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HomeMy WebLinkAbout0157 THANKFUL LANE /,s� � ..�.�e.. _ . _ _ _ ��. '� �� i rl t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map P A Parcel o'Z - Application # Health Division Date Issued fir` V Conservation Division Application Fee Planning Dept. Permit Fee BCD Date Definitive Plan Approved by Planning Board M13 rc Historic - OKH _ Preservation/Hyannis Project Street Address lS� fiifi k��a- LN . Village Owner �'� f G'f�s� Address Gs Am S) Telephone Permit Request c^� �a W Square feet: 1 st floor: existing proposed 2nd floor: existing propo -otalA?3W Zoning District Flood Plain Groundwater Overlay 2) 1 71iProject Valuation I'L OL.;® Construction Type Ln Lot Size Grandfathered: ❑Yes ❑ No If yes, attach lupporting)do6inentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) v- Age of Existing Structure Historic House: ❑Yes W No On Old King's Highway: ❑Yes blo Basement Type: ❑ Full 44rawl Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of BathsFull: existing_ new _� Half: existing new Number of Bedrooms: q existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ®'Gas ❑Oil ❑ Electric ❑ Other Central Air: B'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: Mex�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 APPLICANT INFORMATION c (BUILDER OR HOMEOWNER) / Name �6z 4WK Telephone Number l�°�� `� '�� y? Address License # Home Improvement Contractor# N tt- S'Z Worker's Compensation # WLC- '5044(07..®iz 611 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DJmIS01tZ SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# i DATE ISSUED " MAP/PARCEL NO. r ti F • X ADDRESS VILLAGE F OWNER DATE OF INSPECTION: FOUNDATION �S�Sa�ss W�rao `S (:A(443 — FRAME ® �QDa3 INSULATION 8 FIREPLACE 1 ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL GAS: ROUGH FINAL :4 t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.. M F The Commonwealth of Massachusetts Print Form Deparhnent of Industrial Accidents - Offue of Investigations - - 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information "Please Print Legibly'` Name(Business/Organization/Individuai): P_AN ke'l + 1tT W a 6 y kD CUS►6 Jul . & ,`p;rt4 6 Address: 130k 816 City/State/Zip: N1WToiJS Ni IL", MR . pZbti4 Phone#: 508 428-7 I1#7 Are you an employer?Check the appropriate box: Type of project(required): 1. am a employer with 3 — 4. I am a general.contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.0-I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. 0 Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.: 9. ❑Building addition required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LF1 Plumbing repairs or additions. myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required]t c. 152,§1(4),and we have no employees.[No workers' 13.�ther comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of'the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: V1VT'L GMNGE hiu''iyAL T4ASu%Uw_e Coh+PAyy Policy#or Self-ins.Lic.,#: LJC 5008 4 to ZO i id t z Expiration Date: b t3 Job Site Address: 5`7 1WO kicW � . City/State/Zip: '� M R Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the sins and enalties o er' that the in ormation provided above is true and correct Si ature: ------- Date Phone#: (50B yt$ -, 141 -- — Official use only. Do not write in this area,to be completed by city or town official City.or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ., ■' '. .I ;4 1 -.'-1. f.;,. I.,f:I =/I F 1.'w'- .-. ':fI, I F. 1-'j. t i..�.. '"9' i ,:. Fes' !t•7� ,�F ?. •.,. `1. a-. m..:l.. -1 YI _ r. "_i 'r i.'::1. i.a r.. 0 �Mi . r z�r .. i_ ! C fr Xt- I-: 1.1�, •. �I rt-.. ,•�11:,,i.. e�i1:.' ': 1. .F:t:i.9. _1-..;:t:: F:'� -C:.:i �'1 I:.., �..1.. .r•Y. I:'::1..�'9 1 �F�:•;. 1.�..✓. .i ^! t n 7 TAWWRWAF- i i IFIlkNNEY + $Wstum Ws�VA 02M Tel 508.428.7147 Fax 508.426.7167 BZ�Pd4DVA6foPHs-A93a2HFH MS•CUSTOM 140MES May 6,2013 r TE Site: 157 Thankful Lane,Cot uit;Patrick&Pamela Runingkm;509-280-3906 Remove emoting a floor deck; 'mstall new 2"floor deck wdh screwed deck area Work to include: • Use existing current plot plan charge • Use existing architectural drawings and cis sections.......................................... no charge Pile for permit with the Town of.Barnstable,inchlding all fees................................ S 200.00 • Deconstruct&demolish existing 27W floor deck;dispose of construction waste ............. $ 400.00 • Pour 3 new sonotubes ................................................................................. S 450.00 • Gonstrecct new deck and screened deck area as per plans........................................ $11,200.00 TOTAL LABOR& MATERIALS $ 12,250.00 Due aeon completion of demo $40000 00 Bakowe due Mpon completion $ 4,250.00 • �ma�aysc�a �F� a� eaw cmmawiswa ftrmw&swab=Off aaar" ' on. 00 d�aa oma3caomea�p8eacwdc me wama�H�a�dma�f it pva�escorsilland a aim 14v aas= Pxq w�isaa 6eta�o� HaAammayown wow om I I I arm aa&A�aeeae Act �ata®eg. • Amse�cawsgar �a�oi�$e aft� a • caftaffislosvplyaspakai awisbeftsmd • B�eyoam� d5eaet�� - caia� a ®n�e t6rcaffdVrarxa�an6a�aoaa$a�aa - a+ a�� ��aa�� - - �eHd�C�r+oia0.Zm�aafi�acassmssi� �' P®rriesa�adoami • Mbme, Hae a3gdaalor raadaag a�mramm�a�� a m�a s�a9�e e®1 a3� _ as oaaAPHs�ataefl�a,aaaemo,IDfAIB31@� i ®a�8�iccad� Faaf�aa��9era�LCrd..c�.,49:H�4.daLcfl�Hd1a�8LfnL.s.�SHl�a4+ra 39ngsa��aam�.s�sdw�a@aeoeaaa- • A®wsam�esa� amtia�'s�casnad� �Bdpraan�®entG.H..c.a� ' • Aleg cedes � xa aaaamama� mm�s ar�rav�aA semx artS93��Hffimrpd�a .Hfaa�taE aaredlaff ail • II�daecaBlfi�6aaoeoea�4amss�a�2d c.asaaaeaaaard�� aa�sa�st�aras - �ae�so� aaa9�.c�16asE��C�ay�d affllm(ia.cfl4da0. �an�mm�H�+l�mesoa �mS�a�nmm�amgmsaa �a�aer�ap9mn9.o aar�r e®aw®�rs r:a�e� tea' • h%myommees H t®� Sarnia �g as�o coal �sPo s .oammm �ras�flr�Aaec�asm,ataa aaa d} �aac�aa oa0na�aed'aeaseisc .'fQa: am9eHaga�cr6ma�ieea�ioe8as�t�e�mt�am�aaraasa - � t�esar�sa�.etssd+ 6spaseaoa as a a AasErcms 6�a�sa: aEmaaa?iac� a aa� a Mddh,sa "&V=V&W so"&Was&MA aftbodotas@unded® IDt.GB..c a�a DO NOT SIGN TIIIS COM RACT IF YOU DAVL NOT READ ff OR IV 7'MM A"BLAM SPACES 3 d6-k3 for Rm"&RWrKjft Qmftn WMem Date l r nazamy / e3 +anexamur cusTen I3DIDL im Amd Afemfw ofi AbbwWAss=vftm of ftme auftbm-fides AmoMm cff -fkm Bufd&s 8 Iftaw&#ms Ammuem' of Cede Cod-Bear Bwwmw azew pom IBM tOM VWSNOWAR OPOOmw -mmrde 9TT8� � ' am lOT�l.� lmpmjq sm k ' 3 r 3�.` "ilol F spwpuv�s Put 3 q. OLP OLP A y TANK o `ro O G EX. 2ND FLR. DECK s �2 EX. DWELLING 82 k9 PROP. 3' EXTENSION OF 2ND FLR. DECK 5 EX. 1ST �p FLR. DECK ,p p, MBLU 39-24 157 THANKFUL LANE COTUI.T, MA 169 l SEPTIC FROM ASBU►LT ON FILE AT THE TOWN HEALTH DEPARTMENT CER TIFIED PL 0 T PLAN RIMINGTON RESIDENCE I CER71FY THAT THE IMPROVEMENTS SHOWN UP 11 157 THANKFUL LANE HAVE BEEN LOCATED BY A FIELD SURVEY. Ass�o CO7UIT, MA DATE: 4-29-2013 DRAWN: RBS ROBE �, JOB j. S009 c SYKES SCALE:1"=30' DWG. CPP No. 35418 y EASTBOUND �a LAND SURVEYING P.O. BOX 442 ROBB SYKES, .LS. DATE FORESTDALE, MA 02644 508-477-4511 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 ��Z � � `� to act oa my behalf, in all matters rel2.tive to work authorized by this building permit (Address of job) **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 inspections are performed and accepted. kowxpr Signature of Owner Signature of Applicant Print Name Print Name Date Q:FOR1vIS:OWERPERMISSIONPOOLS 62012 Town of Barnstable Regulatory Services Thomas F. Gefier,Director '145 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.towu.barustable.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 MAnLNG 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 minimrrru inspection procedures and requirements and that he/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 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her rep many many communities require,as part of the permit application, i ._that.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 i several towns. You may care t.amend and adopt such a form/ceriification.for use in your community. Q:farms:homeexenrpt .r TOWN OF BARNSTABLE Permit No. 2 317 F • --._________--___ t�� Building-Ynspector Cash - OCCUPANCY PERMIT Bond --x `�zt s Issued to G. A. Pul s f ord Address Lot 13, 157 Thankful Lane, Cotuit Wiring Inspector ' � _— Inspection date Plumbing Inspector/ i,_I zll / Inspection date Gas Inspector �9 Inspection date ?Engineering Department '- � jG -Inspection date`,!" Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 704 ......... 7..... ............ �. .....Building..Inspector._ _ .. eessor s map and lot "number ..........Z?W.,4tle.:.......... e" cam/ _ SEPTIC SY o THE Sewageermit number / ,:, � E ................. INSTALLED P� �vSr LLED IN C®I!� ' House number �5.. v MAea LE, ' .......... ....... ...................;..... WITH TITLE 5639. 9 ENVIRONMENTAL CODE �'O�oyAYa`e� TOWN OF BARNS1- XIR 'LATIONS BUI ,LDIN G INS;PECTOR�gzv/zo ,,Z�,,5�/A� ` APPLICATION FOR PERMIT TO .........64.6.&.L . .. f �% � ............................ TYPE OF, CONSTRUCTION ............ ............................................ .19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informatio Location `..................................................... ................................................................... ProposedUse .............. a.:.` 1��....................................... �1� ...... .................................................. Zoning District g .....................F..*.!!!!�:C.V.,p:::i!jjp.,0.............Fire District .......C©.T . ..E................................................. Nameof Owner ..................................................).................Address .. .................................... Name of Builder" Address ... Nameof Architect .........................7t :.......................Address .................................................................................... Number of Rooms .. Foundation CrMC� .......................... ....... .............................. . U�, ............... ... . .... ..... . ... Exterior �Y. Roofing ....... �"'U� ....... ......................................................... Floors .Interior ........ G L Heating ..............j.�7..... ..........................................:..............Plumbing ................ Fireplace ........ I . ...�7-0 . Approximate (� Cost ....... 1.:....F.. .................................. Definitive Plan Approved by Planning Board ________________________________19________. Area ....f:./.,? S Diagram of Lot and Building with Dimensions Fee7 SUBJECT TO APPROVAL OF BOARD OF HEALTHG OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and :Regulations of the Town of Barnst ble regarding the above construction. /*.�. / . �uhSFURD, G. A. \ � ^� ^34]I7 One Story ' / ^�o 't —_--- Permit for .................................... ~ _ .. ' ' .. --.:~=,,�==` ^ . ~ --. . - . ' �0t #l3 157 Th��o}cfol I'ao. ' ~ ' ^' Location � ' � .—..-..--_,.—.-----....-----Lane Cotoit " .,--.--.....—..------.----------.— \ ~ ' G. A. Polaford Owner ................................................................... / . ' .� ` |' Frame , Type of Construction .......................................... ----.--..-------.-----------' ' Plot ---------. Lot �-----.. —' --. ~ . . > ' � Permit b,onte6 -- ~—'-_2� ' --.l� 8� —..~^.~ ,,- � ' `` - l � ncit"_of Inspection ------------lq Date Completed . . . 7 � y ' � - . . � ^ K � . . ` . � ~ . . ^^ . � *r ' ^� , ` ' . . Assessor's map and lot number Sewage Permit number .... ............................ 33AUSTAXLE, House number ... .................................................. MAG& .... ..... . ... 1639- TOWN OF BARNSTABLE BUILDING INSPECTOR-,F,.,, . APPLICATION FOR PERMIT TO .... ..................... ....................................................................................... 7- TYPE OF CONSTRUCTION ............ .................?�:.................. ................................................................ X 11 ,2 .................................. ............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:, Location ....................................................................................................................................................................................... ..........I.......................................................Proposed Use ...... //0/z*F ........4�eE................................................ ZoningDistrict ................... ..............................................Fire District ....... ................................................ Nameof Owner ..................................................0.................Address ...................................................... Name of Builder. .... ................... ....................................Address ...)�rlvo F ................ ............................................................ Nameof Architect ..........................=7=.............................Address .................................................................................... 6 Ae,�— 1 61/,1.-/0 T- I. Number of Rooms ..............................................Foundation ............................................ .................. )...........I........................................ ............................................................Exterior .......... .......Roofing ......... 4— Floors ................................Interior ........ ..............?. ..."...I ............................................ 1,,o� 5 Heating ............./,�r .................................................................Plumbing .................................................................................. —0 Fireplace ........ ..Fog-................................Approximate Cost ....... . .................................................... Definitive Plan Approved by Planning Board --------------------------------19--------- Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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/4..................................................................... 9-�PULSFORD, G. A. 24317 One Story No ............. Permit for .................................... Single Fami,ly..pW q.jjj.n.g............. ....................................... Location ...)At...C13......1.5.7...Thankf u.1..Lane ..................C.ot.u.it.............................................. Owner .....G- A- PlAl.sf.ord........................ ................... Type of Construction .—...F.rame......................... ............................ ................... ................. ........... Plot .............. ............ 1-7,/t .............. .......... Permit Gro ted ...... . ........19 82 tl Date of Ins ection ......... ................. ........19 Date Comp eted ............ ................ ......19 1 }} V �A ll � 0 4 y a ry ,\ /+ LL �Qf 12 Q oe�ar�o r��`u "= j7 BEIAJG LoT olvalE C�EnJ 19. LSFoAe0 �Erou vD .4s .vo ww NeE thaw A,va 7w o r yy F3 A j S?`fA R fLC �r 07, o,9 r� .8/ - 28Z . Puls�or-aj .Engineering Dept.(3rd floor) Map. e3 2 Parcel JLIf -V ffq,) Permit# House# / ?��� Date Issue ,7 F Board of HAlth(3rd floor)-(8:15 -9L330/1:00-4:30) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) "7 3 Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SYSTEM ST BE STALLEQ�IN � CE Definitive Plan Approved by Planning Board 19 {� �.` EN1iiR®NMEN ND TOWN OF BARNSTAB�. N:REG ... .a Building P:f Application ,,tr r ct StreefAddressgeer a-. ddress Telephone Permit Request p a, "b A 6 2 X. a 9 �o X /D goo First Floor square feet Second Floor square feet Construction Type 9 Ck n 1z Estimated Project Cost $ 4 Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure / gSHistoric House ❑Yes PIS No On Old King's Highway ❑Yes 0 No Basement Type: ❑Full ❑Crawl ;I Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.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 - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ,Attached(size) ,--�y� � f� :�� t��❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes JW No If yes, site plan review# Current Use Proposed Use Builder Information Name P41j-t Lve, 1 LA Telephone Number 771 r-- ' 2 62 a Address a k, e-iL 1.aA,% E_ License# (I n e, 1 1u y-ft IR dap, 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. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO -7),ca - SIGNATURE, ��4& DATE `'�� q` BUILDING PERMIT DE ED FOR THE FOLLOWING REASON(S) ��7711. FOR OFFICIAL USE ONLY PERMIT 1 io. r +r r DATE ISSUED r - MAP/PARCEL NO. ? ' t ADDRESS ' � I f VILLAGES 1 i i WNER ,O , y DATE OF INSPECTION: FOUNDATION �' 0'7 FRAME �� �� ► INSULATION r FIREPLACE ELECTRICAL: ; OUG:Ii FINAL.' P I PLUMBING: u(ID FINAL I GAS: , � ' FINAL : FINAL BUILDINt iD m Cat r ti I i DATE CLOSED,O,U� _ t � trao - ASSOCIATION PLAN N6:' THE _ `a . . ; The Town of Barnstable • snxivsrnsi.E. • 9eb 9. Department of Health Safety and Environmental Services 10rFc " 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 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: .Cost C3 Address of Work: J �O er's Name G Date of Permit Application: / zo f 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:. l/ Date �ac Name Registration No. OR YA z!�2 - . A, �& Date Owner's Name The Commonwealth of Afassaclrusetts ` a-i _. 1;_• Department of Industrial.4ccidents office of10=119211ons ON !i'ashin�tun Street • �' Bosturr. Ma.u. (12111 Workers' Compensation Insurance Affidavit Applicant information': Please PRINT .-�locnti LS e "/city �O" fJ �,,' "'_.�,.. c�` nhone>Y 1 a homeowner'performing all work mvself. 1 am a sole"roprietor and have no one working in any capacity . .•, �rO- - .+;7.rvs+.r.t+vsrl'T +J.'s�.'!>r'�.r7*t�p'�.^+!.!7!!is;a++�wwggw�.r�...r....r+....r�. .•+w.w..--'..ww�.--....__.....:. Ci I am an employer providing workers' compensation for my employees working on this job. contnanw• name: address: t C�� �� 07� L: •A) cih: ` .�. hone#: insornoce co. policy# I am a sole proprietor. general contractor, or homeowner(circle Otte) and have hired the contractors listed below who have the following workers' compensation polices: company name: .A .4A e P, GC:=4 zj C tA-- AAA address: cirv: hone#• insurance Co. policy# "_--.._..� . ._-:•-ram:'_^- --_ -1 r'._'_:.::�" iT•'S!�ww.•Si♦ ^,Tr^"�.:: ..._�_ ...�..;.i�_._.._ __.._-.-.... _.- ._.�---_..._. _i_�_...�J..r...ur._rr-.rl.r-:a.r.r.rJr - _ --__ ___ - _ - - _ -.�V_�i-Y•- .�._-.� comnanv name: address: rip•: Phone#: insurance co. Policy# Attach additional sheet if necessary- _,.,. ;_ --5 —'rT _•.,y�^�"' '^ ''�r �''»' --' mar- Failure to secure coverage as required under Section 25A of 11IGL 152 can lead to the imposition of criminal penalties ol•a lineup to 51.500.00 andiur une wears' imprisonment:is well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a cope of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. 1 do hereh_r certijr it cite pains and penalties of periui:r that the information provided above is true and correct. Sienature Date Print name_� �! � - oel� a" /TD 1 Phone# r ofcial use univ do not write in this area to be completed.by city or town official city or totwn: permitAicense# rIBuilding Department i [3Liccnsing hoard I]check if immediate response is required C3seieetmen's Uf6ce : allcalth Department contact person: phone#: nUther information and Instructions .. T Massachusetts Genera! Laws chapter 152 section 25 requires all employers to provide workers' compensation for the entployees. As quoted loom the "law an enrploree is defined as every person in the service of another under an+' contract of hire, express or implied. oral or written. An rmpinrer`is'def ned`as an indi+idual.'par<nersliip, association, corporation or other legal entity, or any two or mor the foreuoinu engaged in a joint enterprise, and including the legal representatives of a deceased emplover. or the receiver or trustee of an individual , partnership, association or other legal entity, employing emplovecs. However th; owner of a dwellings 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_ ho- or on the urounds or building appurtenant thereto shall not because of such employment be deemed to be an employe: MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance of- 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 Ishall enter into'any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter i- been presented to the contracting authority. 1 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 as all affidavits may bd 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 tjown.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-requirec to obtain a workers' compensation pplicy. please call the Department at the number listed below. Cite• or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o. .the affidavit for you to fill out in the:event the Office of Investigations has to contact you regarding the applicant. Pie: be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. Tile Office of investi_atioils would like to thank you in advance for you cooperation and should you have any questior please do not hesitate to give us a call. . Tile Department's address:telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents office of Investigations 600 «'ashington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 DR kR TMENT OF PUBLIC SAFETY CORSTRUET-ITOH-SUPERVISOR LICENSE f N0�[be�1�= Expires: ,iy;: >`AI,IAED A HOULE -19 CHECRERBERRY LANE l;• .4 W YARMOUTH, MA 02673 i Assessor's Office(1st floor) Map Lot oL4 Permit# livo0 on Date Issued, Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) Fr1`7/d C0t G .P.OfFee e6,QO Engineering Dept. (3rd floor) House#1 �t IME P � +r• � BARNSTABL6: Definitive Plan rov by Planning Board 19 6h���A� ta, ® PLIAN ` TOWN OF BARNSTABLE WITH TITLE 5 ENVIRONMENTAL CODE AN,D Building ermit Application TOWN REGU TION73 Project Street A ess7 4, L '>`'Village �� �i Owner � I fa,e S u � Address /J�7 1hI 14V Z W Telephone Permit Request r / � � 1�4z'e Total 1 Story Area(include 1 story garages&decks) - square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ �� Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name zG �`� ��` Telephone Number 5'1/-• 57 Address f rrr� t�r�y ��jj// License# '0 6-6 —3,06 12,C�Y�/.,� r/2,)1?i� J A 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. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE � BUILDING PERMIT DENIED FOR/THE FOLLOWING REASON(S) y FOR.OFFICIAL USE ONLY PERMIT NO. #7605 ` DATE4ISSUED June 27, 1995 MAP f PARCEL NO. 039.024 ADDRESS 157 Thankful Lane , VILLAGE Cotuit, .MA 02635 ' OWNER Gary H Levesque DATE OF INSPECTION: FOUNDATION FRAME ` • INSULATION FIREPLACE j d ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - 1 GAS: ROUGH- 17 FINAL ' FINAL BUILDING �� d DATE CLOSED OUT ASSOCIATION PLAN NO. 3 11;02'84 17:02 '$8177277122 R DEPT IND ACCID Qc l.onunoniUealtlt ol Wa.Jjac1zu.6eth ' ..LJe�a�tinenl o�,�"�frcaL✓ticcuients . James J.Campbell &ton, V aaaacAwslh 02111 Commissioner ' W rkers' Compensation Insurance Affidavit ' (Qoeusee��amiase) E ` with a principal place of business at: t / •(lily/ taeelZipj do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. incur ce Number ; Polity mnber I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. 1 undersund t-.t a copy of&,is sltement will be fo:v:arded to tte Office of lnvestiptions of dte DIA for coverage verification and that failure to secs_ coverage as ree iced under Section 25A of MGL 152 can lead to the Imposition of criminal penalties consisdne of a fine of up to S 1,500.00 and/or yt.-s' impriso-ment as well as civil pe hies in the foorr'�f a WORK ORDER and a fine of S 100.00 a day against me. g Y Signed this Z" day of 19 doo Licensee/Permittee _ Building Department Licensing Board Selectmen Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 . = The Town of Barnstable T ia-&%PtMA=Z KAMDepartment of Health Safety and Environmental Services 1659. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME EffROVEMENT 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: S v h Est. Cosy 2, ,�06 Address of Work: 0,%mer.Name: 4 Date of Permit Application: I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING wITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcby apply for a permit as the agent of the owner: 6 d Date Contractor name Registration No. OR � G� Date Owner's name v. ' s• * z, •llftpetblt&0errest s COMMONWEALTH b• ; DEPARTMENT OF PUBLIC SAF StateBef/d/Ap (• •; flF .;:` ` vti; ` •` ONE ASHBORTON PLACE T micas" . LICENSE = CAUTION EXPIRATION-DATE CONSTR. SUP.ERYISOR : c1R Q5 996 r °J FOR PROTECTION AGAINST E$/1 /1 EFFECTNE DATE LIG THEE, PUT RIGHT THUMB RE TRIC ONS s PRINT IN APPROPRIATE . 'NONE 061/30/1993 0.0630Q ' r: BOX ON LICENSE. �F RI HA(tD A COURT. OURT ., 58 INOIAN. TR '� _' . BLASTING OPERATORS {.. j 8NNISPORT NA O.Zb � a MUST INCLUDE PHOTO. ,/NOTO(SLASTI O OM ONLY► FEE' }f .r _ r . .•' _ Y a s l ,rs ♦ {•. O^ VAUDUMILSIfiNEDBV.LICEN3EEANDOFFICWLY L�� r ti. is ai " 1 ? HEIGFJT: STAMPED OR•SIGNATURE OFTHE COMMISSIONER? r 1. 1995 JUG. ri _ :#SKiN NAME fULL AQOVE_SIGNATURE LINE CARRIED N THE COMMONWEALTH OF MASSACHUSETTS ` Board of Building Regulations and Standards Transaction No. = One Ashburton Place- Room 1301 Boston; Massachusetts 02108 ' Registration No. o Application for Registration as a ,= Home Improvement Contractor or Subcontractor Effective Date "w MGL Chapter 142A, CMR 780-6 Expiration Date FOR OFFICE USE ONLY Date 1. Name Print the name of the individual or business applying yfor the registration(not both) 2. Mailing Address Area Code&Telephone Number 3. City State_49Z/-7Ip fJ �s f 4. Street Address(if different) Pr' street and Number(P.O.Box not acceptable) City State tip 5. Applicant type: IJ Individual ❑ DBA ❑ Partnership ❑Trust ❑ Private Corporation ❑ Public Corporation (See instructions on back regarding enclosing a city or town registration under the DBA or"fictitious name"law-MGL c 110,ss 5 6t 6) 6. (see instructions) _ 7. mber of Employees d 9. Title of individual responsible for Home Improvement Contracts 10. Does the applicant or responsible individual hold any other construction related state,city,town licenses or registrations? ❑ If yes,complete the table below. Use additional paper if necessary. Yes No Type license or registration Issued By License or Expiration Name of License Holder zz ,,y� registration number Date ,F- 11. List all partners, trustees,officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. Use additional paper if necessary.(See instructions on back) Check here if you wish to receive an application for additional ID cards for key persons-0 Last First, Middle initial Title in Applicant Business %Owner Address IZ Is the applicant claiming exemption from the registration fee? (See the instructions on the back) ❑ If yes,include a copy of a current Construction Supervisor license or motor vehicle repair shop license or registration. Yes No 13. Registration fee enclosed:$ Guaranty Fund fee enclosed:$ Include two separate certified checks or money orders-one marked"Registration Fee"; one marked"Guaranty Fund". ALL APPLICANTS MUST INCLUDE A GUARANTY FUND FEE EVEN IF EXEMPT FROM THE REGISTRATION FEE See instructions on back for amount of fees. Make all certified checks or money orders payable to"Commonwealth of Massachusetts" Pursuant to Massac usetts General Laws Chapter 62C section 49A,I certw under the penalties of perjury that 1, to hisAid and lief,have,Ned all state tan returns and paid all state taxes required under flaw. Si ure of applicant or applicant's representative Title held with applicant A false answer to any question In this application constitutes grounds for suspension or revocation of the applicant's registration NOTES: 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS & DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR & EXTERIOR MATERIALS, EXIST. EXIST. EXIST. t EXIST. t DETAILS, & FINISHES IN THE FIELD WITH OWNER N 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS t � � t STATE BUILDING CODE 8TH EDITION AMENDMENTS & IRC2009 i t NEW EXIST. 4.) ALL LVL LUMBER/BEAMS TO BE 1.9e U480 LOAD 0 EXIST. 3'o D o ;COVERED 3'0"DOOR DECK 5.) SEE CERTIFIED PLOT PLAN FOR ALL PROPOSED & EXISTING DETAILS PATIO PORCH N 6.) FOLLOW ALL,MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION I c OF ALL SIMPSON COMPONENTS P.T. 6x6 POSTS wi 7.) ALL CONCRETE USED FOR FOUNDATION WALLS, FOOTINGS & SLABS AZEK CASING TO BE 3000 PSI I — — — —1 P.T. 2 x 6 HALF WALL "v a 15 I AZEK CASING N - - - - - - - ® - - - N ZE INSTALL SIMPSON DTT2Z 1 P.T.6 x 6 POSTS Wl A2 B --- ` DECK TENSION TIES W/ AZEK CASING 1/2 THREADED ROD(2) PLACES EVENLY SPACED 1 8-4; 8'-0 APART ON THE NEW DECK I 1 INSTALL FLASHING UNDER 1 10'-0" HOUSEWRAP&DECKING 1 AZEK DECKING 15'-10 f 16-0' plk18'-G' EXISTING HOUSE qv FLOOR JOISTS FIRST FLO o R PLAN- INSTALL P.T.2x10's@15'0.c. PEEL&STICK RUBBER MEMBRANE BETWEEN LEDGER& SHEATHING P.T.2 x 10 LEDGER BOARD LAG BOLTED TO. SOLID BLOCKING W/(2)LEDGERLOK BOLTS 16 o.c STAGGERED W/JOISTS HANGERS DECK DE TAIL SEE IRC2009 SECT.502.2.2. EXIST. EXIST, EXIST. P.T.2 x 8 CAP NEW ROOF P.T.2 x 6 BACKER DECK P.T.4 x 4 POST P.T.2 X 2 VERTICAL 15 BALUSTERS W/4' M P.T.5/4x 6 DECKING SPACE BETWEEN P.T.2 x 6 BACKER P.T.2 x 10's @ 16'o.c. P.T.2 x 10 RIM JOIST &BLOCKING.FASTEN A B POSTS W/TIMBERLOK A2 SCREWS (PERENNIAL WOOD DECKING &RAILINGS FOR AL ALTERNATE MATERIAL) 15'-10"t RAILING DETAIL SECOND FLOOR PLAN o T 1 BAY f ERRDRSIGNER OROMIS LL BE OMISSIONS OTIFIED IF ARE SCALE : DRAWING NO. : THESE C O ! U 1 T VA 1 DESIGN,N L L C NEW ADD ITI ERRORS OR OMISSIONS ARE FOUND ONON/REMO DELI NG FOR: CONSTRUCTION.T THE BUILDING CONTRACTOR 11 _ 1 11 4 Q Q ` ' WILL BE RESPONSIBLE FOR THE CONTENT 1/4 - 1 -0 V L7 REWSTE R ROAD IN THESE DRAWINGS IF CONSTRUCTION R I M I N G T C)N RESIDENCE COMMENCES S WITHOUT NOTIFYING THE . MAS H P E E ,MA. 02649 DESIGNER OF ANY ERRORS OR OMISSIONS. DATE .J 66 THESE DRAWINGS ARE SOLELY FOR THE USE P H. (508 274-1 1 V V OF THE OWNER NOTED.ANY OTHER USE OF FAX {� {� THESE DRAWINGS REQUIRES THE WRITTEN FAX (50 ) 539-9402 1 57 THANKFUL LANE C OT U I T MA CONSENT OF THE COPYRIGHT UNDER THE 4/1 7/2013 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. P.T.2 x 10 LEDGER BOARD LAG BOLTED TO SOLID BLOCKING W/(2)LEDGERLOK BOLTS P.T.2 x 10 LEDGER BOARD LAG BOLTED TO P.T. o.c.STAGGERED W/ZMAX JOISTS HANGERS SOLID BLOCKING W/(2)LEDGERLOK BOLTS SEE IRC2009 SECT.502.2.2. 16"o.c. STAGGERED W/ZMAX JOISTS HANGERS SEE IRC2009 SECT,502.2.2. 3-P.T.2x 12's a � � b b x NEW P.T.2x IUs @ 16"o.c. x N N F- 4 EXIST. Ltl p q TI� z NEW P.T.2 x IUs @ 16'o.c. z EXIST. P.T,2 x 10's @ 16"o.c, „ I�/ 1 � P.T.6 x 6 POSTS ON 12' .� ao DIA. CONCRETE SONG- TUBES W/28"DIA.BIGFOOT FOOTING UNDERNEATH TO 4'0"BELOW GRADE,USE SIMPSON ZMAXABU66 POST BASE. L — � EXIST.3-2 x 10 BEAM NEW P.T.2 x 10's @ 16"o,c. FASTEN JOISTS TO BEAM a f'' ♦1 �'' �i � � � W/SIMPSON ZMAX H8TIES N — - — — — ;KA EW 3-P.T.2 x 12 BEAM3-P.T.2 x 12 BEAM LINE OF S.f. DECKABOVE\ t.B P.T.6 x 6 PASTS ON 12" FASTEN JOISTS TO BEAM AZ DIA.CONCRETE SONO- W/SIMPSON ZMAX H8 TIES TUBES W/28" DIA.BIGFOOT FOOTING UNDERNEATH TO 4'0"BELOW GRADE.USE b SIMPSON ZMAXABU66 8'-01 POST BASE. FASTEN POSTS TO BEAM W/SIMPSON ZMAX AC6 POST CAP&ECCL POST CAP AT CORNERS P.T,2 x 10 LEDGER BOARD LAG BOLTED TO 15'-10"t 16'-0" 18'-G' SOLID BLOCKING W/(2)LEDGERLOK BOLTS (NEW SCREENED PORCH) 16"o.c. STAGGERED W/ZMAX JOISTS HANGERS SEE IRC2009 SECT.502.2.2. FIRST FLOOR DECK FRAMINGPLAN A SECTION @ DECK A TYP. ROOF DECK 1.3/4"PLYWOOD 2. RUBBER MEMBRANE ROOFING P.T.2 x 10 LEDGER BOARD LAG BOLTED TO 3.2 x 4 SLEEPERS @ 16"o.c. SOLID BLOCKING W/(2)LEDGERLOK BOLTS 4. P.T. DECKING 13 16"o.c.STAGGERED /ZMAX JOISTS HANGERS 5. P.T. DECKING a SEE IRC2009 SECT.502.2.2. 3-P.T.2 x 12's FASTEN POST TO BEAM bog NEW P.T.2 x 10's @ 16"o c PINE 1 x 8 FASCIA W/SIMPSON ACE6 NEW P.T.2 x 10's @ 16'o.c. POST CAP 1 x 6 T&G BEAD PINE BED MOULDING BOARD FINISH PINE 1 x 8 FRIEZE co NEW P.T.5/4 x 8 CAP co SCREENED r PORCH PINE 1 x4 X x NEW WALL CONST. NEW P.T.2 x IUs @ 16"o.c. 2. 1/2"PLYWOOD SHEATHING 3-P.T.2x 12 BEAM 3.W.C.SHINGLE SIDING .T.6 x 6 POSTS W/ 4.TYVEK VAPOR BARRIER ASING f4 3-P.T.2 x 12 BEAM 3-P.T.2 x 12 BEAM FASTEN CORNER POSTS TO A B P.T.6 x 6 POSTS ON 12" BEAM W/SIMPSON ECCL DIA.CONCRETE SONG- POST CAPS TUBES W/28"DIA.BIGFOOT ' FOOTING UNDERNEATH TO FASTEN MIDDLE POSTS 4'0"BELOW GRADE.USE TO BEAM W/SIMPSON SIMPSON ZMAXABU66 AC6 POST CAPS POST BASE. FASTEN POSTS 15'-10 t 16'-0 18'-G' TO BEAM W/SIMPSON ZMAX (RE-BUILT DECK) (NEW SCREENED PORCH) AC6 POST CAP&ECCL POST CAP AT CORNERS SECOND FLOOR DECK FRAMI NO PLAN B SECTION� @ SCREENED PORCH A2 THE DESIGNER SHALL BE NOTIFIED IF ANY III ERRORSOROMI9SIONSAREfOUNDONSCALE . DRAWING NO. : COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR THESE DRANGSCONSTRUCTION.THEt BUILTO START OF DING CONTRACTOR I f 111 43 B REWSTE R ROAD WILL BE RESPONSIBLE FOR THE CONTENT 1/4 — 1 -0 {.,� �/� �+A(� l IN THESE DRAWINGS IF CONSTRUCTION MAS 1 I P E E IV IA. 0264�7 RIMINGTON R E S� L/ E N C E COMMENCES WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMISSIONS, i p(� Q I OF THE OWNER NOTED.ANY OTHTHESE DRAWINGS ARE SOLELY ER USE OF THE E DATE : PH. (508 274-1166 THESE DRAWINGS REQUIRES THE WRITTEN 4/17/2013 FAX 50�1 539-9402157 CONSENT OF THE DESIGNER UNDER THE A2 ( / ARCHITECTURAL COPYRIGHT PROTECTION 'J ACT OF 1990. c6 c6 -75 ------------- Z-Z TOP �I Ufa P T >IL-L- rsr- co t5 CO qz, 171 Ile 0 ; �x cps' c�<x���� - 0 j I 4, VZJ Atf--1 II cr vl vfig, X a'- �--�YL; - --- _-- N � -'�- - _ � 1 ! f ' � i �- s�r. fur--i,r.:oa.:10..., �.!/>L-_ U t It it F-00 t-4 W!WL r-;' -4,-TZ--P-C" t;-J*- lw ba 71 • all i c � 1 C1 - a _ r _ rr 1 - i ..t -._- .-__ la I � , �--___ ---- __ _. _.._.__... _t*<t rA"•.-:�'x C ! irck� C—ti:�"-Y-� `j � T---,-_ .`_ ---- -------T �� �� -ram P Q® �_ ' +� _ _ 1 __ ___ _ R -- _-LP.F��• ,� =ter T: �,cc - ._--- -..._. I f r ; � � I s —ram•:-=�- , .-,-a -:_. , "" _ _ _ i 7) � _A"r!°°'�--kA_`?" w h+rr w.:a L_E'•` -� ,. A+aF•F'-iP+ ? S�-7 i""iG?L-�'�• , Lo `a 160 a �.- f a � L • s� Alco ., :__— _-_.____ ____- Gam.+p•,'-'+��Ft6d.0 ?,>< 1�?,• ' G 1 2x y i �: ±x �✓LJt 7� la 4, - ._. — - NI�ArJ � nt/ x.} PL.b•TEAf - , A - 2 . '. �( �, �'C7 ra. CxTR. R Ll C7 '• i r 1- „n i E _ t , I i 1 j v i 4G44 i 40 D „ box r _.. � - ,_ _.. _ ... ,_..._ _ - .4- .._ - • 9r-our�o/ Profi/d -o—o—o—o- Proposed c�roUnd Pr-ofi/e� H0 ,2/2. SC 9LE-: / "= /D, -- S � G �� 0 � V E )E' T SG�9L � : /ors /O, /n. 9 SCHE�. 4o F✓.G. Ore rr�in�mvrn �.� Per foot, 2 " �q �Z l9 � EQUAL TO SEPT/G -TgNKr .. , .n, a M n — Hof j o' O/tK ST, BOX KA /000 G�qe- SEPT/C Trgil/� o z a 13 j �Jc_5f� d �one 4i p.� Ut-- T / L. S 14. i 0/ I G A-/ Tom- T H O L D L,O G r ti r oA rE: // 3 -�f3/ TEST sy: l_O/it/ E }it/EC.LE�C //�JC B E G>'oe O O/1-7 h'O C/S E- - - - --+-- --- a -_ / iTN�5511-7 a. &-rn� �. % DArvM M.5•c..� f3u-r"n 5 f'cz. /e. B a ea l\ - D� FLGlt/ A- ATC- 3 6.9&S. oAY SEPT/C- T�9A//� 3�- x /. 5 = 5'�5 TEST HOLE # / 7E57- HOLE # Z - � �V rho'\ USE- : /ODo GAL. 7-/9N� /oa rr� S /oa-r7J el 1 � � � ` C `, � ti fir, Si D E�.../A C..L /3/ -9 S.F �Z. $ � = 3��- .P GHCS�_' `; •Y` G lG o,r7 G l e a rl L-' D� "l p \ �aTTo�-i 6sF /• OJ = ' � rne- urr7 meal urn; Sa-roof �,o 0. =22.0 GuF1TE� ,OEiZ ,�c� lJ"4 ti� / GENT/FY TH,9T THE Bu/L�/ti/G Tom-- - SG (� r / /9 ' v F'�OPOSE� Oti/ THE 6�20UNG7 iq5 SHOwn_/ o/v Tti PZ-A 0 6 0A/FO)e/1-/ TO THE 8U/L4//VG SET- TH/� /��� F ��� ie & Q L)I 2e&/NIE NT5 OF THE B � G SETS C F-� � � OTU / T L e E- L/:� v k-1 E M E N T S : F E' 0AJ7- = �c1 F7- �1tk©FAf 5 i p ,� EVERECT H.�yG 5G A L E: ?9 5 S H 0 4AI -1 U�i 7 G� G• / �S % .e E A ?e /.� 'T LVEi?Eri�i,`~ yG i, "I KLEY HINCKLP AJ S� 4AI•9 G 4f=-7 S YS 7-4E- O E Lac./ !� L._ /iv c . APPAL O L/E C>: ._ -- - -- - - - e- xisti,.-7 Goi-7fou/-s E30�9�'� OF HEALTH G if=N157- MA5S. - o ---o—o--o -- Proposed contours - #8/ - -8a