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1750 MAIN ST./RTE 6A(W.BARN.)
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THE BRTOSTMTOF CONSTRUCTKNI.THE BvuDUID wN1RAcroR WILL BE RESPONSIBLE FORTHE CONTENT 43 BREWSTER ROAD D COMENCM""'��`°'s'R�'°" DILLON RESIDENCE ) cowESEOMs mwlnNOMMUCTNE MASHPEE,AAA. 02649 DESIGNER OF ANY0 m m THESE DRAWWWDS ERRORS OR FORT E SE PH.(508)274-1166 00 OF THE OWNER NOTED.ANY OTHER USE OF FAX(508)539-9402 N Z CO SENTOFT THE UNDER 1750 MAIN STREET WEST BARNSTABLE, MA O CONSENT OFTHE COPYRIGHT POT THE ARCHITECTURAL PROTECTION ACT OF 1580. re yr 7`4 UT m MIN Iy � p �m Q� 9� D EEB X - r �N < m �N D y < 6 Z ® a H O j Ol $ � Z 0� Q� L rd 1? L ra 1? r-01? 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PH.(508 274-1166 RI THESE DMWING9 ARE SOLELY FOR THE USE OF THE OWNER NOTED.ANY OTHER USE OF FAX(50 )539-94Q2 z OD THESEBoo D 1750 MAIN STREET WEST BARNSTABLE MA ARCHITECTURAL COPYRIGM PROTECTION ACT OF TBSB. • ra ,o•o ra +v.v 4 a;o �o a //�� 5 V/ m n0 D 1 SEW s2a B BEAN MEW 37aeB�EA S.2a 9 X00. 12aBNDP- O I �` ® II 11 µ NEW RzBL 16'ea 3.1 LPa41N•LK °!u CI II W/MIDSPIW SLOCXWG ' 2.1 3M'a Il 7/B'OR II 2.1 3 .11 TIB'OR I U� X 11314.91M OR 3.1 3W UCLKOR 1 34•a7 1N•LK II 61 W.?114-MZWI?a r STEEL PLATE wiw.rSTEELMTE - $II L I I �Ae I I � EXIST EAM 1<'d• TB mw 17-M P 3ZL' Mr 9 rypY 00 P11• � Z 'r �� Iom g �N (n my bgoo " f m € O °a D O h co 9 P v n n m 2 z v ol Z > + oo Isms =m � o a a �a � m �R e•O' 1 z_g� _ Y of M yr THE DESIGNER SMALL BE NDTIA IF C� lco FRRORSOROL —FDUNI ON NEW ADDITION/REMODELING FOR: BQ'® COTUIT BAY DESIGN.LLC D \/ THESERUCTIO GTHE W T°START TR THE CONSTRUCTION THE 11.TO S ART EO CTOR wu,,BERESPONSM-MR THE CONTENT 43 BREWSTER ROAD ' D IN THESE DILLON RESIDENCE Cor,HEMCEswmourwTlFY"THE IVIASHPEE,MA. 02649 o fT1 J f 1 T°EFIES�EDR°FWI GB ARRE�90�LEOlY MR THE USE PH.(508))274-1166 1- OFTHE OWNER NDTED.ANY Oi1�R USE OF FAX(508)539-9402 C3� o �SEE�EE � 1750 MAIN STREET WEST BARNSTABLE, MA ARCIOTECTURAL COPYRKWTPROTWWN ACTOF 1990. 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LLC Q _ ERRORS ON OMISSIONS ARE.FOUND ON T D A 0 THESERICTIN TPRgR TO START OF l/ CONSTitUOTION.TNRIOR TO START MOI�R tYdL 9E RESRONSIBLfi FORTNECONTENT 43 BREWSTER ROAD D wV.MEN ""'F��oONSn " DILLON RESIDENCE wRNotrFFAWYE NOTaYNOTNE MASHPEE,MA. 02649 0 O In m °THSEDRAOWIM RESOLBY E PH,(508)274-1166 OF THE OWNER FATED.ANY OTHER USE OF FAX(508)539-9402 'p Z THEEEDROW9�RE�REE THE THEEN 1750 MAIN STREET WEST BARNSTABLE, MA O THESE/ROFTHE REQUIRES UNDERWRITTEN ARC=CTURAL COPYRIGHT RROTECRON ACT OF 1990. - NOTES: J 240• .1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 0 c; T'-++' ,r•r 3•-,0• 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, N 0 OJ DETAILS,&FINISHES IN THEFIELD WITH OWNER EKISTING WOOD II ul< ANDERSEN �' Q N N TO BE REMOVED C335 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT O cv AND FIRST FLOOR TO BE 6'-11"ABOVE SUBFLOOR TW243zERSEN 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS } Q W r-- ------------------- ------------- -_ _ -- --- _ STATE BUILDING CODE,BTH EDITION AMENDEMENT 8 IRC2009 b m L+J 1 Z�1 DW SINK I_1 — SINK I I m W N Ln P O O 1 5.) 110 MPH EXPOSURE B WIND ZONE F- I 18 3D 24' 73' 24' N 24 I 3:W pO--DO RELOCATED RANGE 2g•468' I 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, W Q.O - /yl I ' tr 4 KITCHEN r4r PKr.DOOR OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING x 2:I I ANDERSEN a DERSEN (VERIFY KITCHEN NEW I TW2432 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD O m Q _ NEW OU`WGeL E— LAYOUT WI OWNER) ti WALL P'TRY ) B.) SEE CERTIFIED PLOT PLAN FOR ALL EXISTING&PROPOSED DETAILS V aLL I 2. Lr i PATIO DIxNGDooR ISLAND _ MWOVER 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF %Is (�( A I A ALL SIMPSON COMPONENTS f I 3•s 4 10.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS TO BE3000PSI M '� REF ___y' / 11•)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE U DURING FRAMING CONSTRUCTION 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE ' 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED m � � I T4T 0'-IT •J• AN ANDERSEN 14.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY - i IH W , ( EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION ? ANDERSEN h INSTALLERICONTRACTOR. Q M i i b A21 15.)ALL HEADERS TO BE 3-2 x 8's UNLESS OTHERWISE NOTED C B IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS c w.T.S.6 POSTS W/ j _ --___ ___ 4 CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION HIGH CASING 8 r ' tgs• r F-1 TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REOUIREMENTS ' W I r cexrsmtn.aerlr4n c8am6 a NEW h I YFAC 6A ¢ N NH P¢Afi aM 4 J COVERED �' T-"' RELOCATEp 4 b 4m A � ^� ���� 1� E ,k�3 K� ¢YA ' III IY14 PORCH W LIVING AS c NOTES: I ,I F.P. ,.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. k BEAM ABOVE " 2.15I+9 MEANS R-15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR Q I' ------- -- - - - - -------- OF THE HOME OR R-101NSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL " - ANDERSEN i II I� ��, 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REONREMENTS 2 4.13•S MEANS IRS CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR _____ CCC II 1W IBIB 4 f- -1 1 I '. II 3 1 I ''��1-`1 ANDERSEN 8 R13 CAVITY INSULATION 4 6.6 CASED j I 1: A2, TY N POST b ' ANDERSEN h A21 v Z Q I ° a m ENING ED j ; ! I SMOKE DETECTORS REViEl�IED m II +" FROM RITIN WALL L______ _I I J I FROM RIDGE DOWN _ I !�, TO BASEMENT I 6r6CASW I I Q 1 ANDERSEN ; § BARNSTABLE B{JILDING DEPT. DAT� O ANDERSEN „ UP DN S 1 1 , BATH EXIST.BEAM ! _zea/ - - - I ABOVE 1;. a.n FIRE DEPARTMENT DATE V W } 11 1 NEW \ BOTH SIGNATURES APE REQUIRED FOR PCRUITTING � Z W ` _______________ L_ _�OY�ftED__ _______ __ O 0 > L-------- PORCH JYr489 CLOSET LINEN CLOSET 4•-W EXISTING GARAGE __ - TOBEREMOVED I CUBBIES&HOOKS SHELF 1 w v/r^ C Q W Z Ta „•,• s� �'• BEDROOM BEDROOM 0 C NAILING SCHEDULE Z 0 J 110 MPH EXPOSURE B WIND ZONE a � ' JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING �� ROOF FRAMING: L$ I� �Cy ¢ w BLOCKING TO RAFTER ROE HALED) 2 Bd 2.IN EACH END C i C ,5 3 ul s 24'- RIM BOARD TO RAFTER(END WAILED) 2.Ifi 4 1180 EACH END .YbI a 00¢ p O 555 LLu�2 WALL FRAMING: R CTIONS(FACE NAILED) .-188 }1B6 A N g o Y �V.• FIRSTFLOOR PLAN STUD STUD NAILED) b'Sd 2qS& 24•o,c Sgy 1 HEADER TO HEADER(FACE NAILED) 1801B8 IT c.ALONGEDGES p '111" $ $FLOOR NG To G,P PLATE OR GRDER ROE NAILED) 4'N4.16& PERJOISTqq $LEGEND: BLOCKING TO JOIBT9(TOE NAILED) 2JM 2.1W EACH END oaE:4 $ $0 Ot BLOCIUNGTOSILL ORTOP PLATE(TOENAILED) 3.,54 4-,SB EACH BLOCK gS !y1 6 O 8 O LEDGERSTRIP TO BEAM OR GIRDER(FACE NAILED) 3•,6O 4•,6& EACHJOISH '�17i Z wI d JMST ON LEDGER TO BEAM(TOE NAILED) 3dE }1011 PER JOOIS ¢3p u�I�iiI � EXISTING WALLS SAID JOIST TO JOIST(END HALED) 3-IM .•18 PER JaST y F Z PD / BAND JOIST TO SILL OR TOP PLATE(TOE"LEDO 2-led1,S& PER FOOT r- CONSTRUCTION TO BE REMOVED ! ROOF SHEATHING: NEW CONSTRUCTION -ODD STRUCTURAL PANELS(PLYWOOD) SCALE y RAFTERS OR TRUSSES SPACED LW TO IB'o.c S8 IN WEDGER'READ " Y y ' GABLE RAFT ENO WALLOR SES RAKEOR CED OVER IT O.m sd RAKE TRUSS W/O OVERHANG Se '00 4-EDGF 4'FIELD' 1/A 11 1 1-011 • ©SMOKE DETECTOR WEDGEAT FIELD: 4 •y GABLE END WALL RAKE OR RAKE TRUSS BO ,lU 6 EDGEJT HELD; W/STRUCTURAL OLRLOOKERS K,' ©CARBON MONOXIDE DETECTOR GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 83 iW._ 4•EOG&CFIELD CEILING SHEATHING: DATE : GYPSUM WALLBOARD Se - rEDGE/IR FIELD I i WALL SHEATHING: 9/8/201 7 STUDS SPACED UP TO 24'o,c 88 10& WE OGEl12'FIELD 1?825W FIBERBOARD PANELS SE - 3-EDGER'FIELD ' FLOORSIW WALLBOARD SE - TEDGEMWFIELD DRAWING NO.: FLOOR SHEATHING: ' WOOD STRUCRIRAL PANELS(PLYWOOD) ORLESS THICKNESS 8& IN WEDGEAr FIELD REATER THAN+•THICKNESS B'EOITER'FIELD G IN 10a Al f �s� 28- IS's Dn �� Ira S's 2TS 11L Ira m gD 26s 7s (SHED DORMER) oz cn ,I r-,P I as r r u•s m 0 4 I � .I n O O - --- ----=_ - - cum mx r 4 W � = a % wm DmX OZ o ��D O om � 10 1 O 4 .4 0XoPa O 7Pt68•� „ _s a9 ft 67 KZ D 8 1( I \WN Dm C Z _ D O I W Ir7i - / m wm D 0 4 IF EXIST. 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ONSTRUCTI NGS.TPRIORTO STCONTR 0 > A /1 CONS E RESP N.THE SUSDINH CONTRACTOR y Y l A wR THESE ORFON GSI FOR THE CONTENT 43 BREWSTER ROAD COMMENCES THESE CRAVINGS R CONSTRUCTION D I L L O N R E S I D E N C E SIGNERw ERR ERRORS GTHE MASH PEE,MA. 02649 Z O fTi II r DESIGNER OF WIANYAPESOL YFORTHEU PH.(508 274-1166 -� .� ITl THESE OWNER ARE SOIELY FOR THE USE (�(� J ,- of THE OWNER NOTED.ANY OTHER USE OF FAX(5O )539-9402 o D n THE OESIGWERew DRAWINGS 1750 MAIN STREET WEST BARNSTABLE, MA ARCHITECTURAL COPYRIGHT PROTECTION ACT OF I990. t-. "°�.,..�.-.. �'.�-':3� .-_ „�;c�'v�F_r u-_- .f ;_,1 "u-=?� mar>' _... - .�.�`'•-.:-'r:w '.". „"'^`4?s4G.: k:.:,s5?,,..�;c._ �.._ ..4+'•, r n---�-� ��t`z+r_3 ,- __.'_'�N • TA,7 Td t? X $X cii• 9FB Zgg-im m� 7T > ® o m �N x r � m < _ r �� F < Am _> D o ^ $ O � ° z � p Q f �N as 4, �N CA v C O IOI10 IO O A lra,rz• �.�L 8 ra,rz• ilk T-01/I L T-S,? 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PH.(508)274-1166 -� . m THESE DRAWINGS ARE SOLELY FOR THE USE 8 OF THE OWNER NOTED.ANY OTHER USE OF FAX(50 )539-9402 o THESE OFTTTHEELESIGNERUTHENDER�THE 1750 MAIN STREET WEST BARNSTABLE MA ARCHTTECTURAL COPYRIGHT PROTECUON ACT OF 19W 3^3:TS�.�r-��-�',�#�; .�_..__..., �_..�.1�__—.... a�-r�r�xr__,�.'1e:. .•:v�<ir:1:`�.��*a.�. ,-_#�,�s_.„a� s,'>^g .� �A>•.�;^�;,,y ',`.�b,•u�e;r�..`,ir.�c ,_ ?..-.=.,?.o`.��.y_ ��:an-yn}_ .f.:, __<. +e-- ;v.^?K>~y �.=:u.y�csr jFn ra tea ra tea 1 1 m ' 1tY1' 17 Iro• Z A� 1 I — IEW}2.88EAM NEW 33A&.e— }1 YCXII T/S•LVL �R '€ +L6 I 4 rj NEW 2xS'e t o. }1 L' tfa•LVL 1I oI N 4 I W/MIOSPAN BL CNG vl � �� II I 2.l Y<'x 11 TAT OR I 2.1.Y<•x I T/6.OR } rII 1 YC•x9 I/4•LVLOR I 1 YA•iB IWLVLOR =1 ¢ 41 } 311.7 11A•LVL I bl Y<•xT 1/4-M W/In,.T STEEL PLATE W/ur x t'STEEL PLATE ^' nl I T I V I III I o� E%ST EAM m�y 05 4 § O 0 Z Lp LD y� d �o mo �® �P Y a-T s 3 -0n ym D n P$ om $ice w z LR € to vom �NTE (n o m 41; k m o �� n � s a - ^^O @ g H O - Z a g Q" § cn o ®o T 9 P qz P 0 m 0 Z G) 74 I oo I �m �f =m P 0 0 I Ull Z C.q-- N L �y9 yf I NZARA Dy o HD � I �y:f%E,. � gA I fflic-2m F?ms4imm Oi8 a 0A� F Y o c T-017 V V a THEDESIGNENSMMISENG„FEOF NEW ADDITION/REMODELING FOR: ERRORS OR OMISSIONS ARE FOUND ON z o �jo ` � THESEDRAWINOSPRIORTO6TARrOF COTUIT BAY DESIGN, LLC CONSTRUCTION.THE IO RTO S ART OtACTOR oo D = > WAUSERESPONSIUIERORTHECONTENr 43 BREWSTER ROAD N M = D INTNESEOMWwGSIFCONSTRUCTON MASHPEE,MA. 02649 2 m M COMMENCE WITHOUT NOTIFYING THE D I L L O N RESIDENCE DESIGNER OF ANY ERRORS OR OMISSIONS. PH.(508)274-1166 J J Rl THESE DRAWINGS ARE soLE Y FOR THE USE FAX(508)539-9402 ° OF THE OWNER NOTED.ANY OTHER 115E OF CJ1 0 NTOFTHEDERC-0 S��NRTMEEN 1750 MAIN STREET WEST BARNSTABLE, MA ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. 2 .. ' t � .... - +.�•...... .. r-.:ems. _ �.`y'' , =-�,,.�..._.. :-.,._ �_>_ _ s . ...,._Yam.;_ -.,.-. ..:tom......, .t•_h _t:�.;.xu ._- .._.._ .�.1° ... .�,...�.. _>..�y _..._. r .—., I I I . Commonwealth of Massachusetts Sheet Metal Permit 2 Date: 9/21/18 Permit#�P� UZ � Estimated Job Cost: $,5c'0- o y Permit Fee: S Plans Submitted: YES NO X Plans Reviewed: YES NO Business License# 15 Applicant License# 25 Business Information: Property Owner/Job Location Information: Name: ROBIES Name: DILLON Street: 279 YARMOUTH ROAD Street: 1750 MAIN STREET City/Town: HYANNIS City/Town: WEST BARNSTABLE Telephone: 508-775-3083 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES X NO 'Staff Initial J-1 / M-I-unrestricted license J-2 / M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. / 2-stories or less Residential: 1-2 family X Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. X over 10,000 sq. ft. Number of Stories: 2 Sheet metal work to be completed: New Work: Renovation: HVAC X Metal Watershed-Roofing Kitchen Exhaust System Metal Chimney/ Vents Air Balancing Provide detailed description of work to be done: INSTALLING 2 BATHROOM EXHAUST FANS- SECOND FLOOR. (5 FEET OF DUCT WORK) FIRST FLOOR-ONE KITCHEN HOOD EXHAUST (WITH DUCTING) i r INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes 19 No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Continents Final Inspection Date Comments i Type of License: By aster Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# 21 9 ❑Journeyperson-Restricted License Number: Fee$ ❑ Check at www.mass.gov/dpl :Inspector Signature of Permit Approval The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Robles Address:279 Yarmouth rd City/State/Zip: Hyannis, Ma 02601 Phone#:508-775-3083 Are you an employer?Check the appropriate box: Type of project(required): I.[D I am a employer with 45 employees(full and/or part-time).' 7. ❑New construction 2. 1 am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodelin a any capacity.[No workers'comp.insurance required.] b ❑3.❑I am homeowner doing all work myself.[No workers'comp. 9. Demolition insurance required.]' ❑4.❑f am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.M 1 am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,$1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box#l 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. 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 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 is the policy and job site information. Insurance Company Name:Federate Mutual Insurance Company Policy#or Self-ins.Lic.#:6062307 Expiration Date: 12/21/18 Job Site Address: 1740 Main Street City/State/Zip:West Barnstable, Ma 0 Attach a copy of the workers'compensation 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 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties o perjury that the information provided above is true and correct Si nature: 4�P . Date: 6 Zr 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 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-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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia ACCIR"� DATE D/YYYY, CERTIFICATE OF LIABILITY INSURANCE 12/Vj2/222017 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 have ADDITIONAL INSURED provisions or 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 endorsements. ?ROOUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENT=R PHONE FAX HOME OFFICE: P.O.BOX 328 A/c No Ezt:388-333-4949 A/c No):507-446-4564 OWATONN.A, MAI 55060 AIL AODR.ESS:CLI_NTCONTACTCENTER:dIFEDINS.COtiI INSURER(S)AFFORDING COVERAGE NAIC,$ INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 394-$50-2 INSURER 8: ROBIES R=FRIG ERATION INC INSURER C: 273 YARMOUTH RD HYANNIS,MA 02601-2038 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:42 REVISION NUMBER:0 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. iLT R ADDLTYPE Oc INSURANCE NSR SUBR POLICY NUMBER POLICY EFF POLICY XP LIMITS LTR INSR 'N/D MMlODIYYYY) MMIDDIY.YYI X i COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 I CLAIMS-MADE IXI OCCUR DAMAGE TO RENTED S1OO,COO _ PREMISES Ea accurrence MED EXP(Any ane person) EXCLUDED A N N 6062303 12/31/2017 12/31/2013 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE�JMIT APPLIES PER: GENERAL AGGREGATE S2,000,OGO POLICY I X I lE T I i LOC PRODUCTS-COMPIOP AGG $2,000,�000 (OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S1,000,000 Ea accident X'ANY AUTO ^ 30DILY INJURY(Per person) .OWNED AUTOS ONLY I 'SCHEDULED A 1 AUTOS N N 6062302 12/31/2017 12/31/2018 BODILY INJURY(Per acciden0 NON-OWNED HIRED AUTOS ONLY !�AUTOS ONLY PROPERTY DAMAGE (Per accident i X UMBRELLA LIAR I X I OCCUR I EACH OCCURRENCE $5,000,000 A EXCESS LIAR I CLAIMS-MADE N N 6062306 12/31/2017 12{31/2013 AGGREGATE35,OCO,OCO D.D RETENTION - WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y N X PER STATUTEI ER / ANY PROPRIETOR/?aRTNERIEXECUTIVE E.L.EACH ACCIDENT S500,000 A OFFICEWMEMBER EXCLUDED? NIA N 6062307 12/21/2017 12/21/2015 (Mandatory in NHI E.L.DISEASE-EA EMPLOYEE S500,000 It yes,describe under DESCRIPTION OF OPERATIONS below I E.L DISEASE-POLICY LIMIT 3500,000 DESCRIPTON OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION 394-850-2 42 0 TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN HYANNIS, MA 02601-4002 ACCORDANCE WITH THE POLICY PROVISIONS AUTiORILED REPRESENTATIVE a 19W-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo ar=.registered marks of ACORD r • r z+.c�a L.,=�t.--.i h_x.t .)� ��-„r T.'.s�ta_-+�. ° .. 1t ktl;:-,COMMONWEALTHi.OF MASSACHUSETTS - { j&j • • • • , yrSHEET META�L'WORKERSsT� ,;I Yi ISSUES THE FOLLOWING LICENSE. .'�' . ;:z ;y,zy- rcXss� A� '"."\' +dt� WQ Y 1 �` ►�` L �"sa a�QW�4BUSINESSrr xZ� Ptr xJOHN R;ROBICHAUD `�f i j WS: ;;r:�ROBIES,REFRIGERATION INC:'� I "t2'79,YARMOUTH ROAD' x" t;�, ,.' ;•; f4� : MA5026011 07/29120204 `1'' -,500058° t iu '�•'-�"db_r' V-COMMONWEALTH OF..MASSACHUSETTS- .?..BOARD OF ; SHEET M67AL WORKERS. ISSUES THE FOLL'OWINO LICENSE �.....-- It�ASTER UNRESTRICTED s JOHN R ROBICHAUD "- :. Nb..>. - 27 MARBLE RD BARHSTABLE MA`02630 1608` .f - Jre t 28. 0872812019:> 316930 G ' . Town of Barnstable Regulatory Services KAM Thomas F.Boiler,Dtrector Building Dim' in Tom Perry,Building ComnLlMioaer 200 Main Street,.Hyaanis,MA 0260 t www.town.ba rasta b1c ma,as' Office: 508-862403.8 Fax; 50.8-790-6234 Property Owner Must Complete and Sign This Section If Using AE Builder E V\j �� ,as Owner of the subject property herehy authorize Robies to act'oa my,beh4 in all matters relative,.to wvrk..authorized by tbis building,pe wit 1750 Main Street West Barnstable (Address of Job) **Pool fences and alarms are the responsibility of th. .applicant. Pool& are not..to be filled before fence is installed and pools are not to be utilized.until-all.final-inspections are performed and accepted. Signature of Owner" S lure of Applicant 2A4 .7 A vt 12-o L)j"C'[--x ec"� Print Name PtInt Name 9/21/18 Date Q:POP M&OWNWEPUSSIONPOOLS .� Town of Barnstable Building ' : � �r•;sou-+mac w',; {4" ���-. ,,..M; ."°3�t""�":wn�"�+`�: r�s 'rxca+e�*'�',..� i��'`;-�"}�`,�ii'��*-'�'s•r�r°''�?�'•`.�'"'."". ,a�7g" Post;This Card So;That rt rs,Visible'From the Street Approved Plans Must be Retained on Job and,this Card Must be Kept�, �ARNS'[AB1E. .y.^;yc- `r.... .r1:- .'s#?..+�».'t° ..:.ri : .?�'�.'.SLa.'.^`'n*p,'n' -:••i,,t Y� �, �L , .�, r, 5..� n-<: r :'^X'�' �iH- x z". ?�M"� 639 . (Posted_ Until Final Ins p ection Ha.s Beeri.Madet v ^ - P ermi t rea+° Where a Certificate of Occ'up�an�cy,�s Required;such Building shall Not.bOccupiedMin�al Inspection lies been made: ��' Permit No. B-17-4271 Applicant Name: DRAKE,CATHERINE G Approvals Date Issued: 12/21/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/21/2018 Foundation: Location: 1750 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot: 197-037 Zoning District: RF Sheathingd� � Contractor Name *, Framing. 1 Owner on Record: DRAKE,CATHERINE G 's � �'r3 xM,: {� � :r g �ti ;* 4`Contractor License:," 2 Address: 1750 MAIN STREET ; r x �� ,v WEST BARNSTABLE,MA 02668 9 `�s' f " 3 "'�.Est.-, Cost: $344,000.00 �� Chimney: Permit Fee: Description: REMOVE EXISITING GARAGE,CONSTRUCT&WRAP AROUND c 3 $1,804.40 j u Insulation: ►Q"��—�� FRAMERS PORCH.CREATE ADDITION REAR OF HOME,DEMO Fee Pald: $ 1,804.40 EXISTING DINING AREA RELOCATE DINING AREA;LIVING RM, aK: i `` Date 12/21/2017 Final: K �-31— KITCHEN EXPAND 2ND FLOOR MASTER BEDROOM ADDISION IS ON Y ,.�* x PAVED CONCRETE FULL FOUNDATION C, x r 11 - rl`��ir,�$ , Y <` Y �..wi wl����--_% Plumbing/Gas Project Review Req:, ' ;�e�� ; Rough Plumbing: fL f Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months afte`r�issuance. Rough Gas: All work authorized by this permit shall conform to the approved application anW;Ad the'approved construction documents for w hich this permit has been granted. All construction,alterations and changes of use of any building and strhuctures sQl be in compliance with the local zoning by-,laws anted codes. Final 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. ° Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:E-44- �21. 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 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. Health 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT '� 7 Appli cmbtr ....:4r::.%..�... .•'�.`............ ......... -Pew Fee.......d.:>_..x�......................Of=Fee...........:............ Total Fee Pffid..............:...:........................................... . 1..... TOWN OF BARNSTABLE - e,.yl Pe�rtApprovalby....&A6A► C•""'•On«,a/ 1 BUILDING PERMIT - APPLICATIONI Map ......... ..... ................1a............:.._ -.:..... Section 1 — Owners Information and Project Location Project Address I !SD ✓1'�S�r?.�iT Pillage l,��sf �fn.s - �I r Owners Name L3 • T)►)), ifi Owners Legal Address=L-Z.5-o CitYUIZSL- Z-s f s ) State MA Zip XD a co co x Owners Cell#5=E= 3(,S Co 9 E-mail .1344. oo jc Section 2—Structural Use Single/Two Family Dwelling' ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3—Type of Permit ❑ New Construction ❑ . Move/Relocate ❑ Accessory Stricture '❑ Change of use ❑ Demo/(entire structme)/ ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ Insulation _ { E , Section 4—Detail Cost of Proposed Construction- O ,� Square Footage of Project l 37q s Age of Structure (o 5' Y-OIa r-5 Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms (proposed) 11.0 MPH Wind Zone Compliance Method MA Checklist O( FCM Checklist ❑ Design f Imst updated:1117/2017 Section 5 -Work Description ann cn,P S rt r ,c rez r e 1 CakA-,A-Y-,JC + t���n a c 1o.,,A CA -,A,Prs lk-bnn e Me�/`in P `S�t-+mac_ c. n1 eP IN14 S�^el �l A ckel,3i a.n is on ip cxac el C,1 1 1.1 f%IQ j=�(►�1; �c C�-�n�o ,M,a;P� r �- .5►�.� �� �a�o�r-�; s�,�-. „ ,r�.�,►-,j.��n.�� . Section 6—Project Specifics ' Wiring T ❑ Oil Tank Storage . _ t Smoke Detectors r h Plumbing �E[ Gas ❑ Fire Suppression ❑.Heating System ❑ Masonry Chimney locate edroom ---water-supply _ ' ❑_Public Private Sewage Disposal .1 _ _ ❑ Municipal OOn Site Historic Distdct ❑ Hyannis Historic District Old Kings Highway Debris Disposal FacMty: I am using a crane C Yes ❑ No • Section 7—Flood Zone Flood Zone Designation Fto:;�. zone— Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8—Zoning Information r, Zoning District "jZ�' Proposed Use Lot Area.Sq.Ft 8-7. )-10 ,5. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required 30 Proposed_? Rear Yard Required (S Proposed - 1, / Side Yard Required !E Proposed l 5 V Has this property had relief from the Zoning Board in the past? ❑ Yes No , Last updated:1 1M2017 f ' Section 9—Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date - Cont ar Email Cell# I understand my responsibilities under the rales and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I naderstand the construction inspection procedmus,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registzation Number - -Eipiration Date - _ —— —-- - I understand my respaaiNlities under the rules and regulations for Home Improvement Comtactars in accordance with 780 CMR the Massachusetts State Budding Code. I zmdmstand the construction inspection procedurzs,specific inspections and documentadon regahrd by 780 CMR and the Town of Barnstable.Attach a copy of your ELLC_ Sim Date Section I I—Home Owners License Exemption Home Owners Name: Telephone Nun Cell or Work Num l I understand my responsI ties under the rules and regulations for Licensed Construction Supervisor m accordance with 780 CMR the Massa-h setts State Building Code. I d the canstruction inspection procedues,specific inspections and docmnentatiaa reglirm by 780 CMR and the Town of Barnstable. Sig nablMZIAA Date APPLICANT SIGNATURE Signatur Date Print Name 8 1l0� Telephone Number.Sou- 36,q- F6 a 9 E-mail permit to: IMc '1 2 3 cico Lest update k 102017 Section 12—Department Sign-Offs r � Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation .- For comrnercial work,please take your plmrs i recdy to the fire depwftent for Wrovd Section 13—Owner's Authorization 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) Signature of Owner date Print Name .N , \ Last Updab:d:11/72017 1 a E cation to ViewPermit parcel Date 4 -W Town of Barnstable Old King's Highway Historic District Committee DARINSTAPLE TOWN CLERK DECISION JUP+29 `C. Wednesday, June 28, 2017 P'�l � 6:30pm The Barnstable Committee of the Old King's Highway Historic District Committee,acting in accordance with the Old King's Highway Regional Historic District Act,Chapter 470,Acts of 1973 as amended,has held a hearing and made determinations on the following applications- APPLICATIONS Foster,Austin&Diane,1834 Main.Street,West Barnstable,Map 217 Parcel 009,Built c.1858, Inventoried,Contributing Building on the National Register(addition in 1992) Install storm door ***Certificate of Appropriateness Approved as Submitted*** Berry,Dana&Debra,1"0 Main Street,West Barnstable,Map 217 Parcel 015,Built c.1960, Inventoried Replace four windows ***Certificate of Appropriateness Approved as Submitted,Noting that the home is set back from 6A and is not visible from a public way*** Dillon,Catherine&Matthew,1750 Main Street,West Barnstable,Map 197 Parcel 037 Build detached two car garage and addition ***Certificate of Appropriateness Approved as Submitted*** Soares,Wellington, 100 Cypress Point,Barnstable, Map 334 Parcel 010/003 Build Single Family Home ***Certificate of Appropriateness Approved as Submitted*** Any person aggrieved by a decision of this Committee has a right to appeal to the Regional Commission within 10 days of the filing date of this decision with the Barnstable Town Clerk. Date:June 29,2017 r TOWN OF BARNSTABLE OLD KING'S HIGHWAY REGIONAL HISTORIC DISTRICT COMMITTEE STATEMENT OF UNDERSTANDING As property owner/contractor/agent for the construction.at: No. Street Address Village Map Parcel No. O== A Only minor changes.may be approved by the Committee without a new application and a hearing. Minor changes include things like moving a single window or door or a minor change of color. All changes by amendment require the Committee's written approval. A request for change must be submitted to the Committee in writing. Approval must be obtained before incorporating the change into the project. For more than one revision to approved plans,a new application for a Certificate of Appropriateness must be applied for. Failure to comply with approved plans may result in the Building Department issuing a stop work order or denying an Occupancy Permit. 1 HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS r Signed: Date Own ntracto A Signed: c •L Paul Richard,Chairperson, Old King's Highway Barnstable Old Kings Highway Historic District Committee „,RMASM : 200 Main Street,Hyannis,MA 02601,TEL: 508-862-4787 Fax 508-862-4784 APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with five(5)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: �,� Check all categories that apply; 1. Building construction: L,New iErAddition ❑ Alteration 2. Type of Building: L(House MGarage/barn ❑ Shed ❑ Commercial El 'Other 3. Exterior Painting roof ❑ new roof ❑ color/material change,of trim, siding,window, door 4. Si n : . ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ Tennis court ❑ Other 6. Pool ❑ Swimming ❑ Other man-made pool ❑ Solar panels ❑ Other Type or Print Legibly: Date NOTE AM applications must be signed by the current owner Owner(print): C—A Ilfa�ti3 c+A1&' ,b(LLGJ Telephone#: Address of Proposed Work: n5�> /"ti-/'r o Villageb-) ap Lot# 15 Mailing Address(if diff nt) Owner's Signature Description of Proposed Work: Give particulars of work to be done: �364.) �G— �'t{�-►� Z COK C- fh+fl Agent or Contractor(print): �O.I►� Telephone#: Address: 1 � Contractor/Agent'signature: For committe e use only. This Certificate is hereby . �ROVIO DENIED APPROVE ® Date �6 A Members signatures J U N 2 2017 Town of Barnstable Old King's Highway Committee . 1 Q.lBoards and Commissions101d Kings HighwaylOKHApplicationslOKH2O11 CertAppropriateness.doc CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 eopkS Foundation Type: (Max. 12"exposed)(material-brick/cement,other) Siding Type: Clapboard_ shingle ✓ other I Material: red cedar white cedar e�other Color: Chimney Material: Color: Roof Material: (make&style) I PTA Color: 64wmv- Roof Pitch(s): (7/12 minimum) 12.11 2— (specify on plans for new buildings, major additions) Window and door trim material: wood other material,specify 'PUc— F rwzem Size of cornerboards size of casings(1 X 4 min.) LY-q color W J+t� Rakes Ist member (*YLE 2°d member Depth of overhang p Window: (make/model) on material?IrC,/w®cj> color Wt+i T (Provide window schedule on plan for new buildings, major additions) Window grills(please check All that apply_: true divided lights_el' exterior glued grills_ grills between glass_removable interior None Door style and make: LZ 1-17Z" material 600ct�- Color: ?- i Garage Door,Style Size of opening C ®7 @ Material Color 1 2. Shutter Type/Style/1Vlaterial: Color: Gutter Type/Material: A te!J L1A Color: WAI Deck material: .wood other material, specify A Color: Skylight,type/make/model: material Color: Size: Sign size: Type/Materials: Color: Fence Type(max 6' ) Style material: Color: Retaining wall: Material: Lighting,freestanding on building illuminating sign OTHER INFORMATION: THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Please provide samples of paint o rs,manufac rs brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan preparer) Print Name c 78V&V COX 2 Q.IBoards and Commisstons101d Kings HighwavIOKHApplicationslOKH2O11 Cert Appropriateness.doc Ul uON r-- D. A`p 6N 1 L ► is D MK IN . yv t Pf I P-I IT F v� j ► -(u AMIC Gidde t0 Wood ConStritctioii i:i high Wind Areas: 110 mph Plifld Zorle � of assachusetts Ched ist for Compliance (780 CMR 5301.2.1.1)` Q Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. .................................................110 mph WindExposure Category................................................................................................................................B 1.2 APPLICABILITY Number of Stories ..............................................................(Fig 2)............................ stories 5 2 stories RoofPitch ....... ...:.............................................................(Fig 2) ........................................ �Z512:12 MeanRoof Height ..............................................................(Fig 2)............................................� ft 5 38' BuildingWidth,W ...............................................................(Fig 3)................................................ ft 5 80, BuildingLength, L ..............................................................(Fig 3)................................................2-45 ft 5 80, Building Aspect Ratio(L/1111) ...............................................(Fig 4)................................................ '7-F 5 3:1 Nominal Height of Tallest OpeningZ .......(Fig 4)...............................................4�$_<6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry .................................................................... ................................................................ 2.2 ANCHORAGE TO FOUNDATION'.3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing general ......... .... .................... .... . P 9-9 . (fable 4)....................................... in. Bolt Spacing from endrjoint of plate ............................(Fig 5)....................................."in. 5 6"-12" Bolt Embedment-concrete.........................................(Fig 5)................................................. 7 in.a 7" Bolt Embedment-masonry.........................................(Fig 5)............................................ - in. a 15" PlateWasher...............................................................(Fig 5)...............................................a 3"x 3"x%" 3.1 FLOORS Floor framing member spans checked .........................:.....(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension...................................(Fig 6)............................ -- ft:5 12'or U2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)....'..............................................=ft _<d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)....................................................=ft :5 d FloorBracing at Endwalls...................................................(Fig 9).................................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)...................... . Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55) .................. . in.. Floor Sheathing Fastening..................................................(Table 2)..gd nails at 4in edge field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)......................l/ ft 5 10, Non-Loadbearing walls................................................(Fig 10 and Table 5)......................L ft 5 20' Wall Stud Spacing ........................................................(Fig 10 and Table 5)....................14 in. 5 24"o.c. Wall Story Offsets ...............................:.........................(Figs 7&8)............................................ - ft :5 d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................ able 5 2x�- ft in. Non-Loadbearing walls................................................(Table 5) .............................2x ft in. Gable End Wall Bracing Full Height Endwall Studs............................................(Fig 10).....: .. . ...... WSP Attic Floor Length................................................(Fig 11).... /C. — ft>_W/3 Gypsum Ceiling Length(if WSP not used)................. .(Fig 11)............................ ...............—ft?0.9W 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 1.1).............................. .............................. CCL•bin Top Plate 'I Gt�,� I SP,^ L g'.^. ....I.......... {Fic i 3 and Table 8).. .. S V OF MA$ ,4L+G +.ii..e Ccnr ecli r no of mmo _ i' '-a' ie ..............................................Cc .. 140 �. Q f Gifide to Woo!! -''Oi%S i'diCtioln fi'% l�i'gl% +i%Ll AreC' Wo""Pt, w3ti "a Massachusetts Checklist for C€3�piiaf-]Ce (780CMR S30i.2.i.i)' Loadbearing Wall Connections Lateral (no.of endnailed 16d common nails)..............(Table 7)........................ W/............... Non-Loadbearing Wall Connections Lateral (no.of endnailed 16d common nails)...............(Table 8)........................................................ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................. ft_in._< 11' i Sill Plate Spans ........................................................(Table 9).................................. ft_in. <_ 1' Full Height Studs (no. of studs)...................................(Table 9)................................................. ....................................... ............. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table Header Spans............................................................. able 9 ?ft -�in. <_ 12' CS) Sill Plate Spans....... ............ ........(Table 9)...............................�ft fin. s "� Full Height Studs(no.of studs)....................................(Table 9)........................................................ ) Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W Nominal Height of Tallest Opening2 .......... .................................................................�$<_6'8" SheathingType..............................................(note 4)...................................................... Edge Nail Spacing...................'......................(Table 10 or note 4 if less)......................... in. Field Nail Spacing................... ....................(Table 10)................................................. I� in. Shear Connection no. of 16d common nails able 10 9 9 (T )........................................�, .2 /o Percent Full-Hei-Height Sheathing....................... able 10 �� 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) .. ,� . clot if_ ' Maximum Building Dimension, L Nominal Height of Tallest OpeningZ.......... ............................................................ V 6'8"Sheathing Type..............................................(note 4)..........'............................................ W SD Edge Nail Spacing.................:......:................(Table 11 or note 4 if less)........................3 in. Field Nail Spacing..........................................(Table 11).................................................+ in. Shear Connection(no.of 16d common nails)(Table 11)................................................ Percent Full-Height Sheathing ......... able 11 ..........................................?-. 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..j.'5_... . Wall Cladding Ratedfor Wind Speed?............................................................... ................................................................ 5.1 ROOFS Roof framing member spans checked? .......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ..... (Figure 19)........L 'y ft s smaller of 2' or U3 ......................................... .... _ Truss or Rafter Connections at Loadbearing Walls s I Sr►-tpserl Proprietary Connectors Uplift................................................(Table 12) ...........................................U=&LW5 7 5 Lateral.............................................(Table 12).............................................L=1.Zlo Shear......... (Table 12)............................................S=�7 Ridge Strap Connections, if lar t s not se er page 21..... (fable 13)............... .............T= �oiL r�1.. Gable Rake Outlooker......................................... (Figure 20)........O/A—ft smaller of 2 or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14).................. ........................U= lb. Lateral(no.of 16d common nails)...(Table 14)............... .......................L= -- lb. Roof Sheathing Type............................i......................(per 780 CMR Chapters 58 an 59).................. Roof Sheathing Thickness.......................................... µ.... / 1n.>_ /1 "WSP Roof Sheathing Fastening ...........................................(Table 2)...ie'4&... ....��4. Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2, to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 1 c. Uplift Straps per Figure 14 d All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 04��ass 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. �n k JA NfGIS���C� 1 SS101A A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind zone Massachusetts Checklist for Compliance(780 CMR 5301-2.1.1),' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7L16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of-lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. .v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment- •-Mim 7m EDGE RESTS ON PRAAQNGl1SEsd NAiIS . AT6" 11 I I 1 11 I/ I V Id 11 ii - ii • If 1 11 Ir 11 11 I • 11 11 1 • .,,/ 11 11 O 1 11 1 l 11 1{ r t • �%% JI Q 1 1- Q 11 If (7 1 IL Ip fY 1.1 � Q - 1/ If 1 IJ +1 �41 • { J 11 iir 1 1 11 /t 11 1{ 1 1 ./1 II d U IJ 1 44 11 11 I V 11 7/ H i I/ 11 •�3 I • • 1 11 1/ 11 II 1 II 111 1 • W LSPACNG A 1- r 1 See Detail on Next Page I Vertical.and Horizontal Nailing for Panel Attachment c r A WC Guide to mood Construction in High Wind Areas: .110 mph Wind Zone Massachusetts Checklist'for Complialnce (;so ciVtla 5301.2.1.1)I dL 3. 1 , 1 1' 1 1 1 Q �I Ii-1 FfiAMI G ME3ABERS :_�,,, i . i 1 MEDIA 11 /1 1 1 , L _ , 1 STAGGERED NL AWL PAT FER PANEL PAS EDM DOUBLE MAIL EDGE SPACWG DMIL Detail Vertical and Horizontal Nailing for Panel Attachment , GENERAL NOTES AND MATERIAL SPECIFICATIONS: (Residential IRC Construction) SK-1 FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,ec=3000 psi,3/4"aggregate,,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced per Code Checklist,or in concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage, Basement walkout, etc.). b.) All walls to have min.2#4 top horizontal,2"clear,to prevent shrinkage cracks c.) All walls longer than 25'shall have vertical control joint with waterstopping between wall joint. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=40 psf Wind Load: Criteria used for 110 MPH Exposure B or C as noted per plans 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;'shop weld bearing plates to beams;use E70xx electrodes. Alternatively, field weld by certified welders. c. Deflection Criteria: L/360 total.load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c. Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi;Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per-750 psi, Fc_par-2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,U360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfg.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Rafter to Ridge Plate: Collar ties min. 1 x6C3u 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 4'o/c: CS-14R-48"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise. Bolt holes in wood shall be 1/32" larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7. Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Comers to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building comers. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End d. WIND BLOCKING:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges; attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with the WFCM Table 3.1 unless noted herein specifically. Multiple Studs 16d C 12"staggered. a.All nails shall be common wire nails. b. Sub-bore where;nails tend to split wood. 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code. � - ,MCCARTHY CC RUCTION Co. OF BARNSTABLE id +t al and Commercial Builder,,, MAR 1 Y` 1 EAIZATION SPECIALIST 1 QUA{L�17YSD (f s 70 March 15, 2014 Town of Barnstable �l Thomas Perry CBO Building Commissioner 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201400677;Status A; Parcel 197037 at 1750 Main Street/Rte. 6A,W. Barnstable, MA; Permit Type RADD and issued on 12:00:00 AM has been inspected by a certified Building Performance Institute(BPI) inspector.All work performed meets or exceed Federal and State requirements Sincerely, Michael McCarthy McCarthy Construction • i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r - Map Parcel Application # Health Division Date Issued l� b Conservation Division Application Fee v Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis— y /e Project Street Address )- t Village he Owner O�La 1P ilo-. Address Telephone Permit Request i I' 6,141.1k I. J* Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay o 0 o � Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family al_ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑� s allo 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 Mike McCarthy Construction Telephone Number PO Box 52 Address West Dennis, MA 02670 License # Cell (508) 280-6964 CSL-58633 HICA 69393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r_. 12. 11 SIGNATURE DATE1Y� z FOR OFFICIAL USE ONLY APPLICATION# DATt.ISSUED � a `r MARS/PARCEL NO. .ADDRESS VILLAGE w OWNER S o, ` DATE OF INSPECTION: sFa w FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH- FINAL i FINAL BUILDING DATE"CLOSED OUT ASSOCIATION PLAN NO. s The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Mik wRSirthy Ca..Q±r■.s>tioD Please Print Legibly Name(Business/Organization/Individual): PO Boat 52 west venuft, Address: Cell (508) 280-6964 CSL-58633HIC-169393 City/State/Zip: Phone#: Are ypu an employer?Check the appropriate box: Type of project(required): 1. I am a employer with_ 4. ❑ I am a general contractor and I mloyees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.Valp 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' 9. ❑Building addition [No workers' comp. insurance comp.insurance.# required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 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 13.�ther employees.[No workers' 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. *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 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 is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address:_ City/State/Zip: II I�r by t h 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. w i I do hereby certify under/Ee iirs a d penalties of perjury that the information provided above is true and correct Signature: v 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 Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their empl', 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 engagediin•2a jgi4A,.q�rprise,, nd�in�r�nd ng�thle� gal representatives of a deceased employer, or the receiver or trustee of an individual, i7 •p, sociation or o'er legal entity,employing employees. However the owner of a dwelling housethay.mg;not more t�ian three apartments and who resides therein,or the occupant of the dwelling house of another who employspgr�ons'to db maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant',thereio`shall not-because of such employment be deemed to be an employer. k 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 submif 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 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.mass.gov/dia. I ACoRf> CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) ��• 10/11161206/2013 THIS CERTIFI&ATE•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). � 14 p ACT PRODUCER 01962-001 �NOME: Bryden&Sullivan Ins Agcy of Dennis Inc i�AIC.No.Exl)_ (508)398-6060 --- - - - ;(AA _ No,_ (508)394-2267 -- PO Box 1497 �F�MAIL So Dennis,MA 02660 i ,DRESS. _- I D---' ,__INSURER(S)AFFORDING qQV GE _ ' NAIC# __ Mutual Insurance Company _ 33758 INSURED INSURER S__-__-__,-_ - Michael McCarthy Construction Inc - -- --'—--- ----. --- —._---- ' ------ INSURER C___-_— West Dennis,MA 02670 INSURER o_. _...._. �NSURER E: SU INSURER F, 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, gEXCLUS!ONS AND CONDIT!CNS OF SUCH PrOL!C!ES.LIMITS SHOWN MAY HN,�E BEEN REDUCED BY PAID CLAWS. N ILTR! --- TYPE OF INSURANCE - -_IS o ---' POLICY NUMBER-------�(MM/DDY/ ppp YYYY (MMIDIYYYY D )-�.---------LIMITS -—--- i GENERAL LIABILITY I -� I I EACH OCCURRENCE - $ I ;COMMERCIAL GENERAL LIABILITY I ( I DAMAGE TO RENTED -�$ — L_.. I-P3EN11SES&a 1 CLAIMS-MADE L -I OCCUR I MED EXP(Any one person) $ PERSONAL&ADV INJURY I$ GENERAL AGGREGATE i$ ,GEN'L AGGREGATE LIMIT APPLIES PER: I I PRODUCTS-COMP/OP AGG ;S PRO- I OLICY ECT ' HOC ! I I !AUTOMOBILE LIABILITY i I ! ,COMBINED SINGIELIMIT -$ I Ir(Ea cYid--n-t BODILY INJURY_P-e r person) SIANYAUTO 1----- --- �- ALL OWNED I SCHEDULED ! I BODILY INJURY(Per accident);$ __..AUTOS :AUTOS I I 111 I ----'------------.._.. NON-OWNED I I I PROPERTY DAMAGE HIRED AUTOS I$ �.....; AUTOS � ! eracuden�_-' _-_—!---- ---'_ ! ;UMBRELLA LIAB L OCCUR I EACH OCCURRENCE $— -- i._-.._' i j I ---- $ECESS !CLAIMS MADE AGGL REGATE DED ! RETENTION $ ! ----- --- _ -'-i--^$--- -----.... 1 WORKERS C�INP�NSATI(�N I i L X !T RY LIMITS IOEI AND MP O ERRS LIABIL TY -----'- ANNyy PR��PPRIIEE77ppR/PgRTNER/EXECUTNE Y/N I I E.L.EACH ACCIDENT I$ 500,000.00 A i oFFICER/MEMBER EXCLUDED? U NJ A I VWC-1 00-6017656-201 3A 17/17/2013 7117/2014 r--'---'-- - ----------(Maniatory in NH) ! i I _E_L_DISEASE-EA EMPLOYEE)$ 500,000.00 �f s CRI��rO d 'peE.L.DISEASE-POLICY LIMIT$ 500,000.00 _...�D�� .N�F VnderPERATIONSbelow. E� I ! I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) I CERTIFICATE HOLDER CANCELLATION TOWN OF SANDWICH Attention:BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN HALL ANNEX THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sandwich,MA 02563 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ;'ORD 25(2010/05) The ACORD name and logo are registered marks of ACORD �t A-\ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 WEST DENNIS, MA 02670 Update Address and return card.Mark reason for change. El Address Renewal Employment Lost Card SCA 1 C: 20M-05/11 Massachusetts -Department of Public Safety Board of BuildingRegulations gul ations and Standards Construction Supervisor License: CS-058633 _ } .V-1-'1'•S U AHCHAEL J CCART, � PO BOX 52 W DENNIS 02670 T 'Y 1 Commissioner Expiration 04/10/2014 t' OWNER AUTHORIZATION FORM I Q.i k_ at. o-,..- (Owner's Name) owner of the property located at (Property Address) /I ile �Z (Property Address) hereby authorize en CO��4 �S (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. k- Owner's Signature Date i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ` C 7 Parcel ©3 -7 Permit# Health Division 4'�9400— D Date Issued -V OPP Conservation Division D Fee j�/� y Z, 0 Tax Collector Treasurer � �� Ly` ��r� / ! b! SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND ,r TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address (( Village (/Ues - 8cV.V�,S-ta,b l e- , 5y� -gin, U Owner Address _ Telephone -2164 Permit Request New Lo s + Zca`L�u„ c �� �` 2 Square feet: 1 st floor: existingproposed 2nd floor: existing proposed Total new q P P g P p Valuation ©, a Zoning District Flood Plain Groundwater Overlay Construction Type p� Lot Size t Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Z_-Tw�o Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 0 Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing • new First Floor Room Count Heat Type and Fuel: ❑VN i Oil ❑Electric ❑Other Central Air: O Yes Fireplaces: Existing New Existing wood/coal stove: O Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:L 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 BUILDER INFORMATION Name PC,S s—kcg Telephone Number _ 6 0—7?4 _C(0 Address cv License# 6 7 q9 25- 5� ©CYT(o Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ginn®S-te3- SIGNATURE - DATE ; FOR OFFICIAL USE ONLY PERMIT NO. a DATE ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE OWNER a DATE OF INSPECTION: FOUNDATION6 _ - - - /'t 1"o�Oo So NO�ru°t � 14, FRAME -eA+!`^ ,' 1126 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH - FINAL FINAL BUILDING DATE CLOSED OUT "= " ASSOCIATION PLAN NO. ,,,�,� The Town of Barnstable i �0 Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 0 Permit no. Date 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 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: l.U��1tl�o+N �e �^Ce��n Y /,P,+tzonti c V"'"�. o Estimated Cost 14 0j `— Address of Work: Owner's Name: L ivvCD (� Date of Application: Lz Z. 0 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 UNDER PENALTIES OF PERJURY f. I here y apply for a permit as the agent of the owner: z Z Datet Contractor Name. 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' • •1• 1 1 I I • 1 I 1 I ( I 1 1 I . 1 1 • 1 1 1 1 1 1 1 I 1 . 1 1 1 1 / ' I I I I • 1 ' 1 ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X,$25/sq. foot PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value � �°p i i i i L M • ✓sze [oarnirnarxurea a�✓vcaaaac�Z�rae%6 sz BOARD OF BUILDING'REGULATION i License: CONSTRUCTION SUPERVISOR I Number: CS : 074425 Expires.08/29(2002 Tr.no: 74425 . Restricted To: I JAMES W PASSIOS 7 WARD HILL RD "�' WESTFORD, MA 01886 Administrator �p THE COMMONWEALTH OF MASSACHUSETTS �\ Board of Building Regulations and Standards Transaction No. One Ashburton Place - Room 1301 Boston, Massachusetts 02108 r� Registration No. Application for Registration as a Effective Date . Home Improvement Contractor or Subcontractor w" MGL Chapter 142A, CMR 780-6 Expiration Date FOR OFFICE USE ONLY Date 1. Name �� C�S �C•SS 1 OS . Print the name of the individual or business applying for the registration(not both) I Mailing Address -7 wLl►.cJ -??q - CW3 Area Code&Telephone Number 3. City Wester�'�%� State—!�R tip 4. Street Address(if different) Print s t and Number(P.O.Box not acceptable) City State Zip 5. Applicant type Individual ❑ DBA ❑ Partnership ❑Trust ❑ Private Corporation ❑ Public Corporation (See instructions on back regarding enclosing a city or town registration under the DBA or"fictitious name"law-MGL c 110,ss 5.&6)h 6. (see instructions) 7. Number of Employees 8. Individual responsible for Home Improvement Contracts �-' Last First Mi 9. Title of individual responsible for Home Improvement Contracts 10. Does the applicant or responsible individual hold any other construction related state,sty,town licenses or registrations? �❑ If yes.complete the table below. Use additional paper if necessary. Yes No Type license or registration Issued By license or Expiration Name of License Holder registration number Date 4r-c C+,C),X col" o-C (h A CS o7yy Zs f Zq oZ -pass zoS ;,;_ Yes No 13. Registration fee enclosed:$ - Guaranty Fund fee enclosed:$ too Include two separate certified chocks or money orders -one marked "Registration Fee, one marked"Guaranty Fund". ALL APPLICANTS MUST INCLUDE A GUARANTY FUND FEE EVEN IF EXEMPT FROM THE REGISTRATION FEE.See instructions on back for amount of fees. Make all certified checks or money orders payable to"Commonwealth of Massachusetts" Pursuant to Massachusetts General Laws Chapter 62C section 49A.I certify under the penalties of perjury that I, ' to�mybest�o tier,have tiled all state tax returns and paid all state taxes required under law. Sig of app scant or applicant's representative Title held with applicant i i A false answer to any question in this application constitutes grounds for suspension or revocation of the applicant's registration. Ncu'elrr� fkuH SwH _... , ' Cwyf. -•L-r .. I IT �- TO 11gfLH 6ovr riBFM TyP.- I Li T f • 'IpDD.r ' + I r 2-1L17O4L_F1/H91f.0AL 2-TW2O4 vsel ao-o fhu _ + IJEN pT.4O0G cK NLN P.T.L cVp ROf ALL V L--�__ L+Fi'i :1 r:.�•t;MCi1:R$IIAILINSUP.L THAT _ n,:.a^.i•i:iwf^r ABC Ip 1dG!A1C>7 L:AS$w,:riUSE TTS _- 51 nl L'1.;nlNu Ci)UE;slxrll f:Dll IOt:)qND ALL OF �Yi:t/.:i S:Lis(:ry'g;!It OIL aCUO[RLOU-REMENTS 1 I 1 t L 24 ' zsasa" •rwz444 7�OrAoaR. . ' l9� Li19E '�L6VATIOIJ ST> 1''I!P 197 'PARGEL 37 �.IINLO_R�� Rr519�IJG� -.AL"T�RATIDlJS 1730 RM:6A- l-! 3`�.RN STABLE.r'lid. • - Rlarc d'�rG�+'f.�i�' G I•iVi�=r'[' �W�Su r I Ia - 1;: F i > vLl jr- IV 7 to IO i j5 � . iAI - IZ i x .I - l .� N 4 �•� i i —. �t' Rai � vi 7 u�g p O f � '� Kf• - i _ a �4 ° Ilk u N A ` A 07 S ... .. .__..... F i O A 1� AOC ZM [I a a 70 K i • - 'E ] O N .ci. to a, A73 Drt '\ LL d _b�� ' ]�]5 zJ' N -'C O ,� J » '4p4IUOJ e z = APEx 0o mm � �� •pW �D � g r d 4'0" 4'- oN P o i z i --� -R� s; IZ Ym41 N, , �r 1p U vca nY — —vcmlFy _ I i N _ .95 r r J� fi]' {E��OP pp qm =ir-�7� IS�h A �YTT - —� �S p m II iJ IFj' ot—C At^A ...... .........I''�.-TIII'}_-'If---......_.0.. .] , 'ut ea�A�sn n�grfiZ ' r -- _ Q•rZ j O P� E4 9 � �• '— N F A) Zx 9'd IL"0.f- p ... _ T '� ABovf 1 1� TII ) I !w! n( f } VeP L_t_ FT I 1 S 3. d,. r / * ? vend"•, w. id aH 3" S o9D.+3 F � t1 S.� 05P cz, v i �ZmZ� ii\ •0o���rt�t .. '� 6 9 � �� '_ .-G�W f�O' ^sue•N- o��` �/ I . q x14 • , 71 •�a � ! ` � I A ��fia r� r4 ggm \ 'Y 414° L+ I•aq- wr:v�mta g" __. ZI_63._52 Ifr._ ___._ � � 71•i.d•. :�F3� � .�<:�� ��. �..ra.tl�et� o ko M�o � o • b � N 9 tip x N �, �:q . N i I - 3 r ''RI i OLrAN aZ" ZW^ZZ AOto- }—M 1 X- J .P A ip 1, �Z.—F �^ ra .• 3 ° VO 1{;sn::%. :";.:9•PQ I m.y'��w�o"'�m+I ` `i' Nz I . DO si yr'�,.cl;; '" _. m3'u;, x m�f'o w,�• P �R Pu ^�,' . 1 't.SD. y D •O D. i •�. • 2 �44 , 230 • Application to • Old Kings Highway Regional Historic District Committee in the Town of Bamstable fora ?^ t ' 20 CERTIFICATE OF APPROPRIATENESS Fees- secs Application Is hereby made,ir+yripiiaa for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470. Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans` drawings or photographs accompanying this application for: CHECK CATEGORI THAT APPLY• 1. Exterior Building Construction: ❑ New Building ITAddition . ] Altera�tio�n Indicate type of building: ❑ House ❑ Garage ❑ Commercial- ii&er NEW DECK 2 Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE NOV. 21 . 2000 ADDRESS OF PROPOSED WORK 1750 RTE 6A,W.BARNSTABLE ASSESSORS MAP NO. 197 _ OWNER, Lovr�pLv.c._LUIt-lCO2 ( ON QEC.2Fr�ZDoo ) ASSESSORS LOT NO. 37 HOME ADDRESS • QoK �25. ( V� �'+►.�t�a►�V 14, M 4. OUi37 TEL NO. 3 6 2—716 4 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across anY public street or way. (Attach additional sheet if necessary). SEE ATTACHED LIST AGENT OR CONTRACTOR DAVID A. OLSON TEL NO. 775-4300 ADDRESS 28 BARNSTABLE ROAD, HYANNIS, MA. 02601 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). TO REPLACE WINDOWS AT REAR OF HOUSE AND SIDE WITH NEW DOUBLE HUNG WINDOWS AND CONSTRUCT A NEW DECK AT REAR OF HOUSE. SNEp AflpLT. 0.T ' 1gkT LLOC.CrASr) Signed � Owner-Contractor-Agent Space below line for Committee use. n Received by H.D.0 ,' _:'� ,'i 1! Ll DLae^� - •�•i`""' The-certificate is hereby 'V— l4Lr Date a .Time NOV 2i = �►�' and lW L., , AOoroved ❑ IMPORTANT: If Certificate is am' roved. aooroval is subiect to the 10 day aooeal period Towa of Barnstable I — Old King's Highway Historic District Committee SPEC SHEET MAP 197_ PARCEL 37 FOUNDATION SONO TUBES AT DECK SIDING 'TYPE MATCH EXIST. COLOR NAT. CHIMNEY TYPE N/A COLOR ROOF MATERIAL MATCH EXIST. IF REQ. COLOR MATCH EXIST. IF REQ. PITCH N/A' SEE DWG. WINDOWS DUBLE HUNG COLOR WHITE SIZE SEE, DWG. TRIM COLOR N/A DOORS FRENCH — SEE' DWG. COLORS WHITE SHUTTERS N/A COLORS GUTTERS ALUM. WHITE IF REQ. COLORS WHITE 12" ABOVE GRADE WITH . DECKS 18" H. BENCH AROUND MATERIALS. P.T. WOOD — NAT. GARAGE DOORS N/A COLORS IF USED ,,tt ',; SKYLIGHTS AND. VENTING SIZE SEE DWG °v V1 I COLORS COPP�ER� 'J� .V SIGNS / COLORS U NOV 2 N/A FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of t-ais form are required for submittal of an application, along with Four copies of the plot plan, landscape A y Bay Colony Railroad _ LEGEND 99.86 VACANT LAND I 138 PROPOSED CONTOUR ° ti 138 PROPOSED SPOT GRADE LOCUS Wote V% 99.8 7' S 47 `, -110 EXISTING CONTOUR ` Ro (V o to /e 250 A 110 EXISTING SPOT GRADE a y I c PROP. WELL <y 150, TEST PIT - = c' RELOCATION VACANT LAND 92.1310 W PROPOSED WATER SERVICE 0. OW EXISTING OVERHEAD WIRES LOCUS MAP N.T.S. ASSES, AP 197 f 0 LET 37 00 GENERAL NOTES: fir"' 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL Nov "�' o` o BOARD OF HEALTH AND THE DESIGN ENGINEER. O. EXIST. OPEN WELL Tpi �. 91.8 i _ (not potable) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ✓rr �• i i' 88.62 OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY LOCAL KI�vG ARI/V, r i RULES AND REGULATIONS.qr?� 38 3 � 9�r + •3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 4 � r%r1 /f 'P - N �E�K !y 1�� icy R;c�o00' i TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE �I: J'~ '28.44' DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING EXIST. WELL (approx.) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ��. (disconngct 8f/obalndon) ENGINEER BEFORE CONSTRUCTION CONTINUES. Q� 21.1 O BEDROOM 2 g1.16 i i 84.15 EXHOUE 1750) ; ; ; EXIST. SEPTIC 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 94,53 , TANK 8� S.A.S. 3� 2-CAR 3uSE r ' 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF (FULL CELLARS (TO BE PUMPED 8, THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF GARAGE 0' r r rLLED W/ SAND) HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. (SLAB) PORCH O 95.55 r 0 , (CRAWL SPACE) P,�50p !*L.. ' �, 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. EXIST. S.A.S. PER M 09 E TI r TANKS` ; ; 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. RECORDED AS-BUILT �5.64 �� 1 f r ''�' 87 9. SEPTIC SYSTEM COMPONENTS SHALL BE INSTALLED AS DESCRIBED IN 310 CMR 15.000 SUBPART C. q$.1 A! \� r ` Cz ^ 10. ALL AREAS CLEARED FOR CONSTRUCTION ARE TO BE LOAMED AND C; 6.27 �96. i 9 2 r) SEEDED UPON COMPLETION OF CONSTRUCTION. 57 ' � • 9 11. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY � \�� `94.07 �/PE�2C - >�26 150' FROM EXIS I BENCHMARK �� EL''$1.98 ^i j`; PROPP �`� WELL-LOT 4 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING S,A.S, �� - �� MAP ?17 CONSTRUCTION. TOP LEFT CORNER /96,85 y 1 �� r 72 ` L pT !� 12. IF ENCOUNTERED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS OF BRICK STEP �� '� 125+ r _ IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. EL:94.97(Assumed) �Q ��� 1 �� ' AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 91.94 \\ SEE'INOTE �2 97 3 93.99 i ; �` r \Q �;` ° o 1' DEED REFERENCE: Bk.739/Pg.68 97 e0 r 95.93 43' `�z,is �` , PLAN REFERENCE: Bk.90/Pg.107 I 00 997 4 ( of . 93.731 0. i FLOOD PLAIN DATA � r `c� ZEXIST. S.A.S. �o PER RECORDED FIRM PANEL #250001 0003D (Revised July 2, 1992) Q ' F / As-BUILT ZONE "C" ' 249,96 SEPTIC SYSTEM REPAIR/UPGRADE OF MA LL7T 36 MAP 1979B.ao ' �PETER T,r 1750 ROUTE 6A, WEST BARNSTABLE, MA 94.96 o Prepared for: Robert Syvanen, West Barnstable, MA RQU TE 6 A Mc CIVIL 1750 Route 6A, 7.72 �9s•9�" � CIVIL H _ -,„966� No. 35109 Engineering by: Surveying by: SCALE DRAWN JOB. NO. EN1rmdng Worb Hood Survey 1"=30' P.T.M. 65-00 9720 SCALEJ 1 -30 R£ClSIE��� �� 23 Deer Hollow Road 10 Bosuns Passage GATE CHECKED SHEET N0. 'f(! Forestdole, MA 02644 East Sandwich, MA 02537 Q 30 60 ? IA 27 UU (508) 477-5313 (508) 833-4883 09/27/00 P.T.M. 1 of 2 Do o , 230 rkp recC Application to 01b Ri-nq'ss 3ftb llap Regional WztDr(t �Diotritt committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS iication is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 'Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described.below and on plans, vings, or photographs accompanying this application for. ECK CATEGORIES THAT APPLY: =xterior building construction: ❑ ❑ New ❑ ArG--a Addition ❑ ❑ Alteration ndicate type of building: House rage Commercial El Other xterior Painting: ❑ Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other PE OR PRINT LEGIBLY: , DATE )RESS OF PROPOSE'(ORK t 1�JC� Ae- Ip U�P� ASSESSOR'S MAP NO. I O NER � -A 1�- I L�l� ASSESSOR'S LOT NO. T ME ADDRESS TELEPHONE NO. 1 NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any ilic street or way. (Attach additional sheet if necessary.) ti Y is 1 U ENT OR CONTMCTOR erei> TELEPHONE NO. (,Z DRESS )b PQ • n 3() SCRIPTION OPRO OSED WORK: Give particulars of work to be done, including materials to be used. Please ude locations otgropo'sed signs. Z t►J 11J`�v�--�M�l� �,\�`C�tJq �' ,.��cR-�� ,l• Q � �i „ Signed ner- ontr ctor-Agent r Committee Use Only This Certificate is hereby z Date Approved enied 46 Committee Members' Sig r J Application to ®Ybi Rittg',q -J�igbbjap Regional J*is�torir Miotrict Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: E f' 1. Exterior building construction: ❑ New ❑ Addition Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Ret nting Existing Sign 4. Structure: El Fence ❑ Wall El Flagpole Other o _ o_ Qs TYPE OR PRINT LEGIBLY: DATE L a0 ADDRESS OF PROPOSED WORK tI 1"hAIIJ (,��'61 ASSESSOR'S MAP NO. d� OWNER qo �e_�r� ASSESSOR'S LOT NO. HOME ADDRESS TELEPHONE NO. Z -' FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across an; public street or way. (Attach additional sheet if necessary.) L C"i AGENT OR CONTRACTOR ✓ rls Sr �T�Q'' TELEPHONE NO. -3 ADDRESS 3 17--. 6�l-4- 02--6 30 DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. 0 b es( qNZ(Zh,CIE -7F %�L)/11A Signed wn r-Co ractor- gent i For Committee Use Only This Certificate is hereby Date C, Appr hied Committee Members' Signatures: 0 i i i 2 0 01 . , Ora 5 Application to � w • Old Kings Highway Regional Historic District Cormmittee;�� ', ._ c Iv in the Town of Barnstable for a ''a`'S' 16 81 10: 5 4. CERTIFICATE OF APPROPRIATENESS Fein som Application Is hereby made,ir+ssi*)iaafxi,•, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470. Acts and Resolves of Massachusetts, 1973. for proposed work 'as described below and on plats, drawings or photographs accompanying this application for: CHECK CATEGOTHAT APPL 1. Exterior Building Construction: ❑ New Building RAddition Alteration,- Indicate type of building: ❑ House ❑ Garage ❑ Commercial- L ')ther —- 2 Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read othdr side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE_ ADDRESS OF PROPOSED WORK 1750 RTE 6A,W.BARNSTABLE ASSESSORS MAP NO. 197,_ -omi 4tNc ( (14 cvtZ OWNER • ASSESSORS LOT NO. 37 HOME ADDRESS ?-0 (f O'vZ•2AQV Ln, W4- TEL NO. 362-7164 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across er y public street or way. (Attach additional sheet if necessary). SEE ATTACHED LIST V AGENT OR CONTRACTOR DAVID A. OLSON TEL NO. 775-4300 ADDRESS 28 BARNSTABLE ROAD, HYANNIS, MA. 02601 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to.be done including ( materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet,if necessary). C�►4 hg e s `-tom FtZCV t 0 V fVj A 1P PCZ-0t-1 Q-a, A"J> A-vn t3f-(V afl TPY—A et s -- 't7f*LCr6 w�r-coc�w j iZ Ermov a Pvo it — Ae w "F'IZo� 3 c�G'1 T D 4 t�C�7 t Signed �.., Owner-Contractor-Agent C,� Spare below line for Committee use. ° ' •, � N e 11 FI�I� nn IU nin Li i CD t a v ificate s ereby Date rye FEB 062001 , �"�W�I�F RnRn��T GLt� OLD KING'S HIGHWAY oorove IMPORTANT: If Certificate is aooroved.aooroval is subiect to the 10 day anneal period � 001 , 035 _ g: STown of Barnstable Old King's Highway Historic District Committee q SPEC SHEET W N C O V MAP 197. PARCEL 37 FOUNDATION (�1.G• SN•lK�lt�l �: SIDING TYPE MATCH EXIST. .NAT COLOR CHIMNEY TYPE N/A COLOR ROOF MATERIAL COLOR PITCH I t(Z�"Wr AV, v tT• SEE DWG. �~ WINDOWS DUBLE HUNG COLOR WHITE SIZE SEE DWG. a TRIM COLOR i DOORS FRENCH = SEE DWG. COLORS WHITE sHvrrsRs N/A COLORS GUTTERS ALUM. WHITE IF REQ. COLORS WHITE DECKS MATERIALS.' � � L GARAGE DOORS N/A COLORS SKYLIGHTS N/k SIZE _ COLOR D QO1 BCE RNSTA - SIGNS N/A COLORS OF BP 1(_1 FENCE N/A COLOR 1 NOTES: Fill out completely. including measucements and materials/colors to be used. Four copies of this j ' form are required for submittal of an application, along with Pour copies of the plot plan, landscape e D ,FEg �6 NSTAB�E.' • OF BAR G,S H�GNW AY O� KEN It,cc)rL 99.86' VACANT LAND 4, 25' (V - A PROP. WELL �y 150' RELOCATION VACANT LAND 92.13 + ASSES, AP 19�7 { L 0 T 37 2- 0 0 r) 52,019 S,F, f 1.eg a 1 , New yEGK �L 1q� i ;i w c, fin? EXIST. WELL I ��pp1 21.1 O'l (disconngct d 1.16 1 EXISTING 3-BEDR00 g ; O v (#1750) 2-CAR T.OF. 94.53 GARAGE (FULL CELLAR) ^. 0 10 O 95.55 (SLAB) PORCH 1 pp EXIST. S.A.S. PER M �, '0 ' i 08 (CRAWL SP CE) 1 E TI�1 TANKPI RECORDED AS—BUILT , � ' 3 i % i , 95,64 �� i 1 ID-B0 �� 1 6.27 96, 1•' "� 1 1 t?:. y�E •.t e �:r 9 `94.0 « c BENCHMARK 7 ,�� EL'A1.96 1, N TOP LEFT CORNER OF BRICK STEP � � � + : S.A.•EL:94.97 Assumed /96,85 125r SEE 91.94 97,3 ` i 1 93,99 i t N ,� / 95.93 1 +t Qj 97.80 1 i 43' co 99.70 �1 93.731 o, 41 MAP 197 1 98.40 249.96 0 LOT -36 A. x 1 '** � 94.96 7.72 - RDU T E 6 A . 97.20 SCALE, 1'=30' s i 0 30 60 r� 2001 , 035 : .: o2UO� -a 30 Town of Barnstable Planning Division TME Old King's Highway Historic District Committee BARINS MLE, MASS. MEMORANDUM TO: Building Commissioner FROM: Beth B. Maples, Principal Division Assistant (862-4784) DATE: SUBJECT: MODIFICATION TO PRIOR APPROVED PLAN A minor modification to a prior approved plan has been approved by the OKH Committee for the applicant(s) named below. The modification is briefly summarized and I have attached backup material for your records. Applicant(s): �O.ee�rryf �l/i�Cd� Address of Proposed Work: /7S0 lj✓�Si�GEy�,STA/,4 L � Assessor's Map & Parcel Number: /97-OJ•7 Meeting Date Approved by OKH: DLO Minor Modification: _ �i�IeW4- G✓/,/b4-e,•1 p, W11 - gt3 0 --7- oar Doroth E. StatVey, Chair Date Town f Barnstable Old King's Highway Histori District Committee :;3w/,P flc sir✓ 7 ems-- 111 ,I I I RG&00d o W v 111, 111, v Lane Low Cope Cod Community 11 #3 / Garrett College Pond \ lA. VEGETATED ✓ N B RDERIN_ 13 24 o LOCUS MAP SCALE 1"=2000'f Lh Q ASSESSORS MAP 197 PARCEL 037 a 0 r _ J2h _ o LOCUS IS WITHIN FEMA FLOOD ZONE X co �¢ 2g z 29 p N r .30 ZONING SUMMARY 37 32 ZONING DISTRICT: RF DISTRICT MIN. LOT SIZE 87,120 S.F. 100' OFF BVW- MIN. LOT FRONTAGE 150' MIN. FRONT SETBACK 30' MIN. SIDE SETBACK 15' MIN. REAR SETBACK 15' �6 STONE WA L MAX. BUILDING HEIGHT 30' STONE 9 SITE IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT EXISTING WELL SITE IS LOCATED WITHIN THE AQUIFER N ( PROTECTION OVERLAY DISTRICT J � O 2 .6'm T OWNER OF RECORD Z GREENHO SE I a0 MATTHEW AND CATHERINE DILLON 1750 MAIN STREET WEST BARNSTABLE 02668 r r r REFERENCES DEED BOOK 18955 PAGE 51 rrn 0.6 4,_� DEED BOOK 28178 PAGE 126 28. PLAN BOOK 00 PACE 107 �R P ©. \ o PLAN BOOK 653 PG. 78 (PARCEL "A„) 40 ED AD ITIO �2 G RAG E 4° D- �, cs, ATIO �; -/13 C/, � NOTES •0e- 1. DATUM IS NAV E IST. 15 0 o S PTI TA K 2. THIS PLAN IS FOR PROPOSED WORK ONLY o AND NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. 40 3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR Q� R O P S E D EXIS-oy o TO COMMENCEMENT OF WORK. RCH 3g SAS u� � 4. EXISTING SEPTIC LOCATION PER TIE—CARD ON FILE WITH TOWN. r 40 c� Y". GRAVE 7 17 cp DRIVE •' gQ / V� C r� SITE PLAN OF 1750 ROUTE 6A WEST BARNSTABLE PREPARED FOR off 508-362-4541 fox 508-362-9880 'kAOFMASS MATTHEW & CATHERINE DILLON downcope.com © qc DAAIEL yam APRIL 28, 2017 M7 cope engineefing, MC. � O.,ALA c' REV.: JUNE 2, 2017 (HOUSE FOOTPRINT) civil engineers No.40980 Scale: 1"= 30' land surveyors �� o� 939 Main Street ( Rte 6A) 0 15 30 45 60 75 FEET YARMOUTHPORT MA 02575 ## > 7-046 DATE DANIEL A. OJALA, P.L.S. 0KH 1 Ll • p S • . r i i -r i P i #T. r 3 1g { z. ! , d i4 ' L, 0 o G'N � v , w/ins P. � .: -a ,: , ,� ��., � .• . nip ..� . : r , , s}AE GF, G i, TRnr f�0Pryi'3 AA: VERI-FY ALL NSIONS AND i _19 fiV {: 1 `�yY {Y..^{ '7 - :'WOE ._. .. IF ANY DE iCREPW S1.wi7 Cyr 1tf1Y W THEGEC � �s�f�y tti�tk��r,{ ff j/L'��[+�t [fir - .: ,,. y,, ..: �.. :: . ;.. •, -.,- ', - .:.�. :.. � -....,.` � .. -.... ,;, :.:- f"t.37srii_$,. IiTtl_S E I`T i,., r < gf r 0 THE LATES71s<5A55ACi-#USETfS R ? r -1 LD NG CODE. SIXTH L©1TIC3r�t A ` - : �g � _S ,w i r BJ,L.Jxw{a CODE R EflUIREM S h ' : r � r y r 1� � i . .g p : ., �_ 4G �4 _.: _ �_ ._. .:. __�: . ., 1.13 F2001 EB f TO WN OF RNSTAB E IGHWAY w� r ►i �S « V. : � .: O . : ter. � , Dh! _ tr , \ CN . - , t 1 { APPROVED BY SCALE. : : _ � ,, f ,., BRAWN BY- - .... LVIk ko } DATE % v e, ." , • - _ N- "rcD_. s ..... AWING NUMBER a'�,1L✓T 1 v "' BAEJSTAILE MAfi& TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .....^9. TO THE INSPECTOR OF BUILDINGS: The undersigned here_by applies for a permit according to the following Information: --9 .I p Location S.L:.S 7 Proposed Use . / )^fZoningDistrictFireDistrict Name of Owner .Address </\ .19 (/ Name of Builder Address Name of Architect Address f / Number of Rooms Foundation OO/CP Exterior Roofing .. Floors Interior Heating ^Plumbing Fireplace Approximate Cost . Difinitive Plan Approved by Planning Board 19 Diagram of Lot and Building with Dimensions ^X'{'^—' S,Q <ss' 9i c/\ •fct So^ 'y I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name dj^.u.u.u..Q Syvanen,Robert W. No Plot 11?.?^..Permit for ^9.9?:...?^®^. Location LlS.0.._^in Street .¥?.s t.Ba rnstable Owner Type of Construction Lot Permit Granted 19 Date of Inspection 19 Date Completed 19^7 PERMIT REFUSED 19 Approved 19