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Cent. 8/25/2011 ' 3ahJ :L Town of Barnstable *Permit# Expires 6 months front issue date Regulatory Services Fee' i00 . t O 4 Thomas F.Geiler,Director 059. Building Division o Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number d , Property Address —j o ,I ,-,4 PY Residential Value of Work &&P Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address T fiolL� 14 13 51 )A V .dh DL,.-r Ma 0 Contractor's Name ,=�e� Telephone Number Home Improvement Contractor License#(if applicable) /' � ri � Ems: Construction Supervisor's License#(if applicable) ooO63 2 ❑Workman's Compensation Insurance X-® ES PERMIT i Check one: I I am a sole proprietor S E P 2 6 2013 ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name cs�p 6�,e TOWN OE BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) R] Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#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 Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is q red. SC.IGNA AAA QAWPFUM�FORM \EXPRFSS.doc Revised 060513 The Commolnnea th ofMassaChuselts Deprrtrnent of Iirdms&ial Accidents Office of 1m estigations 600 TI'ashington Street Boston,,MA 02-HI wnw.masmgov/dia Workers' CompensatianInsuranceAfdavit:Builders/Centractors/UectricianstMumbers Applicant Infarmation Tease Print Legibly I1lame(BusinessldSnizafian/Individnai): Address: 5-0 Ma t 1,\ 5� city/statz/zip:JJW&J 2 QZ ZIr Phone#: 6 M 7 7 Are you an employer?Check the appropriate box Type of;project r 4. I am a contractor and i 3 i� p�' ] (���= I_❑ I am a employer with ❑ 6. ❑New ion employees(full andlorpart4ime}* 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 g_ ❑Demolition w :forme in an capacity_ employees and have workers, working y _ 9_ ❑Building addition [o.workers' comp-insurance Comp,msvarirn I required_] 5. ❑ We are a corporation and its 10..❑Electrical repairs or additions 3_❑ I am a homeowner doing all work. officars have exercised their 1 L E]Plumbing repairs or additions myself. [No worlrers'comp- right of exemption per MGL 12.[ Roof repairs insurance required]j c.152,§1(4} and we ham no employees-[No workers' 13.❑Other comp.insurance required-]'. *Amy apphomt that chedcs boa#1 most also fill out the section below showing their worker'compensation policy information- *Homeowners who submit this d idavit indicating they are doing all nok end then hue outside contractor must submit anew affidavit be irsting such_ !Contactors that dusk this boot must attached an additional sheet showing the none of fbe sdo.-caaft2am and state whether ornot those entity have employees. If the sub-conttacruis have employees,they mist pmvide their workers'comp.policy number. I am an employer that is providtng workers'compensation immrance for my employees Below is die policy and job sue information. Insurance Company Name: Policy#or Self-ins.Lic-#: Expiration Date: Job Site Address: City/StatdZip: 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 WORE;ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Im-estigations of the DIA for insurance coverage verification. I do Here the pains andpenalties ofpedury that the information pravided above is true and correct Sizna Date: Phone qo k- — Z� QUEcial use only. Do not ivrite in this area,to be completed by city or town official. City or Town: PermitUcense# Issuing Authority.(circle one): 1.Board of Health 2.Budding Department 3.Cityfrown Cleric 4.Electrical Inspector 5.Plumbing Inspector, 6.Other Cnntsct Person_ Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express 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 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-contractors)name(s),address(es)and phone number(s)along with their certificates)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 T1ie 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of lndustdal 1a ccidcnts Office of lmvestigatiGas 600 wa,shingtou Street Boston,MA 02111 Tel.#617-727-4900 W 406 or I47'-MASSAFE Revised 4-24-07 Fax#617-727-7749 - www.mass-gov/dia S'1 . ' OFtHE Tpk, A aAxxsT S ri;,An ! SAS t639. Town of Barnstable �0 A�FD MA't� . Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry;CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 wrvw.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ]tea V(d �Clrkl ey ,as Owner of the subject property hereby authorize m4u -iv r to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Z SVature Da e 0/1 or) J. A r kr rV rint Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\iN[icroso[1\windows\Temporary Internet Files\Content.0utlook\DDV87AAMXPRI SS.doc Revised 072110 t � Massachusetts - Department of Public Safety Board of Building Re ula 9 bons and Standards Construction Superiisor \License: CS-023539 JERRY W NKIN ,.. JE '; g 502 MAIN ST _ - HARWICHMA 02645 Commissioner E iratio 8/OS/2015 O. ��e �P�wrnai2caea`G� _ Office of Consumer Affairs&Busin Regulation e License or registration valid for ull use BIOME IMPROV CONTRACTOR before the expiration date. If found'vi return to:only egistratio 127952 iraf n:,.: Type: Office of Consumer Affairs and Business Regulation P 2/3/2015 Individual 10 Park Plaza-Suite 5170 JERKY JENKIN a Boston,MA 02116 j JERRY JENKINS F, j 502 MAIN ST HARWICH, MA 02645 - Undersecretary - without signature Mass. Corporations, external master page Page 1 of 2 is aWilliam Francis Galvin bl Secretary of Commonwealth . Jan �0pb 04 HOME DIRECTIONS CONTACT US Search sec state.ma.us Search Corporations Division Business Entity Summary ID Number:001087803 [ Request certificate I New search Summary for: TS&DS,LLC The exact name of the Domestic Limited Liability.Company(LLC): TS&DS, LLC Entity type: Domestic Limited Liability Company(LLC) Identification Number:001087803 Date of Organization in Massachusetts: 09-13-2012 Last date certain: The location or address where the records are maintained(A PO box is not a valid location or address): Address: City or town,State, Zip code,Country: The name and address of the Resident Agent: Name: DAVID LARKIN Address: 90 FIRST ST., UNIT 1 City or town,State, Zip code, Country: BRIDGEWATER, MA 02324 USA The name and business address of each Manager: Title Individual name Address In addition to the manager(s),the name and business address of the person(s)authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY TIMOTHY HATHAWAY 90 FIRST ST., UNIT 1 BRIDGEWATER, MA 02324 USA SOC SIGNATORY ROBERT P. DOLBEC,JR., ESQUIRE 115 BILLINGS RD.QUINCY, MA 02171 USA SOC SIGNATORY DAVID LARKIN' 90 FIRST ST., UNIT 1 BRIDGEWATER, MA 02324 USA The name and business address of the person(s)authorized to execute,acknowledge,deliver,'and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY TIMOTHY HATHAWAY 90 FIRST ST.,UNIT 1 BRIDGEWATER, MA 02324 USA REAL PROPERTY DAVID LARKIN 90 FIRST ST.,UNIT 1 BRIDGEWATER, MA 02324 USA r Consent r Confidential Data r Merger Allowed r Manufacturing View filings for this business entity: ALL FILINGS Annual ReportJJ Annual Report- Professional Articles of Entity Conversion Certificate of Amendment iw rView filings Comments or notes associated with this business entity: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.a... 9/4/2013 Shea, Sally From: Miorandi, Donna Sent: Friday, March 11, 2006 10:20 AM To: Health Office; Building Dept Subject: 70 Guildford Road, Centerville I s Just a heads up that an installer has tried to come in to permri 0 Guildford Road, Centerville-as a five (5)bedroom group home for the May Institute. I have denied this application on the basis t ah t the septic system was designed for 3 bedrooms on a repair in 1995. The assessor's states it was a 4 bedroom since 1996 when they did a $10,000 remodel . It is in the Zone of Contribution on a 15, 000 sq. ft. lot. i II { I 4 F { I } i � r 1 TOOWN OF BARNSTABLE BUILDING PERMIT APPLICATION U �- Map 7 Z Parcel 4s ' Permit# 778ts Health Division q5-/ `� �g`d Date Issued "7► 12104, Conservation Division L. w. Application Fee � � Tax Collector A Permit Fee Treasurer` W [Au SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept: WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANDTOWN REGULATIONS 'Historic:-OKH Preservation/Hyannis Project Street Address 70 GC',o id I'0 r3 Villa i I f Village � e_rr`�e r u � l Owner I k e. M r X iv r q i 1 � 1 � Address O_n � =-vi e rc-�z Telephone <Z 9% `f YO - 0 q 0-6 Permit Request fJcLn d,e, 2...ri. d daem-9-Aeoctnd Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Zoning District 77yy�� Flood Plain Groundwater Overlay Project Valuation �5.1). O� Construction Type' Lot Size Grandfathered: ❑Yes, ❑ No If yes, attach supporting documentation. YDwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:. ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count - Heat Type and-Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes D No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: NJ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes . ❑ No If yes, site plan review# h. p `" Current Use Proposed Use " b � al)G6' -bof 1 u m /ip, P ALDER INFORMATION m Name +�b°�� In l��Sc� Telephone Number L_A_ q y p It Y l 2-2 Address 20,Y 6,\ e-e-i ,t;-� c License# 0 0 %"7 2- 1 r 4-a c '7-1\ O 0 2-6'1;?-- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO n SIGNATURE DATE Ca"f - 0 Y ' FOR OFFICIAL USE ONLY •PERM:IT NO. } DATE:ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r - DATE OF INSPECTION: FOUNDATION ok I1)4'0� � FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROgGGf S FINAL FINAL BUILDING ' " ♦f m o s--� Q �=. DATE CLOSED OUT 2 ® � 05 ASSOCIATION PLAN NO,:0 „r m _ rn 'F FILE# Al 172 • CENSUS TRACT 13.1 CLIENT: ROBERTS FARRELL & iLEY ',.DEED BOOK 5296 PAGE 10 OWNER: CAROL LYNCH PLAN BOOK 247 PAGE 84. LOT APPLIe:ANT:THE MAY INSTITUTES INC . ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN OF LAND LOCATED AT SCALE: 1 "=30 ' JANUARY 5, 1996 70 GUILDFORD ROAD CENTERVILLE, MASS.ACHUSETTS 149 1 SO SI 100.001 r7(o SHED 152 �4- 5.�, a SG12 NEC7 I � 7 ) -7 S _ N N 70 N 111 i TUW_Y .31 t COLA 1 LID f 0 PR_rD F II ZONING DETERMINATION THE LOCATION OF THE ORIGINAL DWELLING SHOWN HEREON EITHER WAS IN COMPLIANCE WITH LOCAL. APPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS ONLY OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII, CHAP. 40A, SEC. 7, UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY INSTRUMENT SURVEY IS ADVISED WHEN STRUCTURES ARE SHOWN,TO BE ONE FOOT OR LESS FROM PROPERTY OR REQUIRED ZONING SETBACK LINES. NOTE.: DUE TO HEAVY SNOW COVER, ONLY MAJOR STRUCTURES ARE SHOWN AND THE DECLARATIONS MADE HEREIN ARE WITH RESPECT TO. SAID MAJOR STRUCTURES ONLY. FLOOD DETERMINATION v 6� 13' r ' I Z 9! ' --- ---- -- --- h� V Ay �T Nsi ;? u,Tp + o n Low.rov. e 0 c L w A or o A � vr�cam. +E► Ton of Barnstable ' o� Regulatory Services • Thomas F.Geller,Director 1659. ,�� Building Division 'OIFD MAy k Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFMAVIT HOME ZpRoVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"oec�ns onstruction renovation,tmetioli,alterations, of an add tion omy pi-existing oov'rAero Ion, ccupied •improvement,removal,demolition, building containing at least one but not more than four dwelling units or to strictures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements, r Estimated Cost3 0 Type of Work: I�d�✓� �i�'"-� — Address of Work: ® , Owner's Name' -r-k Date of Application: 6—t I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law Mlob Under'$1,000 Building not owner-occupied _[]Building pulling,own permit Notice is hereby given that: 0•�I PULLING TSEIR OWN PERMIT nR UNREGISTERED UR VEMENT WORM D NOT MM CONTRACTORS FOR ATPLICABL ACCESS TO THE AR]3ITRATION PRO GRAM OR GUARANTY YUND UNDER MGL c.142A, SIGNED UNDERPENALTMS OF PERTCTRY I hereby apply for a permit as the agent of the owner: j 0® Contractor Name Date OR r .e Owner's Name .The Commonwealth of 1Vlassachusetts Department of IndusHatAccidents' - 01�16`elf�rr�s �` ' 600'Washington Street _ Boston;Mass..02111 "~J a '44rorkers'..C m ensationnsuxance Atidavlt-General BusinesrsesMME.tri �.,', ;,. .1&1 ; J+ ante• �, !� �" �•• • • , .. address: +,t 1 . ate•: A� ho ork sit location full address '� � sineSs e: []Retail❑•ReskaurantBarlEatYng Establishment e • . .a sole proprietor and have no one �a, ❑Office Sal (including Rea1'Estae,Antos etc.) yvorking in any capacity. an®o to er with• etn'lo ees full&' art time: ❑Oiher ❑ % /%%/%%/%/ ' on this ob.. . nsation for my em,�loyees wo rlin j keys' compensation L• ;• :` . :t i`.. `•. • , '•:i + ' emvri ployer p=ovid�ngvt>u ,.. 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'L:., •1 t4••"'}'�': •f'. �t,�:�i:t,f•..• ,y1: Tiilt'y.•;t: i. ',_ •"i .}..'.r: EAP, 't• '• '•!,-.�}. .y:r^�.;•:r.',:;,,• 'A 4'•�`'i"3'"••t; :s• ,',(r1• r',7:t it •• t+ .S:,S ��L,' :1'' -t�ml�f w. 'i:tl'.i":'•''u.'.•.tf• ;i'ii5e.:• i i'41.ti'•'P I000000 '�':P t!Y •Y�r. i.:fh,':%+ =i�.�j�°tti�: }.I,It. .S-1.71. r.•1, •^ ft i,;:- .":t'::a:;: r :` es of a fine to s1,50o.0PREHENSION,. in"siir$iica�bttri{�•' � -'+ as re aired under Section 25A of MGl+152 can lead to the imposition of orimfrtal pena7ti � . Failure to secure coverageq enaltiec to the A of of a STOP WORK ORDFiR and a fin of$100.00 a•day against me. I unaoratand.that ti one years'imprisonment as well civilP . copy o f this statement maybe forwarded to the Office of Investigation of the DlAfor coverage verification, do hereby nd r the pains and pQnaifies 6f perjury that the information provided above is frua artd cor}ecG I y Date - Signature .� 7. , . '��• ''"''°�� , Phona# Print name b official aye oar de not write in this area to be completed by city or town offiew __ . permit/1lcense# ❑Building Department []Licensing Board city or town: OSelectmen's Office [}•cheekif immediate response is required QHeakhDepartmeni '❑Other phone#; contact person: ' information and Instructions- f ett$ General Laws'ch pier i52 section 25 requixes all employers to pxovidc tWorkers' compens�tidn fir their. Massachus. .•`;` CIDP1�,ees; ,As quoted'fromthe `1sw", an employee is.defned as every person m the service of another under any contract of hire;express or isnpl�ed; oral or written, empZoy� detiiied as an individual,partnership, association, corporation or other legal entity, 6r any two or mgre of An the foregoing�gaged•in a�joint enferprise,and including the legal representatives of a deceased,employer, or the-receiver or ar naershi association or other legal entity, employing employees. 'Howe�ei.ihe owner of a trustee of an individ �P . px dwelling house having notInore.than three apartments and-who resides therein, or the.occupantsof ihe:dwelling house bf o a majutez�wce, construction or repair work on such dwelling l cig'e.ctr on the grounds or another who ps persons t � d g pp enavt thereto shall not because Qf such:employmeirt.be deemed to be aii ermployer.,... r t 'n agel shall withhold the issuance dr renewaI MGL chapter 152 sectibn 25 also'states fhafevery state'or legal licensing y Y PP. of a license or pernnif to operate a business or to construct buildings in the.cornmonwealth for an a Ilcant who has not produced acceptable'evidence�of compliance with the insurance coverage reiluli•ed.' Additionally;neithbr the' ' coinunonwbalth.nor.any.of its political subdivisions shall enter into any contract for the performance of public work untrT ance with t�e insurance requirements of this chapter have been presented:to the contra acceptable evidence of compli cting.. authority. , Applicants Please in a workers". ensatw affidavit completely,by checl#g the box that applies to your iitaation.,Please supply company name, 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. Ahobe sufe 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 j paitment 6�1 dustrial AccideAts. Should you have any questions regarding the'"Iaw"or if you are taro a workers.'•eormpensationpplicy,please call the Department at the number liste..b . �sr. required to,o , City or Towns . r and printed.le 'lit The Department has provided a space at the bottom!of the eb lete an eP vet is � Y• Please be sure that the.affida mp p • affidavit for you to fill ont M-the event the Office of Investigations has to contact you regarding the applicant Please be sure to fi11 in the permit/licensa nuxt>'ber which wM Ve used as a reference number. The'affidayits maybe returned tQ ements have b em made. or FAX unless othei•'arrang tb mail _ the Departmen,. .3�. . • , . . .ti .. .,, . . . , Office of investigations would hke t'thank y'oa in advance for you cooperati6n and sboi ld you have any questions, The • .. . please do not-hesitate,to give us a•cal1.• Em The Department's address,telephone and:fax number. . , • The Commonwealth Of Massachusetts Department.of Industrial Accidents BfflC6 Of W88UPUnS 600 Washington Street Boston,Ma. 02111 fax#: (617)7z7-7749 y � ,4. ��e i�aru�/ea�i ✓�aaaat.�u !l BQARD,OF BUILDING REGULATIONS Ucense N$TftUGT1ON,SUpERVS0R Numbec` m 001721 y y I � „ X. x,,..Q 2 Tr.no; 25210 � 61.05 . 6 Rest� gn ri � ROBERT,,B NIGK�R � EA$TtiAM MA 026h.. Commissionef j Town of Barnstable o� Regulatory Services BMMSPABM Thomas F.Geiler,Director KAMM 1639. ,0$ Building Division Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 6 — Z f"Q JOB LOCATION: 7 Q G- i d L c'1 0 number —� street village "HOMEOWNER':T{+2 M civ �',vs7:?k7� 7 T—!—#5'O-O 1/C8 name home phone# work phone# CURRENT MAILING ADDRESS: (0 e i—9 Aw N en (Lw o A city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ep rvisor. 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 . r , 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 Regulatory Services �sM Thomas F.Geiler,Director s639. a�� Building Division TED MPI Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property to act on my behalf, hereby authorize , in all matters relative to work authorized by this building permit application for: r1 \l (Address of�So ) S, nature of Owner Date o Print Name Q:F0RMS:0VR MRPERM1SS10N %PP<.-m�lS - /� �� — /F� I �1d �li ,i�'�ar� ��! I Ce. V¢ y�a� c�ss i At-is model I;Sw6eipaVEEi' ��aNst�6/e yOFTHETO�♦ TOWN OF BARNSTABLE • 13AHB9TOBL&, i s� 039. M a' BUILDING ." INSPECTOR PY APPLICATION FOR PERMIT TO ...... u.ilC. ...One...�''r m#y D lli1 .......... .. ........ ............................................................................................ TYPE OF CONSTRUCTION lrlo.od Frame ..... ........................................................................... .'....................... ............ . . ..........1.............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby //applies for//a ermit ac��cordi��n//g to the following information: JJ Location ... .�� ...�..1.4?......17�rld T0!.4.........l.�a"I. . . ............ ......e',,�,bn� ...,J � .. ... ProposedUse @ = ! ...............................................................................:.............................................................. Zoning District .... .�': ..........................................................Fire District ..!;�Atervllle�; stervilliB.................. Name of Owner ... O Dfi 'HAMS .10i Address ..... '.9 »e "� Centerville ......... ................................. ............ ........................... Nameof Builder .... ' .............Address ...........8.1m8.................................................................. ... .... . .... .. ....... J Nameof Architect .......M ................................................Address ..........................................................,......................... Number of Rooms 6..............................................Foundation ......Po.ur.e Conn e.te .......... ....... .......... ...................................... Exterior .........vk 1.41.Ag. ...Roofing ..:�sphalt .......................................................................... Floors C!�rpe .Interior Dr . y ............ ...................................................................... Heating er1 .--A.i' ...................................................Plumbing t.hS ..................... ........................................................................... Fireplace ..........YAP................................................................Approximate Cost ............. .... ' Q a............................... Definitive Plan Approved by Planning Board -------------------_-__-------19--------. 2? /6.7,�l S-4 Diagram of Lot and Building with Dimensions 0>T— STE , MUST BE Sj SUBJECT TO APPROVAL OF BOARD OF HEALTH —'i.' ' IN Ovw,PLIANCE 1 # LE B I STATE %A yY OODE AND TOWN E 17 G ` L- j a,o LJ i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. > � Name .. :!C.ft2............... .......:............:............................ Normest Homes, Inc. 16172 No ...........:..... Permit for one story .................................... 1 single family..dwelling. . ................... ...... ........ . ............. 1 location'7b......Guildford..Road.................... ........................Centerville... Owner Normest Homes, „Inc. Type of Construction ..................fX'&M4............. ................................................................................ I Plot ............................ Lot ........... .76............ i 0 r�l _ Permit Granted ........A..............................19 73 Date of Inspection ....................................19 , Date Completed ...... .�Z! PERMIT REFUSED ................................................................ 19 ��L� t (� r\g ............................................................................... �- ................................................................................ ............................................................................... i ............................................................................... I Approved ................................................ 19 1 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 172 068 GEOBASE ID 10144 I ADDRESS 70 GUILDFORD ROAD PHONE (508)432-5530.1 Centerville ZIP 02632- . LOT 176 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO i PERMIT 15618 DESCRIPTION CERTIFICATE OF OCCUPANCY - BLD PMT #15600 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY I i CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: THE BOND $_00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF. OCCUPANCY t BARNSTABLE. •' MASS. OWNER THE MAY INSTITUTE, INC. , 1639. A� ADDRESS 940 MAIN STREET /' ,� E� BUILDIN SOUTH HARWICH, MA BY DATE ISSUED 06/04/1996 EXPIRATION DATE r j I, Map `� Parcel J' Permit# Conservation Office(4th floor)(8:30-9:30/1:00 2:00 S• "(_ ' ate Issued (9 Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Engineering Dept.(3rd floor) House# $,.� ^ �' �9rUST BE d 19 uii%v IC TOWN . • �E ��l® TOWN OF BARNSTABLE Building Permit Application Prole reet Address �® ('r-IJ IL p FO, �Q�¢0 Village �6N7'6961/GGG`' r , Owner ?'kfE /yf f°' /NST/TUT Address C?�fO /Y�t/r! $/; �'O /{A/�fsli/E✓d �2¢. Telephone Permit Request 70 CM,446-�= U//x�yi.S Af7#0' IMP"o-C �'d�TER/o2 ySC lleX SS-e, 63 8,e of ?NE 64,P6-CooC 0A7F(!W P b First Floor square feet Second Floor lyel"rE'_ square feet Estimated Project Cost $ /O 00a Zoning District Flood Plain I/O Water Protection Lot Size IS g5`/ -547 )c'f Grandfathered ? J Zoning Board of Appeals Authorization Recorded Current Use A e5/Go7de_ Proposed Use /1'E /V; �d Construction Type w000 <n- Commercial Residential Dwelling Type: Single Family t�1 Two Family Multi-Family Age of Existing Structure 90.YE.s},eS Basement Type: Finished Historic House A/49 Unfinished Old King's Highway w D Number of Baths 7'000 No.of Bedrooms Total Room Count(not including baths) Firsf Floor S'Frie17 Heat Type and Fuel Central Air Fireplaces DJ�� Garage: Detached Other Detached Structures: Pool Attached Barn None �� Sheds 017 — Other Builder Information Name 7hO/7J/1s ,(/.04100O W Telephone Number y,2d�93 2 Address y ®L�? F/�Z.OS�°� License# 04/ ? � i��i� ��1 • D��G, �, Home Improvement Contractor# // 7 9 7 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ICJ DATE BUILDING PERMIT DENIED FOR OLLOWING REASONS) FOR OFFICIAL USE ONLY �►° r P , // r R5 ex Pj,RMIT NO. D TE ISSUED M P/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: 3 FOUNDATION .� FRAME r - INSULATION FIREPLACE 1 _ ELECTRICAL: ROUGH t ,FINAL :. 44 X PLUMBING: ROUGH ,FINAL _ GAS: ROUGH t &INAL FINAL BUILDING DATE CLOSED 019-ftl . . ASSOCIATION,PLAN NO: PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBMD KEY No. 0070 GUILDFORD ROAD 10 RC 300 loco 07/09/95 1011 00 36BC R172 058. 101446 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y UNIT ADJ'D.UNIT Lana By/Date size Dimenaw" ACRES/UNITS VALUE Description L Y N C H J A M E S & CAROL' A MA P— co. FF-De m/Acres LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE #LAND l 27o,200 CARDS IN ACCOUNT — L 10 1BLDG.SIT;l X .35 =100 194 39999.99 77599.99 .35 27200 #BLDG(S)—CARD-1 1 86.300 Ol OF 01 A BATHS 2.D U x C= 100 7000.0 7000.00 #PL 70 GUILFORD RD . 4DL LOT 176 ARKET 85300 D FIREPLACE U X` C= 100 3100.00 3100.0D 1.00 31UO B #RR 0640 0100 INCOME A SE p kPPRAISED VALUE D J 113.500 A ARCEL` SUMMARY T U AND 27200 A S T 3LDGS 86300 M —IMPS E OTAL 113500 F CNST E N DEED REFERENC Type DATE Recorded PRIOR YEAR VALUE A T Book Page Insl. MO. Yr.D S`1Be P Oe AND 27200 T S 5296/010 I 9/86 140000 3LDGS 86300 U 19001123: bo/00 rOTAL 113500 R E _ BUILDING PERMIT S Nv Ito, Date Type Amount LAND LAND—ADJ INCOME SE SP-BEDS FEATURES BLD—ADJS UNITS 27200 10100 16172 4/73 ND Class CO sl. Total r B-Il Norm. Obsv. U�ils Units Base Rate Ad,.Rate A f A9e Apr Cone. CND I Loc %R.O I Rapt Cost New Ael Repl Velce Stories I Reignl Raom9 N Rma Bathe 1 a Fix. Periywell Fee. 01C OGO 105 105 56.05 58.85 73 75 19 80 100 1 80 107873 86330 1.0 8 4 2.0 7.0 Description Rale Sq.­Feet Rep.Cost MKT.INDEX: 1 00 IMP.BY/DATE: / - SCALE: 1/OO.66 ELEMENTS CODE CONSTR:/CTION DETAIL SAS 10D 58.85 1376 80978 S FFB. 650 65.00 8 520 *-----16----* STYLE 03 ANCH 0.0 T FOP 35 20.60 32 659 + " FWD' ! ES3-GN-A-DJMT- -OT SIGN-AUDY ---5=0 R FSF . 90 52.97 264 13984 12 12 XTrR.-WAILS-- -tTT 4 O-U5-FRAME-------U-.O U FWD 85 8.50 192 1632 ! ! EATl AC_TYPE- JZ G AS - --- -U=O C *-----16----* NTYR:FINrSR- JO ------------------TT=O T 3 *---------28-------* NTtR-LAYDOT- JT ------------------U=O U *--12--*--$--* ! ' NTYR:QUA_TY- YJZ ANTE-AS--EXTYW --U:O R + FSF ! + COTR-STWUCT- JG ------------------U-.0 A ! + + tOJ-R-COVER-- JQ ------------------7.0 L E Total Areas Aux_ 224:Base_ 1640 + ` 18 BASE ! EFLOU-_TYPE----- Jy�U ------------------VJO T BUILDING DIMENSIONS 22 22 24 CE"C7TRI C-A- VD yr.Q BAS W S W 6 FFB S 1 W08 N01 ! ' ! ' 1 0U-N-aATICrN- - -90 -----------------9Vg�'q A E08 .. BAS W14 N07 FOP WO8 SO4 ! ' *_-8--* + --------------- --- -------------------- -- I E08 N04. .. SAS W08 N18 FSF W12 ! 4 FOP 7 ! - ----�1EIuliSORH D 37+HC-CFNTERVICCF-- L S22 Ell N22 .. BAS E08 NO3 E02 *--12--*--$--* ' . OFFS !FWD N12 E16 S12 W16 .. BAS E18 *---*-8--*-6—*-------— 28-------x PARCEL LAND TOTAL' MARKET 27200 113500 S02 .E28 S24. .. *-8--* AREA 1229 VARIANCE +0 +9133 STANDARD 25 iff - - `pia@+g hp a'a tiy��a���l�ff� `k 4uBp "' -'� '>YR�i,5�. �.r:t�'C{� �. 7' n. '-ya-:, .:: ,"�l..,f ,Ptz �.,°• r'.�n��.,fi''.. lop, gv: gt?� .�n. kW a5� - ""#. � Fil'�p Ikq ,.�r�.,d, �r.��, .� !Egl�!k�..�.$ �rHS "}'m3 "�' '� (Ztc�Z+' �&S ` a F , g � i �;c.�Y o k RS ,49"'•'p q •j'� ry. �,""'},'x.F �}.7,- •, p w41,' ..t} _�� Fe � k# g� .�?S:�jyy'� 1p$C °-fF,l��!? 3f`+Fi',,���`� �stf� ��.�{t jFr`�. 'rygi� � .I";�R,�.... ..9 ..r. 1t ,1.�,. :t;a� 't�ieti: ~ �F'. 'a •� '�.� d +RG�Y ui' � �� _ �',; 4 I,A --firm, [�, ,��� ,� RESIDENT S' •Yr^., .�t> :YB R ^� 'A-?y�t. 2 ,i A rt t- „� !> f � t,. .ate. :i4.'�r - "•r7+;:P' aky +�=r�� •.ax, .�� R• - , _ ., z '.. t1y�:..tt�� 1y�.•: :, ;_,. S"'k , a�.tt[-d ur.-`A",.-.'33,°,Y}�`n a1}t1F�' r^";gi �� Sw;7 '$��r`k8,``�`.,w•'+ _ "'� '- 9�!;ak - 5.4�"•.t �:.µ'*a9'P ..r. ,..e.w .,Y,,..aikk+L. e��.^F� ,�' �. f'Fa•� :r+ ,t vr�;,r . .r1,n :3k u. /..6z F.pq:a,s-.5 4 t ��Ir t sa t_ :..?.- ,-,v.tr:. c. n :: .... u,<e�t.ry„ R. s..R aNx d p 1-.+', #F Rf R +-'i•. '� ii .M s Mh N I •ktM.,4 w..; .a'4 .. - .krfr,:,ti f. a. h �MIA. ... E Y :A,:e,, b��,: ,5�,.,.r9,.�` -- ,. 3-.,. a•ai...:`� .. :+� ... p'.-•,.' `�` �':..fi... o. , -�,..:� ,p r_.y'.�. ..1:1, as •€>,+�`„'.i �.<�,'��,, .::. �,s;�,..� ' Z` ,. �'t+(i,'.�. .k •,f 3,... ,MAP NO„ L07'ENO . . . � ,.,..�,>,s � �• ,.,:.,, ,� � :'.d' r? �rG .M Fy, 'sz, � ,:�r,3. -r; �-; s: r?' e�c.rt� I n. m,s .k,,.• � Sl•J'NIM'ARY;. rx* -� .4�. -,. ..t .�' .,t :� €,x.4 d., .,.•� .,rr'a. p ,:z. 1. .. ,,,.x ;, -_ ss-....r:• „Y or •.�,��',' � ,, '-, ,_ �k 1 ^may .r¢. -.s•,Et,. :?Sl'R f ... f, ��., �3. Tir 1`�,•r 9b it •; F ' ,i •r A , 7 k:S w, s �2 $9tliI t . F r yy';( fp'14. 'i ,S;ls'f! 4 : iLAND 3 _ roill 113... O (1 G F JFt,x.,� ,.9Z E i�. k f' x..s G {I': ;BLDGS '`i . :"3"��L �i4,� „ ,''`SMt"��5_"a�gn9).�.i' 6�r.:T,!Itl'r:�veaf•,.zfYk�-eF{irF�. 1.Fe', .;•"',L,..o-,.x;•.::rk'-. 2 � ,Vfi�Z•Y.. ...F� - 'IE, '� _ _ -,Y�, ... .y,.yr:cy:y,a Tr -1s '....8 -. ,�: c - _ .: •.. .�,.r. -+,..r. _..-._ .,.....^?� .. � 'o. `71#a -� I� t .c. � .�,'i r.:<. -7 u —:LAND �• su'}' ECORD OF'TRANSFER` �"�' t°" ,DATE .fro tgMBK " FG tjl.R.s: REMARKS. .>5R ,. '�'. 4 i.s{-Ia.' s „y [`Y �_' , M D.L.., 1�J6. � �' .,"• ,k'�NN!4TM, f.+M1„-,i +"i' +,'n,R.,a,_-s. .•fT'a:: fi,.,-::� v;*.:+,r,:.,`'i{ Na,:.r rvl.k,n. f.. Yfi,y.'iil t'•L :I ,.t':i .� 1 _ a�,/;�:0 a•F1' o- ��: ,.ti �7 " ELAND , Z FE st� €�95ti.�c Yr# s vu x a, j } 7 'Qep BLDGS:c .Q:„�,Y.�^.i..w,�'l�dj Y'TM'�•.e fk�,•}e- ?`d....a 1+R. '� } Y.Y •�- _ ,TOTAL LAND 4g i c r li axet,.I.j �t"`t� - —1.` 1900 -'12 �� BLDGS Jr TOTALt- e n b 7 A. LAND BLDGS. � TOTAL w }� t atr;u 'M;. m"R • - LAND BLDGS: TOTAL f •w. . �,� t LAND ` xif '9 •xf .- , .. - c �1 BLDGS: TOTAL r-`m ew,+,• t. LAND .e€,• .F={` ••r..�,:.,.. .,. �• �E s .; - - BLDGS. NTERIOR' INSPECTED: Al/tJ NIE !' 'TOTAL DATE LAND' :.too, r L, :e y.ACREAGE::COMPUTATIONS � BLDGS'• R{t�t��F`���5c '�>`.' LAND TYPE "+ ,# OF-ACRES _ - PRICE' :TOTAL:. DEPR. 1, VALUE _ ,TOTAL' _ .:. _ SR1� o� w FUSE LOT 3S ,LAND y •...-,... ,, ,.., t.% ,?.. , - saMr.:. - ,. ,. +.drymn ,?, .BLDGS EARED,,'FRONT Oi e r ; r..TOTAI• i"w !EY}+f:: .hr°q..':" ;+,,. r., E R a, ta.•s.aY :. r .t. .:2 f' .- k -'' '4. .. .. ' LAN D. a.tHt'k t -s. ODDS&SPROUT FRONT BLDGS ` „.•., a :...:-:.� ...: AS7E`kFRONT' x r "• gTOTAL? - 2" r w-'t , - .. LAND a' ' •'S.t' .'r >< rysiRE4 . �E Via. �t?S .. .•k o.zx .X.'•a w.., s. -, _.t+.er .. ,....._, .,�.zy. t .•, =i s 1,.:. r r yyrrk�. i rw. firai,�� ..:.., ,a�. _. .:„'., '.., ,, _. ,• *. ..,„ # §; ,�� ,.rc.a-.a:�. �0) E ,tr. < . . ..a, :u....- .r,..�: •.. tia. . :M-. 76'b^ {. ?r At -"LAND zx y:� av-•.: C ., w;,:R:.:w.s aZ.- :.:"k ! "�� ✓J ,k'}'."ya1. 'i; ::'n r'�.4?�'.:'.4, t "3'e�, l',;`t;:. L• �'�� .A o-t' Kr>" _ �,[ ^Y ..:F b :F� ) A� 5 y➢�. ti`_ it E .R.�' La:'t� •:.�.�".ltdlr'4t+#.. BLDGS' T:.f& 'xi"�'�\•t:. �d'"dii '4� 'r W t i� .( �„3�.. ;1: z .xr _ �' - -•n.: z r r, r z .=z.., ;TOTAL. itroa+ 'i<x`5 a .•�v�' 1 to".:;.' k5 {. <:,,: ,, L.OT,COMPUTATIONS E .0 "':' t C LAND FACTORS , 1.FRONT, 4 ;DEPTH:,s° STREET PRICE DEPTH FRONT FT.PRICE` It% TOTAL DEPR COR INF.' VALUE'',:• HILLY " TOWN SEWER LAND c ;T ROUGH. TOWN WATER, BLDGS. HIGH GRAVEL RD. L TOTALIt .. LAND Js ty, LOW DIRT RD. t ,L5 BLDGS. SWAMPY NO RD. 0I TOTAL ``w s." U tNt'.' BaATTl 6 rn -LAN COST nt-Aiiia"�t -­ �� -B th Roomy-;. BLDG. COST g G'.. St.Showeir�Bath�1�4�� �gjPl �RC�l. DATE' )J, -St:',Sho,4�,Ej.m aie� 7 :3 4' PURCH. PRICE. Wai Is t'i. A t Toilet NT.Roof R E e V.4 jw;.Fiki,BaW oqra 4 �14 INTERIOR .FINISH Gavator f 6tra --Z��'q U�, 4 Y� A- BMW= N';"" �3 6 Attl r7 Water do.vExtra a Knotty Pj6j'i­,`I*� Water Only TERidR,�WALLS, Bsmt* `,:j od, "N i;4�'Pliwo No'Plui�blng Plasterboard., r - ­ , . A I n L.F i n. �.4' •L 41�. 0 hin"gles" n • TILING ',Z4�,fir ' eat Bath FL,',1 P - ----- G* H TZ V,"WZ,, Bath?f&Wains.Z�,Zt_ L.-O Auto Ht.Unit lnt.,L.ayout,,� Ant:,Con Bath Fl.- d &Wallin Fireplace, HEATING,� Toilet Rrn.Fl.," Plumbing ' 0., Ai(�- Ips. joilef Rm.Fl.&Wil Tilin g Steam:: 'T Wills,oilet Rm?.Fl. 'Hot Water 1.!. St.'thower-,;'*2at e H Total, ov Tub.Area n!j ft,�',C Air.,Cond. V, 44. e �, CO PU-tATIONS. r 6�40.� R� A�, Pipel6ss Furn;�- V" F. Shingle S.�t A� J N eat o"Hi ♦ 4 vi;, Shin le + T, Oil-Burner ..t, -3rl, �iy Coal Stoker, F. W,G as',_ 'I" r� OUTBUILDING, S.�F." fROOF,iTYPE, Electde.,1-4 , I .... I 1. 2 3 1 2 S.F.'' 5 1,6�1 7 18 9 1101 3 1 4 1 5-1:6 B;j-p-I�O _-MeAs: k 19at. ...... Floor 0­ Pier Found. r, Sj yrwa -Mansard FIREPLACES. Will Found.., Is, .,Fireplace Stack 16.H.door j P, �jq�'A;Roll Roofing, OR Sgle.: S Firelplaice.—,_Z Sdg. LO j,�F . - j I . I b I LIGHTING Shingle Roof A Dble.Sdg. 7 -Ar kaDATE No,Elect.,. Plumbing _;t� Shingle Walis i Cement Blk. Electric:.. -�--'ROOMS­ Q V L;� n"o " .; .Brick 4: int.Finish 2�PR!r�t Bsrnt�` 1st ZTOTAL_ A '26d7 � '1� j3id-.1-(­ FACTOR % REPLACEMENT' Ft Funct.Dep. ACTUAL'!VAL,_ �i Cy, C'0 N S T R U 6 T 10 Sizit AREA, CLASS :AGE' REMOD. CO,ND.• RE PL. VAL. Phy.Dep. PHYS. VALUE pX7 Y; 72L NIAZ 0 J' - 3 a v 3 'a 7Y� N It"N"t7 —3, v IM K-Pi 're Ex v 1), J 1, 1 KW k ir V-TOTAL15 i ww"m 1*F 57'r-7, q The Commonwealth of Massachusetts. `=, Executive Office of Health & Human Services Department of Mental Retardation 160 North Washington Street Boston, MA 02114 Area Code(617) Philip Campbell 727-5608 Commissioner TDD Line 727-9866 Date F. AFFIDAVIT. TO: Local Building Inspector Cit /Town y . 1 hereby certify that the residential program- at 7o -4�cllcj W S, 0� operated by /9L`? c%g � IIQ& ' , meets or exceeds all DMR requirements pertaining to smoking regulations, staffing. ratios, individual classifications and individual restrictions (if any) b`y floor.. The program staff's ability to evacuate individuals safely within 2 1/2 minutes has beenlconfirmed through a fire drill in accordance with procedures outlined in DMR regulations. A Certification will be issued to this Agency in accordance with Department of Mental Retardation protocols. c� Quality Enhancement Specialist cc: Provider AFFIVQE REV. I/i I/95 Tile Common,+•caltl� of.4fassach9setts i;jl ''`• ._.'=y Department o Industrial Accidents z =�� n Ofllce�I/� 9atloas " , 6�I11 ft asl�itrr7on Street Workers' Compensation Insurance AMdavit name, Al H c16ld-W lecarinn `7Y 2fii?Ow"a if phone ft ❑ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ❑ I am an emplover providing workers' compensation for my employees working on this job. m �•!d resc- city. nhone fh - insurance co pelts• - —.. �.. .,� .. � .ram. ....ti• .. _ - _ .r. .•......-.. V..... ❑ I am a sole proprietor.general contractor,or homeowner(drde one)and have hired the contractors listed below wh the following workers' compensation polices: gym•n city phone#1 insurnnce co. noiier0 -. •- - ., --- Ksr'n•�...•sa�+r�':'—�'�'"'�rr"SF' --- � �Z�►ta°°�m��"—''t�74a''c•�r m lm•na e- r phone#, honer A itnur.-ince co- .Attach addid6in'21'sheii irnicice"11!X ��+�: w�"'v"^+ ""'`"'�' �'`:•: :"'"'•" "�� - ~"" Failure to secure coverage as required under Section 3A of I11GL isZ can lead to the imposition otcrimiaai penalties of a Gne np to S1300.00 s unc i cars'imprisonment as ••ell as civil penalties in the forth of a STOP WORK ORDER and a fine of S100.00 a day agaian me. 1 understand copy of this statement may be forwarded to the OMce of investigations of the D1A for coverage verifieation. !do herchr crnifj-unflcr the pains and penalties of p uq that the information provided above is true and/correct Signature i ate Print name T#0140f-5 cff�/trh� Pttoae So&� �&-� 93� otncial-use only do not write in this area to be completed by city or town oMcial city or town: ltermitAltxnse t! riBuddinq Department Ducensint;Board ee Q check if immediate response is required pSdeet tmee OHealtb D Deparrtment Other_ contact person: phone 1h n Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation fc employees. As quoted from the "taw", an empluree is defined as every person in the service of another under ar contract of hire, express or implied. oral or written. An rmplm-e►r is defined as an individual, partnership. association, corporation or other legal entity or any two or the forc:oing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or th, receiver or trustee of an individual , partnership, association or other legal entity, employing employees. Howev oivner of a dweiling 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 dwellin or on.the ►grounds or building appurtenant urtenant thereto shall not because of such employment be deemed to be an emp MGL chapter 152 section z5 also states that every state or local licensing agency shall withhold the issuance r rencival of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chap been presented to the contracting authority. • 7 ... .-y.....rN_r} q..:A.: �. .u.y.:i".r-�1.��'.►.'iin'•_-a. 'rw—.� Applicants Please 1111 in the workers' compensation affidavit completely, by checking the box that applies to your situation r supplying company narnes. address and phone numbers 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. Tile 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 requ 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 botto: the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be return the Department by mail or FAX unless other arrangements have been made. The Office Investigations would like to thank you in advance for you cooperation and should you have any ques. of In � S P • 1 please do not hesitate to give� us a cal . , �. .. . .rwr� r+.�i�..« ..•r�•.:.:i. .ti...•. `w 2ir .r•s. .^ e. -•..• ••.. •:v.� ..fit" The De arttnent's address. telephone and'fax number., ..P The Commonwealth Of Massachusetts Department of Industrial Accidents .r Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 e ✓iie Ui am�xaveuiea�i a�.��aac%aella HOME IMPROVEMENT CONTRACTOR ' Registration 117978 ° Type - INDIVIDUAL Expiration 01/08/,97 THOMAS N MCHUGHk _ THOMAS V. MCHUGH° x 6nt06LDFIELDS RD ADMINISTRATOR S SANDWICH MA 02563 . � ✓J2� TDO�I�7/IYId/Z�� d�i/l�GCicSJCLC12lGJP.�6 DEPARTMENT OF PUBLIC SAFETY ° CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 a S�� E„r„�►'� THOMAS R KCHUGK 14 OLD FIELD ROAD SO SANDWICH, KA 02563 i �` o Barnstable The Town of ervices WAL' Department of Health Safety and Environmental S ,e Building Division 367 Main Street,Hyannis MA 02601 galph Cres= Off ce: 508 790-6n7 Building Comm F= 508-775 33" For office use oniY Permit no. Dau AFFIDAVIT HOME MOT OF.l•I'TPF�ihIITO ARppyCCO TIONw SUPPLE reconstruction,alterations;renovation.rcpai4 .I Miz3ti=Convemon, MGL c 142A requires that the ed improvemer�.remotal, demolition, or consaucacm of an addition to to saw wht�Aa�t building consa�ining at least one but not more than fonr ���ae� bong with other to such residtace or building be done by registered tequircmcnm Type of Wotic: cuiitG�m �E�i}c�E/l�G'9T 6�TfI REilto�'u�aFst Cost Address of Worts: v 6:01zorDR/� ORner.N=c: -t 1te Date of Permit Application: &l3 -? I hereby certify that: Registration is not rcquired for the following rcason(s): Work coduded by law _.—M undersLOOO Building not owner-occupied — Owner pulling own permit Notice is hereby gi♦'en that: CONTRACTORS OWNERS PULLING THEiR OWN PER1V>ZT OR DEALING �NO�T ACCESS TO THE FOR APPLICABLE HOME IlvIPROVEi�Nr UNDER MGL c I4ZA ARBITRATION PROGRAM OR GUARANTY FUND SIGNED UNDER PENALTIES OF PERIIIRY I hereby apply for a permit as the agent of the cm*ner: Date Con Registration No. OR ' [ ] [R172 058 . ] LOC] 0070 GUILDFORD ROAD CTY] 10 TDS] 300 CO KEY] 101446 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 MAY INSTITUTE INC MAP] AREA136BC JV1373651 MTG10000 640 MAIN STREET SPl] SP21 SP31 UT11 UT21 . 35 SQ FT] 1648 SO HARWICH MA 02661 AYB] 1973 EYB] 1975 OBS] CONST] 0000 LAND 27200 IMP 86300 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 113500 REA CLASSIFIED #LAND 1 27, 200 ASD LND 27200 ASD IMP 86300 ASD OTH #BLDG (S) -CARD-1 1 86, 300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 70 GUILDFORD RD CENT TAX EXEMPT #DL LOT 176 RESIDENT'L 113500 113500 113500 #RR 0640 0100 OPEN SPACE #UP FY98 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE101/96 PRICE] 124000 ORB110011023 AFD] I LAST ACTIVITY] 05/28/96 PCR] Y ] ] [R172 058 . ] TAX ACCOUNTING [ ] 1560- [ 101446] RECEIPT NO. PAYMENT TAX YEAR/B.G. AMOUNT DATE TYPE PID 0 ------CERTIFIED OWNER------ TAX DUE 1, 545 . 88 ] OUTSTANDING . 00 LYNCH, JAMES & CAROL A ] TAX CODE 300 ] CITY 101 DISTRICTS CO ------JANUARY 1 OWNER------ ACTION ] MORTGAGE CODE A0000] LYNCH, JAMES & CAROL A ] ----CERTIFIED VALUES---- -------CURRENT OWNER------- TAX EXEMPT . 00 ] MAY INSTITUTE INC ] TAXABLE . 00 ] 640 MAIN STREET ] RESIDENT'L 113, 500 . 00 ] SO HARWICH MA 026611 TAXABLE 113 , 500 . 00 ] 00001 OPEN SPACE . 00 ] ] TAXABLE . 00 ] -SPECIAL LEGAL DESCRIPTION- COMMERCIAL . 00 ] #LAND 1 27, 2001 TAXABLE . 00 ] #BLDG(S) -CARD-1 1 86, 3001 INDUSTRIAL . 00 ] #PL 70 GUILDFORD RD CENT ] TAXABLE . 00 ] #DL LOT 176 ] ] #RR 0640 0100 ] ] LEGAL DESC CONT'D IN QUERY 'PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 11/08/96 PARCEL ID 172 058 GEO ID 10144 LOT/BLOCK 176 DBA PROPERTY ADDRESS OWNER THE MAY INSTITUTE, INC. 70 GUILDFORD ROAD 940 MAIN STREET Centerville 02632 SOUTH HARWICH, MA 02645 PHONE (508) 432-5530 DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC RC SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? ## BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 15246 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT This value is not among the valid possibilities QUE�Y PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 11/08/96 PERMIT NUMBER 15600 PARCEL ID 172 058 70 GUILDFORD ROAD PERMIT TYPE BREMOD RESIDENTIAL ALT/CONY DESCRIPTION CODE 638/GROUP DWELLING/OPTION "B" CONTRACTOR PERMIT FEE 31 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 06/04/1996 EXPIRATION VALUATION 10000 . 00 DATE ISSUED 06/04/1996 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT QUERY PERMITS : QUERY END QUeRY PERMITS PENTAMATION----------------------------------------------------------- 11/08/96 PERMIT NUMBER 15618 PARCEL ID 172 058 70 GUILDFORD ROAD PERMIT TYPE BCOO CERTIFICATE OF OCCUPANCY DESCRIPTION CERTIFICATE OF OCCUPANCY - BLD PMT #15600 CONTRACTOR PERMIT FEE 0 . 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 756 GROUP TYPE APPLICATION 06/04/1996 EXPIRATION VALUATION 0 . 00 DATE ISSUED 06/04/1996 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT �Nen 15,2 �4 .5 SG hlict7 1,�Ght j `7 S L1 70 U l r r�Mf 52�'e-T"a AS0L- ZONING DETERMb&IM HE LOCATION OF THE ORIGINAL DWELLING SHOWN R02EON EITHER. WAS IN COMPLIANCE, WITH LOCAL ,PPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSTRUED WITH RESPECT TO HORIZONTAL DIMENSIONAL !EQUIRFMENTS ONLY OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER. MASS- G.L. TITLE VIi, 'HAP. 40A, SEC, 7, UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY INSTRUMENT SURVEY S ADVISED WHEN STRUCTURES ARE SHOWN,TO BE ONE FOOT OR LESS FROM PROPERTY OR REQUIREP`ZONING' -EMCK LINES. NOTE: DUE TO HEAVY SNOW COVER, ONLY MAJOR STRUCTURES ARE SHOWN AND THE. 1ECL,ARATIONS MADE HEREIN ARE WITH RESPECT TO. SAID MAJOR STRUCPURES ONLY. DETE Tt N 'HE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SP9CIAL FLOOD HAZARD ZONE AS DELINEATED ON A IAP OF COMMUNITY # 250001 0015 C AS ZONE C DATED 7/2/92 By THE NATIONAL FLOOD INSURANCE 'R AM_ CEWFICATUT CERTIFY TO ROBERTS, FARRELL 60tone'Laub Spurbep (Co. is o. .OWLEY, FLEET NATIONAL SANK OFEneCbIDd� •♦ RC��rrr ASSACHUSETTS & ITS TITLE p NSURANCE COMPANY, THAT THERE 0 AEbJ 001(otb, 00102745 CARTkR .RE NO VISIBLE ENCROACHMENTS R EASEMENTS EXCEPT AS SHOWN 1-800-993-3302 ND THAT THIS PLAN WAS PREPARED JFax 1-8W_003-3304 NDER MY IMMEDIATE SUPERVISION_ Qg� GENERAL NOTES:This martgcepeCtlon pton w0s prepared for the above mentioned client only as of tt*date and is not Intended of reprinted to be a kind or property One survey. No cornea were set. it cannot be used for preparing deed description,construction or 8st0bIWft fence,hedge or bulkdtng lint. The kind cs shown heron Is based on dent famished Information and may be subject to fu~cart-sates,tokk*s,easements and rights of way. No responsibility is extended to the land owner or occupant. It is not Intended t0 be recorded. D000/10000 Di Zi 96/CO/90 [ ] [R172 058 . ] LOC] 0070 GUILDFORD ROAD CTY] 10 TDS] 300 CO KEY] 101446 ----MAILING ADDRESS------- PCA11011 PCS100 YR100 PARENT] 0 MAY INSTITUTE INC MAP] AREA] 36BC JV] 373651 MTG] 0000 640 MAIN STREET SP1] SP21 SP31 UT11 UT21 . 35 SQ FT] 1648 SO HARWICH MA 02661 AYB] 1973 EYB] 1975 OBS] CONST] 0000 LAND 27200 IMP 86300 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 113500 REA CLASSIFIED #LAND 1 27, 200 ASD LND 27200 ASD IMP 86300 ASD OTH #BLDG (S) -CARD-1 1 86, 300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 70 GUILDFORD RD CENT TAX EXEMPT #DL LOT 176 RESIDENT'L 113500 113500 113500 #RR 0640 0100 OPEN SPACE #UP FY98 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 01/96 PRICE] 124000 ORB] 10011023 AFD] I LAST ACTIVITY] 05/28/96 PCR] Y R172 058 . A P P R A I S A L D A T A KEY 101446 MAY INSTITUTE INC LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RC 27, 200 86, 300 1 A-COST 113 , 500 B-MKT 85, 300 BY 00/ BY /00 C-INCOME PCA=1011 PCS=00 SIZE= 1648 JUST-VAL 113 , 500 LEV=300 CONST-C 0 ----COMPARISON TO CONTROL AREA 36BC ----------------------------- NEIGHBORHOOD 36BC CENTERVILLE PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 272001 LAND-MEAN +0% 1135001 87274 IMPROVED-MEAN -10 2506 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 10001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R172 058 . P E R M I T [PMT] ACTION [R] CARD [000] KEY 101446 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT r __ _ . _, z. . . 1. I�-:I!I��I.:"�I 11,,.I�I�1I 1 o1�1,�-�"I��.",1�"­��I..,�,,�­..I I�:��.�,I.�I.�,"I,.1,,"II:1.,I!�,�,i 1���1,,.��1.,,,1�I.,.�I1,".,II,,.1.-,.�,,1_:�.,I I,I,,I�,I�r�1�I1.1I."I_1"I.,I�I­1II.I,,I __-I..'1.�II�.!I o�I_,".I�1,.I,�.,1 , . . , RAL' REE N ENIREIIATE _ G NTS O S _ . - - - . 'R� . _PROP�RTY_1,INE I I I I I �I I� � ..I � I I�! J�01 1 I I I . � 1. The Contractors res responsibility shall include all supervision, labor, materials, tools, g . P P 1. All new interior and exterior wood framin shall be 2 x 4 @ 16 oc., unless noted . :equipment, services, insurances, permits, inspections and ,approvals and temporary otherwise. . utility services required for he proper completion of the project indicated on all :I I . I . I I I I 11 I<_��h � I � I T I � . I . 1 , r v ns of:the t Bui in Code hese Drawin s rn:accordance with all a li able o isio Sta a ld 9 PP P 9 2. FEWF Face of existin wood frame in 9 ( 9) and all other a licable codes and re ulations. By be innin work the Contractor shall 4 _ PP 9 9 9 FNWF Face of new wood frame(ing) I 1, f ', agree and warrant that he has complete familiarity with all these Drawings, FWA = Face of wall aboveII ( , : specifications,' schedules, site and utility conditions and all applicable Codes, Zoning i. Bylaws, ,Regulations and reference specifications, and"shall comply with the same and 3. Bath #i and #2: ' r I i , rocure all ' ermits, ins ections and a royals required by the,State or Local Codes and _ k , P p P PP q Shower = Kohler #K12465-SS white @ Bath #1 and #K12466-SS white @ Bath #2 Re ulations. ' Contractor shall cam out and ro erl com lete all ro ect work fin a ( ) . ( ) 9 Y P P Y P P All other ]umbin fixtur s s cted b weer timel manner in conformance to the highest a Ticable industry and trade practices and P 9 es a ele y 0 ;' Y 9 PP Grab Bars _ 2 @ 42 L. stainless steel with peened finish. Mount @ 34" above standards and shall warrant all project work to be free from any defects or deficiencies _ _ : .:i • for -I year from date of completion of his work (this warranty shall not reduce or fin. floor on solid wd. blocking (Co-ord with toilet tank) k invalidate any other warranties or legal rights the Owner may have against the s Yanit To = 22 D. lastic laminate on wood frame and steel brackets with I. 11 Contractor for defective roducts or Workmanship .. Y P P , P P) " " 1a1 - iD china bowl. Mount @ 32 above fin floor with 27 min. \1� \ > >� � i`P .�1".I''_­��1.I��I.�I,'.1'�II1II-.".'�1."-I�1,,.)._,.��1 III,'.1'I I 1I.I II1�.I,1-II-I,,�,,.�'!I.�I..II I1.1.1��­I,.I�I�,,;I I r-,,�I�1I I.I�I..1�._-�­L­�I,I 1.i 2. Use ade uate numbers of skilled and, where re urred b Codes and Re ulations, licensed 1 a ance o underside. :�',,I l 11,,,,,,!.,-'.,:1.,,,I:,_�1,.L"�"�I.,�,",'r',II�'.�.14,.,.-.,,,',,�.�-I I.1i.�,��.­�,:I'_.,,I,I-,'-,I�-Iie"''I-,�I I,��.I,�­�1�,,r,�i-..1-.,I 1'�Ii I�.I,,,I,II'p,�r,.1.�,1,�'�I 1-,,,� iI.�',II;I�..,.'IiI-L I�I1'..I..I,.,:.1I,�q,.I.`,ItII.1,­:,.1,,�.,�.O.:.'I-iI_,:11.,:I'�.I I,:i I I,I,.�,�..:.1�I.,II..-I.IL,.,"..I�I-I.1,��.�,I"",I11­,,,�..II:...""-I,I­I I rI�.r-t,..,,II''�'�.I.�.,I.1I­.I I�,I,,��1.I-I 1,I1,,.I.:�I I1I 1I�__'I,-I�'�i1I­l I,1 I,"I:,.i�I I��'I,......",,1 II I1.I.1.�'',�r.'.1I.'..��;­,...I:lI.1I,-I ,,I I�I I1 I 1�.1-�I,II'.,I":'1��1�­I.,.�,I,"::-,,�I,I 1.1",�1-1:��,�-:1�,rI.I"�I.1:vI 4',,,�1­,I 1,1,.I 1I.I,1,:,­I�­I1,-,1 I!1,"I��"I I�1�,-I..1,I�I-,III',1 1,1""II11 I1.-.�,I.�I'.��I"1I1-1J I­.4-.I.I I.II,�,I�.��I�1.I,�I"1 I�I_�R I,�.-1�.�.I'.I,:..1.I 1 I I­�,�I1-�I,III,1.....�I1 1I-I-II 1�I.,�-r�I,II-."�-�:1 I-.1 I II�I 11 I.I�I..­,'III.I,,I 1�I-I.I'..-�,I II I,II�.,'�11:.:�I I,,�,I.I�.1�..III,.'11I,��II II 1 11-:.I..�'I II�.:I�,I,.,I I I,.��.I,1 I��1 I1-�I"',�II-.­I.II,I.11I1 I�-I,I II�..,,.1,I.II�..i'I._II.'I..1...�,I I.I.-II.1I�I 1I r�.�,1�I II:I�1.­..II�'I�II:.I' LI,II.'.I 1:,.1.,�I..I.,.II.:ILLL 1'I I 11�,-.��Ir.'II.'II�.I.,II I�.,I,I...,II..I..1 I�..�I"I�I 1.�,I...I�.,1I...;,.1 1,.,�.1:.�',I.-�.I.�r.�,,�I IIIII.I.�:..I1.II..,..;II-II.I1,I I1,1;.I.I:I.I.�I,I-I.1.1 1I,11.II 1II�rI1 I1:�-.,I 1,11�1��I*,....:I�.III��I.II 1 I�.I.i..I.,I.I�I1 II II I�I.-.II,.��.II.�I I-I.I�I I 1..-,.I 1�II I.�-1III I�iI-�I�l.III'I�I I�.1,,L��.­I.1I�..-'.­1I,.I�'���Il.I""I�11..I,I I.'I I1.I-,,��1I.;�.',II I:.I,II,-­I�.�..I.r L1 1I II',II I�I 1�.rI"�-�,1I�II III II'_.­I1 I.-I��-7.I ,I I..I.,1 I I'II­.�­�;,,.-I II,,�..­*I..r.I�I-.,�I I I,1­,I I.�.Ii I1�I,�.I­I.:II I.II�I1 r..I%-II.,,.I I11.,.,1�.....I.-I I��.I1IIi,II II..I,I 1'I�I 1,��.,:k'..I��I."II.�I�1.'I I..._.I1I i1 t�II I�;I.1II-."I II�..I I.I��..I.,,....i I I I I'I�.I 1..II�.�.II;I I�I�.I�I1II 1.�,�1III.. .I.1l.,.'1 I I I-,I,II1II I I I...I.II1II., ,I-'�-I I ��..IIII II I�I I,I�. ­I�.I�.I I,I_r4IO.I�-I._....,I ��­I I.I��I1 II�I�,I I�:1.­I1 I1 1,I�I­I ,I W,�,1.�1-�._I1�I�, I1I?.I._v.,..I.��I..1,I_II I,I1..-�-I1_I1 1 .,�.N.,..II��I-I.�..I..I I�.I.�_�­­I.OI�.(.I�F,I.,%-,�.I—�.�...��.._.I.I_.I._.�III 1.,.­I�4���.I��,:.�I­�I.I,_"-�I I��.I_I-_� -.,_)I_-_ q q „ Y 9 •�}� tradesmen and workmen,who are thoroughly trained and fully experienced in the required GJ, -_:" _SY2 1 ,.�'tII,I.11!I,I�.I.-,I 1,.II1I�IIIIIIII I.,.L 4P.IIL.I I:III 1.I I 1-IRAm..W.I�.�VT.vI ..,l�-�-i.A�11I.a-M�'-0\..'�If I.1T�-D�bJ.I I\4I.;-I I:.I-:I 0II�A�I II.I-.-P x�J tI 1I-_ pP CT_>I.!�.F,I kI I.-7.�-,-, -I IIpI-lI---)6-IN I I1�1-1 1 1II).6 1.\Z141.,I--'�1/,(,I I7.-V!/1I�1�r._oI0 I�� I1)-=_J� 1\_____-1 1.I�I"I IiI.II�IjI: Fioor Fin. = Slip-resistant type as selected by Owner ! - 1\.-,i r�2 J.I1�II---I-� II-W/�I-,�-,-.P 1 i- /II—i� /1Nf�-W i-g 1OI/Pt IV_ft-,-I%I_�-O.:,r-h:,-Ia:_��._:.RI6_ i�III:nI--I�I IIIII�I R�,V-11�,_.-)�I­%IUII 1 -�t I�I(� ,A';.�K 4JI­=._,Ir,II,.11,1�I.I 0�pI,,�I I� Il I�== ­I.-II r/_�lIt,y M,,,\Q �jb.I,-iWl4,.� 4�* �f-II1.�1,)h,..I' t/- m. I trades and crafts .and completely familiar with all these Drawings, specifications, --j- - - )l.,kI'o • Codes, , Regulations and related concerns and the proper methods required for the / ___ - I. V0 - m f ro ct Fanlli ht - Nutone #QT 140E duct to -exterior 'and switch se arately ( L \ D f cop o .this p je • 9 P . __.- 3. Use all means necessary to protect all materials and work before, during, and after \ I installation and until the Contract Work has been completed, ` Construction safety and 4. All new windows shall be Andersen Perma-Shield (white) with screens in models indicated. ( \ I NEW NT f • rotection of the workmen and ublic and ad scent ro ert shall be the responsibility New Patio Door shall be Andersen Frenchwood Glidin Patio Door (white) with screen and / , ' p P � P P Y P 9 I \ ( \���.� I I I of the Contractor,.who shall take all measures necessary to prevent injury or damage to contemporary handles. \ / XG- all eo le and ro erty. Maintain entire jobsite and work areas clear of all trash and I \ ! - Ib1p , , p P. P P , , ; I I, debris at all times and thoroughly clean entire project at completion of the project 5. New Foyer Exterior Door shall Be Therms-Tru Premium Steel Door #289 with Schla e \ Y 9 , ` ( _ I r . work. #S51PD(626) Saturn Entrance Lock. 11 I :t 1 ) 1�. or ( / \\ . - `� 4. Dimensions indicated on all these Drawings are generally taken to/from the centerline or - .1 J jt: ''� - - I I . edge of materials, obviously indicated otherwise. Verify field dimensions prior �� ITT "�� i ' to 'carr in outwork and notif Architect of an discre ancies with all these Drawings; - / r•„ ( R� i : . Y 9 Y Y P 9 �.I1 any adjustments between field dimensions or between field and Drawing dimensions shall - / r_.,N7� .P,$0 J� Y �) r . be made as directed by the Architect. Do not scale dimensions from any of these N u Drawings for any purpose. r , \ hill/ I / \ i. -- I�'f �� �TVD � , / . 5. Report any discrepancies between the requirements or information contained on all these ' * I / I , . ' �.d V 1 AD \ C .-._.-., - _ - b 'n ,I 5 . t h ua work conditions rior to cars in out work an discrepancies U RE KEW 1 pT� ,���I} T 1'�N Gt�+t��5 Drawings and t o act 1 p Y g Y p I r : �. f�l _ ..__ 1 - ��- shall `be resolved as directed by the Architect. : { - - - ff. V�+ve\ >��( . �'cW"T T ,. Pam.tea. -. _{ WERNY ON , I MOPI✓411 P�uAti�OM " 6. All concrete shali be transit-mix type and shall have a 3,000 psi strength at 28 days. P.T� tiVa I 1 �NI N�N11��T HH141 - 0R-62Li I P1 N, x DH : -;/ I 20 _ Io_ E Do not place concrete in any manner or during any weather period hat could damage or FRnA D j 4 t I . -. . reduce the strength. Q� t"•.T. TWO ��� p'i i�.Xi�. 1 . I ��P,faTP- T� , IIIII { I _.�-.I O I I -+I .T,-.-I I . I. III­ 1 1 , ., }}''H�IV♦ V F Vi�, A 1( �s�, 1 7> Rough carpentry work and materials shall comply with all applicable provisions of the G�Q��� , •j► o 1 State Buildin Code, Article articular attention is hereby directed to Table 3403.2 -_ . g P 1�\1 i� flt�. -- ` . Fastener Schedule, and Section 3403.2.7 Firestopping. All wall, partition, and similar � '" A . . �� light framing shall be "stud grade" kiln-dried Spruce-Pine-Fir (SPF) or equal. All { iI { 11 r ,, r ` v y ' " 5 O l '9!►n-dr d S r - - • f]oor,•ceilin , and roof framin shall be No.•2 grade kil ie puce Pine Fir (SPF) ,_ Y l� „_ ,, I 9 9 , ; ILD GU F n ►- RD r c earl O RD 1 Fir- Ex osu e 1 l marked with the : N ,, r or a qua A1] 1 ood roducts shall be _ ) . , ,. q ]. P Yw P ( P Y I appropriate APA Certifications. Do not impair the strength of any framing members by n* _. ' i� � 1 improperly joining, cutting, or notching. All rough carpentry work shall be neatly and t�` ' f° accurately cut and fitted and securely attached with proper fasteners. I I � + N - f0MI 7 !u' F2+� ' T • \ - 1VEWAY/RAMP DIAGRAM . t �� DRI y , _ I N� OWS %:-- i 2 NAY ; 1 H . o r ... __:__ t ; r FN.T.S. r i ; . M , _ . $. Contractor `shall be:full and solel res onsible fo rovidin all su ery lion labor Y Y P P 9 P , , \ ! , , , materials equipment tools services means and methods that are not indicated on these , � �� N�Na { ��5 i BLDG NORTH �•+ E-t ;, �r,c� �r i [L H tp tp cV Drawings but .`.are required for the roper completion of this ro ect. Prior to 1 t �- , +. o V p cv t c19 , P )P P j I \' proceeding with any work, Contractor shall meet with the Owner to determine, identify - - _____-..__ - _ , ���LT•I�1' 9 q P l.Alh1- - Palo E^ P 1��iV \ + and agree to any.such above items. R A to r- \ r- , t r t CCQ p F y a w .-4 rn , oo �r ,, . #1 Y� fi T ..X� �I�T 'f w w ,�, �, ,, 1. I I w aD ltrn I es i , ... t anner r u D `: t' t nd ` atch st u ur work or buildin com onen s in a m n : . 9. ono cu a p r ct al g p 9 {� f , _� - - -- -- . � � aoa<w - r + V - _ h x osed � _ �1� __. t i ' reduction of loadcarr in ca act or decreased safet Do not cut and atc e p l`�' 11 � � , , I , Y 9 P Y Y P O I �.-'- 1`F�l�l I i ,A I �A� A r H as cc 2 work'or finishes in-a man er resultin in reductions of visual ualities of finished 4 T _ i D = t >(, i 510•\ - = -- -- �J1 '\V wow+ mo n 9 q r� 1� ' I 5L I I.Z N\ ( �`fi; - �---- - - ._. - - - - - _ ._ _- .-. _._. -._ , - - -- -- - � • woo sa . surface. ° Provide materials for ,cutting and patching which will result in equal or \�V'' ; ' \ : � N -- Q'; „ 1'\���.�pQ ���� {��tJ;M 1 , 1I t� `T a a i*+ �- , - j better work 'than `existing work. Restore exposed surfaces of patched areas and extend ' ;-; --- - - --- - --� 1 a 8i X �.C�r%(�-0 ��p•Jj �:It�1� x�.1�- a �+ __. . eliminate l 1 _ , _ - . _finish r toration nto retained work ad oinin in ,a manner `which will 1 _. _ _._. O , D %� i i � r t h r n d itio n to and r a yid t n B u t work ndicated a ein inv yes s a d ��e ence of a ch. eca se he i of . ¢. _.- AGE CJ 1� t ` ,I r � - � 4 i P 9 lS� _ a,:sl , _ . 1 s� c ><,_- H r - I �. I o - �.ny yA,� TI t A R r nnot nd does not.--ass a.. X!. IZ Ii enovation of an 'existing budding, th.. .Archrcec� ca _ , .a _ ,� ,� � • � � � q" !�- � }, y, L, -, _ _. _.,__.._ .:_. .- 1 ( i��. 5 )\\ �� D SAT STAIR � CL - , . , responsibility for the accuracy of dimensions indicated or liability for any problems or t I (A\ � � � �!( " � ` _ ! -- I P ro �ON QP_ KITCHEN Q I DINING RM l a unacceptable or hazardous conditions that may be. a result of the conditions of the G 1 ! - O m � TDB' 1V4 - t3 • existing building. Contractor shall be responsible for reviewing all Code requirements ! �, ��y o , r w,. o o _ I 1 T H, , \a\1E ertainin to the existin buildrn with the local IBuildin Ins ector and Owner. Cove r ; I . - .�+ P 9 9 9 9 P . i ,. o \ 4 ( . 3 , , .� R 1� T Y rM . D�L U ro and r c f rnrture a ur m nt d tares to remain from soilin or dams a when_ p ote t o , q P e an fix 9 9 Irs~•�7� I� ;: � R I i s♦L : demolition work is erformed in rooms or areas from which such items have not been (N©p� �- I - • V o +' . P . removed. 'Erect and maintain dust-proof partitions and closures as required to prevent STAFF I :� � � � �T BEDRM#1 I BEDRM#2 . fA - E . spread of dust or`fumes to occupied portions"of the building. Perform selective � � ��Yn�O� LI r a •G r . C( 1•r (a U demolition and off-site disposal in a systemnatic manner of those portions of the ��,++ + \ M1 I : t't 1 �1 n 11� 7YP 0 �1i �� t ► s w q . . i } n I ` . .:I:n1.:�.1..1 :�',,�L,, 1",1�:,:�I,=�.I --. : I_1�-1,­ . ex t i h rawin r th r r r , _ •.l ._: is ing build ng as indicated on all t ese D gs o o e wise equrred to grope ly i�-C3 a o 1� LDY I , ' Rs d ,. ::. accommodate the new ro ect work. : -» � � � P j � �I\ F r x x , QV . ?J _. ------- i - ro a . \VAS t�T� ,-------- ^� I �T ° a o m -�O ---�_ ---- I I } \mot o ►+. i i �L 11 ,I _ I HALL C.�DC7 lE\�( I _ M -fq N _ I N , £, o P 4 U. i _ _ I n ._, C� o t k. - .d p , I -1 a, \Y N \V �, p CLI �/ I ; p �, \ 1 --- +------ ----- ------------- ,i----� , � ., >+ , RAC P I l=N\\1 --� '-__--r+ -� h1+ t---- _-, -__--t �1--fit--- (� ,{: II F YER a �VtiQL 11 , - <- �}�?�'.)�! Tt? a 4J 9 - _J , p Ll �Q \Q BEDRM#4 _ _ e t P i Ja 3 'p NON , , t �, r G�1• N\ l ATH#1 �. ;�I o�_ �D B Z - - - - _ _ ca , T I �, _. __ -- � - �K,a LIVING RM ` � µ RM#3 a w � o r•�; !3 d rz_ , �' R7 \ . -F 0. P �' , 5 t � � d1 ` 5 _ +' w I -� I i1 S i I , q MM c, 4 i _.,. , � ,' NFL m i t 1l -_______ I ( - - }� ti� r i _ I?eQr=�J-2�8►c� I J - G a - - ,--- I - }• o ro � . . �, t'0 r r-It0 \\A cn a . -- 1-II I-I'�.I I� 1-.�.���II I _.:.._. _ - ._ - - • t I Iz•�A�►lb�D , _.� _ � -_ �+ - Ll. r 4 ; _ _ �.\V FAG L GRI� I- ---- - !V Pi ) v. 1 11 !r . . . __ 2 - . P� . . 0 c ' 1� _ rC t to t� I. ; Q I . I �'R.?.moo A D P.�1L , g h '------I _____. --- • Z 3 f V .. : . c , V OW bil I .. r k • > `"� . , Q_-_ __ /I ,ia C� a 4 _�-s - . 4 R _._ _ z - - 1 _ -__ I 3 I. "d�1'I a �t t n . w I : 0 __ � 1= _ - Q l _ a� „ k I _� I. _ - - I--o O, - Po l,l. N -- ,C , i 3 : V D 1\l � A, o�. W 1 . ; a o Z ,, , - \v o: �P �. ,�� . `r F f - =.Q W F -_ �� 1_ ,TU__ I o rj , t .: 1. � -t , RAM P r ` Y w . S S _ r- N 1 ,. 1 , 1 1/2'-1-0- ; . r o '' �t 1 BUG D 5A L Q > '411D S ' FL R L N �o O y��P A „, - ,'�". a . BLD ,. !, G NORTH I. I)I I - r', ' • • _ _ ..r g, ., r.