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HomeMy WebLinkAbout0038 LONG POND CIRCLE ACTIVE J oFTME Town of Barnstable * � b 0 b��CvS Permrt# Regulatory Services 11T&a nths ropyssue date Fee MASS. a SS PERMIT i639• ,b$ Thomas F.Geiler,Director 1 p��A 'N i4 0f i! Building Division 7011 TOWN OF BARNSTAB�lgm Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 EXPRESS PERMIT APPLICATION - RESIDENTIAL.ON,y 508-790-6230 Not Valid without Red X-Press imprint Map/parcel Number `t o Property Address f (Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addres / Contractor's Name Telephone Number_ j Home Improvement Contractor License# lica if ( applicable) Construction Supervisor's License#(if applicable) DWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner WI have Worker's Compensation Insurance isurance Company Name —j,� �� �� ✓i� forkman's Comp. Policy# opy of Insurance Compliance Certificate must accompany each permit xmit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of r000 [].Re-side, ❑ Replacement Windows/doors/sliders. U-Value #of doors (maximum.44)#of windows *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&Construc equired. tion Supervisors License is NATURE; ?FILESTORMSIbuilding permit formAEXPRESS.doe sed 070110 . The Commonwealth of Massachusetts t Department of Industrial Accidents aT Office of Investigations ue 600 Washin on Street ?/ Boston, AIA 021.71 - r r www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name (Busincss/Organization/Individual): Address:City/State/zip: ' � 0?,veone #: ® [E) i an employer?Check the appropriate box: Type of project(required): a employer with 4. ❑ I am'a general contractor and I 6 El New construction loyees (full and/or part-time).*. have hired the sub-contractors a sole proprietor or partner- listed on the attached sheet. t ?•. Remodeling and have no employees These sub-contractors have 8. ❑Demolition ing for me in any capacity. workers' comp. insurance. 9. Building addition workers' comp. insurance 5. ❑ We are a corporation and its red.] officers have exercised their 10.❑Electrical repairs or additions a homeowner doing all work right of exemption per MGL 1 I.❑ Plumbing repairs or additions lf.[No workers' eomp. c. 152, §](4), and we have no 12.❑ Roof repairs ance required] t 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-contracton and their workers`comp.policy information. I am.an employer that is providing workers'compensation insurance for my erployees. Below is the policy and job site information. Insurance Company Name: .Policy#or Self-ins.Lic.#:�/,�Q 4'91VY-Z Z 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 u r the pains and penaldes of perjury that the information provided above is true and correct Si ature: Date: Phone#: Official use only. Do not write in this area;to be,completed by city or town bffuiaL City or Town: - Permit/License# Issuing Authority(circle one): 1.Board of Health. 2.Building Department 3. Citygown Clerk 4.Electrical Inspectgr 5.Plumbing Inspector 6.Other Information and Instructions Massachusetts General Laws chapter]52 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees_ However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or,to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(1)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is-required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the Iaw 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 Tine: 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 m the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill is the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hke 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 Deparbnent of Industrial Accidents Office of Investigations' ' 600 Washington Street Boston,-MA 02111 Tel. # 617-727-4900 ext406 or 1-877-MA-SSAFE Fax# 617-727-7749 oFly Town of Barnstable o • Regulatory' .t, Re ulat or3` Se 'c e s MAE& Thomas F. Geller,Director ` Building Divisioll Tom Perry,Building Commissioner 200 Mairi Strcet,Hyannis,MA 02501 www•town.b arnstab le•ma.us Office; 508-862-4038 Fax. 508-790�-6230 Property Ow - Must Complete and Sign This Section If Using A Builder as Owner of the'snbject.property hereby aphorize �? L,OJC to act on my behalf, is all martens relative to work authorized by this bugdiug permit aPP4=on fora A . (Address of Jab) i GMT 1 Signafure of Owner - ate 74 Pant Name J If Property Owner is applying for pernmit please complete.the Homeowners License Exemption Dorm on :the reverse side. Yt•tr:r Town of Barnstable ' y Regulatory Services t : > rsrAscE Tbomas F.Geller,Director �b J6 Ib BmiIding Division CEO { Tom Perry,Building Commissioner 2001vtam-Sheet; Ay_anpLu,MA 02601 t{ WWWJovmbarnstable.ma.us " Office_ 508-862-4-038 y Fax: 508-790-6230 a HOMEOWNER LTMISE=MMOA' i Pleare Print DATE JOB LOCATION: number str=t village "HOMEOWNER'': name borne phone# work phone# CtJRRE1Tf hiAI INQ ADDRESS: R cTty/town stato zip code Tie current exemption for"ht3meown="was extended to include owner-occupied dwellings of six units or less and to allow homeowners to cngagc an individual for lure who does not possess a license,prm ided that the owner acts as supervisor. DEFI MON OF HOMEOTVNTR Persons)who ovim a parcel of land on which he/she resides or intends to reside, an whichAere is, or is intended to. be, a one or two-family dwelling, attached or detached structurts accessory to such use and/or farm structn=. A •person who cnnstrgcts more than one home in a two-year period shall not be considered a homeowner. Such `,�orneowncr"shalll sub=t to the Building Official on a form acceptable to the Building Official, that he/she shall be rmponsible for all such work perfonmr-d'under the building permit. (Section 1,69.1.1) The-undersigned`homeowner";;,zm es responsibility for compliance with..the State Budding Coda and other. applicable codes, bylaws,rules and regulations. The Undersigned"homcowne'gentiles that be/shc.rmderstams the Town of Baunstable.Bulding Department. _ rMT1-rrMj=inspection procedures and r quir==f3 and that hcAhe will`comply with said procedures and requirements. ' Signature of Hoineuwna Apprisval ofEurlding,Of5cial 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. H0MWVKR'FR'8 EXEMPTION " The Code states that:,."Any bgmeowac perfousrmig wm*for wlrich a bmIding parrot is mquirr d sbaD be exempt from the provisions sc of this cd=.(Sectian I D9.1.1-Licais-9 of construction Supa yisors);provided that if the homeowner engage a pason(s)for hire to do such worlt;that such Homcown er shah art as suPavisrn>• Many bomeowners who use this tion are unaware that they are assurnmz the responsibilities of it supervisor(see Appendix Q, Rules&Rygulations for jj..ming Cm.,tm-lien Supervisors,Section 2.15) This lack ofawarcien bflerr trsuits in saiou;prob]ans,particularly Yh=the homeowner hires unlicensed parsons. In this case,our Board cannot proceed against the unlicensed person as it would with,a licensed :irpervisor. The homeowner acting as Supervisor is u]titrately rrsponmb]e To ensure that the bonsowna is frilly aware of Ys/herrzspormbilid=.many com=mitirs require,es part of the permit application, iat the bo=cowner certify that bdshe understands the nspambilitiet of a Supervisor. On the last page of this issue is a•form currently used by vera]towns. You may care t arrierid and adopt such a forrri/eatification for use in Your community. �---.� DAVID-2 OP ID: KG AoCC>R" CERTIFICATE OF LIABILITY INSURANCE DATE 061291111`1 Y) �...�� .. 6t2 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(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . CONTACT PRODUCER 508-771-1632 NAME: Northwood ins.Agency,Inc, PHONEFAX _...........:..............-__._ 508-393-2965 C Now _....... _..,.._.... 540 Main Street,Suite 9 E-MIL A Hyannis,MA 02601 ADDRESS: INSURERS)APPORDING COVERAGE-.-__ NAIL# INSURER A:Travelers Insurance Compare INSURED David Cox, Inc. INSURER S: P.O.Box 401 INSURER S Yarmouth, MA 02664 : ..._. ......___.,_ INSURER D: � t INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIi S OF INSURANCE LISTED DELOW 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 !NSURANCE 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. _ ....... ...... ..............................._........, .._,..__.._..., CDDLiSiTki�r _.,..._. ,__,.i_POL�TSR ...,.POLICY EX T_____.._........ .,... ...._.._..... ._......._.._., ........ _._.-._ IRTR l TYPE OF INSURANCE -J-^POLICY NUMBER MMlDDlYYYY 1YYYY ! LIMITS EACH OCCURRENCE 000,000 GENERAL LIABILITY r -- I 6801481 M796 03M4111 I 03/14112 �PREM SES a c urrenee J S._....._ 1�300,000 A IrOMM€nCIAL GENERAL LIABILITY M�p XP(Any ooetperson) ---S - 5100 CLAIMS MADE L K OCCUR X n Business Owners GENERAL AGGREGATE Y $ 2,000 00 .-_ .__.... I —.—ADV __..._ _ _00 l PRODUCTS-COMP)OP AGG j$ 2,000,00 �GEN L AGGREGATE LIMIT APPLIES PER'. POLICY Ro. LOC $ AUTOMOBILE LIABILITY a accident)ED SINGLE LIMIT I ANY AUTO ODILY INJURY{Per person} $ I- ALL OWNED -� SCHEDULED �-C�l - -_......._...,_ _----,..---..._. BODILY INJURY(Per accident) S .__.........._L...._........__._....._.......... .._- �_ AUTOS -" NON OWNED -PROPERTY DAMAGE V L HIRED AUTOS AUTOS Pera___ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR IIrI CLAIMS•MADE I AGGREGATE $ ED RETENTIONS WORKERS COMPENSATION II X :g STLATU. AND EMPLOYERS'LIABILITY t-'-' A l ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N I NIA A © l6KUB91OX742211 07115111 07115/12 E.L.EACI!AGGVDENT s 100,00 i OFFICER/MEMBER EXCLUDED? i -----._...._........_....__-.....----._.._..___...__(Mandatory in NH) i E.L.DISEASE-EA EMPLOYEE 1 100,000 If yea.describe under _ .........__..,........._._........_- l DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT a 500,000 i i I I DESCRIPTION OF OPERATIONS i LOCATIONS t VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 230 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD i r Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS 63537 Restricted to: 00 DAV I D R COX PO BOX 401 S YARM:OUTH, MA!02664 Expiration: 10/15/2011 Commissioner Tr#: 5822 Office ot`Oonme'�f airy 13us�inest' o License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR ( before the expiration date. If found return to: Registration:.,Y:z100497 Type: Office of Consumer Affairs and Business Regulation Expiration: 3'/25%2012 Private Corporation 10 Park Plaza-Suite 5170 i Boston,MA 02116 D COX, INC David Cox 19 LAVENDER LN ? i WZ"e)'��'e4oe .YARMOUTH, MA 02673 Undersecreta t':- rY Not valid without signatur • ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,- Map Parcel (�tT!(, _, • Application#' 5 Health Division _ Date Issued: 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 GI Village I . Owner LW46- Address Telephone O Permit Requestlw',7qle­r Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay N Project Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. T Dwelling Type: Single Family f 'Two Family 6 Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 940 On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full N<rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished 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 c Central Air: lrYes ❑No Fireplaces: Existing New Existing wood/coalistove: LJ Yes ❑ No u,1 v,. Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑_new size Attached garage:I(existing ❑new size Shed:❑existing ❑new size Other: c� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number w 5� Address er 'f��. License# ?.2, Home Improvement C ontractor# -7 Worker's Compensation# ,�C2 ALL CONSTRUCTION DE RIS RESULTING FROM THIS PROJECT WILL BE TAKEN T r✓ SIGNATUR DATE r FOR OFFICIAL USE ONLY y APPLICATION# f , DATE ISSUED -MJP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME ® 3/7/6� INSULATION ® 3I11�Db FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t The Cornmonweatth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ' Boston, M14 02111 , www.rnass.gov/dia Workers"Compensation Insurance.Affidavit,Builders/Contractors/Electricians/PIumbers Applicant Information Plea Print Le •bl Name (Business/Organization/Individual): • " •Address: �!�• �ma ��(o . City/State/Zip: ` ; `,u.�� /!J/�✓�- Phone.#�' &V 62-2 s-- Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I . employees(full and/or pait-.ime).�` have hired the strb-contractors 6. ❑New construction .. 2.[] I am a'sole proprietor or partner- listed on the-attached sheet. 7. �temodeling ship and have no employees These sub-contractors have 8. Demolition workingfor mein an capacity. employees and have workers' Y P t3'• 9. []Building addition [No workers' comp.insurance /comp.insurance.$' required.] 5. We are a corporation and its 10.❑Electrical repairs or additions '3.❑ I am a homeowner doing all officers have exercised.their work 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 mat checks box#1 must also fiIl out the section below showing their warkas'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-contactors and state whether or not those entities have employees. 1f the sub-contractors frave employees,they must providt their workers'comp.policy number. lam an employer that is providing workers'compensation insurance far my employees Below is the policy and job site information. Insurance Company Name: 1 Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: VF) �ilg&ML 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby certify un�de4 tAe ains•andpenaldes ofperjury that the information provided above is true and correct: Sienature: Date Phone #• 91 ' 24w> 6,-,XR 5_ Official use only. Do not write in this area,'to be completed by city or town of' ciaL City or Town: Permit/License# Issuing Authority(circle one): . L6. oard of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector S.Plumbing Inspector ther tact Person: Phone#: �pFTHETo Town of Barnstable P ~°^ Regulatory Services BAMSTABM$ Thomas F.Geiler,Director q'ArEo; 6. Building Division 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 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. I / Type of Work:� ` jcl L4f�F� OK�D/JGBuFEstimated Cost J&AW Address of Work: lipu` l�vxz U xct� Owner's Name:L.tL.I� lhN P� — Date of Application: V7 7 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 FjBuilding 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: Date Contractor Name Registration No. OR Date Owner's Name Q:foms:homeaffidav ' Of'[HE Town of Barnstable, Ip ' Regulatory Services + AxrtSTABLE, y nMass Thomas F. Geiler,Director �'ArED n+p�AllBuilding Division . . Tom Perry, Building Commissioner 200 Main Street,, Hyannis,MA'02601 w"'w.town.barnstable.ma.us Office: 508-862-403 8 ' x Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A.Build'er,. ti as Owner of the subject property herebyauthorize kto act on my behalf, in all matters relative to work authorized by this building permit application for: r (A dres4of b) Signature of Owner Date PAU- Print ame. ,,; QTORMS:OWNER ERMISSION ten. ✓,,,fie TDomia a .%�aaaacfzuaea VQ _ "� a�Board,of Bwlding Regulations and Standards ," Constructioir Supervisor License !� Licens S�CSk 80591: I ' , 128 Tr#` 1459I Expiration 6(28/2009 # ,Restriction OO�R R,ICHARD:fA PRCHLIKtt f „ PO BOXY 346 C,ENTERVI`LLE MA 02632 Commiss►oner; „j GTfze �anvnw7wsea o� aacfivaeka 71 Board or Building Regulations and F'inda.ds L►cense;or registration valid for individul use only 3 before the.expiration date. If found return. HOME IMPROVEMENT CONTRACTOR Y+ I�r Board of Building Regulations and Standards Registration 135897 Oiie Ashburton_Place m 1301 rEx'iration 5%,17/2008 �f y Boston,Ma.0 108 i} Type Individual } : RICHARD ANDREW PRCHLIK RICHARD PRCHLIK� e 292 FULLER RD Not and without signature. CENTERVILLE MA 02632 Dcnuty Admnn%irator 1 Y .•.:. s Andersen.' Andersen Windows- Abbreviated Quote Report Andersen. Project Name: Gates Res. 4 Quote#: 000045 Print Date: 10/02/2007 Quote Date: 09/26/2007 0 Version:7.1 Page 1 Of 1 Dealer: Customer: Andrew Prchlik Billing Address: Phone: Fax: Sales Rep: Jonathan Piers Contact: Item Qty Item Size(Operation) Location Unit Price Ext. Price — -„ 0001 2 TW2846(AA) $ 320.10 $ 640.20 RO Size=2'101/8" W x 4'8 7/8" H Unit Size=2'9 5/8" W x 4' 8 7/8" H • Unit, Equal Sash,White/PI White, High Performance Low-E4 Glass(Each Sash) Insect Screen,White 0002 1 TW2832(AA) $ 265.42 $ 265.42 RO Size=2' 101/8"W x 3'4 7/8" H Unit Size 2'9 5/8" W x 3'4 7/8" H i Unit, Equal Sash,White/PI White, High Performance Low-E4 Glass(Each Sash) II Insect Screen,White Subtotal 609 55 2� Total Load Factor Tax.(5.000%) $� 45.2s Customer Signature 0.681' Grand Total 950.90 Dealer Signature ** All graphics viewed from the exterior Project Comments: rl *High Performance Low-E4 glass will be available as a running change on Andersen Architectural Specialty Windows. See order acknowledgement to verify glass type.-` I Liberty Mutual Group Liberty P.O. Box 7202 MutudL Portsmouth;NH 03802-7202 Telephone(800)653-7893 Fax(603)-431-5693 July 31,2007 TOWN OF BARNSTABLE ATTN: BUILDING DEPT . 200 MAIINT ST HYANNIS, MA 02649- RE Certificate of Workers Compensation Insurance Insured: R ANDRENN PRCHLIK DBA MAIN STREET BUILDING PO-BOX 346 CENTERVILLE, NLk 02632 Policy Number: WC2-31S-362030-017 Effective: 5 /26/2007 Expiration: 5 /26/2008 Coverage afforded under Workers Compensation Lavv of the following state(s): NIA Employers Liabilih (Limitsl: Sole Proprietor/Partner Coverage Election: Bodily Injury By Accident: $ 100,000 Each Accident The workers'compensation policy does not provide Bodily Injury by Disease: $ 100,000 Each Person coverage for: Bodily Injury by Disease: $ 500,000 "Policy Limits 1:ANI)RkW PRt;1 LIK As of this date,the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. Thei insurance afforded by the listed policy'is subject to all the terms, exclusions and conditions,.and is not . altered by any requirement,term or condition of any or other documents with respect to which this certificate may issued. This certificate is issued as a matter of in formation'only and confers no right upon you, the certificate holder. This certificate is not an'insurance policy and does not amend, extend,or alter the coverage afforded by the policy listed above. If this.policy,is cancelled before the stated expiration date,Liberty Nltltual will endeavor to notify you of ' such cancellation. \_1J AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc:. Insured: Producer of Record: R.ANDREW PRCHLIK HORGAN INSURANCE AGENCY DBA 1\IAIN STREET BUILDING PO BOX 250 PO BOX 346 CENTERVILLE, NIA 02632 HYANNIS, NIA 02601 ter, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map O ,'Parcel & Permit# ,�O (p 2 f Health Division qO s-3S� �� �� � 3 lC)U Date Issued � 0O 0 Conservation Division r � / CaD _. Fee 7 f " Tax Collector Treasurer.. G�d�.P�e l I�!� G`7PTIC SYSTEM DUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS -OKH Preservation/Hyannis o Project Street Address 20 Village ( 6 &4511e Owner ,��,8de 10-_ Address Telephone 775S -Sa266 Permit Request � itJ Square feet: 1st floor: existing l Q-aU proposed 3aO 2nd floor: existing proposed Total new Valuation 37 Zoning District Flood Plain Groundwater Overlay 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 f 95a Historic House: ❑Yes *5o__ On Old King's Highway: ❑Yes 411-0- Basement Type: Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing c2 new 6 Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing 2 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:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name / ►l �7 y �/j � �i1/ Gwe, 'Y7/ efee Telephone Number .�73 Address 5— � U . License# LAG S6�( Sr7P A4_ ©a t y ? Home Improvement Contractor# // 30 Worker's Compensation# tt e.5 —03--/77-57 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 13 fE SIGNATURE < DATE L2_ r FOR OFFICIAL USE ONLY 71 P MIT NO. DA*ISSUED MAP/PARCEL NO.' � ADDRESS .,. VILLAGE OWNER DATE OF INSPECTION: 'r FOUNDATION - - t �} FRAME INSULATION 9 FIREPLACE - ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH f FINAL ` ti ;. FINAL BUILDING F DATE CLOSED OUT - w + ". . . -� ASSOCIATION PLAN NO. _._ 7�1R Appadia Table JS21b(eoadoaed) h weriptive Pukages for Due and Tw"amilr Resldeatial Boildlap Heated with Fang Fuels MAXIMUM MIIVIMUM Wall ' Floor Basement Slab Headnwcoolia8 At Glazing) U.Vwue R value it value Rrvalue° Will Prsmmaer pip &Value` l;value' 5101 to 6500 Heating Degree Dan' Q 12% 0.40 38 13 1 19 10 6 Ni R 12% 032 30 19 19 10 6 Normal s 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 WA WA Normal U 15% 046 38 19 19 10 6 Now V ls% 0.44 38 13 23 WA WA M AFUE w 15% 0 S2 30 19 19 10 6 83 AFUE X IBYe 032 38 13 25 WA WA Normal Y 19% 0.42 38 19 25 WA WA Normal Z 18•/. 042 3s 13 19 10 6 90 AFUE AA IMe 0.50 30 1,9 19 10 6 WAFUE 1. ADDRESS OF PROPERTY: 16VC, Pod X �Cle-, 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: / 3 3. SQUARE FOOTAGE OF ALL GLAZING: (o7, 56 4. %GLAZING AREA(#3 DIVIDED BY#2): 117 0 (J 5. SELECT PACKAGE(Q—AA-see chart above): X NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-i980303a f 780 CMR Appendix J r Footnotes to Table J5.2.1b: 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 requitement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl 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 described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. 'If the building utilizes electric 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 J5.2.1 a 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 e the opaque door U-value to determine compliance of the door. with our windows and use P f the door glass area o y 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 — _- The Commonwealth of Massachusetts _r:_ Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit ipia a name: gr /efl`� --- (. 'CIP S location: &66:Z citV le,$,JW wilt phone# 75 �a ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one workii mi anv opacity �, ���;�.�,�� ��. ,�� .�i,���,a����a,, Ky X. I am as employer providing workers' compensation for ray employees.worldng on this job.--- _ . .:..� I1luran'Ce'ca::«<>z::;<;:;; :;:::. /t}..:;:.;:.;;.; , :::;::: ;;,.::;:::::.:,.;>;;.;:.:.;:;<;;;::;::.;»>.::.::.:. alitv.#::•. .ia .,.,::...,.:., .:.,,,.:.:::r. �.. ..._. ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the followin workers' compensation polices: :?;:;:i?:;i:::: ............................... . ..............................ii .. ii cons an n ..... ...................... ........................................................................:..::..;:...:._::..�:::::•::::::::::::::: .:{•::•sir.•}:•}:•}}:•::.•...:....... :: .sir:::::,.........: . ..::,,,•:.,•,-•:::::.,•.:#•:..sq•:},�:.R.7•::•:::!:..:•.:� : ........ s.... o-:}:. .....:::.::.}'.;:.}::.;;:.:�:.}:.::.:::<:;.:.::::::.:::::.:::::::::::.:::::::;:,:;::..:::::::.::::::::.�.�::.�::::::..�::::.:.::::.:•..:.::.�:::::::.::::::.:phone.#......... •>:.}:.;;:.}.:.::..... ........................:•.�:::::::.�::::•.:............:::•:::::::::::::w:::::::•....:::::.}..::::.v.............-.v:-... w:•. ....:x.,v w.v.•r:....8...v n4.l.;..: n....vv...rr.. A.;:. .. .......................... ................ v.:v:::v.:....v.•..vn f........-::::::::.�:....,•:.::::.}}}}Y:::::.......{.. ...::.D?fYv .....................v....................t....... ...................................::, .. }i.4.iv:v:�.w:.k.......•.vv::.•:::::v: ........................... v v;J.•}`K. ................... ..................... ........................... .....,::...P ........... ..............vvv::::.v:!.}y:::::::'{;•}F;!y':: :::::•Y.•nv:•.,r..:.;wlvV..Y.^.::..!:!•.�. ::•::::::::::::.::::•Y:Y.:;.:::::::..:.:...: >:.:;::::::::::::::>:.»:::::::::>:::::::':::::>::>::;;; ::::: : ::: ................................................................................................................ ........... ..................... .. .......................:... raac FaWae to seeme coverage as required under Section 2SA of MGL 152 can lead to the iatpositlosl of erimmal penaitla of a fine up to 51,600.00 and/or one years'Imprisonment as well as dvn penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DU for coverage veriftation. I do hereby certify the p ofpajW that the information provided above is&w..and coned Signature Date �t3 : Print name // I C.41el A �/�0 G�/`t�_ Phame# official use only do not write in this area to be completed by city or town official city or town: -- permit/license# OBuilding Department ❑Licensing Board ❑checkithn mediate response is required ❑Selectmen's OIDce (]Health Department contact person: phone it; ❑Other oemed 9/95 PIA) 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 contras: 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 c: 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 renews, 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 ce of compliance with the insurance of this have been resented to the acceptable evidence comp � r P authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and i2p::. supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be ''� 7 submitted to the Department of Industrial Accidents for caioa of insurance coverage. Also be sure to sign and ;' date the affidavit,. The affidavit should be returned to the Oy 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 ifu; are required to obtain a workers' compensation policy,Please call the Department at the number listed below. j. 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 has to contact you regarding the appl icant Please be sure to fill in the penmit/licease mimber which will be used as a reference number. The affidavits may be returned io the Department by mad 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 a Me of Invesduatloui 600 Washington Street Boston Ma. 02111 ' fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 9 ESTIMA TED PROJECT COST WOR/CSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot (above average construction) 3 d . square feet X$96/sq. foot= 7 2 0 (average construction) square feet X$57/sq. foot= V GARAGE (UNFINISHED) square feet Xy$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= 3 7 Total Estimated Project Value �� GF THE T� The Town • -- of Barnstable sr�+. .� -snaivecL 9q, 1659. �� Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 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 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: Estimated Cost .3/, Address of Work: Owner's Name: I��L'GYP vl 7L /%l�/�y C/i S� C S' — / R Date of Application: Z�n z I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav L LO LOT 5 LOT 6 104.10 60.00 LOT 4 112-L0T 3 LOT 3 h 2,51 ry 3 5.5 26 L� ,,,� JCRETE PAD T Lcr� 24 C14 /238 0D HOUSE-38 30+ o "� /3 r 38 l� 24 /2 26 tea' 20'-BUILD/NG L/NE Oi� =46.6T — I09. 4 7 C 19//2,000 49.4T 60.00 POND CIR CL E RES. ZONE.-RO-I FL OOD ZONE: C j Mix MORTGAGE INSPECTION Plan Banks F on1 TOWN: ___ CENTERVILLE_____ _ _ REGISTRY OWNER:L08 LD E LeBLANG d�R�DER/CK .1 SAy1&_ DEED REF: 54/3/186 —_____——BUYER: WEN_DAL L H d MA/ F'�L7.5`F GA TES _ __ ____ DATE: __ 3i22i90______ PLAN REF: 10051125 __j__ _SCALE:1'- __Q_FT. I 'HEREBY CERTIFY TO PL YMO HMO ——————_ —— THAT THE gUILIIINGSof SHOWN ON THIS PLAN ARE LOCATED ON THE GROUND AS ' J4 '` ``' YANKEE SURVEY SHOWN AND THAT THEIR POSITION DOES CONFORMPAUL CONSULTANTS TO THE.ZONING LAID SETBACK REQUIREMENTS OF THE TOWN' OF BARNS TABLE AN1') THAT \A Na. 3?a+8 143 RQdJTE 149 -THEY DO A/0 T LIE WITHIN THE SPECIAL FLOOD HAZARD �s'�Fc,sTEa�° �� kARSTONS. f�II.iB, YA. 02648 ;P4 .AS SHOWN ON THE H.U.D. MAP DATED 6119185 �l04A5. 'IM 428-0055 THL9 NOT-UADB OlI INSTRUILRI�T c T, d 1fT•T7rrP7q PTC cTTRV7v Vnl" " "..'TTQ4'r1 �r(1A 717vt'T1'C VI" 5899 f Q 67/ Vamnaa�zurea o�:�aaoac�urae%li BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 065651 Expires:05/07/2002 Tr.no: 23890 Restricted To: 00 MICHAEL D CROWE 75 CAYUGA AVE MASHPEE, MA 02649 Administrator - '-bi3 k'i��iy adsM�Ga�tt1$�e•'...d..Sm..i pr.G�,_+'+E.e.-�e:;. 15 lClhe o�/�maaaFurte!!s ' �M :.. IhRROVENENT CONTRACTOR c fi Via f on 6130/01 , BA N.- OK 1LOING 8 RENOOELIN �,� � � �{ `�� •NICN�EL�CRQYE „� p�Mi� R x L MASNP 026M4 .. .�. .: ,. .. _.- M- W_.. Y7�P'�":3W ''>� .Tvew[$�`. .. , ,.fig Sin ... 'S , y .. :•�"�`. s. _, ...Tgn ee' 7d Y ! M ,. .., .. .., ..r. LD 1�-- y N %''�-_ _- #8S' � art { -- — -- i I tS) lD o 1G,� c�r� !-i_:T To . . � c> -I,r-Y.�' _.� � �.A•,2.«.iE�-Try I , j h �- ,•>'-'� X V J i40--. tV N��i I i-.T��� �^•�•._ �� �li�_ Cll �' �--- � �s�TY� PIN �,_.� Ile - — Tf } c e 7�- Get-t� c ,-fdL� , P 1. r��- it-.tom�-a�I 1 1 ( � a KITCHEN C� I � CT ,w, O REA n 1 \ I y -- l i 1 ,j-.. � � 1 v.�1c�_.--.�,--��-,. �_-�-r•i r-.,,_,•1 I - ` , I � v„ ,,,;:4•- �-5r�. R` + { p { ! ' T - .♦ 'tea i I �- _ .1____4 -�- 41 BKFAST �_ � I I I I � - ��i_ �•"A�G� .a.1Coef"is.�.T!t�?"� - - �'.c---• _- -S i _.� _.i�.�F"j�G7 ._ i f : 7—A 77 1 ' a , . i SECTION SECTION�. �.�. � -� � 011 k 4 4 11 P, CIO r FOUNDATION FLR. FRAMING --ToTA`' �` �—' -- _3av FIRST FLOOR PLAN ,/4" _ 1 , _ 0" 1 /4 = V - 0" L U U t u o Q o o 3t — O O = U V si 1S c O O 6 Q U m c ` O Q Q �✓ W < U � z "' � ° Z 1 O LLJ .. __ K•�.,r y .:�, �.�' -� !�" � x�r-•� __.. _.__ _._...-----___._.__'____.__—____ __..__.___-..-.____.._._.__.____._ .-- .. -.._____.. _-__--------_,__.._-- -- - —F df...?� `</fit' t- * . LLJ LLi - _.. i r t`�` 1 Zr / r Tom. r rvPaar-6 �"'- __ r----_ __ - P-,i.-r_-;+~ Get.:-Terra- -.� � .�--• ,_ `,. v ]7 . ___ ,,-,,... _ -r---�� ----ice � _.__..-.._ �{ -_... _ \•~� �� _�_ __ -� L \_ _ r _ r T- _ • - r a i , r i I ' 00uj � 7 e - - I 1 ; P , ( 1 l : i f drawn , rev. SOUTH ELEVATION EAST ELEVATIONA� I 1/4„ 1 , _ �,� 1 /4,. a m • copyright 2000 cl �µ - _ , _ L S r _ I� �s AQ#%tvlW-3 ---4 ' IJ � I - MA 1kgw rwA 1Lc LxwA I I Livia t - (,wkrwl� -ro 04-Wr ` 1 fill r 1 t IS 071) , '' _ / 'o L l r- 7 T5 IJIIII j LF i Mal 4,1 /1•