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0821 OLD POST ROAD (2)
0 L --`, � 3� v�ovn lNo ►� -) J Town of Barnstable Building t Ba8.W8TaE1LE yPostThis Card So That it'is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept • , • ! a+nea Posted Until Final Inspection Has Been Made ibsg G ► ® Where a Certificate.of Occupancy is Required,such Building shall Not be Occupied.until a�'Final'.Inspection has been made. Permit NO. B-20-2408 Applicant Name:' Thomas DeVesto Approvals Date Issued: 09/02/2020 -Current Use: Structure Ex Date: 03 02 Permit Type: Building- Demolition Expiration / /2021 Foundation: Location: 821 OLD POST ROAD(CT& MM),COTUIT Map/Lot 0 M , 73-007 Zoning District: RF Sheathing: � Owner on Record: DEVESTO,THOMAS&HAHN,ANGELA Contractor Name: Framing: 1 Address: 835 OLD POST ROAD Contractor License: 2 COTUIT, MA 02635 " �" Est. Project Cost: $ 14,965.00 Chimney: Description: Demolition of pool house(separate structure) Permit Fete: $ 125.00, Insulation: Fee Paid; $125.00 Project Review Req: Date: ',g 9/2/2020 Final: I ( / 1 Plumbing/Gas (( �( Rough Plumbing: `\Building Official - Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte�;issuance. All work authorized by this permit shall conform to the approved application and the approvedconstruction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ---- — ---- � �" ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures,by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: f" Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation g g 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: . Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: g� �_ ( ' � ` M e' , V �4 � G � /////// (� l 1 �— �J ��� ��_ �. , �. � -�. �� ' ° 'i �� ;�� ,_ �, �0 �,, ��� i . ��� r J L J- ' v Qb ( �J i uas ayl aziusmaa noel ssalun'Aldai ao sluaw4:)el;e 4;o apisIno uaoal pajeuiSpo I(ewa s'4.L: oi.I nv:) uas aq}aziu :)aa'noA ssalun 'AIdaa ao s}uaw4 elle c� 4 jo a.pislno i - aleuiguo (leuaa sl4l:Noiinva Zf 06-Z98-805' luaculdvdaQ 2ulplrng a14bjsu rng fo umoLL da2vuv"ao fffo smo,idvg 1ga(j 'nog(jUe41 6suaoij je:)iajoaja ayj jo Adoo' a peue aseald 'uoouaa4V poop t L'o � ttA- �� i� � _ _ - P� �, - _ : - �� __ �, _:- __ � : _: _ - -- �' - _ _ __ WW- 14)c' (pi(� Cam'" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o Parcel -7 Application# Health Division Conservation Division f L L [1qkqKe 0n 2�Z�o� 5� Y Permit# Tax Collector 1 Date Issued `fir r�' ® � /0q 6 Treasurer Application Fee Z-O`co Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address v?1 :O 4'7 Pa 5. ,4 Village C(YTV l T Owner ` 1 L 17 A S &TU Address o� i `j� In tj d2`i 14 rr-r A v Z g 6 e, Telephone 60 7 — q'3SS- 1(Y9 Permit Request 6 96 S c� a L Y\,tao s� 1��T�f Sew©�w �°• -j Square feet: 1st floor:existing_, proposed 6,20 2nd floor:existing proposed Total new�-6-?O Zoning District Flood Plain Groundwater Overlay f D®Ca r _. Project Valuation Construction Type c �' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting4ocument6ti6n. Dwelling Type: Single Family 0 Two Family ❑; Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes `J No On Old King's Highway: ❑Yes ONo Basement Type: ❑ Full ❑Crawl ❑Walkout Other `�{S Basement Finished Area(sq.ft.) i Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new — Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes L�, to Fireplaces: Existing New Existing wood/coal stove: ❑Yes 00 Detached garage:0 existing ❑new size Pool:O existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 4No If yes, site plan review# Current Use- - - Proposed Use p BUILDER INFORMATION Name Telephone Number -7 7 i�99Y- 0 V Address License# O 7� MIA S ik oos CIA 6-, 9 Home Improvement Contractor# t Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE �7� �dC) '-n n FOR OFFICIAL USE ONLY PERMIT NO. " DATE ISSUED . ,. MAP/PARCEL NO. ADDRESS - VILLAGE ; OWNER , r DATE OF INSPECTION: FOUNDATION FRAME �1@. �� h ' ACC o INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:' ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 1 - ASSOCIATION PLAN NO. ; ,t The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunalbers Applicant Information Please Print tegibly Name(Business/organizatiowindividu4.' a.Fo r { Address: /.to City/State/Zip: • At&a 1 - , n1 4 o 2 6 O Phone#: 7 7 tt,9 3 y-o q!-� Are you as employer? Check the-appropriate bog: Type of project(required): i.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.1i am a sole proprietor or partner- listed on 1he attached sheet $ ?• ❑ Remodeling ship and have no employees ' These sub-contractors have 8'. ❑ Demolition working for me in any capacity, workers' comp,insurance. g, ❑ Building addition ; [No workers' c mp.insurance 5, ❑ We are a corporation and its required,] I , officers have exercised their 10:❑ Electrical repairs or additions 3.El am a homeowner doing all work right of exemption per MGL 11.❑ Pkma&g repairs or additions myself.[No workers' comp. C. 152,§1(4),and we have no 12.❑Roof repairs insurance required.] t . employees.[No workers' 13,❑ er comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinfornnadoa: ` t Homeowners who submit this affidavit indicating they are doing all work andthen hire outside contractors must submit anew affidavit indicating such ;Contractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information. ram an employer that is providing workers'compensation insurance for.my employees. Below Is the policy and job site information. Insurance Company Name: Policy, #or Self-ini.Lic.##: BxpiFation D:at6: Job Site Address: City/5tat zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisomnent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DLk for insurance coverage verification. I do hereby certify u;errahns andpenaldes ofperjury that the information provided above is true and correct. Si afore Date: Phone#: �Z7 a`e QLI S Official use only. Do a in Ab area,to be completed by city or i m official City or Town: Permit/License# Issuing Authority (circle one): 1.Board of health 2.Building Department. 3.City/Towm Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other, Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express orimplied,.oral or.written." f An employer is defined as."an individual,partnership,association,'corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant•thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance°or renewal of it 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 ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or parsers,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 theDeparf rent 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 member listed below. Self-insured companies should enter their. self-insurance license number on the appropriate line. City or Town Officials . ' Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding file applicant. Please be sure to fill in the permi0icense number which wiU be used as a reference number. in addition;an applicant that must submit multiple permit4icense 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 far future permits or licenses. Anew affidavit must be filled out each ' year.Where a&rue owner or citizen is obtaining a license or permit notrelated to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would 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—Musac1 usetts 'd . Depa.�tment off Industrial Accidents Office of Invat4gadew 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 oa 1 o77-MASSAFE Fay.#617-72.7-7749 Revised5-26-05 V�w�v.iaass.crov/d a c Lae�se51.h _ Oust�sTyT[e Chas L+cense Status: Restnuhurps , E(teabve Lxpnas` PUM CS Rt/J� N QO 04,'0?/?006- tl'1/0J/2008 . u,W.6;_ueMaM ,Last' p[FITo fl+st`Rof3EFr'.M .;Srhw,f. x Da:to- StlrCr i110 T11?RNLICRFjV CIRCLC__ City;::MASNpCE MA ".02G49 p "-- Atldrrs -. Phone c � l,ty Note; ` �t_IL�aL 1 t/3f-iLF.1306 04/I q/JNfAf r��?,Bt 1tpP Acwnnt Type Class L+cteh a Tian acluxl... hmota+l Dale: 720, CSs 03275 R 21�2.7 100 00 -04J0 /20iCG Ta Nb, P9alue,.,ppa�w p�iggg Last -PQA 0 9. I)alz IreJF`Rt�iF',. iF+�t Ro�ERL .� Cunlaci: $ - (1�Codi. $Uktt .;1;Fl TrH ORhU EIMV l is`Ctp .MRSHPEE. Mn 8li4? $ EYaul., t[a[e / / tnapgctu+ tiecint'linn yyl t7 i+jam 1II 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � 73 Parcel 007 Permit# 9D63q �— Health Division �.r� — ��/ - 5�� �G�� Date Issued :Conservation Division � � P��/v�Z7�6j������`S'�— Fee I2et5,�o fax Collector /�, `;' d�. 16�C�Pv P W pp D lication Fee . 6-7 Treasurer r/ WITH T[C LF 5 �" a4 tg'� diin By f Al Planning Dept. ,AT! s Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address D L'D Village Owner%4"d-� J '-Dfygs—je Am Cwe t f✓�Address 21 '�+�n a�r�,e dam,` l�9/t���, 4-VA cb990, Telephone Z/ - S, Permit Request -1- o%j s 4�¢� C Square feet: 1 st fl or: existing proposed 2nd floor: existing proposed Total new CValuation- ,'ao;f?A Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: O 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: 0 Ye; ❑No V Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: Cl Yes ❑ No Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:0 existing ❑new size Attached garage: ❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial. ❑Yes 0 No, If yes, site plan review# Current Use Proposed Use --BUIL-DER INFORMATION Name X06 gAr, 6'•a 0 Telephone Number Address //0 774 RAJ49 9A A License# d 7S_' .�&1A6,a i,-7 A Z. y Home Improvement Contractor# /V7 66 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ' SIGNATURE DATE, 0 6 f ' FOR OFFICIAL USE ONLY J PERMIT NO. k ' DATE ISSUED MAP/PARCEL NO. ADDRESS -_'�' 1� VILLAGE - - OWNER DATE OF INSPECTION: f- FOUNDATION y/l� .�.1�( %/� ✓..- , FRAME M LP Gj ��_ ,--6 ' • INSULATION FIREPLACE > ELECTRICAL: ROUGH FINAL 4 PLUMBING:=f ROUGH FINAL GAS: ROUGH FINAL`;. ! ' FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. 4 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of ContractorBuilder $25.00 FEE VALUE WOMBEET -NEW LIVING SPACE an square feet x$96/sq.foot= 5- x.0041= �P 032 plus from below(if applicable) ALTERATIONSlRENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x,0041= plus frombelow(if applicable) . 9ARAGES'(attached&detached) square feet x$32/sq.fL= x.0041= ACCESSORY STRUCTURE>120 sq.ft- >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 . >750 sf-1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet $96/sq,foot= x.0041— STAND ALONE PERMITS Open Porch x$30,00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost - � 8 g s e eanA B A we - - A3 A3 I�sl C U W N mrwvswwi»mrVraw ... N61N6 3 , - Q swnxw�nresr • .�wWw a . .....ro ........... a N _ x»vr.siu iwnw �-, N61N6� p � n�usa�iuurvul� � �ass CU - ` 3 rvm"�w-- : . r s>a oorsi rwn � '�, ww aieroxam.•ts •, sue � f --moll C 00 �� b u ou ' - O(L N m . ro c ro m FOUNDATION PLAN - - FlfZST FLOOD, PLAN �N7 Y e� �.. -o • - Q CQV t� emu.-wxro� RAW— LSSIIED FOR REVIEW >K, I of 4 m B A . `w n� nB .� loll SOU 7 H -AST ELEVATION _ SOUTHWEST ELEVATION - J YdeLe39e:x��i� C for Nu N 00 you nn W 9: e"m - - - - - - - - - -- - - - - - - - mow° NORTHWEST ELEVATION NORTHEAST ELEVATION A-2 ISSU FMf VIEW ri, OI 4 2= duunww 9 We DINING riurm''�e dwu ��� � r nr I �u wwKaNe i IKUM ETUM ROU _ rm.maiac .owe.w.v .'� i� em.wo wNe�mw e:.dr"" ..eca I ' '1� rm eiarwew >+xwm, � sx wea. �awK � �� .SECTION �1 SE GTION INT. ELEVATION INNm .co.w Pen��-en�f'2 011 �Nc o da a � Q - - - - - - Deb Nr E 00 V O- DETAIL®PWLL SECTION - O EAVE DETAIL(TYPJ O DETAIL.AT SHINGLE FLARE O WALL DETAIL AT FLARED A-3 &WFORRMEW w, 5 Of ? V EF — 3 U •.ou o IL i�•s��t�;Yzs?aE Y BSL�s�•:�c`gyp+. C E I L I N G FRAMING P L A N R O O-F FRAMING PLAN (0 mV _...-...� o ro s odV ro NOTES STRUCTURAL DESIGN CRITERIA • O" -ALL P CEILINGS O5T5®ENDS OF BEAMS TO BE > > E - (�0 (2)2X45/(2)2X65,UNLESS NOTED 10 10 PSF D PSF LLOIL. ` ROOF I • Q�(.l LL -ALL WINDOW HEADERS TO BE(B)2X65 - 15 F5F DL 1 W/1/2°PLYWOOD,UNLE55 NOTED M IDE 2%10 LEDGER BOARD0 OVERLAY FRAMING FOR RAFTER BEARING/SUPPORT ROOF PLAN -INTERIOR LOAD BEARING WALL A-4 . MUED FOR REVIEW ua, 4 Of 4 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IMA , �- I / �C(�� L DATA t s. �A JL�u I v inLLL' DEPARTMENT OF HEALTH SAFETY AND ENVIRONMENTAL SERVICES BUILDING DIVISION STOP WORK THIS STRUCTURE AND/OR PREMISES HAS BEEN INSPECTED AND THE FOLLOWING VIOLATIONS OF THE BUILDING CODE AND/OR ZONING ORDINANCE HAVE BEEN FOUND: 1, 716 1 0 2) rpoir ft&"Se 3) 4) YOU ARE HEREBY NOTIFIED THAT NO ADDITIONAL WORK SHALL BE UNDERTAKEN UPON THESE PREMISES, OR THE PREMISES OCCUPIED UNTIL THE ABOVE VIOLATIONS ARE CORRECTED. ANY PERSON REMOVING THIS NOTICE WITHOUT PROPER AUTHORIZATION SHALL BE LIABLE TO A FINE OF NOT LESS THAN FIFTY, NOR MORE THAN ONE HUNDRED DOLLARS. Address .92 s 4 Date ` /piWrng-Commi iomo, '�.c ,: _ .�^,^� I , * "� .:..- ,..•-^• ..,-ct=,.._. g. ' ,.•'+.,",-" /i'� ° .:r..-. �t. 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'ttlbt�.°,rwFr.,v.,"Y''.. •„R�.w`t�n.�''r� °FtME A Town of Barnstable Barnstable Historical Commission BARNSTABLE, * 200 Main Street, Hyannis, Massachusetts 02601 MAS63 . 10�' (508) 862-4786 Fax (508) 862-4725 ArED .�064 www.town.bamstable.ma.us April 20, 2006 Building Division D 0 LJ Tom Perry, Building Commissioner 200 Main St. APR .5-2006 Hyannis MA 02601 By Re: Devesto Boat House renovations, Tim Luff architect 821 Old Post Road Cotuit Please be informed that the Barnstable Historical Commission voted to accept plans for renovation of the building on the basis of an informal design review in conjunction with the architect, Tim Luff as follows: ❖ Double hung windows with 6 over 6 sash on the SE elevation ❖ Sashes with true divided light, single pane and traditional wood, exposed muntins. ❖ Cedar wood shingles on the exterior. ❖ Recommend that the siding be brought down over the wood frame on the NW elevation. Demolition in part or in whole of the boat house would require further approval of the Barnstable Historical Commission Sincerely yours i Barbara Flinn, Vice Chairman r ,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 7 Parcel 007 Application# Health Division(/�3 fP rLx, 048 bu Conservation Division �3�- P1`"' at3�x, }Ny Permit# 9 / 32 -7 v Tax Collector Date Issued LI—7— I Treasurer Application Feed Planning Dept. tootPermit Fee Date Definitive Plan Approved by Planning Board Sy � bea Q Historic-OKH rs ion 's 7, 1 3 Project Street Address O z o S J Zc),*0 Village - Owner Address !�3 ; 3� L -� PL-r- deoAo Telephone V r t - Permit Request PIS-PLACC / M141pJ1 "AIW �� 40 to t!S � Fz.o®rt 3-01.% 'S FL o®A y,N 6- PL A-1r k S ,L4 kf S 4-0 5- Square feet: 1st floor:existing --proposed rJ -A 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation : DO 0 Construction Type Lot Size e Q� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. �. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 1J 1A Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway ❑Yes c:❑Noy Basement Type: ❑ Full ❑Crawl ❑Walkout Other I L S-S CID Basement Finished Area(sq.ft.) ti LI Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing / new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric 3bther Central Air: ❑Yes . Fireplaces: Exis'ng 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: Q v a o US Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 4No If es,site plan review# Current-Use-, , Proposed Use q, 0A5_ dlz-letl BUILDER INFORMATION Name 4.1;,X /1-1 7 D Telephone Number 77 y';23E"6`/l.5--" Address /Je 4-15L License# 1 P 7S� ?.45 — 4W.4 02 Home Improvement Contractor# /Y76,6 ) Worker's Compensation#s+ /f 4 C.g ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO CAA SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED' k ' MAP/PARCEL NO. A , ADDRESS, VILLAGE ' OWNER , DATE OF INSPECTION: r FOUNDATION FRAME > INSULATION i FIREPLACE a ELECTRICAL: ROUGH FINAL = PLUMBING:- ROUGH FINAL 1 _ GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i _ r ASSOCIATION PLAN NO. = f aF�M�roy, Town of Barnstable ti Regulatory Services vz STABLE, Thomas F.Geiler,Director 4''°pEDnas�",0 Builfflmg 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 Mier Must Complete and Sign This Section If Using A Builder I, j „�a s ���,/ s ,as Owner of the subject property hereby authorize 57D to act on my behalf, in-2 matters relative to work authorized by this building permit application for: (Address of Job) Signature ofgwker Date Print Name QTORMS:OWNERPERIMSION ' - .' G Sze-�am�no�uea�i al'���aaoc�clZi�aeda `3; _l' BOARD OF BUILDING REGULATIONS iLicense: CONSTRUCTION SUPERVISOR w Number: CS 083275 f 1 .. "Expires:04/07/2006 Tr.no: 83275 Restricted: 00 ! ROBERT,M, PINTO 110 THORN BERRY CIRCLE MASHPEE, MA 02649 Administrator t r �JIC. VC17721YLlJ I7,(l/I.CGLGf2. O� i!�(,cYiJJCLCf2uJ6�.Q- ,. _ - ' Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 447661 { :Expiration: 7/27/2007 Type: Individual F . ROBERT M. PINTO i- ROBERT PINTO 110 THORNBERR`.CIRCLE � MASHPEE, MA 02649 Administrator �oFtHE,�, Town of Barnstable Regulatory Services &UMSrABerg` Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: gfe-mci: )C400,0 ,)z s�-K 44&S Estimated Cost O 60 Address of Work: �j 2 1 �� �as 1�7_ Owner's Name: . 1 /h&S Date of Application: 3 z�$—20 O -6 I hereby certify that: Registration is not required for the following reason(s): QWork excluded by law ❑Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: /�(7 66 Date Contractor Name Registration No. OR Date Owner's Name Q:forms1omeaffidav I °FVE Town of Barnstable Regulatory Services ' kAS& Thomas F.Geiler,Director v Mass. � `bArED ,.�a`0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: /N�c✓ �c�a�S YLeJeP one Estimated Cost 3�o �Uy Address of Work: !U-1 600 5 i Owner's Name: Date of Application: 6 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: / z1 7 661 Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav E� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �,`3� I'.N� to act•on my behalf in all matters relative to work authorized by this building permit application for: a 1 01-D p"ry S 3 l�' t�A 0 (Address of Job) Signature of- Date Print Name Q:FORMS:OWNMERIMSION . _ ✓lee �oarvnzo.:caea� a�✓�,Craaacl BOARD OF B-UILDING REG,uLATIONS M License: CONSTRUCTION SUPERVISOR ^ Number;CS 083275 YExpires 04l07/2006 Tr.no: 83275 - -- : Restricted. 00 ROBERT K PINTO k} 110THORNBERRY>`�tRCL� ,.,py' .. MASHPEE, MA 02ti49 ' s`" Administrator lie Vom�yearuuea� ��/�,aaaaclzuaetta Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 1.47661 �icp�ratwn 7/2Z/2007 Type individual ROBERT M. PINTOO ' ROBERT PINTO';. 110 THORNBERRY CIRCLE - . rim MASHPEE,MA 02649 Administrator n , `0 Map CV Parcel �'` I - Permit# ,�00 House# -3 Date Issued --g �28 _ a�j� 4G;Fee r)(8:30- 9:30/1:00-2:00) - Admin. Bldg.) THE id 19 BARNSTABLE. lFD M1. /2 G TOWN OF'BARNSTABLE Building Permit Application Project Street Address q3 EJ /© S-1-aEST- (DiTt f20,CCf IW4 PTOI?e S 45�� Village eko Owner S Address -14b1YLQ_ Telephone (SM) ?02-0(p Yb 1 `.Permit Request -10 WA 1d ri l �rYl M'CLIOA -�U l O P-PI CQ `f 1 PLW,/✓l First Floor 7 " �" square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ��Z �S Historic House ❑Yes U(No On Old King's Highway ❑Yes [�io Basement Type: N Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Will bL 42 F Basement Unfinished Area(sq.ft) fI' Number of Baths: Full: Existing_� New_ Half: Existing New No.of Bedrooms: Existing 3 New a� Total Room Count(not including baths): Existing_ New First Floor Room Count Ll Heat Type and Fuel: UGas ❑Oil ❑Electric ❑Other Central Air U(Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes U(No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) lone ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes dNo If yes, site plan review# Current Use M Proposed Use 4I O— fStv!2� Builder Information �7 Name Telephone Number Address q3 e111oft6fll"-,t License# -�jl Au 1 l t e, /u4 D,363;)- Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. A)i A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO hm2V V U A WS SIGNATURE. DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY _ All PERMIT NO DATE ISSUED,- - . MAP/PARCEL.NO. ADDRESS _+ -t VILLAGE` OWNER DATE OF INSPECTION: FOUNDATION *, : , '' s w t ► FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH - FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL S FINAL BUILDING DATE CLOSED OUT` ASSOCIATION PLAN NO. - THE r, 'The-Town of'-Barnstable WXNsr BUL 9� mma Department of Health Safety and Environmental Services ArEo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only, Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION � t . MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which'are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with /��other requirements. Type of Work: (�D1�'1.(9-et Est. Cost s�coo ;Address of Work: I' 64 6ZOZ ,,__16wner's Name 10XI_Y1{k.1/ldlLC �1(�uv�-S Date of Permit Application: �R 6 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR LlIbIqF Date Owner's Name The Commonwealth of Massachusetts n !� Department of Industrial Accidents = office 81/nyesffoli ons = t 600 Washington Street �* J� Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location• �3� �,'(�c�l©� /��� ,^� �` ? p� p ✓ ci " ��lu !T1/l,U��1•-C� /V�T V�J Z hone# 6�uZ Q�DO`�' I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in any capacity ❑ I am an employer providing workers' compensation for my employees working on thus job company vame• . address: citv.. phone#. _.. insurance co. olicv# . ❑ I am a sole proprietor, general contractor, or homeowner ircle one)and have hired the contractors listed below who have - the following workers' compensation polices: ,(� comoany name C�2 4: address G ` o p hone#. insurance cm r oliev# W a' ///,%/ %%//%i 'CUmpany>name address. cttY- ... phone# ssurance co. . :i olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains nand penalties of perjury that the information provided above is truo and`correct (, Signature % Sn�//�c S Date [/ ` CCU Print name �Cl ne Phone# 0[0Z- official use only do not write in this area to be completed by city or town official LO : perndt/license# ❑Building Department ❑Licensing Board immediate response is required ❑Selectmen's Offlce ❑Aeaith Department son: phone#; ❑Other (raised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 an two or more of � P A � rp g Y 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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 permWlicense number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 081ce of lovesilgatlons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 n1 eUn cs 1 ti C-0/14-U LJ l l-2 , i ',4 0 C� Z r . �6vwsvd ' I r�C�rninc� 5c�toCCu st -4111 4 ti11Z)99 P('pPOSOd (v*7sufccfiUn ' ` w5-hrx� CQ l cr u,a t I s- z x z z i ry S ro�cG rn - X 6t nq U I I CLA I► s i n- e. z P ro posoc1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 T3 Parcel Q o - Application# Health Division Conservation Division Permit# Tax Collector Date Issued . Treasurer Application Fee SU LA—), Planning Dept. Permit Fee C6 Date Definitive Plan Approved by Planning Board 0 cX" Historic-OKH Preservation/Hyannis Project Street Address i ©L_a ,— Village 0 anu+� Owner r_1 ?4YfiR5'. �•�_J'��'C� Address 91 o e ' A z'y 6& Telephone e I Permit Request f`� . g :fix o s �.b = � +%. � '`a - -I. 7' `may J9'7:1, F Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation .,2 00 0 Construction Type Lot Size oU g Acizi.S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other h Y Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) t Number of Baths: Full:existing new Half:existingw .new -' Number of Bedrooms: existing new 1 Total Room Count(not including baths):existing new First Floor Room Count, � r,7 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 BUILDER INFORMATION Name 11'�o A5 ft'► ��� Telephone Number 7_74- p3 C_0 q 1-" --Address i Ib z� ��' �: License# ,or",�qs Aln f- 7�1-)-J,A ltaf- 9 Home Improvement Contractor# J 7� 1 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ("A P; A_souncES 1 cohl cDG31o1 6 SIGNATURE DATE b - FOR OFFICIAL USE ONLY k � PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION l FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i, GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. i ✓xze �o n7.zoozwea/z. d� �tzc�ccoeCZa BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ~ Number: CS 083275 Expires: 04/07/2008. Tr.no: 21397 Restricted: 00 ROBERT M PINTO 110 THORNBERRY CIRCLE G MASHPEE, MA 02649 Commissioner • %/zz t�'o»t,n�c,ac..vcztllr . 1%rt.;.:�,:,*crc.;� Board of Building Regulations and Standards ' HOME IMPROVEMENT CONTRACTOR Registration: 147661 Expiration: 7/27/2007 Type: Individual { ROBERT M. PINTO ROBERT PINTO 110 THORNBERRY CIRCLE MASHPEE,MA 02649 Administrator x, . .a . W 6 Pv�FIME Toys Town of Barnstable Regulatory Services v N ss. $` Thomas F.Geiler,Director 1639. �APE0�,►�s1� Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.b arnstable.ma.us 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. 1 OL n ���` 4AD (Address of Job) (�/r 2006 Signature o Owner Date V,.S)-�� Print Name Q:FORMS:O WN1WERMIS S10N r FVE1 Town of Barnstable Regulatory Services 9BAMMBLF,� Thomas F.Geiler,Director 4'A�En ,+4 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adj aceut to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work jLj e.r.j p.Aj i/Lcicn 01j Estimated Cost Address of Work: Z?A i 60TV 111- Owner's Name: A t42LnnA& Vg S-,-t Date of Application: I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law ❑Job Under$1,000 Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: z oO "77 w*1 V iLI-166/ Date Contractor Name Registration No. OR Date Owner's Name Q:forms-lomeaffidav I The Commonwealth ofMassachusetts Department oflndustnalAccidents Office oflnvestigations 600 Washington Street Boston, MA 02111 y www.mass.gov/dia Workers'•Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leg blv Name (Business/organization/In&viduan: Address: i/c '"f 4 rz,j"ex C i a-c tY. City/State/Zip: • A-Sllge,f . -,WA lny�9 ' Phone#: .93 po yis� Are you an employer? Check the'appropriate bog: Type ofprojed(required): 1.❑ I an a employer with 4. ❑ I am a general contractor and I 6. ew construction employees (full and/or part time). ' have hired the stab-contractors 2.01 am a sole proprietor or partner- 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. g ❑ Building addition [No workers sur'.comp.inance 5• ❑ We are a corporation and its 10.❑ Electrical-repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I LE] Plumbing repairs or additions myself.[No workers' comp, C. 152,§1(4),and we have no 12, Roof repairs insurance required.] t . employees. (No workers' ❑ l3 warp.fimuiance required.] ' .❑ Other *Any applicant that checks box#1 must also M out the section below showing their workers'compensation policyiafonmation: 't Homeowners who submit this affidavit mdicadug they are doing all work aadthen hire outside contractors must submit anew affidavit indicating such tCon b actors that check this box must attached an additional sheet showing the Game of the subcontractors and their workers'comp,policy information. ram an employer that is providing workers'compensation Insurance for.my employees. Below is the policy and job site - informatiolL Ins>a'ance Company Name: Policy#or Stlf-ioi.Lic.#: Elm Dat6: Job Site Address: City/Statcaip: Attach it copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required undet Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500•90 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insuuance coverage verification. I do hereby ce under he Pains and penalties of perjury that the information provided above is true and correctSi a ttro. Date: - ZOa Phone# 7 7�� �-O V/� O,ficiai use o . Do not mite ire fhzs&U,to be COMpfefed by City of to n qfficiat City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department, 3.City/T1 own Clerk e.Electrical Inspector 5.Plumbing Inspector 6. Otther Contact Person: Phase#: �5 r � r --I t M � A s s �r rn HIM II II II ii Ii II_ w H �. cn SOUTHEAST ELEVATION NORTHEAST ELEVATION H no..LG.1/G•.1 0 - � no..L n .1 0 �1�y1 u � - N �1 u _ Q) -0 N - V 41 !n )0 0� o N 2 �> > AU IL) (Z 0 0It w ` m (La o ro 0 w N +� > �� o a ( I II Ii iI I ii o00u J CL /ab ro.: 0910 NORTHIAIEST ELEVATION SOUTHWEST ELEVATION tleu APR1L 12,- n I.LG.I/n •1 0 - nc ALG.1/D• � o - •ub A9 NOTED • aea lcrov ' ISSUED FOR REVIEW CANTILEVERED BEAM5 3 E ,/ N g /� CANTILEVERED 2X10 B FLOOR JOISTS(40'CANT../-) 2X10 FLOOR JOISTS 2X10 FLOOR JOIST5 DIA.WOOD P05T X 's° (NOTCH P05T AND THROUGH-BOLT A5 - �' • i0 (3)4XIO BEAM(FLU5H/5ELOW WALL) (3)4XIO BEAM(FLUSH/BELOW WALL REQUIRED)AT FOUR CORNERS OF EXIST. STRUCTURE s 2XIO FLOOR JOISTS -. 2XIO FLOOR JOIS�� 0119.2'/Ib'O.G. S ro ®I9.27I6"O.G. z m 3 O - ` EX1 TINE STRUCTURE J J J \ � o a Sm o ryM� N 2XIO FLOOR J015T5 2XIO FLOOR J015T5 ®19.27I6'O.G. ®19.2"/Ib"O.G. I, 00 P_ O Oa 2X FLOOR JOISTS () 2XIO FLOOR ISTS O O`- 1' O.G. (3)4XI0 BEAM(FLU5H/BELOW WALL) (3)4XIO BEAM-(FLUSH/BELOW WALL N m 9 a O C 3 EQUAL EQUAL TOISTREMAINTRUGiURE - _ �L U O N U P.T.2X6 DECKING .. N c ' CANTILEVERED 2XIO Q °O .. - FLOOR J0I5T5(40"CANT) - 4 i (3)4XIO BEAM(GONT) V IN p .10 L. .. ... (FLUSH/BELOW WALL C CD U LL °oe w.: asie 12'VIA.WOOD P05T (NOTCH POST AND °a1 "^"�""•3O°0 THROUGH-BOLT AS . REQUIRED) (2)4XIO BEAM(GONT)WITH (U 4XIO BOLTED BETWEEN 6.SIIEO FOR CONSTRaON N � s V U N n -----------............. 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S f I� R ��`} (SSZtl Y68 • � V •_ o apex ry r+ ,.� a�ewe; KITCHEN ;q " •----------- __ ------ eee« 'iRk „e."- g_ iic Mw i IZ 4 O I (a e N W i()� q $yam �s,va F��Y - s aRua® ��. uro RwnU R� IL z N •r rvuc EY si SCREEN PORGN a BEDROOM 02 I Q (a� ✓,am r § y� i'-•e LAUNDRY •w,w we.wan.� .<ve-z� W cjLu p BAT- g° FIP.9T FLOOR PLAN A-2 or E— U LLI ma ____________________ V S N 4 Q � q U j of STOP E S yaw . .� -- --- ........... ............ '- ��ppa _ ___ _______ _ F3 YFgfix $ ' O NALL w 19MONIR,°`�IE i tu n-r aa� r-r vo ev .inn^ r w �Q STORAGE BATH W OO LL ' 9 s 4 _ Jtu _ z s _n n w � • 11,, ts �v Z s nF 5EGOND FLOOR PLAN go A_3 e� Q NN LLI VJ —— O WWllll��llll F•IM n/ O 2 V yw�a YL L 0 (Olt wa • F R O N T E L E V A T I O N - - - - - - a• r�,a�,dda�,�x$��'fyb 5vpvp�'$Se�TyfPEEbise� . . vw wwi EC63d�'ySeE o�,',�54�0 ' - :i52�BKEH- u 4yG R P n 0 z Ll ku w r'.'{..'q°''"..1 v"°„ § • :L A q Q] W W 0� O a:a.---- — — --- -- --- ------ --- --————— �. --———— --- w a -------------------------------------------- -————J— — —————— ——.— - -------------------------------------------------------------- �. LEFT ELEVATION o, LU a� Q NN Q m Nm ----- - FM ® a o FM ------------------------------------ , . REAR E L E V A ION }#x- yY kp�3'75I8e.B�n3x u uv naa.rwr - fg�k;3`�YS aY=-Ag . z O Ul --————--———— -- ---._------- ---- _ — wp a rQ Z WMAU ,C ®® •� „ - WFull R a to L Q ® `� D- F W p e vIRM- LU _ J , a >uj o a �m — _— _ ___- -_— _ -_------- ----- --------------------- R I G HT E L E V A T I ON o� N 6m$ if mm 00 Q ' $ GREAT ROOM MALL DINING ROOM .,,.o,.r,- V S u E u � BASEMENT MALL TIT 1iL .-....----- @sit •' _ SEGTI ON UP��3 $ �MmU ^sue U Q� LU Mom MOVE-.—� as p eO M �� r�:�«: w m� _ S' w�c'A''"dli.'idevro 'r MSTR.BDRMlSNDY eO�» �. � 0 � wro rs.ua� 6ARA6E," � •K wrore.ra� �' �� BGREEN PORGM 6ATH. vro r..ra.. O d� W a 0� z � kk WFR j BASEMENT SELGTIONo SELGTIONo G SELG T.ONe _ D A-6 or n o mm cn u s s e L U � ZW- f L ` N -iFQ m lu Q ag Y°bYibtlhl 33 Sd .a a fr 7§T�, �$,d n=°6a e a%Btj�kS3Y�SFnYB lid I NM W 0� d z lu o� �I LL w 0o LL ' FIR5T FLOOR FRAMING -PLAN gg A-7 o� Q NN [ 0 d ILI uj Q L U P $ u ; N B 5 �u irf 0 a . 6%-pill2E6af"eY 8 Z w p a , a w LL 0 _. IL o Y ' — p W 0� o a > z uj J . N S E G O N O FLOOR F R A M I N G PLAN r o� p 0N -- -----------------, N m _ L Ti E W N 1 m 0 � N I o :4 L 1 V i . —.—...... ROOF F L AN LU _ s a =t;5,t3p�rd�?l4g� • '�—aau,rna Q,+an os way, - k - vmo-n.swrme 8j¢pdpbaa•��'�E.q� ' " a 8 ta-0eegf ?a?�eaSi i 6 Sf�s�8 \ Q �Q - F Z I W �� a CL Z ° 0 f5 LLJ j LU ------- ROOF F R A M I N G PLANs A—g o, - ZS IS u{/� q• r w � p}f 9 10' IB O' rl. 4'-O' .5'-10' 3'fi' II'4' .. 3•.a• S s L E 0 0 6.PERIL-E O _ ANCHOR BOLTS 0 6'OL.MIN. - O 2 PER SILL 1 12•FROM COW.5LUESTONE LAP tD CORNERS;MIN.(2)BOLTS '^ ABOVE STONE VENEER PER 51LL - - - a 7 (REFER TO DWG./A•3) a_ B A A3 AB 4A3 c A3 • -- -- --4-- -( - - - - ---- -- - 1} .— -- ------ -- - --- --- - Q ------- - - - --- - -- - - ---- -- --- I - v --&11LT-DNS w N TOP OF FLAMDATION n 9 BIILT-IN9 I'-0'GONG.RETAINING ABOVE SLAB .13/4•./- - + T L R q - WALL(BY IAND5CAPERI (REFER TO DWG./A-3) - �.; ASCAW 252 P . 2-i T.V.HULL W, RETAINING WALLS /CABINETS BELOW- ASLAW 2525 CAST 2-KEY IN FORM in 2- DROP OP R WALL. - (BY LANOSGAPER) 4-2' S'-2 I/2' 6' S'-0 Irz' b'-0• 5 V2 6' II� 67 Q 2'fi'./-NERIFY INFIELD) _ • - `T� TNERMA=T� -20 �Top OF •' Q 4•THICK LMl ON •� BELOW LEVEL OF HNAICIED A FROST KALL TO P Q C H ;RA 2-81/2 X 6-10 I/2'®° 111 o �EI m FOOTINGS W TO 6RADE .� m T _ _ P V O - LEVEL SLAB �'1, 2X6 P.T.SILL(COW.ON SLAB)TC 1/2'AHLHOR BOLTS b' , O' )' ASLAW 25 i GI NG I Y ILLPt&LNG 2%YLNJJ�L •L, (d '^ •b'O.L.MIN.(2)PER BLL y 2-1 3/4 X 2-I 3/4 O 112'FROM CORNERS `! -5N FAr PE iNA.LR'� MIN.(2)BOLT5 R GILL - O o � ,m Of CHANGING. _ 'COILRETE FROSTYWI ' - B.LE5TONE PAVERS AY. ' ____ _ __ ON 20'X 12'LOIILFEiE ' ' _ DIM�116RTERRALE p Q____ FOpTIN6 WKEY B'CONCRETE FROSTWALL� _ : Ila . FIT AALL NE vErEEk FOMTING W KEY RETE _ AT WALLS STEP DOWN (1 >C (REFER TO DM.A-3) PITCH F.A$NEEDED 4'CONCRETE SLAB C HAUNCAED AT C4H;.FROST '^. ���111 -FLARED SHINGLED BASE _ 3'-3' 3'-+' 3'-3 , B WALL(REFER TO DWG.3/A-31, - AN, ABOVE STOLE PIER - CONN5LT TO FOALND.WALL DINING . W•5 REBAR A5 REDD - *m TRAY CLG.ABOVE 6'STEP DOWN FROM (REFER 10 DW6 A-3) p . DINING SLAB TO - SLAB(REFER TO DY1G.3/A3) - ROLLSWTTERS ABOVE; W WIDE RAILS AT EDGES OF OPENI4 \ li - (REFER TO DW6,4-A/3)- - m 1� 2X6 WALL(NO STONE . ___ fl VENEER ON INTERIOR-F( ,p ROLL-5HITTERS) m m L��om• `u mm j� m a y o=u< <_ omega A TERRACE msRe 5'-31/4' T-5 P2' S'-3/+• /c�: '11yNn/' O N U o � O V) F O U N D A T I O N P L A N F I R S T FLOOR PLAN > r 5C ALES 1/4 _ 1'-0" 5L A LE I/4" I'-O IN O 00 U v FOUNDATION GENERAL NOTES: _ •CONCRETE FOINDATI:ON WALLS TO BE W THICK -CONNECTIONS OF FULL HEIGHT FOUNDATION - - ON 24"XI2'LONTIWOF CONCRETE FOOTING WALL5 TO FROSTWALL5 TO BE 5ECLRED W W KEY-UNLESS NOTED OTHERWISE.FPOVIDE (LA ST AST FROM 2X4) f 2 ROW5 OF 04 REBAR 0 TOP AND BOTTOM OF job n0. 0519 WALL.(pHENISGHT OF WALL i0 BE BASED ON GRACE _BLLS TO BE P.T.2X6 W 1/2•ANCHOR BOLTS W0 OF'FWTW().FROM FIN.GRADE TO 0 6'-0'DO.MIN.AND 0 12'FROM COMERS, - EBIB FEB.09,2006 THERE SHALL BE A MIN.OF 2 BOLT5 PER SILL .CHANGIN6/EATHROOM SLAB TO BE 4' OF 2 BOLTS PER SILL T� SWIB A5 NOTED CONCRETE(3000 PSI)ON b MIL.VAPOR BARRIER OVER W WELL-&RADE0 GRAVEL I COMPACTED TO 45%MAX.DRY DENSITY dram KMW -OININGRERRACE SLABS TO BE 4'CONC. fBV, - (B000 PS)ON 6•WELL-GRAOED GRAVEL COMP.To R5%MAx.DRY DENSITY;5LAB TO BE`ROPED A5 REOJIREO 1 ANCHORED fBV. INTO POMP.WALL W NS REBAR - 0 A- 1 0 " ISSUED FOR REVIEW sht: I Of 4 �I A d• p LO cM 15'-0" v � O N I5'-6 20'-011 14'-0" 5 •v 161-OI' 31-0 p ro - U-) V) 0 y.. 3'-6" �1'-0" 3'-61 3'-11, 3'-4" 3'-11, u b'-3 3/4" 3i_4u 5'-10 1/4" �, 0 -� tlit OPENING (' M OPENING M., S Lf� V {� " � � I CV C � A ! t c A-6 00 0 .f; CD v C p •— i q , g PS tY P A-6 A-6 `' P • w U V� r'n Al O p co 0 ^ 'SCAPEWEL WINDOW WELL SYSTEM" co 0 m I cm�t m m I m BY BILCO (WELL # 4662-42/ u • m d m 12 THICK FOUND./RETAINING m,n EXT. PANEL #301q-42) W/COVER # rr ,• WALL W/ 5 REBAR � 12 O.G. t _ (DOME # 4842C OR GRATE # G64); r HORIZ. B VERT. (3 MIN. COVERAGE) Ca [l O REFER rr ,r x 1 I x RE E TO MFR. SPECS FOR INSTALLATION XI .�.� ON 72 2 GONG. FOOTING W/ = I i GUIDELINES AND INSTRUCTIONS I # d\ O I I d� KEY W/ 4 REBAR � 12 O.G. EA. WAY MIN V RA m (3 GO E GE),BOTTOM OF s� I _ • I cr I FOOTING 4 O MIN. 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U5HED � N I k DROP TOP OF r --.-------, STONE AT i- I. r.-- WA BEAM I P , r a .. o I LL TO BOT. OF "FLOOR" I I :I I a .. .P I � . AREAWElrL FLOOR l I I I I I ` POCKET _ m SLAB. - IId I.I h W X. --------- -------------- - ---------------�-- I • I r n .._I r_ n , b STEEt BM 6fR� iN 1b 31 STEEt BM GIf�T i -- i----- HN tfr�E 3f STEEt 5€yt. GtRf-- -- W 16 X 31 5TEE M. GIRT 1 : I I-10 3 2 ---------- --- - - --- - -- ---- - I I _____________________:_-¢ _�_ _____ ______-__-- v i \ I 1 : _ _ d , i I I ASGIF 36 2 L I in I I I I r I e 3-O 3/4 6-810 5/8= SX48 ..: , 4 X48 ,� I � .I I ' I I � ... I I I .:8 I ,48X4 v I l I I r 1 r, r_# f0 3/4 r- -, a' r- --- --------- - ------J. _ _ q I/2 TR A S Ln DROP TOP OF _ d I I N m I ,. , o. . WALL b> if) LL I _ N-+ LL i I i U c0 N J J I I I ..--. ?. - .+¢"-.off►- y I I2 CO I X m, , I i r r r OC cHmw N a� O�� p�„may n1 ro U O a - X r d C ..v ( _ c� ro ro v _ U �-I I � 3 oa a \ \ 4(1 I u , „ I n 1 i a rn a. O fl-C H d m _ _ _ yarn- mo mo - m I� I 5 3 10 12 0 5-O ro •- m.r ro Q, ,r_�, I rn N to--'.-•-• y-C w- , m I s 3�.. ro _ I m N I CAST 2X4 KEY IN i I c� ro U -s os� a> c c I v. I o N F _R A _O GAR GE WA o rn L a L 1I F•- I L O 2-2 __.-- I I I ¢ Nam•: row- ail,-- E co-D roS.N m Q I UNEX A AT a i I I G V ED I I V' I BEAM POCKET CAST 2X4 KEY I , I r W 12 X 14 M GIRT I I • _ , STEEL B . G .. , . I ,r I � d d 10 CONCRETE 1 ROSTWALL V ! I rr - r I r I ON 24 X 12 CONCRETE N - \ I � I FOOTING W/KEY — r� q b r I I I _ O _ I- N I I UN XGAVAT I � E ED I ,^ V i ^� V7 2X6 P.T. SILL I `^ _ d i 1 W/ I/2 ANCHOR BOLTS � i r ® 6 O.G. MIN. 2 PER SILL I I O I _ , n }� d 12 FROM CORNERS I I � t , O v TYPICAL; ----------- --=--- ---------- - -- --- - - , IG L MIN. (2) BOLTS PER SILL r /'�'{ . I , O I� �. .. P P DROP TO OF v I I r n I . . WALL 3 FOR I 1 I 1 FRAMING AT FRONT , DROP TOP OF PORCH. , WALL TO BOT. OF I I 1 � 1 SLAB. Q 1 - I I co FOUNDATION GENERAL NOTES, 1 I I ^ � T F a 1 N� FULL HEIGHT CONCRETE WALLS TO BE BASEMENT SLABS TO BE 4 CONCRETE ,. ^ � I " THICK N 00 O GK O 24 XI2 CONTINUOUS CONCRETE (3000 P51) ON 6 MIL. VAPOR BARRIER 1 (,..� O W FOOTING W/KEY,PROVIDE 2 ROWS OF #4 OVER 6 WELL GRADED GRAVEL ------ -------------------------- --- ---_-------------------- REBAR @ TOP $ BOTTOM F A COMPACTED TO q5% MAX. DRY DENSITY BO 0 O W LL. WALL DE 5 r- HEIGHT TO BE APPROX. 8 10 ( REFER TO ,; FOUND. PLAN b SECTIONS.FOR WALL HEIGHTS). -GARAGE 5LA55 TO BE 4 CONCRETE P I N (3500 5) O b WELL GRADED GRAVEL MP T MA GO O q5% X.DRY DENSITY,SLAB CONCRETE FROST WALLS TO BE 10 THICK r, ON 24 Xl2 CONTINUOUS CONCRETE FOOTING TO BE SLOPED APPROX. 3 DOWN TO OVERHEAD DOORS W/KEY.(HEIGHT OF WALL TO BE BASED ON 6 q6 Iq ' GRADE CONDITIONS,•4'-O" MIN. FROM PIN. Oh r10.: GRADE TO BOTTOM OF FOOTING) AREAS BELOW WOOD FRAMED PORCHES f 062-I T HAVE _ - O E 6 WELL GRADED GRAVEL 3-0 I6-O r_ rr �_ r� � rr 21 6 8 b 24-O . CONNECTIONS OF FULL HEIGHT FOUNDATION date AU ,; G. 51, 2006 WALLS TO FR05TNALLS TO BE SECURED W/ COLUMNS TO BE 3 1/2 DIA. CONCRETE KEY (CAST FROM 2X4 FILLED STEEL PIPE _ ,r scale rr ,, l3 0 AS NOTED - P.T. 2X6 SILL W/ 1/2 ANCHOR BOLTS® b-O �� FOOTINGS @ COLUMNS TO BE 12 .THICK;' - O.C. MIN. AND ® 12 FROM CORNERS, THERE ANY FOOTINGS 42 X42 AND LARGER SHALL BE A MIN. OF 2 SOL75 PER SILL drawn : PA I� TO HAVE#5 REBAR e 12 O.C. EACH WAY GARAGE5 B PORCHES W/FRO57WALL5 TO F T HAVE SINGLE SILL ( 00 ING SIZES NOTED ON PLAN) rev. ; S A S E M N E T PLAN rev. SCALE 1 1 4 " _ I - 0 „ e - --