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A ,,-, - ,,,'��t�",*..i'�,,,�awmattzmotcu�i.�":��l,il,,,,'�!�,�,����(2,��"!�il","��1.1��'�,'�IL'�,�"iI �PI-L'I'��ll"��'ll�,�.,"�.I.�,,��illI 111.���,.���,,�,,,',',""","",,!,,i�",���� ,"'i�,�; -1 11 , . j i[?-'m :�',��,.",;LL��;i,jwootttot4w0000v0000tool4ins,�illoNo�oo�o�A� ��,',,,i;��,,t�,7�,",?�'���.7',"k,,, Nliiil e,i ll��;;4�1-11 l � r� Town.of Barnstable *Permit#�' �7' U t� p� Regulatory Services rese 6 months from issue date� �e ' tEAM �° ► ,m. • . Richard V.Scali,Director �b,,r�DA 2011 Building Division �J V fl B ,l Roma,Building Commissioner RAR�I 0 Main Street,Hyannis,MA 02601 TOW9!� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PEPMT APPLICATION - RESIDENTIAL ONLY �f_ /Oa Not Valid without Red X-Press Imprint Map/parcel Number gJ/ Pro e Address l'1�� C- " ,` 1, p m- GQ �✓1 a � Residential Value of Work$Yj,196Z Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address S Contractor's,Name SC D14- t�$aWt_ Telephone Number jt�bg—ga�—`76e60 Home Improvement Contractor License#(if applicable) 15 gS aj Email: SG0f-f— ` elrl7On� Construction Supervisor's License#(if applicable) S CA HSM F Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ' ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name &a_V7 i 4r_ sIc�t Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. t, Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles)-All construction debris will be taken to . ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value ,aZ (maximum.32)#of windows #of doors: <Z *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note:_ Property Owner must sign Property Owner Letter of Permission. , A copy of the Home Improvement Contractors License&Construction Supervisors License is required. - SIGNATURE: QAWPFILESTORMSUilding permit forms\EXPRESS.doc 01/25/17 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-094500 Construction Supervisor . JAMES S PEACOCK PO BOX 171 '. `r- OSTERVILLE MA 02655;, ^M . Expiration: C ommissioner 07/22/2018 r V�C C(lO r�rr�'LCYrGcaecG��PG 6�(%(/�C[JJtcc�LG'JG'�iJ_ Office of Consumer Affairs&Business Regulation License or registration valid for individual use only -( HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:,_,,-_,- 151853 Type: Office of Consumer Affairs and Business Regulation ( 10 Park Plaza-Suite 5170 Jai Expiration 7/77201.8 Private Corporation - k= Boston,MA 02116 SCOTT PEACOCK BUILDING-:&REMODELING INC JAMES PEACOCK, 1046 MAIN STREET OSTERVILLE, Undersecretary Not valid without signature ACC) CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYYI 07/22/2016 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 have ADDITIONAL INSURED provisions or 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 German)Insurance Agency PHONE FAX 908 Main Street 508 28-9194 A/c No: 508 428-3068 Osterville,MA 02655 E-MAIL ADDRESS:certs@germaniinsurance.com INSURERS AFFORDING COVERAGE NAIC 9 INSURER A:SAFETY INS CO INSURED Scott Peacock Building&Remodeling,Inc. INSURER B: P.O.Box 171 INSURER C: Osterville,MA 02655 INSURER D:Granite State-AIU Holdings 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD VJVQ POLICY NUMBER IMMIDDIYYYYi IMMIDDfYYYYJLIMITS A X COMMERCIAL GENERAL LIABILITY BMA0022118 7/5/2016 7/5/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- JECT ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea a..d.nl ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ . EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2016 6/22/2017 H AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NI NIA E.L.EACH ACCIDENT $ 500000 Mandatory in NH) (f yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 171 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville MA 02655 AUTHORIZED REPRESENTATIVE _ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD L _ _ _ _ _ _�____ _ _ _ __ _ __ r__ �� � ��� � � ����J -ram�-- i ������s� w���r� f. uo �es� GO M Boston M4 02111 5-vi ld-f�nc� Addres e C S ✓'yi J)�, ���S`S Phauo Are You an employer?:fliecictheappropriatebum Type of project(regdreq- Lama employer s � ❑I am a e coniract�canc€I - employees(fall andfMPart.-lime:* 1MVIeIvredihe sub-cones. 6- ❑New constucEba 2.❑ I am a sale pmp6!bx,orgartuer_ UsEecl on the aftarhed sheet 7- 0 Remodeling slip and have no eoapltbMes These sub-conhactom have � (El�emallfioa wodi-fng f orme fn any employees and have wadmrs' LNo' 'comp-fasuEance comp_in=wm--I - g- add reT ke&l ' 5.El we are a cotporaf maud ifs 10-El Elechicai repaim er ad&h-o= 3-❑ I ama homeoumer doing an wads aaacers have cKR,r"ed f ek gL Q YlmnbMgxepa=or aMhons Myself[No wodm&s=p_ as mpermM - irssa<ance reqai€ed..I Y c_M§I(4k andwe have mo. l?`EI-Roafrepaim employees. Ta ems' 1 #Jtltcr con x-masurance required] ° Y BPP&+ �atcber'ssboz zl mast eL�n"lloattln_sr�ioabeLmF fneQamrked camo�sarinsPnfcFiafa�aFic� FEECMe ti..sVdM atm*thissmdarg feyMBdaiUf-ggW"kM.dMLMoaW&COUtR='smmstsvhmiLan'-W2TI --Ift mc mc" =-I'�I'Wsb=rtusi �ffitaddiii�als3teat gtheaam�ofthes ca�sr�o-a�dst ewh���ncrttbasec b� ecmiayees.Uf3tH ts3 M %flew rMMtpmcid&&w wad s' CM=P•PORLY mmtbes I=an eniyt ftiatfspr vvar&ers'catr�rerts�a�at artsaaPaace�nrar�eucp�l' Selnagisilta �d b�� Lnsuce CompaIIp2'tFame: Gr al r� l -ALID J Job Sit�Ad&e= CitglS _ Attach a:-aW of the workers campansatotapolicg&-d2rat um Page(sh-mving the poBcy number and expiPatioa data). Fa 7.ure t a sec=--coverage as requirea3 ruder Seictfon 25A o€M-G L a 15-7 can lead to ffie imposihou of cdmival penalfiies off a �e np tO a L50D OO aradl'or ori-e y� oisimpd as-vel1 as�peuslfzc_n fhe form of a STOP W' GRIK OIUMRand a fine of ng#� O_FKI a clay as�ainsf fhe vfolafo� He Mh ised gat a copy of this scat=M t saay be forwarded ixf the Office of Ir�resE oas $teDI&fbr fim=wce coverage Vedf Mafica_ rfQ or ip tl psrta s o per sxlr at a irtfara prof it d abna�as bars and cored Siafar8_ Date- -7& 0cd arrF l3ri saflt gsrFttY f€tfs asc� lie carrrplete $p rrrtnt�n awl CRg•or Yawn: I,iee�se Iss> a-kuffiorfty(crsrle one)- LSeated of I3eaItls Dep=tMalt 3�CRYMUND.�[er� 4 Ele&&cal�ector S.F .6.Sher t. Coact Person: e . .,�; 6 Town-of Barnstable Regulatory Services `* Richard V.Scal4 Director. MAM Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Mu st Complete and Sign This Section If Using A Builder I as Owner of the subject property M r A�Ya n��r� , hereby authorize �CL �e r�aC' _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 are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. c, Signature-of-Owners tare of Applicant S Co44- Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parceo Application # Health Division Date Issuedall l Conservation Division 9/� Application Fee Planning Dept. Permit Fee qu Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1­7 Village Owner O fOA �- - � Address Telephone Permit Request 1 Square feet: 1 st floor: existing `1 proposed 2nd floor: existingll,44 proposed Total new Zoning District ,,yyam� Flood Plain Groundwater Overlay Project Valuation 'UO Construction Type Lot Size 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 Q Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other [, Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) < Number of Baths: Full: existing new Half: existing new J 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 3 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑:existing O newcsize_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ZO Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ j Commercial ❑Yes ❑ No If yes, site plan review # `• ` Current Use Proposed Use r� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) NameVU T Telephone Number AddressM . -�� v �� License #�S ��� t Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE A A DATE .� I a FOR OFFICIAL USE ONLY t 1APPLICATION# S" DATE ISSUED MAP/PARCEL NO. — ADDRESS VILLAGE - : OWNER DATE OF INSPECTION: t FOUNDATION II FRAME JDZ3111 5'31�11JX INSULATION Roe2 AO&C GAIeMI ® S L ! L'741 3��[l y FIREPLACE ELECTRICAL: . ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL l r FINAL BUILDING C• . i w DATE CLOSED OUT ASSOCIATION PLAN NO. P s� The Commonwealth of Afass,ach usetts i ^; I Department of Industrial Accidents t44 L� I Office.of Investigations. 600 Washington Street hoston, MA 02111 r 11 WIVW.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Bus iness/0rganizatiorAndividual): a- � > I Address: �V—>1� -M r City/State/Zip:_Mh Mk"10 Are you an employer?-Check the appropriate x: Type of project(required): 1.n I am a employer with 4. I am a general contractor and 1 ' 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole.proprietor or partner- listed on the attached sheet. # 7.. Remodeling ship and have no employees These sub-contractors have 8. EJ Demolition working for me in any capacity.. workers' comp, insurance. 9. Building addition [Nolworkers' comp. insurance 5. We are a corporation and its required.] officers have exercised their ]0.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 LE] Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] ]3.❑Other *Any applicant that checks box#l 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. tContractors that check this box•must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 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. Lie. #: Expiration Date: Job Site Address: { I 'z,, 7 _ _ CB 1 � /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 0 and/or on ar imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 d y against violator. Be adi t d that a copy of this statement may be forwarded to the Office of Investigations of e IA-for i rance coverage rlification. � 1 I do hereby certif} der the s d penalties erjury that the information provided above is true and correct. Si nature: f Date: Phone#: Official use only.. Do not write in this area, to be completed by city or town official City or Town:. Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5,_Plum,bing Inspector 6. Other Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling House having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do"Maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also'states that"every state or local licensing.ageney shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,'by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents, Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line, City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license.number which will be used as a reference number. In addition, an applicant . that must submit multiple permit/licetise applications in any.given year, need only submit oneaffidavit indicating current. policy information (if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e..a dog license or permit to burn leaves etc.)said person is NOT required.to complete this affidavit, The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel: # 617-727-4900 ext 406,or 1-877-,MASSAFE Fax # 617-727-7749 B.A. Perazim, Inc. Proposal 20 t 1-0030 Builders 15 Scitaute Road Donald L Laurie Mashpee, MA 02649 173 Bay lane Rd Minority Business Enterprise Centerville MA CIS#95040 02632 HIC# 151256 Ph(508) 292-4786 Phone: . Date: 01 -21-2011 Fax(508)477-3537 Revised. , We hereby submit specifications and estimates for: 1. Administration;B.A.Perazim,Inc.Builders will be responsible for all permit process,including any meetings con- cerning.issuance of the building permit required for this project located at 173 Bay Lane,Centerville,MA.This in- cludes all charges and fee the Barnstable Building inspector may impose.Except for any taxes that my be owed to the Town. 2. Demolition,removal and disposal of existing roof debris-shingles,sheathing,rafters,etc. as require to maintain a clean site. 3. Rough frame the new dormer as per the drawing specification 4. Frame stairwell wall leading to addition above and install 90 minute fire rated door at the bottom of the garage stairs. 5. Remove exiting 5/8 plywood flooring and replace with 3/4"to bring flooring to code. 6. Roofing material over lower pitch roof dormer will be an approve rubber membrane; shingles apron and cat walk with Architectural shingles to match existing(GAF weathered wood). 7. Install exterior trim as per drawing specifications.(Pine change to Azec) 8. Install R&R white cedar shingle siding as per drawing specification. 9. Adding 2x4 studs to both gable walls 10. Install 3 Harvey Industry new awing windows as per drawing specifications. 11. Install stripping where required for install of drywall. 12. Install interior partition in accordance with drawing specifications 13. Dorman project will be complete weather tight,ready for interior insulation and drywall B.A-Perazim Inc,Builders and worker are fully covered by workers compensation insurance and general liability insur- ance. Any additional work that exceeds these scope may be treated as change order. .............. . ................... ................. . .............................................$18,800.00 Total............. Payment to be made as follows: $2,000.00 deposit for permits and admin.60%of the total amount of the contract is due after permit is received.The remaining and final payment of 40%of the contract is due after rough frame is inspected and sign off. .r All material is guaranteed to be as specified. A]work to be com- Authorized pleted in a professional manner according to standard practices. Signature RanS ord awa Any alternation or deviation from above specifications involving , extra costs will be executed only upon written orders, wand will Note: This pro 1 be witithdrawn by us if not accepted become and extra charge over,and above the estimate. All agree- i days. merits contingent upon strikes,and other nccessaty insurance. Our workers are fully covered by Worker's Compensation insur- ance. Signature Acceptance of PropoSal—The above prices,specifications ate: and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be rnade as outlined above. Signature A , l'd d�0ll. 11-80.ga� o`er MICHELt. CUDILO A WC Guide to Wood Construction in High wind Areas: 110 mph Wind Zone 1 73 bft'ftLAB PJA STRUCTURAL Massachusetts Checklist for Compliance (780CMR5301.2.j.1)tG n� l Check _/. s��,h:-,• , € Compliance .6�Ey WindSpeed (3-sec. gust).................................................................. ................................................ 110 mph WindExposure Category.................................................................. ......................:......................................B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 'L stories 5 2 stories RoofPitch ...........................................................................(Fig 2) ...........................................d 12.4L 12:12 Mean Roof Height ..............................................................(Fig 2).................................................L ft <_33' BuildingWidth.W ...............................................................(Fig 3)................................................ ft <_80' Building Length, L............................................................:..(Fig 3)..................................................3-4 ft s 80' Building Aspect Ratio(L/M .........2....................................(Fig 4)...........,.......... ......... .... . ......... <_3:1 Nominal Height of Tallest Opening ....................:..............(Fig 4)............................... ?(?M. - f s 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................:................ ConcreteMasonry .................................................................... ..........:.................................................... 2.2 ANCHORAGE TO FOUNDATION'3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative,in concrete only Bolt Spacing—general ............ .............................(Table 4) ft!. in. Bolt Spacing from endfjoint of plate.............................(Fig 5)....................................41 Z in.5 6"—12" Bolt Embedment—concrete.........................................(Fig 5).................................................—2 in.>7" Bolt Embedment-masonry................................:........(Fig 5)............................................. — in.a.15 Plate Washer................................................................(Fig 5)...........................I................:..z 3"x 3"x'/4" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55) Maximum Floor Opening Dimension...................................(Fig 6)........................... ft s 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)................. ........ Maximum Floor Joist•Setbacks Supporting Loadbearing Walls or.Shearwall................(Fig 7)........................... ......... ........:7?�ft 5 d Maximum Cantilevered Floor Joists Su rtin Loadbearin Walls:or She PPo 9 g aiwall.:..............(Fig 8)...................................................:=ft,s d r Floor Bracing at Endwalls;:.. .... .........................:.....(Fig 9)........................... Floor Sheathing Type ... ....................................(per 780 CMR Chapter 55) Floor Sheathing Thickness:: (per 78l)CMR Chapter 55) 7 ....-3 <in. ............................. .. .. Floor Sheathing Fastening...................................................(Table 2)..-&d nails at in edge,/ji:in field: 4.1 WALLS Wall Height Loadbearing Walls ...... ....................................(Fig,10 and Table 5)..... ....14ft 5 10 Non-Loadbearing walls ... .... ..................(Fig 10 and Table 5)............e ez.rf : ft-5 20': Wall Stud Spacing :.,.... .........................................(Fig 10:and Table 5)..... ... ... :.. in.:5 24"o.a Wall Story"Offsets ........ ............................................(Figs 7&8)................... ................ 5.d. 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls ....................................(Table 5)........... - ft 7 in. Non-Loadbearing walls (Table 5).......... .... . x -_ft in. Gable End'Wall Bracing:' Full 7 Height Endwall-Studs:...........................................(Fig 10)......................... WSP Attic Floor Length _(Fig 11)... ... ft ZWl3 YP 9 g ( ) ..(Fig )......................... ...............Z ft a 0.9W Gypsum Geiiin Len th if WSP not usetl .............. .. Fi 11 and 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11)....................................... ..................... or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft. spaci g in end j Double Top Plate nl� oist or truss bays ��I lbc�p_ Splice Length ........................................................(Fig 13 and Table 6)......�X�451T.................f-ft Splice Connection(no.of 6d commo ails).:............(Table 6)....................... ....y....r..................... 7Ais'rPZ5 Z W/ '� N of o MICHELE AWC Guide to Wood Construction in High Wind Areas: 11 D mph Wind Zone j51'"Y LA ' 0CUDILO `,, 1 YIl��-E� 0 No.34774 ;;Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1) of �- STRUCTI� &� g Wall Connections 9FG/gTE 1(no. of 16d common nails)................................(Tables 7)..................................................... 2 bearing Wall Connections ateral no. of 16d common nails ...................... ( ) ..........(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)..............................L—;5 ft_in. 511' Sill Plate Spans ........................................................(Table 9)...............................L-3 ft—in. 5 11' Full Height Studs (no.of studs)....................................(Table 9)....................................................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).................................Gi ft Q in.s 12' Sill Plate Spans.... .......................................:.....:.........(Table 9).................................. ft d in. <_ 12" Full Height Studs(no. of studs)....................................(Table 9).......................................................—L Exterior Wall Sheathing to Resist U ift and Shear Simultaneously4 Minimum Building Dimension(WW �, Nominal Height of Ta est Openingz .. .................: .............,,,,,,I$<_6'8" SheathingType..............................................(note 4)..................................................... w `� Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 10).................................................. in. Shear Connection(no.of 16d common nails)(Table 10)............................................t.......... Percent Full-Height Sheathing.......................(fable 10)..................................... .X..... !01,7,2, 5%Addition heathing for Wall with Opening>6'8"(Design Concepts).................... Maximum Building Dimension, i ii Nominal Height of Tallest Opening2........................................................................k'&6'8" SheathingType..............................................(note 4)..................................................... w sf Edge Nail Spacing.........................................(Table 11 or note 4 if less).................... in. Field Nail Spacing..........................................(Table 11).................................................12 in. Shear Connection(no.of 16d common nails)(Table 11)..........................................1............ Percent Full-Height Sheathing.......................(Table 11)...................................3./a.x...... =5.4 Wall Cladding 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Ratedfor Wind Speed?...............:.............................................. ........................................................... :::. 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC.Span Tool, see BBRS Website) Roof Overhang ........ .. .... ..............................(Figure 19) ............._ft s smaller of 2'or'U3 Truss or Rafter Connections at Loadbearing Walls Proprietary C.onnec#ors Uplift....................... .........................(Table 12).................................. U=� Lateral ............................................(Table 12).............................................L=i 7 Shear ...........................................(Table 12).................................. =:S Ridge Strap Connections,if collanties not used per page 21... (Table 13)................................T Gable Rake Outlooker ....... .:.........................(Figure 20) ..M -A..._ft 5 smaller`of 2'or U2 Truss or Rafter Connections;at Non-Loadbearing Walls Proprietary Connectors Uplift ................................(Table 14)......... . ............................:U Lateral(no.of 16d common nails)...(Table 14)....... - lb. . ...... er'780 CMR Caters 58 an L lb. Roof Sheathing Type.::. (P P 59 ..... Roof Sheathing Thickness........ ) Roof Sheathing Fastening ..................................:........(Table 2)..... .. Notes: 1. This checklist shalt be met in its entirety excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1 If the checklist`is met in itsenfirety then the following metal straps and hold downs are not required per the.WFCM 110 mph Guide: _ a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 - .e. Comer Stud Hold Downs per Figure 18a and Figure 18b - 2. to&ft. shall ba par ittad when 5%is added to the percent 16114419ht sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. AWC Guide to Food Construction in Higlz Wind Areas: 110 mph Wind Zone -W'6 DI Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' 1-7 „A' .ice 4. 3 � � a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment --1*iM TM EDGE REM3 ON FRAMING USEW NAILS AT6b,c. ..� f- __T 11 11 ' IJ IJ / it 11 f 11 11 1 11 11 .0 r I `C 11 I /1 I ,( d 1r a � 11 11 0 - 1 II 11 � 4L +1 u Id 1 I I 1 1 > 1 IJ ' 1 II 40U9LEEDGE r� MA&SPACM r • v See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STAND ARDS t Z_3 APPENDICES OF 4 t o 1 1 t n, 1 I t 1 Q 1 1 1 1 , 1 1 t +1 1 1 Z tt t� t t Q i FRAMING MEMBERS 1 1 EDGE INTERMEDIATE 1 1 1 1 1 r t Z g 3/8■ � I 31 MIN. t STA GGERED 3MINN. . NAIL PATTERN Z g PANEL PANEL EDGE DOUBLE NAIL EDGE SPACING DETAIL Detail Vertical and Horizontal Nailing for Panel Attachment 12/28/07 (Effective 1/1/08) 780 CMR-seventh Edition 1057 GENERAL NOTES AND MATERIAL SPECIFICATIONS: / FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min. 5/8"diameter, 12" long,w/2-1/2"hook spaced_"o/c,or in concrete piers w/ Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement,etc.). FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads: Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load : Criteria used for 110 MPH Exposure B,unless noted otherwise 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: _ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framine: a.All new timber framing: Spruce-Pine-Fir No.2 with Fb=1000psi.E=1,300,000 psi,or better. b. Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c. Laminated Veneer Lumber: All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi, Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi, Fv=285 psi,Fe_per=-750 psi, Fc_par=2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5. Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Rafter to Ridge Plate: Collar ties min. 1 x6@ 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c: CS-I4R-50.5"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise. Bolt holes in wood shall be 1/32".larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers:All nuts shall be retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking;2x minimum;and full depth of member. b. Stud Walls:provide blocking at.8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailinp,Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 240d toenails ea.end,or 2-16d end-nails ea.End d. New Framine: Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. Multiple Studs 1.6d @ 12"`staggered a.All nails shall be common wire nails: b. Sub-bore where;nails tend to split wood. 9. Headers less than 4'-0",use 2;2x6;all others perMA State Building Code Table 5502.5(1)and(2). �A� � �� MICHELE CUDILO P.E. `'•Na' Consulting Structural-En ineer 123 cottonwooa Lane. centerviue. Massachusetts 26J2 Drawn By: MC Date: o Drawing C'Un.I-r-e7LV'It,�� H1' Scale* AS NOTED Rev. p SK— File Name: Project No.: 20 0— ✓fze i�o�niazooiwect/�� �y��%caa�czc�ii�erll`. Office of Consumer Affairs&Business Regulation HOMEIMPROVEMENT CONTRACTOR Registration -'161181 Types Expiration: 9/912012 _Pnvatetorporatio`. } B.A. PERAZIM ING - I BAWA RAMSFORD � 15 SCITUATE RD f 4 a MASHPHEE, MA 02t4;9 Undersecretary license Or "fore t eEx ..ti,,ion vali&for. . offs - <P1 ation Individul n CowUhl date. f fo use onreturn ly Bost Mq� Suit A Os end$uSIness Reto. ?116 . 1 gulation N0t�a11d hOg wit i tsignature , s �I bO;jr(lchu.sctts- Dcpui-trnent of Pumic Safe Bo�ird of Building r Regulations and Stand.11.' '� Construction Supervisor License: CS 95040 License e Restricted to: 00 RANSFORD BAWA 15 SCITUATE ROAD MASHPEE MA 02649 ' ('nimiissiuner Expiration: 1/24/2012 Tr#: 13904 Q s1 zan 8 N 1411- ��10 � � W - 1410 fu1`-1 Q. Qdco ri m ? g 0 ILL 001, W K Z Z � wOZ n- Family Room ¢ _ c9 Q�Upm ri 0 a '6� ATTIC, W Z = O O O > W E of W W Q O H J W Q - � InZZZZ2 D Q Z O w 0 Z Z W Q VOWWW � ~ �- 2 0 Co S H 0ln 0 01ai eB OOpZD, IY Attic Floor Plan Scale:114=1"-a. &] ems-38 ts11 8 zz F z a O Ir w w II w II o - II •. II II - x II II � � II Il g I +I Existing W12x24 Donald L Laurie � - i't Field Verify 173 Baylane Rd Centerville MA I EXISTING GARAGE I - 02632 I I I PROJECT NO: II II ' II II --------- I I --------- I I --------- DATE: SALE:AS NOTED � I I II I I II I I I I I f I I I I DRAWN: I I II I I II I I I I I CHECK BY: I I I I I I I I I • I I I I I I I I I I -------- -------- m AD- 1 Proposed Addition UjQ Mmcn exi,Bne reko, - N Q W M�al�Iexl,tlnp I,, Ioo._ CL a V Q y a�w march exH+lnd,IEMp , V C4 cc 0 LL Q U),^V Exis+inp 1xB reke, RaPlece axbtlnB root. - ExtllnB window to remain W ~ Z Z 2 U O Z H W Z Exl,tln0+x5 comer boats E—m 9n lndow to romaln J i` H N a E. w MB 9IdmGmremaln J < U) 0 co Z� w �Eb,+irppa regod oonm remoin O a (n w Z =Q O Q > wLLxwZ LL w coZ M 0 J W a 2p 0 QUC7 cn Z Z Z Z Z U Q W W O can Z U)Da_ Q Grade ®® ®®®® ®®® Exlatlrpan<rywren a Z aIX ® U U W Front Elevation z zFm fn} a L Present.Non-Conforming O O mp Z Proposed Addition z O z rL Math exl,Cnp tx8 rekes O p:: / �>> w W � •. • MxIa1MB eWinB w ' Q Match � exlstlnB d, Q Exietliq Root " Exm+inp 1x8 rekae Donald L Laurie R,mov.axbBr�p 173 Baylane Rd window ana repmm„ , •w=mod Centerville MA 02632 PROJECT NO: J ' ExiWrg poor m remaM DATE: TTTITII SALE:AS NOTED ExI,HnO,mi� . DRAWN: Exbdnp eklhp . CHECK BY: Rear Elevation �a ,B AD-2 LU Proposed Addition N �' zj a gciyQOQf4o oozes (Xzo ' LL Roofing over this portion of the roof deck shell be O z W robber membrane,and shell be laid or installed in W U Z z accordance with the manufacture guide lines and in F- W Z accordance to the Mass.building code. new U8 racial,gutters and soffit. � Q = 5 Qcnc)pm �0 < 6uj, W � jw�0� � LL J.M } Q' m } - _j W CO Z Q a H J W Q t 2p0QV (g y (nZZZZZ 9 0U) ZUnaQ Z UZpQLUX W 2c) Co Match existing z o CD o LL cotter board New window O O p z IY aY New siding to match existing I z 0 z a 1x5 comer board Existing window I I I I I I I I I I I I I I Io o: W a - o g Donald L Laurie 173 Baylane Rd I I I I ILA I I I I I L Centerville MA 02632 PROJECT NO: Existing Siding DATE: SALE:AS NOTED Grade DRAWN: Left side Elevation CHECK BY: Scale:1/4'=1'-0" AD- 3 New Dormer/Alterations UQ 29 RNBe Tes®18 do am,Rldpa Been,b...1h Roeeor monemne N ,12•pywood DeeEbp - a. Ezbllnp Reece to remeer / < 615E MOLDING New—IrV window / .xu,O Raeere®16'o/c� FINISH FLOORING PLYWOOD SUBFLOOR AT TREAD AND RISER ,�ww FULL STRINGER - - .. V m � O _ / 2a8 Ca01np Jadt®1B'olc RJSlnwbtbn - 21 1, well weh R- // / 12•Blue Board ' - LL 211neula,bn mmen np sMmB //%//�Reeer.,me aeel.,o remem E.Isnm arm wou to - W U Z Z Z / Ina mmd wlN R-21 OJmN_* EQUALLY SPACED RISERS 2 U O Z / Add SIB Ptywood,o Ne exletlnB aIMIrg W0Fbor J,19 WMAx W(n Z EAArg f,Inwlodon 10 r Im Aek SOFFIT (check b 1 cotle for meueemento) B�ocwNc - J Q 2 LV `yQ}UJUwpm popoMflonfiflogm Qm L L Q\< NOTCHED ' STRINGER W Z =O O O > WI— W 'W v - - �..IM....Wb W m Z Field Ve4H - Q (n 214 EAAJM EA.Well - - Scale:V=T-0" e = 00 Q V V .. U)Z Z Z Z Z am,Column Existing Interior Stair Detail - W Q o EehtlnpArcAar Soft HIM­ ExlRlrp FoeBnB - Q Q EAMIW FootlnB o to z N a- Q F— zQz W (_) Existing Garage Fnd - Q O W �_ U E00 R Q U D D< Q00ZLL. lXQ: New Addition S Alterations Section A-A ' New Roofing Shingles Ridge Vent Existing 2x10 Ridge Add stud on each side z • Existing 2X8 Raters @ 16"O/c Existing Header to Remain O New Plywood Sheathing Add one more king stud on each side Oz Of n 0 Existing Stud Add 1/2"To the Existing Sub-floor w LU . - - - Existing Floor Joist LU - / Q SIB BLUE BOARD N � EACH SIDE �4 IA MEMBER WNCRETESLAB N4 TREATED MUDSILL Donald L Laurie REINFORCING STEEL AS REQUIRED SILL SEALER VAPOR BARRIER 173 Baylane Rd 4'GRAVEL ti cAsr-IN-PucE Existing Studs @16"o/c Centerville MA - ANCHORSOLT - 02632 - Detail�Section S3. 90 minutes min. rated(See Plan)S3. 90 minutes min. rated(See Plan) PROJECT No: Scale:T'=T-0" .. v 0 = Existing Steel Beam DATE: - Field Verity W12 x 26 SALE:AS NOTED. Min Existing 2x12 Headers DRAWN: lj� 111 CHECK BY: Existing Connection Hidden Conations Section�Gable B-B AD- 4 Smb 1141 V N . � a Q co O Q N W W z Z = U0 § � Wcnz ELECTRICAL-DATA-AUDIO LEGEND J F FSQ(� J Q = g W SYMBOL DESCRIPTION- - Q Z 0 Im ® LLJ LL O Q All CoilingFen w Fn Z = w woo LL Vendlatlon Fens:Ceiling Mounted,Well Mounted > LU 0: LUJ 2 } X m } _ O M®@ Ceiling Mounted Light F W ixtures:Surface/Pe J ndant, Q Q [L 0 Z Recessed Heat Le Low Volta a I� _W Q ® Well Mounted Light Fixtures:Flush Mounted, - U)Z Z Z U Z Wall Sconce W Q Q 9 Q Chandelier Light Fixture 0(n Z (n 4. Q F- ZQZW0 LOFT O Fluorescent Light Fixture U 0 W W D_ K � F= F=�_ U ® O � 240V RecePtecle F Q �� � Q _ DI 'P 110V Receptacles:Duplex,Weather Proof,GFCI Z Z m} 0 W ATTIC- 0 O Z 7'-V'x 23•-0'• - $$$$ Switches:Single Pole,Weather Proof,3-Way,4-Way Switches:Dimmer,Tlmer 4$ Audio Video:Control Panel,Switch QsQ IF Speakers:Calling Mounted,Wall Mounted ! _ Z Well Jacks:CAT5,CAT5+TV,TV/Cable O a 5Z Telephone Jack OZ IY $ Intercom NO NZ 5zQ Thermostat W ®4 Door chime,Door Ben Button Electrical Plan g Smoke Detectors:Gelling Mounted,Wall Mounted v Electrical Breaker Panel K , • Q g Donald L Laurie 173 Baylane Rd Centerville MA 02632 PROJECT NO: DATE: SALE:AS NOTED - DRAWN: CHECK BY: AD- 5 Q FINISH ROOFING T N Q W ROOFING MEMBRANE FINISH ROOFING W ~ W FLASHING ROOFING MEMBRANE a V _ FASCIA TRIM 2x10 WOOD RAFTER FLASHING VENTED AIRSPACE TRIM Z C BAFFLE FASCIA SCREENED VENT VAPOR BARRIER U O FINISH SIDING 2x WOOD RAFTERS SHEATHING DUMMY RAFTER TAIL VENTED AIRSPACE = U O Z INSULATION 1x BOARD SCREWED TO BAFFLE W U z_ DUMMY TAILS&TOP PLATE VAPOR BARRIER J Q= C7 SCREENED VENT ¢ cn U 0O m FINISH SIDING - Oz ¢U W� Abbreviated Eave(optic SHEATHING INSULATION >z }H}0 OLL J �LL W U) Z Dummy Rafter Tail a 0� J W Q SDOQUC7 co Z Z Z Z Z Ov�Zcno_ Q Z Q Z W O Q W U iY CO DA�ero alB Rarta�m ExMllp om - w F Es U) O.(n Q 2 DOUBLE TOP PLATE DOUBLE TOP PLATE O O LL _ O Z Of X FINISH SIDING e MEMBRANE INSULATED WALL CAVItt 3g SHEATHING INTERIOR FINISH4 FRAMING MEMBER ry 2 4 FRAMING MEMBER 20 SILL IMERIOR FINISH bidpE rc $x4 BILL - 3 _ Exterior Watl Detail Interior Wall Detail Z � a z M.N.hS R.ft., ExIft 0. Ct U Tn u1 METAL HOLD-DOWM W ' BOLTEDORSCREWED TO FRAMING .- SOLE PLATE W MIR Q - O FOUNDATION WALL/ FLOOR STRUCTURE - Y I�L K I\ ANCHOR BOLT EMBEDDING IN Q FOUNOATMCAFRJEO THROUGH FLOO STIR UCT RERoof framing PER MANUFACTURER • Donald l_ Laurie Shear Wall Hold-Down - 173 Baylane Rd Centerville MA 02632 yB BLUE BOARD ON _ PROJECT NO: EACH SIDE ^' I14 WOOD FRAMING MEMB!k" CONCRETE SLAB L4 TREATED MUM LLREINFORCING STEEL AS REQUIRED DATE: BILL SEALERVAPOR BARRIER 4•GRAVEL SALE:AS NOTED DRAWN: ANCHOR BOLT Detail Coil Section S3. 90 minutes min. rated(See Plan) CHECK BY: Scale:1"=T-0" AD-6 �OFtHE TO,i� Town of Barnstable O.e BARNSTABLE. ` Regulatory Services MASS. i67q. �0 Building Division AfFD�y a. 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location _ I7 3 8 U ry Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: LO C.k Ga uES O ��-T-F.-c'r'rvE ►%A�s �ED�IJ Fob- �'U,twu�.c,�G Is V EJJTZE- z- 10)0 Fore. ROOD " >JF'D SPAS F tioR. qt-N FAQ o'' u C -6 Please call: 508-862-4611'for re-inspection. Inspected by Date 2 _ t THE Town of Barnstable .z - pF fps , BARNSTABLE. Regulatory Services MASS. a639 ,0r Building Division ., 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 t Inspection Correction Notice Type of Inspection Fe Nmr Location 03 SAY L►'y Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: '/JO �TP-Et3loCk GNSI..ES JEF-0-r-F_cTTIVE rLOT'Yr S NEEDED EQ2 PL.UV►76r"%)U S�L Y'►�SET-R/�4T7�n� V F-11i _L Ti 0 rJ i bl2 P O or— N 4=_1 yu7 Y Please call: 508-862-463`8 for re-inspection. Inspected by '+ 'F Date J523V /' Town of Barnstable *Permit# Fxpires 5 months from issue date Regulatory Services Fee Z. 0 9 Thomas F.Geiler,Director Building.Division Tom Perry,CBO, Building Commissioner 200 Main Street,'Hyannis,MA 02601 wwwaown.b.srnstab le,ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMITA.PPLICATION — RESIDENTL4L ONLY Not Valid without Red X_Press Imprint Map/parcel Number I�U C I O� Property Address 3 _ Lwe, l ITt.I �d e. 0. [Residential "Value of Work � Minimum fee of$25.00 for work under$6000.00 - r Owner's Name&Address �� f MCA d L_ i V���� � � La 1 C.✓ Contractor's Name W f � Telephone Number ON T Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workmari's Compensation Insurance x y a6' :1 CheA one: ( I am a sole proprietor JM"3 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance j"..)\A/JN O IBARMS'AB- P Insurance Company Name Workman's Comp:Policy# t Copy of insurance Compliance Certificate must be on file. Permit Request(check box) [�Re-roof{stripping old shingles) All construction debris will be taken to . ' ❑ Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U=Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department rcgulations,i.e.Historic,Conscrvation,etc. ***Note: Prope Owner ign Proper) Owner Letter of Permission. c y of the H . e rove nt Contractors License is required. , SIGNATURE: Q:Forms:expmtrg Revisr061306 iL , - The Commomvealth of Massachusetts ' Department oflndustrialOcidents Offlce afi"nvestigadons 600 Washin -ton Street Bostonj MA 02111 wwW.m ass.gov/dia ` Workers" Compensation Insurance A£fitiavit; guilders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bi Name(Business/Organization/Individual) •Address: x . , City/State/Zip: Phone.#: �Are you an employer? Check the appropriate box: 1.0 lama employer with 4. ❑ I.am a general contractor and I Type of project(required):. loyees (full and/or part.time)." have hired the shb-contractors 6• ❑New construction . 2. I am a'sole proprietor or partner- listed on the•attacbed sheet 7. ❑Remodeling ship and have no employees` These sub--contractors have S. ❑Demolition working forme in any capacity. . employees and.have workers' [No workers' comp,jnsuiance comp.insurance.$ 4• []Building addition required_] 5, ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ lam a homeowner doing all work officers have exercised their 11.❑plumbing repairs or additions anyselE [No workers' comp., right of exemption per MGL insurance required,]t c, 152, §1(4),and we have no 12.[<of repairs employees. (No workers' _•13.[] Other comp.ins uuannce required.] ; ''Any applicant that checks box#1 must also fill out the suction below showin their workers g c a' t Homeowners ens hon policy info o c nna m wn rs who submit this affidani indicating they are doing all work and then hire outside ontractors must submit anew affidavit indicating Contractors that check this box must attached an edditianalshect showing the name of the sub-contractors and state whether or not those entities have h cmployccs. if the sub-contractors lave employees,they must provide their wor]ccrs'comp.policy number. Iam an employer that is providing workers'compensation insurance for my em to ees Below islhe information. p Y pokey and job site Insurance Company Name: Policy#/or Sdf--ins.Lic. Expiration Date; Id Job Site Address: City/State/Zip: . Attach a copy of the workers' compensation policy declaration page(showing the policy nlnber 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 tip to$1,500.00 and/or.one-year iniprisonnent; 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 maybe forwarded to the Office of Invcsti ations of the I)JA for' urance covera e verification. 16 hereby ce der hep ins and enalties ofperjuty that the information provided ub ve i true and correct Sienature: Date: Phone#: Official use only. Do not write in this are be completed by city ox town official City or Town: Permit/License# Issuing Authority(circle one):- I.Board of Health 2.Building Department, 3 City/Totsn Clerk .4,Electricallnspector S.Plurnbinginspector 6. 0ther. Contact Person: Phone# Bbaions a� tari ar s License or registration valid for individuf use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 124310 Board of Building Regulations and Standards Expiration: 6/1/2011 Tr# 284683 One Ashburton Place Rm 1301 Type: Individual Boston,_Ma.02108 James Curley. — James Curley + 287 Fuller;Rd. Centerville,MA 02632 Administrator 7 ot valid without signature. �- Massachusetts- Department of Public Safety Board of Building Re;.rulations and Standards .l Construction Supervisor Specialty License. License: ,CS SL 99138 _ Restricted.to: .RF,WS - _ JAMES .CURLEY . 287 FULLER ROAD.. CENTERVILLE, MA 02632 I Expiration: 1128/2012 ' Commissioner .: Tr#i. 99138 �i:.. '• _ �zeTOozzmxy�� �✓�aeaac�wael� ` " L a .d St ndards�Boa d of BuIl ing_Rgylatrnns_ se or"gistration 71ic.,for indi i'dul use only HO E IM.PROVEM, NT CONTRAC OR before the a iration date.. found djeturn to: . p Re stration f24 0 —. Board-oflBui din R gtilhtitf send-S an,dards E iration �0/�� g "" Tr# 1 0873 One Ashburto Place Rm 13 `"�= Boston,Ma.0 108 . _Type_andivid•al James urley James urley 287 Full r.Rd. -C e, A 02632 Administrator "" Now? without ure 9� .�m a �_ �.Of-ME ro 7'own.of Barn table. Regulatory Services i BARNSTABLE, + .. .. y asAss Thomas F.Geller,Director Building Division Tom Perry, Building Commissioner 200 Main Street, ,Hyannis;3v1A 02501 . w�'w.town:barnstable.ma.us Office: 508-862-403 8 Fax: 50$-790-6230 Property,0wnerlVlust Complete and Sign This Section If Using A Builder I d LLrl . as mn erof the su bject t roP e rtY eyoh rize to act on-my behalf, in all matters relative to work authorized by this building permit application for: dress off ob 10 Signature of Owner Date Print Name Aug QTORMS OWNERPERM75SION Assessor's office(1st Floor): COMPLIANCE, //�� /� J SEPTIC SYSTEM MUST F THE Assessor's map and lot number V v �"` Board of Health(3rd floor): IIVSTALLEp IN � >o�o Tnu Sewage Permit number ' V I M 5 e Engineering Department(3rd floor): y r ENVIRONMEI�!'PAL CODE AI�C� = DAM9TZLL g ) j73 TOWN REGULATIONS y House number .. °° 'bso• Definitive Plan Approved by Planning Board 190 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only A P P R 0 V, ET,OW N :r OF , BA•RN S T AB•LE Barnstable Cor,_ervation Commissg"P I L:D I N G -- INSPECTOR ' ON FOR P PERM& Remodel and .add to existing house Sigae, , TYPE OF CONSTRUCTION wood frames single family dwelling September 13, 19 91 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 173 Location 13:1; Bay Lane, Centerville, Massachusetts 02632 Proposed Use single family dwelling Zoning District Fire District C.O.M.M. Name of Owner Carrington Clark, Jr. Address 137 Bay Lane, Centerville, Ma Name of Builder Peacock and Crosby Address Post Office Box 151, Osterville, Ma Name of Architect Gordon Clark, Northside DesignAddress 141 Main Street, Yarmouthport, Ma Number of Rooms three (3) Foundation poured concrete { Exterior wood shingles Roofing pq pha1 f Floors wood Interior drywall Heating hot water Plumbing one (1) bathroom Fireplace one (1) Approximate Cost Area _ 960 sq. feet Diagram of Lot and Building with Dimensions Fee L OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above constr tion. I Name Construction Supervisor's License (0 l�3 Tt/�, CLARK, CARRINGTON Jr."' No 34568 Permit For -�E...-DEL & ADD TO :; Single Family Dwe lina Location 17 3 Bay Lane f� , Centerville Owner-- CarringtdnnClAk Jr - Type of Construction Plot Lot Permit Granted .. September 16 ,19 31 /p Date of Inspection' ,b /Q9 19 Date Corrfpleted /7/. !.`� 19 cr w O rn t _ f.1 -. I ! Y t , t .r. CONT. RIDGE CORE VENT 2xlp RIDGE BD. ASPHALT ROOF SHINGLES 2x8 ROOF RAFTERS O 14r ('l.C. ON 1/2" PLYWD. SHEATHING ... 9' FBGUNSL. 12 2x8 O 16' O.C. • �10 i �i 1Ir GYP.BD. �. 6 1/2" FBGL. INSL VENTED ALUMINUM do 2• RIGID INSL. ALUM. GUTTERS W DRIP EDGE VENT FOR R-30 DOWNSPOUTS W. qL / . 41 2/20 o HEADER IN � /A� `,�.�.�.��•1�I.la�� 1/7' PLYDW. 2x4 FRAME WALL W/3 1/2" � i• Y��'►1''� TYPAR. HOUSE jlAAP do W.C. } . R p.i&- SHINGLES o EXP. p p Fr'Aj �- a >c�+v , Family l3m. -�I►�r-�' wrest P �+ i FLOOR 0 EXIST. HOUSE — — — — — — X 5/r PLYWD. SUBFLR. o 8rc8rtT�e[Xelorol��1`o.a. i/Zx12" GALY. AJ3 6'If O.C. W/2x8 WOLM.SILL PLT. 6 1If FBGLINSL 3/2xt2 GIRT CRAWL SPACE 3 1/2" DIA. LALLY COLMN. 8' THCK.POURED CONC. —� FOUNDATION WALL ON frxtfi FI FOOTING FIELD ADJUST p SAND BA i�I SE 42ki � FlELD WAIL HEIGHT OR CONC.SLAS FLR. 12'x30"x30' CONC. FTG. JeM Section Thru Family Rm. S 1 SCALE 1/c'=1'-0' c � Lra-+r ter-OUL 2lDl-der. f' t?=LA � 6 r i s » 'o�u'rfi,►r T t OW a, � N �r = MrIL41 t .w r 1 o The Town of Barnstable Conservation Department { 'a 367 Main Street; Hyannis, MA 02601 r � Office 508-790-6245 Robert W. Gatewood FAX 508-775-3344 Conservation Administrator TO: Joseph Dal z p u Building Commissioner FROM: Robert Gatewood RE: Occupancy Permit/Final inspection DATE: The following project has been granted an Order of Conditions by the Conservation Commission. Applicant: C�t��.►{�-�, G�,�►+�� Project: A�L+2,:�'iM►uy Location:nl (Sal L-64 r, Map/Parcel: 10 Our Permit #: SE 3- We would kindly ask that no Occupancy Permit or Final Inspection (as may apply) be granted by your department until a Certificate of Compliance for the project has issued from the Conservation Commission. Your assistance is very much appreciated. 14 n COMMONWEALTH I DEPARTMENT OF PUBLIC SAFETY OF 1010 COMMONWEALTH AVE. 1 MASSACHUSETTS i BOSTON,MASS.022/5 '1 ENCLOSE CHECK OR MONEY ORDER LICENSE I . EXPIRATION DATE !h/!'ADd�. -11130I1992 lJ!`31�0�' 'L ONS T .. UP E-A U I S ok. I FOR REQUIRED FEE, RESTRICTIONS EFFECTIVE DATE uC NO. o MADE PAYABLE TO NONE I /3f�'I 9 9 91 043556 c "COMMISSIONER OF PUBLICrSAFETY" "L0TT � U� Y T (DO �IQ �FNDCASH) l SS. i! 012-54-6358 13'sT vtLLE CIRCLE 655 PLEASE NOTE]-Ft AiCREASE PHOTO(BUSTING OPR ONLY) FEE: I - 100.00 SEP 1 4199nn..,,,;.,.,: 989' � .'1 -: '.;;' HEIGHT: NOT vAUD UNTIL SIGNED RY LICENSEE AND OFFICIALLY EFFECTIVE FE9. :1 STAMPED OR SIGNATURE OF THE COMMISSIONER wL I DOB: w 2/13/1962 � DO OT DETACH. l.YCEAiSE= STUB ' THI$ DOCUMENT MUSS BE L I CARRIED ON THE PERSON OF I SIGNATQW OF LICENSEE SIGN NAME IN FULL-ABOVE SIGNATURE LINE RIGHT THUMB PRINT THE HOLDER WHEN ENGAG- OTNER$-g i ED IN THIS OCCUPATION � COMMISSIONER 20OM-2.87.81429. "' IC F l 1 Entry'_' iJ I -y44�om eeoRooM ac 6Atli C r D i n ! n g [%I ST I NG GARAGE .I t ._ •� 2• 7: � r.. w F —'_ yes� .j- +`� Rf�ij. - `y . eSNED v } n 8 , 'l!i\� \' ✓ .,'`\\ ti q + I Master Bedr om I a nr.w w. ti w.•.,v_tuf. _ • _vee Acre vw ..t.. —Y .0 Jo _. I �'�"'•1" ,YLS.T _..i't I C .r T � � 'bi' � .J u. �. \ - °' ��.�. t I t i--.�=' c I I ✓-' "'^^'.lam � + •. - ,w r '.�1 _ .q._ .. F} �... s:. ....i•V' \ as a aa. mir a.. w+eu�:� / IF - I `r First 11106r - + . .� FIRST FLOOR PLAN NORTM�oE . • OESIGN ILY ' -. .. •: `: w A9 NOTED ' RESMENCE OF: ' r. 1 .: Mrs CARRINGTON CLARK Jr.Mr .." oe1 lh9o: r .. ... cam LJ 'ice' `►r Engineering Dept.(3rd floor) Map l g`� Parcel— 'Permit# k House# 3 31atg, sued '_ 97 Board pf Health(3rd Itoor)-(8:15 -9:30/1:00-4:30) '�jl� �Fee /081 ,574 , 0 Conservation Office(4th floor)(8:30,-9:30/1:00-2,0) ' N ® 3 Planning Dept.(1st floor/School Admin. Bldg.) is -�� 1HE`1q,;- Definitive Plan Approved by Planning Board 19 . lNSTAL. a PLIAPICE s 5 TOWN OF BARNSTABLE ENVIRON CODE AN® A,I I S Building Permit Application TOWN REGULATIONS Project Street Add ss Qi (I-0 e— L P n4 I I r Village n Owner(2 xcr i Q i� i LA' h la. (� X(�Y� Address Telephone f Permit Request i � 4z � First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ � Zoning District Flood Plain Water Protection Lot Size 0 O t ` , Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes 10 On Old King's Highway ❑Yes )<No Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half. Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas *il ❑Electric ❑Other _ r[-�A Central Air ❑Yesq,40 No Fireplaces: Existing _P New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)�T S X 1s�j ❑Attached(size) ' �} lg/�� ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes *o If yes, site plan review# - Current Use i-Le� QQ Proposed Use Builder Information CName !� � � Telephone Number 6 Address I Al 'rn 6"k, ti �+ License# (!,S D 15-88 ��t=mn QJN4 Home Improvement Contractor# f Worker's Compensation# P(A S ` R A,-j ve_Fs- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE � / /���7 BUILDING PER ENIED Fa THE FOLLOWING REASONS r ` FOR OFFICIAL USE ONLY � t PERMIT NO. DATE ISSUED r + MAP/PARCEL NO. ADDRESS Y ' VILLAGE OWNER DATE OF INSPECTION: ' �' ov Pj �- FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL{ PLUMBING: ROUGH FINAL ' r GAS: ROH FINAL FINAUBUILDING4L DATE CLOSED OUT ASSOCIATION PLAN.NO. VJ oFTME e The Town ,of Barnstable 9eb SLUM i6?¢ �0�' Department of Health Safety and Environmental Services '�FOMo•��' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. y Date _ t i AFFIDAVIT + , HOME IMPROVEMENT CONTRACTOR LAW -f! SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. - -� Type of Work: WW// V ��//�7 - Est. Cost ✓�'� ` Address of Work: Z, /Owner's Name ' Of Date of Permit Application: 1 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: 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 her by apply for a permit as the age t of the owner: , Date Contractor Name Registration No. OR Date Owner's Name The Connttonweafth of Afassachusetts a:it De partnu»t of Indiurrial Accidents Office a"Inestigatioos iiw 600 I f'ashitt,;;ton Street Boston, A1uss. (12111 Workers' Compensation Insurance Affidavit �pplic•tnt information• _.__........___...__Please PRINT name• Iocntion• city phone# 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an emplover providing workers' compensation for my employees working on this job. m tam name: /�ddress• J �� /�/C�Y2.�iy{� � • v city- ' phone#• —�oZ tnsurnncc co S ✓nolicy# 9a9 d oo 2 7 1 am a sole propriet al contractor homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company nnmc• address• city. phone Of: insurance ro nnlicy# •L.::'!.. Yam" _ _ �Z'•:t"•::... ..�.- _ -- _�r_.._c�::— 14�T"I!.I.w•y ._Tr•.•—.. _ �•f.�....i-...i�.__'.= ............ company nnmc• address: rite phone#• insurance co. nolicy# Attach additional sheet if necessar/yy.._:. _ =_ ^�%~' '_''' �"%r ''w' ''"•` "'' _'� `' ._�J. .•.•_—..��__._'-»'rrr�r.:Ji/`ZS/._.ter___..'._-�__�..._..r..r—±..L►1r...:....-...�1fl��T..�_:..i'1Y!'iwL:.i.•.W c i.:r+L Failure to secure coreraec:ts required under Section 25A of h1GL 152 can aced to the imposition of criminal penalties of a tine up to S1.500.00 andior une y cars'imprisonment as well as cis it penalties in the form ora STOP NVORK ORDER and a fine of S100.00 a day against Me. I understand that a cop} of this statement mad be fonrarded to the Office of Invcstigations of the D1A for coverage verification. i do herehv certif tiler the Prins penalties of perjury that the information provided above is true at c reCf. Signature at A 9 Print name Phone# ofliciai use only do not write in this area to be completed by city or town official city or toys n: permit/license# r'Itiuilding Department C3Liccnsing hoard I]check if immediate response is required Selectmen's Office (:311calth Department contact person: phone#: r jOther S. 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 empkree is defined as every person in the service of anutlicf under any contract of hire, express or implied. ornl or written. , An emplurer is defined as an individual:partnership, association. corporation or other legal entity, or any two or more the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recei\er 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 d\\ellim,, house of another who employs persons to do maintenance , construction or repair work on such d\\velling hou_ or on the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe-. MGL chapter 152 section 25 also states that even state or local licensing agency shall withhold the issuance or reue\\'al 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 evidence of compliance with the insurance requirements of this chapte- hZ performance of public work until acceptable e p q been presented to the contracting authority. 77 Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the cit} 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• comp ensation policy. please call the Department at the number listed below. City or 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. Plea: hich will be used as a reference number. The affidavits may be returned t; be sure to fill in the permit/license number w the Department by mail or FAX unless other arrangements have been made. The Office of Investi_ations would like to thank you in advance for you cooperation and should you have any question: please do not hesitate to give us a call. �...yv�T..•._,... ..:-....- ..-.www•+-+•.:-...._..v�-rs+.�.....-.._..�,�..rr.�.w.�+o+_ 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 NORTHSIDE BUILDING CONSULTANTS, INC. FINE HOME BUILDING & RENOVATION 141 MAIN STREET•YARMOUTHPORT•MA 02675 (508)362-2210 • (508)362-9802 4287 DEPARTMENT OF PU LIC SAFETY 421871 ONE ASHBURTON PLACE , RM 1301 BOSTON,- MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 3,� r r •, GARY A ELLIS '; (R 3 D.e ch bottom fold sign on 20 CAPT SIMMONS � `' = back, and laminate license card. W YARMOUTH, MA 02664rx -y Keep top for receipt and change 4df address notification. 71w �o�n�mor�ua a" of�Awa wie& ; HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards One Ashburton Place — Room 1301 Boston , Massachusetts 02108 I I HOME- IMPROVEMENT CONTRACTOR Registration 103508 Expiration 07/08/98 --- Type — PRIVATE CORPORATION HOME IMPROVEMENT CONTRACTOR I Registration 103508 NORTHSIDE BUILDTI.,j CONSUL-TANTS , INC . � ` Type - PRIVATE CORPORATION Gary A .. El l.:i s I Expiration 07/08/98 141 Main St . ` armout.hport MA 0'2 6 7S j NORTHSIDE BUILDING CONSULTANT I Gary A. Ellis IG� &Y.4wain St. I ADMINISTRATOR Yarmouthport MA 0267.5 m N R b a o u t t N Y N P.,�iSfl w U ._'.11GYCtri �`:y� a t-aJaTlat •_ v - � - a�f^p � *�Fk�t'IJ:� mk Ad[1'."17 z -• �i i a '-:AAATG-I Qllb'T1N5{ \`__� J✓1� ! � _ .^�I � � N�•. a oR I; l I .. _ - y. .. _ -- _ - --� - EY•+<.��aT TR 1.�4F>7GH w m (" 1 A� htA.-t.,41 �i 1 "� x :r ?•'�' �� i : g ,...;:� I� � rf + tpr�,-�.sl r �...,.t I>r.�*k,.413 w�'t�ft��,�'"ui.���4 v �..-..wk #�' ai.-;g� - w5.� -•-;�^-r u�u..�,.�., M i n Q fC 1: s+Mr.+r~t,t��Yo. M4rGH p45a71f.-4 - Ln g. 2 _ — ! "yIX3�tXP�R�KEeo5. Mt>�}t eTQS.flNGf ! , I �• 12. A S \\ I EE i I ,`_YgiITGHR-RSIUfLN -- cirrr.nwaNa. .r�rlr CJl � 1 � � � _{ � I .. «.,I ._7o nnvrc+t EXIS'nNs, - � �, s •� o_- j €t wr ' �I LQ - C ,=a=�..,�rr Riau New 5'151>:F.{r:1�5ku.1Gt£rrP.� slfb�INb EVFFrkS 70 T �I ,,,,` ' -kl�tui 4nyf•-uoot?..etY �a.-r Ganl�atEs-roMn-rew _ 2 I Yt } r —1�FtE�¢.gL.IWsUI.._ I � _FR71J9rnAKgro wo�s°¢��Ko,c. 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GcN'fK.4�7R,;".'R7 SI'TH'F>GCTU:tT n, _.. � 3 7 x r e�• '. a d ; t 4 1 rVi',< y. - ttT.-oF IJt-1"1 Ft�l:WCt..I,.So 6e ?. t �t•tll 6l;t AJI FLOOR-HTS rf .•_ ' �,. ,e ip :1 vyrd�'" s� xra n .�, iw� r,V .,i„,"i `a�sty", r 'F�oN:�'-NSV.I.P�IJ.Y�Sw�`tl°�� �a�� "" x, �-", ?, 1 W �I, ,+ �" S' �� •F � ��'` sr >, rr% .n? '1 L � �' a r?. ����'"w U ktt��� _"�T�2..t•Ft®'CFktDSllyTtNat: '"r :: C i s Q � 1/ �.I` llV._ .. '_.•�..... -I._�'l _ .W.tw4 y ,, .Q, �-- • LO r 1Ur�.ti� ..:. ,• - .. ',,r i��.+H:.•`+y�r ,t^o� �+.r{. +:g; tr��r ; -,y.x�. ^R.: Y _ _. .""r..,.., .rr w .--K. 4 Y .� a. ,. ti. s �• ....r .. .i.t, ,•. ,.. .,,.w a$.��:..+tt'. .1„�.�,.ea k�"n �" k-,q;Y. 7� +:. .,•,+rr^t , .cy. -^,^.-• w-°•-s,�'- q r+ ,��?r,'*,r ?. . : a �- � .:«ts�^�".,,^....•sr'^. .,., 'ram+�?"°- :.s+ Wit..-. F�n..,.:v+¢}�`.,Bi':`n..1 '•�' .',.' �-�• i ^xi ,.,.,a� t µ� T+ .' .., 1•?�?M».s.. .� �. . :xa� �.. #?,. ''.# �s "''7.; .s•.i�.w'p: !°l,�H1' �'' :�. P'�' s ' s. ,.. .'G ��-, gl +;. r.. %'�.'..,r,FcuCGa'14;#n'�b..<.- - -' ?+ SV'7.. `k't. :x"rr'�.. '?"A •yv�. ':�S3 yOFTHET0�4 TOWN OF BARNSTABLE BARNSTABLE, ,639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... .........�.(Jj..I..M..1.W.C I......... ................................ TYPE OF CONSTRUCTION ....... ................................................................... L y........... ..................19j]. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .. ...........Lft.KSI ................... Location .,........ ......... .......... ProposedUse ...... ....................................................................................................................................... Zoning District ....2,.Ja.....)J).IZ—...MT.&L .....................Fire District ...... .................................. TName of Owner .F--R-n.l'4-K...S.- R IONI.R.OM .... Address ....I...7.,3... ...... ......... W.1010-4).-S.....CO-Address ... .......14 Name of Builder ...I.&.tq M A � Nameof Architect .................... . ........................Address ....................... . .....1.4......................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ................I......................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximatt. Cost .........7,2-00........................................ Difinitive Plan Approved by Planning Board --------------------------------19--------- c d X yo 0 Diagram of Lot and Building with Dimensions -a THE PROPOSED METHOD OF PROVIDING FO-R SANITARY WATER SUPPLY, SEWAGE DISPOSAL AND DRAINAGE HEREBY AP2RO)/ED i� d/f. -/10C /Z 7t TOWN OF BARNSTABLE, BOARD OF HEALTH A LICENSO !NSTALLER- MUST OBTAIN SHMM PERMIT, AND, IN87ALLSYSTEK I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na Ormon, Frank S. Jr. swimrrdng pool --------------------------' ' ' LocoUon .......�..Bay..Laroa__________ � � � Centerville ----.--------~—.-----------.. > ' Owner ---Frar�� S�'Oz�nao^_Jr�_____ ' Type of Construction -------------- ' ' | � ----~^'---------------'-----' � Plot ............................ Lot ----------' y . ^ `� - Ylur 4 71 Olermk Granted ........................................ — `l &° `—pate of Inspection --..��--------.lg7/ � Dote Completed ...................................... | � [ \ � / ~ � . . . PERMIT REFUSED . ^ ----._--.--..—.-------.. lA _ r � .—.--.---..----~--.—.-------.. , ^ � ~—.—..---~--------------....— \ � � . '---'—^—'----^^--^------'---'—'' ' -----'~—'----'—'--^—'^^—^^~—^^^'~ , � Approved ................................................. lQ ' -------.--------..~.—..—..---.. ................ ----.................................................. Inc. 11 HIGHLANO CIRCLE NEEDHAM,MASS.02194 1611)444-2535.444 2538 `\ FIT 151 MASHPEE,MASS. 447 2131 f SINCE }" BUIL0EH GLNIIL 1956 SWIMMING PDOI S GENERAL SPECIFICATIONS SIZE . DEPTH - TO SHAPE PFRIMFTFR TEMPLATE NO. CUSTOM TILE SIZE z COLOR CANTILEVER r 12"COPING MOTOR N.P. PUMP BRONZE FILTER _ SO.FT - TURNOVER HRS. VACUUM LINE&SKIMMER 1. TO 2"' RETURN LINES 1"TO 1A' �.. MAIN DRAIN W/HYDRASTATIC RELIEF - - - SKIMMER MODEL BACKWASH TO r'CS t AUTOMATIC BACKWASH ASSEMBLY HEATER SIZE BTU. - i - t GASLINE BY: OTHERS VENTED BY: t LIGHT LO VOLT ' y : CLOCK. OTHERS - ELECTRIC BY OTHERS t ELECTRIC BONDING BY, OTHERS 7 CLEANING TOOLS ZEST KIT VACSFT HOSE BOARD r SUPPORTS ].r i LACUER S'STL./ tiunE wared _ _ _ r'�LNNEG7IUN ROPE HINDS YY'ROPE&FLOATS APPROXIMATE CIEVA T ION OF POOL TO OF OETE RNONED ; BEFORE UAv OF EXCVATION _sVT//T/ - I• ' ..__GRADING _ _. ...-1- ADIRT WALK - -----^ -- e _ _ y STUB PLl1M8'•Vllg: NO _l.TRACTOR SIZE TILE&COPING ASAP OTN DECK BV r� TREES,ETC. NOTE: ------ - COMMERCIAL SPECIFICATIONS EQUALIZERS i DEPTH MARKERS S CROOK •1 CHLORINATOR 6 DOUBLE SUCTION WrV AIVES NAME ADDRESS - CROSS STREETS_._,.,_._. HES.PHONE ._�,.—. .--. BUS. OWNER.- WET DOWN CONCRETE SHELL AT LEAST TWICE MAIL ADORESS._�__._. DAILY FOR 7 DAYS. f DO NOT TURN ON POOL LIGHT NT1EN POOL IS EMPTY DO NOT USE RUBBER HOSE WHEN FILLING - POOL AS IT WILL MARK PLASTER tt K 4'i S -mil y� i i � .. X r. sS � �JT✓1Y/ i- '1 :_._.___._- -.�. .�._.---- E �`� , t. �. ,�.�=� t � `� �\ � \ \1 � t �� ti � ,. 3 ,� �=' .✓ � — � �� r - / ,sit >, Y�'�, �` �` '�'� �� I� /,� 4 _,� ! �\ �, �. ��--�-_ ����� A.R j 1 %,r-,v icn vtt r r Revisions: DATC OE90111P1M \ CAYEa BAY I i-9-90 PROPOSED ADDITION j B SEPTIC SYSTEM, NOTES LOCUS C i +A ' REV NW ADDITION E i 8/15/96 REMOVE ADDITIONS PERMIT TF D BUT NOT TO BE BUILT � � 1 PIER _ SCALE.• 1"=20B3' I _--_--C� LOCUS MAP References. ASSE-.SSOR'S MAP 186 PARCEL , C`- r PLAN OF LAND IN CENTERVILLE, MASS. i -"'--------_ AS SURVEYED FOR ROSE DIRICO BY I ZONE RD— 1 i BEARSE & LAW SURVEYORS DATED 0 JUN 12, 1963. o `v N/1- SAMU`L R. NICKERSON TRUST SETBACK REQUIREMENTS 1 y� PLAN OF LAND IN CENTE'RVILLE, MASS 4- FRON T 130 TO BE CONVEYED BY FREDERICK P. & SIDE 10, JANE R. NICKERSON BY BEARSE do REA R 1 , •KEL L O GG C104. ENGINE-ERS. DATED NO V. 18, , 5 ,INN. LOT AREA-43,560 S.F. - - 100 YR. FUM ZONE a 11.0 N.GVO FROM RENCNMARK M28-QS SO COUNTYRO 1 I "D FEMA 100 YEAR FLOOD ZONE A I3 ' 5 s R EL. I I NGV.D. I , r I a - - 3 - FENCE LINE - ----- 1 NO TES SCS'7R, F \ ' ' yvwrrlyvwv - - 188.53' I I PROPERTY LINES SHOWN HERON WERE COMPILED ------ ---'- -- Pro .act FROM PLANS RECUROF.D A T THE BARNSTABLE CUC N T Y � r 'i t!e. 14 REGISTRY OF DEEDS 1N PLAN BOOK 12.5 PACE 9.3, S'ONE WALL PLAN BOOK 175 PAGE 1.31 AND DO NOT REPRESENT PLANTINGS - � P11AN P,N;'. I AN ACTUAL SURVEY ON 71-IE GROUND. 0 6.r ' - t T.AC�IIt - I j - _`,"': "-,'Y 'C QE . "".E- ;NE 0 > . � PROPOSED �' I I �c• . vi:A �.C., n,.0 - I ND JNE7v T5 yGr TNL .5'rSiT_W 11 ,Q ADDITION �..` , ,• � J,NKNOWN. TNERE' ARE TWO Ef75 i 1NG 4 P. V,c:. ' -% �_ �� I Oil TLET5• AS SHOWN. THE ECTSTI.NG OUTLET M BE I f- L_ i 1 � I.,r _ .� IT I I AEANUGNED /S TO BE PL UGOED W4 TER 7,GN T. IT L E3CX-I`r 1- IS TIrE" CON7RAC, CR'S RESFCN5iB/UTY TO LGCA 7E I PLAN w CONC. % n `"',' ' ' 74F_ EYISTTNG SY'STFW AND PUMP AND BACKFILL CEK EXISTING 4 A REA / �/ � Q' Wt'�GD I EL.= CONC. PAC OUTLET' v�_ C.uPONENTS W17N MEuIUh! COARSE SAND. DECK f STEPS• ON EL.=13.A1 �' ___ / I , I A PO 0.JTLLT - L 1 Q > I ELEV.,. ARE BASE ON MEAN LOW WATER. BA Y 1 _ _ t2 _ dal [� I 173 � WGRtENS -a r_ ' I I;RY'►4ELLS TO HE PROVIDED FOR ROOF DRAINS � \ 2 STORY - I� -- -- Wt700 FRAUE -` --1 .. Q mI— ANE / •� / T•O.F. EZ- -17.94 SLF'TIC Th`�K - 1 � E .iCl�, 7-ER, VIL l E x ILT PA n0 ` _ POOL \� `_ ' ' m < �T h'Nr e,G I IB/ N TA F--- t_. E1 ` 4 �Aj `Ic 1vf A EXISTING /�/ �Y XISTING - o� ADDITION / 17 DD1 T"VN LIGLI7A. POLE- .LOT i � GARAGE fII nmwoI s I o I ' I 32,670±SF _ - x \, SLAB EL. PAVEMENT c / I MEPAP" FOR i o CONC. WALL 4'U ,;:�'r L INDA CLARK PLANn/Ycs LAWN AREA ENTRY / It tom- i I t LAWN �� S rOtvE FENCE—_j AREA o ( _ o _ -'PLANTER SE-CTlON � 14 �- 62.60' l� I PLANTING (,? r"- FENCE /NR� a 5S1 CI.:1',30 W -- ?8 4. 5 q: ti ^1 ^',� ARAf J 7 ! _ 4 i i 1 WiIscn ' Assod,ute3 I Ins,. I I N/1`- r,Y1d TH/A RE y?vOLDS I 911kM* st "t I 009-v&/WA 02M j 508--428-14.44 w n tl I - 5 -0 -- -- -4� j I I j PIPE � �( I^ ' 15' II ' �-� HANDRAIL IS i� - ! EXI V PIER �LC R �+- -- CONCRETE PIER -i CONCRETE DECK --� —_ ` I'� I AND 3" PIPE HANDRAIL El..=II.3:- _ uJ 1 PROPOSED CGNC PIER j -� EL. = 8. 34 - w --- - 1 I ,�S' �-•.-- ,----'r----T--_ � � .. o � �S I q"tt al' ,� I v ..s►.,.� ( I _—� _� _ I ,,� a,lx �„ I MOUSE Y ' 0 10 DIA. k74~xH" 10 DIA. PILE \ _0 r '\ . 1 l j Va ITION I PILES I ` " M.H.W. 2.4' ._ -- , ----,,.._. ,T- I i. •, - j�• , 1 ,`L I i EXISTING SL.OPF �f'v C I l llit _ — ?'-- M.L.W.S. -0. 5' i'tom .20' I i i I 20 40 50 FEET I I PROFILE SCALE I"= 5' roeslgn^ C.P.J. 1 Check_: C P.J. I SECTION j SCALE I = 3 I Drown: J V.H. I L.f.. ►t.-. f Henn .+ I