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0086 COTTONWOOD LANE
110 I IR !M`B,,'_ Z 51 trio M-1 W7 mMm fq 11 I p "1 0 134111 !YAD xy, 2 Z4.1 W'1,11,� 'S Wi IVY,, m U,Wji; TT�EVIIAM JIM r NE Kq IN """K NO 'v vp Fli Vm R�E W, n? YOPK, y4l 2 iNV 1 folio 103 two Not Q 5 fN d"I R Ann mom ,of amw nIN A" F" 4"i"i", g V,o -al. "A' anx A.111 N—"1 11 MEN �PIYA f,4 N.!.1,p g gg Vg ��AA45 "W114 1 1. V-1 ou _MW RE FA�i rl am"" pmh gn �As pT -�,mj ", Vt_"4"x 'Tk ARM 0291, EWE, , ,I tMI, am"y"g, 4'.4kli Ell' ®R; Ell UVNI PAN Is NUT OR Wk 44, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel J Application �� Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee 5Q• d Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board J CAPA7 Historic-OKH Preservation/Hyannis Project Street Address S Cdf fiorJ W�� LA+�Je Village C_O_..tC�'��JkLLC5 Owner; F '�P" Address c�`3C� (:eTmt-�wgop JA�dOE� C cae- Telephone _ �-- i�1 Permit Request SL e?z>t_2 wENyA LA—ru 1�_' , Square feet: 1st floor:existing �`�� proposed 2nd floor:existing proposed Total new Zoning District i Flood Plain Groundwater Overlay Project Valuat' 00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2"' Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic House: ❑Yes Oho On Old King's Highway: ❑Yes Basement Type: ®'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ff Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes U<o Fireplaces: Existing D New Existing wood/co stove: Yes WK Detached garage:❑existing ❑new size 00 Pool:❑existing ❑new size Barn: isting O3ew size Attached garage:m existing ❑new size Shed:❑existing ❑new size Other: 77 ry Zoning Board of Appeals Authorization. ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# w Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address e CyT[wwC0 iJ C_+15 License# ceL,a't2sJ t LL 2>Z Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE1��" jre FOR OFFICIAL USE ONLY r i PERMIT NO. ;= DATE ISSUED a - MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL f j FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ) 1 Y �S' °F,►+Er° Town-of Barnstable P °^ Regulatory Services sasrrscaece, x Thomas F.Geiler,Director y Mass. $ . Building Division Tom Perry,Building Commissioner 200 Main Street, .Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date AFFIDAVIT HOME MROVEMENT 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 W01k:15 lt4TAVF. ILl; Ao� Estimated Cost Address of Work: 060 Cca 01--)w6a 0 V?�l..tC iuTb2tJ c l-t,C Owner's Name: 5 GIG- c5'i Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QBuilding not owner-occupied [owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE . ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OP— Date Q:fc=.-homeafiidav z-ame�szxn(soatnsns� . . pr=Criptivo P,4mgd for Gae sad T'i►04=01'Ralaentlal Baildings united Witt F PI I'pels ' i44.AXf 1HiJ14'1 AiIN1Mtl1►g' OIL-dug Glazing Gelling Wall Floor Aasamrat Slab 'HeasiaglCooling Area'Cle) U•valae= R-vala ' R•valu®4 R.Yeluc4 •Wa11 �peslra�t Egolpmeat EfSdency' ' e &values R-valuel Pal 5701 to 6500 Heating bcgrer Do 0.40 33 I3 19 14 $ Alarmsi i2�a Q52 30 I9 I9 10. 6 Nonual R . ,'H- 12% 0.50 31 13 19 10 6 I3 s 03 b 38 13 23 -NIA polA. No=zl• T ° IdorasaI ' 15% 0.46 33 19 19 10 S 15°!e 0.44 31 13 11 NIA,' NIA U AFUE N 15% CM 30 19 19 10 i U AFn 7g 13% 032 31 • 13 21 NIA NIA Nomial Y I3°r. Q4Z 39 19 2R N7 NIA 13ot Z � lg°fa Q,4� 3S. 13 i9 IOi • S 90AFV E Io°1° 0 30 34 t9 19 14 6 9;f ARM I. ADt)RE5S OF PROPERTY. ('�TCb�IW062 SQUARE FOOTAGE OF ALIT EXTERIOR WALLS: 3, SQUARE FOOTAGE OF ALL GLAZING: 4, °/® GLAZING AREA.(#3 DIVIDED BY'42): 3, SELECT PACKAGE(Q m AA o are chart above): 0' OTHER MORE IN-TOLVFD NMTHODS OF DEiERIMCNG ENERGY REQMFa ENTS ,ARE AVAILABLE. A US FOR THIS INFORMIATION& BMI)INCIT EPECTORAPPROVAL: YES,, ri0; �_r�s�flQ4343a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street W= Boston,MA 02111 M s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �£�1 Address: �C� 'GaCt�J W 02>0 LA- . — City/State/Zip: C', Vu.i� o 32- Phone.#: 8 : �— `�3d � Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. New construction . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. D46—modeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h' 9. ❑Building addition [No workers' comp.insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions 3.�I amain a homeowner doing all work ❑ g P 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..' 13.0 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. lContractors 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.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year 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 certify under the pains and na 'es of perjury that the information provided above is true and correct. Si atur : Dater #: �`5 ��Cd Phone ' � Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Information and Instructions n Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced lacceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract fu the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(City or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Departments address,telephone and fax number:. The Commonwealth of Massachusetts Department.of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 vAw.mass.gov/dia ppiME Tp� Town of Barnstable yQ' Regulatory Services = BARNSTABLE, = Thomas F. Geiler,Director. y MASS. �,, 16,9• �.� Building Division TADS Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNIR LICENSE EXEMPTION Please Print DATE: I Za L0t- )OB LOCATION: &(P WC:CO number. street. village "HOMEOVdNIER": E�9516 I� -Gi'- 't)3—<3(.Z— rj(p630 YC 00 name I t~x home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include mNmer-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 HOMEOtivNER Person(s)who owns a parcel of land on which he/she resides or intends fo 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 Of that he/she shall be responsible for all such work performed under the building permit (Section 2 09.1.1) The undersigned"homeowner"assumes responsibility for compliance-with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned."homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and req�ent,,. Signature o Homeo Approval of Building Official Note: Three-fainily dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOVVNER'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 1 C9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a per sons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeov,,ners who use this exemption are unzwure that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction-Supen6sors,Section 2.15) This lack of 2v-areness often,results in serious p,ob)ems,particulz. when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would v.�th z licensed Supen6sor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require;as part of the permit application, that the homeo•,�,ner certify that he/she understands the responsibilities of a Snpenrisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fo—certification for use in your community,. Q:f orms:homeexertpt r -. t S�jtC�1 a I I �.vn- i p all,obo jk cd 10 • i i I I I � � 1 I ! _ � j j i � � � , 1 is _� • o �� 1 i I fi r` a t � I I T • .� Town of Barnstable *Permit 31 „ m Expires 6 mon is rom issue date Regulatory Services Fees J U N _ 1 200e Thomas F.Geiler,Director Building DivisionTOWN OF BAiVSE y CBO Building Commissioner Tom Perry, 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 07 L4 �—oC>4 Property Address b-l `�q'� �'� rA P � ' 6 Minimum fee of$25.00 for work under$6000.00 [lesidential Value of Work 3 Owner's Name&Address S X-5 �11 : b tO I,/ Contractor's Name �q•�V— �`1�'��5A Telephone Number b Oreb o��yb Home Improvement Contractor License#(if applicable) AJV., L-19 Construction Supervisor's License#(if applicable) Vorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑�lI am the Homeowner L� hhave Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy Copy of Insurance Compliance Certificate must be on file, Permit Request(check box) ❑'Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must si rop ner Letter of Permission. A c of th me rove n tractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 L JA The Commonwealth of Massachusetts Department of Industrial Accidents WE. tl Office of Investigations a 600 Washington Street Boston,MA 02111 5� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 'M p Please Print Le ibly Name(Business/Organization/Individual): . V ' '�] e o Address: City/State/Zip: C��� Phone.#: ��� D �A Are you an employer.? Check the appropriate bog: Type of project(required):. 1.L� I am a employer with 3 4. ❑ I am a general contractor and I 6. El New construction . . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ . 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 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 MG 12.�oof 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. IContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or notthose 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: JI Policy#or Self-ins.Lic.#: c� t�© ��� Expiration Date: f I c'� 49 Job Site Address: e��� I^'� ��' �'�� City/State/Zip: 1 ,*4 n w5 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 c era e verification. I do hereby certift Si and the to enal • s erjury that the information provided above is true and correct afore: Date: " '6 2 Phone#: &J-I (P Official use only. Igo not write in this area,to be completed by city or town ojjccial. 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#: 'L .e Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express 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 bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their selMnsurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Sile Address"the applicant should write"all locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e, a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. :4 617-727-4900 ext 40.6 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.go-v/dia � A.Z. 9K. 27 #[[ MARK HERBST 35 PEEP TOAD ROAD CENTERVILLE MA 02632 ��� 508-420-6216 CELL PHONE 774-238-2938 RO ITTED TO: WORK PERFORMED AT: Judy k , 81 Cranberry Lan SAME Centerville MA 02632 508-778-2263 We herby propose to furnish the materials and perform the labor necessary for the completion of the 1, following; New Roof 4 Remove 1 layer o existing shingles " Install 8"drip edge Install ice&water shield at edge Install 15 lb.felt paper Install certainteed XT 25yr. algae resistant shingles color= grey-frost :• Replace plumbing boots Cut ridge&install cobra vent Storm nail all shingles + All debris cleaned daily . 3 Price includes material, labor&dump fees All material is guaranteed to be as specified.The above work will be performed'in accorandance with the specifications submitted and completed in a substantial workman-like manner for the sum of; Three-Thousand Six-Hundred&Twenty-Five dollars($3,625.00 )with payments as follows; full amount due upon completion *Any alteration(s)from above proposal involving extra costs will be added under a separate written agreement and become an extra charge. RESPECTF LLY B TED: L� 05-18-07 Mark Herbst k _ ACCEPTANCE OF PROPOSAL* The above price,specifications and conditions are satisfactory. We herby accept this proposal. You are authorized to do the work and payments will be as specified above. a � tr > Signature iLek Z *Phis proposal,nay b withdrawniiA said company if not accepted within 30 days t �i 31�86 A Assessor's map and lot number "It HE Sewage Permit number ................................... 3 STIIDLE, House number .......110 e4 VAG& ... ........... 1639- D MAI TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... .................................................................................................. TYPE OF CONSTRUCTION ......... I............................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......................... ............ ..... ....... . 1��cfe ...... 7�r�.,'..� Proposed Use .............. ..................................................................................................................... Zoning District ............... '49.... ........................................Fire District ....err ...... .............. Name of Owner ...... ............Address ......k)ii� .............................. Name of Builder ..... ddress ....... ......................0....................... Nameof Architect ..................?MAM0.................................;.Address .................................................................................... Number of Rooms ..................................................................Foundation ..... t7:-.'.N�.CZ..................................... ooe Exterior ....... ...... . ................................Roofing .......... ... ..................... Floors ......... .................Interior ............ ................. Heating ......... C-/........Plumbing ........... ...... .................................. Fireplace ............ ......................................................Approximate Cost ..... ,7/71t, ............ Definitive Plan Approved by Planning Board -------------------—-----------19--------- Area sr ................................. Diagram of Lot and Building with Dimensions Fee ........ ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............ ............. ROBERTS, FRIEDA.. I. A=252-lDl No .22632... Permit for ....One Story Single Fami. ...ly Dwellin. . . . g................ .... ..... .. . .. ....... Location .Lot..#16. ... 5 8. ... 6 Cottonwood. . . . . ...Lane .. .. .. .. .. .... .. .... ....... .. .. Centerville Owner ...Frieda I. Roberts ............................................................... Type of Construction ........Fr. a.me..... .. ......................... l« . ..................................................................... Plot ............................ Lot ............................... . y t October 31, 80 r Permit Granted ........... a........................19 ' Date of Inspection ....... .........................19 Date Completed .............:........................19 PERMIT REFUSED ..................................... ...................... 19 .................................. .......................... .................................t.............................................. Approved ................................................ 19 ................................................................................ ................................................................................ A: sessor's map and lot number F.......-.. Q�OVTNETO� 80 '� Sewage Permit number ..:.'�.;� ,5.................................. f SEPTIC SYSTEM [��1� S i 6M MUM = BABBSTAKE • / House number er- r INSTALLED IN ��i �Ll �Aa ......................................... ....................... i6 \��0 ITH TITLE 6 O�a YPY Or• TOWN OF _ BA ' DE ; ONS BU.ILDIH•G INPSPECTOR APPLICATION FOR PERMIT TO .....AFC4/. X. ...........................................................................................:.......... TYPE OF CONSTRUCTION ........,!*L�, c f..... 4r ................................................................................ . ......5oem./C:v.....l�.......19.��.. TO THE INSPECTOR OF BU,ILDINGS: $ The undersigned'hereby �applies for a permit.according to the following information: kvLocation ..........................S.ss �tl�lJc�ca�f. fz .......` ............0001( Proposed Use . 9 � Zoning District .............. ..............................................Fire District .... ........ �'rt..z:a� �........... Name of Owner ...... ............Address ..... 6 t?�Jli..l��.....�Q?�?�............................... ��Name of Builder ..... ..r... .. ./' e1f'.. f/. �w?. �,yffAddress ....... .J. i:�.` c. ................................................ Nameof Architect ....M.4+filss^.............. ....Address........... ............ .................................................................................... Number of Rooms .................. !. ......................................Foundation .....16........ ..................................... /; Exterior .......LSD. .�ZGf ...1/ fl cJ�................................Roofing .......... .., �7.1 -C ...................... .......1 '. ... � e�r:;.<.?....-...�&3�7,t/.•f..f................... Floors �a/�.�'�..�............................................... .....Interior ..........�. � S Heating ......... ..........................C�a l'.f..C:....1J �?� i°C' ........Plumbing............. ./.l1La.:... ►'�.�................................. Fireplace ...........,%.)/..`A4.1.�.................................................Approximate Cost ..... tea.. .ji...... j / - —.1/ a . Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .................................. .....s� Diagram of Lot and Building with Dimensions Fee . 7 SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 ?c �7 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. q� r �� �,/J �, j Iv e — Name .... . a.,E GGd /�w:............. r ROBERTS, FRIEDA I. Location Lot #165 .86..CQ CentervillQ Date of Inspection 19 PERMIT REFUSED .--^^^..._.^..^...—..^........^.^....^^..^..^... ' --------------'^^^'' .. ^^ -' / ~ ' _ SllYsl.C. �AMIL`1 - FSIE:DZ0 A "4 ' l..,t0 C-+Af7_7AC E �-rCI�.1t��1Z, �EF''Tt G 'f'A�i{� � 3`7o r IcjO % • ��ly.P.D. USG' lOGO 6�4t_, 121SP05AL PIT - USG IOC GAL., lep/ 16' h�iNCXJ. G / >.' uEwAl L Aet A = (5o s.F. ' '' i��o S� �� � '2.S + 3�IS G.P.D. lvU°v � � (� �L��'��L�c►t Pl1' i Eat-I-om A.tz�_ � sr-. n+ l oc->o GAL ToTAt.. vG�S{GN = 425 ToTA t_ 't)At L'-( F•LO%.V = 33D mow. t zcot.eTloU rzATE : ,"tv I-M,Q o N 3 t a Vj ` Will ttb/W �� /Q 00 i m y J NE: 'I �> �. tIa334 ,•0� 1�a ��,� �� ' :51 t;�` /+ . , .' . L��J•��/U t�l.J CXJ� �/"r/�C� - f +� C 06 r- s.. 1 �jT ��Z✓ � 1, TOY rr'.!{> s iOG.p ti 98 it1V• ; LIT" d r Z tuk -aox IJDp 91, A GAL.. 91 t et7�3 S3� LAN . ' • ;; . ' ' p PIT w WAS►1ED r. Pt./>hI P r--O'F--t Li- F f G M Iz'r l 1=14 T$4 AT' T t-1 C-.- PL A R L F : '_ t�F.t�t_r.�t,1 Gc�LPt-.�lS WI'i'1� Tt-1�.: SIDE.LI►-lir �GT- 'L �c� '' ' A.t.1ta `;C1'l_',ACI` S'CLJ,.II�EMGI•.1Tti of T.►-af~ . . ?o w U or= t ILZUSTA 1... 2 Lit . ... �•• Z U, s CjA.'tG V-),23 ,� ! ::t=.GtS;c:_t:r� i.�lt.:c:> 5t:2v``�'•=:ct.� TI-Al5 I'7t_AN t LJoT 12,A,-Sr--V 0" A W t o�zEe��l..l.� twe rzii,^L_N; -e,uc_./t_�s' ;� TE{ts: or- r,1401 t_n ((�APP't I_ At,.I"t" U<>C�� F �� :�t_e�4l►►dt - l.o7C' lettit •, — Q•�1Z"t1-�v�Z 1,Vil.l.{dMS TOWN OF BARNSTABLE Permit No. ----------—. Building Inspector Cash EMS DNAA." OCCUPANCY PERMIT Bond -----__ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. ................................................... 19..._._ _ ..................................................................._._................ w._.w._. Building Inspector Town of Barnstable a'` *Permit# m Expires 6 months from issue date Re��g,�,u,latory Services Fee �6.7 I )(Z 36.00 Thomas F.G'eile ,Direeto Building Division X-PRESS PERMIT Tom Perry,CBO, Building Commissioner ��� 200 Main Street,Hyannis,MA 02601 I AUG 16 2006 www.town.barnstable.ma.us Off-i $62-4g031%*nWL&RNIIT APPLICATION - RESIDENTIAL ONLY x: 508-790-6230 of Not Valid without Red X-Press Imprint Zap/parcel Number roperty Address (® o� l �x)o D �^i� -tab cJ"1 I >u i E 11�. B 3 1- 21(esidential Value of Work�T ®. lc Minimum fee of$25.00 for work under$6000.00 )wner's Name&Address f 2-5. Fk I ed a R®be1-i;S A l e ig Ju hi,s ,ontractor's Name Telephone Number lome Improvement Contractor License#(if applicable) ,ons rvisui icense-#{`ifaPP ]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ['I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Norkman's Comp.Policy# 2opy of Insurance Compliance Certificate must be on file. ?ermit Request(check box) s [ Re-roof(stripping old shingles) All construction debris will be taken to 6 1,66� OtA ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Con ctors License is required. )(GNATURE: Y t- �\ " Q:Forms:expmtrg Revise061306 i ne C.ommonweatin aj lnussucnuseccs ' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Elects icians/Plum]bers ,Applicant Information Please Print Legibly Name (Business/orO�T7aton/lndividual): Address: _ b�o IS- c�J(Y30 Lhi °� t5�3a sty/State/Zip: pJ-h i y l�-P._ 01)9. Phone#: Are you.an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6 New construction employees (full'and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7. © Remodeling ship and have no employees These sub-contractors have 8. [) Demolition working for me in any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10•❑ Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0?Cof repairs insurance required.] t . employees. [No workers' comp.insurance required.] 13 ❑ Other 'Amy applicant tbat 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 lContractors that cbeck this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and ob site information. Insurance Company Name: Policy#or Self-ins.Lie. ##: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment as well as cis id penalties in the form of a STOP WORK ORDER and'a fine of up to.$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.S% ature: /" ' /� ' Date: Aac .. Phone#. r®$ 7 Official use only. Do not write in this areas, 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 Iaspector. 5.Plumbing Ianspes �r I. 6. Other Contact Person: � Phone r: Town of Barnstable Regulatory Services Thomas F.Geiler,Director . BA"Nsrnai e, Mass. 9 1659• A Building Division ATFD MP't Tom Perry,Building.Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print C � /fTION: � �� p'M vy i I``Prnumber street village NER": �Ie01� �Ci� S 56T 7? i �'Z�' u�� -name home phone# wor phone# MAILING 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,-rovided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family'dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that 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 person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community: Q:forms:homeexempt Town of Barnstable �FTME 1ph, Regulatory Services gyp' do Richard V. Scali,*Director &UMSfABLE. ; Building Division BARNSTABLE MASS.9C �F 0 S M S v ER FM S 1MiH 8 F� 1639. �• Thomas Perry, CBO 1639-2014 ATfDN'°�p Building CommissionerDg 200 Main Street, Hyannis, MA 02601 www.town.barristable.ma.us Office: 508-862-4038 Fax: 508-790-6230 June 1, 2.015 Steven Janney 86 Cottonwood Lane Centerville, MA. 02632 " RE: 86 Cottonwood Ln., Centerville, Map: 252 Parcel: 151 Dear Mr. Janney,. r" This letter is in response to application number 201502419 submitted to finish part of the basement at the above referenced address.Unfortunately,the application can not be approved as submitted because of the following: 1), The basement as submitted does not provide proper emergency escape,and egress as required by 780 CMR(State Building Code). Do not hesitate to contact this office.with any questions. Respectfully, reaka'`�-- L.Lauzon Local Inspector jeffrey.lauzon@town.barnstable.ma.us (508) 862-4034 N� oS LESS ��°`•. Town of Barnstable . Regulatory Services WAM Richard V.Sca%Director 1639. ►�� Building Division Tom Perry, CBO,Building Commissioner 200 Main Street,. Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Building Permit Procedure for Residential Addition Or Remodel Or Dock ❑ Determine map and parcel number and enter it on application. ❑ Historic District Commission,200 Main Street,approval required prior to construction/demolition for any properties located in a Historic District: • Old Kings Highway Historic District(north of the Mid Cape Highway) Hyannis Main Street Waterfront Historic District(See map for boundaries) • Historic Preservation'(if applicable). ❑ -If ZBA relief(Special Permit or Variance is required for Project): ❑Copy of ZBA decision . ` ❑Documentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date ❑ Approvals from the following departments are required and can be obtained at 200 Main St.: []Health Department (8.00-9:30 AM&3:30—4.30 PM'w{as of March 2nd,2005} ❑Conservation Department (8:00-9:30 AM&3:30-4:30 PM)- ❑Tax Collector {can be obtained from Building Department} ❑Treasurer {can be obtained from Building Department} ❑ Permit must contain complete owner information,full description of project, correct square footage of project,valuation of project(do not include hvac),building detail for Assessor's, Office,complete builders information,including signature and date of application ❑ 5 sets of reduced house plans measuring 11"x 17",scaled 1/4"=1' &fully dimensionalized are required. Plans must include a foundation,cross section,framing schedule, insulation detail & floor plan showing location of smoke detectors(located with a Red `S'.) ****** IF USING ENGINEERED LUMBER AND/OR STRUCTURAL STEEL,ENGINEERING. DATA AWST BE PROVIDED"."" ** ❑ Plot plan or mortgage survey required for any addition. ❑ Workers Compensation Insurance Affidavit form must be submitted for any workers hired.-In the event the homeowner takes out the permit,subcontractors hired must supply this. Copy ofInsumnce Compliance Certificate must be.submitteC' ❑ Mass Compliance Checklist ❑ Construction Supervisors License&Home Improvement Contractor's License OR ❑ Homeowner License Exemption Form must be submitted if homeowner is acting as general contractor or builder for the project. ❑ Property owner must sign Property Owner Letter of Permission. ❑. A NON-REFUNDABLE Application Fee must be paid upon receipt of application number. All checks should be made out to the Town of Barnstable ❑ CEMWgEYS: Need Home Improvement License,no plot plan required ❑ PIERS AND DOCKS:Need Construction Super License AND Home Improvement License. OWNER CANNOT PULL OWN PERMIT. ❑ Projects requiring the use of a crane must complete the forms issued by,the Aeronautics Commission Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I I Application # a d S-6 of q Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis `Project Street Address CcTTorJ W o09 (i}tN C= Village Ci�r� ►i�t�� Owner SI-eveN Slot. AiQQ L---v AmcQz- Address Telephone 5bt3-4gL1- '::KY3 Permit Request 'q. JA1A2- =�u.en=i fffLCC /TL/ (L1 .+v� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1 2,0-0 Construction Type Lot Size Grandfathered: ❑Yes If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ I i-F it # units) Age of Existing Structure Historic Houv/ r Y ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing e Half: existing new Number of Bedrooms: exi ing ew Total Room Count (not including bath xisti new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ lectric ❑ Other Central Air: ❑Yes ❑ No Fireplace Existing New Existing wood/coal stove: 0 Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑;keacJ'sting 0-new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: el Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ =3 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use t APPLICANT INFORMATION (BUILDER OR HOMEOWNER) CName ,1^aJiJE -�' ,SICAT±D> olephoneNumber %ddress'ti 19� C®�0Nwo� �e License # (,ON—k mq►L' ; Mpt 0?,o3Z Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �SIGNATURE - DD TE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION is Map Parcel Application # c � �(� C301 Health Division . Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 60-c-r o�,J w ooi> b m j L. ` Village f, -,tQ V ViL4 . Owner "tt-yr 0 1CA Address Telephone 5Z)3-3SLl- ISt5 i Permit RequestIr*��r�in f> +1 �i� � �Orl� � t1.i"t-y }�( `L:. ''tN + �� fi'(C U ! T V �i)o A- .,J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District 'Flood Plain Groundwater Overlay Project Valuation 0 l Z-oo Construction Type Lot Size Grandfathered: ❑Yes L No k if-'es,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Mwlti- wily`# units) r Age of Existing Structure Historic Hous V�Ysg{i No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ t or t Basement Finished Area (sq.ft.) / Basement Unfinished Area (sq.ft) Number of Baths: Full: existing ew Half: existing new Number of Bedrooms: o exi ting _ ew Total Room Count (not including bath existi g new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other ❑Central Air: Yes ❑ No Fireplaces. Existing New Existing wood/coal stove' q Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool:.❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ t Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use = APPLICANT INFORMATION x` (BUILDER OR HOMEOWNER) 0 Name ►(a ^1> cTelephone Number 509- `t`�` � I Address R(o eo°IaNwo¢o L,�tZ- ,. License# a-VV I U7,C,3 -- Home Improvement Contractor# Email Worker's Compensation # `SALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE G � � DATE .f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Dept affndurfridAcrhkatr office a-flnvesffgatronr ' 600�P¢rlririginn Street ' Bostm4 AIA 02rrr - _. fvNnvrrtasrrgo�Fia Worker's Compensation Insto'ance Affidavit Btalders/Consracbrs/IIec dciandPhunbers AUtlIicant Informafi6n Please Prmf'Le��l�v' - � Aaaes: NJ� LAKO - Gity/5`[ WZip- (6V►'dw i u t AAr OZ-&3 Z " Phca�. #: } �— emu( t�oMk- Are you an employer?Check fhe approptiafe bwc - r7. [l of project(regaYred): I.[] I am a employer wig 4:_Q I am a general co�ctw and I" aatplopers(RE Had/or part fine).* have hired the New=mkocgm 2-El am a sole propmetor or pm•tnm--- listed on the attached 6v-t Rsmodciiag ship and have nomuployees These sban 8• ❑DerooIiiinn w013emg for me m my capacity tmployeos m dhave wo&s' p,,,�d;, I - S. We are a corporat m and its 'I0.❑Blectdcalrepairs or additions 3: I nm a er doing an work officers have mmrase d 1heir I L[]PhrobingmPairs or additions myself [go icakmecamp. ri&of==#MperMGL 12-ElRoofrapairs insormmce rcgd1Cd-I t - o.IA§1(4),and we have no cam.insurance regoiimd-1 *Aup appTicm ttbnt ehcrls bmc#I mast also fM oatthe=cfioa bcbw showing feu wed=&eampeas,±iaa Pot iadm2fioo- t Eamewmrss who sabmittbis nftldapit indiratiag�Y ate doing sII woa9c aced ihca hue outside mast ssbmit aae4y aiadap$iadi�gsnch.. thatrT, lis box mast at�ebed ea edditi=7 shedshowmg ibc asap of the sab-c�=mzd shy h- zLn ar notibose d iCdi hate cx�lopees.If$e sab-�a hm et�layec;they m�lavgide their wraima'comp-po>iep a¢aobcc ram arc mmp&ym that is pr0pjze g Nark==Barr pessr�inn uzrur�rre for ary ur�toYees' $ela�p it the pa&cy aced job sties" it for7rro�on, ; _ Inmmm=Company Name: Policy#or Sclf-ins I ic-#: FFxp -dfiMDafe: ' Tob Sift awoos.CAN - C iy/S`tate/lp: CE t� � , Mtn dZ652 Atta h a copy of the workers'compensation porky declaraficm page(showb3g the policy number and e4&;tiori date). Fmhrc to socore coverage as requhrd ender Secfum25A ofMGL o.152 cam lead to fb o imposificm of c1fininal peoahics of a f=MP to$I,500.00 mxVcz oae-year io m" r=e t as wen as civil penalties in the fb=of a STOP WORK ORDER and a fine of mp to$250.00 a day against the violator- Be advised that a copy of this St8t=cat may be fnzwaIdcd to the Offim of laYm igedions of the DU for msmanm co m ge vrzificadom I do hereby catfy under the pacers a ndpercaitiec a rperJruy that the rz provided ova ir&uz and carrert AA - I Phnme# ' I FF pkted by city ur fmm q0uzaz II:ority(circle one): He2n 2 BuilfuagDepartmeut 3.CfylTown Clerk 4.MeebicalIuspecinr SLPltzmbing7nspednr ,oa: Information and lastructions ; M&s.wcfruseffs Gemral haws duepte r M reggaes all employers m provide worker'compeossatM fza-then-=:PIoyees. Porsuantto this statoir,an milky=is defmed personm tim service of anaft=under any coact oflhfi cxpr=or implied,oral crwrn-ten." Au.ea�pToy@"is defined as"an partnership,assoccaiiom,corpon�ion or ofhez Iegal eoi>ty,or arty two or mote • of the fiuegoing engaged in"Joint eotcrprise,Had iachrm the legal mpmm ib ives of a deceased employer,or the receiver or trustee of an individual,per,association or other legal a tity,employing employees. However the owner of a dwoIImg house havnngnot more than fhree aped mew and who resides film min,or ffie DCCDPBnt of the - dweMag house of another who mo pbys persons to do maitenence,construction or repair wont an such dwelling house or on the grbtrods or building appurtenant thereto shall not becanse of such employmet be deemed to be an employer." MM chapter 152,§75C(6)also Stairs that"evaystate or local T.Lcensing agency shall wWLhoId the issuance or renewal of a license or permit to operate a business or to construct bnz7dings in the commonwealth for any appli=twho has not produced acceptable evidence of cdmpliian.ce with the inset ante.coverage regIIu ed-" Additionally,MGL chapt z 152,§25C(7)states`Neidw the commonwealth nor any of its political subdivisions shall ...... enter info auy contract for the pmrfannanee ofpnbhr.woidcnntI Rcu ptable evidence of campEAnce,vMh the msuraoace.. regvn-euie 1. ofthis chaptmhave beesp=cmtrdto the cm±m;img anffioiity." A ppli=r s Please fill out the workers'compensation affidavit completely,by c1mcking the boxes&at apply to yobs sitnation and,if s n� s address es and a numb s along with then-certif cate(s)of necessary,�PI3'snb-cone() .e(), ( ) Pam. �) � insurance. Lmmited LiAMty Companies(LLC)or Limited Liability Partnerships(LI.P)withno mmplvyecs off=tip the members or partnexs,are not rbgn�d to carry Wcdcc&compensafrom insmmce. If an LLC or LLP does have employees,apolicy is regnurd. Be advisedthadthis affidzykmaybe submitted to do Depprlment of Industrial Accidents for conf'amaiim of insurance covmrsgm Also be sure to sign and date the affidrdt The affidavit should be reined to the city or town that the applicafiam fur the permit or license is being rcquestcd,not the Departrnent of Industrial Accidents. Shouldyou have any gnes(iaos regarding the law or ifyou are rued to obtain a worl=s' comPeusationpolicy,Please call fbe Department at the rnmmber listed below. Self-insm-ed companies should enter their self-insurance Rcmose m=.ber an the appropriaiE Liam City or Town Officials r Please be sine that the affidavit is coropIete and priated legibly. The Department has provided a space at th a botiam of the affidavit for you to till out in the evert fie Office of Investigations has to contact you regarding the applicantr Please be sure to f M in the peonitllicense number which win be used as a reference nrunbea. In addition,an applicant fat must submit multiple Parr"-llice use applitzations in any given year;need only submit one affidavit indicating cmrm t policy i fo,m afion(if necessary)and ruder"Job Site Address"the applicant should wry"all locations in • (city or town)-".A-copy of the•affidavit that has been officially stamped or marked by the city or town may be provided to the ' aPPIicant as proof that a valid affidavit is on file,for 5±a permits or lice:ases. A new affidavit mvst be filled out each year.Where a home owner or CH a is obtaining a license or permitnotrelatmd to any busiwm or commercial vftdm o i.e, a do license or mm3k to bum leaves etc.)said person is NOT req�fa complete this affidavit ( g P . The Office of brvestigafions wonId IRM to tick you in advance furyom cooperation and should you.have any questions, please do not hesitate to give us a call ' The Departmeufs address,telephone and f mrobm: the Commm Wed&of Mnsa&use fs Depmfinet of 16d Andre =ice of Xnveafigatiox - $obaan,IYfA E�1lp Ta 617 7`27-4900 at 406 or 1477 MASSAFE Fax#617_727 7749 Revised 4-24.•07 PgARa AWC Guide to Wood Corrstrucdau in W911 Wind Areas: 110 iph Wind Zorce Massa chusetts.Checklist for Compliance(78o Ci`•1R5301.7 1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails).............................(T �........_-•_-•................... ..............._.... ........ abler Non-Loadbearing Wall Connections Lateral(no.of 16d common nails).......................:...__ able 8 ...................................... .'.. Load Bearing Wall Openings(record largest opening but check all openings for cornpgance to Table 9) HeaderSpans .............__...__-._..._....................(fable 9)........=........_.........___...._It in._511' Sig Plate Spans ._......_._....__.._....._.:.._.....:........_.(Table 9)_...:........_....._.......... ft _in.511' Fug Height Studs (no.of"sMds)_-_-.....___-._....:-......(Table 9)..........._:.......__......... Non-Load Bearing Wall Openings(record largest opening bUt check all openings for compliance to Table 9) Header Spans.:..................... 9)-•---........._..-----•-••----—tt_in.512' Sill Plate Spans.... .:._........ .._....._..... .(fable 9).. __._:..._._...»_.. _ft_in.512' Fug Height Studs(no.of studs)..__................__.._..(Table 9)..... •---......._.....----..._.._ Fier for Wall Sheathing to Resist Uprift and Shear Simultanbously4. - Minimum Building Dimension,W Nominal Height of Tallest OpeniV ......................_-............................_...._..»..._..=5 E`Er Sheathing Type......................:.._._._....._.....(note 4):::................................... _....�.. in. Edge Nail Spacng. _ ._.. ,_-..__. -(Table 10 or note'4 if less). �_......_._.... Feld Nail Spacing. ......:.. .......((able 10).. - --.........._. in. Shear Connection(no.of 16d common nails)(fable 10)... ...__... _........__..._....... Percent Full-Height Sheathing-....__.........:_(Table 10)..............:..___.:....__...... __.......... % 5%Additional Sheathing for Wall with Opening>WS"(Design Concepts)—_--...; Maximum Building Dimension,L Nominal Height of Tallest O enin ` " Sheathing Type..._._.._--_- -...._.» _--(note 4)..........--------_:___....._...._»......... Edge Nag Spacing......... (Table 11 or note 4 if less)....... in. Field Nag Spacing._......_..__.:..._........._.._:..(fable 11).........__...,._........_.__..__-r...... in. Shear Connection(no.of 16d common nails)(i'able 11)........... _..— Percent Full-Height Sheathing....._»:_---_..-_(Table 11)............._---__. .:.. •._. 5%Additional Sheathing forWall with'Opening>B'80(Design Concepts)_-....;...... Wag.Cladding Rated for Wind Speed7......_.. ....._..:..._.....__-......._.... ._._..........._....._..._.:...__�._.._...._.........::_ 5.1 ROOFS Roof framing member spans chedted7....:......:...___:...(For Rafters use AWC Span Tool,see BBRS Websfe) Roof Overhang ....... ........................................(Figure 19) ......... ft 5 smaller of 2'-or W Truss or Rafter Connections at Loadbearing Walls = Proprietary Connectors Uplift...._............. ..__..r:. .(Table 12)..............................._. _U= pif Lateral....�.:..._.............:.:_..............(fable 12)...._......._...:-_..�........r........L= pif Shear.' ............__._. able 12 5= pif Ridge Strap Connections,if collar ties not lased per page 21...(Table 13)............................T= pif Gable Rake Outtooker...................._ ...:__:..__-(Fgure 20) ..... —ft s smaller of 2'or L 12 Truss or Rafter Connections at Non-1_oadbearing Walls Proprietary Connectors Upfift._.:..._.::..........:......_.:_.__.. .(Table.l4)....... _ ... U= lb. Lateral(no.of 16d common nags)_-(fable 14)......................................L= . lb. Roof Sheathing Type....... ._._..--_. _.. ...... __... .(per 780 CMR Chapters 58 and 59)............ - ...: ..... .. Roof Sheathing Thickness.............._.._....:....._..:.:...:...........__.__....:........_._____in.a 7116.0 WSP Roof Sheathing Fastening............ .......:.......(fable 2)_.:_...........__.............__.........._..... ...._ Notes: •1. , This checklist shall be met in its enfirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR.5301.2.1.1 Item 1..if the checklist is met in its entirety then the following metal straps and hold downs are not requined per the WFCM 110 mph Guide: a- Steel Straps per Figure 5 b. 2b Gage Straps per Figure 11 c Uplift Straps per Figure 14 ' d_ All Straps per Figure 17 e_ Comer Stud Hold Downs per Figure 1 Ba and Fgure 18b 2 'Exception:Opening heights of up to 8 ft.shag be permitted when 55%is added to the percent fuMefght sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2•gr ide. ' r ATYC-Guide 10 Wood Construction k High I nd Areas:IIO tliplr I nd Zone Massachusetts Checklist for Compliance(7so C11TR5301 2.i.l)' L1 Cbock . Compliance 1.1 SCOPE WindSpeed(3-sec.gust)..___._.:._..._..:...............__..._......_.........._......._.........:.............,...„._....i10 mph Wind Exposure Category..__..........--•-- ... ._._........ .._...................................................�._B Wind Exposure Category................Engineering,Required For Entire Project.......................................0 12 APPtJCABIUTY Number of Stories(a roof which exceeds 8 In 12 slope shall be considered a story) stories s 2 stories Roof Pitch.........__.._..:._.......__......._- „(Fig 2) s 12:12 Mean'Roof Height-_..:...._..-_......_._„....„...._..........._(Fig 2)_....................._...............„._.__ft s733' Building Width.W_.._..„.:.-_..... (Fig 3).................: •..... ....._......_..................„...........__.....-.._ • _ft s 80' Buldin Len t �L (Fig 3)__....._............._----...............___fs 80' Building Aspect Ratio ..„...(Fig4 - Nominal Height of Tallest Opening2 ............. _....;,�....:_....(Fig 4)................................... 1.3 FRAMING CONNECTIONS General compliance with framing connections--....._....._._.(Table 2)........................................................ 2.1 FOUNDATION Foundation Wals.meetin9 requirements irements of 780 CMR 5404.1 ConnEt e......................................................................................... •-•--............................_. ConcreteMasonry....... _ ..__.„.... --------------------------------------------------------..-.-._....---_._.-. 22 ANCHORAGE TO FOUNDATION1.3 5/8'Anchor Bolts4mbecided or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Boa Spacing-general...................:........:......_...:.(Table4)........................---.....__._........ in. Bolt Spacing from endro'tnt of plate.._..._........_.__.....(Flg 5). . .._.... .................... in._<6"-12', Bolt Embedment-concrete._......._..._._......._.__....-..{Flg 5)....._...........................:...._.„.. in.z 7" Bolt Embedment-masonry............................_._......-(Fig 5).-.....-...t........................_._ he 15' Plate . ............._...(Fig 5)......_..__.------.....___..... .z 3"x 3'x YV 3.1 FLOORS Floor'framing member spans checked ...„...._..........._...._.(per 780 CMR Chapter 55).........._......._... __._... Maximum Floor Opening Dimension.....................__....._...Fig 6)....._....... ft 512' FullHeight WallStuds at Floor Openings less than 2'from Exterior Wag(Fig 6)..:....................... ......... Maximum Floor Joist Setbacks SuppDfung Laadbearing Walls or Sheanaall...._..__..._(Fig 7)................................................... ft s d Maximum Cantilevered Floor Joists T Supporting Loadbearing Wans'or Shearwan.............(Fig 8)_................_................_._............_ft s d MoorBracing at Endwans-.........................................._.(Fig --.--.-......---._._..._. ....„. Floor Sheathing Type ..__.._........„..-...:.....__......_._...._(per 780 CMR Chapter 55)...................:............ Floor Sheathing Thickness_...._..„.-......._........._...._:.. .(p&r 780 CMR Chapter 55)..... ...._._.._. in. Floor Sheathing Fastening_....................._.._..........._....:.(Tole 2)„•--_d nails at in edge! in field 4.1 WALLS Wag Height Loadbearing wags._.._-..�.._......-__..--„-_............--.-.(Fig 10 and Table 5)_.........�.._......__ft s 10' Non-Loadbearing walls.... ....._........._......_...-.--....(Fig 10 and Table 5)....................... ft Wan Stud Spacing ......._..._.........*..........................(Fig 10 and Table 5)-._.------------ in.<-24'a.c. WanStory Offsets ...._...:_..._...._......._..._............„.:..(Fgs 7&8)............................_......_..... ft s d 42 OCTmoR WALL53 . Wood Studs ; Loadbearing walg...._......:..............„.__...... _......(Table 5}.............................2c ft in• Non-Loadbearing walls._._.................._........._._.......:(Table 5)............................2x - ft rn. Gable End Wan Bracing — — — .. F 10 Fun Height Endwall Studs...................__._.-._._-.._. { g )_........-...__........._.-...........-_.................... WSP•Atfic Floor Length.____._.::......__:......_._..._..(Fg 11)__.._..._.:....._.._........._.._ ft kW/3 'Gypsum Ceiling Length(rf WSP not used)...................(Fig _................. ft z 0.9W and 2 x 4 Continuous Lateral Brace @ 5 it.o.c.-(Fig I)....:.............................._..__...... -------- or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft spacing in end joist or truss bays Double Top Plato - Space Length --_.._.._..._:.-.........._.._....:.._ (Fig 13 and Table 6).........................._ _ft Splice Connection(no.of 16d common nar'!s)......._...(Table 6)_„...__._.....................................— AWC Guide to Wood Construction in HidlF Rr1ndAreas: 110 inph 1+'7scf Zone Massachusetts Checklist for Compliance(7so CIVIRs3o1!a:l)' 4. a. From Tables 10 and 11 and location of wall sheathing and BuIld`mg Aspect Ratio,determine Percent Full-Height Sheathing and 1W Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16'and be installed as follows: I. Panels shall be Installed with strength axis parallel to studs. n. All horimntal joints shall occur over and be nailed to framing. IlL On single story construction,panels shall be attached to bottom plates and top member of the double top plate. Iv. On two story construction,upper panels shall be attached to the top•member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. I . v. Horizontal nall spacing at double top plates,band joists,and girders shall be a double row of ad staggered at 3 Inches on center per figures below:Vertical and Horimntal Nailing for Panel Nttachment S. Glazing protection:a)new house or horizontal addition-requ}red if project Is 1 mile or closer to shore(generally,south of Rte.28 or north of Rte.5) b)vertical addition—not required unless there is extensive renovation to the first'fioor c)replacement iviridows—needs energy c onservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH,Exposure B may be obtained from the American Wood Council (AWC)website. Y4Ft�i-nM EDMFE M ON F RUJI G tW_W NAiIS ATE"Im. • ,t It ' 11 I t 1 }} }i } a } M H_9 - , , r 121 is }1 t } 1 u 11 n , 1 r � • d rI R o ii I-) x ii }i CL 1 Q } } r7< t IIi. c a }I l } FiiAMIN6 �11; u �t 1 1 ID6HMETE at Li Ad 49 it ,,t d uIf u g } r 1 r ii }}� 1 I - .1 e ;E r If t 1461 If r •� _ - 3'MMl STAG . 4IA4 SPACkJG i WA4 PAT IE N - � PANG PANL?IDLE - DOuffiENAI-EMESPACM DETAL See Defer on Next Page • Vertical and Horizontal Nailing Detall for Panel Attachment Vertical and Horizontal Nailing for Panel Atfachrnent , i 'town otzarnsta.bie Regulatory Services Richard V.Scali,Director Building bivwort atiar�resr; ` Tom Perry,Budding Commissioner 200 Main Street; Hyannis,MA 02601 w*w town.barns[able ma_us Office: 508-862-4038 Fax: 508-79076230 HOMEOWNER ME=EMIMON ..-•DATE: �f(Z��Zvt 5 ---- - -- �hteasePrtnt. • JOBIACArrOri 06 601T0Nwo(>0 (,'k-tjo CC—"'R=2-\ t L--a—.L Cj home phone# work phone# c c t:--n.L') CURRENT VJJEJNG ADDRESS: CowoNwtbop I�rl city/tom Stan zip codo The current exemption for"homeowners"was extended to include owner-ocogied 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_ DEFTIZMON ORHOMEOVaM Person(s)who owns a parcel of land on which helshe 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 structur-es. 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 acoeptable to the Building Official,that he/she shall be responsible for all such work performed under the bmlding 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"cues that helshe understands the Town of Barnstable Building Department minimum inspection proccch3res and r quirements and that he/she will comply with procedures and requuemenls. Sign ofH _J , Approval ofBuDdingOfbciza Note: Three-family dwelings containing 35,000 cubic feet or larger will be required to comply with the State Building,Code Section 127.0 Construction Control HOMtYOVMKIS EX dTON The Code states that:."Any homeowner performing worst 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 person(s)for hire to do such work,,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assumingg 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 unffcensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor- The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. QAWPFU EMRIEVAnI ft pmmit fowUDaTFSSdoc Revised 061313 o,FV Town of Barnstable t Regulatory Services ' WA,M_ Richard V.Scan,Director Md�,$ Building Division Tom Perry,Building Commissioner 200 Main Sheet Hyannis,MA.02601 www.town.barnstable roams Office: 508-862-4038 Fax: 508-790-6230 nY ProP a Owner Must Complete and S'i This Section � If Using A Builder I, C as Owner of the subject property hereby authorize to act on my behalf, In all mattPn;relative t0 work a bythis buld�IIg permit application for. (Address of b) '`Pool fences an are the respons flity of the-applicant. Pools are not to be d or ut�ized before fens is installed and all final inspections performed and accepted. Signature of Owner Signature of Apphrant Punt Name Print Name Date Q:F0RM S:0VMMERMISSI0N oo S �i qr ` 16 44 k y window 31"x Y 22 22 J 26 26 30 i s L Window 31"x 7 3// 16 4 44 v / - EXISTING: BASEMENT LEVEL r 16 44 Fu LL. D __ RilGDP.00M 'tiI� 22 �?� > .cu sty 26 , � 26 D f Iq�LWA`( D i aoO D j Liu()3 a, 3 Z a 16 4 �oo� f , EXISTING: FIRST FLOOR NOT `o S G� � a. CL— Gt.aSL�" SC= Sz'A�QCfESt SL Sut)�-"L , 16 / �l 44 / ' was-,4�z•� j awn-ct-2. � � 3a 3 `I / indow 31"x]3 \ 2 _ µ 22 S C7 26 �5 / r c,^�� 26 / , d 5 Elindow 31"x]3 16 4 _ 44 Gl_`t � v,F-f-�-'� -�-sue L o o AA PROPOSED: BASEMENT LEVEL CNOT. Tb Sc/t� � G�tiu tt-i, tkT 16 44 22 26 26 SAAA4E �S�nn� ors - f�C 16 4 44 PROPOSED: FIRST FLOOR (Nor tt> S CAc..L7 tnl= I/J+NDvVf— 16 / « / « 44 / Wgsr k I lWo�4 �o ' indow 31"x 33 r� i '\ L 4LY��¢oD nn y 26 26 tau 3Z �Z" n +s �( �/ 10'`" p�cx� WG indow31"x33 " 16 4 l 44 G��t , c, wr -t-v room ;z'v � PROPOSED: BASEMENT LEVEL C"OT T-b Sc - � buu -v 16 44 (S�nn4 26 26 Ss�M� / 16 4 44 _ PROPOSED: FIRST FLOOR (Nor tb SCA(..c:7 W W�NDo� ] vaa- i X) 16 44 window 31"x:f 1 /f 0 D 22 22 ' 26 J 26 30 S Window 31"x 7 3l/ 16 4 44 EXISTING: BASEMENT LEVEL (NdT -,-0 S 16 44 D it I ' -vital C,.RfL.Ck�stu 26T1 ! o I _ l -��_-=-- 26 NLC �-IAA-LWA`( D I t _ .. T 16 4 uWK f-J EXISTING: FIRST FLOOR NOT ro s c �=� +�t�a'1. CL= G(ASc�i" SC= STA nee-ASt - UJ Y W I,►D = �002