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0202 SEVENTH AVENUE (HYANNIS)
G?o'a �¢uzraCf%c ,� � �� �r ------------- i .. t t. i i ! `3 a vo, D i, ♦.. Pam" I �- r - � tST L,E D�IZ b!'J Its * ti � -b c o s a ss > � Y► i 1 O ry d ` r + l I f� JJO`-�S 49 1 0-f-7T' I i dr-I 1 � 9 ss � 4144 i 7 j eJ 1 ry LLS� +S'i ON. INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559. *t' 'elephone: 508/563-6049 COLONY INSULATI CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: JOB SITE ADD RESS: 'O� . AJ r DATE Z R-VALUE , AREA T.HIC.KNESS Ceiling Cathedral Ceiling Garage Ceiling B asernent Ceiling Slopes Exterior W all Garage Hse. W all W alkout W all Cathedral Wall B lockers vp W Overhang S tair/R isers WG j: re deemed to be accurat y the following installers: All R-values and thickness measurements a CAL DATA FOR MATERIALS IS ATTACHED TO THIS FO . �rJ i TECH"' ThermalGuard. CC2 Arnthane �; ' TECHNICAL DATA SHEET PRODUCT NAME I PHYSICAL CHARACTERISTICS. Test Method I PropeLt y Value 2.O lb/fts �'"ASTM D-1622 Density(nominal): ASTM C-518 ' r h a n e R-value: 7/inch j ASTM D 1621-94 Compressive Strength: 35 PSI ASTM D1623-78 I ThermalGuard CC2 Tensile strength: 70 PSI ional Stability: <4%4 ASTM D 2126 Dimens ; . PRODUCT DESCRIPTION I ASTM D 2856 Closed Cell Content: 96% ASTM E283 Air Permeability: ,8 Perms @.002 L/sm2(@ 75 Pa @ 1 ) ASTM E96 ThermalGuard CC2 is a fast set,closed 2" i celled;245fa-blown spray polyurethane Vapor Permeability: ASTM G21 Fungus Growth None ' foam(SPF)insulation designed for use Service Temperature: 250 OF(120°C)* in residential&commercial structures, exterior foundation or perimeter *Service temperatures will vary depending on application. Contact yourArnthane Technical Representativefor insulation,below grade applications, I recommendations and limitations. Always test ThermalGuard CC2jorsuitnbilityjoryourparticular application in i exterior tank/pipe insulation and etc. . a safe manner. j ThermalGuard CC2 is applied as a LIQUID PROPERTIES Value Test Method liquid and expands 25x in seconds to fill Pro e 200-250 CPS ASTM D-2196 and seal building cavities of any shape Viscosity(A) 1100-1300 CPS ASTM D-2196 j and size. It-exhibits superior thermal Viscosity(B) 10.25 lbs/gal ASTM D-1475 insulation;.ait-barrier,and sound Weight Per Gallon(A). 9.41bs/gai ASTM D-1475 attenuation properties compared to Weight Per Gallon(B) conventional insulation materials. REACTIVITY PROFILE ; Value Once fully cured ThermalGuard CC2 Pro erb 2_3 seconds @ 25°C(77°F) I remains rigid maintaining significant Cream Time: 12-16 seconds @ 25°C(77°F); structural strength and thermal Rise Time: insulation properties in adverse j conditions across a wide variety of COMBUSTION PROPERTIES i t`Method Pro e Value i applications. <25 ASTM E-84 Flame Spread Index: <450 ASTM E-84 MANUFACTURER I Smoke Development: ThermalGuard CC2 is manufactured PACKAGING&STORAGE SS 1 lbs 1 exclusively by. Drum Weight(A) 5001bs Drum Weight"(B) 1051 lbs Arnthane Inc. Total Set Weight g 60—80 OF 1002 West Main Street Storage Temperature Range(STR) 6 months Richmond,M0 64085 Shelf Life at STR P.816.776.3015 material as it will causef!othing and loss of j F.816:776.3215 *Do not allow material to freeze:Do not pre heat or recirculate(Shorten shel lie and cause degradation or loss of blowing agent. Storage at temperatures above or below SYR may f j agent. Cod material will develop higher viscosity which can cause during processing such as pump wR w.arntilane.COm blowing agent.C rmixture of(A)and(B)components:For best processing performance during application(A) cavitation j and(B)drum temperatures should be behveen 60 F—80.F. CORROSION PROCESSING PARAMETERS 900-1400 PSI* ThermalGuard CC2 is chemically& I physically compatible with all common Processing Pressure Range: 115 145°F* j building materials including electrical Processing Temperature Range: 35-105°F wiring,wood,metal,,concrete,plastic Substrate Temperature Range: 35-105 OF (PVC),copper,vinyl,and glass. Ambient Temperature: <19°/a Substrate Moisture Content: 3800-5000 Board Feet Per Set* Yield: INSTALLATION Maximum Lift Thickness: 4 inches** ThermalGuard CC2 must be spray *Processing parameters&yields can vary widely depending on substrate temperature,type condition. o ambire fire. applied using approved equipment.Use temperature,elevation,humidity,equipment and other factors. Du r ng installation the applicator y quality and character stics of the foam and adjust equipment temperature&pressue settings as needed?o 1:1 ratio proportionings stem that can ro er adhesion,proper cell structure,and achieve the specified temperature and accommodate ed rmnn�ce o f�he variables in order to ensure optimum yield,p p r I ressure requirements. **ALFYAYS test Therma. ird CC2 at desired thickness in a safe manner prior to insulating structure to ensure that it can be safely iistalled at the desired!h thickness without risk ojcharring or combustion. It is the exclusive Iresponsibility of the applicator to achieve proper lift thickness for safe application. Safe 1 thickness may vary Ifrom application to application. �y Town of Barnstable g s Post This Card SoThat rt:is Visible From°the-Street =Approved Plans'Must be Retained on Job and this Card Must„be tCept is , 3 r. �ra :.,, c e sNAS& 'Posted Until'Final Inspection Has Been Made 1' w, 1 a` pancy is Requlired,such Building shall Not lie Occupied until a Final Inspection has been made t Where a Certificate�of Occu - - , ., •3 qw,•, ,x x„�b mit x. .....,n .. . � k. T,, Permit NO. 6-18-3694 Applicant Name: ~. RANNEY AND RIMiNGTON CUSTOM BUILDING,LLC Approvals Current Use:_ Structure' 5truct Date Issued: 12/21/2018 F Pe`r'mit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/21/2019 ° undation• Residential Ma Lot: 245 080 Zoning District: RB Sheathing: Locat ion: 202 SEVENTH AVENUE.(HYANNIS);HYANNIS Contractor Name ALEXANDER M`RANNEY Framing: 1 Own _ �. l8 er on Record: LEMBO, PHILIP J&SUSAN P Contractor License: CS-088595 2 Est= Project Cost: $27 5� Address: 1087 FRANKLIN STREET 16.00 x _ J Chimney: MELROSE, MA 02176 Permit Fee: $ 190:33 Insulation Description: remodel art studio(shed)-all inteior work,except repace-one Fee Paid $ 190.33 window and door like for like Final: to Da - ' 12/21/2018 Project Review Reg: UNHEATED ART STUDIO WITH 1/2 BATH IN�EXISTING _ - - STRUCTURE. kr G ' ' y�r- Plumbing/Gas Rough Plumbing: .. Buildin Official e g Final Plumbing: , Rough Gas: " - , �$ FinaLGas: , 'ThisCOm k permit shall be deemed abandoned and invalid unless the work authorizedby this permit is menced within sixmoriths'after issuance. All work authorized by this permit shall conform to the approved applicati&n,and theapproved construction documents.for which this permit has been granted. Electrical, All construction,alterations and changes of use of any building and strvctures-shall'be,-in compliance with the local zoning by IawtEard codes. K c This permit shall be displayed in a location clearly visible from access street or road and;shalf be rnamtamed open for public inspection for the entire duration Of.the. Service. y work until the completion of the same. r Y k . Rough: The Certificate of Occupancy will not be issued until all applicable signatures by'the Building and Fire"Officials are provided on this permit.' Minimum of Five Call Inspections Required for All Construction Work: K ,Final. ' 1.Foundation or Footing 2.Sheathing Inspection }« Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: S.Prior to Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department t Work shall,not proceed until the Inspector has approved the various stages of construction. . 'Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION D& �- qy Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive.Plan Approved by Planning Board " g Historic - OKH _ Preservation/ Hyannis Project Street Address 2DZ -7 4A AV C 1�_ I-f`1"NSi09-1— Village 9 Owner P!�'. 1� �' SVS/ �I �� Address Telephone Permit Request Y-W OM 6IV e W" Pow A*a 'DOve- Ind �c9n t Square feet: 1 st floor: existing (qa-proposed tAL 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay No Project Valuation �� S�� Construction Type Lot Size 4A Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family )Ir Two Family ❑ Multi-Family(# units) Age of Existing Structure (0,S Historic House/Yes X No On Old King's Highway: ❑Yes )4,No Base t Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ` t)E�P7- Basement Finished Area (sq.ft.) ® C Bab. E@n`qj nfinished Area (sq.ft) Number of Baths: Full: existing f� new ®(iyN(i°� � , 1133Half: existing new Number of Bedrooms: D existing 0 new Total Room Count (not including baths): existing i new First Floor Room Count Heat Type and Fuel:D4Gas ❑ Oil 0 Electric ❑ Other Central Air: ❑Yes ,�No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed:xexisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes C�-No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name l�lil'�XA-NDY�Z �`'� Telephone Number �$o�, 733 3 4 O Address 231 5�01X ANC License # 11A S�15- �-5 Home Improvement Contractor# Email Worker's Compensation # &.561)U Q q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �uUw�SffZ SIGNATURE DATE 1 Q► FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. a to t Commonwealth of Massachusetts Title 5 Official Ins . ` a pection Form R Subsurface Sewage Disposal Sys tern Form.-Not for Voluntary Assessments p~ 202 Seventh Ave. Property Address Susan & PhilipLembo Owner Owner's Name information is required for every Hyannisport 02647 page. City/Town Mae 10/25/2017 Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below:- ® hand-sketch in the area below Eldrawing attached separately BAC. , ID00 N1Ew ao , Q �old OF I51ns•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17_ r Commonwealth of Massachusetts Division of Professional ucensure Boardof Building.Regulations and Standards Const%�tftn Sk,ervisor CS-088595 ; fEx pTres.04116/4 � 020 .'�'k4T' q AL.eMDER-N1 RJ 239 SCUDDMAYE : P HYANNIS MA h"i SLi*L\ Commissioner CAL , Construction Supervisor Unrestricted-Buildings of arty use group which ppntain less than 35,000 cubic fees(�ecubic meters)of enclosed , Failure to possess a current edition of the Mon�a��hulicense- Side Building Code is cause for revOcati For intorrnation about this license Call(617)727-3200 or visit wwwjnass4;0v1dPl - i i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Regisiratlon valid for individual use only Type: LLC before the expiration date. If found return to: ExpimMan Office of Consumer Affairs and Business Regulation 10 Parlt Plaza-Suite 5170 *..x.f44752 11/01/2018 Boston,MA 02116 Raney+RirrtiCjigt+*e-'b-, Building, LLC'.. Alexander RannW' 157 Thankful I-Ahe COUit,MA 02835`,'4' Undersecrel;M Not valid without signature AE9 CERTIFICATE OF LIABILITY INSURANCE FDA0 (MMIDD„r,r,rY' sro7rto`1e 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. IM06MTANTt It tho eortifie2fe holder it an ADDITIONAL INSURED,the oolioy0es)must be endorsed. If SUBROGATION is WAIVED,subject to the terns 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 RANT Tammy Home ROGERS&GRAY INSURANCE AGENCY INC PHONE LAIC,No,Erfl: 508 760-5745 ac No: ADDRESS E-MAIL thome@mgersgray.com 434 ROUTE 134 INSURER($)AFFORDING COVERAGE NAIL S SOUTH DENNIS MA 02660 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B. RANNEY&RIMINGTON CUSTOM BUILDING LLC INSURER C: INSURER D PO BOX 816 ~ INSURERE., MARSTONS MILLS MA 02648 1 INSURFRF: COVERAGES CERTIFICATE NUMBER: 300993 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. i SR OL SUER LZL TYPE OF INSURANCE POLICY NUMBER POLDor IOYYYY1 POLICY IXP LIMITS COMMERCIAL GENERAL LIABILITY • EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMI rrenr. $ MED EXP(AM onePerson) $ NIA PERSONAL&ADV INJURY S GEN1 AGGREGATE LIMB APPLIES PER - GENERAL AGGREGATE S POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOSILELUIBS.ITY COIN INED SI E LIMIT $ -fEaaccident) ANY AUTO BODILY INJURY(Per person) $ AALLLTOOWNED SCHEDULED OS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTYDAMAGE $ HIRED AUTOS AUTOS - Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE WA AGGREGATE $ DED I I RETENTION S $ WORKERS COMPENSATION X STATUTE OTH- AND EMPLOYERS'LIABILITY YIN E ANYPROPRIETORIPARTNEIVEXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED7 I WAI NIA MIA 6S6OUB9F85778918 08/06/2018 08/06/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $. 100,000 DES�CRIP ONO OPERATIONS belm I I E.L DISEASE-POLICY UMR Is 500,000 NIA DESCRIPTION OF OPERATIONS I U)CATIONS I VEHICLES(ACORD 101,Additional Remarks Sc►leduls,maybe attached K more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 08 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 be monitored daily by accessing the Proof of Coverage Coverage Verification Seareh tool at www.mass.govAwd/workers-compensationrinvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TFI£ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT-H�ORAD REPRESENTATIVE ^ - ------- Daniel M.CrOy,CPCU,Vice President-Residual Market-WCRIBMA 01888 2014 ACORD CORPORATION.. All rights reserved. ACORD 25(2114101) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �,Q Please Print Legibly Name(Business/Organization/Individual): l �"'�( Address: q 6 4 IM -, 3)-- City/State/Zip: Phone#: ° 92&-7 1 11- Are you an employer?Check the appropriate box: Type of project(required): 1 KI am a employer with I� 4. ❑ I am a general contractor and I employees(full and/or pact-time).* have hired the sub-contractors 6. New construction 2.El I am a sole proprietor or artner- listed on the attached sheet. 7. Remodeling P P P ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity,. employees and have workers' Y P t3: $ . 9. ❑Building addition. [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 1QjElectrical repairs or,additions 3.❑ I am a homeowner doing all work officers have exercised their 11.ef�tlumbing 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 such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: SRO GU r K77 0 El ( U Expiration Date: Job Site Address: qti -?tk NVV.yJ 0 NAY Pff City/State/Zip: t0- - Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: (1 I3oI Phone#: OF,) -7 (y 1 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-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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street , Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov<dia DocuSign Envelope ID:A5C5B264•CABA-4F09-9779-7F4FCB5DC47A + PO Box 816 �S Marstons Mills,MA 02648 Tel 508.428.7147 info@thecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCQpeCOdCarpentersxom October 23,2018 ESTIMATE Revised Site:202 r Ave,W Hyannisport; Susan Lembo;617-571-6224; SUEDRAGOO@yahoo.com Renovation of shed/art studio Please Note:Art studio/shed must be emptied prior to the beginning of work Work to include: Provide design,floor, and detailed prescriptive frame plan for Town of Barnstable as needed 1. File(building/electrical/plumbing)permit with Town of Barnstable in accordance with MA State Building code 780 CMR,including inspections and plan review meetings .................................. $ 500.00 2. Tie off existing electrical as needed to begin renovation inspected by licensed professional ... $ 250.00 3. Excavation(hand dug): Including approx.4' deep trench from the shed/art studio to the house for the purpose of running all utilities from the house to the shed/art studio and for connecting to existing waste line running to septic tank.Excavation to also include digging under the proposed bathroom so that a pressure treated,framed chase can be built to run the utilities to the 4' required depth.Work also to include backfilling,reinstalling stepping stones.Does not include restoring the lawn.................. $ 2,800.00 4. Deconstruct and demo existing art studio/shed to rough frame,including removal of subfloor;dispose of construction waste ......................................................... .......................... $ 900.00 5. Construct new rough frame including:creating lower bottom to all floor joists and chase for utility runs, using pressure treated plywood in preparation of closed cell foam insulation,some strapping in preparation for tongue and groove paneling,frame for bathroom footprint.Install new subfloor after closed cell foam has been applied to floor joists.Frame for open closet with shelving(Custom closet and counter to be determined upon finish)as per plans and floor plans in accordance with MA State Building Code 780 CMR.......................................................................................... .............................. $ 3,900.00 6. Install closed cell foam insulation in the floor and batt in the walls and ceiling as possible......$ 3,000.00 7. Install new rough plumbing,as per plumbing schedule,including boring through concrete foundation as necessary........................................................ ........................................... $ 6,353.00 8. Install new rough electric utilizing existing breaker box,as per electrical schedule ............ $ 5,013.00 9. Install#2 knotty pine tongue and groove on interior finish walls and ceiling.................. $ 2,500.00 10.Interior trim package:Install 1 six-panel solid Masonite interior door;install 5"standard speedbase baseboard;all trim to be pine. ($300.00 material allowance included for interior door and 1 RANNET+R1IMINOTON CUSTOM BUMDERS Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau 1 DocuSign Envelope ID:A5C5B264-CABA-4F09-9779-7F4FCB5DC47A + Po Box 816 MarstoX9�Y 7OR info@thecapecodcarpenters.com Mills, do 02648 Tel 508.428.7147 ((`v'"'f infoQthecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM.HOMES Th®CapeCcdCarpenterexom hardware)...............................................................................'................... $ 900.00 11.Install new customer supplied,pre-assembled vanity unit as per plans with supplied hardware;vanity to be delivered and uncrated by the distributor while homeowner is available for inspection. We recommend White Wood Kitchens......................................: ..................................... ...... $ 200.00 Template, supply and installation of vanity countertop with sink and backsplash to be done by homeowner's distributor, we recommend White Wood Kitchens. Custom built-in counter and cabinetry installation and design to be determined. We recommend White Wood Kitchens. 12. Install finish plumbing,including forced customer supplied sink,sink faucet&drain set and toilet. ($200.00 allowance included for toilet) .............. ........................................... $ 500.00 I I. Install finish electric,including recessed lighting trim,outlet&switch covers,Panasonic fan trim kit and customer supplied lighting fixtures .................................................................... $ 250.00 14. Install kayak racks on exterior wall. $200.00 material allowance included...................... $ 450.00 TOTAL LABOR& MATERIALS $27,516.00 +cost of any options chosen Option: Supply portable waste facility for workmen use(based on 1 month)(note—homeowner agrees to allow access to bathroom in house during renovation if this option is not chosen) $125 initial if option chosen Option: Painting and staining to be determined and is billed @$45/hour+materials initial if option chosen Payment Schedule: (Initial-deposit requested to schedule work $ 5,00.0.00 Due upon receipt of permit&ordering materials $ 10,000.00 Due upon completion of rough frame $ 5,000.00 Due upon completion of rough plumbing&electric $ 5,000.00 Due upon completion $ 2,516.00 2 RANNEY t RDUNGTON CUSTOM BUILDERS Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau DocuSign Envelope ID:A5C5B264-CABA-4F09-9779-7F4FCB5DC47A �sn►��� IE3 + . PO Box 816 info@thecapecodcarpenters.com Mills, do 02648 Tel 508.428.7147 info@thecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES _ TheCcpeCodCcirpentersxom Lembo—Revised 10123118 Please note-our standard ooutmct • This estimate is valid for 30 days. • No additional work is included in this estimate unless described in writing. • Deposits and payments ere not refundable unless otherwise noted • Contractor is not responsible for any damage to lawn or plantings amend demolition area. • ContrWor is not responsible for any damage to interior furnishings that may need to be moved to complete work. • All construction waste and replaced items(including cabivats,windows,doom&appliances)will be considered disposable unless other indicated by property owner. • property owner at responsible for all costs associated with hazardous materials,lead,mercury storm water pollution discharge or costs associated with American Disabilities Act requirements if necessary. Any repair,moving or installation of alarm system for security or fue/smoke is the responsibility of the property owner. • Customer is to supply all paint if any is being used(unless otherwise specified) • property Owner agrees that Rummy&Rimington Custom Builders may display a small sign on the property during the d� on.efrike work ad"d'oha month after completion. • Property Owner is responsible for any and all engineering costs and site plan if necessary unless otherwise notedXegarvation,Zoning,and/or Historical costs necessary in association with ob arty necessary permits unless otherwise noted. - • All home improvement contractors and subcontractors shall be registered by the Dim, end an -'es about a contmctor or subcontractor mlating to a mgistratioo should be directed to:Director,H hnprovement Contractor Registration,One Ashburton place,Rm 1301,Boston,MA M. • The property owner has thre ay cancellation rights of this contract under M.G.L.c. 8;M.G.L c.140D,10 or M.G.L.c.255D,14 as applicable.After 3 days as deposit and special order payments am non refundable. • AR warranties and properly owner's rights am under the provisions of 780 CMR 0.6 and M.G.L,c.142A • Any alteration or deviation from shove specifications involving extra costs ' mean extra charge over and above the estimate at$75.00 per hour plus materials.If cost of materials and atmady described labor costs changes,this estimate may increase no more than 15%without wri cline. • It is the obligation of the home improvement contractor to obtain soy and necessary construction-related permits;m the event that the property owner secures their own construction-related permits or deals with unregistered contractors they will be excluded form the guaranty fund visions of M.G.L.c.142A.Work will begin no later than six months from the issuance of my necessary permits and will be completed no later than two years from the issuance of uecessary permits. • property owem's failure to make payments for work duty performed oy result in a lien against the homeowner's property.Owner is responsible for any legal fees and court costs Ramey&Rimington may inter to wiled the monies due on this estimate.The contractor and the p owner hereby mutually agree in advance that in the event the contractor has a dispute concerning this estimate,the contractor may submit such dispute to a private arbitration service which has been approved by a secretary of the office of consumer affairs and business regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c.142A. r • DO NOT SIGN THIS CONTRACT YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES Donasl°aedny: 2018 3:19:09. PM Pi • '�A IU�23�I8 EBCFB592027EF473... Ranney&Rimington Custom Building LLC Date Property Owner Date Home Improvement Contractor Registration 144752 Plumbing Schedule Area cription--_.. dotal Plumbing Installation of the following plumbing fiRWfes_(rQ aridd-finish)-- New Bathroom -New bathroom in the shed/art studio- $4235.00 Plumbing installations for the new half bathroom consisting of: 1-water closet(tank type,floor mounted) 1-single lavatory sink(vanity type) . Underground Install a new waste line from new shed bathroom to the septic line located $2118.00 Utilities on the backyard. -Install new insulated hot and cold-water lines from main house basement to the new shed bathroom -connect water lines to the house plumbing, boring through concrete foundation as necessary Total 1 $6353.00 3 HRNNEY+RDUNGTON CUSTOM BUILDERS Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Ramodelers Association of Cape Cod•Better Business Bureau Dk Sign Envelope ID:A5C5B264-CABA-4F09-9779-7F4FC135DC47A �LS�]� Lrd t5 r PO Box 816 Marsto�II II�C �O info@thecapecodcarpenters.com Mills, do 02648 Tel 508.428.7167 infoQthecapecodt:arpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCupeCodCCRpentersxom Electrical Schedule Qty Description Rate Total TROUBLESHOOTING EXISTING SYSTEM,SUBMIT ELECTRICAL PLAN, $466.00 $466.00 MEETING WITH ELECTRICAL INSPECTOR AND PLAN REVIEW AS NEEDED. Studio 1 Install an 8-circuit sub panel in the studio wall $545.00 $545.00 1 Run underground line to feed from main panel in the basement.Will pull $666.00 $666.00 a 50A rated circuit. 1 Run underground tv line from main line next to electrical panel $357.00 $357.00 1 Wire customer provided outside wall fixture $146.00 $146.00 1 Single pole toggle switch installed(outside light) $67.00 $67.00 1 15A H.R.circuit $43.00 $43.00 3 Single pole toggle switch installed(rec) $67.00 $67.00 4 Install 4" LED wafer recessed (4-main) $200.00 $800.00 2 15A duplex receptacle installed $67.00 $134.00 1 20amp home run circuit $49.00 $49.00 4 20A duplex receptacle installed above bench $73.00 $2.92.00 1 Wire outside GFI protected outlet with cover $176.00 $176.00 1 TV Jack installed $91.00 $91.00 1 CatS Jack(will run underground to house.Will have 2 female ends) $182.00 $182.00 BATH 1 Single pole toggle switch installed (vanity,fan) $67.00 $67.00 1 Wire customer provided vanity light fixture $176.00 $176.00 --Continued on Next Page-- 1 20A GFI receptacle installed $96.00 $96.00 1 Panasonic fan FV-Whisper Quiet $478.00 $478.00 1 Vent exhaust fan,25'distance**roof venting to be done by others $115.00 $115.00 Total $5,013.00 i 4 RANNET+RDUNGTON CUSTOM SUUMERS Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders B Remodelers Association of Cape Cod•Better Business Bureau I' SMOKE DETECTORS REVIEWED BAR STABLE BUILDING DEPT. DATE CARBON MONOXIDE ALARMS MUST BE INSTALLED PER .. - r \ w.. - ^- • BUILDING CODE - FIRE DEPARTMENT MASSACHUSETTS ` BOTH SIGNATURES ARE REQUIRED FOR PERMITTING (01,o1. P �.. � _ CHIMNEY L1O,• R6oYE... y .. - � � - r, . r1,6NLSt ?6r3i W•fMlt�100� - - f ' Ib4E JL•WT . -. ea 6�nss 2ne sH;ae.�s' P _T ! —r I : � 1© ki '�'J r ,_ —� �... •. III I I u 1 , 1 I I .I: L ! I I. �_ CIS I T I I— .. �\ !•�. B Z)LoclL Yoa morno.J w.Rd, cLA? bo.+ao - _�•5'1'1ti1`S1DE_EL��/A�lOa 2n2 SkvE1JTF1 TK Ww HY"OsWeT rnA Scams `ly" : �•o•, O 1 ,`IC, Z ice a•( � , ErIsiIMG +VI O � �� o• Il CI$36� M2y 4� O 6W1 -y Sat D QooIn'Y t D •PjC j)QOOM411 2„ ti• OATH ^ 4t0 JVtRe11rr- 3ED ' YRfn1L� DOOM � CIPsL•-1 I C.nSc'( ... I I J [5 VEUL All, - C O 0 - O I (D © . - . I GY61iN4 �2'Q 11 ;Sol ,DI i •`gym.TEYS / EYl'rtIN6 LEMCiC RESIOE'^'�r Evtntrt4 AVE Wks-r ti1y�NNISP'Rtl/►1A SEVENTH STeer Fm2�in� V4': 1'G' O ,x QapCV*EtA 'Am —Se F-IC5 N4,Now&co 'Dooas . - �����c 4adw►a� t�v�°y 7�'+�T-ila�Is�An+t su�.ss ®. TW3oy1O .4p, 3127%8 x5V7/8' socoss w DowS coaeA ryfP ®. I W 363(o R,O,-3'2'%d x3'g lg &TH/ANNG A2rq -?„cwevEaY - � _rW 18110 R,4 �1'101lb )(S'0"7/8' VwNwNb w,aD'ws a — oc) bH? 30410 R.a 3248 x SV718 Q 45-410310-Zo Ro 8'61i7_ x 4'2'/q BAIWwuow Ix6 RcoP s1c-nTHr�Yo a rwG GobB PLO, ce'o" X GT' Qfsno-Doo" �\ Q 3'd x 64; �T6ees5 vooz5 1 r10 Rlaci=8e+aa IS ._ lnt�ir2�o2 17oot Q�6'X(a'G• uru�y.SS orH awisP Na�9 ZX6 RAFTS 130 Mr4 WIND eP36TAN-T _ \ / F�3ec tfws5 Rmc SH�N6lCS "t \ ,/ (p�1CC QppC1My 4N00[1f'YMtNT _ ' - 1xa�4 kU Nn \ Ors .rm: oN evc5 F,.00ps K-1q Vey D De°•V ED6� I n C��uNes �-38 // � gNDc aSFfJ °10o sPQ+PS -)q r 24y HA"„1DY bo 1 X8 sue F m0 sHEfrr�la,6 8,L,p DDoo. es,r r -- .•I'i{iRl 2x FLoa2 SelsT - - - - --- - a I �,aeee 111, I Zxb 5111? I CKWL J4PACE I S°BL6cKwALl .lo. umxfM I wnrtM Ci�0.SS $ECI1otJ ING DETN►t. LF-MBO gemvct4&c • 2Q2° Sc%-0A Avs w€ss Nyfl,��oar X11� se R%.v • O The Commonwealtls of Massachusetts - - Department of fn&utrial Accidents Office of fitvadgaddirs _ -600 ➢Yaslzhtton Street Boston,MA 02111 www.mass gvvldia Workers' Compensation Iusuran.ce Affidavit:Builders/Contractors/FIectricians/Plumbers _ 4PPRe 't Information Please Print Leeblp Name(Bus�sE/organizat2o„/F„rl;v;r}na� aGion ' •Address:- 3$S C�©�„�ry�c.�-rs Z3 , City/State/Zip: 12� Phone.#: S S —377 Li (0 CI F," re you an employer?Check the appropriate bow -Type of project(require : ❑ I am a employer with 4• I am a general comractor and I _. loyees(hL and/or part t®e) * have hired the sub=contractors 6 0 N constrncdnn . I am a'sole gropmetor or partner- listed on e-attached sheet 7; odeluig .slip and have no employees These sub-contractors have 9 Demolition working for me�any capacity. employees.and have workers' [No workers' comp.insurance cam.ft=: =e,$' 9. Q Bidl addition 5. We are a c10.E]--Ele�cal repairs or additions regtmed] ❑ orporatinn and its 3.❑ I am a homeowner doing aIl.Work offices have exercised their I I,C1 pmg repairs.or adores niyse.f [No workers' comp. right 6f exemptitoa per MGL 12. Roof r in urance regtmed-j t c. 152, §1(4), and we have no �� employees.. [No workers' 13.❑_Other Pomp,insurance required.] ti *Any applicant that r,,h box#1=st also fill out air section below showing them workers'oDmp_,d ion policy mf=3atim t Homeowners who suhmit this afnd-it indicating$ley are doing all work and then bile outside contn3ctors.must submit a new affidavftindi$Contxactrns that check this box must attached an add fioaalcafing such. sheet showing the name of the sub-contractm aad state whether or not those codfish ha me employees. 1f the sub-coaKaclnz have eoaphryees,iheY=,tp,,Mdt their workers'camp.poiicyaumber. I am an employer that is providing workers'compensation insurance for my employees. Below is. information. the policy and job site Insurance Company Name: Poficy#or Self-ins.I ic.# l;xpirafionDate: Job Sifr Address: My/State/Zip: Attach a copy of the workers' compensation policy deciara$on gage(shuTPing the policy number and expiration date). Failure.to.secure coverage as requiredtmdsr Section 25A ofMGL G. 152 can lead to the imposifion of rr�j l fine�to$1,500.00 and/or one- ar. Penatties ofa � m?P��,as.;.weIl as�civ11 pena].tres in the form of a STOP WORK ORDER and a fine of BP to$25Q.D0 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of --I=sdgations of the DIA for mince coverage verification I do hereby certify der the pains- alfies of perjury that formation provided above is true and correct S Data: 2 Phone# official use only. Do not write ht this area, to be completed by crty or town offraial City or Town.: . Perri tLiceuse# •Issuing Authority(circle one): .I.Board of Health'2.Butiding Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plmubing Inspector 6. Other Contact Person: Phone#: A FYC Guide to Wood Construction im High Wlhd Areas:110 tnpk Wind Zone Massachusetts Checklist fo> Comoiance (790.ChTR 5301.2.1.1)' L1 Check 1.1 SCOPE Compliance Wind Speed(3-sec.gust)............................ :... ........................................... 110 mph WindExposure Category................................................_._. ................................................................B Wind Exposure Category................En Engineering Required For Entire Pry ect.......................................0 1.2 APPLICABILfTY Number of Stories(a roof which exceeds 8.1n 12 slope shall be'considered a story) stories s 2 stories RoofPitch_..._..._............................................................. Mean Roof Height ................•--......••.._......... F{ 2 .....tU ft <_•33' Buldin Width W ................. � _...._..;..(Fig 3)................... .. ........, _...:... .... :.:._. ft 8U Bolding Length, L ............................ F 3 ......: (Fig ) Building Aspect Ratio(L/W) ....._....... (Fig 4 ................................................. c / .......-•( 9 ) 3.1 Nominal Height of Tallest Dpening2 ........._..............(Fig 4)................................................. 1.3 FRAMING CONNECTIONS General compliance with framing cDnnectio's .................(Table 2) ........................................................ 2.1 FOUNDATION } Foundation Walls meeting requirements of 780 CMR 54D4.1 Concrete........................................::. ...I...:........... Concrete Masonry........... .........:_._....... .:... ... ..._..... ........................ 22 ANCHORAGE TO FOUNDATION" 5/8`Anchor Boltsvimbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ... ....... (fable 4). in. Bolt Spacing from endro{nt of plate .......: .._... (Fig 5} ..... in <6 12`, R Bolt Embedment-concrete......... ....... ............(Fig 5) .... --••----- •--• in._7 Bolt Embedment-masonry.............. ............(Fig 5).._._: in.>_15` Plate Washer..'........................... ....._:........(Fig 5).................... .. >3'x 3'x'l` 3.1 FLOORS Floor•framing member spans checked ......_.' ...._.._:.-.(Per 780 CMR Chapter 55) .:._ ••.•_<_•_, ' Maximum Floor Opening Dimension.... .......:. ':,..-.:.. F 6 Fop Height Wall Studs at floor Openings less than 2 from Exterior Wall.(Fig 6)......... Mk�dmum Floor Joist Setbacks Suppoi-ling Loadbearing Wail's or Shearwall................(Fig 7)....... —ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall .......... (Fig 8) .....: ft s d FloorBracing at Endwans......... (Fig 9).... :: — Floor Sheathing Type . _ .............._.............._........ --•- ----- •--.......(per 780 CMR Chapter 55) ..... Floor Sheathing Thickness _.:.....(per 780 CMR Chapter 55 Floor Sheathing Fastening.................... ......:::..(Table 2),.._d nails at in edge/_in field �. 4.1 WALLS - Wall Height. Laadbearing craps .......................... .............(Fig 10 and Table 5) ...............:z ft <10' ./ Non-Loadbeanng waifs.................................................(Fig 10 and Table 5)........... ..:M ft'.5 20' Wall Stud Spacing . (Fig 10 and Table 5).........w ... in._<24'o.c. Wall Story Offsets• ........................................................(Figs 7 8)......_•---........ c. ft d 4.2 DCTERI OR•WALLS' Wood Studs LoadbearingWalls....................._.................................. ale 5) in: Non-Loadbearing•walls................................................(Table 5)..........:..........._. -4 f in. 2x - Gable End Wall Bracing� •� Full Height Endwall Studs........................ ........... .......(Fig 1 D)...............__._...:-----...........__........_.....:....._. WSP-Attic Floor Length._- Fi 11 --------------•---.-... _.._....._...( g }-..._._.....................---....... ft;-,W/3 Gypsum Ceiling Length(if WSP not used)....::..........:.(Fig 11)........... ...._..._.... _ft>_0.9W .................... and-2 x 4 Continuous Lateral Brace @ 6 ft o.c...(Fig 11)............................................................ - . or 1 x 3 ceiling furring strips @ 16'spacing min.%ith 2 x 4 blocking @ 4 ft spacing in end joist or truss bays Double Top Plate Splice Length _.............:..................:..............-.(Fig 13 and Table 6) ft Splice Connection(no.of 16d common nails)..............(Table 6 — )......... ............................._........... — ATVC Guide fo Wood Constructiou in High Wrid-Areas 110 Fftph Tffrrd Zofte Massachusetts Checklist for Compliance (Tso CNIit5301.2.1.1)l Loadbearing Wall Connections - Lateral (no.of 16d common Waits):..... ......... .......•--.(Tables 7).........................._............_. .:....... Non-Laadbearing Wall Connections Lateral(no.of I6d common nails)................................(Table B)....................................................... Load.Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans .•..............•..............:_.......................(Table 9).................................._ft in.:9 11' Sin Plate Spans ' ........................................................(Table 9).................................. ft in.511' Fun Height Studs (no.of studs)....................................(Table 9):..............._......_..........._ ...... .... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans....................•.......`..........---....................(Table 9).................................._ft in.512' SinPlate Spans...........................................................(Table 9).................................._ft_in. 12' Full Height Studs(no.of studs)....................................(Table 9)................................................. .... �. Exterior Wall Sheathing to Resist Uplift and Shear Simuttaneously4 Minimum Building Dimension,W Nominal Height of Tallest Openingz ................................................................................ 5 6`B" SheathingType............:................................(note 4)...................................................... . Edge Nail Spacing.-............................ pacing.........:............:..................(fable 10 or note 4if less)................ in. Feld Nail Spacing ....... able 10 in. Shear Connection (no. of 16d common nails)(fable 10).............:......................................... _ Percent Full-Height Sheathing...................:...(Table 10)...... ............................................ ° 5%Additional Sheathing for Wall with Opening>E;V(Design Concepts).................... Maximum Building Dimension,L Nominal Height of Tallest O enin _<618 SheathingType..........................:...................(note 4).................................................... Edge Nail Spacing (fable 11 or note 4 if less)........................ in. Feld Nail Spacing.............•..•..•.......:..... . = (Table ll)................I................................ in. Shear Connection(no: of 16d common nails)(Table 11).......................------- ------.----............._ Percent Full-Height Sheathing........................(Table 11)............................................:....... % ' 5%Additional Sheathing for Wall with'Opening>S'8'(Design Concepts).................... Wa(_i Cladding Rated for Wind Speed?....................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ...................................................(Figure 19) ............. ft 5 smaller of 2'or L/3. Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift,.................. ........ able 12 / Lateral.............................................(Table 12).............................................L= plf Shear....................:.......................... able 12 ............................................S= If Ridge Strap Connections,if collar ties not used per page 21... able 13 = Gable Rake Outfooker..........................................(Figure 20) ............. ft s smaller of 2'or U2 Truss or Ratter Connections at Non-Loadbearing Wails Proprietary Connectors UPI►ft....... .......................................(Table 14).....---•-.................................U= ib. __SL Lateral(no.of 15d common nails)...(Table 14)....................._... .......L= . lb. - Roof Sheathing Type..:.............:..................................(per 7B0 CMR Chapters 5B and 59)............ / Roof Sheathing Thickness................................-...• RoofSheathing Fastening.............................................(Table.2)....................................................... Notes: — r 1. . This checklist shall be met.in its entirety, excluding the specific excepfion noted in 2, to compfy kvith the requirements of 730 GMR-5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold dawns are not required per the WFCM 110 mph Guide: a. Steel Straps per Figgre 5 L. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 1 Bb Exception:Opening heights of up to 8 ft shall be permitted when 5%is added to the percent fun-height sheathing requirements shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2;-glade, I ATVC Guide to Wood Construction irr High Flvind Areas:.110.otph Prind Zane Massachusetts Checklist-for Compliance(7so Cn7R5301:2.1.1)' Check Compiance 1.1 SCOPE WindSpeed(3-sec gust)........:.......----.•....................:...................... ..........................................a.... 11 D mph Wind Exposure Category.... ......................... ....._.. .:.:._...... :...::.:._._....... :......:. :::.::::...__....:...B Wind Exposure Category................Engineering Required For Entire Project......:..............::................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be-considered a story) stories -<2 stories Roof Pitch ...................................................... (Fig 2) .. : <12:12 Mean Roof Height ............... .............7............................(Fig 2)........................ :.:..::...............:' ft -<•33' ' Building Width, W _ F _.: <8fl' Building Length, L .........:......................................- ....... (Fig 3)...__.:_.............._........ ...._. ft_ (Fg 3)................ ..._........:... ft <80' Building Aspect Ratio(L/W) ................................................(Fg 4)..........._.._ <_3:1, : Nominal Height of Tallest Dpening2 .......:(Fig 4)..................... < ........ 1..3 FRAMING CONNECTIONS General compliance with framing connections............. .(Table 2):.........::. 2.1 FOUNDATION Foundation Walls meeting requirements of 78D CMR 54G4.1 Concrete....................::.......................:.....:....:...........:.....:......:...:.. :...::.::.:... ConcreteMasonry.........................................-.................................................. ....._................::... 22 ANCHORAGE TO FOUNDATION'-' 5/8'Anchor Bolts-.imbedded or 5/13'Proprietary-Mechanical Anchors as an alternative'in concrete only Bolt Spacing-general ..................................._.__:.(Table 4) __ •(F9 5)-••--•••.............. in.<-6'-12'. Bolt Spacing from endCoint of plate......:.........:.......... -......_....._. Bolt Embedment-concrete ......................................(Fig 5)........,_......:_........ = = ......... in.?:7' Bolt Embedment-masonry...................:..............:....:.(Fig 5).....:...... =.... in. 15" Plate Washer...........•-•-....... ...(Fg 5)................• .:_. :._.._.:: >3"x 3'x'/" 3.1 FLOORS Floorframing member spans checked ...(per 780 CMR Chapter 55 P )-......... ••----•. Maximum.Floor.Opening Dimension................... .........(Fig 6)................. ._..........___....:. .... ft:5 12 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:....................... ......... Mzwmum Floor Joist Setbacks . Supporting Loadbearing Wails or Shearwall................(Fig 7)............:..................;................-:... ft s d Maximum Cantilevered Floor Joists - Supporting Loadbearing.Walls or Shearwall ......... .....(Fig 8)....................................:_•..---.......: i ft <d FloorBracing at Endwals..................................................... F 9 Floor Sheathing Type ............. (Per 7B0 CMR Chapter 55j_:........... ..._. ............................... Floor Sheathing Thickness .................................:.........:.....(per 780 CMR Chapter 55):.:-......._......_.... in. Floor Sheathing Fastening._...:: : ... . (Table 2).._d nails at in edge/_in field 4.1 WALLS Wall Height . Loadbearing wags..........:... --•(Fig 10 and Table 5)..........................._ft -<1 D. Non-Loadbearin walls 9 --•• ,-.(Fig 10 and Table 5)....... ft-920' Wall Stud Spacing .... ................................................(Fig 10 and Table 5).................... in.<24'o.c. Wall Story Offsets. ...................................................... (Figs 7&8)........ .................................... ft <d 4-2 EXTERIOR-WALLS' Wood Studs Loadbearing virally._..._:_....... ....(Table s} ,.. .... -2x ft in. Non-Loadbearing walls................................. :...........(Table 5)... ... ...............:.._..2x -_ft in. Gable End Wall Bracing Fuli Height Endwall Studs.............................. ...(Fig 10)....................................... :....�. WSP-Attic Floor Length.-•............::....:...::::....:::. - --(F9 11) - ................................... ft zW/3 Gypsum Ceiling Length (if WSP not use d).....................(Fig 11)............................................_ft>-0.9W _ and 2 x 4 Continuous Lateral Brace @ 6 ft o.c...(Fig 11)...........:............................... .............. or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ................................................... (Fig 13 and Table 6)...........:.:. ................. ft Splice.Connection (no.of 16d common nails)..............(fable 6)..........................................._............. fl TVC GW(ke to Wood Construction in High lflind Areas: 110 tnph Wind'Zone Massachusetts Checklist for Compliance (7so C"LVIR5301.2.1.r)l Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)...................................................... Non-Loadbearing Wall Connections Lateral(rim of 16d common nails)...............................(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........... ............••--•-.-•-•-...............•.(Table 9)..................................._ft in.-< 11' Sip Plate Spans ._..... (fable 9)......................•••-•......._ft in.. 11 Full Height Studs (no. of studs)....................................(Table 9).................................._..._ ----------- Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans..................................................-.........(Table 9).................................. ft_in.5 12' Sill Plate Spans.;................... ' able 9 ft ln.< 12' I Full Height Studs (no.of studs)....................................(Table 9)...:._.. Exterior Wall Sheathing to Resist Upfift and Shear SimultaneousV Minimum Building Dimension,W Nominal Height of Tallest Opening2. ..........................._...................._..a........................... 5 6`8' SheathingType..............................................(note 4)...-...................._....--••-•--._......... Edge Nail Spacing.........................................(Table 10 or note 4 if less)......................a. in. Field Nail Spacing . P 9...............................:..........(Table 10)-••-------------••-•----......-•---•-•---........ in. Shear Connection (no.of 16d common nails)(Table 10)........................................................ Percent Full-Height Sheathing...................:...(Table 10)..........:........................................ % 5%Additional Sheathing for Wall with Opening>ST'(Design Concepts)...........--------- Maximum Building Dimension,L Nominal Height of Tallest Opening2.:................. _ SheathingType.................................... ... ..{note 4)............................:........................ Edge Nail Spacing........................:............:...(Table 11 or note 4 if less)..................._.... in. Field Nail Spacing...............:......... ........•..._.:..(Table 11):...............-........................ in. Shear Connection(no. of 16d common nails)(Table 11)....................................................... Percent Full-Height Sheathing.......................(fable 11).................................................... 5%Additional Sheathing for Wall with'Opening>ST'(Design Concepts):............. Wall Cladding Ratedfor Wind Speed?............................................................:. .......................•-..........................................................-... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ....(Figure 19) ft-<smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12).............................6..............U= plf Lateral.................... ..........................(Table 12)'.............................................C= plf Shear:.....---••----......-•••••::...-----........-(Table 12)...............................----...._....SE----pff- Ridge Strap Connections, if collar ties not used per page 21:.. (Table 13).............. = plf Gable Rake Outlooker......................:......................(Figure 20) _ft-<smaller of 2'or L/2 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)........................... U= lb. . Lateral(no.of 16d common nails)...(fable 14):.........................:............L= . lb. M Roof Sheathing Type................:..................................(per 780 CR Chapters 58 and 59)........... Roof Sheathing Thickness................................-...:..... ..............._............................. in.>-7116'WSP Roof Sheathing 9 Fastenin .(Table 2)....:.............. ........................................... ........................ ............... Notes: -- -1. . This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 IS. 2b Gage Straps per Figure i 1 c_ Uplift Straps per Figure 14 . d. Alf Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. ' Exception:Opening heights of up to 8 ft shall be permitted when 5% is added to the percent full-height sheathing requirements shown.in Tables 10 and 11. 3. ' The bottom silt plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-9iade. AWC Guide to Wood Corisfi•uction irr Hid lr f��irzd:4reas: IIO nzph f�txirf Zone Massachusetts Checklist.for Compliance (7Iso ckR5301?1:1)l 4' a. From Tables 10 and 11•and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116'and be installed as follows I. Panels shall be Installed with strength axis parallel to studs, 1. All horizontal joints shall occur over and be nailed to framing. lI. Dn single story construction,panels shall be attached to bottom plates and top member of the double top Plate. iv. Dn two story construction, upper panels,shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of Bd staggered at Inches on center per figures bellow: Vertical and Horizontal Nailing for Panel Attachment 5. Glaang protection:a)new house orhorizontal addition-required if project is i mile or closer to shore (generally,south of Rte.28 or n orth of Rte. 6) b)vertical addition-not required unless then:is_extensive renovation to the first floor c)replacement windows-needs energy conservation compliance only(chap 93) S.Wood Frame Construction Manual.(VdFCM)for 11 D.MPH, Exposure B may be obtained from the American Wood Council -MENTHts eDGErEsrs ON i�;AhuNG USESd NAILS • ATG'nr - 11 tl11 It a 11 0 . Ed CL it 01 • II tI n � i a�: i - Ili FRAMING MBJIBFAs � '',fi4l I I l YiCTEAttED1ATH It rl 14-1 Ila Fit , u , u. -STAGGOED3`ML1 IJa1Lspl AcRJG — 4 1LF`ATra1N PANa PAW EDGE ROIt9LE'NAILEDGESPACM DSAL See DeWil on Next Page' Vertical and HorIiDnlal Nailing Detall for Panel Attachment Vertical and Horizontal Nailing for Panel Attachment r - ! Town.of Barnstable Regulatory Sei mees MASS Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 0260.1 www.town.barnstable.ma.us Office:. 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder t��, /L6o4B,as Owner of the subject property hereby authorize t )d H C> S/�eu2,0, to act on my behalf, . in all?natters relative to work authorized by this building permit -t (Address of Job) Pool fences and alarms are the'responsibility of the applicant. Pools are not to be filled before fence is installed and.pools are not to be:; utilized until all final inspections are performed.and accepted. S. ignature of Owner Signs e of Applicant 5t!sao 4em6� . Le�,b� o 2.4 cr0 , Print Name Print Name Date Q:FORMS:O WNER.PERMISSIONPOOLS 'THE Town of Barnstable Regulatory Services • a►itxsx�Hre, * Thomas F.Geiler,Director KAM 9�A 16yg. Building Division i Tom Perry,Building Commissioner. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: . city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to`the Building Official,that he/she shall be responsible for all such work performed under the building_permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official - Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Contro l. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a.building permit is required shall be exempt from the provisions ,of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she-understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. I , Q:forms:homeexempt Massachusetts -Department of Public Safety ' Board of Building Regulations and Standards Construction Supervisor License: CS-106221 JOHN E DRAG00-` ' 388 COUNTY ROUTE!23 Malone NY 1295 " 1 , Expiration Commissioner 05/21/2015 THE COMMONW EALTH OF MA.SSACHM ETTS OFFICE OF CONSUMER AFFAIRS AND For OCABR Use Only. BUSINESS REGULATION 10 Park P12z2, Suite 5170. . Registration Boston , MA 02116 . Effective Date: Application forReffistrafion as a Home Improvement Contractor or Sub-Contractor .,• EzpirationDate:' (KGL c.142A;780 CMR 110R6) RECEIVED 1. AIAMLOFAPPLICANT: (INUnEmgrRANWNMUA CoRPORA•IIOK1W,UP,UaISTOR0MMLMAL INTIT1) Y L ry J C 2012 2. NUMB ER 0 F FAIP LO YEES:_ OFFICE 3. APPLICANTTYPE: /INDrVMUAL_CORPORATION PARTNERSHIP TRUST OFCONSUMERAFFAIRS (CRECKONE—MUSTBESAMEAS I HEFNTTIY MI VTIFIED IN#I) 4. TFIEAPPPLICANT IS A CORPORATION ORA PARTNERSHIP,PLEAS EPROVIDE THE NAME,ADDRESS,S OCIA.I, S ECURPTY#AND TITLEOFTHE INDIVIDUAL WHO WILL BE RESPONSIBLE- FOR THE CORPORATION'S TRUST'S OR THE PARTNERSHIP'S WORK(Pleas a review the Instrueiiom before aw,%eiin this THE g question):. MAST FmsT TITLE 5. FEDERAL TAX IDNO. JrZ.'I��gJ�3�J 6. APPLICANTPHONE# y5 ApPLTCANTElYIAII,ADDR]{zSS:�---� 00 (0 7. MAILING ADDRESS: ZS STREET CITY.. STATE ZIP S. PERMANENT ADDRESS: J Fg�J STREET -rts 2 to �lcvwts c�Y �za S3 CITY STATE ZIP (PLEASE NO TE THAT A P.O.BOX IS NO T ACCEPTAB LE FOR PERMANIIVT ADDRESS) 9. IF APPLICANT IS DOING BUSINESS UNDERA D/B/A,PLEAS ESTATE THATDB/A,.AND ATTACHA COPY OF THE FICTICIO IISS NAME CERTIFICATE FILED WITH THE CITY OR TOWN CLERIC 10. (a)DOES THT+APPLICANT Olt RESPONSIBLE INDTiTIDUAL, ANYOTHER CONSTRUCTION-RD+LATED STATE CITY OR TOWN LICENSES OR REGLSTRA TIONS?Y� NO (b) IF YES,PLEASE FILL IN INFORMATION BELOW. ATTACH ADDITIONAL SHEETS IF NECESSARY. LICENS E TYPE ISSUED$Y LICIlYS FIREG# EXP.DATE LICENS EENAME �. (A ?'A(3Uc��}R C s. .i o�2z( z C6 I ZO(j w ��5 Tst►C,TL 11.DSTALLPARTNERS;TRUSTEES,OFFICERS,DIRECTORS,AND MAJOR OWNERS (10% OR GREATER OF OWNERSHIP)OF AN APPLICANT PARTNERSHIP OR.CORP ORATION,BELOW. USE ADD TTIONAL PAPER IF NECESSARY AND INCLUDE NEEDED PAPERWORK(SEE INSTRUCTIONS).PLEAS EINDICATEBYAN"X" INTHE LAST COLUMN THOSE INDIVIDUALS WHO REQUIRE ANAPPLICATION FOR ADDITIONAL REGISTRATION ID. CARDS.US E ADDITIONAL S HEETS IF NECESSARY. •FULLNAME TITLE % OWNER ADDRESS' 12. (a)HAVE YOU BEEN REGISTERED PREVIOUSLYAS A HOME IMPROVEMENT CONTRACTOR? zylis NO (b) IF YES,PLEASEPRO VIDE THE NAME AND REGISTRATION NUMB ER UNDER WHICH YO U W ERE PREVIOUSLY REGIS TERED: NAME: 5 Gp HIC REGISTRATION#: 28��I 13. (a) ARE YOU CURRENTLYOR HAVE YOU EVER BEEN AN OFFICER,PARTNER,OR CO-VENTURER OF AN APPLICANT WHO PREVIOUSL PLIED FOR OR HELD A HOIVIE DAFROVEMENT CO NTRACTO R REGISTRATION? YES 0 (b) IF YES,PLEAS E PRO VID E THE NAME OF THE APP LICANT/REGISTRANT AND THE REGIS TRATION NUMBER: NAME HIC REGIS TRATION#: 14. (a) ARE YOUCURRENTLYORHAVEYOUPREVIOUSLYBEENEMPLOYED.BYA REGISTRANT OR APPLICANT FRNZISTRATION AGAINST WHICHDISCIPLINARYACTION WAS TAIL N? YEs . (b) IF YES,P LEASEFRO VIDE THE NAME OF THE APP LICANTMGISTRANT AND THE REGIS TRATION NUMB ER: NAME: HIC REG IS TRATION# 15. (a)HAVE THERE EVER BEEN ANY COURT JUDGEMENTS OR ARBITRATION AWARDS ISSUED AGAINST YOU? YES O . . (b)DO YOU OW 0 NEY TO THE GUARANTY.FUND? YES No 1Y YES TO EITHER,P LEAS E IDENTIFY BY DATE, CASE NUMBER, OR D OCKET NUMBER: 16. REGISTRATION FEE ENCLOSED:$ / � GUARANTY FUND FEE ENCLOSED: PLEAS E INCLUDE TWO(2)SEPARATE CHECKS OR MONEY ORDERS ONE MARKED "REGISTRATION FEE"AND ONE MARKED "GUARANTY FUND."AIAKE CHECKS PAYABLE TO "COMMONWEALTH O F MASSACHTBETTS." (Please see Instructions for the'amount of the fee to be paid. c I hereby swear, under the pains and penalties ofperjury, that all in set forth on this and sarbmitted in support hereof is true and accurate to the best of my knowledge. Further,I certify under G.L. c 62C, §'49A, that I am in compliance with all laws of the Commonwealth relating to taxes, repo ng of employees and contractors, and withholding and remitt' g o hill support. Sign e ofA p icant If corporation orpartnership, position held. 5 tZ5 2O►Z TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Sao left L, q1? Map Parcel -45' -0 $0 Application # 6 [ F Health Division Date IssuedS Conservation Division ' Application Fee Planning Dept. Permit Fee r Date Definitive Plan Approved by Planning Board ,p~ Historic - OKH Preservation /Hyannis F 1 Project Street Address ZO 2 S Villaget�ST- Y�uJvJ oCL`j OwneQ11 SUnAu3 Lp-ane) Address 11)97 af4 axe O O217_(,e Telephone /�^�I Per it est l � �smo H} rt s�aC c�nwn AD a� 0 Square feet: 1 st floor: existing proposed 2nd floor: existing 0 proposed O Total new 2_1 Zoning District Flood Plain Groundwater Overlay Project Valuation 11 Construction Type - Lot Size 7841 s�. Grandfathered: ❑Yes O/No If yes, attach supporting documentation. Dwelling Type: Single Family. a/ Two Family ❑ Multi-Family (# units) Age of Existing Structure 't4sa Historic House: ❑Yes Z o On Old King's Highway: ❑Yes Zo Basement Type: ❑ Full lr Crawl ❑'Walkout ❑ Other 10jjd srA,n�caT«,nuTAezao Basement Finished Area(sq.ft.) --ems Basement Unfinished Area (sq.ft) Number of Baths: Full: existing -"�new 2 Half: existing i new 0 Number of Bedrooms: exist tingewo Total Room Count (not including baths): existing new First Floor Room Count _. Heat Type and Fuel: W Gas ❑ Oil ❑ Electric ❑ Other , Central Air: ❑Yes LdNo Fireplaces: Existing I New m Existing wood oal stoves Yes;Q No Ln w Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑exssting 0 ew {size_ Attached garage: ® existing ❑ new size _Shed: Ye'xist g ❑ new size lOXIO Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 1 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name A Telephone Number *ess Z License #� -10(0 221 p" f t Z Home Im rovement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO tom" SIGNATURE DATE 54w,�� IT FOR OFFICIAL USE ONLY _ ;APPLICATION# ;QP x DATE ISSUED,,..-. . MAP/PARCEL,NO. 'ADDRESS VILLAGE 1 : 4 OWNER DATE OF INSPECTION: f } .FOUNDATION .:,. Iw - FRAME -' _-INSULATION: f FIREPLACE = 3 � `r t ELECTRICAL: ROUGH FINAL K z ' PLUMBING: ROUGH FINAL a ,GAS:, e_,,,, ROUGH _ FINAL ifNAL BUILDING, - DATE CLOSED OUT, ` ASSOCIATION PLAN NO. f z Town of Barnstable `"E' Regulatory Services Thomas F.Geiler,Director MAas Building Division 6.19. Tom Perry,Building Commissioner I 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT, �I -36!-,C l (-,,a FEE: $ � I SHED REGISTRATION 200 square feet or less Location of shed(address) Village/ m ho (o6 Z -7 E Property owner's name Telephone number =' a C>' C" Size of Shed Map/Parcel# --a 9 to ` ' Signature Date yannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY ACP PLOT PLAN Q-forms-shedreg REV:05201 I IL i The Commonwealth of Massachusetts L 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): L . DfgnraD Address: � '�J&M� � 3 City/State/Zip: w1&Y_ to Phone#: 3/S 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 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P n'• 9. ❑Building addition [No workers' comp. insurance comp. insurance.I 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 l l.❑ 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#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: r 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 cer fy under the painLapilpenalties of perjury t e information provided above is true and correct. Si atur . Date: / Phone#t Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston,MA 0211.1 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia THE Town of Barnstable Regulatory Services .. s" ' ` Thomas F.Geiler,Director 6 ►�`� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, uS ert 3 LL inn So , as Owner of the subject property hereby authorize o 6%, - .e eAoc-D to act on my behalf, in all matters relative to work authorized by this building permit 7-6Z .� vC--trvI d'tV�f- �-1YAt0N�s 0 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature o er ; Sign e of Applicant nn Print Name Print Name Dat Q:FORMS:OWNERPERMISSIONPOOLS 62012 Massachusetts - Department of Public,Safetyo�ar.oaacer/C/,a� r�i/ioJeC7�. A �tifficeW -o �rm'r airs us�a ss egu ation Board of Building Regulations and Standatds ME IMPF20VEMENT CONTRACTOR Construction Super,.isur "� "" -- gistratlon: 1.52N6 Type: License: CS-106221 piratiort 6/4/2lN4 Individual I r JOH �°.yRA000 � - `� 3 JOHN E DRAGOO R + 5 'i a .. 388 COUNTY ROUTE-)23 Malone NY 12953 i �� -' JOHN DRAGOO i t 388 COUNTY ROUTE 23 =a MALbNE;NY 12953 Undersecretary Expiration ; C-.mmissioner 05/21/2015 r i n t MORTGAGE INSPECTION PLAN flpplicant.: �e/`'� Location: -; 'C li t. LtS �02 Seer ttf' r vTm lei IT 4� 41 tot to j n nr i i f I �v c- Ref.° 11 ___ Mood t�avrel: 25 QL t2 _ __ Tood Zone: ._��• 3 9 hereby certify that this mortgage inspection was prepared for t: the'dwellin shown hereon gall in a special flood zone - 9 ..��s�� p 3•E.M.A.- f or""V",with an effective date of -2 Viand the location of the dwelling , a9,_es con form to the local zoning by-laws in effect at the time of con- Scale.. X"= strmction with respect to horizontal dimensional setback requirements or Date:._4-�2� is exempt from violation enforcement action underM.61. Ch. 46A, sect3. fileNo. Please note The structures shown or,this mortgage inspection:are shown approximate ont .Rn instrument survey is necessary,to de- termine a precise location of structures.and pproperrtty�lines.`l%s mortgage inspection must not Lv used for recording purposes or fnr use in prepurinqg deed descriptions and rrrust not 0e used for variance or hurta ng department�awrposes.Verr'ication otburfding locations,prop- er y Irne d�memions,fences nr lat con�rguration r. n one y be accomplished by an accuate+n4trunJent survey�vhkh may reflect d�(ferent rn- frrrmatrGnthanwhatiS shown hereon. N��TE: THI5 is NOT A SOUNDARV SURVEY AND {S FI R MC�R7GAGE PURPC�sEs Q!�Ll'. � ld•o TOWN OF BARNSTABLE tNE T Building . 201203073 BARNSTABLE, Issue Date:1 06/25/12 Permit 9 MASS. �p 1639 Applicant: Permit Number: B 20121440 rF0 MA't A Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/23/12 Y Location 202 SEVENTH AVENUE Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 245080 Permit Fee$ 632.40 Contractor DRAGOO,JOHN E Village HYANNIS App Fee$ 50.00 License Num 106221 Est Construction Cost$ 124,000 (Remarks _—---_ — — APPROVED PLANS MUST BE RETAINED ON JOB AND I COMPLETE REMODEL,GUT INTERIOR,INSULATION,RMV CHIM,R PLTHIS CARD MUST BE KEPT POSTED UNTIL FINAL DRS, WNDWS. BATH/KIT,REROOF AND RESIDE,NO CHGE TO FTPRINTNSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: TORRES,CLEMENCIO&MARGARET TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 172 HARLAND RD INSPECTION HAS BEEN MADE. r r NORWICH,CT 06360 Application Entered by: PR Building Permit Issued By: THIS PEP MIT CONVEYS NO RIGHT TO OCCUPY ANY,STREET,ALLEY OR SIDEWALK OR ANY,PART-THEREOF,EITHER TEMPORARILY OkPERMANENTLY ENCROACHMENTS ON'PUBLIC'PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE;MUST.BE APPROVED"BY THE JURISDICTION.-STREET OR ALLEY GRADES ASIWELL 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 OEANY APPLICABLE--SUBDMSION - RESTRICTIONS .. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). ► 0�MPRA o Him .„gib'..., ar ,fi �t :��� «,� ,�a'� rm�., BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ✓.mow®���7rf8-a Zi 3 1 Heating pection Approvals Engineering Dept Fire Dept 2 fl-jjAj 6io s' � D �� Board.of Health i n TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0(2�0 9// Map J ParceJ Permit# � Health Division4"k TOWN O BARNSTABLE Date Issued Conservation Division t' 2003 JAN -7 PM 2: 02 Application Fee Tax Collector ` J µ Permit Fee 6 Treasurer - _ DIVISION � �Tkt C'i'3 Planning Dept. IN TALLLED I'M COEE"'?LIA6aG Date Definitive Plan Approved by Planning Board V11TFI TITLE 6 EEIVI� REGUL�;EWAL CODE WNS WL Historic-OKH Preservation/Hyannis T *41 Project Street Address ?- / u-r , dtJ . �" M is ®h'�. - y 2-4 ? Village Owner Q 1hd 61 Vt.-C t 1) "'RO F"1 ?,5- Address 1 7 Z Telephone -3 ( 7 d d:?6' d Permit Request 11 F-C t(� _:;b,,e_. t &T' =` Square feet: 1st floor: existing]/ram ly proposed 2nd floor: existing proposed Total new i Zoning District; �!�2 A Flood Plain Groundwater Overlay Project Valuatior ��' Construction Type C4 Lot Size �--,/ov 5S )-el. Grandfathered: ❑Yes *No If yes, attach supporting documentation. Dwelling Type: Single Family 14r Two Family ❑ Multi-Family(#units) Age of Existing Structure R6 L Historic House: ❑Yes W No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) r Number of Baths: Full: existing % new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Count 4 Heat Type and Fuel: X Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes YNo Fireplaces: Existing i New Existing wood/coal stove: ®Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes .4 No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name YMC4 ,i d 9 .7erI"o'-3 Telephone Number (ff'C) J-9=7'_317.6 Address �7 7, G,� License# X W sr �~ �� � Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE //d�l�� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED a r M4P/PARCEL NO. r� u ADDRESS VILLAGE �lY j 1 OWNER _. . DATE OF INSPECTION: FOUNDATION 1 FRAME i = l INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH - FINAL% - + GAS: ROUGH ' : FINAL FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. - ff , l l' i ty� 1 : . l vv,,rs f s �� •.i �� �� ( € �• tf � t i � e �� �:I �, i� � (, i (h� � �I �- si if. .d �1 ,11 s i G �� I: t. �� �j I. f :I' fit. '� I ��� IJi l�� ��i �, 7�• it it tli I {fl �) 1 a i t: r 33 II j` p 9 WI/I Awl r' � llJ� PAWAll s 4 , '1✓V �'�s i LA/ _ 0 r oecik MOW Qj 3 PORCh LTzSST�M The Commonwealth of Massachusetts Department of Industrial Accidents Office oflosesgoo ions 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name �� �r1 rs.r r O 77 r r� - location.city �ipNi� ,1�'6r tv fir <U hone# 1-3 r79 I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one workin in ca achy %%%/%////%%%/%/%/%%%%/G%%%/%/%%//%%�%%/%%O%��/�/O%%�//%%�%%%/%%/ am an em 1 er rovidin workers' compensation for my employees working on this job.:::: : :::::::::::::::::::::::::::::Y>< :: ::: ,::::::::: ''"'snriam �tY$E'k ? c •`il on oli'.cv �itsnrante o. ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have llowin workers' CO ensation OI1CeS; :::•::::•::.:::::::::::::::.:::.::.:.;'.;;:.:;.:_;:.>:.;:::.:;:{.::<?.;;:.:.:.;:.;:::<:::<:>:,>.::>::•::x::>t^?:.'::' :?>.::s::<:;:: the fo g mP.................P...:::..::::.:::.:,::::::::::::.:...::::::::::::::::..::::..:.:::.:::::::::::::.::::::.:::.:::::.:..::...:..:::::.::::::._:::::::::::::.....::::;::.:: K. .............::.::..::.::::................... .. name::�>::::<::�>::::::<:>:::{?><::::�>:>::>:;>:>:>:;:::;.;;:::::.. ..:.:.......::.. :.:.. .................. ....................... ......................... .:..... ,.:.:•i:L:•ii�ik{•::4::^.....:::::.�:vt..v:t4w•.. ':'•' Li.+..: v.4{{•. ••:•:':::•+>{:ii:•::•i::•i:•:iij:?t4:!;,;;i:;i{:!}?:?•i:{•.r}:{:.,;:i:•:ii:iii:•}:?•:ii:•;;.;;::::ii::?{•i:viiii:0ii:iv4ii•J::4Y:•ii:'-i"?'is{•:•i}:•:•:.i:••:;:•••..•••. ii f:�}iiii`ii':i!;:::i!}ii:+ii:i{r:i:::::tiYii!ii::tii:;{:!:y+:;:$i:?iiifi::•....•.C>:.................................................... ..:....... .i:i:•iiii::•: .'.::.......:.:::::::::::: �}:•i:?v:::.:::.:i:::.:i:v.•.:.iv.�•'i?{iiivi.•:.�.Y.:sin.:..:.v:::.v.�.v::Y:::::i.:(?-:.:v:i:::vi:.. !.i :;�:;:.::;:.;:.;;::.:.;:::•{; ................................................. •ci#v� ::i:'>•,:i:}.'•ii:•iiY:�'::•'.?2:t%}ik�i`;;Siii:•ii:�:ti...:.. ..{v w.�..;•.�.�:::.�:::::::::::::::::{•iiiii:?Si?iii:vi:{•iiii:•i::.�:::i:v:•::;:i:::::•.�:i:•i:•i::::L'ry�is};�fill};4:{fill$:+{i�iiii:::vvYv:vi:v{{:•::::.:::::.:n:.....�:v.�.� ............:::::......................:.:::::...,r......................:::.�:....................:•:.:•.: ::>::?:.i:•;;:•>;.?:«;{:•::::>:;;:.:;•;:<:::.,:..i': ;.,:•::.,>::::.i;;•:...;•......:..:.:.::.....:... . . b1�t1+: "dcEr .. <. . i h {,•• •.•.:CQO::;%;^;:;i'y; :�}�';�!}'; l;:.:.('i v;: ? iuinrarice I+aflm a to seem a coverage as required under Section 25A of MGL 152 can lead to the imposition of er6ninsl penalties of a!tire np to S1,r and/or erstomd one yam'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a Sae of SI00.00 a day against me: I undstand that a copy of this statement may be forwarded to the Oice of Investigations of the DIA for coverage verification. I do hereby certify under the pains and pen!j es of perjury that the information provided above is Ow.and correct d®�lA�llriO ��a �i!?,� -` Date - sigaature !� 7 6 Print name �;' Y�L°h� V `�� s' Phone# Finidaly do not write in this area to be completed by city or town officialpermit/license# ❑Building Department ❑Licensing Board mediate response is required ❑Selectmen's Office ❑Health Department : phone#; _ ❑Other Onssad 9/95 PJA Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person 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 section 25 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,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 t` Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and - to the city or town that the application for the permit or license is date the affidavit. The affidavit should be returned 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. ' City or Towns 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. The affidavits may be retarhR't^ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Inveatlgadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 J The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 2,00 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I I(t>1 '0 3 JOB LOCATION: 2 1 U E`K I t—C/'( w • `� I O number street / L �7 village "HOMEOWNER": ( jD —O name home phone�j# work phone# CURRENT MAILING ADDRESS:_ P? city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said p-ro5p4ures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the ` provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. TOWN OF BARNSTABL f' BUILDING PERMIT , PARCEL ID 245 089 GEOBASE ID 14866 ADDRESS 202 SEVENTH AVENUE PHONE W HYANNISPORT ZIP — LOT 535 '& 5 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 66394 DESCRIPTION REPLACE 1OX24 DECK — SAME FOOTPRINT PERMIT TYPE BADDD TITLE BUILDING PERMIT ADD DECK CONTRACTORS: PROPERTY OWNER Department Of ARCHITECTS:. Regulatory ator Services g Y TOTAL FEES: $30.00 BOND _ CONSTRUCTION COSTS $1,200.00 1ME 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE * RARNSTABLE, MASS. i639. 1 . i BU I ISION DATE ISSUED .., 01�,�4/2003 XPIRATION DATE _ems ' TOWN OF BARNSTABLE 10 1a tr � ' BUTL+DIIdG PERMIT PARCEL, ID ' 4 7B0� t OBASL: ll 1.4866 fi ADDRESS ,. 20 ' MTH'AVENUE f 'PHONE« S" W H 'ANN sPbRt- / :. FI LyJ.Oy(©i t 585 ULJ.JI +A YL ! 2 Z'y{�.$/ yWy'�jpp { Sfh S 5i - ` { � C/!/i•��aF„ }.w:�rT{��y'. "f f � Yldi� 1 5 � ' ^' S'M1 j r SST } 2 � r6 Liliif !f �./ rVi . S At�dslszit s 9 - `l S + l i. f ' ' _. ' � -� "D..�E MY p 1V L0M'W" y VP SL a Fa, ip. I'EI' X $ 3D�J Fz r STLE' �BUII'NO PERM ' C6N7�RATot � zP1 oaNER Department of ; x Rc;HzTECTS N Regulatory Services_ TOTAL, FEES $06.00 BOND $:00 nod r CONSTRUCTION OUSTS $1.,200.00 753 141SC NOT CODED ELSEWHERE I �yr. PR V.XR ;* �- � , +► BARNSPABLE + Y7 t 1609�- F •A Y4 A k �y k BUILDING DIVISION t BY DA xSSUEnQ1%1J2a0 IRATION DAfiB �'�,y rdw"`+w�,�"�� .. ., •�k,r.tt ,. ,..,. w• ,;.-�,,.:. e.�... TIIS PERMIT CONVEYS NO RIGHT TO OCCUPY`ANY STREET,ALLEY OR SIDEWALK OR ANYV PART THEREOF, EITHER TEMPORARILY OR PERMANE{f NTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMIATTEDrUNDER THE BUILDING CODE,MUST$E APPROVED BY THE JURISDICTION.STREET OR 1 ALLEY•GRADESASWELL"ASDEPTHANDLOCATIONOF.PUBLICSEWER MAY.BEOBTAINER FROM,THE,DEPARTMENTOF PUBLIC INORKS.THE ISSUANCE O.FTHIS .PERMIT-DOES NOT RELEASE THE APPLICANT,FROM THE�CONDITIONS-0 NY APPLICABLE SUBDIVISION"RESTRICTIONS. MINIMUM OF FOUR'CALL'INSPECTIONS REQUIRED. 4 FOR ALL CONSTRUCTION WORK: y APPROVED WUSMUST BE RETAINED ON,JQB AND 1.FOUNDATIONS"OR FOOTINGS `� \THIS CARD KEPT4 PQ limp UN,j�fIL�FNAL INSPECTION WHERE APPLICABLE, SEPARATE 2. PRIOR TO COVERING STRUCTURA�LMEMBERS 4 HAS BE N MADE W-, RE I RT�FICATE'OF.00CU PERMITS ARE REQUIRED FOR �� ELECTRICAL PLUMBING AND MECH- (READY TO LATH). i FANCY'I REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNT'Ib�FINA INSPECTION HAS BEEN MADE. 4.FINAL-INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 , BOARD OF HEALTH OTHER:' SITE PLAN REVIEW APPROVAL - i 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 ORWRITTEN NOTIFICA- TION. NOTED ABOVE. TION. M ^ � y i rxx f. .,•� �r ..,�d.n �.»�`-....,,7a ;-��..... .. 3 .,e'er �.��..�z,.�,r'imw...tFr-i,.or0. _ ... ..n, .•`�.y.-. .` ,j ;-'� A� �'4~,� k, , .. ,. �*� .... +r.y.x }�q��#�{Y .,• xv^.r rr ... ...� i � r' Assessor's map and: lot numberT �.. ;.. ,J i� 2 ...� Tyr« � .. Sewage Permit number SysrC� rU cd�"r°... Ta ° I yo�THETo�y TOWN` OF BARNSTABLE EAR33TSDLE, • P639- A BUILDING ., INSRECTOR. Y OMPY�' t w :e\ APPLICATION FOR PERMIT TO. ........................................ ............. TYPEOF CONSTRUCTION �.. U l p ,. ...............................................................................................................:..................... f ........ .....................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fob a permit according to the following information: Location ........... . ...�........................................ ............................... ..... ....................................................... Proposed Use . ...................I......................... Zoning District ................ . ...........................................Fire District ........... ..... .�� �IS ............................. Name of Owner /E' �`?�G/C7 / _�J2/? S /72 �G1�6,�+c/ he41"������i �................... ....................Address ............... . ... ...................................................... Name of Builderi:......v. 1'`�P�,!li�-l�l �.........e.` .....Address ..� ......../�.r.......�......�:�............................ ................ .............. ... ..... Name of Architect ..................................................................Address ............................................... Number of Rooms ...... / �e�'�'/."c�G �b1% �!......i � � .................................Foundation ........................................ .. Gl.e...... Exterior C ® ............................................Roofing ...............�2d� GL.....�......... ................................................................ Floors . ................Interior Heat* ng ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ........ ..................°.......:.......................... Definitive Plan Approved by Planning Board ________________________________19--------. Area ...r��z -................... Diagram of Lot and Building with Dimensions Fee ...�d' '.�.�........... ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH go A-d � •4 2 pa s Ez I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .... 1.�,�. iI Torres, Dr. Clemencio B. A=245-80 No .. 1 Permit for Add-deck.. .........dwe l l ixig................................................ Location 7th••Au ...................... ,• / j ...............Wesst.-Hyannisport............................ r 1 Owner ..........J)r.,...C1emencio..B-,...Torre-&.... r- .- • _ •r- _. �_ Type of Construction ..Wood... ............. ......... f .................................................................................. r, Plot ............................ Lot ................................ . J _ Permit Granted MaX....29.2.19 79 Date of Inspection ................................:y.19 - , f •, * is 'D&te Completed ........... .. ....19 � ��; '-� _ ..�_• PERMIT,REFUSED R '` x` ...... 19 ' �• • ................................................. .......................... ................................................................................. ...................................................................... ............................................................................... Approved ................................................ 19 ............... ......................................................... Assessor's map and lot number ........................... 15y1/,4`s Tv e, A-W- I jn Sewage Permit number .......................................................... TNETo�♦� TOWN OF BARNSTABLE LE.: "b BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................. ......,........ ...:...... .............................................................. � c? �� P TYPEOF CONSTRUCTION ..........................................................c../�.................................................:......................... .................... .... /�9 .197(................. . ...... :... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... ....7.. ..... �li.. w` P .... ............................................................... .. Proposed Use ................................................................................................................:............................................................ le Zoning District ................. ......`.�...........................................Fire District .............. ... ..:. !....?. %:...:`... ........................... Name of Owner .• ,a kW -AC/v.• - lZ/ S .Address Z7.7.... r/ ?�!ci' !�': h e/ G� .r'� 0-7- Name of Buildel0??CIyG�' ! '�r��rt�cfr�16 ��rt4! '...Address ....�.�..z .............................. .... C - .r,� , Nameof Architect ..............-..�.............................................Address .................................................................................... j Number of Rooms ......�.....!/�" /�...........................Foundation �'c� �'f n -le- j�61 -'}�r� �............. ........................... .................................... Exterior ....�.`.........�....�.....�..........................................Roofing ..............�:.�..'.....C_................................................ Floors 4� U 0 7?...........................................................Interior .......... ...................................................................I................ Heating ..................................................................................Plumbing .................................................................................. Fireplace — ...... Cost ........ .............. ............ ............................................ Definitive Plan Approved by Planning Board ________________________________19________. Area �y 2 .................. Diagram of Lot and Building with Dimensions Fee � SUBJECT TO APPROVAL OF BOARD OF HEALTH INS,, �V Iy'\ M �Q i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............. ............................................................... Torres, Dr. Clemencio B. A=245-80 No 41 4...... Perm-it' for A:dd..dec.k..to........... ...............lawelling.............................................. Location. ........7.t.h..A.Venue................................. ..........West.-Hywinisport................................. Owner ...Dr.w.-Glememio.-B...-Tigrres............ Type of Construction .......Wood......................... ............... .................................................. Plot ...... Lot ................... ......... Permit�Gra-Rted—...-.....blay. ......2.9...........19 79 Date of Inspection . . .....................19 Date Completed ........................19 PERMIT REFU/.SE SE ,...... ...z. 6l .. r9 .... . ........ .......... .. .. ......... ..............7................................. . ........... .................................................................... .......... .................................................................... ................................................................................ Approved ................................................ 19 ............................................................................... ............1,............................................................. Barnstable Bldg• epto. " . Approved by: T I 7-,- permit#:._.._. 4'-8" 2'-1" 4'-8" 4'-8" 2'-1 4'-8" CLOSET. CUSTOM DOORS o 9 0 TO BE DETERMINED iv COUNTER/DESK "N I KAYAK RACK TO BE DETERMINED N NEW WINDOW � I I n t-1 0 NM01 _ bo 1 — ,Cav�_JIu�zHC , oo LO a I T ®N NEW VANITY/SINK N REMOVE& Btu ; � M I REMOVE STEP �N L�j ` WAINSCOTING SURROUND, C" _ 42" HIGH I T CV CV r COI NEW FAN WITH — - - O HARDWOOD FLOORING EXHAUST VENTING NEW TOILET _ - - - - - - - - NEW FRENCH DOORS 4'-10" , 3'-3" 4'-10" _3'-3" REMOVED k CHANGING RAMP TO STEPS OPTION { l EXIST� N " P R 0 E D OS ti N r� � I qF ! �� GENERAL NOTES: NOTE: D�wIAI/� NL]M LJLR Cape, CAD ART S h E D REMODEL FOR• I ALL DIMENSIONS SHOWN ARE FOR REFERENCE ONLY THE PLANS SHOWN ARE THE SOLE PROPERTY OF SCALE: DRAWING ` CONTRACTOR IS TO VERIFY FIELD PPJ G CONDITIONS THE DESIGNER AND CANNOT D,COPIED, AND DIMENSIONS IN THE FIELD PRIOR TO START OF REPRODUCED AND/OR ALTERED,USED FOR PERMIT LE M B O RESIDENCE WORK' ANDIOR FILING E DE51G E E IXPRE55 WRITTEN 1/4�� 1 2.THE GENERAL CONTRACTOR SHALL BEAR SOLE CONSENT OF THE DESIGNER,PATRI5 WRITT N {/� //'� //'� ^/� H \/ I I RESPONSIBILITY FOR MEANS AND MET"10D5 OF I r ' f..� L / T 1 1 A V E N V E CON5TRUCTION AND SAFETY ON THE JOB SITE. t ' 3. ALL WORK 5HALL CONFORM TO THE D e, M TION) ND ALL STATE BUILDING CODE(LATEST p EDITION)AND ALL OTHER APPLICABLE CODES. Approved for filing WEST h YA N N I S P O RT M A 4.M APPLICABLE,CONTRACTOR 5HALL IDENTIFY ALL DATE: ZX15TIWG LOAD BEARING ELEMENTS PRIOR TO Cl �/ �y COMMENCING WORK AND 5HALL DESIGN AND PROVIDE P.O. BOX (506 CON5T UCTIONOUIRED TO SUPPORT LOADS DURING 10/15/2 018 1 5. ANY D15CREPANCIES,ERRORS AND/OR OM1551ON5 Patrick Rimington MAR5TON 5 M I LL5, MA IN THE NOTE5,SHALL BE BROUGHT TO THE ATTENTION OF THE DE5IGNER PRIOR TO COMMENCEMENT OF 508-2(50-7074 CON5TRUCTION. PROCEEDING WITH CON5TUCTION CON5TITUTE5 ACCEPTANCE OF THE5E DOCUMENT5 AND ANY D15CREPANCIE5,ERROR5 AND/OR OMI55ION5 BECOME THE RE5PON50ILTTY OF THE BUILDING CONTRACTOR 1 Barnstable'Bldg.Dept.- Appraved by Permit#: N 362 4'-8" 1, 2'-1" 4'-8„ I/ 41 8„ 2•, _4' 8" ��= � CLOSET. CUSTOM DOORS i T TO BE DETERMINED o / I N COUNTER/DESK , N 2'-5, KAYAK RACK TO BE DETERMINED N NEW WINDOW --�\\ �, �� N ®NMo� �a4 001 LO 10 NEW{VANITY/SINK REMOVE& REMOVE W;4�INSCOTING SURROUND STEP N i N - -- 42" HIGH CO N N ro (V NEW FAN WITH — - HARDWOOD FLOORING o EXHAUST VENTING - - - - - - ;NEW TOILET --- NEW FRENCH DOORS 4'-10.1 \ 3'-3" REMOVED i CHANGING RA MP P TO STEPS OPTION 1 EXISTINU rROPOSEU t j i ' V ART SHED REMODEL FOR: GENERAL NOTE. SCALE. DRAINING NUMBERi ape, CAD I.ALL DIMENSIONS SHOWN ARE FOR REFERENCE ONLY THE PLANS SHOWN ARE THE SOLE PROPERTY OF C CONTRACTOR IS I VH FY IXIST NG CONDITIONS THE DESIGNER AND CANNOT D.COPIED, R AND DIMENSIONS IN THE FIELD PR OR TO START OF REPRODUCED AND/OR ALTERED,USED FOR WRITTEN /�1' 1 LE M V O RESIDENCE WOE AND/OR FILING WITHOUT DE51G THE PA R ICK WMINGT �_ _ 2.THE GENERAL CONTRACTOR SHALL BEAR SOLE CONSEM OF THE DESIGNER,PATRICK RIMINGTON. RE5PONSIBIUTY FOR MEAN5 AND METHODS OF T H CONSTRUCTION AND 5AFETY ON THE JOB 51TE. 2 9 2 7 1 1 1 AVENUE 3. ALLC U5 SHALL CONFORM TO THE . De,51 (� n MASSACH D ALL OTATE BUILDING CODE e5. EDITION)AND ALL OTHER APPLICABLE CODES. Approved for filing, 4.IF APPLICABLE,CONTRACTOR SHALL IDENTIFY ALL pP 9 -TO DATE: WEST h YA N N I S P O RT, M A Comm G LOAD BEARING ELEMENTS PRIOR N COMMENCING WORK AND SHALL DESIGN AND PROVIDE P.O. BOX 50G SHORING A5 REQUIRED TO SUPPORT LOADS DURING 1 O/1 5/2O 1 8 BOX V CONSTRUCTION. L DVS 5. Aie 015CREPANCE5,ERROR5 AND/OR OMI55ION5 Patrick Rimin ton MAR5TO N 5 M I LL5, MA IN THE NOTE5.5NALL BE 6ROUGIIT TO THE ATTENTION Riming ton THE DESIGNER PRIOR TO COMMENCEMENT OF �y CON5TR.UCTION. PROCEEDING WITH CON5TRUCTION 508-250-7074 CONSTITUTE5 ACCEPTANCE OF THESE DOCUMENT5 AND ANY DISCREPANCIES,ERROR5 AND/OR OM155ION5 BECOME THE RE5PON51BIUTY OF THE ' BUILDING CONTRACTOR - : - . - T - - , es 1 n Data �. ry D o �i n s Take M Ya o e orn , _ 1 rn 1 a 4 _, ,+� EL. , . .. ..x• : SiS e'F mil B rn , SS S R edroo SO REF..4 S S Y A h R f g ,, .... #he .,West t n r n _,. _ _ _WithN.: O Garbage Grinder , . a I 1 , ,2 5 ;Force g . . _ .., , ,, • _.:..M, „ :,, ., . x ...,. , .. udder.A n n � ;-� ewe od 11 w `#h •. .00 # e P o _ _ e F G. 1,. Et 4 _ 2,� Da11 F w o I1Ctx4 44 P - -,,_ , ,: , r s r ! 0G D f n Take _ Y _ _ _a r1 t on S h r# Ste _ _ _ _ , P _ 9 , _ o _ _ l ; h Cur to Cra vrH e h ' S tic Tank 44 0 GPD s 1 e B aC .:Rood. _ N.. jail :.a efotoS t ve h 1 A ue a d t en _ Use 500'Gallon H 20 Se tic Tank yERLAY Dl T t onto Mo le Wo and Then felt onf 9 A Y_ e1. 10.3AP A u e Prot ! n � ecf o D strict e th Avenue -House fs on ' he f 1 , As Shown on Plan Entitled Leaching Area': K ��My��•�,• E f tled � - I ; RevisedGroundwater Protection - i _ 440 GPD 10.74 95 F Required LOCUS .• S S , ^,r^�...».::... ., N •:z-. v.F..,., ;>.. .: Overlay - , u : f1. 10.i 1500 Gallon e _ _ y April, 1993 Foundation to be Caned with `"^ Top El. 9.85 a ry Yv. 1 ff�#< a • Use Bottom Area Only.Bottom Area=617 s.f lmperm+abfe Rubber Membroin Septic Tank � H-20 To Bottom of Footing See Plan View For Layout ,..y.s•, .r. • § ' Bot. V. a85 . Flow E ua7,zers era +£'s•.. - . .,�:.�. - _:,fi-l., - .'w ..� L NE ' As a t.ured 1 w FLOOD ZONE. 1..:. r : - O Leachin Chaffiber Desl 3 r �)t,�x,'.3 n.5'--.J •� .?� _.. 0 v9. f,::ti..: •.,y. - - (�+� (��•j�j - _ _ _ ' •. t w.;; ,, Zone B & A 10 (EI.=11) RB All Pipes to beSchedule. 4 Bedding '�5 rn � _ as Per Titte,�+ 0 PVC Perforated Community Panel No. Area (min.) 43,550 SF With Capped Ends.Use 4"0 Distribution '.' Remove & Replace All Unsuitoble #250001 0008 D Fronto e (min) 20' L,inesfi;n a G1.7 s.f.Washed Stone Bed as Shown L ATI July 2, 1992 Width (min) 100' , PerrmeterSoils ,of The System t Groundwater O Et- 385 OC ON MAP. Setbacks. r. :.Scale. 1 - 2000 t Front 20' l Side 10 Developed Profile of Pro Propose, Se tic S stem ,: pp p _ Rear 10 : .. Not i to Scale _ f' TEST O �E l ES 1.Water Supply For This Loris Municipal Water. 10J'1/02 EL.5.47 2.Location of Utilities Shown on This Plan Are Approx. 1" 5. 9 Finish Grade At Least 72 Hour ri t FILL I OYR 2i2 l: Hours P or.o Any Excavation For This , Project the Contractor Shall Make the Required VERY DAIt1C BROWN � ,, " SANDY LOAM 9-min. Notification n 14 4.30 m c do to Dig Safe(1 $88 344 7233 Compacted Far ,;. � J--max. Fiber Fabric. 3.The Contractor is Required to Secure Appropriate A ER 1 yR 2/1 e9BLACK I Permits From Town A encics For Construction n h r 1 1 Be c ma k. N 2 /6 z /► SILTY ORGANIC LOAM l i<2o2 Trust •- 4.i 4 Torres Family No Tru o N/F Defined b Thls 'laII 16 Top of CB/dh fnd Seventh Ave. y n Y Peo Stone $k.6460 Pg-226 x Sherman do Susan M. Eisenthal B LAYER 1 OYR 2/1 El.-5.61 NGVD 29 c 4.Install Rise t. Within u Bk.12190 Pg-36 is O tllln 1 of n i Finished BLACK sM1 a \ lGrade.l 1-0 26 LOAMY SILTY SAND 3 30 8, :W 5.All Structures Buried Four Feet or More or Subject i S87.21 36 0 \ to Vehicular Traffic to be H-20 Loading. _ 3/4•_1 1/2` 6 ."\_ 4 OPerforated = \\\ \ \ 100.04 \ \ "�, s GRAY �" PVC Pie Double washed.Stone 6.Septic System to be Installed in Accordance With CB/dn \ \ L \ 30" MED.-COARSE SAND 1.30 \ \ fnd _ -7- - - I 310 CMR 15.00,'Latest Revision and the Town of ceourmwArsR ENCOUNTERED ix s.ss ' She Barnstable Board of Health Regulations. varies - see Pion SM2 / 31.8 ] 7.All Piping to be`Sch.40 PV i5 \ \ ;\ p g C• r Coss Section O,i LeachingBed 1 so _ Buffer Zon \ n - \ \ l � Not to ��cale , t Bit. Drive W \ r \ Wo od d ��{{ l \ D O ( , - V ' , ec Variances Required: N I Boar� d of I-lealth.Part VIII Section .0(Marginal Lots 0 {{ c 9 / 1 i \ oraw- 2 Title 5:310CMR 15.211 1 (Foundation eback r SM3 oAw ohw � � 216 � ) � )�o S ) Shower -. 3 Title 5.310CMR 15:211 i Line Se ack \ uhhtY } \ ) � j Perhl' b ) • Pole i^\ FF=8.68MSL I i � I \ 1 sM � I 1 l k.� ,, ► � *ZoningSetbacks'Ylnclude 0verhon \ a \ ? \ f aNamuos„ i 1r . \ 1- - - _: : : f ` Torres FornBy ee , n1 \ O Tfl0 O $ dh fnG Seventh Ave. . Bk.6460 Pg.226 4� a Et, 5.61 N t . 1 'Flood on �r1 from NGVD 2J sM O Zone Line om FIRM Mop , o p _ °a o fi' 6 23 Communlf Fnnel 250001 08 sM1 r. y- OC7 C `• .. d \ \ 1992 o \ r. Map Revised. -«Cud 2.` _ \ Y , 4 \ \ \ \ ceJdl, , 10' a \ i \ fnd I 1 \ Ind ti \ \ \\ \ \ Existing \ \ e �. 7 Low j SM2 \ :\ \ e • sed _ l + 1 \ J t3,r Drive a \ t�E/, sM2 i tt \ \ 4 tt aa SM6 � � 11 Proposed i 6' \� : \ 1 � I Proposed \ \ \ \ Bet. Drive d + Addition Proposed \ 1 i _ = i \ ov 50 1 \ \ \ \ \ F.F. \ } \ .F. EL, 11.25 Addition \ tan _ � g .J 10 �4 � Suffer Zon Set on Slob \ 49 ` \ \ \ \ 1 9 10 FF. EL 11.25 3 (40 Low Pont O Prop s Leaching itch \ \ Bosr th 2• or Slone 1� 1 i _- Propos 1 th oved Swale \ \ Deck \ t C7ri \ �, � Proposed 1 \ SM7 / o \ / 1 Or \ Deck t0 r SM3 \ 20+• Relocated w1 y Retoeated - � Windmill \ SM3 ohw elocatl \ Edge of Salt Marsh \ \ \ F.F. EL 15.00 Edge of Solt Marsh ` \ \ / J Flogged b ENSR 7 c•� 01 \ ,* Flogged by ENSR (8127102) \ i Set On Fnd. \ co Edge of Sidi lvi�rsh Pointy 1 99 Y S (8/r2 /02) \ �? \\ . g � Pole � \ F.F. Et. 15.00 Flogged by ENSR (8/27/'02) `�•\ 62' Proposed _ \ O I� Retaining Wall \ \ \ \ \\ \ - Existing town Lot Area:\\10,955 sf (By Plan)\ � ,\ °� � i �\ '�� � � \ � \ \ \ \\ To Remain 1 i \ IJ \ ! SMd o \ Ds N87.21'36"E SM4 \ \ \ ,\\ \ \ f Pro osed Se tic S ste)�t \ \ \\\ \ \ \12 f 1 \ \ \ 100+ 72.63. o \ Buffer zone \ \ \ \\ 1 1 i '� See Above \ \ \\\ \ 1 \r/' o\ Sma Won \ E Ind o.t. _ - \ i 1 \ \ \ , j1?\ \ . ` an .n.. � - � �.. , \ \\ O \ C _` \\\\ \ \ Flood lone tine from FIRM Mop \ t3 sMs \ � � C' ommunity-Panel / 250001 '0008C Mop Revised: July Z 1992 IN, \ \ \ E.O.P. SM9 \ \ \ wOrk \ \ \ Z°n B y 20 e \ 20�\ \ \ °able Sfor \ \ Alp Wifh � \ ' Siit F�nclnQ des\ ` �on Cll ` \ \ \ \ (�J�1j, \ \ 50 \ Buffer ZoneBuffer Zone SM10 1 100' \ 100' Buffer Zone Buffer Zone Existing Conditions Proposed Improvements Landscaping Plan \ �•���oF�r.�r p g Scale: 1"=20' Scale: 1"=20' � i4»rD �, Scale: 1"=20' UPEUX t�' i VAII 134312 r- $M11` Title: PREPARED BY PREPAPED FOR: Notes/Revision: Site Plan Sullivan En Engineering, Inc. CapeSury 1.) The property line information shown was g gT . . compiled from available record information �+ AL PO Box 659 7 Porker Rood +,)omeS R. c� )uso "? L. Gillis (see PB 218 PG 23) Cb 216 Seventh Avenue Osterville, MA 02655 Osterville MA 02655 216 Seventh Avenue �+�+ (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fox 2.) The topographic information was obtained Bamstable, (W•Hyonnisport) 1 V►ass9 W.Nyonnisport, Mo. 02672 from an on the ground survey performed on 29/AUG/02. o Draft JOD Field: WHKIMDH 20 0 10 20 40 80 3.) :The datum used is NGVD '29, a fixed mean - Dote: Scale: Review: PS Comp/Draft: MDH sea level datum. December. 16 2002 As Noted - Prod. # 22038 Drawrn 4 -- g # C 79_1G1