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1267 MAIN STREET (COTUIT)
_ r _..,. , r+P`r .T•Y .+ts'Pa...J;ICr�Y+YYM"Y.._ - .,.. -.. 7. ` .l_..... r 4xY-.r..r,..,..... .. , r r �jP�pptNE ip�� Town of Barnstable - BARNSTABLE. ` Regulatory Services - Ti MASS. a 1639. MP �0 Building Division piFO '�a, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection L.J.St/,LA r i Q,.J Location A ,J S'r Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: R-3 6 t2 E 0,uT-P Ervt��:� S Please call: 508-862-4038 for re-inspection. Inspected by Jd� "/ -�- Date //5"/!_r- ' ' — 1, Commonwealth of Massachusetts � ��-a Sheet Metal Permit Date: Permit# ZD 1 S 0&11 q Estimated.Job Cost: $..t 9, QC)b Pen-nit Fee: $ 8� Plans Submitted: YES N®•'✓ Plans Reviewed: YES NO Business License# Applicant License# �M Business Information: Property Owner/Job Location Information: Name: Q. VernonU LOhIfde ��(`� , Name: )1qaA&*0 Street: Ul)IN 6 ka Street: 00 / City/Town: W Chama m City/Town:a / )o0Telephone: 509, 9y 5 — Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 /M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and corriinerciaf'up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family -~Multi-family` "Condo-/Townhouses _ Other Commercial: Office - Retail "Industrial Educational - - Institutionaall Other Square Footage: under 10,000 sq.ft. J over-10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: 1/ HVAC t Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: l� 1 m - j .. .- .i f C ,•�, •. ... �. - Sri' c :z t INSURANCE COVERAGE: I have a current liabiLLty insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[:],II hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date - - - - - - - - - -Comments Type of License: By y [],master , Title ❑Master-Restricted �:� IIVA City/Town ❑Journeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted License Number: f0 J Fee$ ❑ Check atwww.mass.csovfd21 Inspector Signature of Permit Approval �IHE Town of Barnstable °^ Regulatoiry Services" AO� t Richard V.Scall,Director:a Building Division Tom Perry,Building Couunissioner 200 Main Street,Hyannis,MA 02601 www.town.barustable.ma.us Office: 508-862-403 8 Fax: 508-790-6i30 Properly Owner Must Complete and Sign This Section If Using A Builder L Carl Martin ,as Owner of the subject property hereby authorize A:A& , to act on my behalf, in all matters relative to work authorized by is building permit application for: . - (Address of Job) :r Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspectio performed and accepted. Signature of er Signature of Applicant WeJeq Print Name Print Name l V Da QYORM&ORMERFERMISSIONPOOLS W Fold,Then Detach Along All Perforations OMMOKWEQup NOF MAS AOf USETi'S ; BOARD QF ���, SHEET METAL WORKERS '� tz'�^S,II f 'ta'^v ISSUES THE` LCEN E'OLL'OWIN E q as TA BUSf11�Ess vy EIIhC ,TWHITELEY ��� aW UERNQN<WH1TELE�Y� P,L`BG R D TG C" r �fi�28i�1/IytLAGELANDttJC M;s., z W EhATHA�1 AQ2669L ,, .C.OMt1�ON1NEALTN OFWAS, ACHUSETTS ti BOARD OF SHEETtfTAL 4lORkERS ' ISM_ Now SUES �FHE FDLLOWl�1� LICECJSEEA mmgWS fh` AS A MASTEP UNRESTRI CTED y ERlC +T WHFTELEY � r >� � J�' i; t L w'E�I CHA I HAM MA;; oz669 0248 ; 296t 02/28/1 t8a5lz .. �a 'l ,I: of 'I clt• , "o { 1. _ � � --, WVERNON-01 THORNE ACOR�" DATE(M MIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 9/25/2015 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 NAME: Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/c No Ext: A/C No):(877)816-2156 South Dennis,MA 02660 ADDRIESS:mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Arbella Protection INSURED INSURER B:National Liability&Fire Insurance Company W.Vernon Whiteley Plumbing&Heating Co,Inc. INSURERC: Chatham Sheet Metal,Inc. INSURER D: P.O.Box 1266 West Chatham,MA 02669-1266 INSURERE: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DD BR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE a OCCUR .. 8500052832 101'01/2015 10/01/2016 PREMISES Ea ocaurence S 100,000 MED EXP(Any one person) S 10,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY ]JPE N LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: I$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I S 1,000,000 Ea accident A ANYAUTO 1020006346 10/01/2015 10/01/2016 BODILY INJURY(Per person) S ALL OWNED X SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS X X NONOWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS Per accident S X UMBRELLA LIAB OCCUR EACH OCCURRENCE S 4,000,000 A EXCESS LIAB CLAIMS-MADE 4600052833 10/01/2016 10/01/2016 AGGREGATE $ 4,000,000 DED I X I RETENTIONS 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ERH B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN V9WC665702 10/01/2015 10/01/2016 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Plumbing,Heating&Air Conditioning Contractor --General Liability Endorsement 30AP2037 Provides:Additional Insured Status to Certificate Holders,Primary Non-Contributory,Transfer of Rights of Recovery and Per Project Aggregate as Required by Written Contract --General Liability Endorsement 30AP2039 Provides:Additional Insured-Contractors-Completed Operations Coverage As Required by Written Contract --Commercial Auto Endorsement 26AP1034 Provides:Additional Insured Status to Certificate Holders,Primary Non-Contributory,Waiver of Subrogation --Workers Compensation Includes Blanket Waiver of Subrogation as Required by Contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCCRDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601-0000 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 17ie Coninioi-tivealtli of-Vassacliusetts Di ppar't:rnent o,f hirdusixial Accidenis ---- a re o t�� .�.�� .f�rrvestigafians - 600 Washington S"txeet _ Boston,Mi 02111 7 ivivi l.nia—u,govIdia -Workers' Compensation Insurance Affidavit:B:mldei-s(ContractorsJEIectrieianslPIumbers Applicant Information Please Print Legibly Name(SusiaE! ,'OIganiZ3dffnU - M n 1) Address: Z� \\��oc.A CityfstateZip_W.'�-j\,Ii�,A\,Z,�M Oa���t Phoneme q �_ 00 Are you an employer?Check the appropriate box, Type of project(required): 1.\)Q I am a employer urith 4. ❑I am a general contractor and I employees(full andlor part-time).* have hired the sub contractors 6. '[]New'cgnstruction 2.❑ I am a sole proprietor or partner— listed ou.the attached sheet. 7- ❑Remodeling ship and hai a no employees. These sob-contractors haz*e g. E]Demolition wodrina for 1 a in any capacity. employees andhave wooers' 9_ Building addition [No tv orlxrs'comp.insurance comp-insurance l required-] 5- We are a corporation and its 10-0 Electrical repair or additions 3.❑ I.am.a homeoumer-doing all work office have exercised their 11-Q Plumbing repairs or additions. myself [No workers'comp- right of exemption per MGL 12.❑Roof repairs insurance requiired_]i c. 152,§1(4X and we have no employees.[No workers' 13l Other comp-insurance required.] •AsY applicant:,that checks box rl oms-t also fill out the sectionbeIow shmiIng their wodsers'compensation policy informaticm- 1 Homeowners wbo submit d1is afiidatrit indicating tbey are doing all woa;r and then]sire outside contractors nmst submit anew affidavit indicating such =Contractors rant ehecic this box mast attached as addilionA sheet showi og the nzrne of the sub-ccutrsctDrs and state whether or not those emitiees have employees. Ifthesub-coutmctofshive empIapers,they must pmvdde their workers'comp.policy number. I ant an emph4.ter that is pnn ding workers'congwisadmi iics iriuzce for my encplvy,ees. Hetow is die!poFicy rind jab situ information. �-- Insuraace:Company Name: Policy#or Self-ins.Lic.44f: �D tfs 5 p� Expiration Date: VJ Job Site Address: . �oec�. a S \� f City/State/Zip: 6u,� 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$1,50D.OQ and'or one-year imprisournenk as well as civil penalties.in the form of a STOP WORK ORDER and.a foe of up to$250.00 a day against the violator. Be.advised that a copy of this.statement may.be forwarded to the.Office of Investigations.of the DIA far insurance cov era e verification. I do It ere by cent ,nrtder the pains and pen aWes afperhuy tlratthe info rin ado nproti&dabove is true and correct Signature. lute: Phone# OfjaciaL use only. Do not write in this.area,to be complita by city or toirn official City or Towu: PermitUcense# Issuing AuthGrity(circle one): 1.Board of Health 2.Buf[d'ing Department 3.tityITown Clerk 4.Electrical Inspector 5.Plumbimg Inspector 6.Other Contact Person: Phone#: (ib 13 Of ®,.-457 r Town of Barnstable *Permit# Expires 6 months from issue die t Regulatory Services Fee 13 is :._-- * BAMSPABLE M� Thomas F.Geiler,Director ' 9� i639 � Building Division Tom Perry,CBO, Building Commissioner ® E :PER .. 200 Main Street,Hyannis,MA 02601 SEP O 2015 - www.town.barnstable.ma us Office: 508-862-4038 1 T ��rn' F �15tSI� INCS�E ' EXPRESS PERMIT APPLICATION RESIDENTIAL" '_0 Not Valid without Red X-Press Imprint Map/parcel Number- D t$ o—t r� Property Address l 'Llfl`l tWJdJ [J-Residential Value of Work .` Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address YLe- wvA--,-•1 IQ Contractor's Name f•w t. L Telephone Number,- ' -)K)- 35.E " 56►9 LLC Home Improvement Contractor License#(if applicable) c-_nti Construction Supervisor's License#(if applicable) 6o:')1 �'r'+ ��i" �`'' MA 02090' MW/Orkman's Compensation Insurance Check one: : I am a sole proprietor ❑ I am the Homeowner ave Worker's Compensation Insurance Insurance Company Name :c-.t�, c.f} v �v� 6�-a GA p Workman's Comp.Policy# .t-;- U So 9 S Y 9 Copy of Insurance Compliance Certificate must accompany,each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side #of doors __..: .. Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. _ *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. cpy of-thee Hom e Im rovement Contractors License onstruction Supervisors License is required. SIGNATURE: L E Q:\WpFaM\FORMS\building permit forms\EXPRESS.doc Revised 053012 ofTKEr . Town of Barnstable: 6. - °rffl � ReguTatory,Seirvices , Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,'Hyannis,MA 02601 www.toWn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must a Complete and Signi This Section I. �' +'« �'1��• ; as Owner of the.subject'property hereby authorize A IZ-1:l to act on'niy behalf, in all matters relative to work authorized by this building permit application for: {Address of Job} Signature bf Owner Date , Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on;the reverse side. - Q:\WPFILES\FORMS\building permit fomzs\EXPR3SS.doc Revised 070110. 4� 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 u Name (Business/Organizati��I't� 1)* Address: 410 University Avenue Westwood, MA 0209U ' City/State/Zip: Phone#: 11%) 155- S.� 19 " Are you an employer? Check the appropriate box: Type of project(required): 1.[' -I am a employer with 5 4. ❑ I am a general contractor and I �_ 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑ Remodeling, ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9.."❑ Building addition [No workers' comp. insurance 5. ❑ We area corporation and its officers have exercised their ME] Electrical repairs or additions required.] _ - 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.®Other A . comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. '- t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers',comp.policy information. - I am an employer that isproviding workers'compensation insurance for my-employees. Below is the policy and job site information. - Insurance Company Name: -I-LL J1_SC µ A Pyt 1 P-•uArJ Tt�QL- Ate L4—; G�ho►Qi�it1'� Policy#or Self-ins.Lic. #: V`+G 5.0 q 5% 91 C) -_ Ex irati a 1 'I l 11.5 - Job Site Address: 1 81 taf2J City/State/Zip: C2�r"_-o Attach a copyof 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert under the pains penal ' perjury that the information provided above is true and correct Si afar . Date: l o t 1 t* Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: PermitlLicense# 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#: � a DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE09/05/2014 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 Marsh USA Inc. NAME: rass Corporate P PHONE FAX 1560 Saw grass; rp kwy,Suite 30p a A/c No Sunrise,FL 33323 - E-MAIL _ "• - ADDRESS: INSURERS AFFORDING COVERAGE NAIC# 048953-ADT-GAW-13-14 INsuRER A:Zurich American Insurance Company 16535 INSURED American Zurich Insurance Company 40142 ADT,LLC INSURER B ADT Security Services INSURER C 1501 Yamato Rd. INSURER D Boca Raton,FL 33431 INSURER E: ' INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-003287232-03 REVISION NUMBER:0 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 - TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DD POLICY EFF MM C EXP LIMITS LTR ) A GENERAL LIABILITY GLO 5095899 02 10101/2014 1010112015 EACH OCCURRENCE $ 2,000,000 X r DAMAGE TO RENTED 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE M OCCUR MED EXP(Any one person) $ 10,000 r " , PERSONAL&ADV INJURY $ 2,000,000. E GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 4,000,000 JECT X POLICY PRO_ LOC $ s B AUTOMOBILE LIABILITY BAP 5095900 02 10/0112014 1010112015 COMBINED SINGLE LIMIT 1,000,000 _.-. Ea accident X ANY AUTO BODILY INJURY(Per person) $ k ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS. PROPERTY DAMAGE $ NON-OWNED Per accident HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR " EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ 14DED RETENTION$ $ B WORKERS COMPENSATION WC 5095897 02(ADS) 1010112014 10/01/2015 X WC STATU- OTH- LIMITS AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXEcuTIVE YIN N WC 5095898 02(MA,WI) 10101120i4 10I0112015 2;000,000 OFFICEWMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ , (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 2,000,000 If yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ r ' F DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION . ADT LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:TOM LEE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN r 410 UNIVERSITY AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. WESTWOOD,MA 02090 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjeea1 *� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) +The ACORD name and logo are registered marks of ACORD CO.MMONWEALT'H.OF MA$SACHUSETTS i BOARD Of I 4 « EIrECTCI:ANS 1�L 155t.UE5 T F0LL0W,I.NG LICENSE AS HE A REGISTERED -SYSTEM CONTRACTOR { � ADT LLC _DBA ADT SECURITY THDMAS l 410`UNIVERSITY AVE W ' I WESTWOOU MA-02090. 2311,_, 17z c o7/3t/16 33986 � • Commonwealth of Massachusetts Department of Public Safety 1 tii•curits Ss arms-S-License - License: SS-001779 4'= - Thomas J Lee 410 University2lve? Westwood MiV 02090' _ 3 ' dExpiration: Commissioner 05/16/2016 46 /_J�.7/1.�+x� Z.'Zg`� _ Z h���; W✓1. bZ.lo3S {�/.�rG.2- - l o� � _ I �� = �R a GdCR LEV KI ANY THAT IEaSES_LIVING-SPACE. r _- BEY 1120 ' F7.IPER EL MAY REQUIRE THE INSTA OFF ADDITION.kL SMOKEIDETECTQRS� NOTE: A SE ;ARA7E REKNIT-IS REQUIRED-FOR�T'E" _. -! _ - INSTALLATIO OF SMOKE-D.ETECT03SL THE ELECTRICAL 1 -1 TT-T OARBON AS "-1 �� _ PERMIT 60E :NUSATISF THIS REQUIREMENT l - MONOXIDE ALARMS -TTa.. y.(m_.e = MUST�BE INSTAL4ED PER SAG BUII7DING CODE : SMOKEDETECTO' � R-EVIEWED� f ►i r r BARNS BLE BUILOINGkDEP�T DACE FIR DE�ARTMEN�----,- -� DATES- ---- _.A ED FOR PERMITTI --- W TI ti I I II . r o F i t t t t i t � s t I i 1 7f� t Cite, s � I � t t Si■`i k f II I i 1 1 .i3 ;1 .illy.�I,� 1-pi.y. l t ; f t r a 1 t 1 1 F�'�?a�'i rlg 141' -i�J c�� l'!`y1 J a�a�3i t e`4ii?f Vaf ; 1 HErl� �a Iew �r�3 K er r� 1 t _ }i 1•+t w .4''31rt_la.. taFf�1}a�'J i `y rf_r:41)F'�-EC—I0 tb2 - { - s. •, , ,k.,rt ..�. �'E.,MI tut1A 3Eiit#! E IHE s I i t V t 1 i TOWN OF BARNST ABLE BUILDING PERMIT APPLICATION 4 Ma U 1 Parcel 'Applicatio P Health Division Date Issued 5 0 Conservation Division Applicatio' Fee Planning Dept. Permit Fee S n7) Date Definitive Plan Approved by Planning Board Historic - OKH' _Preservation / Hyannis Project Street Address Z (o 1 M AI t A S57 Village 0'TU 1 Owner C_OntL. M[�)l tj Address 2 3 G T l rDYL✓1P. UrdUtZs I rtrk, Telephone Qfo 5��5r' 5'-6 I IM6U%n#0 P4_ I M7 Permit Request ft7zWt_ R-e7,e615" o�Eoi icetid! 7_92 . __,J/K Wei 6d6 d _621n° 1 y s�• r�i e✓I�ci� ��rr� a 5� ,s.� 7 - yr,� rrale sh ta� erg f' Square feet: 1 st floor: existing blproposed 700 2nd floor: existing 7/5^- proposed _31�r-Total new _U A Zoning District 1D F Flood Plain Groundwater Overlay Project Valuation Z!P, XV Construction Type (Afm i> i Lot Size • 5 Grandfathered: ❑Yes ❑'No If yes, attach supporting documentation. Dwelling Type: Single Family I Two Family ❑ Multi-Family(# units) Age of Existing Structure �1 S� Historic House: ❑Yes ❑ No On Old K ri s Highway: ❑Y;es UQ No Basement Type: 14 Full ❑ Crawl ❑Walkout ❑Other Basement Finished Areas ft. �' Basement Unfinished Area s Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing new Total Room Count (not including baths): existing new First Floor loom Go t t� Heat Type and Fuel: j4 Gas ❑ Oil ❑ Electric ❑ Other Central Air: Q Yes ❑ No Fireplaces: Existing — New Existing wood/coal stove: ❑Yes 4 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 4k No If yes, site plan review# Current Use S1i le Proposed Use C64(,-P 0 APPLICANT INFORMATION (BUILDER OR-HOMEOWNER) Name 1�I� V�b /\1 o S Telephone Number - - >° Us-q0q T - Address' l 3 `L L(�. License # ('. S - 0/ 26 S�� G cmyr V - ez os- Home Improvement Contractor# f 0 o� Worker's Compensation # ALL CONSTRUCTION DEB ESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATUR DATE G �� FOR OFFICIAL USE ONLY APPLICATION# -DATE ISSUED ;;kY •'~ "h ,,,.MAP/PARCEL NO:,,.L ,.,,.:.- ADDRESS, :F_ VILLAGE OWNER `r GATE OF INSPECTION: /FOUNDATION" o K c:�)2.4/1 S e FRAME ` c— 1 S i t r.-.INSULATION.x A*rtC'�`1 F FIREPLACE ELECTRICAL: ROUGH FINAL G PLUMBING: ROUGH FINAL � GAS; . •,ROUGH W kJ FINAL ;.�=tFINAL•BUILD.ING,��� •�������:AP• �x�. i .DATE CLOSED OUT-, "IA_t w, ASSOCIATION PLAN NO. r' ay^ : Town of Barnstable • �� Growth Management Department 0.59. Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommis�sion f Jo Anne Miller Buntich, Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker Len Gobeil _ f p LF Ted Wurzburg `'t�i � r'�'v Paul Arnold,Alternate ERK DECISION Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Properties, Section 112-3 F Applicant/Property Owner: KSA Design on behalf of owners, Calrl & Elizabeth Martin Subject Property: 1267 Main Street, Cotuit Assessor's Map/Parcel: 0181076 Hearing Date: November 18, 2014 _ Pursuant to the Barnstable (Historical Commission Chair's determination on October 24, 2014, a duly advertised and noticed public hearing was held on November 18, 2014 to determine whether the significant building on this property is preferably preserved and whether demolition delay would be imposed for the building proposed to be partially demolished on the parcel addressed as 1267 Main Street, Cotuit.- After review and consideration of public testimony, application and record file, the Commission by a unanimous vote, found that in accordance with Chapter 112-F the portions of the structure to be demolished are not preferably preserved significant portions of the building. The portions of the dwelling to be demolished are identified on plans dated 9/29/2014 by KSA Design and are attached to this decision. In accordance with Chapter 112-3 F, the Commission determined by a unanimous vote that the demolition of these portions of the structure would not be detrimental to the historical, cultural or architectural heritage or resources of the Town. Laurie Young, Chair Date I i 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)�508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862.4782 1/0 CERTIFICATE ®F LIABILITY INSURANCE 0 9/2015MIDD/1/015 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 ME: Applied Risk Insurance Services, Inc. PHONE 10825 Old Mill Rd (NC,No,Ext): (877)234-4420 FAX (877)234-4421 Omaha, NE 68154 E-MAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMER ID:x INSURER(S)AFFORDING COVERAGE NAIC p INSURED INSURER A: Continental Indemnity Co. 28258 INSURER B: Lagadinos Building & Design, Inc. 13 Thankful Ln INSURER c: COtuit, MA 02635-2616 INSURERD: INSURER E: CTL 1273 970254 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OFANY 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 ADD SUB POLICY EFF POLICYEXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DDNYYY LIMIT GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY �❑ PREMISDAMAGETO RENTED $ CLAIMS MADE OCCUR w MED EXP(anyone erson $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- P T - O P $ POLICY JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO ❑❑ Ea accident $ ALLOWNEDAUTOS BODILY INJURY Per erson $ SCHEDULEDAUTOSaccid—ti $ HIRED AUTOS PROPERTY DAMAGE Per accident $ i NON-OWNEDAUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE ❑❑ AGGREGATE $ DEDUCTIBLE - $ RETENTION $ $ WORKERS COMPENSATION �r WCSTATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YN N I A r 4 6-8 8 0 9 0 6-0 1-0 2 01/02/2015 01/02/2016 E.L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED 200 Main St. BEFORETHE EXPIRATION DATETHEREOF,NOTICE WILLBE DELIVERED Hyannis, MA 02601 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 783118 ACORD 25(2009/09) ©1988-2009 A ORD CORPORATION. All rights reserved I ' .• Massachusetts -Department of Public Safety , e Board of 30din F2eguiatians and Standards icense: �H`LYPAS[ 1L[s�`.L 41_fi.V)i OS S, I .. .. .. .. C OTI 1h JVW :.. Expiration �'r3an nisi ;a r till 61201115 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration C - - Registration: 104804 Type: Private Corporation ti V r Expiration: 7/15/2016 Trl# 255509 LAGADINOS BUILDING & DESIGN,11R8. _ ' =-- ' Nicholas Lagadinos "', '"� ' J ' Y ' t __ 13 Thankful Lane :r - Cotuit, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card SCA 1 0 20M-05/11 License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR egistration: 1`04804 Type: Office of Consumer Affairs and Business Regulation I 10 Park Plaza-Suite 5170 ,Expiration::=7/T5%:2Q16_; Private Corporation Boston,MA 02116 LAGADINOS BUILDING&DESIGN ti I,NC ¢�;_;_; Nicholas Lagadinos 13 Thankful Lane Cotuit, MA 02635 -" Undersecretary Not vali wi o t ignature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): L,&A Address: : City/State/Zip: (' in�1 044 bZG 3 S- Phone —!*17 Are you an employer?Check the appropriate box: ' . n ' - Type of project(required): 1.U I am a employer with F 4 ❑ I am a general contractor and I. employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction :1❑ I am a sole proprietor or partner- listed on the attached sheet. 7. X Remodeling ship and have no employees 'These sub-contractors have. g, ❑Demolition working for mein any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions q ] 3.❑ I am a homeowner doing all'work officers have exercised their I L❑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. $Contractors tharcheck 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. u ra hI(ne, Uyc Insurance Company Name: �l�G� n tSKr Policy#or Self-ins.Lic.#: Expiration Date: l Job Site Address: IZ67 M67H -5 City/State/Zip: 4/17/]7 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 Investigati of the DIA for insura coverage verification. I do h certify under h pain d penalties o perjury that the information provided above is true and correct. Si natur : _ Date: Phone#: - lg 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#: °FTME r°wy Town of Barnstable Regulatory Services + EL4JWST.1WM y Mass. $. Thomas F.Geiler,Director Fo►9. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder . I, L' ,as Owner of the subject property prty hereby authorize / to act on my behalf, in all matters relative to work authorized by this building permit application for: 1z&7 !/Yll9�iA4 s� nT[�r (Address of Job) S' ture of Owner Date , C � ��it/ Print Name Q:FORMS:OwNERPERMISSION Martin Addition and Garage 1267 Main St. Cotuit, MA 02635 AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 Q Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. .................................................110 mph XX WindExposure Category.................................................................. .............................................................B XX 1.2 APPLICABILITY Number of Stories .........................................................:....(Fig 2)............................ stories <_2 stories XX RoofPitch ..........................................................................(Fig 2) ...........................................9 :512:12 XX Mean Roof Height ..............................................................(Fig 2)................................................22 ft s 33' XX BuildingWidth,W...............................................................(Fig 3)................................................46'9 ft <_80' XX BuildingLength, L ..............................................................(Fig 3)..................................................36'6 ft <_80' XX Building Aspect Ratio(LAN) ...............................................(Fig 4).......,......................................... 1.27 <3:1 XX Nominal Height of Tallest Openingz ...................................(Fig 4)................................................6.81. <6'8" XX 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ XX 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete................................................................... ......... XX .................................................. ConcreteMasonry.................................................................... ................................................................. XX 2.2 ANCHORAGE TO FOUNDAT'ION1,3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ...........................................(Table 4)............................................... 38 in. XX Bolt Spacing from end/joint of plate ............................(Fig 5).....................................8 in. <_6"-12" XX Bolt Embedment-concrete.........................................(Fig 5)............................................!.4. in.>T, XX Bolt Embedment-masonry.........................................(Fig 5)............................................ in.z 15" XX PlateWasher...............................................................(Fig 5)...............................................>_3"x 3"x W XX 3.1 FLOORS Floor framing member spans checked .t6.° (per 780 CMR Chapter 55)..................................... XX Maximum Floor Opening Dimension...................................(Fig 6)...........................9_ft<_12'or L/2 or W/2 XX Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)NONE XX Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)....................................................0 ft <-d XX Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)...................................................0 ft s d XX Floor Bracing at Endwalls...................................................(Fig 9)48':R0.............................................. .......... xx Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)3/4 tAN... XX Floor Sheathing Thickness.................................................(per 780 CMR Chapter 55)....................... 3/4" in. XX Floor Sheathing Fastening..................................................(Table 2)..8 d nails at 6" in edge/t2 in field XX 4.1 WALLS Wall Height Loadbearing walls..............................:.........................(Fig 10 and Table 5)...........................97- ft < 10„ XX Non-Loadbearing walls................................................(Fig 10 and Table 5)..........................9'7" ft <_20' XX Wall Stud Spacing ...................................:....................(Fig 10 and Table 5)...................16 in.<-24"o.c. X Wall Story Offsets ........................................................(Figs 7&8)............................................—ft <_d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(Table 5)..............................2x 6 -9 ft „/] in. XX Non-Loadbearing walls................................................(Table 5)..............................2x4 -9 ft a in. x Gable End Wall Bracing 1 Full Height Endwall Studs............................................(Fig 1 0)Yes WSP Attic Floor Length................................................(Fig 11)............................................._ft_0/3 XX Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................._ft>_0.9W 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)............................................................ Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).....................................6 ft X Splice Connection(no.of 16d common nails)..............(Table 6)..........................................................10 X AWC Guide to Wood Construction in High Wind Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)..............(Table 7)........................................................2 XX Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)...............(Table 8)........................................................2 Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)..................................6 ft 6 in.<_11' Sill Plate Spans ....................:...................................(Table 9)...................................4_ft 6 in.<_11' X Full Height Studs no.of studs Table 9 ........................................................3 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9)..................................6 ft 3 in. <12' Sill Plate Spans.................................:.........................(Table 9)..................................4 ft 6 in.<12" Full Height Studs(no..of studs)....................................(Table 9)........................................................3 X Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ..........6.8<_6'8" ..................................................................... SheathingType..............................................(note 4)......................................................1/2"CDX Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................4 in. Field Nail Spacing..........................................(Table 10)................................................. 12 in. XX Shear Connection(no.of 16d common nails)(Table 10)........................................................ Sin. XX Percent Full-Height Sheathing.......................(Table 10)...................................................31_% XX 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension, L Nominal Height of Tallest Opening2.........................................................................6,8„<6,8,E X SheathingType..............................................(note 4)......................................................1/2"CDX Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................4 in. Field Nail Spacing..........................................(Table 11)................................................. 12 in. X Shear Connection(no.of 16d common nails)(Table 11)........................................................3ift. Percent Full-Height Sheathing.......................(Table 11) ° XX 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?.............................................................. ................................................................ 6.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ................................................... (Figure 19)...............1 ft<_smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U=203 plf Lateral...........................r.................(Table 12).............................................L=176 plf XX Shear...............................................(Table 12)............................................S=77 plf XX Ridge Strap Connections, if collar ties not used per page 21..... (Table 13)..............................T=130 plf XX Gable Rake Outlooker.........................................(Figure 20)..........I—_ft<_smaller of 2'or L/2 X Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U=417 lb. Lateral(no.of 16d common nails)...(Table 14).......................................L=176 lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59)pox Roof Sheathing Thickness........................................... ..............................................1/2 in.z 7/16"WSP Roof Sheathing Fastening...........................................(Table 2)..........................................................sD xx. Notes: 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. Corner 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 shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. I AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)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. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists„ and girders shall be a double row of 8d staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7s0 CMR 5301.2.1.1)' .-MEN THIS EDGE RESTS ON FfAMING(ME&I NAILS AT Sb.c. "�� --_ - 11 11 7! 11 1! 1 tl n 1! 1 u 1-I it 11 11 1 11 11 11 11 rr II 1.1 11 I 11 11 11 1 IY 1-I 7 11 IL I 11 rl - 1 li 11 IrT 1 IL 11 II '� 1 I r F ad I L M@ IL Q 11 Ir � I le 'rf tl IL 1 � II 11 Ir 0 li Ir 1 - II it 71 Ir (� 1 I! tl Ir d I,af I.r I I I I !r W 1 10 � I I I I J I t II It tr k 1 I+ Iu t I r l i I . II 1 11 ILI LI WUBLE EDGE ------ MA#IL SPACING i PANEL_ _ ' u' See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7s0 CMR 5301.2.1.1)1 Uj 1 Za 1 1 , 1 1 �, aQ + FRAMING MEMBERS i 1 EDGE&RERMEMIM Ir! _ x STAGGERED L.J.M NNL PATTERN PANEL PA113{EL EDGE DOUBLE NNL EDGE SPACING DETAL Detail Vertical and Horizontal Nailing for Panel Attachment vi. REScheck Software Version 4.5.0 Compliance Certificate Project Martin Addition Energy Code: 2012 IECC Location: Cotuit, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area 1% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 1267 Main St. Nick Lagadinos Nick Lagadinos Cotuit, MA 02635 Lagadinos Building and Design Inc. Lagadinos Building and Design Inc. 13 Thankful Lane 13 Thankful Lane 13 Thankful Lane Cotuit, MA 02635 Cotuit, MA 02635 508-428-4097 508-428-4097 lagcon@capecod.net lagcon@capecod.net Compliance: 0.6%Better Than Code Maximum UA: 673 Your UA: 669 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-.code home. Envelope Assemblies Gross Area Cavity Cont. Glazing Door UA Perimeter LI-Factor Ceiling 1: Flat Ceiling or Scissor Truss 700 38.0 0.0 0.030 21 Wall 1: Wood Frame, 16"o.c. 16,400 21.0 0.0 0.057. 584 Window 1:Wood Frame:Double Pane with Low-E 117 0.300 35 Door 1:.Glass 33 0.320 11 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 700 38.0 0.0 0.026 18 Compliance Statement. The proposed building design descri here is consis t with the building plans, specifications, and other calculations submitted with the permit application.The pos d building as n designe to meet the 2012 IECC requirements in REScheck Version 41.5.0 and to comply with the mand r uirements st In the RES ck Inspection Checklist. Nick Name-Title Signa ur Date Project Title: Martin Addition Report date: 04/03/15 Data filename: F:\ResCheck 2014\Martin Addition 4-15.rck Page 1 of 8 REScheck Software Version 4.5.0 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided. Section; Plans Verified Field Veriified `TW # Pre-Inspection/Plan Review Complies Comments/Assumptions'+ r pya; igjnValue.; m' w' ValUe r Sa"^hu..�. y s^t ;, i , x & Req.ID v �www '. �, .�� n� „� .� M I ��. v.. r a-. 103.1, Construction drawings and v _ _ - �P� ❑Complies 103.2 i documentation demonstrate ❑Does Not [PR1]1 lenergy code compliance for the building envelope. ❑Not Observable ❑Not Applicable 103.1, ,Construction drawings and ❑Complies ' 103.2, (documentation demonstrate ❑Does Not 403.7 !energy code compliance for (PR3]1 :,lighting and mechanical systems. ❑Not Observable ;Systems serving multiple ❑Not Applicable idwelling units must demonstrate ;compliance with the IECC _ `, e 'Commercial Provisions. _ 30;2 1Heating and cooling equipment is: Heating: Heating: ;❑Complies 403.61e, sized per ACCA Manual S based Btu/hr Btu/hr :❑Does Not [PR2 on loads calculated per ACCA Cooling: Cooling:. ;❑Not Observable, j Manual J or other methods 3 Btu/hr Btu/hr approved by the code official. ; ;❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2'Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Martin Addition Report date: 04/03/15 Data filename: F:\ResCheck 2014\Martin Addition 4-15.rck Page 2 of 8 ' -46� ey *x C Comments/Assum,p'tions 2012 IECC omplies .. ,^:�,;r� �%..,^t� ,h'S&�...: t :"5"; "' .. � '.s: 7.ua.'�"'�i._ .�.r:...dS?a'�".""NIrC e.,W �.G'i.S` i;.N ydki4;; is ?,#a:l:`5 �f 303 2.1 +A protective covering is installed to ;❑Complies [FO1 `'M i protect exposed exterior insulation ❑Does Not Viand extends a minimum of 6 in. below grade. ;❑Not Observable z I❑Not Applicable 403.8 jSnow-and ice-melting system controls;❑Complies [FO12]2 installed. ❑Does Not '{ ;❑Not Observable: A :❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Martin Addition Report date: 04/03/15 Data filename: F:\ResCheck 2014\Martin Addition 4-15.rck Page 3 of 8 'sections- - .r B „fit.; } .,-^�; +' �',. �:!t g , i Plans VeFifietl f'ieli!Verifietl -.' # Framing/Rou'gh In Inspection Complies? Comments/Assumptions: &1111 "'1D s. Value q Values Na: sr ro wx� 402.1.1, Glazing U-factor(area-weighted ', U_ ; U ;❑Complies See the Envelope Assemblies 402.3.1, i average). :❑Does Not ;table for values. 402.3.3, 402.3.6, I j❑Not Observable ; 402.5 ;❑Not Applicable [FR211 303.1.3 i U-factors of fenestration products , ❑Complies [FR4]1 :are determined in accordance "' ❑Does Not with the NFRC test procedure or !taken from the default table. o n m ❑Not Observable ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier _ � _ ❑Complies [FR23]1 'installed per manufacturer's ❑Does Not instructions. w _ - ❑Not Observable IE)Not Applicable 402.4.3 ;Fenestration that is not site built �. „ F 1 - ❑Complies [FR20]1 ;is listed and labeled as meeting r �. ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 ❑Not Observable or has infiltration rates per NFRC ; 400 that do not exceed code ❑Not Applicable y limits. [F92 4 4 IC-rated recessed li htin fixtures ❑Com lies 40 g 9 p R16]2 IC-rated at housing/interior finish ❑Does Not ` ]and labeled to indicate<_2.0 cfm leakage at 75 Pa. °° ❑Not Observable ; IE]Not Applicable 403.2.1 iSupply ducts in attics are R- ; R- ;❑Complies [FR12]1 "insulated to>_R-8.All other ducts ; R- R- 1❑Does Not in unconditioned spaces or outside the building envelope are ;❑Not Observable insulated to>_R-6. ;❑Not Applicable 403.2.2 sw ;All joints and seams of air ducts, ❑Complies , [FR13]1 3air handlers,and filter boxes are ❑Does Not ;sealed. ❑Not Observable IE]Not Applicable 403.2.3` ;Building cavities are not used as ❑Complies [F'R15]3 'ducts or plenums. aw m` ❑Does Not ❑Not Observable ❑Not Applicable 403 3 )�HVAC piping conveying fluids R-�_ ; R- ;❑Complies j [FR17]2`µ above 105°F or chilled fluids j❑Does Not ",below 55°F are insulated to>_R- 3 ;❑Not Observable N a QNot Applicable 403 3 1 , :Protection of insulation on HVAC ❑Complies [FR24]� piping. ❑Does Not v r ❑Not Observable ; ❑Not Applicable 40 4 2. J.'�Hot water pipes are insulated to R-� R- ;❑Complies [FR18]2 s>_11-3. ElDoes Not �n ;❑Not Observable E❑Not Applicable 403 5 Automatic or gravity dampers are ❑Complies [FR19]? 41 installed on all outdoor air • = w IDDoes Not intakes and exhausts. ❑Not Observable ; m, ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Martin Addition Report date: 04/03/15 Data filename: FAResCheck 2014\Martin Addition 4-15.rck Page 4 of 8 1 High Impact(Tier 1) '2�" Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Martin Addition Report date: 04/03/15 Data filename: F:\ResCheck 2014\Martin Addition 4-15.rck Page 5 of 8 Section, au x h !i xa` g Plans Verifietl Field Verifietl # ` Insulation Inspection r a, Complies? Comments/Assumptions .- .Valuer �/alUe� w ,•'"'`„ +; �t _ ." &>-Req.IDr "`.. ., .aS ..`� fi•.�i �c� ° .wr..n.a' 2.. ,.:d 'r."X:t.y :+ ...'* c�. �'� �' ..ys �'�� n .�� `"'` "�. 303.1� All installed insulation is labeled ❑Complies [iN13]2 or the installed R-values ❑Does Not ' provided. ❑Not Observable ❑Not Applicable 402.1.1, ;Floor insulation R-value. ; R- ; R- ;❑Complies ;See the Envelope Assemblies 402.2.E ❑ Wood ;❑ Wood ;❑Does Not table for values. [IN1]1 ;❑ Steel ❑ Steel �❑Not Observable I❑Not Applicable 303.2. _ Floor insulation installed per ❑Complies 402.2.7 i manufacturer's instructions,andm n 1 - _ ❑Does Not [IN2]1 iin substantial contact with the Of ;underside of the subfloor. m s ❑Not Observable ; ❑Not Applicable 402.1.1, Wall insulation R-value. If this is a;, R- ; R- ;❑Complies ;See the Envelope Assemblies 402.2.5, i mass wall with at least 1/1 of the ❑ Wood ;❑ Wood ;❑Does Not ;table for values. 402.2.E wall insulation on the wall ;❑ Mass ❑ Mass ;❑Not Observable [IN3]1 ;exterior,the exterior insulation j :requirement applies(FR10), ❑ Steel I❑ Steel I❑Not Applicable ; ; 303.2 Wall insulation is installed per ❑Complies [IN4]1 manufacturer's instructions. ❑Does Not 7 - ❑Not Observable IEJNot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) N2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Martin Addition Report date: 04/03/15 Data filename: FAResCheck 2014\Martin Addition 4-15.rck Page 6 of 8 `Section" F P Plans Verif�edF�eld-Ver fled Com lies Comments/Assurfi bons`.- #• Final Ins ection Previsions = ~ Ualue,- Val' &�Req.lD r..� _ ti �� ue . . . ., ..,. c P fi..- 402.1.1, ;Ceiling insulation R-value. ; R- R-_ ;❑Complies ;See the Envelope Assemblies 402.2.1, i ❑ Wood ❑ Wood :❑Does Not ,table for values. 402.2.2, Steel Steel 402.2.6 ❑ ❑ '❑Not Observable [FI1]1 3❑Not Applicable ' 303.1.1.1, 'Ceiling insulation installed per il ']]]Complies 303.2 manufacturer's instructions. ❑Does Not [F1211 Blown insulation marked every t 300 ftz. ❑Not Observable ❑Not Applicable 402 2.3" "'Vented attics with air permeable J❑Complies [FI~22]� insulation include baffle adjacent „ � ❑Does Not j to soffit and eave vents that extends over insulation. ❑Not Observable ? ❑Not Applicable 402.2.4 ;Attic access hatch and door R- R- ;❑Complies [FI3]1 insulation >_R-value of the ; ❑Does Not :adjacent assembly. 00 ;❑Not Observable ❑Not Applicable 402.4.1.2 i Blower door test @ 50 Pa. <=5 ; ACH 50 = ; ACH 50= ;❑Complies j [FI17]1 each in Climate Zones 1-2, and :❑Does Not <=3 ach in Climate Zones 3-8. ; ❑Not Observable ❑Not Applicable 402 4 2 Wood-burning fireplaces have ❑Complies IF 8) Might fitting flue dampers and .,AV - ' ❑Does Not j 40 outdoor air for combustion. ❑Not Observable I s" 1E)Not Applicable 403.2.2 Duct tightness test result of<=4 cfm/100 ; cfm/100 ;❑Complies ;. [FI4]1 .cfm/100 ft2 across the system or ftz ftz :❑Does Not I<=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ❑Not Observable ;tests,verification may need to ; ; ❑Not Applicable occur during Framing Inspection. 403.2.2.1 ;Air handler leakage designated '1 ❑Complies [FI24]1 by manufacturer at<=2%of ❑Does Not design air flow. � - * _ []Not Observable ❑Not Applicable 4031 1�",,`;Programmable thermostats ❑Complies [Fl9)2 installed on forced air furnaces. ❑Does Not ❑Not Observable .4 ❑Not Applicable 403 1 2 Heat pump thermostat installed 10complies j [FIp101 ; on heat pumps. ❑Does Not } []Not Observable j 10Not Applicable 403 4.1; „ Circulating service hot water ;:, ❑Complies [FI11)2 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable ❑Not Applicable 403'5 1' " All mechanical ventilation system ❑Complies [FI25)z fans not part of tested and listed ❑ - Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable ; r ; ~ fw, ❑Not Applicable 1 High Impact(Tier 1) 2 'Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Martin Addition Report date: 04/03/15 . Data filename: F:\ResCheck 2014\Martin Addition 4-15.rck Page 7 of 8 Section *plans Verified F�eltl Verified # Final InspectionyPro�isions Velue alue Coinplies� Comments/Assumptwns,' &Req:ID' �.A 403.9.1 ;Readily accessible switch on ❑Complies ' [F[12]3 ';heaters for swimming pools or ❑Does Not permanent in-ground spas. ❑Not Observable IE]Not Applicable 403.9.2 ;Timer switches on heaters and "Ot ;_ ❑Complies [FI19]3 ,pumps serving pools and P ❑Does Not permanent J spas. ❑Not Observable i ❑Not Applicable 403.9.3 Heated pools and permanent ,; ,f, ❑Complies [F120]3 'spas have a vapor retardant ❑Does Not ;cover. ❑Not Observable ❑Not Applicable 404.1 ;75%of lamps in permanent � s ❑Complies [F1611 ifixtures or 75%of permanent ❑Does Not ifixtures have high efficacy lamps. ;Does not apply to low-voltage ❑Not Observable lighting. ❑Not Applicable 404.1A "Fuel gas lighting systems have ❑Complies [FI23.]3 "no continuous pilot light. ❑Does Not j - ❑Not Observable ❑Not Applicable 40'1.3 Compliance certificate posted. n ❑Complies [F17]2 ) ❑Does Not fir: a - -]Not Observable , ❑Not Applicable 303.3` ;Manufacturer manuals for m ❑Complies [F118]3 mechanical and water heating ❑Does Not systems have been provided. Alk ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) JJ2.fl Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Martin Addition Report date: 04/03/15 Data filename: F:\ResCheck 2014\Martin Addition 4-15.rck Page 8 of 8 2012 IECC Energy Efficiency Certificate Insulation Rating R-Value Wall 21.00 Floor 38.00 Ceiling /Roof 38.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.30 Door 0.32 CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel ? 0 p Application Health Division Date Issued F 1 f 1 J^ Conservation Division �' Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address I Z& 7 OAPq M ST Village r Owner Ck1_ WI�Y2 n Ai Address Z 3 C�fLP 0►21�° (.UDU ids" /Yli� Telephone 1 1 f Permit Request TY M� (OX(S�h J y Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new' Zoning District Flood Plain Groundwater Overlay Project Valuation _74 Construction Type '6 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 Kin`g-"sH.ighw,ayaO9Yes�❑,No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other ,._.- W' J Basement Finished Area(sq.ft.) Basement Unfinished Area -- Number df Baths: Full: existing new Half: existing 1r .-n.....new � Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count �' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use eF�i-�) Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��lCf'4 G_np i)IoOS Telephone Number Address I Dy'Id W Z/C/ License # cz5 -01 zz!;�:? Cm E_ 44)9- az(� ?3- Home Improvement Contractor# /0 Email L-R6C09 0, (f1Mew-c). m 1 Worker's Compensation # y(, --Ml)goe, —of—d 2- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO vo VSIGNATURE DATE �!/(� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. Y 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. of Town of Barnstable w Regulatory Services MAM Thomas F.Geiler,Diredor ATED Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 , Office: 508-862-4038 Fax: 508-790-6230 roe p rty ..O caner Must • . Complete and Sign This Section , ' If Using A Builder I. NSA/ as Owner of the sub*e ct r _. P PAY r hereby authorize 1l/ClL / &#�ji�/UCi to act on my behalf, in all matters relative to work authorized by this building permit application for: 1.2G7 hll9iiU' s� �aTl�r 1 (Address of Job) . U S' tune of Owner Date Print Name QT0RW:0WNERPERMISSI0N , 6 r , Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 r Home Improvement Contractor Registration r Registration: 104804 Type: Private Corporation Expiration: 7/15/2016 Tr# 255509: LAGADINOS BUILDING & DESIGN, INC Nicholas Lagadinos ; 13 Thankful Lane Cotuit, MA 02635 n card.Mark reason for change. Update Address and retur ` Q Address Renewal F-] Employment Lost Card SCA 1 ro-20M-05/11 - - - Usze�var��nao�zcueall�oy�'c��//lczaeczc/uaeCLr" ' s License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: OME IMPROVEMENT.CONTRACTOR Office of Consumer Affairs and Business Regulation- 0 104804 Type: 9,.'Xegistration: 10 Park Plaza-Suite 5170 piration 7/15/2016.- Private Corporation Boston,MA 02116 LAGADINOS BUILDING:=&DESIGN:INC Nicholas Lagadinos 13 Thankful Lane Cotuit, MA 02635 Undersecretary Not vali wi o ignature t lWassamusetts - epat't re.� �nt of nub(Ie Saf.a�i rya^ BC3wd Of SWUng Regwahons 2nd Standards �.1 EMUS QW5 1 fd 5 �..� J,i P_`I�:.1`�ii�.�'�l�'v i�.�1�.1."'IJL•' _ ai atio:-- i ATE AC 0 � CERTIFICATE ®F LIABILITY INSURANCE' 1/09/DDI20151 09 15 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 NAME: Applied Risk Insurance Services, Inc. 10825 Old Mill Rd NCNNo,Ext: (877)234-4420.. •FAX No): (877)234-4421 Omaha, NE 68154 E-MAIL ADDRESS: PRODUCER - (877)234-4420 CUSTOMER ID# INSURER(S)AFFORDING COVERAGE NAIC ag INSURED INSURERA• continental Indemnity Co. 28258 INSURER B: Lagadinos Building & Design, Inc. 13 Thankful In INSURER c: Cotuit, MA 02635-2616 INSURERD: INSURER E: CTL 1273 970254 _.'.. 'INSURER F: * -. COVERAGES CERTIFICATE NUMBER: , REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD " INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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 ADD SUB POLICY EFF POUCYEXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER __ MMIDDNYYV MIDD/YYY LIMITS ,. GENERAL LIABILITY - - - EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ❑� DAMAGETORENTED �tPRFMIS CLAIMS MADE❑OCCUR F MED EXP iany'one person) $ PERSONAL&ADV INJURY $ - - I GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS_ $ - RO• $ • POLICY JPECT LOC AUTOMOBILE LIABILITY - " COMBINED SINGLE LIMIT ANYAUTO ❑❑ Ea accident) $ ALL OWNED AUTOS j BODILY INJURY Per arson $ SCHEDULED AUTOS BODILY INJURY(Per aocideno $ PROPE HIRED AUTOS _ _ (Per acclRTY DAMAGE .' $ NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE H $ ' EXCESS LIAB CLAIMS MADE AGGREGATE $ DEDUCTIBLE .. .+. - $ .. , RETENTION $ _ _ .•$ WORKERS COMPENSATION - _ X WC STATU- AND EMPLOYERS!LIABILITY - - A ANY PROPRIETOR/PARTNERIEXECUTIVE VN N/A 4 6-8 8 0 9 0 6-0 1-0 2 01/02/2015 01/02/2016 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 0101 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Barnstable SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED Town of B Tow BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 200 Main ar St 02601 IN ACCORDANCE WITH THE POLICY PROVISIONS. HyaAUTHORIZED REPRESENTATIVE 1783118 h ACORD 25(2009/09) ©1988-2009 A ORD CORPORATION. All rights reserved R&S La�Fleu ,, LLC dba LaFL8Uk EL CTRSC ELECTRICAL CONTRACTOR - MASTER LICENSE#16814A 45 PLANT ROAD • UNITS 101 &102 ° HYANNIS,MASSACHUSETTS 02601 (508)775-681.4 FAX(506)771=7338 -scoff@rslafleurelectric com April 8, 2015 TO WHOM IT MAY CONCERN:. We are writing to.inforM yIou that there:is no live electrical ��iril g.to The $inall Garage/Shed located at. Martin Properly 1267 Main Street tot uit;MA: Any questions please call:o it offce. for moire details. Sincerely Scott R. LaI leur M.D. R& S La Fleur, LLC DUARTE PLUMBING INC 37 Collins Ave Centerville, Ma 02632 508-250-2763 Fax;508-775-9135 Lic.#11012 April 8, 2015 Barnstable Building Dept Lagadinos Building & Design Inc. Re: 1267 Main St. Cotuit, MA Duarte Plumbing Inc. has checked the above property and there is no water service and no gas service to garage. Sincerely, Ken Duarte Duarte Plumbing Inc. RARNISTABLE TO BAM STABLE Town of Barnstable Growth Management Department Barnstable Historical Commission www.town.bamslable.ma.usboWdo Imnmisslm NOTICE"OF INTENT TO-;DEMOLISH A SIGNIFICANT BUILDIM Date of Application 101r, [�Full Demotion � r Partial Demolition Building Address: r Z Number street" C1 , v, ,� Assessors Map# j Assessor's Parcel#92_�p , Vdlege ` `ZIP Property Owner. Kt.�.A- 1;-��� \ ��. 2. _ 10 Name Phone# Property Owner.Mailing Address(if dMbrent.than�buiiding address) 3 �Uf 9� c a� wQy'�� Property Owner e-mail address: Contractor/Agent: S A '\ Contractor/Agent Mailing Address: O x l f�} °1 lid y.ra.S W .. _ C�2: o '( : T: . y. f Contractor/Agent Contact(dame and Phone It 1h v �� 4 .�� � 7� O Name \I Phone# Contractor/Agent Contacte-mail address: C Ok la e C.0 c�(c K p S�_� •�. Detail of Demolition Proposed: tN 4 tj •r c e , I o� "N -0 b R tK a w S�9 �iS7j) Q, cfi t 1z Type of New Construction Proposed:,. .c�"t W Flo r A I f Provide information below to assist the Commission in making the required determination regarding the status of the Building in accordance,with,Article 1,§112 Year;buttt `:V2-4 Additions Year Built r-- Is the Building listed on the National`'Register of Historic Places or is the building located in a National Register District? -No Yes Property OTUAgent Signature May.2014 i c FORM B-BUILDING Assessors Number USES Quad Areas Form Number 18-76 u!it CLM 6�& A6 13H Massachusetts Historical Commission e �S Massachusetts Archives Building ' 220 Morrissey Boulevard Boston,Massachusetts 02125 _. awl. Town BARNSTABLE` Place(neighborhood or village). Cotuit/Highground Address 1267 Main Street � HlstoncName: Byron Tevyaw .House y Uses: Present Residence Original Same_ . r � Ott Date of Construction 1904 Source Barnstable deed 361f261 u -.".' - mot•`",, w,a a„Y" 4,' ,� -y7cc c ri 'y, v _ numbers, if any. Circle and number the inventoried Style/Form vernacular 'Gambrel building. Indicate north Architect/Builder Howard Dottridge? CTC 106 a n SL. r Sheu La. II Exterior Material: CTC 107 ® O. CTC 108 shgULpne Foundation Brick CTC 109 CTB 59 O CTC 110 CTC 111 - - CTC 112 `f. CTC 113. WaRITrim Shingle . WF 43 A,07M Sr. CTC 114. CTC 5 :�`. rMce Rt ROOD" Composition CTC 119 C`116 cTc11s CTC.11s Outblildings/Secondary Structures: Garage NW. CTC:120 CTC 121 1�6 CTC.12 CT y 9123 SL O 31 CT a Major Aheratlons(with dates) .32. CTC 125 V. Pine' t 35., #13090:. 11 #13110 cean lrew Lw each #13191 CTC 1 CTc 127 1a Moved no ® yeses . #1355 1A 15 Recorded by James W Gould Acreage .5 Organization Cotuit. Historical Society .:Setting: .Residential area on lower Main Date(month lyear) 17 August 2002 St., Cot uit Highground. I I BUILDING FORM ARCHITECTURAL DESCRIPTION see continuation sheet Describe architectural features. Evaluate the characteristics of this building in terms of other buildings within the community. The Tevyaw House is a two story vernacular 'gambrel style house similar to that built by Elwood Fish in 1904 at 141 .School St: (SS-15) . Reference. in a deed to::a mortgage tolbuilder Howard Dottridge suggests he may have built it. This differs from Fish's house in having three dormers, and a large,-:gabled entry stoop on the •street side. The porch has spindlework columns, corner posts and baluster. The house is on a T plan, with a two story garabrellroof extension at the rear. The exterior is .clad, .in cedar .shingle with white trim. One outbuilding is a one car gabled garage. HISTORICAL NARRATIVE see continuation sheet' Discuss the history of the building. Explain.its associations with local(o state)history. Include.uses of the building,:and the role(s),the owners/occupants played within the community. The house was built in .1904 by Byron H. Tevyaw (pron. "Teev-yah") (1878-1943) and his wife Ella 'F. Burlingame (1881-1929) on land sold by the local developer Charles L. Gifford.: Tevyaw took care of the-animals . .for the Hinkle .estate in Osterville. They: had three children: A daughter Lillian T. (1905-75) who married. Arthur S�chult (1904-75.)., son Edward Byron (1907-1970) who made deliveries for Swift's in Osterville; and .daughter Frances S. (1911-83) . In 1916 Tevyaw moved to Osterville and sold the house to his wife's brother, local plumber.and steam-fitter James Harold (always known as `Harold) (1886-1950) Burlingame and his wilfe. Ouida (pron. "Wee dah") (1893-4958) Nelson Brown, daughter of .Hyannis blacksmith John Edward Nelson Brown of #40 North St. The Burlingames had three boys, James Harold Jr. "Bud"' (1916-80) who drove the ice cream wagon, Frankie (b.. c. 1918) who. moved to` Chicago, :and Theron (b. 1.920). who :worked for the telephone company, During the Depression the place was twice foreclosed and. auctioned by the Sandwich Cooperative Bank, the first time recovered by .Ouida for . $3000, but finally sold in 1940 to Leonore C. Murphy of New York City. The Burlingames. moved to her parents' house on North St.,, Hyannis.. Murphy sold this house `in 1950 to develaperlHarold W. (1890-1969), and Florence "Flossie" V. Wyldes DeVeer (1888-1977) , who lived on mid Main St. In 1954 they sold it to the current owners, Oliver M. and Ellen ' A. Martin of Haverford PA., who rented it to the realtor Phyllis Dudley for winter occupancy for five years. Martin (b. 1915)- was accountant and chief financial officer of two small businesses outside ,Philadelphia, printers William S.., Marcus,. and National Phone Co. of Lyonville. The Martins were neighbors of the Lloyds in Haverford,, and earlier came to Cotuit, renting the Lloyds` Street Cottage Martin bought, the first O'Day. Sailor in Cotuit from Leonard Peck, #252 Serendipidy in 1959.. They also sailed Cotuit skiff` . Spook #30? The Martins' son Oliver Jr.?, an attorney in Philadelphia, his wife xx and four sons Jeffrey (b. .1965) , Christopher (b. 1968,)., Brandon, and Nicholas now summer here. BIBLIOGRAPHY and/or REFERENCES see continuation sheet Barnstable deeds 269/542 271/9:8,- 2.77✓196, 361/261, 42.1/456, 465/45.8, -, 478128, 481/557, 494/7.8, 507/314, 369, 571/199, 765/99, 872/7. Barnstable plan 63/65.,. Mosswood Cemetery records, Interviews with owner Olive.r .Martin Jr. 3 ,Aug. 2002.;• neighbor Velma Courtines 3 July 2002; lifelong resident Francis Rennie 4 July 2002.• 1907 Walker. Atlas' "B.Tivyaw". ❑ Recommended for listing in the National Register of Historic Places. If checked,you must attach a completed National Register Criteria Statement form. I I I Town of Barnstable Geographic Information System- = October 24,2014 018065 1018066' 033011 033026 0#I23 018057 #24 `#1207 033012 #164 #165. #28 _ _ 018083 D #1208 ., fR/E RIDGE/4D Q; 7131 Q7 033013 #17' ® # �m #,'Z 221 #172 L, 018103 2 #25 018059! 033016 #30 [018060 #185 018104 #1233 033009002 936 #1232 033009001 i'188 018102 - /V C #42 018078 8a5 � #1243 0 033007 01808D ,,� 240 #14 #10 033008 #39 018079 4w #200 - 018105 8#29 . #140 018101 #Sti -- — — 018077 S&A S7* 033025 — ----- --- T�— 01, * #206 018100 f 68 018081. t ® 033036 #63 018076 y #218 #1 .,267 033040 ct #11 4 018127 0 33041 #132 018099 t 226 #80 018082 t4 018075 #81 #1281 033038 Q #12.716 U. 033037. 033042 1272 14 -- -- ® �. , 33043 -#235 018092 W 018089 #237 083 033018 # b #111' 0#911 018074 O #241 1293. 033003002 ° 033019002 e #243 Z 018088 #1286 033003001 - 018094 t,1 to 11. 018085001 #246 ; #20 #.14# 033019001 w 018073 #245 018087 # #14c,- 018085002 0#351 El 018086 0#113112 g3 pi 033002 033020 018090 90 �. : #262 #266 O 74 018071002 018071601 `" #� 01319 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:018 Parcel:076 Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner.MARTIN,OLIVER M ESTATE OF Total Assessed Value:$556400 V--100'may not meet established map accuracy standards. The parcel lines on this map IN E are only graphic representations of Assessor's tax parcels: They are not true property Co-Owner.%MARTIN,ELIZABETH A 8 Acreage:0.50:acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:1267 MAIN STREET(COTUIT)_ such as building locations. Buffer ?'�, ,'•'Iu 14 OCT 17 Atl8:43 ^ARNSTABLE TOWRi,'t CL=_'K r r' t '. t If i •fi $ Man•13 9o-Z Propo"`oia a plan for, rawxrN rhrx F. 6AR.-rfAP—TIN KSA desloaaa, j ?- r..w�..ro..y..roiri�♦ 12lo7h'(ainh{•rmaF e,p-mt,HA i , . . .. �< �. III �� ? * � : � 2° � • / . . \ . . . . � - ♦ ,� �«� - ,tam—, _,mow r ' II OWL a va { s+. y No�TN ���v�TioN Town of Barnstable .' BDA S TABLE BAMSTABLE, Growth Management Department MARS. s6 79• Barnstable Historical Commission. www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk 2014 OCT 224 AM1�1:j;; George Jessop,AIA " Nancy Shoemaker Len Gobeil Ted Wurzburg Paul Arnold,Alternate BARN TABLE TOWN CLERK October 22,2014 Re: Intent to Demolish Portion of Single Family Home rj 1267 Main Street;Cotuit, MA Map 018, Parcel 076 Joe Nomojko `- , KSA Design '� f '" P 0 Box 1149 "�` ► " '" Hyannis, MA 02601 Ann Quirk,Town Clerk 367 Main Street, Hyannis, MA 02601 1 C, Thomas Perry, Building Commissioner r 200 Main Street, Hyannis MA 02601 Pursuant to the attached decision, please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on November 18,2014 at 4:00pm,367 Main Street, Hyannis,2nd Floor, Selectmen's , Conference Room. This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property The applicant is responsible for advertising and mailing costs associated with the pubic hearing. Please contact Marylou Fair at 508.362.4787 or Marylou.fair@town.barnstable.ma.us for processing information. Sincerely, (4� • - + k Laurie K.Young it 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862.4782 pFIKE Town of Barnstable , BARN TABT MUMSTABLE, ` Growth Management 'Department E • y MASS. �e i679 Barnstable Historical Commission rEDMA�A www.town.barnstable.ma.us/historicalcommis'sion Jo Anne Miller Buntich, Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk ?�� 4 (�t;T24,AM George Jessop,AIA Nancy Shoemaker Len Gobeil Ted Wurzburg $ARNSTABLE TOWN CLE IK Paul Arnold,Alternate Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 99 High,Street, Cotuit Map 035/Parcel 035 Pursuant to Intent to Demolish Portion of Single Family Dwelling The Barnstable Historical Commission received a Notice of Intent to Demolish application for this address " stamped by the Town Clerk on September 19, 2014. This structure, located at 99 High Street, Cotuit, MA is a 1 3/4 story single family dwelling built in 1915 and is architecturally important in terms of period and'style of the neighborhood. In accordance with Chapters 112-2 and 112-3(D), Barnstable Historical Commission Chair has determined that this structure is a significant building. f l 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 s F -TABLE S 1119N87AH{$j F ' LBARNSFABIE Town of Barnstable Growth Management Department Barnstable Historical Commission www.town.bamstable.ma.usihistoncalcommission NOTICE OF INTENT TO DEMOLISH A SIGNIFICANT BUILDING Date of Application o ri Full Demotion Partial Demolition Building Address: Number street CO .� Assessor's Map# Assessor's Parcel# Village ZIP Property Owner. �.BL�,<3- C 4�Z �.�ty��` 1' ` .\11A Z Name Phone# " Property Owner Mailing Address(if different than building address] 3 Cwf 9wCtn W o 6%q,>1 IV Pit 1�ds7 Property Owner e-mail address,- ,Contractor/Agent: K S A >> Contractor/Agent'Mailing Address: a 4 Contractor/Agent ContactName.and Phone#: '.�6e N o fv�@Q,,cD sz Y 7 ,1 0 3 -1 Z z Name ` Phone# Contractor/Agent Contact e-mail address: C w o e C �0 & KSIN-(S), k Detail of Demolition Proposed: i't�c«���r c, �� ,� ,i� o"" "� c� b s`�N a w S Type of New Construction Proposed: Provide information below to.assist the Commission in making the required'determination regarding the status of the , Building in accordance with.ArBcle 1,§ 112 Year built: Additions Year Built: Is the Building listed on the National Register of HI i. ric Places or is the building located in a National Register District?, No Yes I1+ 4# Propeety` er/Agent signature May,2014 i To� l&� R o� :.A8,V Rt CAPE COD INSULATION t,mY -7 All 8 `56 F18n GLASS SSAMLSSS SPRAT FOAM SYSPINDE (9 y.. SAM OYRSSS INSYlAT10N CSILINOS V dj V'q e�Y f 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: XIZ3/ 6 Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed& completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit - application. All work has been inspected by a certified Building Performance Institute ; (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village d G�v{,�. f /1 �Ia-r���v /L67 -�-u r Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes ( ) ( ) ( ) ( ) Floors Walls ( ) ( ) ( ) ( ) ( ) Sincerely AHeE i resident sula on, Inc. tHE Tp Town of Barnstable BARNSTABLE. : Regulatory Services 7 MASS. �P ,639. Building Division TFD MAy 200 Main Street, Hyannis, MA 02601 N Office: 508-862-4038 Fax: 508-790-6230 s i Inspection Correction Notice Type of Inspection /371� m Location z 6 7 M�,u 2®�Z ® / Permit Number Owner !2 Tic/ Builder 47r,,, /Nam' One notice to remain on job site, one notice on file in Building Department. The following items need correcting: k. E � Please call: 508-862-y40338 for re-in pect' nqn, Inspected by J Date � _,7 r i I� agadinos Building and Design Inc . ( 15087906230) 08 : 40 05/02/12 EST Pg 1-1 Description:Description:Logo Inc 2009 DI VI 'ON May 2, 2012 Bob All the phones are out at building dept. + Can you give me a frame inspection this afternoon at 1267 Main St. Cotuit,MA 02635 Martin is the owner. Can you call me please? I have a question about screen porch plans and engineering. Cell 50.8-737-0362 Sincerely, Nick Lagadinos President Lagadinos Building and Design:Inc. Ph. 508-428-4097 Fax 508-428-7709 Cell 508-737-0362 Email: lagcon�a,capecod.net \v Website: www.LagadmosBuilding.coin / y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �/ Parcel f�07 :Application # d V 8� Health Division Date Issued rl Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 2(;,:2 wd 1416) S T. Village C U n i 1 Owner Address. Telephone t1 Y-fTl LA)n edii Permit Request 4' 6 i�G�qcllic_, E/k/6 06W J6,S-T" '�7) �t- fie k _r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation - Construction Typed � Lot Size �an��c Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family., Two Family ❑ Multi-Family (# units) Age of Existing Structure R 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/odl stove::5 Yes"] No ,7 ;t 'R" Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ riew she_ rAttached 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 VYco .r/!/ APPLICANT INFORMATION (BUILDER OR-HOMEOWNER) Name aCk' CA��i�ll�IU[ Telephone Number 5� . �2 U11 ^7 Address (3 Arib i (21 License# � ) y-r i 04 0 3 _- Home Improvement Contractor# Q �) Worker's Compensation # W`o o ALL CONSTRUCTION DEBRIS RES TING FROM THIS PROJECT WILL BE TAKEN TO/a5:e=1��a�. SIGNAT R DATE �> �� FOR OFFICIAL USE ONLY 1 ; r } APPLICATION# t DATE ISSUED : �MAPJ PARCEL:NO. .y �t ...ADDRESS VILLAGE 'T + OWNER 4 ' `- DATE OF INSPECTION: s i DtFOUNDATION,.. FRAME AIINSULATIONj A ti ` FIREPLACE ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH FINAL .r GAS ,, iTAFIN_ROUGH ;, r, FINAL ;;"f "FINAL BUILDING"r r 4-PAT..E'CLOSED'OUT:g_ ASSOCIATION PLAN NO. C 4 Me C'ovuuoraweralth of 1fassachusett5 r; Depar hn ent ofIndristiral Accidents Office Of �rrl7eStT,lrro3t'5 .600 Wrasiaiargtora.Street Boston!,:IAA 0-7111 N -orkers' Compensation Insurance Affidavit: Budiders/Cantractoi-s1]Electlic ans Plaamltbers Uplicant Information Please Print 1Le�dbly NaIlne(BtLsieesSrC7 anizSciaID'Tndiw'idualy: ;�B�Zd Uf7�i V1 tlS $i!t��ivJ ca C A I 7�:,,U(' Address: 13 City State?Zip: CO)T I l VWPI 67L!5 Phone 4 Are yau our employer?Check the appropriate bog: Type of project(required): ❑ I ant a general contractor and I 1-�I and a employer-with •7 4. employees(full an&or part-time)." have hued the sub--contractors d- ❑Neti.oonstatiction 2.❑ I am a.sole proprietor or partner- listed on the attached sheet 7- [g Remodeling. shipand liavA no ent to gees These sub-contractors leave P } 8- ❑Demolition working for me in any capacity- employees and here wo&ess' 9 Building addition [No�.v or-ers' comp.insurance comp-insuranc t ❑ g required.] 5• ❑ Ulnas are.a corporation and its 10-0 Electdcal repairs or additions 3.❑ I am a homeovmer doing all work officers have exercised their 11.0 Plumbing repairs or additions myael£[No workers'comp. right ofexeauption per MCI. 12.❑Roof repairs insurance required.]_ c- 152,§l(4),and vreha,feno employees..[Nowockers' 13.0(Other comp.insurance.required-] *Any applicant that checks box'11 twist also fill our the secdonbelarn'.5bowing their Nolkets'comp_atianpalicy infornution- I Homeowners who submit this afii mlt indicating they are doing all wwk and Barn him outside v iLtmctors must subarir,a new aftedai:t iudicating s�ach- :Contractors that check this belt roust attadm&an:additional sheet shoning thenaute of the sub-cmtrtctors and state whethu or not those ettaeties have employees. If the sub-contractors have employees,they must pmvide their xvwkus'comp,polio'number. fJffi dJJ!t"fJi�Sla)y�J'tfB(dFispYOi'�fII1J�y49i�0YI�BYS'CdYiiJ�iBJlSIJfIDJi Id237JrQidC-e for aJ{y BiIJ�Jj<O�'8�s. Belo,,,is the policy l n4job site iJtfaii'JJP.lafttiat. � insurance Company NN aernee: T7 S Policy 4,�'or Self-ins-Lie.i 9: 6V Li— 3b II-1'31 3 Expiration Date: l 2_1. Tots Site Address: H7 A St cit}.Stater Zip:_ '�Jt1 J l�f l�l (�6 Attach a copy of the workers compensation policy declaration page(shoNting the poly c number and expiration date). Failure to secure coverage as.required Wunder Section 255 r1-of MGL c. 152 can lead to the imposition of criUminal penalties of a fine tip to S 1,500.00 andf'or one-y&ar iinprisonnteut,as vveil as civril penalties in-the.forte of a STOP TWORR{ORDER and a fine + of up to$250.I10 a day against the violator- Be advised that.a copy of this statement maybe fnru'ar-ded to the Office of Investigations-of the DIA.for in.tu-ance coverage verification. 14o Ire i't s.Ytjf Ji)a a th . [firs flJad'pe alties ofpei3iti.v tllialttlie 2ilfoi'JJlfJliOfipi-of de-d dibos a is trii,e.all dT carrec. Si ture: Date: -,phone Ofj7ciaf fase.Qye(t: Do not lvrite in this area,to Ire eoutpleted by cetr or.toJVJ1,n Ci4al City or Town: PerrmitUcense 9 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityfTow n Clerk 4.Electrical Inspector 5.Plumbing Impe.ctor 6.Other Contact Person: t' Phone#: =0A,,,",:m710DNYM,qC( RQ, CERTIFICATE OF LIABILITY INSURANCE /2011 PRODUCER 508.428.6921 • FAX S08.420.5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 7 Wi anno Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 494 Ostervil l e, MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURED Lagadinos Building & Design, Inc. WSURERA: National Grange Mutual Ins Co. 14788 13 Thankful Lane INSURERB: Chartis Cotuit, MA 02635 INSURER INSURER D. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR SR DATE WODNYYY DATE MID LIMITS GENERAL LIABILITY KSB87460 01/01/2011 01/01/2012 EACH OCCURRENCE $ 11000,000 DAMAX COMMERCIAL GENERAL LIABILITY PREMISES E TEa occurrence)' $ 50,000 CLAIMS MADE A OCCUR MED EXP(Anyone person) $ 10,000 A PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY PRO LOG JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO ' (Ea accident) ALL OWNED AUTOS BODtLY1NJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS • BODILY INJURY. $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY 'AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABIM EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- O AND EMPLOYERS'uABIL[TY YrN TORY LEMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE� WC 004-30-3313 01/02/2011 01/02/2012 E.L.EACH ACCIDENT $ SOO,000 RIME B OFFICEMBEREXCWDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ S00,000 S yes,descrlbeunder PECIALPROVISIONSbelow E.L.DISEASE-POLICY LIMIT $ 500 00O OTHER DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS Builder in Massachusetts CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORE THE EXPIRATION DATETHEREOF,.THE ISSUING INSURERVIIILL ENDEAVOR TOMAIL 10• DAYSWROTEPI NOTICE TO.THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL -Town Of•Barnstabl 0 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE lot AUTHIZE REPRES Tina Correia 0Tt1• v ACORD 25(20091.01) 01988 2009 ACORD CORPORATION. All rtghts.reseov®d. 67 °�� '� License or registration valid for individul use only Office of Consumer Affairs&B smess Regulation fore expiration date. If found return to: be the HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration:, ' 4804 Type' 10 Park Plaza-Suite 5170 Expiration: -T45%r2012 . Private Corporation Boston,MA 02116 � LA DINOS BUIUIJ7G12J1 ,INC ,\ Nicholas Lagadinor 13 Thankful Lane Cotuit,MA 02635 - Undersecretary Not valid without signat e Massachusetts- Department of Public Safet Board of Building; Regulations and Standards Construction SupervisoF License License: CS 12653 Restticted.to: 00 NICHOLAS A LAGADINOS . 13 THANKFUL LANE COTUIT;MA.02635„ i Expiration: 7/16/2011 C`onunissiuner` Tr#: 19456 _ TME rowti Town of Barnstable ." Regulatory Services * BARNSTABLE, •` Thomas F.Geiler,Director a63q. ♦� _. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder . L CHE 1M&-72 6J ,as Owner of the subject property hereby authorize ��c to act on my behalf, in all matters relative to work authorized by this building permit application for: l d N&A1 sO 0 v) 1 (Address of Job) Signature of Owner Date Print Name QTORM&OWNERPERMISSION f . ���si'f �-�,•� "T?,'�.� �.sy. �.av s= - •,r' : r •i.... � i � r�_. -...v ... _ �".�'_� - - i��v�'�a+"'c o r . J ISO I , ,a: .q -• rp+�.." E"`; '`'V� . t.r i_ .;L �` �i ri' _ , ,��'� �+'"'•ice `'�"� '�a`f'"h.;"3", a i - tr' - r.,y.� }�„'ry',�+ �����. a� •��` h�,r�"4� v+"�G."4. ' i � �s � ':'i�"• - "4«��•"a,'�•_r�'' ��� _ ,�y .+?r���.« t•-•�Y���w fit"' s.���►.lf a�'fF+ yy y�' � }�'�`_r #'.• __ �y�+ � w - ,. y µf r��} ~ 6 � .:•! },}. ''�.�'� jf .J t .a. .� '� 5,1. a7 i "7� y'•ct`, sfii r`'3 ;4:.Ate, .a Yr tnF n•. ��.,� _. � •,.,ter . �L'ta... >� � � f... � 4•r e o 1 _� ��. a z ty��•�{��t�f* yam.�z• }�. ` . �. � b. '.�• a w ,.r « - � _ 'F � Ml "�t�'s�w",-..�""'.w�., �.-�"" _ � �S! `x Y,+ ! 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Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address �oZ (a�. YES i Village CA 71 !j Owner I /le Address rJ awl i-Uri? L6t6 Telephone f9'L�1 hiin U Permit Request /y1(jyt / fir �'7-�0 �o�rd�3dr;� iVvru.� L%h-��it 72103 Square feet: 1 st floor: existing eproposed A26 2nd floor: existing—proposed Total new Zoning District �, Flood Plain Groundwater Overlay Project Valuation Construction Typed Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family-: 14 Two Family ❑ Multi-Family(# units) Age of,Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes J21! No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 67 new 0 Half: existing _ pew; — Z� 1�2 o Number of Bedrooms: R existing new o Total Room Count (not including baths): existing new First Floor Rpom Court Heat Type and Fuel: ❑ Gas Oil 0 Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stye: WYes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: existing A] no-W sizeco 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 /lGc�G/�✓t�i APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name z12d_C Telephone Number 72�/' Address License # 1,2 t4(2ZVj_r Home Improvement Contractor# Worker's Compensation # (bl S 31 S -3h�6/>(�OZ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE AA DATE �� R FOR OFFICIAL USE ONLY .APPLICATION# + a;--"DATE ISSUED , W D 9 T r , MAP/.PARCEL,NO:__,;L _ _:ADDRESS + VILLAGE OWNER `= DATE OF INSPECTION: _ ( s 3 FRAME „ 1INSULATION _ A�Shw> 7 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r H Cp►S -j A,,' i ROUGH € +' 49 ' FINAL r �tFI.NAL•BUILDING�'".� I� r.�ti�• i ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations w -600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: BuildersiContractors/Electricians%Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): _Us TV Address:_ 1.3 77H 6Mk FvL .[. . City/State/Zip: (6-W i 7j' 11 Ifs 0Z G 3 S Phone#: qz,6 L/D J Are you an employer?Check the appropriate box: Type of project(required): 1.M I am a employer with 4. ❑ 1 am a general-contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors ` 2.El am a sole proprietor or partner- listed on the attached sheet:* El Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition - working for mein any capacity. workers' comp.insurance. 9. ❑Building addition ' [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself [No workers'comp. c.,.152,§1(4),and we have no 12.❑Roof repairs insurance required.]" employees. [No workers' q 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site 4 information. Insurance Company Name: �.1'13N�2"T�a Whrtl.)1l} L Policy#or Self-ins.Lic.#: Ul)C'. Ste'-�j SBN��'J 01 Z Expiration Date: Job Site Address: 42 6 Z M 19ll'l, 57 City/State/Zip: 60M/F. 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 iniprisoninent;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 D1A for insuranc coverage verification. 1 do l eby erti under e p ns nd penaL*esofperjury that the information provided above is true and correct. Siena 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): 01 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 1>r31/2012 .:08`2'1 :-AM PST '(-EMT §8) Fk0k4T insurancevisions:coFn-Tb: 15084287'709 ' - Page:. 2_of 3 ACCOR" CERTIFICATE OF LIABILITY INSURANCE �� DATE(MWDD,YYYY) 1/3112012 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 endorsements PRODUCER LEONARD INSURANCE AGENCY INC CONTACT-NAME:' -' - - - �- 683 MAIN STREET OSTERVILLE, MA 02655' PHONE c .o - me No: " o F E-MAIL ADDRESS: + : INSURER(S)AFFORDING COVERAGE NAIC'# \ INSURERA: UbeEt- Mutual InSUranre - INSURED - - LAGADINOS BUILDING& DESIGN INC INSURERS: 13 THANKFUL LANE INSURERC: COTUIT MA.02635.: : INSURERD:' _ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 12297M 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.'" POLICY EFF POLICY EXP - � TYPE OF INSURANCE -ADDL 5UBR L , .; - POLICY NUMBER "' MMIDDIYYYY MMIDDIYYYY a~` _ LIMBS .GENE RAL.LIABILITY .;. .- .�: .� F _ _ - .. ..- .. ." EACH OCCURRENCE $ DAMAGE TO RENTED, COMMERCIAL GENERAL LIABILITY _ - :..PREMISES Ea occurrence $ CLAIMS MADE a OCCUR _ t MED EXP(Any one person) $ PERSONAL&ADV INJURY $ — _ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG $ POLICYFJ PRO- LOC' :.. - - AUTOMOBILE LIABILITY N LI._l a accB identl $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED , AUTOS R AUTOS 'k' BODILY INJURY(Per accident) $ NON-OWNEO HIRED AUT PROPERTY DAMAGE OSAUTOS Per accident $ UMBRELLA LIHB ._.M. ---- -.,, z:...,,:y -.. . .... OCCUR - ', EACH OCCURRENCE' $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION' - WC STATU- - A WC5 31 S-384117-012 112/2012 1/2/2013 r rORv uMITs AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNEMEXECUTIVE OFFICERIMEMBER.EXCLUDED7 ❑N NIA - �� E.L.'EACH.ACCIDENT $' 500000 (Mandatory in NH) F°' E.L.DISEASE-EA EMPLOYEE $. 500000 Ifyes,describe under DESCRIPTION OF.OPERATIONS.below E.L.DISEASE-POLICY LIMIT $, 500000 , DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES:.(Attech ACORD 101,.Additional Remark.Schedule,it more apace is required)- -. •- ,c- - o e o e c statesation laws bf the CERTIFICATE HOLDER -.._._ CANCELLATION r.., v' SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE _ .TOWN OF BARNSTABLE f THE EXPIRATION DATE THEREOF, :NOTICE,WILL BE DELIVERED IN, a,2OD MAIN STREET r ACCORDANCE WITH THE POLICY PROVISIONS. 'c -,HYANNIS MAs.026.01 AUTHORIZED REPRESENTAµTNE+ 'i .... kALC Jeff Eldridge ii��fff U vV 01988-2010 ACORD CORPORATION. All rights reserved. ACORD.25(2010/05) _ The ACORD name and logo are registered marks of ACORD ;CEAT.NO r:. 12297269; •CLIENT'CDOE: �1578989' Anne'Chandlex 1/31/2012 5:05i53 AM Page I of i __:_:_'_.This ce=tificate cancels and supez_sedes AW.,:prev Sly issued,certificates. f VE Town of Barnstable Regulatory Services +� snxxsrasrs, 9 MAN. Thomas F.Geller,Director 1659. .� prEb �a . Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 C . Property Owner Must Complete and Sign This Section If-Using A Builder I ' L MA6 1A,1 ,as Owner of the subject property, hereby authorize— IwL Llti�l7�iVIP!C to act on my behalf, in all matters relative to work authorized by this building permit application for: (0n1�T (Address of Job) Signature of Owner Date C' L YL7 7AJ Print Name Q:F0RMS:0WNE"EF1MSI0N ' Massachusetts-Department of Public Safet% Board of Buildingy Red-ulations•and St:uulards - Construction Supervisor License._ License: CS 12653 �1 NICHOLAS A LAGADINOS " 13 THANKFUL LANE t COTUIT, MA 02635 ' c Expiration: 7/16/2013 M ('onui�isibner Tr#: 19960 _ e i r ' ' e only for individul use o �✓ze�a� License or registration valid Y Consumer Affairs&Bbsiness Regula tion Office of C before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR p Registration:�Y��04804 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: ij;j;�'/2012 , Private Corporation Boston,MA 02116 LA DINOS BUI�CaC �I=SI INC" /L Nicholas Lagading' t� r-7 13Thankful Lane Cotuit,MA 02635 `, = ry Undersecretary Not valid without signat e. x t / ZOO lie ctosev, Z 12- 30'_8" —_-..... n nw E rn o - N U N D I= 0Cb O) - 0 NCOC3 N PORCH- c J o U) CL cam W-4"x e'-1• �w C m o 0 n c c� Ci? 3 L•J p U m _ O - - _ NO U C4_J UTRY EO N Co LO _ 4'-Sx.19-4• _ -. J. 13'-2 1/2" 4" 10,_2.. LIVING DINING 13'-2•x 154• 10'-2•X 154 - ,� LIVING AREA rA - a26SqIt _ Fi A New Bathroom T a a 1 s Porch New Double Door Proposed Floorplan T-11 2 2x10Header •. Move BathrOOn1 Replace Kitchen Windows o Add double door to Exterior ... ,., Kitchen ... Bench with - .. ... - .. ... Mudroom r — fr om 1 g KITCHEN 11 Remov Bathroo CIS New Window Replacement New Window Replacement _ -- - - u 0 Same Location and S¢e. Same Location and Size - 8' 16' 6'841 30-8" ` 2 c z" E. 30'-8" F 2 13'-61/2" 6-31/2" 101=:10" c. rn - o n n E 0 N N - C J.N to ca 0 am_ -rno'a O V Cc F c m om E BEDROOM HA LL o' a9 zDROOM: J y u „ hi _ _.._ CLOSET CLOSET.: t r .. T-6'x 2'-1• 6-4.x 2'_1" - b cz ._ SAT • _ ' O 8 BATH- m LIVING AREA 715 sgft - a) U � .,0 .T cz rn. .. .. .-. .-. -4 x .. BEDROOM.: ' . ,..:. �•.(x N �.� - A z F R J U .......... - .. o _ C n . &e m. :.N O C..V 6tanaaN Porch ;o New Bathroom a"x 4'-� _ New Double Door r J N C Q 7 3'-11 2-2x10 Header Q °m cs- .KP o c W16T2 WI6T1 W16R m - �s�--.�BSa -"'• _ : m m LA . �' 16181Bs8161618-'86618 r.. - • •a Oyu* - _ o U —J n - o N. Bench with — - .;..� acb E ubbies udroom. .M — o.a� — ——— J U ca T-8"x 8'-a" —— J _ _ � ;KITCHEN I�� �- ._ -- � �_ a •15,a"xis Remov B,th r oo 6a„Ira, y.tom.,-• o se66 o cn mom: � sv-�"' , r . W3836 W6836 i r✓l836. WH86R Wi436R New Window Replacement New Window Replacement -. - Same Location and Size Same Location and.Size 8' 16' 6 8'. cz a� 30'-8" . o .;5 cz osed Floorplan Prop co Q) Move Bathroom Replace Kitchen Windows Add double door to Exterior--- N from Kitchen - o Z� m - U o-z H 30'_6. .... _ _.. .. ._ .. t .:. ...:...:, -'sk.>- :_ ..,: m.� �.,-" _�� ..-::.�• .. ... ..�.._ ..PORCH __ ... ",.r.. - - ... .: ::.. URI UP LIVING DINING-.' - 13'-2'x 15'J4" LIVING AREA w 826 s9 fl .. i k m _ ° ® m _ Martin Existing Conditions g LAUNDRY KITCHEN ...v:.-..: Mn - T-8•x 13'-T 15'-4•x 13'-T �» o< m .e BATH ...... -.. .. —_. 16 6-8 . SCALE: 30'-8" A-1 f. 30'-8" - 13'-6 1/2" 6'-3 1/2" " 10'-10" c s: `. UP ZD " BEDROOM HALL CBEDROOM "13'-2"x 15'-4" ; -11"x 10'- ;10'-2"k12'-8" e r Cn hi CLOSET CLOSET,_ - o in 3'-6"x 2'-3" 6'-4"x 2'-3" o - - X LU BATH -4"x 4'-10 CLOSET - Fn - ' O � 3-6 x 3'-6 Ma in Exis 'ng Conditions 2 d Floor BEDROOMco ' 15'-4"x 8'-8" c FIALE . .. .. - _LIVING AREA 8, 6-8 SHEET: HEET: 30'8" _ _ A 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ®�� Parcel ®.76 Application 40?(91(1 3 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 6 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis NF Project Street Address I Vol "VID Village C a kv� So% b Owner 011V e-C Address 03bQ s'r '8Wa �4 "� } Telephone J��� �� "�bc17 u3-H13 Permit Request AV L t6A6AdA Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay roject Valuati d U Construction Type Lot Size - Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family � Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) VP Number of Baths: Full: existing new Half: existing nj4v-v Cl Number of Bedrooms: existing —new - Total Room Count (not including baths): existing new First Floor Room Counter ' Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other - - Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woocvlcoal stove: Os ❑ No %_n M Detached garage: ❑ existing U 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 Cassl0Y (BUILDER OR HOMEOWNER) Name GA%PL C.Q0 �L Telephone Number P 8CO'996-66// Address (/S5 Y/AY Q4, �� License # CS 1 Uy g g9 k&,4h,91,S 1P/-0• o21Ol Home Improvement Contractor# Worker's Compensation # WCA (")n5ZS'90 I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (inb 71b(. SIGNATURE DATED 6-0 `�f' i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS J VILLAGE OWNER. E DATE OF INSPECTION: r. .3 it FOUNDATION FRAME ,L INSULATION FIREPLACE , r f ELECTRICAL: ROUGH t FINAL PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL _ N FINAL BUILDING < DATE CLOSED OUT '4 ASSOCIATION PLAN NO. s ,y The Commonwealth of Massachusetts Y --- Department of Industrial Accidents 1 Office of Investigations• p 600 Washington Street tY F Boston, MA 02111 yy www,rnass.gov/dia Workers' Compensation Insurance Affidavit: Bui<ders/Contractors/Electricians/Plumbers Applicant Information Please Print LefZibl,y Name (Business/Organization/Individual): CAD _dTiay Ca Lam- J— C I Address: "` r City/State/Zip: Phone 7 7 S- ILI Are you an employer? Check th appropriate box: Type of project(required): 1.[� I am a employer with— —_ 4. ❑ I am a general coz_tractor and I ❑ employees(frill and/of 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 ' These sub-contractors have . g, Demolition ship and have no employees working for mein any capacity. employees and have workers' 9 ❑ Building addition comp. insurance.$ No workers' comp. insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] ' off IL ctrs have exercised their 3. 1 am a borr;6owncr,doing all work EI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs required.] t c. 152, §1(4),,and we have no insurance re q ] employees. [No workers' 13:❑ Other(,Rt0JJW ZQ t,h comp. insurance required.] Any applicant that checks box#] 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,thcy.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 1� 4 aA Pn Co Policy#.or Self-ins, Lic. #: ( )(_ �(��Z•�9 Expiration Date: �D 3G A Job Site Address: 1 Z. MPc�I� City/State/Zip: LiDth')�, -6163S 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 m of up to $250.00 a day against the violator. Be advised that a copy of.this stateent may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ldo hereby certify to e pa' and penalties of perjury that the information provided above is trite and correct. Signature: Date: / eL Phone#: Sol 7 ?S �/ T Official use only. Do not write in this area., to be completed by city or town officiaL City or Town: Permit/License# L6. uing Authority (circle one): oard of Health 2. Building Department 3. City/Town Clerl( 4. Electrical Inspector 5. Plumbing Inspector, Otherntact Person: Phone#: � 1C x 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 a Home Improvement Cractor Registration Registration: 153567 Type: Private:Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. - HYANNIS, MA 02601 _ - -- --- --. _.. 7pdate Address and return card.Mark reason for change. n Address U Renewal Employment Lost Card i-GAI ao 50M-04/04-G101216 License or registration Valid for individLI use on!y Office go mer Affairs us'ne Regul nOn before the expiration date. It found return to: HOMR Type: Office of Consumer Affairs and Business Regulation �s Registration: 153567 10 Park Plaza-Suite 5170 Expiration: 1.2/15/2012 Private Corporation Boston,MA 0211,6 - OD INSULATION,fNC. HENRY CASSIDY 455 YARMOUTH s t alid ith t si ture HYANNIS,MA 02601 Undersecretary . lussachusclts Debt-inlrnt ot•Public lufcth Board urBuildin�o RC('11L1ti4)11: and 1t.►ndstrds Construction Supervisor License License CS 100988 Restricted Eo• 00 N HENRY CASSIDY � ; 8%S?1ED ROW WEST YARMOUTH, MA 02673 cyi,•:—�� Expiration: 11/11/2011 C„uitaFisiu„cr Tr#: 100988 #' - --- --• r ....,+ iuouia�tytl, 1nC•-19-9,1508-778-5735 Rogers. & Gray Ins. Page: 002 Client#:4597 CCINSUL ACORDTM CERTIFICATE OF LIABILITY INS _ U RAN C E DATE(IY➢4I1DD1YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 11/2011 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 WANED,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 • _ CO CT - i « ' Rogers&Gray Ins.So.Dennis ` NAME: Margaret Young, PHONE 508 398-7980 434 Route 134 AIc No Ext: pIC No: 508-258-2102 P.0.BOX 1601 • _ a ADDRESS: _ South Dennis,MA 02660-1601 cusromERtDp: t . INSURED INSURERS AFFORDING COVERAGE NAIC i! Cape Cod Insulation Inc INSURERA:Peerless Insurance 18333 455 Yarmouth Road *, INSURERB:Ohio Casualty Insurance Company ; Atlantic Charter Insurance Hyannis,MA 02601 INSURER c:�` = ' ` INSURER D:Commerce Insurance Company 34754 INSURER E: COVERAGES INSURER F: .. CERTIFICATE NUMBER: REVISION NUMBER:D ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME - 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. LTR TYPE OF INSURANCE NSR POLICY NUMBER OLICY EFF POLICY EXP e:.. A GENERAL LIABILITY MMIDD/YYYY MM/0D/YYYY LIMITS « CBP8263063 04/01/2011 04/01/201 EACH OCCURRENOE $1 000 000 X COMMERCIAL GENERAL LIABILITY D AGE TO R NTED CLAIMS-MADE �OCCUR PREMISES Ea occurrence $100 000 .`. MED EXP(Any one person) $5,000 t PERSONAL&ADV INJURY $1,000,000 -. GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: .' ,. POLICY PRO- LOG a PRODUCTS-COMP/OPAGG $2,000,000 D AUTOMOBILE LIABILITY _ �� 11MMBCKVMK Y 04/01/2011 04/01/201 R1. SINGLELIMIT ANY AUTO # ) $1 000000 ALL OWNED AUTOS URY(Per person) $X SCHEDULED AUTOS • ' ^ URY(Per accident) $X HIREDAUTOS �' " DAMAGE + $. _ t)«.XNON-OWNED AUTOS ` « $B UMBRELLA LIAB $ - X occuR UUOI154514645 04/01/2011 04/01/201 EACH OCCURRENCE $1 OOO OQO EXCESS LIAR •CLAIMS-MADE _ ' DEDUCTIBLE r r AGGREGATE « $1}000 000. ' X RETENTION 10000 C W ' $ ORKERS COMPENSATION p WCAOO5259111 WC STATU- OTH- $ AND EMPLOYERS'LIABILITY >' '! O6/30/20 Q6/30/2011 D y ANY PROPRIETORIPARTNER/EXECUTIVE Y i N ` - - OFFICERIMEMBEREXCLUDED? N NIA .L.EACH ACC IDENT $5 0 010 QQ (Mandatory in NH) If yes,describe under ;ESCRIPTION OF OPERATIONS below E.L.DISEASE-EA EMPLOYEE $500,000 D ' i •�•, .d `-1 i» E.L.DISEASE•POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) - Workers Comp Information Included Officers or Proprietors. - Certificate Holder is an Additional Insured `under General Liability for written contracts or,agreements. " CERTIFICATE HOLDER CANCELLATION , 10 Days for Non-Pa ment p. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . }p ` THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN d �'" ' ,'.y r ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 'A 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) 1 of 1, The ACORD'name and logo are registered marks of ACORD . #S66867/M65331 •- , MEEK . -4.. � Town of Barnstable 0�6�1� ASS""� t ` ab a *Permit# (G Expires 6 months from issue date Regulatory Services Fee sa , • snaxsrner.E. * , � Thomas F. Geiler,Director IEO�� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-79.0-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Q/ Fi LD 7 Property Address 17 Residential Value of Work %r 5Z2r'� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address A�L in 6j4,7n/ ` /v �� Cif=���1Z<t� ' C/IU y/r'rfi�✓>'i)��j�—��G�!�/>/L�3 Contractor's Name /`It C K _ ��I�►Y)C) S Telephone Number Home Improvement Contractor License#(if applicable) /L f jCj LI Construction Supervisor's License#(if applicable) [AWorkman's Compensation Insurance X-PRESS EMI` Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance 'TOWN OF BARNS� E Insurance Company Name Workman's Comp.Policy# Obtl — 3 b—331 3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ['(y l ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side - #of doors Replacement Windows/doors/sliders.U-Value+ (maximum.35)#of windows *Where required: Issuance of this permit do of exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***No e: Property r st sign Property Owner Letter of Permission. / A copy f t ome Impr ement Contractors License&Construction Supervisors License is t quire SIGNATURE C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 1 . The Commonwealth of Allassachusetts Depw'hnedat of Indttstt'ralAccideril's Office of Investigatioms fi= ><et vw.;nass gin/dir7 N orliers' Compensation Insurance AffddasZt: Builders/Contractme-s/Electiician&Tlumber;s Applicant Information Ple. a Print 1Legibly 1Vat1 (f3lisinessr 9rgauizaaonTndiw'idtaall: ��Zi[�l�iVldS $ill �i�c� D `AJ 7,- 1!(' Address: 13 - City/State/Zip: C'CJ/l!I l G`} l)ZCoS' Piiane �5p - Z - cL j AreSow ann employer?Check the appropriate box: Type of project(required): 1. 1 arm a employer with 4. ❑ I am a genet al contractor and I eu➢ploy ees(full and-'or 'orpart-time). ha5;e hued the sub-contractors ❑Neva construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. T ❑Remodeling. ship and have no employees gees These sub-contractors have. p P } S. ❑Demolition working for me in any capacity. employees and hatae workers' [No toorkers' comp.insurance comp.inmrance.t 9. ❑Building addition required.] 5• ❑ IN e are a corporation and its 10.❑Electrical repairs or addditions 3.❑ I am a homeowner doing all work officers have exercised their 11..❑Plumbing repair:,or additions. myself.[No c..workers''comp. right.of exen➢ption per INIGI,152, 1 l 2 R oaf repaiffs. insurance required] c. � �4},and we have no employees.[Noworkets' 13.❑Other comp.insurance required.] °Any appLimnt thaw checks box Al avast also falour:the section Mew showing their Workers'cnmpEnsatioupalicy infoemat@oa I Honiemmus who submit this affidwit indicating they are china all.w•cxL-and then hire outside contractors coast sabnik a need'_aftidsvit indicating such. -Contractors that check-this b=must attacbed mu sd&dotW sheet showiu the name of the sub-contractors and state wbEiher of aottbDse ew&ias have employees. If the sub-coutracco have employces,they roust provide their workers'comp.policy numbEr. fYPi@ dldt£if@ dd7�'F1'fd@tdF YS�TPi o9'IIdiid 9ArflYfdFYS Cdtdid�dBd13ldfdOde ddt3ddYQidGB fOY dJly BdidpJdtt�'2�'S. Below is filepod`drt,andaTjob slte Insurance Company Name: 7 S ' ,r Policy 4,or Self-ins.Lic.;ii:_ tU L !1U LI 3t.'`5'�I Expiration Date: l Z _ Job Site Address: 12(, IM M-11A Cit},Staterzip= l tI iy i j 0 p9 26 3> :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 Ib GL c. 152 can lead to the imposition of criminal penalties of a fine zip to S 1,500.00 an&cr one-year imprisonment,as virell as civil penalties in the forte of a STOP TW0RK ORDER and a fire of up to$250.00 a day against the isolator. Be advised that a copy of this statement maybe forwarded to the Office of Inv.estigations of the IDLE.for in.urance coverage v eriftc ition. 1T do her C.Y01 n11 R th . fides f n d p allies of'Ve1j dtr9 that file h1foi'dd a don provided about is i`f Pie'an dt Col'rect Si tr➢ffe: Date: 1 Phone?'r: Official use 9141. Do n of ivrite M this area,to be completed d3v c[try or toit'le official City or Town: PermitfLicense 9 Issuing Amtherity(circle one): 1.Board of Health 3.Building Department 3.CiitylToum Cleric 4.Electrical Inspector .Plumbing Inspector 6.Other Contact Person: Phone M 6 ACORDDATE(MMlDOIYYYY) . CERTIFICATE OF LIABILITY INSURANCE 01/17/2011 PRODUCER S08.428.6921 FAX S08.420.5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 7 klianno Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 494 Ostervil l e, MA 02655 INSURERS AFFORDING COVERAGE NAIC 9 INSURED Lagadinos Building & Design, Inc. INSURERA: National Grange Mutual Ins Co. 14788 13 Thankful Lane INSURERS: Chartis Cot u i t, MA 02635 INSURER c INSURER D. 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 TYPE OF INSURANCE POLICY NUMBER ICY EFFECTIVE POLICY EXPIRATION LTR SR DATE MMIDDIYYYY DATE MID LIMITS GENERAL LIABILITY MSB87460 01/01/2011 01/01/2012 EAC14OCCURRENCE $ 11000,000, X COMMERCIAL GENERAL LIABILITY DAMAGE TO PREMISES Ea occccurrrence $ S0,000 CLAIMS MADE FK OCCUR MED EXP(Any one person) $ 10,00 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GERL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2 000,060 POLICY JEPRO- LOC CT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea eccidW) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS ' - BODILY INJURY $ NON-OWNEDAUTOS r r (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO 'OTHERTHAN EAACC $ ' AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE i` AGGREGATE $ A DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION TORY LIMITS ER- AND EMPLOYERS•LIABILITY ANY PROPRIETOMPARTNERIEXECUTIVE� K 004 30-3313 01/02/2011 01/02/2012 E.L.EACH ACCIDENT $ 500,000 B OFFICERIMEMBER EXCLUDED? LJ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE EMPLOYEEI$ S00,000 SPECIALPROVISIONS betow E.L.DISEASE-POLICY LIMIT $ 500,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Builder in Massachusetts , 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 Town of Barnstable IMPOSE NO OBLIGATION OR LUtBiLITY OF ANY KIND UPON THE INSURER,IT$AGENTS OR ., .200 Main Street REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE . , Tina Correia LEOTCI t/ C ACORD 25(20091.01) O 1998 2009 ACORD CORPORATION. All rights.reserved. . Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor•- License License: CS 12653 Restricted.to: .00 . . NICHOLAS A'LAGADINOS - 13 THANKFUL LANE COTUIT;MA,02635 Expiration: 7/16/2011 Con III issioner` Tr#: 19456 _ ✓�ze �o�avma�ue �/ actu License or registration valid for individul use only Office of Consumer Affairs&B smess Regulatton HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: HOME Type: Office of Consumer Affairs and Business RegulationReglst . 10 Park Plaza-Suite 5170 Expiration: �� :1:5 2 012 . Private Corporation Boston,MA 02116 LA ADINOS BUI ....ArNv_C _ 1l 'INC Nicholas Lagadinb .`� 13 Thankful Lane i,r�• ��y�.f,! Cotuit,MA 02635 `s,; `, :% Undersecretary Not valid without signat e �IINGEtqk, + BARNSPABLE ' 9� 6� ,�� Town of Barnstable ArFD ftA�a � Regulatory Services Thomas F.Geiler,Director $; Building Division F Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bamstable.ma.us. Office: 508-862-4038 Fax:r508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder w • as Owner of the subject property hereby authorize' hA �Tj to act on my behalf,' in all matters relative to work authorized by this building permit application for: 7 % . (Address of Job) CtureReVlsed 0721 of Owner > Dat e Print Name , If Property Owner i.s applying for permit,please complete the Homeowners License Exemption Form on the.' -ig reverse side. T \APP P D'Daia\Local\Microsoft\Windows\Tem ora LiternetFiles\Content.Outlook\DDV87AAZ\EXPRESS.doc A .t o?a o lao�69 5HE Town of Barnstable *Permit# s Expires 6 months front issue dote * r� q Regulatory_ Services Fee 15'1, -BAM S s� Thomas F. Geiler,Director. Building Division Tom Perry,CBO, Building Commissioner / 200 Main Street,Hyannis,'MA 02601 www.town.barristable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press bnprint Map/parcel Number C1 0 7 Property Address ,�a,� �c 7 /° r7i7 kl 5 f �,01T/j Residential Value of Work & Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �` �� )I A) -5-0 Z- 6-0 �tl�d� tpt fry Contractor's Name /Ut[ l' ?� i7�1/jcJS Telephone Number L/U Home Improvement Contractor License#(if applicable) ho Construction Supervisor's License#(if applicable)'' �� 6 5 �4Workman's Compensation Insurance - Check one: ❑ I am a sole proprietor ❑ fam the Homeowner I have Worker's Compensation Isurance Insurance Company Name C) ')),5 { Workman's Comp.Policy# I " —e- --36 --31-3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be to ❑Re-roof(hurricane nailed) (not stripping.- Going over existing layers of roof) , Re-side #of doors 0 Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows - *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *"Note:, ,' Property Owner must sign Property Owner Letter.of Permission. A copy of t Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AA7\E\PRESS.doc Revised 072110 ` I , IKE * mmirABLE, `"A&S. 1639. Town of Barnstable ��� EoA Regulatory Services i Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 01ML- MIYDA) , as Owner of the subject property hereby authorize 411614- to act on my behalf, in all matters relative to work authorized by this building permit application for: 7 zu S.T. r 67y i•r (Address of Job) /7 6igmnatWure of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 The Commonwealth of llassach.u.setts Depaphnerrt o.f Indristrial Accidents Office of Investigations _ +600 Washington Street Boston,'tIA�0*7111 S tr 11'winmass.gavIdia Wnrkers' CGmpensation Insurance Affada-%it: Budders/Contractoi-STlectilcians,PInmbers Applicant Information Please Print iLesibly Nam'(Biisines,3}OrganizatiowIudividual): 017 h VI VS $U l L LI ca � b � �1,- U(' Address_ 13 'Mo lk A)l L/J- City/State/Zip: C 0i-U i l I VM RT &5,17 Phone Dp,- L 2 - c/o q Ar'e you an employer?Check the appropriate box:, Type of project(required): amp a general contractor and I 1.[�I am a employer u�itln� ❑ I ❑ employees(fall andtor part-time.)." ha;,e hued the sub-contractors 6. New constrxtiction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling. slip and ha.ve no employees These.sub-contractors have g. ❑Demolition working for me in any capacity- enpployee�and have workers' comp insurances$ 9- ❑Building.addition [No workers'comp.insurance comp- 5. ❑ •ire are.a corporation and its 10.❑Electrical repairs or additions 3.❑ I arm a homeowner doing all work ' officers have exercised their 11.❑Plumbing repairs or additions myself,[No workers'comp. right of exemption per MGL 12.❑Roof repairs inspprat3ce:requited.] c- 152;§ � }' 1 and we have no _ employees. [No workers' 13.R Other comp.insurance required-] *Any appUcii t that checks box"l tll6lst also fill ow the seccioa below showing their workers'compensationpoliel information- Honreown-Ers who submet this affidmit indicating they are doiag all avoris and then him outside contractors must submit a vexT afffdavit indicating such. -Contractors that checb ryes boat must attached say addinotr~aL sheet shotsiu f the naw:e of the sub-contractors and stare whether or aot those entities have employees. If the sub-contractors have employees,they must prot-ide their workee'camp.polio•number. Lava all Cyr➢rj9.krer that is providing workers'roiirpensadon hisimance for aaay employee-S. Below is tliepolify a➢ad job site. hifoi m adon. insurance Company Nance_ L?tt �,5 Policy or Self-pas.I_ic.4: ti) aU LI — 3✓J— 5�1 Expiration Date: 1 Z .. j Job Site Address: .jot G 7 &ffi/lf v57 city stateizip: C'IJTUIi�'✓t'lVtdZ.6&S Attach a copy of she workers'compensation policy declaration page(shouing the policy number and expiration date). Failure to secure coverage as regpiired under Section 25.A of MGI,c. 152 can lead to the impo4taan of criminal penalties of a fine up to$1,500.00 and+or one year imprisoruuent,as ti{yelp as citnl penalties in-the.fe of a STOP WORK ORD.ER and a dine 3 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 Inv.eshgations of the MAL for in pprance coverage verification. p~` I.do Ire)-e Y:d .rtift,ar➢a a th is arad alties o,f peijriYv that the infornin ion prmdd e-d a bore is true and'correct Si tare: ! Dater Phone 'Official rase o➢elt: Do➢lot write in this area,to be completed by city air Gome official City or•'T6",n: Permitll,icense#" Issuing Authority(circle one): 1.Board.of Health ?.Building Department 3.Cityfronn Clerk 4.Electrical Inspector .PInmbing Inspector' 6.Other Contact Person: _ Phone#- DATE(MMraomYr) ACORt,, CERTIFICATE OF LIABILITY INSURANCE of/17/Doll PRODUCER 508.428.6921 FAX 508.420.5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 7 Wianno Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 494 Ostervil l e, MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURED Lagadinos Building & Design, Inc. INSURERA: National Grange Mutual Ins Co. 14788 13 Thankful Lane INMRERB: Chartis Cotuit, MA 02635 INSURERC: WSURER D: 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 TYPE OF MfSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS SR DATE MMlDDIYYYY DATE MID D/YYMGENERAL LIABILITY KSB87460 01/01/2011 01/01/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea oau ence $ _ 501000 CLAWS MADE FX]OCCUR MED EXP(Any one person) $ 10,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON43WNEDAUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN FAACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ , DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE - K 004-30-3313 01/02/2011 01/02/2012 E.LEACHACCIDENT $ 500,0m B OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ S00,1000 Ifym describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Builder in Massachusetts 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 Town Of Barnstable IMPOSE NO OBLIGATtON OR LIABILITY OF ANY KIND UPON T AGENTS OR INSURER,ITS AGE OR 200 Main Street REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE 101 Tina Correi ACORD.25(2009101) O 19W2009 ACORD CORPORATION. All rights reserved. . _...... . .. _------ Massachusetts- Department of Public Safety Board of Building Ret;ulutit�ns and Standards Construction Supervisor License License:.CS 12653 Restricted to:. 00„, NICHOLAS A LAGAD%INOS 4 {. 13 THAN KOUL LANE CO TUIT; MA 02635.;: �-- - -!� Expiration: W16/2011 Cunuuissiunei Tr#: 19456 -ra ' i °�� License or registration valid for individul use only Office of Consumer Affairs&B siness Regulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: HOMEratio IMPROVEMENT Type: Office of Consumer Affairs and Business Regulation RegistExpiration: - 112012 , Private Corporation 10 Park Plaza-Suite 5170 -- ----- Boston,MA 02116 LA DINOS BUI-pi .. i1Jt=SJG' INC Nicholas Lagadinb � `'- r� 13 Thankful Lane (����,-��`_ g���� Cotuit,MA 02635 .;,j Undersecretary Not valid without signet e i Revisions: Date: 10'-14" - (Y) 0 n ao Simpson Strap 4 Connector Posts C m to Base _ 0 y a LL Simpson AB6 Base connectors C, 1 N rn N - � PORCH -54 N s-a°x e-r 12"Concrete Filled Sontube o C) ;• ;' 48"Below Grade C µoo w MOB Bigfoot footings on outside fo_tings a o! Y supporting roof PP 9 LO co 0 Q. TRY s 5-11"x 13-4" N U 0 a) ro c C o CU �+ fC LIVING DINING F- 13'-2"x 1 S-a" 10'-2"x 15'-a" M T 12"Sonotube t igfoot 24"footing m A136 Post Base Connectors . �. O0 CIO ]E 2x8 P.T floor Joists a Joist hangers on all Joists ,[ V Porch KITCHEN T-B"x 13,_T 15-4"x 13 CU BATH ke,a airi eaaa 6-8 x 5 - E Timberlock Screws U woo �o� Wall Spacers Connecting ledger to house p Drawn By: Y Date:6-10-11 Scale: Sheet: } n r SMtyKE"D7ECYRS REVI-EWED BLE BUILDING DEPT. DATE r ,; .. 4- • .,� "FIRE: DATE � . • DEPARTMENT ` BOTH SIGNATURES ARE REQU/REED FOR PERMITTTNG.' c N , , N , �• a #. } ".MAP 18 4�Vli ^ PARCEL /PARCEL76. •/ - d, rk ,,.. MAP 16 V PARCEL61 :o , •2' +.' _ f �;0.;. 3 - N MAP 6) _ - - PARCEL 75 a \ �1 Cr _ .� e , + i r • • • r • * S u c _ • h a , 5 41 an '.' sed hf}e pl pr'opo k •W, 4:• +�•�'• `- r f .. t d1i :.. -F. - k , r , .. .. � _ � ur E o v�`m `d moo S S F Q 7 o es S,➢�o g�en _ . S ...• " - •. - o e ei/B" 1 O :4ncNnr bolts w/ \„ _ _ r . c • . _ _ •. _ _ I •___ ____ _____-• I B"x�'-�"Poured concrs+ef unda+on 1 se+on a 1!o"z 1 Y"ton+'nuous conLrete � - . foo+inq w/.2 x4 ksyw.wy. r .- 4 -' ♦ �. r , s i 1 p 4'4 Lo +1 du..+ .. B z 4'-O"Poursd Loncra} f'U d+ .. . • - - e ,, •. I c T/G hlil.poly np nrrorb er Lo : - O h. an w 1!o"% 1 2" n+i orl .- o- r• °. f,' , _ `}p 1 p L. , footing w/2 x 4 keyway r r� .. % 1/2'0 oi+eeVG Lre+e column ,- Y 4 ' - ! _ '- B"z�'!o Poured concrete fou ds+ron w/!o'xCe"x I/2 bearing.Pla+ss 1 ',I r -- - --- - - - A ss+on a 1 Co"x I R•Lon+inuaus concrs+c ' I I - - - r - - I A-W 1 . - : y ' I. ,�- � I a This Lor sr d+hs founds+iomwill r-juire"Pining"bysi+sA ho b,I+s w/ __-_ _ _ ____ ___ ______- _ � -, - - , s. • ' 0 -' %H•o.c.and B"from sill I +e sods. 1 p a set an a 1 m x 1 2."con+inuaus cIncre+s 20 B P,ly Vinyl glider. .- I n...krrcanu.r<d�.a I - I I.'• 1 Qa r /f7uLk tl ,,QQ p. _ .. _ .. .. ,- - a .. .` ` ,y" P r::. .' ," -• � f �` i !I _ alp. - 1/Y"�• Co'-1'1/2" Co'-1 1/2.•. I�.� - - I � -..�; S-^: Q 4"Pau de-nors+s slab on 0Jr 1 *• r b ____ 1 w Fibermsch•Prtehed /Per Ft.+awards doors.B" i � s. + v V S - —_ ____ #• I T.O.h.Elevw+ion-29.ri 7' - O j sa i -.. _ • .. .'�_' _ -.: q:.: • •.. - , �." _ G�� ..•A - 1 �T - --_'-1. I - 'I �,I •.' �,. x. .0 LLl'[ • -- — — — -- a.: e , " .. .• 'r' .. 'f b,p B'-O 1/9" 7'-9..1/9• �r B'!a" _ 1 .s T. .. •fl v 1 . .d.`` 1 1 . B"x 7'-r-P d ret f d+on 1 a n/ se+;n w l:la... 1 R con+nuaus concrete s � : • - 1^[. - - 10'm sionotula /YSigfoo+ 24 - -. 'I n -n 1 I- footin /Yx9 r• I L I w/la"xfa•zl/2'benrrnq 9"' YwaY. 1 u ed LonLr + columnf otm - I P 9 6 �b - b +nn • 4 rid a- s ACy�b s1 La s. • rp. ♦ w P .. - - + ps i WPn .. S i, 1 I � _ p sd eowrs+c foo+inq - I i - _ I € I .• a I. .. •• - as r.r; ' s (1lll�l /' S " - .` \ % 1`V 7 1 1♦ 1 - I\ ,% Poursd concrete slab w/Pibsrmsshm I .I:,� :%•_I• 0-9' 9'-I" \I -. and lcml.p"y...p,rbarr'sr. NOT6:All exposed h e+a-rated : I - T.O.�i Mls..n+ron. 2 2.loS' I j • y- \ z o m for exterior expowre and P.T.contact - Cl p_T.O.P 1 4 'J I 9 H"x' O•Anahor bolts ,- . 1 _I• %/'%•x1 I/4'Plate w"hsrs � .f a °♦ .-, - - _ a. .; .- 1 _ ^ _ _ __# : __ ___ _! ds o.c.and B"from sill pla+sends. u 1 �- T.O.F.29.E%• 1 r_- �_ ____ 'PTOP+o qrw O NI se Y �r _ _fir .. F# Q 4 �, APA Nx.rro w IY7 e+hod a W V hem +fnq bulkhead Adjust TOF far new join}s - - ° - Y f R N a .. .:ndpa+ch+o match and exis+nq floor eleva+ion B"z�'rn".Poured Lowte+e wall w/•4 rebnr ` - IL M O V'V • - _ 1.0"m eJonotubem/P�gfootmY 4• , m in hour er+ieally I - a tally..2'4 �n+o d _ v I V p rs - `. _ - poured Loners+e Lal f +inq - 1 �♦ • - 1!0 1 Y con+nuaU-c n rete tL fon+inq w/Y.4 keyway 13 - and h mPso a A�UloCo Pos}base.. '.: - J Y_ ' • -" " -' 'a .. ' - 1 , ¢ ' --�AdJus+for ns+eLdnd'tons ' ' , r ., r _/ - ` r `A. FOUNr7ATION PLAN • _ ..i - f r \ •., '' 4 'Add+ion AsF-4-I;a+o(L/W) 1.4'f - This plan was designed n -,inns wi}h c o v w v r .• and sJlmpsonm AC'+U/oCo:pas+ba{s.. - ` Cdr+on and+Ns Masswchuzs++s 7B0GT'1�'- TING NI? T N _ ova pro4— +o ti win +io +h s,... _ . .. dr. • Nats: / • <O�J m 3 o c} C AIIM cots4 Vini—one ors+o • - w G - w a.. • ..., ,., . -- k '• ., by General Gon+rwL+or 3 zE 111 d 0 I • u •. , , i •. b + r fie+ ++ nfLnna *e�L vs+sG+or required o m min m to a v a DRAWING TYPE: . �_;1 _ . I o•-9' s•-%" - 1.4'-v" `- z'-%" - ., - FoUndakfon Plan SHEET NUMBER: A r 0 0 1 ' y, I s,.1Y • w ♦. , r. r - �v _ sJ cO EC �R m� • � , • ,Q Z Q �i�myYU�O'OmEn . ` w • � � .` � . Floor brat q o 9'-O"o.L. � � �L.. ' - - 1♦i./9"Versd s+rwndm-rimbo..rA f+yp.) � f .panel c +:ons ` 1.� � V. ' .. y 2 -, 19 1/2y AJ9m YJO.Ioists e a G"o.4.I � � - � `• i� '�. C W 91/2"VersaLamm I r _ _ _ _ __ 1L„ � -1/n Y r -s#randm r mbear .. i . I 1- r - - - - rIr ,. .., « �. .. 9 ono TgII 9G/9.y.hwngers od O•o.c. .. .. ,,1 y lti — _, for pan I ections I 9 1/2"A.J 20 < - - I � r . L - - - 9.1/2".AJa v 2 I Joislts a 1!o"o _. rmimpsonm 11'4azm LU9 2 B e.1 Co"m.L.(+yp.) - I �J _ y - � `• - � - � I eialid AJaim blaLLin a ir+ � I � � � O I I 'Ploor bracin •q'-O"a.L. - �/ O z zB Jmis+s¢ 1 • .• � ' `" _ - \ ��' - — _ __ _ � __ _ _ _ _ � _ _ _ 1 9 I/2'AJ�im,2O Jois+sa ICa"o.G. I - _ _'� I' - ,. - - � r • - . v. '.. - z%1 0 P.T.Jois#-a'L it 11 It it - %impranv IT%2.>G/9.5 hangcr.e 1 6"o.a. I - a , '' ly R W Q m s r v N I ,^ - - .: " _ ♦ T, 4 x 9 1 ___ ___ __ ____ __J j _ Y / • p W V'n 3 � m .- �impsonm zMaxm LUh2B¢ 1!o"m.L. m�-q" I _ J m U 3 0 - � �It 2".AJym Y.O V Y .. +e La • E # I - I I "•proem zrl.Xm ,v Mnq.r _ :-C Z J m LLJ Q IL . •..� y:... ,. -. _ ° I Lr -" I I �'" L� �.� I _ � .'-I. - � .. �FI��JT FLOOD FAME.. ... ~. � a o - - .• d. I Q .I e - �hL 1 1/4 .O,. - - (L m0 IL wood a: I X I I S Z ♦ 1—.J on+hsr 2'009 u+ nO t'd�1 O9 T,.. _ I,, R ;�. % R _J,I n % �es'dsn+'al Gmde,+obu lddsLLs nd railings. • w -- c expmsedharware+m bs rated• � � for ex+erimr expmwre and P�T cmn+aL+ `o o p• c Nolte: - _ ssursmen}s<Pimsns ens-ars+o , • ....- : '.1. roimpsonm zMa%m LU�i 4 B'¢ I ro"m.L:(+yp.) _u 0 c�` ♦ - '. - \_ r— ___ __ __� - +'onsral aL+mr • o m _� u c o Gnn#r a PR-IAMIN GI .. `.+t 1" ..I. � _ .. - _, n j p•\0 c rm 3 �'c E In Q q O oa - - - "DRAWING TYPE: ' - • _ .. .. ,. _' Pirs+Floor Praminq Plan .. - " ,- .♦r - - SHEET NUMBE -R' / m < �`E 3 �{ + > { , ., "I ls._O. `�'O._O. _ i%•_O" - . 4,_y. 1 9,_0. .. !° - �,Q:. a m° E6�`m E- - - , - S•_0,.. '%'-!n" _2'-2" #%'-�4" _ %'-O" i _ -,� m `O�p o L�••?hL o lvoYy°�v gv Gv m m o E r- m,A NO •OA s •' - .. - sp tD ..� a' M mml'O2°ad fin° ., _ m L , L w < 4- - a i I m < s _ k I Andes. GR-f 2' e: Al ' P Andersenm TW e'2O4Co: ,. ,. _ I @ .-. .. .• - Al �- , a - N a r x � I I ° L , N •. . 1�.. "- .® quwdrwf remGarnct-T . _ TW 2 4'4!o kl Anderse W2lo41O Onl/B"rtS-O�/B" - _i. J• ` _ - _ I v ' x '._ aO• yh Q X�,� � 7 14or1E V . \I a ` >iort�m - v: - . MA-T I . I I - , � F.ndersenmTW 4,2,-2f 4"Mull! '.. :. Yq. y o .. - � .. Q , ., I I 1� 1 o � ` e 3 2 �1 , < o , xs p r .v 0 . - a • - ° _ .. - - s -.'U. j -� • B 7 .� m - � " -3,' A dersen TW Y94Co• +obulkhsw- to 4 m LU mm •9 L LJL'� for iar Nwder m elb ' mie• I I I 0: I H . - • 41er L b I ._.__ _ _ _ _ - I U v N n . K • m m LU • - - ` - I :- - ..I ,. -------.-----, ---------- ---, -- -- ,. _ • Y I J 36 In y Lo m O N • LUao_ I _ y. IL •Q i I n d r u .. FI h FLOG .LA I o ti _. T P N . �A ..P: rmLre ed o L a , en ' , r , 0 CD ,. i I - �- .�� -.. ®® ` ...r'« Aspect�w+,o{Vv✓)-1:47 ., 7 ,. ." - •.e:. r j m- . r 7-hlz pl - d q d wLL dance w14 y '.„ • ° +;. I' v �, `t +he In+srnwhondl Fez dentlwl God¢2 009 . e - '•• • _ ': - •' i t Y Edlt,on w 1 the M z Lhussttz 7 BO Glyn - ,. I �, - - 4'O" -. n.•,SI.00 B+h Cdt W. ,. - ` �`T�� m` OW iQ, - « _ --__ _ - o e .Wind pratee+ + nfo +h• V n�°xm �� E1" �%01 2 I".2 P t t' :nF. P nqs.' :i u� Z p J ° _ •.,, 1 - , N 0, ' u p Use Pr—r PYoe des den+,wl wood .a v _, • • : - "° § ,. .. __ _..- c x y j x ' _ Plid:e1,d on th ee 0094 u do PGAC-O. - yInew+ol' y a _ - s,den+iwl r R-e Gods to build dcL a ° .. '.. y - ✓ _ -F - ° .. ". nS: •�. _ - 3c S_ ° E 0 ,r Ertistingl Ile. - m3 `m a d W j d E a � I - V •' v c ' Q 5 hmokc Pe+ec+or�equlr d , U� K d e��e� L s I • `-- - ., 4' • b .. /All-essmPlmenslanc rocs+o ' _ • - .- •. i - . A OV(A/�(�' �, Gwt+ot uGewl o+ DR A=N NG TYPE: rott ofLos+rario r Flrsi-Floor Plan SHEETeNUMBER' A.:2yO0 + ., .._. , L + ,. 77 + F • ni U E 0 O 4 C U :. N -0. c)) r:. PORCH :a�:�. o: . . c _ - 0 co. - - e'.ch c>. — 9,4('x81" cacflo Nam. 75 sq ft J-N;LO tL•� a' n p —'p•X (Q O: ¢ 66 O Y a O y-%0 O - i. C t ,.. ..- , O r- cu o _ fu 'O. - (o N < O x 10 5' rn U') tt 1 2 1/ 1 �. 4 87sgft `r � �J a. UP - • P,, s ,. , LIVING DINING r' 13, �I 2 x 15'4" ... 10'2rax 15'=4" , 187 sq ft 156 sq ft Al • e' n a--+ - BATH s ' 3'=:11' pN: x 6'-11' a o C . x p rr sq Ll 683621 *♦. ,. - t ���.. A: �� +may✓ O O$t« �� I A"'iR� :i :kx...aSz.a a<a, ! .. r.' S n 3668 - U • _ - Mudroom: t .. as s ft KITCHEN _ q 15-T x`13t-8" V 1. t 215sgft ,M • � �7 Dryer(wrved) Wash ar(wrvad hoot ba •` +� �� 06 CCh fS SDrsh sh 833 B33 829 ;B33 B24R - 'S,r�zt �t f +F I I`- t'. Lo M 36 NA036t VK3036 W1436R, N2436R ... _. e am N Existing Housea A Z w N - a, _ 301_8r1 1 2„ 6,,3 2„ „ 0r 01r k _ _ _ 3' 6 1! f ' r o a � E. i .� 00. V' is , T J � C) �-� - - N Q•- ca - o'X CUm - 0)4 � «, a — C 5 �: �6 mM phi a, = V � - J ~ UP< p N — ca N - _ CO CD tp Ip BEDROOM BEDROOM - Y. 13'2"x 15'4.' -1. A 0'-2"x 15'-4 r 4 1_ i n•' [ q . In hi n III to. - - . M c y Ch .. •1 g _ • a. Reclanoulai ,.r_ a- - .." •It te.aa M SWnderd. r .. - w Of " _ n $r ��' 4' 10" r. , f k a, t, rC G� - BEDROOM - • , 15'-4"x 8'.-5'` 'f LIVING AREA w' : LO 715 Sq ft s o co 8' . cd ExistingH _ ouse , 3 - a s-. l 95 a°°`3$`00 amvEoa= ono omt�UP-2 In a , Q , o " is - `. •. -,1, � � � � � � � a • n .. .for Pa el pson H 2.%i hurr Lwna,kias e 1!n"-o.L:. - •• - •• .,-'�' . ` - s FI b L q e 4 O • , _ • '. - R. yimpson H2.9 hurriLane+ies@ 1�lo"os' I I - �• � a '1 I, forpanel cornet+wns es -1.1 I/4".Versa s+andmr inboard<+yp.l. rpanelG o _ _ - }� E __ Ti a �ooF brwcinq a 4 O:o.L: J. I ,r ' I.:1 S.• _ I _ L" - ,,. fvr panel cannel+ions I . 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'4 A tuE.%.-..: `•:d.s.I1I II a r x .-.._.... •.--.. w Z•- -- -- < a OrP 2-19/4 z9 1/2 a 1p. a •r�C P7<rI .0QOaZ. ` x oof 4.O ki.4a.ifo pel m blo coea+ .c. m. Qmq—Z peonH 2'i hurricae+ies @ 1C4. 4-1. 1 1 7/6 LYLs __________ 2xd,LaEder rwf+e'scdlo"ax�' 1/4,_ 1,_0 OOF FAME PLAN WLL Z 3 � 2. LU. e PKWpT FR-AhQNG a —al.+ Ild r�Na n�pPaam>af 2 _ oao LU DRAWING,TYFE: hof Frame Plan SHEET NUMBER:h 42 �of �af0 0 + , eI ,r . ' to • ' n .. • -7` - , - 'i�, :y.,•', a .. � � _ .. - -7 r . Up , s ,< Q ' •. . .- � ., r,.x. - -. � � �•-s I/x" � I.I-•-i" -r-a (/2. � r. m �g� 3p do��u�ra` y ^ a i. . - - .I .. .✓ �4 r---- ---- - ---- -- A I s_- _-__ ___ _ ___ UNf•INIhHeP yTOR-AGe - . n • I - .. � • I.I® "• .� � I.I.. '. �I I (. ;r �, I�I- � 1= . I z • n I I s rc t s - .-. ,. w•,, . k ;_ -+ - I I R-ogf �4.' �. .I I - I l f I I Jl___---- --J- _ ----- - -- ' II r I I --- --- ---- hoof r------�i--- - r I'I- II I I f I •I-I � V f, a { LU - - .. .' . r � --F.. i� � 1.1 t• � �I .. ��- it , � \ � I I _ __________J m ID _ uNf iN HeP hTo�AGe �: . OI p 11 - m f Z � UJ m 1 7 hoof Grickst I I p+`a - cy W a m m ONP FLOOD PLAN _ F U ID Y v - •. II " ` wl I it' — O as -.:.. .,..;, :. " I.1 ^ ... '-�1 :._x5eP�O0H•o .I. r heal I/4... I._O,. IWL IL ;.::. � I� ,. ' ., ' � �, � �J - 9 9 o aj9.P+."i+orsgs ws�Gsrsgs ` , R• .mi m I F c. iXr - l F—f F slow The plan wss dscynsd in crrdsncs wl+h - y +hs ln+srna+i I,R-udsn+nl Gcdc 2009 - I • d chu s++s Sao .. conform w,+h - • , P •[ � I II • R- Penings. � • - i .. I � •II _ � 6` _ - - Walis to ba rsmo.,sd c`03 vh � - u c It � Cxls+lnq wall.. E� ______________) -� ___ 9'-B 1/2"4 - •1 1;-fir" 9'-B I./x' ..O r�moks Pe+sc+or�equ red p• _ + C .' - • �..-. 9 .. Al Mssuremsn+cfP msn.ons ors+o .� a•fd ' `:., _"..-.' •.. --.. `¢'x �, 5 s:' � � -,3:. ) "M"�- All +e vsrfsd by Gsnsrnl Gon+rac+or:; � ®'m ui_-_ � p�J= o r n •.. .. ,.:t .. ��.. '. � - .� ' - .h _ .. - <++gym. ofc c+ruc+on � mt's`o£ �,n__ - - - J d m m y- 111 E 1 8 LU ` � r PRANIING TYPE: - - - Second Floor Plan SHEET NUMBER: A 00 e a sa�"e9e . d a M. l , .P r ' ..t. . r,, ..'.• r , R-ubber membrane roofing ... - s / L - �• GPX plywood ehca+hinq(+yp.l, r x8 R-of+ers e I :t. '♦ ss ': x. r t ; .. a ,. - qln . - .. .. t ' �, - _ h'^P•.,m��connec+ore�^ Y.la"O.a. :,, ._ - _On r, - - .^ �iimpson H 2.z hurricane+ies a 1'G" a O.L. . Aluminum qu++er.+o dryweus m r;r . G,,A-muausffi+vent(+p.) - L 2-P.T.2xB•s -Q Ix_PVG+nm boards . . •_ , L• .. - . . L ' -'4x4 OJU r+ a+s . -. • r 4" lk . ,• �, . Wrap w/I x_PVC+nm bawrda ^ .'gGR-EENEP PO�GH • - ` .. - • - - -1' • t` .. . •, 6 - - t ..Gon+lnuouz 'dqe en+ < • 0 . " 3. mL9TA raps e I CO"o.c. -,• :.� - Aluminum frame screenpwnelw i t " a [, - « • ., r h c+ur .. __ r a " k1 A c i+c wl wsPh I+ hinglea �- O LU /4e x to PqG heck .i . .. F pwper +yp mq� 1 z I+ ( .1 O impsonm L - 1-laxm LU028e Ile."o.c.,° - t S e a'tGe + '• .: _ •. -. -„ ..,� �_....._ ,.�_. ._,pa '•--=n' _ � - - >2 x I O R-after e I!a'o.L. 2 - L. Coxfo oiuppar+.poa+ - a ro'mpzonm LYlwxm LU�i 2 Co e 1 CO"o.c. O.L. 1 • _, ' - -.c I .;... :1 2"m x 4=0"gon o+ubem/27igfoo+m%lo` .poured conere+e column fao+inq w/4-•4 > ; {,. rebar I.z'min-0"max embedm—k •7 ' is .. " - a " o 6 v • ` F__ __q r. - Ic¢and wa+er bhield(+yp.l - - Z - .ter o • - r T Proper�venfe e 1 G"o.e. I - • ;, .= W m 2 w E.f .r - ..' t�t��LD�NG�C•�iT�oN..,E„ 2"R-gid'f w i sulw+ion e 1!o"o.G. _ �, - . - e JQ U m . ... . ..•� ��. '--, � - r %/4"APA rw+ed+lq ubfloor K °gym ,,himpsan.H 2..z hurricane+1e4 e i Co"o.c. 'glued '- ' '. .:. .. ;• " <_ . :' ,:' Gale:+f/2"_:f:�'-O `, , r ' Aluminum u++erb+o dr wen% - a"H.v.r..ulA+imn �o of 4 — � z .. • j. - , .:..'. ,: - . A. : '" - - - .. 1'1 T/B"pGlm'90 2 O Joiz+s 0 1 , n. x_PVG+ board- ,- A a' • > - - .. " ..- _ .. :, ,r r 'z . - 'c • . ` -_ _ ;. #.. - E. �_ '.�,r Whi+e-cedar shingle-,e z + " . " 2 a/`..2 I 014..:dXe r.(+yp.)G n+gnuot o ffiven +w(+yp.l T YPeX'PirecoJo drYwaI`t - .rS' • n Oucewra (+ .) fl.' y# • r. _ Q IS a 1/2"APA rw+ed"full-heigh+"thew+hinq(+yp.l - s �y Y o0o— w v GAr—AGE _ Yva f�o: :�J- t • .2rifo WAR s+uda lG"b.L.(+yp.l :>:r . - @' „ <0`00Z-30 v ' o rN:r7.Inzulw+ionR-2.'I'(+yp.l ' `� Jv S.c om� E J 0 Poured LonrTe+e slab w/Pik ermeshm I a- W m a a a r O"Anchor bol+a w/ vapor b `and m'I.poly CO arr'er. <- , oB`o.c.:wnd a"from-,ill plw+e endz. • ,' Grade DRAINING TYPE: eJeL}ion_A" 1 ( • :B"x 4'-o"poured conare+e founds+ion heclon Y fo +nqw/2x4 keyway: :' ( U�I=fJ�NfG`�ef',T, „ . A9 oo - 5HEET NUMBER: • - Gale: ,:f/2, _ �.�`�a> A 4�00 • .x CL- o �33°.ms F W'o- E-mmoo + am ono is , r - ♦ - ° - � _ ¢rthi+ c+ural as ph I+4hingl- G ". m +ch . C .xis+ingl - y - ban+'nu u idge ven} A - I s P I+paPeri}ypl y Archi+ee}urwl asphal+ h ngles > { • a '. .2 4 Gnllwr+ 0 1 v- 'Q _ ` Fel+paper(+Yp.) t .+ .'2xBA f+rya Ito ' 2z4 Gollwr+ese Ita•o.c. �,. - e "GOX pIYwood4-4-hi"(4-yp.) - _ X Iceand wa+er held(+yPa - E 1/2"bOX plywood shea+h'nq(+yp.) - .. - Proper n{-s¢ 1 to"a I. • _ e - t L ' IGe and 2 [rigid foam insulw+'on¢ 1�"o.c. A- a • wa+er shield(+yp.l (2"FG.Insula+ron �%Bl 1 2"P.G 1 sula{-imn•�%BI . ra r ven+s¢f v"a.a - yimpson H 2.z burric ne.+is¢ I tn"m.c. t pimp mn H2.9 burn,an.+i..e Ito"oa. - """"" """ - - ' Aluminum qu++ers+a drywells Aluminum qu4.4--+m dryw.11s - a ( I x_PVG+rim boards .,. .I/2"Orywall(+yp.) .. • - • •+� a e n+inuou%smffl}vent •. 1/.2 .. _ , r A- LL- .„ -.• y „ } ,, , - • .. off, (+y.) ,_ ° 1 x PVG+im b ds • + G +i u u �+ n+• Jr v✓hi+e cedar shmgl s¢�i"+.w.l+yp.l _ .. Q Whi+.cedar sbmgles e 9"+.w.(+yP,) t• - , TY"ekTM haub ap(+yF' , �ITTING��01 I _ 1/2"APAra+ed funheigh+ rhea+hinq(}ypJ l�f�TN�00T� ~j '' • n T ' APA"ra+ed"full-heigh+'4'.'M hing(+yp:lLU _ 2 xeo Wall s+ud¢ I G m.c.(+yp.) « l - 2 xto_Wall s+ud¢ I ta"o.c.(}yp.l - - CL a • 9 1/2,; - - %/.4"APA ra+ed}Eq.subfloor - + N.R..I sula+ian•F,2 l (+yp.l lued a,e �i. H.P.Insula+ion• 2 F1 (+yp.) %/4"APA ra+ed F-*� .subfl as n- q and na'led.. 'r. 4. - • d and nwr a .. O"Anchor bal+s w/- 1/2"A-1'im 2 O Jois+s¢ 1 to"o.a _ - 1.0"Anchor bol+s w/ _ - - .•.� q ue zo wa ers _ I z i=o r°n ..c.and 8",fr ill pla+e nds. - 2 B,'H.O.1—ula+ion•�%O W %B"m.c.and 8"from sill pla+e ends. B"H.O.Insula+ion•R-%O - , m - In Y • rt • '+ a .. -• -'B x 4 7'-m"Pourcd concr +e found +ion - - ¢m( ' ... • '.` -„ •"r - __ ,., -'. f - a.+mn w 1'to x (2'LOn} uoua B"x 7'-G"pound c cre+e f u d +ion • .. .F• / x s foo+inq w 2 4 keyway. ' se+on a 1 Co"x 1 2 can+inuou cancre+e - !C ^< Z W U w fa +nq w/.2 x 4 keyway' T-o y�1 +row z 2 d.15' ' - _ --T o 4"BI a+ :gel. 1 z' H7 F W m _ -- 2"cancre}e.1"+cap. - . 2"concr.+.dus+cap Co I. I barri.r •, - W O U 6 Mi po y vapor a w/Co+lil.gmly vaporlsnrr'er - O .. .. _ - d t�uILDINc,h>;GTIoN ,G,. uIL 1^ AEG 10 _ V o`E r AaOI E �JGAIE: I�2' = I _emu ! ,•n . .. 5= 6` �- - - a - ' mom..-• r +per.`J + as � • s ,r , - y _ ♦ .Moan -Y �mo�o� Z ne ° o i 1 > S 0 ~ono` K nLL1 d. - F i pwldinq�iec}.on"G. SHEET NUMBER: .. n ' ♦ . - f -S _ ",. ♦ , _� � -• f.�`"'• a • -_. �1lerL e , HH x .. . ,,- �• •- Archi+eL+ural—< hal+shingl (ma+ch - 2X4Gnllwr+'mso I , - DX ply o dshea+hinq QypJ r 1 1/2 G" o _ s , H� v shieldf+yp.l P ,.per—A' e l In"o.c. 1 2"P.4.Insula+ivn-�9B1 - .`�• C^ n .. - -. . ,. m{ 2 R•iq A foam i—ul +on e 1 ,o.L." li' pson H.2_S hurricane 4,1..e 1 Co' '_ ° +• + - AIymi.u.qu++ers+ drywella - +rimus so Gon+inuoff t v n+` r V r � y - . t4 _ - -.` E. '� s. . i •. • ' Ih+ecior walls z x 9 studs er I Co"o.L. * { - Z ,' _ ,,,x -. " ♦ ¢ Tyv¢kTM KouuwraP(+yP.l Ul �-' s " - - - • _« ,. ♦ 1/2'`APA ra+ed'..full-Neigh+" heathinq(typo . . _'}, ;y q-. y. _ 2%<o Wdll e+ud a,.1 L.(+yP) ID a i.: .. .. Insulq+'on-R"2-1.(+YP.) 91vedand m. A.lym 2 o i s+s @ 1'Co"o.L. 9 1/2"-AJym 2 O 1 sts e 1 fo"o.L. la / •r. w m g� and B"from rill Pl to end%. t -' B"H.P.Inzula+ion �901 9-2 xB'. ;' •_. .y�u m f Grade # . _ .-F - e"x•4'O'Poured 6-6-4-f Undation b R - -• -, _ m a ? ♦ - ✓• "": ~& r .°• :t i Y.R se+o _ X 1 2 o L W nuousL a .- r (n U f U®v ' c • N `- ob+ qw'/.2X9k y L op 6,1unin/zw/!o x6k1/2b rinq no r a .._ - -. - r•< ¢', _ b PI +es/se+an 9 O"..x 90"X 1 2,... :% 1. �m Poured concrete footing F • Q . .d � - 9••Poured concre+e aab w/Fibermezhm - . 2lnS' dCI.p IY Pba Bl 2 r - Y dov - F " y.• , n• � `. �L)ILIJII�G��EGrlOhj..�.� 4.• oar3�Eo 'o`+� u . :1 1 � - .n dru��m y c•s 45 ®-ao�nE z n m a o a . a'm = • F - - . ". Vwm-mm In E J � f DRAriING TYPE: " I 0, - .' •« - pwld�nq yec+ion"P . • r ;�; - - ., _ SHEET NUMBER: A402 =a� am ;L _ t ® 7 } ❑❑ a m❑ ❑ma EAh ELE AT'10 - X W -- - y _ - - , A. r v µ " yule ,.. 1. o- n -------------- - IL .'.+ , .. 177 YV Z i Ln n " - • , 1# cy tu i \ " • 4 ... In Q Y Y n I� i.. I ".I I q Ir_.. II • I.,. ` uzT=mu in .E 0 J Lu -------------J 1 ---- ---- ---- - - - —I� _ - + DRAWING TYPE: rl-'-'— i - --- _ L----- --- 1--------- ---- L-------------------1-1- - ---J - e.+.+a�a hou+h elova+lo .. - e„ -' v_ _ _ • - SHEET NUMBER: '' •, r. _ J �' am Gov"� f m of -tdss2o . .{ .. Z . - •c ,. ,..«� .. .: - - .. .. - i - - � w u+'2`o ion * A r a d s a EllY Ar ' 7 ODD L ODD S --------------------------------- L---------------------------------j '. 3 ,: ,:. '.. �,,. •. ,- � - - ram-------r� --- --- - - - r-- - --- -- -- .- — - e ,o tu 1 II 11L UO/ ' [ ° / , •a' _ ..p- + ' .. ., a .. - • } • .ti I.. '�� ; - � O c m g m m 3 _- P. J - • y cy � LD f � : . LU Ell a , ' a - gEl oo o . ❑ A . • I I I a . I I I .. j t}• ' � .,'` I - - .. @ 3 O p.E 111 r O d C l _ -___ _ _ -_ -__ ___ r • , .. .• .: r`-..---may- ---- - ---- - -. lr- • _ ____L_ __ - .. . _ _ - -., • z - DRAWING TYPE_ , yaT164 " .:. '. ♦ . -,, o yaal¢: I/a.,_ I._0,. .. , ' a... _ - y or ¢va+ions - Wes+nndN +h EI SHEET NUMBER: e.. p A5or L _ n� oEW cl�oJj _ . mn y: � o L" ll. a _ s - o 00 0 L L I ' Y , r - I I - E_ - _ G V✓Eh-r ELEVATION` : L - J---------- --�'----J---� r�-----�_--.7 - 0 k � 4 Lu v s OL O ' _ I n I Z Em _� 00 i 11J� J W � I N I Q Z U S N _ 0 ZQ - .. J� L .+gym c - � ®'16mH�gE Jinaa EE m DOM - - I. ------- ----- m - . ___________________.__________--_-____--________ l �-. ---------------------------------------------=----=� --- r-------- ----------- --------- ----------- . - - _______________.-_-____-___________________—____L__________J - - - - DRAWING TYPE: ��Naf=TH ELEVATION wes+'a�a Nor+h Eleva+loos .SHEET NUMBER: . . c o E 1 E _ J I I 9 - 1 l .. l J ® 0 J •.tia 0 I I - e 4uadr:,FremG<rnet-T • S - 4- G•s h+we t6s+gilled+o cods •.. i� - .. I 1 O O >io u s-� - " - : ------------- - pp - - eiv h+or.ysuwer �4 k I I eck hw+ch+o bulkheed 1 I I Ar i bnluw wLU r, I I• I ----------------- I i ------- IF CD I I m N .I Screened Porch I - - I ml Q-Z " °'O ®® I L Z Y- •� N v 7 Q Z LU � o .. .. '. - ® ~ gym a 62 IL n � Z �s U� m �°m ... - .. DRAWING TYPE FY - - -. 1 s�F Floor Plan SHEET-NUMBER• 11I d o O z o goo p� o �^ E �Ori I_ 7 L °o } s- Ira .5 T ID tu S L _ o 0 -- — -- ----L - ��\ --- ----- —--——— -------.— -- ----- CL ' l t - d-----------------------------------------------------�. . - .. _____________________________ _—,_—__.— --_ _-__—_______—____1, - .. . I______________________________________� : / >�EA2T ELEVATION ci w ao .. in Z •�..d m m 3.�p G7 N U E O V.I d C < z LU O Li ID Jm - Q a p 11 LU ®N in�m Q f S m p g E N J O O� o K d d.II I - . DRAWING TYPE: . a au+ lops -E +andh hEIG�a+' - I I - IL_______________________-� ----____—_—__--_� . I ----fir ------ -------- ''r----------------.---- ------------------------------' - L------ --- ----1----- -----------1— -- — --------- ----------- - p +hOUITH ELEvhTIa1 J . SHEET NUMBER: • f � a j i y • fir- •. , • 15 MAP 18 �Otuit{ • PARCEL 79 k !f la e ` _1 ; • LOCUS zf MAP 18 a, PARCEL 77 �� • t CCC S67° lID o � �9830.OF M U.S.G.S. LOCUS MAP o SCALE: 1"=1000' 00 rn o o` EXISTING GARAGE °� TO BE REMOVED ? 6 ti NOTES: MAP 18 PARCEL 81 Rqc G 1 1.) PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED o ZONE 2 OR WITHIN THE ESTUARINE WATERSHEDS. 2.) LOCATION OF EXISTING SEPTIC SYSTEM / 4 COMPONENTS ARE CONSIDERED APPROXIMATE AND J 0, �``' Q0C0 WERE BASED ON SEPTIC AS-BUILT CARD ON FILE WITH 9�S Q�0 • THE TOWN OF BARNSTABLE BOARD OF HEALTH. <<F�v �o PROP. PORCH i ,�•�, off' � �l ^o' is 72 l �1 ''�0 \ �� 700, e V� 3 0� 700, OWNER OF RECORD: MAP 18 o p� �' ^o' s ELIZABETH A. MARTIN PARCEL 76 / ^o. �' #1267 CARL N. MARTIN II 21,800 S.F.± / / Q EXISTING 23 GREYTHORNE WOODS CIRCLE 3-BEDROOM WAYNE, PA 19087 / / 2� / _ �g 38`% DWELLING MAP 18 PARCEL 82 / LEX. sr s o S33 FEMA FLOOD ZONE J �71 oo �� X 26 CO rt PROP. SCREENED PORCH �� AS SHOWN ON COMMUNITY PANEL: �, ° �8 OpJ� #25001C0752J (dated 7-16-14) 2 0830-.W o �� ASSESSOR'S MAP & LOT: SOp- M �� 4 MAP 18, LOT 76 DEED REFERENCE: BOOK 28218, PAGE 345 MAP 18 PLAN REFERENCE: PARCEL 75 PLAN BOOK 63, PAGE 65 PLOT PLAN AT 1267 MAIN STREET I hereby certify that the lot corners, dimensions, and setbacks to the proposed structures as shown on this plan are correct and were based COTU IT, MA 02635 on a field instrument survey. Conformance to the Town of Barnstable By-Laws and Regulations shall be determined by the Zoning PREPARED FOR: Enforcement Agent. CARL N. MARTIN 11 4,,&iAJ.A,4�e, �R PREPARED BY: ZONING DISTRICT: RIF T' cN' ' JC ENGINEERING, INC. PROPERTY IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT No REQUIRED PROPOSED �i�s%, '�� rF 2854 CRANBERRY HIGHWAY FRONT SETBACK = 30' MIN. 51.8' '� ' EAST WAREHAM, MA 02538 SIDE SETBACK= 15' MIN. 15.2' 0 10 20 40 80 FEET f' REAR SETBACK= 15' MIN. 83.9' ���Y�� f. BUILDING HEIGHT 30' MAX. <30' SCALE: 1 INCH = 20 FT. Date Professiofial Land Surveyor SCALE: 1" = 20' FEBRUARY 24, 2015 ,f 1 MAP 18 '. 'y,•,l` t • . 4 . • a PARCEL 79 1 J �i • �jj 1 LOCUS', ' MAP 18 r10 ;J PARCEL 77 \� LID 70 i��� I� o • U.S.G.S. LOCUS MAP CO o SCALE: 1"=1000' m rn o d EXISTING GARAGE °`�` TO BE REMOVED NOTES: MAP 18 / �, Q_q ST, PARCEL 81 .IV Qom- / Rqc G 1.) PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED 0 2 F ZONE 2 OR WITHIN THE ESTUARINE WATERSHEDS.^�• .01 / �775• 2 1'&Z J 2.) LOCATION OF EXISTING SEPTIC SYSTEM 3.9' / a� o COMPONENTS ARE CONSIDERED APPROXIMATE AND \/ WERE BASED ON SEPTIC AS-BUILT CARD ON FILE WITH ICY �S �p Q^-\ .� THE TOWN OF BARNSTABLE BOARD OF HEALTH. .01 —PROP. PORCH i ,�O' rs 72 t c 111.0, �eJ >>- 0 70°, �� 70 0• xr o OWNER OF RECORD: MAP 18 �� �� 3S. ir�° 1� 'v o O ^ ELIZABETH A. MARTIN PARCEL 76 / ^`O* ^ #1267 CARL N. MARTIN II 21,800 S-F.± / �Q' / Q EXISTING 23 GREYTHORNE WOODS CIRCLE 3-BEDROOM WAYNE, PA 19087 MAP 18 DWELLING s' -�-' r � s, o• s o PARCEL 82 LEX ST 33� \ ,`. �� oo FEMA FLOOD ZONE (LOT): J 74 �� o 00 X �_� � a, AS SHOWN ON COMMUNITY PANEL: PROP. SCREENED PORCH `ti ��A, #25001 C0752J (dated 7-16-14) r8• Co At °08Sp W o =�0 ASSESSOR'S MAP & LOT: 1�S 00. �� MAP 18, LOT 76 C:� C DEED REFERENCE: BOOK 28218, PAGE 345 MAP 18 PLAN REFERENCE: PARCEL 75 PLAN BOOK 63, PAGE 65 i PLOT PLAN AT 1267 MAIN STREET I hereby certify that the lot comers, dimensions, and setbacks to the proposed structures as shown on this plan are correct and were based COTU IT, MA 02635 on a field instrument survey. Conformance to the Town of Barnstable By-Laws and Regulations shall be determined by the Zoning PREPARED FOR: Enforcement Agent. CARL N. MARTIN II 7 •` PREPARED BY: ZONING DISTRICT: RF JOHN L. CHURL JC ENGINEERING, INC. PROPERTY IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT R. No 0 REQUIRED PROPOSED G 2854 CRANBERRY HIGHWAY FRONT SETBACK = 30' MIN. 51.8' s, �aisr R EAST WAREHAM, MA 02538 SIDE SETBACK= 15' MIN. 15.2' 0 10 20 40 80 FEET REAR SETBACK= 15' MIN. 83.9' 4 BUILDING HEIGHT 30' MAX- <30' SCALE: 1 INCH = 20 FT. Date Professional Land Surveyor SCALE: 1" = 20' FEBRUARY 24, 2015 MAP 18 "�x PARCEL 79 • # § a • • "► r t • Opt • • • s 1 , .J�r ...t,;; • • • f LOCUS MAP 18 PARCEL 77 •' X S'67003 • �� Iln LO a U.S.G.S. LOCUS MAP W 2 SCALE: 1"=1000' cm ti MAP 18 PARCEL 81 \ / NOTES: / 1.) PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED ZONE 2 OR WITHIN THE ESTUARINE WATERSHEDS. / 4 �7 2.) LOCATION OF EXISTING SEPTIC SYSTEM 4.0, �s, g, COMPONENTS ARE CONSIDERED APPROXIMATE AND ^Q) WERE BASED ON SEPTIC AS-BUILT CARD ON FILE WITH THE TOWN OF BARNSTABLE BOARD OF HEALTH. EXISTING 7S 9p• FOUNDATION 722 3q, OWNER OF RECORD: 9 7 ELIZABETH A. MARTIN / co9 Op, o' o PAR P L 8 / �-� / o #1267 .9, CARL N. MARTIN II 21,800 S.F.± / Q'Z- / `� EXISTING 23 GREYTHORNE WOODS CIRCLE N 3-BEDROOM WAYNE, PA 19087 MAP 18 / DWELLING FEMA FLOOD ZONE (LOT): PARCEL 82 \ / L X`T \, �\ 'V.Z X J kz Jz �Qo off, K AS SHOWN ON COMMUNITY PANEL: A) ?oo � #25001 C0752J (dated 7-16-14) 6 ti4' ^oo GOJ N;�2°0850" - ASSESSOR'S MAP & LOT: >>S p, W � ' MAP 18, LOT 76 DEED REFERENCE: BOOK 28218, PAGE 345 MAP 18 PLAN REFERENCE: PARCEL 75 PLAN BOOK 63, PAGE 65 i FOUNDATION AS-BUILT PLAN AT 1267 MAIN STREET I hereby certify that the lot corners, dimensions, and setbacks to the COTU IT MA 02635 EXISTING FOUNDATION as shown on this plan are correct and were , based on a field instrument survey. Conformance to the Town of Barnstable By-Laws and Regulations shall be determined by the PREPARED FOR: Zoning Enforcement Agent. CARL N. MARTIN II PREPARED BY: ZONING DISTRICT: RF \ �oH , �R �.� JC ENGINEERING, INC. PROPERTY IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT 2854 CRANBERRY HIGHWAY 066 REQUIRED PROPOSED AS-BUILT FRONT SETBACK= 30' MIN. 51.8' 65.9' i , ..:, �' ' EAST WAREHAM, MA 02538 SIDE SETBACK= 15' MIN. 15.2' 16.0' 0 10 20 40 80 FEET 7124 REAR SETBACK= 15' MIN. 83.9' 84.0' BUILDING HEIGHT 30' MAX. <30' <30' SCALE: 1 INCH = 20 FT. Date Professional Land Surveyor SCALE: 1" = 20' JULY 20, 2015