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0023 PARK PLACE
�3 O� �a� — — —� � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Z�o Map Parcel It Application � Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Feet Date Definitive Plan Approved by Planning Board Historic - OKH Preservation,/ Hyannis Project Street Address �3 ? AvL jL PIA C Village 1,J tS PO t2`- - Owner (Z5 i -TAa3C-ACy L_(.01 Address ZZ.3 R AsPI1C 101 Telephone Permit Request t) Q 0AT( I S��v�1�� `' CSz) '� L) 7DDAk E l ill �� �� (� �5 _ (—� ��S l� y T t-' ��1S�MQ-��-�/U C�i�� C"e IKtrz�'✓k- Square feet: 1 st floor: existihc�©: proposed 2nd floor: existingZS00 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation S 000 Construction Type 130Er-J'1A'L Lot Size a 166 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 30 ` _� Historic House: ❑Yes b�No On Old King's Highway: ❑Yes NNO Basement Type: NFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Zo� Number of Baths: Full: existing new Half: existing new Number of Bedrooms: � existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: MGas ❑Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing �_ - New Existing wood/coal stove: ❑Yes Flo Detached garage: kexisting ❑ new size—Pool:t4 existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garageexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ c� Commercial ❑Yes No If yes, site plan review # o Current Use a i',A-L_ Proposed Use S i 9Ci _ a APPLICANT INFORMATION , rM (BUILDER OR HOMEOWNER) CC) M Name2 ab..If - I )/ r 6 S y "� Arr S�,L Telephone Number '4Z6 - D6 Address Bo &OX 310 License # CS - Home Improvement Contractor# Li 608 Worker's Compensation # , ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO36gi6► L_C,— SIGNATURE DATE (1 16Z FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: { FOUNDATION i FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT S ASSOCIATION PLAN NO. The Conttnoiiwealth of illassachusetts ?t4nt Form — _ Department of Ltdustrial Accidents ❑r Office of lit vestigations ' 1 Congress Street Suite 100 a J Boston, MA 02114-2017 ' tivivtiv.trtass.aoiildia Worker's' Compensation Insurance Affidavit: Buildei s/Contractors/Electricians/Plumbers Applicant Information Please Print LeQibh' Name (Business/Organization/Individual): �c gas S ({>•j �r�C�e 3 J i L Xr_rLS Address: Lty S C.c! ST GA-n Js i-A, aS'T—c VZ j t L�� 7L 0 A.P City/State/Zip: 0Str 'PhoneZ ._ 6 (c�G Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4•KI am a general contractor and I employees(full and/or part-time).` have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or parnrer- listed on the attached sheet. 7.- Fp�LRemodelina shipand have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. employees and have workers' +[No workers' comp. insurance comp. insurance. 9. ❑Building addition 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 1 1.❑ Plumbing repairs or additions myself. [No workers' comp: right of exemption per VIOL 12 ❑ Roof repairs- insurance required.] c. 152. §1(4),and we have no employees. [Nto-workers' 13•0Other comp.insurance required.] 'Any applicant that check box rT must also till out the section below showing their workers'compensation policy information. . Honieo}vners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicative such. Contractors that check this box must attached an additional sheer showing the name of the sub-contractors and state whether or not those entities have emplovees. If the sub-contractor have employees,they must provide their.workers'comp.policy number. I ann an employer that is providing workers'connpensation insurance for my errnployees. Below is the policy and job site information. + - Insurance Company Name: Policy--A or Self-ins. Lic. ('O J '1 LA q'M Expiration Date: 1 f i3 Job Site Address: '2i3 QA2.ic P L_A-CC= `` City/State/Zip: 4 Ayt K i S Attach a copy of the workers* compensation-policy declaration page (shoitiing the policy number and expiration date). Failure to secure coverage as required under Section 25A of\'IGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 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 S250.00 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 cover e verification. 1 do hereby cer•ti nder th aims a d pen It es of perjury that the information provided above is true and correct. Signature: Date: {I ?✓ 1.:2 Phone r: y 2 Cs t 06 Official itse only. Do not write In this area,to be completed by cia?or tox'tr official. City or Town: Permit/License# ... . Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone A: Rogers& Marney, Inc. List of Subcontractors performing work at 23 Park Place, Hyannisport, MA. Bouse House- (WC#0054410511) Expires 5/18/13 Spencer Hallett Plumbing, Inc. (WC#336091) Expires 2/22/13 South Shore Heating&Cooling, Inc. (WC#038089081) Expires 7/1/13 Colony Insulation, Inc. (WC#NEWWC) Expires 8/18/13 Blueboard Specialist(WC#UB-0194N848-12) Expires 3/13/13', Atlantic Marble & Granite, Inc. (WC#009768087)Expires 6/5/13 L& M Glass Company, Inc. (WC#8661279) Expires 5/1/13. . r gypp•, ROGER-1 OP ID: KG (MMCERTIFICATE OF LIABILITY INSURANCE- DATE 0412 11YVYY) 4123112 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). ONT PRODUCER 508-771-1632 NAMEACT , Northwood Ins.Agency,Inc. PHONE — Fax 540 Main Street,Suite 9 508-393-2955 AIC No Ex1: AIC,No: Hyannis,MA 02601 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC I INSURER A:General Casualty Insurance Co. 24414 INSURED Rogers&Mamey, Inc. INSURER 8:THE HARTFORD Gary Souza INSURERC: P.O. Box 310 Osterville,MA 02655 INSURER 0: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MMIDDrYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE t 1,000,000 A X :':'r:n>IERCIAL GENEkaL uA.E1uTv CCI 0395621 03120/12 03/20113 LIAIAAI�REMI ( N , PREMISES Eaoccurrenw) 100,000 CLAIMS-MADE I ^ i OCCUR" MED E.`cP(Anyone person) S 5,000 PERSONAL ADV INJURY 3 1,000,000 ___ _ I .• GENERAL AGGREGATE 'd 2,000,000 _-EN'L A61bRE^ATE LIMIT APF•LIE`i PEP PRODUCTS-COMP/OF'AGG S 2,000,000 F'Ro. i AUTOMOBILE LIABILITY T _ COM6INED SINGLE LIMIT Ea accident =.hrr Al1TO 60DILY INJURY(Per person) S .ALL C,`,'dMEG ACHED!ILED - E"ODILY INJURY(Per ar.;:iidenl) A AIj T .AIIT-D, bbIJ-C!�bF1ED - PRiJF'ERT1'DAA1Ar_.E s ED AVT(:, AlTC'.> 1 �. Per au Nenq UMBRELLA LIAB '_I:UR EACH OCCUF.•RENCE 4 EXCESS LIAB ,:LAIMS-MADE AGGREGATE - R DEC, RETENTION 1: $ WORKERS COMPENSATION T'1NC SLAT U OTH- AND EMPLOYERS'LIABILITY R' IMIT" R _ B r-taPF.'OF'F.'IET':n;FAF•TNEF.•;E%EtUTIVE YIN 6S60UB-4977P25-2-12 ; 01/01/12- 01/01/13 EL.EACH ACCIDENT $ 500,000 i'FFICER!T.tEP:16ER EXCLUDED: L� NIA SOO,000 (Mandatory in NH) E L.DISEASE:EA EMPLOYEE 8 ,yes.•le4De um1Ef DE'-.':RIPTIOnN OF OPER'ATI!7N'i b�Irn: E L DISEASE-POLIC'r OMIT 8. 500,000 r , DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedute,if more space is required) CERTIFICATE HOLDER CANCELLATION r TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 230 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Massachusetts • Department of Public Safety Board of Building Regulations and Standards Construction Super,%kor ?jFx sYr'; l License: CS-102999 r GARY J SOUZA ,= P.O. BOX 310 Osterville MA 02iS55 =� Expiration Commissioner 08/16/2014 Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet (991M )of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massac etts 02116 t� ` Home Improvement 0401*tor Registration Reqistration: 164688 Type: Private Corporation === = Expiration: 10/30/2013 Tr/! 217452 ROGERS AND MARNEY, INC. = ' . GARY SOUZA P.O. BOX 310 ' OSTERVILLE, MA 02655 -- - Update Address and return card.Mark reason for change. Address 7, Renewal Employment Lost Card DPS-CAI 0 5OM-04/04-GIO1216 6711 Consumer Affairs& ° Od"�i0 License or registration valid for individul use only Office of Cousumer Affairs&B siness Regulation 8 Y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: C T Office of Consumer Affairs and Business Regulation Registration: -164688 YPe� y .� Expiration: 40/30/2013 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 RO RS AND MARNEY.INC. GARY SOUZA _445 WEST BARNSTAKgE RD. B Sc OSTERVILLE,MA 02655`. Undersecretary of vali thout 'gnature r:. f 0FIME T Town of Barnstable Regulatory Services BAR.YSTABL& v MASS. m Thomas F.Geiler,Director �. 039. AlED �' Building Division Tom Perm, Building Commissioner 260 Main Street, Hyannis,NLA 02601 Office: 50S-S62-403S Fax: 50S-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, /"�/z5 Tom•.►(, C- �L o y,� , as Owner of the subject property- herebyauthorize ROGERS & MARNEY, INC. to act on my behalf, in all matters relati'•e to work authorized by this building permit application for(address of job L C4Si-,nr;-, f / Omer Date - 6 Print \a e Q FOR-MS 0%'-N"ERPcP\HSS!0N , Lloyd Residence CARBON MONOXIDE ALARMS MUST BE INSTALLED PER 23 Park Place MASSACHUSETTS BUILDING CODE Hyannisport, Massachusetts OKE DETECTORS REVIEWED BARNSTABLE B LDING DEPT. DATE "} FIRE DEPARTMENT DATE BOTH SIGNATURESARE REQUIRED FOR PERMITZA Construction Drawings Issued for Permit 11/21/12 W J-1la _ LDa ARCHITECTURE&INTERIORS 222 Thf,d blidg St A 02 42 tel.617-621-1477 ' • 3�1J��#1SN���.�� ' -Camprltlge MA 02142 fax.61]-621-14]] ' www.LDa-Arch teas cam SYMBOLS KEY ABBREVIATIONS DRAWING LIST �uv" � �� nou aoR xrs xm msceE COVERSHEET � G100 INDUSHEET DI00 BISEMEM OEMOLRION PIPN AID BASEMENTRLAN ' A10, BASEMENr RERECiEOOEM1MGPUN Z 0 xvuc�AE RErtRE.wf. cr cER T.E exn RIs[n oR.E A3fA BASEMENT INTERIOR ELEVATIONS ' � RErtRExr{ esu �� ox mmI O REmrtrcE O A, rrID Rau— Err ExruuR Ro RWUIovFwEG All 11.1—TIO, IG A AND F a _ w� xAsoxm oxExixc � U — C DOOR SCHEDULE BUILDING CODE Ion Rx� �o xx rN w o wExr.wwwmo 7:3 — � �x�.Rxw .,a r NrERx�,Mx„Nx,N.<x�xMR.I��xE�`IA� oT — AM o —E ' 'rP GENERAL NOTES E rt^I�mm ' INFORMATION SHEET G 100 Y �.a tj I � • -------------------------- ---- --- ----- - -- - ------------------------ F ° t aA �i i f R i� - s ---------------- • � S3 a euNA Lloyd Residence r LDa Q _ 23 Park Place c ARCHITECTURE&INTERIORS Hyannisport,Massachusetts J � s Y all Y�g � --j a - P a n � � a ® 3 D mv = Lloyd Residence O eo jpw LDa Ot 23 Park Place ARCHITECTURE&INTERIORS Hyannisport,Massachusetts LIGHTIPDWER SCHEDULE: �jP uE®scw,�s„n z ®s � - qp onnames w - Wr,� c�uaou�. ■x s ww.rc vEsmrcx J �,• s,wus,sw ' Om awcosrzc,u I F' ,.._�m.. 4 ....._.... _I p W a m � � ; 1 � ddd ✓wi I 4-- r � , a i a (I _ � I _ BASEMENT REFLECTED - CEILING PLAN A101 I I I 9 ia L------------------ a �\ 5' c i R J 9� Till {_ \ 11 1 1 11 m CDm C7 ❑ � in i r m 0 ; e Lloyd Residence 1 N Pse= = m ¢ g LDS. b h - § O N 23 Park Place ARCHITECTURE&INTERIORS Hyannisport,Massachusetts TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0/0 i 0VV OF 8 `,''S T A B L E 'Application # o Health Division yj, 3: Date Issued €it.,_. 1 tip; P''j -: � 1 Conservation Division Application Fee Planning Dept. Permit Fee fo Date Definitive Plan Approved by Planning Board «' S H1 s Historic - OKH = Preservation/ Hyannis i Project Street Address Z 3 ?4)2-1` 4cr Village Owner 7;a!^) 6 4_0 yl-25 Address 66 P A a Telephone -S-OY- 412-6- 6/06 Permit Request o,c SF LoN_o OLC„- '/?0T Two 20QA4 S ! 347-64 e QA_rT- 8,44?_ = 5 A.r O/'- 'oe G 2rd SS iias _ 80-/,k� 7- P Co-Si�rZ /5 0 Square feet: 1 st floor: existing 960 proposed o 2nd floor: existing VG.Uproposed Z—Total new b Zoning District Flood Plain Groundwater Overlay Project Valuation-$ o, aoo.w Construction Type Lot Size_ 8 G Ac.�,�s Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure IS Historic House: ❑Yes 4No On Old King's Highway: ❑Yes Z(No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing S new Half: existing new a Number of Bedrooms: .S existing z new Total Room Count (not including baths): existing 8 new 3 First Floor Room Count S Heat Type and Fuel: W(Gas ❑Oil ❑ Electric ❑ Other Central Air: 4Yes ❑ No Fireplaces: Existing New O Existing wood/coal stove: ❑Yes ;S(No yoXZy Detached garage:A existing U new size_Pool:9kexisting ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes &No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name U ZA Telephone Number 509- yZ(3 -G/0C Address P. 0. License#— 11102779 Home Improvement Contractor# V 6 89 Worker's Compensation # We- oar- g-/ 8yy3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE C DATE 1 " FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL = r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Y DATE CLOSED OUT ASSOCIATION PLAN NO. i Town of Barnstable Regulatory Services Thomas F. Geiler, snxxsTeai,E, : ,Director Ames. 0 9. &• Building Division'` Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF.RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE I(We), the undersigned, Tangley Campbell Lloyd, being the owners)of property situated at 23 Park Place, in Hyannis, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book , , Page , or as Document No. 1143309, being shown on Assessors' Map 286 as Parcel 610; hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory building to the residence located on the same parcel as above-described, which . contains living quarters, is not intended for and shall not be used as a permanent, separate apartment for year-round or summer occupancy,for rent in any fashion. The intended and authorized use is for the occasional'guests associated with the residential use on the same premises. This separate unit shall not be used for a "Family Apartment" (as defined in Zoning Ordinances)which would require application and approval of a special permit and compliance with the Family Apartment Rules and Regulations. This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which . rental would be a violation of the Town of Barnstable's rules,regulations,and zoning ordinances. , This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,which shall run with the land.and binding future owners. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 201 ' i TOWN OF BARNSTABLE OWNER(S) By: , Tangley Campbell Lloyd. wilding Commission THE COMMONWEALTH OF MASSACHUSETTBARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), and made oath as to the truth,of the foregoing instrument,before me: , Notary Public My Commission Expires: Q:word/accessoryagreement Town' of Barnstable ; Regalatory Services. Thomas F. Geiler, Director Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601' p www Aown.b arnsta b l e.ma.us l9� P Officer 508-862-4038 C-:e Fax: 508-790-623C PLAN RE Y'.l._C W Owner. T, L— —y lb Map/Parcel: �� � 016 Project Address �� P���z P u11der: The following iterm, were noted on reviewing: TV E-0 Reviewed by: Date: r a 01/11/2012 08:10 5084203550 ROGERS & MARNEY,INC PAGE . 01/02 P*,&Ikm TO VI N 0 i 9At11,ful��3 i dE S E INC. - . BUILDERS 44,5 Nest%rnstable Road Ei P.O.Box310 Oster-Oe,MA o2655 Ph.(5o8)428-6106 FAX z Fax(,5og)420-3550 www.rogei sandm arneybuilders.com. Attn: Paul Roma From.: Marc S.Zeoli Company: Date /A Fax 508-79o-623o Pages: 21 ( .. r) Re_ Lloyd., 23 Park Place CC: ❑Urgen t ❑ Reply ASAP ❑ Please Comment ❑Please.Review x For your information Paul, Tierr:.is the affidavit letter for 23 Park Place th.at.you,requested. Please let us know if you.sllould need anv additional inform,,a1ion. Thinks, Mire.S.%Frill 01/11/2012 08:10 5084203550 ROGERS & MARNEY,INC Doc 22 11 07:61 a Langley C.Lloyd (203)629 3435 p.1 f i. j .. ROGERS&MAKNEY INC. BU1LDERS iV December 21.,2011 Dear To Whom it my concern, Affidavit Letter for 23 Park Place, Hyanriisport,MA. This letter is to inform you that the new liviIng space over the detached garage will only be used for Family. It will not be used as a rental or.for any type of income generation. . Sincer 1/�angley Lloyd • sanclmarneyb t11�ldCYS.COm %ildin , CLaalitiy Romer since 1966 ra cr g — Pori Oft cc Brnc 37.Q, (7stcrvillc,MA'OZfi55 w tel 508.428.6104 • fax 508.420.3550 • em-ul ifs m�cra9Anyunc�,b�t;tdcrs.cc>n+ +y :w The Commonwealth of Massachusetts l Department of Industrial Accidents i Office of Investigations l ; .4� 1 ;till �f 600 Washington Street Boston,MA 02111 c �=' www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (business/Organizationllndividual): �O(„f�2� /i�,aiz•yr�y �ryL Address: 0. City/State/Zip: o>.-..a V•r-e.C Phone#:' g — G /oC Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4.&1 am a general contractor and I 6. 0 New construction employees(full and/or part-time).* have hired the subcontractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• t�[Zemodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp, insurance. g, ❑ Building addition [No workers' comp. insurance S. ❑ We are a corporation and its required.] officers have exercised then 10. ❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.[] Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t. employees. [No workers' 13.0 Other comp.insurance required.] *Arty applicant that checks box#I must also fill out the section below showing their workers'compaisation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hum outside contractors must submit a new affidavit indicating such. xContraetors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. ram an employer&at is providing workers'compensation insurance for my employees: Below is thepolicy and job site information. Insurance Company Name:_/�v2 �,•�„�,,.� �,uc �.�.► y ZN Policy#or Self-ins.Lic.#: W L Gb &-q-/ $ y 3 Expiration Date: >Z, /Z Job Site Address: ?Ar2/<_ Pc.-C_ City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 certi the p ' and pen o per* ry that the information provided above is true and correct Si ature: Date: �2 iS Phone#: Official use only. Do not write in this area,to be completed by city or fawn official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector. 6. Other Contact Person: Phone#: OP ID: KG LIABILITY INSURANCE DATE(MMmorvryY) Acofzo- CERTIFICATE OF 03125111 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 CONTACT - PRODUCER 508-771-1632 NAME: Northwood Ins.Apric ,Inc. 508-393-2955 PHONE Faux No: 540 Main Street,Suite 9 A/C No Eat: Hyannis,MA 02601 ADDRESS: PRODUCE RODUc R ROGER-1 CUSTOMER ID is INSURER(S)AFFORDING COVERAGE NAIC f INSURED Rogers&Mamey,Inc. INSURERA:General Casualty Insurance Co. ' 24414 P.O.Box 310 INSURERS:AMERICAN INTERNATIONAL Osterville,MA 02655 INSURER c: INSURER D:. 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS_, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXIP IN LIMBS SR TYPE OF INSURANCE - POLICY NUMBER MMIDD/YYYY MMIDO/YYYY LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CCI0395621 - 03120/11 03/20112 PREMISES Ea occurrence $ 10,000 CLAIMS-MADE XX1OCCUR _ _ • MED EXP(Any one person) $ 5,00 • PERSONAL&ADV INJURY $ 1,000,000 • - GENERAL AGGREGATE $ 2,000,00 !,EN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000.000 PRO. LOC POLICY (T A COMBINED SINGLE LIMIT UTOMOBILE LIABILITY E (Ea accident) ANYALITO _ - BODILY INJJRY(Per person) $ ALL OWNEDALITOS BODILY INJURY(Per accident) 8 SCHEDIJLEDAUTOS PROPERTY DAMAGE E (Per accident) HIF'EDALITOS ` $ NL,N-OWNED N_IT,)S $ UMBRELLA LIAR OCCUR EACH OCCURRENCE E EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION E WORKERS COMPENSATION STATU- &R TWC RY IMIT`' X R AND EMPLOYERS'LIABILITY 01101/11 01/01/12 E L EACH ACCIDENT $ 500,000 B ANY NFI OPRIETERR IARTNDEO�CUTIVE Y❑FNI COO6518443 EL DISEASE-EA EMPLOYEE $ 500,00 (Mandatory in NH) 11 yes.descnbe under EL DISEASE-POLICY LIMIT $ 500,000 C�ESCRIPTION OF OPERATIONS be4+w DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101;Additional Remar*2 Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION BARN3Tl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWn Of 111="tablc AUTHORIZED REPRESENTATIVE 367 MaiII Street Hyannis NX 02601 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD Rogers & Marney,Inc. List of Subcontractors performing work at 231'ark Place,'Hyannisport, MA. Bouse House - (WC# 005441 Expires ires 5/18/12 Bay Colony Concrete Forms, Inc. —Foundation (WC# WC0002466) Expires 3/31/12 Barger Masonry, Inc. —(WC#UB-01 87N279-1 1) Expires 02/28/12 David Cox, Inc. —Roofing & Siding (WC# 6K01391OX742211) Expires 7/15/12 Lafluer' Electric Co. (WCA9097899) Expires 7/9/12 Spencer Hallet Plumbing, Inc. (WC# 15494F) Expires 2/22/12 South Shore Heating & Cooling, Inc. (WC# 500614701) Expires 1/10/12 Colony Insulation, Inc. (WC#TWC3285087) Expires 08/18/12 Blueboard Specialist (WC#UB-0194N848-10) Expires 3/3/12 Pat Kellerher Installations=Garage Doors (WC#C46251362) Expires 4/10/12 J.E. Gemme Tile Contactor (WC#UB-9663L498-11) Expires 11/17/12 Harmon Painting, Inc. (WC#J6189M) Expires 1/4/12 Atlantic Marble & Granite, Inc. (WC# 009768087) Expires 6/5/12 L&M Glass Company,Inc. (WC# 8661279) Expires 5/1/12 a ' Massachusetts- Department of Public Safet% ' Board of Building Regulations and Standards Construction Supervisor License License: CS 102999 ReWicted to:,..,t10 GARY SOUZA P.O. BOX 21 f COTUIT, MA 62635. Expiration: 8/16✓2012 ('nmmissioncr Tr#: 102999 r Dec 0611 06:06p Tangley C.Lloyd (203)629 3435 p.1 12/05/2011 12:01 5084203550 KtAitKS a rwr�i,c++ , ..� Town of Barnstable Regulatory Services Thomas F.Geller,Director ��s +�` � lt,15�• ¢ , ,'0 IL d BuildlDg Division Tom perry, Building Commissioner 2001tain$treat. Hyannis,LLB 02601 Office. 505-362-403S Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A. Builder I, le ft : as Qwner of the subject property herebyautborize RaGER5 ra MAMEY, INC. to act on my.beha',f, in all matters reladve to work au nZCd by this building prrmit application for(address of job) �� /ii�1K•,/� �LAt.K `! �"Y/i�larSfcv7r y �'V '� ,ana re ate HIC Registration Complaints Page 1 of 1 j The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov i Consumer Affairs and Business Regulation { 4 Home>Consumer>Home Improvement Contracting> ..............I.._....................................................._._......._._.............................................................................._......"...........................................:................................_. ............. RELATED LINKS HIC Registration C0171plaII1tS Home Improvement Contractor Registration Home Page Registration# 164688 Registrant ROGERS AND MARNEY, INC. f Name GARYSOUZA i Address P.O. BOX 310 City, State Zip OSTERVILLE,MA 02655. f Expiration Date 10/30/2013 Complaints Details No complaints found for this registrant. ! You can also view arbitration and Guaranty Fund history. Back To Search t i ©2011 Commonwealth of Massachusetts t } http://services.oca.state.ma.us/hic/licdetails.aspx?txtS earchLN=... 12/16/2011 IV RM y � .SAY ,_. 2 � a •.'.' < . !:w 3 - -�.' k E35o Y _. 1 OC2O _ IL t PRcvo$ED b PIT / +t G.r.acrw r- �r P%T Iap F tl k lyS TOK orlz IV _ CSC • e � .. • • ' - V ' Jt 1w OUNDA. T lq►� � n n Office of Consumer Affairs and Efusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massaip4u�etts 02116 Home Improvement C r Registration - M — Reilistration_ 164686 ='-=�=ice;==- T e_ Private Corporation, Expiration_ 1 013012 01 3 Tr# 217452 -ROGERS AND MARNEY, INC. CAI Y �OUZA P iQ BOX 310 OSTERVILLE, MIA 02655 --- - Update Address and return card.(dark reason for change. -- Address — Renewal Employment F! Lost Card UPS-CA1 A 5DId-04AWG101211E — — — .../ Z,/J6f)til7Tl.9ECl��CZI.VL �r,,��' bZ¢d�dJl1dL .. . Office of Consamer Affoirs 8 Bdsintss Regulation License or registration valid for individul use only -.HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ,1 4ggg Type: Office of Consumer Affairs and Business Regulation Expiration: -1013MO13 Private Corporation 10 Park Plaza-Suite 5170 Boston,WIA 02116 RO RS AND h4ARNUY;*."lWC. GARY SOUZA _ 445 WEST SARNSTABLE4RD ,PST RViLLE, MA 02655'" undcrsecretar� of V-21i ttiaut gnature S) V V 1 I r� a _ �TME Town of Barnstable *Permit# vleva ' D.e Expires 6 mondu from issue date axsr ; Regulatory Services Fee 7 KAM %63 ,off Thomas F.Geiiler,Director Building Division Tom Perry, Building Commissioner PERM-IT 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 DEC 1 2004 . Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESERENUMAINUBARNSTABLE T Not Valid without Red X-Press Imprint Map/parcel Numberf1 Property Address /V��'x ywl,:5p'n Residential Value of Work %2.44 d Minimum fee of-$25.00 for work tinder$6000.00 Owner's Name&Address �, '� .� z�wzw Contractor's Name -rE(,�,/%fir'�� Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance N Check one: ❑ I am a sole proprietor ❑ I am the Homeowner FerI have Worker's Compensation Insurance Insurance Company Name T � �4,i�l/i +LS Workman's Comp:Policy# //T&J2L -7 JL-� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) vie-roof(stripping old shingles) All constriction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows.. 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. Home Improvement Contractors License is required. rg ' �� �f7� -VOOI7/I)Ldltll/CCl�LIL O�✓(�LaQQ�I[IQC�t. Board of Building Regulations and Standards i HOME IM�OVEMENT CONTRACTOR !; Registra4i*on 100497 x / 2006 ...... i to Corporation DAVID COX,IN a i j David Cox 19 LAVENDER LN �w - ,e`' � W.YARMOUTH,MA 02673 {{ Administrator a • °FTME,�,ti Town of Barnstable Regulatory Services t ; Thomas F.Geller,Director ' `�� Building Division '°tEc MA'S a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 wwmtown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �i�,1 �� to act on my behalf, in all matters relative to work authorized by this building perrnit application for: (Address of Job) V11A �� �'� 0L na6re of Owner Date Print Name Q:FORMS:OWNERFERMISSION TOWN OF BARNSTABLE BUILDING PERMIT -� PARCEL ID 286 010 GEOBASE ID 18916 ADDRESS 23 PARK PLACE "-' PHONE HYANNISPORT ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 67436 DESCRIPTION GUNITE POOL WITH SPA PERMIT TYPE BPOOL TITLE BUILDING PERMIT POOL CONTRACTORS: ROGERS AND MARNEY Department of ARCHITECTS: Regulatory Services TOTAL FEES: $60.00 BOND $,00 p�F CONSTRUCTION COSTS $35,000.00 329 STRUCTURE OTHER THAN BLDG 1 PRIVATE * saRrtsTasLE, +► Mass. i6g9. FD Mpl A BUILDING RY19I014 _ BY LeL DATE ISSUED 03/12/2003 EXPIRATION DATE �fe 4, f TOW6 OF BARNSTABL BUILDING PERMIT `` "> z PARCEL ~ID 286 010 ' GROBASR ID, 18918 � h ADDRESS 23 PARE PLACE . PHONE HYANNISPURTZIP , LOT „ BLOC N: K "' ' LOT SIR DBA DEVELOPMENT DISTRICT HY.: PERMIT . :37 ;3E3 DRSCPIPTION OCJNITE POOL WITH SPA PERMIT`TYPR aBPOO 'TI'�LE BUILDING"'PERMIT POOL CONTRACTORS: ROGERS� AND MONEY Department of ARCHITECTS: ., Regulatory Services TOTAL FERS: $60.00 13ON1? CONSTRUCTION COSTS *;0op 00 329 STRUCTURE OTHER .THAN BLDG 1 PRIVATE MASS. 16 FD MA'S A 3 BUILDI G IDYI ON BY i x, DATE ISSUED 03/1.2/2003 EXPIRATION DATE Vsip{ THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY-OR PERMANENTLY. EW CROACHMENTS ON"PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. 'MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED":UNTIL FINAL INSPECTION PERMITS AREJ REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE gNICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. , 1 ® O ® ® � BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRIC L INSP CTION APPROVALS N6 ,r9 Qp 2 2 , 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I, 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. P BUILDING P ERM IT f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel o►o i� Permit# `� b Health Division 193 D Date Issued 3_ �a- 03 Conservation Division -3110143 s£3- yc LU� �`� Fee ��D ' Tax Collector c�t��� (7 L —&) L 03 ; Treasurer t k- - t _ --3 3 r m tqus-r SE S��TIG SYS'TE Planning Dept. t'LLO IN Date Definitive Plan Approved by Planning Board 3 v t���a�� 2�p r� Coj)=_pint Historic-OKH Preservation/Hyannis-, Project Street Address 3 FA cz P� A,r r Village Owner , 7-A#rt Lf!J t_ . n C LA 4,o Address _1-To STAy4wlC t}.2 D 6eS.6Ww1c Telephone e d 3 629 . 3,g 3s— o683t� Permit Request Corts'r2vcT' IAt6 2oyny2_PnnL U.,V71 _P4 26 X 22� I Square feet: 1 st floor: existing proposed ^ 2nd floor: existing proposed Total new es Valuation 5S;oap Zoning District ?-F- I Flood Plain NT Groundwater Overlay 4 P Construction Type G uN rrF Lot Size �36 4,G2e 5 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family &1-' Two Family ❑ Multi-Family(#units) Age of Existing Structure 16 Historic House: ❑Yes A No On Old King's Highway: ❑Yes Xf No Basement Type: 4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) o Basement Unfinished Area(sq.ft) Number of Baths: Full: existing S new Half:existing new Number of Bedrooms: existing S new — Total Room Count(not including baths): existing new' First Floor Room Count S Heat Type and Fuel: 2d Gas ❑Oil ❑ Electric ❑Other Central Air: ! Yes ❑No Fireplaces: Existing 2 New Existing wood/coal stove: ❑Yes ;K No Detached garage:dexisting ❑new size — Pool: ❑existing A new size &6X Z2 Barn:Cl existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size --- Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ►Rlo If yes, site plan review# Current Use !9wr. C- Fg m i Lye ' Proposed Use 'T I war BUILDER INFORMATION Name 206ERS 4 W ARW Telephone Number Sob e12 S 61o6 Address _13X 31 D License# CS ar 161?q 0STE ZV i LLS' . m4k Home Improvement Contractor# too t344 . n 2-6sS Worker's Compensation# We_ 6 2S 14 6 2- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN _ SY HAe-0v.4SF_Z 4' o 4 h! SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT,NO. DATE ISSUED _ MAP/PARCEL NO. _ F ' ADDRESS VILLAGE 4 OWNER , DATE OF INSPECTION: 0 FOUNDATION- FRAME ,eS 0 FRAME INSULATION FIREPLACE : ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL F s FINAL BUILDING fig D k !d LAV, 3 DATE CLOSED OUT ASSOCIATION PLAN NO. - �_--L- The Commonwealth ofMassachusetrs Department of Industrial Accidents ONCe el/oyestlgatJeas 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit t ntih V.. l name: I location: city phone" I am a homeowner performing all work myself. I 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. company name. ROGERS & MARNM INC. . - P.O. BOX 310 . address: city: OSTERVILLE. MA :02655 phone#• (508) 4 8-6106 insurance co. AMERTCAN INTERNATIONAL policy# WC F751 Ao ' I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: SEE ATTACHED SHEETS address: phone# insurance co. Policy# comnanv name: address: city Shone insurance co. policy# ?Attach sdditional sheet if necess'aJ rT" ""'t"' " Failure to secure coverage as required under Section 25A of'YiGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as H ell as civil penalties in the form of a STOP WORT:ORDER and a fine of S100.00 a day against me. 1 understand that a cope of this statement ma% be fon+arded to the Office of Investigations of the D1A for coverage verification. 1 do herebt•certift•under th pains and penalties of perjury that the information provided above is true and correct. Sienature Jt lM la .L NC— Dace 1 I` 119 •�Z. Print name EIL Phont oRcial use only do not M rite in this arcs to be completed by eir or town OMCial cir% or town: permit license tf t iBuilding Department t F Licensin;Board kcheck if immediate response is required Selectmen's Office Health Department contact person: phone B: rlOther ' i fro.ac.:Ana Pl.aI ' i 03/12/2003 14:17 5084203550 POSERS AND MARNEY IN PAGE 02 ak - ceRTIFICATE OF LIABILITY INSURAldCB Utzmmpwm PROD ' 02 25 2003 n�TFIE�Qu wav Al A�; IN3VRANCK AGENCY ONLY AND CONFM !VO R&fn 11F'ON AT" T1fH CERT MUNTY ST HER• TW CERT'DiCATZ DM NOT ANENO� WEND OR 30MERSET MA 02726 ALTER, VMS CONRRAQ! "FORDED NY TMi FOL—Za BELOW. . 508 679 8 6 31 GOI�_ _ ,NKMERi AFFQROIMO ow4MOE c5 'fo- ITE pObLZ .i NC �ksuRe��: T DALE 5 7 4 D F AL I, RIVER AVEAIld MUTUAL L' ��a W c: OVER LNG RLHO$OTH, MA 02769 i s COYER�►Oti �' SAW Hk MWJEa OF 1NWR&ME UBTED KLOO rONk u44H tuuuau lid IHk owu"ft NAM ku Adyvo M THE P064Y KP OO P�IOiCATGO.wTvas'HBTANDWNG MAY PERYNN TE14E INg R A/FC4tS 0 BY THE�L O 6R1�60 H DOCUMENT�UR7GCTA V A1JC7M1G TGAI��iitC.T TO WMH e" ArA ND DNWTIOM!OF OR P'QuQiES,AGGRGOATi LIMITS owjwW mAy mvf BEEN!REC6lOED aY.AiO GWMIa. X corw�.citi „�inY !+�++ .I 000 000 icon u �A* .LOo 00o A fit:?:13341 W. IAIV .2. 000 0?/16/03 02/16/04 r�rivwiiv ii1,000 -000 rc�wRA � A IW $2 000 000 ►or, aow�uw ao 1 NCL ...� MNmimM!LIAM.RY aIY�V►O cuo mono�rt'4li f 1®ORddO KIUWMtI)AUiOM .. . •,.•.•-•- x m�utffi,w,rve � �11NJlAY ""'°" � C ► tonuror AD* 6307580 102/14/03 02/1.4/ � wrAUTe IYCwowu.i�Autow O" $300.000 �mtTaNwA� � O.nW UOAK ry 00.000 nu 1 toowr. OI�SRnwy any s �aM N AM omvL aQM QR�.�R'li i f aae+nR�r t s IRTC�tgn 1 � � mQ�ll.T1011 Mp �• B aww� bAImp0yu 0500000 a�.ONVA•roucY timlrt 14100000 e�nan oMClarnoN or oes�u aIDo�n CEltTiiI o WxoIR I X sammw .WoR wrrm CANCGL41►TIDN Mm*A AW OP/woMom*Mono mj ammm m Wr.wl.The WN a TM AQGER9 iMAAlZi�Y INC w T"vow Ttlm mwiw. "Mo To RAIL 12—ow 1�lT1II PO BOX 310 w.T.Ie go To compmTe m��TO 7m I&M MR PMAW Ta 0080 a" .OSI'ERV ILLE Kh3 S 02 655 r"d w Muria ea wmpu r a&W mull Rsaeon OR ' �.r+M.wrhliml► -Zu D M Off?) m ACORD CORFORAY,ON11 W f Board of Building Regula ions and Standards One Ashburton Place - Room '130.1 Boston. Massachusetts 02108 Home Improvement Contractor Registration _. Registration: 100134 Type: Private Corporation Expiration: 6/9/2004 ROGERS & MARNEY, INC. Charles Rogers P.O. BOX 310 Osterville, MA 02655 Update Address and return card.Mark reason for change. p u Address u Renewal ❑ Employment [ Lost Card ✓fze V�amvrrcaruuea� a�✓l/laasac�ivaella Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 100134 One Ashburton Place Rm 1301 Expiration: 6/9/2004 Boston,Ma.02108 Type: Private Corporation ROGERS&MARNEY;INC.- Charles Rogers of 445 WEST BARNSTABLE ROAQ Osterville,MA 02655 1Administrator Not valid without si ature �. >°. /d �✓l /ice BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 016174 Birthdate:'05/07/1939 Expires;.0510712004 Tr.no: 24057 Restricted:1 00 CHARLES D ROGERS',- PO BOX 310 �,,- OSTERVILLE, MA 02655 Administrator r I F THE 1p� ° The Town of Barnstable DA !f1'AULF_ ' Department of HealtIt Safety and Environmental Services °rfoln,•�� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME I11IPROVEMENT CONTRACTOR LAW 'SUPPLEMENT TO PERMIT APPLICATION MCL 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 btilding C0I1taillilig at least one but not more than four dwelling units or to structures which are adjacent to such ri sidenee or building be done by registered contractors, with certain exceptions, along with other requirenients. Type of Work: StotpAwtING Ems%— Est. cost M&000. • Address of Work: 23 PF1RK. PI_Age. Owner's Name 'i—A „Le. L`. D£L-AgF.'? Date of Permit Application: I 1 ' 1 8 • DZ 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 pullinb own permit Notice is hereby given that: OWNEI.S PULLING THEM OWN I'I:It:111'I' Olt DEALING WITIi UNI:ECISTERED CONTIZACTOI:S FOR APPLICABLE 110lIE IMPROVPYIENT WORK: DO NOT HAVE ACCESS TO THE Al'WITI:ATIO:N I'I.00IL' kM Olt CUAIUINTY FUND UNDER NICL c. Id2:1 SIGNED UNDE1Z I'LNALTII'S OF PE I hereby apply for a permit ns the :ll;cnt of ttte owner: ' 116 •o a OcCf-P_s # w4l4i�44F_(?, =uc. `oo t3_1 • Date Contractor Name Registration No. Olt I)atc Owncr's Nnine cc I C YN n :�; it �• ?J J J l v N �,► in • r 0 C ' p ' CA I -scar_ .. .. � ; -.�-'; :,•�..{+v;..�>�v.�,:Y 417 OKI AO . r.- •'-..'•^-�"'S �A�•.t' `-,�:'i� i� •s,ri•9','.'::• art. a .+ t- •, r- „ ; i i p Ul n C j A 5 -- -- �1 _ -- - ---.------ -- - i f Qr, e ILI - � r ,�► o' o' "` TOWN 'OF BARNSTABLE 25266 ,i Permit No. -------------------------------- ` .cS1C4L. Building Inspector Cash � "uv a 4, 1 — �°" OCCUPANCY PERMIT Bond _il4K Issued to RobeLt Delaney Address 23 Park Place, Wannisport. Wiring Inspector, „ M' Inspection date Plumbing Inspector V - 1 _ Inspection date i Gas Inspector MT�� Inspection date } Engineering Department Inspection date, jj Board of Health, ° �C,_ Inspection date f — (b Y Y'y{ THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ........................................... 19......�. .................................................. a..............y................... .._........._..._ Idle Building Inspector t i JO5EPH D. DALuz % rELEPHONEt 775-.1120 �. Building Commiuiontr EXT. 107 a TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: April .29, 1985 An Occupancy Permit has been issued for the building authorized by Building Permit # 25266 issued to Robert Delaney Please release the performance bond. Assessor's map and lot number ......................... TH E Sewage Permit number .......8.:�.-Z?Y........................... SAWSTABLE. 1-110`6-se number .....c 7-74, ........................................................ VAGL 1639- C DUPR*- TOWNi-�OF BA,R,1N,STABLE BUILDING INSPECTOR J& "dam P APPLICATION FOR PERMIT TO . . . .. .. ..........................I .... .6 TYPEOF CONSTRUCTION ....... ..............................................................................................:*11--11-1 ................. .............9........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location P ..................................................................................................................................... ProposedUse .... ............................................................................................................................................................ Zoning District .... ...................................................Fire District ...�110.%VNA,�t.................................................... Name of Owner 1\f.-zm-,RA....... . .................Address WO, Name of Builder ... ciclress ..-,,�n, ......... .................... Name of Architect ...............Address 4�4.. . . . Numberof Rooms ..................................................................Foundation ............................................................ Exterior ... 0.................................................................Roofing ....LO.0 .D�.d............................................................ Floors .....60.o A................................................................Interior ......1. .....oca -V- ................................................ Heating ....cnk7—s.......Qni....fxv.- ...........................Plumbing ...................................................... Fireplace ....../...........................................................................Approximate Cost ....ca�) ..........;........................... Definitive Plan Approved by Planning Board --------------------------------19--------- Areal ........................ Diagram of Lot and Building with Dimensions Fee ........................... ........ .... .. SUBJECT TO APPROVAL OF BOARD OF HEALTH yy 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. ........................... Construction Supervisors License ............ DELANEY, ROBERT A=286-10 { No ...2.,2 `6. Permit for ;Two Story Singile Family Dwelling ........................ Location ...2a..P.ark...P.1.aoe........................... Hyannisport ............................................................................... J Owner ....................Robert...Delaney........................................... Type of Construction ....Frame... ................................... Plot ............................ Lot ................................ Permit Granted ...June...M M ................. 83 Date of Inspection ....................................19 Date Completed ......................................19 l Z. S— C�O Oil /1,Ad- AJseisor's map and lot number .:........... �. .. . ...;, .. Py�F THE TO USSewage Permit number .......�.3'./ :.............. ...... - gg�� IN q+ � ,»� g Z �9EdSTADLE, i u. � " ; _ 6s� =e.oOeCiSY"LI _t y�.Gef,a°MAS& House number ...... r ALE r MP TOWN ` OF �ARNST .�� ,UUIL I INSPECTOR 4 K APPLICATION FOR PERMIT TO lid `�\ :... .... ......... .... TYPE OF `CONSTRUCTION ..:. .(,v.l! ........................... ........ . ............................................... ............ ................. 9 I•J9.r. .............19........ " TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location ........l.f `� ....1...�.A..C: .::........................A... ... .. .......... .............................. ....................... ....... Proposed- Use .... ................. ...... ........................................................................................................................ Zoning District . ........Fire District ...N ......... Name of Owner ..... �iJ1Q.................Address ' ...,S �Uv�G�..I.C�.:... t (�.7jGd�.^.C4;Y1/1i.... Name of Builder .. .. e.X'S..... .... �1�. ...\^I�CAddress . .d `... ,1 ........ �. °�....................... ' Name of Architect I •• 1\l\�1�... �t ...............Address ....."1cd,� �1��i .... 1911.. • Numberof Rooms ...................:..............................................Foundation ..�.mc............................................................ Exterior ..1jJ .........................:.....................:..................Roofing .... .Q 3. ............................................................. .Interior ..... Mip. Floors ..... ................ ............... ......1� ............................................... Heating5........ ............................Plumbing ��yt2.. ...................................................... Fireplace ....../..................:........................................................Approximate Cost ....a2SP4�00........: ................ s-Zt j Definitive Plan Approved by Planning Board -------------------_-----------19________" Areat ......1.�.l .......................... Diagram of Lot and Building with Dimensions Fee S...� SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. = Nam .............. ..:...................... .016• ' �• Construction Supervisor's License .. ... ............. " DELANEY, ROB R1 Two Story - ..�52....... Permit for .................................... Singl4• Family Dwelling r Location ' tHXannispor ............................... ;• Owner Robert. Delane`� r ?- ... .. y.......................... ,. Type of Construction FXEIAe........... .................. jlot ... ..... ..... Lot ....... .................... Permit Granted June 30, „19 83 a` Date of Inspection .. ...... ....................19 fff Date Completed .....19 { 1 M 91e Assessor's map and lot number ...,... d TN E w Sewage Permit number .................................. d� o� EARISTAXE i House .number ........................ ......... . :....... ........ .......... rb a_ ,ems 39 �0 �i 'Ep MAY d• TOWN OF BARNSTABLE BUILDING INSPECTOR `. , APPLICATION FOR PERMIT TO,'....: .:: ... . .... . ................. .:.. TYPE OF CONSTRUCTION ..� ,. L TO THE INSPECTOR OF BUILDINGS:- The undersigned hereby applies for a permit according to the following information: p Location ..............................w2 31;�i: '..... .. '' t."+4 .::....... ::... es' ........................................ Proposed Use ........................................... :... .. Zoning District ..�..................................................Fire District ............�� Name of Owner ....!.s' . .. .... :. + -ate......::. ........I Address ..................... ........ .....::.. ... ..:. ..... .......... Name of Builder. ....................... ......... .......:. ......... .......:.Address ........ ......... . .......: ........: ......... ......... ................ Name of Architect .....:............. ...............................................Address......... ......... ......... ..:..:.: :...............:. Number of Rooms ..................................................................Foundation Exierior Roofing :.. Floors ............................................................... . ........ .........Interior ........ ,........ .................:. ......... Heating .............. g Fireplace ..:. .............. ... .... .Approximate Cost .................................................................... Definitive Plan Approved by Planning Board -----------------------------19--------- Area :::.....: ..:.. ::..:...... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH' • x OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of. Barnstable _regarding the above construction. ...............Name ...... . .............. I -.Q TANGLEY oO A=286�10 24279 DEMOLISH No .......:......... Permit for .................................... 'Lwei'ling & Garage ............................................................................... Location ................................ ....� � Hyannisport ............................................................................... Owner T.angley. ...Quinn. ........................... .. ....... ....... ..... ....... Type of Construction .....Frame ..................................... Plot ............................ Lot ............................... August 10, 82 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 . • , Assessor's map and lot num4ber .. ......... ............................ Of t0 x Sewage Permit number ........................................................ Z BARNSTABLE i Housed",number '� M6 9 9� TOWN " OF BARNSTABLE BtlILDING INSPECTOR APPLICATION FOR PERMIT TO ' � .. TYPE OF CONSTRUCTION .........l...............::.......... ....E! A...................I9k TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for'a permit according to the following information: Location ...............................��,1t'i t4 .:.....pe................. n,� ......................................................... ............ ProposedUse :.... .............................. ............................... ................... ............... Zoning District ................. .................. ......... .........Fire District ......................................................... Name of Owner.. � .... ...... .....:..Address ......,............................. ..................... .................. ilder' ..Address ....:........................ . .............Name of Bu K. Nameof Architect .........................:........... Address ............................ ............................. ..... ........ Numberof Rooms ..................................................................foundation . ............................................................................... ...Roof ng .................Exterior ...............................................:............................:..:. -........................................................:.......... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ........................................... ................................. Fireplace ....................................................................................Approximate Cost . ..................................... ....... Definitive Plan Approved by Planning Board ___________—_ ------ ------ 19 -—--. Area '.......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS i f the Town f Barnstable regarding the above - . I hereby agree-to conform to all the Rules and Regulations o e o o g g o e construction. F Name . `. .... ......................................... QUINN, TANGLEY No 24279 Permit for .................................... DEMOLISH ��weltling & Garage ' Location ..................... .......... r... Hyannisport ............................... ' r- Owner .....Tangley...Quinn.......:..... Frame Type of Construction -• Plot ............................ Lot ............................. , August 10,w 82 Permit Granted Date of Inspection ....................................1.9 Date Completed ... ............ .:......19 f. t - r - _ - 'yP .. C � r n h r W, y rh vn a 3� r to � y r (I(-'-I:I.•/G 6NA^•rEA`a tv(v[x ECwD .. .F = �L J Ora[to o.Ar.Ry(t -••- >< ' .r � t--'4•a'�•e•�Q-1 _K�%S DecK ea.�(DN•o... -r r CO)tS(12UCj10N SHALL CSOMPIY \vIT){ L./\rESj' [.D1j'10P1 OF MAPDLICADLC COD-OR BUIUNW-i OR0IN/\NCE- ;7 1 7�.-�. �•'•• _ ice--- - -�Z CONTtACTOR SK4LL VERIFY ALL DIMEt�iSlOt\1S i AND CCY•tDIj1ONS(!;HOWN OR TF1tS SNEET)aN ti I � L'P..sI� .I� . "r`'rlfV l`V-F >S F,:4L UrK A440 YARD ARC/_ AROUNID POCt- t>F{ALL ,CAPE A\YAY F <YA P00t_- p. \ Ir7:dI 9•ue«e�D-o.+ tcEo :a o• / ! --r4 PROdIO- DRAW/ -,F-A'LpUND POOL IF\VATETj IS --{� EKCout jE F_D.No GPWKC 'VATER AT Pool- LEVEL. f - S POOL_SHALL et 5t—MIN.MEP IF C4W BOkRO tS USED. f-nR e� t•ourA+ a !e• \�e I I I - 6 jam_EQUIP•IAEN` (FILjERS,PUMP,H!A7ER,ETC•)SNAtL �cc.:crE \ ---L7 wx M /i I ') t NOT 5C LOCATED IN REQUIREO FRZ-- (dZ 31OE YARDS. _":CPE?r-m 4'1 0• I ZMAX. a The ce S.,e• / �� sr[ttncaw( {� 1 I t --s7•SOIL:SHALL MF-UNDISTURBED IIATURAL C(000 P..5.F)o;z L T ) APPRcvED COKPAC-TED FILL- , In1 w.a�(v I C;. I CCNCRCT-: PNEUtM j1CALL)y Pu+CEp CONCRETE 8''d' 1r'•o•. 'SHALL HAVE A MINIMUM COWRG5S'4�- SIT�AGI;}( 9•-a .Z:o_. 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SFCE7.�l sort a.C.e v. •'1 - . .. _ .I�Ts.+a� I EGISTERED 656 HGHL.AND khan .TILrEI�.I, R.L. • ONAL ENGINEER �[/\LE: CATE: Dgf.wN Hv: CNFLXEO: '83D SO s REee55eo oo ee^..A {�} PAISEO BOND W^MSRALLOW fSD AIONe- tSN 9-7->35 ICY r. - �J'its• `L• - - t J' LEGEND:' 24 1 . .0'S . EXISTING WALLS • CONSTRUCTION TO BE REMOVED' NEW CONSTRUCTION 1 —rrl—I— --------- ©SMOKE DETECTOR ' OUTLINE OF - I I I I I E%IST.DECK I ON, +. . AS OVE ©CARBON MONOXIDE DETECTOR =EXIST. k - i I ®HEAT DETECTOR DECK' y b EXIST. r _ _ EXIST, b HVAC cL O i ELECTRIC (,^ » q O RB PANEL P., "I ,p VF - M 2 MUST oNp f/p DOUBLE'PELLAPELLA b DOUBLE r ` 1 a�.q� ED' w t A_••+ 2. CASEMENT - .a. I SSgCy SF!NSTq�•FA�,g9,7,, CASEMENT . " SM E.DE_TECT01 6S REVI ,. y,_ ®.. w .TO MATCH J�S+B ✓�pP[�p'�'/S. TO ATC • - ., b 1 t s . :WINDOW 'ti, - n w G� E - WINDOW" '+. •. �_f - BELOW .F I i° N 'BELOW a "I �0pp W a _ NEW 5 F., DATE..: " , - BAR TAB L BUILDING DEPT.' a s k ¢ I m LIVING r.• ° - ALIGN NE ,. `• r.. 't. r}' » .�.• .. W/UNITS ';` .(VAULTED CEILING) d VERIFY D i I , �' • t"- .:IN THE FIELD ,. - IRE'DEPARTMENT DATE •. k+ r-r rD 80TH S NATURES ARE REQUIRED FOR PERMITTING NEW •' WETBARp'.O« . . U.C.REF.ma)Jr.__ .. REMOD. - tENCLOSESINKr : PELLAP.T.6x 6 POSTS W/CASING - s' '-•`� IST COVERED g - POST IN -ON 12'DIA.CONC.SONOTUBES&24DIA GARAGE EXWALK - « � » WALL �MENT BIGFOOT FOOTINGS TO 4'!T BELOW GRADE. - -- ,- - � - I, USE SIMPSON SS ABU 66 POST BASEQ IN./.. 'SS BC6POST CAPr ,� " •r:.. o' NS •A I A O b ` lrxe ! 3 • - .. , .. . ,, .__— �. � ... . .,• , .;. �«, ,r ..: STAG +• " �'" L F r• a ^'rn - W w i7 , L . . ID T>B' O x 66•" 2G x 6'6° s R.- • , X `� PELLA• - - _ " 10'TO' _ r e,_i. y._s. PELLA' :.. .. _DOUBLE DOUBLE .- CASEMENT 'i - CASEMENT r Y' TO MATCH s. NEW WINDOW" WINDOW .1 •BELOW ,. , BEDRO M 1 x6'B" O W „ •, BELOW- ; (VAULTED CEIU ) CiLOV.I - EDROOM#2 (VAULTEDCEIUNG) ie CLOS. 4 ^EXIST. EXIST. - EXIST. ,� w a. '.- � EXIST. . • f 24'-O'S • I _ - 24•-D'S t , FIRST FLOOR PLAN _ Y SECOND FLOOR PLAN' " • r THE DESIGNER SI N L 6E NOTIFIED IF AN! ERROR$DR OWSSIOI•$ARE FDWID GN SCALE : DRAWING NO.: , COTUIT BAY DESIGN, LLc NEW REMODELING,- FOR, ' CONSTRUCTION. N. HEORT08TARTOF - CONSTRVETION THE FORM OONRE^TGR /41t�. 11 OII 1 - � V4lL BE RESPONSIBLE FOR THE CONTEM 1 43 BREWSTER ROAD IN THESE DRAWNGS IF OO,YSTR=*m _ COMMENCES YA I�D?1F!ING THE LLOYD DESIGNER OFA ERRORS OR OMISSONS MAS H P EE MA. 02649 RESIDENCE' THESE ORAWNGB RE SOLELY FOR THE USE DATE : OF ME OWNER NOTED A.W OTHER VSE OF PH. (508 274-1166 VESEDRAWNGSREOURES 11/8/2011 FAX (so�)539-9402 23 PARK PLACE HYANNISPORT; MA WNHITE TU ALCOP RIGOR POr--CTI AONSENT OF DESIGNER LINGER GEcTHE ACT OF,S%. 12 • N NEW RAKE BOARDS . '� ! _ Q G TO MATCH EXISTING 4 - ' TOP OF PLATE - TOP OF PLATE - EXIST. . EXIST.� - - - - - b TAD ` - SECOND FLOO LSSECOND FLOOR SUBFLOOR_ UBFLOOR � - — - - r TOP OF PLATE TOP OF PLATE ._ ' TOP OF FOUND. I t - -TOP OF FOUND , REAR ELEVATION FRONT ELEVATION _ t - : . � � - y s _ +4 - ... NEW RED CEDAR ROOF • - - - - "�� 'SHINGLES TO MATCH - - - ` -EXISTING ��FASCIA 8 FAIEZE BOARDS TO MATCH R. STING TOP OF PLATE, NEW CORNER BOARDS 3 _ / i' t • , - . - SIDING TO MATCH EXISTING ti . I • INFILL BALUSTERS c - - ` . TO MEET CODE FOR NEWWINDDWTRIM- ' - •. ` - • ' •` TO MATCH FJUSTING SECOND FLOG .. r . EXISTING RAILINGS • - .' { - SUBFLOOR - ..,. -. TOP OF PLAIBM - e TOP OF FOUND LEFT ELEVATION RRo sOROWSVONsaREFo�oN SCALE : DRAWNG NO.: f COTUIT BAY DESIGN, LLC NEW REMODELING FOR: � ��ME�LTO START OF ONG • coNsmLrnoN.-1,£swLavomNrRAcro� 1/4��= 1'-0". 43 BREWSTER ROAD N,LL BE THESE DRAWINGS FORDECONEM MASHPEE ,MA. o264s LLOYD RESIDENCE' DESIGNER DRAWINGS IFCONA7R JCTC �•• COMMENCES WITNOJT NOTIFYING TE OESlGN 1t OF ANY ERRORS OR 0MISSIOPS DATE //�7`L] F H. (508))274-1166 T,ESE ORAWNGS ARE SOLELY FOR TE AE H, 508 539-9402 TtESE OF TE OWNER NOTED ANY FOR USE O° c > 23 PARK PLACE HYANNISPORT, MA AgCHITRALR"'COYRGHTP°WRRTEN 11/8/2011 Im%2 CONSENT OF THE DESIGNER IMlER TE # ARCHIT£CTLIRAL COPYRIGHT PRCTECf10N ACT OF 1990 ' RED CEDAR CAP - NEW RED CEDAR ROOF - - - SHINGLES TO MATCH - - EXISTING NEW FASCIA&FRIEZE BOARDS TO MATCH ' EXISTING - TOP OF PLATE - r r NEW CORNER BOARDS& + • r SIDING TO MATCH EXISTING ' SECOND FLOOR INFILL BALUSTERS ODEFOR - SUBFLOOR .NEW WINQOW TRIM TO MEET C R - TO•MATCH EXISTING EXISTING RAIUNGS i - TOP OF PLATE .. , F.; NEW ROOF CONST. DOI • .2 x 10 ROOF RAFTERS @ 16-o.c. 5RP COX PLYWOOD ROOF SHEATHING - - - -RED CEDAR ROOF SHINGLES TOP Of FOUND. ' W/CEDAR BREATHER UNDERNEATH —-- - - _ • -15LB.FELT PAPER --SPRAY FOAM INSULATION - _ - • - - _ SLOPED CEILINGS(R AT ALL N H 25 HURRICANE CUM RIGHT ELEVATION NOTES: AT ALL RAFTER ENDS - --ICE/WATER SHIELD AT BOTTOM _ - _ aro OF ROOF 1 J CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS -WIND WASH BARRIER BETWEEN RAFTERS - -ALUMINUM GRIP EDGE - - INSTALL BLOCKING& ' " ATTACH NEW DORMER &DIMENSIONS IN THE FIELD , SKEWED LSSU HANGERS' ST.STEEL BEAM � 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, " NEW WALL CONST. , 1.2z4STUDS�16'o.e. DETAILS,&FINISHES IN THE FIELD WITH OWNER ' � � ., � . - ..,- 2.VYPLYWOOD SHEATHING t .* 1 - 3.3"(R=20)FOAM INSULATION ,, - / 3•),ROUGH OPENING HEAD HEIGHT OF WINDOWS AT 4.1 GYPSUM BOARD / /. - ,z 2- -FIRST FLOOR TO BE V-0"ABOVE SUBFLOOR _ .. 5.BOARD SIDING TO MATCH EXIST. -. w, x / \ Q4` , ASSACHUSETTS - - 6.TYVEK VAPOR BARRIER 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR M ` -• 'I 7.6 MIL POLY VAPOR BARRIER(INTERIOR) - - 2x 12's®16'o:c `) . . STATE BUILDING CODE,8TH EDITION AMENDMENTS&.IRC2009, < , / —NEW i/T GYPSUM \ \': TOP of PLATE 5•) ALL'LVL LUMBER/BEAMS TO BE 1.86 L/480 LOAD , `P.T.2 x 10 LEDGER BOARD LAG BOLTED TO. /- BOARD 8 VENEER - \ ` SOLID BLOCKING W/(2)LEDGERLOK BOLTS / 'j/ \\ HEADERS' -6•) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL 16'o.c.W/JOISTS HANGERS AT BOTH ENDS L / PLASTER NEW \ - / 12 BATH \\ SIMPSON COMPONENTS •. _ //EXIST.� T4 NEW - \ 7. ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&-SLABS NEW WALL STUDS TO ._ -_ •. NEW DECKING&.RAILINGS SISTER FRAMED ) TO BE 3000 PSI -TO MATCH EXISTING - .. LIVING BE S ED b - FASTENRAILINGPOSTSTO - TO EXIST,WALL STUDS 8•) ..VERIFY ALL PLUMBING&ELECTRICAL'DETAILS;&HVAC W1 OWNERS-ON THE SITE - BEAM W/SIMSPONSSBC SZM DURING FRAMING CONSTRUCTION POST CAPMASE SECOND FLOOR m SUBFLOGR 9.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE - 3-P.T.2 x 10's •2 x 10 JOISTS o 16`o,c.. 2 x 10 JOISTS @ 16-O.C. - roaoFPLATE 10.).THIS SITE IS IN THE 110 MPH WIND-BORNE DEBRIS AREA,EXPOSURE"B" EXIST.STEEL BEAM &WITHIN ONE MILE OF NANTUCKET SOUND PER STATE OF s�� MASSACHUSETTS WIND SPEED MAPS - P.T.2x B's @ 16'o.e. � INSULATION(R+ti� - � � 11.) GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE PLYWOOD PANELS \—NEW5VFIRECODEGYP.BD. FOR ALL NEW ROUGH OPENING WINDOWS VERIFY ALL WIND BORNE DEBRIS ON I x 3 STRAPPING @ 16• PROTECTION REQUIREMENTS W/OWNERS PRIOR TO START OF CONSTRUCTION o.e.IN GARAGE 12.)THIS ADDITION CONFORMS TO THE IRC2009 APPENDIX"J"AND DOES NOT MEET ' REMOD. ALL OF THE REQUIREMENTS OF THE 110 MPH MASSACHUSETTS CHECKLIST , EXIST.SLAB GARAGE DUE TO THE ADDITION IS ADDED TO AN EXISTING BUILDING • ' r TOP OF FOUND. 13.)ALL WINDOW ROUGH OPENINGS TO HAVE 2 JACK&2 KING STUDS UNLESS _ OTHERWISE NOTED BY NOTATION(3K,2J) { P.T.6x 6 POSTS VW CASING - I ;. 14.) SEAL ALL OPENINGS,GAPS,SPACES,ETC.AT NEW WINDOWS,SILLS LL ON12`DW CONC.SONOTUSES&24-DIA SECTION @GARAGE WALL OPENINGS TO LIMIT AIR INFILTRATION BIGFOOT FOOTINGS TO 4TT BELOW GRADE. - EXISTING REMAIN USE SIMPSON SS ABU 66 POST BASE 8 A WALLS TO REMAIN $&BSI POSTN SS A3 15.) VERIFY ALL WINDOW ROUGH OPENING DIMENSIONS PRIOT TO ORDER PLACEMENT AP 71$DFSI..SHALL BENOF uUANY SCALE : DRAWING NO.': NEW REMODELING FOR: E �°��'°���°�� COTUIT BAY DESIGN LLC T/ESEORA'NINGSPMORTOSTARTOF 1/4 1 -0 CONSTRUCTION.THE SItlIONG pDNTRgGTOR 1,� ' 11 43 BREWSTER ROAD N41l BE RESFONS RLE FOR THE C0mea . - IN THESE ORAWINOS IFcowTRUCTION MASHPEE ,MA. 02649 LLOYD CONx1ENCES WRHOUT NOTFTINO THE RESIDENCE TEESEERW GSER,ROR90RO,o!SVOS DATE : IA3'.TNESEOR.�N1 R NWD kW O FORUSE USE PH. (508))274-1166 TFC69 O'M&R WTEO ANY°THEVMTrEN FAX (508)539-9402 23 PA 11i8i2011 RK PLACE HYANNISPORT,,MA ARGH�AY"� RESTHEYWTION CONSENT OF THE DESOtffR UNOEA TFF_ ACTOFISC9D. 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