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0016 ATHLONE WAY
�j� _ _ _ , -; -; --4 � ,- _ -� d. -.,� - _�. r ,�� � � ��� i I I' J �� , won TOWN OF BARNSTABLE Building Department - Foundation Permit Date II )2-7)12- Permit # �0/2o7/9S' Name SLo'T"r S4=Elm C Location ATf� LOn)F_ [.JAY Insp. of Bldgs. %�r3 � � � �� � � � � 3a �� } � 2t , � 4 ! , 1 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application "ZO I �� Health Division Date Issued l 1 a7 G 2— Conservation Division Application Fe Cx 1, Szn Planning Dept. Permit Fee �� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address f � o" e Village Wff O Af1A Owner fliarz 6 t Ddhog TG'G7<y Address oC 6�i.e 4J �.cr - Telephone i Permit Request,,% i L x ��b�' b rIew K4A&+ef IL k-i yx nP b�F �v►� ycii Iy��Z2 SlIvt �, 1e (.9z.C,E /X2-L. to u T66v-t z c_ k-.)Ay v __""Yc®ivt ��—. 6/1 n �U Ski Sri-lair Si�� zr <.l �G � v� Square feet: 1 st floor: existing l yU proposed l/2nd floor: existing proposed Total new. Zoning District `7� Flood Plain C Groundwater Overlay Project Valuation 000 Construction Type 14< Lot Size lU 07 f l Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure C/ Historic House: ❑Yes A No On Old King's Highway: ❑Yes A No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) ��O Number of Baths: Full: existing new 1 Half: existing new Number of Bedrooms: / existing 1 new L,4.A Total Room Count (not including bathe): existing new First Floor Room Count S &L." Heat Type and Fuel: Apas ❑ Oil I ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing � New Existing wood/coal stover Yes_.4 No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ e-fisting ❑%w size_ Attached garage: ❑existing new size Shed: existing ❑ new size/PG Other: !,I Q ;CD Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 'Commercial ❑Yes ❑ No If yes, site plan review# ' ' Current Use Proposed Use `0 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 6 Die,/W-s Telephone Number S .3 7 s a �C;z Address 2J &i Gp-i0ae), P_aAd License # C� n14-es vifl/cW M 4, G; C s P— Home Improvement Contractor# 17 6 a76 Worker's Compensation # We r,s o 7 1 K go i 2.::�r 2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY t - APPLICATION# DATE ISSUED `i MAP/PARCEL NO. r -ADDRESS I VILLAGE . a . OWNER DATE OF INSPECTION: ' ,. FOUNDATION. E FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations .600 Washington Street Boston, MA 02111 www.mass.gov%dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print'Le:ribly Name(Business/OrganizationAndMdual k k- s D-Q e l o'Pr yt ,l -� ,Address: .W IR P ��, ,? v City/State/Zip: -6,"?-v;, e' A44 0 ZC 5 y— Phone#:' 5-6 Are you an employer?Check the appropriate box: 4. I am a general contractor and I Type of project(required); 1.❑ I am a employer with�_ - ❑ employees(full and/or part-time),* have hired the sub-contractors` 6. O New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet, 7. 0 Remodeling shipand have no employees These sub-contractors have 8, D Demolition working for me in any capacity, employees and have workers' comp. insurance. 9 uilding addition [No workers'comp:insurance P• 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. o workers' c right of exemption per MGL Y � comp. � P 12.0 Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContractors 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: S S a C�n,.. �m P 10 Yer-S' , v�s u r✓3.�C 'C- 9-w CC�-oo� �� ei Policy#or Self ins. Lic.#: ^S S s c S ,V g Expiration Date: G 3 Job Site Address: 1� 10U g (,�(/�y City/State/Zip: �j�n i t du 6ZGSr� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date)., Failure to secure coverage as required under Section 25A of MGL c. 152 can.lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up.to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations.of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information,provided above is true and correct a Si ature: ^� K Date: Phone#: �l 7 — q 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): l:Board of Health 2.Building Department 3, City/Town Clerk 40 Electrical Inspector. 5.Plumbing Inspector 6.Other Cont#ct.Personc :Phone#: Oitice oiomer"� Bumesv 't`ioo License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: -11,70270 Type: Office of Consumer Affairs and Business Regulation Expiration: 1A14/2013 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 T EVELOPMEt T COBP SCOTT SHIELDS a P 72 BRIAR PATCH ROAD OSTERVILLE,MAD L'nderseeietary 1 of valid without signature Massachusetts- Department of Public SafetN Board of Building-, Re�-ulations and Standards Construction Supervisor License License: CS 65898 SCOTT S SHIELDS 72 BRIAR PATCH RD OSTERVILLE, MA 02655 Expiration: 7/10/2013 ('ununissuner Tr#: 21168 Town of Barnstable o Regulatory Services f ' iAss Thomas F.Geiler,Director i639 �0 pr�c ram" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A, Builder I as Owner f o the subject Property , P P� hereby authorize J c� 4 S �h:i P ��S' to act on mp behalf, in all matters relative to work authorized by this building permit A ski (Address of Job) Pool fences and alarms. are the responsibility of the applicant. Pools are not to be filled or utilized before.fence is installed and all final inspections are performed and accepted. Signature of.Owner. Signature of.Applicant Print Name Print Name UU /eP ?e/2- Date./ QTORMS:OWNERPERMISSIONPOOLS 62012 THE Tq�� Town of Barnstable. Regulatory Services snxxsTestt, « Thomas F.Geiler,Director y MAss $ 059. Building Division lEo IMI°i Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER name _ home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner occupied-dwellings of six-uni&br,less and- J to allow homeowners to engage an individual for hire who does not possess`a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit, (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be requiied to,comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such.a forni/certification for use in your community. Q:forms:homeexempt CJ/� .� AWC Guide to Wood Co:-asi. kelion in High Wind Areas:110 mph Wind Zone Massachusetts Checuist for C®MpfiaElcc(780 CMR 5301:2.1.1)1 Q Check 1.1 SCOPE Compliance Wind Speed(3-sec.gust)..............................._...................................: :.. 110 mph ✓' .................................. . Wind Exposure Category............................................................. 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8.in 12 slope shall be considered a story) stories°<_2 stories- Roof Pitch .'--. ------ ......... --•-•-•-•-•-:.....1....(Fig.2) .................•••--•...........•-•-•--•- 6 :512:12 Mean Roof Height ...........................................................:...(Fig 2)..................... ................Ll ft <_33' Building Wiidth,W ........:.................................................. (Fig 3). —*✓ BuildingLength,L...............................................................(Fig 3)................................................1?ft s'80, Building Aspect Ratio(Li1M ..:....... (Fig 4).............................. .............. <_3:1 Nominal Height of.Tallest Opening2 ...................................(Fig 4)............................. 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(fable 2)...............................,............................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete......................................................... f Concrete Masonry:.-------•-•--.......-•.............................................. 2.2 ANCHORAGE TO FOUNDATION'.3 518"Anchor Bolts imbedded or 518"Proprietary Mechanical Anchors as an alternative in concrete only, Bolt Spacing—general..........................................(fable 4)..:............,--••••......-•--........ .. in. Bolt Spacing from endljoint of plate.....................:.......(Fig 5);.... in.<_6"—12" �C Bolt Embedment—concrete............................:..:.......••(Fig 5)••................. in.>7" ./............. Bolt Embedment—masonry........................................(Fig 5)....................---•-................... ZC> in.>_15" ✓ PlateWasher................................................................(Fig 5).........................................I......>_3"x 3"x'/4" ../ 3.1 FLOORS Floor framing member spans checked ................................(per 780 CMR Chapter 55)..............:.................... -Maximum Floor Opening Dimension............................ g ) .................Qft<_12' Full Height Wail Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).......:............................... Maximum Floor Joist Setbacks Supporting Supporfing Loadbearing Walls or Shearwall................(Fig5 Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Sheanivall...............(Fig 8)........................... .........-............... ft :5d Floor-Bracing at Endwalls.................... ..............••.(Flig 9)..................................... _ Floor Sheathing Type ...............................................:........(per 780 CMR Chapter 55)................................... •/ Floor Sheathing Thickness .......................................:.........(per 780 CMR.Chapter 55)......................a oq in. . Floor Sheathing Fastening............:.....................................(fable 2)..__:Fd nails at SQin edge 11 jjt3 field -4.1 WALLS Wall Height , Loadbearing walls....................... ............(Fig 10 and Table 5) ....... . ft 510' f Non-Loadbearing walls.................................................(Fig 10 and Table 5)............................. ft 5 20, �1 Wall Stud Spacing .............:..........................................(Fig 10 and Table 5)................... Loin.5 24"o.c. s�� Wall Story Offsets .............. (Figs )............................................ 4.2 EXTERIOR WALLS3 v Wood Studs , Loadbearing walls......:.... ........ .............................(fable 5)..............................2x - gft I in. Non-Loadbearing walls... ................... .................(Table 5)..............................2x F,- ft in. c� Gable End Wall Bracing' Full Height Endwail Studs.........:. ..............::.........(Fig 10)........1...... ........................................... ..... � WSP Attic Floor Length................................................(Fig 11)......6........ ......................._a ft>_W13 Gypsum Ceiling Length.(if WSP not used).:.......:.........(Fig 11)............................................. ft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)................... ............. ••... or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays_z� Double Top Plate a Splice Length .....................:.. (Fig 13 and Table 6 </ P ( g )....................................�.ft Splice Connection(no.of 16d common nails)..............(Table 6).......................................................... - . .✓ AWC Guide to Wood Construetion in High-Wind Areas:ll U mph Wind Zone Massachusetts Check ist,fog- Compliance(78o CNIR 5301.2.1.1)I Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)..............................__..................... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)......................................................... Z- Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) .......... able 9 ...................................57ft O in.<_.11' Header Spans ..................:.......................:... (T ) Sill Plate Spans ................... 9).................................... ft Din:_s 11 ✓' Full Height Shads (no.of studs).....................................(Table 9)--,................................. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9)................................... Z ft in.:s 12' Sill Plate Spans.....................................................:.....(Table 9)...................................................eft Qin.s 12" Full Height Studs(no.of studs)....................................(Table 9)........................................................ 7— Lam' Exterior Wall Sheathing to Resist Uplift and Shear Simuttaneousw Minimum Building Dimension,W Nominal Height of Tallest Opening2 .........:........... 9 Type.......................... .. ( 4)...................... LOS Sheathing T ........ .......... note 4 .._.................---• Edge Nail Spacing...................:.....................(Table 10 or note 4 if less)........................._3 in- Field Nail Spacing...... ..................................(Table 10)...........-......................................Qin. v- Shear Connection(no.-of 16d common nails)(Table 10)::........................................:.......... Percent Full-Height Sheathing.......................(Table 10)....................... a/o 5%Additional Sheathing for Wall With Opening>6'8°(Design Concepts).................... . Maximum Building Dimension,L Nominal Height of Tallest Opening2....................... ............ SheathingType..............................................(note 4)...................................................... t� ✓'. Edge Nail Spacing......_____.................::...........(Table 11 or note 4 if less).............,.........._M in, t/ Field Nail Spacing...........................................(Table 11).......................... �7-in. r/........... ........ Shear Connection(no.of 16d common nails)(Table 11)...................................................... �+ Percent Full-Height Sheathing.......................(Table 11)......---••---....:......_.:_........:...... •_.. °/G 5%Additional..Sheathing for Wall with.Opening>6'8"(Design Concepts).................... Wall Cladding Rated for Wind Speed? 4e� 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) e� Roof Overhang ....:.................:......... ..:..............(Figure 19).............k ft<_smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors r Uplift.............................. ....(Table 12)............................................U= ?ptfi Lateral.............................................(Table 12)..............................................L=1?6 plf (Table 12)...........---..•--..................__...._S= pif ./ Shear............................................... ✓, . Ridge Strap Connections,if collar ties not used per page 21:-- (Table 13)....:........................:.T=,Z plf Gable Rake Outlooker..........................................(Figure 20)............. ( ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.:..........::...._._....:......................(Table 14)................................_...........UAA Lateral(no.of 16d common nails)...(Table 14)..................................: .t--��Ib. Roof Sheathing.Type...................................................(per 780 CMR Chapters 58 and 59)....:.:..... Roof.Sheathing Thickness.................:........::.........•-•.........---.._......:.:............:...........57 n..z 7/16"WSP _rG Roof Sheathing Fastening........:...................................(Table 2)......................................................... 13GQ cv Notes: — 1' This checklist shall.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 c.' Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft_shall be permitted when 50/6 is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. (fo 1) }��y���C43,uc AWC Guide to Wood Construction in High Wind Areas:110 mph Wired Zone Massachusetts Checklist for Compliance(78o cmR 53oi.2.1.if 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 7/16"and be installed as follows: L 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 I6wer panel shall be made to band joist and lower attachment made to loweestplate at first floor fiaminik 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 WINTIMEtIMMMON • M H ■■ rl F is �r m d r. r OEd o h fr .1 e r g CA.n ar a a u w PI - f ■1 ■t Q v ri ii12 ii ii 3 n n ti - j See Detail on Next Page, Vertipal and Horizontal Nailing for Panel Attachment a AWC Guide to Wood Construction an ugh Wand Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(78o civet 5301.2.1.1)' : ■ ■ a i • i ■ N ! ` ■ ' ' t ■ / i l` . t i STAGGERED � XW PATTEFIN PANEL PAWL 't DOLMEMAILECIGESPACMDEIAL , Detail Vertioal and Horizontal Nailing' for Panel Attachment v� r Client#: 15130 2TRISDE DATE(MMMD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 07/23/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil PHONE 508 775-1620 FAX 5087781218 (AlC,No,Ext: A/C,No Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:Landmark American Insurance Co INSURED INSURER B:Associated Employers.Insurance TRI-S Development Corp. INSURER C 72 Briar Patch Road INSURER D: Osterville,MA 02655 INSURER E 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD A GENERAL LIABILITY LBA15641500 4/02/2012 04102/2013 EACH OCCURRENCE $1 000 000 _ X COMMERCIAL GENERAL LIABILITY PREAGE SES RENTED a o�E enee $100,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $5,000 X BI/PDDed:500 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 1-1 POLICY JEQ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED Per acciden PROPERTY t DAMAGE $ HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ - $ B WORKERS COMPENSATION WCC5007148012012 5/01/2012 0510112013 X WORVTi1T rrs ETH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L EACH ACCIDENT s500,000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S98326/M98325 LS 1 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map o Parcel Permit# 4 ca 9 s Health Division ® Date Issued Conservation Division y�_/ 6 - Fee. ��� Tax Collector 44 Treasure i". I - Planning Dept. t. ! Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ` Project Street Address i to 1 I h LQ n e- IN cAl Village Nl/a n In S . _m a ®acoy5 Owner HGI�C�� c �. 16 b�y Address 16 A'th�--®neWaY I`��/Gl�nfs Telephone Permit Request i © -A ((p.°, 17W 66 z1 . 4of 5fQrQqL, S7 S Square feet: 1st floor: existing proposed 1�y 2nd floor: existing proposed Total new i Valuation Zoning District Flood Plain Groundwater Overlay Construction Type ?03� 4-&QM 5h o d Lot Size Y Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: 0 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 Half: existing new Number of Bedrooms: existing aP_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: CYGas ❑Oil ❑ Electric ❑Other Central Air: 'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool: 0 existing ❑new size Barn:❑existing ❑new size Attached garage: ❑existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes MINo It yes, site plan review# l _ Current Use _ Proposed Use S 6ro cu O'(0/v e, A-,Pi' � BUILDER INFORMATION /�Name14w-bO� 1fin,,(d Co Telephone Numberr -771 6®t_d Address 6" Yo r moot h Sr] License# ® I 10 NvG ti I s, q QcU`1,� Home Improvement Contractor# © 9�J Worker's Compensation# Iq 176301 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO _Pd-W__ bo r 5 f Dd Ca SIGNATURE DATE A`I10D FOR OFFICIAL USE ONLY PIiMIT NO. t { DATE ISSUED MAP/PARCEL NO: looti t _ ADDRESSk q VILLAGE ` OWNERr t � . F DATE OF ICTION tiJ a FOUNDATION FRAME _ ' INSULATION�d T t FIREPLACES ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. r i Town of Barnstable *Permit Expires 6 months from issue date Regulatory Services Fee - c0 Thomas F.Geiler,Director - l�:W X-PRESS PERMIT Building Division / JUN 1 4 2007 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www•town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY / Not Valid without Red X-Press Imprint - Map/parcel NumberWON Property Address Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address V ou- klad lldannls Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable)_ fF-1' lSl Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Eyp_o 4C 3ArA4-e_ I n SUKaYl W Workman's Comp:.Policy# CJ 0 � Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to C ci 's ' 1 0 W 0_3 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value. (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 5319 .. 96 oft �KEe �ab TTMLL 3 09Q WWW.KETTELLINC.COM TO - ?7$'- /-1 7 /®7 /b A4 ton e toc" y k kg C.L vtj �j creorc�e--r0 u I n 6 <" 'I �/, � x X P ar 7.99 d� i` ,lam :�/✓ <2 P.O. Box 670 SA13AMORE BEACH, MA 02562 ° TEL: 50B-BBB-3744 LICENSED AND INSURED The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . a 600 Washington Street "= Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Rudders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): Address:. C - City/State/Zip: onRee�#: SSn 1 _S� ' A,re you an employer? Check the appropriate box: Type of project(required):. I. I am a employer with 4. I am a general contractor and I —�— 6. New construction employees (full and/or part-time).* have hired the sub-contractors ❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• EJ Demolition workingfor me in an capacity. employees and have workers' Y P tY 9. ❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. We are a corporation and its ME]Electrical repairs or additions officers have exercised their 11. 3.❑ I am a homeowner doing all work ❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance-required.]t c. 152, §1(4),and we have no employees. [No workers' 1 .� Other comp.insurance required.] . *Any applicant thatchecks 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: �e _ Policy#or Self-ins,Lic.#: o Expiration Date: Job Site Addresslp City/State/Zip: QW1 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a.STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify r he pains and penalties of perjury that the information-provided above is true and correct Simature: Date: I Phone#: f_ Official use only. Do not write in this area,to be completed by city or town of iciaL City or Town: Permit/License# Issuing Authority(circle one): r 1.Board of 1Tealth 2.)Building Ilepartment 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,partriership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addres (es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial.Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to burn leaves etc)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us.a call. The Department's address,telephone'and fax number:. The,Commonwealth ofMassachuw-tts Department of Industrial Accidents Office of Investigations 600 Washingtoli Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-NIASSAFE Revised 11-22-06 Fax#617-727-7749 wwwmass.gov/dia i E t '�o ®f • ��, � F a{gyoBarnstable. , ^ Regulatory Services rM Thomas F.Geller,Director Building Division TomPerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town,barnstzb1e,mz.us Office: 508-8 62-403 8 Tax: 50.8-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder 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 Q�p�MS:O.W2vwRPERv�I5SION t,. 66f qx gyp• ppq�q � Fd - yyp�B ' ON Board of Building Regula on.s and Standards gOne Ashburton Place o Room 1301 N g Boston. Massachusetts 02108 $ Home Improvement Contractor Registration ; D z r F Registration: 140657 � . ® > Tom: DBA i LO pool Expiration: 1 ill 0/2007 i ® KET°ELL ROOFING' JUSTIN KETTELL PO BOX 509 B SAGAORE, MA.02551 , a UPdate Adder and r@Nm carcL Mark reum fai change- g e , a s •�e�e®e p Addrm p RMOW@l p Employment p Log Card f CF 7HE Tp� The Town of Barnstable inxxsrnac.�. Regulatory Services lEo rr+A+' r Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner ! 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax! '' 508-790-6230 Permit no. T Date 9_) IQ T V 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. �'i /� /�''� ��Q chdaed Type of Work: l VnS �rl,fcjo l 6e_Q 'Y) S Cost I !©D Address of Work: /Co A M L6hL WCAV 14 i/a a I S Owner's Name: 1 ll G r-O d E• TQ 1_0[l \z Date of Application: C1-19 06 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law. ❑Job Under$1,000 Vuilding not owner-occupied , �wner pulling own permit 1 Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agen the owner: w l -06 /6 g 379 Date Contractor ame Registration No. R AM Date O ner's Name q:forms:Affidav r The Cofnmonwealth of Massachusetts ! Department of Industrial Accidents Office oflayestigatioas 600 Washington Street :_- �.. Boston,Mass. OZIIl Workers' Compensation Insurance davit 17I111C:I3I'tTi{�tII7�t7IItt✓��������������j�jj name: I location � city atone# I am a homeowner performing all work myseif. I am a sole proprietor and have no one workng in anv ca acity ,,,,, «•• I am an employer providin workers' com ensation for my employees working on this job. coma�m name addr C55 y4 .......rnA 4. city: -L b 1 1 c0 r77 �"l1� ins��ran cc co onto 0Vol Ga% %. I am a sole proprietor, general contractor;` �homeowne circle one)and have hired the contractors fisted below who have the iolloNNing workers' compensation polices: co a n v name. b. address: hone:#.:... . city: oiicv# ...;::::.::;::. 11 insurance co. / / ,,. ::...::.:::': j //GiiG// cmmnanv name: address: atone# • ; :.. city: oIf insurance co. 3 ,,. 52 can lead to the imposition of criminal penalties of a fine up to S1,500.0 Failuone}•ears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand re to secure coverage as required under Section 25A of MGL 1 that a copv of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. er u that a in or at' pro ' d above u trap and correct I do hereby rt •under the pen oIP J rl' f _ p w e 2 Date - Si2ature _ ,."." -� � � Phone:# Print nam Me n otIlci2i use only do not write in this area to be completed by city or town official persnitllicense# ❑Building Department city or town: QI,Iceruing Board ❑Selecunen's Office check if immediate response is required ❑Health Department phone#; (]Other contact person: ,rw '1 Information and Instructions ensation for their Massachusetts General Laws chapter�152 section ZS requires all employersonP�the de workers' another�r any co=" employees. As quoted from the "law ,an employee is defined as every p of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corpo ration or other legal entity, or any two or more o joint enterprise,and including the legal representatives of a deceased employer, or the receiver the foregoing engaged in a] to employees. However the owner of a trustee of an individual,partnership, association or other legal entity, emp yu �P Y not more than three apartments and who resides therein, or the occupant of the dwelling house of dwelling house having air work on such dwelling house or on the grounds c another who employs persons to do maintenance, consttuMon or rep thereto shall not because of such employment be deemed to be an employer. building appurtenant MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or reneF of a license or permit to operate a business or to construct buildings in the commonwealth weealthA for applicant�° h not produced acceptable evidence of compliance with the insurance coverage ,performance of public work until commonwealth nor any of its.political subdivisions shall enter into any contract for the p insurance requirements of this chapter have been presented to the co^**a�'-^-° acceptable evidence of compliance with the authority. /,, Applicants ensation affidavit completely,by checidng the box that applies to your situat<an and Please fill in the workers' comp hone numbers along with a certificate of insurance as all affidavits maybe supplying company names, address and p Also be sure to sign and Accidents for comfirmatian of insurance coverage• submitted to the Department of Industrial _ application for the permit or license is date the affidavit. The affidavit should be retained to the cit3'or tows that the app ' ��w�or if yc Accidents. Should you have any questions regarding the being requested,not the Department of Industrial lease call the Department at the number fisted below. are required to obtain a workers' compensation policy,p / F City or Towns complete and printed legibly. The Department has provided a space at the bottom of t Please be sure that the affidavit is comp has to contact you regarding the applicant. Pie affidavit for you to fill out in the event the Office of be returned t"e be sure to fill in the peimrt/licease number which will be used as b re�der. The affidavits may the Department by mail or FAX unless other arrangements have The Offi ce of Investigations would Like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. MEN eut's address,telephone and fax number. _ The Departm The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugatlons 600'Washington Street - Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 LOT 89 5 S84 52'30'E � 129.06' LOT 90 BUN � ,,,,,,;,,, � LOT 83 .,,..,. DECK O A Oti-• N84 3.2 30"�, � 149.8,8' _ LOT 91 R,W. ZONE "W Thls MORTGAGE INSPECTION plan 18 or FLOOD ZONE "C" Bank Use Only TOWN: -MR&FLOZE _- REGISTRY OWNER: JUM4D—EL �•y_ DEED REF: CZU.-JMda______BUYER: J?W4VAN�_ DATE: -tOlt, R�----------- PLAN REF: _�7� �B -- --- -SCALE:1��=-30---FT I HEREBY CERTIFY TO _ _ �,;.: __THAT THE BUILDING - ;f frh� YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS ' `` " SHOWN AND THAT ITS POSITION DOES CONFORM PAUL CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THEE-� 40B INDUSTRY ROAD TOWN OF RARYSTA&Z-------------AND THAT >' _ 6A IT DOES_NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD '~ '°#� ' � �28 gyp' 0264 AREA AS SHOWN ON THE H.U.D. MAP DATED-"/--8s�_ `�+10 l � TEL 428-0055 ro%rv% rmvtl�0—Dn..vi u asnnnr nnna /• �Ys,,.. _.,ccS FAX 420-5553 m in 3 ; 1 4 1 ; -� fn ; 1 o - L N r .� Q x '. F i r o a �.c - - z :r Board of Buiidin equiations ' One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 03/1411970 Number: CS 073865 Expires:03114/2002 Restricted To: I JANIES R MCGRATH M WINTERGREEN LANE BREWSTER. MA 02631 Tr.no: 73865 Keep top for receipt and change of address nobfication. L:L HOME !MPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standard=: One Ashburton Place - Room 1301 ,Boston, Massachusetts 0121"108 !FJ ROVEIIEN T CW\iTR ACTOR ;e,gjsLration. 109374 Expiration 09/11/00 , PF:_-VATE CORPORATION PINE HARBOR BUILDING CO—INC . J AMEN• .D - McGRATH 2F,9 QUEE NANNE RU_ HARWICH MA 0264 -- The C a»fttlntzli-ealth nr:llussuc hwerts Depgrrtltctrr of IIlidi atrial:tc•cidetils Office offnyesGllalforrs G(1(1 i1 itslrinl;toll Street t- 13artun,A9nss. 02111 Workers' Compensalitln Insurance Affidavit In + - I1(111C 1( V/i: 0 1 am a liomeowner performing all work myself. D 1 am a sole proprietor rind have no one working,in any capacity — ,-r,r ��:....,�.—.----`,•\�� l am an:�attphyt:r profidt»S workers'compensation for my employees working an this job. rim tan\ MIMIC*_ _1 _�__ � lib ( 1 �j rn f rd �59 aye�.l'I Na�u/►t�` cil 1 V Y nhnnc lt: lncur'1 _+�.r�" ^.ten•• +--+�-•�•.c ..<..•.-.iTt.r�r+!+••-•f'^,_• " ..-...-_.,�_ �•�„,','..'.`.: :mot: :•^".�.,..,...._...:., C] l am a sple proprietor,bcneral contractor,or homeowner(circle atre) and hat'=hired the contractors listed below who have the follotyin;workers' Fompensation polices: r(impany pintric: :uidre,; nllollc 11• - _._. incur_ an_rcro. :� _ .:--r-�n •;-•��-^---_r:�_+.._�__.�� ^._q.-. ,�._.r•- ....__.. :uldresc: rite• .__----------- .. • Oil lle\•M ... IRCU' :C __ 'y'.+..e�1�-'�t[R"r���•`�=�'na`ti+�`••.���.�.•.•.:��a�'=:r:..�. :�':� :►a S-:...•.aa_ wSt.sti \(iticti au{I}Mina!siar grJ-L.nccl to the- Iih:rc Iu secure elnn r �r a�cl1 as ca'it penalties in tinder nthe form 25A or lICL 152 can lea a[a STOP \'O1tli Oltl)ER and a rite of S108.00 a day aplinf t n+er t understland lhst�+ unC years'itp�lriso cup%-of this%ullf cnl m:q 1 funyardcd to the OMCI of 11I atiuns o c DIA for to\'crags\r-ifieauon cc ifi'r tic er- n.tl th ►rforns iar prorided c;ire is tsar+till rnrrect. i ua 1lCrCh1 r ,r t}r►itsKr r,_lc Sr�nautrc �—_ (('•• rr Phone R Print nat c ' r t official R>r only du not+rritr in this area to he eompictcd Ili city or torn official pernlit/licensc it rl!3nilding t)cpartmcnl • city or loan: cluiell's Office OSO �Liccn\iu Ituard 1. is 0ehcyb'i!in+ulrJialc+y•pu:+sc i.required 01traldl Urparu will flOthcr !t: �. phone f { cuniarl per.un: lr � -��arc*^��'_"T""e•r'•t�-�<a�.•.�•^l,q�l„r.,wYa�C-•r+s-r-_—r--.r.:r- ..�._. __.._'...r.+ .:�..a.:.... r >� Suggested Affidavit for Home Improvement Contractor Permit Application For OMce Use Only NAME OF CITY/TOWN ' Permit No. - Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGLc.142Arequires that the"reconstruction.alteration.renovation,repair,modernization,conversion,inprovement,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 adiacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. /� ,� I Type of Work: cB IS�G-hon � +Q m J-} t ee_,�-m�11tr) Est. Cost Address of Work/ Owner Name'✓ Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law _Job under S1,000 _Building not owner-occupied } _Owner pulling own permit _Other (specify) 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: S - I hereby apply for a permit as age t .D ."N Date Registration No. .,Vy / / / OR: Notwithstanding the above notice;I hereby apply for a permit as the owner of the above property: Date Owner Name COtIS''RUCTIOPd SUPEIRVISOR FOTU-$ ?LEASE PRINT: DATE JOB LOCATION T_ PROPERTY OWER�7 CO.IS='RUCTION SJFERVI ( `� Ya u --� �� _ P.�ozIE 5 3 0 3 , ;� CERISE NITMBE.R S O7 - �.�--- LICENSED DESIGNEE (IF -AITY) ' 2 . 15 Re 1; L1 or e`c cease hp c.e_ , s-Dons_bl P 1 C e n_. '1 G I G T is...-_�' '•.P i t_ .Z�4, ant - c v m c c`:�e V:,I ^Y t7 __C:, n,_ _s s z,er'J S_nG �'" S^cl i �e VG�J^n%P ��/1 Jue rlc 4_ _ G YIO_:_ _s c-crie �i'L�_ S i_ _UV� �L� yV i r_nQ✓ Code and Lna ^Tqj ncS a c'_'orovea h, L-1c-- _ G_ 0 _pAnce h, Ge_ S_.c'_ be _ yc�pn 1G't_? LG sire=�I'_ce -- - G -- C `w! - te' G�. C C CS G_ on I '•7 ' ju_ `� � `G L` e S1��e � __!G_:iC COCe 4an J `- i. C--- s ; e -.:s -c_ r aOuC^ r cCpG- - 1 r e %: ;i. - n G1 _ D G _ c �:�c.. P __GC = Q= ar c _ - z0 z1e - ^ h 1 C - :G n _ s_:a f no __ -7 - e =.,C G= C`YG=CCG4'. Y_ O� -c :! �T i y _Gi: r _C-- c- - ---"_G cc :e=ea DV t- e ouiIf '_ c c.e_: . _ ^ I; tense_ w' S._aI l Lv_11 - it i:� `J Glaze . SulsPC--i_ �'1y or L 1�`Ja 0=, c'?7` G 'O -'n-qes gal es G c - � _JnS� can �j. �"OCeC` -FS as amender fy ~S_:al1. be su -jeC_� uG GCG` G Gr S St'�e ��r�n C-ate ee -Coact �~.v'u the bGG=C. L_ a l 1� i l�u1l Q =1C ,peY` L cvL�l?C�L�QP_S sna i COn =_n 'i._'e aiane r c --�-n e ,r _re*�se 0= i ale CGP--7- IC�_Gil Sil_,•e'_""✓�Sv= tVi_O _S cu G -y-`e' i_�pca eT r=G_eC IncCP_sz C�io n•.� ' ecO='cam='1C-__G y� demo _On GS eCulcze^ by, Sec_--n G_ e'_"'G:._c � re�'G_= t . ,G J G= Z µ i _ - �� �� and ions . Tn L.-.e even-_ Ug 1 . + o� e Cone an riles _ - S'�C__ licensee c _no -1 OnOer. su-ce-ri a no sd1a Ler•SOns i_ne wCr:- L G ^; _ :`S? tI.^L1 �so license holder C= 1 a succe i c eeQ On L`lE' r= G=is 0- e �il_1'S_ _CZ Q �a 1e^_!. - -- y G ii1V r 5�4P_S_ �1 uncer _._ es ^ - ,n=,Te r as and unders z - _ S f Cens C co?'sz c� OT' su'Per"•"_Svw,S ��l CCCCiC.G=r� -er , cL OP_ =0r J W_�:I SeC:_OD 1�9 . � 0= tie St to Bll_} Q_nQ COCc Y unCerSLcnG er� n enures G a "e sLec- r c .soec:_or_= e� c0F s Zr"' C_10,n n5—c �-G: pr cC � „� - _ C 1 e-j fcr- bV Lile bu_1 r-t_n7 0=-�Cyel - _ NSED CONSTRUCTION Slj :'�Y'i LIC� �- f. s A � ' PLOT PLAN FOR LOT P L-&Cucate location of garage or acccr ory build-,:o Additions with dashed lines ------------- Sewerage disposal (cesspool) ED ',Yell 1-71 = (Lat.....................n. rear) r--- Aburtc•'s Nlaxne 1 Lot p Lc I Rear Yard - .......... If this k lct, CY C; l?', u . j ere c! C:..-:=SC'•r Cam... r;`, Y`1 _ C'p�1C� ! J16�•!'e R� � .. •. .- tt• � ft. .................1.,. (Lot .................... L-,.rage) ---.--------- -L--_ - (Nime.of ,Weer) ---------------- ------ Information y ,i Supplied by _ �i:k Norm poise r The Town o arns a e a �FTHE Tp Department of Health Safety and Environmental Services N` Building Division BARNSrABLE, ' 367 Main Street,Hyannis MA 02601 9� 1639• ♦0 ATFO MA'I a Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION ' Please Print /45 ,0 DQ DATE: ?Avr 5 JOB LOCATION: �6/t/�' mum er street village "HOMEOWNER": d 6� � .S � 1K,Z name / home phone# work phone# CURRENT MAILING ADDRESS: 4/ city/town state zip code ----_ ---w—_----The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units -� of less'and to allow homeowneis-to engage an individual for hire who does not possess a license,provide that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcehof Iarid on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm-structures.-A person who constructs-more,than one_home,in.a two-year period shall not be considered a homeowner:=Such"•homeowner"shall submit.to'tlie Buldttg Official-on a-foim acceptable to the _ "Building Official;that he/she shallbe responsible for all such work performed under the building permit. (Section 109.1.1) -"— `_°—'dyundersigned--`.homeowner"-assumes-responsibilityfor:compliance-with the State Building Code and other applicable codes,bylaws,rules and regulations. " The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said proce 4anZqemept 1 Signature of Home wner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127:0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in , serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN -, -�...,.c—a-.-b•�,e•n+-�'a+.s'vFl.,....�c•,.;.��R.t� .�..,+•"'ihs .�,.,. ^tee,a sp5o'C}ik 1'.��'�.a_«_r�.�Sr ....,+a:.;�.„„i-R+tiHy�r..,�Mg3y.�r.-r�':}r.,4 :krs..�%t.�{.�-e.a+7..:e"rr't+sWn .,.y,•M' °FINE� ��l��`"'��.�.✓ . � The Town of Barnstable 7Z MAE �0� Department of Health Safety and Environmental Services l059. 1. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: t V lam _.- t--� Map/Parcel: Project Address: ( �WU)16G� UA44Builder: -;''l y�i C� V�WV—<'(J V'L _, The following items were noted on reviewing: Q,m Please call 508 862-4038 for re-inspection. Anspected by: Date: 2- q:building:fonns:review f . le Town of Barns table _ ._ The T o .. NURWASM M Department of Health Safety-and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 For office use only 4 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. �j Cl� Est.Cost 2 Type of Work: L7"e��14- _ Address of Work: AT LOAJ6 1A—) Owner's Name �'�iC O 1'® , � Date of Permit Application: Bi— ' I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. uilding not owner-occupied Owner pulling own permit Notice is hereby given that:OWNERS PULLING OR DEALING EGISTERED OR APPLICABLE HOME IMPROVEMENT WORK DORNOT HAVE CONTRACTORS F ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FOND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date. Contractor Name Registration No. OR Date Owner's Name I i'`•' ` Tilt• ConrmoRM-Cali!, of AtassadliusettT •� �..r ' ' Department of Industrial Accidents •a 6p11 Ti irsliittmon Sired A Boston.Afam 02111 �- Workers' Compensation insurance.AMdavit AnnlGnt nformaiion Pie se PRi1V`i'1 t�l, ,�; Inc•mon c� r ?�A J Y7 - c,t,• n "hone -/�-, 1'�'iyN i S �•�1•� ❑ I am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity �I am an employer providing workers' compensation for my employees working on this job. asldrets �l e7 rih•• `� fq/!J di/s• 11414 phone#•GOA tnsur•�nc�co LJ54 IS-17 e)O ram.�. w� ,r r�.�.•"+7>•'^"'°r' - •---_—"' .—....---.,._.... ... .. _. ❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have!tired the contractors listed below who h� the following workers' compensation polices: v COMMIT"n • •. phone#• � turnnce ce neiicv# 1.:�++ ..= .«._T.� —�..� "Cif•Onv..isn's�'�"'�.—T'�lt•",fe�,. ser�• - - '�F •��,...taa� oninanx e- nddress- •h„ n one Oe. � .. "oiler# •• . Atiach additimial'sbeet if tiee +.,s.�.-�+�..tr't"+M+Tft�-.• •'r'�1+._��-—_ALE .� rera�rra failure to secure coverage as required under Section 3A of MUL IS.''can lad to the imposition of ertmtnal peaaldes of a Me up to SISOOAO and/or one pears'imprisonment as well as civil peuaides in the form of a STOP AVORK ORDMt and a Sae ofS100A0 a day against me. 1 unde:staad that Copp of ibis statement may be forwarded to the omee of l:n estigatiota of the DIA for eorerage reeiSation. I do hereby txrrij�•and h p ' nd penalties ojpeojarr that the iujomuniott prodded above is trite mid corxet c� Sigttattu+e �' r s / Print Warne S7'��iy Q o�]C,9rAJt`7 TPA l)CL4 C Phone# olliciai use only do not write in ibis area to be completed by city or town oSldat ein•or tows: pe rmitllleea:e N nBuilding Department OLk vnsiag Board O cheek if immediate response is required OSdeetmen's OSia 13Iltxith Department contact person• phone th notber._. .°Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide+vorkers' compensation for t employees. As quoted from the"law",an emphttlee is defined as every person in the,cr%ice of another under any contract of hire.express or implia oral or written• j An enrplrtrer is defined as an individual, partnership,association.corporation or other :Ugal entity, or any two or m the foregoing engaged in a joint enterprise.and including the legal representatives of a deceased employer.or tite receiver or trustee of an individual, partnership.association or other legal entity, employing employees. However 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 wort:on such d+veIing or on the grounds or building appurtenant thereto shall not because of such employment.be deemed to be an etripio- MGL chapter 1`52 section 25 also states that every state.or local licensing agency shall withhold the issuance or mnewai 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.neither the commonwealth nor any of its political subdivisions shall enter inte any contract for the ble evidence of compliance with the insurance requirements of this chapte performance of public wort: until accepta been presented to the contracting authority. .•-(s,;:: .a. .- ` •riw._ Ip+.l•�.f^�••i .�N nis.rl ti'!'.t�{,'r^-::: .'.•—. =iY w.. _•it•...w71Tt:.tµ 4 '..+i.•r.i:j-.�t,•�—. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation am supplying company names.address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidai•it. 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 requir to obtain a workers' compensation policy,please call the Department at the number listed below. q Mr.•+ e•.y.,w.r. 7:. •'.��::+:jti ri.w ":' yd;. Y�T •'T:r" y:rfi.�•it�:iS•i� ~ ... .".'�... ..... � ..!'Y:' ti:"".w-.r"'/::tee.••• ru: City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the botton: the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicanL P be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner the Department by mail or FAX.unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questi. please do not hesitate to give us a call. .•M..— VYrt�•�!� iL•:� �•Z���:f tsft•• ••�.j-j• v •:nYti ..1\.::1�... R1• The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents ,. Office of investigations ,�_._ . .xvt "' 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 exL 406, 409 or 375 Engineering Dept. (3rd floor) Map �T�� Parcel- JAI Permit# / ,7 R 6 House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:36)75—7i;- 13 Fee g , " _, . Conservation Office(4th floor)(8:30-9:30/1:00-2:00) I� Planning Dept.(1st floor/School Admin. Bldg.) 1HE Definitive Plan Approved by Planning Board 19 �� SEPT i�� � :''BA�tti9TAB1:E�i i5 ue�1� ��� O OF BARNSTABLE {°'' v LEG ENVIRONMENTAL C0,77 Permit Application TOWN 21f= Lla .i., Project Street Address (® ` _ d ' Village — F�`1 a6 Al i , N 3 Owner 14 P kDt,b O 6 Address 16 AT N- Telephone Soot— 7 7 — 5-/ `f'7 Permit Request 224ef le_ K0® eigc OE!e �° ZA J<iVtJo First Floor 9Y() ee square feet Second Floor square feet Construction Type WOOCt !' ��d�1� Estimated Project Cost $ 2-o o Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 20 '= Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: AFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 7J_0 Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing 2 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ,None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name 6Cp e,1A-)s 60 C -4z-C Telephone Number �7l r 3/l Address _fA < ',1?, License# 0 b:3 V"5-8 Home Improvement Contractor# 16 0 Worker's Compensation#_/"5-/7 ®(D 0�-2 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO MOU 774 w -,Ll SIGNATURE DATE BUILDING PERMIT DENIE R TFd FOLLOWING REASON(S) r FOR OFFICIAL USE ONLY PERMIT NO. MIA j DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME i N. INSULATION w FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING lid DATE CLOSED OUT ASSOCIATION PLAN NO. ` 'FS' ?3 deaf=�+"' '� d. ,; �Yf,os`�.� r y... �ss't '� .�Tc�����"C-.h"-�.��'�{-.'fiy '�$�"�-,�.�`•f` 4i�`hiy�•r _ . �q,, 1-'.�' k �.r "..�+:c-..k.t a, `'.,�u' �sc7.'1' h-.'•� yt "° s'lr -'! '�"'z;r'fie 5-.;:, su'�''"z,, c ' 044 h4 �,+r:'. -.{' ice'?' �,• Z �tv. s.��rwr-�� t�..'^x- ara�e-'a'3"^^ `� ,.,�.'�s�.� � �•_ `''"..:.\ tit Zol a� 4."n• x • k "�` -x -1.^l,_srp i :x �„ r "�, J + .�'. '� i. •.*n:"� tsr .,+' 3. $ !-2 � ..s X .. "��r . x#" sr-, x� i•-s Y'k "'^� y a-r x '� t •�'cx�'f+t �r'k'�� k:$a-�=»a5 �£rx'+ �..:a`�• �f _ k c�v° 'k> ��o „�� .^� c " :a P '`c.;'r� :-xnrle-�,.� � `�e�¢�'' �.� sue = t ,#, ti sz 'KA"�ts�'4•,fifi� d _.- F t�'R -4 � &ti• �. '�! "�`S-„ -�l t S .i'4 aY�a�.#'� '�`. {fy �. �s t w U" •i.Y 4'+i:+�Jr<.. •-k i,r::J Y'' c2A `.• t' s'a * 4�; •s X! w 40, �� �`ai. � Y .Y`'f �y '`• ...b`.r Y a ` J 1 G� a '7` 4` {� `��: �.�.�-i�;>�'�_ '� �: � i� •. - ems" x .��� •z r � / Ah FAR , S �� a� 'a ;tv ••tb .. N }y $ p , ��rvls.Fp- J t. r - ;l�F l� :4 F V� •� � :.�"" a •].[ $ .�\ �a��� � jw a may, t f ..x a [4 C E' ,&A= L oT'` 3�' Ass out i i' c •v; •q y.o cou2�" ,mot�9�✓ z 7 0 9 9 t t f. DATE- 1 - E<REWY CERTIFY THAT THE 8UI LDIIVG R G• LAND SURVEY R SvErWN 0N' THIS Pt_ AN 15 LOCATED ON . 6R0U- ND AS. SHOWN HEREON AND . FI AT t �O�S. C0NF0RM TO TWE �YNOFM :6t4:ENG 8v - LAW 5 OF THE 'TOWN OF, �G ,�•✓s7- 8��• W H E N C O N 5 T R-U C T JdSEPI� i1+4 E D �� ` �. A N5l`AB'C: IE URVEY C^ONSUt�TANT5 :! !V � , RX "WE ST YA-RMOUTHfr � i ��• ea f '. > c t. -a�t�i?.� .n».,y �"3' *;,�v . � rse•x '�'� ' - w :n_ 4 � .W^Y Y`x�'.�'".u..t`.l"�",J+�3. r—z_.=r' -•��„�;.•.:�.'.z.+`Sti.,c • ��ssessor's map and lot number ...�.. ,................................ INSTALLED IN COMPLIA E SEPTIC Sy Sewa e'Permit number : .....7 �. ........ WITH}l g ATI'GIm I1 STATE SA fllTA.qY, corm AmfiC lllN ��QyoF TH e'ro�y� TOWN OF BARNS TEA ` • i DA33STDDLE, i 1639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............. ........................................................................................ TYPE OF CONSTRUCTION .......... ✓ ;...... .^-.�............................................................................................. f3.. ..�............................19.2 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following infoormation: Location ..... '= �1 Cl............. � 1L L.....�:.....�..` .........................1 ..... .c t .(. .................................... l ProposedUse .... '(.. . .l..l ................................................................................................................................... Zoning District .......... ................................................Fire District .........�. ....1.�..�.�.�.� f...:�.................................... Name of Owner .. ....31.1,.... .`.�...............................Address ................. �..`�....1.i. "I....A... f Nameof Builder ...................................:................................Address ...................................................'................................. t l < < I � Name of Architect .......Address .......:.................. ........................................................... .......................................................... Number of Rooms ..........� ..............................................................Foundation C.�, CC.- �C/�/�1+ ........................................................... l L _ ........................ Exterior ............... p. -C. ......... ... .. c, .....\.1.�ytc�¢f...........Roofing ............. ti(f Floors 0 �..............................Interior ............................................ �: .4.- �,--. .. . ... ................... ....... Heating ( ........... �:�.. ....................Plumbing ................. ........... ............................. Fireplace ....................I.............................................................Approximate Cost .............2-� chi Definitive Plan Approved by Planning Board ________________________________19________. Area ........7I6..r...... :....... Diagram of Lot and Building with. Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH .� 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r. f-i Name ...... Smith, J. K. No ....17608.. Permit for .,, one story, .................... `�. : ' single family dwelling . ......................................................................... Athlone Way Lo�tion/ .................:.......................................... ..............Hyannis........................................ Owner J. K. Smith Type of Construction frame ......................................................... ................... Plot ............................ Lot ................................ March 14 75 Permit Granted ........................................19 Date of Inspection ..... ....... ......................19 LL� Date Completed .�3..�.J.................19 ,. PERMIT REFUSED .. ........................................... ................... 19 ............................................................................... f .................................................................. . ......... + .............................................................. ............. t Approved S` ..................................................... y t .................... ......................................................... i Assessor's map and lot number ..._.. .... . ...................... Sewage Permit number �. \v/ yo�7NEro�� TOWN OF BARNSTABLE Z SARNSTAXE. S "b BUILDING INSPECTOR °•Fp MP't fr APPLICATION FOR PERMIT TO .............. c.- ..... .............................................................................................. Ate, TYPEOF CONSTRUCTION ..................................................................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 5Cr j t ProposedUse......6(ti-(...I....d..N (. .................................`.....................................................................I......................... Zoning District ....... :.\.. ..................................................Fire District ...........N...f.0.(�.r�..f...5*................................... �12>C, r t I Nameof Owner ..�.....k�.,..........!'::�:.....0...............................Address ..........................:....`�...�..................:........................ Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... 11�_ P Number of Rooms ............................................Foundation C"'!...' :,i cc `1 c! t' Exterior C O. " .......I .....1�...............Roofiing ...........1 �r +ra.✓ ............................................ :4. ............................................ ...... Floors �? ............................Interior ................... . .............��-z.6 ....... _J................................. Heating � t ...................Plumbing r .-� ......... .... . .......... ...... Fireplace .................... .............................................................Approximate. Cost ...............?:.�(..c:?'?..:.......................(,... Definitive Plan Approved by Planning Board -----_--------------------------19________. Area ......................................... Diagram of Lot and Building with Dimensions Fee _} SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............ ......... Smith, J. K. 17608 one story, No ................. Permit for .................................... sitigle family dwelling ........ .............. .... Location ............ ... Hyannis ................................................................. ............. Owner ...........J. K. Smith .................................... .................. f rap/Type of Construction ......... ............................ ........................................... *****'***.......................... Plot ............................ #90 .......;....................Lot at ..... Ma h 14 75 Permit Granted ........... .......................19 Date of Inspection ... ............................19 Date Completed ...................... ........19 PERMIT REFUSED ................... ............................................ 19 ....................../.............. ...... ............................................................... ............................................................................... ............................................................................... Approved 19 .......... ................................ ............................................................................... ................. ........................................................... TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE --------------- JOB LOCATION um er tr et bection OF-.town "HOMEOWNER" ame ome p one Wor p one PRESENT MAILING ADDRESS %� ����� oEff i ty town G� �tf�� tate 1p The current exemption for, "homeowners" Was extended to include owner-occu dweIlings. of six units oried ess7an to allow such homeowners to engage. an pn- i,vi ua , for hire. who does not possess a license; acts as supervisor. provided that the owner (State Building Code Section DEFINITION OF HOMEOWNER: . Person(s e -) who owns a parcel of land on which he/she resides or _ :side, on which there is, or is intended to be ,a one to six familydw�elliinoe attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Officizi on,a. form acceptable to the Building Official , that he/she shall be responsible for all such work performed under the building permit, kOtLLIOn :The undersigned "homeowner" assumes responsibility for compliance with .the Statue Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department.Aminimum inspection procedures and requirements !and that he/she will comply with said procedures and requirements: HOMEOWNER'S SIGNATU APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet," Or ,lar er w to comply with State Building Code Section 127.0; Construction Control .be required Control . 9 i 1 HOME OWNERS EXEMPTION The Code state that : Permit Is required "Any Home Owner Performing work for which 4 ed shallch a building. b Idin (Section 109. 1 . 1 — e exempt from the section Licensing of Construction Supervlsoros�slopsovoldedl that ifa Home Owner engages a persons) for hire to do such work , that such Home Ow shall act as superSupervisor . ,- ner Many Home Owners who use this exemption are unaware that the r the responsiblilt•les of a supervisor (see Appendix Q R y are assuming for Licensing Construction Supervisors, Section 2. 15) ., , ThUse� and Regulations often results In serious lack of awareness unlicensed problems, particularly when the Home Owner hires Persons. In this case our Board cannot proceed against the , unlicensed Person as it would with licensed Supervisor.. The Home Owner. acting as. supervisor Is ultimately responsible. To ensure that the Home Owner Is fully aware of his communities require, as part of the /her responsibilities, many certify that he/she understands the responslbppltleslof �a supery that hsoHome Owner last•page of this issue Is a form current ) care to amend y used b On the and adopt such a form/certification for towns. You may � your comrnunity. Assessor.'s ,office (1sf floor): t THE T� Assessor`*map ,and lot number `fic SYSTEM UST PIE Board of Health (3rd floor): � rYe5 Sewage: Permit,. number ,� 41_ §al B9Hd9T4Dtt, S a 9 El, gg,��a ;. t Engineering Department, (3rd.floor): ! /G ,E WION l ENTAL Cf DE. �., ' rb 9" House number ..:.. .. ....... ........ .........: .. ypy a. TOWN RECU 0 Definitive Plan Approved by Planning�oa�d ____ APPLICATIONS PROCESSED 8.30-9:30 A.K and 1 00 `2:00 P.M'. only TOWN O"F BARNSTAB�LE i BUILDIH..G . INSPECTOR APPLICATION FOR PERMIT TO .....�'`.::�.r......:............ ' TYPE OF CONSTRUCTION . .... .:.:... . boa ................ T .. TO THE INSPECTOR OF.BUILDINGS: .The undersigned•hereby applies for a permit according.to, the following information: Location 1�...... �i/.o.!! ��G f �'dl'Ll/✓ ... . Proposed Use ....... .. 5�= ........ ........ Zoning District .....::................................ ........, ..................Fire District, ... .......................................................... to �� / Name. of Owner.,rff� ls��U....... .�o� -.}�....... ........Address .�... .. h �'�/ tl J Name of Builder .... .......... Address ..... :..: Name of Architect: ....:..:: .. ,...:.. Address Number of Rooms wU.... ........ Foundation . .... .� ! .. : Exterior ...........l�.J,rzo../�........ ......... ....... .. ....._. ..... ...ROOfing .......... ... .. .. ...... Floors .....:.............:.....::.........:..... :........ :........ ....Interior 9 L / - Heating f Ct�� G... ...........1�. ...... :. . .......Plumbing. .../�..-`T •f ltc✓ ..... , ........ ............. Approximate Cost ... .. ........................ Fireplace ... ...A roximat _ Area .. ... �� Diagram of Lot and Building`with, Dimensions Fee 93,00 . Lai 9 0 29 •� � r ram. �•t� I� 4 , `OCCUPANCY PERMITS REQUIRED,FOR NEW DWELLINGS r` .`. I hereby agree to conform to all the Rules and Regulations of the Town of yBa�nstoble regarding the above LATMUS construction. NarF EL5�� � O ... Construction _Supervisor's License .. TOBEY, HAROLD E. r NP, , y 32186 - Add To .:.. Permit for Sing.le; Family Dwellinc Location 1.6.�Athlone Way r• ,. .... ........................................... - Owner'....Harold E. Tobey....... _ .... .... , Type of Construction Frame. ................................ ......... j .... ....................... �...... .. ... ......... i• Plot...... .... Lot ................................. Permit Granted ....Augu.s.t:'1.7..,..........19 88 Date of'-Inspection ................,...........�........19 Date Completed ... ....19 CI • •• � - - - ,F, - _• is /�• Assessor's office Ust floor): Assessor'" map and lot number ....................... ........... Board of Health (3rd floor): G, __zf ? Sewage Permit number ;:........... ........................... DAUST&BLE. Engineering Department (3rd floor): j moo MAB& %639- Housenumber ........................................................................ Definitive Plan Approved by Planning %oard --------------------------------19........ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1!00-2:00 P.M. only'. TOWN OF BARNSTAB.LE BUILDING INSPECTOR APPLICA TION FOR PERMIT TO ............... ...................... ............................................ TYPEOF CONSTRUCTION ...................................................�*.....'."?,.-e ........................................................... ........... 7 ....... ........19......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby, applies for a permit according to the following information: Location ...... 0 " ................./. .. ................ ...........1..4..1... ..................................................... ProposedUse .......................... ..................................................................................... ...................................................... .Zoning District ........................................................................Fire District .............................................................................. Name of Owner ......... 14� ..................... ..................Address ..,4<........... X-_ ........................... Nameof Builder .....................I..............................................Address .................................................................................... Name of Architect. ............................I......................................Address ........... Number of Rooms 'F 7................................................... ............................................I................... oundation ..... Exterior .........../,n ....................................................Roo'fing .................................................................................... Floors ............................................................ ...Interior .......................................................... ........................... 7 Heating ....... ...... ......... .. .... . ......I..... ............. ........ ............... ...........................Plumbing ..... ....... .... .. . Fireplace ..................................................................................Approximate Cost ..... ..................................... .......... Area ..........&_��................. zz ......t........ Diagram of Lot and Building with Dimensions ee ...........�rlo, F ....................N. ........... 90' V 14� L't 99 LoT I Only OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. No ................... Construction Supervisor's License ... ........... HAROLD E. A=290-134 4 No .218.6... Permit for ...Add to . ................. t,S.ingle Family„ Dwelling Location .16...Athlone Way .......................Hyannis..................................... Owner . Harold E. Tobey .. Type of Construction .....Frame ............................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .....August...1.7..,.........19 88 Date of Inspection ....................................19 Date Completed ......................................19 /#.Z-. 1� � ��` Iifl��36�Yi�!"P flfl�Sb�GE; A.M. FOR �/ L'S �-S DATE TIMEZO P.M. M OF PHONE FIETLfRN�D PHONE Y.,OL1R CALL•'; AREA CODE NUMBER E TEN,SION MESSAGE ,� EASECALL: 1NiLL MAW, CAME TO ` 5E~YO. tNANTS TO. ':5EE YOU •; SIGNED TOPS FORM 4006 NOTES 1 `sb .. .u• 1 i".' v s �" 7 �0'f 3 i; !.. s� t f � r- L. i '. �b ryfY� y. 4 as { S Z9 F �o grlo ,;. / - IXJ A. . s�� I � 07 s 3� : FTttD PL0T PLAN. - p ..=.30 ' Cate 3/S/7s—' I .;R r4 C E: :,B i 0 L a77' e ,v ,LA440 C'40c✓27' ���9'✓ Z 7C� `�� D A T E a Tyr. �+s�i ate. FtBY. -CERTIFY THAT THE 8UILD'I1VG R G LAND .SU. RVEY R :H-,0W. N 0 N1. 'TH15 . PLAN t LOCATED 0. N TPf GROUND AS. .5H0WN HEREON AND Oaa. C" 0 N F O R M T.0 THE L OF, t C _ .b ir4G BY - LAWS 0F. THE TOWN OP W,H E N : C 0 N.5 T R U C T.E:D - � JOSEPH wqj iNl JIB; �R lSTABLE SURVEY' CONSULTANTS, iN, WE ST YARm aurm. M A-S . p � I� ��l� �u �u�y ,u� T.. NOTE: SEPTIC LOCATION SHOWN PER TOWN .RECORD PERCENTAGE OF LOT COVERAGE ROUTE 28 LOT AREA 10074t S.F. EXISTING STRUCTURES 21.27, EXISTING PAVEMENT 7.1% } TOTAL COVERAGE 28.4% < v LOT 89 Cn Q m < uo m: ujATHLONE L US ' N 84"52'30" W 129.06, 10.5ft 1 r— 13.5ft WEST MAIN II C' BULKHEA LOCUS MAP CP - - - -— t 37.1 ft PLAN REF: 27099 B (2) 0 28.6tt ____________- CERT REF: 115189 ASSESSOR'S MAP: 290/134 ___—-____-_ Pno rnoD ' LOT 90 o LOT 83 ZONING: RB :10074.3 SQ. FT. SETBACKS. 20'-10'-10' 0 _ -- -- _# _ - 0.2 ACRES � FLOOD ZONE: C Z II -__=16=____- PANEL NUMBER: 250001 0005 C z oleo - - DATED: 8/19/1985 I ' � _- - - - - - - 31.1ft O - - - - - - - — _ _ _ _ - _- - - - - - - - EXISIINC F; 46.9ft ►``� A - - -- - - - DECK 6 2�,1ft t� D PLOT PLAN OF LAND PROPOSE 1.0 �, � O PAVED DRIVEWAY GARAGE yMi,10 LOCATED AT: t ; SHED 16 ATHLONE WAY N HYANNIS, MA N ' 14` 17'20" W 315ft Lo 13.71 ' _ PREPARED FOR: FENCE N 84"53'3C „ W 109 52? HAROLD TOBEY OCTOBER 11 , 2012 REV: OCTOBER 12 2012 .OF ®s"'�Pti�� LOT 82 REV: OCTOBER 30, 2012 ® � v LOT 91 �va�a G,STERFo Gs��® REV: t d P -vHE u a CD 3. YLE YANKEE LAND SURVEY CO, INC. GRAPHIC SCALE e oo" �� 119 ROUTE 149 20.0 o io 20 ao � FF=Y �� � os ,� iz MARSTONS MILLS, MA vie ��1 TEL: (508)428-0055 FAX: (508)420-5553 1 inch = 20 ft. yankeesurvey0com cast.net www.yankeesurvey.net SHEET 1 OF 1 JOB#: 54865 JM • 44'-9' ,S•-0' e. 3•.3- 12•-9. A+Yx 6 c_OS. 0 EXIST. aAN'DEI. SMOKE DETECTORS REVIEWEti I ENBATH _J I-� — WA � DDI G DEPT DATE EXIST. EXIST. . i NEW I � STUDY / BEDROOM \ I 3' SHO ® a W.I.C. n _ t�`J`r / \ I� I j NEW ® FIRE DEPARTMENT DATE 1 s� I I MASTER FANVENTTO ANDERSEN BOTH SIGNATURES ARE REQUIRED FOR PERMITTIAG ss� v OUTSIDE 0` b A 257 BA IST. ------' 9. I 9.-3. io q CLOS. DN LDS Tr______________r�_______i H II I k "� O O 4 t ao • N O Lr CLOS. ,t ANDERSEN C+� NEW A251 EXIST. EXI T. MASTER N �- 0Lr LIVING ROOM KITC EN EBEDROOM ANDERSEN Q r A251 N c C` l B _ }j O O DERSEN A6 7 O O A251 ^ �� cr•a e I11 4:W:1 . Y�• 2'8'X 6'8' CASED OPENING ANDERSEN 46-2 1�� I CLOS. 5'0'x B'8' +' / 5s 718" NEW BIFOLD WI MUDROOM ro 3. . ANDERSEN 2 2 0'x6 8' m DI -EXIST. A • ,,-0. >< DECK s _ CONC. APRON H 4 O p PULL-DOWN STAIR v m ANDERSENA21 I; NEW I I I - LEGEND. ABOVE GARAGE L----� FLOOR PLAN 0 EXISTING WALLS ANDERSEN A2, r--� ABOVE CONSTRUCTION TO BE 3 D•x88 REMOVED 4 / i NEW CONSTRUCTION L 14 MV` v 7yf �• ANDERSEN A21 B ANDERSEN A21 - 5-5' A6 7 3' a. . ER BE COTUIT BAY DESIGN. LLC NEW ADDITION/REMODELING FOR: CONSTRIGNION.THtUILDIN CONTRACTOR SCALE : DRAWING NO.: IED IF ANY ERRORS OR OMISSIONS ARE FOUND ON THESE DRAWINGS PRIOR TO START OF EEF<043 BREWSTER ROAD 01THESEDRA DRAWINGS IF ONS R CTI CONTENT 1/4" = 1'-0" W THECOMMSE DRAWINGS IF CONSTRUCTION MASHPEE ,MA. 02649 THESED ES DRAWINGS SOTFYNGTHE A 1 LA % cam+ TOBEY RESIDENCE. DESIGNER OF THE OWNER NOTED, OMISSIONS. USE 0, DATE : PH. (508) 2/4-1166 THESE DRAWINGS REQUIRES ELT WRITT SE OF THE OWNER NOTED.ANY OTHER USE OF FAX (50$) 539-9402 16 ATHLONE WAY;HYANNIS, MA ACHITETHESE RAWINGSREOUIRESTHETECTION 11/15/2012 CONSENT OF THE DESIGNER UNDER THE ACT OF 1CTU RAI COPYRIGHT PROTECTION ACT OF 1950. 12 �10 ® NEW AZEK RAKE BOARDS TO MATCH EXISTING ❑ ❑ � 0 NEW CARRIAGE STYLE O.N.DOORS VERIFY ALL DETAILS Wl OWNERS FRONT ELEVATION NEW RIDGEVENT I I I NEW ASPHALT ROOF SHINGLES TO MATCH EXIST. I NEW AZEK FASCIA,SOFFIT 8 FRIEZE BOARDS I TO MATCH EXIST. I AZEK 1 4 WINDOW TRIM ® ® AE] 1:111:11 • Wl2'SILL L 8 SHUTTERS NEW AZEK CORNER BOARDS TO MATCH EXIST. NEW SIDING TO MATCH EXIST. RIGHT SIDE ELEVATION aQ� COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: CONSTRIGNER ION.THI BE UILDIN CONTRACIED TOR SCALE : DRAWING Ni ERRORS OR OMISSIONS ARE FOUND ON THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD W�IBERES ONSISIEFORT'ECONTENTTOR 1/4" = 1'-0" Q IN THESE DRAWINGS IF CONSTRUCTION MASHPEE ,MA. 02649 COMMENCES WITHOUTMY RSORING OMTHE TOBEY RESIDENCE DESIGNER OF WIANY ERRORS OR FOR DATE . PH. (508 274-1166 OF TEDRAWINGST ARANY E SOLELY OTHER THE USEA2 c d� 16 ATHLONE WAY HYANNIS, MA A CHITEWNERNOTED IGHT PR TECTIOF FAX 50 539-9402 COSENTOFT ORAWINGSREIUIRESTHEWRITTEN 11/15/2012 CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1580. p- 12 10D MATCH �2 NEW AZEK RAKE BOARDS [ElEXIST. TO MATCH EXISTING I F M IE FD ❑ ❑ REAR ELEVATION NEW RIDGEVENT NEW ASPHALT ROOF SHINGLES TO MATCH EXIST. NEW AZEK FASCIA,SOFFIT&FRIEZE /17 BOARDS TO MATCH EXIST. AZEK 1 <WINDOW TRIM WI 2'SILL L � �\ NEW AZEK CORNER BOARDS TO MATCH EXIST. El NEW SIDING TO MATCH EXIST. LEFT SIDE ELEVATION THE DESIGNER SHALL BE NOTIFIED IF ANYERRO SCALE DRAWING NO.: COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: CONSTRUCTION. S OR ONIS HEIONS flFCONOUNDON THESE DRAWINGS PRIOR TO START OF WILL BE RESPONSIBLE FOR BUILDING E CONTENT TOR 1/4" = V-0" B 43 BREWSTER ROAD COMMENCES TH ESE WWGS IF NONBTRUGTHE MASHPEE ,MA. 02649 OFTHOWNER NOTED ANY OTHER A3 TOBEY RESIDENCE TDE HESE RAWINGSARESRLELYFoSSI0N5 DATE PH. 508) 274-1166 THESE DRAWINGS REQUIRES TNT USE OF THE OWNER NOTED,ANY OTXEfl USE Of FAX((508) 539-9402 16 ATHLONE WAY HYANNIS, MA THE SEDRAWINGSflEOUIRESTHEWRITTEN 11/15/2012 CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT P ROTECTNIN ACT OF 1880. 44'-S' 16'-3. BASEMENT BASEMENT BASEMENT I A WINDOW WINDOW WINDOW I B I 'v I Yl I ---------- I I I N (BASEMENT WINDOW I I 2 x 10 FLOOR JOISTS 2 x 12 FLOOR JOISTS 2 x 12 @ 16'WITH MID-SPAN BLOCKING @ 161'O.C. @ 16"o.c. EXIST. EXIST. REMOVE BASEMENT NEW LALLYC'CONC WINDOW FOR ACCESS I NEW 30 x 30 x 12'CONC. —T 7� BASEMENT BASEMENT INTO NEW CRAWLSPACE I FOOTINGS 1 Imo—q•0'BE OWGRADEnNGSTO I I I I I I I I I I I ( 3-2x 12 GIRT. J J 1 NEW BEAM POCKET UP 4� m n J V-0 8'-0' 1 I I NEW I 1 CRAWLSPACE I I WCONCRETE FOUNDATION (2-CONC SLAB) WALLS � I I As N 1 I BASEMENT WINDOW I I it SAW CUT FOUNDATION FOR 1 I ACCESS INTO NEW CRAWLSPACE — — — — — J ——————————— ————— I I SOLID BLOCKING IN THE I OUTSIDE 2 JOIST BAYS @ 48'D.D. toNEW 4 I CRAVVL,hFPUtj l s rJ L — — (z c Ncs B2 — -- -- F�8'x 18'CONC.FOOTINGS TO I------------------ 4'0'BELOW GRADE ---i I v J I II 1 I U—DROP TOP OF FOUND. I i AT O.H.DOOR NEW I i $g I I I GARAGE I 8'CONCRETEFOUNDATI0N v O I I I (4-CONC SLAB I I WALLS Z m I I I 6 MIL POLY 8 l6-10 x I I I I I 10WWF) II DROP TOP OF FOUND.I I I AT DOOR---� II I IL---------------- ------ � N Wl2 x 4 KEY 22'-0' 33'-0' STH DOOR&ON BOTH SIDES OF THE G FOUNDATION PLAN OF THE GARAGEGE DOOR 8 CORNERS PER B FORM TT-100D APAWOOD PORTAL A6 WALL FRAMING TNEDE SIG ORO SHALL BERE IFIEDFOUND IF ANY SCALE : DRAWING NO.: COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: CONSTRUCTION. THONSARE FOUNDON THESE DRAWINGS PRIOR TO START OF WILL BE RESPONS BLE FOR TL E CONTENT TOR 1/4" - 1 FOIL 43 BREWSTER ROAD SI TM ESEENCES WINGSff CONSTRUCTION MASHPEE MA. 02649 CONYENCESWRHOUTNOTIFYING THE A4 TOBEY RESIDENCE DESIGNER OF THE OWNER NOTED.AS OTHER SEE DATE : L OF THE OWNER NOTED.ANY OTHER USE OF PH. (508)) 274-1166 THESE DRAWIN SA FAX (50$) 539-9402 16 ATH LO N E WAY HYAN N I S, MA THESE DRAWIECTUR L REOUINESTME WRITTEN 11/15/2012 CONSENT OF THE DESIGNER UNDER THE ACT OF COPYRIGHT PROTECTION ACT OF L 880. y, 44'-9' 18'-3' A 6 jo = 4 i(f ri RE 4 � iV 2 x 12 RIDGE BOARD N 00 B A6 0 0 0 0 I F--------I A o___r �l 4fl 0 I m W 0 � I A 6 N SIMPSON STHD14 STRAP ON BOTH SIDES OF THE GARAGE DOOR&CORNERS PER FORM TT-100D APAWOOD PORTAL WALL FRAMING I I 't UU GARAGEMUDROOMROOF STRUCTURE LT OVER ROOF FRAMING PLAN = GARAGE ROOF STRUCTURE 2 x 12 RIDGE BOARD NOTES: SOLID 2 z 8 BLOCKING IN THE OUTSIDE 1.) ALL ROOF RAFTERS TO BE 2 x 12's UNLESS OTHERWISE NOTED TWO RAFTER&CEILING JOIST BAYS i3 @ 48'D.D.,ALLOW SPACE FOR AIR 2.) USE SIMPSON H2.5 HURRICANE CLIPS FLOW ON THE UNDERSIDE OF ROOF AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS I B A6 22'-0' 33'-0' TH E DESIGNER SHALL BE NOTIFIED IF ANY SCALE DRAWING NO.: EaEK0043COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR• CNSTRCION.THONSARE FOUNDON TN ESE DRAWINGS PRIOR TO STARTOFWILL BE RESPONSBLE FOR T1 E CONT NTTOR1/4" = 11-011 BREWSTER ROAD WTHESE ES DRAWINGS IF CONSTRUCTION MASHPEEMA. 02649 OF THCOMME OWNER THOUTNOTED NOTIFYING ANY HE USE IA � TOBEY RESIDENCE THESE D OF ESIGNER ARE ERRORS ON OMISSIONS. DATE : PH. (508) 274-1166 THESE DRAWINGS REQUIRES THE USE FAX 50$ 539-9402 CONSENT OWNER NOTEDANY OTHER USE OF c 16 ATHLONE WAY HYANNIS, MA ACT OF1NAWIN09flE0UIflE3TNEWRITTEN 11/15/2012 ARCHITECTURAL THE DESIGNER UNON TXE Afl CXITECNRAL COPYfl IGHT PflOTECTx)N ACT OF 1580. • 2 x 6's @ 16"D.C.,USE 5-10d NAILS EACH END 12 �10 5/8"PLYWO 2 x 10 JOISTS @ 16"o.c. 5/8'FIRE RATED GYP.BOARD q EXIST. NEW NEW `' LIVING. MUDROOM GARAGEBID (5-CONC.SLAB W/6 x 6 W WF,PITCH 2'TO 2z10's@16'o.c. O.H.DOORS) EXIST. CRAWL. BASE. (2•CONC.SLAB) TYP.8'CONC. a FOUND.WALLS 'a ULD TYP.8"x 18"CONC. uL UC TO Pm v xu eNP FOOTINGS TO 4'0"BELOW GRADE sauLs Tv wwtt ♦iiii♦ ♦iiiii ♦i i i ii m-1 LiN Ill aA'LK xueu ...... iiiiii ♦isiii TYP. ROOF CONST. B SECTION @ GARAGE M mom"" -2 x 12 ROOF RAFTERS @ 16"o.C. 6 -518"COX PLYWOOD ROOF SHEATHING rAarol TV PLATE TD HEAVEN,Wml -ASPHALT ROOF SHINGLES TYP.WALL CONST. mlmW:vPu sPm Pus AT roc -15LB.FELT PAPER -11'HI-R BATT INSULATION 1.2 x 6 STUDS @ 16'o.e. �ez6 TO ILOR®Y�oe Wrsol NAILS IN r mTTGm AS @ SLOPED CEILINGS(R-38) 2.1/2'PLYWOOD SHEATHING spow ND r IN Mu TRIMMEDes ern .aa'ol° -1 t"BATT INSULATION 3.6'(R=20)BATT INSULATION AND @ FLAT CEILINGS(R=38) 4.1/2"GYPSUM BOARD CONT.RIDGE VENT -2 x 12 RIDGE BOARD S.W.C.SHINGLE SIDING -SIMPSON H 2.5 HURRICANE CLIPS S.TYVEK VAPOR BARRIER 2 x 6's @ 16"o.c. AT ALL RAFTER ENDS 7.6 MIL POLY VAPOR BARRIER cb ` FOR A PANEL sPLrr or -ICE/WATER SHIELD AT BOTTOM 3'0'OF ROOF 12 Poort m WALL xLRIB.SMALL. -PROP-A VENT BETWEEN RAFTERSAIY AR."MCA um M I►Im- -WIND WASH BARRIERS MATCH EXIST. W sTenle+L PN16°�°'�° r NAlil v1M m err tmmli Nm x�r.1M"PLATE WAun P�a>oiAl TOP OF PLATE 2 x 10 JOISTS @ 16'La`�MATCH 1/2'GYP.BOARD ••. i sTxri �. '• i ON 1 x 3 STRAPPING CONT.SOFFIT VENTS x.` i NRgVN i• A.. �' B @ 16'D.C. N E W NEW MASTER * MASTER BEDROOM .'•" BATH. O.H. DOOR DETAIL 3/4'TdGPLYWOOD SIDE ELEVATION SUBFLOOR-GLUED 8 NAILED FIRST FLOOR SUBFLOOR NO SCALE 2x12S@16'o.c. 3-2 x 12 GIRT 9'BAT*INSULATION(R=30) TYPICAL 3 1/2'DIA. SUEL LALLY COLUMNS CRAWLSPACE W/SICOLUMNSON CC4.5-4 4 TYP.8'CONCRETE FOUND WALLS P.T.2 x 6 SILL WI SEALER 2"CONC.SLAB L_J-TYPICAL 30'x 30'x 12' CONCRETE FOOTING A SECTION @ MASTER SUITE TYP.B'x 18'CONCRETE FOOTINGS W/2x4KEY A6 THEDESIORO SHALL SAREF UN IF ON ANY SCALE : DRAWING NO.: ®Q® COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: ERRORSCION,THE ONSAflEFCONTR TH ESE DRAWINGS PRIOR TO START OF WILL BE RESPONSIBLE FORT E CONTENT OR 1/4" - 1'-011 43 BREWSTER ROAD INTESED DRAWINGS IF NOTIFYING IN EN MASHPEE MA. 02649 TOBEY RESIDENCE OF THENC ES OWNERNHOUTNOTIFYING USE DATE : �� N E DESIGNER OF ANY ERRORS OR OMISSIONS. PH. (508) 274-1166 THESE DRAWINGS ARE REQUIRES Y FOR THEWRHE USE OF THE OWNER NOTED.ANY OTHER USE OF FAX (508) 539-9402 16 ATH LO N E WAY HYAN N I S, MA THESE DRAWINGS OEOUIRESTHE WRITTEN 11/15/2012 CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 090. i NOTES: NAILING SCHEDULE 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS 110 MPH EXPOSURE B WIND ZONE &DIMENSIONS IN THE FIELD JOINT DESCRIPTION NO, OF COMMON NAILS NO. OF BOX NAILS NAIL SPACING 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, ROOF FRAMING: DETAILS,&FINISHES IN THE FIELD WITH OWNER BLOCKING TO RAFTER(TOE NAILED) 2-8d 2-10d EACH END RIM BOARD TO RAFTER(END NAILED) 2-16 d 3-16d EACH END 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT WALL FRAMING: FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5-16d AT JOINTS 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STUD TO STUD(FACE NAILED) 2-16 d 2-16d 24"o.c. STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 HEADER TO HEADER(FACE NAILED) 16d 16d 16"o.c.ALONG EDGES 5.) 110 MPH EXPOSURE B WIND ZONE, 1.50 ASPECT RATIO FLOOR FRAMING: JOIST TOBLOCKING SILL,TOP PLATE OR GIRDER(TOE NAILED) 2-8d 4-1Od PER JOIST 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, BLOCKING TO JOISTS(fOE NAILED) 2-8d 2-10d EACH END OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-16d 4-16d EACH BLOCK 7. ALL LVL LUMBER/BEAMS TO BE 1.9e L/480 LOAD LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-16d 4-16d EACH JOIST JOIST ON LEDGER TO BEAM(TOE NAILED) 3-8d 3-1Od PER JOIST 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY YANKEE SURVEY FOR ALL BAND JOIST TO JOIST(END NAILED) 3-16d 4-16d PER JOIST PROPOSED&EXISTING DETAILS BAND JOIST TO SILL OR TOP PLATE(rOE NAILEDO 2-16d 3-16d PER FOOT 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL ROOF SHEATHING: SIMPSON COMPONENTS WOOD STRUCTURAL PANELS(PLYWOOD) RAFTERS OR TRUSSES SPACED UP TO 16"o.c. 8d 10d 6"EDGE/6"FIELD 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS RAFTERS OR TRUSSES SPACED OVER 16"o.c. 8d 1Oa 4"EDGE/4"FIELD TO BE 3000 PSI GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d 10d 6"EDGE/6"FIELD 11.) VERIFY ALL PLUMBING &ELECTRICAL DETAILS W/OWNERS ON THE SITE GABLE END WALL RAKE OR RAKE TRUSS ed 10a 6^EDGE/6"FIELD WI STRUCTURALOUTLOOKERS DURING FRAMING CONSTRUCTION GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d 10d 4"EDGE/4"FIELD 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE CEILING SHEATHING: 13.)ALL WINDOWS&DOORS TO HAVE SILL PANS&ICE/WATER SHIELD FLASHING GYPSUM WALLBOARD 5d COOLERS -- 7"EDGE/10"FIELD 14.)ALL AZEK TRIM TO BE PAINTED WHITE&ALL JOINTS/NAIL HOLES SEALED. WALL SHEATHING: WOOD STRUCTURAL PANELS(PLYWOOD) STUDS SPACED UP TO 24"O.C. 8d 10d 6"EDGE/12"FIELD 1/2"&25/32"FIBERBOARD PANELS 8d -- 3"EDGE/6"FIELD 1/2"GYPSUM WALLBOARD 5d COOLERS -- 7"EDGE/10"FIELD FLOOR SHEATHING: WOOD STRUCTURAL PANELS(PLYWOOD) 1"OR LESS THICKNESS 8d 10d 6"EDGE/12"FIELD GREATER THAN 1"THICKNESS 10d 16d 6"EDGE/6"FIELD INSTALL TWO FULL HEIGHT STUDS&ONE JACK STUD AT EACH SIDE OF ALL ROUGH OPENINGS APPLY CAULK OR IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS UNLESS OTHERWISE NOTED TAPE SEAMS AND SHEATHING SEAMS AND THE TYVEK VAPOR BARRIER CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION WINDOW TABLE 402.1.1 (MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) 2 x 6 WALL APPLY CAULK OR FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL APPLY CAULK OR ADHESIVE UNDER U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE ADHESIVE WHERE PLATE 0.35 0.60 38 20 30 10/13 10(2 FT.DEEP) 10/13 JACK STUD INDICATED (ROUGH OPENING) NOTES: 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. ROUGH OPENING DETAIL 2.10113 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2009 CHAPTER 4 FOR ALL INSULATION&ENERGY'REQUIREMENTS *A — INSTALL 5/8"ANCHOR BOLTS AT 48"o.c.MAX. W/SIMPSONBPS S/IN S'-1BEARING"OF PLATESDETAIL AT FIRST FLOOR !__ 518'CDX PLYWOOD SHEATHING 6, S. PLACE BOLTS WITHIN 6'-15'OF EACH2 x 12 RAFTERS154 FELT PAPER CORNER AND TO A 8"MINIMUM DEPTH BARRIERSIMPSON H 2.5 HURRICANE CLIPS WINDWA.SH3'0"WIDE ICE/WATER SHIELD 7vEf 0LUMINUM DRIP EDGE QFASCIA.FRIEZE&SOFFIT BOARDS 1x3 STRAPPING RTO MATCH EXIST. 12"GYPSUM BOARD q Z P.T.2 x 6 SILL W/SEALER 0 TYP.2 x 6 WALLS m DETAIL AT CORNICE SCALE: 1/2"= 1'-0" ANCHOR BOLT DETAIL ERROR$IORO SHALL BERE IFIEDFOUND IF ANY SCALE : DRAWING NO.: COTUIT BAY DESIGN, LLC NEW ADD ITION/REMO DELI NG FOR: CONSTRUCTION. THE BUILDING AREFCONTR 11�\ THESE DRAWINGS PRIOR TO START OF WILL BERESPONSIBLE FOR E CONTENTTOfl 1/4" - 1 -0" 43 BREWSTER ROAD _ COMMENCES WITHOUT CONSTRUCTION MASHPEE MA. 02649 THESEAWINGHOUT SOLELYFORTH �� p % TOBEY RESIDENCE ING THE DESIGNER OWNERANYOTED.AS OTHER OMISSIONS. DATE : PH. (508 2/4-1166 THESE DRAWINGS ARE SOLELY FOR THE UOF SE TN ESE DRAWINGS REQUIRES THE WRITTEN OF H OWNER N FAX (508) 539-9402 16 ATH LO N E WAY HYAN N I S, MA CONSENT 1990. HE DESIGNER UNOERTHE 11/15/2012 J ARCHITECTURAL COPYRIGHT PROTECT10N 1 ACT OF IB80.