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1281 MAIN STREET (COTUIT)
L i 'elephone: 508/563-6049 COLONY INSULATION,-INC. 28 Jonathan Bourne Drive, Pocasset> MA 02559 CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: :. �►:�ecfi�4\ l'n�OVA,0,5, 1 JOB SITE ADDRESS: /J'Ti /'��`.,.Sfreefi C�}u+`� /`,)A t DATE R-VALUE AREA THICKNESS F r Ceiling: , Cathedral Ceiling' — Garage Ceiling— Basement Ceiling ' Slopes Exterior W all a — Garage Hs'e. W all ai W alkout W all ? — Cathedral W all Blockers — Overhang Stair/Risers All R=values and thickness measurements are deemed to be accurate by the following installers: TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM Arnthane oci TECHNICAL DATA SHEET PRODUCT NAME PHYSICAL CHARACTERISTICS I Property Value Test Method Density(nominal): 1.0 lb/ft3 ASTM D-1622 Arnthane R-value: 5.2/inch ASTM C-518 OCJ Compressive Strength: 7 PSI ASTM D1621-04a I Tensile Strength: 13 PSI ASTM D1623-03 Ii PRODUCT DESCRIPTION l Dimensional Stability: <2%A ASTM D 2126-04 I Open Cell Content: 76% ASTM D 2856-94 Arnthane OC 1 is a petroleum based,fast Air Permeability .002 L/sm2(@ 75 Pa @ 3") ASTM E283 set,open-celled, 100%water-blown Vapor Permeability 3.6 perms @ 5" ASTM E96 I spray polyurethane foam(SPF) insulation system designed to reduce LIQUID PROPERTIES energy consumption in residential& I Proper Value Test Method commercial structures by up to 50%by Viscosity(A) 200-250 CPS ASTM D-2196 insulating and air sealing in a single step. Viscosity(B) 350-400 CPS ASTM D-2196 Weight Per Gallon(A) 10.25 lbs/gal ASTM D-1475 I. Arnthane OC1 is applied as a liquid and ! Weight Per Gallon(B) 9.15 lbs/gal ASTM D-1475 then expands over 40x in seconds to fill and seal building cavities of any shape REACTIVITY PROFILE and size. It exhibits superior thermal Property Value I insulation,air-barrier,and sound Cream Time: 3-4 seconds @ 25°C(77°F) attenuation properties compared to Rise Time: 12-16 seconds @ 25°C(77°F): conventional insulation materials. Total Cure Time: 4 hours Once fully cured Arnthane OC 1 is semi- i COMBUSTION PROPERTIES i flexible which will allow for some Property Value Test Method movement of the substrate or building Flame Spread Index: 525 ASTM E-84 I over time while maintaining proper Smoke Development: <450 ASTM E-84 insulation&air sealing of the building Fuel Contribution: 0% ASTM E-84 envelope. *Federal,State,.or Local building codes may require SPF insulation to be covered with MANUFACTURER an approved 15-minute fire rated thermal barrier. Installation must comply with applicable codes. Consult your local building code official for approvals and i Arnthane OC1 is manufactured recommendations. exclusively by PACKAGING&STORAGE I Arnthane Inc. Drum Weight(A) 551 lbs 1002 West Main Street Drum Weight(B) 500 lbs i Richmond,MO 64085 Total Set Weight 1051 lbs P.816.776.3015 Storage Temperature Range(STR) 50°F to 90°F F.816.776.3215 Shelf Life at STR 6 months www.arntliane.com i *Do not allow material to freeze. Storage at temperatures above or below acceptable CORROSION storage temperature range(STR)may shorten shelf life. Cold material will develop j higher viscosity which can cause during processing such as pump cavitation aid poor Arnthane OC I is chemically& mixture of(A)and(B)components. For best processing performance during application i physically compatible with all common (A)and(B)drum temperatures should be between 70 F—90 F. building materials including electrical wiring,wood,metal,concrete,plastic ! PROCESSING PARAMETERS i (PVC),copper,vinyl,and glass. I Processing Pressure Range: 900-1,500 PSI* Processing Temperature Range: 115—150°F* INSTALLATION Minimum Substrate Temperature: >20°F Substrate Moisture Content: <19% Arnthane OC 1 must be spray applied Yield: 9,000—10,500 Board Feet Per Set* i using approved equipment.Use 1:1 ratio proportioning system that can *Processing parameters&yields can vary widely depending on substrate temperature, achieve the specified temperature and I ope&condition,ambient temperature,elevation,humidity,equipment and other factors. pressure requirements. I During installation the applicator must observe the quality and characteristics of the foam and adjust equipment temperature&pressure settings as needed to accommodate these variables in order to ensure proper adhesion, cell structure,yield,and performance of the foam. I Arnthane OC1 TECHNICAL DATA SHEET Amthane OC1 demonstrates excellent guards,rubber or leather boots w/ herein is believed to be reliable,but adhesion to various substrates when covers. unknown risks may be present. installed according to manufacturer specifications. Do not use near high heat or open flame. NO WARRANTIES,EXPRESSED OR IMPLIED,INCLUDING PATENT Amthane OCI resin(B)component Do not take internally and prevent WARRANTIES OR WARRANTIES requires agitation for a minimum of 30 contact with skin or eyes., OF MERCHANTABILITY OR minutes prior to installation if material. FITNESS FOR USE,ARE MADE BY Depending on conditions,continuous Keep out of the reach ofchildren ARNTHANE INC.WITH RESPECT agitation may be required during TO PRODUCTS OR INFORMATION application to prevent phasing or LIMIATATIONS SET FORTH HEREIN. separation if material is not used within 24-48 hours of initial mixing. Amthane OC 1 should not be used for Nothing contained herein shall exterior applications,as sunlight will constitute a permit or recommendation Please contact your technical sales rapidly degrade foam.It should not be to practice any invention covered by a representative for recommended used where foam will stay submerged in patent without a license form the owner equipment and mixer configurations. water or below grade where back-fill of the patent. Accordingly,buyer material may crush or damage the assumes all risks whatsoever as to the SAFETY&ENVIRONMENT product. Installation must comply with. use of these materials,and buyer's all applicable building codes. exclusive remedy as to any breach of Amthane OC 1 is installed by warranty,negligence,or other claim independent SPF contractors. It is DISPOSAL&CLEAN UP shall be limited to the purchase price of recommended that building owners the materials. Failure to adhere to any verify that your SPF insulation Cured/reacted product may be disposed recommended procedures shall relieve contractor maintains proper credentials,. of without restriction.Excess liquid'A' Amthane Inc.,and the manufacturer of insurance,and licenses and is properly and'B'material should be mixed all liability with respect to the materials trained to safely install SPF insulation together and allowed to cure,then and their use thereof. products. disposed of in the normal manner. Product containers that are"drip free" Amthane OC1 achieves a Class I Fire may be disposed of according to local, retardancy rating and meets or exceeds state and federal laws minimum building code requirements for fire safety. WARRANTY&DISCLAIMER Amthane OC1 contains no Ozone The data presented herein is subject to depleting substances,VOC's,HFC's change without notice and is not and is PBDE-free. intended for use by nonprofessional applicators,or those who do not Amthane OC1 has low odor during purchase or utilize this product in the application and produces no toxic normal course of their business. The vapors after application potential user must perform any pertinent tests in order to determine the Always read and follow all job site product's performance and suitability in safety requirements as set forth by state the intended application,since final and federal safety regulatory agencies determination of fitness of the product such as OSHA and NIOSH. for any particular use is the responsibility of the buyer. Always read and follow all Material Safety Data Sheets provided with all All guarantees and warranties as to the shipments.Additional copies are products supplied by Amthane Inc.shall available upon request from Amthane have only those guarantees and Inc.or your technical sales warranties expressed by the representative. manufacturer. The buyer's sole remedy as to the material claims will be against Basic PPE safety equipment is required the manufacturer of the product. The for personal protection including,but aforementioned data on this product is not limited to:long-sleeve chemically to be used as a guide and is subject to resistant overalls,rubber gloves,splash change without notice. The information AM shield or safety glasses with splash Amthane Inc. 1002 W Main Street Richmond,MO 64085 P 816.776.3015 IFIRESHELL - INrrA zoom 1.11L %Avu FYRESHELL® NFPA 286 THERMAL BARRIER INTUMESCENT COATING . "PASSES FULL SCALE ROOM CORNER OVER FOAM" • � s :st FEATURES APPLICATIONS/ APPROVALS .2.1 over foam Part Number: FIRESHELL® • Non-flammable, intumescing • Meets IBC 803Coating • Meets IBC 2603.9 over foam' FLOE . Meets IRC 314.3 over foam PRICE: Please Call for Pricing Expands up to 2000% . • Provides oxygen.starvation • The only coating to pass NFPA • Proprietary formulation 286 over Foam • Non-toxic, drain safe, water For Walls, Foam;Attics, Crawl based, no fuming Spaces 1 Waterbased, 1-Part E84 Cl 'A' verified Y. s r= • s y Meets Green Standards and.Lead • Interior- White (Can be paint Requirements custom" tinted during . Meets EPA&Cert for Ultra,Low, 4 3 manufacture) VOC • Can be latex or oil.base topcoated Post Test Photo NFPA 286 • Certifications • MSDS • Properties/Specifications • Thermal Coati ngs..Cheaper Than Sheetrock • NFPA 286 IBC Logic • NFPA101 Life Safety Code®Compliance Logic i • ESR Procedure Guidelines • Coverage Estimates over Various Foams I Thermal Coating Flyer FIE and FLOE standard Colors ' • F10E Charcoal vs.Black. I • Unacceptable Open Cell Surface Example ; • Coated Foam-What To Look For ; "Custom colors cannot be returned or refunded._TPR2 is a make to order company and will not refund or accept the return of custom colored products. i FIRESHELL®NFPA 286 THERMAL BARRIER COATING,. i QQ -� �.-11antnu tnr7,C m/afes-flOe.htm t ' - - - %xiilp Tenn.an/,r�,.ra x Nion.•.�nmrr- _ FlRESHELL® F-10 SERIES COATING PROPERTIES , Flame Spread/Smoke Developed(ASTM E84): 5,20 Wet Film/Coat to DFT—spray:30 mils dries to 14 mils per coat, nominal „ PH:7.5-8.5 Wet Film/Coat to DFT—brush:22 mils dries to 10 mils per coat, Flash Point:None nominal Volatility/VOC:<50 g/l Recommended Final DFT:Recommended Final DFT:'20 mils DFT or more,depending on fire barrier requirements Solvents:Water Based Recommended Equipment:www.tpr2.com/sprayequipment.htm Toxicity:Non-Toxic Sag Resistance:25 mils or more when sprayed Fungus Resistance:Good , Priming:No priming required..,clean,dry,scale free surface recom- Mold Resistance:Good mended Viscosity:—110 ku. Dry Time:2-3 hours between coats..Up to 3 weeks to cure before scrub or fire testing. Linear Shrinkage:Minimal r Weight per gallon: 10.9-11.3 lb.Wet i Moisture Absorption:Mild i Color:White&Black Corrosive:Mildly;None when dry Coverage: 100 ft2/gall6n at 15 mils DFT(Non-Porous)55-80 ft2/ Shelf Life: 1 Year gallon at 15 mils DFT on foam,depending on smoothness of the sur- face foam. Environmental Impact: Meets EPA&Cert Spraying Temps:Normal spray temps 62-95 f ambient interior Green Product:as per h.ttp://www.greenguide.com space.Can be sprayed(with slower dry times)As low as 40 F(with coating warned to 72F or more). SPRAY TIPS . i Closed Cell requires 12 hrs minimum before coating with Fireshell® Open cell foam requires 72+ hrs before coating with Fireshell® • Open cell foam requires tack coat of Fireshell® before full coating Bio-foams require bonding primer contact TPR2 = 2-thinner coats strongly recommended for complete foam coverage& faster drying P w g ry ntg Certifications, Test Reports and MSDS available at www.TPR2.com 076 V-t- r-\- ry-? U rei Duct Leakage Test Form for MA Code Compliance`` Client Information Building Information Name:` (e k i Address: 1,.2y Address: City/State/Zip: City/State/Zip: J,b/e- Test Date: - — Phone: 3 Test Time:, Email: Point of Construction: 0 Rough VFinal System#1 System#2 Location: ,G Location: Type of Test: XTotal/0 to Outside Type of Test: O Total/O to Outside Approx. Floor Area Served: v Approx. Floor Area Served: CFM Leakage at 25pa: CFM Leakage at.25pa: Approx.% leakage for single system*: p 0, ' Approx'. % leakage for single.system*: System#3 System#4 Location: Location: Type of Test: 0 Total/0 to Outside " Type of Test: 0 Total/0 to Outside Approx. Floor Area Served: Approx. Floor Area Served: CFM Leakage at 25pa: CFM Leakage at 25pa: Approx. % leakage for single system*.: Approx. % leakage for single system*: System#5 Combined Results : rj Location: Total Conditioned floor area: - s - ft. ' Type of Test: 0 Total/0 to Outside Leakage limit: 0 W,. 0 8f 0 129W cD Approx. Floor Area Served: Leakage limit: cfmLS , . CFM Leakage at 25pa: Combined Leakage**: cfm 25 Approx.% leakage for single s stem* 2009 IECC Compliance: Pas O Faa# *Approximations for single systems are for diagnostic use only. **Total combined duct leakage is required for 2009 IECC Compliance. } I certify that this test was performed in compliance with applicable standards: Tester's Signature Date HERS Rater Name: 'S'(�i'1 HERS Rater Company: (T HERS.Rater Provider: '�'S_e V© (o Developed by Advanced Building Analysis,LLC ` 4OWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 076- Application # 2b1,cog I I� Health Division Date Issued (o /S Conservation Division f Application Fee S Planning Dept. Permit Fee 50. - d Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village 4 L i Owner c7-o'✓ le Address Ci© �/ r Telephone J-00lp® — 6-7? — 9/'®1 Permit Request /�cGc�✓✓sT,��T Gg�v �y3/� �• : Square feet: 1st floor: existing proposed 2nd floor: existing proposed 3& Total new Zoning District ' Flood Plain Groundwater Overlay Project Valuation�� Construction Type Lot Size d? A00 S�. 'e Grandfathered: ❑Yes ❑ No If yes, attach supp rting documentation. Dwelling Type: Single Family ° Two Family ❑ Multi-Family (# units) ZE Age of Existing Structure Y/ Historic House: XYes ❑ No On Old KingMighway: U Ye No Basement Type: XFull Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq. ) }� .9 Number of Baths: Full: existing new Half: existing new go 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 Proposed Use APPLICANT INFORMATION . (BUILDER OR HOMEOWNER) Name V. • Telephone Number Address �� License# C5—06Dil-57 Home Improvement Contractor# /0J&0(' Email f ' Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4Va,-;�67 SIGNATURE ,� %%✓�� DATE �/Z'3 FOR OFFICIAL USE ONLY ? APPLICATION# DATE ISSUED MAP/PARCEL NO. ; ADDRESS VILLAGE y OWNER DATE OF INSPECTION: FOUNDATION 9 FRAME ) E 2,i j Iy ' i a � INSULATION ► = 3 � FIREPLACE ' ELECTRICAL: ROUGH FINAL tiY PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING rbK 11,3h5 DATE CLOSED OUT ASSOCIATION PLAN NO. ofTME Town of Barnstable ' Regulatory Services Richard V.Scali,Director a6;g. 1 qua Building Division Tom Perry,Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862.4038 Fax:.508-790-6230 Property Owner Must Complete and Sign This Section _ If Usine A Builder as Owner of the subject property herebyauthorize / D A-2�'T� to act on my-behalf, in all matters relative to work authorized bythis b„'1�permit application for. 11P/ Al l COMr (Address of Job) "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or udked before fence is installed and all final - - -pections are performed andaccepted. _ - Signature of Owner *=Ure of Applicant G � I j Pnnt Name Print Name Date Q:FORMS:oVMWEUMSIONPooLS 1 1-own ox- Barnstame ' Regulatory Services �oF rOyy Richard Y.Scak Director Building bivision r Tom Perry,Building Commissioner 11.E 200 Main Steed, Hyannis,MA 02601 www town.barnstable.maus Office: 568-862-4038 Fax: 508-790-6230 HOMEWNER LICENSE EREMMON ---- -- ,•pleuePtint DATE JOB LOCATTOAL- number street vivage "HOMEOWNER"• name home phone# work phone# CURRENT MAILING ADDRESS: cityftwn state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that:the owner ads as supervisor_ DEFINITION OF HOMEOWNER a�1}y ` -% .l ►. Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessoryto such use and/or farm structures. A person who constructs more than one home in a two year period shall not be considered a homeowner. Such`homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsrble for all such work performed under the building permit (Section 109.1.1) The undersigned`.`homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. '� The undersigned"homeowner"certifies that he/she understands the Town ofBarnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signahue of Homeowner r Approval of BuildingOffieial Note: Three-family dwellings containing 35,000 cubic feet or larger will be regfik6d to comply with the State Building Code Section 127.0 Construction ControL ` ��'��*� \ j HONMOWM'S PITON The Code states that: "Any homeowner performing work for which a building permit is required shag be exempt from the provisions of this section(Section 109.1.1-Licensing of contraction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." e , Many homeowners who use this exemptionre unaware that they,ar assuming the responsibilities of asupervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities regnke�as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q.\WFILESIFORMS\bufldmg permit£o=UMRESS-doc Revised 061313 9 Massachusetts -Department of Public Safety i — Board of Building Regulations ' r 9 g.lations and Standards i Construction Supervisor License: CS-050457 PETERMPOME PO BOX 2056 _ y i COtuit Aa 02635 i a � Expiration . Commissioner 04/19/2016 anvr�zoairuecclC�e, Office of Consumer Affairs&Business Regulation . ���lrQeac�cateG� ME IMPROVEMENT CONTRACT License or registration valid fo*'We,istration: 109606 before the expiration date. 1°dividul use onlyirat[on 9/21/2p16_ Type: [ Offie ofConsumer Tf found returnto: Private Corporatlo i ' 10 Park Plaza_ Affairs and Business Regulation A I'ENTERPRISES INC : Suite 5170 Boston,MA 02116 PETER POMETTI 140'LITTLE RIVER RD. j. COTUIT, MA 02635 Undersecretary Not valid without signature r ERC:n a RA rRA[ PF AQ S : IN 1 RA0 ONE EM o LI —------ ------_- —- -- -_- k THE FOLLOWING IS/ARE THE BEST IMAGES FROM BOOR QUALITY ORIGINAL (S) A- DATA 10/27/2014 12:33:43 PM PAGE 2/002 Fax Server rc b CERTIFICATE OF LIABILITY INSURANCE O S..E DOE IS ISSUED AS A MATTER pF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE 7EPREN D/YYYY) r�O SATE DOES NOT AFFIRMATIVEiLY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY DER � .ERTIFER OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER S�AUTHQRHIS s rR DU ER N IC TE OL E BELOW. ENTATIVE terms and co If the oeof the p holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION terms and conditions of the policy,certain policies may require and endorsement A stet certificate holder in lieu of such endorseme s, IS Wtld theement on this certificate does not c the PRODUCER CONTACT HORGAN INS AGCY INC NAME: PO BOX 250 PHONE (A/C,No,Ext): FAX HYANNIS,MA 02601 (A/C,No): E-MAIL 2Sa13F ADDRESS: INSURED SURER(S)AFFORDING COVERAGE A I BNTERPRISFS INC INSURER A CONTQ�Tg AL CASUALTY t--UMPAN Y NAIC# _ INSURER 8- INSURER C. PO BOX 2056 INSURER D. COTUTT,MA 02635 INSURER E: COVERAGES INSURER F: THIS IS T CERTIFICATE NUMBER:CERTIFY THAT THE POLICIES OF INSURANCE LJSTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH I;a ANY REQUIREMENT,TERM OR CON"I"N OF AN V CONTRACT OR OTHER DOCUMENT REVISION.NUMBER: AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUSJECr TO ALL THE TERM PAID CLAIMS WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PPERTANL THE INSURANCE 8,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY INSR LTR TYPE OF INSURANCE ADD SUB L R POLICY POLICY EFF DATE POLICY EXP DATE GENERAL LIABILITY NUMBER (MM\oDtYYYY) (M&wmYYYY) COMMERCIAL GENERAL LIABILITY LIMITS - ACH OCCURRENCE r:CLAIMS MADE E]OCCUR. $ AMAGE TO RENTEDr. REMISES(Ea occurrence) $ GE ED EXP(Any one person) S N'L AG 'GATE LIMIT gppLl�PER: ` POLICY PROJECT LOC PERSONAL&ADV INJURY $ ENERAL AGGREGATE $ ANY AUTO AUTOMOBILE LIABILITY RODUCTS-COMp/Op AGG $ ALL OWNED AUTOS COMBINED SINGLE $ SCHEDULE AUTOS LIMIT(Ea accident) BODILY INJURY $ HIRED AUTOS Per person) NON-OWNED AUTOS BODILY INJURY ^v ` (Per accident] $ ' PROPERTY DAMAGE $ s UMBRELLA LIAB OCCUR (Per accident) EXCESS LIAB DED CLAIMS-MADE EACH OCCURRENCE $ r UCTIBLE AGGREGATE RETENTION $ $ �I A WORKERS COMPENSATION AND EMPLOYER'S LIABILITY $ ` ANY PROPERITOR/PARTNER/EXECUTIVE YIN UB-027BM742-14 07/18/2014 X WC STATUTORY OTHER OFFICEROMEMBER EXCLUDED? WA 07/16/2015 LIMITS (Mantletarydescr b NH) E.L EACH ACCIDENT If Yea describe under E.L.DISEASE- $ 500,000 �DESCRIPTION OF OPERATIONS below EA EMPLOYEE S $00,000 DESCRIPTION OF OPERATIONS/lnre�tnu� I nlcce or ....._._... ' Department oflnduYtridAcd&nfr Office oflnvesfigafions 600 Wirshbvton Street Bostm HA 02III . www.mrrss gov1aNa Workers' Compensafion Insu ance Affidav&Bmlders/ConfracfnrsMec dcians/Plmnbers Applicant Information Please Print Le "bk' Name Address: 14-�:). City/s`ta /zip: tJ�7'' D PhOne 4G 54A Are u an employer?Checkthe appropriatebo= ' e of project [2. . I 1 a employer wi6i _ . 4. ❑I am a general c �d T �`3'P P J ( : employees(firII and/or part tima).* have hired the sib-ca�ractnrs 6. ❑Nevi camsh octhm ❑ I am a sole proprietor or partner- listed an the aftached sheet 7.§Onnodeling ship and have no cmployecs Thy ctors b S. Ej D=Olftitm fat•me in �P�Y�and have woticers�vor�g my capes• inem�n t 9. ❑Building addition [No workers'comp.iasmrance gyp• --m ] 5. ❑ We are a corporation and its 'I O.❑Blectrical repairs or additions 3.❑ I am a bomwmer doing all work officers have exercised their 11.0 plurohing npairs or additions myseU [No wori=s'ems. right of exemption per MGL 1Z.❑Roof repairs insurance reqdcrAl t c.152,§1(4),and we have no emplayem[No wazi=, 13.❑Offer comp.msurm=regi h&j *AnY applieantthat chcch box#1 mist also M oatthe seelioa bcbW showing tbeirwarkcts'compeasdkR policy hd)—ti- t Hbn=wners who sdhmit firs at Rzyk mdicafiag they no doing Q wade and they hire otllsidc eaaftacb=mast sabmit anew afdayk kdieating sock. #Contra rIc tbtchcckf&box mast attached mi additional shed showingihe name of the sn6-caahaetnts and state vrhdhaornottbose eatitirs hope eaaployecs.Iftbe sib-matmetnrs lope anp*—y ,fty mast pun&their wmk—'comp-pohry=Md)cr. F mn an employer fhat is prmdirmg workers'compensation baur=ce for my enployeer. Below it the po&cy and job site ixforma dom Insuniince Company Name: Policy#or Self-ins Lim.#: 6SI �(�iJ O.t 7 7 -Z//FapiratianDate: 7—`o Job Site Address:/>-�F/ / 16174/5PII� ��- �.. d1�3�d Atfarh a copy of the workers'compensation policy declaration page(showing the policy number and expirrtion date). Failure to secure coverage as requited under Section25A of MGL e.152 can.Icad to the impasitiou of�aI penalties of a fine up to$1,500.00 and/or ono-year mzprisonmeot,as well as civil penaltes i in the form of a STOP WORK ORDER and a fine of np to$250.00 a day against the violator. Be advised that a copy of this statememt may be fiury m&d to the Office of Innvestigafiom of the MIA for insonmoo coverage veaftcaiia 3. I do hereby the VMS penalties ofPm jrvy that the inform ion provided above it&sce and correct S* G`�7 Date: 6 Phone# FE only. Do not write in this area to be completed by city or town g zdaL n: rermiu icense# _Health 2Bm1dmgDeparfinent 3.Citp/Tawn Clerk 4.FIectricalTnspector S.Plumbingitispector on• Phoneme r Information and Instrueflons Jvf ins a cbneetts General Laws chapter 152 requires all employers to provide workers'compensation far their mcpIoyees. Porsuantto this stat&,an wpkyee is defined as"...every person in the service of another under any contract ofhhmE empress or implied,oral or wriftm." An employer is defined as"an individual,partnership,associafiom,c mporation or other legal enfrty,or any two or mare of the foregoing engaged in a joint enbxpds%and including the legal represearfafives of a deceased employer,or the receiver or tiu t=of an individual,partacmbip,assoaatim or other Iegal entity,employing employees. However the owner of a dwelling horse having not more than iiuee apartments and who resides therein,or the occupant of the . dwelling house of another who employs persons to do maintenance,construction or repair wotic on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also sutra that'every state or local licensing agency shall withhold ffie ksn:ancp or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ' enc a of coin liance with the ionsuran ce coverage required. appIirantu�ho has not produced acceptable avid p 25 states"Neither the commonwealth nor + of its political subdivisions shall Additio MGL chapter 152,§ C(� �y rally, - _.__... muter into any contract for the performance ofpuublic work until acceptable evidence of coompUBPace with the msu=ce.. requirements of this chapter have been presented to$re contracting authority." Applies Please fll ouut the workers'compensation affidavit compleWy,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone mmmber(s)along with their certificate(s)of insurance. Litnited Liability Companies(LLC)or Limited Liability ParUmmbips(LLP)withno employees other than the mennbers or partners,are not required to carry workers'compeasation insurance. If an LLC or LL P does have employees,&policy is required. Be advised that this affidayhruaybe submitted to the Department of Industrial Accidents for confirmation ofinsurance coverage. Also be sure to sign and dafe-the affidavit The affidavit should be returned to Ilia city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Shouldyou have any questions regarding the law or ifyou are rimed to obtain a workers' compensationpolicy,please call the Department at the mmnber listed below. Self-insured companies should eater their self-insurance license nunber on the appropriate Tine City or Town officials", Please be sure that the affidavit is complete and pried legibly. The Department has provided a space at the bottom of the affidavit for you to fun out i a the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill.in the pez ni Iicamse number which will bo used as a reference number. In.addition,an applicant that must submit multiple pmmitfLicease applitaiionsin.any.gim year,need only submit one affidavit indicatnzg current policy information(if necessary)and under"Job Site Address"the applicant should writs"all locations is (city or town)_'A copy of the•affidavit that has been offidaIly stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on Ele for fine permits or licenses. A new affidavit must be fulled out each year.Where a home owner or citizen is obtaining a license or permit not related to any busincss or commercial venture (i.e. a do license or permit to burn leaves etc. said ersm is NOT required to complete this affidavit ( g P , ) P The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitato to give us a call. The Department's address,telephone and fa number: ' -1.=C0MMMWWItIT of Mass &USCM . . Ileparmoent aflndAccldaats ' • Q�ice of�tvt�gatioa� TrL,#617 727-4900 oxt 4€6 or I-&77 MA SSAFE Fax#617-727 7749 Revised 4-24-07 ��r ma Fftli� AWC Guide to Wood Construction in High Wind Areas: 110 mph )rind Zone Massachusetts Cheddisf_ for Compliance(780 CiMR5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails)..... ..................(Tables 7).........................................._......... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails). .(fable 8)........................................................ Load Bearing Wall Openings(record largest opening but check all openings for corApfiance to Table 9) Header Spans (fable 9).....:.:.........................._11 in.511' Sill Plate Spans ... able 9 Full Height Studs (no.ofstuds).....................................(1-able 9)....................._................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.:........ pans.:........ ................................................... (Table 9).................................. ft_In.s 12' SillPlate Spans........................•__................................(Table 9).............._......................... ft in.512' Full Height Studs(no.of studs)..._.....................:...:.....(Table 9)............................................... .... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4. Minimum Building Dimension,W Nominal Height of Tallest Opening� .............................................................................. SheathingType............................................(note 4):,........_...._...........-........................ Edge Nail Spacing..........................................(Table 10 or note 4 if less}..................... ' Feld Nail Spacing .. able 10 in. Shear Connection(no.of 16d common nails)(Table 10)......................................................._ Percent Full-Height Sheathing.-____:__.......:..(Table 10)......................I............................. 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).................... Maximum Building Dimension,L Nominal Height of Tallest Dpening2......................... ........................................... _5 6'8, SheathingType...........................................(note 4).................................................... . tn Edge Nail Spacing........................................(fable 11 or note 4 If less)........................ '- FeldNall Spacing......................................%..(fable 11)................,................................ in. Shear Connection(no.of 16d common nails)(Table 11)................................................... Percent Full-Height Sheathing.......................(Table 11).............................._......:_.__---•__Yo 5%Additional Sheathing for Wall wfth'Opening>6'8'(Design Concepts).................:.. Wall Cladding Ratedfor Wind Speed?...............................................................:............................................................ 5.1 ROOFS Roof framing member spans checked7.........................(For Rafters use r4WC Span Tool,see BBRS Webskte) Roof Overhang ......................•-•-•--................,.....(Figure 19).............—ft S smaller of 2'-or 113 Truss or Ratter Connections at Loadbearing Walls ' Proprietary Connectors Uplift..••--......... ... able 12 ..........U= plf ..........._. ,:......(T )............ Latest............ ...(fable 12) ..................... P if ......... able 12 ... S= p lf Shear..... . ' Ridge Strap Connections,if collar ties not{ised per page 21... (Table 13)...............................T: plf Gable Rake Out)ooker..........................................(Figure 20).............—ft s smaller of 2'or L12 ' Truss or RafterConnectlons at Non-Loadbearing Walls' + Proprietary Connectors Uplift......................:.........:....__._...(Table 14)........................................._.U= lb. Lateral(no.of 16d common naffs)...(fable 14).......................................L= . lb. Roof Sheathing Type................:................................(per 780 CMR Chapters 58 and 59)............. , RoofSheathing Thickness..................................:..................................................._In.z 7/16'WSP . RoofSheathing Fastening..........................................:(fable 2).....................:...................................._ Notes: •1. . This checklist shall 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 ara not required per the WFCM 110 mph Guide: a. Steel Straps per Figgre 5 b. 20 Gdge Straps per Figure 11 c• Uplift Straps per Figure 14 ' d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b Z. 'Exception:Opening heights of up to 8 f.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 92-grade, ATYUGuide to Flood Construction u!High Wind Areas:110 tnph Fr'ind Zone Massachusetts Checklist for Compliance(7s0 ch-rRs3o12.t.l)' - [�Ch=k . Compliance 1.1 SCOPE WindSpeed(3-sec.gust)...................».....................».......................................................................110 mph WindExposure Category.............................................................. ........................................................:...B Wind Exposure Category................Engineering Required For Entire Project.......................................0 12 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories RoofPitch............................................ . ...... ...... . .(Fig 2) .......... ....................... 512:12 ..... ...» ...... ...... ... Mean'Roof Height•»......................................................._(Fig 2)................................................. It 5'33' BuildingWidth,W....................................................... I..(Flg 3)............................................... ft s 80' BuildingLength,L ..................................»........:...._.......:...(Fig 3)................................................._ft s 80' Building Aspect Ratio .......(Fig 4 Nominal Height of Tallest Opening .................. .....;.....(Fig 4)................................................ 5 6'B' 1.3 FRAMING CONNECTIONS General compliance with framing cannectlons.......»...........(Table 2)..........................................._.................. 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...................................................:.....................................:.................................... Concrete Masonry...............................................................................:...........................:................ 22 ANCHORAGE TO FOUNDATIOW's 5/8'Anchor Bolts�imbedded or 5/8"Proprietary Mechanlcal Anchors as an alternative in concrete only SoltSpgcing-general..................................._...•.(Table4)................. ........................... in. Bolt Spacing from endrjolntof plate............._..............(Fig 5)..................:................. In.s 6"-12'. Bolt Embedment-concrete........................................(Fig 5).....................................:....»..... in.z 7" Bolt Embedment-masonry..................:......................(Flg 5)............r»............................. in.215' PlateWasher................................».»».......................(Flg 5)....................................... .k 3"x 3'x'/7 3.1 FLOORS Floor•fi•aming member spans checked ...............................(per 780 CMR Chapter 55).................................. Maximum Floor Opening Dimension...:..................»....._...(Fig 6)................................................... ft512' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:....................... ......... MhAmum Floor Joist Setbacks Suppoitfng Loadbearing Walls or Sheanvall................(Fig 7)...................................................Tft sd Maximum Cantilevered Floor Joists - Supporting Loadbearing Walls'or Shearwall................(Fig 8)».................................................. it s d FloofBracingat Endwalls....................................................(Fig 9)............................................................ Floor Sheathing Type .......................................................(per 780 CMR Chapter 55).......... ...........:.............. Floor Sheathing Thickness..........................»...............:.....(par 780 CMR Chapter 55)....................... In. Floor Sheathing Fastening................................................(Table 2)..,_d nails at . in edge/_in field 4.1 WALLS Wall Height Loadbearing walls..........�.........................................:...(Fig 10 and Table 5)............_............._ft S 10' Non-Loadbearing walls ....(Fig 10 and Table 5)........................... It's 20' Wall Stud Spacing .............. .........................................(Fig 10 and Table 5)................... In.s 24 a.m Wall Story Offsets .. •..(Figs 7&8).......................................... It s d 4.2 O(TERIOR•WAL.LSI . Wood Studs Loadbearing vials$......................................................(Table Ej.......................... 2X _ft_in, Non-Loadbearing walls .....:(Table 5)............... - ft In. Gable End Wall Bracing _ — FullHeightEndwall Studs..................... ...».............(Fig 10)............................7................................. WSP•AtfieFloor Length.----:.:......................_...»(Fg 1 ................................... ft kW/3 'Gypsum Ceiling Length(If WSP not used).......:..........:(Fig 11)...........................................»_It 2:0.9W _ and 2 x 4 Continuous Lateral Brace @ 5 ft.a.m..(Fig 11)....:........................................................ or 1 x 3 ceiling Tuning strips @ 16'spacing min.with 2 x 4 blocking Q 4 ft.spacing in end joist or truss bays Double Top Plate - Sprres Length ..».............:....................................(Fig 13 and Table 6)...................................._ft Splice Connection(no.of 16d common nails)..............(Table 6)....................... A C Crcide to Wood Corrsrtruction in High ja rnd Ai-eas: 110 ntph I-K d Zone Massachusetts Cheddist for Compliance(780 Ci1•iR5301.2.I:1)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing 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. 01. 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 fidor 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 figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection:a)new house or horizontal addition—required If project is 1 mile or closer to shore(generally,south of Rte.28 or north.of Rte.6) b)vertical addition not required unless there Is extensive renovaboh,to the first•floor c)replacement windows—needs energy conservation compliance only(chap 93) ' 6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)websits. YVNE7�ITH6IDGE}iESTSON . FitAA1DiG USEad hLas 11TB� � 11 11 LI t f 9 f 1 I1 ' I1 T 1 1 1 J r Ed Im III , I 1 ' � �• /1; ;, Ip •1 1 � 1 d } I Ch< i i FriAFAINC M9ABER$ 1I I I uF L t ED&ENFEMSM&TE • II L� I. II � ;Eit . DOUBLE STAr 3�M 1 NA14SPACNG j NSA PATTSW PANG �- PAIiL EDGE WUBLEWLEDGESPACM OML See Detall on Next Page Detail Vertical and Horizontal Nailing Vertical end Horizontal Nailing for Panel Attachment for Panel Attachment TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 011 — Parcel O7� Application #Map oI �( Health Division Date Issued ` `r Conservation Division 0L Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board i Historic - OKH _ Preservation / Hyannis Project Street Address /a951 lt'AIW 15 Village C�v/� T&/ Owner �/ ��� �G�� Address Telephone y�o 77 9l49 Permit Request �GsuGt/� �XlfiT/•c/l ,�,1g,,�,��iJ,� i(/C��✓�j/L��2 �`'I �iZ. Square feet: 1 st floor: existing���proposed �2nd floor: existing/SSO proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation/ .z Construction Type_ Lot Size a 57 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 ;XNo Basement Type: Full l`Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) �L Basement Unfinished Area (sq.ft) Number of Baths: Full: existing `'1 new Half: existing —new—* Number of Bedrooms: existing l) new Total Room Count (not including baths): existing �� new First Floor Room Count 7' Heat Type and Fuel: )(Gas ❑ Oil ❑ Electric ❑ Other Central'Air: ❑Yes YNo Fireplaces: Existing / New Existing wcsV coal stove: ❑4s.J No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn xisting-O net size_ Attached garage. existing ❑ new size _Shed: ❑ existing ❑ new size(Ok� Othe . sa Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ = , Commercial ❑Yes ❑ No If yes, site plan review# CD r- m Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 2 ? 1.& �.c.0 Telephone(Number Address ��O I&X 20 License # (2Ss-4FO�T 7. Home Improvement Contractor# Worker's Compensation # elj-,I,>2` ,1'&V4Y7`1A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��;w� DATE ��/ �� FOR OFFICIAL USE ONLY " APPLICATION# DATE ISSUED MAP/PARCEL NO. �y E ADDRESS VILLAGE . OWNER f[ DATE OF INSPECTION: I ;irFO.UNDATI.ONj.j)�i,ui: iiii-,m.emu;-era."j FRAME i INSULATION.;. -O►� aJ ,� G FIREPLACE } ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL i. GAS: ROUGH FINAL FINAL BUILDING:- ii• DATE CLOSED OUT ASSOCIATION PLAN NO. o� Town of arnstabl•e .regulatory Serv3ees MASS � Th am as F, Geil er, Director ° � Budlding Division TbomasPerry,-CB0, PWJding Ca- missioner . 200 Main Street, Hyannis,MA 02601 . . rt�Yw,town.barnstablama.us , Oicx: SOS-8b2 4038 ' Fax: 508-Z90-b230 1' A N REVUE Owner: MaplParcel: O) q 7S Project Address Io2$) M 5T Builder: PEVE4Z2 ` PGV- F-77:[- The following items mere boted on reviewing: ' MokE DE^rCc�2 Rl\'DE R�Qy��-+� ©'S S"C"5 12E4 2 E P 120 I E CC7 0,J 3 '�su-L -v)bt ' 1 a C:0 M PL Y 201 Z -T—Ems. R �i.er3 bye Dntz° Ci T7xe CommortasmUh of Hassachnsetts Depurhnmt of hulm3hicrl Accidents Office ofInvesagations 600 Washington Street Boston,M,4 02HI YVmv.inns&g&,P1dia Workers' Compens:afi€onInsuranreAfidarit:Builders/C ntractars/FlectriciansMumbers Applicant Information --�` Please Print Lep Name(Busu�drganizafionlIndividua0: Address: /�D 2oSZo City/State/Zip: CJC" D 1-�e 3 Phone# � Are you an employer?Check the appropriate box: T of o ect r 4. I alai a contractor and I � e � tr ed}: I am a employer with ❑ � 6_ New won employees(full andlorpart-time).*, have hired the sub-contractors. 2-❑ I am a sole proprietor or partner- listed on the attached sheet; 7_,Remodeling ship mid have no employees Thime mb-oontractors have g- ❑Denwlitiotx w for the man capacity. employees and.have wosdcers' ��$ Y 9_ Building addition LNU workers'comp-insurance comp.insurance-1 required-] 5. ❑ '%Te are a corporation and its 10..❑Electrical repairs car addition 3_❑ I am a homed mer doing all work, officers have exercised their I L❑Plumbing repairs or additions myself[No wo:rkers'0DMp- right of exmmption per MGL 12_❑Rmof repairs c. 152,§1(4),and.we hnm no insurance required.]F a. 13_❑Other employees_[No,workers' comp.insurance required.] *Auy appbo nt that checks box#1 mast also fill out the section betaw showing Their workere compe3satiGn pair infbrmatim Homeowners who submit this affidwa m csfmg trey are doing an arc*sad then hire outside contractors>mtst submit a new affidavit miatinv sucTi kuntmctors that check this box mast attached an additional sheet shorting the name of Am suk-muft3cftws 3md state whe%er or not thnse emit hsve employees- If the sub-conttactots have eWlol ee%they must provide their workers'comp.policy number. I dm art employer#hat is proi,id&tg tt orke-rs'compensaiion itu7trrurce for rity anWFnyegs. Below is Ste po&c}anrI,}ob site inf otmaluatt. Insurance.Company lame: Cl/� ���`�✓/`� t , Policy#or Self ins.Lim; lJ 'd�'7 �� �+—�7" Expiration Date: Job Site Address: Attach a copy of the workers'compensation policy-d"t=cIaration page(showing the policy number and respiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the smpositimn ofrriminal penalties of a fine up to$1,500.0G andfor one-yearimpfisonment,as well as ciiil penalties in the form of a STOP WORK_ORDER and a fine of up to S250.00 a day against the violator_ Be advised that a r Dpy of this statement maybe forwarded to the Office of hn estigatiom of the DIA for insurance coverage verification- I do hare by CC? u the ns tdpenatfi. ofpedw y that the inf orrrrtdion primided abtr�rsandcorrect Sitmature= �� Date: f`, cial tt se of trot tp , NZA City or Town:. PermitfLicense# E Issning Authority(circle one): 1.Board of Health 2.Budding Ilepartmeut 3.CitylTown Cleric 4.Electrical Inspector 15.Plumbing Inspector 6.Other } . Contact Person: Phone ih 6 . i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such,employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for ally applicant who has not produced acceptable evidence of compliance with the insurance.coverage required," Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants — Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their cer%ificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with 110 emPloyees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Sell insured companies should enter their self-irn rarice license number on the appropriate line. City or Town Officials Please be are that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addticn,an applicant that must submit multiple permit/hcense applications in any given year,need only submit one affida-vit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. Fhe Conamanwealth of Mmachusetts Department of Industrial Accidez affxCe of kvestiptians 600 Wasbhgtaa Strut Boston,MA 02111 ` f--I.#6I7-727-4900 W 406 or 1-9 -I ASWE Revised 4-24-07 Fax# 17-727-7 7 www.inass-gov/dia Rightfax N2-1 10/27/2014 12:33:43 PM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) T. IFICATE 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 CERTIRCATE HOLDER IMPORTANT:11 the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorseme s. PRODUCER CONTACT NAME: HORGAN INS AGCY INC PHONE FAX PO BOX 250 (A/C,No,Ext): (A/C,No): HYANNIS,MA 02601 E-MAILADDRESS: 28XBF INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A. CONTINENTAL CASUALTY COMPANY A I ENTERPRISES INC INSURER B: INSURER C: INSURER D: PO BOX 2056 INSURER E: COTUTT,MA 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLI17E OFINSURANCE LISTED BELOW HAV E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUWEMENr,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 DATE POLICY EJ(P DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MMOD\YYYY) LIMITS GENERAL LIABILITY CH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $ CLAIMS MADE 0 OCCUR. REMISES(Ea occurrence) fRODUCTS EXP(Arty one person) $ ONAL 8 ADV INJURY $ GENL AGGREGATE LIMIT APPLIES PER: RAL AGGREGATE $ POLICY [::]PROJECT a LOG -COMP/OPAGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident . PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAMMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-0276M742-14 07/182014 07/18/2015 LIMITS ANY PROPERITOR/PARTHER/EXECUTIVE ® NIA E.L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If ym de=lbe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONSROCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS T M REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE, CERTIFICATE HOLDER rUTHORkE0jRESENTA-nVE LLATION JOHN&ANNE MURRAY D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1281 MAIN ST ETH XPIRATTON DATE THEREOF,NOTICE WILL BE DELIVERED ORD , E WITH THE POLICY PRO N . COTUIT,MA 02635 { ,�,. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rigWreserved. Unrestricted.-.buildings of any use group which contain less than 35,000 cubic.feet.(991rnl) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS __ r 9 Massachusetts Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-0504W PETER M POMET-TI PO BOX 2056 Cotuit MA 02635 I Expiration . Commissioner 04/19/2016 d�lie CodrrvncoaaluealG4 /Q/ vlcic�2uaeG� i ---- — '•Office of Consumer Affairs&Business Regulation License or registration valid fo* _ ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:use only 1.0 109606 Type Office of Consumer Affairs and Business Regulation „I=xpiration 9/21/2016 10 Park Plaza-Suite 5170 Private Corporat+ori j A,I'ENTERPRISES INC.- ! Boston,MA 02116 j PETER POMETTI 140 LITTLE RIVER RD COTUIT, MA 02635 --�_r Undersecretary, Not valid without signature , a E . Page 1 of 1 Fair, Marylou From: laurie young [ovnonp@gmail.com] Sent: Wednesday, July 30, 2014 7:33.AM To: Fair, Marylou Subject: 545 & 1281 Main Cotuit Drove by last night. Both are ok without hearing: e 545 is very cute. Boy do they need that dormer. Won't be visible and the dormer is pretty standard.° Surprised they don't have one already. 1281 has grown like topsy, nothing to really save on the back side, barely visible from the street. l Bracing myself for August: Laurie Young ovnonp@gmail.com 617-429-1354 8/4/2014 2Of4 Nor�TloNs �N BLUE- /I✓K �R J11200.00 APN I8-075 r - _ 97.91 x........._ ....... ..... 24,290t5F PRoaoSEo SN" Point Rd ADD I T)OY m i x 91.34t Shell Lone L ca� r �1 '�� ` �T: f••I' fS .�.D Cross i SI 1 o Rd - ) - NO �2b .'k .. ?,.. 97 32 Pine Ridge Rd i - t I - iakerson R 2 5TY ir�.2 Sea SI 1 WD FRM I VENT 5.6 rLL,: 1 a 8, (� 1 98.80 x j I�9 9 U_LCY 7 27 n7 0 S1( EXI �L `g DR YWELL 'n W LOCUS SAY R DECK Q i t I Iry k _ _9914,-x ._. ..n....�� ..9_._, .. , :���35 t t.r- i z 88.59 _ LOCUS MAP N.T.S. t0000 '�-� rP LEGEND i i z 78 PROPOSED CONTOUR PROPOSED SPOT GRADE 99.09 x- - - EXISTING CONTOUR BENCHMARK: LT.COR BOTT.91EP 88.57 x 102.76 r EXISTING SPOT GRADE LaTiVATION 99.05 (A3SUMEDDAIUM) �7.,__ �7 �' TEST PIT . x 98.66 RCTIIFJL 1)'SOX, —W _ EXISTING WATER SERVICE n y BENCHMARK 99.29 x y_20000, ..�OHIV A•�•(L1�c�.�✓ Of EXISTING SEPTIC TANK EXISTING S.A.S. �gsfq TOP OF TANK EL.=95.693 TO BE PUMPED & INV.(OUT)=94.56t - FILLED WITH SAND o PETER T. Mc TEE. - - GENERAL NOTES: CIVIL No, 35109 1 .ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 7. WATER SUPPLY IS PROVIDED.BY.TOWN WATER SERVICE. ,C/ LO �Q BOARD OF HEALTH AND.THE DESIGN ENGINEER: 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 8. THERE ARE NO ABUTTING WELLS LOCATED WITHIN 150' OF THE S.A.S. A - OF THE STATE ENVIRONMENTAL CODE. TITLE V. AND ANY APPLICABLE 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED - 'rZlQ7_ LOCAL RULES AND REGULATIONS. - TO A CONDITION AGREED UPON.BETWEEN OWNER AND CONTRACTOR. '3 TOEINS E TEONIAND APPROVAAL L BY BY THE BOARD OF SHALL NOT BE CKFILLED HEALTH ANDIOTHE 10 THE LOCATIONIT SHALL BE THE OF ALLPUNDERILITY OF THE GROUND UTILITIONTRACTOR TOES, PRIOR TO BEGINNING - PROPOSED SEPTIC SYSTEM UPGRADE - DESIGN ENGINEER.. CONSTRUCTION. - ZH1 MAIN STREET COTUIT, MA 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOIL ,S - FROM-,THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES.OF THE S.A.S. - Prepared for: John & Ann Murray, �4 Wyndemere, Avon, CY 06001-3959 ENGINEER BEFORE CONSTRUCTION CONTINUES. AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 12. CONTRACTOR SHALL EVALUATE SIZE & STUCTURAL INTEGRITY OF Engineering by: Surveying by: SCALE. 'DRAWN JOB. NO. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF EXISTING SEPTIC TANK PRIOR TO CONSTRUCTION. REPLACE IF REQUIRED. EnglneedrlgWork4 HOOD SURVEY CROUP 1--20' - P.T.M. 141-07 - - THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 14 west Croesfie0 Road Sandwich, Route 6A HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY (508)Fore, 77le. MA o2eaa Sandwich, MA O25e3 6/ P.T.M. SHEET 2 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. (sob) 477-s313 (soe) eee-1o90 6/12/07 P.T.M. �, 1 Of 2 M v RWAY I D . A 9ti'C'Chid(-to li'ood C'otistrtectio►i in High ll'irtd Areas: llO i2iph li'tltd Zoiic Massachusetts C'heckli. t for Cho mpliance(780('.NIR 53(il.2.1.1)t tit "M <-.T R7 Check 1.1 SCOPE Compliance Wind Speed(3-sec.gust)........................................ ............116 mph 6/ .......................... ............................... Wind Exposure Category "' g ry..................................................... �- 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)�_stories <2 stories t✓ Roof Pitch ....................................................... ...(Fig 2) ............... ri: <12:12 er LL MeanRoof Height ---.............................................................(Fig 2)....................... 2 ft <33' Building Width,W .......................... --_.. ..............................................................(Fig 3)..... � <80' BuildingLength, L - "............................................................:.(Fig 3)................................................. ft 5 80' �• Building Aspect Ratio(L/W) ............................ ... (Fig 4).................. .. <_3.1 ............. ... ................... Nominal Height of Tallest Opening """"" (Fig 4)........................ ...lgRie <6'8" d� 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................. 4"-f-P 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.................... . Concrete Masonry .............. ............. ............... ............................................................ 2.2 ANCHORAGE TO FOUNDATION" 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general .......................................... able 4 .. -12, in. Fi Bolt Spacing from endCoint of plate ........................ (Fig 5 Bolt Embedment-concrete................................ (Fig 5)................ .......:�in.>7" ......... ......................... Bolt Embedment-masonry.........................................(Fig 5)....... .;,�... tr . . . . in.>_ 5° 1 At to Washer.....................................:..............: ....(Fig 5)............X....?`..XjJ..................>_3"x 3"x Ya" 3.1 FLOORS Floor framing member spans checked .............................. (per 780 CMR Chapter 55).................................... di .......... Maximum Floor Opening Dimension......................... ..........(Fig 6j......................:...........................�,ft<_12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)................... Maximum Floor Joist Setbacks """"""""" Supporting Loadbearing Walls or Shearwall................(Fig 7)......................................................,0-ft <_d >� Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)................................................... ft <d -f Floor Bracing at Endwalls .. - ...................................................(Fig 9).......................,.....Floor Sheathing Type .............................. -� ..................................(per 780 CMR Chapter 55)....... .W4: Floor Sheathing Thickness •(p ""' " "" �"' ...................................:............ (per 780 CMR Chapter 55 ..... in. ai Floor Sheathing Fastening """"""' (Table 2)...�d nails at min edge/ ILin field 4.1 WALLS Wall Height Loadbearing walls...........................................I........,...(Fig 10 and Table 5)........................... b ft .<10' Non-Loadbearing walls........................... (Fig 10 and Table 5)................... < ..................... Wall Stud Spacing � _20' -� Pa ' g ........................................................(Fig 10 and Table 5)................... in.5 24"o.c. v Wall Story Offsets ..(Figs 7&8)................... ft :5 d a.-- 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................... ...... (Table 5) ..........2x !A-_ft in. v . .... ... .................... Non-Loadbearing walls................................................(Table ""5).......................... 2x� ft In. a,• Gable End Wall Bracing' �- Full Height Endwall Studs............................................(Fig 10 WSP Attic Floor Length................................................(Fig 11)....................... f ft>_W/3 Gypsum Ceiling Length(if WSP not used) ..................... - ...................(Fig 11).................................... �9-,ft>_0.9W an x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11)....................................I......................... � or 1 x 3 ceiling furring strips @ 16"spacing min. with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays %-I Double Top Plate Splice Length (Fig 13 and Table 6).......................... ft !.t_Splice Connection(no.of 16d common nails) ... (Table 6}......................... �,,. V KS dF .__. �:• .� .,ia�.�n :..f7i'>.,.. '� ,:..3{} _ C' F...'.,e.. is..:yd .....s.l... . ar:E�3ti. w._>r... ..° ',f ._..e. Z Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)......:.................,............................. �" V Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)..............................................I......... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................. I-ft C' in.<_11' � Sill Plate Spans ................................... ...................(Table 9).................................._?,ft-a in._<11' V Full Height Studs (no.of studs) ..................................(Table 9).................... ......................................7.. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................('fable 9)............................... T ft 4 in.<-12' � Sill Plate Spans............................... .......................(Table 9)............................... .I ft in._<12" e� Full Height Studs(no.of studs)....................................(Table 9)................................. .............. Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W f Nominal Height of Tallest Opening 2 ...................................................... (�:s 6'8" t/ SheathingType..............................................(note 4)...................................................... Edge Nail Spacing.:.......................................(Table 10 or note 4rf less)........................ in. _g Field Nail Spacing..........................................(Table 10).................................................J.tT in. ti Shear Connection(no.of 16d common nails)(Table 10)........................................................16 Loll. Percent Full-Height Sheathing.......................(Table 10)....................................................�% e� 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L d Nominal Height of Tallest Opening2...................................................................... <6'8" A note4 - t�Sheathing Type.............................................{ )...................................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less). .................... G in. �✓ Field Nail Spacing..........................................(Table 11). ..... ................................. . I U in. Shear Connection(no.of 16d common nails)(Table 11)..........................:....................I......... Percent Full-Height Sheathing.......................(Table 11).........................................I.......... 5%Additional Sheathing for Wall with Opening>6'8°(Design Concepts).............'........ J!!� Wall Cladding Ratedfor Wind Speed?.............................................................. ................................................................ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19)...............![s ft<_smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12). ..........................................U=&'X pit _ Lateral ....(Table 12).............................................L=-] pit Shear...............:..............................(Table 12). .........................................S=_n_pit Ridge Strap Connections,if collar ties not used per page 21...(Table 13)................................T=JjA plf y Gable Rake Outiooker.........................................(Figure 20)..............__0_ft<_smaller of 2'or U2 t/ Truss or Rafter Connections at Nan-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)................................ U= lb. ............ Lateral(no.of 16d common nails)...(Table 14).......................................L=. Ib. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness.............................................................................41...... in.>7/16-WSP Roof Sheathing Fastening...........................................(Table 2). ................. F.A.'A Notes: 1. This checklist shall 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. Ali Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 56/6 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. AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing 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 figures below :Vertical and Horizontal Nailing for Panel Attachment --t✓ E?r��f�87�Dti FRAM EMESd MKS nrS%I- /t u o 11 1{ u at Y 1-I 11 11 11 11 t! t{ 11 tl - t1 /1 1 N Id 11 1 11 I{ i 11 11 r m h ry 4 t li !l yQ't� it tf f ® 14 114/{ e ,1 ►1 IL u J - n �{ /1 { u .r d u v u n n n • � ii u 11 11 MALSPAt711f3 r �nPs�t_ Ub See Dewl on Next Page Vertical and Horizontal Mailing for Panel Attachment A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance('s0 CMR 5301.2.1.1)I 1 / + f / a i +1 fit 1 f + , 1 e 9�' -------LL.-J- ------- ------- 4�STAGGOWD PAM 4 . PA146MLEM � OWI�ESWtL�4sEi OfeTRd. Detail Vertical and Horizontal Nailing fbr Penes Attachment x r -=- EM 110, MPH EXPOSURE B WMID Z03M E cable 2. General Nailing Schedule 00 y`. ,7x tl+aY,�i�p�..keT h d+2 keg WtA�t�} ^" '" UNI�or��"I), � 's`R 'b1v" } Z i f a`t' k Blocking to Rafter (Toe-nailed) 2-8d 2-10d each end M Rim Board to Rafter(End-nailed) 2-16d 3-16d each end eg r ,Y - '',: aa:+., .t f'F"'t*'r rc: * ?tw c.+5" + ' .ys aryw"';'�•K' '^cr„t'.iy`rry`t zf�>+a `' 'a #,,.v„�,� M + - r,- - e 1..s4€�-*` •�. -S �.e .�._ �e`,''i..,�„����X°"'�� #, k ."' �., .'Y1�a-"'R"' r��; z „�`,�z-i'� �:e' # ti sr��i Top Plates at Intersections_(Face-nailed) — 4-16d 5-16d at joints Stud to Stud (Face-nailed) 2-16d 2-16d 24°o.c. Header to Header(Face-nailed) 16d i 16d ,16"mc.along edges r" W`• ;,..7 .1a"ti 7i: i r " �.. .._ -u a'}"z -'" 3 r f a�y ^.. y'.''`+ xs '��'' rrW k - 4 � p - fr���6����„f�� u f., ,ve., � �:P. X a,.:H�r�.h G't^•��a�, f� ..,.�. ` .Y%wut . '.0 ':ti, .�"i.. _® 1111 .j Joist to Sill, Top Plate or Girder(Toe-nailed) (Fig. 14) 4- 8d 4-10d per joistf Blocking to Joist (Toe-nailed) 2-8d 2-10d each end Blocking to Sill or Top Plate (Toe-nailed) 3-16d 4-16d each block Ledger Strip to Beam or Girder(Face-nailed) 3-16d 4-16d each joist Joist on Ledger to Beam (Toe-nailed) 3-8d 3-10d per joist Band Joist to Joist (End-nailed) (Fig. 14) 3-16d 4-16d per joist Band Joist to Sill or Top Plate(Toe-nailed) (Fig. 14) 2-16d 3-16d per foot Wood Structural Panels E i rafters or trusses spaced up to 16" o.c. 8d 10d 6" edge/6"field rafters or trusses spaced over 16" o.c. 8d 10d 4" edge/4"field gable endwall rake or rake truss w/o gable overhang 8d 10d 6" edge 16"field gable endwall rake or rake truss w/structural 8d 10d 6" edge/6" field outlookers gable endwall rake or rake truss wl lookout blocks 8d 10d 4" edge/4"field �� a fie;.::. ��'! ti te;t;�',fraz�s"_:cr., `.�`���:e� '„:,v t�';•a"aaw�z+4�"t� S+kk�`vw".d;�kaE ��tiT�'ri".:'",#'t'�,{ G'� f s err S�'s�f.���l�a°K�.7.x">�a+�'�Nr.ra';2zz^r�`�S`t%ta.� ;�fs`'��iS 3'*z. ,*"�''�N"�4 '8t>i Cellmg$l'f�ihlil � ^e� ro� f a*�} � �y���4.et6f^�} r� j�N�``�a�+s f f�, vst �BfS k .� �'k pup z aw r` s� •�°'"����+� � fi��t Gypsum Wallboard 5d coolers - ? 7"edge!10"field 1tVai� Wood Structural Panels studs spaced up to 24" o.c. 8d 10d 6" edge 112"field ` 1/2" and 25/32" Fiberboard Panels 8d1 — 3" edge!6"field 1/2" Gypsum Wallboard 5d coolers — 7" edge/ 10"field r LaC '""• :, ', r"�.tif-, a ,� F 5 "rei'a , - tY• i,�«, " S$ ate--"t�'.r ,u ''r a : e ^.? TrrR '�4'''° s.t'ft��'-"ems t F"'.`�`r ^-- .-r, r ,,. .s a ate"a FtocrlMSheathtng f � is t �, a �"` p, ` -�'r�"�.� � g Wood Structural Panels } 1"or less 8d 10d 6" edge/12"field greater than 1" 10d 16d 6" edge/6"field Corrosion resistant t t gage roofirig nails and 16 gage staples are permitted,check IBC for additional requirements. Nails.Unless otherwise stated,sizes given for nails are common wire sizes.Box and pneumatic nails of equivalent diameter and equal or greater length to the specified common nails may be substituted unless otherwise prohibited. .aft ERICAN FOREST & PAPM ASSOCIATION i ®BolseCascade Single 9-1/2" AJS® 140 Joist1J01 Dry 12 spans I No cantilevers 1 0/12 slope Monday, November 24,2014 BC CALC®Design Report 16 OCS Repetitive Glued&nailed construction Build 3272 File Name: Architectural In Murray Job Name: Murray Description: DesignsU01 Address: 1281 Main Street Specifier: J Madera City, State,Zip:Cotuit, MA Designer: Customer: Architectural Innovations Company: Shepley Wood Products Code reports: ESR-1144 Misc: i i i i l i I i 4. I i l i I 17-00-00 09-00-00 BO B1 B2 Total Horizontal Product Length=26-00-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live' Dead Snow Wind Roof Live BO,2-1/2" 387/10 94/0 B1,3-1/2" 919/0 230/0 B2,2-1/2" 225/ 134 23/0 Live Dead Snow Wind Roof Live OCS Load Summary Tag Description Load Type Ref. Start End 100% 900/0 115% 160% 125% 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 26-00-00 40 10 16 Controls Summary Value %Allowable Duration Case 'Location Pos. Moment 1,667 ft-Ibs 68% 100% 2 07-01-10 Neg. Moment -1,695 ft-Ibs 69.2% 100% 1 17-00-00 End Reaction 481 lbs 45.3% 100% 2 00-00-00 Int. Reaction 1,149lbs 48.9% 100% 1 17-00-00 End Shear 467 Ibs 40.3% 100% 2 00-02-08 Cont. Shear 653 Ibs 56.3% 100% 1 16-10-04 ' Uplift -111lbs n/a 100% 2 26-00-00 Total Load Defl. U556(0.364") 43.2% n/a 2 08-00-15 Live Load Defl. U684(0.296") 70.2% n/a 5 08-00-15 Total Neg. Defl. L/999(-0.047") n/a n/a 2 20-07-11 Max Defl. 0.364" 41.6% n/a 2 08-00-15 Span/Depth 21.3 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Wall/Plate 2-1/2"x 2-1/2" 481 Ibs n/a 45.3% Unspecified 61 Wall/Plate 3-1/2"x 2-1/2" 1,149 Ibs n/a 48.9% Unspecified B2 Wall/Plate 2-1/2"x 2-1/2" 111 Ibs n/a 23.3% Unspecified Vibration Summary Subfloor:23/32"Douglas Fir plywood, Glue+ Nail Gypsum Ceiling: 5/8" Strapping: None Bracing: None Cautions Uplift of-111 Ibs found at span 2- Right. Notes Page 1 of 2 ®8o1wCa Single 9-1/2" AJS® 140 Joist1J01 Dry 12 spans I No cantilevers 1 0/12 slope Monday, November 24,2014 BC CALCO Design Report 16 OCS I Repetitive I Glued&nailed construction Build 3272 File Name: Architectural In—Murray Job Name: Murray Description: DesignsU01 Address: 1281 Main Street Specifier: J Madera City, State,Zip:Cotuit, MA Designer: Customer: Architectural Innovations Company: Shepley Wood Products Code reports: ESR-1144 Misc: Design meets Code minimum(L/240)Total Load deflection criteria. Disclosure Design meets User specified(L/480) Live load deflection criteria. Completeness and accuracy of input must Design meets arbitrary(0.875")Maximum total load deflection criteria. be verified by anyone who would rely on Calculations assume Member is Fully Braced. output as evidence of suitability for Composite El value based on 23/32"thick Douglas Fir plywood sheathing glued and nailed tc particular application.Output here based p 9 P Yw 9 9 on building code-accepted design member. properties and analysis methods. Design based on Dry Service Condition. Installation of BOISE engineered wood Deflections less than 1/8"were ignored in the results. products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call (800)232-0788 before installation.\n\nBC CALC®,BC FRAMER®,AJS-, ALLJOISTO,BC RIM BOARDTm,BCIO, BOISE GLULAM-,SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 ®ft1l"cascaft Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor BeamXF1301 Dry 1 span No cantilevers 1 0/12 slope Thursday, October 30,2014 BC CALL®Design Report Build 3272 File Name: BC Job Name: Murray Description: Designs\FB01 Address: 1281 Main Street Specifier: J Madera City, State,Zip: Cotuit, MA Designer: Customer: Architectural Innovations Company: Shepley Wood Products Code reports: ESR-1040 Misc: i2i ii ` 4 31 use q . 09-00--00 BO 131 Total Horizontal Product Length=09-00-00 Reaction Summary(Down t Uplift) (lbs Bearing Live Dead Snow Wind Roof Live BO,3-1/2" 240/0 1,296/0 1,485/0 B1, 3-1/2" 240/0 1,296/0 1,485/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 1000/0 90% 1150/6 1600/6 1250/6 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 09-00-00 40 10 01-04-00 2 Unf. Lin. (lb/ft) L 00-00-00 09-00-00 60 n/a 3 Unf.Area(lb/ft^2) L 00-00-00 09-00-00 10 04-00-00 4 Unf.Area(lb/ft^2) L 00-00-00 09-00-00 15 30 11-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 5,636 ft-Ibs 35.1% 115% 2 04-06-00 End Shear 2,111 Ibs 29.1% 115% 2 01-01-00 Total Load Defl. U693(0.148")a 34.7% n/a 2 04-06-00 Live Load Defl. U999(0.079") n/a n/a 5 04-06-00 Max Defl. 0.148" 14.8% n/a 2 04-06-00 Span/Depth 10.8 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 3-1/2" 2,781 Ibs n/a 30.3% Unspecified 131 Post 3-1/2"x 3-1/2" 2,781 Ibs n/a 30.3% Unspecified Notes Design meets Code minimum (U240)Total load deflection criteria Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: TrussLok(tm) Page 1 of 2 �13*11" • Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301 Dry 1 span No cantilevers 1 0/12 slope Thursday, October 30,2014 BC CALC®Design Report Build 3272 File Name: BC Job Name: Murray Description: Designs\FB01 Address: 1281 Main Street Specifier: J Madera City, State,Zip:Cotuit, MA Designer: Customer: Architectural Innovations Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure �I b - d Completeness and accuracy of input must L be verified by anyone who would rely on a output as evidence of suitability for particular application.Output here based on building code-accepted design properties and analysis methods. • • • Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable e building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=5-1/2" (800)232-0788 before installation.\n\nBC b minimum=4" d=24" CALC®,BC FRAMER®,AJS-, e minimum= 1" ALLJOIST®,BC RIM BOARD- BCI®, BOISE GLULAMTm,SIMPLE FRAMING All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. SYSTEM®,VERSA-LAM®,VERSA-RIM All TrussLok screws may be installed from one side of multiply Versa-Lam beams. PLUS®,VERSA-RIM®, ® Member has no side loads. VERSA-sTRAND®,VERSA-STUDare trademarks of Boise Cascade Wood Connectors are: FMTSL338 Products L.L.C. 4 Page 2 of 2 1 � E'°wti Town of Barnstable Regulatory Services t �BMINSTABLF,g Richard V.Scali,Director TED MAC A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must r Complete and Sign This Section If Using A Builder e , as Ownq of the subject property hereby authorize �� ,,610 �''j/ to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) i ""'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 pe are pert ed and accepted. . Signature o Owner 99nature of Applicant 114U Print Name r Print Name /3/d Dat Q:FORMS:OWNERPERMISSIoNPooLS , Town of Barnstable Regulatory Services - P�oFe roty,� Richard V_Scali,Director ° Building Division F F F F F aaaxsz'ABLF. * Tom Perry,Building Commissioner i63 200 Main Street, Hyannis,MA 02601 TED Mp't a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: — - JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAU-ING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations' The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection Procedures and requirements and that e/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.11-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,RuIes &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner actin Supervisor is P g as uP ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns_ You may care t amend and adopt such a form/certification for use in your community. QN%TFILES\FORMS\building permit fonns\EXPRESS,doc Revised 061313 HN Alvlv MuRRq Y P,#o- 103 /?. '1 MAIN ST13EET GOTUIT ) MA a4rr4 /Yo 715 a 4L.L .morn D,6'T6c7-04S N6 CoAhV6C-7-60 K t T'LMEIJ, lNs MALL Fqm ILY' GW&E Lrvtn/GG� FIRST o®R c c I/6 = DEc. 2 2- O I Y- I 1 M41Y STREET G O TU I MA :SMOKE ' C� CU a� �� )- Bf W/C' 86D m c �tN 3 (CjClhs _ FLoOl? _ c -To w4 ANC U /3Y 89Gf 3 oF3 0 12.8I MRIN 5TR' EETCOTU .IT ) MA a Fu LL a,�s T sm v�� C® COMBlAlen ( � 0 CRAWL Sp�c� 6 $ASEMEAIT 6-6SEME T SCALE 11r, = 1 DEC, 2 , 201`- pp`�F,HE 11. Town of Barnstable BARNSTABLE. Regulatory Services Y MASS- 059. M MA �0 Building Division prFO 'S A. 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection 0 �� Location 12RI fU, - i(AJ CT Permit Number Owner IV V f2-j� 1 Builder Z- ","d One notice to remain on job site, one notice on file in Building Department. The following items need correcting: ��'G— ,�U/f1��n�-t� /�Lr'Sir' �JE �--�cd°�vL.cS�j -- ��TF( c��5 f�-�• � W7- CC-141A)6- c��- T a�'/t.�; ��li� `�cfl Z.o�v�7�G � G'�'�7l �r•- ! G-�t�6�KZ�} 7'!bk'S Clc- I At'5 L,c L_lam{ 71 yp3� Please call: 550;88--862-4W&forr re-inspectio . Inspected by Date 3 D 6 �— TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- L,2/ Parcel 7, Application # l%! Health Division Date Issued Conservation Division 'Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board LO�(/ Historic - OKH _ Preservation / Hyannis Project Street Address P'' AJ 5T. Village Owner=M'tb'4. Wl UYZ{20-q _Address 4/ Telephone _ _ _ ' 0�� e T C4 00 / Permit Request Square feet: 1 st floor: existing -- proposed 2nd floor: existing ,--proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 70,1960 Construction Type Gclz�� Lot Size S7 Grandfathered: i ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ;1 Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ 3 new _ Half: existing new r Number of Bedrooms: existing Onew 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 s Ck,rNs Proposed Use L�it��cY�rv1 c-P APPLICANT INFORMATION � (BUILDER OR HOMEOWNER) = Name /�!( C� �ihd C Telephone Number Vj � 7 Address 1� l��J� tm License # 3 (�0;(]f 1T Home Improvement Contractor# 16 Worker's Compensation # W C 04— 30-3� 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# :1 `j' { DATE ISSUED MAP/PARCEL NO. 4 ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION, _ FRAME INSULATIONa j- ►t/2)G� FIREPLACE Sq h ELECTRICAL: ROUGH FINAL I PLUMBING: ROUGH FINAL i f4 A s GAS: ROUGH FINAL f FINAL BUILDING Z® L I r DAT4- CLOSED OUT ASSOCIATION PLAN NO. 'p The iColrtmoms�ealtla of Massachusetts " Department of IndirstriaZAccideatts Office ce of Investigations 600 Washington Street Boston 31A 0211.E 7~}� 11"viv.mass.govldia Workers' Compensation Insurance Affida-vit: Builders/Cflntractors/Elect;tzcian&'Plumbers Apahcant Information Please Print Legibl; Name(Bitsioess,,' gauizalioivIudividual): Lftm Vi tlS gu I L IM cJ 'T)r,I�Al 2:�,V(' . Address: I Liy- City,'State!Zip: 00TV i I I VW It} 6W� Phone 4: q2. — c Lq Are you an employer:"-Check the approptiate box: Type of project(required): 1. I arm a employer with 4. ❑ I am a general contractor and I - 6- ❑NeL-'ConstrulCtlon etmploy ees(full and or part-time.).* have hired the sub-contractors 2.❑ I arm a sole proprietor or partner- listed on the attached street. 7- P.Remodeling ship and ha ve no emplogees These sub-contractors ha.ve g. ❑Demolition .vorking for me in any capacity- employees and have workers' ap 9. ❑Building addition [No workers'comp.insurance comp.insurance:4 required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs-or additions 3.❑ I arm a horneawleer doing all work officers have exercised their 1 L❑Plumbing repail:s or additions myself.[No-workers'comp. right of exemption per NIGL 12.❑Roof repairs insurance required.]° c.152,§1(4),andtive have no eluployrees.'[No-workers' 13.0 Other comp.insurance required.] "Any applicant that checks box#1 must aLo fill tau the section below showing their workers'compensation policy infortuatiou. Hometmners who submit this affidavic indicating they are doing all work and men hire outside contractors must submil a neu'affidavit indicating s�tcb. :Contractors that check this box roust attached an additional sheet showing the name of the sub-ctmttuctors and state whether or not those etvfities have employees. If the sub-contractors have employees,they mast provide their workers'comp.policy number. I arrt art 6Pltp101'aJ't.ltlflf is pYot'fdfiJy*�1A�Dr ISeYS'CDiJJpEtrSatiDdt ftr5t[YatrCB fOC JJ{t'Biiip�D�'t?e5. 1Below is trite polky and job site IttfOYJJlatlDJi. Insurance Company'Name: Policy#'or Self-ins-Lic.'4: tU�. 6U LI — 30 53I 3 Expiration Date: 1 z Job Site Address I7 f P11 JU CityrState+Zip: rQ7 U i 1 PLC, Attach a copy of the-corkers'compensation policy declaration page(shot-ring the policy number and expiration date). Failure to secure coveragee as required under Section 25A of MGL c. 152 can lead to the imposition of crauunaI penalties of a fine tip to$1,500.00 and+or one-}year imprisonment,as well as chril penalties in-the.form of a STOP WORK RK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement.may be fonvarded to the Office of In-.estigations of the IID.LA.for i55Fance coverage:verification. d do her' c .rd un a th p }ts and ps aldes of peJjiirt'that the itifoJ•JJiatioii pt-Lkdde-d a.bore is tr•.Pte acid eorreCt Sa tare: Date: �Z Phone !Log:z Qfficfal rase oyfdv. Do trot write in this area,to be completed bV tits,or'town o i-W City,-or To--'n: Permit/License# Issuing Authority(circle one): 1.Board.of Health 2.Building Department 3.CitvfTovim Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other. Contact Person: Phone#; ,. 6 ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY) fia o1/17/2011 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 INSURERB: Chartis Cotuit, MA 02635 INSIJRERC INSURER M 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 POLICY EFFECTIVE POLICY EXPIRATION LTR SR DATE MMlDDlYYYY DATE MID LIMITS GENERAL LIABILITY MSB87460 01/01/2011 01/01/2012 EA014OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ SO,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 10 000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 21000,060 POLICY PRO JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EAACC $ ' AUTO ONLY: AGG $ EXCESS I UMBREL I A LIABILITY EACH OCCURRENCE $ OCCUR CLAIMSMADE - AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION C TH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTIVE� WC 004-30-3313 01/02/2011 01/02/2012 E.L EACH ACCIDENT $ 500,000 B OFFICERIHEMBER EXCLUDED? (Mandatory to NH) E.L.DISEASE-EA EMPLOYEE $ S00,000 descdbe under SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ 500,000 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 WRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town Of Barnstable IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street REPRESENTATIVES. Hyannis;, MA 02601 AUTHORIZEDREPRESENTATIVE Tina Correia LE0TC1. v/ • ACORD 25(20091.01) 0 1988-2009 ACORD CORPORATION. All rights'reserveef. . 7Ae 652owm~xwea o ��aaaac�urarla License or registration valid for individul use only Office of Consumer Affairs&B smess Regulation HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Type: Office of Consumer Affairs and Business Regulation Registration:;��.104804 10 Park Plaza-Suite 5170 'WLAADIN c,<_ �: Expiration: 711.:512012 _ Private Corporation Boston,MA 02116 r- ZINC OS BUIT)NG ? I- � , 1 t=-fit.."•�v-� ' �,-� Nicholas Lagadino. 13 Thankful Lane Not valid without signat Cotuit,MA 02635 ?'. ,, ';:% Undersecretary e P S. Massachusetts- Department of Public Safety Board of Building Regulations and Standard's Construction Supervisor License License: CS 12653 NICHOLAS A LAGADINOS t4 13 THANKFUL LANE COTUIT, MA 02635 Expiration: 7/16/2013 (' umiis.i ncr Tr#: 19980 r v pTHE T s Owti Town of Barnstable ' �P O Regulatory Services 9 nsnss. $. Thomas F.Geiler,Director QD'°rFo►A�"1� 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 . as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: �oZY/ P19711 S cc,-j-Y1f (Address of Job) SkIlature of Owner Date / Print Name P ' Q:FORMS:OWNERPERMISSION Proposed New Bath and Closet Bedroom Over Garage SMOKE DETECTORS REVIEWLD 3'-3" 1O'-71/4" —10'-1 3/4" BARNSTABLE BU-DING DEPT, 6-6" T-3" _ 8' - - c o Replace Win OWS FIRE DEPARTMENT DATE a9 p T-3" SOT S ?!A"URES ARE REQUIRED FOR PER.NITTING 'rn =N 21046 21 46 a3(A IT o m C:in a0 L) Q (6(D O (D C J N") CX Co 7 CO IMPORTANT-UPGRADE REQUIRED rnY (O e Translucenf - c M e a DN $ $ 5T4?E 3UILECT S F REQUIRES THE UPOF 401NG Or t= o 0 Glass Window ,610KE O.?EC?QRS FDR. M > o m id to Stairwell - - - THE ENTIRE D4Y-eL!I1JO�6VHEJ m h � 03 rn I �E U.R MU.E SLEEPING AREAS ARE ADDED OR CREATED. M o 00 m co 9'-81/2" J- - o�UN—J SEPARATE PERMIT IS REQUIRED FOR THE c 01 '-6 1/4" `5-.:f-L-- N OF SMOKE DETECTORS-THE ELECTRICAL m Co N BATH ___. Skylight Remo a Windo s ng?SATISFY THIS REQUIREMENT. J O qM TW( �., 1 r x s's- 90 sq ft - _ CARBON MONOXIDE ALARMS MUST BE INSTALLED PER MASSACHUSETTS BUILDING CODE 1/2" 6-7 1/4".. J6"SP_WJ.ft 1/2" 12'-1 3/4" m o 10'-11314"TNs w1 stays h Pin. a39 Sa39 " 1n 16156 \9: 12/ • All Dimensions are_ 30""wide all Framing to Framing o N Change or swing Build new Move Wall to 38 38 1 R.O. Closet and 1/2" Shehring Remo a window - 0 - Rough Opening N Make Wall 60"Tall 23 5" I,c 3, 3 12" Cz C BEDROOM 0 18'-2"x 22'-1" 430 sq ft � N y Fkoigh 0 " o io f in o N N EE 21 46 21 46 z Revised 12-27-2011 Replace Windows nz- A.-q.. 2nd Floor Proposed e Bedroom Over Garage Bath 0 �EDROOM • ' - C U 1'-2•a63• N V p1 12 seft m m lf) O - C m aO U.0 p mcOO N� - CLOSEf '. m_O X m m i c s dU o s Murray Home Renovations t-it o e� 1281 Main St. Cotuit MA 02635 m M o 1 -m g:12 12-30-1 1. Do - - - _ a m f l m S g Proposed New Bath and Closet BEDROOM S - - _ r-3•xs-,. q =: s Bedroom Over Garage e W 2p0 sa fl sa_ :,_Replace Wi ws - 9 tza - w ON m 0 I Existlng Batlt � = tBxaa epU Sight Ref Wi r - a-gx S-1P 9a W M1 °�'• e ca SB s9M1 a.2,e•�°•�,T N , > I` R Existing Bedmam S O trx tra• E lneen a) ATTIC 19_72 re...,... All Dimerlsfons are - ((f 1 2r-s•x trnr U $ .w Framing to F—ing it Ezisting Bedroom ate•a R Build new 1-+ s-rxtr-t• �a°.ems Closet and N Wean tn`r„pe�„� Sh.Mng Remo e window SFr+ 4 S' 00 «.r.Om. BEDROOM 18'-rx2r-t• y Existing Bedroom ° `eft trxn•-n• F � S 155 eon 0 b l N M E e v m Replace$Is Revised 12-27-2011 c LIVING AREA O ,za se rz„v. �$ zt r z ty >zt,T x G A Z l'• _ - 3 Existing Conditions C O) W N O 1 st Floor `"'°° ��a - 8 �C J N� O.� R S - j am x�U1 m Murray Home Renovations Existing Conditions m coo m m Exisf,� m - 1281 Main St. Cotuit MA 02635 0 v 12-30-11 m o m -- to J N E'sting Mcf— - xwpn E.Wmg Deck - Ea's4rg rsnVY m UP - DN 777�>w zem xu xam •; Q DINING + CLOSET - GARAG#- - I•+d - txope MTMAte'a• tt x�x+ ���\/ c T3t3pn `\ �o S LIVING r tlapn PORCH IIIL O rpe � N E LIVINGq EA �G e� �b �eqo A .d Az w -- BEDROOM Existing Conditions 1r-a•xs•-3• � o N C 2nd Floor n� � U CJOSEf NS C. = Murray Home Renovations Existing Conditionsot J CDX 1281 Main St. Cotuit MA 02635 mY a w =�r =C 12-30-11 m a O O c U N—J = R m N O D p) U') (0 BEDROOM - - 12•-3'x 13'-a- a Existing Bath - - •-r O Existing Bedroom . 12'x 11' - ATTIC Bedroom Over Garage .. 2T.9'x 12'-11, 1s-4•xzr-1 n' u X` Existing Bedroom Existing Bedroom .y 12'x 11'.11' � o N O M O N:d Cq N A �� T LIVING AREA :o 15S9 sVfl al W 21046 ci 0 c � 117�� m N UP 0t0 O In 05 J m m 'L Add Walls around stairway rn • Y aUO with 20 Minute Fire door and 518"Firecode Sheetrock v CO w:rn o — O U .. - 5/8" -C Sheerock under Side of � 3 m ' Walls With 5/6" m C', 0 Co o m 2649 Firecode Sheetrock the stairway and the back r3 _ m 20 Minute Fire Door - N U - - wall of the garage. 0 N._ Freblock stair stringer to the - wall. m CM m to 309.1 Opedug Proteetloo.Opmivgs foma l0 pti—ga ,disaalyivtoatoomusedb,leapivg Steel Beam Existing patpa,m shall sot bep,.®nrd.Otb—pmiag, Wrapped in 5/8"Sheetrock - bmwma the garage avd tmidmx shall be equipped 1 _ with solid wood doors vot less tbav d-a es(35 r+ - vad is thickves,,solid orhoveymmb mte stml door,>,otlmsthm1di„b.(35o.)midt,ot 5/8"Firecode Sheetrock Ceiling zo-o;aam fi—d doors. til,whpaadd,,m,hauhemhded";tha alto 20-a:amefi—lnaneeeadag. N - Lalle Coumn /f�►\J y Existing GARAGE 23'-1"x 25'-1" o 610 sq ft Cd 21046 c� s. 0 I 21 N N 91 70 1 9070 N CP c ro 11'-5" 6'-1 3/4" m - _ 23'-10 3/4" - A z w „,,..-Assessor's office (1st floor): r oFrNEro Assessors map and lot number ..../ .......4�............... Q� �♦ Board of Health (3rd floor): _,Sewage Permit number ” d.' i Bas39TnnLE Engineering Department (3rd floor): /a8/��-5 90o MAST 039. 0� Housenumber ......................................................................... OMAI APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR �! : ,ODD " Reofoqelkl7th4VyXA - APPLICATION FOR PERMIT TO ..9�............ ......n�!!.......................:...................................................l. TYPE OF CONSTRUCTION F,041t� .............................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: &....... Location ............................ ................. ......n...................... ProposedUse .......j.... �...-7 y............................................................................... ........................ Zoning District / --�� -�'� ..............................Fire District ............................ ......................................... ..........................0 %�. Name of Owner ......Address ...�° '`l�1id C �lvt��........... ...... ................................. Nameof Builder ...C,.'�l .........................................Address .................................................................................... Nameof Architect .`� (lu�..................................:.....Address .................................................................................,.. Number of Rooms .............................................Foundation �'rrrue,' "� �'0CX 1............... ............. ..................................... .... ...... Exterior ...��/A^ ...Roofing � t'.�-s `J ....Interior ...............Floors l /� ....5 .�........ /�r .L--.......................... T'-,-�,T/".'a x ..................................................................... Heating .'( .!�! .........................................Plumbing .�j/v/� ............. .. ..... .......... 0- � .!!4/ y Fireplace .......................................................................Approximate Cost Definitive Plan.Approved by Planning Board ________________________________19-------- . Area .............................:.............. �tr Diagram of Lot and Building with Dimensions Fee .. -- . ............................. ... ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH X/f�7/ *0177707V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r garding the above construction: � / w Name . �.. .............................................. ........... Construction Supervisor's License .. /,../!-�`�.(,..... - ti 290*03 Build Addition No ................ Permit for .................................... Remodel [ Single Family Dwelling . ............................................................................... Location .........1.28.1...Main...Street .......... ...... .. L s ..........-Cotuit .......:............................................... Owner .........John...&..An.n..Mu.r.ray............I..... .. ........ .. .... .. .... . ...... Type of Construction .......Frame......................... .......... ............................................................................... Plot ............................ Lot ................................ March 5,-- 86 Permit Gran+ed ............!.............. .............19 Date of Inspection ..........19 Date Completed ......................................19 /� iQ C2"lam- • Assessor's map and lot•number ..... ...ke.......L0./_ e�/r Sewage. Permit number-�W.1.wz.�:�¢.r./.l ............... SEPTIC SYSTEM Asa MUST � B STAB L . House -number : ....... .. ..................................... IhISTAI LED +��6 a / iIV Ct2MPLIANC ,9. + 1 WITH TITLE 5 o NaY a. TORN OF BAR`N�S''' `CAB 13DE Ai 'BUILDING,- INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ....Wow........:................ ....................................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 4 .1......Al deN...J .:.�....`- . .��.........`!/ �.............................� ProposedUse .......Aay..Vf? :...............��...... ............................................................. Zoning District ..................................... ..............::..........:.......Fire District ....aT 1.7 ........................................ nn - J�' Name of Owner_XVh�?1�4.�(:7V"..l...'." .)`.1 YAAl y . .Address �Q S?� y.... 'U.R �zs lQ , (/t...V_c . Name of Builder' ..8G� ....A94..f�'�!7eX Address .......G. 71.L1..1:r..................................................... Name of Architect .� ...�T.r...:f..".4. ..... \,,T.............Address �� V. �✓f' .. ��t ll� S 1,l l+�'7', �:.4.�� Number :of Rooms//... /.4. .3� ..( . !9 ...Foundation ! ..................................................... / ExteriorA ....4 ..........................................Roofing ../ Alar........................................................... Ffoors w ...........................:... Interior .. !.4!4... ................................:......... Heating •(l/ ✓ ....... ... Plumbing ........ ..r�..�.......... .................................................. Fireplace ,1 Y ............................................... .... ..Approximate Cost . . ,00 ........................ '/ Definitive Plan Approved by Planning Board _____._'___________-----------19---------- Area ��'�'`?... : ... Diagram of. Lot and. Building with Dimensions Fee ..................... ..................... SUBJECT TO APPROVAL OF, BOARD OF HEALTH p �S t 1�5SF AI,e,I1(o . . R - 1��z�o� Q�2e I i �i�K+r c Qca2sc i� s' C t _ 464b.$ r .4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �/ Na ... . ............. I . MURRAY, JOHN & ANN M. 24688 ADDITION y No ................. Permit for ................................. Single Family .......... � Dwelling ........ ..... 1281. Main StreetLocation ... .. . .. ...................... Cotuit - .......................................................... ... ......... . - j. _ Owner ... John & Ann M. Murray Type of Construction .......Frame..................... R Plot'.. .......... Lot ........:. t December 30 82 1 `T Permit Granted- ......... .... '....19 : '• : Date of.Inspection �`�' ..................19 19 Date Completed ...............� i' ....... ° Y t .. ' ' i , •• tom? . .' i .. n - - - . 'I f� r I� Assessor's map and lot number ... . r.....:. rr�++. '.. .! 71' P�of THE ro Sewage Permit number//-,n..)!a4,.:::.Pa.. !?. .M d BASd9TADLE i House number . �'. ........,.�, :.. . ....... . asa M 039. E YAY a. TOWN OF BARNSTABLE BUILDING INSPECTOR A ` . APPLICATION FOR PERMIT TO ... '�'` .. ....:��? ,.......... .............. a ... .....!.:. .... M xw TYPE OF CONSTRUCTION ... f7C,n TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .1'.. .c .....• ass w,. 1 .�i^r .......... u' ..... .... ......... . ............... ........... ................ Proposed Use .• / ,r�: � ... ,4 1r 49.......A�_4�u.4 t :............. �� l�4`.�� Zoning District ......................................................................../� Fire District .... .,..... .,.�....................,.l..�...........,.,+.!�............f.... Name of Owner__c?. (.1riA_.4!9 .....Address .� ., ? °,�•(„s�� { 5 l,f r` 1 ;`b! E :iR Name of Builder' Ame, .r . !aF !Q V !Address ... �.A ....................................................... `. Name of Architect `:•.✓....�F`r....�"�!��+e�� .. .... ...Address .; *'�.�. Ey°.�..:.�!� �!�E! .:f ►$ �l��k'T! ��.." Number of Rooms ...Foundation. frT�".......... ................................... Exterior 't °i ..... yf�'"�........................ .......................Roofing `.t' ..5:r: �... .......................... ............................ Floors ... .,.rtf ......................................................... ........Interior ......:r:j5................ , ... ......................................... '�•' Heating—'` 1.,_ -...... ... ......... .........Plumbing.-...,,., ......... .............. :..... . ..... L f Fireplace r ( P31f!'-....:.......... Approximate Cost ..` �?:d"�. 6�� .................. i Definitive Plan Approved by Planning Board ---------------___------------19_______. Area . ...... � �° .:'y.; ..:...... Diagram of Lot and Building with Dimensions - Fee ..-" ............. •. ................ SUBJECT :TO APPROVAL OF BOARD OF HEALTH - F a1 . rid, A- MA � 1�. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. t) r Name ..... .... :� ....... ..... ..................�..:........... MURRAY, JOHN & ANN M. A=18-75 24688 ADDITION No ................. Permit for .................................... Single Family Dwelling... Location .1...81 Main Street„_.......... ' ................Cotui t............................. ..... Owner ..,John & Ann M. Murray, , Frame . . s Type of Construction .......................................... , Plot ............................ Lot ................................ - Permit Granted ......./December 30..............................,.. 19 82 Date of Inspection 19 ' Date Completed ......................................19 fi [Assessor's office (1st floor): - " uFTHEto Assessor's map'and lot number ..../ ..r../... .....,..... SEPTIC SYSTEM MUST BE /l Board of Health (3rd floor): a _ o g Q- INSTALLED IN COMPLIANC - I -Sewage Permit number ........................................................ t Engineering Department 3rd floor): ��-s 9B WITH TITLE 5 aaas IL . MADa t6 ( ENVIRONMENTAL CODE AN ° 39 House number ................................................. ................................................ ........:............. ''�'e war a• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 jP.M. only TOWN REGULATIONS TOWN OF BARNSTABLE BUILDING SIN-SPECTOR APPLICATION FOR PERMIT TO .. .. ...... ... 77pv;... ... �r�� `'... ....� ....!.f•r.�/ TYPE OF CONSTRUCTION .... FA.#r)iot ..............'....................................................................................... Cll.......---5...--' 19--=•..0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .. .........:!R ..... T. ..... r®..1... c./.�..�............ . c.jS c .. _ if ProposedUse ....:, ......... . ..... � ' ' / ................................................. -y......................... ...Fire District ...............................................:......... Zoning. District ...�1�./•,��,,v��✓� ........................... ............... . .. ' Name of OwnerP > ./ '..b. J �.11.(.\,.......Address ... .b��?�V...9.... ...........Q60 ................ s Nameof Builder C...�.4.�(,/,<7�i!�,�.........................................Address .................................................................................... Nameof Architect .0 ........................................Address ...........................................................................:........ Foundation 1 ..... C��- GX Numberof Rooms .... ................................. .... ............... ................................. ` f � L�.�.......................Roofin � ....` 7yG Exterior ............. � ......... g ................... IN. Floors? ......... . ....V.l. .1...................................Interior ....... . .............................................. Cx Heating / .........Plumbing S/vK Fireplace A ...........Approximate Cost ..�?J ��. Definitive Plan Approved by Planning Board --------------------------------19--------. Area ....: . Diagram of Lot and Building with-Dimensions Fee ....:� f...�............... SUBJECT TO APPROVAL OF BOARD OF HEALTH Ve7V �Z � f 67itar T� � x OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... ................ ...................... ...... Construction Supervisor's' License k(/.•l!66.. . -/ MURRAY, JOHN & ANN f � ' 29003 c; y Permit for ..,................................. � - a M Location ....1281...Ma-iz1..StxeP-t,........... i. •. ~ ....................CA.t.UI ............................................... y'Owner ... .Jahn:.&..Ann..Murray. f i c Type of Construction - - . Plot ................... Lot , , _ Permit Granted .......March 5,_........... ,q 86 , Date of Inspection .�o..:� - 7 .9 _ 00 Date Completed ............ ....... .19 = mry _ F , �+ yak t • 'ems. � +. � •` •� - .� . '� _ f - f . y� � ,TO NN A N N LA R R A Y i 1281 M,9 )N STREET _ C OTU I T MASS. � p0 00 � MRRcH 1986 N CsA Pp C F— W ti N I S YoRY � cc f 2 Sro�Y FRAM N P,:zOP05Ea 6KEIV FROM Pi-AN SY i 2-00.00 8,,9X T"E. R jVYE , INC. Flo. 52. 223 aonco 9 .22•82. ScIqL E 1 IN• ?- OFT I Town of Barnstable _I iVAY 10 P, . 5-, Kati Regulatory Services ° Thomas F.Geiler,Director BR,STAOM ' Building Division039. .yFp � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Qffice: 508-862-4038 Fax: 508-790-6230 PERMIT# �O l( G �- FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village O -�2 6 / � 8 �� 6 Property owner's name Telephone number zS (� C �/�1i��GAL �/J C2 l -®25 Size of Shed Map/Parcel# /o.ZoCl Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? r Conservation Commission(signature is required) L� Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 w 1 1.: 40 �\ 20 5'(- ,I T' (ZtE T = a-uX J W,�,RM� .1y . p Town of Barnstable Permit#_o?60 6 3 t 75` QExpires 6 months from issue date Regulatory Services Fee�sr Thomas F.Geiler,Director X-PRESS PERMIT Building Division Tom Perry,CBO, Building Commissioner S E P 112006 200 Main Street,Hyannis, t,Hyis,MA U2601 l�M NI T.ow� g BARNSTABLE www.town.barnstable.ma.us 1L O ce: 0 -862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number 614 (J7� Property v9,9 /"!dress 2 n. S &Ac)i esidential Value of Work Minimum fee of$25.00 for'work under$6000.00 Owner's Name&Address /ijT. }►J� O IR Contractor's Name_OL:L� © Telephone Numb ,/; Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) a$ orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name ' (l u.,;/�p S. Workman's Comp.Policy#. I"j 3-V13 7 y A D Y Copy of Insurance Compliance Certificate must be on file. Permit Re t(check box) ' Re-roof(stripping old shingles) All construction debris will be takento ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A f the Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 Department of Iridastrial Accidents >> , Office.of Investigations: i d 600 Washington Street Boston,MA 02111' 'iM �•`' www-mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers kpplicant Information Please Print Legibly 1Tame(Business/Orgamzation/Individual) X.� �C E Address: lff qy �d�► C,ity/State/Zip: ( `tea ..I Phone#• ►re you an employer?Checkthe•appropnate boa' Type of project(required): ❑ am a'eraploytr with- . 4. 2fain a general contractor and I 6, ❑New construction employees(fall'and/or part-time).* have hired the sub-contractors El I am a sole proprietor or p artner- listed on the attached sheet: t 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 are.a corporation and its required] officers have exercised their 10.❑ Electrical repairs or.additions. ❑ I am a.homeowner doing all work right of exemption per MGL 11.❑ Phimbing repairs or additions ' 'myself-..[No workers' co]3p.' • C. 152,§1(4),and we have no. 12. oof repairs insurance required.]t employees. [No workers'• 13.❑ Other camp.insurance required.] ny applicant that checks box#1 must alsg fill out the section below showing their workers'compensation policy information: iomeowners who sabmitthis affidavit indicating they an doing an-work and then hire outside contractors must submit anew of davit indicating such mtractors that check this box must attached an additional sheet showing the name of the sub-contmbtors and their workers'comp.policy information. . tin an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site Formation. ;urance.Company Name: licy'#or Self-ins..Lie.#: (? t9 6 7 '—(3 Expiration Date: R b Site Address: 1 M6 ►uL:st City/State/Zip:� tach a copy of the workers' compensation policy declaration page(showing the policy number and•expiration date). ilure to.secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a ,e up to$1,500,00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP'VVORK ORDER and aline- up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of restigations of the DIA for insurance coverage verification. Whereby certolaQa the pa' and penalties of pedury that the information provided alcove is true and correct atur.c. Date: one#: Official use only. Do not write in this area,to be completed by city,or town offccial: City or Town: Permit/License#. Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.tity/Town Clerk 4.Electrical Inspector'5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and. Instructions r m achusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pass - arsuant to this statute;an employee is defined as"...every person in the service of another under any contract of hire, xpress or implied,oral or written." �n employer is defined ats:"aa mdiviaua%pa?tnejhip,:association,cooporation or other legal eptity,.or any two or more ed in a joint enterprise, and including the legal representatives of a deceased employer,or the fthe foregoing-engag to employ ees. HowcY.er:tbe eceiver or trustee of an individual,partnership,association or other legal entity,emp ying .caner of a dwelling house having not more than three apartments and who resides therein,or.the occupant of the welling house of another who employs persons to do maintenance, construction or repair woi) 'on such dwelling house 11 on the grounds or building appurtenant thereto shall not b ecaus a of such employment b e deemed to be an employer." v1GL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or ermit too operate a business or to construct buildings in the commonwealth for any •enewai of a license or.permit P the insurance coverage required. ' ►pplicant who has not produced acceptable evidence-of compliance with e g kdditionany,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its'political subdivisions shall ,nt4t into say contract for the performance of public work until acceptable'evidence.of compliance with the insurance -equirements of-this chapter have been presented to the contracting authority. :4,pplicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certif gates) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the not r uired to carry workers' compensation insurance. If an LLC or LLP does have members orpartaers, are �1 the Department of Industrial submitted to employees, a policy is required. Be advised that this affidavit maybe ep Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Deparfineat of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter,their. self-insurance license number on the appropriate lime. City or Town Officials•. Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure'to fill in the penniVlicense number which will be used as a reference mimber. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"*the applicant should write"all locations in L(city or town)."A copy.of the:affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that•a valid affidavit is-on-file for;future permits•or-li6enses.•A new affidavit must be filled out.each year.where a homeowner or citizen is obtaining a license or peimitnot related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Officiof Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and,fax number: ' The Commonwealth of Massachusetts . I�epartrnent of Ind4strial.Accidents . . .. . . . . . .. .. >: Office gf Investigations . :600'Washington Street M Boston,MA 02111.• Tel #617-727-4900 ext 406 or•1-877-MASSAFE Fax#617-727-7749 n ised 5-26-05 www,mass.gov/din JV�hl-c3-c0©6 00:=5 FROM: T0:15353620175 . ,4 ACORD ' CERTIFICATE OF LIABILITY INSURANCE106/22/2006 aalff-7W-W-MATTER OF INR�RAIATICIX SCBLBCSL 6 SCBLIML 3m8upjkr 8 ONLY AND COWERS N MO RIGM U 7M CFA7IFlCME HOLDER. I"$ CERMRCATE DOER I40T AMM, EXIMP OR ALTER INS COVERAGE AFFORDED BY 714E POLICIES BELIDW. 34 i9LIN STRUT RTE 29 REST YARMOGTA_, i4A 02673_._ _ lM9URERS AFIIFORDM CMA RAW - NAIC it MAIM MUMA A:'NOT:!P0j.Ati>O INSUP"CE _--- Paul suckmiller oamat a TRAVERLERS DBA BUCKNIX"R ROOFING Imsu Rc. MAXIM - -+- — Hyannia, HA 02601 Ve COVERAGES TW PaXIES OF INSUMIC'E U3TEO BELOW HAVE SEEN ISSUF0 TO THE 143URED NAMED ABavE FOR THE POLICY PERIOD INDICATED, NOTIA"THSTANDING ANY RF.QUIREMEW, TERM OR CONORION Ot AN'f CONTRACT OR 07HER DOCUMENT WM RESPECT TO "HICH THIS CERTIFICATE MAY L)E ISSUED OR MAY PEWtiAW, THE MISLPANCE AFFORDED BY THE POLCIES I.$'5CIaEEn'HEREIN i5 SUMECT 7O ALL THE TERN335, EXCLUSIONS PNO CUNDITKM OF SUCH KLICIES.A60ft iATE LIMITS SkOYYN mAY HAVE BEEN REDUCED SY PAID CL4m. - LtR RD rneca�afetktea'f� _—.�. -- TPOTffRefVE WUCYF3PRATION , POu:rNpa(Fn DATE tlAlF, 480MUMLOY CP46895 05115/06 05/15/07 �i1,000,000 A X '*wm-'Liti,6FJ'E9M,UaFulrT! I P�REM15 i }t$50,000_ .. !txA rusraA lX o.La ++�Pxr wn o»ra�«c i i EXCLUDED — ifRrwNAI 43DVINA RY 11,000,000 G£rlaTAl.A;pii�(ytTTE $2,000,000 GtID+lAGOAEQATB UMR APiA�Lf pC FRODUVO-COMPMP AGO 12,000,000 PRO. Loc — AIlio/1odiLEUA06RY I tt rpMIBJtuHCtCL4irt aca0tot i � i ia�.tmmEO Mfrt.+.y I OWL-?"my HmAum IIBKONTtlOA#Je'O£ ` ._...—_...,— F i OAAMRUAYLRY I AMOOtf--EA AC Wff i - ...� i I AMA= � t7 mm TPm FA ACC i E7P�AO191S1AWLfl1Y � 6AtH Od.•llfil&'K76 �f-- ' 3 f --T•- OlDIA:RBIa 1tETUfT1Ct. 0 t � ' B :,t10�cFA8e0wek41Aflr,NAIA? 17P.TUR-743OA7-0b 04/11/06 ,04!11l07 X ToraYLlMrM I at kAPW1RR9•tMBLIIY .ANY PROPRICTOWFARTNtiflA UCUTM j EL EACHA000K _ 4 300,000 OcacF+Aieuer�tt>,cwaa o+ eCtnOFnzE•eraree s 100,000 le Y88 C.DLSFAm-PoucvLmrr S 500,000 Tila QE6CMVR0N aA OI�R1tTfl1MJ eLOG17WM rvr3icti2!veta+ltCN.!AINiEO CY R1I001ClEU9/T I'3PEC+'�1.PRMfilfOtia PAUL SUCf*fX ltR IS F.XCLQDryl 31kAMI CCVEXKLGE WDER 1"HIS "w0R2C:RS C(RWEN8ATIOU PMICX CER7lRCATE HOLDER CANCELLATION _ tX>RBYfiCORLr]C --'— — tlwusu +un of TIC al6vn FcaaiC7 t+a CUlceatt, ue.am+ ,sae ernunw 1994 FAL OUTH RA PAt6 Tw .ww. Tw esaww vowtov M.L ctt WAVOR To'Wx 21 DA" WW-fgR U07M TO THE CFRP MAW ImMul 1t TO Ta LEFT. DW FALt=To W E0 W"L CRNTERVTSS.B ,HA 02632 epois H0 oauOARDu OR ;JAianY +seer tAgBf two" tIE PCiIALTA, Te6 A=tO 0R FAX 508-457-7790 Iue111tW�r AlfVB ,at , _�, ✓�e �omineanurea�i • BOARD OF BUILDING REGULATIONS 'N License CONSTRUCTION SUPERVISOR Number-C, 002881 ; JAW ' xP (i'l 4?/008 Tr.no: 19666 a R $rt�Tl �Qr� CHARLES E COR�Iy 1694 FALMOUTH f�t�#`1 � 07 , CENTRERVILLE, MA�2632 Commissioner fie {jomrmzovuaea�C a��avoac`u�ael�a Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR . Re istr640n. 36066 i / 008 OVEME NTS COREY&COR CHARLES CORE��\\ 1684 FALMOUTH R�3zy CENTERVILLE,MA 02632 Deputy Administrator Supply and Install AIR VENT SHINGLE VENT H RIDGE VENT on the Four Main Ridges. Supply and Install ALPHAPROTECTOR-SUL SYNTHETIC UNDERLAYMENT MEMBRANE htta:/tmm.permarproduct&com/onUmeforms/alphaprotector.pdf Supply and Install COPPER&'NEOPRENE SOIL.PIPE FLASHINGS Clean and Remove Debris from work area after job is completed. TOTAL INVESTMENT $ 159930.00 Including Senior Citizen Discount Payable immediately upon completion. POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus 20% and Labor at the Rate of S 50.00 per Hour. CENTER CHIMNEYS: COREY & COREY cannot Warrant your chimney against leakage or to be water tight to any degree because a properly installed PAN FLASHING or CHATHAM PAN FLASHING was not installed by the Mason when your chimney was built. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORD SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available. SUBCONTRACTOR: The Actual Roofing Work will be Sub-Contracted with PAUL BUCKIVIIL,LER ROOFING. Please Make Checks Payable to: CHARLES COREY COREY & COREY Warranties the Shingles and Labor for 10 years. CERTAINTEED Warranties the shingles and labor 100% for the First 15 Years . and the Shingles for LIFETIME if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a 110 MPH WIND WARRANTY (CATEGORY 2 HURRICANE) . CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. Any alteration or deviation from above specifications,will be executed only upon written orders and will become an extra charge,over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance upon the above work.. This proposal may be withdrawn by us if not accepted within thirty days. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work A DATE OF ACCEPTANCE: ACC PTED BY: SUBMITTED BY: N /►� V fl„�,�y C RI,ES CO HOMEOWNER COREY & C O E TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D l Parcel D�c5� Application# J006779(p Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fe SI)' d Planning Dept. Permit Fee I�3• dU Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1201 MAI bA 57) Village Chill l r Owner a61W WI 0TZ?_wi`/ Address (A)VN D Y-m E41;� Telephone 5� u115 -y Wit 9&0 — AN—I I q y 1`l'VON 061 21 Permit Request _W lh �� 1A SrIGYI dl %,loove da uvr�l <2eA�ale o � Z wuWclr+1's :m r � va un A�)eaZjd� � a.edvyk Square feet: 1 st floor:existing proposed 2nd floor:existing proposed ''; Tota new Zoning District Flood Plain Groundwater Overlay ='1 ` Project Valuation 36, 6W. 6b Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 10 M Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 3 7 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ANo 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_ r new Total Room Count(not including baths):existing of new First Floor Room Count Heat Type and Fuel: f4 Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 10 No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:)4 existing ❑new size 4,k2G Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes *No If yes,site plan review# Current Use &M ee_ Proposed Use YP5;\CL4e— BUILDER INFORMATION Name Ole L I+9 >lm Telephone Number ��— �Z�Z102 7 Address l.�_ ) ZAI License# L-z 7 / o7y,i, Owo S Home Improvement Contractor# l0 0� Worker's Compensation# Jr— 7M ALL CO" DEBRIS RES TING FROM THIS PROJECT WILL BE TAKEN TO Sz✓/�Gt. SIGNATURE DATE / 6 FOR OFFICIAL USE ONLY PERMIT-NO. DATE ISSUED / MAP/PARCEL NO. ADDRESS VILLAGE r OWNER i DATE OF INSPECTION: FOUNDATION FRAME 3 3 IL c*--- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �FVt� ��V� IIII It 009 DATE CLOSED OUT ASSOCIATION PLAN NO. r Town of Barnstable Regulatory Services sAwsrABLE. +. Thomas F.Geller,Director �prFo „►`� BuRding'Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 568-862-4038 Fax: 508-790-6230 PLAN REVIEW ,, Owner: /u;e � Map/Parcel: Project Address b4 f 116 s2 CZ' Builder: 1,14 The following items were noted on reviewing: I rW/lGiV �i�tA ANri ery-o, - CoG4?n-onl? enpa fees . aZ C&A - Reviewed by: Date: B Q:Fonns:Plnrvw e,. a v Y 15 BUILDING DESI N 13 Thankful Lane Cotuit,MA 02635 508-428-4097 Fax: 508-428-7709 "' ' _�.. IC email: lagcon@capecod.net October 15, 2007 Barnstable Building Department Re: Murray Renovation 1281 Main St. Cotuit, MA Window Replacement in Upstairs-Bedroom Andersen Narrowline windows U-33 Vinyl Clad with Low E glass Replace four windows with Andersen Narrowline double hung windows to match the existing house 2-NL24310 [30"x 49"] 2-NL 2032 [26"x 41"]windows Bathroom, Mudroom and Lower Bathroom window Replacements Andersen Narrowline windows U-33 Vinyl Clad with Low E glass Door Replacement in Mudroom Thermatrue Smooth Star 9 light door U-33 Very truly yours, Nick Lagadinos AIL REScheck Software Version 4.0.1 Compliance Certificate Project Title: Muray Renavation Report Date: 10/15/07 Data filename: Untitled.rck Energy Code: 1995 MEC Location: Cotuit,Massachusetts Construction Type: Single Family Glazing Area Percentage: 15% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 1281 Main St. Cotuit,MA 02635 Gross Cavity: Cont. Glazi rig UA AV uvg :.:Assembly Area or R-Value R-Value; be D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss: 192 30.0 0.0 7 Wall 1:Wood Frame, 16"o.c.: 231 13.0 0.0 16 Window 1:Wood Frame:Double Pane with Low-E: 35 0.330 12 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 192 .19.0 0.0 9 Furnace 1:Forced Hot Air:90 AFUE Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 1995 MEC requirements in REScheck Version 4.0:1 and to comply with the mandatory re ' ents liste t EScheck Inspection Checklist. I�1Z.K f is 40 / ?1 o� Name-Title Signature V Date Muray Renavation Page 1 of 1 1 ��: �'lze-Pory.�rreo�uueaCl� o��/�.aaaac��u�ael�.o r Board of Building Regulations and Standards Construction Supervisor License License: CS 12653 Brrthdate 7/=16/1954 Expir"anon .7/1;6¢2009 Tr# 15610 Restriction NICHOLAS A LAGADINOS 13 THANKFUL LANE COTU IT,MA 02635 ' Commissioner , i Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Reglstrat6h:; 104804 Board of Building Regulations and Standards Expiration !9.5/..2008 One Ashburton Place Rm 1301 Ty te Corporation Boston,Ma.02108 LAGADINOS BUILDING`&'.QE:$:I:GNINC Nicholas Lagadinost 13 Thankful Lane ,`. Cotuit,MA 02635 Deputy Administrator Not vali i on sIgna ure The Commonwealth of Massachusetts ., Department of Industrial Accidents Office of Invesdgations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information - - Please Print Legibly Name (Business/Organization/Individual): DILSl 9111) 'DIA G >024AI r7A (L' Address: 19 City/State/Zip: CM If - YVl iq D _/o 3 S' Phone #: _��Zb-4U97 Are you an employer? Check the appropriate box: Type of project(required):_ 1.� I am a employer with Zl 4. Q I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2. listed on the attached sheet. t 7• 5d Remodeling El I'am a sole proprietor or partner- 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. 0 We are a corporation and its required.] officers have exercised their. 10.0 Electrical repairs or additions 3..0 1 am a homeowner doing all work right of.exemption per MGL I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,'§1(4),and we have no, 12.E Roof repairs insurance required.] t employees. [No workers' 13:❑ Other comp..insurance required.], Any applicant applicant that checks box#1 must also fill outthe seciion below,showing their workers'compensation policy mfortnation.„.. t Homeowners who submit this affidavit indtcatmg`they ate doing all work andthen hire outside contractors mast submit a new affidavit indicating-such. <. *Contractors that check this box must artadhed an additional sheet showing the name of the sub'contractors and their workers'comps policy information. x r I am an employer t/tat is,provtdmg workers'compensation insurance for my employees Below is the policy and job site s s 'information— Insurance Company Name: &AtV4 ECUA . 51 VlaCMate/ �G Policy#or Self ins.Lic. #: P6(W y T'4 � � Expiration Date: Job Site Address: Z E ✓�Idr7N City/State/Zip: CCV i Q11 go � 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 tine itp to S 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 S250.00 a day against the violator.-Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do he y c tify under t e pains d penalties of perjury that the information provided above is true and correct. Signature: 00 Date: .O / Phone#: e502 Official use only. Do not write in this area, to be completed by city or town offtcial. City or.Town; Permit/License# i [ssuing.Authority(circle one): 'l. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other { =� Contact Person: Phone# Information and Instructions ructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." 3 f An employer is defined as"an individual,partnership,association,corporation or other legal entity, rP g or any two or more of the.foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the s receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons'-to do maintenance;construction or repair work on such dwelling house or on the grounds or building appurtenant thereto Shall not because of such.employment be deemed to be an employer." MGL chapter 152, §25C(6)also.states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance ' requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'.compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and`phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this-affidavit may be st}brn'itted to the Department of Industrial . : s.Y Accidents for confirmation of insurance coverage Also be sure to sign and date the affidavit..-The affidavit should be returned to the city.or town that the applcation fo the periiut or license is being requested,not the.Department of Industrial Accidents 'Should you have any'�questions regarding the law or if you are1required to obtain a workers' compensation:poticy,Yplease call#xhe Deparnneiirarthe numbenlisted,below-=Self-msured-companies should enter their' self-"insurance license number on the a"ppropriate hne.� t City or Town Officials Please be sure that the-affidavit is complete and printed legibly.'The Department has provided a space at the bottom of the affidavit for you to fill out in.the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. A new P affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions` please do not hesitate to give us a call. ►. The Department's address, telephone and fax number: `w _: .� 4r�?• •, 1 1 "' The Commonwealth of Massachusetts ; Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-76-05 Fax # 617-727-7749 ww.w.mass.gov/dia S L y: iY r 04/25/0.7 WED 11:06 FAX l 508 420 ,5406 LEONARD INSLTRANCE AGENCY IM002/002 CERTIFICATE OF LIABILITY INSURANCE 04/2ev 2007) 0To7 7007 FRODUGER (508)428-6921 FAX C508)420-5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 7 Manna Avenue HOLDER.THIS CERTIFICATE DDOE$NOT AMEND,EXTEND OR P 0 Box 444 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ostervil l e, MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURED Laga inos Building & Design, Inc. INSURERk National Grange Mutual Ins Co, 147$$ 13 Thankful Lane INSURGR2: AIG XSBO09 Cotuit, MA 02635 INSURERR 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 ALA,THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Ilift mq—NSR Dp' TYPE OF WSURANCE POLIGY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY MSS87460. 01/01/2007 01/01/2D0$ EACH OCCURRENCE S 1,000.000 X COMMERCIAL GENGRAL LIABILITY DgMAGE TO RENTED 500.000 00,00 CLAIMS MADE OCCUR - MOD EXP(Anyone person) $ 10.000 , A PERSONAL&ADV INJURY s 11000,000 GENERAL AGGREGATE S 2 000,000 OEN PoLlayEGATEJERT APPLIES-1LOC: PRODUCTS-CDMP(OP AGO S 2,000.000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Fa accident) ALL OWNED AUTOS Pe BODILY gereonU °+ SCHEDULED Auros ) HIRED AUTOS BODILY INJURY $NON-OWNED AUTOS (Par accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN 6A ACC s AUTO ONLY: AGG S kr EXCESSlUMBRFILA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AOOREGATE $ s DEDUCTIBLE S RETENTION S WORKERS COMFENEIATION AND WC8934483 01/02/2007 01/02/ZQQ8 7 WC ATU- OTH_ EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNERIEXECUTWE E.L.SJACH ACCIDENT s 500,000 OFFICER/MEMBER EXCLUDED? If da ribe under E-L,DISEASE-EA EMPLOYE $ 500,000 SPECwIAL PROVISIONS below. EL DISEASE.POLICY LIMIT I s OTHER 500 000 DRCRIpTION OF OPERATIONS 1 LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS 1 We'r on Cape Cod. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of Barnstable BUT FAILURE TO MAIL SUCH NOTICE 8HALL IMPOSE NO OBLIGATION OR LIABILITY 200 Main St. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Stace Sear AGORD 25(20o1ro8) SAX: (509)42$-7709 10ACO D CORPORATION 1989. 2 INE - - : The Fawn a _ nwJL%a XM Barnstable s8�9A , l epal-tment of Health Safety and Environmental Services Building Division 367 Maio Street,Hyannis MA 02601 OJRoe: 309 79"227 Ralph C ea Fax: SOS 775 3344 Building Cbmm seiner For office use only Perndt no. Date AFFIDAVIT HOME UOROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL e.142A requires that the"reoonstmdion.altetntions,renov 6M repair,modernixatjon,eonversian, improve ment, removal. demolition, or Cattstruc6on of an addition to terry PM-U Ong owner oo q)W building containing at least one but not more than four dwelling units or 10 stttteppt+ss whiCk grn ad}atxat to such residence or building be done by negistemd omuradoM with Certain pcMdons,MMug with other mgwrr:nen Type of Work. gCa D CZ Est,Cost ptv,, 06 Address of Work_ Owner Namc:- I�W Date of Permit Appi atat;n:_ 0/4 7 1 hereby Certifg that: Registration is not required for the following reasan(s): Work excluded by law Job under S 1,000 Building not oww-occVW Owner pulling mm pptmg Notice is hereby gi--TR that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRAMRS FOR APPLICABI~E HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO 77IE AlIBMIATION PROGRAM OR GUARANTY FUND UNDER MGL C. 142A SIGNED UNDER PENALTIES OF pERIURY l hereby apple tar a permit as the agent of the ow•oer: Q �� L /!�(/ �Q Ole Date Contractor name Registratio No. OR Date Owner's name I i Town of Barnstable ' P Regulatory Services 9� runs& g Thomas F.Geiler,Director s63� p,• Building Division lFD MP'� s Tom Perry, Building Commissioner i 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 {4 f Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property j ( hereby authorize IA19 C to act on my behalf, i �( � in all matters relative to Work authorized by this building permit application for: }. I lZ g 1 M1*,Al (Address of Job) I +; I �f w j afore of Owne Dat ; Print Name i • , I I QTORMS:OWNERPERNMSION i i 318534410 Proposed Renovations Murray Home Renovations Proposed i Nawxkexp 0 1281 Main St. Cotuit MA 02635 So 4,Bebx GnOe Tyyiral NewwnEow N� � Eeis4ny BaN •. �� N.wwnmw 10-15-07 1 rm o,over Dietcck9 0— I t 4.7 x 9'9 d Proposed Work to Mudroom and Back Bathroom ie Remove F'HInY DeR . MUDROOM ow.---UP T. Remove Right side deck srov """°°"' Move Exterior Door to left side Change right side door to window _ Move interior door to back bathroom replace 2 windows in Back Bath L3'11— Existing Bathroom 4'10 Build new Platform outside left side door from mudroom 69 x 7.10 2x6 P.T.Framing on _ .. 2 10"Concrete filled sonotubes " Mahogany decking ` Galvanized Joist hangers - • 318"x 6"Lag Screws 16"O.C. - 3'6 9' — Existing IGtchen - n '215z154 Existing Deck 228 x 11'/ UP - Existing House - DINING _ - 14.10 x 17 - FAMILY io _ . I`2''I FOYER - 278 x 1T9 ^ • - GARAGE 23'9 x 27'5 ' _ i——————————. 7Ll-\ANG ( PORCH (Replace Garage Door I I Replace Garage Door Add V x 9'Transom Above I I Adtl 1'x 9'Transom Above, ere x 5'4 --------- --------- LIVING AREA _ - I New 2-2x10 Headers I New 2-2x10 Headers _ _ 1555 sp fl �22+--9'--+�2' 9' 2.21 BEDROOM Proposed Renovations 12'6 x 6'A - 2nd Floor - CLOSET , - 2,1 Exi6ting Bath Proposed Work to Bedroom 1 5'9x 5'11 Bedroom 1 Renovations N Remove Beadboard Ceiling and Wall covering Window Replacements ` New Insulation R-13 Walls R-30 Ceiling - Sheetrock walls and Ceiling - Install Beadboard to 34" - ,w" Trim windows to match Paint room Complete - Replace Bathroom Window. BEDROOM 1 e 227 126 11'6 New Nhi6ir: _ �12'5 ' - ... v DN i - Existing Bath . 6'11 x 5'16 basting Bedroom 172 x 117 ' ATTIC Room Over Garage 2Z7.17 23'5 x 23'6 _ Usting Bedroom - - el,x 11'2 - •. Existing Bedroom - - - e 172x17 - R1 7 U A LIVING AREA 127 12'11 2Yry 24' 8'5 3'4 4'10 Ld IL0 Existing Conditions DID1 st Floor :d Existing - =o Deck 47.9.9- MUA(qM rI Murray Home Renovations Existing Conditions Existing Bathroom - 4-10—�1 • ;. 1281 Main St. Cotuit MA 02635 5'9.7'10 - 23' 10-15-07 . F f V Etdsgng Kdchen 21•e.164 R .. Existing Deck - - - - 279x 117 t - ' t UP F Existing House j - 48'B t { DINING - t 14.10:1r r FAMILY - r2`i FOYER zraxln - 710.2U• P I I I LIVING - I _ 14.10.111 I I I PORCH 0j T� 2Z8 x 5-4 - - LIVING AREA 2220 s4 ft BEDROOM Existing Conditions t 1rs x 6•a� _. t ". • f 2nd Floor CLOSET Murray Home Renovations Existing Conditions 1281 Main St. Cotuit MA 02635 N 10-15-07 . BEDROOM - 12'6 x 15.5 125 .. .. N - 20 tb�dsbngg Baths10 6dsting Bedroom - 1n x 11'2 s ATTIC Room Over Garage - 227 x 13 20.8 z 2J6 Exisgng Bedroom - - 8'11 x 112 _ Existing Bedroom 1z2x17 _ mn LIVING AREA • l SETBACKS RF ZONE MAP 18 LOT 081 z ,o s Gfa s t Ode Nid eAd"'� N/F _.,. N BUILDING SETBACKS (MIN:) RHODES, DUSTY S. & SKENDERIAN, THOMAS E. TR FRONT YARD • - r x. u - MAP' 18 LOT�076 SIDE.& REAR YARD 15 � S a z>'f ..,.. eSr .: 4 N/F + 3 MARTIN, ELIZABETH .A: & W E CARL �N. CBDH FND - . (ROTATED) ¢ V d; MAP 18 LOT 0824: `} _ .ry'I S ` ;► LOCUS Fd ra P i - a HARTUNG, FREDRICK W. & �25� , CAROL B. TRS v e n t`. 50'E ... r, c -2Q0.02; S r - ' rYP eq CkS LOCUS MAP ryA0' NOT TO SCALE BENCHMARK HUB & TACK MAIN STREET EXISTING FOUNDATION - t' REMOVED FOR ADDITION ?6,9,; GENERAL NOTES ELEVATION = 44.28 CBDH FND »O _ (HELD) ' N 2 �� .� 1. RECORD OWNER NEW FOUNDATION MURRAY, JOHN A & ANN M t m ape '' rye. ,O ✓� 4 WYNDEMERE STREET , AVON: CT. 06001 DEED BK. 28056 PG. 86' �ry = A, t '2.-PROPERTY IS SHOWN, AS LOT 075 .ON ASSESSOR'S MAP 18 MAP 18 LOT 074 200'�O;ry' 'Y �, .-` AND APPEARS TO LIE WITHIN THE 'RF DISTRICT PER THE N/F M�2•S �' , BARNSTABLE.GIS RECORDS. MASSARO, JOANNE P. TR 22" fi a �0,9, 3.. PROPERTY LINES SHOWN WERE DERIVED FROM,AN ON THE '\ W GROUND SURVEY CONDUCTED '12/22/2014, LINES OF o OCCUPATION, AND FOUND MONUMENTATION. . ILN " A 4. ORIGIN OF ELEVATIONS IS ASSUMED. r 4 5. PARCEL LIES WITHIN FLOOD ZONE X PER FIRM MAP 250001 REVI U 4 AS SHOWN ON PANEL 757 OF 875 LAST SEDJ LY 16 201 I CERTIFY THAT THIS PLAN DEPICTS FOUNDATION ASBUILT,: .' BENCH , CONDITIONS AS THEY EXIST AS OF 05/22/2015. Itt OF MARK THE FEMA WEBSITE. w 6. BUILDING LOCATION SHOWN HEREON WERE COMPILED FROM AN 1 C 014 05 22 15 `ON THE GROUND SURVEY CONDUCTED 12 22 2 _ IH. / / •! � '�• AND PLANS ON RECORD. DWIN H. GLESS L C. # 3P045 7. ORIGIN OF.BEARING FROM PLAN BOOK 65 PAGE 7. LOCUS PLAN ROTATED TO MATCH REFERENCED PLAN. t �®8 R-4 4 .Existing Grade Inc. FF Surveyors & Civil Engineers O� O. PO Box 612 SCALE CLIENT FOUDNATION AS BUILT PLAN 1582 ARCHITECTURAL INNOVATIONS FOR DATE: 05/22/15 Dennisport, MA 02639 o 15 30 P.O. BOX 2056 1281 MAIN STREET sHEEr No. 508-694-6501 Ph/Fax # DATE • REVISIONS COTUIT, MA 02635 COTUIT, MA 02635 1 of 1 IN,-; � e �� '„' a1t747 prop.addition SMOKE DETECTORS REVIEWED ; 3RTAhJ. UPGRADE REQUIRED TABLE existing --__ WITH DIP CONCRETE A50VUBE v� EEC \ CRAWL SPACE WITH P.T.6x6 POST ABOVE x ' ti I I I ATTACH P05T TO SONOTUBE W/ 1 /I BASE STATE BUILDING CODE REQUIRES THE UPGRADING OF ;_� 1f qq AEWITH5T _ _ _ p}�F pETEGTORS f4R THE ENTIRE f�VL1JNG MMHEN -' 1 -r •" J'"f � f'.I Ab I I I NEW B°THICK POURED CONCRETE EXISTING FLOOR JOISTSNrartmin y® I I I FOUNDATION WALL ON E FCC [Sm0 j V 'T�,B.i: BUILDI . DEPT. DATE BOTT MTO BELOW ROSTU➢NG ONE MORE SLEEPING AREAS ARE ADDED Gt3 CREATED• I I I BO TOM TO BELOW FROST UNE('4 MIN) .T.2xB NNLGR OPEN - NOTE: A SEPARALTE FERMII IS-REWIRED FOR THE DEPARTMENT DATE INSTALLATION OF SMOKE DETECTORS.-THE ELECTRlGAi. ezRA I I 1 FIRE PERfdIIT DOES NOT SpJIS3 V THIS REWIREILIENT CRAWL PACE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING CRAWL PACE w 2-OU5T COVER ♦5 DOw[L9 EXIST.CMU RERS DRILL.GROLR TO ON5T.RID. I I 15 O u 0 STEP T.O.PND. A L WbYN 30° , I L----- FRAME 2.6 BEA1Wp/N qp WALL TO PLR.J5TS -'PRBVtBEbFEN11VG ITO CRAWL SPACE L---------------J .° REMOVE EX15T.FOUND.WALLS O I I 8'THICK v 7'10'HIGH POURED � I I I CONCRETE FOUNDATION WALL ON M I G' I N CONTINUOUS CONCRETE POOPNG II I pNIpo58A � a I � I I ® F I FULL BASEMENT I I F I I 4'THICK POURED CONCRETE SLAB PLCOR y a a I ON 6 MIL POLY VAPOR BARRIER OVER I _ I I O` I CLEAN COMPACTED GRANUTAR BASE j BEDROOM CIO I I . I r{ KITCHEN IF 11 R[No - - - - - -- - — UIST.DOOR FRAM[IN PLL I DROP T.O.PND.WALL 24'HERE _ DROP T.TO RECEO.IV E 2r6 WALL FN D.WALL 24°HERE TO RECEIVE 2,6 WALL N N II 3 M � � I __ prop.addition DEPRESS T.O.WALL 4 4' r \ D BIL+C'I - 0 BULKHEAD N C` z ewsT.DR`f prop.addition — Z a7 0 eNreR 11 BATH P.P. 4'-I I" 3'-4" ul STOOP ——————— DEMOLITION W.I.CL. 26'-0" / — ------- --1 i/ O -Id' REMOVE LLS 5T.WA .PIXURES EXISTING WALL5 WINDOWS AS SHOWN / e-I-_- ILi N[U - I \\ 5A1'fY RPIt NE'N WPl.LS — -_ i 5, m �D a L uP FQ FOUNDATION PLAN 0 LINRJ I 0 SINK 'r I C j BATH m ( E 3 MUD R II I I A I r I N ROOF I m ---J-J PROVIDE AROUND NEW FOUNDATION WALL PERIMETER: LAUNDRY 5/8°GALV'D ANCHOR BOLTS®MAX.72' BUILT OUT WALI9 R O.G.<6'-10 FROM -- a• ;r nlGn[R n[M . i ------- I -- RE FRIG _ ENDBOL Or PLATES. BENTMt MIN.7° - N N END OP PLATES.USE IN 7-w I/4'PLATE WASHERS O _i I I PROVIDE CONTINUOUS(2)"RBAR5 O 5 I I I I ^ (p TOP 4 BOTTOM OP MO.WALL O - -- ATTIC ACCE R. - I I , -- UL _ 11 O LINE OF EJLIS 4. W I O I -T II J I O Z UNFNISHED ATTIC I TO—EREA--DN ROOF SECOND FLOOR L O ---------- ---- Z I E 5'3'SHOWER REMOVE EXIST.WALLS. ED a W SHOWN 1— p 5HOWN i0 W I I [ WINDOWS!DOORS AS N �. I I C BATH 5 O H O I I Oi- V I I V T VANITY V I I V T O O a LINEN W V- o I I I I o BEDROOM __ —————————— Q J n I I a e Z I I P P a fp O I I O WALK IN CLOSET I ROOF a'_e' oo O Z- I L---------------- O gLL 3'.6^ ui PROPOSED 7-5 112" r SECOND FLOOR PLAN ____= DEMOUToN ! a EXISTING WALLS DATE: 10/28/2074 114"=l-W NEW WAS _ 1 BILGO'C BULKHEAD SCALE: AS NOTED PROPOSED l� FIRST FLOOR PLAN DRAWING it: 1/w,=r-o• �,,�, Al - 3 as 8 ----------------------------------------------------------- ------------------------ --------- ----------- --------------------------------- ------------------------ ��d,dino O.ta ht. --------- ------------------------------------------------EZH��=- ------------------------------------------------------ -------------- -------------------- --------------------------- ---------------------------------------------- ------------ ------------------------------------------------------------- ---------------------------------------------- ------------- ------------------------ A5?HAL ROOF SHINGLES —---------------------- i-N ------------------------------------------------- TO MATCH DagnNG ----------------------- ----- FM Ell FAF- �----------- HiH -ZEHZZ----------- -=HE � �K7 ----------------------- _HH= ----- --------------------------------- EEEKEIV ------------------ ------------------ ------------------------ -------------- ------------------ NElwLm loc LROIN DM WIN -------------------------- ----------------------------------------------- ----------------- ----------------------——-—--------------- ------------------------ ------ M TO MATCH EA5,TNG ------------------------------------- --—-------------- ---------------------------------- ------------ -----------------------—-------— ------- -------- -------------------------- NEWANDER5ENWNDCW5 ------------------------------------------------- sewed flad, ----------------------==------------------------------------- n,l fl.., -- ---------------------------------------------- ---------------- TRIM TO MATCH EXISTING d�4,ang ----------------------------------- ---------------------------------------------------------- L ALL TRIM DETAILS TO MATCH EXISTING TRIM 5ITe VERIFY .111 CEDARSHINGLES EXPOSURE TO MATCH EX15T.-TYF'. L111 I DIIST.D11VANDO IN NEW LOCATIONSfirst floor eas11n0 fit floor Titop of p,mmd Ind.wall cG ..............................................I. ALIGN BOTTOM OF SIDING top of proposed fad wall(,!Sq. j a,.,..ad finished oadd STEP DOWN T.O.FND.WALL PROPOSED III SOUTH (left side) ELEVATION J, tda of Prapi basement dab 1/4—1.0' Li U existing house I proposed addition proposed-addition existing house PROPOSED NORTH (right side) ELEVATION 114—l-(r existing house dda,cellina ht a".plate ht,. Baal.w.h.Int LU z LU east.sePGnd fla.- WINDOW&EXTERIOR DOOR SCHEDULE in KEY ROUGH OPENING W x H ITEM IS STYLE MATERIAL I III'[ ALL TRIM DETAILS TO 2-6 I/SFx 4.4 7/8' TW2442 ANDERSENTILT-WASH Wl DOUBLE4WNGWOOM WHITEMNYLCLAD M MEX15MNGTFJM SITE VERIFY O 7'-6 7/8"x 4'-4 7/8' TM442(3) ANDERSEN TILT-WASH Oil DOUBLS4RQNGWIN00W WHITE IANYLCLAO B ANDERSEN DH WINDOVr 2-2 1/8'x W-0 7/8" TW20310 ANDERSEN TILT-WASH 6/1 DOUBLE-HUNG WINDOW WAITEVINYLCLAID TRIM TO MATCH E)a5IlNG 2-4 7/8"x T-4 7/8" AVV251 ANDERSEN AWNING WINDOW WHITE VINYL CLAD U) 01 EXISTING ell"'L "' ITS IANYLCLAD east./proposed first flwr rg Z 0 -(F �T ;7)l I.of Ind.wall(!L&�-V, CF)1 3'-2 31r X 6.1 V 3Wx6W BASEMENT DOOR-8 PANEL I.of ProposedInd.-L(—,d) w �BILCO BULKHEAD; D Pfopowd firiMed gmd, INTERIOR DOOR/WINDOW SCHEDULE KEY ROUGH OPENING WxH SIZE STYLE MATERIAL C,of A,.,basement slab___ DATE: 10128/2014 36-1,ST 2'-1O!'X&-8' RIGHT HMDWNG DOOR-SP� SOUDCOREMASONITE J- -————————————————— Z-IVXe'4r LHANOSWNGDOOR-6P� SOLID CORE�T! 32"x gr 2'-T X S'-W RIGHT HMO SWING DOOR-0 P� SOLIOCORE�Tl! proposed TE "FI- i-----------------------L-----'J---= — 4 2W x 13' Z-OFX 64r RIGHT HMO SWING DOOR-6 P—L SOUDCORE�M addition SCAL AS NO D r 32"x 83" Z-(r X at-W DOUBLEDOOR.— SOUDCORE-SONTE PROPOSED DRAWNGA 32,x75*,,, 2'-S"X6-(r ATTCACCOdOR SOtJD CORE MASOlIIEWEST(rear) ELEVATION 1/4" l'-Cr A2 3 Ca ROOF RIDGE: d m 5MP50N LSTA 18 STRAPS®EVERY RARER —ING 5TRX.TURE 312 RIDGE BOARD exist celllnc hL exist,duals hL $W ' exist.w.h_M eP" - 2N4 wALL9 I2 _ prop. MELVF5 I� 2+1 O ROOF RAFTERS C 16°O.C. 2.W/1 1 ROOF RAFTERS C 16.O.C. �7 1/2 BATH *\ O ASPHALT ROOF 5MINGGLIE TtUNG 6 a W/5/8'CDX OF 5MI.SHEAT)gNG 4 ,�1 ASPHALT ROOF SHINGLES Inch°2 gaw aEw°pap.r O.C.rre II �I•\ W 1 CEILING JOISTS Q 16.O.G UNFINISHED IC/ST ARd SPRAY IN INSULATION NEW 2R flow)okh®,T O.C. u u x 2.1O CEILING J015T5p16.O.C. BTWN ROOF RAFTERS agln TrM a>va—d gaw Id,w TO Mal — 5IMP5 NH2 5UBROOR E-+ WI 112°PLYWD.SUBPLOOR - 51MP50N H 25 HURRICANE CUPS ��] exist.secorq flow 51MP50N H 25 xisl.NCO.floc �- EA.RAPIER O ATTIC A E55 DR HURRICANE CUM -- Q Fy a -- ®E.A.RAPIER Li ALUM.GUTTERS ON L/ J' 5/a.xg,- 1 I.FASCIA BD.R ROOF O.M. (� �•LVL i Oy DETAIL TO MATCH EXISTING - q+ ANDERSEN DH WINDOW ! EAST.DM WINDOW DH OH WIN WINDOW EX15T.OH WINDOW N N IN NEW LOCATION P.P. paP� I j IN NEW LOCATION wo!) p° ed w LAUNDRY MUD ROOM z 2aG ExreR.snow wi BATH BEDROOM U + 3/4'T4G PIYWD.SUBPLOORON u 9I/2°G FLY D.uasTISTAIR I 2,<6 EXTER.5nJD WAL��S5'��'✓✓/ PBGL.INSULATION R I/2'PLYWD. 3/4'T4G PLYWD.SUSPLOOF ON < I FBGL.INSULATION R'g11/2'fttWD. SMEATHING.HOUSE 4 W.C. - 9 1/2•AI520 ALUOIST 151 FIR. f. g S J5T5(7 16°O.G. SHEATHING WWRRAMP 6W.C. U) p SMI NGLES O EXPOSURE TO MATCH EMT. O MUD RM yNY: J5T5 Q I G•O.C. - N p t' ALIGN WITH EXISTING FLOOR I SHINGLES Q EXPOSURE TO MATCH EXIST. ALIGN WITH EXISTING ROOF exist./Drappaetl first Iloc -- exist./dradoseG — prapos0 top of Md.wsli(north S south)� SOLID 6. or FEWE SHORT 2X6 WALL + M19TING 5TRI.CrURE A `'.ACID 6z or FRAME SHORT 2X6 WAIL _ existing CRAWL.SPACE _ -- — (2)44REBAR5W/IN12"OFTOP'.% P.T.2+6 SILL PWTE W/5/8°ANCHOR CRAWL SPACE I I�I I L NEW 8'THICK POURED CONCRETE BOLTS @@MAX.72"O.C.46°-I eFROM i I - T FOUNDATION WALLONMIG' prop�eH p -- END or$ TES,USE 3'w3'+I/4"PLATE III 2'DUST COVER CONTINUOUS CONCRETE NOTING WASHERS.BOLL EMBENTMENT MIN.T BOTTOM TO BELOW FROST LINE(4 MIN) F1 IF FULL BASEMENT �« 8'THICK TI O'HIGH POURED CO NCRETEFOUNDATIONWALLOMMIG' EXISTNG ' r CON n NUOU5 CONCRETE NOTING (2)94 REBARS W/IN-T-W 'M3�. F r ' 4'CONCRETE SLAB FLOOR PA 6 MIL R N.0 VAPOR OP BOTTOM BARRIER OVER CLEAN COMPACTED GRANULAR BASE. zs a rR s �pS2 SECTION @ MUD RM,LAUNDRY&BATH ` 3 va°=r SI SECTION @ MASTER SUITE 3 a prop.addition _ prop.addition L 2re gush m —j/zil t O o ocEXISTING ROOF TO REMAIN cry m o H I ry`¢Kry I Z LINE OF EXISTING 22 C) 0 SECOND FLOOR Z O Z I to • H '�.. g I I W v C9 O 0: Z m e U_ v U) 9 v I W I Q O d, N Y m J m ' �'p W o Mu 5 I A I 9 N W 8 U. I I o � DATE: 10/28/2014 (3)2x10HEADER f SCALE: AS NOTED 4 SECOND FLOOR FRAMING PLAN ! ROOF FRAMING PLAN( DRAVINGM 1/4*-��'0" EXISTING WALLS 1/4"= -W EMOTINGROOF w !" NEWWAUS NEW ROOF v A3 _ ,( "Riy J � t a; .r r� Z s, � 4 S Y, c I t � R: S i moo Y�vp coup 00 Allow ��Qowj thou hit : .:. .. .. a4 Q, Fly x S� Not s : .� ,.•�' ,-�� �, ..... .: �._ .- .,, axe ,..,.,,�- - � ..,�;. ;xs •,;�-. 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Z ,_ 'T `'� ��-._.�.=-�=�.x 97.32 Pine R,d a Rd 1281 , f( E: No. , 9 f / a i ... t' 1^ �1 Tv / , I .kerson Rd I VENT 5.6' Sea St m �9� i �J= i 47 98.80 ._. k I = 1 II EXI _ . DRYWELL COTUR i f t V! ¢ u ---W LOCUS e�►Y In ` M r x 89-49_ N v v, : . 03 LOCUS MAP N.T.S. s, 35' 1 x 88.59 CO r - 1 )0.0o I'TP-1 ,i I LEGEND _ Tp ` z / - PROPOSED CONTOUR i R I - 7 W ;E 79 PROPOSED SPOT GRADE (Z 99.09 x" -- ---- -- ! x 98,63 1 �" ;. 1' F.`,. EXISTING CONTOUR BENCHMARK: — ;` LT. COR. 60TT. 5TEP 88 57 x" 102.76 x EXISTING SPOT GRADE ELEVATION — 99.05 r (ASSUMED DATUM) r: . '1" 3 TEST PIT 00 7S x 98.66 } �s�arR� D9 . W EXISTING WATER SERVICE 1 — 200.00' {�- d M BENCHMARK by oHIv EXISTING SEPTIC TANK EXISTING S. URRRY A.S. �T��y /r 2-0J1-, �� OF Miss TOP OF TANK EL.=95.89t TO BE PUMPED & I ��� 94y INV.(OUT)=94.56t FILLED WITH SAND o� PETER T. NTEE GENERAL NOTES: Mc I\IL 'I � CIVIL I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 7. WATER SUPPLY IS PROVIDED BY TOWN' WATER SERVICE. No. 35109 r + R£GI ZED �Q IENGINEER. S BOARD OF HEALTH AND THE DESIGN � 8. THERE ARE NO ABUTTING WELLS LOCATED WITHIN ';50' OF THE S.A.S. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS t, A H RESTORED I OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE, 9. ALL AREAS DISTURBED .DURING CONSTRUCTIONS SHALL BE <.ry I 7167 LOCAL RULES AND REGULATIONS. TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR- G 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING PROPOSED SEPTIC SYSTEM UPGRADE DESIGN ENGINEER. CONSTRUCTION. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 1281 MAIN STREET, COTUIT, MA FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. Prepared for: John & Ann Murray, 4 Wyndemere, Avon, CY 06001—3959 ENGINEER BEFORE CONSTRUCTION CONTINUES. AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 12 CONTRACTOR SHALL EVALUATE SIZE & STUCTURAII INTEGRITY OF Engineering by: Surveying by: SCALE DRAWN J08. N0. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF EXISTING SEPTIC TANK PRIOR TO CONSTRUCTION.:I REP-LACE IF REQUIRED. Eng1needrtgWorkr HOOD SURVEY GROUP 1"=20' P.T.M. 141-07 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM ?'PURPOSES ONLY 12 West Crossfield Road 18 Route 6A 0 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. AND IS NOT TO BE CONSIDERED A PROPERTY LI� (508) 2 ,1E SURVEY. dale, MA 2644 Sandwich, MA 02583 DATE CHECKED SHEET 508) 477-5313 (508) 888-1090 6�12�07 P.T.M. 1 of 2 I f • x L TM UN SETBACKS RF ZONE L :C MAP 18 LOT 081 TMUN OF BARNSTABLE N/F ' N BUILDING SETBACKS (MIN.) neRFdge`Rd-� RHODES, DUSTY S. & Nfch �+ FRONT YARD 30 er56nRd= ' SKENDERIAN, THOMAS E. TR � � p MAP ,18 SIDE & REAR YARD 15 J LOT 076 • sa s N/F r .I � .MARTIN. ELIZABETH A. & W E 4 ff<1 CBDH FND CARL N. II - < (ROTATED) MAP 18 LOT 082 S I-Rd LOCUS HARTUNG, FREDRICK W. & S�2•g 0., hq CAROL B. TRS eU�COj 200 £ N� 02 TYP TegCkS >� 4o° N LOCUS MAP �q� �hj• NOT TO SCALE ell BENCHMARK HUB. & TACK s9?. MAIN STREET EXISTING FOUNDATION ' REMOVED FOR ADDITION ?69, GENERAL NOTES ELEVATION = 44.28 CBDH FND 1 (HELD) NEW FOUNDATION �y? �� 1. RECORD OWNER O �G/ '1 MURRAY, JOHN A & ANN M m sa b`• '� �� 4 WYNDEMERE STREET S 'wry .O�/ C7 AVON, CT. 06001 �W = DEED BK. 28056 PG. 86 2. PROPERTY IS SHOWN AS LOT 075 ON ASSESSOR'S MAP 18 MAP 18 LOT 074 200.�0, \ .S� AND APPEARS TO LIE WITHIN THE RF DISTRICT PER THE N/F h' BARNSTABLE GIs RECORDS. 2 5 , c MASSARO, JOANNE P. TR �,�2"w 1 .91 3. PROPERTY LINES SHOWN WERE DERIVED FROM AN ON THE o GROUND SURVEY CONDUCTED 12/22/2014, LINES OF N OCCUPATION, AND FOUND MONUMENTATION. r 4. ORIGIN OF ELEVATIONS IS ASSUMED. 5. PARCEL LIES WITHIN FLOOD ZONE X PER FIRM MAP 250001 I CERTIFY THAT THIS PLAN DEPICTS FOUNDATION ASBUILT BENCH PANEL 752 OF 875, LAST REVISEDJULY 16, 2014, AS SHOWN ON CONDITIONS AS THEY EXIST AS OF 05/22/2015. MARK' THE FEMA WEBSITE. jH OF e� 6. BUILDING LOCATION SHOWN HEREON WERE COMPILED FROM AN EDM ON THE GROUND SURVEY CONDUCTED 12/22/2014, 05/22/15 �• AND PLANS ON RECORD. GLESS H. G SS L C. # 39P45 No.39M 7. ORIGIN OF BEARING FROM PLAN BOOK 65 PAGE 7. LOCUS gyp' PLAN ROTATED TO MATCH REFERENCED PLAN. M Existing Grade Inc. Surveyors & Civil Engineers SCALE CLIENT FOUDNATION AS BUILT PLAN PROJECT NO PO Box 612 1582ARCHITECTURAL INNOVATIONS Dennisport, MA 02639 o 15 30 FOR. DATE: 05/22/15 P.O. BOX 2056 1281 MAIN STREET 508-694-6501 Ph/Fax I SHEET N0. - COTUIT, MA 02635 COTUIT, MA 02635 REVISIONS _ OF# DATE ,i 1 1 , j INTERIOR DOOR/WINDOW SCHEDULE m WINDOW 8L EXTERIOR DOOR SCHEDULE z KEY ROUGH OPENING W x H - 311E STYLE MATERIAL KEY ROUGH OPENING W x H ITEM# STYLE MATERIAL av Q 36'x63- 2-10'%0'It' RIONTNAND3V/INODODR•OPANEL SOUDDOREMA60MTE I•r 222333 2 36'x 83' ?-10'x6'•8' LERT NANO SWINOOOOR-a PANEL 90oDCORE NA90NRE A 2'-61/R"M4'-47/B" TW2442 ANOkR9EN Tp.T-WASH B/I OOUBLE+NNO WINDOW WHITE VINYL CLAD x4 d 3 32x89' 2•e'xe'B' RIGHT MIND 6WIN0ODOR•ePANEI 80UDCOPE OLA8aNI1G © 7-07/8'x 4'47/8" TW2442(3) ANDERSEN TRTAVASH SH DOUME44UNG WINDOW WHITE VOM.CLAD "' O 4 32'x 03' 24'x BA' LEFT wwo SWINOOOOR•e PANl4 souo CORE NABONRE C 7.01/8'x 3'-871W TVV2430 ANDERSEN TILT-WASH M DOUSLE•HU IN NO WINDOW WHREVINYLOVD S2'x95' 2A'xow IMBLE—II. PANEL SOUDCORE�TE O 4'.O l&-x2'-05mr A41 ANDERSEN AWNING WINDOW-OPERABLE WNITEVIMICLAO FFO 8 32'x 75-.4 ZO X V4' AITIGAODE6e D00R 6vuDCORE MA6010T6 Fa4'-0 1/2,x r-O S ' A41 ANDERSEN N AWNG WINDO W-Emo WHITE VINL'L CLAD O 1 74 71W x 2'-0 S/8' A251 ANDERSEN AWNING WINDOW WHITE V911'L CLAD ® REL EGST DOOR-S PANEL 1 W a o t 1 I m m o I I L I I I BEDROOM I 1 m •aL m I 1 c KITCHEN I 1 0 Ig 7-a 3'-7' L 2'-7' I1. I'_q• &-3' '-9' 16-11 G-3'I V-4' S 1 I \� f T.OWOOWR� m Q 1 q ON ON 3'-11' 4'-4' S'-O' N . rn Ifl _ Q3 HALL A �- PM� N I ---__ ----- BATH - HALL I Q 3 1f1 m I 3 D N O SHELF N I N -. 9(0 WALL POST O Z C _ I _ = UP NRPoOae N r 413,SHOWER MUD ROOM �SaJ 3 � Qq BATH I .o _ LAUNDRY a N STOOP , B G ch 1 ATTIC AC X55 DR i O 2xS WALL O POST b Z POST ON 1 C O iv — a. - I 1 s'-3• I ti A N 1 I — — %3'SHOWER — — — Ir O j I BATH 5 O 1 UNF7/4tSIEDA (STORAGE AREA 1 W LL. uNd.ADDn ON ROOF I Y T 9.VANITY 'PlePea.a b O . u ZNEH BEDROOM O a i ------ 3'-91/2' 0 ri) 1 I H b OA WALK IN CLOSET O I O i m W v LL ( I b L---------------- — ---- ————— r r > d 0 121-0' 7-7 3/4' 1 J 114' 5'-0' O a Y PROPOSED SLco rmE' z SECOND FLOOR PLAN EXISTING WALLS w EAD O NEW WALLS 27-9' ' U a c r ' PROPOSED FIRST FLOOR PLAN DATE: oerol/2015 • 1/q"=1'-0' SCA.E: AS NOTED DFMWNG f Al - 4 m� > 0 zs Nx� w.� Q d.ndr aD mg Wob hL Ni -5F U A9?TK ROCP 5KNCLI5 OA TOMArcHExlsnNG D E 1 NEWANDERSEN DH WINDOW NEW ANDERSEN WINDOWS TRIM TO MATCH Bs5TING --d 6— 1RIM TO MATCH On5nNG �--d Rq� ALL TRIM DETNI3 TO MATCH ENI.5TING TRIM SITE VERIFY A "ITE CEDAR SHINGLES O O upo-9 RE TO MArcH 005T:TYP. ' OUTDOOR SHOWER , IBM -_ ax1eL/ara/axed Nel Blor ____ mdatYgiket Soot _ tm 11 Iraoolld nro..� - 1 too of or000md mq.on LgEII0 AuGN BOTTOM of SIOING I - I I I proQoee°1Bn1Bhe0 STEP DowN T.D.FND.WALL I I I II 11 I I talarNxasbamnIt� I I 1 ____ ________________1 -------------- -------------- ----- ----- --------�----u� ---- -- -------------------------� proposed addition existing house existing house proposed addition PROPOSED PROPOSED NORTH(right side)ELEVATION SOUTH(left side)ELEVATION line of 114•ar-0. 1w 1'-' existing house axbt ael610 nL atilt plate et abL L11.nL - ANDERSEN CH WINDOWS . 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CONTINUOUS CONCRETE FOOTING REBARS W/IN 3'-4' OF P4 O BOTTOM 2T-8• 24 C S1 SECTION @ MASTER SUITE S2 SECTION @ MUD RM&LAUNDRY 4 va•=ro" 4 1/4•=nD• ft With mdaL fienne Pit V hot Plea ht olw mdet BATH HA HALL TY - L a eXhL Ilermd 0aar aanBoo . ptapasd Plan ht -- -------(r— lg ———————— - V _ _ I _ _ z I BEDROOM MUD 0 as F z u I I � � b • � F Z I P,W—d ---- ame aLeBaar' U ie W t�,t -------- M BEAM BEYMM �' g 11 . -ht db 1 a LL paPOMd b __ LLO OC FULL BASEMENT j -- o O 4'CONCRETE SLAB FLOOR ON G MIL POLY VAI C R h BARRIER OVER CLEAN COMPACTED GRANULAR E. rI/ pq OWi L---J proposed addition # existinq house F DATE: 00/01/2015 S3 SECTION @ MUD RM.STAIR SCALE: AS NOTED r DRAWING#. -w. r A4 0 4 .1