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0294 PHINNEY'S LANE
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Town of BarnstableBuildin 11AMSM iPost.Thi&Ca rd.,S,o,That it is Visible From the Street Approved Plans Must be-Retained on Job and this Card Must be Kept 1 , Posted Until','Final Inspection Has Been Made r Where a Certificate of:Occupancy is Required,such Building shall Apt be Occupied-until a Final Inspection has been made �i Permit - sis R_ Permit NO. B-19-687 Applicant Name: F. MICHAEL DWYER Approvals Date issued: 03/26/2019 Current Use: Structure Permit Type: Building-Detached Accessory Structure- Expiration Date: 09/26/2019 Foundation: a a loft Residential Map/Lot 230-133 _ _ Zoning District: . RD-1 Sheathing: O" d Location: 294 PHINNEY'S LANE, CENTERVILLE Contractor Name:, F MICHAEL DWYER Framing: 1 Owner on Record: DOW,JUDITH Contractor License: CS-076393 2 Address: 14 JUBILATION WAY - - Est. Project Cost: $25,000.00 Chimney: OSTERVI.LLE, MA 02655 Permit Fee: $ 227.50 Description: 2 CAR DETACHED GARAGE 2ND FLOOR UNFINISHED , Insulation: Fee Paid;'� $227.50 Project Review'Req: AS BUILT SURVEY REQUIRED BEFORE START OF FRAME. Date 3/26/2019 Final:; SECOND FLOOR BEAM SPECIFICATIONS REQUIRED. SECOND'`{ FLOOR OF GARAGE UNFINISHED. ( � �y Plumbing/Gas Ilk mµ Rough Plumbing: , _ yBuilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a6thorized.by this permit is commenced within six months afterissuance. All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. € f Electrical The Certificate of Occupancy will,not be issued until all applicable signtures by the'-Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing t k 2.Sheathing Inspection IT _ �. Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed - •._ 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6:Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final- b4Z < > — O Application Number ........2............................... Fee.......................................Other Fee........................ �FO MIS 163 04 Total Fee Paid.. ............................................................. ...... TOWN OF BARNSTXBLE • Permit Approval by... ................... X ........ BUILLDINGPERAHT . Map........... .................Parcel.................... ................... APPLICATION Gm=c_ -few 4 Section 1 — Owner's Information and Project Location Project Address E_ -Village Owners Name- DO Owners Legal Address (20,A4,,)0 (4c,Y City State ^W zip Owners Cell 'If 9y E-mail CA, t Section 2 —Use of Structure Use Group F-1 Commercial Structure over 35,000 cubic'feet El oommercial.,Structure under 35,000 cubic feet [y�Single Two Family Dwelling F Section 3— Type of Permit F New Construction ❑ Move/Relocate []Accessory Structure ❑ Change of use El Demo/(entire structure) 0 Finish Basement El Family/Amnesty El Fire Alarm Rebuild 0 Deck . Apartment Sprinkler System g,'Addition ❑ Retaining wall ❑ Solar R'Renovation El Pool El Insulation Other—Specify Section 4 - Work Description A-w Q r--1 C-. 1,0 6,14 I>r7-A— 6_ow-c 1, 116 X 37 AVVI K,C2 4 Last updated. 11/15/2018 i Application Number............ .... Section 5—Detail � o Cost of Proposed Construction r,ow Square Footage of Project 6T9 A-09WW1-" -Uo Age of Structtire� Y t + Dig Safe Number c9C.1'—`I CIO- '7/7 I # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics [ '(Wiring ❑ Oil Tank Storage L�J Smoke Detectors LJ Plumbing aGas ❑ Fire Suppression ❑ . U Add/relocate bedroom ' Heating System Masonry Chimney Water Supply _ e12'Public # O-Private. Sewage Disposal ❑ Municipal Lf On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility:�G^'of nM 1?�✓ I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Er Section 8—Zoning Information Zoning District Proposed Use 50,-t, Lot Area Sq. Ft. C) Total Frontage_Lt�_Percentage of Lot Coverage 11.to #of Dwelling Units (on site) Setbacks Front Yard Required 30 Proposed 130 _Rear Yazd _ 4 Required ` ° r Proposed, Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated:11/15/2018 s Application Number......................................... Section 9- Construction Supervisor Name ., c�n�l <-✓ Telephone Number Address � " -br,,-LCity C&v�?ZAA--4- State tMM- Zip 7- . License NumberC5- 07 b 3q 3 -License Type (iNru.SU� Expiration Date &-1 3- 1 C . � Contractors Email "Ia Cc) Ax-f- Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentatio equine by 8 MR and the Town of Barnstable.Attach a copy of your license. Signature Date o Section 10—Home`Imp'rovement Contractor Name +/�\ o ` v✓ Telephone Number a , r Address ct.�,a-. :1 AL City GU*Te j.u((e' State WW Zip G �� '+ Registration Number 1 Expiration Date 1 U - (3— 40 Y. m responsibilities I understand under the rules and� y sp regulations for home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re e y 80 and the Town of Barnstable.Attach a copy of your KI.C... k " F , Signature Date p17 Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date 6/��CANT SIGNATURE Signature UY- Date 19 Print Name c��\ \J'�''1�✓ Telephone Number '5�4 'a37-S7 l? E-mail permit to: 4N�w`1-e- C 0 la) &A&C r%. Ai- Last updated: 11/15/2018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) Fire Department Conservation • - , , .. For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization' i I, --3�-Q v k rW- 7 Q.r as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this buildin permit application'for: (Address of j ob) '. Si ature of 6ndr ` ` . ' ° .:date Print Name I f � " I 1 ii i r I i i Last updated 11/15/2018 TOWN OF BARNSTABLE PERMIT CHECKLIST Sign off hours for Health and Conserveion are 8-9:36 a.m. and 3:304:30 p.m. A complete permit application includes filling all sections 1-13 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS L! Si Plan showingsetbacks of proposed and existing structures P P g �VtJ Commercial—One complete set of full sized plans one reduced 11"x 17" (plans may require a stamp by ankhitect or engineer). 'Wsidential- 5 Sets of floor plans no larger than 11"x 17" smoke/co detectors marked orker's Comp. Affidavit and policy(if required) Res Check or COM check from the 2015 International Energy Cod Council(IECC) �1���er of financial Interest for new houses only(not required for rebuild after teardown) N I Performance bond made out for$4.00/foot of road frontage(new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: ❑ Gas ❑ Electrical ❑ Water ❑ Sewer(if required) 3. DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ET>ISite Plan showing proposed location l� Construction plans showing framing detail(if new framing), ❑ Pools—Barrier details,pool specs (engineers design) ❑ Workman's Comp Affidavit and policy (if required) FAMILY APARTMENTS ❑ Section 1 Plus: ❑ Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. DISTRIBUTION BOX DETAIL: NOT TO SCALE DeCelle-Burke-Sala NO.OF OUTLETS: 3 � -�1-E/.•wAMs " -�w-�_ � PueEk .,.r s ✓ r s fi xxmaama LANE t• r:� T PHINNEY'S rxW w4nnP7aGo✓xY2Arowo r 1 O.m Fr I'E _ s sss.JP• m - /g�/ 1266 Fu Brack rnace PMrkwey w401 .11 xw M°w x i t a �e OMITa 6 oz MA l yB174as-si00IC) 61T4oes5-s1..M AxuP.cn 1 s / ! _ www.aec°ue-ourKM-e01a.cOm _ j..� $ (✓ J ,, �0 J0 J LSEPTm NOTE9 nEM I ".F..Y� Flw ALL U.BEEE xn«xEMm wM IPK R. w r� NCOCUS �8 � 9 w rNMK SR Ew wx -- � INE N OWKNwNNOOMDE eury x[h• I-.'varsFu Ou*I£R jE�` ..m ] -+ ws® a WSOPPIMx!D,WR NG S!0 THE-II- I d J J €8 f 1.41 MSm 1.xEngOs.w0 uMLm45 n m1r01N J ME wgLOgSETR 0 EP 1111F 5 12gMI10x5 MD LEACHING CHAMBER DETAIL:NOT TO SCALE f f 4 r w Brwma HaM Ea nw. mw roe 1-In'EamEe-w.wm ansMm s.w[ ,� scxmME w PIE,uME55 mNnMSE sPEaRm Da _wMIT xs B H mx x_xE LE.E �✓' w PIE 36MD.TN IMM ams .P[(*w',1 EnE m of 1w .P .. I'—ME'A'4'B'saE xwmxs. -_wow Mxw nc gB • ®® I ARCA=7.5972t SF.(CALG 'i..NL wiEsu xEOIMAD m IQM.CE iWEOL s19SAL Ox 880t;a M ®�MR isgwR9e -- <' P Ar , mErvcTx I I B,:BWE x'3W p.: / i'rf w PI Y95 PF16tlWm w r12 ML w1WK AVO RgMNG. ��I;�A�&6A;�6�§��A�����` PB[_r.31 w Ew.L I � � � ft ,. ', J V �1iss5 xmnlm B REsarsaE mR xAw•G A SDE 1P mPr w nrt R:sars ro mis EmcE nu sca BMLL y 0.'•33SY_ii YroEvd aIM:A STwE a.4Te w LOCUS MAP IMAGE FROM BARNSTA13LE GIs (MAn er M P K..s0 NOT TO SCALE <i0BsIM 4WL Vass xe.900 Sm4 L � I � <SR 0•xo..sflE 9uLL vA53 xe.x0o SM nW w wNE 43 w arms x are " 15 U BTpxEY wEfMPM a xP.4 SIEVE</ 0. a E.SFPB[Tu1x f Wll 6F CRRIAUCIED Oi POKIXRID ® INVERT ELEVATIONS: LEGEND: mx� M �3 H3mDIw.� K� .spn Pw Mx �® 0 Ixs1n .I o"IMIN. w' v,KxuEs,rx°w wxGx AxE wmux 3•w mEwm wmE 1-,/Y ausumws wm F ArPw T { 4'INVERT AT MAIN HOUSE AL42 EXISTING: -Laos waaRry uxs sfmN 1Mrx SHRL B:SO-an 4'INVERT AT WORK SHOP 42.00 E.MsmlBJnw mx vLUL a rox51PLCRe w xaxEwm [I_ _ _ TTrM w w.uPER¢.sE.E mxc ' 6'INVERT AT SEPTIC TANK(IN) 61.87 _@ wxO¢rtO A a1m:Tr GGvw. E(GTMMTpN mx '.v w..a. �) r Aarmm`w 4'INVERT AT SEPTIC TANK(OUT)A 42 SwLL az 5R IL 4L a L e'sma IU. wu s[v.PArwx a saP ). g .3r rurlax. 4'INVERT AT DIST.BOX(IN) Al u - unxrro,[(swJ E KRu mBal¢w 3 wxp�uc.�rtn°P°i1pFpmla i Aswu xwx amm3w.Tw aa. ,�'11��y $ i�u�u. �z 4-INVERT AT DIST.BOX(OUT) 4J1Z ® $o _ 4'INVERT AT CHAMBER 41.DY B3 - sx(rel B n¢oEstx n wIDmFD m I¢Er tmF v Nm NN mC SEPTIC TANK DETAIL ),soo GALLON 2 COMPARTMENT 33MA, ~ 9Ra BOTTOM OF CHAMBER 39II w O ^BIs er.waw Erx ra mn Mu ax rg -9w SEASONAL HIGH GROUNDWATER TM wP° B� NOT TO SCALE zE�k r' y/ c m ` iv -wA ev4K root ESSNOL m BE PUMVEO; NOTES:I.SEPTIC TANK L TANK SHA BE TONGUE-GROOWO 5.INLET AND OJ T TEES TO BE SCHED,40 PVC - DATUM: SwIsxTD"'ro B'«3"LDwO"""°u"cxMAUA nL JOINT 5EALED REINFORCED CONCRETE. TEES TO BE CENTERED UNDER MANHOLE GOWR. 30. O 1 Lam uEL sma Tow V - R 2.SEPTIC TANK TO WITHSTAND H-10 LOADING 6.RECO3JNENOEO MANVFACNRFR-'mGGINS PRE-CAST IF ' .... -xrartAxr 1.mmOWrr SmAN xp¢Mu 6 MF BESRi w Av w UNLESS UNDER PAVEMENT,DRIVES OR OR APPENDED ECUAL. x£[4'R rLsdYJ_ - I b�rNr'u� VERTICAL DATUM:NAV86 i( G50U10 sUPrtY Br 06OIF-GIBE¢-SNA a A400MFS, TRAWLED WAYS,WHEREIN H-20 LOADING Np _ 4 - n v N OwNc SEPRMBW role.FIF'AiNIM 9WNw RDEB m SHALL APPLY.NOT TO SCALE 7.FIRST COMPARTMENT TO HAVE MINIMUM 48 HOUR _ BENCH MARK USED: x�v1AR ].ALL PIPE CONNECTCNS AND CONCRETE DETENTON TME.SECOND COMPARTMENT MINIMUM FIRST FLOOR x/F - CONSTRUCTION SHALL BE WATERTUTIT. 24 HOUR DETENTIONELEV.=46.OB 0 TME, a .MPE wM. II.0 SI-w .wv..E2. THEBE, t#IIPACrw 4.FILL W 'MM ALL UNUSED KNOCN TS 1( wKPs% - TEjxjK ° D MM MORTAR, BRING COVERS 0 WITHIN 1 If4 � O - pc-YEE THE ur0 vANE9.w0 nlE U1Nrc vumEmRs. B-OF FINISH GRACE ( 9ar - 1gMtm T3 NwPs Mew ro Pm ME TO BE UNDER - PARCFI NOTE3: - Am U.N. OPENING 12"M ` _wn Tn nam TKE II-KiMT w 3I¢9R xT'-- OPENING S ( ME ENPMW GEES NOr 4'lI4tYR¢IxEli KWPNY w MIT RAISE M.Hrw DIA. N D'm 24•DIA. 4• ca P I.Ims+ssaae xw>m RaK 1N _ws HCE ML unmEs 3NE BBw1vACE slxwTURs we smm mE �• 12'-2' _uxo au mxmPGlOt Is 1I 't S&E IO WiBY LOWIOxS N P1L Ea BRI« w B wa'M°m m0a 0x LP oTMwws"awwim tvc�NEc"rYroesA01M OK.1.° 1n ® mxSIVUC1Kw P_10/NY u mXE1RKTNIK -- - T J 14• ^^Bwp re ! ^ (} t�9 a rrw xfmt e[meY m liar I.x ° LL. 4EiE.-..PW-PoiNI£-Mlltlt-Ri 1 PRECAST MONOIJIHIC SEP11C TANK 1 I 1N 0 / A -s[Nw x4 O LEi TEE .�3'-0' Y� O 8•-0• = 4"INVERW TLEi 1FE _prt[ewiE ,I.JJ \ _ r n 4'-B• ` OU'D MIN. SIPHP'V / W/GAS 9•-B• 20'OIA. g•_8• .. WIO DEPTH GAS BAFRE AFRE a• Mw L- - m-DIA�24•DIA y; a �J I� 1-`'-'.�:: CROSBY ROAD BOTTOM ON LEVEL STABLE BASE b (vAmABLe Mp3N-aw✓.34 PLAN VIEW 6'MIN.J/a•TO O -Lwmr PBEM 1 T/Y STONE 4PrT.YJ CROSS-SECPON VIEW e?J:K.lEc.4 - - vw nNE CJ TTLB r w DESIGN CRITERIA: ® R SITE REDEVELOPMENT PLAN SOIL TEST PIT DATA: DESIGN FLOW: 294 PHINNEY'5 LANE 1BEDROOMS AT 110 G.P.B./D 330 G.P.O. mum er p TEST P1T y TEST PT__SA_ TEST PIT 1 TEST PIT - B CENSTERVILLE)A REOUIRED SEPTIC TANK: r Mrs MmEssP Br o 4oEBsm,A n eRO.EL. 4s GRD.EL. a GRD.EL. 4 GRO.FL. eDs 330 GPD x 200E 660 GAL. O• rvcwq cw.EL rv6wO O,Gw.EL. �3'B� 0„Cw.R. NGVA PROFILE: NOT TO SCALE - nnrLL. Ili SEPTIC TANK PROMOED: = 1 SOD GAL. w xA °Yw+aw/s Tx.,°3[ m,1w/uJ Mn. rrasw/Y Tn.e3E r onx w14wE SIZE OF LEACHING FACILITY REGUIREO: Ls Mmm PxwmTO sx3 4Bsn t 12' 0 14"s 1B' 0 PROPOSED SEPTIC REPAIR PLAN DESIGN PERC.RATE: K 2 MIN./INCH scwEms 4 I-- -tang xr snno� wrs nLasc Mr won Lms[ - (SRw41 os wA°e''�Flxls�we�OUE mw"�x -PAEC LONG TERM APPL.RATE:0.74 C.P.D/S.F. r'Y^PEgsO w ws ShsT mr 24'B Ax0 22 e° 25' B x0 28' 3 snxo,xan x M w(ewc . 50' 41" P 74 P F a 44 MInO sm/e Ersw sre/e n B MICHAEL 81E551CA DWYER 55 SACHEM DRIVE J30 GPD 0. C 0 S 6 S.F, wA AmEP EwnnrtT wawm "role •' CENTERVILLE,MA 02632 SIZE OF LEACHING FACILITY PROVIDED: wauro wA1w - •••'�- USE 2 500 GALLON LEACHING GALLERIES WITH FOUR FEET SURROUNDING STONE p EFFECTIVFFFFCD�E BOTTOM LEACHING AREA 25 x 126 =320 S.F w, 01 - - TOTAL PROPOSED EFFECTVE LEACHING AREA=320+150.6-470.6 S.F. u° Es urrREs uomEs rn"v> P3a.Rµ"x 470.6 S.F,LEACHING AREA>446 S.F.REQUIRED LEACHING AREA:CHECKS O.K. O4Y - - 470.6 S.F.x 0.74 GPD/S.F.=346 CPD>330 GPD REQUIRED:CHECKS O.K. - - 122' 122" 128' 128' nc r4lw',as The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information nn 1 Please Print Legibly Name(Business/Organization/Individual): `• \ G�O�\ Address: City/State/Zip: CU.Mv+c.c,L dam' °� � Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am employer with- 4. 0 I am a general contractor and I 6. New construction ployees(fall and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.: . required.] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions equir ] . - 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.[1 Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: I/1 Job Site Address: Q~ City/State/Zip: C'I -M!�Fl o 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, eWfy and penalties of perjury that the information provided above is true and correct Signstore: / Date: 5 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instru tions Massachusetts General Laws chapter 152 requires all employers to provide wor ' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the serve of another under any contract of hire, express or implied,oral or written." An employer is defined as"an indivi partnership,association,corp o on or other legal entity,or any two or more of the foregoing engaged in a joint en ,and including the legal sentatives of a deceased employer,or the receiver or trustee of an individual,parin ,association or other le entity,employing employees. However the owner of a dwelling house having not mo than three apartments and o resides therein,or the occupant of the dwelling house of another who employs p ors to do maintenance, nslzuction or repair work on such dwelling house or on the grounds or budding appurtenant th shall not because f such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"ev state or loca 'censmg agency shall withhold the issuance or renewal of a license or permit to operate a b. ess or to co ct buildings in the commonwealth for any applicant who has not produced acceptable evi ence of co pliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"N ither the mmonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work til acceptable evidence of compliance with the insurance requirements of this chapter have been presented to a co n"g authority." Applicants Please fill out the workers' compensation affidavit co p etely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address( d phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or L' iability Partnerships(LLP)with no employees other than the members or partners,are not required to carry work 'co ensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that affida may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be re to sign and date the aff davit. The affidavit should be returned to the city or town that the application or the p or license is being requested,not the Department of Industrial Accidents. Should you have any questi ns regarding a law or if you are required to obtain a workers' compensation policy,please call the Department the member.' below. Self-insured companies should enter their self-insurance license number on the appropriate ' e. City or Town Officials Please be sure that the affidavit is complete an printed legibly. The D artment has provided a space at the bottom of the affidavit for you to fill out in the event a Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license n er which will be used as a ference number. In addition,an applicant that must submit multiple permit/license appli 'ors in any given year,nee, only submit one affidavit indicating current policy information(if necessary)and under" ob Site Address"the applicant ould write"all locations in (city or town)."A copy of the affidavit that has been fficially stamped or marked by a city or town may be provided to the applicant as proof that a valid affidavit is on a for firture permits or licenses. new affidavit must be filled out each year.Where a home owner or citizen is ob g a license or permit not related to'any business or commercial venture (i.e.a dog license or permit to burn leaves )said person is NOT required to corn ete this affidavit. The Office of Investigations would hike to you in advance for your cooperation d should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and number: Th 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-MASSAM Fax#617-727-7749 Revised 4-24-07 www.maw.gov/dia Office of Consumer Affairs&Business Regulation HOME IIWpROVEMEN8,CONTRACTOR { TYPE-Individual Re"'s r'io Registration valid for in use only. Ex trati n before the expiration date, if foun . F.MICHAEL DI i10/t3/2020. Office of Consumer A d return to: a 1000 Washington Street Suite Business Re gulation Boston,MA 02118 F.MIC HA E L DW YER t 1 55 SACHEM DRIVEW ; �a, , CENTERVILLE,MA 02632 Unde rs e cr et 'a , 0 rY. t v d withosI ut- n ,- .9 ature a - t Commonwealth of Massachusetts it,_ Division of Professional Licensure ' Board of Building Regulations and Standards rvisor . i Constr`�i !?� E�pires:0611312019 GS-076393 ? 41 .. �^ F MICHAEL DNYER y i 55 SACHEM DRY *� 4 G.�` 32� CENTERVILLE MA 026 5 Commissioner Town of Barnstable Building o� >-, h .�,..���, • 'Post.This Card That it is Visible From'the Street-Approved Plans.Must be"Retained on Job and.this Card Must be Kept a =. BA ABLE. , ._ ." # ;� • �as� Posted UntiiFinal Inspection HasBeen Made. . . e�'n1gt Where a Certificate of Occupancy is.Regwired,such Buildmgshall Not-. OccupledLLunt�l a Final Inspection has been made . ,-a- teofO c. is,Recl_ g.._h No .be,� :..�. . . il ....:mow . ,� Permit No. B-19-686 Applicant Name: F. MICHAEL DWYER Approvals Date Issued: 03/25/2019 Current Use: Structure .Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/25/2019 Foundation: Location: 294 PHINNEY'S LANE,CENTERVILLE Map/Lot: 230.133 Zoning District: RD-1 Sheathing: Owner on Record: DOW,JUDITH Contractor Name: F MICHAEL DWYER Framing: 1 Address: 14 JUBILATION WAY Contractor License GCS-076393 2 OSTERVILLE, MA 02655 Est. Project Cost: $ 25,000.00 Chimney: Description: ADD 2 SMALL BUMP OUTS TO EXISTING HOME, 16'X 32'ADDITION, Permit Fee: $ 177.50 NEW REAR DECK Insulation: - ' Fee Paid: $ 177.50 Project Review Req: AS BUILT SURVEY REQUIRED BEFORE START OF FRAME. NEW j Date 3/25/2019 Final ayL �i,zp �jj� SMOKE DETECTORS SHOWN ON B-18-4009. A41— plumbing/Gas J Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are,provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footingf Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed ` Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final' Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: FINE Town of Barnstable - ° � Planning&Development BARNSTABI Barnstable Historical Commission 9 MASS. g, 200 Main Street,Hyannis,Massachusetts 02601 r j a Y � 1639. Phone(508)862-4787 Fax(508)862-4784 B� A erin.loganna,town.bamstable.ma.us fr8"V,09� - l ' Elizabeth Jenkins,Director COMMISSION MEMBERS: Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA m Elizabeth Mumford L Cheryl Powell ,. �x Frances Parks. ..+ U") co r MM. DECISION .. tt drra M .. Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Properties, Section 112-3 F:. Applicant/Property Owner: Judith Dow Subject Property: 294 Phinney's Lane,Centerville Assessor's Map/Parcel: 230/133/000 Janua Hearing Date: ry.152019 Pursuant to the Barnstable Historical Commission receiving your notice of intent on December 19, 2018, a'duly advertised and noticed public hearing was held on January 15, 2019 to determine whether the significant structure identified as a single family structure on this property is a preferably preserved significant building and whether demolition delay would be imposed for the partial demolition of this structure on the parcel addressed as 294. Phinney's Lane,Centerville. After review and consideration of public testimony, application and record file, the Commission by a unanimous vote, found that in accordance with Chapter 112F the partial demolition of the single family is not a preferably preserved significant building. = In accordance with Chapter 112-3 F,the Commission determined by a unanimous vote that the partial demolition of the single family dwelling would not be detrimental to the historical,cultural or architectural heritage or resources of the Town. Further,it is agreed and understood that the all jetted rake boards will match existing. This decision applies only to the demolition described in the notice of intent submitted on December 19, 2018. No future demolition shall be permitted without application and approval from the Barnstable Historical Commission. Nancy Clark,Chair _ Date.. I, cc: Brian Florence,Building Commissioner Ann Quirk,Town Clerk 200 Main Street,Hyannis,MA 02601 (p)508-862-4787(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (p)508-862-4678(f)508-862-4782 Town of Barnstable BU11d1 .s�.' •�s`;,y 4. .. � �:'� :�' ,.`' .��`% '��i.�=.�'� :'`�.•.'u�•• ;._A ,z' �,.<w� a..��air a.�•-., , ; - i�,J Post This=Card So�That-at�is Visible==From.the street -A., roved,Plans Must be"Retained onJob ands#his Card Must be Kept t, flAANf3YABi$ ' ., � �,y>"�I<" ,x^:�.'� ,'� vs- >7:._ �•"�n `b PP.�� � � '�- , - � :. �t •�- ,I�,� �3 � 4 ,s' z Permit ._. s671h 'lam a.:. _,., .- .. "^-a�,`k' _ .,'.- -� - ''; x, .,� .�•<,�:: u = a �. Where a.Certificate of Oecupancya .Requred;such Bu�Idmgshall Notbe Occupiedrunt�l,a Final Inspection;has bee mad �. Permit No. B-18-3027 Applicant Name: F MICHAEL DWYER Approvals Date Issued: 09/13/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 03/13/2019 Foundation: Location: 294 PHINNEY'S LANE,CENTERVILLE Map/Lot 230-133 Zoning District: RD-1 Sheathing: ? 4 ,,,Contractor Nam F MICHAEL DWYER Framing: Owner on Record: MILLER,JEANNE E 3 x ? g: g Contractor Licens11 e GCS-076393 Address: 294 PHINNEYS LN 2 CENTERVILLE, MA 02632 li� Est Pro ect Cost: $10,000.00 r � � 1 Chimney: s Description: siding,windows(8),2-doors,and roofing t-�,TMPermit Fete: $51.00 Insulation: F' !d- $5100 _ Project Review Req: + d�! Date 9/13/2018 Final: Plumbing/Gas /G Rough Plumbing: �_ �" Building Official , Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authozed-by this permit is commenced within six months after issuance. Rough Gas: #4, All work authorized by this permit shall conform to the approved appl canon and the approved construction documents for which thus permit has been granted. g s All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or dad and shall be maintained open for public inspectlo for the entire duration of the work until the completion of the same. n � Electrical The Certificate of Occupancy will not be issued until all applicable signdtures�by the Buildi g anted FireOffcials areprouid�don this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:$1 1.Foundation or Footing :` Rough: 2.Sheathing Inspection - ,a �3..;• 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons c with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: c All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 4 r Application number ` Date Issued......... .............................. ~ . Building Inspectors Initials.... .. . ............ Ok SEP32018 3..Map/Parcel.......... .. ... .. ................. Tc�4nI�9 BARN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: Oq p�j I NA I t A S ( , N�� G�T�2Vi LLB NUMBER STREET VILLAGE Owner's Name: ��A )(Y\k LL(((-_ Phone Number j6 Email Address: Cell Phone Number *-)?V-93C -Ogy7 Project cost $ Check one Residential vl'*" Commercial . OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application fora din e in �C with 7b�0 Owner Signature: Date: TYPE OF WORK U Siding �md �Y W ows (no header change)# � Insulation/Weathenzation U� oors (no header change)#� Commercial Doors require an inspector's review Lld Roof n applying o ( ot more than 1 layer of shingles) , Construction Debris will be going to 13*W ST A c,t T 1A->k( CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable) ##'� (attach copy) Construction Supervisor's License# C5, 67 G ,l (attach copy) tie,j Email of Contractorgn3vj - cco Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* . ` . Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES * Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I.understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT'S SIGNATURE Signature i Date All permit applications ar ubject to a building official's approval prior to issuance. t r `f The Commonwealth of Massachusetts a Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual): Address: City/State/Zip: - Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑-I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.Z I am a sole proprietor or partner listed on the attached sheet. 7. emodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• $ 9. El Building addition [No workers' comp.insurance comp.insurance. 10.❑Electrical repairs or additions required.] 5. ❑ We are a corporation and its P 3.❑ I am a homeowner doing all work officers have exercised their' 11.0P1 gr bing repairs or additions myself. [No workers'comp.' right of exemption per MGL 12. repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: o 9 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 STOPVORK 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 certi under the p i d penalties 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 official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 1 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 e o r is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the fore' g engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or tee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dw ing house having not more than three apartments and who resides therein,or the occupant of the dwelling house another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds r •uilding appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, § C also states that`.`every state or local licensing ency shall withhold the issuance or renewal of a license pe it to operate a business or to construct bui ings in the commonwealth for any applicant who has not rodu�ed acceptable evidence of compliance w' h the insurance coverage required." Additionally,MGL chap 152,: 25C(7)states"Neither the commonw lth nor any of its political subdivisions shall enter into any contract for a performance of public work until accep le evidence of compliance with the insurance requirements of this chapte ave been presented to the contracting thority." Applicants Please fill out the workers' comp sation�ffidavi complete] ,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s) e(j),address(es)an hone number(s)along with their certificate(s)of insurance. Limited Liability Compani (LLC)or Limited iability Partnerships(LLP)with no employees other than the members or partners,are not required to workers' co pensation insurance. If an LLC or LLP does have employees,a policy is required. Be advise at this affi vit may be submitted to the Department of Industrial Accidents for confirmation of insurance covera . Als be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application r permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions arding the law or if you are required to obtain a workers' compensation policy,please call the Department at th n ber listed below. Self-insured companies should enter their self-insurance license number on the appropriate lin City or Town Officials Please be sure that the affidavit is complete and tinted legibly. The epartment has provided a space at the bottom of the affidavit for you to fill out in the event a Office of Investigatio , has to contact you regarding the applicant. Please be sure to fill in the permit/license n ber which will be used as a ference number. In addition,an applicant that must submit multiple permit/license plications in any given year,nee my submit one affidavit indicating current policy information(if necessary)and der"Job Site Address"the applicant sh uld write"all locations in (city or town)."A copy of the affidavit th as been officially stamped or marked by the ' or town may be provided to the applicant as proof that a valid davit is on file for future permits or licenses. A ne ffidavit must be filled out each year. Where a home owner citizen is obtaining a license or permit not related to any iness or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete tlu davit. The Office of Investigations would like to thank you in advance for our coo eration and should o ave an questions, g Y Y P Y Y 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 . Revised 4-24-07 www,mass,gov/dia r r w The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 9 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): t�"��Ci��`� �µ�y-e✓ Address: 5'' _S4r1/e to City/State/Zip: CX&1"X`4 v< c)d 6;U Phone#: a 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 6: ❑New construction ployees(full and/or part-time).* have hired the sub-contractors 2.0 I am a sole proprietor or partner- listed,on the attached sheet. 7. emodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in an capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance.: ❑ required..] 5. ❑ We are a corporation and its . s 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑PI big repairs or additions myself. [No workers'comp. right of exemption per MGL 12.C3tDof repairs , , insurance required.]t c. 152 §14 and we have no� �employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address:— (--? I-0,4rAeL-<7.> City/State/Zip: Ae,?C Z &2e 2 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 certi under the p ' d penalties of perjury that the information provided above is true and correct Signature: Date: Phone Offuial use only. Do not write in this area,to be completed by city or town ojflcial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector,.5.Plumbing Inspector 6.Other Contact Person: Phone#: �h Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or . town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Briton,MA 02111 Tel.#617-727-4900 ext 406 ar 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia r Commonwealth of Massachusetts a� Division of Professional Licensure Board of Building Regulations.and Standards Con stralibn l ' prvlsor, tg. E, ires:06I1312019 " CS-076393 F MICHAEL D1iVYER < , 55 SACHEM DR CENTERVILLE M► 02632 Commissioner 0.0 Cwzit14vr1 dj � _ ersArr ,fy � 4Q►rlrr�rrd#� OFri � �Pa�9 m,uecc%f�Q 'aim 1 �nian - NQNIE IMPROVEMa &lsiness Re9wser;;,' f w+tr e Fitt 1 . f y lid dull ti �+ RAC pR C113e1 -aa•w _x 4 n Undersd Town of Barnstable 1 Post T.his:Card SoxThat it is4Uisible From.the StreetAp`roved+Plans M st,be;Retamed onJob and'thisiCard:Must be Kept BAItNl3[A � r, Permit 1639. M" PostedUntil Final Inspection Has Been Mader£. h ° ificateof°°Occu an` s Re""wired such;Bu�ldmshall Notkbe Occu ,ied until a>F�nal Inspection;:has been:made „.x + Where Permit No. B-18-4009 Applicant Name: F. MICHAEL DWYER Approvals Date Issued: 01/22/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/22/2019 Foundation: Location: 294 PHINNEY'S LANE,CENTERVILLE Map/Lot: 230-133 Zoning District: RD-1 Sheathing: Owner on Record: MILLER,JEANNE E ;; Contractor Name:` .F MICHAEL DWYER Framing: 1 Address: 294 PHINNEYS LN Contractor Licensey CS 076393 2 CENTERVILLE, MA 02632 % Est_ Project Cost: $20,000.00 Chimney: Description: renovate existing home including kitchen bathroom and master Permit Fee: $ 152.00 Insulation: bedroom interior only 'Fee Paid $ 152.00 k Date 1/22/2019 Final: Reviewers Note: ,Z7 Adding bedroom in new basement, mandatory Smoke System - rt Plumbing/Gas Upgrade. RMCK Rough Plumbing: Building Official Project Review Req: 04 g Final Plumbing: R Rough Gas: r Final Gas: ;. E Electrical This permit shall be deemed abandoned and invalid unless the work authorized bythis permtt is'comm ced wrtfiin six months after issuance. Service: All work authorized by this permit shall conform to the approved application aridthe approvedvconstruction documents for which this permit has been granted. . .. Rough: All construction,alterations and changes of use of any building and structure- shall be n compliance:with the-local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final: work until the completion of the same. Low Voltage Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Final: 1.Foundation or Footing 2.Sheathing Inspection Health 3.All Fireplaces must be inspected at the throat level before firest flue lining is inst lied 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Fire Department 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installa Work shall not proceed until the Inspector has approved the various stages of construction. )9— G 6& .segos yli I�F Application Number...- � .. ... O� .. ...... • ` -2,�'� 1 Permit Fee ............ .otbar Fee........................ ..f ITotal Fee Paid.............::: .:.:.:.... .............. ......................... � z TOWN OF BARNSTABLE Permit Approval by..lq^G.�.. .....-..•.�-.... BUILDING PERMIT Map........0-1P...............Parc&..........�Zf..................... APPLICATION } Section 1 — Owner's Information and Project Location Project Address- y P►�+�N��� �gi Village �f Owners Name Owners Legal Address PC) "2 4 t3 4 L41 v$1"I, v J City G' �cRy��L� State . zip Ga(, S} aS— y�� E-mail Grp s Owners Cell#�o� Section 2-Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet L"J Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System [Addition ❑ Retaining wall ❑ Solar Fff Renovation ❑ Pool ❑ Insulation �. Other—SpeClfy Section 4-Work Description 4- 4 A �� n��j4�r>C10�/N\ i➢11 i � � �rl I T sRct nnds>te&219)2019 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure 7 yQ, Dig Safe Number 0 1 `i 9 0 t1 #Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics [Wiring ❑ Oil Tank Storage [Smoke Detectors []Plumbing [�Gas ❑ Fire Suppression YHeating System ❑ Masonry Chimney 13 Add/relocate bedroom Water Supply .Public ❑ Private Sewage Disposal ❑ Municipal ,EOn Site Historic District [] Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: i 6t`� c �- S Ta►.I am a crane ❑ Yes No ty' n T�,!�, using Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section S—Zoning Information � Zoning District R"D_1 Proposed Use f P, Lot Area Sq.Ft. 0 Total Frontage , ercentage of Lot Coverage ' � of Dwelling Units (on site) ') Setbacks Front Yard Required 10 Proposed i 30 Rear Yard _ H Required 10 ,. Proposed ()3 Side Yard Required 1 Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No t Last undated 2/92018 W Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number 4. Address City C41-1w y4 u-4— State /PA— zip 02-632 License Number C 5.a 67 b 313,License Type �%tii _ yp .Expiration Date Contractors Email cawtc4e_- � Cell# _5y a 3 - / I understand my responsibilities under the rates and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection,procedures,specific inspections and documentation required y 78 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Id _ is , r �:— . "f Section-10 —Home Improvement Contractor E t Name t� Telephone Number 'Address City State zip � ✓ (o i Registration Number �'�7� Jr Expiration Date 1 C' l 3 I y I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re d b 80 and the Towh of Bamstable.Attach a copy of your HSC.... Signature Date Section 11 Home Owners License Exemption 'Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date f Print Name ��. .c�� �— Telephone Number E-mail permit to: T ent.....i..s�.i.Imnnjo i Section 12—Department Sign-Offs Health Department ❑ Zoning Board Cif required) ❑ Historic District ❑ Site Plan Review(if regnired) ❑ Fire Department . ❑ , , Conservation i For commercial work,please take your plans directly to the f re department for approval { Section 13—Owner's Authorization -DO w as Owner of the-subject property hereby authorize . rA k to act on my behalf, in all matters relative to work authorized by this building p 't application for: (Address of j ob) i /a _ 6_,�— Signature of Owner date- Print Name - 4 Last wdstr&2/92oia im€?fYiTf20ntleaiti,Lei'F.153?Ci':Ll�v'�.+'?S Division of Profsssion.�s LicA asus� 3as= of S i?dine Pequiaticns and S1,Fnsiarcis CS-076393 :i saes: 06/t3t2019 F MICHAEL DWYER y' 55 SACHEM DR CEN TERVILLE MA 02632 � �• � ��.� tiu. • Commissioner cil 4-1 %fir er.i rivrfi �r//�V.,/l<:•air/cc;rf/� Office of Consumer Affairs&Business Regulation Registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: TYPE:.Individual ReaisEration_.;;_ Expiration Office of Consumer Affairs and Business Regulation 177265. 10/13/2020 1000 Washington Street-Suite 710 Boston,MA 02118 F.MICHAEL DWYER- F.MICHAEL DWYER � � „✓ 55 SACHEM DRIVE Not valid Without signature CENTERVILLE,MA 02632 Undersecretary The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia " Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naive(Business/Organization/Individual): 0A11A\&t` �✓ Address: City/State/Zip: CCA r-(L A u4, VYW- 030,1 Phone#:SO 3�_7' S�f 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 Aployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.Z I am a sole proprietor or partner- listed on the attached sheet. 7. UKeemodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y aP t3'• 9. ❑Building addition [No workers'comp.insurance. comp.insurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.El Other comp•insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. j. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 1 Expiration Date: Job Site Address:_ 2ci� W.I u,S' �A+`_ aA14-j,k U City/State/Zip: wX/ Z, 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 der is and penalties of perjury that the information provided above is true and correct Signafore: Date: — �— Phone#: R 1, — 511 1— r Official use only. Do not write in this area,to be completed by city or town official City or Town: # Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' co pensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of ther under any contract of hire, express or implied,oral or written." An employer is de as"an individual,partnership,association,corporatio or other legal entity,or any two or more of the foregoing en ed in a joint enterprise,and'including the legal repre to. es of a deceased employer,or the receiver or trustee of individual,partnership,association or other le tity,employing employees. However the owner of a dwelling h e having not more than three apartments and o resides therein,or the occupant of the dwelling house of anoth who employs persons to do maintenance, nstruction or repair work on such dwelling house or on the grounds or boil ' appurtenant thereto shall not because such employment be deemed to be an employer." MGL chapter 152, §25C( also states that"every state or loco 'censing agency shall withhold the issuance or renewal of a license or pe it to operate a business or to co ct buildings in the commonwealth for any applicant who has not pro ced acceptable evidence of co pliance with the insurance coverage required." Additionally,MGL chapter 1 2, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the erformance of public.work til acceptable evidence of compliance with the insurance requirements of this chapter ha been presented to the co cting authority." Applicants Please.fill out the workers' comp e on affidavit co 'letely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)n e(s),address(e and phone number(s)along with their certificate(s)of insurance. Limited Liability Companie (LLC)or L' ted Liability Partnerships(LLP)with no employees other than the members or partners,are not required to work ' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advis that this ffidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance co e. o be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the applic ;'on f i the permit or license is being requested,not the Department of Industrial Accidents. Should you have any qu o " regarding the law or if you are required to obtain a workers' compensation policy,please call the Departmen a number listed below. Self-insured companies should enter their self-insurance license number on the appropriate 'e. City or Town Officials Please be sure that the affidavit is complete and p t legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the ffice f Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number' hich be used as a reference number. In addition,an applicant that must submit multiple permit/license applicati ins in an given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job ite Addre s"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamp or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file frr future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)sm,d person is NO�\required to complete this affidavit. The Office of Investigations would like to th ou 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 ber: The G mmonwealth of Mass husetts D ent of Industrial Aec dents ce of Invest igations 600 Washington Street Boston.,MA 02111 Tel.#617-72 -4900 ext 406 or 1-87 -MASSAFB Revised 4-24-07 ax#617-727-7749 wvw.mass.gvv/dia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �� U Map �L/" Parcel '°,'.:m' O: r,r1RINSTA L Application #C Health Division , , , Date Issued1�� IF • Conservation Division Application Fee X?�� Planning Dept. _ Permit Fee Date Definitive Plan.Approved by Planning'Board'- Historic - OKH _ Preservation/ Hyannis Project St et Address Village 1 Owner ��t�' Address Telephone Permit Request (J�U �D C�i � �G ' ZT, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District M� Flood Plain Groundwater Overlay Project Valuation V 01 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 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 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes O'No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address r � License # �.o l�l Home Improvement Contractor# b Email Worker's Compensation # ���� �� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS P OJE T WILL BE TAKEN TO SIGNATURE DATE I vI FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. :r. ADDRESS VILLAGE OWNER `t DATE OF INSPECTION: FOUNDATION ar FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic & basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. 1 give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. 4 Ale l Home Owner(signature) r , Home Owner email: :'"Date: ' ' n ✓ Agent:(Signature) ., Date: t I � v Weatherization Contractors: Adam T Inc Cape Save All Cape Energy Frontier Energy Solutions Alternative Weatherization Lohr Home Improvement --".�Buiing Science tion Resolution Energy Cape Cod Insulation Tupper Construction Masssu;husetts - Depart ment•of public Safety ;,Board of Bull g Regulations and Standards Coils I'll ction Supwwixcir License; CS-100988.. b .r. HENRY E CASSI]?� 8 SHED ROW y WEST YARMOU'rH i0. 0 ; /I \ ✓,�..� " �`r Expiration Commissioner 11/11/2015 Cam/ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cbn,tr.actor Registration Regislrallon, 153567 Type: Private Corporation nn Expiration: 12/15/2016 Trtl 259186 CAPE COD INSULATION, INC HENRY CASSIDY - — --- 18 REARDON CIRCLE ---- SO, YARMOUTH, MA 02664 Update Address and return card, Mark reason for ci ar::c CAI Co 20M05f11 Address Renewal Tmployment [1 Loss. C:u WJiie anr��za�z[ue�r C�r�C/�GrWJr[c�udaG7J - aL\ Officc of Consumer Affairs& Buslness Regulation _ License or registration valid for individul use.only OME IMPROVEMENT CONTRACTOR before the explretion date, if found return to: egistratlon; 1,53567 Type; Office of Consumer Affairs and Business Regulation xplratlon::;,;:.121:15/201,6 Privale Corporation 10 Park Plaza •Suite 5170 :;.;• . .:; ;: ;:. r Boston, MA 02116 'APE COD INSULAT:I.O.N.".': 1ENRY CASSIDY 18 REARDON CIRCLE.'*..,°a.r` '• ; � � 30, YARMOUTH, MA 02664 "" Undersecretary N valid wi ut sign,�tl�f c `— The Commonwealth of Massachusetts Department of Industrial A ccidents W Office of Investigations d I Congress Street, Suite 100 Boston, MA 02114-2017 " www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Org 'zatiori/Individual): t� Address: 1 *aav bk bV - City/State/Zip u6y�nt,M, Phone #: Are you an employer? Check he appropriate box: Type of project(required): 1.�'I am a employer with 'Z 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity, employees and have workers' insurance. ❑ Building addition comp.[No workers' comp. insurance P• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LD Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no ` employees. [No workers' 13.[ Other comp, insurance required.] // *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: (- .' (" Policy#or Self-ins. Lic. � Expiration Date: Job Site Address: 2 City/State/Zip: V Attach a copy of the workers' compe sation 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 insurame coverage verification. I do hereby certify n� r in and penalties of perjury that the information provided above is true and correct. Signature: Date: 11�7 ll'J Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: I From:Rogers&Gray InsuraFax: To:+15087785735 Fax: +'1 5087786 7 35 Page 2 of 2 03)3012015 10:04 AM CAPECOD-27 BDELAWF2FNc::t �,ncorrn° CERTIFICATE OF LIABILITY INSURANCE [�DA " IDiN/ 3/30/20'15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER I')HS CERTIFICATE DOES NOT, AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICI( 5 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 tide certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency,Inc, PHONE FAX 877 81 434 Rte 134 A o Ext:rc N A/c No: ( ) South Dennis, MA 02660 EMAIL -- ADDRESS: INSURERS)AFFORDING COVERAGE INSURER A:Peerless Insurance Company•see LIBERTY MUTUAL INSURED INSURER 8,SAFETY INSURANCE COMPANY 39454_ i Cape Cod Insulation,Inc. INSURERC:Endurance American Specialty Ins. Co. I 18 Reardon Circle INSURER 0:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 - 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 PF..I Il%f INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO VVHiCI I T.'I5 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTTOALLTHE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR TYPE OF INSURANCE POL C E F POLD C P --------- LTR POLICY NUMBER MMIDDIYYYY MtolooryYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -1,000,00O CLAIMS-MADE Pq OCCUR CBP8263063 04/0112015 04/01/2016 PREMISES EaocOTFEF(cC'_o 10U,t1 - MED EXP(Any one person) $ 5,000, PERSONAL&ADV INJJRY 1 1,000,000, GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC -- --- -- PRODUCTS-COMP/OPAGG .1 2,000.001l1 OTHER: --...- - $ AUTOMOBILE LIABILITY EOt2BINIEeDISINGLELIMIT $ 1 OOO,OCO; B ANY AUTO TBD 04/01/2015 04/01/2016 80DILY INJURY(Pei person) ALL OWNED X SCHEDULED ----------.---- AUTOS AUTOS BODILY INJURY(Pei,acci(len!) $ X HIRED AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE - - AUTOS Per accident X UMBRELLA LIAB X OCCUR -"'-- -� EACH OCCURRENCE 8 2,000,0001 ---- - - EXCESS LIAR CLAIMS-MADE EXC10006635000 04/0112015 04l01/2016 AGGREGATE _ g DED I X I RETENTION$ 10,000 Aggregate g ?,oU0,000 WORKERS COMPENSATION --- - AND EMPLOYERS'LIABILITY Y IN STATUTE EER I D ANY PROPRIETORIPARTNERIEXECUTIVE WCE00431 900 06130/2014 06/30/2015 E.L.EACH ACCIDENT 1,000,!.)0(1 OFFICERIMEMBER EXr_LUDED7 N❑�NIA Itdand story in NH) E.L.DISEASE-=_A EMPLOYEE 1,000,QUQI It yes,(lesaibe under __ _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIINIT 3 y 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Workers Compensation includes Officers or Proprietors, Additional Insured status is provided under thil General Liability and Auto Liability when required by written contract or agreement With the Certificate Holder CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORF Cape Cod Insulation,Inc. THE EXPIRATION DATE THEREOF, NOTICE VVILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WTH THE POLICY PROVISIONS. South Yarmouth, MA 02664 AUTHORIZED REPRESENTATIVE ! ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD .� x Massachusetts . Departnnent.of Public Safety Bo`ard of Buildl6g Regulations and Standards Consh,uction SupervkO11 L.Icerim CS.100988.. IM, HENRY E CASSII),' 8 SHED ROW J. WEST YARMOU'rH 0 �•" 0 \\ t;54 /yf . ' �` Expiration Commissioner 11/11/2015 ��✓��riJ��iJ- _ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Regislraiiom 153567 Type. Private Corocralion rtn Expiralion' 1205/2016 TrtJ 259188 CAPE COD INSULATION, INC HENRY CASSIDY - - --- 18 REARDON CIRCLE -- S0. YARMOUTH, MA 02664 Update Address and return card Mnrk reason for cilari c. cal 0 zoM•osr11 0Address Rene\ nl i;mployment n Los. ......_��........_......._........_..... .. GF3e a�hnac[ue�r�C�r�C�/�/C�u1Jac�[reeCGl aCl\ Ofrice of ConsumerAffalrs& Business Regulation License or.registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to; ec0lstratlon: '1.53567 Type; Office of Consumer Affairs and Business Regulation xplratlon;,;,;::1:21:1,5120,1:6 Private Corporallon 10 Park Plaza .Suite 5170 Bo8'ton,MA 02116 ;APE COD INSULATfQ;N''INC':?:'::. HENRY CASSIDY 18 REARDON CIRCLE"„''" 30.YARMOUTH; MA 02664 '' Ur\dersecretnr — -- y N valid wiy —tit sign 1'e The Commonwealth of Massachusetts Department of Industrial A ccidents H W Office of Investigations w d I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Or ' n/Individu : Address: ` !Z4al) tt V � City/State/Zip: l. Phone #: Are you an employer? Check h 4.e appropriate box: general contractor and I Type of project(required): 1.5'I am a employer with 'Z, ❑ I am a g employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ 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 y employees. [No workers' 13.[ Other IU �� PLI comp. insurance requited.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: MOO �l 0 I Expiration Date: `✓� 1�� 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 n r pains and penalties of perjury that the information provided above is true and correct. Signature: 44 Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1..Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: From:Rogers&Gray Insu aFax: To:+16087785736 Fax: +15087785735 Page 2 of 2 03/3012015 10:04 AM CAPECOD-27 BDELAWREN(`1.. ACORO` DATE(M MIDUi^r r ) CERTIFICATE OF LIABILITY INSURANCE 3!3o/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, Ti HIS 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 pollcy(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 Ileu of such endorsement(s). PRODUCER CONTACT -. NAME: Rogers&Gray insurance Agency,Inc. PHONE Fax --- 434 Rte 134 A/c No Ext: alc No: (877) -16-2-156 South Dennis, MA 02660 E-MAIL --- ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL? _ INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER B:SAFETY INSURANCE COMPANY 394541 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Ins. Co. 18 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 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 TOWHICH TFil� CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT"TOAt.L THE FEi MI6, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER YY MMI00fYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY --"� --`--"' EACH OCCURRENCE $ 1,001low CLAIMS-MADE a OCCUR CBP8263063 04/01/2015 04/01/2016 PREMISES Eaoc6AERT[O_ _ 100,000• j MED EXP(Any one person) T 5,000t_ - PERSONAL&ADVINJURY $ 1,000,000, GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E 2,000,00() X POLICY PECT LOCPRODUCTS. — ----- _..._ COMP/OPAGG $ 2,000,00U_ OTHER: "--- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT—----.'$ 00.OUQ Ea accident 1,0 ANY AUTO TBD 04/01/2015 04/01/2016 BODILY INJURY(Pei person) $ ALL OVvNED X SCHEDULED — -------- -- AUTOS AUTOS BODILY INJURY(Per accideni) T f X AUToswNED - PROPERTY DAMAGE X HIRED AUTOS $ Par accident X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,0061 EXCESS LIAB CLAIMS-MADE EXC10006635000 04/01/2015 04/01/2016 AGGREGATE _ :t DED I X I RETENTION$ 10,000 A re, ate �OUG 000 R WORKERS COMPENSATION g $ PE OTH- AND EMPLOYERS'LIABILITY YIN STATUTE D ANY PROPRIETORIPARTNER/EXECUTIVE WCE00431900 06/30/2014 06/30/2015 E.L.EACH ACCIDENT 1,000,00() OPPICERIMEMBER EXCLUDED � N/A (Mandatory in NH) If yes.describe under E.L.DISEASE-EA EMPLOYEE 7 _ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT .5 1,000,00Q DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under thl General Liability and Auto Liability when required by written contract or agreement with the Certificate 1loktra. CERTIFICATE HOLDER CANCELLATION _ I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc. THE EXPIRATION DATE THEREOF, NOTICE VVILL BE DELIVERED T'i 18 Reardon Circle ACCORDANCE 1MTH THE POLICY PROVISIONS. South Yarmouth, MA 02664 _ AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights resat(,d, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1 P CAPE CODINSULATION nc Fq N® ,.r. mM�ss s�a+a� sa'wtNwwn sw�rtt�sc �� T 6 1-800-696-6611 Town of /3�1���✓�'�3�-� Regulatory Services Building Division Address - Address 2 - Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Vill_ae l Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes ( ) ( ) ( ) ( ) ( ) Floors ((��r Sc.W-�•ecQ. JS�ti.� :nry cerely E Cass' y Jr, President Cape Cod Insulation, Inc. 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NO. nlnm Imn11im111/I■Ilm limnrmlrrmnmm nllmllimlllmlll L�J Ilnlimnlmllm■I mlll mmnin • - Iml Komrmn11 In mrmmrmmimmrmmrmmimmlmmlmm mnmmmmmn Immlmmrmmn limn Ilmlmm • r • IIm11 Imnlmnlmnlmmmmmin mllmmimmlmmlmml n, IQmlmmmlllmnnl■nnl■iOmnlmnlm1111 mim Immlltn nlminrmnlmmmnrmnrmnmmimnlmnlmmm�rm lrmmlmmmmimnimmlmmrmnimnrmm mrm llmnim n11m11 limlllm111■1■------ mllmnlmnlrlmlimllrmnimnn nlimlllmlllmnimllmnllmnimni�l■Illml rant mlmnli 16-345 DWG. NO. mll mmlmmimmimmlmnnmmlmnlmmlmmlmmlmmlmm imrmmmnimnimllimmlmnlimmlmml■I mm� �mlim►m Imnl mmlmmimmimmrmrmmmlmmlmmlmmlmmlmrmm Immmllrmnimmlmmimmimmimnimmll mim Immiml rmrnnmm�mnm■n llmnrmmlmnm■nlmnlmnlmnimnrmm mrm llmnlm ----- - nil 11minmlrmnrmnnmin■mn■mrlml mn11 mm■1m NOTE: THE PLANS SHOWN ARE ^i T-O" - 7-0" T-O" 7-0-- - T-O" 7'-0" G'-1 I,, THE SOLE PROPERTY OF THE DESIGNER AND CAN .« 7'_0" 1 2'-7"± 1 4'_4"+ 1 5'_0" (ADDITION) (ADDITION) (EXISTING) ADDITION) NOT BE COPIED, REPRODUCED AND/OR ALTERED WITHOUT THE 24"DIA. "BIGFOOT" EXPPE55 WRITTEN 10"DIA.50NOTUBES CONC. FOOTING UNDER B 10"DIA.SONOTUBE5 CONSENT OF THE AT 40"DEEP 1 2"DIA. 50NOTUBE5 Arj AT 4'O"DEEP DESIGNER AT 4'0"DEEP CONT. .: 3- P.T. 2 x 10 GIRT - P.T. 2 x 10 @ I G"o.c. U C) O m O [�_] r� OHO 0 b n Q 00 z x O O N z Z x . ►r� Q O N CD N cq - Q .d N W m o --- p w 0 DRILL PIN NEW FOUNDATION — I c� N Z X (n 10 � I TO EX15T. FOUNDATION WALL iO N 0 P.T. 2 x 10 LEDGER W/(1)5/8"- TOP BOTTOM z — LEDGORLOK BOLT @ I G"o.c., STAGGERED, FLA511 BEHIND N I Q a O F z 'I I . ' I I I BASEMENT O I I I I I WINDOW;r O ' WELL oI o ui DRILL* PIN NEW FOUNDATION EX15T.JOISTS A-*N TO EXIST. FOUNDATION WALL TO REMAIN ( :° 2 - 2 x 10'5 TOP t BOTTOM I I l i l l I NOTE: VERIFY �' W +i — — EXISTING ( I I 1 r I I I I I I wlNDow R.O. z CHIMNEY I I 1 `I. I ih IN FIELD W/ o� — — FU LL ( ILj, I I I II N CONTRACTOR O_ +I z O N u� I U BASEM ENT I .s I 3-1 3/4"x 9 1/4"LVL's I I ° Exlsr-:Jolsrs cli EXi ST I N G I • .I � � 7.e°+ I • � m� � � cD TO REMAIN @-N W CRAWL I �, I Z Z I � CRAWL I SPACE I a I W Vo I o -SPACE I I o NEW FULL _Q I ' o° I O BASEMENT I �' 06 0 NOTE:5AW CUT.EX15T.WALL NOTE:CONTRACTOR TO — A5 REQUIRED FOR ACCESS TO UNDERPIN EXISTING I x 4"CONC:SLAB I b BASEMENT O NEW CRAWL SPACE I FOUNDATION WALL CV WINDOW ? L N VERIFY IN FIELD I I WELL Q DRILL* PIN NEW FOUNDATION I�—� — TO EXI5T. FOUNDATION WALL CV TOP 6 BOTTOM O U D AT I O N/ SCALE DRILL*PIN NEW FOUNDATION I I I P.T. 2 x 8 LEDGER W/(1)5/8" TO EX15T. FOUNDATION WALL O N LEDGORLOK BOLT..@ I G" D TOP*BOTTOM I 4'-0" 3/1 Gil= 1 1-011 apT STAGGERED, FLA5tt BEHIND I o. F I' KST F LOOK DATE N 0 N ' V � F. x @ I G"o. P.T. 2 x 8 LEDGER W/(1)5/6' LEDGORLOK BOLT. (a I G"O.C. I ILo IAA M I N G PLAN 12/5/20 18 c� O i_j STAGGERED, FLAS BEHIND �. 2-P.T 2x8'5 m — — — — — — — — PROJ. NO. EXISTING FOUNDATION I I NQTE: 20 18-345 y WALL5 TO REMAw cV P.T. 2 x 18 @ I G°ol.a FOUNDATION CONTRACTOR TO PROVIDE 5/8"DIA. 1 ANCHOR BOLTS AT 48" o.c. WITH MINIMUM EMBEDMENT OF 7" B INTO CONCRETE. ALL SILL PLATES TO BE CONNECTED USING DWG. NO. A A5 3"x3"x 1/4"SQUARE PLATE WASHERS. A5 N 12-PIT. 2 e'S NEW 5MOKE/CARBON MONOXIDE DETECTORS T-O" 1 2'-5":t 14'-G"+ 1 5'-O" 0 5 1 O 1"5 20 ©COPYRIGHT 20I (ADDITION) (EXISTING) (EXISTING) (ADDITION) BY Th10MAS A. MOORS DESIGN CO. ��z ice. /,�:�/�/%moo/��_�/�r��/s,; �/�,/,���v�/�//�/r��k���r 1 5'-0" NOTE: (ADDITION) (ADDITION) THE PLAN5 SHOWN ARE v THE SOLE PROPERTY OF ... THE DESIGNER AND CAN NOT BE COPIED, REPRODUCED AND/OR ALTERED WITHOUT THE EXPRESS WRITTEN CONSENT OF THE DESIGNER B C� o m A5 0 0 Q N W C/) +I O EXISTING RAFTERS TO REMAIN d W b _ Q F-' A <� . AS � O (ADDITION) a g z z F NOTE:BUILD WALLS F AT LIV./DINING UP TO STI G RIDG BOARD TO REMAIN x I RID EBO RD _ UNDERSIDE OF RAFTERS/RIDGE +I z OO b 0 � Mo O Obg 2 x 1 2 RIDGEBOARD I 0 W i c z E' o6 I Q • a N N SCALE : ' DATE : - A K0 O F i=RA M I N G PLAN 2/5/201 8 A5 NOTE 1 : ALL ROOF RAFTERS TO BE PROJ. NO. OTHERW15E NOTED UNLESS 20 1 8-345 7-O" 12'-5"± la'-6"± 15'-0" NOTE 2: ALL DOOR/WINDOW HEADERS TO BE 3 2 x G DWG. NO. : (ADDITION) (EXISTING) (EXI5TING) (ADDITION) UNLESS OTHERWISWE NOTED NOTE 3: ALL CEILING JOISTS 2 x 8 1 G" o.c. 0 5 10 15 20 ©COPYRIGHT 2018 A4 BY THOMAS A. MOORS DESIGN CO. rQ 5 ra �F"�hy'r iygr i!lryz: rr>iFx NOTE: THE PLAN5 SHOWN ARE THE SOLE PROPERTY OF THE DESIGNER AND CAN NOT BE COPIED, REPRODUCED AND/OR + ALTERED WITHOUT THE EXPRESS WRITTEN CONSENT OF THE NEW ROOF CONST. DESIGNER - 2 x 10 ROOF RAFTERS @ I G"ox - 1/2"CDX PLYWOOD ROOF5HEATHING O -ASPHALT ROOF 5HINGLE5 U w m0 - 15LB. FELT PAPER Z -- d' MATCH 12 12 MATCH -8"MIN. SPRAY FOAM INSULATION EXIST. EXIST. @ ROOF RAFTERS(R=40) 1 2 CD - 2 x 12 RIDGE BOARD(U.N.O.) � ASI H W 00 Ga Q I0 O TOP OF PLATE 2 x 8 GLG.JOISTS @ I G"o.c. 2 x 8 CEILING JOISTS @ I G"o.c. TOP OF PLATE Z M L0 11211 GYP. BD.ON O M C. I x 3 STRAPPING @ I G"o c - I/2"GYP. BD.ON I x 3 STRAPPING @ f6"o.c. NEW WALL CONST. - F Q N 2 N 2 x G STUDS @ I G"o.c. N Q —� p„ DINING HOME 1/2"PLYWOOD SHEATHING Q OFFICE =G"BATT INSULATION(R=21) MUD ROOM Z O` 1/2"GYP. BD. 3/4"T 4 G PLYWOOD TYVEK'HINGLE SIDING (� SUBFLOOR-GLUED#NAILED 9 O W FIRST FLOOR FIRST FLOOR Q = O 5U5FLOOR 5UBFL OR 2 x I O FLOOR JOISTS @ i6"o.c. L 112 x I O's @ .I G"o.cll 064180JU6 x 10 FLOOR JOISTS @ I G"o.c 9"BATT. L <� INSULATION(R=30) 5/8" DIA. ANCHORBOLT5 CKAWLSPACE 0 @ 48"o.c. TYPICAL 8"CONCRETE w (� FULL u u FOUNDATION WALL5 2"CONC.SLAB BASEMENT BOTTOM MIDD Elz.TOP, O 4"CONC.SLAB BELOW GRADE ALL WALLS B B U I LD I N G SECTION MUD[ZOOM AS w TYPICAL 1 O"x 20" O CONC. FOOTINGS w/345 BAR5 CONT. A BUILDING SECTION DINING/HOME OFFICE z A5 O WINDOW 5CNEDULE f Q TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS N A ANDER5EN TW 2432 2'-G 1/8" x 3'-4,�7/8" DOUBLEHUNG B TW 2452 2'-G 1/8" x 5-4 j7/8" DOUBLEHUNG SCALE C TW 243 10 2'-G 1/8" X 4'-017/8" DOUBLEHUNG 3/1 G"= I '-O" D A 21 2'-0 5/8" x 2'-0 5/8" AWNING DATE r• E TW 2442 2'-G 1/8" x 4'-4 ,7/8" DOUBLEHUNG NOTE #I :CONTRACTOR TO VERIFY ALL QUANTITIES AND 51ZE5 OF NEW WINDOWS WITH OWNER AND 1 2/5/20 1 8 c3 ' ROUGH OPENINGS WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS PROJ. NO. 201 8-345 I DWG. NO. I O 5 10 15 20©COPYRIGHT 2018 /V i A5 BY THOMA5 A. MOORE DE51GN CO. NOTE: (EXIST./NEW) THE PLANS SHOWN ARE �. 7_0" 12'_7°t 14'_4".t I5'-0" THE SOLE PPOPfPTY OF THE DEE51GNER AND AAN ChfCK LI5T REQUIREMENT5: ( I 10 MPH, EXP. B) (ADDITION) (ADDITION) (EXISTING) (ADDITION) NOT BE COPIED, REPRODUCED AND/OR X - ALTERED WITHOUT THE 12 "x"o.c. EDGE NAILING AND 1 2"o.c. IN FIELD NAILING (STEP) (STEP) EXPRESS WRITTEN _. CONSENT OF THE NOTE: ALL DOORS AND WINDOWS TO HAVE 2 KING STUDS DESIGNER AND I JACK STUD UNLESS NOTED BY THE OPENING = G t BY XK,XJ cOn� ,71 1 2 8.8 2'-5" 4'-9" 4�-9'1 2'_5" 9'_9" 5'_3'. O cn � ✓. .' ✓ rz/.ai✓i" NEW _ b Q � w a� DN Q NEW __ 6 0 DECK B a � �" cn - WALK-IN N 12 A5 - W 00 Z I zV1 CLOSET q o Z m Q O0 ft—------ in JEV 4CD cn ►r,s ANDER5EN. B 12 ANDER5EN 16> . 11, N �_ FWG GOGB y, FWG GOG8 Q . DECK T.:., - I n v -- - -- - _ c , 5;�5'O' 2'G"x 08" 1 1 2J 2IJ -- I J > I J Q cm 3'-10"I I 1 NEW I °4 Q N W / \ NEW Ij ERco CA: WALK-IN MASTER BEDROOM i CLOSET A c C O W iz BATH N b w I 1 NEW Q ,aaa, o 0 O -----� f10ME DD I h OFFICE BASEMENT O WINDOW _ 2 W ELL BELO rT 5'3" `r s 4'-10" 10'_2" F+-� rT, WA5H LINEN 1, W DRY _ `4IN€ /� NEW �IH AL A F47LINENIZW 1 6 x 68 t1ALL 12 A5 NEW PDR. _W ' -✓�� - '^%` NEW BUILT-INS NEW BUILT-INS I O± O ap O 1 2.9„ P.- I---�--IL ______ 12 NEW `.0 o �,,j�p --- - W °N' C1 LO• ---- a o F p G 11 1 I - V I ---N �I I p�/ a O LOOK �? 12 2Q2' i >rx es4 f :.,/a✓/rcr , I y O n —I �8r REF_— I I I,_2,� F-�I LEGEND <r,,, _ _- =J -==J`s MI I I I' C� EXISTING WALL CONSTRUCTION TO REMAIN C ? 3 MUD RM 1 1 II II 3 w y ,:= NEW WALL CONSTRUCTION � � � �I_F _-'/ H 1 1 I J O Z C 7 EXISTING WALL CONSTRUCTION TO BE REMOVED ______91 I REMODEL = �� I� B ----- II I--i QS NEW 5MOKE/CARBON MONOXIDE DETECTORS r -I y IT KITCHEN NiN. I / NEW 111' D NING N b E—, old Z R I?r z (VERIFY CABINET — 1 LIVING 11 � 2 N �--� LAYOUT W/OWNER) (VAULTED — GENERAL NOTES: INEW 1 % I ' (VAULTED w CEILING) B ME Q r iCLQ i 1 CEILING) 1 I WIND d" I .) CONTRACTOR 15 TO VERIFY EXISTING CONDITIONS A D ---� Dw - S 1 3 WELL BELO N --= ( DIMENSIONS IN THE FIELD PRIOR TO THE START OF OR 1 ` �� N 2 ) Q 4 1 ----��� I I fo- '`}1- I I CONTRACTOR TO REMOVE EXISTING DOOR5, WINDO 5,NILIL2j ___J FE� f i! i rb SCALE WALLS, * ROOFING AS REQUIRED FOR NEW CONSTR 3/1 IS"= I ' Oil ?,) ALL NEW CONSTRUCTION TO MATCH EXISTING IN MATERIAL, DETAIL, AND FINISH. 4 I 3K 3K 3K I1 1 _ —3KJ J 3K 3K =D/ATE a: 4°.) ALL WORK SHALL CONFORM TO THE MA55ACHU5ETT5 � � J 2 � i J =. , I2/5/2018 STATE BUILDING CODE (LATEST EDITION) AND ALL OTHER -- -- -- I - I FG7 "`� �- ., APPLICABLE LOCAL CODES A B ' B �_ 5.L. S.L. B B 12 T� 6 5J ANY D15CREPANCIE5, ERRORS AND/OR OMISSIONS IN THE NOTES, 5'_3„ A5 s'-s"± 2'-Io" G'-s" G'-G" 2'-10" s'-s"± ©F PROJ. NO. S, DIMENSIONS, AND/OR DRAWINGS CONTAINED ON THESE DOCUMENTS &'4�a/� 2-O 18-345 SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIOR TO 7-0° ��� COMMENCEMENT OF CONSTRUCTION. PROCEEDING WITH CONSTRUCTION (ADDITION) (EXISTING) A5 DWG. NO. CONSTITUTES ACCEPTANCE OF THESE DOCUMENTS AND ANY DISCREPANCIES, ERRORS AND/OR OMI55ION5 BECOME THE RESPONSIBILITY OF THE 14'-G"± BUILDING CONTRACTOR. (EXISTING) q 0 5(ADDITION) 10 15 20 ©COPYRIGHT 2018 ,;N>.is /a„ : : BY THOMAS A. MOORE DESIGN CO. A I yi, r' NOTE: THE PLANS SHOWN ARE THE SOLE PROPERTY OF THE Dff5IGNffK 1 2'-7" 1 4'-4"± 15'-O" NOT BE COPIED, D CAN (ADDITION) (ADDITION) (EXISTING) (ADDITION) REPRODUCED AND/OR ALTERED WITHOUT THE - EXPPE55 WRITTEN CONSENT OF THE DESIGNER OV � CIO 1 , NEW z I. DECK L ' q � �,. m (SEE DWG IN B � oo 0 FOR FRAMING) A5 — L0 a ¢ C) d coCN I ' o O Z E N s EGRE55 BA5EMENT I Q WDW's. O_ WINDOW t N WELL � E a A AS I 4 V d 4 �I Irlgl I e ,+ NEW I I I I c4 P.T. 2 x 4'5 EXISTING I x I OL05. I I m ON FLAT AT FULL I EXISTING 2 I �---r-7I I 5TAIR5N.I.F.) �, w BASEMENT ° o o `y CRAWL SPACE 13RQ N M �f ►—� O 7.8°± m Z NEW 4 ° CRAWL NEW y SPACE I H FULCUFIN15HED N Z NOTE: SAW CUT EXIST.WALL BA`�EMENT E AS REQUIRED FOR ACCESS TO I f WD WDWs.55 ,,�X p BASEMENT �. 0 —i NEW CRAWL SPACE I Z N - WINDOW I--I N n E N WELL n O 4 SCALE N y 3/I IS"= 1 '—OI' f � T O P DATE ` 1 2/5/201 8 A5 FROJ. NO. B B AS E M E N T E LOOK PLAN 2018-34+5 A5 7-0" 12'-5°± 14'-6"+ 15'-0° SMOKE/CAKBON MONOXIDE DETECTORS DWG. NO. (ADDITION) (EXISTING) (EXISTING) (ADDITION) A6 ©COPYRIGHT 2018 O 5 10 15 20 BY THOMA5 A. MOOKE DESIGN CO. 4 I NOTE: (EXIST./NEW) THE PLAN5 SHOWN ARE THE 50LE PROPERTY OF CHECK LIST REQUIREMENTS: ( I 10 MPH, EXP. B) 'TIO (ADDITION) (EXISTING) 15'ITI TOEDTHE COPIEIGNER D REPRODUCED(EXISTING) (ADDITION) NOT BE COPIED, (ADDITION) (ADDITION) REPRODUCED AND/OR 1 x ALTERED WITHOUT THE 12 'Y'o.c. EDGE NAILING AND 1 2"o.c. IN FIELD NAILING (STEP) (STEP) EXPRESS WRITTEN CONSENT OF THE NOTE: ALL DOOR5 AND WINDOWS TO HAVE 2 KING STUDS DESIGNER AND I JACK STUD UNLESS NOTED BY THE OPENING , BY XK,XJ mso f 2 3'-11" x '51-6. 2'_5" 4'"9" 4'_9" 2'_5" 9'_9.. 5'_3" � -- O COp W s Z V W ^ Nx.; ./,':r!4 N EW F— v to V W b {{z Q rNEW __ X 61 2 DECK B cis rn 6 i I WALK-I N o A 5 w o0 12 rN ICLOSET h to m Q o rr w 41 2 III B ANDER5EN B ANDERSEN Q /^ N FWG GOG5 FWG GOG8 N DECK ... .,, �✓.,,a 911 x Q5"^ 8, 112J 2Ja-�' m 3' Ia' I i NEW0/ Ck I I k NEW I MASTER nc WALK IN z Q O y , aa. MASTER BEDROOM N i CLOSET 4 c w 0O O w 71 BATH i NEW 4 Q E-- cs; AO o HOME D : m� O s Barnstable Bldg.Dept. BASEMENT - J OFFICE ' a /' WINDOW O Approved by' v S WELL BELO r T ' / ��e . , W: O - % Fes+--i • 10 4' 1 O' I O' 2" Lr T, Permit##. 5'"3" WASH '' LINEN W - _ _ DRY 19 N D — ----- t II f HALx NEW A LINEA 26 x 68 --- /, �1 6 x 68 x HALL _412 _ AS NEW PDR. _ _ Q O -----`/— j D1. I n +I �..^ i ii, ✓, - F MEW BUILT_INS(/ NEW BUILT INS .S .Co 1 ci) f: 6 Rm /I II ,+ --- - 12 I h INEW ` --- — — ---- +1 o w _ N ICLO. ,,-aF�.� e a,. �.�r-�.r ����.a.� :,<., r ,. o l r0 `r ; 1 it fi N II o O FLOOK PLAN i2 2@2' m � I V —r--- --- 11 �I REF__ I I : I I I I I I'_2r , i ►--� LEGEND = o c� u NEW r = = -- ---- I i i '' ; Cam ' EXISTING WALL CONSTRUCTION TO REMAIN o m MUD RM o < �� i i i 3 ; 1' NEW WALL CONSTRUCTION — a ` 61 I ,�' H I J B Q Z C-] EXISTING WALL CONSTRUCTION TO BE REMOVED %„y of I _ QS NEW SMOKE/CARBON MONOXIDE DETECTORS = I --- i KITCHEN L N , NEW DIIN G N a �, 06 1 . 2Q2 Z (VERIFY CABINET — LIVING I N _� 2 tp LAYOUT W/OWNER) I N1 CEIL NI GD B N I� a INEW Q � i NAULTED GENERAL NOTES: s ICLO. x CEILING) i BA56�WE TWIN Q �, �� �___� DWI rl I' I I -----i—i 3J j WELL BELO I I .) CONTRACTOR IS TO VERIFY EXISTING CONDITIONS A D I I N DIMENSIONS IN THE FIELD PRIOR TO THE START OF OR_ __ U SINK 1 -T 4 I --Ill SCALE 2.) .CONTRACTOR TO REMOVE EXISTING DOORS, WINDO S,� 12 ---� �— -- ' WALLS, * ROOFING AS REQUIRED FOR NEW CONSTR 3/1 611— 1 '_0" 3.) ALL NEW CONSTRUCTION TO MATCH EXISTING IN MATERIAL, A A --- I DETAIL, AND FINISH. Q� 3K 3K 3K I I _ P —3KJ—J3K 3K I� DATE Ii 4.j ALL WORK SHALL CONFORM TO THE MASSACHUSETTS 2 - J J % Q .." .....- � 2/�/20� V STATE BUILDING CODE (LATEST EDITION) AND ALL OTHER A B B 1 2" c�12" 13 B G -71 APPLICABLE LOCAL CODES AS 1 2 + PROJ. NO. 5J ANY DISCREPANCIES, ERRORS AND/OR OMISSIONS IN THE NOTES, 5'-3" I'-9" 5'-5"± z'-Io" 6'-6" G'-6° 2'-Io" s'-s"� DIMENSIONS, AND/OR DRAWINGS CONTAINED ON THESE DOCUMENTS 201 8-345 SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIOR TO 7-o" 12'-5"-t B COMMENCEMENT OF CONSTRUCTION. PROCEEDING WITH CONSTRUCTION (ADDITION) (EXISTING) AS DWG. NO. CONSTITUTES ACCEPTANCE OF.THESE DOCUMENTS AND ANY DISCREPANCIES, ERRORS AND/OR OMISSIONS BECOME THE RESPONSIBILITY OF THE 14'-6"± BUILDING CONTRACTOR. (EXISTING) 0 jADDITION) 10 15 20 ©COPYRIGHT 2018 1 F7771kvi Wr i✓ Emil yµaroh is r N:;r ilia . BY THOMAS A. MOORE DESIGN CO. ,�.._ • T 13E CC ,.rirmmrmmm�.._ •• .THE • ,.nitmllmllrtmrrtmll.,_ - BOARDS • .,�rilmnrlmnlrmnlrtm11mm1m�... 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THE PLANS SHOWN ARE 7-0" 7'-0" T-O" 7'-0" 7-0" 7'-0" 6'-I 1.. THE SOLE PROPERTY OF THE DESIGNER AND CAN 7'-0" 1 2'-711+ 14'-4"+ 1 5'-0" NOT BE COPIED, (ADDITION) (ADDITION) (EXISTING) ADDITION) REPRODUCED AND/OR ° 24"DIA. "BIGFOOT" ALTERED WITHOUT THE EXPRESS WRITTEN I&DIA.5ONOTUBE5 CONC. FOOTING UNDER B 10 DIA. 5ONOTUBE5 CONSENT OF THE AT 4'0"DEEP 1 2"DIA. 50NOTU13ES A5 AT 4'0"'DEEP DESIGNER AT 40"DEEP CONT. 3-P.T. 2 x 10 GIRT ' 1.77-- 7 P.T.7. x I O @ I t1"n.q. O m n CO 4 W CO O O00 �" Q z X _ .W o. §aQ .00 rn d N O m _. Q COLo N O U DRILL 'PIN NEW FOUNDATION — - — -ui N Z E" cm O I TOP#TO IBOTTOM FOUNDATION WALL I I co nl ... -O- P.T.'2 x 10 LEDGER W/(1)5/8"... ? - LEDGORLOK-BOLT @(� I G"ox. x STAGGERED,PLA5tTBEMIND N O F- Z BASEMENT OU WINDOW�t N WELL - �' I I Q � O . •_ EXIST..JOI5T5 I4-0 In „ .; A DRILL E PIN NE1N FOUNDATION 12 - 2 x I O's I TO EXIST.:FOUNDATION WALL TO:REMALN x l TOP d BOTTOM d I I I I I I I NOTE: VERIFY ' w +I EXISTING I I I I I I i I I I I WINDOW K.O. — — FULL I CHIMNEY I 1 I I I in IN FIELD W/ a) . O R a CONTRACTOR 6 +I z C\jm I BASEMENT . I 0 3-1 3/4"x 9 1/4"LVL's I O O cm o . EXIST.JOISTS /� _ w TO REMAIN I EXISTING °± I I m \ N W CRAWL 0o I I CRA1/W I SPACE I �: � S PACE I I • o � � � ° NEW FULL °o I OBASEMENT - NOTE: SAW CUT EXIST.WALL NOTE:CONTRACTOR TO a 1^1 AS REQUIRED FOP ACCF-55 TO UNDERPIN EXISTING x 4"CONC.SLAB L _ BASEMENT - NEW CRAWL SPACE I FOUNDATION WALL N WINDOW ^ cx ( I WELL n N - VERIFY IN FIELD _ I� d" DRILL 8 PIN NEW FOUNDATION I I I I d N — TO EXIST.FOUNDATION WALL F A I LL — TOP 8 BOTTOM I' 1 O U N D T O N/ SCALE DRILL#PIN NEW FOUNDATION I I I P.T. 2 x 8 LEDGER W/(1)5/8" TO EXIST. FOUNDATION WALL N -q� LEDGORLOK BOLT o? 10 o.c. TOP*BOTTOM' I u_ n N Q N I STAGGERED, FLASrTBEHIND 4'-0" 3/1 6 - I -0 FIK5-T FLOOK T.2 x @ 16"o. P.T.2 x 8 LEDGER W/(1)5/5" DATE LEDGORLOK BOLT.@ 1 H"O.C. I I 4 F RAM I N`G PLAN STAGGERED, FLAStHi BEHIND z P.T. 2 x 8'S cn — — — — — — — 12/5/20 18 PROJ. NO. EXISTING FOUNDATION — — — — — — — — NOTE: WALLS To REMAIN x T I FOUNDATION CONTRACTOR TO PROVIDE 5/6" DIA. 20 1 8-345 0 C'jN P.T. 2 x 8 @ 16"o.c,, ANCHOR BOLT5 AT 48" o.c. WITH MINIMUM EMBEDMENT Of 7 � � A5 INTO CONCRETE. ALL 51LL PLATES TO BE CONNECTED U51NG DWG. NO. : A N3"x3"x 1/4"SQUARE PLATE WASHERS. A5 �UT. 2 8's 6'-4„ © NEW 5MOKE/CARDON MONOXIDE DEfECTOR5 7,_0" 1 2,_5„+ 14,_6,+ 1 5-_0" 0 5 10 15 20 A3 ©COPYRIGHT 20I (ADDITION) (EXISTING) z� ,w Jriili�!o��i.� a�iiri�id; ar�iiiior ziHi�iii� (EXISTING) (ADDITION)' ��. � � BY THOMAS A. MOORE DESIGN CO. 1 2'_7"+ 1 4'_4^+ 1 5'_0" NOTE: (ADDITION) (ADDITION) THE PLANS 5HOWN ARE THE SOLE PROPERTY OF THE DESIGNER AND CAN NOT BE COPIED, .REPRODUCED AND/OR ALTERED WITHOUT THE EXPPE55 WRITTEN CONSENT OF THE DESIGNER 0co Z Q0 Z cI m B b o A5 C/) I X z Ln d~ O Q Q N I W � O � zQ +1 0 EXISTING RAFTERS TO REMAIN O W RD Z _ A ;FcI A5 (ADDITION) a m wl z a I I NOTE: BUILD WALLS AT LIV./DINING UP TO u� _ STI G RIDG BOARD TO REMAIN x I RID EBO RD _ UNDERSIDE OF • RAFTERS/RIDGE +I z Q >�t a Z Z. o O 2 x 12 RIDGEBOARD L^T�• ,^ I 0 z i Z I Q a N SCALE 4 3/1 G"= 1 '-0" DATE :- A ISO O F F KA M I N G PLAN 12/5/2018 A5 B A5 NOTE 1 : ALL ROOF RAPTER5 TO BE PROJ. NO. 2 x 1 0'5 @ 'I G" o.c. UNLE55 20 1 8-345 OTHERWISE NOTED 7'-0" 12'-5"± 14-6°± 15--0" NOTE 2: ALL DOORMINDOW HEADERS TO BE 3 - 2 x G DWG. NO. (ADDITION) (EXISTING) (EXISTING) (ADDITION) UNLE55 OTHERWI5WE NOTED NOTE 3: ALL CEILING JOISTS 2 x 8 1 G" o.c. ©COPYRIGHT 2018 O 5 10 15 20 A4 BY THOMA5 A. MOORE DE51GN CO. "' y `, iVA%A ' M" """" NOTE: THE PLAN5 5HOWN ARE THE SOLE PROPERTY OF THE DESIGNER AND CAN NOT BE COPIED, REPRODUCED AND/OR ALTERED WITHOUT THE FXPRE55 WRITTEN CONSENT OF THE NEW ROOF CON5T. DESIGNER 2 x 10 ROOF RAFTERS @ I G"ox 1/2"CDX PLYWOOD ROOF SHEATHING O ASPHALT ROOF.SHINGLES U 1 5LB. FELT PAPER z l 12 12 8"MIN. SPRAY FOAM INSULATION W Cfl ' M1Az�H r _1 EEXflo ISTH @ROOF RAFTERS(R=40) 1 2 �1 TC EEXXJ 2 x 12 RIDGE BOARD(U.N.O.) �EXASTH Q O 00 00 O TOP OF PLATE 2 x 8 GLG.JOISTS @ 16"o.c. e;S:�� 2 CEILING JOISTS @ 16"o.c. TOP Of PLATE d� I/2"GYP. BD.ON I/2"GYP. BD.ON Q I x 3 STRAPPING @ 16"o.c. I x 3 STRAPPING @ 16"o.c. Q N C Z r� N f- 2 x 6 STUDS @ I G"o.c. �i -_ Q — Q; DINING HOME 1/2"PLYWOOD SHEATHING C) N W _ OFFICE G"GATT INSULATION(R=21) MUD ROOM W � X 112"GYP. BD. F z W.C.SHINGLE SIDING C3 3/4"T G PLYWOOD TYVEK' FIRST FLOOR 5UBFLOOR-GLUED 4.NAILED FIRST FLOOR W O O 5UBFLOOR 5UBFL OR - 2 x 10 FLOOR JOISTS @ 1 6"o.c. 2 x I O's @ I G'0-cil 00016001080 68 6 x 10 FLOOR JOISTS @ 16 o.c , 9"BATT. INSULATION(R=30) 5/8" DIA. ANCHORBOLT5 CRAWLSPACE O @ 48"o.c. TYPICAL 8"CONCRETE FULL FOUNDATION WALL5 2"CONC.SLAB BASEMENT BOTTOM ffRMIDD EIz.TOP, O 4"CONC.SLAB BE OW GRADE LL WALLS B B U I L D I N G SECTION M U D KO O M TYPICAL 10"x 20 O CONC. FOOTINGS w/345 BARS CONT. BUILDING SECTION DINING/HOME OFFICE w ~ �C+ WINDOW SCHEDULE TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS N A ANDERSEN TW 2432 2'-G 1/8" x 3'-4 7/5" DOUBLEHUNG B TW 2452 2'-G 1/8" x 5-4 7/8" DOUBLEHUNG SCALE C " " TW 24310 2'-G 1/8" X 4'-0 7/8" DOUBLEHUNG 3/1 G"= I'-0" D A 21 2'-0 5/8" x 2'-0 5/8" AWNING DATE E TW 2442 2'-G 1/8" x 4'-4 7/8" DOUBLEHUNG 12/5/20 18 NOTE #I :CONTRACTOR TO VERIFY ALL QUANTITIES AND 51ZE5 OF NEW WINDOWS WITH OWNER AND ROUGH OPENINGS WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS PROD. NO. 201 8-345 DWG. NO. 0 5 10 15 20 ©COPYRIGHT 201 8 77,1 77 77,, 77 777,77. H,,,% ;.. r,y A5 BY THOMAS A. MOORS DESIGN CO. NOTE: THE PLAN5 5HOWN ARE THE 50LE PROPERTY OF THE t' 7-b" 1 2' ° '-7 1 4_4°+ 15'-O" NOT B E51GNEP ,ND CAN µ4 (ADDITION) (ADDITION) (EXISTING) (ADDITION) REPRODUCED AND/OR ALTERED WITHOUT THE EXPRESS WRITTEN CON5ENT OF THE DESIGNER NEW DECK w CO �?o F" m FOR FRAMING)G) 8 0 �. Q' Q GD Q 0.1 p' 00 N O p N Q CN w N I Z Q 0 C/) Z EGRESS BASEMENT w I p WDW'5. WINDOW v N WELL 4 E a n A AS Z 3 0I I I i i I e+ NEW I I I I P.T. 2 x 4'5 EXISTING I 4 �O I CL05. I I m ON FLAT AT FULL I EXISTING 2 I �'- I I STAIRS(V.LF.) r_, BASEMENT CRAWL o o o �.{..� SPACE 4 uP � O s 13RQ N m b 0 CRAWL I NEW = Z - a SPACE FULUMNISHED N O NOTE:SAW CUT EXIST.WALL BASEMENT E0-4 AS REQUIRED FOR ACCE55 TO I EGRESS_ WDW'5. p BASEMENT �"� Q� NEW CRAWL SPACE I a - WINDOW Y I--I CV WELL r I� q y SCALE . s N /'� y 3/1 IS"= 1 i—Ou y 4 pN m DATE 1 2/5/201 8 A A5 PROJ. NO. BASEMENT ELOOK PLAN 20I8-345 A5 DWG. NO. : 7'-O" 12'-5"± 14'-6° 15'-0° QS 5MOKE/CARBON MONOXIDE DETECTORS (ADDITION) (EXISTING) (EXISTING) (ADDITION) 0 5 10 15 20 ©COPYRIGHT 2018A6 �� �yF BY THOMA5 A. MOORS DE51GN CO. " ,. T .� .. _ .. . 1 L 221-0' - 12'-d' Q 6y). 2'-2' 19'-10' Q Dept. Q cD getable Bldg. U Z zoo AppYolved bY: p 7 • A e C U 10 TYPICAL 1 x8 RAKE BD5. 6 - G.T� Q p . eradt 3 DRIP'BD: - ---_ _- Q 12' - �.4 s. - r+. ..::»-.m_ �- ,.•,:.a. .:•. rs�,,.-h,. ,fig,:••.: .N,-,.,,>--.- rw�.- -- '-i-I_ -'FLYING RAKE' _. . O4+1 — � F RDS W/ x3 DRIP UP a.l x-45UB-RAKE � 15FI 1 p o � - (m TOP OP'PLATE- 7:8.� A N O cn ZD GARAGE , ' *1, r� cn •SECOND FLOOR ___ (4•C C:SLAB ON GRADE 'O°x Ga, /W� �" O �'" '5UBFLOOR. _--� PITC 21 .DOOR) 5H P A TOP OF PLATE Q 6 ---- (4•CON :SLAEV N 12 a l6Ai ON GRA E) ABOVE(SIZED BY OTHERS).. 6 co TYPICAL Iti5/1.i6 —`•— -------- - t I2' COMER BOARDSIII ® - y s . N TYPICAL WHITE:CEDAR - .. . • O . v �N SHINGLE 51DING 5±TO,WEATHER - fAT�• 'A FRONT.SIDES s a REAR; - b! a 3 3K W t TOP OF .. 0 }, 2J FOUNDATION - .--ors '� .>-•�,�:. _- - r _ -APORNON ' dKE DETECTORS REVIEWED �' x • 9 x 7'0.OVERHEAD DOOR -x 7'O'OVERHEAD.DOOR, HT 51 DE ELEVATION ---- - . � ". 4 IN EP . ATE 4 ` APRoN :.: .x Qom: F r yG l� g .. 5 91-01 91-0 1'_6° 2,-9 6'0° 3r 3�,_ T ►� �-i FIR D-:ARTM NT DATE 80 SIGNAI'RES ARE REQUIRED FOR PERMITTING G3 G 22' PLAN z FI f�ST ' FLOOR � z - ..TYPICAL I x 8 FASCIA - O TOP_oF Pl. a FREZE BOARD + © SMOKE/CARBON MONOXIDE DETECTORS r a g FEAT DETECTOR Nr CHECK L15T REQUIREMENT5: (I 10 MPH; EXP. B) ' cl a u~,i - lyllyip x i _ 'x':o:c:'EDGE.NAILING AND.1 2 o c..IN FIELD NAILING NOTE: NOTE: ALL DOORS AND WINDOWS TO HAVE 2 KING STUDS, THE PLANS SHOWN ARE \ u AND.JACK STUD UNlF55 NOTED.BY THE OPENING THE DESIGNER AND CAN �•. TYPICAL I x 8 FASCIA . THE SOLE PROPERTY OF �3 :SECOND FL. 6 FRIEZE BOARD _ STYtD 14 STRAP hOLDDOWN PER; _ - REPRODNOT BE UCE[)AND/OR. SUBFLOOR APA TT=100 INSTALLED INTO TOP OF FL - - - CONCRETE FORM PRIOR TO POUR - ALTEREDWITHOUT Tlie - APA PORTAL WALL CONSTRUCTION " I IAW APA TT-1.00 DOCUMENT CONSENT OF THE `cv DESIGNER; 'a) DI E= [[� �. GENERAL N'OTE5: SCALE: N>S 1.) CONTRACTOR I5 TO VERIFY ALL EX15TING CONDITIONS 1/4 - 1-0° _� vz� 8 DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY MATERIALS, DETAILS 4.FINISHES DATE IN THE FIELD WITH OWNER ' _ 12/6/2018 3.) ALL WORK SHALL CONFORM TO THE MASSACHUSETTS "NO a FOUNDATION STATE BUILDING CODE AND ALL OTHER APPLICABLE LOCAL CODES INCLUDING THE WFCM I 10 MPH PROJ.,.NO. EXPOSURE B MANUAL Y . ,- 4.), ANY DISCREPANCIES, ERRORS AND/OR OMISSIONS IN THE NOTES, 2018-345 rr - TYPICAL I x5n xE � DIMENSIONS, AND/OR DRAWINGS CONTAINED ON THESE DOCUMENTS: FRONT ELEVATIONLTYPicAL- CORNER BOARDS SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIOR TO WHITE CEDAR' COMMENCEMENT OF CONSTRUCTION. PROCEEDING WITH CONSTRUCTION pWG..NO.: 51-TO SIDING ' s•_To WEATHER: CONSTITUTE$ACCEPTANCE..OF THESE DOCUMENTS AND ANY DISCREPANCIES; AT FRONT,51DE5 ERRORS ANDIOR O, 15SION5 BECOME THE RESPONSIBILITY OF THE e REAR BUILDING'CONTRA=R. O 5 10 15 .20 ©COPYRIGHT.2018 BY THOMAS A. MOORE DESIGN CO. a Iz co Ca co - A g C (, I G3 22'-o G I r o' ISZ a.00 Y. cf)10-0: 9:A 6,_6. W Z.00 10 TYPICAL I x 8 RAKE BD5. W/I x 3 DRIP BD. - 4'--� �`} 12 B z r _ iOR.OF.PLATE' 'lilt : 0.- 14F § /�^�i r In g xp Lj 44- 6ATF1'fit 5.0 TYPICALI x8'FLYINGRAKg'. T .. BOARD5 W/1 x,3 DRIP' a a I x4SU&RAKE.. ---^— k-V \ — — r., _ N y .. ,• r., c/) 11111 SECOND FLOORt TOP OF PLATE 3'O'x G'8• RROOK b A cn 2 TYPICAL I x 5/1 x 6 I - N CORNER;BOARDS - -TYPICAL WHITE CEDAR I a DN: (/���' Y�M T � - 5niN O WEATHERIIIIIIIIIIIIIIIIIIIIIIIIIHIIII _ �,�N 6: 14RQ I AT FRONT,.SIDES 2 7.8'± ,t REAR ---- TOP OF' FOUNDATION cn 3K 3Km x 2J 2.1 2J 21 2J LEFT SIDE ELEVATION 312 B B-B ,B 3'-97 21 -10. Z' 10" 2t-10' 3'0' 16'-0,. 3'- . G ' • _ n DD cs Qw A B G3, G \\ � Z ♦FRIEZE BOARD TOP OF_PLATE TYPICAL f x 8 FASCIA rt SECOND FLOOR N p a o © SMOKE/CARBON MONOXIDE'DETECTORS N� a N CHECK.LIST REQUIREMENTS: (,I 10 MPH, EXP.- Z.' : NOTE': _ v x '°x"c.c.EDGE NAILING AND 1 2'o.c:IN FIFLD'NAWNG - THE DESIGNERWN ARE THE 50LE THE PLANS-PROPERTY D CAN _ .. FLOOR. .�� 5UBFLOOR• * NOT BE COPIED, NOTE:; ALL bObRS.AND.WINDOWS TO-HAVE 2zYJNG 5TUD5 REPRODUCED AND/OR TOP Or ELATE. AND I JACK'5TUD UNLE55 NOTED BY THE OPENING ALTERED WITHOUT THE BYXK,XJ - - _ EXPRE55 WRITTEN- - CON5ENT OF THE DESIGNER'III I lilt 11 fill 11 IIH1111 1111111111 111113 [ ... LL SCALE N fl WINDOW SCf IEDULE DATE . 00 TOP OF . TYPE MANUFACTURER.'5 UNIT ROUGH OPENING REMARKS 12/6/2018 FOUNDATION A ANDER5EN TW 244G 2'-G 'I/8 x 4'-8 7/8" DOUBLEHUNG g AW 25 I 2'-4 3/8"x 2'-4 3/6' AWNING PROJ.NO. NOTE#I:CONTRACTOR TO VERIFY ALL QUANTITIES AND SIZES OF NEW WINDOWS WITH OWNER AND 2018-345' AL I x 5/I x G.- MCI,, - '- REAR ELEVATION BOARD5 ROUGH OPENINGS WITH WINDOW MANUFACTURER PRIOR TO ORDERING'OF WINDOWS TYPICAL WHITE GEDAK DWG.NO:: - 5HINGLE,5IDING 5't TO WEATHER' AT FRONT,SIDES _ #REAKG2 0, 5 10 15 20 ©COPYRIGHT 2018 BY THOMA5 A. MOORE DE51GN CO. a n G O 2: 5'-10" O A. 1 22'-O' y 5_6 O"DIA.50pNOTUBES 3 .. '�. :$�-7:,�: Z C7�' AT 4'0",DEEP - Z a 12 TOP OF PLATE. 2-'.P.T 2 x'F115 z8CEIUNGJOI TS 1G'ox. .. - �: r�r 1 2 - .T..2 x.b @ 16'o. " P.T.S x 8'LEDGER W/(I)5/8' B W. Q I/2'GYP..BD..ON iv LEDGORLOK BOLT @n 16'ox. - C Z C:) I'x 3 STRAPPING @ I W o.c. N p v "STAGGERED,FCAStTeeHIND a ca ...•- r: .. y II ---- ------r —=— 5TAIKWELL - F 0 4Loa rn I I I L —�� I- 2 x.10`5 @ 16'o.c: - - TOR OF'PLATE t I•. I Q N - /�1 5/8''FIRECODE GYP.BD,ON - i �., r— —— — —�, '" I_ Q CV I x 3 STRAPPING @ I V o.c. X N i is -• DROOORP Or FNO.WALL I I I .L W A o 0 W' GARAGE I i T:D I I WORK I f w x O w S'FiOP 1 I Q E- Q. co r GARAGE _T_—D 4 I I O �NE PITCH 2°TO DOORS)4'CONC.SLAB FOUATIO Pt CH OO. DOOR) I 4 CONC.5LA8 ON GRADE. i Is - TYPICAL 10°x 20P-. I, ,':. I 'I I' - C/)' (~—CONCRETE FOOTING5 W/3-#5 BARS I I ip DROP TOP OF END;WALL I I. -3°-4-FROM BOTTOM I I AT DOOR. ... '•: BUILDING 5ECTION GARAGE , I ; _- r TYPICAL 8 CONC J O FOUNDATION WALL • .. I' w/2-�4 BARS AT TOP BOTTOM AND MIDDLE I r—— —— — — —— RROP TOP OF FND''.WALL I I TICONC. P :b W L._ T O-H-BOORS-- J ,.__ - _ — ---- I v jk _ - --- -- ---- W --- ------ - • .. NEW ROOF GONST. 4 A°Ro`ry 14 Z i - 2-. 10 ROOF.RAFTER5 @ I Q Mc. - 12 12 1/2'-CDX PLYWOOD ROOF.SHEATHING 4t �.42. "" ASPHALT ROOF SHINGLES. - v '- - I,5L.B:.FELT PAPER. G3 - G -8'MIN.:,SPRAY FOAM INSULATION 5'-6't 9'-6.3 :'-3' 21-:6•. 6'-6 .3'-0' - g ROOF RAFTER5(R=40). '^• V1 r� -2x 12 RIDGE BOARD(U.N.O.) •6� Tl FL'� ' -TOP OF PLATE_ - x a C EI G.J 1 T5 1 G'o.c.: _ '- - 22'-0' 12'-O' • 1/2'GYP.BD.ON J x 3 STRAPPING @ 66",o.c_ BU:NKROOM BATHo FOUNDATION PLAN a NEW WALL CONST: t m _ 2 x 6 5TUD5 @-I G'ox� - - - - ROOF DECK CON5T. NOTE n 1/2'PLYWOOD 5HEATHING FOUNDATION'CONTRACTOR TO PROVIDE 5/8'DIA:,. ' -6°BATT INSULA?ION(R=2 I)! 3/4'T.'6 G.PLYWOOD 5HEATHING O' 3/4•T s G PLYWOOD RUBBER MEMBRANE ROOFING *ANCHOR BOL75 AT'48°o.c,WITH MINIMUM EMBEDMENT OF 7° N I{2°GYP.BD. INTO CONCRETE.ALL 5ILL PLATE5 TO BE CONNECTED U51NG' SUBFLOOR GLUED 6 NAILED 2 x 4 P.IMEMBRANE @ ROOFING o.c.ON FLAT 3k3'x I/4°'SQUARE"PLATE.WASHERS. 5ECOND FLOOR W:C.SHINGLE 51DING DECKING SUBFLOOR __ TYVEK" NOTE: TOP'Of PLATE 2 x 10 FLOOR JOISTS'@ 16°o.c. THE PLAN5 5HOWN ARE. .. THE SOLE PROPERTY OF LVL BEAM �- THE DESIGNER AND CAN 9"BATT• TOR;OF PL_ATE:, NOT BE COPIL;D, x - (SIZED BY OTHERS): - K INSULATION(R=30) � • --- � -- - -�� - � REPRODUCED AND/OR /8"'FIRECODE'GYP.BDi ON 5/8°.'FIRECODE'-GYP.BD.ON, _ ALTERED WLTHOUT THE x.3'STRAPPING @'I 6"o:C, I is 3 STRAPPING @ 16"o.c,. CON5 4 WRITTEN CONSENT OF THE p 8 DESIGNER .. 1 GARAGE WORK _ SCALE, 8110P 1/4"= 1'-p" 70P OF ,. FOUNDATION _ 4'GONC:5LAB - . DATE 4'CONC.5LAB -. 5 5T FLOOR 12/6/2018, _ _PRQJ: NO.: 2018=345 t nBUILDING SECTION @ GARAGE DWG. NO;:, nBUILDING SECTION @WORK SHOP A3 O 5 10 15 20 CQG3 � ' COPYRIGHT 2018 BY THOMA5 A. MOORE DE51GN CO. r., { i am cn o > Qom 22-O" - (SHED UoKMMrl Q N Q' A. W G3 G G Y i G3 13 G3 G3 0 U sn ir I I I 1 -- - II , I W O I 2 x"12 RIDGEBOARD ~ .. .- - - �. N N. _ N ----- K l0 • —— _ _BEAM.(5 ZED BY OTHE. )_ _ S O - - -rr O E 2 x 10 FLOOR JOISTS. -.. - - - 1r^, CIO is . 3-2 x 12 HEADER CONT. �X u l CORNERTO-CORNER O O G G3 G3.: A, B" G3, h G G3 04 NOTE- THE r NF�1 s'-0" r6'-a'' a,-o. - €; .. (SHED DORMEf� -_. - - - - - .,. THE PLANS SHOWN ARE THE SOLE PROPERTY OF 22'-0' � .. _ - � � THE DESIGNER AND CAN 2i - - - - - - - NOT BE COPIED, REPRODUCED AND i ROOF FRAMING PLAN ',, � E WITHOUT„ "E SECON D FLOOR FRAM I NG PLAN DE 3 i NOTE I: All:ROOF RAFTERS TO BE SCALE : t 2 x 10'5 @ I G,"O.C.,UNLESS NOTE.1:ALL.HEADER-5 TOBE 3-2,x&S.UNLE55 NOTED OTH€RW1S€ OTHERWI5E NOTED' NOTE 2:ALL POSTS TO BE 4 x+G UNLESS"OTHERWISE NOTED NOTE 2: ALL DOORANINDOW HEADERS TO BE 3- UNLE55 OTHERWI5WE NOTED DATE NOTE,3: ALL COUNG JOISTS 2 x 8 1 G" 12/6/2018 w a PROD. NO.: 2018-345 I _ DWG. NO.: >° I O'CQPYRIG 2 5 10 15 20 M BYTCOHOMAS A.. 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