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0047 PASTURE LANE
� ,. Town of Barnstable IouIllldin snacvsr"t a Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted Russ. Until Final Inspection Has Been Made. Permit 16s* �� 11 lllllt a +° Where a Certificate of Occupancy is Required,such Building shall Not be.Occupied until a Final Inspection has been made Permit No.. B-19-1109 Applicant Name: JOHN W. RODRIGUES Approvals Date Issued: 04/17/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 10/17/2019 Foundation: Location: 47 PASTURE LANE,HYANNIS Map/Lot: 248-267 Zoning District: RB Sheathing: �Za� Owner on Record: VARJABEDIAN,RAFFI TR Contractor Name: John W Rodrigues Framing: r Address: 5 AMELIA DRIVE Contractor License: CS`-005829 2 WALTHAM, MA 02452 � Est. Project Cost: $50,000.00 Chimney: Description: CONSTRUCT A 12'X32'ADDITION ON THE RIGHT SIDE REARS Permit Fee: $305.00 ELEVATION CONSISTING OF A 12'X14' BEDROOM AND A 12'X18' Insulation: Doi, Z(p tf Fee Paid: $305.00 FAMILY ROOM. Date: 4/17/2019 Final Reviewer's Note: + Actual location is garage side rear.also, basement is unfinished, Plumbing/Gas photos in file. Two smoke detectors required in basement. - Rough Plumbing: RMCK ilding Official ° - Final Plumbing: Project Review Req: Rough Gas: This permit shall be deemed abandoned and invalid unless the work?authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall'be in compliance with the local zoning by-law`and codes. displayed in a location clear) visible from access street or road.and;shall,be.maintained-o en for public ins ection for the entire duration of This permit shall bey p p p Electrical the work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: . Minimum of Five Call Inspections Required for All Construction Work;_ 1. Foundation or Footing .Final: � •• 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5. Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6. Insulation 7. Final Inspection before Occupancy Health r Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Depart nt "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: y 713v Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ' Town of Barnstable Building -: Post,This�Card So That°rt�is'Visible:'F.rom,theStreet�A�° roved(Plans IVlust�be�Retair�ed�onJ;obFan'd�this'Card�Must:be Ke t� = .. BABNS'CAYtL6. �r x-t .�. �fi :- ,' �� pp� � ''�• a� �� air. � asy, °, �i �. ; 'P ,.:,36 • mi 39 Permit am 1 t Where a,Certificate of O.ceu .anc .is.Re faired such�Buildm .shall Nofi be Occu ied�until a Finalwlns ect�on has been made E Permit No. B-19-1109 Applicant Name: JOHN W. RODRIGUES Approvals Date Issued: 04/17/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 10/17/2019 Foundation: Location: 47 PASTURE LANE, HYANNIS Map/Lot: 248 267 Y Zoning District: RB Sheathing: 77, Owner on Record: VARJABEDIAN, RAFFI TR Contractor Name; John W Rodrigues Framing: 1 Address: 5 AMELIA DRIVE ContractorLlcense CS 005829 2 WALTHAM, MA 02452 s Est�ProJect Cost: $50,000.00 Chimney: Description: CONSTRUCT A 12'X32'ADDITION ON THE RIGHT SIDE REAR PermitfFee: $305.00 Insulation: ELEVATION CONSISTING OF Al2'X14' B M EDR6O AND A 12'X18' 3 Fe `Paid $305.00 FAMILY.ROOM. , $ Final: Date 4/17/2019 Reviewer's Note: Plumbing/Gas Actual location is garage side rear. also, basement Is�unfinlshed, f r%mot photos in file. Two smoke detectors r in basement ', equired Rough Plumbing: RMCK .. r Building Official x Final Plumbing: Project Review Re J q 4, r ��r. �.o; Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized bythis permit is commenced within six"months afterissuance. All work authorized by this permit shall conform to the approved apphcation,and the approved construction documents foe, Hk ' s permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonin tu g1by�l6ws and codes. This permit shall be displayed in a location clearly visible from access street ore bid and shall be maintained open for p blit inspection for the entire duration of the Electrical work until the completion of the same. ' Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Buildinand Fire Officials are providetl orrthis permit. Minimum of Five Call Inspections Required for All Construction Work: r„_ • Rough: 1.Foundation-or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final' 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ppQQ IHE ®E9. Application Number.... `: ............. BARNSTABILF, ��' R 0 4 20�9 o MABEL $ Permit Fee....................................... er Fee........................ zb;q. NSTAB� T� Total Fee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by......AW.6. .........On...../......� BUILDING PERMIT. APPLICATION a � Map........................................Parcel.....� .1,.. .................... , Section 1 — Owner's Information and Project Location Project Address -/��/�s�&E L-N Village Owners Name.V L zj 4d 1 n `VAR-7/4 Owners Legal Address, �}&L�za A City State AIA Zip Owners Cell# Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet M-1mgle/Two Family Dwelling Section 3— Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System TAddition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description t= �-L� Dltilo�Y�l v Last updated. 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Q-® Square Footage of Project FS s Age of.Structure -?7 Dig Safe Number 2 OqI yD A 3 7 # Of Bedrooms Existing of Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ZMA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics [Wiring ❑ Oil Tank Storage 09,4moke Detectors [Plumbing 2"'Gas ❑ Fire Suppression LE/Heating System ❑ Masonry Chimney PAdd/relocate bedroom Water Supply 0?Public ❑ Private Sewage Disposal ❑ Municipal loon Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: ���-iw I am using a crane ❑ Yes fK No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Z-S/12,�5A gyp'/%}}(.,_ Lot Area Sq. Ft. /7 . Total Frontage t, Percentage of Lot Coverage /0 #of Dwelling Units (on site) l Setbacks Front Yard Required Proposed Rear Yard Required 10 Proposed Side Yard °+ Required 10 Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated: 11/15/2018 Generated by REScheck-Web Software Compliance Certificate Project addition Energy Code: 2015 IECC Location: Hyannis, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 47 Pasture Lane John Rodrigues Hyannis, Massachusetts 02601 7748360500 anchrbuilding@aol.com Compliance: 7.60/6 Better Than Code Maximum UA: 79 Your UA: 73 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Ceiling: Flat Ceiling or Scissor Truss 384 49.0 0.0 0.026 10 Wall:Wood Frame, 16"D.C. 448 21.0 0.0 0.057 19 Door:Glass Door(over 50%glazing) 42 0.300 13 Window:Vinyl Frame 72 0.250 18 Floor.All-Wood Joist/Truss 384 30.0 0.0 0.033 13 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in REScheck Version: REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. _tWA w RO h f�,l G r S Name-Title nature Da Project Notes: addition Project Title: addition Report date: 04/04/19 Data filename: Pagel of 9 Town of Barnstable NOW eec , ' 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-19-1109 Date Recieved: 4/4/2019 Job Location: 47 PASTURE LANE,HYANNIS Permit For: Building-Addition/Alteration-Residential Contractor's Name: John W Rodrigues State Lic. No: CS-005829 Address: 7748360500, West Barnstable, MA 02668 Applicant Phone: (Home)Owner's Name: VARJABEDIAN,RAFFI TR Phone: (Home)Owner's Address: 5 AMELIA DRIVE, WALTHAM,MA 02452 Work Description: CONSTRUCT A 12' X32' ADDITION ON THE RIGHT SIDE REAR ELEVATION CONSISTING OF A 12' X14' BEDROOM AND A 12'X18' FAMILY ROOM Total Value Of Work To Be Performed: $50,000.00 Structure Size: 0.00 0.00 _ 0.00 Width Depth Total Area . I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,of other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: JOHN W.RODRIGUES 4/4/2019 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $50,000.00 Date Paid I Amount Paid Check#or CC# Pay Type Total Permit Fee: $305.00 4/4/2019 $305 00 2938 Check i.. .......... .._.... . .._.._ .................._......_. ....................................................._....._... Total Permit Fee Paid: $305.00 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ��f-f� `� /<,t ,3 Address: City/State/Zip:Gr//L .; Phone#: L5�- 7 11AF- %$--zge Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I em oyees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. a sole proprietor or partner- listed on the attached sheet. 1. [4emodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity.acitY• employees and have workers' 9.,Do Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no employees. [No workers' ,13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating—they are'doing all work and then hire outside contractors must submit a new affidavit indicating suck tContractors that check this box must attached an additional sheet showing the name of the sub-contractor:and state whether or not those entities have employees. If the 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 thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic:#:' Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a. fine up to$1,500.00 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 paphs and penalties of perjury that the information provided above is tru and correct: Si ature: fj Date: f Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall t enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insuranCe. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of •� Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvestigatiow 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877 MASSAM Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM`DDAWY) 03/04/2019 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(iss)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 endorsements. PRODUCER CONTACT NAME: Cheryl Woodside HUB INTERNATIONAL NEW ENGLAND LLC PHONE E (978)661-6678 AY e ADDRESS: chenA.woodside@hubintemaUon6l.com 600 LONGWATER DRIVE INSURER AFFORDING COVERAGE NAIC# NORWELL MA 02061 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURERB RODRIGUES JOHN DBA ANCHOR BUILDING SERVICES INSURERC: INSURER D PO BOX 641 INSURER E. WEST BARNSTABLE MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER: 374376 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 0-0L SUER L TYPE OF INSURANCE POLICY NUMBER MMLR YVYI EFF POLICY"P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR D GE TO R PREMISES Ea occurrence $ MED EXP(An"one person) S NIA PERSONAL&ADV INJURY S GEN'L AGGREGATE UMITAPPLI£SPER GENERAL AGGREGATE $ POLICY❑JECT El LOC PRODUCTS-COMPIOP AGG S - OTHER: $ AUTOMOBILE LIABILITY CEOeaH'0SINGLELIMIT $ ANY AUTO BODILY INJURY(Per person) S AUTOS WD AUTOS NIA BODILY INJURY{Perakxident) $ HIRED NON-OWNED AUTOS PI DAMAGE $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE NIA AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN X STATUTE ER" TIVE A o FCREOR"EM£RREX UDED7E� NIA NIA NrA 6S60UB6B03300818 06/06/2078 06/06@419 IfyosFyes,d describe under L $E'LEACHACCIDENT $ 100,000 (Mandatory EDISEASE-EAEMPLO 100,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 NIA DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B.no authorization Is given to pay claims for benefits to employees In states other than Massachusetts if the Insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was Issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can he monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govllwdfworkers-compensaUonlmvesUgations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION 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. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 �""10 - Daniel M.Cro y,CPCU,Vice President—Residual Market--WCRIBMA ©1988 2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD �� C�s�n�za2taea��a�✓r�l�¢Jdac� - - . uliJell� Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACT TYPE Individual OR --5-�Re ist11 _ Registration valid for individual use only Ex iration before the expiration date. If found return to: 105252 07/15/2020 Office of Consumer JOHN W.RODRIG Affairs and Business Re 1000 Washington Street-Suite 710 Regulation - ; ,; Boston,-MA 02118 t.:. JOHN W.RODRIGU&9-!t-r 151 WHITE BIRCHVAY W.BARNSTABLE,MA 02668 Undersecretary Not valid without signature z'• Commonwealth of Massachusetts - Division of Professional Licensure Board of Building Regulations and Standards Con structrS1SA?•rvisor CS-005829 yE � f=�Ires 06/2112020 JOHN W RODRIGUES"ti P.O.BOX 641 � w i 7748360500 N .. WEST BARNST BLE M � Commissioner m r 3 J Application Number........................................... Section 9- Construction Supervisor Name_ J2 J-W ld(/ 9d-VA)C=U4;7S Telephone Number ,SOS Address/,�-/ U11411=- 819ej1 AU ity Wz 5T- State IV14 Zip eA�ZY License 1 19erO039 7q Li�e Type WX C,47' Xd3 ation Date 4, a aC� Contractors Email A/VeffAZ B OI L V JN G(r0 AM- /(DXf-Cell# 7 ,q 536 B,�;D4V I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 i CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date G % N Section lOHome Improvement Contt 31 Name I W W Telephone Number Address CitywGST,�y421JS7��CL�tate c Zip pp' Registration Number Expiration Date / I I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... jSignature-w-- /W` �Datell - 9 Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. R Signatures - Date _ APPLICANT SIGNATURE Signature Date y % Print Name (A2 Ao �g) C'U�� Telephone Number, 5T E-mail permit to: Al-lC//A 3 U I L-D/ X- Last updated: 11/15/2018 Section 12—Department Sign-Offs Health Department Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval, Section 13 — Owner's Authorization I, ��= ,� ,y► �' n s, ,s ,�i,� , as Owner of the subject property hereby authorize � 1�/*d W /�41'��'�y� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) ,e,�Z., SJ'g ture of Own dte Print Name it Last updated: 11/15/2018 a k � - � k �i�v ate'- ✓'' :. v; s Q � V, \ a \ _ a i• �\\ � .ter \ � � a a. D Vu i \ \ p t � vv �,�, \ \ E4i f\ v \ �A.A41111,v� V v. vA `VA,h \vv \ sue . n x• Town of Barnstable Building •. Card So That�t isUisible From the StreetA °'ro�ed.Plans Must be Retamed,on:Joband th�s,Card Must,be Kept ,; uruat3eA8lE Permit POst2£a M' Po'sted Until Final;Inspection Has Been Made jy' tk rE 3 � � ' �, Sb}Q. Cs' ': . . a, �''�', •:.. ;.2 - :r: z. , . '.J. i, -€ -.,..k,' ,N. r.•:i .;' ;;v r, '• + WherR ctificafeMof®.ecu anc.vsRe wired _such Buldm hall'NotMbe,Occu ietl'untila;Final.Ins;;ectionhasEbeen,mad'e, e ace Permit NO. B-19-712 a Applicant Name: JOHN W. RODRIGUES Approvals Date Issued: 03/07/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 09/07/2019 Foundation: Location: 47 PASTURE LANE,HYANNIS Map/Lot: 248-267 Zoning District: RB Sheathing: Owner on Record: VARIABEDIAN RAFFI TR �Contractor Name > 10HN W. RODRIGUES Framing: 1 Address: 5 AMELIA DRIVE a .- Contractor license"�1-05252 2 WALTHAM, MA 02452 ,Est 'roject Cost: $20,000.00 Chimney: Description: Siding, Door Replacement(1)Window replacement Fee: $ 102.00 z l Insulation: Project ReviewReq: ePaid ' $ 102.00 Date 3/7/2019 Final l Plumbing/Gas �" ...�. Rough Plumbing: _.. ;` Building Official Final Plumbing: �'. This permit shall be deemed abandoned and invalid unless the work author led by thi's permit is commenced within six months1after issuance. All work authorized by this permit shall conform to the approved appl cation and the approved construction documents fo wh�ch'th s permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zomngby taws and.codes. This permit shall be displayed in a location clearly visible from access steeet or oad and shall be maintained open for.public mspe"ctwn for the entire duration of the Final Gas: work until the completion of the same. 5 "Imp . Electrical by The Certificate of Occupancy will not be issued until all applicable signatures .tne Building and;Fire Officials are;provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work , � ? Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection . 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Person cting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .r. . -- ' R- 14- -7{ a Application number................................................ QtiFee .......................0....................0..................................... KA"M Building Inspectors Initials...... i s + Date Issued............ /Q Z/ ............................. aq� - a6-1 Map/Parcel........ ........................................................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: IY NUMBER STREET VILLAGE Owner's Name: WZS7�- 41 f 1�� �✓j 1 ,(�j�9/fPhone Number �/ 7 /P6�J-��2�O 1_ Email Address: �L� //4dQ� �dY,�?)L OWCell Phone Number Project cost$sk,Q®(9.r Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize ©mil Gti- 40-DRl�f u " to make application for a building permit in accordance with 780 CMR Owner Signature: Dater TYPE OF WORK E Siding 2TWindows (no header change)# 7 Q Insulation/Weatherization 1Z Doors (no header change)#_/ Commercial Doors require an inspector's review 62�Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name TPPkr w AODk lauCS Home Improvement Contractors Registration(if applicable)# I 62 (attach copy) Construction Supervisor's License (attach copy) Email of Contractor AN VA-2 vl1-b 1 C®phone number ALL PROPERTIES THAT HAVE STRUCTURES OV R 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN — A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER.................................................r.......... � *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent havey sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No____, if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES* Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION' Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE 1 Signature - Date c . Allpernuilapplications are subjec to a building official's approval prior to issuan The Commonwealth of Massachusetts ` Department of IndustrialAccidents — Office of Investigations ' 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly , Name(Business/Organization/Individual): Address: ZMAT 1 u1AY City/State/Zip:4,lJ� _ L� one#: �"F� �a� l�0 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(fall and/or part-time).* have hired the sub-contractors 6. ❑New.construction 2.VI am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling, ship and have no employees - These sub-contractors have 8. ❑Demolition , working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.[]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11,E Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.[]Roof repairs insurance required]t c. 152, §](4),and we have no 13.E]Other employees, [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contactors 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 thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section_25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 andpenaltlespfperjury that the informationprovided above is true and correct. S i ature: %Gj_ Date: Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector_ 6.Other Contact Person: . Phone#: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance;construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings-in the commonwealth for any applicant who has not produced'acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." , Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to-your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)along with their certificates)of insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(IL P)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 argrarnrirerdfn nhtain a worl r t? CeTS' industrial Accidents. Shotild}roil�_riave dany gque uvuj rcg^aiuucr^�uav raw } =t �- compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or ' town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would 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 ofMassadhusetts Department of Iudustria.I Accidents Office of Investigations 600 Washilagtan Staeet Bastan,MA 021 I1 TeL 4 617-727-4900 ext 406 ar 1-977-MASSAFE Fax##617-727-7749 Revised 4-24-07 www.»ass.gav/dia 3/1/2019 Office of Consumer Affairs&Business Regulation-'Mass.Gov -, , Mass.gov . ®1'"ToCe of -Consumer A_rc 0 MEW& iTairs andusiness Reg u lation' (,OCABR H_IC Registration Complaints Registration 105252 Registrant JOHN W. RODRIGUES Name John Rodrigues Address 151 White Birch Way City, State W. Barnstable, MA 02668 Zip Expiration 07/15/2020 Date Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search hftps:Hservices.oca.state.ma.us/hic/licdetails.a§px?b(tSearchLN=105252 1/2 ANCHBUt-01 DA�CWOODS DE CERTIFICATE OF LIABILITY INSURANCE (MMfDDNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS U PON THE CERTIFICATE HOLDER.THIS 19 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 License#1780862 CONTACT Anne Sanzo HUB International New England NAME: 265 Orleans Road PHONE Fax North Chatham,MA 02650 EaI WNo,L End):(508)945-7863 (A/C,Nor ADpgEss.anne.sanzo@hubintemational.com QASU S AFFORDING COVERAGE NAIC# INSURED INSURER A:Ohio Casua!ty Insurance Company Compapy 24074 Anchor Building Services INSURERB: John W Rodrigues dba INSURERC: PO BOX 641 INSURER D: West Barnstable,MA 02668 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 NAM LICY PERIOD ED ABOVE FOR THE PO INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUDL SUBR LTR TYPE OF INSURANCE I WVO POLICY NUMBER M LIpY EFF M LICY EXP A X COMMERCIAL GENERAL LIABILITY LIUITrs CLAIMS MADE OCCUR EACH OCCURRENCE $ 1,000,000 BLS58420515 12/01/2018 12/01/2019 DAMPRr AG-I I RENTED n $ 300,000 MED EXP one rson) 15,000 $ 1,000,000 GEN'L AGGREGATE LIMB PERSONAL&ADV INJURY APPLIES PER: I X POLICY❑JE T ❑LOC GENERAL AGGREGATE g 2,000,000 OTHER: PRODUCTS-Comp/Op AGG $ 2,000,000 AUTOMOBILE LIABILITY $ COMBINED SINGLE L ANY AUTO E acad t WIT $ OWNED SCHEDULED BODILY INJURY Per n $ AUTOS ONLY AUTOS HIRED NON-OWNED BODILY INJURY Per accident) $ AUTOS ONLY AUUTTOS ONLY PROPERTY DAMAGE (Per accident) $ UMBRELLA UAB OCCUR $ EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE $ DED RETENTION$ AGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY O-� ANY PROPRIETOR/PARTNER/EXECUTIVE YIN - PT TUTS R. OFFICER/MEMBER EXCLUDED? N/A EL EACH ACCIDENT $ (Mandatory in NH) If yes,describe under EL DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Certificate holder its OPERATIONS as Additional lnsu�rsed for GenerAdditional aiity when required by written contract ace Is requi red) CERTIFICATE OLDE R CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORUMO REPRESENTATIVE ErCr�%lY� ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD '4 CERTIFICATE OF LIABILITY INSURANCEDATE(MMODIn-M o3ra4r2a1s 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 endorsemen s. PRODUCER HUB INTERNATIONAL NEW ENGLAND LLC FPAH,c Fig. Che►ytwoodside 978)669 6678 FAX LAIC Nol, 600 LONGWATER DRIVE Ao : cheryi w°odsid ubintemaUunal.com NORWELL INSURER AFFORDINGC.OVERACE NAtC# INSURED MA 02061 INURERA: HARTFORD UNDERWRITERS INS CO 30104 RODRIGUES JOHN DBA ANCHOR BUILDING SERVICES msuw u"Rs: PO BOX 641 INSURERD: WEST BARN STABLE INSURER E: COVERAGES MA 02655 msufust�: CERTIFICATE NUMBER: 374376 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW REVISION NUMBER: HAVE eCEN 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 O EXCLUSIONS AND CONDITIONS OF SUCH POLICIE CERTIFICATE MAY ISSUES OR MAY PERTAIN,THE INSURANCE BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, S.LIMITS S AFFORDED SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tL aR TYPE OF INSURANCE A-MAD a il P EFF POUCY EXP COMMERCIAL GENERAL LIABILITY POLICY NUMBf3t LIMITS CLAIMS-MADE MOCCUR EACH OCCURRENCE $ PR 1 fTO S FIR ED oxurcence S N/A MED EXP one arson) $ GEN'L AGGREGATE LIMITAPPIJES PER PERSONAL&ADV INJURY $ POLICY❑JECTT LOC GENERAL AGGREGATE $ OTHER PRODUCTS-COMP/OPAGG $ AUTOMOSILELIABILITY $ ANY AUTO a�INED SINGLE LIMIT $ 200rED SCHEDULED BODILY INJURY(Per Person) S NUI�OWNED !Ik NIA BODILY INJURY(Peracddent) $ HIREDAUTOS ALriO3 f P� DAMAGE $ UMBRELLA LUIB $ OCCUR EXCESS LIAR CIAIMSAM6E N/A EACH OCCURRENCE $ QED RETENTION AGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERV LIABILITY X1 PER ANYPROPRIETOR/PARTNEWEXECUTNE YINITE A OFFICER/MEMgEX�UDED7 NIA WA NIA 6S60UB6B0330081S E.LEACHACCIDENT $ (Mandatory in NH) 06/06/2018 06/06/2019 100,000 It DEdoe a under SCRIPT10N0 OPiRATiONSbaiow E.L.DISEASE-EAEMPLO $ 100,000 EL DISEASE-POUCYUMIT $ 500,000 =NIA DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD till,Additional Remarks Schedule,maybe attached if more space Is required) employees in states Lion benefits than Massachusetts If theaid to Massachusetts s ac Insured hires, loyee employees Puhas hired rsuant f o Endorsement WC 20 03 06 B,no authorization Is employees outside of Massachusetts. men(°pay claims for beneflts to This certificate of insurance shows the policy in force on the date that this certificate was Issued(untss the expiration date on the above policy precedes(Ile tasue date of this certificate of insurance). The status of this coverage can be modtored daffy by accessing the Proof of Coverage-Coverage Verificatlon Search tool at www.mass.gov/iwd/workers-wmpensanonrmvestigallons/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE DESCRIBED POLICIES 8 THE EXPIRATION DATE ABOVE THEREOF, NOTICE W1 CANCELLED BEFORE RE Town Of Barnstable ACCORDANCE V41TH THE POLICYPROVISIONS. LL BEDELIVERED IN 200 Main Street AUTTHHORIZED R REP¢�ESENTATIVE Hyannis MA 02601 1° L' K Daniel M. y,CPCU,Vice President Residual Market—WCRIBMA ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All rights reserved. • Commonwealth.of Massachusetts Division.of Professional Licensure Board of Building Regulations and Standards C0nstl'o S rvisor CS-005829 _� �• i° a� E�pires: 06/21/2020 JOHN W RODRIGUES� r .r P.O. t ,z BOX 641 _ 7748360500 WEST BARNSTABLE /. t0 ��n Commissioner . Construction Supervisor Unrestricted Buildings of any use group which contain less than 36,000 cubic feet(991 cubic meters)of enclosed space. �O Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For;information about this license Call(617)727-3200 pr visit www.mass.gov/dpl tg3flJIdGOH M NNO(' OZOZ/LZ/90 :salidi� �r f� t' 6Z8S00-SO �osln��dnSttAj}Suo� sP"puelS Pue suoileln6a8 6ui in ainsuaor PI. 8 Jo P�eoB l leuolssalold Jo uolslnl ou sllasnyDessew Jo Lilleamuiwo� t l /F Engineering Dept.(3rd floor) Map 248 Parcel Z.eo 9- 62t,Permit# vC 30 House#. 4 6rk _Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) P3- . C&& ;9) Fee r"—� oZs. Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) s Planning Dept.(1st floor/School Admin. Bldg.) SEI'TI MUST BE Defi ' ' Plan Approved by Planning Board 19 INSTA MPLIANCE • E5 TOWN OF BARNSTABLE EIMR101 �.�° Building Permit Application Project Street Address 7 d S !,t d--e 0114( ..P T 410-111 Village P,9v // Owner I- d d t Address S �dL U f ti?w Telephone e4` 9 i` fit` 2 L(/d/f Lt d Jyt /0,A. Permit Request 7-6 4 1a /-e b 4 Al W /I Y) First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 16O-r/ • v-z) Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family X. Two Family ❑ Multi-Family(#units) Age of Existing Structure / D Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type:\y Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: , Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No 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 ez P D T Q 1 i 10 Telephone Number © ^3/ S 7 Address 7 TO P / � I License# f c� ec 44 /a V Home Improvement Contractor# Worker's Compensation# 6R1 4UB-997K277-3-97 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 BETAKEN TO a�y S�� Ln Zd,, J SIGNATURE DATE C./ L /7 BPI DING RMIT DE,411ED FO aTHE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY ..r PERMIT NO. . i� •{ DATE ISSUED MAP/PARCEL NO. ADDRESS " } VILLAGE OWNER DATE OF INSPECTION: f FOUNDATION, FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL" GAS: RO:L GH '- FINAL P FINAL BUILDING J� G DATE CLOSED OUT ASSOCIATION PLAN,NO. i T I THE The Town of Barnstable � Safety and Environmental Services 9 Department of Health Sa $ De art t3' ` 16. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commi: For office use only Permit no.�_ Date _ AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: IYe w .P� Est. Cost do ©(- o Address of Work: 7 l �� S `� L 4' Owner's Name a 041, e i L" 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 5 Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MWROVEMENT WORK DO NOT HAVE. 4 ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL G 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a ent of the owner., Date Co ctor Name Registration No. OR r+ The Conlin nwealth of Atassachusetty Department of Industrial Accidents �;h "-y;�` 6011 Washitr;ton Street Boston.A1= 02111 Workers' Compensation Insurance Affidavit Apnitcant information Please PR[�t-f le�ibl _a '�' Citv phone# - I am a homeowner performing all wort:myself. rJ 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. om -ZS �� / '�� C address / - lr ,r (0 6 Sot' sits ©. �l' yi�l n G � 11 . insurance co. C 7 M.A- C�Q policy# 6R1 4UB-997K277-3-97 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: m am•name• address: insurnnce co.. 4cm7 policy'a�# %•-"tZ%!�_Mt fJ�RSIF�-- - - - - companv name.- address: city phonewij #• iasur•tnce co policy# :Atiachadditionaf•shcet Failure to secure coverage as required under Section 25A of 51GL 152 can les:c to the imposition of criminal petunia of a fine up to S1.500.00 and/or une I cars'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement may be forwarded to the omce of Investigations of the DIA for coverage verification. 1 do herebr certr • der the pains and pen 'es of er, q that the infonsration provided above is true and correct. I GL,t pate u �" Si_nature / # (-So ?) Print name e 0 Phone# (S 2A Q ^ 31S7 _ r oRcial use onh• do not write in this area to be completed by city or tmn official city or town: permit/llcense# rtBuilding Department OLiceusing Board O check if immediate response is required OSelectmen's Office C311eaith Department ' contact person: phone#: — rJO1her � �.. (mvised V95 P1A) - v v � N � y 5 ti W s � I i I . I 9` ` • � t � �.. '. 1� �• '� FA ate► --A � � � s �` ICA t, LL , - We 1 d .`y dx�� iff G o llS C. z7' „= Ap, 52 �"� _ Z o� r• o 00 TOWN OF BARNSTABLE Permit No. ___26575 Building Inspector I on%n Cash 039 won,<►` -9 OCCUPANCY PERMIT Bond ------_X-- _` --- j Issued to BdT,�5 BUldiig CL'e r !=. Address Lot 13, 47 Pasture Lane. West Hvannisoort Wiring Inspector JJ,, - Inspection date Plumbing Inspector f Inspection date Gas inspector a �, E.i._„-, Yn �.l„-e� Inspection date � y, Engineering Department f �f� � i' A,� Inspection date/" 1l% N Board of Health Inspection date �7 - 1 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISiF'ACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ✓a. ......f...............»., I9.� r r...........».......»».....»».» Building Inspector l r FROM �- TOWN OF BARNSTABLE.. . BUILDING 'DEPARTMENT R ' a r .s t h e 3$?. MAIN STREET HYANNIS, N1A -02W ibm Sj6.s'4P4YYi ex-yF44a$,*@YB I[ .bi',wb A•+r'p'T'S•RA`�•+/Clerk {�7., - YVi.��. •B i ae q a s•<t.r..a*.rr a wo w u,�iw.m•v - Phone: 775-1120 SUBJECT: r FOLD HERE _ DATE - Aucmt 7, 1984 M'ESSAGf IOrk his 3beli ogFit•#2ifr75_ �X1 inc } +F•.7�i�*'as•r x-�v...+^.S 4°•" - � se s., .e•$x.w.r s£* ��.�. Please release-Beard.--------rr' • .SIGNED i DATE REPLY SIGNED - NB7}RM1 t ' . .- !.. -RECIPIENTi RETAIN WHITE COPY,RETURNPINK COPY. • P -RINTED-IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. k A sor s map and lot number ............... .. • _ . ,... � � . .. .. F o Qu o�♦ Sewage Permit number ......�°. 9?.�s3......... 3. � S y 1 �4o :ALL �+ Housenumber ......................./ r... .........................,..... �- Awh69 �e m� ENVIR;t.'1Mi�r` ENTA L �.�OyjD�;yEy ri�G.00�� 39-Ar 4 Ti�4rs�+ l 91-i"6 rL '� 1 j0j\iS TOWN OF ' BARNSTABLE N t� M BUILDING INSPECTOR -J W APPLICATION FOR PER TO a_ .............................. ...............01`Q..... TYPEOF CONSTRUCTION ...................... ................. ....................I.................... ................. ....� ....,9 TO THE INSPECTOR OF BUILDINGS: The undersi ned reby apes or a pe mit according to the following ' formation: Location ......... � �►. ProposedUse ��. .............. ..... . ............................................................................................................... Zoning District .... .. .���......................................Fire District ................... .����-&-& :I✓ ::........................... Name of Owner ... .�..� 4. -L( ..... ?. .. Address ............ .lvr...�. .!?.( �Ij. . ./. Nameof Builder ..f{......y�. .......................................Address ......................S. ....................................... Nameof Architect .... .....1.. ...... ......................Address ............0.. . ....... . ................................. ............... Numberof Rooms ...............:.................................................Foundation ...f ..................................................................... Exierior .... .... ..... .. ...................................Roofin lJ./ k�`:..... ....��f/!... !{ ."`1 Interior ... ... : ... ...J..� i �j .. `/. . � ............... Floors / Heating �;.�.1.... Plumbing ..........1...!° ! ,................................. Fireplace ............... ..................... ................ . .................................Approximate Cost ..... �k J� ....................... ....... t r Definitive Plan Approved �/ ,3 `� S' by Planning Board ------------ - -----1 9------. Area .......................................... Diagram of Lot and .Building with Dimensions Fee / ' 01 SUBJECT TO APPROVAL OF BOARD OF HEALTHt���a U 1 40 36 � \ D � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. e Name .......... ... .......7.........t't ............... u Ct .,ZAY IDE BUILDING CO., INC. y 26575... permit for One„Story,............... =Sin le Famil Dwelhn .`, ..... -tY s Location` .. t..13r.:...47..Pa.i;. �,ar p......... West„Hyanni:P4 k.......'°.... .......... Owner`........Bayside..B �. S..�SJ.... .... -- Type of Construction Frame. � .... ........ ..... .. .:... Plot ......... ............ Lot :............................... June 11, Permit:Grantecl ...........................19 84 Date of�lnspect' // f r- Date `Completed 19 r PERMIT REFUSED - 19 - ......................................................... ................. i ............................. .................................I....... ✓ - _ ............................................ . ...... .. ................ - ...................................................................... Approved ............................................... 19 ........................................................................ ................. :".......................................................... a T FI 141 `S� C "7 lo �/ ' IS. 2st N 7 'l'_s L� M � o N . N r N Zfr p � x N f rr y / 2— Lot / 3 1 � °.0� v✓ . 14) 'w 1nr7(. 5 76 CERTIFIED PLOT PLAN,. .t: s7L-1 L, 4A E NEW 'CONSTRUCTION ONLY ROLseRTBRUCE W, t/y,A NN/s 2Dk 7- _x TOP ,OF FOUNDATION IS__,,,., FEET �v ELORE IN ' :ABOVE" LOW. POINT OF _ADJACENT nv such, SCALE, / "= 90' DATE G 8 4-� b / Q •B�ays/,vE CLIENT t CERTIFY THAT THE F°uNvAT o. �18TERE REGISTERED SHOWN ON THIS PLAN. IS LOCATBA CIVIL LAND JOB NO. 133 v k z_ ON THE GROUND -AS .INDICATED'- AND. EN®LNEER SURVEYOR DR:BY� � CONFORMS TO THE ZONING LAWS-, " 7t2 MAIN STREET CH.®Y$ �' •�"." OF B RNSTAB E, MA�S H YA N A 1 S,., MASS.. SMEET., .OF:� DATE REA. t A tun Q� es,..rvr►r+ Assessor's map and lot number ..00.!Y .... .� 7 r0 A THE t0 Sewt gg Permit number .... .... �' .��.........9 , ,� e�Qy �♦� /' Z HAR"3 TADLE, i House number ......................! ....... ....................................... 9 MAea �p 1639, 639. `e0� TOWN OF 'BARN-STABLE ^3 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........... h C .n!y�d�.... :...� Y(iLt f ..... HYPEOF CONSTRUCTION ..............................�.......... / �!!�;Q.....:.............................................................. U .19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to thefollowing information: � inform atio•n: Location ..... � � ............1a . , .......... ...................................... ProposedUse �6,P �, �.:...................................... .. ....................................................... Zoning District .... .....u/� ...�.....I...........................Fire District ............ ...1-k,.( ............................ Name of Owner ...........................< t..................................... Address Name of Builder .......... .G�iv? .......................................Address S.�... Name of Architect ..... ,v Dug"! :..............................Address ............�. .� ..r............................' ............... Numberof Rooms ............. ...............................................Foundation ...f.,( .................................................. tt Exterior ...4 (.... !!�....� Q. '................:..................Roofing ... Uwf/..dl..C..%.!,......................................... Floors � ...1 ....� �.. ......................Interior . . ..L..!L !Y\:. �11 < ; Heating L Plumbing .ve. ........................................ Fireplace ............... ..... ...............................................Approximate Cost ...... .. ................................. Definitive Plan Approved by Planning Board ___________ ------ _____19__---___. Area r Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH +iDw I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. t �6-1V41 { Name ............ ...... 7.. .,lt ............... BAYSIDE BUILDING CO. A=248-267 One StoryNo ..�-����_ Permit for .................................... ' . SingleIani ' --------------------------' , . Location ----- I��� l3 47 Pasture Ia/oa� � .�----------''.....--- ' . . V��o� ^ ' ..--- -----. �--'------. . . _ . ' ` ide Co,-, Owner .��F��---������.��--- �--. ' ^ Type of Construction I�ca�e _ -------------- � � . --------------------------. � ' ^ - Plot ............................. Lot ................................ � June lI, 84 Permit Granted ........................ . � Date of |nopection .....................................lV - ^ ' ~ Date Completed ...�....................................lP _ � . � PERMIT REFUSED -~� ' � -----.^..���.��m..��-------.. 19 ---------. .*-- .'--------.. � —_----.-------,.----------- � � . ............................... ............................................... � ' � ---------' ---^'' � ' ' � Approved lQ r------..------------------^ ' -------------------------,.. ` HYANNIS U.POLE P WEST MAIN S . 24.16 LOCUS 5-7 6�11 15»W PSV LOT 13 R'S2.50 L=71.25 AREA=11,013f S.F. LOCUS MAP I \ PLAN REF: 249/15 \ v� TITLE REF: 28816/161 \ C� (5\� \ PARCEL ID: MAP 248 LOT 267 ZONING: "RB" SETBACKS: 20'F-10'S-10'R LAQI \ O, \\ NOT IN WIND DISTRICT: EXPOS. B - �I I I LOT 14 OD. 26.1 FLOOD ZONE: "X" \. \\ COMMUNITY PANEL: 25001CO564J DATED:07/16/14 #47 \\ �\ CERTIFIED PLOT PLAN LOT 12 34.5' \ `Jv` (FOR ADDITION) iiiii7ii✓✓iiiiiiiiiiiii„ , . ii \ \ �� 21.5' PROPOSED o \ -z \\ LOCATED AT: \o Z ADDITION N \ \ 47 PASTURE LANE o \ 32.0' 39.4' �rJl \\ — HYANNIS, MA: \ SEPTIC 19.6 / SYSTEM PER TIE _ _ PREPARED FOR CARD RAFFI VARJABEDIAN, TR. N�6°1.115 E LOT 8 SCALE: 1 '=20' i - MARCH 27, 2019 LOT 9 O F .yq ssq MacDougall Surveying EDWARD yes & Associates A. GRAPHIC SCALE sTONE898 P. O. Box 2428 4 20 0 1 0 20 40 80 �F T- MashP ee, Ma. 02649 �s . _ 0 A L ,1� - PH. (508)419-1086 KIM CELL: 774-327-0617 3 ' IN FEET email: 1 inch = 20 ft. macdou gall surveyC�?comcastnot J#2081 e � qPR DFpT N pFBgRNS TgB�F DES�® S RE VIEW EQ _ SMOKE TEC G ld ►? i _ I IN DEPT. D E g TA '? .. EM S U NG 4 .SPHALT ROOFING— .: AT -- __ FIRE DEPARTMENT -- - _ ._. - — �C.x.." S ✓:�.^,7v{-r1'Irn! t:r'�1dr:S BOTH SIGNATURE, ---- ------- - - - --------- APc"REQUIRED FOR PERMITTING — —Liu]I Bart le Bldg:D00 TYP. IX5/IX HINGLES' ,.. �"< .. •� -. . •. ,. .• - � - .,...,a. EXISTING WALLS Approved by: PROPOSED REAR ELEVATION permit 111 1107 p .. \ .. �cwlasR12 14'xl�i �QIII49L �� �as cx. n'-10>ra' .cac x•�— STEP —_--� r ;17- „, tt :.- — --- �>`n t/�J ��\Jp�((/� X ASPHALT ROOFING : — - P O TT _ U'-O 2XSC.J. ECK AREA _ �' er BEDROOH ` U /-3-2XI0 HEADER 4 I � 1 a ! -li i wo 8A' 'T � _l0'C.S._ :�}3X8 HEADER - .. .. 1 ® EXISTING ® EXIST ATH . ' PROPOSED RIGHT ELEVATION - B ®® DINING .. .. EXISTING .. .. - KITCHEN 7r" - ... EXISTING . BEDROOM .. EXISTING � - E , ... 12 % I ------- EXIST. -- ----- .. BATH - � � \• n - ASPHALT:ROOFING (5,��pqq.``nn" l/� ���\�p�((/� \\ ' EXISTING ... - E(/OOSTO:uv �\.. LIVINCs EXISTING BEDROOM 000 .. P IX5/IX4 - I .� - ti -,S Lam,(' .NR BRDS_ •. y. .. _ O: op"�JCa� .. (S�.✓]�,e'") - ------------------- Ll PROPOSED FLOOR PLAN PROPOSED LEFT ELEVATION .�f1-s� oc �9i'�s�rn6iclt' STy%e.5._k ,'.,s��o � •i -BUILDER - - JOB ADDRESS :.DESIGN DATE REVISION DRAWN BY PAGE SCALE - 1/,4RJABEDIAN RESIDENCE PROPOSED BEDROOM �-✓�-✓� ,do �O� � ��0 �l� D�sj�'ns 41 PASTURE LAVE AND SITTING AREA. W TIl PURCNASE OF DRAWINGS LEAVED F'URCNABER.RESF'ONSIBLE FOR COMPLIANCE WITH ALL OJ ExAOt SIZE AND REINFORCEMENT OF.ALL OONCREE�FOOV—S T3)Al FOOTINOB 6HALL.EJCTEND B-10W FROSMIE VERIFY D�'TH. -. P.O.BOX 189• - "._ u-_"._ �- LOCAL BUILDING CODER AND ORDMANCEB,,1B OFSIGNS MAT NOT BE HELD RESPONSIBLE 'MIST BE DETERMINED BY LOCAL BOIL CONDITIONS AND ACCEPTABLE W VERIFY 6TRUCTURAL FL 1-5 FOR DESIGN.SIZE _ - (50BJ 494-9534 .. .. .. I r BARNSUSLP O l9d. X• BARNS7A8LE, MA, BITE G6 FOR TE CONDIT P IONS OR FOR THE UBE OF THERE g2AlUiNG9 DURING CONSTRUCTION. RACTICE&OF CONSTRUCTION.VERIFY DESIGNWITN LOCAL ENGINEER. WITN LOCAL ENGIN—'-AND BUILDMG OFFICIALS. zl. ' r 32'-0" 1-0 ---------------- _ __ ____— _____ ---- ---sm ,3 �y --- -- -- -- -- -- -- q; PROPOSED CONG SLAB W)6MILL POLY e 0 CRAWL SPACE AND FIBERMEBH - Q ORE.uAL. O Q a� Gj \ 2X8'e 16"O.C. G Si. -p.e)e^ o a II o.C. NEW OPENING .> 4— ® � �� Rtes EXISTING c tii BASEMENT Al 5. LATERAL UPLIFT ANOHOR BOLT 4ND 3°X3°XI/4°PLATE WASHER PROPOSED FOUNDATION PLAN 2X6 PT PLATE SHEA MAIN HOUSE SPACING eD°�°°Se ® °Dn• T'MIN. ROOF FRAMING PLAN °Oe•°de•°de•°d• °De•°de•°de•°de•°de° FOUNDATION WALL .°dm .°d•e .°d�• T•d°° .°dn°.°d•° D•e d•e da D b".12"FROM END ° A OF PLATES ° CUSTOM CAP •.°Dn •.°dns°d ' CUSTOM TOP RAIL . SIDING ? °Da .°d .°d.• = 2X2 BALUSTERS J 4"MAX.CLEAR SPACE BETWEEN TYP. ANCHOR BOLT SPACING: ICE a WATER BEHIND NAILER M ALUM W/FLASHING TOP OF NAILER i NAILING STRIP CUSTOM TOP RAIL 12'-0" IX DECKING � B'-0" _ 3-2X8 PT BEAM - I THROUGH BOLT TO EACH P08 TYP-RIM TYP.2Xr PT SILL Q 2-2X8'e P r 2X8's o IS"O.C. V WITH TWO 3/4"DIAM.BOLTS. 1 IX TRIM BRD. Q 2-2XB s PT TYP.JOIST HANGERS - POST ANCHOR p Q 2X8 PT NAILER BOLTED G W-3/4"LA BOLTS 24"D.C. ° of .x Q .°D•e a F ' O 4 2X10e I _a 6"O.C. t- n�• CONCRETE,WALL a —w Q °d.e , °Q DAMP.PROOFING CSA } d .APPROVED. AIL a 2X10 NER HANGERS YP. ° ed °d •°D'° O' 4"POURED CONC.SLAB --- -.---- ----_ °d ----'----- -- --- --- - ----- _--- - -1 �2X6 KEY-----, °On % °d` .1 O"X22"CONC FT MM G.': W I� °d ja� YCOMPACTII I EDGRANULAR�e� FLOOR FRAMING PLAN EXTERIOR DECK, DETAILS D FOOTING FOOTING DETAILS 8" CONCRETE WALL BUILDER JOB ADDRESS DESIGN DATE REVISION DRAWN BY PAGE SCALE VARJABEDIAN RESIDENCE PROPOSED BEDROOM_ �✓� ✓�✓oN/� 1�1� OV�o 3-22-19 a JB »�oF� v4"=ro" ✓� p�s/gns '•'T I PASTURE LAVE AND SITTING AREA. W III-RCH•"�OF DRAWINGS LEAVES PURCHeSER RESPONSIBLE TOR COMPLIANCE WITH ALL R)E%ACT 812E AND RENFORDEMENT OF 4LL CONCRETE FOOTNGB l91 ALL FOOTING8 SHALL EXPEND BELOW IllvERIFY DEPTH. - • - ° •-- LOCAL BUILDING CODED AND ORDINANCES•,IB DESIGNS MAY NOT BE HELD REBPON8IBLE MUST BE DETERMMED BY LOCAL W L CONDITIONS AND ACCEPTABLE l4)VERIFY 8TRUCNRAL ELEMEl FOR DESIGN•812E vo. � (r BJ 494-9534 aARNSTAeLE) MA. ZI FOR BITE CONDITIONS OR FOR THE USE OF THESE ORAWNGS DURING CONSTRUCTION PRACTICES OF LONB RUCTON.VERIFY DESIGN WITH LOCAL ENGINEER. WITH LOCAL ENGINEER AND BUILDING OFFiGALB. LLF9T BARNBTAELB Y4 OdlS9 RIDGE VENT SIDING 2XIO RIDGE 2X5 RAFTERS®16 O.C. 1/2"ROOF SHEATHING IV ASPHALT PAPER e® ASPHALT SHINGLES HOUSE WRAP 12 PHALT ROOFING in"SHEATHING le•D.C. Q4 5-ASPHALT PAPER Pos51 1/2"PLY.SHEATHING R49 INSUL. �' P.H2.5A TIES IX3 STRAPPING i- SHINGLE STARTER EXISTING I/2"WALLBOARD DRIP EDGE I/2"W LLBOARD COARSE EXISTING 5"GUTTER LIVING 2X6'B B I6"O.G. `� KITCHEN NEW SITTING AREA R21 I SULATION o�,° b 2X6 P.T.SILL i e ° SILL SEALER I/2"W LL SHEATHING IXB FACIA 3/4"T/G PLY. 14OUS WRAP OR EQUAL °•�.� OPTIONAL 2-�5 ROD NAILED t GLUED. SIDIN - '-5400 VENT TOP RING 2"CLEAR _ _ e•. e• 2XIO's B I6"_O.G_._ _ _ IX8 SOFFIT ° R30 INSUL. ® - - _ I ATCH EXISTING a 5/8"XI2"ANCHOR '> NEW CRAWL SPACE BOLTS. 4 °de EXISTING r-4"CONC.SLAB ' ./ BASEMENT °de e *Y EAVE DETAILS SILLEA SILL DETAILS CROSS SECTION DETAILS 12 y 4� rWALL LENGTH-12'-0" FULL HEIGHT SHEATHI Cn Q IN EX ST �(�G ACTUAL SHEATHG=J�2% U� \ (Min.Required l0 %) -- --- RATIO=2.15 A — EDGE NAILING= O.C. ,•,100% FIELD NAILINCr-JZ_O.C. iD L-------------J SHEAR::-': .; 1 WALL .,.12,-0,;{12 SHEAR WALL LEFT ELEVATION 11 Mul •TMlg SHEAR SHEAR WALL WALL unlr,• WALL LENGTH-32-0„ SHE �- rWALL LENGTH, SHEAR WALL REAR ELEVATION r - - - - Q f�� FULL HEIGHT SHEATHING= Z( U�j U\4��.WALLR,. .WALLR ACTUAL SHEATHING=12]_% I FULL HEIGHT SHEATHING=h-0„ (Mtn.RequlredJ�%) I 1 -:'. ACTUAL SHEATHING= 50 % RATIO- 2.15 g.0. i (Min.Required-A9_%) EDGE NAILING=_9z'_0.C. I RATIO=-Lll?- 'FIELD NAILING= IY'O.C. I EDGE NAILING•-1_O.C. L-—-—_—-—_—.—-- FIELD NAILINCFJ2_O.C. L-------------- 12--O" SHEAR WALL RIGHT ELEVATION BUILDER JOB ADDRESS DESIGN n,.� ,� n ^ DATE REVISION DRAWN BY I PAGE I SCALE VARJABEDIAN RESIDENCE PROP05ED BEDROOM o O O o ' 3-22-M JIB --a-.or 4 va".r-0" Ja loelo lens 41 PASTURE LAVE AND SITTING AREA. W n PURCHASE of DR4 ANGS LEavES P CNASB RESPONSIBLE FOR Canpu E WTTN ALL OJ EXACT SRE AND RBNFDRCFITENT OF ALL CONGRE E FOOT NGS (9)ALL FOOTINGS SHALL EXTQID BELOW FROSTLME VERIFY DEP H. f' LOCAL BUILDING CODES AND ORDM/.NCSS,JB vwKms HAY NOT BE HELD RESPON,E `9BT BE DE,ERMINEO BY LOCAL SOIL CONDITIONS AND ACCEPTABLE (A)VERIFY STRUCTURAL ELEMENTS FOR DESIGN•BIIE P.O.Eb�s (510BJ 494-9534 BARNSTABLE, MA, ZI FOR snE CDND noNe oR FOR NE usE aF NESE DRAwNGs DUR NG coNa RucrroN PRACTIG�OF CONS RUCTION VB21FY DE0 GN WRH OCAL ENGINEER. WI N LOC1L ENGINEER ANp BVI DING OFFICIA S. 4ESTEI =IAM MA Otlf9 F ry AWC GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS 110 MPH WIND ZONE MASSACHUSETTS CHECKLIST FOR COMPLIANCE(180 CMR 5301.2.1.15 CHECK COMPLIANCE M SCOPE WIND SPEED(3-SEC.GUST)-----------------------------------.----------------------------------------110 MPH WIND EXPOSURE CATEGORY----_--------__________________________________________________________________.B L2 APPLICABILITY NUMBER OF STORIES(A ROOF WHICH EXCEEDS 6 IN 12 SLOPE SHALL BE CONSIDERED A STORY) _I—STORIES C 2 STORIES_V OF ROOF PITCH._________________---------_------------- (FIG 2) -------._ ____--____442_(12:12�L JOINT DESCRIPTION COMMON BOX NAILS NNA AILSS NAIL SPACING MEAN ROOF HEIGHT__________________________________ (FIG 2) .______-___________________-_________ IS FT<33'�— NAILS BUILDING WIDTH,W___________________________________ (FIG 3)------------------------------------- 12 FT<80'�— ROOF FRAMING BUILDING LENGTH,L------------------_-------------- (FIG 3)--------------------------------------2 FT<80' /_ BLOCKING TO RAFTERS(TOE-NAILED) 2— 2-Iod EACH END BUILDING ASPECT RATIO(L/W)------------------------ (PIG 4)-------------------------------------2T4 <3:1 1/ RIM BOARD TO RAFTER(END-NAILED) 2-16d }I6tl EACH END NOMINAL HEIGHT OF TALLEST OPENIN(a________________ (FIG 4)--------------------------------------fi�.e<6'8" IL WALL FRAMING 1.3 FRAMING CONNECTIONS TOP PLATE AT INTERSECTIONS(FACE-NAILED) A-16d 5-16d AT JOINTS GENERAL COMPLIANCE WITH FRAMING CONNECTIONS.._. (TABLE 2)-_______ ________________________ —V STUD TO STUD(FACE-NAILED) 2-- 2-led 24'04. 2,1 FOUNDATION TYP.FIELD NAIL SPACING HEADER TO HEADER(FACE-NAILED) I6d 16d 16°O.C.ALONG EDGES FOUNDATION WALLS MEETING REQUIREMENTS OF 180 CMR 5404.1 8d COMMON•6"O.C. FLOOR FRAMING CONCRETE.__________________________________________________-.-._.__-_-___-..-..__.__.__________ ------- —>L JOIST TO SILL,TOP PLATE R GIRDER ROE-NAILED) 4-Sd 4-IOd PER JOIST CONCRETE MASONRY__________________________---------------------------------------------------------- �_ TYP.1/16"WOOD •'^',�'• BBLOOCKING TO JOIST(TOE-NaILEDJ 2-0d 2-IOd EACH END KING TO ILL OR TOP LATE(TOE-NAILED) d A-6d EACH 2,2 ANCHORAGE TO FOUNDATIOt I' __ STRUCTURAL PANEL LEDGER STRIPSTO BEAM ORPGIRDER(FACE-NAILED }I6d 4-16d EACH JL08T JOIST ON LEDGER TO BEAM ROE-NAILEDI 3-0d }iOd PER JOIST 5/8"ANCHOR BOLTS IMBEDDED OR 5/8"PROPRIETARY MECHANICAL ANCHORS 45 AN ALTERNATIVE IN CONCRETE ONLY \ I BOLT SPACING-GENERAL------------------______ (TABLE 4) -------.______________________ _____,3Z IN. I/— BAND JOIST TO SILLJOIS OR(EN PLAT }16d 4-16d PER JOIST -„ : \ ^" : ••' _ }I6d PER JOIST BAND JOIST t0 SILL R TOP PLATE ROE-NAILED) 2 Uid BOLT SPACING FROM END/JOINT OF PLATE----------FIG 5)________________-----_------------6_I2'IN.<6°-12"�� BOLT EMBEDMENT-CONCRETE---------------------(FIG 5)------------------------------------ T„ IN.>I"�L .,� '..- ',.• ROOF SHEATHING BOLT EMBEDMENT-MASONRY----------------------(FIG 5)_____________________________________ 0 IN.>IS" �L TYP.EDGE NAIL SPACIN '•�i'•,i —___ _____ WOOD STRUCTURAL PANELS PLATE WASHER----------------------------,._..._. (FIG 5)..------------------------------------>3"X3"XI/4" I/ (ad COMMON•6'O.CJ '•- -'� RAFTERS R TRU65M SPACED UP TO 16"D.C. ad IOd 6"EDGE/6"FIELD 3.1 FLOORS \\ \ \\ \ RAFTERS R TRUSSES SPAG®OVER 16"O.G. ad Od 4"EDGE/4"FIELD FLOOR FRAMING MEMBER SPANS GHEGKED._________-.(PER 180 CMR 55.00)._________________________________ v I RAFTER CONNECTIONS '•- '' •' WITH NO GABLE ENDOWALL RAKE R RAKE TRUSS Ed IOd 6"EDGE/6"FIELD MAXIMUM FLOOR OPENING DIMENSION________________CRG6)--------------------------------------Q FT<12'_V NON- TYP.H2..5 TIES ;, P.HORIZONTAL DOUBLE GABLE ENDWALL RAKER RAKE TRUSS Ed IOd 6"EDGE/6"FIELD FULL HEIGHT WALL STUDS AT FLOOR OPENINGS LESS 2'FROM EXTERIOR WALL(FIG 6)_____________________________ �—: LOADBEARING =�. NAIL EDGE(STAGGERED NAIL W/STRUCTURAL OUTLOOKERS MAXIMUM FLOOR JOIST SETBACKS STUD HEIGHT GABLE ENDWALL RAKE R RAKE TRN98 8d IOd 4"EDGE/4°FIELD SUPPORTING LOADSEARING WALLS OR SHEARWALL.(FIG 1)._________________________ __Q_FT<d I/ ! UPLIFT •°,, PATTERN ad COMMON•3'O.G. GABLE OUT BLOCKS MAXIMUM CANTILEVERED FLOOR JOIST MAX.WALL �IflI OADHEARING CEILING SHEATHING SUPPORTING LOADBEARING WALLS OR SHEARWALL.(FIG 81_____________________________________Q FT(d�_ HEGHT 20' YP.1/16"WOOD STRUCTURAL STUD HEIGHT GYPSUM WALLBOARD 5d COOLERS - T"EDGE/IOU FIELD -.., FLOOR BRACING AT ENDWALL9-----------------------(FIG 9)-------------------.......---------------------- VERTICAL PANEL SHEATHING FLOOR SHEATHING ------(PER ISO CMR 55.00)------------_-_______.__-_- _. —V` I _ WUI MAX.WALL WALL SHEATHING FLOOR SHEATHING THICKNESS-------------------------(PER 190 CMR 55.00)-____________ _____.3L�IN.—>L •'_______ •- - P.VERTICAL EDGE NAIL HEIGHT 10' WOOD STRUCTURAL PANELS FLOOR SHEATHING FASTENING.______________________.(TABLE 2)_�d NAILS AT SIN EDGE/�JN FIELD�/ 1 •; .-� SPACING(Sd COMMON STUDS SPACED UP TO 24'O.C. Ed lod 6'EDGE/If FIELD 4.1 WALLS ,• .•• _O,C.) I/2•AND 25/32"FIBERBOARD PANELS Ed 3"EDGE/6"FIELD /2 WALL HEIGHT •; �u °GYPSUM WALLBOARD 5d COOLERS - l'EDGE 110°FIELD LOADBEARING WALLS_____________________________(FIG 10 AND TABLE 5) -_____.__-.7_$FT<I&—1� .. ' FLOOR SHEATHING �� I ,• Co (FIELD NAIL SPACING NON-LOADBEARING WALLS------------------------(FIG IO AND TABLE 57._____________________-ftS FT<20;�_ ' ' ' ON OC WOOD 9TRLLGTURAI.PANELS : WALL STUD SPACING---------------------------------(FIG 10 AND TABLE 5)._______-_________.J&_IN C 24"O.G.�L •^- '"- '^ 1"R LESS 8d 10d I 6"EDGE/I2"FlED ed COMM WALL STORY OFFSETS_____________________________..(FIG 14 8).._________________________-____-_.Q.FT<d�L ° , I GREATER THAN I" IOd IOd 6"EDGE/6"FIELD 4.2 EXTERIOR WALLS' WALL ST11D9 -•';; GENERAL NAILING SCHEDULE LOADBEARING WALLS-----------------------------(TABLE S)----------------------------2X 12---1_FT-jeL-IN_>` NON-LOADBEARING WALLS.________________________RABLE 5)----------------------------2X li�_FT�INV` GABLE END W G(ALL BRACING '. FULL HEIGHT ENDWALL STUDS----------------------(Fla 10)---------------------------------------------- °•.°C•e d•°°-°d'ese WBP ATTIC FLOOR LENGTH-------------------------(FIG IU----------------------------------- 0 FT>W/3 V` ° GYPSUM CEILING LENGTH(IF WSP NOT USED)____-__-(FIG IU___________________________________Q_FT>OA3W_>L ° a a o•. e e AND 2X4 CONTINUOUS LATERAL BRACE o 6 FT.O.C.(FIG II)______________________________________________ V ° ° •e 4, d•e SHEAR OR IX3 CEILING FURRING STRIPS a 16"SPACING MIN.WITH 2X4 BLOCKING•4 FT.SPACING IN END---------- �� , ° '• d'P DOUBLE TOP PLA JOIST OR 1RUS$BAYS________________________-_______________________________________________________ L • DOUBLE TOP PLATE °° 24"O.C.MAX.• ° ,° °d n 24"O,G.MAX. e STUD SPACING STUD SPACING d•°SPLICE LENGTH---------------------------------(FIG 13 AND TABLE 6).____________________.__._._8_FT�L o SPLICE CONNECTION(NO.OF 16d COMMON NAILS) (TABLE 61--------------------------------------JZ_ �L o ° °• o ° o,• >, >• e, ° ° I Q LOADHEARING WALL CONNECTIONS d�e d•e `e ,�1 e°.°d•e•.°d A•.°6a 6'•° '- _ de de LATERAL(NO.OF 16D COMMON NAILS)------------(TABLE V---------------------------------------- �V ', .�d d• - -- ° n ° ° e°' . e NON-LOADBEARING WALL CONNECTIONS ". °e °• ° ° a >° ° ° ° ' .°de .°d•• DOUBLE HEADER LATERAL(NO.OF I6d CO"nDN NAILSJ._____-____-(TABLE e).______________________________________ 2 �/_ It A" �e LOAD BEARING WALL OPENINGS(RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE TI) HEAD LLP�E'GHT�sTUDS To.Or STUDS-_______________RABLE9).____--______________________ O-Jg_(11'�L MAXIMUM WALL STUD HEIGHT , STUD SPACING , WILL NON-LOAD BEARING WALL OPENINGS(RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE S) HEIGHT HEADER SPANS---------------------------------(TABLE S).____________________-______.QFT 0IIN-(12' \/ RAFTER CONNECTION AND WALL.SHEATHING STUD SILL PLATE SPA NS------------------------------RABLE S)---------------------.______.QFf Q.IN,<12'_�L —DOUBLE JACK STUD FULL HEIGHT STUDS(NO.OF STUDS)---------------(TABLE S)--------------------------------------- 3 _�L REQUIREMENTS AT EACH END OF HEADER EXTERIOR WALL SHEATHING TO RESIST UPLIFT AND SWEAR SIMULTANEOUSL-� MINIMUM NUMBER OF HEADER SPAN HEADER UPLIFT LATERAL WINDOW SILL PLATE MINIMUM BUILDING DIMENSION,(W 7 FULLHiBGHT NOMINAL HEIGHT OF TALLEST OPENING?________________________________________________________-ALe<6'B°�L (FT.) SIZE STUDS �.) (LBJ -- -- SHEATHING TYPE_-------------------------------CNOTE 4).-------------------------------------- 1/2 IN, V_ EDGE NAIL SPACING_____________________________(TABLE 10 OR NOTE 4 IF LESS)------------------ IN.�/ 2-2X4 1 2-M 132 -_ ___ ---_ --_2' -_-_- __-- _—_ -_--_—___ FIELD NAIL SPACING ____.RABLE 10) .____________________________________IN,—y SEE PAGE 3 OF 4 3' 2-2X4 2 416 198 $ HEAR CONNECTION(NO.OF Ibd COMMON NAILS) (TABLE 10).___-______..___________________________ _]L 4' 2-2X4 2 554 264 PERCENT FULL-HEIGHT SHEATHING ____.RABLE 10)------------------------_-------____% V 946 ADDITIONAL SHEATHING FOR WALL WITH OPENING>6'8"(DESIGN CONCEPTS-----------_------------- 2-2X4 3 693 330 MAXIMUM BUILDING DIMENSION,(L) NOMINAL HEIGHT OF TALLEST OPENING2-____ __________________________________4-n"C 6'S" 6 2-2X6 3 831 396 ___.:�____________._R_'_____________;;______________; ________ .:v SHEATHING TYPE_______________________________MOTE 4J________ ______.__________ 1/2 IN._>L l' 2-2X8 3 9l0 462 EDGE NAIL SPACING-----------------------------(TABLE II OR NOTE 4 IF LESS)--------------------- IN._>L 8' 2-2X12 3 I,108 528 ,'. .°dn .°d•e ."d•e .°de .°d• .°d•A .°Oe d'e .°dA .°dj . FIELD NAIL SPACING-----------------------------RABLE IU-------------------------------------___IN. I/ SEE PAGE 3 OF 4 9' 3-2X10 3 Iy4l 594 •°',o, .. " ° o• SHEAR CONNECTION(NO.OF ISO[COMMON NAILS) (TABLE IU_______________________________________— �� �de d•°•.°d•A .°de•.°D•••°n.�' •°"e�. °dn•,°d•e e PERCENT FULL4IEIGHT SHEATHING (TABLE IU________________________________________% —>L 10, 3-2XI2 4 1,385 660 ° 5%ADDITIONAL SHEATHING FOR WALL WITH OPENING>6'B (DESIGN CONCEPTS)------------------------- —>/_ .' '., a '.' a '.' ° '.' TYP.ANCHOR BOLT.AND ° II' 4-2XI0 4 1,524 126 >••, a•, °•, o•, o,•, 3"X3°XI/4°PLATE WASHER.°. WALL CLADDING de de 41 d° d•e 0•e dro de d•e .°dn .°d RATED FOR WIND BPEIDi____________________________ _____._____________________________. �V 5.1 ROOFS WALL OPENINGS - HEADERS a•° '' ° '•' ° ,o•° '•' °do°.°de .°d'e .°d, .°d> .°d•n .°d'e °d.;°°d,o Ado e ROOF FRAMING MEMBER SPANS CLIECKmT(FOR RAF7ER6 USE AWC SPAN TOOL,SEE BBiRS WEBSITE) IN LOADBEARING WALLS •° ' ROOF OVERHANG___________________________________(FIGURE 15)______________71 r5.FT(SMALLER OF 2'OR L/3TRUSS �L OR RAFTER CON NE .°de d'e d CTIONS AT LOADBEARING WALLS .° .° e .°de .°d•e .°da .°dn .°de .°d.• PROPRIETARY CONNECTORS :, ,. ,. ,. •, UPLIFT------------------------------------ RABLE 12)-------------------------------------U.33hPLF LATERAL- ____________________________________ -------------------------------------L-1Y2_PLF SWEAR-___ ________________________-(TABLE 12)-------------------------------------6•-33-PLF RIDGE STRAP CONNECTIONS,IF COLLAR TIES NOT USED PER(TABLE 13)________________________________T°382pLF_v GABLE RAKE OUTLOOKER.___________________________(FIGURE 20).__-________J'�ONE FT(SMALLER OF 2'OR Ln�L TRUSS OR RAFTER CONNECTIONS AT NON-LOADBEARING WALLS PROPRIETARY CONNECTORS UPLIFT----------------------------------------(TABLE 14).____________ ___________-.LI-413.LB,�L LATERAL(NO.OF 16d COMMON MAILD1---------(TABLE 14)-------------------------------------L-J4B,LB. sruDs AND HEADERS ROOF SHEATHING TYPE______________________________(PER-ISO CMR...AND..00)-------------------- .. ROOF SHEATHING THICKNESS--------------------------------------------------------------- IN.>1/16"WSP_>L ROOF SHEATHING FASTENING.________ ___. (TABLE 2)_ ------------------------------------------------------ AROUND WALL OPENINGS BUILDER JOB ADDRESS DESIGN ,„n �O rt ^ DATE REVISION DRAWN BY PAGE SCALE VARJABEDIAN RESIDENCE PROPOSED BEDROOM ll�ll ll o o �(ll vlll/ 3-22-19 a JB •�oFA 1/4"-1--0" ✓� ��s�gns 41 PASTURE LAVE AND SITTING AREA. CO-LANCE INI (D LOCAL 0 ILD NG CODES AND AORD NAANDm,,E DESIGNS MAYNOT BE ELD RESPONSISLE (2)IX�TBEI DETERMINED 5YY LOCAL SOIL CONDITIONS AND AOCEPTABLE (4)v621-SIiRI1GNRALLB.EMEHTS FOR DE0 GN SI, ZED DEPTH. PA.BOX JB BARNSTABLE, MA. Z FOR BITE CONDITIONS OR FOR THE USE OF THESE DRAWINGS DURING CONSIRWC ON. PRACTICES OF CONSTRLCTION.VERIFY DESIGN WITH LOCAL ENGNEER WITH LOCAL ENGINEER AD BUILDING OFRCja . mEer BARNSTAEILE na.Dues ^e30BJ 494-9$34 O cn � _o m �