGAINST EARTH. IN BUILDING WN5TRUCTION. FB=800,FF+V=65,FC-150 'a C B.2'AT ALL OTHER LOCATIONS. B.2X JOI5T5/RAFTER5 NO.I GRADE c O V« ro 8.CONNECTIONS NOT DETAILED SHALL F5=1150,FV=10 Y a0 aU BE DESIGNED FOR THE LOADS 5HOYPI - N O y 5.NO HORIZONTAL 6ON5TRUC.TION JOINTS ON THE DRAMW55 OR FOR LOADS C.P05T NO.I GRADE FB-800. LD ARE ALLOYED,UNLESS SPECIFICALLY GIVEN IN THE STANDARD LOAD FV=65,FC=615 SHOWN ON THE DRAWINGS OR ALLOWED TABLES OF A15C FOR THE SPAN,IN WRITMG BY THE ENGINEER. SECTION a STRENGTH SPECIFIED. 2,ALL FASTENING OF FRAMING, PLATES,SILLS,SHEATHING a • 6. 9.ELEVATIONS NOTED AS'TOP OF STEEL' OTHER WOOD MEMBERS SHALL a=v REFER TO THE 70P FLANGE OF ROLLED BE IN ACCORDANCE WITH THE SECTIONS DETAILS SHOWN a MINIMUM REQUIREMENTS OF THE MASSACHU5ETTS STATE BUILDING CODE BIN EDITION. paF S_1 y n 6AIEDFOAL0NSTA-WN _ of A ZA Mffl OT T AV pq .. ... . . . . . . . . ......................... ......... . . . . . . . . . . . ... . . . . . . . . . . . . . . . .................G9 umigpi=............. . . . . . . . . . . . . . . . . . . . . . . . . . ................. ...................... Al? A2 g�' ........... ............. .................................. . . . .................................. Y400D P057 DOWN FIR 5 7 FLOOR FRAMING P L A IN MOOD POST VP AND DOWN C,E I L ING FLOOR F RAMI N G, PLAN x •HOOD P05T uP BEARING KALL BELOW [L o 5EE STRUCTURAL GENERAL NOTES x AND TYPICAL DETAILS FOR OTHER W REQUIREMENTS. F, , o ALL FO5T5 @ ENDS OF BEAMS TO BE I n. (3)2X45 OR(3)2Xb5 UNLESS NOTED c:i cv co c? ALL WINDOW HEADERS TO BE(3)2X65 co o rV 112*PLYWOOD UNLESS NOTED PROVIDE CONNECTORS AT ALL RAFTER TO RIDGE,RIDGE TO POW C TRLI%P05T CAPS/BASES,RAFTER TO riALL/HEADER,HEADER TO P05T LOCATIONS 12 ..................... o LL I—r co m . . . . .. cr:t-- ec. Q'J io! o tj x S2 Y '5 E 12 ........... .................................................................................................. LL ..... O. els STRUC AL .2 ROOF. 90� FRAMING, PLAN ROOF PLANa'� NALE S-2 6mFmcu6mKu NI of S � 1 f Telephone: 508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: nV er JOB SITE ADDRESS: DATE: a AREA THICKNESS RNA LUE Ceiling Cathedral Ceiling 5` Garage Ceiling Basement Ceiling Slopes Exterior W all Garage Hse. Wall W alkout Wall Cathedral Wall Blockers Overhang Stair/R isers All R-values and thickness measurements are deemed to be accurate by the following installers: • TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM � CORSOND® III • Spray Insulation System Technical Data Sheet Typical Ph sidal.Pro ernes ASTM Method CORSOND III Nominal Density D-1622 2.0.lb/cu.ft. p-1621 25 psi Compressive strength (11 20 psi Compressive Strength (Y) D71 D-1 621 621 20 psi Closed Cell Content K Factor C-518 (initial) 0.15 (aged) 0.16 C-1029-07 (180 day) R Factor C-518 (Initial) 6.6 (aged)' 6.2 C-1029-07 (180 day) Water Absorption 0-2842 0.020 (gtr/cc) .water Vapor Transmission E-96 (calculated) 0.90 perms 0 2.5". Air Infiltration E-283-04 75 Pa 0.001 L/S/m2 (1.57 psf) (<O.001 cfm/ft2) 300 Pa 0.001 L/S/m2 (6.24 psf) (<0.001 cfm/ft2) Air Permeance E-2178-03 75 Po 0.000055 L/S.m2.Pa 0,000117 ft3/min.m2.Pa 300 Pa 0.000024 L/S.m2.Pa. 0.000051 ft3/min.m2.Pa Sound Transmission Coefficient (STC) E-90-90 & E413-87 36 (STC) 2 x 4 wood stud. 16"on centers, 2,76"of COIts.OND®, 15/32"exterior 058 sheeting,'h"gypsum wallboard. Recycled Content 16.5% NOTES: 1. This Information is intended only as a guide for design purposes. The values shown are the average values obtained from sprayed laboratory samples. The test methods were performed per the ASTM Book of Standards. 2. K Factor varies depending on age and'use conditions, * Aged 180 days per Federal Trade Commission 16CFR Part 460 The information herein Is to assist customers in determining whether our products are suitable for their applications. We request that customers Inspect and test our products before use and satisfy themselves as to content and suitability. our products ore intended for sole to industrial and commercial customers for processing, we warrant that our products will meet our written specifications.Nothing herein shall constitute any other warranty express or Implied,Including any warranty of merchantability or fitness,nor Is protection from any low or potent to be Inferred. The exclusive remedy for all proven claims Is replacement of raw materials and In no event shall we be lioble for special,incidental or consequential damages. Corbond Corporation r '- �a 1 CORBOND E.FrontageRoad ® Soze Bozeman,MT 59715 ;- �'•I Performance Insulation System, Toll Free:(AB)949.0089 Fax:(405)58GA564 Nlrt0YBTAA , www.corbond.com , eeies®oorband.com TOWN OF BARNSTABLE BUILDING PERMIT_APPLICATION 4 0Y1 V, Map �S^�D' Parcel mil `' Application # Health Division Date Issued Conservation Division Application Fe$ Planning Dept. Permit Fee l i Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 5- t / ilh� Village Owner . � � _/�%� Di'l Address Z4(Vvi�4_ Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain 02 Groundwater Overlay 00 Project Valuation OiW• Construction Type Lot Size IS, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 2I10 On Old King's Highway: ❑Yes alo Basement Type: bull ❑ awl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) C2 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new C> Number of Bedrooms: existing _new — Total Room Count (not including baths): existing new First Floor Room Count'- q Heat Type and Fuel: U Gas Ell Oil ❑ Electric ❑ Other Central Air: �es ❑ No Fireplaces: Existing wo od/coal_ stove:, ❑ Yep 9'No Detached garage: ❑existi g ❑ new size Pool: ❑ —''existing ❑ new size _ Barn: ❑ existing g,nevsize_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �0' elephone Number Address Po, License # ca5 i Home Improvement Contractor# Z&X i%2c:,.2— Worker's Compensation # I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ,S C FOR OFFICIAL USE ONLY r` APPLICATION# _DATE ISSUED MAP_/PARCEL NO. ADDRESS VILLAGE , OWNER e DATE OF INSPECTION: '.'_FOUNDATION` .*V95 ok -�9�! .,� FRAME t FIREPLACE R ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL IT ROUGH FINAL FlNAL.BUILDING`> . l": ® fA 1-A k..:.DATE:CLO.SED.OUT ASSOCIATION PLAN NO. ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,M.4 02111' . k www.mass.gov/dia ' Workers"Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Pr' t Le 'bl Name(Business/Organizatiowlndividual): . Address: City/State/Zip: . Are yo employer? Check the appropriate box: .Type of project(required):. 1.LV am a employer with�_ 4. ❑ I am a general contractor and I employees (full and/or part-time),* • have hired the sub-contractors 6, []New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' comp. insurance.;' 9. ❑Buildmg addition [No workers comp,insurance P• required.] 5. ❑ we are a corporation and its 10.❑13lectrical repairs or additions officers have exercised their '3.❑ I am a homeowner doing all-work . 11.❑Plumbing repairs or additions . myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152, §1(4), and we have no employees. [No workers' ..13.❑ Other&?Gt/,Qpd6 comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number, I am an employer that is providing workers'compensation insurance for my employees. Below isthe policy and job site ' information. Insurance Company Name: Policy#or Self-ins.Lic. #: LD " .�O[ 'o� Expiration Date: oL_ Job Site Address: r:/ City/State/Zip: c Attach a copy of the workers' compensatio olicy declaration page'(showi.ng the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP ViWORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. ' I do hereby certi er the pains. penalties of perjury that the information provided abov ..is ue and correct Signafore: Date: Phone#: Official use only. Do not write in this area, to be completed by,city or town official. City or Town: ' Permit/License# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3. City/Town Clerk 4•Electrical Inspector 5.Plumbing Inspector [6, Other rContact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as ".-every person in the service of another under any contract of hiie, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a-deceased employer, or the receiver or trustee-of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenince,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter-152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence-of•compliance withthe insurance- requirements of this chapter have been presented'to the contracting authority.' Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-conttactor(s)name(s), address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members*Or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the-affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information-(if necessary)and under"Job Site Address"the applicant should write"all locations in - (city' -or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof-that a valid affidavit is on file for future permits or licenses. -A new affidavit must be filled out each year.Where a home owner or citizen.is obtaining a license or permit not related fo any business or commercial venture (i.e_a dog license or permit to burn leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please'do not hesitate to give us a call. The Department's address,telephone-and fax number:. Thte Commonwealth onwealth of Massac us.(e is Depaatm=t of Industrial Awi&mts ' Office of kvestigafioas 604 Washingt6 Street BostQn,-MA 02111 TO. #617-727 4500 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 • v�vrv.n2asS.gQ�1'/C�i� . • -........ .. ....... _. .._-. .....-_ _s. :,.+...�._.«.......-;i.:L.aa�_..::SE•riY+Bhi'•:>F6++0 - �.:X:::..-si;.:�.�:.:x:-..1.�.-^--'_s-'»:e,:...- DATE(MM/DD/YYYY) ,aCC>RO' CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. g THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). i PRODUCER CONTACT NAME: PHONE FAX Applied Risk Insurance Services, Inc. (A/C,No,Exl): 1A77_)_23d-449 0 1(A(C,No):. $7 7 2.3414 7 14 10825 Old Mill Rd E-MAIL R 0—ha, NE 68154 ADDRESS: PRODUCER t CUSTOMER ID (877)234-4420 INSURER(S)AFFORDING COVERAGE NAIC0 } t INSURED INSURER A: Co -:3r_.-C a i I Grover, CareyINSURER B: t dba Grower Building and ReIIlOdelinl; INSURER C: PO BOX 1080 INSURER D: Cotuit, NA 02635-1080 INSURER E: CTL 1273 579907 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YY MM/DD/YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY a ❑ DAMAGE TO RENTED ' CLAIMS PREMISES(Ea o rreme) $ MADE OCCUR MED EXP An one ersm $ PERSONAL BADVINJURY S GENERAL AGGREGATE $ - GEN'LAt> cGATE Lliviil APPLIES PER: PRODUCTS-COMP/OP AGG IS POLICY PROJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ❑ ❑ (Ea accident) $ ALL OWNED AUTOS BODILY INJURY Perperson) $ SCHEDULED AUTOS BODILY INJURY(Per aa9dent)-S HIRED AUTOS PROPERTY DAMAGE Per accident $ NON-OWNED AUTOS I$ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB H CLAIMS-MADE ❑ AGGREGATE S DEDUCTIBLE 11 El RETENTION S I I I I $ WORKERS COMPENSATION WC STATU- IOTH- ANDEMPLOYERS'LIABILITY Y/N T RY LIMIT ER ANY PROPRIETOR/PARTNER/ n EXECUTIVE OFFICER/MEMBER LLVJ N/A ❑ E.L.EACH ACCIDENT S A EXCLUDED? LLV-/ 46-805700-01-04 08/31/2011 08/31/2012 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5 A,-0 0 Des describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ I❑ F-1I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach Acord 101,Additional Remarks Schedule,if more space is required) . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Grover D i 1diM and PjmndeliW EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH PO BO[ 1080 THE POLICY PROVISIONS. CotUlt, NA 02635-1080 AUTHORIZED REPRESENTATIVE /dam- f Attn: Project Manager 1 ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD 01 -2009 ACORD CORPORATION. All rights reserved. . r — �I;Iv:lrilu�cll� - Ucll;lrtotcnl ��!' 1'nirlil �:Ifct� f - � Bu;u'tl of 13uiltlin� Kc_ul;rlinn� ;;ls i �t,lnllartl�; j 2�_._✓ ;t�r+$ti l.1G 11Gn Ali Dt�r'J!$Gf _ „:3 Is License: CS 77754 Restricted to: 1G CAREY C GROVER `' '' z i PO BOX 1080 COTUIT, MA 02635 c.kpir,?ti:rn: 11/22-/2011 ( ••nnui��i�•nrr I r:: 7783 :1.. License or r•eoisti-miun valid for individul use only' Jllicc of 'oilsunrcr:\ILnrs\ Bilsuness�2i�'u1ation n •10ME IMPROVEMENT CONTRACTOR hefore the cXpil'alion dale. If found return In: Registration: } ,4322 Type: Office of Consumer affairs and 13usiness Regulation 10 Park I'la-r.a -Suite 5170 ,_xpiration: 9/23/2012 UBA Boston. N4;1 02116 GROVER BUILDING +REMODELING CARE':' GROVER 56 BOWDClN RD MASHPEE, Mil 02649 Un(I use cretory No6ilid without signature r r Y J Town of.Barnstable 0 • Regulatory Services KAM �* Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstab Ie.ma.us Office: 508-962-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the svbject.pra e P nY hereby authorize cj/moo to act on my behalf, In all ma is relative to work authorized by this building permit application for. Address ofJ Signature of Owner C/ Date Nan !S Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:F0RM5:0 WXERPERMIS9)0N Town of Barnstable Q RegalatblT Services uxxsrwsrs, Thomas F. Geil&r,Director �Ea,19..16 Building Division Tom Perry, Building Commissioner 200 Maid.StreetAyannis,MA.02601. WWw-to wn.b arnstab l e_taa-us Office: 508-862-403 8 Fax: 508-790-6230 ErMMOWNER LICENSE EXEMMON Please Print DATE JOB LOCATION: number street village' "HOMFAWNW', name home phone# work phone CURRENT MAILING ADDRESS: city/town state ap code 'ac current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a-license,provided that the owner acts as supervisor. DEFINMON OF HOM 0WN''ER Person(s)who owns a parcel of land on which he/she resides or intends to reside, an which there is, or is intended to be, a one or two-family dwelling, attached or detached siructures accessory to such use and/or farm structures. A person who const mcts more than One home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be reSDonsble for all such work performed unde erm r the building pit (Section 109.1-1) The umdersigned"homeowner"asstnnes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowners'certifies thathe/she tmderstands the Town of Barnstable Building Department minimrim iaTdction procedures ind raquifemcnts and that he/she will comply with said procodmcs and r quirements. , Signabira of Homeowner Approval of Building Ofncia] Note: Three-family dwellings cunt dnir!g 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOwIdER'S EXEMP-I bN -The Code statrs that: "Any homeowner pm-firming work far which a building permit is required shall be axcarpt from the provisions of this section,(Seetion 1D9.1.1 -Licensing of conshvetion Supenrisors);provided that if the homeowner engagr-s a person(s)for hireto do such work,that such Homeowner shall ad as supervisor." l,�any homeowners who use this exernption arie unaware that they are assuming the responnbilitirs of a supervisor(see Appendix Q. Rulcs&Regulations for Licensing Camsbuetioa Supervisors,Section 2.15) This lack of awareness bf9ert results in serious problems,particularly when the homeowner hires unlincomd parsons. In,this case,our Board cannot proceed against the unlieansed person as it would with i licerised Supervisor. Thc horhrowncr acting as Supervisor is ultimately re-spons7ble. To ensure that the homeowner is fully aware of his/her n slomsibilitim,many communities rrquirc,as part of the permit application, that the homeowner certify that he/she undarstands the responsibilities of a Supervisor. On the last page of this issue is a farm currently used by several tmms. You may care t amend and adopt such a form/eertificaEan for use in your community. Q:forrns:homco:cmpt 1 s; REFERENCES: F 06 RetS��J o Assessors Map: 056 \�Ke�00 WOO Parcel: 015 I F F P ZONE:RF I M°\GO\�°\GO\t� Setbacks: 0\1ec° d , Fron t: 30'min F pc�� \AOa Side: 75'min Rear: 15'min M QO��ke °\d ` P � R00 v+16e �ag�e 76.1• r �Ng1.OS•08 i �cu J m � • cn 6 1 esµ 9 Od O a 77- �O O 0 0 a 7 Q I #228 19.2' j 1 x sty w/f 01. Dwelling 1 Lot 98 v y f 38.5• v G 50.3' I o'I) Lot 97 29,1271 SF � 1 ael i Lot 96 Lot 69 i •� � 0 - V ' G , Lot 70 Noi Y� I certify that the structure `shown `hereon conforms to ICNARD • the setback requirements of R ICHAREUX' the Zoning Bylaws of the PLOT PLAN NO• 34312 Qc town of Barnstable. At 228 Cotuit Bay Drive o,A- „ BARNSTABLE rofe Surveyor D to 1 (Cotuit) NOTES: MASS, DATE: 221SEP/10 SCALE: 1"-40' 1.) The structures shown were located on the ground 0 10 20 30 40 60 80 FEET by conventional survey methods on 17/SEP/2010. PREPARED FOR: 2.) The property line information shown hereon was Francis McKone compiled from available record information. 228 Cotuit Bay Dr Cotuit MA 02635 3.) This plan is not for recording and is not to be .used for construction layout or deed description PREPARED BY: CapeSury purposes. 7 Parker Rood Osterville MA 02655 DWG # C763gl FIELD BY: RRL/MLL (508) 420-3994 / 420-3995fox ) 9r ]ss A NOTES: D7 E'TST 1.)CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 2.)CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, NEW DETAILS,8 FINISHES IN THE FIELD WITH OWNER 4 DECK )) 3.)ROUGH OPENING HEAD HEIGHT OF NEW DOOR AT ( wmu ,G To )I FIRST FLOOR TO BE 6-8'ABOVE SUBFLOOR - 4 01 OU5""Gj 4.) ALL CONSTRUCTION TO CONFORM TO 78D CMR MASSACHUSETTS 11 STATE BUILDING CODE.8TH EDITION AMENDMETNS&IRC2009 5,) VERIFY ALL PLUMBING 8 ELECTRICAL DETAILS W/OWNERS ON THE SITE IROOc11 oFE"wGI EXIST. DURING FRAMING CONSTRUCTION FAMILY e NroERSE.,P3i0Y 6.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL FRERPMIOOO DOOR ROOM ON COMPONENTS w5T -ST. sr� 7.) SIMPS ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS TO BE 3000 PSI EXIST. EXIST. so oe roE.°ins ioKm°s SUNROOM LIVING a e..cW,rosrswR�RSAio.eae x^�rJs�e oN� EnSr. I I 11.1. TT.z.+B eloa3RC FORounTa.-�isT°+cIT.FI$TENJOWSTB FAS- BfAl1TVbIYV50N I,ES 3 p FLOOR PLAN 9r x3.4+ / P.T.E.5 p0515 OH fi W CW,CAETE GPOST90",SPA 6'�IP T-S YNO_AStR0Zsu2PoST BAT 6E ' °O"OREIc soRo1U3E5 To A03/AOES LM,t msTO+pS m Bum ORAOE.USf 61Rps0"5.5.ASU.b FOSf A FAST I ST3TO BATE LAOfi/KE5pO5fCME D RSTIES SOAp50:, OBUILDING SECTION @ NEW DECK 4 4 p.T... vosTe'l iiow �NCRFIE SONOIU�SiO � BASEMEN INSTALLSMp50NOfixx BELOW GMOE USE wwmw OEa TEI.'b10U TIES wl e°is'EsiK'nc�c°.rosPOo'ws h EXIST. o r"REi°EORoom IAGEs EVE1nY spurn CRAWLSPACE "p T°R RE mwma p.T.x.row,AiERcasw WST,ua.cuswru vER a p.T.].Iz. RoosEwRAp L—,. � b NEW P.T,x.ro+ I6' -- OECgRG p T.].IOLEmFA BOMOUG Bmtm TO I—- — ' v°I],LEmERIPcsmTS EXIST.FULL F ps.WllP5i5 hWGERSAI BOIH ERRS I � WSTALL FEEL5Sil0! EXIST. ^fi BASEMENT e o sREA mw CRAWLSPACE ]"Of O°"06 AI - pl],IO FDG ABPWD bBO m•°�16'pc _ SOVO BIOPORGSG Q,LEOGERLP(BOLTS ro'o.c.STAGGFAEOvnlPSTS RRRGERS AT ITl @R+,y N0�5.SEE iRCxOb SEtt.EDL'2 FOOTING/FRAMING PLAN DECK DETAIL COTUIT BAY DESIGN LLC NEW ADDITION FOR: SCALE: DRAWING N°.: 43 BREWSTER ROAD 1/4"=V-0" MASHPEE,MA. 02649 McKONE RESIDENCE DATE: D 1 PH.(508)274-1166 FAX(501)539-9402 228 COTUIT BAY DRIVE COTUIT, MA �..n� s/s/zo1, IF PO6l6 REAR ELEVATION : Ex��= TOPOGPNTE pP5l FtOOx SUfiGL006 LEFT ELEVATION SCALE: DRAWING NO.: EaQ M COTUIT BAY DESIGN. LLC NEW ADDITION FOR: 14,._,._o., 43 BREWSTER ROAD M .(508 ,MA. 02649 McKONE RESIDENCE D2 MA HPE .MA. 66 DATE Fvc(50 )539-9402 228 COTUIT BAY DRIVE COTUIT, MA �P�_ anv2o„ P , IL 4,''!I Ihl'1tj,, I f tI I I I a y� s � is h - lot' � � � II!'II� JJ{{stl • t e�rc} ��v r"Fq x,e 5 . t 11 i �r>y M1Al c I , I, _. . n i - SY Y f I1AR nag iN i 'lI ` ,�• as - •� ' I I hl2 ilr _ w . • j I -. � "*per- � s ,�. 41♦tt y a _ I I � 1 ,rev 4a 71 r.+�< �'6 'C f r y ,,kyy 4 4"�->•�� d a�j�A t Lnf(H I - ;`�t( �atR.,(, '( ��� �i �i'�' , w�"r7�--"'��-{ °f.Ya en�SY ���gl�.A t • ,R �i , 51,6 i�14'sy F.,r,.;{ ,,/�5 .r> 7`- 7 ✓'�S c! T i t `�„ t . s H � _!S � �! � ��•hs.a 1v�v a.,li 4fa � '�1'ivz�iz/.F T�i'x`+� ,-„ 6,y nfi,ll 5�r C �4 gC 'y 3rt.s✓� 9 y j Ytt+���s v-f ao r : ! 1 .. �"�1•sr f I :? A�I Y I.Xsr y �1 Y { � � e ��4 vas �P�.r�'�"ro j • 1 1 � SO4 �, ivll_�e 7 I Ir � I I 7 � � I I .� •� I I I � � •7,i I I �. � ,I `1 r ,F �I �d .� t IIr c r— II � II I II ---------- ,�-------------� — TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 00 5'�' -'Parcel 0 / Permit# 92 62-3 Health Division 5-d�-`7 C 1���65 5 ��Xvrf, O�\'J i Date Issued Conservation Division _ ,, ' v / �pf��'' "I A(��4;; J /- �/a�/DS ' � Application Fee '0 0.00 Tax'Collector D O 28915 JAN 20 Permit Fee Treasurer �� 1 l��- l 9 2� SEPTIC SYSTEM MUST BE INSTALLED Planning Dept. S �II�f�OMP(,IIWCE n� �5 ;��y_����• WR�tTffm Date Definitive Plan Approved by Planning Board ,4 0 D U TIONS Historic-OKH Preservation/Hyannis Pf Project Street Adddrre_ss 2 2—S (_ D TO I E 15A �! ICO A-p Village �Tq/T Owner EE6,611< M ° pti! Address /.32 C s , CoWLs04t,C2A Telephone 764 �-6 03 - 0!7 2,4 2a®9 Permit Request /tit 1.5 4 &VeWi C-�—AA7A6< 7-0 !_ ek7,s� AWy B /C�5 Square feet: 1st floor: existing 216,0 proposed O 2nd floor: existing //66 proposed/509 Total new .379 Zoning District IF Flood Plain tJ 44 Groundwater Overlay 14 ,q Project Valuation` �� Construction Type Lot Size 7 A,k-�:' Grandfathered: O Yes W No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes .0 No On Old King's Highway: D Yes /XNo� Basement Type: /0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) /44 Basement Unfinished Area(sq.ft) /•2©a Number of Baths: Full: existing 3 new l Half:existing O new O Number of Bedrooms: existing_ new O Total Room Count(not including baths): existing 9 new / First Floor Room Count 5- Heat Type and Fuel: ❑Gas )4 Oil ❑Electric ❑Other do T V/A--r-E•�2 Central Air: XYes O No Fireplaces: Existing Z New 'Existing wood/coal stove: ❑Yes )Q'N'o/ Detached garage:O existing El new size Pool:O existing O new size AJ/ Barn:D existing ❑new sized f� Attached garage:9existing ❑new size Shed:O existing ❑new sized Other: ' Zoning Board of Appeals Authorization O Appeal# 11J Recorded El Commercial ❑Yes 19 No If yes, site plan review# Current Use �P /, �/c� Proposed Use BUILDER INFORMATION I Named f��,oj�?�S C /—Telephone Number 7-75- Address 58,6—S � �7' / ' License# 01,,T 8.�7 yA-IS!' 5 Home Improvement Contractor# Worker's Compensation# WCG ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE `2'36 -f C{ J e FOR OFFICIAL USE ONLY a 'PERMIT NO. ` 7 DATE ISSUED MAP/PARCEL NO. 1 r ADDRESS VILLAGE OWNER DATE OF INSPECTION: , FOUNDATION FRAME �d� cli�lwj'.g INSULATION � ! FIREPLACE - ELECTRICAL: ROUGH FINAL ° �• ; PLUMBING: ROUGH: m FINAL mco GAS: ROU CC r FINAL ' FINAL BUILDING (;� - a DATE CLOSED OUT ~ ASSOCIATION PLAN N( A Q rn C7 ' o I RESIDENTIAL BUILDING PERMT FEES APPLICATION FEE, X� r New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSIiEET j NEW LIVING SPACE 3 79 square feet x$96/sq.foot= —x.0041= plus from below(if applicable) ALTERATIONSMENOVATIONS OF EXISTING SPACE 379 square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square,feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120.s4.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= - STAND ALONE PERMITS Open Porch x$30.00 (number) Deck x$30.00= R (number) Fireplace/Chimney x$25.00= lU 's (number) Inground Swimming Pool $60.00 A+ Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) ,/� 07 Permit Fee Prolcost Rev:063004 JIIP VO'JJYA/LO'IGA.MIbLI� O/ .1141djac/G1jea BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 015851 Expires: 09/28/2005 Tr.no: 6861.0 Restricted: 00 CRAIG N ASHWORTH 385 SEA STREET HYANNIS, MA 02601 Administrator i o,*1KE -Town of Barnstable Regulatory Services sattxsUBLs, t Thomas F.Geiler,Director asass. 9�A,E039. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no.- Date— /2 A. o AFFIDAVIT i HOME IM[PROVEN[ENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building`be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: )CEAJd ✓Q. Tl d AJ Estimated Cost 3� o Address of Work: 2 C b.TU 1 T' -BA-�/ ICED Owner's Name: Mf' �o t6 . Date of Application: /2� 04- I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied i []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent the er: a � 0 02 0 q . Date Contractor Na Registration No. OR i Date Owner's Name Q:forms:homeatBdav Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 102014 i Type: Private Corporation Expiration: 6/30/2006 ERNEST B. NORRIS & SON INC Craig Ashworth 385 Sea St Hyannis, MA 02601 ` i' Update Address and return card.Mark reason for change. F ' ment Lost Card ❑ Address Renewal ❑ Employ i i• d {. ✓die �anr�rwozurea o�.�aaoac�%uael�a Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: .'v Board of Building Regulations and Standards Registration: 102014 One Ashburton Place Rm 1301 Expiration: 6/30/2006 p Boston,Ma.02108 ,,•! Type: Private.Corporation y; ERNEST B. NORRIS&SON INC,' Craig Ashworth �;•;.i:;.'. 385 Sea St G/, �, z*✓ _ Hyannis, MA 02601 of valid without signature Administrator --_= The Commonwealth of Massachusetts _�: ........ :— - Department of Industrial Accidents office ofINIVOS/gOPHS 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: ciri, phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one worlds in capacity in °: r�:::`::::i::.:::2::�:::.>•::::::::�::::::>::.:�:> {•;>, .:4 ::::•> :�?cF..�•{•`.�> L�x.�::.;s(7.'.�;�:.�° :.::.:::::.:.�:.:.:.:::.�::.::.:::r.....:.................,.:,:. ..,......:..,..,.....,......................,..,.,:..::......:.....:........,.::.:.::,::.:.:.::::.:: :v:::is i::::.::::::::.:::::.:iii:{•i:4i:}i':i:�i}i}i!•:•.4i::6>i;i:4Y:i:<4i'vi:iiii:ii vi'+:}:�is ii:•i:Y:•::iiii:is i:;;4i:.;v::?.•i;:::^ii}i;th%;{4ii:4.�>i:v:iiS::•ii:•Xni:.ii'I:•i;4:v:•i:;•:iiii'�i?}i:4:;•:�r•::::.;4•./.••.iYnY:{:::;,;.:..�.;;:::::::.;{r;{::r :::::.�:::r:.::.::ii:vi:;•in�x::n�nw:.::w:::r�:n•:::::x::::::.� ::::::n:•:::::.�:.�{::......;......:...........4:.:.}•:.........::v;.......;.....;:....:......�........:.::::::.::.....;.......:::..:..:..:.::..:::...::•;:::::::.;..n. ..........:.�:v:........................................................................::::::.::.�:::..:�::.�:nv..�::.:nv::::::..n.::n•::::.n:•n•;w:::n:w.:v:::r::........:.:::•.::::::.�::::.�::::::.:�::n•.�:::n:::::::nn:::{::: ................::::......... ............................... ...... .......... :•::•.�::::::.::::::::•:::::�::::.::�::::•.:.�:::::•:::•::.�:::::n•.:.: .... ...t.......................:.o::•:kr•Y�£:w>'YYoi;K:�:f:::Si:%�:::;; .................................................:.:::.::::::::::::.:::.::•:::::::.:.:..:.:.,.::::::::::::::.�:::.:::::::::::+ one•.#.::.:::::::...:,,..:<,<:.;:'.;:.;:::.:::::::._:::{::.�::.::{.:.:..::.::.:::>::.::.�>:::.�::..�::::::::::. iikY i'ii:......... ii...i::$} ::�?{ �': ;:}<i?::Yf?':{};.... ;{:j:;�::.�,:•..'>:i:�::;•.�.'..�'.:.:: �:}'�....�i'�'i::?•i:���(i?:::•.�'<, �::::!;< {i{:iii:?.. •:•:��,��,...•�..•:�`•.;i.'•��r• �Y�.::�:•:n.:{YC ; ::i::::iiii: 'C) assurance'co:4:.:::::.:.::..�:::...,.::.:.�:::.�::..:. .........•� ...�`............ . .. ........................:. olicv# ......................... .. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: : :•„•nn w a.;.,,:::>;,;...................................................n.:::::::n.:::n:::..;:{.:':.:::::::::::._::.::.........:...... ............................ > r n"narie ' -- - -- 'con"a r 17 >•'�>S::<3:�;:;r:�i`d•;:;:::YY�::�:::>.�>:�:Y%�::YYY�::::<+�::;:�3:•::;�;;:•:;;{;•:<•;>;>;::;�;;:�:�:;•;•;;;:�;;;:%�:�::;:?•:4:•::;;•:;:>:;•:;•>::�:;:�;:�:::4:•:;�:;�:r�::::•::::::n•:::::r.. :n':S Yti4:yiM1;•: :YY; `:.ij:CJ'ii:+�i:YY{•:4:•:4:4;•}i%�iii::'::::::::::::}v:i>i!;Y:iiii:v:•:v i:•iii:?•i:4i}i:;�i:Yy?•'yY;+::;•:YJi'•}ys;Y,:�(::{':;:+:;:;:�;ilYy:4:i�{i:?y�:i:)Y;iii:�:ti3iiiiii;y;ii::;Y;:;i:;:;(r;?:;i�.;.,..,. •':Cnt{3i:Y�Y ..... •r.�::nv:is•::.....::.�:.;;: :::;:.:::{;•iii:{?•iY:iiii:???Y.'vw.�. r:.r:::::. .......{:4:•.�:::::x:::•ii".4:•ii:;4i:4;•::::::ri;`:4;+{:.:�.:{....................................................:.:.:........................... ,{4::::........�:::::::;...�..?:ii':v'.;i•. :::• ............. r•w::n•......::n•.v.::�::: v.�::::.�::::::.�:.�::::::::•.�:::::.�::::::.�::n•::v:.�::::::::n�nv::.::{•i:•::.�: ..............t::.::....:...:.:�vjii:{:}S;;;:;i:4:4i'vY•ii:'YUi+:':+•ii:•iY. :undress............:.:::.::.. .........::.:.. ...............:.::... •i:4'4iii:i'4:•�i�4:•:v:4iiii::•iii?ii:•::•�+ ..•..•.....rr:::::::::::: ................... ::::?v.....:.r a•.:..r.�.....:..:.....i.:4..:v..i.i.:•.;{.{.4..:4..i.i w...:.:.:..�.::•:.v w:.:.:..v:.:....�...:..:...:...:...:...:...:...:...:...:...n.....:..•..:..�..::...:.:...:.......:.:v....:r.:v....:::..:..:::..:.:.v...:�...:w..:.:..:.:..::..:�:.{:.::...i�.'.:v::.::::?�ivi:iG.i:l ili:iii:i!i4r. :::?.:��i vir.i:.:::•.::..:,.•v.:...:.;."YvY^nYi••>:i;'w�:.,:.:.:.:,:.:.:..4.:..v....,...{.+;}.: ..;.�{.:r{;.r...4.:.•w:r?:;:•:.:.:?4•iY:3:::::•:;:•.:;;.•:_.::.f::%{:.:h.� x vw : .:%.:...::.'b. :'..v.i...Y...\.{Y 'nY.::.Y a}.+:.5?l..'..�!.w.4.{..,{i...>t+i.iY,.:..•;.,•i.Y,,tia�vi:;.wi�nr:Y:{.>{v.•i%.`Y:•�ai :i.'+i{Y..::!�Fxxa'O.:;.:�4..i.:.i.i<.iXx:•.•:,r4.i{:.i:,.: Y�r S:Si':4?:•:�•i:{?4ii;i}iii •::?YY:;':;:;;:Y:>::YY i:: :;:;:Y:+S:::::::Y:;::;::;;::`:`i::;YYYY::;::i;::::2:<::;•;;::;:•::<.::•::......{:::;:i::;: •;:•:;;•:;{;;;.n n: i4Y• •::4>•�:+.::•>:::.;;•::•::>::.::•:::•:•.�:.:>�:rr:3:3:•:;rr;:;Y:;::`:'.'.�;:�:a:�.'•:<•:?•:;•::a�;:�>::>:•:�::�::•:;;•:x•:4::_:;.>:4::>i::i:�:;�i:';Y� ..r.:. .. .. .... a�:.Sr.a:••:::'.^;:�::�`v�;:�?��i:%�;�;:::;::?: .............n r.n. ..n\ .. ............ 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[dhrpanv n ......................:::4: ::;{•::;•:•::•;;:::n:•::.;:?:•:•::•:;;:::;:•::::;;:;.::YY:;r:Y >::%YYY:i::::;:::;: >::::•::;{•:>:4;:4:•:::•:•:>:•:::i•:<•>:;;r•;;:.................. ..r.................. ...........................................:..... t....... ................t.......... ........................................................... .... ...:. .,.... .. i:; ' ii.'•ii':!;:;`:;'.:ii:;ii:?yY;i:'jY;`:;:y�i:�: i::>v.... :a ..:..:::...:.. ........... .. .:...........:.�.::.;'�;;::.:.::.;:.�:..•.:;•::.�.:':::•:....:;;:•:..�:.::.�.;:.;�.::.�n•.:..�.;'..::::.:::::._:;::.�::<•.:::::::.�>::•:.;'::::::.::;::n•.�::::.::;•:.fib v ............................................:::�:v;!:•iiY4ii:v:•isis{;vi:•iiiiiii:4:4:.�i:•:•::': ";:Y:'?i:{v:{::::•:,:v::i{{:�: � ...............:•...tv}i:}i:;4ii:{ ........ .................................................:.v..:::::::::._:.�::v.�::::::4.::i;•:}:•:i:;4:!w.�:.�::4i:;ti;4' ii::::•::4}isisviX{4:�:;^iiii:.:{.}iiii:i?•;w);•i:i{4:•:±?::v:n:•;r...;:::vn::w::.::n.• ... TL1�rancC:COa;;:4::{..;•:4::.::.r�.,.:.�:::::•.::::::::•::::•:::.:::::::::.>.::.:................,................,....... .......... 011 Failum to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tbie up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of ped at the information provided above is truo and correct Signature Date printname Craig N. Ashworth phone# 508-775-0457 official use only do not write in this area to be completed by city or town official city or town: permitfUcense ft ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department _ contact person: phone ti; ❑Other, _ wed M etN I 12/26/2004 23: 51 17604763571 FRANCIS L MCKONE PAGE 01 Fax Cover Sheet .. 1324 Corvidae Street r , Carlsbad,California 92009 - Phone number. 760-603-0926 Fax number. 760-476-3571 =r Send to: from: Frank McKone ILI IJ- Attention: Date: Office location: Office location: Carlsbad, CA FQx number. Phone number. 760-603-0926 ..sa S- 787' 7 �- �'� E] Urgent E] Reply ASAP Please comment Please review For your Informafion Total pages, including cover. /0 Comments: i G -Av,dWiorw &40ff j MCKONE A.RPT MAScheck COMPLIANCE REPORT p B Massachusetts Energy code p Permit # I MAScheck Software version 2.0 p p p p Checked by/Date 6 CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: other (Non-Electric Resistance) DATE: 12-30-2004 DATE OF PLANS: (a[22(©q- TITLE: F I ►.a I s�4 lorr t c$ A13qWE7 GJ�iE COMPLIANCE: PASSES Required uA = 100 Your Home = 93 Area or Insul Sheath Glazing/Door Perimeter R-Value R-value U-Value UA ------------------------------------------------------------------------------- CEILINGS 550 30.0 0.0 19 WALLS: Wood Frame, 16" O.C. 430 15.0 3.0 29 GLAZING: windows or Doors 56 0.400 22 FLOORS: Over Unconditioned Space 480 19.0 23 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable standard Design Conditions found in the Code. The HvAc equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and 14.4. Builder/Designer a Date a MAScheck INSPECTION CHECKLIST Massachusetts Energy code MAScheck software version 2.0 DATE: 12-30-2004 Bldg. 1 Dept. I use CEILINGS: [ ] ( 1. R-30 Comments/Location WALLS: [ J I 1. wood Frame, 16" O.C. , R-15 + R-3 Comments/Location Page 1 MCKONE A.RPT i WINDOWS AND GLASS DOORS: [ ] I 1. U-value• 0.40 I For windows without labeled u-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No i Comments/Location I FLOORS: [ ] I 1. over unconditioned space, R-19 I Comments/Location i I AIR LEAKAGE: [ 7 I joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations I or installed inside an appropriate air-tight assembly with a 0.5`° I clearance from combustible materials and 3" clearance from insulation. I I VAPOR RETARDER' [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be provided. insulation R-values and glazing u-values must .be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. I DUCT CONSTRUCTION: [ ] I All ducts must be sealed with mastic and fibrous backing tape. I Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified in sections 780CMR 1310 and 34.4. I MISC REQUIREMENTS: [ ] I Refer to 780 CMR, Appendix j for requirements relating to swimming I ools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ---NOTES TO FIELD (Building Department use Only)------------------------- Page 2 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE J03.as square feet x$96/sq.foot= l 2 x.0031= 177 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 11S(0_. square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.i >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck _�x$30.00= (ntunber) Fireplace/Chimney x$25.00= (number) . Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost I FEE VALUE WORKSHEET r LIVING SPACE (2000 sq ft or greater) square feet x$115/sq.foot= q q (less than 2000 sq ft) • ,a square feet x$96/sq.foot= I.5 . /1 (affordable housing) square feet x$57/sq.foot= (40B or low income) GARAGE(UNFINISHED) square feet x$25/sq.foot= PORCH square feet x$20/sq.foot. DECK 3C6 square feet x$15/sq.foot= �a �1- 1 Z3 4. �' ALTERATIONS/RENOVATIONS OF EXISTING SPACE .. .. . . . cost=.. ..... ... . .... . Total Project Fee Value I Office Use Only Permit Fee o R I pro]cost he T Barnstable _: . �,�.,�� . T own of 9� , `0$ Regulatory Services Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:/ 508-790-6230 Permit no. Date �g o AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more thanfour dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: b a Estimated Cost Address of Work: (—'O TL) b Owner's Name: AP5' KLi (iir' v t✓���� Date of Application:, ( l I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UND P ALTIES OF PERJURY I hereb apply for a permi�2-Pent of e o er: (� D Date Contractor Name Registration No. OR Date Owner's Name q:forms:A ffidav i MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-18-2001 DATE OF PLANS : TITLE: COMPLIANCE: PASSES Required UA = 83 Your Home = 83 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 370 38—,OL-, 0 . 0 11 WALLS : Wood Frame, 16" O.C. 360 15 . 0 r 3 . 0 24 GLAZING: Windows or Doors 75 0 .400 30 FLOORS: Over Unconditioned Space 370 `19.0 18 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications., and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer CV7 Date 9 ` � r MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 DATE: 9-18-2001 Bldg. Dept . Use CEILINGS : [ ] 1 . R-38 Comments/Location WALLS: [ ] 1 . Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1 . U-value: 0 .40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS : [ ] 1 . Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . DUCT INSULATION: ( ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HOME IMPROVEMENT CONIROCIOR (.� _ Registration 102014 — Expiration: 06/30/2002 Type: Private Corporaiio ERNEST 6. NORRIS SON INC. yr q Ashworth Aur.uraisrnAror, Hyannis M;1 02601 ;�`'.-;: :.;_;,•' . ,j ��r, 'Cooa,vnzoouuea.�(�. o/ �l��a:u����wells BOARD OF BUILDING.REGULATIONS . ,? License: CONSTRUCTION SUPERVISOR Numbet' CS 015851 Expires: 09/28/2001 Tr.no: 5743 Restricted To: 00 CRAIG N ASHWORTH 385 SEA STREET [•��"' HYANNIS, MA 02601 Administrator ! r Ir �n�i�riit irltli�f. fQssQ -1�usct f_:� Department of IndustrialAccidentr 60011'usliin„7un Strcct Bnstvn.11 kan 02111 Workers' Compensation Insurance Affidavit ARPiicant reformation• Please I'R1N(',c b1y - Il,7m r. n :'- :'... location• • ' ?/7i�1 Co `t'c> Li;1• (2e-C U ty phone# ❑ I am a homeowner performing all work myself. ❑ I am a sold proprietor and have no one working in any opacity �C 1 ain an employer providing workers' compensation for my employees working on this job. rem• ERNEST B. NORRIS & SON, INC. _ 385 SEA STREET - . -ptlrlrc�s• . HYANNIS 508--Z75-0457 EASTERN CASUALTY INSURANCE CCMPANY soon •- •jai WCG 1000807 A r. • J.�s ❑ lama sole proprietor. general contractor, or homeowner(circle one) and have hard the contractors listed below wi .: the following workers' compensation polices _ •n Rhone#- . u � •nolicr�! ... � '' _� ..s.rsn:•s_•.rc-..r+�+-rt�*.r..�•'(�' - .• '7nA'n7'g'Y'�3ST�'.n Tr�q'� io-_�• _ amc:•� �lsiilL[ss• .. tie,•: • phone#- IneUrnne•w..� •• Rotier� .. ;Much:JdlHoasl'shcetll'aectlssry. -.�� 741c•t.-1.-.11r.�..+w_ t-aw... t . .�.i Failure to stmrt;caver2pr=Ircquirrd under Section:SA of AtGL J52 cza Ind to the impo4tioa of erimin.4 penalties of a line up to SIS00Ao une Veers'imprisonment its it-ell as civil penaltles in the form of STOP WORK ORDER soda Aae ofS100.00 a tier apinst me- I nadersunc Lop;•of this ststement May be forxirded to the OtTice of Investigsttons ofthe DIA fora-t, a miQation. I do herrhr ccrtifj•unthr the paint and p allies of pel urr that the injorn=ion prm ded ahow it true and correct Sicnuur. air ' Print name CRAIG N. ASHWORTH Phoned 508-775-0457 Ofl 621-use only do not write in this arrt to be completed by city or town ofIJCW tin•or torn: permiOlctme fi r18niJdla�Dcp=nncat • Q chrcL irimrnrdiate ropunse is rcquircd oSdertmeas OMCC C31fcxltb Drparttacnt _.._--. . boa -- -- -- 01 Assessor's map and lot number ... .....0..' TN E t0 .................................... O r�� P`' ♦♦ Sewage Permit number' ...E�.o. ....3s z� �� Z BARNSTABLE, i House number ....�.a°Z`g....................................................... v rasa �p t639• \0� �p Uf1Y C TOWN OF BA.RNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. e - :a<. .. .�...�.......� .......................... TYPE OF CONSTRUCTION ........."j..C.'..Q.... ....... ........................................................................... ......................�lf (�..........19 TO THE INSPECTOR 'OF BUILDINGS: The undersigned hereby applies for a, permit according to'thec following information: Location ... .............. .. ............ .:..... ......1............. .. ........0 v.�:......................................................................... ProposedUse ........>�.C?�'.. ..1.�..�.°�. ..............................................................................................................................::..... ZoningDistrict ......I:S.. ...................................................:.....Fire District .............................................................................. Name of Owner ... .4.�.e.a' .... :. �k.��N.. �' Address ...�0 ."'aIUC"0� 4Oc"Au Ryo ''7 (-5 kw4,4 Name of Builder .. ........1�......�........�..............................Address .......C..o...f�..�`. ...�..... tl s. ............................... Name of Architect R t�� � .h. .....-t..N Address ...!G,3 �N/r✓/It1 S .. ..................... .... ........ .... .... ......... Number of Rooms ............ Gd/ ..................................................Foundation ...�b............ U�.................�.............................. Exterior ...........�i?.!...C:....�..................................................Roofing ........ 5�...�/� .. .............................................. FloorsNV.t. !. :.. i...............................................:.......Interior ........ ...�.......................................................... Heating ..L' � l , e /s .. ..Pumbing ............ .... �O Fireplace ..:..... .. ..�� ..........................................................:Approximate Cost ............6............... ...T........ Definitive Plan Approved by Planning Board -----------____---------------19____ . Area .: ............................. Diagram of Lot and Building with Dimensions Fee �o SUBJECT TO APPROVAL OF BOARD OF HEALTH I� J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name :.................. :: .. c. ..... ALLEN, ROBERT R. JR. 22845 One 1/2 No .......... permit for ............... 2..Stor...........Y.. Single Famil�'.............Dwel...lin.3............ ........................................ .... Ca Drive Location .Lot...97........228......................otuit.......B.....Y........ Cotuit Owner ......Robert...R....Allen.....Jr.......... Type of Construction .....Frame t' .................................... ............................................................................... a a z Plot ............................ Lot ................................ , Permit Granted .., February 9, 19 81 Date of Inspection ...................... ........19 Date ,CompletedAW .......... 9 PERMIT REFUSED ......................................................�........... 19 y .........................................................I ............... ................................................................................ ............................................................................... s n - F ........................................................................ . J a .a Approved ................................................ 19 ............................................................................... ............................................................................... 1 2- Assessor's map and lot number ........... Sewage Permit number !...!'t ....:.................... 444i?! f`; 0 6 Q d d oL 7 SARNSTULE. :. House number ............................................ rnea �p t639. \00 �0 MAY y. TOWN OF `BARNSTABLE BUILDING INSPECTOR F �-ec-td we 1w APPLICATION FOR PERMIT TO .................................. ............................ U......................................................... TYPE OF CONSTRUCTION ......... ......E�; M..e:.......................................................................... ........................ / ...............19..... TO THE INSPECTOR OF BUILDINGS:' The undersigned hereby applies for a permit according to the following information: Location 9` 0 92 �0 U 1 � �3Cll v ........................................................................... ProposedUse ........ ..!....P...!.. ..!... ... .................................................................................................................................. Zoning District ...:.. .v:..:.............4......................................Fire District Name of Owner ......�..o..................:.U.....................................Address ............................................�................... .... N Name of Builder ....................................................................Address ................................ ...........j ..+....s............................... Name of Architects.. ..........................................� 1L1 —+ Al G......Address ... d.F/.../!.N.!!/(!1.'S .......r�y ���......................... ............ Number of Rooms .....:.......`....................................................Foundation ...�t� Exterior .............. .....................................................................Roofing ........:.......... .............................................. Floors .........'... (. .[....... :.......�1.................................... .................................................................. .Interior 1 Heating ......................... ......:..............Plumbing ......... �J Fireplace ........ ?.. ............................................................Approximate Cost ....... .... . �.. ...:.................:................. 30S . Definitive Plan Approved by Planning Board ----------------------_---------19________. Area o... ............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH A .. � Y f i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ") p* ' r Name ................................................ ;� ............. � 1 � ����0, �OB��� D. J ` � No ..22.845.. permit for Ooe—l/..~St��l[. ` � Single Family Dwell ' � � ----'�------��.-----�g�----- Locohon .Lmt—g7-23.8.. ..B4y�.{PX^ ' Cotoit � -------------------------- � Robert-- Il �� D,vne, -- ----��---lleo-- �—Jr--�---. � Typo of [onmruction' -������.—_---.--- ( � � . P1 Lot / - . ,Permit Grantedc Date of Inspection � �. � . ~~'^ Completed - PEItMl ' � . � /RIEFUSE0 � x lV . --'........................ ----------' � '---- -- ----'' 9 � . ` � —..--.. --.^/�^/�`�*��----.. � -------~-------...-----..---.. � � ----.-----.---.—..------.----. � Approved � � .................................................. lQ ' ---------------~.~.------~—. . � ` ................ '........................................................... � � - - r Y ON qp N LOT 98 ��v� 1 's •� '1.1 14 Of rU JAMOS 0 b r CERTIFIED PLOT FLAN ST MASS. i CERTIFY THAT THE Fdv^wArrow R, ✓. O'HEARN, INC.. RLS, RS SHOWN ON THIS PLAN HAS BEEN 1348 ROUTE 134 LOCATED ON, THE GROUND AS INDICATED, EAST DENNIS, MASS. .yivQ CO�VVi=t9.C:/`�S 7-0 DATE: � _� C'' SCALE: / ,•gG' UF"Tit,�.r 72�k�N OF /J/,�`_'`�/:c' . /•fib. g0- JOB NO 9 9 CLIENT DATE EGISTE� L D SURVEYOR DR. BY : ,�Gr/�. SHEET OF �� TOWN OF BARNSTABLE Permit No Building Inspector Cash X Bon ___ __ OCCUPANCY PERMIT d - - f _ z No building nor structure shall be erected, and no land, building or'structur , s all be _used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate, of occupancy has been issued-by the Building Inspector." t Issued to Robert RR Allen Jr,- Address � 4n5 2 , 1 of- 007 ?`,Q, ('o 7si# Tau T)srtivs+. #"tit iti f Wiring Inspector Inspection date Plumbing`Easpector. Inspection date GRas Inspector Inspection date Engineering Department Inspection date 57 THIS PERMIT WILL,NOT BR VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ` = �� f Building Inspector Assessor's.office (1st floor): . F•THE p Tp Assessor's map and lot number .........f .......... Board of Health (3rd floot)': ��� /L - y- SEPTIC SYST Sewage Permit number .. :.................. INSTALLED 1 � N Engineering Department' (3rd floor): Housenumber ........................:............................................... WITH T! Mpr a APPLICATIONS PROCESSED 8:30=9:30 A.M, and 1:00-2:00 P.M. only ENVIRONMENTAL CODE AND TOtVN TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............v'......... ... Di% n�.............................................................. TYPEOF CONSTRUCTION ............... ............ ................................... ......................................... ......................................G� h........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �v Location ..:. Proposed Use l van°'�� • ......................... ............................. ...................................................................................................................... Zoning District .....��v"� « ...................Fire District .......... ........................................ .................................................................... Name of Owner "t 'c J`.........�..��:.r��...' ''�... ?..:.....Address a�a. ..0................�1..........'....... �.................: .� L ,/....................Address ..�!`C2w<cl. /�J<.. /1 ..s1- : �Lfs�• Name of Builder ..... ........ .... /h�.....:...���� Nameof Architect ...D a"�' ..:..........................................Address ..... ..n.................................................................... Numberof Rooms ..................................................................Foundation ..... �o................................................................. Exterior ...................................................Roofing ........... ...�?................. ............................................... Floors �`.. '......................................................Interior 4< l / . Heating Plumbirig .................................................................................. .................... .. -Fireplace .... ............................................Approximate Cost ............. 1,5Definitive Plan Approved by Planning Board ________________________________19________ . Area • S Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r a � � . s OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the flown of Barnstable regarding the above construction. Name ...................................... ............................... • I Construction Supervisor's License�r��, ................ ALLEN, ROBERT R. ,Jr A=56-15 No ?9P.7�..... Permit for „Addition....to..... ........ .... .. .... .... ....$.inq. . ..... family.. ..... .................. Location .:�. . ...2-8 Co tui t Bay Dr ive ..... ............................ ....... ......... cotuit ..................................I.............................................. Owner Robert R. Allen,- Jr. ................................................................. Type of Construction ...,frame .................................. ............................................ Plot ............................ Lot ................................. h 2^ Permit.Grahled .............-Mar.Q. ... 4.....1986 Date of Inspection ..................19 Date Completed ............... .............19 2 F Z" in Assessors office (1st floor)': :41 Board of Health (3rd floor): Engineering Department (3rd floor): KABIL 1639. TOWN, OF BARNSTABLE BUILDING INSPECTOR TO,,THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information; SUBJECT TO APPROVAL OF BOARD OF HEALTH 00 � .� � . . ' | - . OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ` | hereby agree to conform to all the Rules o .8 Regulations of the Town of 8omnMo6|e regarding the above' � construction. . ',^ Name —.—.—........................... �x..----..-----... | `~ / . Conmn�c �n Supervisor's License zt�����.'��*��� --- ` | ALLEN, ROBERT R. ,Jr =56-15 No.2.9.Q. ..::, Permit for ...Addition to single :.family dwelling Location ...228; Cotuit Bav Drive Cotuit Owner .....Robert R. Allen, "Jr;. .............................................2............... Type of Construction " frame I ............ .:......4 , .... .................. <, .. ...... Plot ..:....... .. .......... .....Lot ............................. Permit Granted March 24 1986 Date of Inspection ;:......t...........................19 Date Completed ............. ...............19 TOWN OF BARNST UILDING PERMIT APPLICATION Map 195 Parcel 1� Permit# 5S Lg417 Health Division f/ Date Issued Conservation Division Fee yoq, �a Tax Collec E 1 $ 2001 T C � `� �' SEP SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE Planning Dept. BY WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board I T01,1;N REGULATIONS Historic-OKH Preservation/Hyannis /J 1� Project Street Address 'z g COTV` 13A- Village c JJ T Owner, �� k5 FgA-� I< d� CC a)J� ress �' 'u C Wit' Telephone Permit Request 14 K44,5 0 0.3 9+AJ r;' p(Z ( CCCIi7 i /V , MzT EL C.•T Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new ".0- - Valuation I 0 s 0O-0 Zoning District Flood Plain Groundwater Overlay Construction Type w '� Lot Size . DDT 5� Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family )Q Two Family ❑ Multi-Family(#units) Age of Existing Structure /1 OUR5 Historic House: ❑Yes No On Old King's Highway: ❑Yes �Tlo Basement Type: D6 Full ❑Crawl ❑Walkout ❑Oth r r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing ® new 4 Number of Bedrooms: existing new ( Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas X Oil O Electric ❑Other Central Air: NI Yes O No Fireplaces: Existing New O Existing wood/coal stove: O Yes -- laao Detached garage:O existing ❑new size Pool:O existing ❑new size A� Barn:O exis n9 ❑new size N d� Attached garage:existing ❑new size 1��2 Shed:0 existi ig ❑new size 13 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes,site plan review# Current Use L)Ctl Proposed Use ticc 1 ` BUILDER INFORMATION ,L Name OC` Telephone Number 77 S T s7 Address �g VE `� License# ©t � &AJ S Home Improvement Contracto��r�'# � DZ coI Worker's Compensation# W C e— l Dm ALL CONSTRUCTION CONSTRUCTION DEBRIS R LTING FROM THIS PROJECT WILL BE TAKEN TO L. SIGNATURE ( DATE 9 FOR OFFICIAL USE ONLY - - . 4 t PERMIT NO. ✓`� DATE ISSUED MAP/PARCEL NO. Q t� f-► ': +� _ ° '' "' '�': Vc ADDRESS' -* `VILLAGE - OWNER' �.a • '� r ' �r IJ I e .. s DATE OF INSPECTIONpjfv FOUNDATION �t FRAME 'lot- ` INSULATION x f �1-�I a I FIREPLACE ELECTRICAL_: yROUGH FINAL] PLUMBING: ROUGH. . FINAL "`i GAS: - ROUGH -i : ' FINAL FINAL BUILDING t *; tiY "" S, i _z _ ' ' `� ► " d' DATE CLOSED OU'P r- ti" � � = • � !• �� ,, •- .. ' ,' e,.---° rig '� ' - eL .' ASSOCIATION PLAN NO. S � r; ;art • �•t . r `+ • t � • TvP :::,F CF3 S, (+ ' B z / G 0 I _�! F ► } d , f N o / 1 N � 5- 7 7 If � t l . r r 98 _ - _ c n - [� EaciSTlnct SPOT E-LEVtti-Ticon.5` ok o,- E x I'ST Lrl� Go r1.-j-ocJ 12, FI n iceH 5P4::o"j ELrev,�.�'1orfS: Q n i SH Gvr1T:�)_U i2 '-- - Ek.,s-r�n.c� :4n D.. F Jr 4 Essn lr . 74+14 F FCTr] _ : Zo� TI RII ='c� r`_ J, A(_C_ ♦a1toJ�KfnRllSf#IP�- f3TX _ � 'U✓ERS C t -� n: f - � �.(�. �J`-. • . „i O-�. J� { � ~~ --, - "t_. ----- ..__ (/� N hER.-Fi. 'i 2"'rNllh• - _- .1�.. �.��'C��.__l.-L�+��---��it.. T12��yRx � � �'--{ � - -_..__ r _-- -------- '; , i � ___-i-.-�•-,-r------------ _��,�C.�S _flCI>�_.R6�.iti.fiX`1G74Ss:�f� _ - t� LINE R SlJF�SL1l1L�:.C�ISF�SSI., of AST-,l � �— 4 't' }7Oiv-- j"U l o'z r SFRlT_ S E I!1 E ' :, i�/Pt•- MN 11 Ur / I I - IA/7C�y �4:PER. 4' Z . D/5T. p til�`�aEL? SIUNc - FT $OX - p a ,,#: WA SNE 0 S. O,nic �GU _ vAL P:<E C!,S; `' L Eta Ch j pi-, OR E Quli l W - S\ SEPTIC TANK. ' INVERT ELEVAT/oniS _ /N TAN/t F TJ . INLE7 S:EPFIc _ _ GRUc%,tD ...cV'ATFR+ TrlE3Lc - . 0 T I.: OUTL E T S.EPTI F /,tiLET DlSTFIBl1T.i'ON BOX 9.7..0 FT 'SEWAGE D SPOSAL"-SE w G I SYSTEM(7U TL E T D/STR)B.UT/o/v f3OX _-. FT- ;\'. T TJ /VL. ET LEACHING PIT ��5' rT f DESIGN CALCULATIONS - a - C.::1� T.E 03,'�--� SOILS TE57 d2? :/� �;� ► i1//7 NESSc 0` BY. till , /� .. /UJ,W BER OF BF. DROOMS PERCOL.47. lO/V.. RA7"E._G. Z 'WIN 1,VCH .; CARBAGEr 7: ;."':SAL LINIT _QDn.I SIOELVALL AREA _2 . �¢ .07 � c`p _ %GTAL S `: ^A =C LQL�V ;?Av ad -0Nt-.. ;AREA, I�Q� .CAL:fS F CAL; ��13R�'nAY ;c _�13f?. #_Z PE-QU,,VPED SEPTIC %AIVK C'A�ACIT 495 ACTUAL S/ZE QF S FAT 5[J�Sor -� 13 L ED f' I ARc: •a -- _ - — - 9?---4�TU177_tFQ`�' 1�J21VE _ :T-7 EFr F_CT!vF CEPTH� Giedr� >�A_ �r15]"�r3L..E-_, MASS. iaC 7 iL/A1. LEACPIA10 AREA f►I It)m f/t1S�x�• c _ • R/CNARD J O'HEA.RN,R L S;,R. 5. -... �•\ -. SEr�' �� Ci�-, iAl/ �'71�.�':-I'�.� 4. I /A_L,S A i.� G 3 So - -. ti'0 �•T RLJ�E r1 �Z' I'l'�O SPrEET. multiple member tseams Multiple Member beams Joist hanger REVISIONS: I BY: LEGEND Side Loaded Connection Side Loaded Connection - — AJS Blki nail board t cng Panel. Toe na rim oaro plate vd'Ah 25z"(8d)nails at Rm board and AJS side-by-side. 3/4"Versa-Lam by-side. 1/2"dia. Bolt(b) Nail Pattern Use 3"(10d)mils at 6"o.c. 6'o.c.or with 31/11"(16d)nails at 12"o.c. Bearing Wall Below II L Max Uniform(.oad ilnmboar an rim)olstwd (Ibs.per lin. .) 16d common hails. 2' "(8d)nails at 6"o.c. Number of _12"o.c. Max.Uniform Load - - 2 4"o c 12"o.c. 6"o.c. See chart Members 1- �Ibs.per In.ft.) Nail each end Bearing Wall Above 13/4"Versa-Lam Number of with 1 -3" _ _ — t 2 rows 3 rows (10d)nail — — — — — — — — — 1 2 500 1000 2000 Members Load Bearing L — — — — — — — — — — — Bolt Spacing 1/2"dia. t Bolt(b) 3 375 750 1500 2"min. 2 520 780 Walls Nbn-Bearing Wall Below 4(a) 330 670 1330 3(a) 390 585 r- 2"min. Non-Bearing Weill (a)7"wide members must be loaded from both sides. g (b)Design values apply to common bolts(grade 5 or higher) (a ) Nail pattern for 3-piece member must occur on both sides. — — Use latwashers each side And drill holes 1/2"dia 1'/2" minimum end bearing length Solid block all posts from (c)All values in the table above may be increased 15%for snow loaded roofs ai above to bearing below. Staggered 25%for non-snow roofs where code allows Nail values may be increased by 15%for snow-load at all floor and roof details. V�l or roofs and by 25%for non-snow roofs where eacjosange Versa-Lam Post Below Post Above building code allows. LVL beam Multiple Member Connection Bolt �F49 Multiple Member Connection Nail Attachment at End F13-Eking Panels at Interior Bearing OF$ Post Load Transfer F�4- Rini N.T.S.Board F19 LVL Header Openin N.T.S. F13-C Exterior End Wall Support ® F50 N.T.S. - N.T.S. N.T.S. N.T.S. N.T.S. Post Above & Below 0 U) Z r) W W p 21J L L I W � W f— � WLL U) W QW = 1 W m 0 Z I J H J 1 Q 1 1 4 I I Room over Garage Framing Schedule - Nominalized I Level 1 Al Mark Qty Description Length 1 14" AJS 20 1 4 14" AJS TM 20 MSR 26 0" 16" OCS 111 2 19 14"AJSTM 20 MSR 22' 0" 3 3 1 3/4" x 16" VERSA-LAM® 3100 SP I SUGGEST' BLOCKING MID-SPAN 4 BLK 14" AJSTM 20 MSR I I ` ` Notes: 11 2)1 I Shop drawings, typical details 1 2 2 2 2 2 22 2 2 2 2 2 2 2 22 2 2 2 and framing plans, outlining installation procedures and unit Room over Garage identification marks, shall be Accessory Schedule submitted for approval by the I i project architect and/or engineer. 1 Mark Qty Manufacturer Product Description Exact quantities and lengths are — — I —— —— — — — — — — H 1 14 Simpson Strong-Tie Inc. ITT314 2-1/2 x 14 Top Flange the responsibility of the contractor. I — — —— — — —— — — — Contractor is to verify all beams I I I I I 1 1 ASSUMES and joists at their exact locations. 1 I -- -- - - -- -- DORMERS FRAMED The floor system (1-joist, VL) are 1 ON RAFTERS. designed for floor loads only. J I Roof loads from rafters, bracing, I 4 4 _ r and beams must bear on exterior �---------------------- -- -- j� walls and interior walls with bearing straight through to a footing. Any Do not bevel cut roof loads carried by the floor system must be so indicated on the framing F14 joist beyond inside plan submitted to us for take-off. Product to be stored, handled and face of Wall. installed in accordance with manufacturer's recommendations. Office over Garage 1 /4 If = 11.011 F14 BCI Joist Bevel Cut N.T.S. U � U t�a � N co O O 0 O 0 Z 0 o m m a) O 2 W p a) vi lieU_ U � -aC � ON (v PRELIMINARY DRAWING . U) = FOR APPROVAL BC FRAMER® 2002 SCALE: 1/4" = 1'-0" DATE: 1/27/2005 BY: be FILE: EB Norris.bcf DWG: SHEET: 1 / 1