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HomeMy WebLinkAbout0202 CROCKERS NECK ROAD t i i i i „ . Town of Barnstable Build ln g1 ".`� ,�.,; ,' �.�' ;° `,;• ;;:; ;.s" i` �' 3 e.; W :: ;, a ., . •. ��This Card So That'=it;is V�s�bleFrom the Street A roved�Plans�Mustbe Retametlon`Job��and�thtsCard Must;be Kee t�- �, Mom' Posted UntilFinallnspectlan Has Been Made '' Where.a°Certifieate�of�Occu� anc rsRe wired- such Buildm �sha1l,�Notbe Occu ied unt�l�a F,rnal�lns ection fi`"as.been made Permit Permit NO. B-18-2956 Applicant Name: ARMEN SAFARYAN Approvals Date Issued: 09/07/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Dater 03/07/2019 Foundation: Location: 202 CROCKERS NECK ROAD,COTUIT Map/Lot: 019 020 Zoning District: RF Sheathing: Contractor Na a ARMEN SAFARYAN Framing: 1: Owner on Record: NEILL,LINDSEY D y y ,R g Address: 202 CROCKERS NECK ROAD >.` } Contractor l icense: 106102 2 AN COTUIT, MA 02635 Est Pro ect Cost: $8,750.00 Chimney : Description: Re-Roof Permi#Fee: $44.63 Insulation: Project Review Req: FeePaid S 44.63 Ilk "ONDate 9/7/2018 Final: rA, 416 � Plumbing/Gas r� Rough Plumbing: 1; ,Building Official F A Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months aft'e;Rissuance. �, Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documentss.for which this permit has been granted. All construction,alterations and changes of use of any building and st uct shall be in compliance with the local zoning',by Laws an codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for apublic,inspection for the entire duration of the work until the completion of the same. o Electrical . The Certificate of Occupancy will not be issued until all applicable signatures by the Bu i g and4Fire Off cials are`p ov d,,on�th s permit. Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing Rough: 2.Sheathing Inspection .: .,.. c , •_ . 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: "Perso s contrac 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 f ' Application numb �. . ` I� Date Issued.................. ..............:......... `..........�. cp � � KAM Building Inspectors Initials...... bssk � /�q ............. 2Q��. Map/Parcel..... .. .f.. . .. ..�..................... SEP j 04A OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: Z Cr oC.(e-r-S NedZ ,led, (91u--4, Hlq— NUMBER STREET VILLAGE Owner's Name: n c&_ag4 P,,'�. Phone Number /*/7 t705—0 0 9 0 Email Address: I 303 O 6)zwot, IV Vill Cell Phone Number Project cost $ 84 75T . Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles)/D Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name,&A&j� �f�CeGl r F Home Improvement Contractors Registration(if applicable) # (attach copy) Construction Supervisor's License# / (1 (attach copy) Email of Contractor GOY G��1U� / Phone number -0 Y 77S %,?Z U ALL PROPERTIES THAT HAVE STRU R S O 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS 1N 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 APPLICANT'S SIGNATURE Signature J- (dlffifmDate �. . vu- All permit applications are subject to a building official's approval prior to issuance. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly , Name (Business/Organizationgndividual): Address: ? seae S� City/State/Zip: YY Z0 k 1'S Phone#: ._5-o 774 2 0 y Are you an employer. Check the appropriate box: Type of project(required): 1.[l aam 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.El 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. t required.] 5. El 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. oof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *My 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.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u r t eJ and penalties of perjury that the information provided above is true and correct Si afore: Date: �- 7. Phone#: �0 l� —7� A ` 2 ot7 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' 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 permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 vrwvr.mass.gov/dia r Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvemer rQ,in tractor Registration Type: Individual 4 Registration: 183202 ARMEN SAFARYAN M Expiration: 09/13/2019 67 SEA ST APT A4 HYANNIS, MA 02601 x f Update Address and return card. SCA 1 0 20M-05117 0� �inirraieurca��o� � ��eli Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: \ Office of Consumer Affairs and eusine Regulation Registcafion_, f�iration = 10 Park Plaza-Suite 517 t8320 ,09/13/2019 c ,,r_ Boston,MA 02116 ARMEN SAFAR� �� D/B/A COREY;AND=COmYt-'1 ARMEN SAFARN 67 SEA ST APT A4..�✓ HYANNIS,MA 0260T` Undersecretary Not valid without Yt6In ure lug � Massachusetts Department of Public.Safety fg BBoard of Building Regulations and Standards E -License: CSSL-106102 Construction Supervisor Specialty ARMEN SAFARYAN 1 67 SEA STREET APT AA,, HYANNIS MA 02601 d . Expiration: Commissioner 10/02/2020 0 ' 1 A ORS® CERTIFICATE OF LIABILITY INSURANCE FD TE(MMMo`;") THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ashley paiVa Southeastern Insurance Agency, Inc. PHONE (508)997-6061 Fax (508)990-2731 aC No): 439 State Rd. A�ESS:apaiva@southeasternins.com P.O. BOX 79398 INSURERS AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURERAArbella Protection Insurance 41360 INSURED INSURER B-AEIC Armen Safaryan, DBA: Corey and Corey INSURERC: 67 Sea Street INSURER Unit A4 INSURER E: Hyannis MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER:2017-18 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MOMIDDI EFF MMfDD POLICYEXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE 51 OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ 9520046441 03 9/18/2017 9/18/2018 MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 R POLICY DE T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED ,HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accident UMBRELLALAB OCCUR EACH OCCURRENCE $ EXCESS LJAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N _ STATUTE ER ANY PROPRIETOR/EXCLUDED? E.L.EACH ACCIDENT $ 1 000 000 OFFICER/MEMBER EXCLUDED? ❑N/A B (Mandatory in NH) WCC50050150912017A - 9/18/2017 9/18/2018 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ashley Paiva/AMP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(20W01) The ACORD name and logo are registered marks of ACORD INS025 t9niAnn V� " T e Roofers " 6\( 67 SEA STREET PT#A4,�HYANNI.S MA 02601 �Y PHONE - 508 - 775 - 8240 CERTAINTEED LANDMARK LIFETIME - ALGAE RESISTANT ARCHITECTURAL STYLE . RE - ROOFING PROPOSAL June 18,2018 LINDSEY NEILL 202 CROCKERS NECK RD. EM:1nei113030@gmail.com ` COTUIT,MA Tel: 617-905-0860 COREY & COREY hereby proposes to perform the following services in a neat,and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Asphalt Roofing Shingles(One Layer) from the Whole House. Supply and Install CERTAINTEED LAN MARK ARc` LIFETIME WARRANTY, 10 YEAR SURE � - START PROTECTIO , CLASS A FIRE RATED, COPPER/CERAMIC STONES for a FULL 1 YEAR WARRANTY AGAINST ALGAE CONTAMINENT,240 O E OUND,EXTRA HEAVY WEIGHT, 130 MPH WIND WARRANTY, CATE RY III HURRICANE STORM/HURICANE NAILED 6 NAILS PER SHING MULTI-LAYERED,LAMINATED ARCHITECTURAL S YLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOR: GEOI2GET ,M., Supply and Install 8" WHITE ALUMINU HICK'S VENTED DRIP EDGE on All of the Eaves. Supply and Install CERTAINTEED WIN ER-GUARD (Ice& Water Shield) WATERPROOF UNDERLAYMENT S STEM on Roof Eaves & Valleys Under the Step Flashin s,on the Skylights and Chimneys. Supply and Install CERTAINTEED'S 11R OF RUNNER" SYNTHETIC ROOFING PAPER Supply and Install AIR VENT SHINGLE ENT II RIDGE VENT on the Entire Ridge. Supply and Install ALUMINUM&NEOPZENE SOIL PIPE FLASHINGS Clean and Remove Debris from work area a er job is completed. TOTAL INVES MENT -_--------- $8,750.00 " The Roofers " OPTIONAL ADDITIONAL WORK: RE-ROOFING THE SHED WILL BE ADID ITIONAL------- $ .00 POSSIBLE EXTRA CARPENTRY:Any Ri ofted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing,Side WE lling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$50.00 per Hour. PAYMENT SCHEDULE: A Deposit of On Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 90 Days of Acceptance and Deposits Received are Non-Refundable Afte a Three Day Cooling Off Period from the Date of signing. Please N. ake Checks Payable to: COREY & COREY - COREY & COREY Warranties the Sh ngles and Labor for 5 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles your LIFE TIME if the shingles becomes defective. ,_ CERTAINTEED Warranties the._Shingles up t a-- CATEGORY 1H HU CANE-130 MPH WIND WARRANTY. CERTAINTEED Warranties the Shingles to be Algae Resistant for a Full 10 Years. CO Y & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: $ / ACCEPTED BY: SUBMITTED BY: LI SE NEILL ARMEN SAFARYAN HOMEOWNER COREY & COREY HIC # 183202 CSSL# 106102 TOWN;OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application U Health Division BUILDING®EP Date Issued Conservation Division APR 0 T Application Fee Planning Dept. T®WN OF Permit Fee Date Definitive Plan Approved by Planning Board aAR'VST48C� Historic - OKH _ Preservation/ Hyannis i%t��-` le� • �/.�/��O Project Street Address s209— CCO CLt t :_AL IL Lad Village Cohi it Owner lil-n dS fW A(ti'll Address a 3 (, ajn LS I-. 5T -1.)dS hy) Telephone IV o 9(v 0 M'1 b Z l l(v Permit Request kY)& gn of oadL& Square feet: 1 st flo isting G33 proposed l '�I 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay G� � Project Valuation l coo Construction Type / Lot Size f 0 �- Sg .4 . Grandfathered: ❑ ®Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Y Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes M/No On Old King's Highway: ❑Yes WNo Basement Type: M 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: U/Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑ �J Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes dNo 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) - Name�J/Cc� �s�K��l 1 Telephone Number I p Address 3 � p � WNW License # t✓S gna ( I .(t)08 Home Improvement Contractor# lS 33 J 9 Email c a�L� k Worker's Compensation #A// ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 31 ✓ FOR OFFICIAL USE ONLY {' APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME the o(G 7ZOW%X*44, INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. F 17ze Comniorrivealtli otf?blassachusetts Departine??t of lfndas-&ial Act dents @,f -ce o•f rMw7 igaiiuns 600 llrashinglon Sireet ' Boston,M 02I11 ivrmtntass gorldia '"tnrkers' Campensatitm Insurance Affidavit:Bu ilderslCantracturs/EI ians/Plumbers Applicant Information Please Print I P Name �e;n�e��anization al} �SCc� � G City/State(� . b arr Are you an employer?Che&&e appropriate bow Type of project(required)- 1.❑ I am a employer with 4. ❑I am a general contractor and I �Ioyees(full an�d�`or part—time)-* 'rave hired the sub-contractors 6. �New construction 2. I am a sole proprietor or partner- Tisted on the attached sheet_ 7+. Remodeling scrip and have no.employees . Mese sub-contractors,have g- ❑Demolition working for me in any capacity. employees and have workers' [No%mdoers'comp-insurance comp-�„surance-2 �- ❑Building addififln required-] 5. We are a corpomfion and its 10:❑Electrical repairs:or additions 3.❑ I am a homeoumer doing ail work officers have exercised their 1 L E]Flumbingrepairs or additions myself[No workers'camp- fight of exemption per MGL 12.❑Roofrepairs ' insura=e required-]i c.152, §1(4k and we have no employees.[No wo&ers' 13.0 Other comp_insurance required-] •tray ppHcntdmtcheisbosAF1mast also Mouthesecticabdwshoving auoIEWcompEmm&-npo&cyinffim=ff m.. Hameownexswho submit ibis affidng M C1tM_9 they axedaing all W=1 SUA&en.bar oatQdAC0nt1actnr M11A mb=t anew affidavit indieating such- fCoatxa ffi cbecic this bmc must attached aII additiaasl sheer shoumg the rmne of the sub-camtxckim snd state whether a<not those entities ham eaxpinyem If the sub-cnatzactanhaceemployees,they mast pm4idethea umrkers'camp.policymanber lam an errap£oyer fltat is prorniirag workers'compertsatfan hwirance for my employees Below it flte policy and job site informadom n ' lusuraace Company br.,. Policy�cr Self-ins.]Uc.g.: Expiration Date: Job Site Address: CitytStatetzip: Attach a copy of the workers'co®.pensationpolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Sectiion 25A of MGL c.1S'Z can lead to the imposition of criminal penalties of a fine up to$1,50D 40 andrar one-year imprisoasaeut,as well as chil penalties.in the form of a STOP WORK ORDER and a Rine of up to$250M a day against the violator. Be adinsed that a copy of this statement may,be forwarded to the Office of Irtvest gations o€Ore DIA for f mmaance coverage verification- I do heraby redo ander tie ' and t pfperjury fhattlte utformaffanprm-i&dabmv 5 hsre and carrect Sisnature: Date: j [ Phone iki Y ► "l�i — 1"�'� o Official use only. Do scot write in this area,to be camp£eted by cafe ortomn official City orTown: Perm tiUcense* Issumg Authority(circle one): L Board of Health 2.Building Department 3.QtylPown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ormation and Instructions Massachusetts Geheral Laws chaptex 152 requires all euipIoyers to provide woikers'compensation for their empIoyees. 1'ru sr zatto this ,a a ernplvyee is defined as.-_every person in the service of another under aay condract of hire, express or implied,oral or wrhezi." An anpkyer is defined as"air individual,partam-14,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,andincTn the legal sepresentafives of a deceased employer,or the receiver or trust=of an mdivid¢a1,partnership,association or other legal entity,employing emploYeC-s_ However the owner of a dwelling house having not more than three apartments and who resides therein,or the occapant of the - dweRing house of another who employs persons tD do maintenance,construction or repair work on such dwelling house deemed to be an employer." or on the grounds orbu�Idmgapgrnten.a�tlirretosbaIlnotbecanseofsvchGmplfymcztLc � y M_ GL chapter 152,§25C(6)also stains 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 bm1dings m the commonwealth for any e e re ed " evidence of cum Rance with the iasnrance.cov rag gII-a" applicant has not acceptable p PF Addiidonany,MCM chapter I52,§25C(7)stains"Neither the.connamwealth nor airy ofits political subdivisions shall table evidence of liancewith the insurance.. ce o lic �u� camp enter into an contact for the perFo�.an fpub wo acceptable. Y regr mi is of this chapter have been presented to the contracting anihoity." AppHcan-ts Please fill out the wormers'compensation affidavit completely,by checI®g the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phone numbers) along with thtir certificate(s)of incttranca. Limited Liability Companies CLLC)or LimitedLiability Partnerships CLEF)with no employees other than the. members or partners,are not required to carry wormers'compensafion insarance~ If an LLC or LLP does have employees, apolicy isrmpired. Be advised that this a$dayk may be subm_�-d to the Department of Industrial Accidents for confnmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retrnued to jhe city or town that the application for the permit or license is being requested,not the Department of Ld ct,ial Accidents. Shouldyou have any questions regardiag the law or ifyou am requhed to obtain a workers' compensation policy,please caa the DT mtae n±at the number listed below. S elf-tossed companies should enter their self-mice license number on the appropriate line. City or Town Officials t . Please be sure that tiie affidavit is complete and printed Ie giibly.Me Department has provided a space of the bottom of the affidavit for you to fill out i a the event the Office'of Investigations has to conziact you regarding the applicant. Please be sure to fll in the penmitlliceuse m=be r which wM be used as a reference mmbes. In addition,an applicant thzt must submit mrrlt,Ie perraWlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"lob Site Address"the applicant should write"all locations is (city or town)_"A co of the•aft davit that has been officially stamped or marked by the city ar town may be provided to the wn y - P n affidavit must be filled out each appIiCaTM as proof that a valid affidavit is on file for frrre re=rfs or hceiscs A cW year.glh=o a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Inyesdgat ons would ar,to thank you in advance for yo=cooperation and should you have any gnesiions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The C:GMD1an tbE of Chn&CtEs , Department of l idistial Agents Offi=of fit. gKtZo-� 6M waWmatQn stze4t_t Boston MA 0�11I Tf,-L 4 617 727-4.900 cxt 406 or 1-977 I SAFF, Faxx#617 727 7M Revised 4-24-07 W agld I r � t Town of Barnstable . f Reg atory Services Issas Wr m-d V.Scan,Dimc6nr Bolding Division • TamrerU,Bmldm;Ca=misdaner, 200 Maim Sfreet Hymnjjs,MA 02601 YrveW 9 Office: 508-862-4038 Fi= 50&790-6230 Proper6r Owner Must Complete and Sign This Section If Using A Builder V lAt t4j I ,as Qwner of the subject property he=bY=fiazie h AAl�i I �&1A. L/ to act onmybebA in all matters mlative to work= haazed by this bu ing permit application for 21 D� (V%A Xt,(l k- (Address of Job) DZ(D 3S Pool fences and alarm are the responsIE7 of tb:e applicant Pools• are not to be filled or uffied before fence is installed and all final ins. e=ns_are pezfom ed and accepted. Sg Sknal=of ApgTirnnt �► JU Parr NaUF . t rmr NaII]e Date �Foxn�s o oars TowII of Barnstable _r Regulatory Services s�r Rickard V.S=A Director , BuffEung Division Tom Perry Building Commissioner • $ , .a�` 200 Man St=4 HYBUnk MA 02601 Office: 509-8624-038 _ Fma 509-790-6230 • Hommoynim L>3caasa EXEZTnDN . .Ylr�sePrmt roB T OC T OK- ' . nab¢• s[xct �� . aamc - ham pha=# wadcph=# . T . CURRENT'S TRU ADDRESS: Sid= z�p rDdz The r-rnrrnt MCmpfiOn for`bomeown="was extended to inclBde owner-0=UPkd dw--UkM of six MitS or less and in allOW homeovners to engage an it a {nr hirewho does notpossess a license,provided thatthe owner acts as 5u-a, yisor- Dj&b N ON ORHOlAFOwbTR� P ehson(s)who opens a parcel of land on which helshe resides or intends to reside,do which fi=is,or is ii�ded to be,a one or two- family dwelling,attached or detached stx actores am=ory to such use and/or farm st uahnrs. A person,who consdmcts=tarean th one home in a two-ycar period shalt not be mnddm-ed xhr nwwn= Such 9lameownce.sbRH subhnitto the Binding OfHCial do a fo>m a=ptabIo to-d=Bm1rHh Offhciat,that helshe shall be responsible for all such woricperfozmed undmllm bmldina nmft (Section 109.L1) The dr.signed`homeownd'asset=respmmlff$y far compliance wiii Ltj=State BMUMg Coda and O'ff=applicable codes, bylaws,rules and regalatims- - r The nndersignod`homeowner"cxati =thatbelsbe=&=tan&fbn Tower ofBarz2s(abje BmIding Deparfmrot=—nm inspmtion pr000dm=and rupim uts andthat hclshe WM comply wjdi said pro=h==and regn>r=cots. Sim ofH =Wn= Approval efBm3crmg0fBd2l • Note: Three-f�= d-vmMngs mntai m 35,000 cubic feet ar latgc-a w�lbe req�rdto comply wrtli tine St a Bin Code Section 127.0 Conslxv u ComfmL HDMEOWNIMIS gMnuoN The Code stafrs that aAIIy homeowner performing work for which a buB permitis reused shall be exempt from the provisions of this section(Section I09_u-uc=ishig of cowtmc iou Sapervisors),provided that if the homeowner engages a person(;)for hire to do such Mork,that Bach Hnmea wncr&Z a ct as;¢peivisor." Many homeowners who use this emmption are m=ware•that$icy are asnanmg the responsibITTIJ of a$uperViSor (see Appendix Q,RnIes Bc Regdaf inns for T;=Lving Comtrucfrna Supervisors,Sedian 2.15) This lark of awareness ofrra resalts in serioIIs problems,pardcnbrlywheu the bnmec>W=hn-m unlicensed persons. In this case,our Board cannot Proceed agshist the unfic= e:d person as it wauld with a fimnsed Supervisor. The homeowner acting as Super nsor is vIfmaately responsible: To easnre'6zat$Le hammwner is faIly aware of hislher responSibffl kge many COMM M Ps re:gMhre,as part of the permit Lppliet.2 n, that the homeowner ray tbathelshe mulers•tands tie responsibM of aSupervisor. Oa the Iastpage of fhh issae is a form cmrentiy aced by several towers. You may care t amend and adopt sack a fnrmlerstification for use in your community. p�fr�sti�saRFec Ar,r R=isad D61313 APPLICANT INFORMATION ° in' (BUILDER.OR HOMEOWNER) a Name�4�i T1SCK�C'�'� I�83�-C1�7/ I Telephone Number Address uIr License# Home Improvement Contractor# 3� i Email Worker's Compensation#A1 ALL CONSTRUCTION DEBRIS RE ULTING FROM THIS PROJECT WILL BE TAKEN TO tt / SIGNATURE_ DATE t. a � _ r ' Massachusetts-Department of Public Safety Board of Building Regulations and.Standard s 'f Office or Consumer Affairs&Business Reguiarlonry(�J CG11itrUitiGilStlp0r1'IiG7 OME IMPROVEMENT CONTRACTOR [ License: CS-085899 uw��� egistration: 153319 r 1.Type:piration: 11/15/2016 Individual DAVID MCATE01A ' DAVID PISCATELLI ` 3 GEORGE ROOT a NO READING PAK 0 I' DAVID PISTCATELLI" 3 GEORGE ROOT WAY { NORTH READING, MA 01864 � — J.�.. Expiration Undersecretary " Commissioner 01105120V T � AS�SA"C�HUSET �'- _' , r T$ . LICENSE r brn- vaeau; fi +t • lj NONE � rArTELLI !' 2 DAVID T e 3 GEORGE ROOT WAY N READING,MA 0186� "`✓ � % 5 DD 0t3$- -2012 Rav07.1s ti' 2009AW 6_ APPLICANT INFORMATION '^ (BUILDER OR HOMEOWNER) a Name 4�� �5CK � I Telephone Number Address 3 GCli� p ! WC/4 License# C S (j Home Improvement Contractor# —�3 Email 1 ca�c� (} IAAc,,q Worker's Compensation#I/f/A' 1 ALL CONSTRUCTION DEBRIS RE ULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 -., 3 (( ✓ Massachusetts=Department of Public Safety �f �/Gc Board of Building and Standards Olrce of Consumer Affairs&Busi ►Zsulation t Construction Supervisor ' *OME IMPROVEMENT CONTRACTOR License: CS-085899 egistration: 153319 -.t.��� Expiration: 11/15/2016 TYPe Individual DAVID PISCATE01 DAVID PISCATELLI 3 GEORGE ROOT VNA If 4 v NO READING NOL oir DAVID PISTCATELLI 3 GEORGE ROOT WAY NORTH READING, MA 01864" Undersecretary a— Commissioner 01105/2017 I _ VER'S . _ LICENSE — ` � s";,; t { es ENp�O 4d xa.DAVID T' _ e�3`GEORGE ROOT WAY -,. 1 READING,MA 01864 �' p {{ �:. S bD01.30.20121bv01.1S•200! _s_� Email Vv5cry r- Worker's Compensation #Al-A4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r Y. SIGNATURE DATE ` ✓ Unrestricted-Buildings of any use group which License or registration valid for individul use only contain less than 35,000 cubic feet (991m ) of i before the expiration date. If found return to: �• enclosed Space. i i Office of Consumer Affairs and Business Regulation t 10 Park Plaza-Suite 5170 Boston,MA 02116 Failure to possess a current edition of the Massachusetts t ' State Building Code is cause for revocation of this license. f Not valid without signature For DPS Licensing information visit: www.Mass.Gov/DP5 MA III 1111E %".mass.V/rmv o1•osi96>�01-3m u CLASS. D Sm.11 wNd.fa.than I6,061 , �M,"ZIP"t rehool bw. ENDORSEMENTS• RESTR�CTWN8• NONE NONE Message Page 1 of 1 Roma, Paul From: Roma, Paul Sent: Friday, May 13, 2016 3:41 PM To: 'Work Gmail' Subject: RE: Inspection -202 Crockers Neck Rd Hi Lindsey, These e-mail exchanges should be taking place between your contractor and me, not you and me. The inspection failed a second time. There are three sonotubes in the front of the house -one closer to the house and two further away; one of the two further away needs to be dug out.There are four sonotubes in the rear-two closer to the house and two further away; one of those further away from the house needs to be dug out. When done, Mr., Piscatelli needs to arrange for a re-inspection. He certainly should know the requirements of a sonotube inspection and the procedures for requesting inspections. When you talk with him, please advise him that re-inspection fees will be accessed if the inspection does not pass. Thank you, Paul -----Original Message----- From: Work Gmail [mailto:lnei113030@gmail.com] Sent: Friday, May 13, 2016 8:44 AM To: Roma, Paul Subject: Re: Inspection - 202 Crockers Neck Rd Hi Paul, - Thank you so much for letting me know. Have a great day. -Lindsey On May 13, 2016, at 8:35 AM, Roma, Paul <Paul.Roma cr,town.barnstable.ma.'us>wrote: Hi We've been at a two day conference and now trying to play catch up- I'll be there between 11-12. Paul -----Original Message----- From: Lindsey Neill rmailto:lnei113030@gmail.com] Sent: Thursday, May 12, 2016 9:37 AM To: Roma, Paul Subject: Inspection - 202 Crockers Neck Rd Hi Mr. Roma, ` I left you a voice mail yesterday, but just wanted to confirm you received it. . My contractor cleaned the holes to uncover the big foots as requested. What time do you think you'll be available to inspect on Friday? 4 Thank you so very much! Have a great day. Lindsey Neill 5/13/2016 oFTMr Teti Town of Barnstable 0 u yo Z *I'ermil # � Q 0 « Expires 6 nrondis from issue dale " anxt� SS PERM Services F PERMIT Fee .— .�r � Thomas F.G-eiler,Director JUL 0 2007 .Building Division TOWN cARNSTABLffom Perry, Building Commissioner Office: 508-862-4038 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 . +XPRESS PrRMIT APPLICATION - RESIDENTIAL ONLY Not without Iced X-Press hnprini Map/parcel Number � � � Property Address Z l_-r o L-1( -oz s G L (1c) ❑Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address CAtA_ + Contractor's Name Telephone Number. }20 -q S1 Home Improvement Contractor Licensee-API Z2) Lye'-��p"U V,� en� (if applicable) I 0 O`-�( J Construction Supervisor's License#(if applicable) -lWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance asurance Company Name S Vorkman's Comp.Policy# I —�LQ`4 C1 3 'opy of Insurance Compliance Certificate must be on file. ermit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping, Going over existing layers of roofl ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Ho a Improvement Contractors License is required. nature )rms:expmtrg se063004 Cliar,�:4'%293 CA P! O41 �dCO 'D� CERTIFICATE OF LIABILITY INSUIANCE I _.ATe W n_,YYYY, I RC 3 G'a" C7 i THIS CERTIFIC.AT=IS(S✓U AS SMATTER,OF INFOrhI '' r I q r& , Ins. > ency,(rtc• ! NF' S N.^^G • , ATIC" ON ER. ! HITS UPON THECERTIFIC1I E cR.T'riIS G=riT 1=1CF.7 00_SNOTAhl_q0,E X 1_Nu CF; P. O. Box 1601 I ALTE=THE CGV=RAG= JC icSLOZv. [YtA. 02660-10u i INSURERS rNsuRED AFFORDING CO`iEtt AG= I NAIC Cag!zz! Homli 1r71,^roYSr7!8i1,,, Inc. ltrJS�=DER?: Ntlonal Gr¢f15a Nillut.ia1 fins, Cr:. P;-,tqrp,;sqs, (IIC. ItN51RcR3: Amar1can IR Fi maLloRa(GY i ! 1645 NeNv1own1,Rcoad � INSURER I I Co4ft, MA 02635 t`s'-R-cR D. i I COVE It THE PCLI S C-INSURANCE 1NCE US—=4 BG; W HA?S S =iN ISSUED TO T;N_INSURED NNilED PSav-=,cce i nc POLIO(PSRc 00 IN'OICATJ.NO T�JI T NS TA,\DING� Ai(R=l_uoz.4EN'-,TERP�OR cON,DI T!ON O=ANY CON T7ACT OR OT'-iE,=DOCL'Vc,\fT Wi± IR=SPEC TO'Y",4iCH T CIS Cc f i i=:CAT=cA.4Y SE IS l:=D OR MAY PERTAN,T45 INSURANCE AF;CF^=�3Y TEE POC ICIES D=SCRIBED �gEIV IS SUBJECT TO A'SHCGY IGGREGA 7uc TSRP IS, CLUSIONS AND NDtTCNS OFSUC!1 FOLtC:ES. I UNIT T S NI i,VAY P4kVE`SEEN REDUCED BY AIC CLAIMS. IH 4���ti L TYPE OF INSUR,l i CE POLICY EFF ?` ECTP!_ POLICY F.X?IRATION' LICY NUME ER Ale tMy1 F IYYt I 1INIT73 A I II GENERAL LIABILf(Y Q£(p��6 LTr%t�123iQ7I X ICOAIRCIALGEvE4;,LLLASI rT•rIMPOID707 EACH c GUR�ehcE si 060,00C DA.m;;Gc To err-,ED —� r7 �? EhASFb i=>c- t 3500,000 ' CL:.IFAS lrtACE U OCCUR' (<<,Eo ExPIAnYana aers�n; 310 oa0 1 PE!,',QN.La AOI/NIJRY f 31,o o Doe cen'L Acc;.=GArE uzlrr;,a,=L'as PE�� . - GENERALACGRECATE 52,000000 ? PROOL CTS-CCN P/CP AGO 32,000,a I�� ' oa I� I�'GCiCY PRO-JECF CG-C � - I II All-TO MOPILc LIABILITY MY AUTO - I -MSINEO SINGLE LIMIT 3 I E ;EL ecc!den[) . 4L OWi, I`ALTOS . I _ SCHEDULED AUTOS ._ �BODILY INJURY HIRED AU-1-0S VON-OWNEO AUTOS 3 OILY INJURY PROPERTY DAACG;E. "AR1GE!t31L17Yj I I7.WYAUTC hr Ei.4CC S I I IA>JTOonLY: AGO I I'�CE3SlUM 3t—`q LU.3WTY I _ i _ —� I f 44,^r!OCCU nR�CE j i CL:!MSMADE A�OGFIEGATE 3 11 Cr OFOU ISLE S I, i I I �- E riO4KER3COMPEiv ATIONANO - _ 1T gS3 s lY'S-ATU OTH 'rg EN?LOY�s uAaalrr 121251T}8 12`2oy07 r R1 InA T An}P40PQ�'f^K.YA4:NERrcXElVE - 'r E �,' a5 s ? C ES HA lO6ff jriQ�,QOQ 3v .�,- s '. GfFIC IY:ES{bER EXCLL.OEO T I If 3 E.L._ DISEASE� EYIP L,I'�. $3r oU,OE70 sF_ ?Rwlslcrs - I I T 074ER i I - -.L L'IS= "c pouct U.IIT DEscRIPT!cN o=aP= - „ i I . _- �• •...-� n _�o,_ ci.,t,V !S7EC;AL PRO'V150FS - t` d ry- C HOLDS: CANCELLATION SHCULD A9 F f4-E ASCVE} R—cD CAh CEL L=D ScFORS 714E DATE Ti Z T;ti_ISSUING IhSUx c.•.fi.. Ch 'hL v0 \O� Ovg0. ill OYS�� -'j. ,� --r.- y - d 2, Li O c ,.,,,z � �'_��� Kt4J U04 T4 IIVSU,2cR 7iZ A.G , R± �" c5• a' ^ 'w `s , ?IT.171Ye3r -' ���i�� -;�`'�' �'��� � Au�!awz D� �R_s`v,A v<�•� �,�' �`` �" ��.� �� r •�- rz � � _- . . .:ACORJ 2('y001 rL) 1 Gf:2...s .?s' `:�coiZy �-� r,'�J.,�Sg„'4- ,�2r"",� F"..F- .� .re'.. i :.�,_,,� > �� .rc-,�4;n--•�S-_�+ #� ��` �- +.� �"i -ate ��CJdAV1 O ACOiiO�CORPOiiArION=�9So �i ine t,ommomveaauz ojmassacnusezzs Department of Industrial Aceidenrs E> ) :`" Office of lnvestigwiions 1� •� 600 Washington Street Boston, _AfA 09111 xirgv.inass_g ov/dia Workers' Compensation Insurance Affdavlt: Build ers/C oil tract ors/El ectricians/humbers -Applicant Information Please Print Legpjbl� Name (BusT-,,_.esJo-g ;7 aonik- irZdu): Address: 1.fl45 Newtow n, ROad �� City/state/Zip:p: Tel. 4?8-95i8.1 8J0-262-5D&O Ote fK e ou an employer? Check the-appropriaie box` Type of Project(required): I am a e�plgyer with 4. ❑ I a�a general contractor and I Io e-es "tall and/or art t¢me 3iavzhired.ti , b contractors 6. ElNew constaic ion 2- o Q I ara a.snle.propriet,or or partner- listed.on tb.e attached slit . 7. Q_Reniodelin ad. ship and Iiayz rio employees These!sub-contractor Have 8 :D.Dezn ohuou i�o�g formehi any capacity. ivozkers' com p,I3t IlTance. .[No wo k�m comp_ n=ance Q Te are a corpozationand ifs 9` Q Buizding addiiion rui ] officers have e erci�ed#ia°eiz i 0 Q EIectcioal repaizs flr additions 3 Q I a anomeownor do mg a3I work nght f exen:prton per MGM, - 11 Q Plurnbg repairs oz add_tioiis; yselTore 'Cow }, wz�o l� RoofrepagsY insurance regaued�T employes [3o wazk zs camp- rixSrrra��en1i I -- -}3 Q:E?iner-77 splic4ritt Xiec,eox l mu,alsa€c11.Bute sectton'aeiow s'aosraxgwor'cers amen�a1ic rroiAsion rIomeowae�s who s�� r,c�dav� indic2t�g'ey aie,dc�g'sIi wcrs�ia 1 �fir o�;�z on�c ors�usts��t$new al ea�, �aica Q .outraczo �axk this boy cst prc hed en sdm on�l si e_t shoe e n ors e � sxcfi c�aLtaaor andzn woe's l coati ao��cyoriou Linz"crn em Ioyer t3 is pro�idirzg workers'compen gym_oO L`Surrz7 c far my zh1m gees $e osv is Fhe oli,T zcX o site formazon T' �1 v �(' •� ? ��7i� �1 1 � - Y he _ or:Self ins. Lid Y Exp tron Bate iSiteAdd�ess s �.•_ � - � ` >t - � � _ x y � }� r � { Crry'/ `aca a copy Ot t-ae workers -compeasatiou policy declaration page(scow D-the policy number and expiration date). ) hire to secue coverage as.required under Section 25A ofMGL c_ 152 cm, lead to the=- Posi-U of criminal penalties of_a lip to$1,500.00 and/or one-year impisohznt, as well as ci�-il:penalties , the form of a STOP WO T�flR ER;Qiid.a..i n�. . i _. .a. ... ^" e vis = a copy o s1a tera - - en�may be forwarded to the"Ode of :stigations oft the:DLA f6i insurance cove�ag vertitcation hei ivy cQ under the. ,ains nrzd enul�zzs o e P fp: 'y tFiatrhe inforn,eiion Provided I is true and correct a.. atuxe: �1�J D ate: onlyDo nat rvrztP rn t3szs Mgt be co� � � z � arto p s wy P �Y }YrL O�{L�CZIlI y tide -vr, -�* ; • F"�"' ty;Ul T471� 2�X L2Zu £rIIII f" ....:.x ,ytlLcense ry l�a M gdQf�ealth � Bu�ding�Department�,3C2fy/Toti�irClerk�''��lectzLcal Inspect ��plumb ng Ins "�ectox` � = a - - - - c . A ✓!LG U/d%YI/l7^e.('/12G!%.CLLGfL G�✓/�GCU.Jd6C�lGd2�6 - �\� Board of Building Regulations and Standards License or registration valid for individul use only V� ration date. If found return to:P� HOME IMPROVEMENT CONTRACTOR before the expiration Board of Building Regulations and Standards - Registration: 100740 One Ashburton Place Rm 1301 Expiration:-`6/23/2008 Boston,Ma.02108 Type Supplement Card CAPIZZI HOME IMPROVEMENT; tARY GUSTAFSON 1645 Newton Rd. Cotuit, MA 02635 Administrator t valid with t sig9kure -^ Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston Massachusetts 02108 1 Home Improvement Cohtrd&o' : Registration { - Type: Supplement Card Expiration: 6/23/2008 -- b CAPI7-7I HOME IMPROVEMENT, INC GARY GUSTAFSON 1645 Newton Rd. COtU If, MA 02635 Update Address and return card.Mark reason for change. __. Address Renewal ❑ Employment ❑ Lost Card ,./�E U4"rrurreriruuea�fz ��"� itt�.;;el� � Board of Buiding Regulations rd Standards _ ko st_ �u ctio�n Supervisor Ltce 'Znli "'ten ' ' 1=" _ ay."' .+3a."s" 4 . ^c ss." - ✓Y -v>' ,` .3v :7 ,x L.tcense CS *.. �. ru x ? 74640M ` * , � � rthdateil/29/1975� �� _ bit i° ��EzPirat�on 11/29/2008— Tr,#ik 6430 � M's ,O� GARY GUSTAFSON � �€ S SHORT WAY , t _ SANDWICH,_MA 02563 CommissiX. oner - F, F. �l b A PiI �Z - G 21 Home Improvement Inc: I; Gary Gustafson;`'Production manager Of Capizzi Home Improvement, Hereby authorize Lisa Haworth, to sign on niy vehalf for perm applicatio is`filed'through the`town " . w _ f FF Signed f Gary G stafso . Date: -is 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5060 FAX (508) 428-1547 i Assessor's offioe.(1a floor): 0�9_ ra YSTEM MU ET4f► Assessors map and lot number ............................... ...., C�� SEPTIC $ .. Board of Health (3rd floor):, J WSTALLED IN COMP Sewage Permit number ..................4�.. ...... WITH TITLE Z sARiSTABLE. :. 'Engineering Department (3rd floor): Zb Z ENVIRONMENTAL Co House number ................................................h ................ TOWN REGULATI® oYaY.a`o� Gl� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00-P.M. only TOWN -OF BARNSTABLE BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO ..:...\a.).C).:\�C�`1........F�SJ1...... . .�a. .:.......................................................... TYPE OF CONSTRUCTION ...v Y..�3 0 ..: `Rv. .1.�� .......................................................:.............. 1 T TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the fo to ing information: Location °a.Q.° .....L�'.�.a��\.......\.....1....L C-.�(.4... .:......... . . . �A. .......................................................................... ProposedUse ... 0.\. ..... ....................................................................................................................... Zoning District .................................1. F.......................Fire District ... .CAU.k....................................................... Name of Owner � e.(. ... 1\. :.5 �?. ...Address .'a c?.a..4:1�C� .Y� �...1 �`�� ..��. ........... Name of Builder .\). ..A..N. F:..S.�g1�1 ..................Address Nameof Architect ........ ......................................Address ..............................................................:....................... Number of Rooms ......... .....................................................Foundation .....�14 ��� .`.t ........ ............................ Exterior .`1 .T. ....��_Ckp 9. ... ��.�..\4 . .. �..... Vc� ,. .: .. ..... ............ ...................................... 1. Floors . ...��,)o or,�.-.. !�:.\)..fi�..w. � ......Interior ...: ....��.... ..............'..................... .......... t rieating . ..... ..G� ... ...` .. %.rr..S..............:.........................Plumbin g ..Y. .,......................................................... Fireplace ..... ..�.........................................................Approximate Cost ......� .......:........................ Definitive Plan Approved by Planning, Board ---------------------------__---19________ - Area ........ ....................... -mow Diagram of Lot and Building with Dimensions Fee 0 SUBJECT O—A.PPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS ELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above 'construction. Name .S1 . .. .... ... .............................. Construction Supervisor's License .. C.. � �.......7... KINSBURY, ROBERT No .....Permit for .....Build Addjtj.Q. ........... .... .....eli.......;kIA9.................... ' Location ......2. ............. Cotuit .................................. ........................................... Owner ..Robert Ki sbuXy................. ................... ...... .............. Type of Construction .... rAJA e............................ ............................................................................... Plot ............................ Lot ................................ Permit 6'ranted ....... ..............ig 86 N Date of Ihspection ....................................19 Date' Completed ......./�? ....................119 . M iv � O q�1 aa`o -� � '2° a liu�u�"�/'�� �9� �0 �� i I�(�� Assessor's offioe (ist floor): - Q /9 Ga G � of?NETo� Assessor's map and lot number ...... .�.el............................. Board of Health (3rd floor): Sewage Permit number ......! :.'.'��/ [ ►vI t Bas39TsnLE S Engineering Department (3rd floor): moo rb 9. 0� House number ......................... .................. Z a Z ................ �•o gar a` APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.-only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....%S.).')A.A........ ............................................................ Wooe,� ���c�vc� TYPEOF CONSTRUCTION ............................�................................................................................?....:............... . a ...... ... ---....19�? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ((�� � .........Location U JIB ...................................................................... Proposed Use ; .. a r ZoningDistrict ................................./...�...................................Fire Districtt........ .................................................. Name of Owner R ale r. .... �.NC .�? !Z. ...............Address .` o..�...4.` 4QC�e r... ed �c., `�� ..... ........ .............. .......................... Name]of Builder .,� A.N..F.:...\�TA,�1 .�'-`'........'.........Address �� \'A A� �' R .. �� .:... ..............�. ........... .v......... �....C` ... Nameof Architect ...... e.. ........................................Address .................................................................................... Number of Rooms .........I).....................................................Foundation .....C.Q C� : ..'...................................... ♦ 4 4 Exlerio. �..�......5.........Roofing ......f . .. .......! ..... ................................................. Floors n. ... )4.Q. ..-..W.1�.�\.. �..w.� .....!.Interior Y`®C` ...... ............ ........... ..................................... Heating .....T\.. '...........G.,� ........................................Plumbing .........`�l.V. ........................... Fireplace ....r` nj .P........................................................Approximate Cost ......5.� �-lC�C� Definitive Plan Approved by Planning Board ________________________________19-------- . Area ........ ...............`............. Diagram of Lot and Building with Dimensions f Fee ^d ��............................................. SUBJECT T" -A.PPROVAL OF BOARD OF HEALTH 'C. do Pro P6sm� OCCUPANCY PERMITS REQUI-R-ED-FOR-N.EW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam l .U4 Construction Supervisor's License .. ...... v....... ..... KINSBURY, ROBERT A=019-020 No .,.?9 O permit for Build Addition . .................................... Single Family Dwelling ................................................................. Location ......202 Crocke�3Neck Road ....................................`.. Cotuit ............................................................................... Robert Kinsbury ......................... Owner ....................................:.... Type of Construction Frame ............................................................................... Plot ............................I Lot ................................ September 26, 86 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 � VX �/�/ ° The Town of Barnstable MAR&• anmvsr�. �e Department of Health Safety and Environmental Services t659. �6. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508 775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner.occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: ��-.�Gm� Cost / 7 Address of Work:�� O mer.Name: Date of Permit Application: I herein,certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcby apply for a permit as the agent of the oN%mer: C"wov zel 0- 007 fro Date ctor name Registration No. OR Date Owners name 1._ The Commonwealth of Massachusetts ( Department of Industrial Accidents . 0/IIC80// gS000S 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: IPA city_ <�i'lJiT i!�.� d ZG3sf phone ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. company namer .. address: city: nNone# . . insurance co: ,.< . am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: address: city: phone# insurance co. -,L TP q3�`8 company name- - address: city: phone#• insurance co. �tac .a lhona11FReffrietessa Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. !do hereby certify under t s an penalties rjury that the information provided above is true and correct Signature Date Print name Phone# 9-Ju o: official use only do not write in this area to be completed by city or town official 4 r• city or town: [ permit/license# nBuilding Department OLicensing Board (]check if immediate response is required Selectmen's Office i. i; C3Health Department contact person: phone#• nOther Lensed 7/0c P1A1 ! � ✓lie �o�>rrrro�uu� o�../�asaac/zuae�a : HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards I One Ashburton Place — Room .1301 I Boston, Massachusetts :02108 I I . I NOME IMPROVEMENT CONTRACTOR I -------•------------ 'Registration 100740 Expiration ,06/23/96 i -4. Type — PRIVATE CORPORATION I .HONE 1NPROVENENT CONTRACTOR. .,. ja"Iltrltiol 400140 I. .Capizzi HomeImprovement , Inc . I Type —.-PRIVATE CORPORATION - - Thomas -Cap i zz i , Sr .. E>Iplrltion 46/23/96 1 1645 Newton Rd . ' I CApizzi None Ilprovelelt, Inc • Cotuit MA 02635.. I I olls CA izli Sr. Th P , Newton-Rd. I s •Cotuit NA 02635 � �i4e �omn.o,uaea!lJii a�.�(veeaa4ueaQe ' . Restricted To: 10 OEPARTNENT IF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE I to - some • ' Irmber: .. _Expires: lirlldmle: lA - Imsomry oily CS 146111 10/21/1f96 10/2mus 16 - 1 1 2 rmtily Kokes leslricled To: 00 ./ OAVID N IEBB 100 PLUM NOLLOI RD l E TALNOUTN, IA 02$36 1, • t ` jAssessor's Office(1st floor) Map C/ Lot D Permit# Conservation Office(4th floor) D to Issued Board of Health(3rd floor)(8:30-9:30/1:00-2:00) Engineering Dept.(3rd floor) House#1 Planning Dept. oor/School Admin. Bldg.) BARN STABLE. Definitiv Plan Apmro d by Planning Board 19 e �� TOWN OF•BARNSTABLE Building Permit A licati Project t Add a.20 Z �.�o c/�G�rL 5! Village Owner Address J'Z l &Oej�7L Telephone Permit Request / ,1AP_ J,,zLnvS� e2n&4z Total 1 Story Area(include 1 story garages&decks) / q s uare IM Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ /�QQ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Ale Unfinished Old King's Highway AZ Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name t� o Telephone Number Address /D �Zi License# OYl�� ��iLZ� —�iy!/�.eA►✓ lDti- Home Improvement Contractor# ew,7#2%r Worker's Compensation# eSa1,*'Bg1 g23�7_ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ DATE 3 = 2- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. #10662 DATE ISSUED Sept 29, 1995 MAP/PARCEL NO. 019.020 ` ADDRESS 202 Crockers Neck Rd. VILLAGE Cotuit F OWNER Margaret Kingsbury j DATE OF INSPECTION: FOUNDATION FRAME INSULATION `FIREPLACE ELECTRICAL: ROUGH FINAL ; PLUMBING:, ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Q , DATE CLOSED OUT ASSOCIATION PLAN NO. �Y NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, T-0' DETAILS,&FINISHES IN THE FIELD WITH OWNER A 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT A3 EXIST. a FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR UTIL. ; 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 NEW PLATFORM I 5•) 110 MPH EXPOSURE B WIND ZONE NEW 'OGE 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, 2FINSENNG 3 OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING sIrIK o XIST. E 7.) ALL LVL LUMBERIBEAMS TO BE 1.9e L/360 LOAD 1 �ATH 8.) SEE CERTIFIED PLOT PLAN DEVELOPED BY RICK HOOD FOR ALL PROPOSED&EXISTING DETAILS EXIST. o REMOD. 'D"I O 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL SIMPSON COMPONENTS STUDY KITCHEN REF 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS EXIST. I TO BE 3000 PSI § EXPANDED mil HALL 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE ENTRY rll —— DURING FRAMING CONSTRUCTION ra x r 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR N0.2 GRADE 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED i i Nili 14-)THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE"B" i1li + &WITHIN ONE MILE OF NANTUCKET SOUND PER STATE OF MASSACHUSETTS WIND SPEED MAPS 4 15-)GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE IMPACT GLAZING N VERIFY ALL WIND BORNE DEBRIS PROTECTION REQUIREMENTS NEW4UNDER EACH E W/OWNERS PRIOR TO START OF CONSTRUCTION EW 6'0^x6'8' UNDER EACH END REMOD. - - RENCHDOOR OFBEAM LIVING ,1 16.)FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY j EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION TFO INSTALLER(CONTRACTOR. RM 17.)ALL HEADERS TO BE 3-2 x 8's UNLESS OTHERWISE NOTED A A3 NAILING SCHEDULE 110 MPH EXPOSURE B WIND ZONE JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING - ( ROOF FRAMING: - TO RAFTER(TOE NAILED) 2- al 2-1 Od EACH END BLOC ING 't RIM BOARD RAFTER(END NAILED) 2-16 d 3-18d EACH END FIRST FLOOR PLAN WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-1 8d 5-0Bd AT JOINTS •�{ STUD TO STUD(FACE NAILED) 2-16 d 2-1 Bd 24 o.D. LEGEND: HEADER TO HEADER(FACE NAILED) 16d 16d 16:o.c.ALONG EDGES FLOOR FRAMING: JOIST TO SILL.TOP PLATE OR GIRDER(TOE NAILED) 4-8d 4-1Od PER JOIST • •' 1-1-' 0 EXISTING WALLS I BLOCKING TO JOISTS(TOE NAILED) 2.8d 2-10d EACH END f( BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-16d 4-18d EACH BLOCK CONSTRUCTION TO BE REMOVED } LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-16d 4-16d EACH JOIST 4 8 v 1 JOIST ON LEDGER TO BEAM(TOE NAILED) 3.8d 3-10d PER JOIST ® NEW CONSTRUCTION BAND JOIST TO JOIST(END NAILED) 3-16d 4-16d PER JOIST Ld-- �__; «") BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16d 3-16d PER FOOT ROOF SHEATHING: " +, ., IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS WOOD STRUCTURAL PANELS(PLYWOOD) CS CLIMATE ZONE 6A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION RAFTERS OR TRUSSES SPACED UP TO 16'o.c. 8d 10d 6'EDGE/8'FIELD c'. RAFTERS OR TRUSSES SPACED OVER 16'o.r- 8d 10d 4"EDGE/4'FIELD c f TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d 10d 6'EDGE/6'FIELD FENESTRATION SKYLIGHT CERING WOOD FPAMED WALL BOOR BASEMENT WALL BA EMENTStAB CRAWL SPACE GABLE END WALL RAKE OR RAKE TRUSS 8d 10d 8'EDGEIB'FIELD UFAGTOR UfACTOR R•VILL.UE ft-VALUE R-VALUE R-VAWE R•YAl11E R•VAtAIE - W/STRUCTURAL OUTLOOKERS - M32 10.00 149 m 30 1 Taste to R PT.DEEP) 10/13 GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS Btl 10d 4'EDGE/4'FIELD NOTES. CEILING SHEATHING: 1.R-VALUES ARE MINIMUMS&U•FACTORS ARE MAXIMUMS. GYPSUM WALLBOARD 5d COOLERS — 7'EDGE/10'FIELD 2.16119 MEANS R-16 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR WALL SHEATHING: OF THE HOME OR R=15 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL STRUCTURALWool) D) 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS STUDS SPACED UP TO 24"o.c. 8d 10d 3'EDGE/12'FIELD 1/2'&25/32'FIBERBOARD PANELS 8d — 3'EDGE/6'FIELD 1/2"GYPSUM WALLBOARD 5d COOLERS — 7"EDGE/10'FIELD FLOOR SHEATHING: WOOD STRUCTURAL PANELS(PLYWOOD) 1'OR LESS THICKNESS 8d 10d 6'EDGEH2'FIELD GREATER THAN 1'THICKNESS 10d 16d 6'EDGE/6'FIELD 11�ORSiORO 9NALLS ARE FOUND ANY SCALE : DRAWING NO.: ®� `ZNOFAf4 ERRORS AWING PRIOR TO FOUND ON COTUIT BAY DESIGN, LLC DDITION/REMODELI NG FOR: �� R��o�HHEB�LDNGCONTRACTOR t, _ t t, 43 BREWSTER ROAD s°� CUID o M7HEHEDRAWINGSIFCONSfRUCNO OWN T 1/4 - 1 -0 MASHPEE MA. 02649 CHASE/NEILL RESIDENCE _��� COMMENCES WITHOUTNOTFYU OTHE t OF THE OWNS GSAREBOYOTHERUSEOF DATE PH. (508))274-1166 34774 DESIGNER OF ANY ERRORS OR OMISSIONS. FAX(508)539-9402 202 CROCKERS NECK ROAD COTUIT, MA STSP° " THE 3/10/2016 `.•�ssp La THESE DRAWINGS REQUIRES THE WRITTEN CONSENT TU THE OF9 I H UNDER 3 ARCHITECTURAL COPYRIGHT PROTECTION Al ACT OF 1990. 1 1 , I -►—NEW ASPHALT ROOF SHINGLES TO MATCH EXISTING 1 NEW FASCIA,FRIEZE,8 I SOFFIT BOARDS TO 1 MATCH EXISTING I NEW TRIM TO MATCH ❑ ❑ ❑ ❑EXISTING _ � ao I I I FRONT ELEVATION 1 I F ❑ a REAR ELEVATION NOTE: NEW ADDITION IS LOCATED IN THE CENTER OF THE F EXISTING STRUCTURE INCREASING IN HEIGHT AND , FOOTPRINT.THE ADDITION IS NOW FLUSH WITH THE MAIN BODY OF THE HOUSE,THEREFORE,CHANGES IN WIND LOAD EFFECTS IS NEGLIBLE.CODE CHECKLIST 1 IS NOT REQUIRED. a' THE DESIGNER SHALL RE NOTIFIED IF ANY ®[� COTUIT BAY DESIGN. LLC NEW ADDITION/REMODELING FOR: CERROR OMSS OR CnoN.THESUIf�FOUNDON SCALE : DRAWING NO.: THESE DRAWINGS PRIOR TO START OF WILL RE RESONSIBLEFILDINO CONTRACTOR 1/411 11-011 WILL ES RESPONSIBLE FOR THE CONTENT 43 BREWSTER ROAD IN Com THESE WITHOUT N"T"Y UCTON CHASE/N E I L L RESIDENCE COMMENOES WRHOUTNOTfYWOTiE MASHPEE MA. 02649 TEESEDRAWIMGSARRORSORCMISSIONS. DATE OTFTH OWNERGNOIID.ANY OTHER USE OF DATE : PH. (508)274-1166 THESE DRAWINGS REOU RFS THE WRffTT]V FAX(508)539-9402 202 CROCKERS NECK ROAD COTUIT, MA AARCHUECTURAEDEAIf�IGHr PROTECTION 3/10/2016 - A2 OWLYFCRARCHefff OF H DESIMGHT PROTECTION { ' 10'-0• 9'6' 101-0° 9'-6" 7"4r 3'-0" A A NEW 10"DIA.CONCRETE A3 SONOTUBES W/24"DIA. BIGFOOT FOOTING UNDER- 2-P.T.2 x 8's /` UNDER- NEATH TO 4'0'BELOW GRADE. USE SIMPSON ABU66 POST (� BASE § NEW P.T.2x 81;@ 18" C ATTACH JOISTS TO BEAM O O . -P.T.2x88 WI SIMPSON H4 TIE °7a 1 q x d EXIST. �� 1 � 1 0 BASEMENT EXIST. CRAWLSPACE m I RIDGE GOWN ROM TROM POSTO BFAM -, q EXISTING RIDGE _ NEW 2-2 z 12_RIDGE BEAM m IS TO N 2-2 x B BEAM m EM N EXIST GIRT LFO FILING JOISTS x tj - ---- NEW 3.2 x 4 POST FROM - —— ° —- -—-—- m RIDGE DOWN TO FOUND. " EXISTING RIDGE 5'<' NEW P.T.2 x a's @ 16"o.c. W/ ID-SP BL CKI P.T.2 x 10 LEDGER BOARD LAG BOLTED TO N 1 0. 3.2 x 4 POST UNDER SOLID BLOCKING W/(2)LEDGERLOK BOLTS 22 END OF BEAM IS'o.c.W1 JOISTS HANGERS Z I ro I SIMPSON HUCOLLI NEW 4 x 6 POST P.T. x B HEAVY DUTY m d UNDER EACH END HANGER ABOVE EXIST.BASEMENT a d OF SEAM NEW P.T..2 x S's @ 16'o.c. WINDOW of ro 2-P.T.2 x B's NEW 12"DIA.CONCRETE SONOTUBES TO VO'BELOW A A GRADE USE SIMPSON ABU44 POST BASE A3 A3 T-(' 1'-6" 101-01 FRAMING/FOOTING PLAN T ROOF F RAM I N G PLAN YP. ROOF coNST. NOTES: 2-2 x 12 RIDGE BEAM -2 x 10 ROOF RAFTERS @ 16'o.c• _�1.) ALL ROOF RAFTERS TO BE 2 x 10's - 518"cox PLYWOOD ROOF SHEATHING UNLESS OTHERWISE NOTED -ASPHALT ROOF SHINGLES 15LB.FELT PAPER 2.) USE SIMPSON H2.5A HURRICANE CLIPS 2 x 4's @ 1 s"O. -SPRAY FOAM INSULATION(Ras) AT ALL RAFTERS ENDS 12 SIMPSON H 2.5A HURRICANE CLIPS ) MATCH AT ALL RAFTER ENDS 3. VERIFY GUTTER TYPE/LAYOUT r� - EXIST. ✓ -ICE/WATER SHIELD AT BOTTOM W/OWNERS . 3'0"OF ROOF 1/P GYP.BOARD -PROP-A VENT BETWEEN RAFTERS ON 1 x 3 STRAPPING -WIND WASH BARRIERS @ 16"O.c. -ALUMINUM DRIP EDGE I - I ROOF SHINGLES ' N EXPANDED TYP.WALL CONST. 6/8'COX PLYWOOD SHEATHING INSTALL FLASHING UNDER LS ENTRY 1.2 x 4 STUDS @ 16"o c. 2 x 10 RAFTERS', IS#FELT PAPER HOUSEWRAP 8 DECKING = 2.1/2'PLYWOOD SHEATHING \� SIMPSON H 2.SA HURRICANE CLIPS I DECKING ) FLOOR JOISTS 3.SPRAY FOAM INSULATION R20 NEW P.T.2 x 8 I Q � 4.1/2°GYPSUM BOARD BARRIER H �� r 3'0"WIDE ICEIWATER SHIELD 3/4"T 8 G PLYWOOD 5.W.C.SHINGLE SIDING ALUMINUM DRIP EDGE C SUBFLOOR-GLUED 8 NAILED 3-P.T.2 x 10'e 6.TYPAR VAPOR BARRIER 3-P.T.2 x 8's W/1 X 8 FASCIA NEW AZEK FASCIA,SOFFIT 8 - P.T.2 x 8's @ 16"o.c. 1 x 3 STRAPPING WI FRIEZE BOARDS TO MATCH ATTACH JOISTS TO SEAMC P.T.2 x a's @ 18"o.m P.T.2 x Ere @ 16'oc.BEARING ON SLAB 1/2'GYPSUM BOARD EXISTING W/SIMPSON H4 TIE - -P.T.2 x 89 W/FASCIA 3-P.T.2 x 8 BEAM INSTALL PEEL 8 STICK CONTRACTOR TO ALIGN EXIST.SLAB 8 FOUND. TYR 2 x4 WALLS RUBBER MEMBRANE CENTER OF BEAM 8 WALLS TO REMAIN 11 NEW 12'DIA.CONCRETE BETWEEN LEDGER 8 - SONOTUBES SONOTUBES TO 4'0"BELOW SHEATHING RIGID OR SPRAY FOAM cqp GRADE USE SIMPSON ASU44 INSULATION(R30) POST BASE P.7.2 x B LEDGER BOARD DETAIL AT WALL i6'o.c'W/JOISTs HANGERS NEW 10'DIA.CONCRETE W/(2)LEDGERLOK SCREWS . SONOTUBES W/24"DIA. NEATHSIGFO OCOTINGU"DER- SECTION @EXPANDED ENTRY _- USE SIMPSON T04D'BELOW GRADE. - -- - DECK DETAIL USE SIMPSON ABU66 POST A BASE W/P.T.PLYWOOD SHIMS A3 SCALE:1/Z"=1-a� i THEORS'OGROM�NSARE�m ou'• SCALE : DRAWING NO.: ®Q COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: ���1HDF y4ss OONSTFUGTION.111E SLBLDINGOONTRNCTOR 1 n �� MICHELF'qn'f' WILL BE RESPONSIBLE FORTHE CONTENT 1/4 1 -0 43 BREWSTER ROAD CUDILO H WTHESE ORAWWGS FCONS RUCDON $ STRLIL?U CGMMENCESWRNOUrNOTIFYINGTHE MASHPEE ,MA. 02649 CHASE/NEILL RESIDENCE ND34n4 N THESE DRAWINGS ARE S0LELY FOR THEUSE PH. (508)274-1166 �9 OF THE WNERNOTEDOP.90ROMIe610N3 IA � FAX(508) 539-9402 2O2 CRO KE K ROAD CO OF THE TO FT HE DESIGNERUMiRTHEOF DATE C RS NEC TU IT, MA Ea� 3 AR OT THE OP* ER 3/10/2016 AL ACT OF COPYRIGHT PROTECf10N LL S 10'-0" 9'-6" 10'-0" 9'-6" T-0" 3'-0" ol A ` NEW 10"DIA.CONCRETE YA3"SONOTUBES W/24"DIA. BIGFOOT FOOTING UNDER-NEATH TO 4'0"BELOW GRADE. 2-P.T.2 x 8' i� USE SIMPSON ABU66 POST BASE q NEW P.T.2 x 8's @ 16" c. ATTACH JOISTS TO BEAM O O -P.T.2 x 8 B M W/SIMPSON H4 TIE (n O c co Q x O LAD N O r— c W I I EXIST. W O � EXIST. I BASEMENT °° NEW 4 x 6 POST FROM CRAWLSPACE m I RIDGE DOWN TO BEAM R LEXISTING RIDGE NEW 2-2 x 12 RIDGE BEAM � Gn EXIST,SLAE TO 0 °D EM N EXIST.GIRT NEW 2-2 x 8 BEAM x cq ci - - - NEW 3-2 x 4 POST FROM LFO FILING JOISTS o — — �_ 00 RIDGE DOWN TO FOUND. x EXISTING RIDGE 5'-4" w � � NEW P.T.2 x 8's @ 3-2 x 4 POST UNDER W/JID-Sp N BL CKI G P.T.2 x 10 LEDGER BOARD LAG BOLTED TO N I " SOLID BLOCKING W/(2)LEDGERLOK BOLTS 16"o.c. W/JOISTS HANGERS w ( Lo END OF BEAM z `o R' SIMPSON HUCQ HEAVY DUTY y NEW 4 x 6 POST -P.T. x 8 JEP HANGER ABOVE co UNDER EACH END x EXIST.BASEMENT a o OF BEAM M NEW P.T.2 x 8's a 16"o.c. WINDOW cn 2-P.T.2 x 8's NEW 12"DIA.CONCRETE SONOTUBES TO 4'0"BELOW A A BADE.USE SIMPSON ABU44 A3 POST BASE A3 V-6" 7'-0" V-6" 10'-0" ol 10'-0 I FR AMING/FOOTING PLAN ROOF FRAMIN'G 'PLAN TYP. ROOF CONST. NOTES: 2-2 x 12 RIDGE BEAM -2 x 10 ROOF RAFTERS @ 16"o.c. 1.) ALL ROOF RAFTERS TO BE 2 x 10's -5/8"CDX PLYWOOD ROOF SHEATHING UNLESS OTHERWISE NOTED -ASPHALT ROOF SHINGLES 15LB.FELT PAPER 2.) USE SIMPSON H2.5A HURRICANE CLIPS 2 x 4's @ 16"D.C. -SPRAY FOAM INSULATION(R49) AT ALL RAFTERS ENDS - •i e'70N -SIMPSON H 2.5A HURRICANE CLIPS 3. VERIFY GUTTER TYPE/LAYOUT MATCH AT ALL RAFTER ENDS ) EXIST. -ICE/WATER SHIELD AT BOTTOM W/OWNERS 2"GYP.BOARD -PROOF A VENT BETWEEN RAFTERS I 1 x 3 STRAPPING -WIND WASH BARRIERS 16"o.c. -ALUMINUM DRIP EDGE I - e.>a TYPICAL ASPHALT I � C9 �� ROOF SHINGLES EXPANDED TYP.WALL CONST. 5/8"CDX PLYWOOD SHEATHING j INSTALL FLASHING UNDER 1.2 x 4 STUDS @ 16"o.c. 2 x 10 RAFTERS ` 15#FELT PAPER HOUSEWRAP&DECKING I ENTRY 2.1/2"PLYWOOD SHEATHING ��� I DECKING Q 3.SPRAY FOAM INSULATION(R20) WIND WASH SIMPSON H 2.5A HURRICANE CLIPS NEW P.T.2 x 8 g 4. 1/2"GYPSUM BOARD BARRIER �� ,/� 3'0"WIDE ICEMATER SHIELD FLOOR JOISTS 3/4"T&G PLYWOOD 5.W.C.SHINGLE SIDING C ALUMINUM DRIP EDGE N SUBFLOOR-GLUED&NAILED 3-P.T.2 x 10's 6.TYPAR VAPOR BARRIER 3-P.T.2 x 8's W/1 X 8 FASCIA NEW AZEK FASCIA,SOFFIT& P.T.2 x 8's @ 16"o.c. 1 x 3 STRAPPING W/ FRIEZE BOARDS TO MATCH ATTACH JOISTS TO BEAM P.T.2 x 8's @ 16"o.c. P.T.2 x 8's @ 16"D.C.BEARING ON SLAB 1/2"GYPSUM BOARD EXISTING W/SIMPSON H4 TIE 3-P.T.2 x 8's W/FASCIA TI 3-P.T.2 x 8 BEAM INSTALL PEEL&STICK EXIST.SLAB&FOUND. I RUBBER MEMBRANE CONTRACTOR TO ALIGN WALLS TO REMAIN TYP.2 x 4 WALLS I BETWEEN LEDGER& CENTER OF BEAM& NEW 12"DIA.CONCRETE SONOTUBES SONOTUBES TO 4'0"BELOW SHEATHING RIGID OR SPRAY FOAM cqa GRADE.USE SIMPSON ABU44 INSULATION(R30) POST BASE LEDGER BOARD K VEW 10"DIA.CONCRETE W/(2)LE SCREWS DETAIL AT WAL L 30NOTUBES W/24"DIA. 16"o.c. W/JOISTS HANGERS 31GFOOO4'0" ELOWGNG R- EXPANDED ENTRY _ DECK DETAIL VEATH TO 4'0"BELOW GRADE. JSE SIMPSON ABU66 POST %SECTIONSCALE: 1/2" = 1'-O"BASE W/P.T.PLYWOOD SHIMS HE DESIGNER SHALL BE NOTIFIED IF ANY FOUND ON S CAL E : D RAW I N G NO. : COT U I T BAY DESIGN, L LC NEW ADDITION/REMODELING FOR: ��P gSiS CONSTRUCTION.H ERRORS OR IE BUIONS LDING CONTRACTOR 11 _ 11 ITN OF 1/ THESE DRAWINGS PRIOR TO START OF 43 B RE WSTE R ROAD Boa MICHELE q°y WILL BE RESPONSIBLE FOR HE CONTENT 1/4 = 1 -0 O CUDILO rn IN THESE DRAWINGS IF CONSTRUCTION CHASE/N E I L L RESIDENCE �o y COMMENCES WITHOUT NOTIFYING HE MAS H P E E MA. (0(2649 V SrRUCTURA(, -�i DESIGNER OF ANY ERRORS OR OMISSIONS. PH. (508 274-1 1 V V ���4 THESE DRAWINGS ARE SOLELY FOR HE USE DATE : FAX 508 539-9402 9 THESE THE OWNER NOTED.ANY OTHER USE OF ( ) ��F�Q/STER���Q THESE DRAWINGS REQUIRES HE WRITTEN 3/10/2016 202 CROCKERS NECK ROAD COTU IT. MA �Ai�,�/ /, AI s AL �` A. A3 CONSENT OF THE DESIGNER UNDER HE ARCHITECTURAL COPYRIGHT PROTECTION STREET J S IP �. FOUND ZONE: RF PROJECT MAP 019, PARCEL 202, LOT 153B % LOCA11ON CROSS CROCKER STREET' FLOOD ZONE. X .� NECK Panel No. 250001 0752 J (0711612016) ROAD COMIr PLAN REFERENCE: PLAN BOOK 94, PAGE 47 � ) j aAr C / 16.6 RS ! \ /,8.0 Cb LOCUS MAP / (40' Fb NOT TO SCALE oF� j • 18.0 OF CB/DISC p FOUND I q 12',yFNt N pq�MFNT N LEGEND F ,.8 2 �8 CATCH ,8. �8' , 2,., _ k , LOT >52B i �' J +,a., �0004O.F ,s.4 \ z2.$ ----22 ---- EXIS77NG 2 CONTOUR _ i i ( IMA22.14 SIN ROAD 20 ExISnNG 10' CONTOUR 9.6 20.1 �'lJZAB�'Tht SMA" +20.5 EXISTING SPOT ELEVATION PP M EXISTING U77LITY POLE APPROXIMATE O \ r 19.9 20-� 22.7 LOCATION OF IP EXISTING SEPTIC y ti° o - - - FOUND O IRON PIPE SYSTEM v n CATCH BENCHMARK. CB/DISC z 20 BASIN NAIL do CAP FOUND RIM=20.81 EL. 21.51 CB/DISC o CONCRETE• BOUND WITH DISC N o zo.s \ 21.1 FOUND � �F\ 2,.0 2,.s GENERAL N0 TES: 2,.3 / \ - - - 2.1 �R/ A o 1.9 y�nNC 22 s \ VF y� f. HOUSE NUMBER: 202 FF 20 \ 21.5 2. ELEVATIONS SHOWN ARE BASED ON NORTH AMERICAN VER77CAL DA7UM 1988 13 2'/ � �� oc 1 n J. LOT COVERAGE BY,EXISTING STRUCTURES.• 1,696 S.F114,228 S.F. = 11.9Z RfF2eµA \ S 2\ F / v 9 �2\ ti // 22.2 4. LOT COVERAGE BY EXIS77NG S7RUC7URES/PA VING/PARK/NG• 2,020 S F./14,228 S.F. = 14.2% FSTAKEOUND 22.0/H Fq O<K N1rySnHc 22.8 22.6 / 'so b� � Foc 5. LOT COVERAGE BY EXIS77NG & PROPOSED STRUCTURES.• 1,752 S.F114,228 S.F. = 12.J b 22.6 BOCK / s�,of rG A 6. LOT COVERAGE BY EXIS7NG & PROPOSED STRUCT)RES/PAVINGIPARKING.-0 2,076 S F114,228 S F. = 14.6°6 N22.7 yEgo -�z2.s �_ A N Vs22.1 22.7 0.1 EN �F4 22.3 J 22.7 23.0 p�CROACHM 23.0 IP 22.5 ENTRY N LOT >588 FOUND >4, Z.Z81f' S.F. 22.6 ° +23.5 �* POST 23.4 *O. ANb RAIL REMAINS • N7g 9'20'Yy LOT 15 d ° 171.1,3'• J NAB' ° v RST11Tr OF .l.�Rrs CEDAR pbsrs (rmfC - J. f'Tf'RON, .fR. ALA ° - -2k PL 0 T PLAN 3 Y +24.2 24.0 FOR 0 LOT >534 .9 Ar1p #202 CROCKERS NECK ROAD A TROCCHI CO TUi T, AMA Scale: 1"=20' Date: MARCH 3, 2016 �A OF Ape GARY TYar�uick dPc associates Inc. v. S. cam, LABRIE DRAWN BYE LM., R.d#K DALE• a YA 75A S 20 0 10 20 40 No.40039 63 County Road Box 801 North Falmouth, &ass 02556 per. �r � a� >' f SCALE 1 /NCH = 20 AEEr (508) 583 - 7777 P.•%Land Prolwto 2W4 jSSf6M%ft ISSf6A04V.ft 31e)l02o/�