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0062 WESTMINSTER ROAD
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'i �. _ r .. � -- i .. � � �� r i -�. ,. i ,i y .. .. i � ... _ ., _ ,�. Town of Barnstable . Building Department �oFSHE rp Brian Florence,CBO Building Commissioner MRNSTABLE, : 200 Main Street,Hyannis,MA 02601 esnss 9cb ze59. www.town.barnstable.ma.us j°leo�•'1 a Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: r Permit#: . n HOME OCCUPATION REGISTRATION Date: l Name: t�n" <rrct � GlG Phone#: 50 o iF. '3 G gJ Address: vv f-Y)t►ask( 9d `enksv,lb-141village: Name of Business: I ot e-R� p� Type of Business: -�!7 S lit�t� i D n _Map/Lot: `l9 a _ d INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1 A of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular .matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home Occupation. • if the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have and agree with the above res lions for my home occupation,I am registering. a6 Applicant: Date: 0� Homeoc.doc Rev.10/17 Angela Lindsay-Grant and Solven Grant Ideal Staffing Solutions 62 Westminster Road Centerville, MA 02632 September 6, 2019 Robin C. Anderson Chief Zoning Enforcement Officer 200 Main Street, Hyannis, MA 02632 Dear Robin Anderson, The plan for Ideal Solution Staffing Consultation is to have the day to day operation to include managing client referrals,payroll and over the phone customer correspondence at our 62 Westminster Road Centerville MA address. Staff meetings and any subsequent interviews will be held at Cape Space 100 Independence Drive Hyannis MA. The goal will be to rent a personal office space when the business begins to grow. Sincerely Angela Lindsay-Grant Solven Grant Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,'Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date �`�• �6•. 1q Map �� Parcel O V Applicant Information Applicants Name Q f ja - I Y1dgCtk- ca Mid l soky(t1 G m ni Applicants Address , 2d CiPlkmMl Ad drDeassC5a grkp Qua (irft Na Q�cJmai�C'cy Telephone Number 5D'R— BZS -36'R 5 Listed ❑ Unlisted ❑ Business Information New Business? -A QQf__J-ic lrf i__ S©� i ws _ Yes No. --------------- Business is a registered corporation? ________________________. Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? -_----__ Yes No If yes then a Home Occupation ^^Registration is required—See Building Division Staff Name of Business =d fQA Business Address 471 Cel)�1/l Ile. - AW Type of Business (Ysulk-fi - n; uilding Commissioner ffice Use my Conditio s I� � l U S i Building Commission to (p Clerk Office Use Only Town of BarnstableBuilding ,. . � t a Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and Card Must be Kept t i ,� Posted Until Final Inspection Has Been,Made. 1 Permit �aat° Where a Certificate of Occupancy.is Required,such Building shall Not be Occupied until a Final Inspection-has been made Permit No. B-19-754 Applicant Name: Lloyd R Smith Vivint Solar LLC Approvals Date Issued: 03/26/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 09/26/2019 Foundation: Location: 62 WESTMINSTER ROAD,CENTERVILLE Map/Lot168-068� Zoning District: RC Sheathing: Owner on Record: GRANT,SOLVEN A&LINDSAY-GRANT, ; Contractor Name:`s, BRIEN LANGILL Framing: 1 Address: 62 WESTMINSTER ROAD Contractor License: CS=106675 2 CENTERVtLLE, MA 02632 a - , ' Est. Project Cost: $ 15,004.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems 6.82kw 22 Permit Fee: $ 126.52 Panels ' i Insulation: Fee Paid;' $ 126.52" Project Review Req: . Date: 3/26/2019 Final: �' - Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan icia Final Plumbing: All work authorized by this permit shall conform to the approved application andthe approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures.s"a' be in compliance with the local zoning by-laws and codes. Rough Gas: 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 work until the completion of the same. R } Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and.Fire Officials areAp vided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:; 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest fluelimng is installed_ �. f _ Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �1V�NE Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date 7'. _�D — Map l Parcel y Applicant Information Applicants Name Applicants Address �� /,� iISI"'',n�c1�! 1` b Email Address �/I✓Rr�/q i Telephone Number Listed ❑ Unlisted ❑ Business Information New Business? ----------------------------------------- YeX No Business is a registered corporation? ________________________• Yes Np-,' If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? ___-___-_ Yes No If yes then a Home Occupation Registration is required—See Building Division Staff i Name of Business �t S' q ^ ��r Business Address Type of Business C 1e Building Commissioner Office Use Only Conditio Il V . . � Building Commiss � Date Clerk Office Use Only He Building Department Services aFT r Brian Florence,CBO o� Building Commissioner F uxxsr 200 Main Street;Hyannis,MA 02601. Cuss. i6;g FP . ��� ww.town.barnstable.maus •erg �k „ Office: 50 8-862-403 8 Fax: 50 8-790-623 0 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Name: Phone Address: .fS��^ �'��51"�1 1` Village: r, e Name of Bpsine'ss: p le" Type of Business: n Map/Lot: INTENT: It is the intent of this section to allow th. e residents of the Town of Barnstable to operate a home occupation within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the,dwelling: there shall be no increase in noise or odor,no visual alteration to the premises wbich'would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as ofright subject to the following conditions: • -The activity is tamed on by the permanent resident of a single family residential dwelling unit located within that dwelling unit. •" Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no-outside evidence of such use, . • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular wafter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 toes,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall bg employed in the Customary Rome Occupation who is not a permanent resident of the dwe L the mmdersi e ead and a e e above restrictions for ray home occupation I am'mggiistering. c Date: 0 o Homeoc.doc Rev.06&0116 y MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES., � -o A It Town of BarnstableZP �cE� f MASS 200 Main Street, Hyannis MA 02601 508-862-4038 6"3 Application for Building Permit Application No: TB-16-2563 Date Recieved: 9/2/2016 Job Location: 62 WESTMINSTER ROAD,CENTERVILLE. Permit For: Building-Insulation Contractor's Name: MICHAEL T. MCMAHON & SON INC. State Lic. No: 161816 Address: 19 FIELDSTONE WAY, PLYMOUTH, MA Applicant Phone: (781) 831-1234' 02360 (Home)Owner's Name: SERVANT,KARL Phone: (207)240-7012 (Home)Owner's Address: 62 WESTMINSTER ROAD, CENTERVILLE, MA 02632 Work Description: Weatherization,air sealing,weather stripping and blown cellulose Total Value Of Work To Be Performed: $4,200.00 —a Structure Size: 0.00 0.00 0.001: Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate-to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Mike McMahon 9/2/2016 (781)831-1234 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $4,200.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 9/2/2016 $85.00' 1 XXXX-}DCC{}{XXX Credit Card I 7015 1 Total Permit Fee Paid: $85.00 Town of Barnstable Building Post This Gartl So:That�t,.rs=Visible:'Fromhe�Street :A rovedPlansxMust\bye Retained on-Job�and�this Gard Mus�be�Ke t Permit mod• , Where a Certificatof Occupacysx�Required�such Suld�ng�shall Not•be Occup�edzuntil��F�r!a,V.:I lnspect�on�has,been made � ; Permit No. B-16-2563 Applicant Name: Mike McMahon Map/Lot: 168-068 Date Issued: 09/07/2016 Current Use: - Zoning District: RC Permit Type: Building-Insulation Expiration Date: 03/07/2017 Contractor Name: MICHAEL T. MCMAHON& SON INC. Location: 62WESTMINSTER ROAD,CENTERVILLE Est Project Cost $4,200.00 Contractor License: 161816 s, i Owner on Record: SERVANT,.KARL "e Permit Fee '° $85.00 Address: 62 WESTMINSTER ROADFee Paid k-: $85.00 i CENTERVILLE,MA 02632 y Date: 9/7/2016 c Description: Weatherization,air sealing,weather stripping and blown cellulose Project Review Req : Weatherization,air sealing,weather stripping and blown cellulose � b Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commencedwithin six rnonthszafter issuance. All work authorized by this permit shall conform to the approved application=and�the-approvetl construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the to al zon g by laws and codes. This permit shall be displayed in a location clearly visible from access st eet r roatl and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ' • ' The Certificate of Occupancy will not be issued until all applicable signat' f6%y�the Building and Fire Officials are prov6 on this permit. Minimum of Five Call Inspections Required for All Construction Work ` 1.Foundation or Footing Z 1 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue I ning i5 installed 4.Wiring&Plumbing Inspections to be completed prior to Frame 14 Inspection 5.Prior to Covering Structural Members(Frame Inspection) �•� ka " 6.Insulation ` 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT o DURABLE POWER OF ATTORNEY I,,KARL SERVANT,of 62 Westminster Road,Centerville, MA 02632, do hereby constitute and appoint KELLY J. SERVANT of 62 Westminster Road, Centerville, MA 02632 my true and lawful attorney for me and in my name to have the following powers: 1. Power to Collect Property. To demand, collect,recover,sue for, receive and give receipt and due discharge for any money, debts,dividends,interest or other property of any sort,real or personal, now or hereafter due,or becoming due to me or to which I may be or hereafter become entitled; 2. Power to Sell. To sell, assign,transfer and convey any stocks, bonds, securities or other property, real or personal,owned by me or to which I am now or may hereafter become entitled,to improve,repair and maintain the same and to grant options and enter into purchase and sale agreements relative to the same; 3. Power to Invest.To invest and reinvest in any stocks,bonds or other securities or property, real or personal; 4. Power to Borrow. To barrow money and as security therefor to pledge, mortgage or hypothecate any securities or other property,'real or personal; 5. Power to Execute Instruments.To endorse for transfer all certificates of stock, bonds or other securities and to execute,sign, acknowledge and deliver in my name any deeds,bills of sale or other instruments of transfer or conveyance or any other instruments, under seal or not under seal;to endorse and negotiate for any and all purposes all promissory notes, bills of exchange,checks, drafts or other negotiable or non-negotiable papers payable to me or to my order; 6.Power to Vote Stock. To represent me and vote in my name at any and all corporate or other meetings and to give to any person or persons general or special proxies,discretionary or not discretionary,to vote in my name at such meetings; 7. Power to Conduct Business. To conduct or participate in any lawful business in my name;to form, incorporate,reorganize,merge,recapitalize, sell, liquidate or dissolve any business;to enter into and/or carry out the provisions of any agreement for the sale of any business interest whether or not incorporated, upon such terms and conditions, including the making of such representations, warranties and indemnities,as my attorney shall deem proper; g. Power to Compromise. To compromise, settle or adjust any matter in dispute; to approve the account of any fiduciary; to execute any consents or releases; to establish reserves to insure me or my property,against any loss; 9. Banking Powers.To open accounts and deposit funds or property with any banking institution and to withdraw any part or all of such deposits;to make and sign checks or drafts upon any deposits in my name in any banking institution; 10. Power with Respect to Retirement Benefits. To exercise all powers in connection with any individual retirement account and/or other retirement plan in which I have a beneficial interest, including the right to direct investments of plan assets,the power to make rollovers and voluntary contributions;provided, however,that no such power shall be exercised in a manner which results in a change in the beneficiaries designated under any such account or plan; ' 11. Power to Make Elections and Disclaimers. To make on my behalf any and all available elections and/or disclaimers; 12. Power to Employ Agents. To employ agents and attorneys for any purpose and to pay the compensation of such agents or attorneys; 13. Safe Deposit Boxes and Storage Facilities. To gain access to any safe deposit box or storage facility to which I have access and to place in or take from it any property; 14. Power with Respect to Tax Matters. To appear for me and represent me before the United States Treasury Department,the Internal Revenue Service or any other taxing authority in connection with any matter involving taxes in which i am a party; to prepare and execute any tax returns for me; to execute any claims for refund, protests, applications for abatement and consents to and waivers of determination and assessment of taxes,agreeing to a later determination and assessment of taxes than is provided by any statute of limitations;to receive and endorse and collect any checks in settlement of any refund of taxes; to examine and to request and receive copies of any tax returns,. reports and other information from the United States Treasury Department or any other taxing authority in connection with any of the foregoing matters; 15. Power to Make Charitable Gifts.To make gifts'of my property, without limitation as to amount, to such one or more charitable corporations, trusts or organizations described in section 2522(a) of the Internal Revenue Code of 1986, as amended,as my attorney shall in his/her discretion determine to be appropriate recipients of contributions from me; and 16. Other Powers. To do all things necessary-to carry out the intent hereof as fully as I might do if I'were personally present. My attorney is authorized to delegate any powers hereunder; to revoke any such delegation;to pay himself/herself reasonable compensation for services rendered by him/her hereunder from any property owned by me or to which I am now or may hereafter become entitled; and to deal with himself/herself or with any concern in which he/she may be interested, as freely and effectively as though dealing with a stranger. Any of my attorneys may resign at any time by a writing signed by him/her and attached hereto,written notice of which shall be given to me and anyone herein named to succeed him/her as attorney. If my attorney hereinabove named shall for any reason cease to serve as an attorney hereunder, I hereby constitute and appoint JOSEPH DESSENT of 5417 Highlands Vista Circle,Lakeland Florida 33812 as my attorney hereunder to serve in his/her stead. This power of attorney shall not be affected by my disability or incapacity arising after the execution of this instrument or by lapse of time. My death shall not revoke or terminate this power of attorney if my attorney,without actual knowledge thereof, acts in good faith hereunder.No person dealing with my attorney hereunder shall be responsible for the application,of any money or property paid or transferred to said attorney. I also hereby nominate that person who at the time may be serving as my attorney hereunder to be the conservator and/or guardian of my estate and/or the guardian of my person if protective proceedings for my estate or person are hereafter commenced. IN WITNESS WHEREOF, I hereunto set my hand and seat this 22nd day of September 2015. KARL SERVANT COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,ss. On this 22nd day of September 2015, before me,the undersigned notary public, personally appeared KARL SERVANT,who is personally known to me, or has proved to me through other satisfactory evidence of identification,which was A Dr-V'z , ,that he is the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. ANTHONY 3. MAZZEO 4P'u Notary Public tr V.*SACHUSEtTS cola~+otn t nr or c A�� ^� za�v my Commission Expires ��ZU May ,, y020 ion expires: 4� 3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel LZ Application # ��10 �7 Health Division j 2-(0 I1 Date Issued / Conservation Division Application Fee Planning Dept. Permit Fee � 7 � 5a Date Definitive Plan Approved by Planning Board �/Zp�( kd 51 �J ' Historic - OKH Pr l/// 'Preservation Hyannis NO E M AZ L— Project Street ddress �05 W—S7-XI,I/,l 5T� o a Villa e �--�n rC�'►/ L � Owner AW 5e,(Ot✓E Address Telephone ` % _ _/ Permit Request. (1V__ deClc- /? w fl ,C6. 0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed To al new Zoning District Flood Plain d�® Groundwater Overlay A/0 Project Valuation 01 3r017® Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ur"-- Two Family ❑ Multi-Family(# units) Age of Existing Structure b ¢ Historic House: ❑Yes 4No On Old King's Highway: ❑Yes )&No Basement Type: Erfuii ❑ Crawl ❑Walkout . ❑ Other Basement Finished Area(sq.ft.) ��� Basement Unfinished Area (sq.ft) W-04 Number of Baths: Full: existing f new Half: existing new Number of Bedrooms: -3 existing nerve Total Room Count (not including baths): existing J new First Floor RooM, Count { , Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other ,=i Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woodcoal stove:ti3❑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 ❑ _ rasa Commercial ❑Yes No If yes, site plan review# Current Use _ eeS/WI%eei77& Proposed Use � G APPLICANT INFORMATION (BUILDER OR HOMEOWNER) q�y9 Name "'/-'cTelephone Numberfl � Address All � �Y• License # /00?Lof �oZ� � 6066, Y�/k 025�3 Home Improvement Contractor# Emai6k8AA4 o�•cg2 Qom) CQAot Worker's Compensation # L)b-Q60o?'?Q R3 15 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO / etc,) X {z� e � SIGNATURE DATE_ i///5//& t FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. T!'te Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia. Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Anulicant Information Please Print Legibly/ Name(Business/Organization/lndividual): C �M� �� ( .7/�•S�r�G �/(� ��L�S L �� Address: City/State/Zip: t/'0 /F• dot Phone#: 5� / �p�j �" o .7C Are you an employer?Check the appropriate Type of project(required): 1.0 I am a Toyer with 4. Wa ,�ne�ral contractor and 1 6. ON onstivction .YK11royees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or listed on the attached sheet 2 7. emodeling partner ship and have no employees These sub-contractors have 8. 0 Demolition working for'me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance ` 5: D We aria corporation and its 10.0 Electrical repairs or additions required] officers have exercised their 3. 1 am a homeowner doing all work right of exemption per MGL 11,0 Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),and we have no 110 Roof repairs insurance required.]t employees.[No workers' 13.R&er Vaf -+ P(;'JV comp.insurance required.] •Any applicant thatchecks boa M l must also fill out the section below showing their workers'wmperrsadoo policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hie outside contractors must submit anew affidavit indicating such.. :Contractors that cheek this box must attached an additional sheet showing the name of the sub-contractors slid their workers'comp.policy infmmatiaa I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site. information. _ / Insurance Company Name: A e l-1 C/tr+! /KS L(/'Q I?C E' 0 Y n'•� / s Policy#or Self-ins.Lic.#: 0� - d�-o i 762, /�/� /� Expiration Date: Job Site Address:tiva2 /./� i.rs�or"�o�-{r�i&et�`rf1l Tf City/State/Lip:�PN 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 W the Office of investigations of the DIA for insurance coverage verification._ 1 do hereby certi and thepains o the information provided a is true and correct Date: Phone#: J d (o Ofjffr.•Iol me only. Do not write in this area,to be completed by city or town affkial t - 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#• r r ;Rlght£�x C3-2 6/12/2015 5:53:16 AM • PAGE 2/002 FaX Server 7., - DATE(l&=D/YYYY) CERTIFICATE OF,LIABILITY INSURANCE 06021 FtCATE IS MSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,!(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE C Fl IMPORTANT:H the ceittilcate holder Is an ADDITIONAL INSURED,the policy0es)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endersemenL A statement on this certificate does not confer rights to the certificate holder in lieu of such endor s. PRODUCER CONTACT. NAAAE: ' UNITED INS AGCY INC PHONE FAX PO BOX 1013 (A/C,No,Ent): (A/C,No): E-MAIL BUZZARDS BAY,MA OZ532 ADDRESS: 28JBG iNSURER(S)AFFORDING COVERAGE NAIC F INSURED INSURER A: ACE ANSWCANINSURANCE COMPANY C&J HUNT CONSTRUCTION SERVICES LLC INSURER B: INSURER C: . INSURER D: 31 KENSINGTON DR INSURER E: SANDWICH,MA 02563 INSURER F: COVERAGES CERTIRCATE NUMBER: REVISION NUMBER: T rM%PQPOLCEBOF Rii Wvr"I BMISMEDTOTHE SWREA NAMED ABOVE NO'R MMANUme ANYREOUiREMENr,TERiA OR CONDMON OF ANY CONTRACTOR OTNER DOCUMENT Wn'H RFSPECTTO WMH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAf3N.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN G SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDTTIOPS OF SUCH POLICIES.L@UTS SHOWN MAY HAVESEEN REDUCED BY PAD CLAUJ{S, SM ADD BUS POLICY EFF DATE POLICY EXP DATE LTR TYPE OFNSURANCE L R POLICYNUMiBFR (lllAMYVW) (MMIDDIYYYY) IJMITS GENERAL LIABILITY CH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $ CLAIMS MADE �OCCUR. REMISES(Ea occurrence) ED EXP(Any one person) $ ERSONAL&ADV INJURY $ GEWL AGGREGATE LiMIT APPLIES PER:' ENERAL AGGREGATE $ POLICY ®PROJECT®LOC RODUCTS-COMPIOP AGG S AUTOMOBILE LIABILITY MBINED SINGLE $ ANY AUTO IMr (Ea accidaN) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS Per parson) HIRED AUTOS BODILY INJURY $ Par accident) NON-OWNED AUTOS PROPERTY DAMAGE S Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE - $ EXCESS LIAS CLAIMS-MADE GGREGATE $ DEDUCTIBLE $ RETENTiON $ $ A WORKER'S COMPENSATiON AND X C, OTHER EMPLOYER'S LIABILITY Yin U"GO29023-15 05/132015 OV1312016 I imn ANY PROPERITOR/PARTNEWEXECUTIVE f711 N/A E.L EACH ACCIDENT S 1.000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in HH) E.L.DISEASE EA EMPLOYEES 1,000,000 It yes,desaibe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS bNow DESCRIPTION OF OPERATIONS/LOCATIONSNENICLES/RESTRICT(ONS/SPECIAL ITWS THIS REPLACES ANY PRIOR CERTIFICATE iSSUED TO THE CER71FICATE HOLDER AFFECTING WORKHHS COMP COVEIIAGB. CERTIFICATE HOLDER CANCELLATION CHARLES HUNT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILLS OELIV ED 31 KENSINGTON DR IN ACCORDANCE WITH THE POLICY PRO AUTHORIZED REPRESENTA-nVE SANDWICH,MA 02563 ACORD 25(2010/05) The ACORD Brame and logo are registered marks of ACORD T988-20t0,9CORD COMP R r g is reserved. AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(790 CMR 5301.2.1.1)1 Q Check 1.1 SCOPE Compliance WindSpeed(3-sec,gust).................................................................. .................................................110 mph — Wind Exposure Category... . ........................................... ..............................................................B 1.2 APPUCABILITY ? Number of Stories ..............................................................(Fig 2)............................ stories 5 2 stories RoofPitch ..........................................................................(Fig 2) ........................................... 512:12 MeanRoof Height ..............................................................(Fig 2)..............:.................................. ft 5 33' — BuildingWidth,W...............................................................(Fig 3)................................................ 50'_ft 8 — Building Length,L .......(Fig 3)................... _ Building Aspect Ratio(L/W) ...............................................(Fig 4)................................................. 5 3:1 _ Nominal Height of Tallest Openin92 ...................................(Fig 4).................... 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................. 2.1 FOUNDATION AJ/A- Foundation Walls meeting requirements of 180 CMR 5404.1 Concrete...................................................................................... ConcreteMasonry........................................................:...................................................................... :.... _ 2.2 ANCHORAGE TO FOUNDATION"3 — Al/k 5/8'Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..........................................(Table 4)............................................... in. Bolt Spacing from endfjoint of plate ............................(Fig 5)..................................... in.5 6"—12" Bolt Embedment—concrete.........................................(Fig 5).................................................._in.a 7" Bolt Embedment—masonry.........................................(Fig 5)..............................:..:.......... in.a 15" — PlateWasher...............................................................(Fig 5)...............................................a 3"x 3"x Y." _ 3.1 FLOORS 1,144- Floor framing member spans checked ...............................(per 780 CMR,Chapter 55).................................... _ Maximum Floor Opening Dimension...................................(Fig 6)............,........................ ft:5 12'or L/2 or W/2 _ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks — Supporting Loadbearing Walls or Shearwali................(Fig 7).........................................:..........—ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall...........::...(Fig 8)...................................................._ft 5 d _ Floor Bracing at Endwalls......................:........................I...(Fig 9)....................:.................:............... _ Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................................... _ Floor Sheathing Thickness.................................................(per 780 CMR Chapter 55 - Floor SheathingFastening 9..................................................(Table 2).._d nails at in edge/ in field 4.1 WALLS Wall Height Loadbearing walls.................................:......................(Fig 10 and Table 5)........................... ft 5 10, Non-Loadbearing walls......................................:.........(Fig 10 and Table 5)........................... It s 20' _ Wall Stud Spacing ........................................................I(Fig 10 and Table 5)................... in..5 24'o.c. Wall Story Offsets .........I................. (Figs 7 8 8 —_ 42 EXTERIOR WALLS 0 / Wood Studs / Loadbearing wails.................. .....................................(Table 5)..............................2x_-_ft_in. Non-Loadbearing walls ............(Table 5) in. Gable End Wall Bracing' — — Full Height Endwall Studs............................................(Fig 10)......................... Length................................................(Fig ) ......................—ft zW/3 Gypsum 2 Ceiling Continuous WSeral Brace 6 ft o.c...(Fig 11)...........................................—ft a 0.9W W P Attic Floor Len h................... ........... Fi 11............ ...................... Length C ) (Fig ) — ........................................ Double Top Plate Splice Length .........................-..............................(Fig 13 and Table 6)..................................... ft _ Splice Connection(no.of 16d common nails)..............(Table 6)........................ ................................ AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(Ise CMR 5301.2.1.1)t Loadbearing Wall Connections -- Lateral(no.of endnailed 16d common nails)..............(Table 7)................................. _ Non-Loadbearing Wall Connections "'""""""""'"" " Lateral(no.of endnailed 16d common nails)...............(Table 8).................. Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9) .. ft_in.511' _ ................................. .Sill Plate Spans ........................................................(Table 9).................................._—ft—in.511' Full Height Studs (no.of studs)...................................(Table 9)....................... _ Non-Load Bearing Wall Openings(record largest opening but check all openings for compilance to Table 9) HeaderSpans.............................................................(Table 9).................................._ft—in.512' SIIIPlate Spans...........................................................(Table 9).................... —ft_in.512" Full Height Studs(no.of studs ....' ""'...)....................................(Table 9)........................................................ — Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously` ` Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............. Sheathing Type..............................................(note 4).......... Edge Nail Spacing..........................................(fable 10 or note 4 if less)........................—in. _ Field Nall Spacing......................I...................(Table 10) _in. ........................................... Shear Connection(no.of 16d common nails)(Table 10).................................... _ Percent Full-Height Sheathing """"'"'"..... ' .......................(Table 10).................................................... % ' — 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).............. Maximum Building Dimension,L ""' Nominal Height of Tallest Opening2........................................ <6'8" ........................ Sheathing Type..............................................(note 4)..................... — ................................. Edge Nall Spacing.........................................(Table 11 or note 4 If less)........................ in. Feld Nail Spacing..........................................(Table 11)...................................... — ...........—in. Shear Connection(no.of 16d common nails)(Table 11)........................................................_ _— Percent Full-Height Sheathing.......................(Table 11)...................................................._% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).............. Wall Cladding ••••• Rated for Wind Speed?.....................:........................................ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) _ Roof Overhang ...................................................(Figure 19).............._ft s smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U=_plf .................. Lateral.............................................(Table 12)...................... .....L=_pif hear...............................................(Table 12)......................... = p _ S- ff Ridge Strap Connections,If cellar ties not used per page 21.....(Table 13)....................... T=_plf _ Gable Rake Outlooker.........................................(Figure 20) _ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls — Proprietary Connectors Uplift................................................(Table 14).............................. .........U= lb. Lateral(no.of 16d common nails)...(Table 14)...............................4.......L=_lb. _ Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59).................. _ Roof Sheathing Thickness........................................... —in.a 7/16"WSP .............................................. ..................................... Notes: Roof Sheathing Fastening...........................................(Table 2)..................: '— .— 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist Is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shalt be a minimum 2 in.nominal thickness.pressure treated#2-grade. f° I e ' A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so CYIR 5301.2.1.1)' 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. oi. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment r AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' Wl N THIS EDGE REMS OM PR1MMG ELSE 8d NAII S AT 6'bia. 11 u f la l it It 1 . 11 11 11 11 1 11 jj K ~ 11 O 1 41 so �� 11 11 6� 1 -C. WQ :1 IJ 1 lu 11 Il � 1 + 1/ Qg 1 4. 11 :r 09 1 1 1 1 + 11 11 31 1 H 1 i; 11 r 1 WLSPACM ; t - i • — r �r v See Devil on Next Page Vertical and Horizontal Nailing for Panei Attachment • r Y raw S c LSA1M. ■ IGL•i L ■Ii •. - OM Star M. .M .. ■ eTa, ■ u ° P r � P Y _ two � ■ [Ind, ■ III ;. ll t MOW .;.ca!tr •��" '�n� d�,. ItdSL'8.5i1�cwr .��` �+��i� �e` - - _ ■ , - , 1 R ° w w ■ ■ •KeU J Servant 4/13A6 e r; r v�e �Gc��a�rza�a�aec%�-o`✓�o�ad«c�..J, Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR i;, Registration 165004 Type: Vol Expiration 12/10/2017 LLC C&J HUNT CONSTRUCTION SERUIGES LLC CHARLES HUNT 31 KENSINGTON DR.` SANDWICH,MA 02563 Undersecretary a Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License. CS-102829 gti.1T5 h CI3ASSLES IIYJ1\ •� 7N ' -31 KENSINGT®14(I) SANDWICH MA7425 Expiration Commissioner 06/26/2017 TOWN OF BARNSTABLE BUILDING PERMITAPPLICATION , Map Parcel u.Application #� "( Health Division Date Issued b Conservation Division Application Fee t Planning*Dept Permit Fee Date Definitive Plan Approved by Planning Board i Historic _ OKH — Preservation/Hyannis Project Street Address p7A OZ63Z Village Owner kMi_ OA 13.4m k Address/a S'/`�osema... �e Li�rrry AM Telephone JoP— 7 37—, 73 Z ;!>a a z� Permit Request t' t Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District% Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: 0 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 0 new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑new size _Shed: ❑ existing ❑ new size _ Other: 1 CS C) Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ o -n Commercial ❑Yes ❑ No If yes, site plan review # a Current Use Proposed Use II �" APPLICANT INFORMATION w (BUIL-DER-OR HOMEOWNER). Name 7-UDD,Pr ��i<S75�uc7�`G� �� Telephone Number Z C� Address 79/9 1n1D-7zz::H D X ► License # A). 02673 Home Improvement Contractor# Worker's Compensation # G,//'� �,1:s::�Jgz a ALL CON UC N D RIS RESUL ING FROM THIS PROJECT WILL BE TAKEN TO 40 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. i `r ADDRESS VILLAGE 3 OWNER a P DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING A DATE CLOSED OUT ASSOCIATION PLAN NO. b. 1 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 N3lllt; (Business/Organization/Individual):- ,04 �S"j,������/J Address: 6�Z� 73 City/State/Zip: Phone#: J70 e= ?XO - Are you an employer?Check the appropriate box: Type of project(required): I.L" t am a employer with A 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [ Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' - [No workers' comp.insurance comp. insurance. 9. ❑ Building addition 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 LEI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section 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 isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Na-ze Policy#or Self-ins.Lic.M T4/ee &Z)C 3930 w706 Expiration Date: /O Job Site Address:6®2 /n/nefni in97M2VK 9-747 City/State/Zip:� �� � Od 63Z- 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$1,50 an or o ear imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to�2 00 a da against the 'olator. Be advised that a copy of this statement may be forwarded to the Office of Inve "igat ons of the IA f in ur a coverage verification. I hereby r ' under e p ins a d penalties of perjury that the information provided above is true and correct Si a 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 Departmeni 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector, 6.Other Contact Person• Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: 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-NIASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia 11/04/2oos 12'41 FAx 16001/001 TUPPIER " CONBTRI.IO"Or t CO. 79B Mid-Tea Drive{West YarMouth,MA 02573 Phone 00 .77"111 Fax 50&778-5010 Registr000#121845 License#oBwsa Date: November 4,2009 Town of Ramstablc Attu:l3ttilding Departzuent Y hereby authorize Tupper Construction Co.,.LL,C to pull the p6rzn3ts neaes9ay to complete the project described on the attached permit apphcadon form Thank you, Owner's SignAture y Print Owner's Nemei Waller Urbanik Street Address: 62 Westminster St.,Centerville,MA 02632 h/2 GOOTVVVTgL x00 $ xo0 30 SabT330 AprI Nd 89 : 90 VO—A0N-60OZ N DECK PDN ENT 11' 7' 11' 5' 15' 6' CWNTER [KI a a ATH HEN 'D i � BED DINING c ROOM L I 8", io CouNTER I C 10, 9" 2T 7' c o _ LIVING BED BED D ROOM ROOM MA ENT C 21' 3" FL❑❑R 1: 1379 SE FOUNDi:TION IS' 8' 18 V 7' S' 19' 5'. �Y 1 w LEDGE t7w f rc W C3 Z oR' 7 � N UTILITY,R❑❑M GARAGE O N w 27' 7' Li U C] �^K f•W . ELANTRI TER 26' 9' -W VA w N BASEMENT, - 1323 SF ACORP. CERTIFICATE OF LIABILITY INSURANCEr_E1A1m/(0m4/2009 PRODUCER (SO8)997-6061 FAX (S08)990-2731 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 439 State Rd. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 79398 N. Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE NAIC# INSURED Tupper Construction Co LLC INSURER A: Arbella Protection Insurance INSURER B: AEIC 27 Roberta Drive INSURERC: West Yarmouth, MA 02673 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED,BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DDM�YY DATE MWDD/YYYY LIMITS GENERAL LIABILITY 8500008743 11/01/2009 11/01/2010 EACH OCCURRENCE $ 11000,00 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS MADE FX-1 OCCUR MED EXP(Any one person) $ 5,00( A PERSONAL&ADV INJURY $ 1 1 000 1 OO GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000 i OO POLICYF_j PRO LOC JECT AUTOMOBILE LIABILITY 56662400002 12/01/2008 12/01/2009 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) A X HIREDAUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) INC GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F7 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCC5005593012007 10/03/2009 10/03/2010 X TORY LIMITS I ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Yam( RICHARD TUPPER IS E.L.EACH ACCIDENT $ S00,00 B OFFICER/MEMBER EXCLUDED? Lip` (Mandatory In NH) LUDED FOR WC COVERAGE E.L.DISEASE-EA EMPLOYEE $ 500,00( Pas,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,00( OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL '10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR FOR INFORMATIONAL PURPOSES REPRESENTATIVES. ONLY AUTHORIZED REPRESENTATIVE lKrista Hartford ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Departnient of Public �'Safrt% Board of Building_ Re-ulatiiins and St:utd:rrd. �✓ Construction Supervisor -License License: CS 69058 Restricted to: 00 RICHARD S TUPPER - , 79 B MID-TECH DR fi µ WEST YARMOUTH,'MA 02673 Expiration: 12/31/2010 (' nunix.i u�cr Tr-,: 7545 p� ✓k i�arrvmor.../a a�✓�aaaac�iu6eCC� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 121845 Expiration: 6/19/2010 Tr# 268787 • Type: Individual RICHARD TUPPER RICHARD TUPPER 29 Roberta Drive W.YARMOUTH, MA 02613 Administrator P, 11/06/2009 12'.02 FAX 2 002/002 Board of Bulldtnp Regtdatio and Standards License or regfatrat[oA valid for indlvldul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to'- Board }-. of Building lations and Standards Reglat*PP: 121845 One A hlb 13 0119/2010 Try 2�8787 BOMB,M 108 b :; pilAdual RICHARD TUPP6i- . - RICHARD TUPP[2R' . .. 29 Robotta Drive ~ Not valid without gnature W.YARMOUTH.MA'02i343' Administrator CC,jppkV\-'A' Pln.auvuauuVau vvVUL-11wu vv .. .. ... ) :30 PM) itted for any workers hired. In the event the homeowner takes of Insurance Compliance Certificate must be on file. ed unless homeowner is applying for permit. construction work themselves must fill out the Homeowner e with application. Road bond is attainable from your insurance at time of application,check made payable.to the Town of rveyor is required prior to framing and must be submitted to the ermit. ission. the forms issued by the Aeronautics Commission MA RM APPLICATION FOR PERMIT TO DO PLUMBING � ' FOF Cityrrownt MA. Date: c v _'!Permit# �T Building Location7��� Owners Name:I R /d�TN�L �'r� Type of Occupar� y-s_*__Crnmercial Educational Industrial Institutional Residential D1 f New: i Alteration Renovation:F Replacement: Plans Submitted: Yes No FIXTURES z z rn 0 Nd U U) J 2 (- CO ICJ U) C W z Y s �, a o N zZ : W Z ~Y O m W d q Y � X - Z0 v W .❑ W z W a. u_ =Q o Lu Y ¢ = w w w ,U) n > > ° aa i o a o - a F f� SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR -Pr-FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# installing Company Name: ' corporation Address: CZu��. City/Town t� �pState:EAj r--F IL�.j9 Partnership I I Business Tel: Fax: Firm/Company Name of Licensed Plumber: - --�- - - INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets-the requirements of MGL.Ch. 142 Yes 11 If you have checked Yes,please indicate a type of coverage by checking the appropriate box below. 4 A ifaUllity insurance policy Other type of indemnity Ej Bond L2 ` OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on,this permit application waives this requirement Check One Only Owner Agent Si nature of Owner or Owner's Agent Li 1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the,best of my . Knowledge and that all plumbing work and Installations performed under the permit issued for this application will be in compliance with all Perttin—enttpprovision of the Massachysetts State Plumbing Code and Chapter 142 of the General Laws. BYI Type of License: ree( L1( Plumber (( Signature s uof License City(Town � Master L „b ` (�i APPROVED OFFICE USE ONLY Journeyman License Number: q r,) a,r c TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel f. Application # MOO _ NF' Health'.Division Date Issued3 Conservation;Division Application F Planning Dept. Permit Fee 7 Date Definitive Plan Approved by Planning Board to�Z316� Historic - OKH Preservation/Hyannis Project'StreetAddress._- ��� (A��S"�"YYl l Vl S��' Villsge "` O�er�, ° -M* dO �— Gk(_b01kA'1 k Address Telephon� e C) �Gl WI .,�� �La PermitTRequest. `r t o ff� �l Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District ii Flood Plain Groundwater Overlay Project Valuation I i ®O Construction Type� OlAJnl 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 Hi'ghway:q Yes ❑ No :.. Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other --+ Basement Finished Area (sq.ft.) Basement Unfinished Area(sq Number of Baths: Full: existing new Half: existing nWw `k a Number of Bedrooms: existing _new co cx, � Total Room Count (not including baths): existing new First Floor Ro m 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 ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) N� am-e-rt �bri o 1 lephone Number :K 1 L-N -'(r) t_---"r` n+i.... s...,+sr••„q''S`:r,.ise h'hraix''-C:c•.•1Y9[ Addres&JR5 Q License # "V Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE= G`DATE:s,�0.P �i Y �r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. r, a ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION Y j FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Y DATE CLOSED OUT ASSOCIATION PLAN NO. .yyv V Uepartmertr o) - n-u"sw t.L1 Office of Irxvestigations 600 }Washington Street Bostarz, A 02111 �-twww.m-ass.gov/dia , Workers' ColilpeMation liLsurance Aftdavit: Builders/Contractors[,IectdEans%P.XnmbM A leant I1for)jaatiou Please Print Le :tbl eT(Business/Org�isalidu/LndividuaI): . Address: _(QC7 : ,, �nf� Aye— , . . . .lam C� ' ity/StafelZiP:---- — - Phone.#: Fr .ti p.you,an"EmploycO Check the appropriate box: Type of pz of ect(required): 4: [ I am a general contractor and I 1.❑ I am a employer with G. ❑ New cons Li=tion cmp10yccs (frill and/or part:bmc).* bavc hired the s'tib-contractors listed on the attached shcct 7. ❑ Rcalodr-Eng 2. z am a.'sole proprietor or partner- listed �-ubontracton have ship and have Pn ploye employees 8. [] Demolition emes and have work' working for me in.amy capacity. 9. ❑ Building addition D WOLker6' incitranGo imp-M-m-aSlCe.t S. n and its 10.[Eleetricalzcpairs or additions [] We arc a corporatio rbgl?'ircd] kMWe- .w.- ..,,�,._. officers have exercised theix l l.❑ Plmabing repairs or aeld.itiom �3 Z am a hDm=W'DZr dnrng.au , -right of exem tion per MGL m cs 1� o workers'=co p 12,[]RDof repairs 1(4)' and we baY.t no mE rancc-rr-qunrcd_]�t '"'�• 'f'�'-. ? °:uz," ' -13.[ Other . .. employees. [No workers' comp.insurance required.] `Auy Appli=t that ehmla box#1 unist also fM ovt the section below showing their workcn' coiDprnsatioo policy information. t liomcowm7 who submit this affidavit indieafmg Ibcy arc doing all work and then hire outside eootr dDm must subrmt a nrw affidavit mdiratmg such. Zamtracinu that cbcckthis box must atb-bh d,m additional sbmt cbowing kbc namc of the sub-contra zn and caste wbctbr-r ornok those mtibts have employers. 7f the sub-contraelnrs have cnIPloyzec,thry must prwi de the r workLrs'corm.policy niunbcr. I tzar wt employer that is providing workers' comp ensalzoa lns-crance for my employees. Befaw Is the policy and jab rile �rcforrrtatiorc. Irtsur�ncc Company Name: Policy#or Sclf-ins. Lic. #: Expiration Date: rob Sitc address: city/StddZi"p: Attach a copy of the wor'kers''cornpensaiion policy declaration page (sbowing the policy number and expiration da_te). Failurc to secure coveragc as required under SectiDn 25A of MOL G. 152 can lead to the imposition of mm;ral penalties of a 5n�ttp to $1,500,D0 and/or one-year it rpnsonmcnt, as well as ci`Ji.l pcnaltir-s in the form of a STOP WORK ORDER and a find of up to$250.00 a day against the violator. Bc advised that a copyof this statcmerit maybe forwarded to the Office of Inaesti ations of the AIA for irr�cc covcra c Yerification. Ilio ftereby ce under the pa' sand penaZUc:s ofpcdury th.al the information provided wave is true arzd correct Phone# Offccla!use only. Do not virile in this area, to be completed by c'i-ty or town offcclaL City or Town: PerraitlLicease# Zssui.ngAuthority(circle one); 1. Board of Health 2,Building Department 3,City/ToWU Clerk 4,Electrical Inspector S.Plumbing Inspecfor 6. Other Phone Contact Person: #: Massachusetts Gcnaral Laws chapter ISZ zcgtures all empioycis Lu yIU r,u Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, 4 express or implied, oral or written" An employer is defined as an ipdrvidual, partnership, association, corporation or otbcr legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased emPloycr, or the receiver or tzusteo of aniUdrvrdlla.l,Partnership, association or other legal entity, employing employees. HOWCYGr the owner of a dwelling houschaving not more than three apartments and who resides therein or the occupant of the jwclling house of.mothcr who employs persons to do maintenance, construction or repair work on such dwelling house or Or,tip grounds or building appurtenant thereto shall not because of such employment be deemed to be an empIoyer." v4GL chaptLr 152, §25C(6) also states that"every state or IDc21 licensing agency shall withhold the issuance or _rnewal 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." �dditionaIl . MGL ohapier 152, §25C(� states `Neither the commonwealth nor any of its political subdivisions shall. ;rater into any contract for the peribrmanec of public work until acceptable evidence of compliance ss�zih the in e cquiremcnfs of this chap tcrhave bccnprescated to the contracting authority." ,pplicants lease fill out the workers' compensation affidavit completely, by checking the boxes that apply to.your situation and, if cecssary, supply r b-contractoz(s)name(s), address(cs) and phone numbers) along with their ecrtihear-c s) Of lsur=Dc. X.imited Liability Cozopanics(LLC) or Lim ocrs Limited Liability Partbips (LLP)with no employers other than the wcznb crs or parine'a, arc not rcquircd to carry workers' compensation insuzaucc. If an LLC or LLP flocs havc :oployccs, a policy is required. Dc advised that this affidavit may be submitted to the Dcpaztmcnt of Industrial ccidcats for conffi=z6oa of insurance coverage. .A1so be sure to sign and date the affidavit. The affidavit should zctrrrncd to the city or town that the application for the pc='t or liccnsc is being rrqucstcd, not the Department of idustrial Accidents. Should you have any questions regarding the law or if you arc.required to obtain a workers' )rcpensation policy, plc-mo call the Dcpaztmcnf-at the nurrtber listed below. Self insured companies should enter theiz :If_iny,raa1r,o liccnsc number on the appropriate line. . ity or Tower Ot vials case be sure that the.affidavit is complctc and printed legibly The Dcpartm.cnt has provided a space at the bottom 'lbc affida-vit for you to Ell out in the event the Office of Investigations has to contact you regarding the applicant case be sure to fill in the per iiVbGcnsc number which will be tiscd as a rcfczcncc number. In addition, an applicant at must gubrnit multiple permit/li.ccnsc applications in any given year, need only submit onG affidavit indicating cucrcnt 4cy information(if nc-=ary) and under"Job Site Address" the applicant should write "all locations iq (city or vn)."A capy of the aff davit that has been ocially stamped or-ma rked by the city or town may be provided to the Plican.t as proof that a valid affidavit is on 51c of for fuhuc permits or licenses. A now affidavit,must be 51Ied out each sr.Whcrc a home owner or citizen is obtaining a license or permif not related fo any business or commercial vcntuzc a dog license or perzait to bi71T1 Icavcs ctc.) said persori is NOT rcquircd to coroplctc this affidavit e Office of Investigations would L to thank you in advance for your cooperation and should you have any qucstlons, asc do nothcsitatc to give us a call. Department's address, tcicphonc.md fax uumbcr: Tbb C6=Diawc—lth of Mass chus(-_tts 11egjtmt_-at of Iadustcial Accidents dice of 7ravestigatkm 600 Washington street Boston, MA 02111 Tel'. # 617-727-440.0 ext 406 or 1-S77-MA.SSAFE Fax # 617-727-7749 11-22-o6 www.m ass.go V/di a Town of Barnstable �oF 1HE r � Lq oT Regulatory Services Thomas F. Geller,Director sAxrisrA»r.e, M` Building Division pr�D �a Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 -A ww,town,barnstable.ma.us Office: 508-862-4038 Fax: 5.08-790-6230 -- HOMEOWNER LICENSE EXEMPTION Please Print C:7. y.� 1 o I LI (cg JOBTL"O-CATION: 11 1' I i r)S ' 1� " 11 (e, number street village „HOMEOWNER'-,7" � itc—ba n i `l y (rah —name home phone# work phone# C—URRENTMTrgN, G� ADDRESS S: Y✓ KY' �� 1� ��1► t ` "�� city/town Istate ZIP code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as SLLp CrVi S l)r. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land ou'which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-farnily dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner shall submit-to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permst. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and'that he/she will comply with said procedures and re eme��-��ts, '`Signature of Homeowner Approval of Building Official Note:'Three-family'dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building.Codc Section 1.27.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perfomring work for which a building permit is required shall be exempt from the provisions of this section(Section 1o9.1,1 -Ucensing of construction Supervisors);provided that if the homeowner engages a pa-son(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2,15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it'would vrith a licensed Supervisor. The homcownrr acting as Supervisor is.ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities, many communities require,as sari of the permit application, that the homeowner certify that he/she understands the responsibilitics of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomi/certification for use in your community. ofVEr°Es Town of Barnstable r Regulatory Se-rvices uxxks& Thomas F.Geiler, Director 1639. r�p (.a -Building Division Tom Perry, Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 . Property Owner Must Complete and Sign This Section If Using A Buff der X , as Owner of the subject property hereby authorize to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of job) ;��,� � � • doh Signature of Owner Date Print Name If Property Owner is applyr g fo p_errnit ease complete the Homeovme.rs License Exemption Form on the reverse.sde.�� i se(ZJ i_CIzS �I (9� c� esk-Y1u��� I���� -_--- ---- ------- V � _ �J� _ �� � ���� �`�;v�� �oF�KFrowti Town of Barnstable Regulatory Services I RNST"BLE, ` Thomas F. Geiler, Director �ArFOMA�a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 - t PLEASE FORWARD THE ATTACHED PAGE(S) TO: _ ` x T 0: .� ATTN: FAX NO: FRO M: \J DATE: 111,NGE(s): a (INCLUDING COVER SHEET). ram , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a o ;70 Map Parcel A lication # N NN Health'[Division Date Issued a'3 Conservation.Division Application F . Planning Dept. Permit Feed Date Definitive Plan Approved by Planning Board 10l23kv Historic- OKH Preservation/Hyannis Project Street Address Village iffy" 1 4i Owner o F ei l-e- �krbo ► k Address Telephone " y_i�_. ON 1`y.d�cc w� -, a 04,rl1 Permit Request i ItoR - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District ii Flood Plain Groundwater Overlay S Project Valuation I 10 O O Construction Type C)W) Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) N Age of Existing Structure Historic House: U Yes ❑ No On Old King's H'ohway:o Ye$j ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sqg) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new cv ' Total Room Count (not including baths): existing new First Floor Ro m 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 ❑ riew size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) r ' Name HU Orbri n f l . Mmi'n Telephone Number r Address «� /YA ty, License # Home Improvement Contractor Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE � i!�//�JZ-/n� G'�` DATE oF, 79 Town of Barnstable *Permit# 2 a 3'11/ Expires 6 months front issue date s�txsrtt . : Regulatory Services Fee 1�LS'*, 0 s63wog Thomas F.Gefler,Director 1 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS Ft.- . Office: 508-862-4038 Fax-, 508-790-6230 NOV 2004 EXPRESS PERMIT APPLICATION - RESID � NS AB E Not Valid without Red X-Press Imprint 4ap/parcel Number l 6% CO 'roP erty Address Residential Value of Work Q Minimum fee of-$25.00 for work under$6000.00 owner's Name&Address contractor's Name Telephone Number Home Improvement Contractor Lie e#(if applicable) .onstruction Supervisor's License#(if applicable) �Workman's Compensation Insurance Check one: El I am a sole proprietor ZQ am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) eplacement Wia �eU Value (maximum'.44) *Where required: Issuance of this perrmt does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Not Prop ,%=must sign Property Owner Letter of Permission. Home rov t Contract License is required. Signature f. Q:Forms:expmtrg Revist063004 , 1� 1 N DECK E 6 , DN ENT ENT COUNTER 11' 7' 11' 5' 15' 6' DN 15' s' AT R irI i. BED KITCHEN DINING c R❑❑M s• E C COUNTER I C 9 2' it 10' 9' 27' 7' { c q LIVING BED BEDS R❑❑M R00F1 c MAIN ENT C h 21' 3' 11' 2' FLOER 1: 1379 SE FOUNDHTION 15' 8' +4. $ 1' 7' 5' 19' 5' Remove H C e Existing wall Q i I.INZ�`�Z Remove Ex. Pal # t a s Cn� N U to W /ANAL 0 PROPOSED ST,O GE AREA LEDGE / - a arW C C Proposed Renovations aN o . A UTILITY ROOM GARAGE a 62 Westminster Street 0 � 27' La Centerville, Massachusetts V 0 W F26' 9' i » s W= N Scale: 1 =10 October 17, 2008 Verne T. Porter Jr., PIS BASEMENT: 1323 SF band Surveyors Civil Engineers 354 Elliot Street Newton, MA 02464 LEGEND BENCH MAR PROPOSED CONTOUR PAINT SPOT ON 9$ PROPOSED SPOT GRADE l l-'� CONCRETE STEP s3 f ryi 2a ELEVATION = 38. 27 98 -- EXISTING CONTOUR BARNSTABLE CIS DATUM + 96.52 EXISTING SPOT GRADE W— EXlSTlNG WATER SERVICE --��Rd --- s TEST PIT —�'��z }1 ' as `P ,and i O 1 5 5.9 5 f t ---•------------------ � _gib.a� �6`, ,�, ;l, \\ I _-GAS LINE i LOCUS MAP_ N.T.S. FTI \\j TEL LINE -_---- ���' ��\ GENERAL NOTES: , V r / 1 BOARD OF CHANGES TO OH AD THE MST BE APPROVED BY THE LOCAL \NE - N E DESIGN ENGINEER. rrl \- fi 2 ALL WORK AND MATERIALS CEP r OF THE STATE ENVIRONMENTAL AL ODENTITLE VOAND ANY P APPLICABLE �N - ' -1 (�} k 1 - LOCAL RULES AND REGULATIONS. O V� i _ X. \ _ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLEO PRIOR Cp II -- — I TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE D { — — ` i DESIGN ENGINEER. C)o< 4-1O F_ , t�� 4. ANY CONDITIONS.ENCOUNTERED DURING CONSTRUCTION DIFFERING ( �l K -+- . (— . i \ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ITI - . v J ��1 \ ENGINEER BEFORE CONSTRUCTION CONTINUES. Z 4 / Oz z .� �� ? \\\ D 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. o --� 4 z 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 20 ft h i. THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF oc i HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8.'ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED 'N ii O TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. / L O 9. IT SHALL BE-THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ram, CONSTRUCTION. TH-1 \ ,'�'� 10. EXISTING LEACH TRENCH TO BE PUMPED AND REMOVED FILL WITH .CLEAN MED. SAND EX%S tin g Leaching Pits i 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS.TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 1See Note ��� ����i c Its,\ j AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY / �\ rn \\ i 13. NO PRIVATE WELLS WITHIN ,150 FT. OF PROPOSED LEACHING (I _ \ 14. ALL PIPING TO BE 4" SCH 40 ® 1%8"/FT (UNLESS SPECIFIED OTHERWISE) N D ! PAVED DRIVEWA� �- ��25+ \ ! 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW O N I I / _�! 1, \ FOR THE USE OF A GARBAGE GRINDER 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING _ ! \ 17. PROPERTY IS NOT LOCATED IN A ZONE OF CONTRIBUTION. 764. 18 `f t OF 0 oARR N M. ys PROPOSED SEPTIC SYSTEM UPGRADE PLAN ME V 0. 114 . 62 WESTMINSTER ROAD, CENTERVILLE, MA '�Csi Prepared for: Dole Urbonik Trs. SURVEY REFERENCE: QNITARVO\ MAP. 168 Engineering by: Surveying by: SCALE DRAWN JOB. NO. PLAN OF LAND BY BARNSTABLE SURVEY CONSULTANTS. LOT.'066 DARRENM.MEYER,R.S. .Eco-Tech Environments! 1"=20' DMM j- ' 0� DEED BOOK: Po BOX 981 DATED: JANUARY 1970 (508) 364-0894 DEED PAGE.•294 EA ND SrSAw1cH,mAo253T DATE: CHECKED SHEET NO. 508-362-2M 1 1/18/08 DMM 1 Of 2 PLOT PLAN CLIENT FILE NO. 3510 DEED REF: BOOK: 24161 PAGE: 219 OWNER: KARL SERVANT PLAN REF: BOOK: 235 PAGE: 55 ADDRESS: 62 WESTMINSTER ROAD LAND COURT CERT. OF TITLE: CENTERVILLE, MA 02632 LAND COURT PLAN: ASSESSORS MAP: 168 LOT 68 -ZONING DISTRICT: RC PROPERTY IS LOCATED WITHIN THE WEJ_4MEAD PROTECTION OVERLAY DISTRICT ZONING REQUIREMENTS lI{ MIN. FRONT YARD=20' L MIN. SIDE YARD= 10' RQMIN. REAR YARD= UT BUILDING HEIGHT 130'MAXNOTE ANSTA O16 :115.00 y,.-x-X�X—X X—X NOT ALL EXISTING UTILITIES B�� �XlX R"5040 00 I ARE SHOWN ON THIS PLAN: E � N C x I MAP 168 I MAP 168 I LOT 68 I LOT 79 1 I 16,553±S.F.. / I PROP. STEPS TO BE BUILT X I ' I x EXISTING WITHIN SAME FOOTPRINT >c ' x LEACHING PIT AS EXISTING STEPS X \ EX. 1,000 GAL.I X / SEPTIC TANK I X \ N L.P. Benchmark Nail In Post Elev. = 35.00' W Approx. M.S.L. I I M O O x EXIST. D-BOX PR I I / M / x OPOSED STEPS ItX `i' _ 38' PROP. n, �/ EXIST.DEC ` DECK (TO BE 4' REMOVED) 1 N Oo W 1 31 #62 CONCRETE EXIST. STEPS TO w EXISTING PAD m BE REMOVED w 3-BEDROOMLn 1 DWELLING BIT. PROPOSED CHIM. TOF=35.6'± . ` DRIVEWAY N H.C. RAMP `-28— 51 ca 7.6 5. , m I I I - o X \�30 MAP 168Ln m LOT 67 T m ? \ o � o L.P. \34 . I• a Z S82° 05' ' L=12.23 � U� a 85.8V C '. C a� ;. R=120.00 CONCREQ EWALK _ EDGE OF PAVEMENT WESTMINSTER ROAD f (40'WIDE I:AYOUT) I hereby certify that the lot corners, dimensions, and setbacks to the JC ENGINEERING INC proposed addition as shown on this plan are correct and were based on a field instrument survey. Conformance to the Town of Barnstable 2854 CRANBERRY HIGHWAY By-Laws and Regulations shall be determined by the Zoning EAST WAREHAM, MA 02538 Enforcement Agent. TEL. (508) 273-0377 FAX. (508) 273-0367 v N pr k9�;;Cry DATE: MAY 23, 2016 SCALE: 1" = 20' �U JO L. CHUR ILL JR a-p N 4806 IST A REVIEW OF FLOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER 25001CO563J DATED 07/16/14 HAS BEEN CONDUCTED AND TO THE BEST OF MY INTERPRETATION, THIS 1 DWELLINGA IS IN FLOOD ZONE X AND IS NOT LOCATED Date Professional Land Surveyor WITHIN A SPECIAL FLOOD HAZARD ZONE. LEGEND V...... I ! .�r- r 2 •a,..� BENCH MARK g PROPOSED CONTOUR PAINT SPOT ON 9$ PROPOSED SPOT GRADEt�1, -� - CONCRETE STEP 3 ram. ELEVATION 3 8. 2 7 EXISTING CONTOUR �` !{ •''� ^ BARNSTABLE GIS DATUM + 96.52 EXISTING SPOT GRADE '•,y;� 28 W— EXISTING WATER SERVICE Fel"'o— "rh Rtl ` esim�ste� --� r +• TEST PIT ISe}�"Pond• .,y; 1 55.95 ft ' — N -__ i _-Gas LINE ----� � •F v� i LOCUS MAP N.T.S. v l --- t f GENERAL NOTES: TEL LINE -------� � � \\ Q� TEL / { 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 4 BOARD OF HEALTH AND THE DESIGN ENGINEER. fT1 P 1,�N� h 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS j \N P,CEO OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE _9 00 I -I ,` k - LOCAL RULES AND REGULATIONS. X. \ i 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLE0 PRIOR Op I II - 1 TO INSPECTION AND APPROVAL. BY THE BOARD OF HEALTH AND THE C I 00 (n - \ i DESIGN ENGINEER. P '1 F- frl , 4• ANY CONDITIONS.ENCOUNTERED DURING CONSTRUCTION DIFFERING ZENGII r . _ / \ ` FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN NEER OZ Z BEFORE CONSTRUCTION' CONTINUES. ^ 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. —I _74 f �/ l�J \\ ji -6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE-FAILURE OF g I � THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 20 t \ � HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. I I ✓ \ i 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE }' 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL=BE=RESTORED j O TO A CONDITION AGREED UPON BETWEEN OWNER AND ;CONTRACTOR 0 9. IT'SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY c ) w THE LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO BEGINNING CONSTRUCTION. is TH-1 '10 10. EXISTING LEACH TRENCH TO BE PUMPED AND REMOVED-FILL WITH CLEAN IE SAND 1 �/ ��Existing Leaching Pit d� I `� 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION See Note 10) \' 12• THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY - ?�� o `\ I AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY m 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING 14. 'ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPECIFIED OTHERWISE) N D PAVED DRIVF\NAV ���25' \ i \ 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW N. I / -_/! \, \ FOR THE USE OF A GARBAGE GRINDER IN \ 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING L-_ - -------- \ 17. PROPERTY IS NOT LOCATED IN,A ZONE OF CONTRIBUTION. 40 OF o� DARR N M. PROPOSED SEPTIC SYSTEM UPGRADE PLAN 0. 11 M 114 62 WESTMINSTER ROAD, CENTERVILLE, MA Prepared for: Dale Urbanik Trs. SURVEY REFERENCE: X4NIT-- X + MAP: 168 Engineering by: Surveying by: - 3)gVi SCALE DRAWN JOB. NO: PLAN OF LAND BY BARNSTABLE SURVEY CONSULTANTS �f LOT.-068 DARRENM.MEYER,R.S. .Eco-Tech E7ovironmenlei 1"=20' DMM DATED: JANOARY 1970 11-1 (- 02, +' DEED BOOK.5386 PO BOX 981 (508) 364-0894 DEED PAGE-'294 E4sTsANow/cH mA02537 I,S,S GtOr Q��,,�d,,�� 4d DATE: CHECKED SHEET NO. 508-362-2922 �„!`t M A*'s ov 1 1/18/08 DMM 1 Of 2 0 W zoS z l• (EX615TING) • �0O Z O o Od �a`zWF3 0 �. N C7 LANDING c9 z 0 0 d ac z I zz Oz F g0o00 ujN EXIST. _ - R �N 'n O L==('o =o RAMP - = pz z r-��mar-u " - EX15T. EXIST. - - EX15T_ EX15T. t EX15T. zw- - --- OTTOM OF RAif = ^ 1--d 1 O'-2,' ,I•• 9 5 I Q OBI Q "D EAST. I EXI I - U I z Q0 EXI T. 3 T CLd�S• in. i I EXIST. -^ EXIST. I BEDROOM i o o BEDROOM I I EXIST. co N5TALLNOE ER` LIVING w W DOOR {�, EXIST. CYi EXIST. 9 S 3'-0� � 6� N + N w +I z L — - N EXISivip - INSTALL NEW /\ J Q ~ �•' Q N HALL m '� w_ OUTSWING DOOR 4 O Z [I5T: 22= a Z QJ ca DOORLNEW I O IN EN Z > 0 I W EXIST. co 14 CL-5 EXIS BEDROOM I m EXIST. EXIST. o I O o BATH DINING KITCHEN 3'-0' s'°" W f j, 3 ib �. N TI GRAB RS �.+ ,� t j y O y '„73 ,., ADA TH 5HOLD JX15T. ` 8,_6• a� ��'� � EX15afT. EX15T. P FAM @ IO,y� W� EXPANDED DECK LANDING W O � _y� .!� EXPANDED DN. NOTE: DECK Q bPC G TO BE AT SAME LEVEL (COMPOSITE DECKING) O WITH FLOOR OF HOU5E 1J 0,6 Z .ON. r W SCALE : pp 26'-4' 1/4 = 1'-0„ f LOOK PLAN GENERAL NOTES: DATE : I$ I.) CONTRACTOR IS TO VERIFY EXISTING CONDITIONS AND 5.) ANY DISCREPANCIES, ERRORS AND/OR OMISSIONS IN THE NOTES, 3/28/20.16 LEGEND DIMENSIONS IN THE FIELD PRIOR TO THE START OF WORK DIMENSIONS, AND/OR DRAWINGS CONTAINED ON THESE DOCUMENTS PROD. NO. : o EXISTING WALL CONSTRUCTION TO REMAIN 2.) CONTRACTOR TO REMOVE EXISTING DOORS, WINDOWS, SHALL BE BROUGHT TO THE ATTENTION OF THE DESIGNER PRIOR TO o NEW WALL CONSTRUCTION WALLS, t ROOFING AS REQUIRED FOR NEW CONSTRUCTION. COMMENCEMENT OF CONSTRUCTION. PROCEEDING WITH CONSTRUCTION 2016-122 -� EXISTING WALL CONSTRUCTION TO BE REMOVED 3.) ALL NEW CONSTRUCTION TO MATCH EXISTING IN MATERIAL, ERRORS AND/OR ACCEPTANCE E SSIOE Of THESE EDTOHE MEETS AND LIANY Y OFDISCREPANCIES, DETAIL, AND FINISH. BUILDING CONTRACTOR. DWG. NO.: 4.) ALL WORK SHALL CONFORM TO THE MA55ACHU5ETT5 STATE BUILDING CODE (LATEST EDITION)AND ALL OTHER APPLICABLE LOCAL CODES O 5 10 15 20 ©COPYRIGHT 2016 Al BY THOMA5 A.MOORE DE51GN CO. I 4 i ) 0 ZN 8��0 Ro o Z�No� w SOnOO Z n Q M ry� C::) 0 mot' Z O CC� 00 NEW WHITE CEDAR Lou Ell] SHINGLE 51DING TO 03 PREMIER HANDRAIL 5Y5TEM MATCH EXISTING FM w/AID A REQUIRED HANDRAILS Q d' W p cn w � O � TYPICAL G REAR ELEVATION P.T.POSTS 1--� - 1 1/2"DIAMETER PREMIER HANDRAIL 5Y5TEM .� r�AlDRAILS RAILINGPO5T5 D PREMIER BALUSTERS BOTTOM RAIL 00 Z P.T.2 x 8"5 @ I G"ox. P.T.2-2 x 8'5 PREMIER HANDRAIL 5Y5TEM w/ADA REQUIRED HANDRAILS TYPICAL 6 x G P.T.PO5T5 P-a. SCALE : 12"DIA.SONOTUBES 1/4 = 1_°,. . 5-4' ------_______--___ 4'0"BELOW GRADE LEVEL 5'-o" DATE : LEV'- EL LANDING 3/28/2016 "-EXISTING GRADE VARIESPROJ. NO. : VERIFY IN FIELD TYPICAL G x 6 P.T.P05T5 A RAMP DETAIL 2016-122 LE FT 51 D E ELEVATION o 2 SCALE: I/2"= P-0° DWG. NO.: O 5 10 15 -20 ©COPYRIGHT 201 G. A2 BY THOMA5 A.MOORE DE5IGN CO. � f - In = '=°0 uNi o zw��� z o'w 3 w 000 N wwwU`Ow, Q � z O Q o d" z UZ � b 5 Z Q-� > c� a � BOTTOM OF RAMP WW LJJ I�IJ L�I�J W FO—f - PREMIER HANDRAIL SYSTEM U � O � Q N , C d C) 0 o � rZ7.5 04 � +I Z C� E- n- a� RIGHT SIDE ELEVATION N N a D_ d t - - EXISTING FOUNDATION WALL TO REMAIN zO z0 U U D , 1 -. ��-P.T.2 TT TT Q TOP OF RAMP O P.T.2 x I JLEDIEP W/3 5/8 LEDGORLOK BOLTS(a7 I G'o.c. ' TA EKED,FUSH BEHIND v P.T.2 x f O' @ 16"o.c. g L W O > <l. Dz a N CONT, 2-P.T.2 x 1 0 GIRT N F OIII N P.T.2 x I O' @ 16"p.c. w w CONT. 3-P.T.2 x 10 GIRT - SCALE : 12"DIA.SONOTUBES 1/4 = 1—0 i 4'0'BELOW GRADE DATE : 3/28/2016 PROJ. NO.: 5'-I O" 5'_4° 4'_2" 7_2" T_O° 4'4-- � T 10' 2016-122 . DWG. NO.: 4'-0" DECK/RAMP FRAMING PLAN 0 5 10 15 20 ©COPYRIGHT 201 G A3 BY THOMA5 A.MOORS DE51GN CO. I