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0076 WILLIMANTIC DRIVE
�� u(/ GL��"�"v I - ' ' ►.o� 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 MASS �$ Posted Until Final Inspection Has Been Made. Permit Ma+` Where a Certificate of Occupancy is Required;such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1737 Applicant Name: Paul Eaton Approvals Date Issued: 07/13/2020 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 01/13/2021 Foundation: Location: 76 WILLIMANTIC DRIVE, MARSTONS MILLS Map/Lot: 103-056 Zoning District: RF Sheathing: Owner on Record: STANLEY,CASEY D&ASPDEN,SARA R Contractor Name: PAUL A EATON Framing: 1 Address: 76 WILLIMANTIC DRIVE Contractor License: CS=088720 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $24,000.00 Chimney: Description: Install 6.12kw solar panels on roof. Will not exceed roof panel, but Permit Fee: $ 17240 will add 6"to roof height. 18 total panels. 1 Insulation:. Fee Paid:p $ 172.40 Project Review Req: _ Date: 7/13/2020 Final: Plumbing/Gas Rough Plumbing: r -commenced �, ui m icia This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte{issuan�2. Final Plumbing: All work authorized by this permit shall conform to the approved application and thelapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: 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 work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials-are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue liming is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Per cting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: FLOOD ZONE: ASSESSORS REF.: Zone X Map 103 , Community Panel No. Parcel 056 '25001 C05421 July 16, 2014 LEGEND: ZONE:RF Utility Pole Setbacks: Guy Front:30 15 —ohw—Overhead Wires Side: Side:: 15' 0 Iron Pipe 1tl �l.� Z utnity Pole IlP FAIDGuy S8336'00'E N� { Stockade ade Fence Dorothy I Silva Trust 282601212 h \ catch Basin®.9, 2 O 34.0' — I W 104.7' O O o N uj #76 jZ'seP i uk m oNPW Entr 2Styw/f °. v Z Dwelling :.: O oQ Gas Line — Lot 6 20 625f SF � NEW CONCRETE 2�o 3 FOUNDATION 35.4 Storoge /lP 0 I Utll ty \ Pole , Stocko Shed N8336'00"�(/ de Fence 165.00' Glenn &N/F i 3129" 'y Bocci /109 N I certify that the garage Steven o Cale addition-shown-hereon_ — C196322 - conforms to the setback requirements of the Zoning Bylaws -of ,� the town of �`tNo�Y Barnstable. RICHARD R. 40 PLOT PLAN L'HEUREUX Showing New Garage Addition P N6. 34312 Ati76I1NllimanticVrivaV �� q ISTEa9�� BARNSTABLE N LA (Marston Mills) NOTES: MASS, DATE: 07IFEB119 SCALE: 1"=30' 1.) The structures shown were located on the ground 0 15 30 45 60 FEET by conventional survey methods on (or between) 10/JAN/19 and 15/JAN/19. PREPARED FOR: 2.) The property line information shown hereon was Dean F. Stanley compiled from available record information. 3.) This plan is not for recording and is not to be PREPARED BY: CapeSury used for construction layout or deed description purposes. 23 West Bay Rd, Suite G Osterville MA 02655 DWG #:C890_1 G1 cpp2 FIELD BY. RRL/ASK (508) 420-3994 / 420-3995fox A5 OL41 LIT , NO Pam' i �'w .04 Town of Barnstable Building i BmarBm Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept HAS& � Posted Until Final Inspection Has Been Made. Permit � tbsa �0 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-4173 Applicant Name: DEAN F STANLEY Approvals Date Issued: 01/04/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/04/2019 Foundation: Location: 76 WILLIMANTIC DRIVE, MARSTONS MILLS _-� Map/Lot: 103-056 Zoning District: RF Sheathing:0V-,�,0,( , o, Owner on Record: NUGNES, PHILIP J,JR&AMY M 1 Contractor Name:' DEAN F STANLEY Framing: 1 Address: 35 CAPN LIJAH ROAD Contractor License: CSL0 5037 2 MARSTONS MILLS, MA 02648 Est. Protect Cost: $60,000.00 Chimney: Description: PUT 12'X12'6 DININ ROOM WITH 24'X24 GARAGE WITH SOTRAGE Permit Fee: $356.00 AREA REMOVE/REPLACE KITCHEN DEMO/RENOVATE 2 Insulation: - ?l BATHROOMS ) { Fee Paid: $356.00 _ Date: 1/4/2019 Final: f Project Review Req: AS-BUILT SURVEY REQUIRED FOR ADDITION FOUNDATION BEFORE THE START OF FRAMING. �w Plumbing/Gas rw Rough Plumbing: ---�-�-_ !Building Official Final Plumbing: s Rough Gas: f i Final Gas: 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 the4approved construction documents for which tfFis permit has been granted. - - - - , Electrical 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 Service: work until the completion of the same. Rough: 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: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage 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 Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). vl ~�4► BUILDING DEPT. Application Number.... + SARNWASIE, +' n� DEC 2 6 2018 Permit F ...... Other Fee........................ �'°r6o t�� i�Yytti CIF Fi z—• �. •,�e.s Ka J Total Fee Paid.......... ...... ..................................... ...... i TOWN OF BARNSTABLE Permit Approval by... .. . ..................On......�. ..�.�..!.�, BUILDING PERMIT MV........I.Q5...................Parcel.............. ............... APPLICATION Section 1 — Owner's Information and Project Location Project Address 1�_[, &/ =J 4dA. '71 C 09,\VO Village X p:&Z�J,3 Owners Name D E 1P1 Owners Legal Address_ 3 i q CRV'J LIJ Att P-SJ city. ,GLy i L_ x; State Mfg" zip Oa 09 3D, Owners Cell# S�6-137-0(((.4 E-mail SST PW 3"@ �A V\00,CO M Section 2 —Use of Structure Use Group n ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Famil'y'Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑Deck Apartment ❑ Sprinkler System Addition ❑ Retaining wall ❑ . Solar ❑ Renovation ❑ -Pool ❑ Insulation Other-Specify Section 4 - Work Description '), 6A9-r-%&C w rv" (r6_ - ��� DGMU,AZ2 k >VAM Z bXX �l Rtsy�n� Last updated. 11/15/2018 Application Number..................................................... Section 5—Detail Cost of Proposed Construction 60 VW Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing 3 Total#Of Bedrooms (proposed) 0 110 MPH Wind Zone Compliance Method ❑ MA Checklist [�WFCM Checklist ❑ Design Section 6—Project Specifics [� Wiring ❑ Oil Tank Storage ® Smoke Detectors ❑ Plumbing Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom I Water Supply \Public ❑ Private Sewage Disposal ❑ Municipal �„On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes 9 No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use ', ,�- nnA Lot Area Sq. Ft.AC7 a. Total Frontage ta� Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required G C� ProposedS Rear Yard Required D Proposed —IS- Side Yard Required Proposed 3 Q 3 d Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No [ a Last updated: 11/15/2018 Application Number........................................... Section 9= Construction Supervisor Name N -P u Telephone Number S©S 737 U l ct G Address 35q f a N L.0iW iQ City a-k yL P.0 l" State - Zip CIX&3 Z License Number 626031 License Type ���� � 1~;xpiration Date 4C' f Contractors Email 5 {i 351 �+ y�� a C0.•� Cell # � 137 0�,.�I L I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation r by 7%own of Barnstable.Attach a copy of your license. I Signature Date Sectio 10—Home Improvement Contractor Name_ Vok.4 S—MXj-( t,ke Telephone Number '25Gb -37 016 Address Q19N LI,�I%M City CLNTtP-UIUC, State M-ft- Zip- Registration Number 1321 y Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Buildin Code. I understand the construction inspection procedures,specific inspections and documentati d by 78 an a Town of Barnstable.Attach a copy of your H.I.0 . Signature , Date old $ Section 11 —Home Owners License Exemption Home Owners Name: 10 C}l-ri, 'SA v4,\ U� Telephone Number,5CF6-)-A2�- 1-FColo Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachasefts State Building Code. I understand the construction inspection procedures,specific inspections and documentat=e * by 780 d e Town of Barnstable. Signature Date' / /CZ0 I� A PIA ICANT SIGNATURE Signature Date & 9 6110�- Print Name .� ��e Telephone Number 5 6_6 E-mail permit to: `�5\�� �5`tic7 l��o�, �o/✓� Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation i For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization I, , 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) � J ) Sigqature of Own c date Print Name f Last updated: 11/152018 PARCEL ID: 103/55 165.00 W PARCEL ID: 103/56 0 J76 o N 0 Lri Q � N PARCEL iD: 103/136 S s Sys 165.00 PARCEL ID: PARCEL ID: 103/13T NOTE: 103/57 SHED AND OVERHANG APPEAR TO CROSS OVER THE LOT LINE, r8;yWWS THIS MORTGAGE wss'EC7M PLAN was PREPARED iN ACCORDANCE unit+ 2W OW SMON B.OS of THE nu+ssAa+uCW RmTO i RtLWAL,W G THE AND SURVEYRdG TtiE BUO DING SHOWN IS�2I_AFFECM BY A S*W&FLOOD HAZARD AREA AND DOES C iD IIO LOCAL ZOASS FECT AT 1HE 11�IE OF C8Z1 MCDON WiTH RESPECT iD SEi@ACK REQU�tOMIS Ot IS DUK FROM VIOLA W AC110N UNDER YASSAdN CHAPTER 40A SECnON 7.REFERENCEDDEEDSUBJECT TD AND WITH THE BENEFIT OF ALL RidITSr RibFITS DFWAY,EASElID�7S.RESERYAlIOKS MiD f RECORD. F ANY THERE BE AND INSOFAR AS THE SAME ARE OF LEGAL FARCE AND EFFECT. TOWN: MARSTONS MILLS DATE: 11/20/18 APPUCANT(S): DEAN F. STANLEY SCALE. 1"=30' CERTIFY TO: EMERALD FUNDING. INC. h Qc ;,fs TITLE REF: 13775/18 MacDougall Surveying PLAN REF: 157/97 & Associates EDWARD nyG� FLOOD ZONE "x" p.o. Box 2428 A. ¢. COMMUNITY PANEL: 25001CO542J Mashpee, Ma. 02649 �?o_2as_ DATED: 07/16/14 PH. (508)419-1086 CELL (774)327-0617 ` S email: macdougallsurvey JOB# 11237 ®aomeast_net 1 ACO® CERTIFICATE OF LIABILITY INSURANCE a1�zo a Y' 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 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(les)must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terns al d conditions of the policy. certain policies may require an endorsement.A statement on this certificate does not confer rights to a certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME SG&D INSURANCE AGCY LL PHONE FAX 540 MAIN ST STE 9 E Man HYANNIS.MA 02601 D INSURER(S)AFFORDING COVERAGE NAIC$ INSURER A:TRAVELERS PROPERTY CASUALTY COMPANY OF: I; INSURED DEAN F STANLEY BUILDING INSbRERC: CONTRACTOR INC ; 359 CAPT LIJAHS ROAD INSURERD: CENTERVILLE,MA02632 INSPRERE: _ •... INSURER F: 1 COVERAGES E • REVISION U 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 SURR POLICY EFF I POLICY ECP LIMITS TR TYPE OF INSURANCE I Sp WVD POLICY NUMBER (MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE❑ OCCUR DAMAGE TO RENTED S MED EXP(An one n) S PERSONAL&ADV INJURY S GEN%AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S POLICY PRO- ❑ LOC PRODUCTS-COMPIOP AGG S JECTS OTHER: A OMOBILE LIABILITY MBI SINGLE LIMIT S ANY AUTO BODILY INJURY(Per pe=n) S OWNED SCHmULEO , BODILY INJURY(Per aadderlt)S AUTOS ONLY AUTOS AtI1RT05 ONLY AIOJT�O ONLY AMAGE S S UMBRELLA LIAS OCCUR EACH OCCURRENCE S EXCESSLWB CLAIMS-MADE AGGREGATE S DED I RETENTIONS I S WORKERS COMPENSATION PER' OTH- AND EMPLOYERS LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNER/ NI-A E:L.EACNACCIDENT' -.S$I00.000.. `. _ - - 'EXECUTIVEOFFICEWMEMBER- 0- 7P,JUB ,0-08-2018 10-08-20;9 EXCLUDED? 2E498575 EMPLOYEES-� S$SOO'0 (Mandatary in NH) If yes.desatbe under EL DISEASE-POLICY S$100.000 DESCRIPTION OF OPERATIONS below LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarki Schedule,may be attached 9 more space Is required) WORKERS'COMPENSATION BENEFITS WILL BE PAID TO MASSACAUSETTS EMPLOYEES ONLY.PURSUANT TO ENDORSEMENT WC 20 03 06 B. NO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BENEFITS IN ANY STATE OTHER THAN MA IF THE INSURED HIRES.OR HAS HIRED.EMPLOYEES OUTSIDE OF MA.THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA. i i CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 200 Main at dEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Hyannis.MA 02601 oEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i i I (91988-2015 ACORD CORRORAT ON. rights reserved. ACORD 25(2016l03) The ACORD name and logo are registered marks of ACORD i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE`Individual Registration Expiration 1321'49.M 11/27/2020 DEAN F.STANLEY:" :`- i DEAN F.STANLEY r ' 1 359 CAPT.LIJAH RQs-- CENTERVILLE,MA 02632 Undersecretary`. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards H``. • ConstrgLti''r3n Supervisor CS-035037. Epp i res: 01/19/2020 DEAN F STANLEY Y 369 CAPTAIN'LIJAH RD„,'- CENTERVILLE MA 02632 , 1 s r Commissioner I The Commonwealth of Massachusetts Department of IndushialAccidents Off ce 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 r Name (Business/Organization/Individual): Address: *391 CAPtJ L1Jr,%�k Uoc17 City/State/Zip: 0b,,'4,;Rw LL L MAO 916 Z Phone#: JCg Og6((P Are you an employer?Check the appropriate bog: Type of project(required): 1.M I am a employer with—_ 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 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.acit3'• employees and have workers' ; 9. �Buulding addition [No workers'comp.insurance comp'insurance.required.] 10.5. ❑ We are a corporation and its ❑Eleclrical repairs or additions 3.El officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions myself[No workers rightof exemption per MGL comp• emP p 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑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 contractor;must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractor;and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: VR `�VNE L 8(k� G Policy#or Self-ins.Lic.#: S U oZ L VS 77' Expiration Date: 10 "' I Job Site Address: M W MAA[ `l City/State/Zip: 5'P0 W Ml( -5 026�4 8 Attach a copy of the workers'compensation 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 here under the panalties of perjury that the information pro ' ove is true correct Si azure: Date: .� �I S— Phone#: .5��' -6-1 - V16 Cl OL 0JJ17ckd 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 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 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-contractors)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 umder"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 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: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mam.gov/dia Beam nek v2013 licensed to:Giampietro Architects Reg#712441030 Stanley Res.for CBD Beam in garage Beam#1 Prepared by:LFG Date: 12/19/18 Selection W 12x 26 36 ksf Wide Flange Steel Lateral Support: Lc=6.9 ft max.. Conditions Actual Size is 6-1/2 x 12-1/4"in. Min Bearing Length R1=0.9 in. R2=0.9 in. (1.0)DL Defl= 0.18 in Recom Camber-0.28 in Data Beam Span 24.0 ft Reaction 1 LL 3600# Reaction 2 LL 3 000# Beam Wt per ft 26.0# Reaction 1 TL 5352# Reaction 2 TL 5352# Bm Wt Included • 624# Maximum V 5352# Max Moment 32112'# Max V(Reduced) N/A TL Max Defl L/240 TL Actual Defl L/513 LL Max.Defl L/360 LL Actual Defl L/762 Attributes Section in Shear(inj TL Defl in LL'Defl Actual 33.40 2.81 0.56 -0.38 Critical 16.22 0.37 1.20 0.80 Status OK OK OK OK Ratio 49% 13% 47% 47% Fb si Fv si E(psi x.mil Values Ref.Value Fy 36000 36000 19.0 Adjusted Values 23760 14400 29.0 A99420t2 YP Factor,Lc 0.66 0.40 Loads Uniform LL:300 Uniform TL:420 =A A ED Aq 2w�J F.GIgMAC' ' NO.4929 0 FA!MOUTH. o MA. Uniform Load A R1.=5352 R2=5352 SPAN=24 FT Uniform and partial;uniform loads bre.ibs per lineal ft. Notes Stanley Res. Remodel f6r.Cotuit Bay Design 76 Willimantic Drive Marstons Mills,MA G.A.Project#1890 BeamChek v2013 licensed to:Giampietro Architects Reg#7124-1030 Stanley Res.for CBD Beam btwn Uv Rm&Kitchen Beam#2 Prepared by.LFG Date,12/19/18 Set ction (3�2012���� Conditions ND Min Bearing Area R1=9.2 in2 R2=9.2 in' (1.5)DL Defl= 0.16 in Data Beam Span 16.0 ft Reaction 1 LL 4800# Reaction 2 LL 4800# Beam.Wt per ft 21.58# Reaction 1 TL 6893# Reaction 2 TL 6893# Bm Wt Included 345# Maximum V 6893# Max Moment 27571 W Max V(Reduced) 5744 TL Max Defl L/240 TL Actual DO L/471 LL Max Defl L/360 LL Actual Defl L/779 Attributes Sedion(in')__ Shear in TL Defl in LL Defl Actual 224.00 84.00 0.41 0.25 r Critical 132.33 30.23 0.80 0.53. Status OK OK OK OK Ratio 59% 36% 51% 46% Fb si Fv si E. six mil Fc L(psi) Values Reference Values 2600 285 2.0 750 Adjusted Values 2500 285 2.0 750 Adjustments CF Size Factor 0.962 Cd Duration 1.06 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 100 1.00 Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform LL:600 Uniform TL 840 =A �0 ARCjy�T GIAMpiFgFC�A cc Lr�� O t4o 4929 v� Uniform Load A 0 RI 6893 R2.=6893 SPAN=16 FT Uniform and partial uniform:loads are lbsper lineal ft. No es ` Stanley Res. Remodel for Cotuit.Bay Design 76 Willimantic Drive Marstons Mills,MA G.A. Project#1890 .BeemChek v2013 licensed to.Giampietro Architects Reg#7124-1030 Stanley Res.for CBD Beam in expanded bedroom Beam#3 Prepared by:LFG Date: 12/19/18 Selection (3)1-3/4x 9-1/4 1.9E TJ Microttam LVL Lu=0.0 Ft Conditions NDS 2012 Min Bearing Area R1=5.7 in2 R2=5.7 in (1.5)DL Defl= 0.12 in Data Beam Span 10.0 ft Reaction 1 LL 3000# Reaction 2 LL 3000# Beam Wt per ft 12.48# Reaction 1 TL 4262# Reaction 2 TL 4262# Bm Wt Included 125# Maximum V 4262# Max Moment 10656 W Max.V(Reduced) 3605.# TL Max Defl L/240 TL Actual Defl L/378 LL Max DO /360• LL Actual DOL/617 Attributes Section in Shear in TL Defl in LL Defl Actual 74.87 48.56 0.32 0.19 Critical 47.47 18.98 0.50. 0.33 Status OK OK OK OK Ratio 63% 39% 63% 58% Fb(Dsi) Fv(psi) E si x.mil Fc (psi) Values Reference Values 2600 285 2.0 750 Adjusted Values 2694 285 2.0 750 Adjustments CF Size Factor 1.036 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress NIA Cm Wet Use 1.00 1.00 1.00 1.00 CI Stability 1.0000 . Rb=0.00 Le 0.00 Ft Loads Uniform LL:600 Uniform TL: 840 =A .A O. -Np 4929._-._ FALMOUTH• E ITAt A. Uniform Load A 0 R1 =4262 R2=4262 SPAN=10 FT Uniform and partial:uniform loads are Ibs per lineal ft. Notes Stanley Res. Remodel for Cotuit Bay Design 76 Willimantic Drive Marstons Mills,MA G.A. Project#:1890 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Application 10S Parcel A lication # Health Division 9�,, D EPT. Date Issued /� a lolc ,�.r�l�� P . Conservation Division Application 12 Planning Dept. 27, 2016 Permit Fee Date Definitive Plan Approved by Planning Boardr N OF RNSTASL-E Historic - OKH _ Preservation/ Hyannis n,q;yL S Project Street Address L7Z Village Owner , Ln H _ Ad 9/N e,S Address Telephone �j Permit Request i��,2i eT� � �,?� VOav9rli Z2 Yei Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation tN oo. o Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes WNo On Old King's Highway: ❑Yes VNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq:ft.) Basement Unfinished Area (sq.ft) Number of.Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ 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 ,❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 5_P Address /if�°�A✓,40,,A/ &-l/Z License# 11?D 9 �� yo�l Home Improvement Contractor# /s�� ✓�� Email/t j deg C'/J/dos✓/d Saw , 4o� Worker's Compensation #l ZddF O ya&d ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL j PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE'CLOSED OUT ASSOCIATION PLAN NO. HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. I hereby consent to and agree that weatherization work may be donV4 the Weatherization Program of Housing Assistance Corporation on the property ! located at: ! I I The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic& basement insulation; exterior wall insulation;ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(slynatur, �Vl. Home Owner email: ©n+ ate: I eo Agent:(signature) \ Date:- Weatherization Contr ctors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Tupper Construction Cape Cdd-Insulation r The Conamonwerdth of Mt rssachusetts Department of Inrlustriral Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 ►v"v mrass,govM!a Vot•kers' Compensation Insurance Affidavit: Bullders/Contractors/Electricians/Plumbers, A licant Information TO BE FILED WITH THE PERMITTING AUTHORITY, Please Print Le ibl Na1718(Business/Organization/Individual): l''/� Address: / ' � ��,, Ci /State/Zi 2� ty p Phone #: - Are you an employer? C eck the opproprlate box: r Type of project (required): I.�t am a employer with _employees(full and/or part•time).' 2.p I am a sole proprietor or partnership and have no employees working for me in �' ❑ New construction i any capacity,(No workers'comp, insurance required.) 8,..E] Remodeling l.�1 am a homeowner doing all work myself [No workers'comp. insurance required.)r 9. Demolition 4.[]1 am a homeowner and will be hiring contractors to conduct all work on m p rty, 10 Building I ensure that all contractors either have workers'compensation insurance or a ersole twill ❑ g addition Proprietors with no employees. I I.(] Electrical repairs or additions S.Q I am a general contractor and I have hired the sub•wrilractors listed on the attached sheet. 12.❑Plumbing repairs or additions These subcontractors have employees and have workers'comp. insurance.) 13.aRoof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.(No workers'comp. insurance required.) 14' Any applicant that checkbox NI must also fill out the section below showing their workers'compensation policy r Homeowners who submihhis affidavit indicating they are doing all work and then hire outsid information e contractors must submit a new affidavit indicating such. IContractors'tlial 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 subcontractors have employees,they must provide their workers'comp.policy number. !ant«n enrployer that Is provir(lrcg workers' corrrpensatc'on insurance for my employees'. Below is the policy and job sire Insurance Company Name: �Z- .•r Policy#or Self•ins. Lic. #:fy�,c;" Expiration Date: ( y �. Job Site Address: �(�>/Vfi -ity/State/Zip: :. Attach a copy of t e workers' compr.nsatton policy declaration page (showing the policy number-and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine UP pto$1500.00) and/or one-year imprisonment, as well as civil penalties in the form of a STOP WO day against the violator. A copy 6f.,this statement may be forwarded to the Office of Investigations of the D a fine of up to insurance a coverage verification. 1A for insurance !do hereby certify under the pains aru(penalaes of perjury that the lnforrnatton provided above is true and correct Signature: i' ,� Phone#: Date: 7 7 jjs 1Z � Official use only, Do,..�liot write In this area, to be completed by city or to offlclal City or Town; Permit/License #�� Issuing Authority (circle one): 1, Board of Health 1, Building Department 3, City/Town Clerk 4, Electrical Inspector 5, Plumbing Inspector 6, Other p Contact Person: Phone#: i. Massachusetts Department of Public Safety Board of Building Regulations and Standards License; CS•100988 C:onatRiction Supervisor. HENRY E CASSIDY. c„ > 8 SHED ROW t �Jr•. WEST YARMOU fH Expiration; Commissioner 11/11/2017 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Co:n:tractor Registration Registration: 153567 Type: Private Corporation Expiration; 12/15/2016 Tray 259188 CAPE COD INSULATION, INC HENRY CASSIDY ---- 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Update,Address and return card, Mark reason for change. 5CA t +.; 20M•05/11 [] Address Renewal Employment Lost Cat'tl elms owomauver(4 o1C%Gt!rwda.�1udeen ate\ OffIce or.ConsumerAffnlrs& Business Regulntlon License or registration valid for ittdlvidul use only OME IMPROVEMENT`CONTRACTOR before the expiration date, If found return to: 99istratlon: :1.53567 Type; Office of Consumer Affairs and Business Regulation ;j xpiratlon;:,::;121;9:5120:1:6 Private Corporation 10 Park Plaza•Suite 5170 �.., Boston, MA 02116 CAPE COD INSULAT:I'QN::INC ..' HENRY CASSIDY 18 REARDON CIRCLE` . SO..YARMOUTH,MA 02664 Undersecretary _ N. validtit sign e CAPECOD-27 CLEDDUKE ACORO° CERTIFICATE OF LIABILITY INSURANCE FDAT 7/1/2 D/YYYY) 71112016 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 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). PRODUCER CONTACT NAME: Barbara DeLawrence Rogers&Gray Insurance Agency,Inc. PHONE FA 434 Rte 134 A/c No Ext: A/C No): South Dennis,MA 02660 E-MAIL RESS;bdelawrence@rogersgray.com ' INSURERS AFFORDING COVERAGE NAIC k INSURER A:Peerless Insurance Company INSURED ; .. INSURER B:Safety Insurance Company 39454 Cape Cod Insulation r? �••,., '-r•".;;=';' INSURER C:Endurance American Specialty Insurance Company 41718 Inca:':. : 18 ReardonCRie wsuRERo:Atlantic Charter Insurance Company 44326 South Yarm,outh,MA:02664.:., INSURER E: INSURER F: COVERAGES CRTIFICATEENUMBER: 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 QR;CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY.:PERTAIN, THR:'INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH?POLICIES.LIMI75�SHOWN%MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDLISUBRI "{• =' POLICY EFF POLICY EXP INSD WVD• ^POLICY=NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY ;`,}; ?:<:•;, EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR r,. CBP8263:063 ,f, 04/01/2016 04/01/2017 PREMISES Ea occurrence) $ 100,000 ;ti„);,'•�'� j :: MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 ,GEN'L AGGREGATE LIMITAPPIIES PER',, GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPOLICY�•PROTa PAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY •':`ai,,, .. COMBINED SINGLE LIMIT $ 1,000,000 B Ea accident ANY AUTO 6232707 COM 01 04101%2016 `04/0:1/2017 BODILY INJURY(Per person) $ ALL OWNED'(•"•;,.X SCHEDULED ;,,: '"^ ::`,'i,�;•••" � %d:, BODILY INJURY Per accident $ AUTOS AUTOS ( ) AUTOS NED PROPERTY DAMAGE X HIRED AUTOS X AUTOS r a<;, s y i' ` Per accident $ X UMBRELLA LIAB X OCCUR?`yEACH OCCURRENCE $ 2,000,000 C EXCESS LIAB CLAIMS-MADE EX610006635001 04/0112016 04/01/201!7,`-`*' REGRTE $ DIED X RETENTIONS 10,000 i �� WORKERS COMPENSATION ;Aggregate. $ 2,000,000 AND EMPLOYERS'LIABILITY ..." �•'.:'. P R : OTH- r >' STATUTE ER D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N }` CE00431902 -. 06/30/2016`'O.6/30/2017 •fi 4:EACH ACCIDENT•';.; $ 1,000,000 OFFICERIMEMBER EXCLUDED? ❑ N/A i .b k . (Mandatory In NH) ! ;, E.L.DISEASE ,EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE QOL'ICY LIMIT„ $: 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLE$ (ACORD 101,Additional Remarks Schedule;may be;attached,if,more apace is required) Workers Compensation includes Officers or Proprietors. i*' Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agYeeme.", ith the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABO VE DESCRIBED POLICIES BE CANCELLED BEFORE Vig ujlders THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Nk �+ ACCORDANCE WITH THE POLICY PROVISIONS. 94A Co erce Park S-oL1�h Sou hatham,MA 02659��, AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0->V Application # at) 3bSI&O Health Division Date Issued �- Conservation Division Application Fee Planning Dept. Permit Fee 00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 6 W r I"If HVIi C Village �� Owner �n Amy A)12( GS Address 7{ Telephone c6W 954-2e Permit Request AD�'%eag ie3 � ,/ Agh 0 14up t``v�/ ,/.l��,P�?f� OA/ �6k, ®/ �riS.de, -PF�4,J6 SMo KE:�TcC-oQS Square feet: 1 st floor: existing proposed 2nd floor: existing LQ 0proposed AV Total new 136 Zoning District Flood Plain Groundwater Overlay am c Project Valuation old Construction Type Lot Size 6 AC. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0"_ Two Family ❑ Multi-Family (# units) Age of Existing Structure &4 t Historic House: ❑Yes Er�o On Old King's Highway: ElYes 0 o Basement Type: 2rFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) dV Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms:N --"3 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: O'Gas ❑ Oil ❑ Electric ❑ Other N Central Air: ❑Yes .-No Fireplaces:Fireplaces: Existing New Existing va J/coal s%e: � es ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn� existingjD n@w size_ Attached garage: ❑ existing ❑ new size Shed: 0 existing ❑ new size _ Other: ' c» Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# r� Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 4 E k)ff� c Named (�� J Q, Telephone Number Address l ;7ftiVTi C: / License # /A&7o_ US ///Y),I/ A9 Home Improvement Contractor# E1�1�e'° Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z o&6V6 Ll •�� SIGNATURE DATE FOR OFFICIAL USE ONLY k APF;'LICATION# DATE ISSUED MAP/PARCEL NO. _ ' ADDRESS VILLAGE 1 ' OWNER r DATE OF INSPECTION: 1 ,jyFO.UNDATION,utmwt uavtN ' FRAME ,,INS U LATION.3if 5 Q y.3lk p4 L' 7 t FIREPLACE ELECTRICAL: ,ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING h - DAT,E._CLOSED OUT . 1 ASSOCIATION PLAN NO. �z The Commonwealth of Massachuse& Department of IndustyidAccidents 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 L-e 'bl NaTlie(Bu"siness/Organizatiowla ividual): , .' %v Address: wJ/ �C ity/State/Zip: �¢ %vim 1�,5Phone#: Are you an employer?Check the appropriate box: T project am a eneral contractor and I �e of 3ectr p (required): �e�• 1.El I am a employer with 4 ❑ I g 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 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' in�mran�# 9. ❑Building addition comp.[No wo comp.insurance r ed.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 0 officers have exercised their 11. Plumb' repairs or additions 3. I am a homeowner doing all work ❑ myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t r c.152, §1(4),and we have no employees.[No workers' 13.❑Oilier comp.insurance required.] *Any applicant that checks box#I 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 hue outside contractors must submit a new affidavit indicating such.. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employee. If the sub-contractors have employee,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation-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$1,50.0.00 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 certi r p and of perjury that the information provided above its true and correct. -Signature: Date: >_�_7;7 Phone#: Official use only. Do not write in this area,to be completed by city or town of cial City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.PIumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions r . 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 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 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice 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 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or I477-MASSAFE Revised 424-07 Fax#617-727-7749 www.massgov/dia Town of Barnstable Regulatory Services Thomas F.Geilei,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEN 'ITON ' ATE: ��e /" please Print JOB LOCAron-7-6 mpbgr sleet ViDage "HOMEOWNER": �=�� name home phone# &A —week phone# c r CURRENT MA U IG ADDRESS: / / L XmKrovys •`x t citf/town state up code The cufrent exemption for"homeowners'was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual fur hire who does not possess a license,provided that the owner acts as supervisor. DEFINTITON 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, r bylaws,rules and regulations. The undeasi ed` meowner"certifies at he/she understands the Town of Bamstable Building Department minimum inspection pro d r s and she will comply with said procedures and requirements. Sipe to Approval ofBw•]dingOfficial 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 personas 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 Iast 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\d=Uk\AppData\I.oral\Miaosoft\Wmdows\T=iporuy Internet Files\ContntOudook\QRE6ZUBN\EXPRFSS.doc Revised 053012 �V+E�,�� . Town of Barnstable ReEWatory Services SS Thomas F.Geiler,Director s6�9. �� ' 6.19 � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.towmbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as of the subject property hereby authorize to act on ray behalf; in all matters relative to work authorized by this bu�1 ' permit (Address of Jo Pool fences and alarms are e responsibility of the applicant. Pools are not to be filled or utilized efore fence is installed and all final inspections are performed d accepted. Signature of Owner ' Signature of Applicant Print Nam Print Name ate QFORMS:OWNERPERMISSIONPOOLS EMU \ ' I i � I I I GccF� .ICl/-sib TD /3� ZX8 �u.�2 Ja/S/S �i � I F i5 Z.CB�CDo/ spy o i i arn, �(p �,.%.': �. '. .' I' �• rE-� ��� r� SMOKE DETECTORS itreVIEWED .:-;../ : !:'�:!' h of . BARfJSTABLE BUILDING OF a'i r�.;1Ji/1�.� �Ji F��".' .!� f✓!/_�F✓f�: `�. Cb�yw tII! y\�,5 FIRE DEPARTMENT DATE Tt>�1 �Li BOTH SIGNATURES ARE REGJIRED FOR PERMITTING CARBON MONOXIDE ALARMS MUST BE INSTALLED PER MASSACHUSETfS BUILDING CODE fli lo /s/,.=/�rT/�✓i ._._ r .. 2,Y� /taaFT� .'� s/,E r�/r-iJTif. /'<' /° SCvOi �:'L','! L Cf�'L /��� O/V 6 —� C a//i✓afCr 5�.�// L/i;/ /�! it/c✓V G Uc rL</ / Q/i f i / I I 1 / A O o VIC i "o o�^` r � _S.t4"^.,.If«^.G:%:C.•.:ae=�-- ��..:��:,.�.a:`�.:i�rr's?+%„+r:':w' +.�..... ♦I' �. 0 b h 4 �..:-�.µ.ry ....-...�.: n...�. ... ._ ..... .h..-o-.n r .l�SI'nh..w..M..h.......-\r':.L�._..-� .__ i.�...... +'�.�.:Y �� /' 1 v-- �_....._ P .. ... ,�._ , -j E ��,�j..:f.a �, r -=�� /� C � F S s,. 1, WiNaaN ScAr I L��Nooc� SCaT ; a ' W rt^ ........ IT ' ri . _._ . S ECGnla r Pic d iogo 7ts �7 �GG�lyt�st/rlc. �At va Town of Barnstable TOWN OF BARNSTASLE oFT"E'°w Regulatory Services pY ti �� Thomas F. Geiler,Director 2013 JUN 17 AN (4: 4� B�"` Sa Building Division y MASS. 4q 0 Fn MA'S aN Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 DIVISIO Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVIN UIRY REPO Date• Rec'd by: Complaint Name: `� YYl U ((Map/Parcel Location / Address: d ( � l� 04 Originator Name: O e. Street: �( �( (/l� 12 Villa e: � A tate• ��'/ Zip:. Telephone: tio Descri Qom la' t n: S`�`-�—� v c 1� P in P �-Ix 1�7 / � oi'IV 1A,i� L FOR OFFICE USE ONLY 6 '�� / 3Inspector: C ter ` C CrG Y Inspector's Action/Comments Date: ' smele_ 4" Wars uses , 5�ve ta)n4 C"0-4 rtas,RaAS Agga her 40 l�►ce�c,hIn-r ��. 6 i c3 ' JeL_4 PA,7Macws UJ tri 4or e_ qW r h a�L4Vdn ©ye_ An u,i 1+ 4n cadet e 1r , l.Je Q gad �( a 1" a c� �or �t`t7��ocue. Additional Info.Attached TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION SEPVC SvSTE Map �� Parcel �`� m it .y; Re # INSTALLED IN CM-2 L" ' Health Division f,"— 17- U:: WITH TITLE Date Issued ENVI N IENTAL �\;' .';,F• 7 i5 Conservation Division � Fee pry° , Tax Collector Treasurer '55//7 ZGa) . Planning Dept. ! ' Date Definitive Plan Approved by Planning Board Historic:OKH Preservation/Hyannis Project Street Address 71 yjlll,.44AA Village // TES - /X,( S - Owner /_ Address Telephone ( D) i/k /70 Permit Request W&nvckl 39A lea-0 `a0V✓(c_ kc, 6/14Pk- XAlb AV616SE 6&111 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size 6 X, Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family �wo Family 0 Multi-Family(#units) Age of Existing Structure3uh-t N j%a Historic House: ❑Yes O No On Old King's Highway: ❑Yes O No Basement Type: Ofu-1I ❑Crawl O Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: V Gas 0 Oil ❑ Electric ❑Other Central Air: Yes ❑No Fireplaces: Existing _YTS New Existing wood/coal stove: M es 0 No Detached garage:0 existing ❑new size Pool:0 existing 0 new size Barn:O existing ❑new size Attached garage:0 existing O new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial 0 Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name - Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO_,� SIGNATURE DATE a FOR OFFICIAL USE ONLY P�`RMIT NO.- DATE ISSUED 6 r ' r I K, MAP/PARCEL NO. ADDRESS VILLAGE OWNER a - I DATE OF INSPECT-j�ON: - FOUNDATION I- FRAME'-. .,. (� • - INSULATION: . i°' FIREPLACE,- ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' f ,+ GAS: . ROUGH FINAL FINAL BUILDING DATE CLOSED OUT r , t ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts - Department of Industrial Accidents • Otl�ce oll�restigatiotrs 600 Washington Street _ Boston,Mass. 02111 Workers' Com ensation Insurance AMdavit name: location hone#s-o g itv . am a homeowner-performing all work myself ❑ I am a sole pnietor and have no one working in din workers' ensation for my employees working•on this job. am com anv nam re s add .. ... ;. oli cv isui anc ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and.have hired the contractors listed below who have compensation olices: :::.:.::.::::::.::.: ;;: :.:;..;:::><:::;:::<:::::;<:::::;<:»>::>:<::<;«:>::>:<:<>::>:::::>>:::: following workers comp P ......:: :::::...::::::::.;;:.;: the fo g ......................::::::.:.::.:.:::::::.::::.:.:...:.::::::..:::...::.:..::::: ::::.;;::.:;.;;;:::::..:...::::::::::::::::::.....:.:: com _, 'te add ...,..:.:.:.:....::.;:.:. ......:.::.:.:::::::.:::................................:................ h ei t ns n ran c e;co -camanv n a d dr es ise tP .. >:<: `.of 'insnranc //�. Fanum to secure coverage as required under Secda 25A of Mt3I.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years,imprisomnent as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be to to the OMM of Investigations of the DIA for coverage verification. that the information provided above is true and correct I do hereby ce the p penalties ofP ury f Date S.17-Qo - Signature 1 � r Phone# 6�) ` ✓ Print name official use only do not write in this area to be completed by city or town of0dal dry or town: permit/license# QBufiding Department QLicensing Board response is required QSelecttnen's Office ❑check if immediate rap q QHealth Department contact person". phone#; - Q Other (mv sed 9/95 PJA) Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to Provide workers' compensation for their employees. As quoted from the"law',an employee is defined as every person inthe 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 legal entity, employing employees. However the owner of a and who resides therein,or the occupant of the dwelling house of dwelling house having not more than three apartments 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. states that every state or local licensing agency shall withhold the issuance o r renewal MGL chapter 152 section 25 also who has of a license or permit to operate applicant a business or to construct buildings in the commonwealth for any not produced acceptable,evidence of compliance with the insurance coverage required..Additionally,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. _. _.. r �, Applicants compensation affidavit completely,by checking the box that applies to your situation and Please fill in the workers' co supplying company names,address and phone numbers along with a.certificate of insurance as all affidavits may 'of insurance coverage. Also be sure to sign and submitted to the Department of Industrial Accidents for oa 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. Aram City or Towns The Department has provided a space at the bottom of the Please be sure that the affidavit is complete and printed legibly- has to contact you regarding the applicant. Please affidavit for you to fill out in the event the Office of be to be sure to fill in the peimit/license number which will be used as a reference number. The affidavits may the Department by mail or FAX unless other arrangeme>rts have been made. The Office of Investigations would like to thank-you in advance for you 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 Department of Industrial Accidents 0MC8 of Imtesugatlons 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 I790CMR Appom is J Table J1=b(continued) Two-Family Residential Buildings Heated wltb Fond Fuels Prescriptive Pack""for One and MAXIMUM MINIMUM 01 C 8 Wall Floor Basement Slab HeatinH/Cooling� A�Glazing '(K) U-valuer R valud R-values R value' Wall Paimeta Equipment EfLci R value' R value' Package 5101 to 6500 Heating Degree Dare' !3 19 10 6 Normal Q 12% 0.40 38 Normal R 12% 0.52 30 19 !9 IO 6 3 12% 0-so 38 13 19 10 6 8S AFUE T 15% 036 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal v 150/• 0.44 38 13 25 N/A N/A 8S AFUE W 15% am 30 19 19 10 6 SS AFUE X 18% 03Z 38 13 25 N/A N/A Normal Y I VA 0.42 38 19 25 N/A N/A Normal Z 120/. 0.42 38 13 19 10 6 90 AFUE AA 18•/. . 0.50 30 19 19 10 6 90 AFUE SS OF PROPERTY: 1. ADDRESS 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J$Z.1b: , ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft2 of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized was construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing, and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating d sheathi metal-frame requirements ncnonply to wood-frame or mass(concrete,masonry,log)wall constructions, apply 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. Tie entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement �above-grade Basement and ��tg glass doors of lie door U--value requiremoned ent bi ements must be included with thegla�g d-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 �F 1HE Tp� The Town of Barnstable t ,uws:e of Health Safety and Env at.E. • 9 MASS- Department rironmental Services 4, 1e59• Building Division ATfD MP{� 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissio::e' Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION alterations,renovation.repair.modernization,conversion. MGL c. 142A requires that the reconstruction,. owner-occupied improvement,removal,demolition,or construction of an addition to any pre-existing building containing at least one but not-more than four dwelling units or to strue alon h withadjacent to such residence or building be done by registered contractors,with certata.excep g requirements. C Type of Work: Estimated S� Address of Work: Owner's Name: Date of AppIicatioa: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under S1,000 []Building not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING W ORK Do NOT CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT 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 of the owner: Date Contractor Name Registration No. OR Owne ' ame Date ,..o,,.•.. Affidav The Town o Barnstable �t KE 'O`'tio Department of Health Safety and Environmental Services Building Division snaxsTABM ' 367 Main Street,Hyannis MA 02601 MASS. 039. Dp�ED MA'I� Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: Z�' I !— a e JOB LOCATION: 76 jA1/11i 1f e -D/ R V 4 N� �r/� number stre village ..HOMEOWNER": zl//G S 2 �G7 naml home phone# work phone# CURRENT MAILING ADDRESS: 76 u,omkw /tc 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 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 he understands the Town of Barnstable Building Department minim inspection procedures d requirements and that he/she will comply with said proc s d re ire nts. Signature o o e er Approval of Building 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN 1 Barnstable Bldg Dept. I I I I I I 1 p� y' 4 I ( I 3'-11.. 8•I,�• _ 21=(Y• ..3•-0. Approved A : Permit#; A' A3 I 3'-2., I I NEW � --- i O O BATH D O' ' O :O I I I I REMOD: .6,,xsa' i BAT LED I S REMOD. y II NEW FIRERA HARVEY FIRE RATED LI .I KITCHEN' O Z. ~ N j I MU ROOM DOOR I AWNING iF] -- 0 @J I 4-4 TJ1O•' I 1 ANDERSEN 26"�PKT' 6 Q-OORi FOLDING" j DOOR CLOS. q dEY1LBEAM ABQVE(FLUSHEBAb1EQ)-- ON. . -- —NEYVBEACd ABQYE(FLUSHERAME ----_- 6 --_— _-- _— _ — _ -- — —_--- �AVJ� c o -- HAM 2442 EY g I 10$ \ 9. 16•-2.� GAS - XPAND D MTR: I NEW �I 5•-,.. 3•„- .r-a'.. GARAGE m BEDROOM WI HARVEY 5'O"BY-PASS A - n I AWNING IEDOOR � FPS ol. REMOD. As I LIVING o °O 12•-0.. .. jZ•-0•. LL� § ANDERSEN LJ UP Az1 A A. I As 9'O"x TO"O.H.DOOR 9'0"x TO"O.H.DOOR s APRON A*DR REVIEWE :; A -. . - A3 i'-a• 9•-0- z.-Q.. 9'-0�• 2•-a. . D Tt ( s4'o" 12•-a'_.. _... 24'-U' 'FIRST FLOOR PLAN 414TURES A 7E REQUIRED FOR PERMITIN, o LEGEND: 0 EXISTING WALLS CONSTRUCTION TO BE REMOVED IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS ® NEW CONSTRUCTION CLIMATE ZONE.5(USE EITHER PRESCRIPTIVE VALUES ORRESCHECK CALCULATION TABLE 462.112(MINIMUM PRESCRIPTIVE INSULATIONS FENESTRATION REQUIREMENTS)- - FENESTRATION SKYLIGHT I CEILING I WOOD FRAMEDVIALLFLOOR' BASEMENT WALL BASEMENT SLAB CRAWL SPACE WAL - UFACTOR LLFACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE 0.70 AMMEND.. OSS 30 1 1919 10(4FT.DEEPI 19R9 NOTES: 1-.R-VALUES ARE MINIMUMS 8 U-FACTORS ARE MAXIMUMS. , 2.15119 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON.THE INTERIOR OR EXTERIOR'_ OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL - 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATIONS ENERGY REQUIREMENTS. 4.13-5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR &R13 CAVITY INSULATION ... .. j.THE DESIOR OMISSIONS SH ARE FOLIO IF ANY J'ERRORS THESEO WINPRIO ARE FOUNDON AL COTUIT BAY DESIGN, LLC NEW REMODELING/ADDITION FOR:. ' -THESE DRAWINGS PRIOR TO START F E Ii WILL BE RESPONSIBLE SIBLE FOR THE CONTRACTOR /4" -1' O"f i�N THESE DRAWIINGS IF CONSTRUCTION CONTENT S DRAWING NO.: 43 BREWSTER ROAD �' it COMMENCES WITHOUT NOTIFYING THE MASHPEE ,MA. 02640 STANLEY RESIDENCE I�oFTNE °F GYERRO�SOROMRSSIENSS DATE : PH. (508 274-1166 WIN SRRE EST 0 TIT U E ) - L THESE0 WRN ED.RESOTHE WRITTEN RUSEO � II CONSENT OFITHE I�SIGNER UNDER THE Al FAX (508) 539-9402 76 WILLIMANTIC"DRIV:E MARSTONS MILLS:, MA T ACT OfF11�RAL COPYRIGM PROTECTIONV. �2I18I2O:�8' _. - -- NAILING SCHEDULE 1Y-0" 12'-(r .. 12'-0" .. ... .. ... .. ... 1 t0 MPH EXPOSURE C WIND.ZONE JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING A HARVEY .. - 2442 ROOF FRAMING: .. A6 TEMPERED BLOCKING TO RAFTER(TOE NAILED) 2-8d -- 2-10d EACH END RIM BOARD TO RAFTER(END NAILED) 2-16d 3-ISO EACH END WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5-16d AT JOINTS P STUD TO STUD(FACE NAILED) 2-16 d 2.16d 24"o.c. - HEADER TO HEADER(FACE NAILED) 16d 16d 1S"o.c.ALONG EDGES FLOOR FRAMING: - - .. JOIST TO SILL.TOP PLATE OR GIRDER(TOE NAILED) 4-8d 410tl PER JOIST BLOCKING TO JOISTS(TOE NAILED) 2-Bd 2-10d EACH END BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-1 Ed 4-1SO EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-1 Sd 4-16d EACH JOIST JOIST ON LEDGER TO BEAM(TOE NAILED) 3.3d 3-10d PER JOIST BAND JOIST TO JOIST(END NAILED) 306d 4-16d PER JOIST' BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16 d 3•t6tl PER F00T ROOF SHEATHING: - WOOD STRUCTURAL PANELS(PLYWOOD)- - - - - RAFTERS OR TRUSSES SPACED UP TO 16"D.C. 8d 10d 6"EDGE/6"FIELD RAFTERS OR TRUSSES SPACED OVER 16"o.c. 8d IOd 4"EDGE/4"FIELD J���j�i GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG Btl tOd 6"EDGEl6"FIELD GABLE END WALL RAKE OR RAKE TRUSS 8d 10d 6"EDGE/6"FIELD GABLE ENDSTRUCT WALL RAKE OKERS TC7�CJ{TnJ o GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d tOtl 4"EDGE/a"FIELD CEILING SHEATHING: GYPSUM WALLBOARD 5d — 7".EDGE/10"FIELD fI WALLSHEATHING: S0 STRUCTURAL PANELS(PLYWUQU) TUDS SPACED UP TO 24^o.e. 8d 10d 6"EDGE/1TFIELD 1/2"&25/32"FIBERBOARD PANELS 8d 3"EDGE16'FIELD A 12"GYPSUM WALLBOARD Sd — 7"EDGE/10"FIELD A6 FLOOR SHEATHING: -.. (q WOOD STRUCTURAL PANELS(PLYWOOD) - 1"OR LESS THICKNESS 8d 10d 6"EOGE/12"FIELD GREATER THAN 1"THICKNESS IOd 16d 6"EDGE/6"FIELD A A A6 6 HARVEY 2442 12'-(" 12'-T 24•-W . NOTES: SECOND FLOOR PLAN PVC RAKE BOARDS TO .. ... MATCH EXISTING 1_), CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD CLAPBOARD MATCHC AT BOTTOM OF EXISTING .. CEILINGJOISTS 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT FIRST FLOOR TO BE 6-11"ABOVE SUBFLOOR FF HI 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS t2 m STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 12 5.) 110 MPH EXPOSURE B WIND ZONE 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, f SECOND FLOOR SUBFLOOR OR HORIZONTALLY W/BLOCKING AT EDGES,WEDGE/12"FIELD NAILING TOP OF PLATE - - TOP OF PLATE 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD 8.) SEE CERTIFIED PLOT PLAN FOR ALL EXISTING&PROPOSED DETAILS 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF a��� ALL SIMPSON COMPONENTS _ L1 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS TO BE 3000 PSI Uao 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE ❑aao aooa DURING FRAMING CONSTRUCTION FIRST FLooR 3UBPLOOR.. oaoa .. oao 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE TOO oFFou_ND:' 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED 14. FOLLOW ALL REQUIREMENTS OF THE'IECC2015 RESIDENTIAL ENERGY ERIFYO.H.DOOR STYLE,MFR.& - -ALL DETAILS W/OWNER EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION INSTALLER/CONTRACTOR. FRONT E L E VAT I O N 15.)ALL HEADERS TO BE 3-2 x 8's UNLESS OTHERWISE NOTED THE DESIGNER SMALL BE NOTIFIED IF ANYEMORS OR OMISSIONS ARE I COTUIT BAY DESIGN, Lac NEW REMODELING/ADDITION FOR: TCOMMACTIOMTHEMILOWGCONTIACTOR ND ON SFOR ME CONTENT 4ALE _oI1 I�DRAWINGNO.: ® ® 43 BREWSTER ROAD NITMEND WILL BE THOUT RESPONSIBLE ONFYING TION HE COMMENCES WITHOUT NOTIFYING THE MASHPEE MA.L. 02649 STANLEY RESIDENCE THESE DRAWINGS ERR ORS OR FOROMISSIONS. DATE : PH. (508 274-1166 THESE DRAWINGS ARE SOLELY FORT ME USE pJ) �] Of TIE OWNER NOTED,ANY OTHER USE OF f FAX 50V 509-9402 11CO SENT OF MS DESIGNES ER WRITTRMEEN 12/18/2018 A2 c 76 WILLIMANTIC DRIVE MARSTONS MILLS; MA �I AONSENTOFTE�ESIGNER UNDER ME ARCHITECTURAL COPYRIGHT PROTECTION ACT OF t990.. I -PVC RAKE BOARDS TO MATCH EXISTING TYP..ASPHALT ROOF SHINGLES '---__ BOTTOM OF 12 .� CEILING JOISTS 12 II II I I P 12 L e———=_ J PVC 1 x 8 FASCIA FRIEZE,8 SOFFIT BOARDS SECOND FLOOR SUBFLOOR. 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I I I L - - "am I I I 11 wam smxaxal omq mm a FIRST FLOOR w mm.,un^a^mvv'.vm _ SUBFLOOR cmxmoaocmmmro.am em mmeem eamnmww.arrmm maa emxaammm.nm.m aeaRa,mm aea a U II wmmwmaam corm ae. 2 x 8 JOISTS®16"o.c. 2x8JOISTS C 16"o.c. <wgmo.IstMPsoN Lsru.ol �1 1 I __ �, -- 32 x8GIRT Na.. Fmewweona•gmaaaaL wmleaam ma°ro.o.a meee �I 11 -- - .. ammmmmmm magma.aa°aw..,mm L'»mage z°n aww �I II naqu as mvaam.°c.nmem u,eow.aaeam Pma.aae. �I II im,a lm.naa wmml II II 14 � Mw.mnam e..mme+nagan,.mm rna. II II Fa eamge,emmn.raven.n.qm Bl.ma w.amm wm, " FULL I amm:ravw. aaT�i.+o�e mea II I I � w+mromlmcgw, BASEMENT I,I gely Rku.k,exl II II za•m:,.o:onan Waal Lw.zu.X:gm•wav,vrm. —,J_4 . •' '' am,ava oaaa.mam:c _ xAnxm,mn•am ,PIrOmN Fmwmam o•,mm PW],.e nRWa RWx.,a w,,, nBUILDING SECTION @ LIVING/KITCHEN A3 _ - APA APA NARROW WALL BRACING METHOD T NOT TO SCALE 1 OVER CONCRETE OR MASONRY BLOCK FOUNDATION .. .. .. THE DESIGNER SHALL BE NOTIFIED IF ANY - COTUIT BAY DESIGN, LLc NEW REMODELINGADDITION FOR ERRORSCTION.THE EBUILDING CONTRACTOR OR ON SCALE : DRAWING NO.:. THESE DRAWINGS PRIOR TO START OF - WILL BE CONSTRUCTION.RESPONSIBLE FOR THE C ONTEN TpR /4" 1 1 011 �����// T -' WILL DE RESPONSIBLE FOR THE CONTENT .. 43 BREWS TER ER ROAD .. .. .. INTHESEDRIMNGSIFCONSTRUCTION 1 — COMMENCES WITHOUT NOTIFYINGTHE S TA N L EY RESIDENCE DESIGNER OF ANY ERRORS OR DM TMNS P MASHPEE ,MA. 02649 OF;E OW„ERNo�o�ANYOT„ERUSSEOF DATE PH. (508)274-1166. THESE DRAWINGS REQUIRES THE WRITTEN FAX (50$) 539-9402 76 WILLIMANTIC DRIVE MARSTONS MILLS, MA O°� TM SIGNER UNDERIHE 12/1 o18 [, NT EOE 8/2 : ARCHITECTURAL COPYRIGHT PROTECTION A 3 .u- U-4- - 1T DIA.CONCRETE SONOTUSES ko TO 4'0"BELOW GRADE.USE SIMPSON B. ABU 44 POST BASE .. P.T.2 x 10 LEDGER BOARD LAG BOLTED.TO A5 SOLID BLOCKING W/(1))LEDGERLOK BOLTS A 2-P,T.2 x Ids 16"o.c.W/JOISTS MANGERS AT BOTH ENDS A3 § P.T.2 x 8's Q lW o.C. in 3'-2" I. ,I o DROP TOP OF WALL, I D, AT ENTRY DOOR' MID-SPAN BL KING m P.T.4x 8 POST'ON NEWT I I HAUNCHEDSLAB I u 14 13.�.. P.T.2 x 6's Q 16"D.C. o :v CRAWLSPACE I I ..." NEW 4"DIA.LALLY COLUMNS a 2".CONCRETE SLAB W/ W/30",x 30"x 12"CONCRETE .LL 10 MIL POLY,UNDER I I I FOOTINGS UNDER ENO OF m I I I NEW BEAMS ABOVE I NEW � I GARAGE - EXIST 3.2.8 GIRT _ "" 4"CONCRETE SLAB W/ j7 N _—dI_�_f— r—_1_-,I®t____—r8_____ .. .. I SLOPE TOWARDS O.H.DOORSCLEAR L _J r — L LL_J SAWCUT TO"OPENING — , &10 MIL VAPOR RETARDER 'I IN EXIST.FOUNDATION GAS -I FOR ACCESS INTO NEW MTR.. I I I I _——J CRAWLSPACE !— B I I I I - B"CONCRETE FOUNDATION. 4 m A5 (4 -�" I I FOOTINGS TO 4'd'BELOW GRADE I I N � Y a I I I I _ °o� I I I I I I UP DROP C I I AT O.H.DOORS.OP OF ALL I I C A5 --------- ------ 5 ————- - —————————— — ---------- — CONCRETE APRON A 34'-0" 12'-0" 24'-0" FOUNDATION PLAN KD 2 X NAILER 8-12" INSTALL 5/8"ANCHOR BOLTS AT 24"D.C.MAX. FLOOR W/SIMPSON BPS 5/8-3 BEARING PLATES INSTALL 518"ANCHOR BOLTS AT 32"o.c.MAX. JOIST FROM END PLACE BOLTS WITHIN 6"-15"OF EACH 61T Wl SIMPSON BPS 5/8-3 BEARING PLATES OF PLATE FROM.END" W?1??STEEL BEAM CORNER AND TO A 8"MINIMUM PLACE BOLTS WITHIN 6"-15"OF EACH OF PLATE CORNER AND TO A 8"MINIMUM DEPTH FASTEN JOISTS,TO WELDED TO STEEL COLUMNIPLATE NAILER W/SIMPSON A34 ANGLE 1 - - SHOW OR SOLID BLOCK NN� F______-____Q____- .... I_____ E ___- WELDED T STEEL PLATE 1 ___•_..__y-_ WELDED TO TS 4"x4"x1/4 ❑ H STEEL COLUMN W/(2)1/4" p w i P.T.2 z 6 SILL Wl SEALER a w I 2a"o.c p I FILLET WELDS 6"LONG g I - w 32"o.a P.T.2 x 6 Slll W/SEALER O n I " _ g I 8"x 8"x.12"STEEL PLATE rb It I c i_ "'Oa I H S EEL COLUMN,DRILL& Z - GROUT FOR(2)314"DIA. ANCHOR BOLTS 1 I I 1 FOUNDATION_WALL GARAGE ANCHOR BOLT DETAIL -- STEEL .BEAM/POST DETAIL SCALE: 1/2" .=,-o" HOUSE ANCHOR BOLT DETAIL -1/ SCALE: 1/2"= 1'-0" SCALE: 2"_1'-0" - - I THE .. .. ERRORS OMISSIONS SHALL RE FIED IF ANY THESED AWINGRIO TO FOUND ON SCALE :: DRAWING NO..: ®� COTUIT BAY DESIGN, LLc NEW REMODELING/ADDITION FOR: i THESE DRAWINGS PRIOR TO START OF CONST ETI O.THE FOR CONTRAC ENTTO"W U.BE 1/411 1 1-011 43 BREWSTER ROAD . IN THESE DRAWINGS IF CONSTRUCTION HE MASH PEE ,MA. 02649 DESIGNER FMYERROR WITHOUT NOTIFYINGROISI STANLEY RESIDENCE DESIGNEROFANYERRORSOHERUE O DATE . � Q c THESE DRAWINGS ARE SOLELY FOR THE USE PH. 50H)274-1166 OF THE OWNER NOTED ANY OTHER USE OF FAX (508) 539-9402 76 WILLIMANTIC DRIVE MARSTONS MILLS MA VTHESITECTUNGSREDRIRESTHEWRRTEN 1Z/1H/ZO18 CONSENT OF TNE.DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION . u ACT OF IM+ II i. I 36'- ) 0"_ .. TRIPLE SOLID BLOCKING IN THE OUTSIDE B BUILT OVER ROOF - - TWO RAFTER BAYS AT 48"'D.C. I I A5 I 32x8.HDR. 17 I I I DOUBLE r 2K,1 ITT] ITi _ 2 x 12 RID E BOARD H ol 3z 0 2 ma m ;d al § F �s W WI U' 0 � O � I Ali .. 12 4r B A5 C C A5 5 SOLID BLOCKING IN.THE 4 x 4 x 1/4"HSS POST C C OTT4� TWO JOIST BAYS UNDER EACH END OF A5 5 THE FRONT WALL TO BE CONSTRUCTED _ PER THE APA PORTAL WALL DETAIL 12. 24'-0". IL SECOND FLOOR FRAMING PLAN ROOF FRAMING PLAN - - 2x6's@16"o.c. TYP. ROOF CONST, NOTES 1.) ALL ROOF RAFTERS TO BE x 10's 2 x 10 ROOF RAFTERS @ 16"D.C. UNLESS OTHERWISE NOTED -5/8"COX PLYWOOD ROOF SHEATHING 2.) USE SIMPSON H2.5A HURRICANE CLIPS -ASPHALT ROOF SHINGLES -15LB.FELT PAPER AT ALL RAFTERS ENDS -SPRAY FOAM INSULATION(R49) 2 x 6's @ 16"o.c' 3.)VERIFY GUTTER TYPE/LAYOUT -2.x 12 RIDGE BOARD -SIMPSON H 2.5A HURRICANE CLIPS W/OWNERS AT ALL RAFTER ENDS -ICE WATER SHIELD AT BOTTOM 12 TO"OF ROOF B -PROP-A VENT BETWEEN RAFTERS GAMEROOM - 12 WIND WASH BARRIER BETWEEN RAFTERS -ALUMINUM DRIP EDGE 2 x 8's 16"O.c. 12 N TOP OF PLATE. TVP.t2"GYP.BD.ON 1 x 3 STRAPPING@ 167o.c. TYP.WALL CONST. 1.2x6 STUDS @*'o.c. x10's@16"o 2x101S@.16"6.c. v TOP OF PLATE,, 2.12"PLYWOOD SHEATHING _ m 3.6"(R=20)BATT.INSULATION STEEL BEAM - \ — a 4.12"GYPSUM BOARD ` ON x 3 STRAPPING GYP.BD. MUDROOM S.W.C.SHINGLE SIDING - o.c.1N GARAGE CEILING 1& 6.TYPAR VAPOR BARRIER 5/8"TYPE"X"FIRE - o-C.IN GARAGE CEILING& - RATED GYPSUM BOARD GARAGE FIRST FLOOR TYP.3/4"T&G PLYWOOD c - SUBFLOOR SUBFLOOR-GLUED&NAILED P.T.2 x 8's @ 16"o.c. ON ALL WALLS F= o - 2x 8's 12"oe. -P.T.2 x 10's Wl FASCIA 4"CONCRETE SLAB W/ 6 x 6 W WF IN THE TOP 1"CLEAR FIRST NEW &10 MILSLOPE VAPORRETARDERWARDS O.H.DO RS ___ SUBFLOOR FLOOR CRAWLSPACE -_ _ _-___ -- TOP OF FOUND. . V� ABU "DIA.CONCRETE SONOTUSES 8"CONCRETE FOUNDATION O 4'0"BELOW GRADE,USE SIMPSON WALLS'W/8"x 20"CONCRETE _. 44 POST BASEFOOTINGS TO 4'0"BELOW GRADE v 2"CONCRETE SLAB W/ 4 10 MIL POLY UNDER P.T.2 x 10 LEDGER BOARD LAG BOLTED TO G` S ECTLO N @ GARAGE b , B SOLID BLOCKING LOT BOLTS SECTION @ M U D ROO M AS I 16"o.c.W/JOISTS HANGERS AT AT BOTH ENDS A5 ERRORS DESIGNER OROMISAONSARE NOTIFIED OUND ANY SCALE �DRAWI - COTUIT BAY DESIGN, ��c NEW REMODELLNG/ADDfTION FOR: CONSTRUCTION. HEBUIDINGCODON NGNO.. THESE DRAWINGS PRIOR TO START OF WILL BE RESPONSIBLE FOR THECONTENT OR 1/411 11-011 ®� THESE 43'BRE WSTER ROAD - CONMEDRAWINGS IF CONSTRUCTION .G WITHOUTOTIFYINGT MASHPEE MA. 02649 STANLEY RESIDENCE DESIGNER ERNYERRORS OTHER USE O DATE . THESE DRAWINGS ARE SOLELY FOR THE USE PH. (508u`()1 274'1166 THESOF E RAMNNDTEQUIRES OTHER USEOF FAX 508 539-9402 CONSENT ENMFTHEDEIGNER NDERTHEEN 12/18/2018 A5 ( 76 WILLIMANTIC DRIVE MARSTONS MILLS, MA CON SENT OF THE DESIGNER UNDER THE ' ARCHITECTURAL COPYRIGHT PROTECTION , h Y ACT IT ISSD. ice. ,Tu '� +�► �'��+G DEFT OTC ?6 299 f