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Home My WebLink About0212 SIXTH AVENUE (HYANNIS) o� rr 1} it i�, i i �. U.S.DEPARTMENT OF HOMELAND SECURITY ELEVi4TION CERTIFICATE OMB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY Expiration Date:JUIy 31,2015 Notional Flood insurance Progmm IMPORTANT:Follow the'instructions on pages 17-0: SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE ;_` Al. Building Owner's Name Policy Number - Charles V Villa Jr& Phyllis a Villa � A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.,No.)or P.O.Route and Box No. Company NAIC Number ~ 212 Sixth Ave a City Hyannis State MA ZIP Code 02672 A3. Property Description(Lot and Block Numbers;lax Parcel Number;Legal Description,; Map 245 PC[ 105 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,.etc.) Residential A5. Latitude/Longitude:Lat., 41°3715A W Long., 701911.9" Horizontal Datumi ❑NAIJ 1927 9NAD 1983 A6.. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.. .A7. Building Diagram Number 7 A8. For a building with a crawlspace or enclosure(s): A9.For''a building`with an attached garage: a) Square footage of crawlspace or enclosures 2456 s. ft a Square. eofattached garage NSA s ft g O q . ) 4 g g g q b) No.of permanent flood openings in the crawlspace or 6 b) Number of permanentflood.openings:in theattached garage enclosure(s)within 1.0 foot above adjacent grade within 1:0 foot above adjacent grade c) Total net area of flood openings in A8.b 3146" sq in c) Total net area of flood openings in A9.b sg in d) Engineered flood openings? N Yes ❑No *Effective area d) Engineered'flood openings? ❑Yes ❑No SECTION B;.—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NAP Community Name&Community.Number B2.County Name. B3.State Barnstble 250001 _ `Barnstable MA B4, Map/Panel Number 'B5,Suffix B6.FIRM Index Date. B7.FIRM Panel Effective/ B8.Flood Zone(s) B9.Base Flood Elevation(s)(Zone Revised Date AO,use base flood depth) 25.00100564 J 0..711612014 07/16/2014 AE; 12, 13. 810..Indicate the source>of the Base Flood,Elevation(BFE)data or base flood depth entered in Item 139: ❑FIS Profile N FIRM ❑Community Determined. ❑Other/Source B11.Indicate elevation datum.used for BFE.in Item 139 ❑NGVD 1929 N NAVD 1988 ❑Other/Source: 812.is the building:located in a.Coastal.Barrier Resources:System((BRS)area or Otherwise Protected.Area(OPA)? ❑Yes N.No Designation Date:'—./, / (I COS ❑OPA SECTION C—:BUILDING ELEVATION INFORMATION(SURVEY REQUIRED). I J Cl. Building elevations are based on ❑Construction.Drawings* E]Bwlding Under Construction* N Finished Construction *A new Elevation Certificate will be required when construction of the,building is complete. f C2. Elevations—Zones Al—A30;AE AH,:A(with BFE),VE,V17V30,V(with BFE) AR AR/A,AR/AE,AR/A1—A30,AR/AH,AR/.-A,' Complete Items .. C2:8—h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. RTK GPS.PER MTS NETWORK NAVD88 I Benchmark Utilized. Vertical Datum: Indicate elevation datum used for the elevations in items a)through h)below. ❑'NGVD 1929 N NOD 19,88 ❑Other Source . Datum used for building elevations must be the same as that..used for the BFE; --4 Check the measure ent used. :'? a) Top of bottom floor(including basement,crawlspace;or enclosure floor) 7 . 6 ®`feet ❑mjeters r— m 0) TO of the next higher floor 1`5 , 0 N,feet ❑meters co c) Bottom of the lowest horizontal structural member(V:Zones.only) N. A. P9 feet El meters d) Attached garage;(top of slab) N A N feet ❑meters e) Lowest.elevation of machinery or equipment servicing the building 13 , 1 N feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7 1 ®feet ❑:meters M Highest adjacent(finished)grade next to building(HAG), 11 5 ®.feet ❑meters h) Lowest adjacent grade at lowest elevation-of deck.or stairs,including 7 1 ®,feet ❑:meters structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed,by a Ia9d.wVgy0r engineer,or architect authorized by law to certify elevation. information.1 certify that the information on this Certificate.represents my best efforts to Interpret the data available. l understand that any false statement maybe punishable by fine or Uh Hsonment under 18 U.S.Code,Section 1001. E 4`�N OFMq Js� []Check here,if comments are provided on back of form; Were latitude and longitude in Section A provided bya ; •i7�NIEL or__ ❑Check here if attachments. licensed land.surveyor? ®Yes ❑No n Certifier's Name License Number r' Ci.h3RLAC Daniel A.O'ala 40980 No,40�98,R� Title Company Name 0FFss P Prof.Civil Engineer,Prof.Land Surveyor Down Cape Engineering,Inc. !q o Address City State ZIP Code �SU01 939 Main Street Yarmouth port MA 02675 Signature Date Telephone 508 3624541 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions: I ELEVATION CERTIFICATE, page 2 IMPORTANT:In these spades,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE': z; .: Building Street Address(including Apt.;Unit;Suite,and/or.Bidg:No;)orPO..Route and Box No. Policy Number ,: 212 Sixth Aver.., City State ZIP Code Company NMt,Number Hyannis MA 02672 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and;(3)building owned Comments Vertical datum is NAVD88 from MTS RTK GPS. Detached garage/pool house structure is not included in this elevation certificate. Existing 5 Smart Vent flood vents certified for 200 sf flood coverage each and one M M flood hatch totaling31416 si of effective area. Lowest elevation of machinery is generator located outside at elevation 13.1 AAAAAA— Signature ` Date tm s c SECTION E-BUILDING ELEVATION INFORMATION. (SURVEY;NOT REQUIRED)FOR ZONE AO O__ : IT 8 BFE) For Zones A0 and A(without BFE),compl,ete.ltems E1-E5:.If the Certificate is intended:to support a LOMA or LOMR tr'est,c6?riplbt Sec i A,B;and C. For Items E4-E4,use natural grade if available.Check the measurement used.In Puerto Rico only,enter,rneters, o No.40980`., E1.;Provide elevation.information for the4ollowing and—check—the appropriate.boxes to show whether the elevation is a_ e. bjalow the he adjacent grade(HAG);and the lowest adjacent rade LAG, S. 1 g. ! ) qy y0 a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters elow the HAG'. b)Top of bottom Poor(including basement c(awlspace,or enclosure)is ❑feet 0 meters- ❑above or ❑below the LAG. E2..For Building Diagrams 6-9 with permanent flood openings,provided in Section A Items 8 and/or 9(see pages 8.-9 of lnsirucfions), the next higher floor(elevation in the diagrams)of the buildin ;is g ( g ) g El feet ❑meters ❑above or El below the HAG'. E3.Attached garage:(top of slab).is ❑feet ❑meters ❑above or j]below the HAG. E4.Top of platform of niachinery and/or equipment servicing the buildingas ❑feet ❑meters ❑above or ❑below the HAG:: E5.Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?❑Yes ❑No ❑:Unknown.The local official must-certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S:REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections:A,B,and E for Zone A_(without a FEMA-issued or cornMunity-issued BFE)or Zone AO must sign here:The statements in Sections A,B.,and E are.correct to:the.best of my knowledge., Property Owner dr Owners Authorized Representative'S.Name Address City State ZIP Code. Signature Date Telephone Comments ❑Check:here. if attachments. SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who.is authorized by law,or ordinance to administer the community's floodplain management ordinance can complete:Sections A;B,C(or E);:and G of this Elevation Certificate.Complete the applicable iten9(s)and"sign below.Check the measurement used in Items G8-G10.In Puerto Rico.ohly;enter.meters. G1. .E1 The information in Section C was taken from other docurriontation that has been signed and "sealed by a licensed surveyor,engineer;or architect Who is authorized by law to certify.elevation Information.(Indicate the source and date of the elevation data in the Comments area below.) G2:. ❑ A community official completed:Section E for a building located in Zone A(without a FEMA-issued or conimunitwissued BFE)or Zone AD. G3. ❑ The following information(itemsG4-G9)is provided for community floodplain:management purposes.. G4. Permit Number G5.Date.Permit Issued G6.Date Certificate Of Compliance/Occupancy Issued' G7. This permit-has been issued for; ❑New Construction ❑Substantial Improvement_ G8. Elevation of as built lowest floor(including basement)of the building: ❑feet ❑meters -Datum G9. BFE or(in,Zone AO)°depth of flooding at the building site: El feet ❑meters Datum, G10.Commu,nity's design-flood elevation:. ❑feet. ❑meters Datum: Local Official's.Name Title Community Name Telephone Signature Date Comments ❑Check here'.if attachments. i FEMA Form 086-0-33(7/12) Replaces all.previous editions. i ELEVATION CERTIFICATE,page 3 BUILDING PHOTOGRAPHS See Instructions for Item.A6. IMPORTANT:In these spaces,copy the corresponding:nformationfrom Section;A. FOR INSURANCE COMPANY USE "'; Building Street Address(including Apt.,Unit;Suite,and/or.Bidg.No.)or P0; Route and Box N.o; Policy Number 212 Sixth Ave 2 City State ZIP Code Company NAIC Number Hyannis MA 02672 rr, a If using the Elevation Certificate to obtain NAP flood insurance,affix at least 2 building photographs below according to the instructions. for Item A6. Identify all photographs with date taken; "Front Mew" :and "Rear View"; and., if required, "Right Side'View" and "Left Side View:' When applicable,photographs must show the-foundation with representative examples of the flood openings or"vents,as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. x 1 ". k _ •ems^ � 'y B I q�n nee r i. rvt r t K � �, t l�JllliCS`U#LSRNACS�� -0r- Front View lit J 7. Rear View FEMA Form 086-0-33(7/12) Replaces at previous;edifions. ELEVATION CERTIFICATE,page 4 BUILDING PHOTOGRAPHS Conting0tion Page IMPORTANT:In these spaces,copy the corresponding information from Section A. zTOR INSURANCE`;COMPANY USE Building Street Address(including Apt:,Unit,Suite,anal/or Bldg.No.)or P.0.Route and.Box No. Policy Number 212 Sixth Ave City State ZIP Code Company NAIC Number 4 - Hvannis MA. 02672 If submitting more photographs than will fit owthe preceding,page,affix the additional.photographs below. Identify all photographs with: date taken; "Front View" and "Rear View";and,if required,"Right Side_View"'and "Left Side View."When applicable,photographs must show the foundation with representative examples of the.flood openings or vents,as indicated in Section A8'. G "�`� a taw". fi4 { Flood HatchView I W Left Side View FEMA Form 086-0-33(7/12) Replaces all previous editions.. z qv.}mnf: BARNSTABLE A.P. INSTALLED BUILDING PRODUCTS P.0. 13OX 1309 ORE BEAC1`I . (508) 8�8-359.9 9 .. ®2562 (508) 888-9609 Fax Date Job completed:__ ' J� Address of foam --- application:_ Z A -- e Inches spray ed in: 7— C`eili1-1g Walls Z 1 _ Slopes _ - Overhazzg------ — — Bsmt Cell ---- S tw.l dockers & RLuuiers_ --- --- a: Cath Cell_�� .. Cath Walls ,T" -zr Knee Walls A/H Walls Cz-a`:vl Cell - Instal.iers Signature: ' 4 _ - 1 HEATLOK@10*0 ca DEMILEC m HNICAL DATA Heatlok'"is a two component,closed cell,spray applied,rigid polyurethane foam system.This product uses recycled plastic materials,rapidly renewable soy oils,and the blowing agent has zero ozone depleting potential.Heatlok complies with the intent of the International Code Council's residential and commercial building codes and is commonly used as a thermal insulation,air barrier,vapor retarder and water resistive barrier in above grade,below grade,interior and exterior applications. ' �' 3,x � ti� `"`°3` _.:- • +�'y: � �r -;s x �qd w �, a '_ ti �.. }^y`ax ,s,. ASTM D 1622 Density 2.1 Ib/ft3 33.6 kg/m' ASTM C 518 Aged Thermal Resistance(R-value @ 1 inch) 7.4 ft'h°F/BTU 1.3 Km'/W See ESR 3210,Table 1 for additional R-value information ASTM E 283 Air Leakage @ 75 Pa @ 1" <0.02 L/sm' ASTM E 2178 Air Permeance @ 75 Pa @ T' <0.02 L/sm' ASTM E 96 Water Vapor Permeance @ 1.2" <1 perm < 57.2 ng/Pa-s-m' Qualifies as a Class II vapor barrier per IBC Section 202 ASTM D 1621 Compressive Strength 28.7 psi 198 kPa ASTM D 1623 Tensile Strength 46.2 psi 319 kPa ASTM D 2126 Dimensional Stability @ 158°F(70°C)97%R.H. (%volume change) (168 hrs,sample without any substrate) L/W/T -1.37/-0.42/+0.27 CA Spec 01350 VOC Emissions Standard Compliant ASTM C 1338 Fungi Resistance No fungal growth ASTM D 2856 Closed Cell Content -90% �`:�t ' a -'sS_ `+"S'e'.. .'". �Pra.r " 1� a F. ' a, .,w. y ;t ,� .t r ': €• x' ,F ey- Surface Burning Characteristics,4"thick Class I ASTM E 84 Flame Spread Index 20 Smoke Developed 400 Ignition Barrier-Compliant with 2006,2009&2012 IBC and IRC,and ICC-ES AC-377 NFPA 286 Appendix X,for use in attics and crawl spaces without a prescriptive ignition barrier,thermal Pass barrier or intumescent coating. NFPA 286 Thermal Barrier-Compliant with the 2006,2009&2012 IBC and IRC,as an interior finish pass without a 15 minute thermal barrier with Blazelok'"TBX at 11 mils dry film thickness. ASTM D 1929 Ignition Properties(spontaneous ignition temperature) 932°F(500°C) wj Polyols Containing Recycled and Renewable Content -40% Renewable Content 13.5% Pre-Consumer Recycled Content In Progress Post-Consumer Recycled Content In Progress Total Recycled Content In Progress Cream Time Gel Time Tack Free Time End of Rise 0-1 seconds 2-4 seconds 3-5 seconds 4-6 seconds 3315 E.Division Street,Arlington,TX 76011 Heatlok Technical Data Sheet Phone(817)640-4900,Toll Free(877)336-4532 Last Revision 5-5-15 Fax(817)633-2000,Info@Demilec.com,www.Demilec.com Page 1 of 2 I 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION • 1 Map Parcel Application #c�,� I Health Division Date Issued Conservation Division njg,_5�- 21Z4 �Ixil H Application Fee Planning Dept. Permit Fee1�-r' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 241 - L"'L Village I_) I ,. .WA— Owner ,e.c .yy Address ,1 Lim`f�.J , P✓C Telephone Permit Request �W wof � - �-- -f'►� D`c�c►�.e.�-" 7 5 c�fow�— rnu�•..- S �' ��.-�,--, c�r� v� rf.?i.�..- w�ee.�- �� .�� v►av s� '�'� CZ/aw l t c'�."1�c �.._ 1V vw��uy� 13 �41./w�� 'l d wad �C1� � ✓ c9W1��✓JT- �� Square feet: 1 st floor: existing 21 proposed 25yv 2nd floor: existing proposed Total new 3- W Zoning District Flood Plain Groundwater Overlay Project Valuation 1•0 000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Or"' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Orlllo On Old King's Highway: ❑Yes a-116 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 'Basement Unfinished Area (sq.ft) 2A� Number of Baths: Full: existing new Half: existing new Number of Bedrooms: LY existing -- new Total Room Count (not including baths): existing new i First Floor Room Count Heat Type and Fuel: ErGas ❑ Oil ❑ Electric ❑ Other Central Air: O'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ®'No Detached garage: ffexisting ❑ new size_Pool: existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size— Other: f Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes dNo If yes, site plan review# - ----Current-Use- - -S -Proposed-Use s - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name mo�-t"4, Telephone Number 'yE�,7.7 Address License # C5 2 6 c*7 1 Goa; OAA ��3`' Home Improvement Contractor# AU) 181- Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE d �/.� I f. FOR OFFICIAL USE ONLY APPLICATION# ;{ e GATE ISSUED kAP/PARCEL NO. ADDRESS VILLAGE ,1 OWNER DATE OF INSPECTION: '# _ FRAME "�.-._. ,- ,...� --- --s• .-: 4 !t INSULATION -4 S ` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �- t` GAS: ROUGH FINAL I, FINAL BUILDING' 2 ;tt r DATE CLOSED OUT -y ASSOCIATION PLAN NO. x R miceCamwornm� ofMassachusefls D'eparhxtent affadustrial Accidents. . 600 Washrington My—eet Bostoz�,MA 02111 " -. wn'tt�.rrirrs�ga�cs�dir� • 'W brkers' Compensatiaxxlnsuranr A idavirt:BuildersIContractors/FAectriciansXlumbers Applicant Information. Please Print Lef ih Name{ es(Orgauizatirru(lndividmij: .� N-�� 1�'`c' �4d % .ja c L 12.� ' Address. �, A _ li Gi ltatelZip_ VK/-�-. �.�G 2 Phone il�- e20 U _ N, . Are you an employer?Check fLe appropriate bo= _. T : of proiect r 1_❑ I am a employes with 4_ ['I anz a general contractor and I 6- ❑New motion v t employees{full andjorgait-time}* have hired the sub-coutracfors. ❑ I am a sore propri�tar or partner listed on the at#arhed sheet; y- �radelmg • ship arid.haze no employees I7�e sob contractors have g_ 0 Demolition working for mein any capacityi employees and have wormers 4_ [ iiilding addition WQrkee COnlp.i'n xranre comp_insuran�l 5-❑ We are a corporation and its 10-0 Electrical repairs or additions required] .3_Q I ate a hgmeou�n€r doit�all work officers 1ia��tysercised their 11,.0 Plumbing repairs or a�ditioas• myself [No workers'comp_ right:of 1(4 ga dwe Zvf ,a 12_.F]Roof repani s '. . ;n�,�n�-eregnired]F c_152, §1(�,aadwehaseno 1�_.�Other employees-[NG works' comp insurance requires3 Z *Any spg that checks boa W 1 must also fal out the section belong shnwmg their Wooers'compewatioa pQliip iuf tma� Homeowner orho submit ibis affidavit inmcstmg they are 3vmg sg vtoc and tb m hire outside cogtrsctms most submit a nesv:afdavk kdirat mch tf antnctors that r 7.ork this boa must sttar3sed an at3ditional sheet SLoseine the ns�e of the srkr-ors�staff'-vrhether or not these have employees- Irthe soir-coat mains ba-m employves,ffiey Est pxwide their workers'comp.policy number- .Tam am employer ihat is prmidL7g workers'congmnsatian insurance for rrry emp4ess_ Below is the policy and job site informafion- Insurance Company Name: PolicT:9 or Self-ins-Lic_*: Expiration Date: Job Site Ad&ess: Ciiy/StatelZip: Attach a copy of the workers'campensatian policy duration page(showing the policy number and expiration date). Failure to secure cmerage as required under Section 25A of MGL c- 152 can lead to the imposition of criminal penalties of a fine up to$1,5DD_QD anNor one-yearimprivmment,as well.as civil penalties in the.form of a STOP WORK ORDIItaad a fine ofup to$250-00 a day against the violator. Be advised that a copy of this sbtement maybe forwarded to the Office of Ira=erstigations of the DIA for msu ancn,coverage verification I dri hereby cc&&reader thspa2lYs and psnaities of perjury fhatfhe i orrrmiian prm¢dRd abate¢is hue trrrri correct Sisuatuze: Bate:- Phi t (itti7 G. aJ�!� -(7f aL use araF}—I?rr no. ri in tffis urea fv fig armpleted-by ci orYown-ofrczn - -- -- _ r Cites or Town r Per••mEiitUcense# Issuing clutharity(circle one): L Board of Health 2.Budding Department I CityfI own Clerk 4-Electrical Inspector S.Plumldng Inspector 6.Other Contact Person: _. Phone#: 6 T . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 Iegal entity, or any two or more l 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 occmant 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 commomi;ealtTa for. any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required.- Additionally,MOL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdiv'islons shall enter into any contract for the performance of public work until acceptable evidence of compliance;pith 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)narue(s), address(es)aad phone number(s)along with their ceri,_r cats-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 Deparb-nent of industrial- Accidents for confirmation of insurance coverage. Also be sure to sign and date the affida-,rit 'Ihe a`fdavit should be returned to the city or town that the application for the permit or license is being requested,not the Departraent 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-ins rranCe license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed Itably. The Department has provided a space at the bottom of the affidavit for you to BE out in the event the Office of lnvestigations 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 permi 1license 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 lOcatloDs in (c)ty 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 mirLst be filled out each *' year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Departrnent's address,telephone and fax number The Corgmnnwean of Massachusetts Department of Inclustial Aceidents Q-fFiiee Qz 7n�esfr�-�us 640 Washington Strf,�_i Boston,IAA G21 I 1 `f--I..4 617 7'2 7--49-GO W 4-06 or 1-9 11AS E Revised 4-24-07 Fax# 617-727-�49 .f vTv�.mass gav/dia w� g .r i tboard Massachusetts -.0eparti-rent of Public.Safety of-Building Regulations and Standards Construction Supervisor License: CS-026071 r:ITN FRANCIS E MOGAN ' 68 JOYCE ANN RD I "'. CENTERVILLE MA 02632 ' 6 xpiYBtion 10/03/2015 e V�anurn�rmeulC�o1(�/jlCuetaC1uJe1A Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to: — (,,_,ME IMPROVEMENT CONTRACTOR rOfficeegistration1h 180182 Type: of Consumer Affairs and Business Regulation xpiration-= W0/2016 Corporation 10 Park Plaza-Suite 5170 y_ Boston,MA 02116 i WIN-- MOGAN AND COMPANY,LNC=t`3'V FRANCIS MOGAN 68 JOYCE ANN RD QENTERVILLE,MA 02632' Undersecretary Not v id without signature Town of Barnstable Regulatory Services WUMSTAxi.ir mass Thomas F.Geiler,Director �. - 1639. n Building Division r Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 �. www.town.barnstable.ma.us ' Office: 508-862-4038 . Fax: 508'790-6230 Property Ovmer Must Complete and Sign This Section ` If Using A Builder as;Owner of the subject property s hereby authorize M-C ci ��' to act on my behalf, in all matters relative to work authorized by this building perinit (Address of Job) f` ' Pool fences and alarms are the responsibility of the applicant. Pools are not fo beflled or utilized before fence is installed and,all final inspections are performed and accepted. ' ,a S' tire of Owner Signatur of Applicant Print Itarne Print Name , Date - x M � QIORMS:OWNERPERMISSIONPOOLS 6/2012 ' r-w .:\, ..r�r.F...sae• 'r �.,- _ — �e ,. - Client#:281696 TAVANOMECH DATE(MM/DD/YYYY) ACORM , 'CERTIFICATE OF LIABILITY INSURANCE 10/30/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTAnne Santo - NAME: HUB International New England PHONE 508-945-7863 A No): 508-945-9136 AIC,No,Ft): 265 Orleans Road ADDRESS: anne.sanzo@hubinternational.com North Chatham,MA 02650 INSURERS)AFFORDING COVERAGE NAIL# 508 945-0446 INSURER A Hartford Insurance Co INSURED INSURER B: Tavano Mechanical Systems LLC INSURER C: - 201 Capes Trail INSURER D: W Barnstable,MA 02668 `. INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - LTRR TYPE OF INSURANCE NSRLSWVD POLICY NUMBER UBR MMfDDY EFF MMIDPOLIDY EXP LIMITS A GENERAL LIABILITY X 08SBMZ06456 8/14/2014 08/1412015 EACH OCCURRENCE $1 000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED s300,000 CLAIMS-MADE Fx�OCCUR �. " MED EXP(Any one person) $1 O 000 • T PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1 , PRODUCTS-COMP/OP AGG $2,000,000 POLICY .. PE O LOCMBINEO - $ AUTOMOBILE LIABILITY EOa a. . SINGLE LIMB $ r ANY AUTO BODILY INJURY(Per person) $ - ,. - ALL OWNED SCHEDULED a BODILY INJURY(Per accident) $ AUTOS AUTOS C NON-OWNED PROPERTY DAMAGE $' HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR ... ��,• EACH OCCURRENCE - $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION `.. - _ ._• $ - A WORKERS COMPENSATION 08WECLG5272 8/14/2014 0811412015 1 wT.CRSyTLA.Tmurrs OTH- AND EMPLOYERS'LIABILITY - F . I . - ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N - E.L.EACH ACCIDENT $100 000 , OFFICER/MEMBER EXCLUDED? � N/A . - (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $100 000 - If yes,describe under ' E.L.DISEASE-POLICY DESCRIPTION OF OPERATIONS below - LIMR $500,000. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101 Additional Remarks Schedule,if more space Is required) Certificate Holder is an additional insured on the general liability policy as respects to operations of the named insured when required by executed contract prior to the loss/claim.- ` CERTIFICATE HOLDER CANCELLATION Ed Mogan,Mogan COnStrUCtion SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, 'NOTICE WILL BE DELIVERED IN 68 Joyce Ann Road ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 Of 1 The ACORD name and logo are registered marks of ACORD k #51244879/M1198597 TC002 , �p Client#: 15228 2BRANNDR ACORD.', CERTIFICATE OF yLIABILITY INSURANCE DAT1211201DIY 1021/24 4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Dowling&O'Neil PHONE 508 775.1620 FAX No: 5087781218 A/C,No,Ext Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO BOX 1990 INSURER(S)AFFORDING COVERAGE NAIL# Hyannis,MA 02601 ,NsuRERA;National Grange Mutual InSuranc . INSURED INSURER B:The,Hartford Richard Brann D/B/A Brann Drywall INsuRERc: 3701 Falmouth Road INSURER D Marstons Mills,MA 02648 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 71NSR DDL SUBR r _ POLICY EFF POLICY EXPLIMITS LTR TYPE OF INS WVD POLICY NUMBER MM/DDlYYYY MM/DDA GENERAL LIABILITYMPB1438S 2/311201312/31/201 EACH OCCURRENCE s1,000,000 X COMMERCIAL GENE PREMISES Eao«Errence' $500,000 CLAIMS-MADE _ MED EXP(Any one person) $10 000 X PD Ded:250 PERSONAL&ADV INJURY $1,000,000 e' GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMPIOPAGG $2,000,000 POLICY JECT LOC , $ COMBINED SINGLE LIMIT 1 000,000 A AUTOMOBILE LIABILITY MlB1438S 2/25/2014 02/25/201 Ea accident $ ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED ' - BODILY INJURY(Per accident) $ AUTOS AUTOS = PROPERTY DAMAGE NON-OWNED Per accident) $ X HIRED AUTOS. X AUTOS - UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ ... a AGGREGATE $ EXCESS LU\8 CLAIMS-MADE - S DED RETENTION$ ` ` WORKERS COMPENSATION 08WEGLD8356 2l13/2014 02113/201 X WC STATu OTH B AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT u $SOO OOO OFFICER/MEMBER EXCLUDED? N NIA ' _ E.L.DISEASE-EA EMPLOYEE $500,000 (Mandatory in NH) . If yes,describe under - - E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS below _ t DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of-insUrance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ed Mogan F• , THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 68 Joyce-Anne Road ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION:All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo afe registered marks of ACORD #S139660/M139659� :, t i EAM i ID Ac�® CERTIFICATE OF LIABILITY INSURANCE Pa e 1 of 1F�ATE 8 o 4 � CE C g THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ` IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). F. PRODUCER CONTACT Willis of Tennessee, Inc. PHONE FAX c/o 26 Century Blvd. 877-945-7378 • 888-467-2378 P.O. Box 305191 E-MAIL certificBtesQWillis'.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA: Zurich American Insurance Company 16535-005 INSURED INSURERB: Cincinnati Insurance Company 10677-001' MAP Installed Building Products - 165 State Rd. INSURERC:American Guarantee & Liability Insurance 26247-004 P.O. Box 1309 Sagamore Beach, MA 02562-1309 INSURERD: —- --- — --- _. _. --- ----- ---- INSURER INSURER F: COVERAGES CERTIFICATE NUMBER:22059081 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF.INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD' INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. INSR TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY GL0913952708 10/1/2014 10/1/2015 EACHOCCURRENCE` $ 2,000,000 . $ COMMERCIAL GENERAL LIABILITY DRE ETORENTED• PREMISES Eaoccurence' $ 1 000 000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,000 ° PERSONAL&ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 4,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 4,000,000 POLICY 7 PRO X LOC $ ` B AUTOMOBILE LIABILITY CAA5878127(AOS) - 10/1/2014 10/1/2015 COMBINEDSINGLELIMIT 1,000,000 (Ea accident) $ B X ANYAUTO CAA5878131(NY) 10/1/2014 10/1/2015 BODILY INJURY(Perperson) $ , ALLOWNED SCHEDULED BODILYINJURY(Peraccident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROr PERTnt - r DAMA E $• AUTOS $ C X UMBRELLALIAB X OCCUR P.IIC931420603 '- 10/l/2014 10/1/2015 EACH OCCURRENCE Is 10,000,000 EXCESS LIAB CLAIMS=MADE AGGREGATE Is 10,000,000 DED I RETENTION$ Retention $0 $WC OT " A WORKERS COMPENSATION WC913952608(AOS) 10/1/2014 10/1/2D15 X AT - --ANC-EMPLOYERS'-L!AB!L!TY. --Y-i.N — 10/1 0 4 lOJlJ A ANY PROPRIETOR/PARTNER/EXECUTIVE� NSA WC913952808 (WI). /212615 E.L.EACHACCIDENT — $ +1,000; UO--O OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 4 Mandatory In NH) " f yes,describe under 1 E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below B Excess.Automobile X51154851 r 10/1/2014 110/l/2015 $4,000,000. Excess of $1,000,000 underlying automobile DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MOGAN & COMPANY-INC: 68 JOYCB RDC z CENTERVILLE, MA 02632 Coll:4517367 Tpl:1861267 Cert:220 081 ©1988-2010&ORD CORPORATION.All rights reserved. ACORD 25(2010/05) F The ACORD name and logo are registered marks of ACORD Rightfax 141-2 10/24/2014 8:32 : 13, AM PAGE 2/002 '. Fax Server CERTIFICATE OF LIABILITY INSURANCE D in/2/DD/YYYYt T-MLS.O.ER71FICATE 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 PRODUCERD THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy (ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT• NAME: PAUL PETERS AGENCY INC PHONE FAX ' 680 FALMOUTH ROAD (A/C,No,Ext): (A/C,No): E-MAIL _ MASHPEE,MA 02649 ADDRESS: 28LBR INSURER(S)AFFORDING COVERAGE NAIC tt INSURER A: ACE AMERICAN INSURANCE COMPANY INSURED MACKEY,THOMAS P DBA TOM MACKEY FRAMING INSURER B: INSURER C: INSURER D: 135 CEDAR STREET INSURER E: WEST BARNSTABLE,MA 02668 JINSURER F: COVERAGES CERTIFICATE NUMBER- REVISION NUMBER: THIS G 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 RFOUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE. ' LTR TYPE OF INSURANCE L R POLICY NUMBER (M"D\YYYY) (MMIDDIYYYV) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE ,Q OCCUR. N PREMISES(Ea occurrence) ED EXP(Anyone person) $ . ERSONAL&ADV INJURY $ Id GEN'L'AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY PROJECT LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE S _ LIMIT(Ea accident) ANY AUTO BODILY INJURY S - ALL OWNED AUTOS (Per person) SCHEDULE AUTOS BODILY INJURY S HIRED AUTOS (Per accident) NON-OWNED AUTOS PROPERTY.DAMAGE. S (Per accident) EACH OCCURRENCE $ UMBRELLA LIAR OCCUR ' AGGREGATE S EXCESS LIAR CLAIMSdJIADE S DEDUCTIBLE $ RETENTION $ WORKER'S COMPENSATION AND WC SrAMDRv OTHER A UB-774P983-14 07/27/2014 07/27/2015 X LIMITS EMPLOYER'S LIABILITY YIN ANY PROPERITORRARTNER/EXECUTIVE a N/A E.L.EACH ACCIDENT . $ 100,000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 , (Mandatory In NH) if yes,describe under E.L.DISEASE POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCAMONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS 4 THIS REPLACES'ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE%IORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR MACKEY.THOMAS P. ATION CERTIFICATE HOLDER CANCELL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED' ED MOGAN BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL B DELIV D 68 JOYCE ANN RD IN ACCORDANCE WITH THE POLICY PROV AUTHORIZED REPRESENTATIVE CENTERVII�F MA 02632 RD r ghts reserved. ACORD 25(2010105) The ACORD name and lodo are registered marks of ACO 1968.2010 ACORD'CORP R Rightfax C1-1 10/23/2014 7:45:25' AM, PAGE 2/002 Fax Server DATE lMM/DD/YYY10 CERTIFICATE OF LIABILITY INSURANCE TJ .U.0014TIFICATE 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 IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT NAME: HAROLD H WILLIAMS INS AG PHONE FAX 81 BASSETT LN (A/C,No,Ext): (A/C,No): EMAIL HYANNIS,MA 02601 ADDRESS: 728JG INSURER(S)AFFORDING COVERAGE NAIC# INSURED " INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA ASKEW,DOUGLAS J INSURER B: INSURER C: INSURER D: P 0 BOX 1714 INSURER E: COTUIT,MA 02635' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVEBEEN REDUCED BY PAID CLAIMS. r - INSR n ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (NUDDIYYYY) (MM1DD\YYYY) LIMITS' GENERAL LIABILITY ACH OCCURRENCE $ - COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $ CLAIMS MADE_ OCCUR. REMISES(Ea occurrence) ED EXP(Anyone person) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY PROJECT 010C RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS r, BODILY INJURY $, - (Per accident) NON-OWNED AUTOS " PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR " . EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE _ AGGREGATE $ DEDUCTIBLE $ RETENTION $ - ° $ A WORKER'S COMPENSATION AND = WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-922X8895-14 08/17/2014` 0 0/1 71201 5 X LIMITS - a ANY PROPERITORIPARTNERIEXECUTIVE NIA E:L.EACH ACCIDENT $ 100,000 OFFICERRdEMBER EXCLUDED? El (Mandatory In NH) E.L-DISEASE-EA EMPLOYEE $ 100,000 It yes,describe under r E.L.DISEASE-POLICY LIMIT $- 500.000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATONSILOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERIMCATE HOLDER AFFECTING WORKERS COMP COVERAGE. ASKEW,DOUGLAS J IS COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION ED MOGAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 68 JOYCE ANN ROAD IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT .VE CENTERVILLE;MA 02632 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 19813.2010 ACORO CORPORATION- All rights reserved. - t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7-� Parcel f 05- ica �Q✓ ` Health Division�( � 1 Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address a '� Village r Owner !' Address Telephone Permit Request /1 c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation L 06O Construction Type Olt" 7 Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 1�fl Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ®-0ther Basement Finished Area (sq.ft.) Basement dnfinished Area (sq.ft) Number of Baths: Full: existing • new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count 'Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No • -Fireplaces: Existing New Existing wood/coal stove: ❑Yes. ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage::0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Apgeals Authpflzation- ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ lf;yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 95_Jlc 91-c 197 Name ! - Telephone Number (1 h ��k—G F-o Address License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DE7RIS R SULTING FROM THIS PROJECT WILL BE TAKEN TO / 7r SIGNATURE 1/ ��i Z/ -,-� DATE FOR OFFICIAL USE ONLY i APPLICATION# DATE ISSUED F -MAP:/PARCEL NO. R, ADDRESS VILLAGE �. OWNER I r DATE OF INSPECTION: V FRAME INSULATION,y�.,. FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL .1 GAS: ROUGH FINAL FINAL BUILDING. DATE CLOSED OUT ' .ASSOCIATION PLAN NO I� , - H 9 111e Commonwealth of MassachuseEts Deprar'meat o•f liukshial Accidents e.ofinvestigalions _ - 60Q WashLugfon meet Boston,MA 02111 wnnv.ynassgo �dirr Workers' Compensation Insurance Affidavit:Builders/Contra:ctors(Electricians(Plumbers Applicant Information Ptease PrintLee-ibly a ; Name{Bt,stneaslOrganlzahon/Indiviclnat)_ r - � A &e=ss: CitytStabelZip Are you an employer? Check the appr priate box: Type of project ect r mire � 4. I atn a contractor and I }� �' J �� _ L❑ I am a employer withy, ❑ 6- ❑New oonsEnu. employees(full and/or part-#irue}* havehuedthe sub-contractors 2-[1 I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These mb-contractors have g_ ❑Demolition w for mein an capacity employees and have workers' orkmg y l 9_ ❑Building addition [No:wor) s'CQtnp 1nsu anre comp.tnsuranoe_ required.] 5_❑ We area corporation and its 10_Q Electrical repairs or additions 3_❑ I am a homeowner doing all work offices have exercised their 1I0 Plumbing repairs or additions myself right of enxe tioa per MGL [No workers'comp- 12_0 Rsrofrepaus insurance required-I F e_1.52,§1(4),and we have na employees_[No worloers' 13..❑Other comp_insurance required-); *lacy appticrat that checks boa 91 mast also fill out the section beIow showing their woikeM'compensation policy'Mfurmahcn- T Homwwners who submit this affidavit indicating they are doing all trail[and then hire a=d a coat actors sucb- tContcactoes that rhnrk this box mxsst attached=additional sheet showing the name of ffie v*b cos s and state whether m not those 8nlities have ampioyees_ If the sub-conbxctars hire employees,they mast provide their workers'comp.policy number. I am art employer rltat is pros idirrg tt,orkers'comperrsrrlion irm4rance for rity enTEcyees. Below u the paTicy artd job site informaf6plL Insurance Company Name: �� Pulley of or Self-ias_Lic.1,A". / /(O �i l 7 Expiration Date: t Job Site Address_ C21 ,—' City/State/zip: Aifach a copy of the workers'compensation policy declaration page(showing the policy number nd a tion da.te). 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$1,50D_OD andlor 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 Imrestigations of the DIA for insurance coverage verification_ I do hereby e erhfy rr 7iq-1ns adaltia f�rer�uq thatthe in ormudion prim hied abmw is bw and correct Sienature: ��j Date: l y Phone 9: Y ,3 •a 0f kial use only. Da not write in this urea,to be completed by city or town a,,iciaL City or Town:. Permit Ucense AE Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityffown Clerk 4.Electrical Irupector 5.Plumbing inspector 6.Other Contact Person: Phone#: 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute an to ee is defined as ...eve person in the service of another under an contract of hire � Y uY P Y 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 Iocal 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 Puy _ 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 perioumance 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 cei,..ficate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with n.o 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 'I lie 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. Seli insured companies should enter their i • 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 ad-d don,an applicant that must submit multiple peumitllicease applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be;filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit- The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: nc-,CoIIlmmwealth of Massachusetts Department of Industrial Accidents Office of luvestigations 600 Wasbington Street Roston,MA 02111 Tel A 617-727-4900 W 406 or 1-& MAS 'E Revised 4-24-07 Fax 4, 617-727-7749 www.mass;gov/dia FEUD 1nwrnaL1onaI 1r1w to Iano 10:0 COI/ na aen tsuIIaIng ror 1own or bdrn5GaD1e l10U6(ZJUbLSbI Ib:Ot) uzi/m/14 Lb( r9 s-s Client#:270173 HAYDENBUiL2 ACORD, .' CERTIFICATE OF LIABILITY INSURANCE DATD1YYYY) 9125/20512014 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 CONSTITUTER CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Michelle Wolf HUB International New England HONE.,Ed:508-888-2244 FAXIC,No): 508 833-0680 125 Route 6A E-MAIL ADDRESS: Sandwich, MA 02563 INSURER(SIAFFORDING COVERAGE NAIC INSURER A:ACE ft 508 888-2244 American Ins Co INSURED Hayden Building Movers Inc. INSURER B INSURER C: P O Box 496 INSURER D: Cotuit,MA.02635 INSURER E: a INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY.BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DD SUB - - POLICY EFF POLICY EXP - 'LIMITS LTR INSR WVD POLICY NUMBER - MMIDD/YYYY MM/DD/YYY GENERAL LIABILITY - _ EACH OCCURRENCE $- COMMERCIAL GENERAL LIABILITY DAMAGE TO ENTED PREMISES EaR occurrence CLAIMS-MADE DOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY ' COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (par., .dw UMBRELLA LIAR OCCUR - EACH OCCURRENCE- $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 4476P341 2I66I2014 02/06/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY TOR LIMITSFIR ANY PROPRIETOR/PARTNER/EXECUTIV'E Y/N 4 E.L.EACH ACCIDENT $1 0(I,O.000 OFFPCER/MEMBER EXCLUDED? N/A -" tT,� (Mandatory in NH) E.L.DISEASE-EA EMP OYEE $1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below ' E,L DISEASE-POL`•ICY LIMIT $1 00Q 4100 .,v 3 - ' .8 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) w� «`Workers Comp Information Proprietors/Partners/Executive Officers/Members Excluded: Robert Hayden f• P Job: 46 Ross Road East Sandwich,MA 02537 CERTIFICATE HOLDER CANCELLATION Town Of BamStable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE• THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN . Building Department ACCORDANCE WITH THE POLICY PROVISIONS, 200 Main Street Barnstable,MA 02630 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1220216/M1164113 DKO04 'ME T � Town of Barnstable Regulatory Services .t t 9a�xxMASS. Richard V.Scali,Director 0 i639- �0 Building Division 200 Main Street,Hyannis,MA 02601 www.town.barn'stable.ma.us _ Office: 508-862-4038 : _ -_ Fax: 508-790-6230 Property Owner-Must _ Complete and Sign This-Section If Using A Builder I, `� as Owner of the subject property hereby authorize `' to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) ` Pool fences and alarms are the responsibility of the applicant. Pools Y are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Sig e of Owner Signature of App c A'I Print Name Print Name 3l20 r D ate Q:FORMS:OYv'MMUF-RMISSIOIQPOOLS Town of Barnstable Regulatory Services ��ixe roiy� Richard V.ScaIi,Director Building Division Tom Perry,Building Commissioner nrasa 200 Main Street, Hyannis,MA 02601 �EOMa�a www.town.barnstable-ma.us Office: 508-862-4038 Fax: S08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six 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 BuildingOfficial o n 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 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 persou(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,Secti on 2.1� 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. Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc Revised 061313 national rid September 18,2014 Attn:Phyllis Villa BE:212 Sixth Ave.Hyannis, MA This letter is to notify you that the gas service located at 212 Sixth Ave,Hyannis, MA,was cut and capped on the property on 9/17/14. If you have any.questions,please feel free to contact me Q 508 760-7463. - Thank You, T. Parah*Bdllant Gas Customer Fulfillment National Grid 127 Whites Path S.Yarmouth, MA 02664 Tel*508 760-7463 Fax#:508 394-5019 NSTARNSTAR Electric 8 Gas Company Ona NSTAR Way,Westwood,Massachusetts 0209p-9230 EL EC rR!C GAS September 8, 2014 { Phyllis Villa 212 Sixth Ave, Hyannisport, Ma 02672 RE: 212 Sixth Ave, Hyannisport, Ma 02672 Dear Phyllis Villa: This letter will serve as confirmation that the electric service at 212 Sixth Ave, Hyannisport, Ma 02672, has been removed as of 09102/14. Based on this information, there is no electric power to this building and you ' may proceed with the demolition. If you have any questions, please contact me at (888) 633-3797- Since Iy, Ch iiiaine Fortes New Connections Office , CIC M NewTemplate ckTME Department of Public Works 47 oia Yarmouth Rd. P.O°,► Water.Supply Division_ ya Box 326 pp y on _. Hyannis, MA. * fARNSTABLE, � 02601-0326 y MA33. g TEL: 508-775-0063 1639. Hyannis Water System Operations FAX: 508-790-1313 ' o . September 17, 2014 Town of Barnstable Building Inspector Town Hall Hyannis, MA 02601 Acct# 600064—212 Sixth Avenue, West Hyannisport, MA 02672 Dear Sir: - Please be advised that the above water-service was shut off and the meter removed on September 5,- 1914. The owner has informed us of plans to raise the home to install a new foundation. Sincerely, Jayne Starck Hyannis Water System , l , Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR e• ; Registration 10�207 Type: Expiration 7 j 7A'046 Private Corporation .S HAYDEN BLDG MO}ERjIN1.1 `Robert Hayden \� i PO BOX 496. /� t COTUIT. Mills,MA 02635"P Undersecretary _ Massachusetts -Department of Public Safety Board of Building Regulations and Standards } Construction Supervisor License: CS-016161 ROBERT F HAYDEN r 4 60 CHEOH ROAD COTUIT MA 0205 I � I �14— � Expiration� 09/19/2015 Commissioner TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map aq� Parcel /O Application # Li �3 Health Division Date Issued Conservation Division Application Fee ' Planning Dept. Permit Fee � a Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 2,2 n-vz Village Owner__(:�no,� I—, .I by 1:35 V"//Z;, Address Telephone ?%U 0' �I Permit Request _ YLe,.i 2-Y,l L ao Square feet: 1 st floor: existing 192 proposed 2nd floor: existing proposed Total new /52 Zoning District Flood Plain Groundwater Overlay Project Valuation 2304V Construction Type ocQA-4,-, Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family O'r Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other rig Basement Finished Area(sq.ft.) .1y4p Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_/ _ new Half: existing new Number of Bedrooms: &A existing _new Total Room Count (not including baths): existing new First Floor Rpo in Count, " Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other r ' :. i 0 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑le ❑ No . 2 Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ existing ew5_tize_ r7i Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name__ �� YYtU� ,� _<, - - Telephone Number "U --77G 2,6-) y Address P- &^,t 'Ir?9 License # - 1 ` .� ✓ ud.t Vv-A Home Improvement Contractor# 1007/w Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ekfi Z ~j- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ,t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT P ASSOCIATION PLAN NO. mrr Town- of Barnstable Regulatory Services t V Thomas F. Geiler,.Director c6;F Ale BuHding D' is on Thomas Perry, CBo, Building Commissioner 200 Main Street, Hyannis,MA 02601' wAown.banistable ma.us Co Officcc 508=8624035 Fzx: 508-790�23C PLAN Owner G I y I LCA r Map/Parcel: Project Address_ o '6-4 Builder. o The fc Uowing ife='Is were noted on reviewing. T Siv d�j P f� c o 0S 7 LDS Reviewed by: Date:'- $✓ ,� 1 The Commonwealth of Massachusetts Department of Industrial Accidents rp Office of Investigations ' 600 Washington Street Boston,MA 02111 UV www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legib01 ly Name(Business/Organization/Individual):. .( (,.�1 `�j- Address: Q yu City/State/Zip: Cc.��uy �2G Ph ne.#: 500 7�G o2C�7y Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. �am a general contractor and I 6. ®New construction . .. employees(full and/or part timel:* have hiredthe sub-contractors 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 working for me in any capacity: employees and have workers' [No workers' comp.insurance comp.insuranc required.] 5. e. $� 9. El Building addition . ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all-work officers have exercised their 11.❑Plumbing repairs or additions . myself. [No workers' comp. right of exemption per MGL . 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp:insurance required.] *Any applicant that checks box#1 must also fill out the section belowshowing 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 subcontractors 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 isproviding workers'compensation insurance for my employees. Below is the policy andjob site information Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section'25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct. Signafore: Date: rL, Phone#: `7 7 Official use only. Do not write in this,area, to be completed by city or town offtciaL- City or Town: Permit/License.# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector � 6.Other Contact Person: Phone#: . f , �^ _� . . � . i � ` , a � . . . e CERTIFICATE OF LIABILITY INSURANCE os/16/2a12 THIS CERTIFICATE I6 ISSUED AS A N T-MM OF WOW ATION Ot" AND CONFERS NO am$ UPOME F CERTW ATE HOLDER.POLICIES CERTiPoCAtE DOES NOT APPOWATltlfll.Y OR s�iASUELY A IO, E>ITLN[s OR ALTER THE OOYERAG REWW. TM CEATFTCATE OF WMMAKW DOES NOT CONSTRUTB A CONTRACT BErmEN THE 199UM10 ttfstu mm ANTs10R1�1 RFPRESSMWE OR PRODUCER,AND THB ATB"OLDER. t9 YrAtve D. aue(sot to IMMRTANT' If the C"" Raw b sn W. DR PolwAlaat om be !llgO om tf ft !Onus and eomolow ee slur Pam• aeld VOW" Tear mo&q &n aBdomemOnt. A tbh=04 an Oft Cu0caft dM nM Cantu► ftftto !ht eeelM4a0o 1lMldar b ree NldYctl aMweanloRlpa). hcOOuaEa wua[c pJ1iTL Sf • gam, t wsuRh= Emolmm im MN (508) 771 9391 µ,a, OS-771-0663 34 min STIUM12 w a&r Be—m 2L2R9O�11>yCZNV�LOIf.i�'l Cle OR "EST SAM400T9, na 02673 _ MsuAeuAiAVlonOa+o�rAef �+ �uNso a,slatERn IMW%& DM GAFU M COsentDC" cm RICBAAD &4No= Now RF2.ZtUti m 1r10'l4J" 92 P=k place antnlaee >nYllAOz K"hpea, MR 02609 apnwaaae seawee v . CCVERACoE9 CatTMATE NUMBER: REVISMU NU1M8P.R. MOD TMS i -TO CUIT*' THAT We OF w6tlRANCE t!b'T'� BEWrr NA BEPJr aStilAiD ro THE NAMED Tf1E POLE T THM . INDICATf_0. mDTWWWANDIN6 AW REQUSVM r. TEAM OR COHDMON.OF AW CONTRACT 0R OTHER DOOUmm MH RESPECT ro wMIG+ THB CERTMAlf VAV BE =U® OR YAr PERTARfK THE DISURANCE AFFMOM By THE POUCIES DESCRBED HWMM-tS SUB+ECr TD ALL. THE TE MS. ssCLtMIOWS ff4 COtEMt►ONS OF RVC POUGIES.LMM WOMUAV I"E M M-REDUCED BY PAW CLAnN& paucTew wpm vm Tt1E6aAli4AMCB a Teas. PON6YelOa1011 _ MaeoamrWl OO�OOnwT�t. A aea*AnwAmucr CM'1093U 08/Wf20 00/20/2012 $1,000,000 X eama+aaAaoe*7lAttwam PRBwI�SlFaon sS0,000 eu MII vm ( 1 accton fIEOa�►pvryaaepmet r.S,000 �L7�Cr�J asseoouaaAwsuwr 1,1.000,000 oadwA<AooaeaAtE a 2,000,000 aer��eow.c�ATfiw�rArauetvst aaovuzTs•cahP+o►nao s2,000,000 a ►otter wr6fEaao+aEwa S Aumrosraalaau*a Imaeeemy AWAUM OOwrwwrttiarv�neMO s AILOW,4PAW" - r BOOLV94"W6eawdw" a a a otmewaAUAD � EACHOCCURROCK a Eseeeewu .00xea►Te s , oemsim a nETO.Tron a ;itnTu .. E wwataAacawsa+ATtaat W4-318-876358-022 0A/O6/20 OA 06/2a13 sitars I ER AcaUMAVURruMOV }+vou S 100,000 ORIC6R4K►i ekA Rmuo W IZ 1 MIA. _EAEM�IprEQ • 100,000 a,e.wcneow ones, - E�OGE/ •POutrLPre s 506,Do pgtU01`TIQNor ap9mTroHO Him- - oaacw►rroNarosrrt►TtarrnAutt4ouwrvtuaer,lS IaeosAeattoTaa,Hart!oo►tpaoaAaaenrestrsaneNaoaws.�ast RICBAND GANDUR mg mc m tom! 20 BE CO11iW8D town =S CItR1mm wowmRS CcwnSAYZOIi rm= CERTIFICATE HOLDER CANCELI,ATM $N&JLD AW OF the •mwf. OOSCR OEO �01 MOtl�BE DEWERi!OOE W Tm owxu m OATS T14aww. fir' ACCORDANCE WITH THE PMJCV P 019L . '. wtNORr�TOFsaItleNat .„ c'1 ORATION All d"rtiaar as. ACORD 25(UG t6B) 7W ACM NOW aTid`kW reoval td a4al ACM j -d sL50GL�80S uaupjeg pieyotm eiZ : TT Zi OE inC CORD® CERTIFICATE OF LIABILITY INSURANCE oaTEoa ao 2 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATIONIS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PAYCHEX INSURANCE AGENCY INC HO No ExI: FAX (A/C. (888)443-611 210705 P: O - F: (888)443-6112 E-MAIL PO BOX 33015 ADDRESS: SAN ANTONI O TX 78265 INSURERIS)AFFORDING COVERAGE NAIC INSURER A: Hartford Ins Co of the Midwest INSURED INSURER B: STEPHEN T VETORINO DBA VETORINOS. INSURER C LANDSCAPING AND 80 KIDDS HILL RD INSURER D BARNSTABLE MA 02630 INSURER E - INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIN TYPE OF11=47ANCE SyWVD POLICY MIMBER MAM/DD/YYYYI IMM/DD/YYVYI � GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY � PREMISES Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one Person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG a POLICY❑PROJECT Fj- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED ❑ BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED - PROPERTY DAMAGE S, . AUTOS (Per accident) $ VMBREUA L/AB OCCUR EACH OCCURRENCE S ' EXCESS LL4B CLAIMS-MADE AGGREGATE $ 0 RETENTION S $ WORXERS COMPEIMTAON WC STATU- OTH- ANDE44PLOYERS-LIA8ILTY X TORYUMITS ER - - A 0 ICER/MEMB REXANY C UDEDTxECU71VE� N/A ❑ 76 WEG TQ2738 03/02/2012 03/02/2013 E.L.EACH ACCIDENT 9 500, 000 !Mandatory In A9I/ E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 0 El DESMPrIONOF OPERA 77ONS/LOCAr10NS/VEN/CLES IAffm*ACORD 101,AdditicnalRemwft Srheduk,if mare 4Pw 1.Mwkew Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Mogan Homes BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE Attention• Edward Mogan DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 6 8 JOYCE ANNE RD AUTNOROR)REPRESFJYTA77VE e CENTERVILLE, MA 02632 � ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD l_/�B�O�/79//72042c1Jec7.GLJZ 1"" Licens6jMr��%UGCcd�cLC12UrJ�j,,r� r� ..� . Office of Consumer Affairs&'Busitfess It cgu R is`ra 1�n w lrl fo f ihdMduI use only" _ ME IMPROVEMENT CONTRACTOR before the ex ration date If found return to: egistration 10'0718 Typ�� Office of Cd mer Affairs and Business Regulation xp1ration: 6d2 2014 Private Cotpof�i 10 Park Plaza':Suite$170 ` Boston,MA 02116 MOGAN&Co., INC, a 11 r � i•ti � ,f. i . Francis Mogan,Jr. •rrvF ;��; r. i , 68 JOYCE-ANNE RD. Centerville,MA 02632 - Undersecretary alid without signature J Massachusetts- Department of Public Safet, Board of Buil(lin Regulations uid Standards Construction Supervisor License License: CS 26071 FRANCIS E MOGAN � 68 JOYCE ANN RD t 'CENTERVILLE, MA 02632 � 4 " c Expiration: 10/3/2013 (uuimiss�uncr Tr#: 5002 l r THE Toys Town of Barnstable Regulatory Services 9snxM iE� Thomas F.Geiler,Director 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 as Owner of the subject property hereby authorize i` 6-k ,,, to act on my behalf, in all matters relative to work authorized by this building permit. i,a �4 -4- (Address of Jo ) **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. Signatule of Owner Signature of Applicant ` Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6./2012 EVE r Town of Barnstable Regulatory Services t BAMSTABLE. Thomas F.Geiler,Director MASS. 16;9. .�� Building Division TfD MA'I A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 'y Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six 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 T I . 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 1 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 fomJcertification for use in your community. Q:forms:homeexempt I oF� r Town of Barnstable *Permit# Expires 6 m the jr m issue Regulatory Services Fee ► BARN3rABLE, MASS1 a Thomas F.Geiler,Director prfD MA'I � Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number Property Address12 AM aljAnld is Ae� AResidential Value of Work 7` Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address . Contractor's Name �� Telephone Number ,1 77 _-CL Home Improvement Contractor License#(if applicable) "�('�;77 Construction Supervisor's License#(if applicable) O 0 OWorkman's Compensation Insurance X-PRESS PERMIT Check one: ❑ I am a sole proprietor A U G 2 3 ?oil I am the Homeowner 'TOWN OF BARNSTABLE . I have Worker's Compensation Insurance Insurance Company Name / Workman's Comp. Policy# lf�l_% T�_J Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) .Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken toUiC ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .35)#of windows 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. E ***Note: Property O er must sign Proper!Y O nerbetter of Permission. A copy t e ome I eer�nt tractors License& Construction Supervisors License is requir _..._._._..__�. SIGNATURE: QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 r 1 yl Cons mcdon Supervbwr Specialty License GSSL -Fftsawd2w WNW 8QI1 jMPLA[F— --" TV#: 90U47`! gees-.r_ar _ ..._.:._ •—___•=- -�' -------�'-a�.':� �� ✓t i Office of Consumer Affairs&Business Regulation j License or registration valid for ind.tvidul use only HOME IMPROVEMENT CONTRACTOR, before the expiration date. If found return to: Registration:,.;<)43074 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration----W1`5%2V? DBA, Boston MA 02116 , GARDNER CONSTi t RICHARD pi GARDNER X-,, 92 PARK PLACE W-AY MASHPEE,ma 02649"; - Undersecretary Not valid w ut sign r i Mchwd Gen Wer f19aICoOS fWesurOaa BAY�d HmaNN ULOE r CERTWICATE OF{ABILITY 1NSURA"C�1��osO/ 2/2011 atO fiOL�R. TM F7'"Mq �TE 15 ATi AGOMFEM TOffITAft � UM TM t DED 9Tf T1� POt�� DOLT HOT Af#'6E T&%'X } US WS1R1ER(fib Ali4 fl M t36Rt FMTE QP 011 UP-MM OM "M CfStL4911151E A r ATNE pipOy ,AND fftE �MLDMW to an tilts owft, a to am mud A18=00 tloea rat cams► and coa+1 of t5e palms.ww c s PRODUM3na TRft�2 HIM �1cs Want Yarmouth, IdL 02673 ■mwetwPB MOlt>711i� gamma pomat a ei.ffi>sitTY > RL,hoh9sd .f—rsdtcamc >3ba eoxwbgw 9a Park Place mac' �h= CEO Z+S3blhji0®. 0 6A9 t F: 1 fiE£N !! [0 YµE POUC! PERIOD OF W� INTET) V11T9! RESPECT TD V*Rch Tt�6 COVERAGES we T7tiS TO t:TVA AM TOE POLWO OF 6tiilf CantR0.�CT OR OTHER tlIOICAtED. NpTWtRMTR ADWI 7Wffi1 OR 6Y 711E f'011C3E8 fl�� TO ldl T7/E TF3t115. 06RTIFICJ►TE tNpY )SSA PEfL= T7>E WlHERQiIY 09YPAWT - �((',ly NSAtWE;OtJDtTID+4.S�tDI1CNP�t� S Lam mean a olat nre POM t fad! 21,000,600 A CDMM VW MY CN"7093" s 50,a00 3t coeu�acw oeeawa+�mr f1/�/10 /20/11 �1a e1 $5.000 a �,aas�ee+o _ osauce arev�usY s1,000,000 =2,000,000 s2,000.000 cs�sno6nee+ATeanea�sssoe s - xr Mom toC smoeauaar s AuwuDMzL1Aswn " gppltrstaser�P� s AWAM AMOWNMAVZM soauYsraue+rtPasaiasnp • mwHros graem7a4a0 "MAUM 6 •NOH•oVMNEo/�11sn3 s awotoowf • uti►uwe '-- areax waaseFaa� s = �use6eGIDE s •Leman a wasa�acma�aATtoa �315.-97t3358-010 /27/11 12 S TORr AsoExrLOYWs UIMI M V,. EL6Ag1At i 100.000 B Aea wew ewe .sAaca,cvr s 100,000 pknotobyin on 6 500,000 ' tta��s..l 61 -»UYti OFSC TCM90OA09ERATon0i>r oEBclttAii�iaFasva►'a�aewewnareeraao+m 1pO==—' " nn»sDswifasie�! a RSS WOMMS CQwMs nM 1 as= ion un PROVUM GOI M RICE Ghfoom Cf9tT�ICATE HOLDER CANCELLATION WMLD Alin OF TIC A8m a85 MM MUM 8S c�NCEl1+ta BEFORE TT� tJ1PDTATnRt GATE lfl , ltiiTfGP 11�P njuvowm W neesnrM� wureaxa� , A ACpAp WURATION.As fights resuvw. AMD 26(nDS" ThY ACORD no=and logo are replsmrMd 612ft of ACM i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations, 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): b*1Wn914_101 Address: City/State/Zip: &' . Phone #: !� Are you an employer?r ckr�the appropriate box: Type of project,(required): 1,C I am a employer with d 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling shipand have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' insurance.$ 9. ❑Building addition comp.[No workers' comp.insurance required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LF]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' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.. #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: lei Attach a copy of the workers' compensation policy declaration page(showing the policy number an 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 r t in a d penal ' s of perjury that the information provideWabovis ndcorrectSi afore: Date: Phone#: 7'7 Ll �/,b 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#: NAM 'Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division . Thomas Perry,CBO " 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 V - 11 1 ,as Owner of the subject property hereby authorizee met d act on my behalf, in all matters relate a to work authorized by this building permit applicatio or: ( ddtess:of Job) " to Signa of Owner D ,. Print N e , If Property Owner is applying for permit,.please complete the Homeowners License Exemption Form on the reverse side. ;7, C:\Users\decollik\AppData\I,ocal\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\MY7NB4IL\EXPRESS.doc ` Revised 100608 , , i t `= C-C-Cs s j 1 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � �i 5 Parcel i O, Permit# : �' 2_-"1`4 114D3 Health Division Date Issued' r5 L Conservation Division f o e l Application Fee 5 U 0 I G Tax Collector :� D ,yl ayLa / ,� '� � Permit Fee b Treasurer LIViS N�SEPTIC SYSTEM MUST EE Planning Dept. INSTALLED IN COMPUANCE Date Definitive Plan Approved by Planning Board WITH TITLE S EWRONMENTAL CODE AI L Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address _ Q I X (0" (� { 1-}�G.✓►►n�� v Village j-{14 iA V%'-z Owner Address a i G GTL• '1) 6 Telephone 7 5 0 v -- PermitReques -x3S2SY-4- f-:;)Q , (10 A SS LJ�+��. ke Square feet: 1st floor: existing proposed 000 2nd floor: existing proposed .5(�� Total new 6L Zoning District Flood Plain Groundwater Overlay we Project Valuation 0 Construction Type Looucg J�-CI,M e- Lot Size I E5000--, Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full tl�rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) - Basement Unfinished Area(sq.ft) - Number of Baths: Full: existing new I Half:existing new Number of Bedrooms: existing new O Total Room Count(not including baths): existing new L First Floor Room Count Heat Type and Fuel: Efbas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes C-lo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size i 56?� Pool:existing ❑new size 1 Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 170 M CG,t•V n Telephone Number 7 02`7(_x) Address L.v� , [iy1 U_ �v��n L �z . License# C, ") 1 C -,\,k-e j-01 L,,,- V)A A U Home Improvement Contractor# j 00 71 r Worker's Compensation# 6, R 2 3 U_N_ !R X WU -5 0 2- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /,Z�ii�U Z, / T r.0 li FOR OFFICIAL USE ONLY PEINIT NO. + DATE ISSUED a MAP/PARCEL-NO. ADDRESS' VILLAGE OWNER DATE OF INSPECTION: — FOUNDATION T FRAME A INSULATION 11VS 41 ti FIREPLACE' ELECTRICAU: ROUGH FINAL 1 , PLUMBING:' ROUGHl `3 FINAL GAS: ROUGH=f ;>,._ *' FINAL FINAL BUILDING - f'Y .. < ` DATE CLOSED OUT, ASSOCIATION PLAN NO.. ` °FIME, � Town ofBarnstable Regulatory Services * BARNSTABLE, ' Thomas F.Geiler,Director 9 MASS' g `bA i639' a`` Building Division lED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization, conversion, improvement,removal,demolition, or consti action of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. nn Type of Work:_�� I c�+r �� 'c.� '� Estimated Cost �5 SQ6X) Address of Work: I (.'-L- ►J t 1.J 1-�"► �."""' S _ 1 Owner's Name: c A �Ai v v Ut— Date of Application: I hereby certify that: Registration is not required for the following reason(s): i []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: l00 Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav f The Commonwealth of Massachusetts - Department of Industrial Accidents _ Office 911=e5998 fts _ Y . 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit name: F>G t1 location. q 12-- ci 1A) [14 phone# 50 03 S ❑ I am a homeowne performing d1l work myself. ❑ I am a sole rietor and have no one workin in capacity %%/%// /G%%/%%%%%/%/%%%/%%/G%%//%//////%//% %G %/%%�%%�%/%�%��%////////%%/%%/ em 1 er rovidin workers' compensation for py employees working on this job. ::::::::: ::::::: I am an employer P S :.:::::.,::•.:.::,:::::::::::::::.::::...:.:.:::::::::.:::,:::::::::::::::::.:.::.;.:.::.:._:.: .::.:.:.:::.::::::.::::::.::.::.::::::::.:::.: ... XXXII ..P............::::::.::::::::::::::::..:..::.:.:::. :::.................................. >< :eomoanv mate � j�.- �•Q•k�• �` � - �''" ';. •::>:•}::::::•:;;::•:::+•}:•;}:::•::}::}::+::mot::•: ...,....�:::•-:�::::::: .......:......:.:....:.:.:...............:..:.. >< city* rx" MEN ...... ;•};::: : .......:....::....:::. .................::::. fV aristranCe:ca:::::<:<;>:>.�$�e ::r.:a;✓��s: rz:,>::-;:.<}:<.::;.;::: ::,:;';;:,,;:::,:'.:,.,::,...:... ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have orkers' compensation polices: the following mP ...P.........................:.::::::. $i:`vii'>.i:;::::2ri:?;r:;4?;i i i;:}}} :;'r,:::t..i:':::;::: :•:.................. ::}i?:t(:iii':>.�iiiii:>�ii'�:R:i:;'vii::>?vi'ri:ii::t:Ci�:'�i?'rY. •:'ii}:^i:r=ti•i}}::++v::•:.:t ......::•::.:::::...:.. ..........................:::.:.:::..:::•:.:..... .....:•.:::::::::::.::... . .. ......:....::.......................:::::.................... {+2 :'.?a '+ •.`•r #'•' >:: ::;%:::::;`;:" :: :%'t::i: :k:%%::;is%:i<.=::?::;::: :•,`•:;:: ::;;:<+:5:;:;:{}::}:-;: +:}}:}•:}:;•x;•}:•};:;•}:•}}}:•:t•?�•.�:.;;...............:. .........::.........:. •} v:.t I •i}:•}}}}}:::•}}::•:}}}}}}}:•:}:•}:::•}:C:v}}:,�:•::vv;}:•:}•}}.;:;:4v:•::;}::::.:;;4:t t.;:v:;:v..:.::.:::::::.::i:::::t•..•..-':::::.�n�nvn:..:.................�.......v.•::r.}-n..}•..,t:•};:•}}: j[ {:}}:?:4i.';::•:L�:::i:�}S4i:':iti{'v::t%�%:•$:{r•'.i4,v:•:•::•.r .t ......:.............. 11�t1T81tCCS:COs:i`.: ;•. . . ,,:..;...:...........;:........,..:::,,:..:.:....., ......,:.,.:..::, ...::,., .. nnll// I i }}4C:4$ism:i•:SJ'r:L;.}}}}}}:;}:{}'}}:;:}}::v:}::�v::::•}'•is4�i}::.}}..............:...........;... :•:y:;i::viiir:•i}:Y i:•::i::'iii::i::}ii:'riiii:<;i:}%}?:;:v::•,•':::::`::-:}riY:?iiiiiii{:;`i;i;:;h:J:}<i ':;isy4Y t:G+•is .... ......'•......iiq; .i`v'}:•}:;}}Y:}:t}•}:{}:j{iJi; :. :.'•:ii:%::;;:;;::;:::;:;;::i::R::;::ij:�>:::::::i:':i;:: :`:;:;: fi�:%::`::;::';:?::: ::::;:;::5;:c:::i:: r::is': :::::::�£:%�;::�:�ii•:'•::;` :a�S>:?:}>:;•>:•>:•<4;•>:;•: ame:ii;;:;?:;:?�:{'c:?i:;;::asi:;`;;i•'r>:;}:yisi:` i" '"�i$'i ?;:5:; ;Ri.:.:.•... _........ ....... .......... . .. N. .......... ............. b =>><"' X. S•-.. •},•:.v. CC`CO: "'i'?%S,i<;<s i%:';;i i %E '%i>•'•>?? E?< s.s s r?{......?>>: :?>>T"::ii% <:'i ?'E'<'•i yi:i E?: -��#•$i:iC;:C� :•� ;:j�{::::}.i<i::i:i s `:�`'t<?::;:jfSj;�:'.�;'.:.�::v••::?':}'F.':i�?�%'j:::' ;; "ouuran Fafiure to eecm a coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal pemddes of a Sae up to S14M.00 gad/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 3100.00 a day against me. I understgnd that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct gnature Date Si —�_ - _ Print name D C c" Phme# 7 .7 ofncial use only do not write in this area to be completed by city or town official city or town:— perndt/llcense# ❑Bufiding Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; _-[]other__. (avi.ed 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 e. Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplyingcompany names, address and phone numbers along with a certificate of insurance as all affidavits may be P Y 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. xxx 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 retuaued to 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 Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 _-3- 0 - 61-C7 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE _square feet x$96/sq.foot=.fOZ/yam_x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft. x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee�e projcost I no CMR Appendix 1 Table J=b(continued) prescriptive Packages for One and Two-Fatudy Residential Buildings Heated witb Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basemeat Slab Hesting/Cooling Area'(%) U-value= R-value' R-value4 R-value Wall Paimeter Equipment Efficiency' Package I R value° R value' 5701 to 6500 Heating Degree Days Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 ]0 6 85 AFUE T 15% 0.36 38 13 25 N/A NIA Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18'/e 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 NIA N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA IS-K 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: a2 I 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: fn0 4. %GLAZING AREA(#3 DIVIDED BY#2): 2 5. SELECT PACKAGE(Q--AA-see chart above): _ NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a 780 CMR Appendix J Footnotes to Table J5.2.1b: a Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft'of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &:scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 I Vovzrrra»uvetz<,�C� >' BOARD OF BUILDING.REGULATIONS 1 a icense: CONSTRUCTION SUPERVISOR '• ' 9 Number::CS 026071 Expires: 10/03/2003 Tr.no: 6750 estncted. 00 FRANCfS E MO.GAN 68 JOY, ANtJ,'RD _ CENTE'RVILLE', NiA 02632w Adrninisirator ,, fie Cio�ivmo-�uuea.�� c�i7�re�xc.�uiae� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 100718 i� Expiration: 6/23/2004 Type: Private Corporation MOGAN&CO., INC. Francis Mogan,Jr. 68 JOYCE-ANNE RD. Centerville, MA 02632 Administrator �oFtME rOwti Town of Barnstable *Permit# O� Expires 6 months from issue date HARNsrABLE, ; Regulatory Services Fee - .aMAN o 9 , Thomas F. Geiler,Director TFD MA't Building Di islon Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 - S E P 2 6.2002 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTLZMkV BARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number ' Property Address all— (o�` .fix. }�c.V1 13 -a�.✓X residential Value of Work Owner's Name&Address C�Iu C. �C_ Contractor's Name Co Telephone Number p -7-7 5 ,2 7 U I) Home Improvement Contractor License#(if applicable) I U o 7 / g Construction Supervisor's License#(if applicable) 2 GQ`7/ ❑Workman's Compensation Insurance t, Check one: ❑ I am a sole proprietor ❑ I am the Homeowner E]-lhave Worker's Compensation Insurance Insurance Company Name 1 C�s�,� Workman's Comp.Policy# 3 Lk,7j S ) 8 O z Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roofl -side r [�,Ieplacement Windows. U-Value 1 e- •3 5 (ma imum.44) gl0ther(specify) 3 3 14 *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature ' Q:Forms:expmtrg Revised121901 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map oZ S areek S_ Permit# Health Division 2 462, , 1k E Date Issued da J Conservation Division Application Fee Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address :2- )2— Le Village L-) H tic. Owner 0 AA LAL L,L Address AV_C_ Telephone -790 0351 Permit Request h-CL-> x 'X Square feet: 1 st floor: existing 06) proposed 2nd floor: existing proposed Total new 7/.5 Zoning District Flood Plain Groundwater Overlay Project Valuation Ll S0 0 Construction Type v,-)L3 o� -P,too, Lot Size i Pi 00 6 so,, Grandfathered: L)Yes Ll No If yes, attach supporting documentation. Dwelling Type: Single Family B"' Two Family J Multi-Family(#units) Age of Existing Structure :t :3 5 Historic House: 0 Yes ®'No On Old King's Highway: C]Yes U-No Basement Type: 9'Full YCrawl J Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 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 Heat Type and Fuel: Udrtas 0 Oil LJ Electric Ll Other Central Air: Cl Yes ZNo Fireplaces: Existing I New Existing wood/coal stove: L]Yes EMo Detached garage:0 existing 0 new size Pool:existing 0 new size : S00 Barn:D existing 0 new size Attached garage:J existing L)new size Shed:listing El new size Other: Zoning Board of Appeals Authorization Q Appeal# Recorded Ll Commercial El Yes LJ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name- QCJ G Telephone Number 7 -7 5 2700 1 Address P 2 F) cj�l C�t no"yAl- Reg License# a 0 7 C, L) Lk/ kA^A O Z&'SZ Home Improvement Contractor# /00 7,1 � Worker's Compensation#,f(,R 2L3 Lt Z b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE-ISSUED T { MAP/PARCEL NO. ' ADDRESS 1 ` VILLAGE OWNER Iw- 47 - ) DATE OF INSPECTION: FOUNDATION FRAME INSULATION -µ F } ="FIREPLACE � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL " GAS: ROUGH FINAL I FINAL BUILDING l DATE CLOSED OUT ASSOCIATION PLAN NO. f v 1 `NWP`pFtHE The Town of Barnstable BAR $TABLE. Department of Health Safety and Environmental Services 9 fi MASS l 0P . Building Division 367 Main Street,Hyannis, MA 02601 { Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Cf-tl)c<e, V11 urn Map/Parcel:!/d 5✓ Project Address: ^r Builder: e/� A/4&c l�k` i The following items were noted on reviewing: yyr4Yi �GL l T—Jrry/,,g` Al2,dAn 1"26/-6s'g7.0 ��tr u �4121� OijF lL /�r, f>!�7" � /V /7/ Gl= rra L��"ts7"i.�r �/ Cvsr ( r.wl - G/ � •c.,v� 1rN 5 fiw top ll/-M 7' yr TC-to uMa fy//7y/wT-"sue f rt Fel 414 P ! 1"T kic.-!gin r/,� ,�-,�a.0 c 77�-,z C GN 0s Reviewed by: Date: /0 q:building:forms:review c� The Commonwealth of Massachusetts Department of Industrial Accidents _ Office oflnyesti9ations 600 Washington Street Boston, Mass. 02111 `3 Workers' Com ensation Insurance Affidavit / i location: • ' •-' ' • hone# city ] .I am a homeowner performing all work myself I am a sole r n'etor and have no one worldn in ca achy �Fj /%////%%/%%/%%%%%%%��%%%///// /��% e%%///%/%%//w�/o0/%%n%/Gon�t/h//////jQG//G///////%%//��//�////%%%///��///%/%%�%%%// ////� m ensation far >: }V •., Co , ;n}:4}a}:t•,.:f:;:;vr?: :• .`t:#:s±:?3 :c!#i''"i!:. •r''{#•`:`:5:;#r.:%'..,r•;'µr?1.;;; 'din workers p ;:,.>r:4<$.{ er_ rovl .•.el,cay:.:{.C�ii"Sf••:., ..>,,.,r.:::.,r,{a}:•. 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Phone# .•print name' "t`'' da not write m this area to b e completed by dty or town offidal afflCwwe only _ • - ••'peimit/license# ' OBvfldingDepartrstent dty or town: ❑Licensing Board . ❑Selecfr*ten's Office - pao.ems; • -- ___.__ _ contact person: r ' Information and Instructions eir Massachusetts General Laws chapter�152 section 25 requireev employers on ur.°vide thhe serviceeof another unadernanoy contract employees. As quoted from the `law , an employee is defm ry p , .of hire,-express or implied, oral or written. An employe'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 P. association or other legal entity, employing employees. However the owner.of a .... trustee of an individual,partner dwelling ellin house having not more than three apartments and who Zesides therein;•or the occupant of the dwelling house.of- k on such . another who employs persons to do maintenance, construction Dearepair h d emred to be employer.w house or onthe,grounds or building appurtenant thereto'shall not because of such employment. _ hall withho ld the issuance br renewal local agency s . a ter'152 section 25 also states that every st ate or g g Y . MGL ch p construct buildingsin the commonwealth for any applicant who has of a license or permit to operate a business or to const not produced acceptable evidence•of eobmdpli.5 ce shall enter into any contract for the ith the insurance coverage 1perfoundaa eoo public work until commonwealth nor any of its political subdivisions the insurance requirements of this chapter have been presented to the contracting acceptat?1e evidence of compliance with authority. Applicants .,. cf Please fill in the workers' compensation affidavit completely,by cheGking the of ox that insurance t� �o your maybe ad dress and hone numbers along with a _ ;. _ _ an names, ..__ . P supplying comp Y .. submitted to the Departmeut.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign anr� date the affidavit. ' e•affidavit should*be returned to the city or town that the applice f1ethe pe °the r. _ Y4u re nested, t the Department of Industrial Accidents. Should you have any questions gazes being q ri0 aitirierit at the number listed below.: aie requir ed,t6 obtain a workers' compensatioixpolicy,please calttlie Dep MVAA ONES maps=: City or Towns - Please be sure that the affidavit is complete and printed legibly. The Department has provided Ce at the bottom o Pleas e affidavit for you to fill.out in the event the Office of Investigations has to contact y g the applicant. <_ ._ _.,. bei�vliicli willbe used as a refeieace num. zr.��,m--iaffi avits may be'r t�?•.. in: a 'ernut/hcense riu7n •:... ....�•. , be sure.artmeat by of FAX unless othei arrangements}lave been made� , the Dep .. �,,,,.• ations would like to thank you in advance for you cooperation and should you have any_,Uestions. . The Office of Investig. ., 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 ®tine allnitestlgatlons • 600 Washington Street Boston,Ma. 02111 fax 9: ('617) 727-7749 a• «y 7) 727-4900 eat. 406, 409 or 375 �oFtH�ro,,� Town of Barnstable Regulatory Services BARNSTABLE, + Thomas F.Geiler,Director 9`bA . a�� Building Division lED NIA' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. //�� t Type of Work: -100to l�'z 's c `'`'� Estimated Cost Y S_Z Address of Work: R2 f � �� `� 1�>V� Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Building not owner-occupied []Owner pulling own permit Notice is hereby given that: WITH UNREGISTERED OWNERS PULLING THEIR OWN PERMIT.OR DEALING WI CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the gent of the owner: G� 100 71 RegistrationNo. Date Contractor Name OR Date Ovrne.'s'_N arr_e 1 �� t + e arrvnc«uueull� ��.l�tu�orxc zuvel�s i { '+ BOARD OF BUILDING REGULATIONS icense: CONSTRUCTION SUPERVISOR 3 �fi � P Number.`CS 026071 s; 'r Expires:-1Dl0312003 Tr.no: 6750 esfricted: :00 FRANCIS E MOGAN r 68 JOYCE' CENTERVILLE, MA 02632 Administrator ��le �anvr�xaruuefz�Lz a�'✓�C�aasczr.�ZuveC,td Board of Building Regulations and Standards PER HOME IMPROVEMENT CONTRACTOR PM PM Registration: 100718 Expiration: 6/23/2004 t Type: Private Corporation MOGAN&CO., INC. Francis Mogan,Jr. 68 JOYCE-ANNE RD. Centerville, MA 02632 Administrator j.d n �,,� ..-� p v►h � A f EXISTING r DWELLING P RCEL i02 10.73 --- PAVED.DRIVE: t8.74 t8.56 4-10.90 100.00' 3 B;ENCHMAR FUSE TOP FOUNDATION p _ __�` r�95 ( 1 HEREACT�EVY�TION 10.8' ��8 69 � wj0 u / € 'i i E•XISTINGg 10.5 O _n :34 12 :.DWEI `Gi . I +8.35 O 1. DI I ` , O r I IY I p r� , 1 m z I ` y 100.00' , ° frt _ FLAG ' LOT AREA f �iL �..•. P'�'.E , _._..� _. 1 , - 18.000 SFt ----- '---- -�9.64 , � �- POOL FENCE X :92 -1 -- ---�9.66 -x- - - --- ----- _ 7.93 1 9 , s4- CONC. PAD �, - 9.63 1 97 7.75, ' 9.61 � �' _ I PAVED 1 CONC. R AREA �'` EXISTING 11 , PAD POOL 1 I! t i.831 I ws .1SPD' 1, DWELLING _" .00 r TF=10.8' I I 1 1 o 9.63 R O '_ sr GONG" 1 CONC. 1 ;\ INY OUT FLAGSTONE ✓' .1IP�� PAD _ ' 1 l - - .-_ $ --- - -f .06 767 _ - -------- ELEV=8.09 PATIO +9.3$. +7.6 FLAGSTONE WALK A-A& W Y 0.00 +858 3 X X -- , 1 1 ' dESSPOOL??? l OO.00), ♦ _� 8.1 I 6ao +8.45 - J SHED O �7 PD �pEs DRIVE 7 FENCE 8.42 , 0`�RNE - - - 0 - _ Y+�ro 100 0 POLE 4-6.33 PARCEL 101 PARCEI 103 in a �� m R x v z w M + � ri Assessor's map and lot number .. ..yr.�.. ..a� 7 .c o Sewage Permit number '...s�l.�� C=.�......�. ......... . ..� . T.... � ��T� • 7HE 'OWN OF BARNSTABLE i BARNSTABLE. • "6 BUILDING INSPECTOR �o uar°'• APPLICATIONFOR PERMIT TO ......... ................ ........................................................................................ TYPE OF CONSTRUCTION ....... ............................................ .......................................................... ....................... ................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................... ................................. ........��`.L................... ........................ ................................... aP C J iw; ProposedUse ................4�f�.............."...............................................!`.!.G:.............U.o. .................................................... Zoning District .....................Fire District ............. 04 Nameof Owner/.%(.......................................................... ddress .................. .. ..�......... Name of Builder ...../....` N/-0t C/cis �U u is Address ......L-e.qr-:�Az/................................... ................ ....................`.. Nameof Architect ..................................................................Address ..........................................................................:.......... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace .......................................................................Approximate Cos ��..�� .®... Definitive Plan Approved by Planning Board --------------------------------19________. Area ..=:.` .x...V®................ 00 Diagram of Lot and Building with Dimensions Fee ......... ....... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the.-Tow Jof Barnstable regarding the bove construction. Name .................................................... ...................... Kravit, Harold L. No 16332 Permit for pi-iv.ate...n7irmning� 's ......... ...... ........... l pool i Location ........'...................................................... r Hyannisport ..........................................: .................................. Owner ...........Harold L. Kra .it ............................................... Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ { Permit Granted Date of Inspection ................. ........ .......19 Date Completed ..... a ......... ... .. ...19 PERMIT REFUSED ................................................................ 19 a , ............................................................................... i ................................................................................ ............................................................................... 1 } , Approved ................................................ 19 I ............................................................................... ............................................................................... ' at _ t ' i h 1 L; l - L I r 1 r 1 --- 1 ----- ------- -- -------- .-.--- --, -- - ..... - --- •-----_ -- -- --- ----- --- �; �- - . ON 90 � .f- --------- - - - - - - 31t/a'---- -----'.l8 '471H0 ---------`-AO-------------------ON 133HS - - 1o3rans 1. i 4�-ya t r i r ` ' C M p .--..—._.—..—....gyp-�.•- - � 3 ' e CHKD' 8), OVIE 1 '``Iq[3 Gsq' Bil l DVIE 2(1II 7r`^I 2HEE I :40' OL n —2 f I lJ��____► a� TOWN OF BARNSTABLE ypi THE TOIL S • i BABB4TABLNABS, i q w a', BUILDING INSPECTOR aY APPLICATION FOR PERMIT TO TYPEOF CONSTRUCTION ............s .. ...........:...........................................................:..:.................... .?.... .../ ...............19.7 L TO THE INSPECTOR OF BUILDINGS: The undersigned reby applies for a permit�ac rding to the followiZ g information: t�/ 4 Location ...... ......... ... .. .................................. :. � ► a.... Proposed Use ......... <: ,* ' .............................................. Zoning District .......... ....................... ...............................Fire District .................... ............. Name of Owner .. ........ ........ ... Address ..✓/ �/� .................................................... .� Name of Builder .... ....Address .39 n... ..........................'�.nf . ........... , Nameof Architect ......:i< ...............................................Address .................................................................................... Numberof Rooms .............1...................................................Foundation .... ..��........ '... ............................. Exterior ....• ..1..4✓....... ...:. . '.........................Roofing vim' .4. ..0....4.....4 ...................... Floors ......+.. ....®..........................................................Interior ..(/(J 0.l� Heating /. <!!. ..............................................Plumbing .......................................................:.......................... Fireplace ..... ...........................................................Approximate Cost ....... ... !(/............................... Definitive Plan Approved by Planning Board ________________________________19--------. Diagram of Lot and Building with Dimensions / 25 SUBJECT TO APPROVAL OF BOARD OF HEALTH THE PROPOSED,METHOD OF PROVIDING FOR SANITARY WATER SUPPLY, SEWAGE DISPOSAL AND DRAINA E I-S EREBY f)PROVED /r TOWN OF BARNSTABLE, BOARD OF HEALTH A L1(7NSED INSTALLER MUST OBTAIN SEWAGE w✓ PERMIT, AND INSTALL SYSTEM.; i I hereby agree to conform to all the Rules and Regulations of t e T of Barnstable gardi he above construction. Name .................................................................... ........... Krfllitp,Harold rc No Permit for ..,..add to single ..`........`... ........................ r L family dwelling Location ......-Ave..................................... { West Hyannisport ............................................................................... Owner ..............Harold. ...Ifravits ..................... .... ........ ............... Type of Construction frame .......................................... ................................................................................ Plot ............................ Lot ................................ t ` Permit Granted .......'lay 18....................19 72 ' Date of Inspection ............0............n..........19 r Date Completed .. . .. �....�!. !.-M 9 i PERMIT REFUSED r ................................................................ 19 ............................................................................... ............................................................................... { .............................................................................. ............................................................................... - r Approved ................................................. 19 t ............................................................................... ............................................................................... t f. r 6 � 1 i 1 1 \ + 1 t W i� � _ ; , �: , ' < < i ; I , � , . ; � . { � E � I: I , � : ; ' I � ,. �- _ _ 1 _ �_ � '� e _ �� PEA S/V F� YWOWWOgn! • �/' �pp yysFS999SG .g�§Sp 07':o"'xoo> �!7 o z�� • (!' 9 f�y$1-� pE�gn��ySr63� Nam WC GWi.W�. N • 1 • Ut Sa lip, p • ��y�yyZ L� gmy o='"' • Q '� l e 3 e t �•� Y�W� <O C�t6..� ....b.. �. �.rAL < - ------ - --- ------ - -- - -- o d 1 Ip in�J a . °.i. ! ___________-----------------------_____________ _ 0_ z A FouN�/+TIoN PLP N p RAP N 0 a ��`•O piNc EOPUN�IE'!•'O� •�4ry"E/NS!S PROHIB!rE0`.9 a 6'� ARE PCMISHhBLE DtE BY BY FI FlNEB UP . +or ew�v!Nc o[wcr - 105100.000 PER OFFENSEe '2��, DRhY11N6 tYPG� ' i cP•• —Alt, DES!OnEP TO Q" PpUMwHonPwn DBrcv*resvunPlEs GAL e 3 =c�33x � x'� '/' _ 38 6�fi'66� 63 !;fill if sxs :.. S c 76 e3 I As LI-I A FIP-h'T FLOOD FLANch5 ` ATIOR � E—ISRABLE BY PInES DP •0 �- +AA eWID OL—M - iD—.—PER0FFEMu Z Pir.4 Plaor Pon ' - . <P•• CALL LIff OESIWICR t0 Q- /<<FGAL S��` A 2 0 0 `� 6959(79t Hill t . c 4.� -i -�-.__.In i._i. �A.a. �PI,p IS L�l BEPR90J➢OntiAN' PROHeiEo111Z [3 !1 2sAbffkffxM T0500.000 PEROEPE NSE --HA M...Prnm° CALL THE DESGrvE.TO .•v 2 •• CP THIS PLAN• - �a20I .gi _ 5 G �s IN s 9a -..i L..... ------------------------------------------ 1 PL_AN o L j\MP IS� p6BY.EOEWIL LAM'YIOLATIDxS APE CVnISNAPLE BY fiNESP • 6�0 TO M.000 PEx OCEENSE ' haeand Poor p4n V. CALL THE DES GNEP tO .'V - -�/�•. UBTGf TYJBPUNPiES-.`,Q �.CFGAL S� A"P 00 ss �453Ec�'a�i ' omHwuou.rJy vaM �. tc�sxy� eE � .'-x • I/PAPA rahad.hs.hkM Uza bR > ( >L r� . - 0V . Pr.rr»wh..law e.i. arm• .. 'P4.IwW.fien p:vo 'q�l � 1 14 .. am�rnmm.d;P a,y. 1O d. o o / s - •R44 iewmmWM�malo'e.A �' 9/.`hPA shad Ti4 Wdteai - P�*a Tnm I/S Cryvrl e•TPPa?'�""� w.grJ r/>e•Trp'.'dn"l �uiar Twaka Fouuvrq - vl iz•q'aYul/aonuMacdumm 1; 11 f a ' f•Mh r.hM.he.tFM 0 ' • : "" -S 9 g '� tl F, i .. v I/a•Ha.ln.u.h�en.p.l> In ^ v/n•APA rnhad Tf4 euMnu ; we WowlM.a lar a< w%Pw m.*uala.l.b v0'.v0'.I f'PowadcmuHafoahcP Co .tl s' ;� �.•+ �Ny S id P.Tmud.11 v/>/d.c'..ch>Ldls.•I'as. it"Ilk ..zi'Pewad cenuNaiwM.hi•. t'Pe..rad cenucha d.F<M ' ..1 Ll_ �1 iy .i' v/ mJ PaH..parL�rlu �A� 1IUIL004Gi EGTIOIJ"A"- y�:3 . GJLAIG: I IY" I r-�N E DIN `:➢ ��E jP i t`, nr Psci s'ax•OT i�9 ��¢ • e E uu ouT aNs m s !� RE PtIhiSYARL 8Y i NFS VP •• ' B O o • CP W d tYPC - �� ,�•� bu IEn�4aNlen'I•' 10 EI OO.000 PER OE •Z 1 i r "�y••• CAlL iI1FDE5 GNER TO .• Q _ .�•, ORiPH Lf GAL COPIES C A • /<<fGAL S�� ( A400 n 5 rT ppF (5. 3E° RQr-MEIEIF--"'. _ � d ® ® z I i rtt�—"\ -I.-UT-4 ELEVATION �A1 EAyT ELEVATION TM • - E�5�34p¢� po- ' xb � a� an, p:s S�PMP IS PEPROOOCTI011• 0,, �Yt p�y ��••Oi LHESE PLANS By "�' 6°y� �+5� ...,I � �•'WY WEANS IS PP.OH BRED•••�� Y Via; I I i �JY �" I � � � BY 1EDERAI LAW VIOlATI0N0 I . ' ________ B�D or clnLolxno � D2wwwG TrPE� i • - TO BIOO.O11 PER GiiENSE 4svwYiona �� WEhTELEVATION / I�� NO�TN —LEVATION �•. CyLiXCOCSIGNEPIO •.•v h>00 .rJ CBTAM LEWL COPIES GJLa�e: I/4"- I'-�" 1A_•.••Of 1N15 PLAN .•l.Q _ -✓/<<EGAIS�� 500 t 5 w 7 m cony o • . 4 V/0" 7'-7 W41" 7'-7 °i/&" `o gemgo Ri ° Z 1 0"0 honotubem/>bigfoo#m 2 0 Q poured concrete column foo+inq 7 ' S ---- 1 wnd himpsonm AF7Utoto pos+bast. � pJ d 6`'W�p p S �u I I � I I B"x 4'-O"Poured LonLre}e founds+ion � I set an w Lontinuous 1!o"x l 2"Loncre}c footing w/a 2 z 4 keyway. _ Gon+Inuous ridge ven} n L____� roimpsonm LI TA 2 I straps o Ito" Archi+ec}ural asphalt shingles(+yp.) I Z•Fel+paper(+yp � � \ I 2 2 xto T.4G De-cking (� I II I I I I I 2 xB oaf}ers o f Co"o.c. 2 I J-1 r-1 r-1 ........... p }ie a 1FOU JA 10N PLAN 0 11 lM .1 rr w/ I/2"plywead hlmpsonm ZMexm LUh 2 B hangers , 1 G raAP-ELEVATION himpsenm F7G�o pos+Lap = Aluminum utters+o dr �' q yweIts Ix—PVC+rim boards L L .� \ 4` toxto P T Post 2 z6 F.T.Jois+s e 1 1 x_PVG+rim boards Q �- I x 4 Mahogany decking himpsanm zl"laxm LUh 2 0 hangers �'^ Z 2 zB DeLk jois+s e I e",o.L. W O himpson®ZMaxm LUh 2 e,hangers / F�\FIEF FLOOD I ta•_O•• C VO - I I I I I 1 o"d�hono+ubem/p�lgfoo+m 2 0 tL LOnLr fao+ _____________1 cured a+e Lelumn inq roof lint I I I 1 and himPs ^mAp�Utt P +bse. i I I 1 II 1 l Ell ❑ I ry I I I I I v brick fireplace 1 I Z E m Wjg m 6� / - 0 co ,� 1�ulur>ING�eG r1oN I - # n 9 3 0 n�IGNT ATION I d-- haal e: f 22" = 1 C- lulu J a W �icale: I y4 ELEV"- I'-O" 1 Q p — 1 1 p 1 ❑ 1 0— W O V o a - a a roof lint d °m 0 a 5 "PP T"FLOO7 PLAN wn This pl was designed in eLcordance with hcwle: 1 1'-O" - +he In}ernationel�esiden}ial Gode 2 009 - Edition and+he Massachusetts 7 BO GMT II po� Use Pre rip+Ive R-esiden+ial Wood himpson H 2.Z hur a+ies e 1 to"o. o° 0 3 r - Deck Go%}ruction Guide OGAta-09 based on the 2 009 Interne}ionwl v a.ri =w`°, �esiden+'ial Gode,+o build deck. IIIF Yma�IvO f f c c - 2xB oaf+erso IG"o _ ,r rvOO°t3O V o,F.... p e % rv� _ ®m f Q�� far panel LanneL+:ans ta - I DRAWING TYPE: ----�, / E---9 J E---9 I I E---9 himpson 142.Z hurricane+leso Ita"o.L. J G�FF-ONT ELEVATION / H LEFT ELEVATION SHEET NUMBER: ----------------------------------------------- t q_0 2 a`1 9/4, 1 91-1 0 141-V 1 -1/0" < 4 ......P.,r. 4. z uj p4 "lu—f�i" I z 14,� t,co), f I/ Ile' I We,- 0"A-4-1 IllIf. f 0'r".Pk.t 0'�M.P"*-.t ---------- -- \------ --------------- ----- o"r1m.Pk.� F(- ------------- n ----------7---- --------I --------- ---------- ------------------- -- hu .1. m 1 2 2.2 i—ludi"A 1 2 2.1 le Lm,) p4 f-4-i" V-4 i�h AWPA U I f,r�pipr,du6k,F..�ivc J U r I,.�h. N I j I f W—k 1+ r 11. -I'(1 6� di i,1,11i— I AWPA I -A F1tpyp.J -(I HAI f,,- If MA/�IA-T -2 7 f=ld U L--- ------------ ------- Pk-t ------- - ......... ..... ............. tu ............. ........... .................. < ............. -------- ------------ ............1-1--.4-......... ... rL 4'-1�/e* 4'-7�/e" 4'-7 Ile' V-1 7/&* ------- ----- .............. "................_' L ................... P,Uj Jt I., lu, _p, p P�1�p -------------------------------------- ------------- --------------- ---I I z ............ ............................... .............. ...... ................................ ..........I............... - --- ___---�7 ..................... ............. ........ ...................... ---------- U, f7 4_1'2 ------------ ------ mo 7- 7' 7- 7 77/� 77/ 75 4- < w T-.� 'in Q 1) Vt'NTI CL_ 2"FI-l-J 611-�I Ju,�-p 'lly - -------- --------- --------- --------- --------------------------------------- l 4il 0"ft P � .1.1.1 1.- I .... 4 4.41� 111 1 1..1 I'�............. 14AVP.1.e.� ........................... r---- --------------------------- ----- --------- --- ----------------------- A—h,,i(�,_l /�" P T.t.lk 7 1 d IL------------------------- C3 -------------------------------------- 0"A-b- /A"Pl�tI r ul.j d- Im- Il.Jm� _1151W FLAN If > DANI L FL.�OP PLAN POUNL�ATI�14: Lu CROTE -4 2 V 2�00�j.1K cn +,[,. CIVIL ... DRAINING TYPE: NO, 48253 Thi, 1 m 11(,� E 11�c_ GISTS ed,tjj�h. 7 eO�Yjr_ �1.00&�h od.��. 0. /oNAL SHEET NUMBER: 7 1/4" vi111 AfOO r 7 Eon } s W °Qas Eon`s o Z W t3��Ey= w Z 0 a ° a uj • Use Fresuiptiva R-esiden4.1A Wood rJeck Gan.truttion Guide OGA/d-09 - bwsed mn the 2 009 lnternw#imnwl F—id-n W Gede,tm build dtGk. NoTc-All exposed herwwre to be rated - for exterior exposure and P.T:cmntwt+ PT-2 x 1 2 htringers to grade �11 II 1 eiimpsanm Yryexm LUe 2 a a a a a PT-2 xa oatk;mi.. @ 1 v"m-t. —__-- ---�1 - I New%- I %/9"x 9 I/2'VersLwmm `himpsvnm Yryexm LUrm2lo¢ 1!o"o.t. I � ^` I 11�—existing%-2xB's Yo re win� _ ;. l I � ' I ° hlmpsmnm LUe 2 B @ I. New 2 x 1 O joists sis+ered to -y} rmolid blatk�nq @new girt o x bandAr I 0= II - N --1 Inc— N Y� 1 z W Q 1 hlmpsonm LUe 2 B@ 1!o"m.t. .± New 2 x 1 o joists sisrued ro - .` -; _ istinq Z x!o Jmisrs.�eplwte ell-_ II 1 -�iimpsanm NNUgS.S O/10 I I I rmlmpsonm LU�i2 B-% �I Z �- �_ ~I ps New% 1 %/9"x 9 I/2 VersLwmm 9�rt I � l � I z o 0 Q z ex itmq 2 x 1 O Je s+s¢ I!o'o.t. axis Yinq 2 x 1 O Joists¢ I!a"e.t.' f-I1 ggi ' I oa < z V m m �emave f replete. -O v/ UJ 0 U Pw+th+a mw+ch 0- O / IL ;o d ' axis#inq 2 x l 0 join+s @ 1!o"o.t. 1 I I I I 1 existing 2 x l 0 joists @ I!n"a.t. I I t I I I I j i I I - , I rn IF IF existing loxB Girt ter impsenm Yryaxm LUei i jmw n � Ii � a_ r . � i exi tlnq 2 x I O niz L4¢ !o"II t I � P.T.2 nB I7etk Jeisrs @ 1 G"m t � n ° m Y� f d _ I -.y;mpbenm zrywxm wh 2 v¢ I v^o - e n O i `o p °r w_ u- W � ° > NOTe:All exposed hwrwwre to be F. rated ~U Q' d pl pl J for ex ter�cr exposure end T.tentett S o DRAWING TYPE: p Fly- FLOOD P A"6 htwle: I/q"- 1'-O" Flrsi'Floor Frame Plan d SHEET NUMBER: A C? t ? -7 co Vs" gu - -• �`- u mm° wqn a" �- Lu ul - 0 L S m °oa33�� off°= Lu 3 i= am `ateuj Zo ail 0 P IUa a" o�°O^ Z y,• JD 0 Q o `g o W m ° O - xp✓ 1 ` e ' New P.r.Doak w/�rrexm�w;linq/perking , 1 S --------- -----.___.� ---.__------___-_ _ _1 ............... ,4b, Oirett�enr q.s f;repl.ae f P.>e �- OM 5 _ a O O III ros ai o'ai/B4z %(1 Ande I 1 V a New flush � I �' I MAhTe�YJEO�001'1 � � �in+a ce�ling.bore � c I I I .. r o s o z/e"x a'-e /B•' i ; FAMILY F-OOM [ N • 6 -- ( to �— I I I I I I \\ J _ e Andarsano PW4le0la0 a _ v J KITGHCN I e� i m'-o-x m.,s. ; a Ilndn J ; _ New fB flush fr.—I R'I l� P J 3 .. Ir, ,. (J z 1.) @ 3 O ,p LLII .I •�� W u16iO 3ry III I m 67 C7) J d' s U ' - III I •--. � m J I v o Q ill � Andersene TW24 nlo-2(9"ryulll V m - ' n+o ae l nq wbo�e - " B•� e�1/ � f J c i lu Q U U - j IL ................ Liy INGROOM ..I Q a I Urlure- 1 I I 1 I e 5 J LINeN 5 Andersecmrwl5'I/n-%(5"rnm \\ I a m \ \0 - 'r�e0 o0ry Eo m o n New P r.Perch w/rre a Fw I q/o akinq i rp�FI�hT'FLOOF-PLAN I e — - _—_— -I �J•�ionle: I/v"- 1._G,. o°"'_ - N E i +'I `�M1 Ui Tc°V f. c Addi+;en Aspcar R-n+;o(L/W)• 1-2 2 Use Pre.cr;p+ire�esiden+ul Wood Oeak Gon-.rruction Guide OGAla-09 � d��J `--------------'-------------------------- ----- -------------A-^_ -----------_--'-- This Alen was dc-.;q�ed i".taord.nce with b..zed on+he 20091n+ern,.+Ion<I the In+craw+ionwl�esident;wl Gode 2 009 Pesidenti.l Gode,+e build deck. r O Edirinn.nd the Mas+wahuse+ts 1 Bo GMR- v ci 1.00 a+h edl+ion. Note: DRAWING TYPE: c All ryesuraments l Oimensiens are to w'mdow pre+ea+;on+e�anfcrm with - 1—site eerifled by Generwl Gna+rwa+or Flrst Floor Plan R-9 0 I.2.1.Z Protac+ion of openings. .r+Imo of eons+rueYion v \ NOTE:All exposed hwrw.re to be rated I__ exis+fag wall. far exterior exposure and PT contact e - New wwut SHEET NUMBER: - r s SOromokeoctectcr d� o w w Ul Q :z E" �Eg°9 z . Wa �c_3 opO 0 R } . ,, �ilmPzmn N 2.ci h°rritana Yi—e 1 -- - -- ---- I vt- I II II � EII 1 a II V" I I I I:i ,I.I � s I I. L one of 2 x�o sleeper at+a � N � �i:mpseno.c�pc�strews I i f I I I. i I - - shed to - I + �i �iO�i strews Q -//B"AJ�m 2'i Jo sYse llo" -II li pson9 I �` £i 1I.1 41- II m I to It .I,. _.I.1: I:I::: �. IJ - i I T- �13 III' I l gF K 3 5 IHI ,-� I II ti L f 2 x� 1 per att shed to m J I v F :1 IIII: II. IX m ol I j Exi tnq Framing a 1 � � _ U Q � v c crew.N�} m 0 III 333 I � Q I£ _I Iyg • I' v ^ w -n n - v I E I m I I I' 1. \ vt c \ II '+IY.: `h Iry .Q�moonm i£ ....it R d tcnm A I %(9"I'-l-fll v 3LL @ d J I - E tin F aminq I I p Q d I I i I� 2 xB raft I v"o N IIII v °IL I� I I I� � 2 xB fters G' I!o Z f �� ° a �—�imptmn H 2.5 harncane+ies e 1�"m.c. - J ° K d`W � ' �p_ GOOF FAME PLAN �I� /a Gal e: 1/4'•- I,_O" DRAWING TYPE: 'F-"f Framinq Plan SHEET NUMBER: A 2 0 r.� L a Eov q ° �° am "oa mops R-ubber membrwne roofing d Y^ r dg IrP Continuous ridge ant Sm ooe$$e�> `o� Q rmimpson H Z.S hurncana tins e 1 r."o.c 1 7� z IGYNENEm dosad-call Anderoenm A2 1-9(9'ryulll msUla#ion R-7/in. -'- rn.G'-7 9/4'%2'-OS/B" I 2"N.O.Insulwtion-R-9 B ro'mpsonm��L nnac#ors e 1!o"o.c.o 'k w 9,9-2 6's a de x —miimpsonm LU-2 B 2x4'J}udse 1!o"a.L. �s ro'mpson N 2. h.r w } ;t €., LIVWG�oor1 J N > - r Continuous ridge vent � S 1 2%4 Gollwr ties e 1 lo•o.L. y� V ^—hiteLturwl wsphalt shingles<typ.l 1`i a Felt pwper(typ.) 1/2"GOX plywood shewthmq(typ.) f i ,:- 2 xb r.ft—e 1!o"o L � � yr .. Z _ NwiGnq schedule of I O 1!od _ Proper van}s e 1 Ca"o c. ,F '�-�_ :.' nails crafter/ee ling Jois}s LonnaL+ion(+yp.l. I � Q 12"HO msulwton-�9B his W v Jf x E L F"n jvy Je[ ;� E%is+inq Frwmi^q I ( Q �iimpsonm LUrm 2!o e 1!o L (L J r�impson N 2.S hvrricwne tics e 1!o"a.L.� � 2 4 1 g �,® 2-1 9/94 1 1 7/B"LVL z .... . .. ._.. .... - € . .2 E.i�F.h`a�,( ,`'a°;f�" Aluminum qui- e—+o drywalls 1 IGYNENEm closed call o nsula+ion p 7/in. liimpsonm LU-245 e 1 G"a.c. _ ,� Q I W N x_PVG trim bowrd< p z m w A 2-impsonm P�Glo pos}Lwp", Q N r f w N p 3 ry - 0 PJEO�ooLlaq 6-) •� � � '"� oQ ,- LIVING FOOry 10 Q i u i Exis+inq Frwminq Q J - o iO - + Z oo m W —� in 0 U O• U- J O z 0 i E%is+inq Fram nq :J J Exist nq Frw minq v ..�'•�'•-'••"��`.. � - a"14.V.Insulation� 9 o t 2"Vars Lw mm q�rtR' ._w�p O ,.�' roimpsonm LGGS 2 5 9 5 Post Lap uq P PT 0 � O Column w/!o"x�o"x 9/B"boa q Y Iwf'e—4-on Lan+nu-9 O'x 1 2 N � p ourad p Lon+muovt rebwre tB"o L Q Q o �3 o a-o r a o ° Y !o-hmart�eNTm^1 y 4 0-11 70 2"Poured LOn Lre+e dust IF m n� lnatwlled in foundwtion wall - w/F bar r er®and G mil.poly _N �e Z r bw Jz 1 2"m x 4 'O' poured Loncrera Lolumn faot,nq w/4-a 4 N OF AfAS - �ertLal rebar 1 and�iim I' �• Undis+vrbed or compwLted fill Undisturbed ar Lompoc+ad fill psonm GP�rola Column bas 1• 7 DANIEL ' DRAWING TYPE: CROTEAU��'�•�� - � P. cP� I�uildfny heation..C..• b S - - Emma- CIVIL No. 46253 O � SHEET NUMBER: ' t��il r�iNG�eGTioN., ��FS c►sTE�� 4 0 0 ANAL N 400 wale: ( /2" = 1 '-O,� S/ ti W Z d S-3�p Omou z 0 V Y V Vn W 1 } Don+Inuous ridge vent -� Existing Frwminq Ex�s#mq Frwminq < tlh 1 1 7/B'•AJrom 2 S joists e l v" f.Jalf ny sGhedUle of 1 0-)!od L Q P-%a nails e rafa-er/aeihny joisks connection(+-yp.). 1,�` -,,' e. in I _ 3' - __ Pi ;GYNENE®dosed-cell _1 F-7A 111.. C ' Ed h'mps n H 2..5 hurricw c ties e I!o" `\ 1/Z"Drywall I '• W Q 0 - - 0 � Q FA ILY�00ry rfA�iTe p�E OOhI GLO�iET 1"I S _ � IGYNENEm closed-call , ) msulatlan-F-7 A, I i I %/4"APA rated T<Gsubfloor - � z oO New 2 z 1 O ti W m� . himpsonm LhTA 2 4 s+raps e%2"o.c. I p Z •+N "° " '' Ex�stinq Frwminq VVYWAN, Exis+mq Framing � IU p PT. p W No sm r�impsonm Lug 2 6 e Ito o.c. _ B"N.O.Insula#ion- %O - 2 •4 Gon+mucus har�zon+al rebar '� s J 3 0 ^,v m of - I � %- 1 /%4"x9 1/2"VersLwmm qrt` S/B'x 10"Anchor bolts w/ � Q f� vI r-�impsonm LGGS 2 S-%.S Past cap(typ.) ,i % x 1/4"PIa wser to w h # J s % 1/2"m h+eel/Gowre#a _ 7 1'o c d'5"from till Plata ends. 4— Z w an 4 m� um 'n=m column w/lo"x!o"x%/B"baannq O U � O y a� l plate sat an cont�nuoUs%O"x I 2" r ^ N O U poured concrete fao+mq w/%•9 ,, �. v 1 W V W v GLADE O / coot nuous rebore>:6"o.c. 2^Poured concrete dust cap —w/Fibermesh1 and!o mil.poly d vapor barrier S 2-•4 Gon#inuays horizon+alrebar d .v4ti:: ;�.es.+.,+.•cu! .....ea...:e:e .+,._..ram.,..,+. _e.:?.,,.ud�_.�...�...�e:2s.^.u.?:v_.,�......iv ) � ✓'' �" �� B"x 9'-O"Poured concrete foundation I c footing w/a 2.4 kayway. n `o ova, F Udi--+urbed o r ompacted fill Undis#u 6b 1 or compacted fill 3 v �'��' %-•4 Gan#inuays horizontal rebar n` �n�" �� o a � s�o�tE Ul Q a.9 =s_ >lu OFkdgS y� C ti �2 DAM EL G�•,• P. DRAWING TYPE: CROTEAU 1'�u'ildingheai'ian P� CIVIL No. 462253 I$TE SHEET NUMBER: ASS/ONAL ti— A 4 Q I w g ws�oe t� pa ao naaq LU a o mans, ° w _l } J Gon+inuous ridge vent I ' _ New 2 x�oGollar ties e 1 lo"a.e. naili a rafter/ce'ting Joists connection(typ.l. 1 2'H.P Insula+ion I®1 7/8"AJ111 2 5 Joists e 1!o" 1L�1 IGYNENE Uased cell - —10 ..- 2 x 4 r'i+ud knee-wall e I!o"a.c. - L Q IGYNENE'P Uo�ed-cell �EA�ool„I.q G' FAryILY�OOry I - � O ` msulat�on-R-7/in.. - IL -..I I s - oilmPsonm LUoi 26 e 1 %/4"APA ra ted T.<G.subfloor z J o 0 . _ �impsanm L�T-A 2 4 PT 2xlo muds711s .,� # A, M.. I x I.O"Anchor bolts w/ 2 e 4 Gont,nuaus hormon+al rebar H.rJ.Insula+ion P%O ' '' - "J"x%"x I/4"Plate washers / " ' %- I /%4"x9 I/2"YersLamm girt � •� J � NJ 30 7 1"o c aid b"from sell late ends. - a . P !/ ~, hlmpsono LGGS 2.5-3.5 Pas+cap(ryp.l i -r�.+ I11 J I v I a-- a K V pl t to c + uous U O w - ,., 2"Pou do ncrete dust cap p u dcon +c foa+mq w/%•9 qU -� w/Fibermeshm and!o m I.poly � V � Gan hiri—,hor non I-A rebar Undisturbed ar compacted fill Undisturbed or compacted fill 1 8"x 9'O'Poured concrete foundation / - _ se}on a con}nuoUs - f"o i"w/a 2 z 4 keyway. u o \ \h \ H\ %-•9'Gontin000s harizan+alrebar � - � •- - \ E a q �? DANIEL O� CROTEAU ( DRAWING TYPE: U CIVIL N -t3uildlnq UJebi'�on"G'• No. 48253 � �GI's Erb\�� SHEET NUMBER: `rS/ONAL E� c=%% � A 4 O 2 7t € �ousw f1 ols; "3a per' mo ��8oman° i u° tu a K Z . K Wd a=gWoo O _1 } .J hlmpsonm R-�connectors� 1!o"o.c. ^� R-ubber membrane roofing 1�- 1/2 GO p oad she A+M� q YP Proper vcnrs e 1 h H z S h + I el w V'., „ ,;... ,� y;}• (� 1._._______.__, impson urr�cwne iese 2 zB Geilinq Jo;s+s e 1!o" �\.` .�. '- :.. `� ..."•" � � V' x y n rr .1 ,• X 1 Z"H.rJ.Insula+ion %a' a 1 Foy sl1 eA o ,'r> r!o wu "5 t�' . =^_':._ Rlum;num qurrcrs rn drywalls �° N C 1 x PVG+rim boards Gan t;nuous soffit Vent(typ.) ". 1 2 e,a 1 l,'o.c 9/2 zB Neadesrs(typ) 2 xB Ge�lmq jots+s e 1!o"a c Whits cedar shingles a S"t.w.(+yp.l Q - —Tr,ekTM hcusawrap<typ.l to (— rated"full-height"sh��thlnq(+yp.l O ,\ W IcITGN�N FAFIILY I'-oon 9 Z r x�o Wall stud e 1!o"a.c.ftyp.l _ `3s - ai I/2'•H.f7.Instil,+ion �2 1 (+ypJ v Z o0 � c B N�.Insula+ion %O 9/4"APA rated T.0 G.suk fl,,r — ,�I N Q l W z w� Exis+in Fra (��/ / Naw 2 z I O Jois- is e I!a•'o.L. C v _ z c U ✓.��.,, mudsill �11 � Z VersL,mm girt 2 °4 Gon t�nUous hot zon+al rebar $7 ,� �J K U 3 n oiimpsonm LGGS 2 S-%.S Post cap(t yp.l z 1 O"Anchor a m 7 1'•o c and B"from sill plate ends. a'-- � Z � J m column Q c plate se+an con+muaus90"xl 2'• Z"Poured concrete dus+cap '.s. poured concretes feat nq w/%•4 w/Faber shm and e,mil:poly - - continuous rab,re>:B"o.c. vapor bamar O U o v CL- o 2-°4 Gont�nuous hor�_ontat rebar ° Undisturbed or compac+ad fill S Undisturbed or found,+ion comp,c+ed fill B'x 9'-O"Poured��ner�+e sat on a cont;nuous 1 Co'•x l 2"Gan Gre+e foo+;nq w/ N V 2-°4 Gon6nuous horizontal rebar Y v =Z v p p-s o 4 6-4;,, ous honzon+,I rebar v a i" Lu a OF MgSS, p� DANIEL �G DRAWING TYPE: $s CROTEA 4 'b" CIVIL c" No."46253 4`G/STE SHEET NUMBER: ASS/ONAL C n,Lc er4 2 nLA a v n" o4BEo� a } S m of°°faux°8 0 2 c - ot� W ZLU ME3 ®u� ° � W u I — u u —M- L A- r } --------- - ---------1 _ tS ' 17 WEST ELEVATION � `\ N = Z O V O I W ~ v N - i (J Q N ,11) -1 K m 0 3 v i �nJ 3 0 m• E R N Z O V __ U w J m -------------------------------------- O O a J ° rl LLI II Il7�I 111"1 S I d Ij 1:1 rF a 1�=1- 'J-rL J �n \ NO u?f mO I:I II I I Yy-J- yid` t o a �onom W .a d> N vF -H ELEVATION v DRAWING TYPE: Wezr amd Narrh Ele�,.r�ons SHEET NUMBER: OLn oag°�m�m o` • �� 3a �o�mm��3 z _ "ate° uj c�`is = w Q Z`o Esm n a��n i Q Pfi a - w ' c '- _ FIT 1111 FT i II _ IIIHI MIN I ��RVNIPHI I I �I I•I I'I I"I I I I I..I I I I I I I V r.__r________________________1 r----------------------- L-------__--------_____- ---------------- �_.. w F- i _______________________�___ 1 ____________________________ G, eAl�,T eLEVi.TION 0 O OL u,lw a O z am fJ ZIn Y :IJrrl _J 67 fl) Q i m o f ____________________ Q a K p O W J m w ____________ O qu 11.]1f . LU p J LL p a a TI IT F — I ' I U 11 11 9� 3"6 I.I I I .I I•I _- � f I - e o m LL=3_______ ________________________________________________-________________ mn I ___________________�ti E } Jf. -_________ �n K d`NcLJ ��1�ouTN e�eVATIoN DRAWING TYPE: East and�ioath EIe�a Y�ans SHEET NUMBER: ,-�• • _. �,� R -7 I 1'-0 7 Ali..�-d h- ........... -4 1. uj 7- :z uj v NIT ro-.4 4�i�pl 6p��&,I 16; --------------- ------- ------------ - -------------- ---------- t�7 P- 'h.11-,ly lK U-d-Irlt. I Ali-A,m6luim�fl- b�ll Le F:=tm-U,r.6,.,. ,-ur-pr-r-tw- AVpA 4L -d-d, I-It- fl-.-til- . . 1) b�it t� �.A m-t-� f^WPA -fl-d,-d f,r fi... ..t.rwr-.I(,-1-.11 -p(typ-) v �WA jp M -------------------- ......................... LU ................ ...... ........... ----------- ------------ s, I A-t -tm'-I I o2' ------ L------------ ----------------- ----- -- ---------------- - ---- --- ----------- ............... ................ .................................................... .......... .............. 4- ............. ................ -- - i -------- ---- -------- ----------------- ------- --------- T -- -------- 7.1 7- 7-1 7- 1 7-- t < 7- u t'N' 0. tu �-t.Ud m_,,j ......1-r, IL e�, 4 -J. ------ ----- --------------------- r ----------------- ....... ---------------------- --- ------------------------ 1.1 P-4 NI h ��-��l ,p, 7 1 al-.4i ----------------- ------ ----- ------------------------- ----------- ^-b-L-It,-/ Fll,+.-h- �lu-d--teju-fti" A A IT r-6- 1.1" -I 61�6'lu-I"'.. ti- f 1-trulfi- Fe9L)W-7ATION PL-AN OF A�4 2 c A44o+i-A�pllt F-ti,(LIW)- f.2 2 % j > DJ�MIEL rill,Ar-x. CROTEAU m-tAf.d- 00�,Ft. lu CIVIL 4 t- f fi-�-t�-t,U.-ilbm f fil- ORAMING T'rf'E:,, NO.�48253 T1E v-Ire- aAtt; 10 AL 5HEETNUMSER: 7 '14' t All 11l-U--+,4 ------------- ti-'f'l-t...t- t I /'�" 4, `/�� R{ r ZZ'-1 %/4" 1%'-10%/9• 19'-%S/B' 1'-!o'�/B" 1;.iD uFnOr 6'y�YII GJ� I„e�. DL � NOTG:All exposed h..rwwr¢#o be rsted �-I 9/n n�u u o a n or ure - r Q� <<S5d fig` fly F for¢xrari expos and P.r.cont.cY t'll t" �r"'-{'} f" S W �6 v��'• �� uj l0"P 9=o•hono+wem/eigfoormso _ L—m �oo$o��VE�a R NOTC: poured canue#e column Faotinq w/9-•9 ®� j - i+ 9 7 0 $r n @o `o$ Z plwcement of fao#inga de#ermined Y¢rYia.l rebwr I.¢i"m n-%•mwx embedment \\_ \ 7 d U a .�o„Y ' .t time of construction. wnd�iimpsonm Gpvtal Golumn bwse. � � 0 � a � j o�n Z _ u d W L ei/B'x 1 O"Anchor bolts w/ %'x%"x 1/9"Plwre washers to"xG"x I O.OM.Potke+ "x/o"x.1 O•� �I"o.c,wnd B"from sHl plate ender. __-M_---I- to"x ta•x 1 0"hM.Pock¢+ _____________ --- -- __ J _______n •_ ___-_. I -uild up sill 2•+o callow �` far exia+inq ZxB.IoisYs i s i l = i l l i s r--'-------------- B"x l to"foundwrian�enr I I _ I 0 l 4 1 ",/r•a..r.,�.r.w.ndo ma.roy I I I I I _ I column w/to•xto•x%/B"be;xr,nq I I i t I I +.par i.rr:w I I :%'-9 I plate sit on con#inUaus%O•xl 2" \I ! 1 0 1 I } j •, I I I � I I � ` I poured concrete fao#mq w/%'•9 I ` I I I?, I I ' I l i y l I P : I continuous rebar6!B"o G I ! ? I S I I S I i I I ` I I } I I � � I I - I I � I 1 �%2 2.I B Flood-tea stwnY mwter'ula p�uAd nq m.terisls used blow the el e.rwt,on I i t 1 1 I I I - 1 I required m F�9 2 2 2(Flood li--1 w % 1/2":y h#eel/Goner¢+¢ mclud'nq A Lon¢a7 or %2 2.9 I 1 - I I I Column w/to"xts•x%/B"bewrm9 high-hwcwrd wrewa inUudmq V Lonesl aM.11 Comply . I I O I � ; I—plate set on continuous%O"x 1 2• 1 - 1 I = � I I I - I - I poured concrete footing w/%•9 1 I I O I 1 with+he fdlowinq: c I c I 1 1.All wood,mtluditf,fl�+row ed n accord.nce c Vt v I- I f ; 1 ontinuoua rebwre'B"o.t. 1 1 1 1 ' I I S I I presure-preser�a q 9•ah.11 be I penes.pro preserves Q 2"Poured Concrete duct tsp 1 :"} � � �'` a-' we'd¢And use or be the dotes d tan+hewrtwoede - 0 � S - I I YTesis S y- c I I 1 � i I I I I � I w/Ftbermeshm and G mil.poly I I I I I 1 I of redwood,blwtk locust nr fedora.Preserv.Yi�es �1\ X t 1 \ l i l l I v.par barrier I I I p I shwll 1-listed in—Rion 9 of AWPA U 1. W -n 2.Mareriwls and mat Al.+ion methods used for flooring I r. I O :� psonm Post c.p(rYP.I I.: I I I 1 e O I wnd interior.n 1 exterior-Al-wnd wwll shwll V- I him LGG 9.S 9 I - I 1 I ' ` ` ( 1 I conform to+he of FtatyA/Frp-Tp-2 N • � I I f I I I I I 1 5impsono LGG4 9-9 P YP T\ i Post ca (r 1 � praY,a�ons ni/B"x 1 O"Anchor bol#a w/ '� I •r--I— � I - I � I I � 1 I _ � I I N��I 'r �1"o.e.and B'from gill pl.re ender. �',,?• I � - I i � I I I _ I I I I I � 9 - t5uild up for existing 2xB Joists I .I` _ I �.. L .-J ______J _ �_ _,n I �•x10"bM.Pocket V O ---1 I.n.. ................. .. ......... _....... ........................�............:..�.e .. 1 - _.. a-- - Lu —._._ ` Om•x to"x I O" -nII 1I I..i......i........:..........................�....�.............:.....a....................... ..... e.....................................e I .......B....-..O... 99 9' / 7 SB 7-1 7/B"..................- ..%.../..B...."........... 1 1I O 0 . PM.P .......................... 1 - I 1 P 'r 0 2"Poured Concrete dust f.p % I/2"O�iteel/Gonere#e I @ f a. 1 w/Fiberm¢sho and to mil.pclY tclumn w/to"xto'x%/B"bewrmq 1 S x I I - vapor barrier - plate set�an cant nuous%O"x 1 2" 1 I n % 9 ' � I I hlmps LGGts %.S Pas+csp(typ) p t u b e B c I .I• � � I I s re .r o to"zts"x10"ISM.Pocket L _____ - ---- _ is xto 10 rM Pocket �l ....... ..................... . ..... ................. ......... I.............. .--.............................. ..... .................. ..... x - nq w 1 ................ -i .. ... ............................ ... .. .. ___...... .. ..... .. ...........- .. ....._.. __ ....... I � Q ti u� _ __ _- _ _____ _ _ __ Z � W I l � m - I' I I I � � •Cn � K N„U 3 a S. 9 V Zer Q U� G I m Z T.o.h.ele�arion °m N U O W m a T NAVO - W a a'-5 7/B^ �- v- hm„rte vNr' 9 0-•1 5 5 i+o p O 'll ' 2'Poured fontr e+e dust fop a� Q_ x 6 b w/F'bermeshe and to m I poly 'Installed In wood wffess doors c m m I I � o hart er I � O L____-- - ro"xto"xlo" ocet ........... _ ___________________A r�M.P _ ___ ________ I NAVO qI BwSe v 'I � _ ......................................... .... .. ...... f ______________________._________ _____ 10"Anchor belts w/ �i,npsons LGGto-%.5 Past tap(r yp.l hlOTe:All exposed harw.re#e be rwred %"x%"x I/9"Plate washers0- A(( ' I I I I For ext¢r'ier¢xposure.nd P�T�tentsfr �I"e.c.and B"from a'JI plate ends. � v o a� _ I I I \T.O P Clete.+ton v a c.ai an d d C- ------ NAVO eI _1%.0' c ••W m c N [ M\ S/B`x 10"pnchrr bolts w/ ----------------- 12"mx 9=O`honotWeo/Pjigfooto29 %"x%"x I/9"Plate washers o = \ 7 I"o.c..nd B"from sill plate ends. pe tired confrere column fao+inq w/9-•9 < o JO.t 3 p •- - NOTC: ter+lesl roI', I.5"min-%"max embedment c y ' Plac¢men#of footings de+ermined and�iimpaono GP�'tnts Gelumn base. n a w� N 0 <•d at Mime of cansrruttion. ~"u-'s n o IL p �p�FouNos TIoN PLAN �@�='o'2 m r E` Q+ a' m'c� Q cn + a S OKE DET TORS REVIEWED o a AeJ;6 nAspeftR atir(L/W). 1.22 Vua oNn E y f+ S 4'" FLOOf�PLAIN FOUNDATION: - z`/�_iS'— CARBON MONOXIDE ALARMS _ ��,�H�FMgs 9�0 oaa�aaem¢n+ loot Ar¢a, u. o MUST BE INSTALLED PER sq 2 0o h9.F#per�mwrtVe^+o q� BARNSTABLE BUILDING DEPT. DATE MASSACHUSETTS BUILDING CODE �Q O�� DANiEL cti� pja+toncffloedloe�+sa�Mbewthm frawlap.ee Floor. DRAWING TYPE: CROTEAU '' <° -..11d TM1s plan with FaUnda�l'lon Plan p0 CAVIL �#a the Interns#ional R-ebidan#ial Geda 2 009 Cdi+ion snd+he Maas.chuse++s>BO GMT FIRE DEPARTMENT DATE ,o No. 462tJ3 z 1.00 Brh Cdlrion. + 9 o JfO 'p� �� Q" e,II co 1._>Flncd-don:., - mat¢{a1...Fiocd-damaq¢_ SHEET NUMBER: BOTHISIGNATURESARE REQUIRED FOR PERMITING �' .."'`>"` ¢siaran+m.+erials ahsll b:.Us¢d vele..�+}e design flood..:lev s+.on. 5•-r 1/9" 2%'-q 5/e.' 2%.-a" FSS, �aG N�re: � � Q ONAL. All Mesuremen+s/Dimenaians are to - 5 1'-1 O=i/B" �� be site verified by General Gontrsf+or err time of tonarrucrion 7 . _ • nL� `a�oF@yA$o ci lu tu e� ageE��= ony W v = a�o� mod w - Q o Wa a q�oogo z p of o $ a w Use Prescripriee r-esidnnriwl Wamd P.ck.Gmnatructimn Guide PGAra-09 bwacd nn th.100 9 IntcrnwYlmnwl F—W.'A iW Gad.,re build deck. NOTC:All.zpma.d bwrwwrc to be rwt.d - For.xtuiar axpasUrc and P.T.contact 'P.T-2 z 1 R h+ringers tm grwd. hlmpaanm Llywzm LUh Z!o e 1 ro"a.c. Ja eck. iata 11 u } P.T.2 zB Peck Jmiata¢ I G"m0 F.T.2 xB p S ------------��------------ -- ---------- ------ I .. ___ _____ _ __ __ mp--2t"—m LUh 2lo¢ IG"a.c. I O hlmpsonm LUh 2 B¢1 rx."m.c. New 2 x 1 0 Jmists sistered+a I '4t I I 1 !— � —=-- xla+lnq R z!o Jmists.�eplwce wll - S .11 1 holid blmdkinq a n.w girt ; a band Joists w/2 x 1 O - New%- I %/9'z 9 1/2"VcrsLwmm girt � •V\` V' v I I 91 I ® W 1 E'I I I I _ himpsanm LUh 2 B¢ 1!n"o. .p N.w R z 1 O Joists aisYered+m '� - ' - is Yang 1 z!o Joist-..�eplwce wll—_ 1 New%- 1 %/n z 9 1/2'VersLwmm g;rt —�i z band Joists w/ - CL J 3 1 I I hlmpsonm LUh2B-% Z I —himpsanm HNUh�i.90/10 --------- r € �rgimpsono HHUh9.�i0/10 _ ! I himpann HNU�J�i.N'O/10 .; „ •� New%.�LI %/9 x9 1/2 Y.raLwmm qrt n c I I I I I r ^ Z o m C I P W F J N Q • I existing 2 x 1 O Joists @ 1!a"o.a.- Cxis flog 2 x 1 O Jmists¢1!z,"m.c. I � (}r�� WO }K �� I Q p 1 i I 41, I m I N J Y W � o r i p„rah to mwrah L. � O - ^� �m a ix sting 2 1 i J fists¢ 1!o'oa. I I 1 3 P v a I Czistinq loxB Girt+o r j rmimps�nm LI-lwzm LUh 21 @ I II !I II it Im -pimps mLI-(wxm LUh 2lo @ 1!o"a - _ -'Ea 6 r e+ NOTC:All expas.d hwrwwre to Ise rested J� d 0 for ex ter'or ex d P.T.amntwet F O � d W-aL v p�aure w S u a �k o DRAWING TYPE: n �FI�hT FLOOD F�pl-(E F- Firsk Flaor Frame Plan d SHEET NUMBER: r ] O" 00 $$ W LU b 0C IU 3° so 3m < ams J a w e o ' s'h y o v \ 1 I New P.r.Peck w/rfe%m F—ihnq/v¢akinq --- -- - I I: I� + fJ feat-uen+gasfr¢plea I I I Andefsenm 111 I r.a I,-I Ile" e,-I%(1 I a j New beam flush ff..med <1 f N i i MAhre�r�ev�o' .�inrm�e I nq•bm�e ..._.� � u i i !' i .x C And¢fsenm rW 29910-2(9"MNu I �I '" V 'I, °I I 9'-B]/B" ; c I I FAMILY�OOM I N =1 >I I I 1 ?1 i ...�. __ Q --II W la xaiu �'e Ander.enm FWGroOGO � O - ICITGHEN p v O'xv'_g•• a C J I nm. n n d I � \ JID 0. Ix • I � 'mta c l nq wbm�e :� •--- ,�I N Q r III - I m •f�, � W N o 3� m J r V I �KO •2 - I # Q Q II O q Andcrsenm rW 2 9 9l0-2(9"Mull) V _ New per'enm Flush fr..med r m I I I U m II <---Into c <o x U O c nlm�i 01 uj 1 � I ... � UTnLIrIEri I 1 A / And¢rsanm rW 2 9 9!o-'m(9"ryull) 1 5 b LINEN Ile" io - F EO I \\ I. c mvicuyw P- c c 6 S I vp�om3 o d- J• n F veakinq FIR-hr FLOOR-PLAN -" z New F.T. fch w/rfexm f=ai11nq/ ¢- o a O c 0 Q m u Addl+ion Aspec+mow+im(L/W)- 1.2 2 Wood ` 4u1de PGA/o-O J J d W of ______________________ ---- - -- - ----- --- ----- This pl..n was d¢-,igned In,.ccordnnce with ,. on+he 2009�n+ernx.+'ionnl G rh¢Intefnnl-ionnl R-esidenrinl Gade 2 009 P.eaid¢n+i.I God¢,+o build d¢ck.1 r m Ed1+1nn and the Mass..ahus¢Y+s]BO GM(- s 5 I.00 B+h edi+imn. Nor¢: DRAWING TYPE: c All M¢suremen+s/vimensionz.re tm Window pretectian to Gmnfmfm with be sit¢oeNFled by gcnef..l Gon+fnc+mf Firs}f9—Plan Vv ��O I.2.I.2 Prot¢a+ion of op¢nings. at time rf annstNatinn P . 3 Exi>+in 114 f�exEt¢for%used hnfw�P.T. V-- q w. pmsufe t- SHEET NUMBER: 9 - y �5 �immk¢�¢tec+mr c A200 ---------------------- 7v o d Y ku `.aoo oe�6o$ ku b`3noo�"ginul Z' D z J 1 raimp.on N 2.�i hurricwne 4-4,e 1 r_________,r______ ____,r I-- I- ______ __________-�I II 11 11 II: ell ¢ II II II II II II IL It =.Id Line of 2 x!e sleeper n++ached+e :�..I -I.I 3 I I r I: _ rminpsonm hOh strews _I�I i I 3 I i , I I I I I €I I �_Line aF 2 eeper e++ached+o .. II 'II II II. ex s+'nq fremmq w/% 1/2"x 1/9" O _I _ h:m r/�i strews AJhm 2 1 .E ____1r _______,r !it O V -TI � I I I. i ell ; - } I. I Z C II J - I I �! ��himpso ��t tors C+ 1 G o ',�L ne aF 2 x/o sleeper"++ethed+a % # J Q I II I`--LL - 5 yI_l I j �i:mpsonm�iOra screw Q O - E is+'nq Framing - - - I 1 u O W V n< 1 c I I -- - -- - - 2 xB refers sis+ered Ym a isY'�nq 2xlo r"f+ers @ I G'o.t. I O r ' � �� I I{ III ®♦ � I . �, 1. If N v I2 II 1D v ov \ P' A21-%(9"h7u111 poOo�3p (L c Andcrsenm f Cxis Yinq Frnmi I I'! 2-1 I � J rnf+c e I G j O � 3 W d v a o �G�.�OOF F�AI"IE PLAN E DRAWING TYPE: roof Fr—m,,Plan SHEET NUMBER: A20 'I 7� oa=o�3ps4�a Fubber membrane roofing d 2 a o a P` k w (0 Continuous ridge ent `•' W Proper vent:® 1 v"ro.L. m �o ° a K yi on H 2.S hurricane ties z ` o`J a t^ E W mp. z z IGYNENEe closed-Loll ` fi a W msula#ion R-7/in. ',; Anderce"a A21.9<9"Ylulll r.o. 79/4"x 2'-0 S/B" —ZxlP'se 1CP"P.c. 2-O" 1 2"H.O.InsUla+ion• 9 B oiimpcanm��Lonnectors.e 1 fo"o.c. 9-2 xB's header r �`MAP g,.,. €y _ himpsanm LUoJ Z B e 1!.P"o.L. �- n3 oifmpson N 2.S hurrcane+ies e 1!o"o L. •f�" } uvING moor-I � t�uiL�INc,�EGTIoN,.E., I � } Gon Nnuays ridge men+ ,� S Arch.#eerurPl asphal+shingles(+yp) -:- �- � ^l N � 1 S•Fel#paper(+yp.) { - 1/2"GO%plywood (#yp.l 2 xB rwf+ers e I!o"a.L. ro I z ,; NPiI ng schedule of I O-I!ad Proper vents® 1 G"o 'x nails a rafter/ceiling joists connection(Yyp.l. I %♦tu O c 1 2 HO I ul + .F- 1 � � ,., u.'g ye,l. ,jet' E ,.$ f�'_ Existing Framing Q Y l rormpson H 2 s hurricane ties e 1 1 7 1 /B LVL 2Pj�8'�Ge.[nq Ss+ +°�'"e l.CP, oa Aluminum vt#ers+a dr Its :�i'.�. I � q Ywe _ __GYNENEm dozed call .. � z 0 0 nsulation P-7 A, r'Jimps'ono Wei 2 B e 1 4 Ix �9'2x10's mp _PJG#rim boards — � 1 u,l p z 01 m himPsanm f-"-&Post caps / r'•" IV p m K f lV W 3 67 MCP J K 3 n �'� J p�Eo�oarl•4 � � NJ o< Existing Framnq # v J V v N m tu ^� na O a "f"F 8 �:i Co o L % I /9 4"x 9 1/2"VersLame q r# B"H rJ InsUla+ion �9O � ,f liimpsonm LGGS Z S-9.S Pos+cap(Yyp 1 ` v o' 9 I/2'm/a+eel/Gan r t o -ua` n P.T.�axlP posts- — �.. O column w/!o"x!n'x 9/a•'be g y o a o E�p 0 - � #e se#an Lantinu J 90"x Ir2" v. _la a s a � oared concrete foo+ln w/9 •4 - Y ( continuous.rebore>:B" c o�o�5 '6 q c a E !.o-�imar+JENTm°I S 4 0-S 7 0 2"Poured Loncre+e dus+cap a. wall /Fber hm and to I.€ I swo m Q� y o ._ I +celled f undo#I b PoY s e N T t P r a n GP-AOC «..e..,.., ov v,'wsn _ a} nW Ov Lu > j' 1 2"m x 4= L- poured concrete column foo#ng w/4 >4 vert'cal rebar 1 S"m n-9'�nax—t—h-4 OF Undisturbed or compacted fill Und7s+urbed or L Pas+ed fill �N M'4S and h mpsonm GP�'!.olo Column bat j, S,qC DANIEL SG DRAWING TYPE:y Or s� (2:>uildiny GJeL+ion..a., u _. Ww P• • �bs` CROTEAU CIVIL "',: No. ,4625'3 SHEET NUMBER: 0. GUSTS TONAL � ;°l �u o?ogE��Woo rt } Sm may v$n 2no ooe�b,2yz-on' ul :z a Z 0 s a an W i .J } S - Gon+lnuous ridge men+ - � J _ .Y I New2x4 Geller tfete 1!o"oa h Ez�s+ing Framing t Ex�stmq Framing 1L 1 1 7/15"AJ,�,m2 S joists is I lo" - •4Y Nailing sehedule of 1 O-.1!od- s 1 2"N-O.Insulation R. a - nails a rafker/6eiliny joisl's 6onne6}ion(4-yPJ. - - X .LL - "UJ p an H 2.S hurricane 6—;e 1!o"o c. •� ' �V him s I V N - FAryILY R-OOry -' tyAeiTE�P CrJR-OOYI 6` GLO�iET �.. J _ - - IGYNENEm closed-cell r `. /4"APAra+edT-.44.subflaor - aT Z oo 11imp I Lh TA 2 4 straps e-.%2"o.c. c lJ I Z Z PT 2xln mud Its - fJ _ roimp—w 1-01i 2 6 e 1 lnsula+ion-F�'i O 2 •4 Gon+ uaus For non+al rebar ^' n " I ;i ,ry Anchor bolts �ilmpsono LGGS 2 S-%.S Post cap(+yp.) - ?�. # 75 -1 _ 1/a'Pla+e was hers - - a �i+ c U nU - 1/2"m I/G to 7! and 8"from en-II plate ds 4- Z w vm column'w/!.o' plate se+on can Ynuous9O"z1 2" u r ^` poured concre7'e coot nuous rebore=6"o.c. GF-ApE 2"Poured concrete dus+cap a- m o and!o mil.poly ..rApor barr..er G. _ d ,. a 2 on u u-hor + I.rebar .�..,.y.... 2...,a,z �- •. _ Ir b x 9-0"Poured eo.;crete founder}ion • - . I •' - +on a con YinuoUs 1!.o"x i 2"concrete j o u . f ot'nq w/a 2.4 key ay Undis+-1-1 or compac+.J fill Undisturbed or compacted fill uv •u-v= nn\0 •I _ Z-^4 Gon+lnuous harnon+alrebar _ Y ?i v o 0- \.F - - ;; %-•4 Gon+inuau4 horinontal rebar n y_ a d m s @ U1 0 I a.° eIL ° Z a R°a r O a `ova N + a . tN iz QFASS+7 W a d a o d d W S J DANIELP. CROTEAU a DRAWING TYPE: V CIVIL v' I�ulldlny he6+ion..�., No. 46253 �po�FGISTE �� SHEET NUMBER: �ssioNAL�a �o WS�oVq `uo m Sm oo`000 .Joo Q W Z W Q 7 0 � nh�-_Wo� Z "1. } - S - I � Gan}inuous ridge vent I � > New 2 x!R Gollar ties e 1 lR"o.c. Exist;nq Fram;ng - 1 yy nails a rafter/ceiling JR sts conncc},Rn(typ.L 1 2 NA Insulaho 9 6 n t1 111 x IGYNENEm cloud cell ', .. - .........- .... .... .. -................... / 2"r7rywoll `\ 2 x 4 h+ud knee-wall e I - J z < � O o I O U _ IGYNENEm dosed-cell s PA11ILY P-00ry I O msUlat;Rn F-71n. _ pEp�00ry•4 Q � E%Is+ingFroming - _ 11 I himpsonm LOr 2 8 e I!o"o.e. 9/4"APA rated T F G.subflRor Z � o p impsone L ITA 2 4 straps e 9 2"o.c. 1 N Q i� it' , New 2%1 Rk- v 1 oG I Z vN PT.2 x!R mudsills H P.Insula+ion q O m a' s _ IJ O"Awhor bol}s w/ , 2 °4 Gon tlnUous hor zon}al rebar 'c I fJ W m 3 n 9- I /94"x9 1/Z"VersLamm t ,nU 3 Pla+e washers U) J a' - 7 1" ad b"fm s II ake eds /✓,/r.,: 9 1/2"m h+eel/GRnere+e impsan 25PIR }caPtyP�) a< # Q _ column w/!o"xlo"x9/6"beannq v Q V o� ®'. 2"Poured LonGre}e dust ea — Plate se}Rn con tenuous 9 O"x I 2" U < O W J m �+ P poured concrete foot nq w/9 •4 � f m �•°'_ w/Fibermeshm and lR mil.poly c c d)�e ont;nuous rebore�8"a. '—] ,,_�•' Vapor barrier �. w — 2-•4 Continuous hon zontA rebar — �- �` v r d 6"x 9'-O"Poured canoete founder}ion #° Undisturbed or compac}ed fill Undisturbed a�co.r,pac}ed fill I set Rn a con}nuou� 1 G"x I 2"co Crete - _ footing w/a 2 x 4 keywar- 0 3 F\ V_ 2--A GRn+-Ru,hor zon+al rebar , G I�U�LI7iNG hEGTioN"G" � vt OF To } 6 p� DAM L Gov ul a t w 6& 'a Ug CROTEA v d w CIVIL ft.4W53 DRAWING TYPE: IQ(f� i�ulld'Iny hea+ion"G" SHEET NUMBER: A 4 0 2 17 c oo ..uYA 6 �@ dx�aanm y z c g' UJI aC w z R u a =am° moon Z o a - z f ° J J } ul S oi'mpsonm R41 connec+ors e 1!o"ma. ' dubber membrane roofing � � - 1 2 1/2 G y s h q (+ypJ } Prop—.rents e 1 fa"o.c. X 1/2"F'berboard '� r�x pl wood henY in � 2.45 Geihnq \ fl g $ •� Aluminum gutters to dry-ells N 1 2"H.O. a� � ,.� wa d '... ., t •:�,� ':' . ::" 1 x_PVG+rim boards � �- h pson LU11 2,5 e 1!a'o c Gontmuaus�offiY.rent(+yp.) N 2 1 9/9'x 1 1 -!/B"LVL's 9/2zB Handers Z xB Gedmg joists e 1!o"a L Je O Whte cedar sh ogles a^o"t.w.(typ.l Tr k-hovsewrap(typ.) W F- 1/2"APA rated"full-heighY'sheathinq(Yyp.) O V ' � Q I�ITGHEN FAry1LY�OOry ( 2 Wall s+Ud e 1!o"o.c.(+yp.) H S 1/2"HD.Insula+ion 2 1 (+yp.) m UP B HO.Insuln+ion �o0 D/4"APA rayed T.<G.subfloor rtl uJIt 1 (�(�(� Ezis+inq Framing 1JVVU 1 J New Z x I O.IaisYs e 1!o"o.c. JW �Vl P.T. 2 x&mud<ill _1 z Ir�',. %- 1 /%4"x9 1/2"V—sLnmm girt 2 °4 Gontmuous hor zonYwl mbar '(� K NJ 30 ralm LGGS 2�i-9.S Pos+cn (+ I ,' Anchor bolYt w/ r�� 15 Q I m o a P YP� � �. /2"m h+eel/Gonerete - -� 7 1"a c and B"From s II plate ands. +— z K v� _ I column w/�o"x�o"x%/B"bearing U p m plate seY on coot nuous3 O"x 1 2" 2"Poured concre Ye dust cap to f d poured concrete footing w/•i=4 w/F harm—hm and e,mil.poly Q W O U �� onY' u u eba a sB c p b rr,er v L V Q .p K o �m �P'; 2-•4 Gon+,nuov4 Hannon VA rebar d Undisturbed ar compne+ed fill G - B"x)'-O"Poured concrete founds+ion Undisturbed ar compnc+ed fill ;,, se+on a con tinuaus I!o"x I 2"eonlre+e foo+inq w/n 2.4 keyway. oo� vov � p I�UIL t71Nl��EGTIoN"I�" 2-°4 Gootinuaus horizon+nl rebnr x - 0 T� =err 7-•4 Continuous horizon+al rebar �o�°a 3`o a�_ t I Gale: L/2n = I '-O•• :.� 000OS �o �d 1�" S OF blgS V ¢ ` E N t t p� DANIEL CyG d m i o o CROTEAU U CIVIL N DRAWING TYPE: No. 46253 p�u'ilding h¢ction"fJ" -o �G�FFG1STE�� SS�ONAL E? SHEET NUMBER: • A40 � ` - 7u o couJQ is ca z w 7. i a - — o 0 71®� ©®® o Y J m -FM EM 7 MM S h L t==S t--S t —� — - N -- — — - 1 I ---------'-------------��WEhT ELEVATION V � � - WH` 11Z ' Q U lL J "1 0 sK 2. 30 i I I v Q - I v < O W O V m m m —, a �� —_— _ _7_�' r I_I-_I__ Llr_-,-I_irn��- � °o a Lul El LlIJ_J I I LI �. 4 IJ_I II I II-I 4 I I I 1�f 1�._I ❑ Z-L_ E� I' I voa \ v m n H\ \ m Oa L__z) o c i i Jt 01 > E c s P W a o �J.��o�µOATH ELEVATION o K It W 4 DRAWING TYPE: Wes}and Now}h Elea}Ions SHEET NUMBER: A500 4 >i } Sm �3 A S m �m `�t2� �== W 6`3a n'6�i.,. IU 6 J a W Ef I � -ar Al I � S -- — _ ---------------------___1�____L__________--------TI--------------------------------------�� W ---------------------------- d --------------------------------------------------------------- _©, o EAh- ELEVATIONKF Q Q L v o I — -------- .. _ Q v � o F oa m o I r_I__I_i..i.l. f r Ill. -,--- 1 ` Yd \ S \ a.3 0 I I I _ z e f d Eo e t -� - 13 '--------------------------------------------------------- =m="¢ v.. -____ t3 hOUTN ELEVATION ' DRAWING TYPE: EAst and hou t♦t Elena tons SHEET NUMBER: A t SY z'TEM PROFILE LEGEND - -- _------- - TOP FNDN AT EL. 10.8 - - ---- - - - -- SEPTIC DESIGN: NOT ALLOWED ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) TEST HOLE LOGS (GARBAGE DISPOSER IS ) CRAIGVILLE BEACH ROAD 100.0 PROPOSED SPOT ELEVATION /9.5' ACCESS COVER (WATERTIGHT) TO AH OJALA, PE DESIGN FLOW: _4 BEDROOMS ( 110 GPD = 440 PD ENGINEER: C' MINIMUM .75' OF COVER OVER PRECAS � WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 100x0 EXISTING SPOT ELEVATION USE A 440 GPD DESIGN FLOW '` - 10.5' WITNESS: DAVip STANTON 11001 PROPOSED CONTOUR SEPTIC TANK: 440 GPD O = 880 g pg' m�"� RUN PIPE LEVEL 2" DOUBLE WASHED PEasroNE DATE_ 9/27/02 ►_ FOR FIRST 2' I PROPOSED L5Q(L PERC. RATE: _ / USE A 15-QL GALLON SEPTIC; TANK (EXIST) �, � 9.8' < 2 MIN INCH GALLON SEPTIC I � r 100 EXISTING CONTOUR LEACHING: 7.25 TANK H- 10 7.0 4� ITEC 1 N/A t ) GAS a �, CLASS SOILS P# 10336 9.38 0 SIDES: BAFFLE 9.67 :_� 9.5 FOREST BOTTOM: 28 x 22 (.74) - 455 ( 2 7. SLOPE) mg, 0.58' c a t__,_6" CRUSHED STONE OR MECHANICAL �� z TOTAL: 614 S.F. 455 COMPACTION. (15.221 (23) �I� � � OCEAN GPD DEPTH OF FLOW 4 MIN ELEV. LOCUS USE LEACH FIELD OF 3 ROWS OF 4 STANDARD TEE SIZES: t-1-% SLOPE ( ` % SLOPE) 4 3/4 TO 1 1/2 DOUBLE WASHED STONE p" 8.3' INFILTRATORS EACH, WITH 3.`3' AT SIDES, 3.25' INLET DEPTH _10" BETWEEN ROWS AND 1.5' AT ENDS - OUTLET DEPTH = ]4,> CROSS FILL 5.0' LOCATION MAP NTS FOUNDATION--- 40' ST 8' Pl:lfP 27' D' BOX LEACHING 21" CHAA� �;�3E 8 FACILITY A/B BOARD OF HEALTH LS ASSESSORS MAP 245 PARCEL 105 ,APPROVED DATE MA USE ADJ. WATER AT EL. 3.8' (COLOR 29" 10YR 2/1 5 3, YARD SETBACKS: CHANGE - TIDALLY INFLUENCED) B FRONT = 20' LS SIDE = 10' _ 36" 10YR 5/6 REAR = 10' PLAN REF. - ALARM AND CONTROL PANEL TO BE INSTALLED INSIDE C FLOOD ZONE: A10 EL. 11 BUILDING. ALARM TO BE ON � ! SEPARATE CIRCUIT FROM PUMP INVERT IN 6.9' 1000 GAL, H-10 S/ ��JJJ 2" PRESSURE PIPE TO D'BOX MS 700 GAL.+ SLOPE TO DRAIN BACK TO PC „ OBS WATER 2 8' ALARM ON FLOAT SWITCH RESERVE WEEP HOLE SETTINGSt PUMP ON CHECK VALVE 1OYR 6/6 4' WORKING RANGE e' ZOELLER 'WASTEMATE' " 4' SUBMERSIBLE MODEL M282 1/2 HP PUMP PUMP OFF 8' � SYSTEM (OR EQUAL) 10 8 1 , 6" CRUSHED STONE OR 70 00MPACTION ----- - PUMP CHAMBER (NOT TO SCALE) WATERPROOF NOTES: 5' REMOVAL OF UNSUITABLE SOIL REQUIRED AROUND PERIMETER OF LEACHING FACILITY, DOWN TO SUITABLE SOIL LAYER. REPLACE 1. DATUM IS NGVD WITH CLEAN MED. SAND. PAECEL 106 2. MUNICIPAL WATER IS EXISTING SEPTIC SYSTEM UNDER PROP VENT (FINAL 3. MINIMUM PIPE PITCH TO BE 1 8" CONSTRUCTION PLACEMENT BY CONTRACTOR / PER FOOT. WITH HOMEOWNER INPUT 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 EXISTING 5. PIPE JOINTS TO BE MADE WATERTIGHT. DWELLING 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. PARCEL 102 1Q73 �Dp +s74 �'856 ENVIRONMENTAL CODE TITLE V. + 90 FENc 4 ! 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE I _ 00.00' �0 1 USED FOR LOT LINE STAKING. BENCHMARK: 'USE TOP FOUNDATION I 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ERE AT .ELEYA, ESN' tQ8 � ,i � 9. (COMPONENTS N I D , ;R E _� __.-.. .. NOT TO BE BE�CKFIYLE.�; C�, CONCEALED WITHOU, W I w _ TNSRECLI N BY,a BOAS'? n cA� I , -�11.50 ' _. _ - - - 1 5 22.1 1� of FROM BC1AR '- OF' I"'IC:.AL-i H. I EXISTING O I �m - 10. CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE i DWELLING +9,op? I 1o.5 { LOCATIUN OF ALL UNDERGROUND & OVERHEAD UTILITIES PR 11 1 .34 `1-8„35 O 1 0 l 1� ( PROP. o i> D 1 TO COMMENCEMENT OF WORK. I GARAGE 1 mI , i Q i ttI K 1lz 100 I-8.13 ��fl X 1-4 C _41 a ' Tl TL E 5' SITE PLAN 3.88 AVENUE ( LOT AREA .... co � 1 10.01 18,000 SFt N OF k9.64 -lie---i 7,95 212 T(� +9.66 � -----�--o-------- 7,93 I 9 CONC.- PAD n � j 1 s � IN THE TOWN OF: ta7 �-9.61 I9.63 , -7797 1719 WEST HYANNISPORT I 1 PAVED j ' rn I CONC. 42 BORTOLOTTI CONSTRUCTION/VILLA 01 ; � AREA PAD POOL I � � EXISTING 11 1 � r x 1 i � PREPARED FOR: \ p DWELLING , 1 y - 9.2 O TF=10.8' a o f9,42 9.63 ; ; <'' 1 20 60 Feet CONC. I 1 1p� 20 0 40 1 INV OUT FLAGSTONE VrP f PAD _ - ELEV=8.09 PATIO 9,3$'�, Ng33----------- - --- ----- - >3 -- ----4 A6: 7.67 �.,, 1 FLAGSTONE WALK9.7 `7'66 SCALE: 1" = 20' DATE: OCTOBER 1, 2002 1-8 8 -1-E),44---- X X 0.00 ' I REV. 11/18/02 (GAR) 1 ESSPOOL??? 100.00 7.57. 1 3.20 1 -}-8.45 SHED � `` Of PAVED I 8.42 t7.61 0�� ARNE O��NEAD WiREs - DRIVE - _ FENCE H. V~ �•--� -� NU. 34 UTILITY �POLE i 7- O2- ' I ARNE H. OJALA, P.E., P.L.S. DA TE I� t6.33 PARCEL 104 j PARCEL 103 - _______ ------- - I,---_ -- -_ - _� -----�------- __--- -___ - ----- - , I -- __- __-_- ,- __________,_ - -_77�_-- � , -�,:____-______, � - ---- ,,,, , ,_ I :, -, I - -_� - - - ____ � , , ,7, - : ,,, �� lk I I I I� I . I--_ --- __- -___ � � �I I I: I 11 . `11 I I � I � �I ------ - -I " I I - ,;� , , ,1�l � I I 1.I ,�,,�',/ , 11 � I , - - , -, -___ ___:---I___: - �- - __ � &�� , . �� I I I� I 11; 11 , ,� I I . �_ I I I -�� - _ ,- --,___ - ____ ___- ., , .11, �: ., I . � e, , I e��,- ,� : . ;.�, , , I , . I --- 1 I- , �_� �_ .'' I , �1. I� I r :, s I 1. I 11 I - __ 1, _ ��. . ll� I I 1, , � "02 �, . -11 0 I I I _ --�-- __- � . I ��l 11 , I I ; , I �, , , � I __- . �,�, : � - � I � . I �I - � I ______ . " _�, : I ,, - . !�,:�,��,� I I � I I , . .. I I I , I I - . "'.1 :--- I, . I � I... I � I I � I I I I - - . I I - � ! 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ROCK RET. WALL \ To ey a ? EL 11.5't y FLOODZONE FOUNDATION DESIGN REQUIRED (BY I _D o � - OTHERS) Craig Ville Beach Rd. PROP. GRADE 0 4 BEDROOM TITLE 5 SEPTIC SYSTEM INSTALLED 2002 w i PROP. T.F. EL. 14 a EL 8't 325f C.Y. FILL ' (NO INCREASE IN BEDROOMS) EL. DRYWELLS PROPOSED FOR ROOF RUN-OFF EL 8.5'f 13t' ocus ros SECTION A-A Nantucket 1 „ = 10' Sound LOCUS MAP EXISTING SEPTIC SYSTEM TO REMAIN PAECEL 106 NOT TO SCALE (NO CHANGE IN NUMBER OF BEDROOMS) ASSESSORS MAP 245 PARCEL 105 LOCUS IS WITHIN FEMA FLOOD ZONE AE EL. 12 & 13 EXISTING AS OF 7/16/14 DWELLING PARCEL 102 9!33 P 7.34 7.16 VERTICAL DATUM: NAVD 88 FENCE ' 4 I X 50 i 100.00 j ' I x 7,29 I r�j73 I MI o' 10.10 ZONING SUMMARY ,m o Ic, �. m! EXISTING x 7 6� ;� �� ZONING DISTRICT: RB DISTRICT DWELLING O 10.94 Exr;T, GARAGE o+ i �� MIN. LOT SIZE 43,560 S.F. EXISTING �� ml MIN. LOT FRONTAGE 20 DWELLING � X 6 73 X' Iz � Z+� PROP. 3' HIGH ROCK TOP FNDN.=9.4' 100 MIN. LOT WIDTH 100' MIN. FRONT SETBACK 20' I .00' MIN. SIDE SETBACK 10' RETAINING WALL (RAZE) r��,48 I (DESIGN BY OTHERS) x 8,73 LOT ARE I 100. MIN. REAR SETBACK 10 1 18,000 SF ` sc--, 6S5 - ,POOL FENCE Y �._ _ -- --- _ - L _ v 8,24 x ----- _ --- 6.53 I REFERENCES PROP. GRADE EL. 0 9 CONC. PAD I , 8,21 11.5t I 8.23 6,39 ' ti AVED b. 1 DEED BOOK 15633 PAGE 295 , BENCHMARK: USE SPIKE AT 26 6' ' AREA I I PLAN BOOK 34 PAGE 23 ELEVATION 8.3' NAVD 88 A rn` I CONC. COV'D ; ' ' PROP. DWELLING WITHIN EXIST. o PAD POOL DECK 1 X ; x 6,43� m I FOOTPRINT. NEW FIRST FLOOR 1 PROP. ELEVATION MIN. 15.0' 7,8 m ACCESS n 8.2 pSTAIRS C• 18,02 EXISTING N. 8 ' ------- 6.27 ' 5,01 x FLAGSTONE PATIO 7,9�-''(� �--7•'�-3---------------------- I I ,30 x 2,81 1,99 FLAGST WAu< L c 8,3 (REMOVE) I � W v 18 x7 p X X '' PRSPt GRADE EL.i -0 100.00' 6,17 1.80 0 6.7 0 � 20.2' No � _ 2 x , T SHED O 5 .21 WI Eg PAVED w i,+ �0 7.02 OVERHEAD - DRIVE_--- -_ _ 100.00' 4 i UTILITY I 9 PROP. FLOODZONE—DESIGNED POLE I FOUNDATION (DESIGN BY OTHERS) ' FINAL GRADING SHALL CONFORM TO 93 FEMA FLOODZONE REGULATIONS PARCEL 104 PARCEL 103 "9. .�„•��N Or dAs i F SITE PLAN OF oFrJs'o� `' �� Uw° 212 SIXTH AVENUE �,�s IRv�!c/ �S gTE„/ �: WEST HYANNISPORT off 508-362-4541 r+ f PREPARED FOR fax 508-362-9880i�°L or ° downcape.com © o� Gr,t31cL ` 4cy� • � A. s -LA. .. CHARLES AND PHYLLIS VILLA down cape engineering iac. � w Div OJ.".LA i� ��! , N 4�ta,c0 � . ' v' ' civil engineers At �> �02 o �, 4�r AUGUST 11, 2014 land surveyors - Fss,� ��, y 939 Main Street ( R to 6A) YARMOUTHPORT MA 02675 Scale: 1 20' 02-303 DATE DANIEL A. OJALA, P.E., P.L.S. 0 10 20 30 40 50 FEET