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0058 TRACEY ROAD
aad r - a 7 i . TOAVN OF.BARNSTABLE BUILDING PERMIT APPLICATION Map 00 Sr Parcel 0 5�(0. Application DI�� JL Health Division Date Issued a b 6/1 J Conservation Division OI,C. Application fee Tax Collector y Permit Feed C` Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 5-9 -1-mCe�1 ► el. Village (0-N Owner Address �l( b -r,p IJ W 11u_L- i2D_ Telephone q70 fev - 76 S v)i 444 0177b, Permit Request 6`1Al b ey-k S11 A c e*43Zi Z q 17 7V 711Ya e eu1 �G2 < gnms �r3 t -n iMA r►� W izoom r 9,4T+1 , ��2 b&A ksA--F-1 wtae 5aCI(A 00, C(ec ► ae_ rl( ,X 0 Square feet: 1st floor:existing proposed 2nd floor:existing 031 proposed = 0 Total newi,. Zoning District Flood Plain Groundwater Overlay Project Valuation /�U�O&V, 0 Construction Type AI eye a f7_ Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting idocumentition. Dwelling Type: Single Family )4 Two Family ❑ Multi-Family(#units) _ Age of Existing Structure 31 Historic House: ❑Yes 151 No On Old King's Highway: ❑Yes 2LNo Basement Type: ® Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 0 Number of Baths: Full:existing Z new 0 Half:existing 1, new Number of Bedrooms: existing new Total Room Count(not including baths):existing 7 new First Floor Room Count S Heat Type and Fuel: I Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes U 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:aexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes INo If yes, site plan review# Current Use jQ-eSvkiey_ Proposed Use _BUILDER INFORMATION . Name it ^1 es Telephone Number Address (� T�i19-�t1 � G�/ License# Cc, - 01 ZG s3 r0 y tT' ✓VI 4 Home Improvement Contractor# /d y Ay y Worker's Compensation# 146' N 0 q tG -a- e)Z ALL CON TR TION DEBRI �SULTING FROM THIS PROJECT WILL BE TAKEN TO Se# OL SIGN UR DATE r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED " MAP/PARCEL NO. - SY A " y ' ADDRESS VILLAGE OWNER i f DATE OF INSPECTION: r FOUNDATION w FRAME Q&9IL INSULATION A&Dc FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT, ASSOC IATION'PLAN' NO. amAof Boise Cascade - � � Triple 1-3/4" x 9-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam1F1301 Dry 11 span I No cantilevers 1 0/12 slope June 4, 2015 14:32:43 BC CALC®Design Report Build 4064 File Name: N Lagadinos_Lussier Job Name: Lussier Description: Designs\FB01 Address: Specifier: J Madera City, State,Zip: , MA Designer: Customer: Nick Lagadinos Company: Shepley Wood Products Code reports: ESR-1040 Misc: I , I a -ate P 12-00-00 BO 61 Total Horizontal Product Length=12-00-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 3,000/0 834/0 B1, 3-1/2" 3,000/0 834/0 Live Dead Snow Wind Roof Live Trib. Load Summary. Tag Description Load Type Ref. Start End 100% 90% 115% 160"/dR 125% 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 12-00-00 40 10 ;; 1- 6-00 Controls Summary value %Allowable Duration Case Location r� Pos. Moment 10,641 ft-Ibs 53.5% 100% 1 06-00-00 End Shear 3,155 Ibs 34.2% 100% 1 01-00-12 Total Load Defl. U376(0.368") 63.8% n/a 1 06-00-00 Live Load Defl. U480(0.288") 74.9% n/a 2 06-00-00 to Max Defl. 0.368" 36.8% n/a 1 06-00-00 Span/Depth 15 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 5-1/4" 3,834 Ibs n/a 27.8% Unspecified B1 Post 3-1/2"x 5-1/4" 3,834 Ibs n/a 27.8% Unspecified Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: TrussLok(tm) Page 1 of 2 ®Boise Cascade Triple 1-3/4" x 9-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam1F1301 Dry 1 span No cantilevers 1 0/12 slope June 4, 2015 14:32:43 BC CALC®Design Report Build 4064 File Name: N Lagadinos_Lussier Job Name: Lussier Description: Designs\FB01 Address: Specifier: J Madera City, State, Zip: , MA Designer: Customer: Nick Lagadinos Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based on building code-accepted design properties and analysis methods. • • • Installation of BOISE engineered wood products must be in accordance with e current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=5-1/4" (800)232-0788 before installation. b minimum=4" d=24" e minimum= 1" BC CALC@,BC FRAMER@,AJSTM ALLJOIST@,BC RIM BOARDTM,BCI@, All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. BOISE GLULAM'"' SIMPLE FRAMING All TrussLok screws may be installed from one side of multiply Versa-Lam beams. SYSTEM®,VERSA LAM@,VERSA-RIM PLUS@,VERSA-RIM@, , Member has no side loads. VERSA-STRAND@,VERSA-STUD®are Connectors are: FMTSL005 trademarks of Boise Cascade Wood Products L.L.C. a.. _. WA VeA •'1 ©Boise Cascade Double 1-3/4" x 11-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam1F1302 Dry 1 span No cantilevers 1 0/12 slope June 4, 2015 14:32:43 BC CALCO Design Report Build 4064 'File Name: N Lagadinos_Lussier Job Name: Lussier Description: Designs\FB02 Address: Specifier: J Madera City, State, Zip: , MA Designer: Customer: Nick Lagadinos Company: Shepley Wood Products Code reports: ESR-1040 Misc: 77 1 ' a3 '`n',' uA^'". T s 02-07-00 BO B1 Total Horizontal Product Length=02-07-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 1,963/0 559/0 B1, 3-1/2" 1,140/0 330/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 02-07-00 40 10 01-00-00 2 Reaction from Desi... Conc. Pt. (Ibs) L 01-00-00 01-00-00 3,000 834 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 1,916 ft-Ibs 10% 100% 1 01-00-00 End Shear 1,510 Ibs 20.2% 100% 1 01-02-12 Total Load Defl. L/999(0.001") n/a n/a 1 01-02-06 Live Load Defl. U999(0.001") n/a n/a 2 01-02-06 Max Defl. 0.0011, n/a n/a 1 01-02-06 Span/Depth 2.3 • n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2"x 3-1/2" 2,522 Ibs n/a 27.5% Unspecified B1 Post 3-1/2"x 3-1/2" 1,471 Ibs n/a 16% UnspecifiedCq w:» Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. `� Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: TrussLok(tm) V") ern Page 1 of 2 ®Boise cascade Double 1-3/4" x 11-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam1F1302 Dry 1 span No cantilevers 1 0/12 slope June 4, 2015 14:32:43 BC CALC®Design Report Build 4064 File Name: N Lagadinos_Lussier Job Name: Lussier Description: Designs\FB02 Address: Specifier: J Madera City, State,Zip: , MA Designer: Customer: Nick Lagadinos Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure .I b d Completeness and accuracy of input must LI be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based on building code-accepted design properties and analysis methods. • • • Installation of BOISE engineered wood products must be in accordance with e current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=7-1/4" (800)232-0788 before installation. b minimum=4" d=24" e minimum= 1" BC CALC®,BC FRAMER®,AJSTM, ALLJOISTO,BC RIM BOARDTM,BCIO, Connection design assumes point load is top-loaded. For connection design of side-loaded BOISE GLULAMT" SIMPLE FRAMING point loads, please consult a technical representative or professional of Record. SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. VERSA-STRAND@,VERSA-STUD@ are All TrussLok screws may be installed from one side of multiply Versa-Lam beams. trademarks of Boise Cascade wood Member has no side loads. Products L.L.C. Connectors are: FMTSL338 a K� Town of Barnstable f Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBQ 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 P �-t)Sv ieY qnd ,as Oame6ofthe subject propertc berebv authortzel a Ca(/ ro act on my behalf, in all matters relative to work authorized by this building pe=t application for. (Ad ess of job) ZIL.. _ 05'- / r - 2or5 itnatur.r>f(honer Date 01 Print Name _T If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. i',UsmkdecMliNAVP au%Lucaf%MicmcofttWinanws%Ten'Oo arp Irautiet Fiksit.mrrntOudook1SR768DuAkEXPRE33.doc Revised 06131, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): l h Vlb)VLOS 10 1 Ubs K sou z��V e _ Address:_ City/State/Zip: oV 1 6 �_ Phone #: Zc5 r 2 Or1 Are you an employer?Check the appropriate box: Type of project(required): 1.PJ am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. X Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y p h'• 9. [JBuilding addition [No workers'comp. insurance comp. insurance.1 5. e are or and its 10.❑Electrical repairs or additions required.] _ ❑. _W _e a corporation_ation _ _ _ - 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: x-,ux a re yj6P� SPI2U�rt S ��11_ Policy#or Self-ins.Lic.#:�B - by 6 ?ote -O 1 - 0 Z Expiration Date: LX ZO/ Job Site Address: ,�� -WW-e% ac( City/State/Zip: (UJV IT rYt#-42G� 7' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. e advised that a copy of this statement may be forwarded to the Office of Investigatignqf the DIA for insurance o rage verification. I do he y c 7ify unde the nin ad penalties perjury that the information provided above is true and correct. Si nature: Date: 6110/ Phone#: L 6,7 q07 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#: DATE(MMIDDIYYYY) O1/09/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Applied Risk Insurance Services, Inc. PHONE d_ 10825 Old Mill Rd (A/C,No,Ezt): (877)23_ 4420 (ac,No): (877)234-4421 Omaha, NE 68154 EMAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMERID# INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Continental Indemnity Co. 28258 INSURER B: Lagadinos Building & Design, Inc. 13 Thankful Ln INSURERC: Cotuit, MA 02635-2616 INSURERD: CTL 1273 970254 INSURER E• INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS - - -CERTIFICATE MAYBE ISSUED OR MAY-PERTAIN;THE INSURANCE AFFORDED BY-THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBF POLICYEFF POLICYEXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ❑❑ DAMAGETORENTED $ CLAIMS MADE❑OCCUR MED EXP an one person) $ PER SONAL&ADVINJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO PRODU TS-COMPIOP A G $ POLICY F—IJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO ❑❑ Ea accident $ ALLOWNEDAUTOS BODILY INJURY Perperson) $ SCHEDULEDAUTOS BODI $ HIRED AUTOS PROPERTY DAMAGE Per accident $ NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE ❑ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X YIN WCSTATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 4 6-8 8 0 9 0 6-O 1-0 2 01/02/2015 01/02/2016 E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIALPROVISIONSbelow E.L.DISEASE-POLICY LIMIT $ 500,000 1010 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,if....pace is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED 200 Main St. BEFORETHE EXPIRATION DATETHEREOF,NOTICE WILLBE DELIVERED Hyannis, MA 02601 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1783118 ACORD 25(2009109) ©1988-2009 A ORD CORPORATION. All rights reserved t t/di mod/ _ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor registration Registration: 104804 Type: Private Corporation Expiration: 7/15/2016 Tr# 255509 LAGADINOS BUILDING & DESIGN, ITC Nicholas Lagadinos 13 Thankful Lane Cotuit, MA 02635 Update Address and return card.Mark reason for change. Address Renewal R ]Employment F] ]Lost Card SCA 1 L:• 20M-05/11 Ul2e�pomvn2arasuea /o��/CcrrJac/cc� License or registration valid for individul use only Office of Consumer Affairs&c Business Regulation g �OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: 0"E IMPROVEMENT 104804ENT Type: Office of Consumer Affairs and]business Regulation expiration: 7/15/2016: Private Corporation 10]Park]Plaza-Suite 5A70 g % Boston,MA 02116 LAGADINOS BUILDING &DESIGN;.INC Nicholas Lagadinos 13 Thankful Lane a Cotuit, MA 02635 Undersecretary Not vali wi o t ignature Massachusetts -Department of ,. `` P - Public Safety. . Board of Qilildinw Regulations and Standards Consn.urtsor supen;sor .w L ice nse: CS-01265E z, , : 1 NRC;ti{OJi,AS A LAG-":4.1D,INtCiwS,: s �" Z['RM�OTiiv LANI � ,. Expiration - C3rilr'iiSSliJn�i 071160115 . 4 4 Town of Barnstable BuilCling. • Post This�Ca''r�.d SoThratrit�✓�s=1/isible From he Street=A 'roved Plans,Must beReta�ned on;Jo.b an.d�this Card�Must Iie�Ke` t ��„ .AYMAE& Permit '""� Posted UntiFFinal�lnspect�on Has Been Made -�� �,� -ibg4..C� ,s. r; u; `,t'.; d �a:;rr '' :,�., "- , x4 :'.. W..,, .✓� r a' ...,,..: 3 ,, �i,,,: �,A Where:a::Cert�ficateof Occu anc s,Re u�red,suchtiBu�ldmgshall Not�'be�Clccup�ed'-until a,Final lnspectio-n has,;been made "- . ,� Permit No. B-18-1552 Applicant Name: LUSSIER,GUY P&JOLYNN M Approvals Date Issued: 05/23/2018 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 11/23/2018 Foundation: Location: 58 TRACEY ROAD,COTUIT Map/Lot 005 056 Zoning District: RF Sheathing: Owner on Record: LUSSIER,GUY P&JOLYNN M ,N Contractor Name '- Framing: 1 F$ Address: 41 WAGONWHEEL ROAD .g ntractor License 2 Es# Pro, t Cost: $0.00SUDBURY, MA 01776 Chimney: V. Description: Shed 10x14 *APermit Fee: $35.00 '= Insulation: Fee Paid ,,, $35.00 Project Review Req: a *Dane 5/23/2018 Final: Plumbing/Gas Ed $ Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized byths permit is commenced within sic months fterissuance. Rough Gas: All work authorized by this permit shall conform to the approved applicat!on andthe;approved construction documents#orwhtch this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning byulaws and codes. Final Gas: S . This permit shall be displayed in a location clearly visible from access street or road'arid shall be maintained open forputilic inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the�Buildmg and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing _ s Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department r Building plans are to be available on site Final: ! All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT v Town of BarnstableKv Building Department Services Brian Florence,CBO eniwsraste Building Commissioner ]Haas. 039. .200 Main Street, Hyannis,MA 02601 FDw1A�A www.town.barnstable.ma.us A14Yo Office: 508-862-4038 T'014//V Fax: 50 9 ( 6230 PERMIT# I , FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less ; 58 Tracey Road Cotuit Location of shed(address) Village Jolynn and Guy Lussier 978-549-8458 Property owner's name Telephone number 10'x 14' 005-056 Size of,$hed Map/Parcel# E-Mail jolynn.lussier@me.com 7- 2o18 tOldigh'lway y n . Lussier Date eet aterfront Historic District? No Historic District Commission jurisdiction? No You must rile with Old Icing's Highway Conservation Commission(signatu equired E . Sign off hours for Conservation :00-9:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:08/6/17 I 7 jg?ACAE7Y` )r-?O. i Caa! %L Eaxs! srt e .lipF, .'�9 Location of new 1.0'x 14' shed - t., at least 16 from"side and rear of property adjacent to Lot-8. Existing shed will be 9 ., removed.' COMFY TO TW SMT of uY wo iVIR EmE AtOttTt3AGE tifISPMON.IN THATTW at�.ptt �1 IER�1lt iA EKE GC T" i�, �►9q i? EA!N•CE WIM l.QC .ZD!!IRNG ' SCALE IW&C7ATE 8/a/!I 97-LA14 VIMEN'CONSTRUC"!ED(Wr M FVWECT' . r� �K mvifem,INC. TO `�CK BENTS o",aR ARE 1244 KVCCM SIMICI P.Q.BOX 6M,3 ter FROM V<It LAWN UN XR MAIL �iNcv t�IA o TITLE MI.CNl1P7 ,4'0- ON TAND TK4T (617)773 M � ME BUILQWG%IbmHerAlm DM'NOT FALL W MIN A SPECIAL FLQ(M MAC AREA,A$ DE1WlzR FIRM JQ DATED . Ica+' �olys.� ML �tS,Siea,r " Tfq Pw is ft manowpmmaeu 0*,na6&mush W .The Iatd is)angmi »d kin aad 7�r de ea fusl�r t+uto�les,•takh�.e�aertia�ts tnd its� - L;ouni:�anyearth of Nlassachuseti:s PISTReCSINIetal Permi-- Date: ? 1 SEP ' Permit 0 ® 1101 y Estimated.lob Cost: S 12,on OF BA RIVSTAB Permit Fee: S ��.C)o ✓ �� Plans Submit-Led: YES No Mans Review ed: YES Business License 1 ,kpplicalit License_ Business Information: Property Owner/job Location Information:, Nave: Q. Vi�rn c)n LOh 1 Jeqd F-,(—, Na,ne: LWSSIff Street: C S VJ i-c+..�p Lam) Street: -Tmacu City/Totivn: C `1Q�1 YIQ�`Vl City-/Town: Tole-Ii 509- Q95.' 1100 Telephone: nIn Photo I.D.required/Copy of Photo I.D. attached: YES yJ ,i0 Staff ILiaa? J-1 /AIL-1-unresf-icted license J-2 /'NI-?-rZstric ed to dwellins s 3--sto-ries or less and col! � :.rcial up to 10,000 sq.i:./?-stories or less Residential: 1-2 a,ily Multi-fa=!sly Condo/ ov nhonses 0=L.e_ Commercial: 0=ice Retail hn,us-_T'ial s`ducatiOnai Iasutultio.-Lial. O�il�±er Square Footage: under I0,000 sq.f<. over 10,000 sq. it. Number of Stories:G Sheet metal work to be completed: ,ter;Wonk Renovation: V HVAC; V/ Metal Watershed Roofin Kitchen Exha„st System Metal Chd=wney/Vents Air B all ancLna Provide &-tailed description of-.worn to be done: GAM S " Lk � r I I INSURANCE- COVEP4GE• I have a current liability insurance policy or its equivalent which meets file requirements of M.G.L.Ch.i1- Yesty( No El i If you have checked.Yes,.indicate the ype of coverage by checking the appropriate box below: _ — Bond U A liability insurancel policy Other type of indemnity l ��R'S ls�'SURA�ICEYVA1Vs=R: I am av4are flat the licensee does not the insurance coverage required by Chapter i 12 0`the Orb ;:iassachusetts.General Laws,and that my signature on this peTit aFFlication waives this requirement. i • Check One Only Owner Agent ❑ j I i Signature or Owner or O`Nn:era Ag-=nz tn a.s true and bal ted regar B•checking this box]:l hareby carLiry that all of tire daLaiis and in orm i,Iavinstallations�ey;ce sul �1 under th }e. ass iing ssued his application will be accurate to the best of my knaxledga and that'all sheet metal work and in compliance with all per,-inant provision of the hlassachuset`s Building Coda and Chapta;112 oftiia General Laws. Duct inspection required prior to insulation installation: YES NO Pro�res�IRSPeciioi?s 5n•o —1 � Fiial Inspection _ i 3 of License: I lYr I - [❑ iJ3=sier Vj f itla ❑ Phas-r-Restrlcted ✓ fI grown t Signature O I T LIG� l-e� ! Cic I ljour ne."DerSOn Y 1 emit= ❑Joum';::person-ftestri 'Ted License Number: d, Fe- ❑ Crlecr with "?:.mass,govidpi i 1 I i 1 i inspector Signature of Permit Approval Fold,Then Detach Along All Perforations r 'OMMONWEaLTkIO MA►SSAOF{USETTS` 4 a ® a s GREOMINN v ah a + hEE'A . WORKERS � dFI SSUES. THEFOLLOWEPiG L[CENS w O A SaBfS IdESS URIC T WHI,TELEY I I f} W, N MR.L. CEY PLBG AND xT C f r • a e COMMONWEALTH OF IVIASSACHU$ETTS BOARD OF;t z SHE€I1f IAL -WORKERS "SSElE� fHE FOLL0W1 � LICENSE 1 t _ 4 AS M STEP UNRESTRfCTEQ°, r ; - s � „= f 2967 az/28/ta F 80512E ,�; ASS�AGH SETTS, D IINSE H dc3a4oil ��570199�1'l L g .60 •-.L t • _ a 1315 MA14:ST '`»� x, - 4'!CiATrIAM hIA 0[fio9 �� -- A= Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Maw Street Ryannis,MA 02601 www.town.ba rnstable.sn"s Office' 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A. Builder t, 6U U Luss i e-r ,as Owner of the subject propertc hereby authorize �. Vern)O V) I . to act on my behalf, to all matters relative to work authotized by this building pent application for. (Ad s of job) t°)v'— % � —2019- 1117n2rure Of<.lamer f3 J Date Gjvq p /.y !�Ier �1y�� 177. L-UsSi'e�- Print &2MC6 If Property Owner is applyfetg for permit,please complete the Homeowners License Exemption Form on the reverse side. f.`:t1�st�ie,n!{iktAppQat�ttncal�kSecrr�ait�We�mvatTempcxaryImandFikmCmuntOtNWak`SR76BDVATX MS.dae Revised 06 i 313 The Commonwealth of Massachusetts Department of IndustrialAccidents a I Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information ` , Please Print Legibly Name (Business/Organization/Individual):��U�Q� Address: City/State/Zip�. Phone#: 5��� �i`i 5-1 l 0O Are you an employer?Check the appropriate box: Type of project(required): 1.�Q I am a employer with ,o 3 employees(full and/or part-time).* 7. M New construction I am a sole proprietor or partnership and have no employees working for me in 2❑ 8. E]Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.F-1 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LEJ Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.711 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #:q `Al�n a OM — 1 Expiration Date: I. I I .� Job Site Address: �N\\ �, a o-f `i-ram City/State/Zip: 6aAnd&M Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi der the pains and penalties ofp jury that the information provided above is true and correct. 7--,' I J Signature: �'� 1 �`' Date: Phone#: �� i� L-1 J -- \ \ �)11�) 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 Contacf Person: Phone#: ac R® CERTIFICATE ®F LIABILITY INSURANCEFIAOT_02-20i4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: ROGERS&GRAY INS AGCY PHONE FAX 434 ROUTE 134 AIc No Ext: lac No: SOUTH DENNIS,MA 02660 E-MAIL INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:ACE AMERICAN INSURANCE COMPANY INSURED - - INSURER B W VERNON WHITELEY PLUMBING&HEATING CO wsuRERc: INC&CHATHAM SHEET METAL INC P O BOX 1266 INSURER D: WEST CHATHAM,MA 02669 INSURERE: INSURER F. - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR.OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IADDL SUB POLICY EFF POLICY EXP LIMITS L7R INSR WV1 POLICY NUMBER (MMIDD/YYY/) MM/DD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S PREMISES Ea occurrence CLAIMS-MADE❑ OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY S GENERAL AGGREGATE I S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG IS POLICY. PRO- JECT LOC $ AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT § ANY-AUTO a acadenl SCHEDULED, BODILY INJURY(Per person) S ALL OWNED AUTOS BODILY INJURY Per accident $ AUTOS ( ) ' HIRED AUTOS NON-OWNED ROPE,dZ AMAGE $ AUTOS Per accident S UMBRELLA LIAR i OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DEDI I RETENTION S S WORKERS COMPENSATION - WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN X TORY LIMITS Eft ANY PROPRIETOR/PARTN R/EXECL'71V ..... .. N/A - E.L.EACH ACCIDENT -___$SOO OOO_ ,OFFICER/MEMBER EXCLLIDED7 :_: .N. . -- - -- -- - =6S62 B=— 10'=01 2014==O --:2015 -..- - - --, (Mandatory in .un 9972L664 E.L.DISEASE-EA EMPLOYEE-$500,000 - If yes,descrbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 . DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 200 MAIN STREET CANCELLED BEFORE THE EXPIRATION DATE THEREOF, HYANNIS,MA 02601 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I JOHN J.LUPICA,President ©1988-20 O ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD _ _ I ot oFt ray, Town of Barnstable *Permit# Expires 6 months from issue date y Regulatory Services Fee 9 MASS. 1639, . tb �0 erd V.Scali,Director A'F16.39 MAY 12 2015 Building Division TOWN OF BARNS fA Perry,CBO,Building Commissioner 4ain Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY r// Not Valid without Red X--Press Imprint Map/parcel Number (�S'/0 J (v Property Address 5-h jX&&—V 9L1> a O7U11 M Residential Value of Work$ qo _W)- d) Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �,f(IV � Qrn 1-4 n4 ��SSI q j (A,& f l `t 5� yl(Lt�1 1M tf}- Q) 7? & Contractor's Name IVI Le- L/q; oi>rio_< Telephone Number 0&—Vh -qv 7 Home Improvement Contractor License#(if applicable) D t{ o U Email: L lotCZ Ca�4 0, In- Construction Supervisor's License#(if applicable) ZWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance 1►11 Insurance Company Name t—CA ��Sl� �V.S_ SeeLt)lG`eS Workman's Comp.Policy# q ( - 8b U 10� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ( S Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Cl e\ ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ! [� Replacement Windows/doors/sliders.U-Value . 30 (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Own m st sign Property Owner Letter of Permission. A copy o h H elm pro ment Contractors License&Construction Supervisors License is r uire . SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\ indows emporary Internet Files\Content.OUtlOok\2PIOIDHR\EXPRESS.doc Revised 040215 The Commonwealth of Massachusetts _-_ Department of Industrial Accidents Office of Investigations g 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 1ti1Av11�-t�I L� City/State/Zip: VIA W- P Phone 4: Q Are you an employer?Check the appropriate box: eneral contractor and I : Type of project(required): 1.[k I am a employer with /t7 . : 4. ❑ I am a g employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. RRemodeling ship and have no employees These sub-contractors have': g, ❑ Demolition working for me in any.capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance ' comp. insurance.1 required.] 5. ❑ We are a corporation and its. ME] Electrical repairs or additions 3.❑ Lam a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.®,Roof repairs insurance required.]t C. 152, §1(4),and we have no 13.0 Other employees. [No workers' 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. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. ' rr Insurance Company Name: r{L}p�1)(t o l2 f S' 0 fa 14-m d g-p-S Policy#or Self-ins.Lic. 0 t yo 0 f — 0 Expiration Date: /Z- Z0/ Job Site Address: 1 PJ 7 4gn2 1 ✓j14• City/State/Zip: �CI 1JI i►�_►� 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 violato . Be advised that a copy of this statement may be forwarded to the Office of Investigaf f the DIA for insura e c verage verification: I d ereby a d under pa s d penalties of rjury that the information provided above is true and correct. Si nature. Date: S Phone#: Official useonly. 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 A.Electrical Inspector 5.Plumbing Inspector .6.Other Contact Person Phone# DATE(MM/DDIYYYY) O1/09/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT NAME: Applied Risk Insurance Services, Inc. 10825 Old Mill Rd (A/CNNo,EXt): (877)234-4420 (A//C,No): (877)234-4421 Omaha, NE 68154 ADDRESS: PRODUCER (877)234-4420 CUSTOMER to INSURER(S)AFFORDING COVERAGE NAIC p INSURED INSURER A: Continental Indemnity Co. 28258 INSURER B: Lagadinos Building & Design, Inc. 13 Thankful Ln INSURER c: Cotuit, MA 02635-2616 INSURERD: CTL 1273 970254 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY-PERTAIN THE INSURANCE AFFORDED BY THE-POLICIES DESCRIBED HEREIN IS SUBJECT-TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF POLICYEXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $COMMERCIAL GENERAL LIABILITY ❑❑ DAMAGE TO RENTED CLAIMS MADE OCCUR MED EXP(any one erson $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: _ PIODI CTS-COMPIOPAGG $ PRO. POLICY F—IJECT F LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO ❑❑ Ea acddenf $ ALLOWNEDAUTOS BODILY INJURY Perperson) $ SCHEDULEDAUTOS - $ HIRED AUTOS PROPERTY DAMAGE par. er accident $ NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE ❑❑ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION X WCSTATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� NIA 4 6-8 8 0 9 0 6-01-0 2 01/02/2015 01/02/2016 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 PE1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED 200 Main St. BEFORETHE EXPIRATION DATETHEREOF,NOTICEWILLBEDELIVERED Hyannis, MA 02601 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE '�7a3118 ACORD 25(2009/09) ©1988-2009 A ORD CORPORATION. All rights reserved f _ — Office of Consumer Affairs and Business Regulation 4r+. "are ea 10 Park plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 104804 Type: Private Corporation Expiration: 7/1 512 0 1 6 Tr# 255509 LAGADINOS BUILDING & DESIGN, I,NC Nicholas Lagadinos 13 Thankful Lane Cotuit, MA 02635 Update Address and return card.Mark reason for change. Address F] Renewal F-] ]Employment R ]Lost Card SCA 1 LS 20M-05/11 ���poar�maracuecc �a C vaac/ccae License or registration valid for individul use only Office of Consumer affairs&)Business Regulation g UV.;'E OME IMPROVEMEidT CONTRACTOR before the expiration date. )(f found return to: T e: ®ffice of Consumer Affairs and]Business Regulation egistration: 104804 YPxpiration: ,-VI.5/20.16: Private Corporation fl0]Park]Plaza-Suite 5170 ]Boston,MA 02116 LAGADINOS BUILDING?&DESIGN,.INC Nicholas Lagadinos 13 Thankful Lane Cotuit, MA 02635 Undersecretary Not vali wi o t ignature a Mffassacitusetts -Department of Public Safety {hoard of Building Regulations and Standards Cons.trucY3rrn Sul}C!-N JS V. CS lVRCJSll©lt AS A 11.i.AG71DJI'.'TOS ` ,.. .��" ,.. Expiration :orarjission r 07/16/2 15 i • $ srass. a ULM Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street. Ryannis,MA 02601 www.town.barnstable.ma.us Office.. 508-R62-4038 Fax: 308-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder TP L US e!e Y Ond —,as Owne6of the subject property herebv authonm �d� e to act on my behalf, to all matters relative to work authorized by thm building permit application for: (Ad ess of job) �tPnatur .��f C hunts S Date Print Namc If Property Owner is applying for permit,please complete the Homeowgers License Exemption Form on the reverse side. i'�Usms deuslliN.AppOat&%LocOMie�kwinenms%TemOm3 q haemet FiksiCmtmnt Oudook4R7600V AtEXPRES3.doc R.evfsed 06131, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 11 C, Parcel Permit# P Health Division 2 !w ek Date Issued cS�� Conservation Division Fee z 02 I Tax Collector + t' �e sllG�ITS T{• - SEu IC.SYSTRA MUST DE Treasurer INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis t x. Project Street Address _:5,9 1 4 e e S/ GI Village 004ul-1k Owner 1 a� Jic;V�� �'v�f (� Address ! c s Telephone Permit Request 7n• ne7 ,-( C-e.. �1 Sf I4C,&LAk CA* VA-, doZ� 6 ('a c `3U - t39CI 7 Square feet: 1st floor: existin / proposed'0 2nd floor:existing trCb proposed Total new 66 7 Estimated Project Cost �O Zoning District Flood Plain Groundwater Overlay Construction Type Wood Lot Sizef2 O Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family U-1,_ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes C"No On Old King's Highway: ❑Yes Cl No Basement Type: ❑Full UrCrawl - ❑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 (o new�— First Floor Room Count Heat Type and Fuel: was '❑Oil ❑ Electric ❑Other Central Air: ❑Yes U"No Fireplaces: Existing .2 New _ Existing wood/coal stove: ❑Yes dNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:51"existing ❑new size Shed:❑existing ❑new size — Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes @'�lo If yes, site plan review# Current Use Proposed,Use BUILDER INFORMATION Name OocQt..acy\ Telephone Number CS'a S, Y 30.-8!9 Address '551 t tkf- License# OY&S-0 o.X6 yk Home Improvement Contractor# /,0,30CP Worker's Compensation# �C�3GL.�4oZbaTSy�6?[y� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO � S s�ern/ i'S SIGNATURE 7 DATE X s- oa j FOR OFFICIAL.USE ONLY - i I-RMIT',NO. L-A—) {• ` DATE ISSUED MAP/PARCEL NO. 'ADDRESS ' ' VILLAGE OWNER• , , L .. � • _ _ - y t DATE OF INSPECTIox- FOUNDATION o r , x FRAME,, O &o ` INSULATION 2 ' FIREPLACE ��iC.��y!1 !qhatv, ELECTRICAL: ROUGH; + FINAL ` "s PLUMBING: ROUGH; ;F FINAL GAS: ROUGH" wr FINAL rz FINAL BUILDING /may r DATE CLOSED OUT � J w ASSOCIATION PLAN NO: ;4 _ 4 J , L EST/MATED PROJECT COST WORKSHEET : Value LIVING SPACE (high end construction) square feet X $115/sq. foot �r (above average construction) square feet X$96/sq. foot= (average construction) square feet X $57/sq. foot= GARAGE aMINISHED) square feet X$25/sq. foot= PORCH . square feet X $20/sq. foot DECK square feet X$15/sq. foot= OTHER square feet X $??/sq. foot= Total Estimated Project Cost � ZU� r IAHFORM 1/3/00 LF STANDARD LEGEND NOTE:not all symbols will appear an o mop r4t-) GOLF COURSE FAIRWAY MAP-5 EDGE OF DECIDUOUS TREES 5 �,+� �� EDGE OF BRUSH f + � ORCHARD OR NURSERY Ii - ':-,,? EDGE OF CONIFEROUS TREES --_ -� MARSH AREA ----- T i f EDGE OF WATER - h ; - - - - DIRT ROAD ---_._ _,_ � J---------------" � ,.1_�! DRIVEWAY _.._ + PARKING LOT 1 .-- -- - PAVED ROAD Y yZ — - - — DRAINAGE DITCH - - - - -- PATH/TRAIL -fi P- PARCEL LINE**, xar 110 MAP 1 slamE PARCEL NUMBER HOUSE NUMBER , O M P5 2 FOOT CONTOUR LINE _ _ . i- fr- i r —to 10 FOOT CONTOU R U N E , 56 Elevation based on NGV029 1 "I X4.9 SPOT ELEVATION J . # 58 V STONE WALL i f 1 X—X- FENCE r' 1 RETAINING WALL RAILROAD TRACK AP STONE JETTY ! }� -- ---------------- -------------- PORCH 1 _ - i SWIMMING POOL f r - - t- } /DECK r 65 �i �� r� 0 BUILDING/STRUCTURE DOCK/PIER 7 HYDRANT %'i.... 6 VALVE 0 MANHOLE' # 74 J 0 POST 0`T FLAG FOIE T O W N O F B A R N S T A B L E G E O G R A P N I C I N F O R M A T I O N S Y S T E M S U N I T c SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET r NOTE:This mop is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES:Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James I-I00'scale mop and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE n TOWER w ` 0 20 40 National Mop Accurocy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards fINCH=40 FEET* enlarged scale. on the map. at a scale of I-100'. Panel lines were digitized from 2000 Town of Barnstable Asseswr's tax mops. O LIGHT FOIE O ELECTRIC BOX V 1.1 rtWr.y4 'Hrt+^GT 441Y41P5— rl aflMr 1r.41 - i�9 4f'Tt4 PI.R.(LLS4yW/to.,wq) CARrm 14 . 5ef-Mow A..i Stcl'ION 69 .LErT tIEV/M ON f o.n 509428•0191 ovUn � CT3ustom iou•..cunea CawLan•coa. resl.gn,, El - 0 G xpop a 1 ` ... pun., uya.....PC.O.o.ro ,.mmnr.. mr.any........1.unnq p.on�u Qi. I -•ems tpqL &I P E Eanniuq.yn.wy[ I cn+ piert�5+F trot ea+eb m ii f I I KOW_EN Ah1144 eDn yruie a4.+•sr tea..*I 08-428-6191 4 e. u. !eviin Custom f ; •- I t®signs ..I .e.�w `-"a'!_�— F� i•b� repy,ian:o aro - ' \� 0 I - 4'.T)K(pwc'YD g •� J• ,Mp a, 1 I��IIII A .I Y 1LY ROOM; —' u I ctCOKPLAt4C"C-w'f •.c � pe '>z e• � a . - rrnin na,y plan.• ey DCD sr<lo..nr u.e o,:M oniy Any iiy piomone MAScheck COMPLIANCE .REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Release 3 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-28-2000 COMPLIANCE: Passes Maximum UA = 154 Your Home = 152 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 600 30.0 0.0 21 WALLS: Wood Frame, 16" O.C. 656 13 .0 0.0 54 GLAZING: Windows or Doors 162 0.310 50 FLOORS: Over Unconditioned Space 567 19.0 0.0 27 HVAC EQUIPMENT: Boiler, 84.7 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer '��Cpz Date Z J 1NE The Town of Barnstable ' dAR1Y5TABLE. • . MAss. $ Department of Health Safety and Environmental Services r Ea;p. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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. � U� Type of Work: AV�, Estimated Cost Address of Work: !�'fl Owner's Name: '��Cs� JJruwz 1���e2 Date of Application: 1 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 agen'tt of the owner n /6 3b9 Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav , _ _ J � -, /ttCC -C/)O�y�2O�j21ljel/LC/L O�✓�! %LIIOP.� ' y. BOARD OF.BUILDING REGULATIONS t' License:'CONSTRUCTION SUPERVISOR Number 046507 =f: - Birthdate k 04/07/1,965 i rr rExplres 04/07/2001 r Tr.no: 4789 Restricted'To: 00. t BRIAN E MANDILE 86 CEDAR RD >� 1 } MARSHFIELD, MA 02050 � :N' Administrator c MC Deer Hollow Raynham . ID :508-880-5787 RPR 25 '00 16 : 19 No .013 P .01 I ..kf�� •/Ir ur+/!!Ktil1lH:�( •'�♦`lk4klCl{YldQ��f (7 NONF TMPROVEMENT CONTRACTOR P,t�istration 103091 ` TyPe AAA t> FxPiration 07/06/00 MARK DEMELO CONSTRUCTION jar,k DeMe10 (��•,�?QO r=1ATC3R— A Thompson SL • N1MI1pS7C New Bedford Ah 02740 - — I Z_ The Commonwealth of Massachusetts Department of Industrial Accidents office olllffyOS igatioos 600 Washington Street Boston,Mass. 02111 � Workers' Com ensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole pgrietor and have no one world in anv ca achy 0-ram employer am an em to er providing workers' compensation for my employees.working on this : ..: .job. ............. . ..... . ....... topanv name �r' . ::.:. ..:.:....;:.:.::...::....::.. ............... address caty pit�' rrhone# , . . 9u : .. ::...:.;::..:: :.;;:;. .....:.. .. . :. '* L ;<. �oLcv# ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' compensation polices: :. :..:::.::...:.:.:::: ... 61 add ess: .;:: ..... . city one ca any name. ;;::;:;<;.:;::;.;>;: address. - ...::::.::::..:..:::. ci ; ............... .::.:::..::::::.::..:::::... .:::..................:::::::::::::.:......::.:.::::..:::: ;Inurance 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 S1,500.00 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 and penalties of perjury that the information provided above it true and correct Signature ��'�— Date Print name ��r`c.►1 C1 1/�ain���t' Phone# <18 4 r /� Ccontact do not write in this area to be completed by city or town official permit/license# DDetment d iate response is requited fice ment phone#; Ocvmd 9/95 PJA) — J Information and Instructions ' �► Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quote an employee d from the"law" to ee is defined as every person in the service of another under any contract 1' of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation.or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 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 i m ance 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`haw"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 permit/license 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: ep , eP . The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of 1"8311gau0ns 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 .....•,,,.,.r.w.wrvnvr,': x:V:.:4:4"*'.Yf' <'iV: :iG:n r.. v�.. PRODUCER .•;':�;;y'::, .,a•^;•,::,.�;?" 3-Al1a-1999 ' g�Iis portoon Construction Son cos Corp.of CT 77300.. THIS CFAIIFlCATE IS ISSUED A5 A MATTER OF INFORMATION P>tv:n Glen Boulevard ONLY AND CONFERS NO RIGHTS UPON THE CERTIFCATE Suits 301 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Farmington CT 06M2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (860)677-0073 COMPANIES AFFORDING COVERAGE COMPANY Travelers Indemnity Company of Illinois,The Beverly A.Ademiek A INSURED COMPANY Modern Continental Construction Co,Inc. B Modem Continental Enterprises,Inc. COMPANY 600 Memorial Drive C Cambridge MA 02139 COMPANY ; ava4' 2:}x::, yui:;•:oFxii. +,x, ::x;.X%+.�{';'9SS.t:4,:•.;r,.;%k;M'f.; +^".. %2•}:.:{"::' :•:>.:; kxa�'.•`4�y{, .d. .:ro{.,, 3c:{ :.y:•n .>:.�.:,Via.:(;" 2:2Y2• .f'•»% T�^:l•nw %} i4. r,2{ .,}"ih: �:'•s�i.•��r� x.•l. 4.. •%':':v:.,{.1,:rvt};ti:•:'ti:::::.:,'na•Li::.,..i:.' •'h:C'.v. .2•�df...�•JmL:asit'�'%••:v .S :.y:f'b .yT,:�{r•W:',r ,f y� 's.yy.:.. (1''yx' :{k::f<.riu{.:GF''?s:`$::`•k2.:::•:'!•:a2.a .5::r:,S,ern:••+.,IS.. :.K•:?is4:S:Y::{..LN�Yrta(:ri^.G:�+.4.rt•.•:47}t[v:i:Mv�:J?'i:r,:ti•:{r%•r...Yk4:':?,'::a. 'X J• G:{.nv,\.t {;{.2.: :.J,... ti:.14� THIS IS TO CERTIFY T POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED ro THE tNsuRED NAMED AeovE,}FOR�THE POLICY PEAIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR cokDmON vF ANY GONTAACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OA MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESGRI9ED HEREtN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDIJ46D BY PAID CLAIMS, LTR TYPE of INSURANCE POLICY NUMBER POLICY Ern ma PoLICY wmAmoN DATE(MM/DQ^ DATE(MWVQ( ) LIMITS A aRRFAALLIABILITY RTC2JGLSA260TV466TL99 01JUL-1999 01JUL2000 ENERALAGGAEGA 2.000.000 J. MEACIALOENERA ABILITY {, GO S 2,000.000 iCLAIMSMAD6 X IR ALa uRY 1.000,000 ER'S i CONTRACTOR'S Mar 1.000.000 FIRE OAMA13E °^� 50.000 MR0 EXP 10.000 ANYAUTO COMBINEDSINQLELIMIT $ ALL OWNED AUTOS SCHEDULEDAIITOS BODILY INJURY _ HIRED AUTOS y NQN4)WND AUTOS BODILY INJURY = (Po►I�eew.nq PROPERTY DAMAGE AGE LJARILIIY UTO ONLY•EA ACCIDENT i ANYAUTO OTHERTHAN AUTO ONLY: �~ . M ENT LIABILITY 0 EQATE EACH OCCURRENCE : UIMBRELLA FORM AQGREQATE OTHER THAN TIR A WORKERS COMPENSATION AND RTC2JU13260TO43098 014UL.1999 01tiJUL-2000 x 4yrATU' OTM ;;:;:;'::• ^'fit EYPIAYERS'LJASILITY THE PRCPRIEMFV EL EACH AgpiDeNr1►00 0.0 0 0 PAATNERS&MCUTIVE INCL CrRCERSARE! EL , ICYuM = 1,000.000 CL ELDISEASE.EAEM YEE 1.000.000 OTHER DESCRwnoN OF oPEBATIONSILocATIONS/VENICL99MPECIAL ITUM EvIdence o v e r a g e s for a r m x ........ r..t' '4°; aidxs:�}:{:�.'�z':4'�'.lc w�+�^yy,'�v.•4,'n:,,.}s:'st�^xi!;�:i:Si:. •ax•>u;:.�r,.;;:i:.yJ.at?e:4%. ..... •'#' .�::�} u4.4N, art,:. µ.y:' 7.br'. :4r' ..... '.i.:,: 'o 'i i J:kS:. ..}. :;'i'.R"• S.'••:y.x:•.•:xrr:•:+";,,•r:;.,o.:2:::+i. ....h'. .... {r,...4.».v.a4n x 2.r::4x• 1..:2•?yt:au.., ... Y.•. .:.., ' ...2{.f:.J,.::,?,' .,4•:f., M1....4n•.J....4:,,i...4•:rv:a{:v W:}4:,5,%{a}<i...V .. •: .,. ,,11:.'::::L:4x•..>:.;��< �:5..4:'.:'a'J:,.w:4:'ii^:':•:::••.yaiyt}:::rY•.•. 4i::J X tt,, it r a'sf� s`A yr yr i<: jai i's'33 v} :. SHOULD ANY of THE ABOVE DESCRIBED PoLIUM BE CANCELLED BEFORE THE ExPIRATION DATE TNEneoF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL 30 DAYS WRITTEN NOTICE To THE CaMICATE HOLDER NAMED To THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL INPoSE No OSLMATKIN aR LKBLM MAQ2sta1 A P ANY KIND DREPRE U P ITS AO OR EPRESENTATN ,;..:e.;,• •nr„y:::es;nvrnx::#•xr:•,,•y:�:; ,xe, v}6�is :,+a�,{.�+:+.,wrx^,}:^�},7'^.,.�.,`�...:°�{;;a2.ea'1Ttif �Edy;x{":'. ...J2:: :•..4{lrl•5::.4a?''.'' S"'.. " •,,�,J�,.,.,,x, v .. .. ...:•.,:!.:J:. ........ : �liV{'IAfRRi4>�'tJ.M47+.sl:A.p4.:: •n -,• �..-•n,..,�r-•!.,nri•.•r ,n � 4T T n f n r r T'1'1 T M 1:_l ,^r,.!-'T Gam.T r^rl r1r1H r _ ( ) � C SYSTEM MUST BE A sessor's office 1st Floor): ''� Messor's map and lot number - A V 056 -AHED IN COMPLIANCE Board of Health(3rd floor): PATH TITLE 5 fO Sewage Permit number .1ROMMENTALZ BA259TdDtL. Engineering Department(3rd floor): MAen House number J EULA � °o 1639• ®o� Definitive Plan Approved by Planning Board 19 0 MAC A, APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN . OF BARNSTABLE BUILDING ASRECTOR , APPLICATION FOR PERMIT TO ��+d►Od Sir. `�t� Fn VY►�' TYPE OF CONSTRUCTION 0 DD 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the folio ing information: Location 0_ t L 1z o°� Cep j Proposed Use Zoning District 17, Fire District' Name of Owner��-"<s/�Y C��y ��`��C Address Name of Builder (S4.1�t ��*j ' Address ��� �� `�✓' r^ r_ ° "`' Name of Architect /30 Address � - Number of Rooms Foundation Exterior ``j�'�t ''� -S�`f Ny�� Roofing Floors G.gz� �• 6 1 Interior Act � J Heating �� f"� �' ( Plumbing Fireplace Approximate Cost Area O C Diagram of Lot and Building with Dimensions Fee 50 I 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 CZ X-74 Construction Supervisor's License MENZE, ERNEST & CATHY i No 3 2.9 9 4 Permit For Remodel 'Dwelling Single Family Dwelling Location 58 Tracy Road Cotuit Owner Ernest & Cathy Menze r P i " Type of Construction Frame Plot Lot Permit Granted June 19 , 19 8 9 Date of Inspection k` l 6 19 rQate Completed 19 LZ ii i'� %. o P - - ;-1 .'•�qT..:ti? t _ _•.+-.°ram'` - rf �r.:'.. t�.:-.1.'. �"-1'y:- _c.4- - -L- - -r -� -0..;:.t° _ It[--"r�,-.`j".�I�---�`,7 f C, - y/� Y ii: 9.. t�:t- �-? �c �- ;r.M1`L' }','�:',l�G n ..1 „z�li�v`; R' _ ..:-S P L"� *� J /j �/ �..',--, t 1-.`:, L- : .I-r' '- r -- Jam*t.. .b. -- .i r--7"` i _ F !r., V; ,p: _ r ` y.. -t.z� -a,•;^=;5 �h :<;- x.. r~ v-:.- ,S _ - , _ - ,J. �. 4 l _ _ I :c r t-;a'pj[-[ ! ,' i, n r G X:r r: i _j r t y.�. F ' :.fr_ .,�Fv,'jq _k 'r.F'. - r,; _-;: ,;.c„ .V_--i' s-��•- '1:.:, � - ' - 'i .-.�'•.a r`' I %e=�e.. 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Y f "1 - E.- ;. - _ T�sk;P -r3;�ts'� r�` _ '%:. i'^ spcW'l r 7 ;+: 'S; ,:y:: '3 rr 4. ., ''..r e..�c=tr �.b, -.- }., e. _ --I _ . x - - : 'L -,T:.-=',1,,•_C-r . sje L ,t9 .t,. -�ycr w�: .r - - - _ _ x f - n -3-r -� i v -.s,. u ", r - a -;J , tit . s�- ,: r _�S "� �-'� ''',-,- ^-fyrc. - !}5 � {: `a .,�T`` 5��� 3 � r3 �{ 'ice .tY•�' Y ,F' IIi L �j S l f 3 I.'. r.. ` '� � �� YI\�.���O�TM '', T lr'.1•y to r 2 r_' T v - { ,�. 5 -��� „ t ��11 -hC©�'T r,y F j ti 'c >•' -� 1: 1. _ '` F�Kw 1 IN. •�OYT�19_,,,r r.+is ^" .� _ " c a ��.J a�.a.� r r r i. ra r -tC y -C #- r •-! ray 4ti�t:F ',f 1hf"i if r X• k_." .r• .`c t-!.° y T 7&1 F. . .Z., 5 � F � _ f �bLv •r'•..tom .r_'- 6 rY"G \ ..Y 5 J X`^ s- �'` '.�,� "�s'•a,y t z z� �"� - -.f�2:� ��i"v t -tr.5: t +� i .-Y __�:rie...... ...v - -� .3-.�a.�,.s�:.._.�_. -_ .._.-''ti.� _ ..';.� r_�� ..�Cx.�.,-rig- ... � 1.._>• .��.-�..:mod_.._ oFTHE Tpy, Town of Barnstable �* Regulatory Services 9&UMSTABLE, Thomas F.Geiler,Director ` s63q. ♦�bArEo,, Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 ' PERMIT# �o� FEE: $ - SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owne 's name Telephone number r Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. G�j q I �-Mc%*- THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:083001 STANDARD LEGEND \� LE NOTE:not ail symbols will appear on a map rA,AAP-5 _ _1 ``ova GOLF COURSE FAIRWAY 'V' EDGE OF DECIDUOUS TREES 59 EDGE OF BRUSH ' ORCHARD OR NURSERY _`-'- T-77 t EDGE OF CONIFEROUS TREES jI MARSH AREA - EDGE OF WATER _ = DIRT ROAD -- — - -�` DRIVEWAY ------------------ W E---PARKING LOT ��-PAVED ROAD ,`•,` _' � - - - - . DRAINAGE DITCH G PATH/TRAIL .. PARCEL LINE* r6AV 110-MAP# O 18f #1e60 PARCEL NUMBER HOUSE NUMBER MP 5 2 FOOT CONTOUR LINE --tom 10 FOOT CONTOUR LINE 5 Elevation based an NGVD29 � # 58 ��7Z/ i�4.9 SPOT ELEVATION �� ar=x:J STONE WALL Y.—X- FENCE RETAINING WAIL _�� +�+#- RAIL ROAD TRACK AP 5 � ;' ;" sroNElEm SWIMMING PO� _ DL > PORCH/DECK 65 I � ElMAP_.5-�` BUILDING/STRUCTURE ^},J �` � �� F4+- DOCK/PIER r HYDRANT 7 # 74 9 VALVE ® MANHOLE O POST Q" FLAG POLE ,11 O W N O F 8 A R N S T A B L E O E O O R A P H I C I N F O R M A T I O N S Y S T E M S U N I T o SIGN ® STORM DRAIN ,ra IN PRINIED SCALE:IN FEET _ *NOTE:This mop is on enlargement of NOTE:the parcel lines are only graphic representations DATA SOURCES:Plonimelria(man-mode features)were interpreted ham 1995 aerial photographs by The James w' ;A - 1'=100'scale mop and may NOT meet of property boundaries.They are not hue locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 LRllm POLE n TOWER 'NP 0 20 40 Notional Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation.Planimetriq topography,and vegetation were mapped to meet National Map Accuracy Stondads s 1 INCH=40 FEET* enlorged scole. an the map. at a scale of 1"=100. Pmcel lines were digitized from 2000 Town of Barnstable Assesscx s tax mops. O LIGHT POLE O ELECTRIC BOX s r Assessor's map and lot number .. G ..... ....... - �F?NE TO tl Sewage Permit number ..� ,........ ..........:.... .....C:�!�.., ... Z EARN ''TA BLE. House number ..............r a .................................... i p t63q 9� 1\\ 0MPYa` TOWN OF BARNSTABLE*\ BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....In".-A ....�� .......:.............L.:.. �/1 c�l-Y�I -C.I-C 9 TYPE OF CONSTRUCTION ................../......� ...................................................................,........................ ............................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies form permit accor/ding to the following information: �� Location ......... d. .... .... .1TC .........1di.~' ............ 1_ ................................................. ProposedUse .. P 0:� .... . ........... ........ ........ .................................................. ZoningDistrict ..........!`r...f ..................................................Fire District ................. ................................ Name of Owner ( !�J ......�f!(.. N.�`�'� .............Address z S .r. .U(C�,1.1......` 1'�...l X..:........ Name of Builder l.v(C C_ a S ........Address /.-Q.. .�.5 J.! .(................................... a �. Name of Architect .................................................:...:............Address ........................................... �.. Number of Rooms .....:.... :............ Foundation ..........@.:�'�;.k�'e ..............'�:..................... Exterior .................4: :� �J(�. .................................Roofing ................................................................... Floors ..........�..... .`'�.i ..................................................Interior ...........i NN . .&0 .<................................ HeatingF. ..w....... ... .f. ................Plumbing .............. ..:jJ .......................................... Fireplace .......... . ✓r a".4............... Approximate Cost ............l.d.. ...................................� Definitive Plan Approved by Planning Board J -----------19_r� Area ...../....l.......................... 1 . Diagram of Lot and Building with Dimensions Fee F� SUBJECT TO APPROVAL OF BOARD OF HEALTHY"" ' A-C 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 ..... ........... .......................................... s Lice ........ � .Construction Supervisor nse ........ 4 NENZE, ERSTEST A=5-56 No .26891..... Permit for ..1.�..;�tq-ry........... Sin,41e Family Dwelling .............................................................................. Location .......Lo.t....9 ............ .. .... cotuit ............................................................................... r. Owner ....Einest Nenze .............................................................. Frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ......August...2.4...............19 84 ............. . . . Date of Inspection ....................................19 Date Completed ......................................19 Assessor's office(1st Floor): f j Assessor's map and lot number (/ (p o*TW E>o Board of Health(3rd,floor): ` � Sewage Permit number Bdaa9rsntt S Engineering Department(3rd floor)`. �S ' rasa 5 House number °o i639• a Definitive Plan Approved by Planning Board 19 �o Y0r • APPLICATIONS PROCESSED 8:30 9:30 A.M.and 1:00-2:00 P.M.only `vp TOWN . OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO I C ty)A Ps y ��°} TYPE OF CONSTRUCTION o as d f - C �VwiQ �3 19 g� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the folio I g information: Location 14 --rle,g��' ` cr �o�t� 1 CL07- Proposed Use '` es;c✓ �' A Zoning District Fire District Name of Owner es� C� y �"GC Address 41n --"AA-Cy Kc/- +Name of Builder �5� c CoNf� Address Name of Architect 17�� < Address Number of Rooms 3 Foundations'"` Exterior =7t �i��'C .S�' 9�S Roofing Floors 2 � � 6J9 /� Interior O r I 7 Heatingr`'` r Plumbing f �� Approximate Cost 0 Fireplace PP Area X, A 06 Diagram of Lot and Building with Dimensions FeeQ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License MENZE, ERNEST & CATHY A=005-056 No 3 2 9 9 4 Permit For Remodel Dwelling Single Family Dwelling Location 58 Tracy Road Cotuit Owner Ernest & Cathy Menze Type of Construction FRame Plot Lot Permit Granted June 19 , 19 89 Date of Inspection 19 Date Completed 19 rh Va/ae ,_ „ Assessor's map,and lot number. .. :` G� K.: .............. T��,�'��T�� ����� . y. :. 'L C �s�� t ` .FCC , ypFTNET�� . Sewage Permit number ....0./...................... � � Lp��.. ���• m d`�Q ♦� ENTAL NVIkONMC 2 BABLE, House number ...............................................:............ 39 o t1ULA TOW 0 Mix TOWN OF BARNSTABLE tBUILDING NS•PECTOR APPLICATION FOR PERMIT TO •. . +r:.. .....75rJS..L.a.-:✓�:t;/.... .... ...... . 'TYPE OF CONSTRUCTION r,r. i '• ........7.1:7............................19. E TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followingg nf-orm/ation::�(, Location ....... ., .' ......(.,: T /.`-�:I..... ....1� ! G..:�,..k.! C• .. ProposedUse ...... r. ..!: ........+...... ......... . ............. . ..... ........... ........... - ... ........................ ,Zoning District .......... ... :........... Fire District .................. ............................. Name of Owner �x/z .............Address .......OAK.... .. ........ Name of Builder ..(.Y.!..C �/ !Ur�.. !U ,r ...........Address ...�!✓' .. .�5..�. ..V.! ............... �.v. � Nameof Architect .....................................................:............Address ..................................... Number of Rooms ..................................................................Foundation ..........Y.:Cf�`.....�- ......... Cf•'`:`i� . Exierior . .:...Roofing .......................... w ia. ........................ . -Q- Floors ......... %�1 ...............................................:.Interior ` ........... ... ..4 V`.G ................................ Heating ... ..................................... ..,.........,..Plumbing ........................ .......................................... t Fireplace ............/aL�.�.. ..•...:..... .....................................Approximate. Cost ...........� �......... Definitive Plan Approved by Planning Board _____ __ __________ _________19_�� Area 1 97 S ........... Diagram'of Lot and Building with Dimensions Fee .................................... y SUBJECT TO A P AL OF BOARD OF HEALTHT:j b 0� �� 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 ..... .............. t..... : ...... � Construction Supervisor's License .............. ... ............ ��. />VNZE, EFNEST ' 26891 12 Sto , No ................. Permit for ................ ................ -Single Family Dwellin ; ...........................................g.................... Lot 9 58 Trace Read Location ............ ....... .. ... ............. , cotuit lee, ............................................................................... .........�LA)Z 4 Owner .................:. ................................. _ �t _. t rt Type ^of Construction ......Frame....••• r'' � << ✓) �, t 4 .Plot ^:....................... Lot ................................ - '`�` 6 �- Permit YGran ed August 24, 9 84 `- Date of In'spection =....................................19 �," „ Date Completed' ..6/,1 �` 11. y19 = "�. ._ dd . ` ol- .-..:, S"F. -ti,;�' _:�.^- "-�. - •.Mr, ii�a�hy,R a;:.x77 �..:. � ,:•a3 1.__�. .z1 • ..... 26891 TOWN OF BARNSTABLE. e Permit No - ( Building Inspector ash,; ------ ----- - ---- -- �eeo. OCCUPANCY, -PERMIT Bond ------ =----- ----- . Issued to Ernest Menze Address 1ot #9 58 Traeev Road. Cotuit Wiring Inspector �� f-`f �j — Inspection date Plumbing Inspector ! C.. /f .--1 � -Inspection date f`� q Gas Inspector, ,'{ � v Inspection date :F�Engineering Department. , w. 'r .�� Inspection,dateej%(fJ Board of Health �f� ':/Y Inspection'date l fir' 4Q 'l THIS. PERMIT WILL NOTE 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.- ... Building Inspector;.' ` i. F .4e.gEBy CEerlpv r T'ma 247 m NQT koc.4 rZp IN reatu ,�4 AAWI 'AS SWWN."G,*V TiMf AC,94444 &000-MAWAAACe ROTE W4,P FOR, Tiff TGIWN 0F. _ , CO,fl f41WY ,vRX-OWE NO,.,, fffeCTy4 ' ..r NOTE: NORTH ARROW NOT TO BE USED FOR$04.0 pWP05E6. Z 150.00 . 4 I. 1 ... . LnT � N N 441 _ y o y 2,-7 +1 p C CA ~ ` a � o � Z � - DiT ROAD� = O • o Gp P/,OT P440 AfOrAM6'FAVA FOUNDATION 4QCATIQN PLAN Aw iivshfil NT wove •*No /j FOR M •LD7" " T y USE OF THE N/K QA 4V, 4V. l/NPER NO -- C1RC4U�ST.INC44 A44r OFF%ICTS MBE , 460 FOR Ff C4 o �!4' 44, Hr O"wS, z• ' 4WNE � O 46Y�- 121Vf7ST A11EV/z� _ vk OF ROBERT �� . Coo EAST *rALo*olff#q "*VWA y'°.. E. RAY OND �.. -x.4sr F.4"oilrm, Am. ozs3b • Na.215�3 _ PAT , , Rya o� _. i rR RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT ��, STREET SUMMARY Trace Rd:. cotuit LAND o 5 56 C 73 BLDGS. OWNER �' TOTAL LAND RECORD OF TRANSFER ' DATE /,� BBK� r7PG I.R.S. REMARKS: G u% 9 LC 1'1260-D BLDGS. art`j AIl1 ltir.�+5 �r.... .,...>w. __......:..< ..,. _. .. a.>..,..,-.,a /3.4160, 67 "`T4' 8% .. 0 TOTAL • 7 ac LAND BLDGS. :ern Daniel J. ,-Trustee, Fern Family Trust 8-7-80 Ctf. 8246 ($6,6)0 a T TOTAL ,�//JJ LAND 1 D eN Z..e E E T �..: BLDGS. T och eLLe JV' OTALLAND >oSoy BLDGS. 0I S-Z6-82 TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: rn BLDGS. TOTAL DATE: _ LG LAND ACREAGE COMPUTATIONS _ BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPfZ. VALUE �D �� TOTAL p 1600c> �oFS0 S Y / o LAND HOUSE LOT /O - CLEARED FRONT BLDGS. REAR TOTAL GODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND G! BLDGS. TOTAL LAND 1 BLDGS. • IV% A 7. f 01 LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND S� ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET Tracy Rd.. Cotuit LAND Iry 5 57 c 73 BLDGS. OWNER TOTAL b v LAND RECORD OF TRANSFER DATE BK kPG I.R.S. REMARKS: Lot 10, LC 11260-D BLDGS. tran 01 TOTAL 85/z�J� t= c :.�dx./� �• 7 aC LAND BLDGS. 01TOTAL �:�'G LAND ing F. & Dolores K. 9-25-81 Ctf. 6887 ($25,0 BLDGS. �'p e N AMe-RICA/J BA Ai TOTAL LAND v e R A� BLDGS. '� JV O D TOTAL 01-'tea S LAND BLDGS. TOTAL LAND BLDGS. m TOTAL LAND INTERIOR INSPECTED: rn BLDGS. TOTAL LAND DATE: ACREAGE COMPUTATIONS .4o� /� _ �C //24,O_-b _ BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT y G2hd LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL Lf'7 LAND / BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. -7LAND kMAP RESIDENTIAL PROPERTY O. LOT NO. STREET FIREDISTRICTSUMMARY Trac Rd.. cotuit LAND 55 C 7�3 BLDGS. OWNER . � TOTAL �O� • RECORD OF TRANSFER DATE BK PG I.R.s. REMARKS: D.;j #$ LC 1126O-D 'LAND BLDGS Toral , LAND BLDGS. rn -ances—R --Fern._ �.,..�.. ,� .�.. .�, •_w .3--2- .:. 46! ,..110- ...,..,,. .._. $ Q.,.. TOTAL LAND Hazelton, Jean C D OGKe/T SG 10-17-77 Ctf. 2111($15,50)) BLDGS. _ n �p� TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. 0 TOTAL LAND INTERIOR INSPECTED: BLDGS. rn DATE: TOTAL r 8 - LC 1260.2 LAND ACREAGE COMPUTATIONS ^ _ BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE `r r ^ TOTAL OUSE LOT ° O 2S GW O LAND CLEARED FRONT � BLDGS. REAR TOTAL MOODS ai SPROUT FRONT LAND REAR � BLDGS. WASTE FRONT >- TOTAL REAR LAND BLDGS. TOTAL LAND • L BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND G� ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND 'o . co 0 • r - !_ — � MM U •� (0.Co Cam, N J CV L,C L — O,X (a m V CU «r 0 0 J O U �. Cy) CM, O 1 CO (U SUN .— J O N' ' N ;F 3+. ..,. _... ., _ .. r;.,. .ems!.. ., ..:-,. .. :.� ,,,,: .�,. ,. :.... _ :.�:: .: •� .-+aS..;-,. } :ti3,' a � y,. i; >aa� t.� ...r.. �" wmw.r�sfs �u�i.SMHhWpYU`N•. L, i a r W 4- i � t r+ r • - .. f , 03 ti s r LO e " ♦f r C4 », ., r - - .� ' vM N � U a) in I o � C M CO L) — cu "0 O N O. X (0 fz v =' 0) V` CU d) M O (B m r V N — J ob E - - 9 t f\= v - m - iT I ry s •0 • •i' I - _ = _ �, "'j�. 8- F : , � y. it ry :beo - - , 2-51/2" _ } LIVING AREA 199?sq R f EAstina First Floor Q , - x w : , -, .r " i •sy„ .. �.. : r . v, k 'x . _, '.s: ' J . a a ' . a , > r. ,.:, - ,. - r r - - ,. , . r r �: .,. .. i -. :: .+1 r r - n y• r t" -. F _ r - - , - r > . - .. [ w', - „� ! e4C n . v , - - .< . M1 I a .. ,, - t +. 4 t y O Ja C U • -. % �17 4 p)I. V ,, r �: , — s , ;- fL f ... 1. J N Q� ,, { t : O :(E � ' z a. Um ., +e (6' > _! Q v--: -, s, " , " I I^ .. r,•,; }- „ ,:s. - 't. — _. . C.. (vim\ �y: $. 1. : .; �' — z I. = O U as w '. fa. .... - a ,e' I1 ;.r r:. M cr a d 0) x . - e - s - a F " ,. . DECK • 1. t. a,. r ,.d ?,. a y P' k �..0 . 1�1t ,a s J N " �s{,. , - - s �. ,w , . _ _. ,. . 0 y1.. ;. r�,� , W, 1 .. .. 1 .. ,'- � ,. , u .'3, ... a.i.. , :.. # r. ,,, .. - :.,.. a 4.'. ',., �. a. W , ATH r .. n - 7 '— � -i ,; , , - � � �d I � '' . � I . r' a ! ". .. i ,. , P s-. g. .:ua. x,e a - , K ' BEDROOM : . ., BEDROOM ,°': ,sr .. �," 'ty �,:. ,.r.. , .,, ..y.,' ; - ,`ate ,f $. , r. , r ,r ,, x 150xt99,,,, h, u , s t' a ... - 'x i. }„ 4 a :� .. i. - .r -. .. { r. - , _.. a .,-..: � •` . may. .: ,, _.. .. s. - J M _ a t .as n ?.' -Cs: - « -:. - - • .. +4 . . : •, z s£ .[ . v r ». -, ,.,. a t" �, .r> . u r,, _ yF_. .. -.. .- ,,. y .. t. H' LL ; , �.� � '� "�' [�' ,.- . , m " . r :.�...� r r: , �r. '... 4... ' ., r - a., a, r. s t .. a- ATTIC " , .,- v, _ : , t - t s s a = t' " r,, v ,, -,.r r , 12-8,x # ..- . , , -- . .. .: , r4. 9 , ' . . P ;. b v. q' ,v ill �" _ ll�1. f 'a r k , .. ATTIC ` a "� �. " .. . _-_ q� , �' , _ yp', M ✓. a W "" , b Y. - _ -a S. a: #., n :.+ s l@ •k' • ,^ ;• ,.. ..- f'. : ., � 4 ,v c.,. � •y Ya' `'�'• +j' ��,� ` r .� a .., ;.:. F e , .- 3:. $. --:.. , .. - :..f , r. p" r . a 4 ,: ... � t- E: r v . , - -, r s ,. y„ *� y. 1. t,- S. O ,3t :. , - e v , ,. t " Pr... e.. •„ µ ,y. v n , ..:.r, t- , 4 ..e x� r i. p ::f ... ,. -. J -. r LIVING AREA s _ `Y r" ,,., - jr _ .* ' ; 1.; ate., t „ ',.^,: ,_ ,,, 831 sq..k- ,%a - - ,. .,• , , .. t w :: t . .{ ,. _ ,t. i #' .. - U�W,- w -`:, 1. Y . 1. Existin 2nd , oori.:, :=" , , . , L. v 9 y, a ,i _ - • x - `1... - _ r ! , „ a - ,y .. ». .. - e - r,+ Tt f , ° �... , • s - ,. 11 ,�- . y $ t• i r , „ . ^ w ,. } r ° .a. .. .. . . , - ,a C/] y , - r yr ! is . ,- ,. , ,. ,r .. , , e, 'v , , 2 my w . , a:: �' - ° .. + , t t .. , a ,,. h _ - - _ ".. • - - .. - s A t .. ., S • r I r,.. , r " .- k} • " .. « a 4', 4 4 a t. L .. Proposed First Floor` + 3'-6 3/16" 10'-8 13/16" 5•2 15/16". 10'-10y1/16" 2 2' V_1. .T Q) to , 0 c 0M0O U .— o 'v 3 J N L Q_'� v �" � O X Um O' a zt m , TA" r F QIq Ob B e 9 e]IR S ft B - B B17 l90%R 4'b 11/16" a 2'3 5/16' I rI 5'-0 3116" f �I eat o 4-4 15/16" J o `Combine hw bedrooms to - • ;n;�0 10'-6 1/4" - � Master Suite with Bathroom , uuv0 LA - A �,�� � BAD •;,�.�, 6 cn LT I - L'- I. s z«BH' :aDa ble 11 V8"LYL Header - e •.. _ Pc sled to foundation �. •. V4 Da emove Bean and Install D. ail Triple 9 1/4"LYL Flush Beam POROft I II cv ��'with joist hangers osted to Beam and Window LYL Headers- r - 12, 26' 4'-0-5/8q" N I a^ , 2'-51 and Garage m , + a DID - • t N ^ + v ce _New Front in LO Entry Roof, ` 4 p N y 2'-8 1/4"I/16" 'I'-b V8" ,. 4'-2 5/16" 6'-4 3/16" 6_8,' �• , 14'-1 1l8" 8' d 3'-0 3/161, Proposed First floor iNo'rk w Install Two windows 2-2x4 between windows r o i o~o 36, Nc0 ` . 1, 2'-311 2'-5 /16" a) LO o ` 13';10 11/16 S'-8 9/16" 10'-I5 5/16" _ c M CC) 0 - - - 2'-7 5/ J co U) � - 2' 9 3/8"2' 9'5/16" .' 16" t 4-2 — - �4'-211 4'-8 -1/16 4'-0 1/8 3'-11" - 3'-11' — o x cU m c Q.4�— UU) (n DECK. � " ADH7648 ADH 648 '.AG r 04OLv ADf 640 ADH 646 � — r a ry c — ----. -- — F a ch U J cu U') BATH ' lz. DROOMLn i BEDROOM ',•.,� - - 1 Y � ' - o - -- ——————— ,Q.= --------- ----- --- -------m --- i I m x . 1 •m r . cV - ra CV r `r.. S ,• Y.. Ln Lnr a • X; u t,CV �- _ , - v � ''" E'EN RY - - ' t. Iz s t . Y Arne m S-.4 a-co ATnG r r * e • S - - �4 16-2 5/16" 6'-1 11/16" 2'-2" L 13'y N LNINGAREA ' - ' 1FS s9H t , • * a xist0ng secondOoor ondow Mork a b '6 t' R - 17'4 —— 2b'-2" p r---.L-------� ---� . I pp O O' CV C .V N.u7 t O C CM. p U •— _ J p X" N O Q a IS I:dl I I Ceti C C =_M V.� O0) (Q I I I `---,.---------- :------ ----- U N TREATED SILL PLATE - 9' ..I L ----.— —————— -------- -I d' SILL SEALER _ - I I ' . .. . -.. L • ' CAST-IN-PLACE ANCHOR BOLT o. Lf7 N - � as"O:C. - .. I Gut and remove top of existing garage uralf- 'I. r--- -r- r'---.--_---� I - - - - I''I top belowslab ---- 2"Ancho �s I I 1/ rlBo I 12"long I I ,: - - 3"x3'Ste P ew \I '.I I i I I : :•,': .. - her 3b.,O.G.M,�JC14UMas and Nut �- -- -- -- COMPACTED SOIL V _ 8"X 46" O CONCRETE COMPACTION AS REQ. - FWNDATjON WALLI_ Existing House.Basement I `.I xQ n I I Il I _ •., VAPOR BARRIE ry ca wce I I 4 -. �• ::.; .. -. �'..I is i I ..I a nd Foundation ` I I � v� 4"CONCRETE SLAB 4"BASE SAND I.' OR SOL L I I I I II .. • _ - . - . a-cRAVELeASE .:r I ; t sM»o, P COMPACTED SOIL ' L -1—LI _— CONCRETE FOOTING . Expande 1 rage--�/ 54" Garage Foundation Wall . •• '. I I .* i .' - . I r I - 1.----J Scale'• .. W. I ( . I I I C -- — — — --------- �-1 .. Y .. :. 1l2' 1 t�l . . - :2b' .. ,f 4'-05/6" 24'-113/8� I 131-03/1b" • " New Front Entry Footings 12"50notube - - ' . . 30"Bigfoot footing 48"Belau Grade „. to - - , O F -- z - - W W r A'. _ r t N V' y • - N 1 p C: CM00 U r _ J Co � C-- Y � CU o a _ CO CU C CN ob •a/ V�/ r ' t 3 1 , a. '# JJ s l II r s _ , 55 r ttt 3 � t• i J , i F } —x • x wear Eleva-ti®n : F �• � � - - � . ' � •. � � : � •� .o � • . . CV r " A - O .. w CC C - w o � U N N � O C Cl) O U M CD 0 N w JNLO Q•— O X CU co � V w . 'K t r ` W E LO w g 3 t a t I / o r , r • y i r e I f.. rnS�. LeffIeVatlOn _ L N O' W ; CD ,+ r O ch co m CO p NLO Y , x • Tt� M O c v y .--�• + 00 — V �C ,.i cu • - - � ��� tea,`�: qE .t �l.'�' '�a'�'e � -. .. — r T. �m , t: - L. , . m's n•-esr�m a-ees� �? f. w i Cp Right Elevation - . a 1 -0' '� r , • Pew® - - Simpson S16 Straps 2.12 Ridge Uy r , N = U . r - over ridge at each rafter - _ 'T e ' • 2x10 Rafters M (D C) 0 1/2"cox Plywood sheathing J N • r ..,..- .r 1 15#felt.paper.. , Grace ice and Water in valleys CertainT Architect X. • eed r � U ' rI• --.. - _ '. �. rafters in ... I""' y�-r � � r - 2x6 Collar fies every rafter. , ' double 3/4"CDEX Plywood laminated Yw `arches attached to bot _ 1� ICU y and collar fies - Ch 0 Simpson H2 Hurricane Ties each rafter to Beam - - - •� J - a _ Jam• _ < .. _ a .. C) � H , Simpson AC66 Post Cap.to Beam ------------------ .. .. ... r , • �"t.. L _ ,` i • 1 Simpson AB66 Post base anchored to concrete a . a _ .. .. 2"Bluestone-� '. 1 r _ i. -, 61Concrete slab.oofihg - 24"bigfoot footing with 10"concrete filled sonotube - - - 48"below Grade to support 6"copncrete slab - .. for platform and steps � r,.. a Front Entry Cross Section F-r � r _ (y E �p� b r mOb o F 01 o x �cu m cu ` + } cu' Lo f ° E .� N 101, LFEL im l , a, I f . q s- e # + , ... p- '... _ - ..q+ .. , !♦ .q. .N _ I,, .♦ me a.n;.»..,. wrw..wen , a. , , f _ .F. �r M � l,• gt i, ry� W ROM I n { r , x : ^ RYRYRY6�' t§1 FFF _ MMIN t , r ' `s X x C xpa�nded Garage Gross Section s , R} , s _ O c ch o c.> g t [ F J N Lo Q — sY,< `caVo jjf is i j •�, `- n "� ri - 'p _ gf a (B , .r t }- ' - t I y LO .. r a i • F F �s v fy k , • — a g I S r, d- ifs 3 ip �I x z R n a ; .. s , t • � 3 j 9 q _.: rriio'L-�iort=,):I 11 I ,. :�:"Gstcr� � _ f � LO Exh sting Rit h e t 5id ceilin ' Beam i f Location 5ectoon I COTUIT v UTILs PARCEL ID: F , / N6928, o05./55 cQ / 0���� TRACEY ROAD LOCUS . r o 57.3' 7' , Q - . . E , o \ q Y pQP � gP O s o �, . ' oN R { �• �`:� 0 5 LOCUS MAP ` ,x r r/ /. --.,ELEC. . PLAN 'REF: LGP#11260.,D � TITLE REF:'-,CTF# 195424 PARCEL:ID:� MAP 6 ZONING: i :r RF SETBACKS: 30,F,— 15'S - 15 R, ` ; i r WITHIN '1`MILE WIND DISTRICT: r EXP. B 37:6� , .- - _ _.• ..z. ,, ./r = , .../i `a ••, ..�.;µ. MAX. 'BUILDING HEIGHT: 30 �U WATER• » „ _. i✓. ''/7. . o FLOOD ZONE: X- - V: 'COMMUNITY-PANEL: 25001C07.52d DATED:07/16/14 / • � < 45.3 � k b' /. /r i 3 BEDROOM r/ r ,. P P a .. -,. .t r, , '' // + :,'"/ .., .. . tq x.p°• r'-I Ida" x+ DWELLING ,x / .,. , GASµ - CERT1 FI ED' :L-OT� LAN s ov s V R GARAGE ADDITION ATE L • „ _ ,. `5 58 rTRACEY RO AD, N r ' COTUIT MBA. r,rr. rr >s SEPTIC PREPARED, FOR $. }PER 'TIE CARD GUYP. JOLYN . NM : . _ LU I ` e R r o '# A o / c PARCEL 'ID: , w .05 56 .: . PARCEL ID: a SIP AREA=20 250f 05/.18 S. k" tN _ . '. oaf yGs , - STON - s E� NO 2 D. LA = big °o M`acDougall Su y 8cAssocidtes GRAPHIC SCALE �3w - k P. 0. .Boar- 2428 20 0 10 20 40 s0 s oo M a s h p e e, M a y:�f 0 2 6 4'9 PH. . . PARCEL ID: - fax �508�419—ibd6 508419-1087 IN FEET 05/57 ° 1 inch = 20 ft. 04 ` . macdougallsu vey©com6ast.net „. .. . . SHEET 1 OF 1 •_ � 1`756,e' : v. u