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Home My WebLink About0650 LUMBERT MILL ROAD �o� ��=� N� . . _ j '� e �,. ,� Town of Barnstable i111Cl1n - g t Post This Ca°rd So That`it is Visible"From the Street-,"Approved Plans Must be Retained on Job,andYthisXard Must be Kept. _ Posted Until.Final Inspection Has Been Made ^y.m it Where a.Cert�ficate of-Occupancy.=is Required,such,Building shall Not be Occupied until a"Final,lnspection has been"made" CJl Jlll Permit No. B-20-278 Applicant Name: WHITE,SUSAN & BASLIK, BRIAN Approvals Date Issued: 01/31/2020 Current Use: Structure Permit Type: Building Foundatio Stove Expiration Date: 07/31/2020 •n: Location: 650 LUMBERT MILL ROAD,CENTERVILLE Map/Lot: 147-081 Zoning District: RC " Sheathing: Owner on Record: WHITE,SUSAN&BASLIK, BRIAN Contractor NameQ Framing: 1 Address: 650 LUMBERT MILL RD Contractor License � 2 CENTERVILLE, MA 02632 T Est. Project Cost: $0.00 Chimney: Permit � Description: wood stove-Jotul Fee:a� $35.00 _. Insulation: r Fee Paid.) $35.00 Project Review Req: MANUFACTURER SPECIFICATIONS MUST BE PRESENT AT TIME ek Date A 1/31/2020 Final: OF INSPECTION. CLEARANCES TO COMBUSTIBLES AS PER MANUFACTURER SPECIFICATIONS. Plumbing/Gas ®� Rough Plumbing: u h -,•= Building Official _ _ This permit shall be deemed abandoned and invalid unless the work au"thori-zed by this, permit is commenced withinsix months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents:for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and.codes. This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. t � The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are p Electrical rovided on,thi's permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.foundation or Footing 2."Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue limng is installed" 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation tow Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. - Work shall not proceed until the'Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final s Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Application number..?)-.. l Fee ..�. ........................................... .... .... s = gUILDING DEPT. Building Inspectors Initials..:.. NA � ............................. A �fJ JAN .2 9 2020 Date Iss.ued.:......1,.4.1�12-0. ... _,... T4"W ll'1fhftf Map/Parcel........./7 J. ..dy.I.................... TOWN OF BARNSTABLE "' EXPEDITED PERMIT APPLICATION: SCANNED ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project:�n S O 1✓y� �� '��-(i �� i Cl� L�Uf�'t' NUMBER STREET VILLAGE , Owner's Name: 844 A 0 &',KL,1 IG/3 U SA x) w N t j-i'�, Phone Number <-() -7 3_7—O g"7 Email Address: 'Cell Phone Number�_Ug -? Project cost$ 1� Check one_ Residential Commercial ' OWNER'S AUTHORIZATION As owner of the above property I hereby authorize4 to make application for a building permit in accordance with 780 CMR ` ' Owner Signature: ��A � � , �Date: - TYPE OF.WORK 0 Siding 0 Windows (no header change)# E Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review Q Roof(not applying more than 1 layer of shingles) All � - � " " Construction Debns will'be going to f� 10 CONTRACTOR'S INFORMATION Contractor's name o Home Improvement Contractors Registration(if applicable)# (attach copy) • 1 * t 1 J r ,Construction Supervisor's License# C'8�= �`q t (attach copy) Email of Contractor 0T Nc-N/XNf YQ fie""o-Aperphone number o by ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTYES IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. '.13Y11'Wurpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No , if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3.30 pm-d:30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES * . Manufacturer# �'�T y l.� Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front ✓ back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: U Telephone Number s 7 17 9 I Cell or Work number •� � I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts� p � State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 R. #t CMR and the Town of Barnstable. Signature Date `' 20 APPLICANT'S SIGNATURE Signature /` / \ -,Date All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents f� Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit:.Builders/Contractors/Electricians/Plumbers ; Applicant Information Please Print Legibly r Name(Business/Organization/Individual): W 4b�,_Address- ,;s City/State j�vS l 'e A a��; �` Phone 737 617 V 0' Are you an employer?Check the appropriate b K', Type of project(required): 1.El am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors' 6. ❑New construction 2.El am a sole proprietor or partner- listed on the attached sheet. 7..❑ Remodeling ship and have no employees . These sub-contractors have g, ❑Demolition workingfor me in an capacity'. employees and have workers' Y 9. ❑Building addition [No workers'comp.insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3 D r I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or.additions myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.],t c..152, §1(4),and we have no employees. NO workers' 13.❑Other comp. insurance required.]. "Any applicant that checks box#1 must also fill out.the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. " 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 fine up to$1,500.00 and/or one-year imprisorunent,'as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains and penalties ofperjury that the information provided above is true and correct._ Si ature: D e '�=ti..� rLL.�.�"• _. , Phone# '-�< ..._/.-�_ Offi cial 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� t Information and Instructions ti 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." e 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 a5 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 cant'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 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.#617427-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia , a Commonwealth of Massachusetts ' Division of Professional Licensure V + Board of Building Regulations and Standards c °'""`•a� ConstructCon Supervisor :TIE HESUQ® CS-024158 E4pires:01/01/2022 JOSEPHBEN.TO PO BOX T :� � .� .�. ;".�+�,, �,. _ 361. EAST FALMOUTH MAJ02636-,' = • ., Valid Thru • , 'r.• . ,` f December Commissioner Falmouth chimney Sweep ' Teaticket MA . v w r • 0 Town of Barnstable Building' • •11 ? rAmvaraaee Post This Card So That it is Visible From the Street Approved;Plans Must be Retained on Job and this Card Must be Kept sMASK �� Posted Un1 i�,Finallnspection Has'BeenIVlade Permit t. Where a_Certifkate of Occupancy is�Required,such Building shall Not.be Occupied until.a Final Inspection has been madet 1 1 llll Permit No. B-19-2355 Applicant Name: MATTHEW YORK Approvals Date Issued: 08/12/2019 Current-Use: Structure Permit Type: Building-Detached Accessory Structure- Expiration Date: 02/12/2020 Foundation: a @9170 Residential Map/Lot: 147-081 Zoning District: RC Sheathing: Location: 650 LUMBERT MILL ROAD,CENTERVILLE � Contractor Name: MATT HEW G YORK Framing: 1 Owner on Record: WHITE,SUSAN&BASLIK, BRIAN Contractor License:. CS-097162 2 Address: 650 LUMBERT MILL RD Est Project Cost: $40,000.00 - Chimney: CENTERVILLE,MA-02632 Permit Fee: . $304.00 Description: CONSTRUCT A 22'X36' DETACHED GARAGE/BARN STYLE:.NO HEAT Insulation: Fee Paid. $304.00 Project Review Req: AS BUILT SURVEY REQUIRED BEFORE START OF FRAME. Date P 8/12/2019 Final: FOUNDATION FOOTING MINIMUM DEPTH REQUIRED FOUR, FEET. � Plumbing/Gas �H Rough Plumbing: �Building Official - Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced with n six months after±.issuance. All work authorized by this permit shall conform to the approved application and the approved construction documentsJor which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street oc road and shall be maintained open for public inspection for the entire duration of the final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the"Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing InspectionE 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy 'Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing;and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. .Final•. "Persons contracting with unregistered contractors,do not have access to the guaranty fund" (as set forth in MG'L c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Nw §1 ` Application Number.. ............ . ... ... ................. * BARNSTABLE, * `�9 MASS. �C� Cv� O^ Permit Fee.................................... Other Fee........................ • 1e 9 �0 y a ti 47*3 TotalFee Paid............................................................... ...... a TOWN OF BARNS TABLE Permit Approval by..... .. ........................On.. ......... .`........... BUILDING PERMIT Map..........1..4...d.......... P /t G ......... arcel.....0..F..1............................ APPLICATION Section 1 - Owner's Information and Project Location Project Address (o 5'0 L UM bear M l I -'AoA o Village C e n$e-r 0I'l I e. Owners Name 5 V S A#J CA h D IR V-iA^I '8A S L s K Owners Legal Address r° rd L U M 6 e r 4- M I l o city C e p 4rvi l lz State M 4 zip 02452, reS'o♦ �z� -.22. J1 Owners Cell# E-mail Section 2 -Use of Structure Use Group 3 /2• / ��DUl7 U , ❑ Commercial Structure over 35,000 cubic feet /✓ ❑ Commercial Structure under 35,000 cubic feet Single /Two Family Dwelling "B AP,,.J Section 3 - Type of Permit New Construction ❑ Move /Relocate VAcce-ssory Structure . ❑ Change of use 84AN ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify. Section 4 - Work Description Last updated:7/22/2019 �.Jro l vw 641,11- l'j�%! �►i G y C l�1�Q✓di j`� Application Number....�J.�..4.�..��. .?.........�o.... JajA/tl✓ O Section 5 —Detail Cost of Proposed Construction y a1$ oa 0, o d Square Footage of Project y✓'a �y �^' `�� ,V Age of Structure .4ul Dig Safe Number # Of Bedrooms Existing NSA Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design NIA Section 6 — Project Specifics (l Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply p Public ❑ Private Sewage Disposal ❑ Municipal Q On Site VIA Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: IVE'litl $ E p Fo✓V l,/%l;st 4& I am using a crane Yes ❑e No Section 7 — Flood Zone Flood Zone Designation X / Within or adjacent to a wetland, coastal bank? Yes ❑ No +J Section 8 —Zoning Information Zoning District c• Proposed Use A nlJ I Lot Area Sq. Ft. a y/ �41 SF 0cJt131111C i&A% Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required 4,0 Proposed 31. j Rear Yard Required o Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? '❑ Yes ❑ No �._. Last updated:7/22/2019 L Application Number........................................... Section 9 — Construction Supervisor Name M A 4-1 he w 6. l o✓Kr Telephone Number—, -7-)Y Address 2 4 G re sT u i e u/ City E` SAJVP W e I u State /"A Zip G Z L 3 7 Ps Bax 824 License Number d 11 1-4 Z License Type U Expiration Date o �0 Contractors Email e✓/< 3L);1 d d n G c 7 k4A l , G dAt Cell # _7'7 4 - a O o I g8 f I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and t Town of Barnstable. Attach a copy of your license. Of Signature Date Section 10 — Home Improvement Contractor o✓/< Cv�/�-�Ytlerjq✓ Zov& . Name Af4l4hw Telephone Number 7 7 Y Z f10 1 f Address d y City State MA Zip O Z•G 3 1 Registration Number 2�`y Expiration Date d y /a,g/V I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requir d 7 0 CMR a e Town of Barnstable.Attach a copy of your H.I.C... Signature Date e 7/2I/S t Section 11 — Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date_O7/2` /f Print Name IWA � yvy/� Telephone Number E-mail permit to: �dy�� Bel%yyok f � G�1,4,'/ <a y 4 `d U c o*t c 4 atr , �(/( Last updated:7/22/2019 �tu,��V F�11 C Section 12 — Department Sign-Offs Health Department Zoning Board (if required) 'El Historic District 0 Site Plan R@iew (if required) Fire Department ED o Conservation o For commercial work,please take yob pla s diriply to the fire department for approval. m :y Section 13 — Owner's Authorization I, BfI✓AA/ �.�J��'/� , as Owner of the subject property hereby authorize lViyI .eal to act on my behalf, in all matters relative to work authorized by this building permit application for: G 5'0 L v�y(, ✓� tl��/ 'Ro C eR/fiedy.,%/e kl- (Address of job) Signature of Owner date 8111,1u B,4d L>%c- Print Name Last updated:7/22/2019 .��!' ��P/./iifY rIY'U/// n/./i�ii[/!/ir/•iriio - office of Consumer Affairs&Business Regulation Registration valid for.individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: TYPE:Individual Office of Consumer Affairs and Business Regulation Reaistration Expiration 1000 Washington Street •Suite 710 162640 - 04/02/2021 Boston,MA 02118 MATTHEW YORK Q MATTHEW YORK -N . '' 14 , v 29 CRESTVIEW DR �¢r�'i!%•: z/�s�^ e 'Not Valid wit u 19 E.SANDWICH.MA 02537 Undersecretary f r s Corrmonvtealth of +assachuset:s w j Divis4on of Protesstonal Licensure Board of Building Reguia.tons and Standards IL"V✓t/�it/� S-097152 'Exp s: 10105,2020 r� ti,'t ✓-` MATTHEW G-YORK >z P.O.BOX 828 EAST SANDWICH MA 02637 Commissioner I ' MATTYOR-01 PTOME ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE 1 4/24/22412019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency,Inc. PHONE FAx 434 Rte 134 AIC,No,Ext):(800)553-1801 (A/C,No):(877)816-2156 South Dennis,MA 02660 E-MAIL mail@ro ers ram --ADDRESS,..------9----9—Y-co--------------------------- INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B:Selective Insurance Company of the Southeast 39926___.___ Matt York Construction Inc INSURER C: 29 Crestview Drive INSURER D: East Sandwich,MA 02537 ----- - ------- ----- ---- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILR NTR TYPE OF INSURANCE ADS L WVDSUBR POLICY NUMBER MPOLICY EFF POIDfMMDYNEXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR S2380507 2/1/2019 2/112020 DAMAGE TO RENTED 500,000 PREMISES(Ea occurrence) S MED EXP(Any one person) I S 15,000 PERSONAL&ADV INJURY IS 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY X Ppo X LOC PRODUCTS-COMP/OP AGG }S 2,000,000 OTHER: EBL AGGREGATE I s 2,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IS 1,000,000 ANY AUTO A9106968 2/1/2019 2/1/2020 BODILY INJURY(Per person) S OWNED X SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY(Per accident'_is X HIRED X NON-OWNED PROPERTY DAMAGE — AUTOS ONLY —_AUTOS ONLY (Per accident) S Is A X UMBRELLA X OCCUR 3,000,000 EACH OCCURRENCE j 5 EXCESS LIAB CLAIMS-MADE S2380507 2/1/2019 2/1/2020 AGGREGATE i S DED X RETENTIONS 0 Aggregate S 3,000,000 B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER WC9080445 2l1/2019 2h/2020 ANYCERIMEMBER/PXCLUDE/EXECUTIVE N N/A E.L.EACH ACCIDENT IS $OO,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 If ye i s,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT fI S 1 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FOR EVIDENCE OF INSURANCE ONLY ................................... ACCORDANCE WITH THE POLICY PROVISIONS. .................................. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of lndrss&W Accidents Office of Investigations IF 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Anmcant Information Please Print Legibly Name(Busineworganizationandmituap: Matthew York York Contrucdon Inc Address: PO Box 826 City/State/Zip: East Sandwich MA Phone#: 774-200-1889 Are you an employer?Check the appropriate bog: Type of project(required): 1.f I am a employer with 4 4.. 1 am a general contractor and I 6. , New construction employees(full and/or part-time).* have hired the sub-contractors s 2. I am a sole proprietor or partner- listed on the attached sheet. 7.i Remodeling ship and have no employees These subcontractors have S. Demolition 7t •e-r4C4e4 workingfor me in an employees and have workers' y ceP�Y• t 9. �/ Building addition [No workers'comp.insurance comp.insurance. required.] S. We are a corporation and its 10. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11: Phunbing repairs or additions exemption myself[No workers'comp. �t of emptt per MGL 12.. Roof repairs __- insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13. , Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tConhactois 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 subcontractors have employees,they mast provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance four my employees. Below is the policy and job site information 5.e.lcc.+I e. 2uSc� c�cam- cF, s Insurance Company Name: _ ----� -- Pohcy'#or Self-ins.Lic M Expiration Date: Job site Address: L V iy g-e✓q' k'`r " City/stateazip: G 2 G 3 Z 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 dRy against the violator. Be advised that a copy of this statement may be forwarded to the"Offi re-of Investigations of a PIA for insurance coverage verification. I do hereby c Pence fperfary that the information provided above is true and correct Si mature: _Date: Phone#: 774-200-1889 Official use only. Do not write in this area,to be completed by city or town op'ieiaC City or Town: PermiVUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector-5.Plumbing Inspector 6.Other Contact Person: Phone#: Town oBarnstableBuilding WON .' ost This.Card 5b That It s Visible:Fror>i the treet roveCEPI ns M us e` etamed on iob and this w d M st be Ke t y �PPS„ � " "Posted nt�l final lnspection�,Has�6een£ade ' � � en, R Where a: ertifi�ate such6'illi t& "' ie(i un#il&a;Fiaal Ins ectioo ha's been.made: Permit ram• of ccupari "' s Requ,red u �shall No be Occu'� p Permit No. B-17-3101 Applicant Name: MICHAEL BROOKE Approvals V Date Issued: 09/25/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 03/25/2018 Foundation jo oS/T/L .Location: 650 LUMBERT MILL ROAD,CENTERVILLE Ma Lot: 147-081 Zoning District: RC Sheathing: /o//6 (7 � Owner on Record: WHITE,SUSAN&BASLIK,BRIAN Contractor Na a MICHAEL BROOKE Framing: ,o ZS/7�fOl Address: 650 LUMBERT MILL RD ° Contractor License=CS-089455 2 CENTERVILL€,MA .02532 Y----._: Est Pro ctGost: "$90,000:00 Chimney: Description: RESIDENTIAL ADDITION 30X22 GREAT ROOM INCLUDING°REMOVE 7,217 fee: $509.00 �. Eel= GS EXISTING GARAGE&BREEZEWAY. a� k Insulation: aA �o 0 z fee Paid: $509.00 .Project Review Req: RESIDENTIAL ADDITION 30X22 GREAT ROOMINC final: DING Dame 9/25/2017 REMOVE EXISTING GARAGE&BREEZEWAYS , , �/�G�j�-� Plumbing/Gas Rough Plumbing: Buildin Official �. g final Plumbing: This permit shall be deemed abandoned and invalid unless the work awthc?Jzed by this permit is commenced within slx months a ter issuance. i t , Rough Gas: All work authorized by this permit shall conform to the approved applicatiori-and the'approved construction documents'for which this permit has-been granted. All construction,alterations and changes of use of any building and stn. ' res all be incompliance with the local zoning, laws an codes. final Gas: This permit shall be displayed in a location.clearly visible.from access street or road and shall be maintained open forAl is nspection for the entire duration ofthe work until the completion of the same. 51 o Electrical po The Certificate of Occupancy will not be issued until all applicable signatures by the Building nd is permit. Service: Minimum of Five Call Inspections Required for All Constructio n Work: 1.Foundation or footing > "''. Rough: �. ,... 2.Sheathing Inspection �' - _• 3.All fireplaces must be inspected at the throat level,before firest flue lining is installed Final: 4.Wiring St Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural.Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health , Work shall not proceed until the Inspector has approved the various stages of construction. Final: '.'Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Q Application # p Health Division y Date Issued / /a-r L 7 Conservation Division Application Fee 4 zh Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ��O L.utf-) '� � Village Owner L✓4! /7 a,4s tj� $ i_./ FZJi &Address � Telephone 1 3 7 `? _� �- Permit Request :RC- ,1_7 io _ n/ -7'0 o^d O �- Square feet: 1st floor: existingf,Loe.,)proposed 2nd floor: existing proposed To al new Z Zoning District Flood Plain Groundwater Overlay Project Valuation a_aaV Construction Typed Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-FaYN units) Age of Existing Structure Historic House: ❑Yes On Old Kin 's Highway: ❑Y N g gges o Basement Type: ®'Full 2;Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.)_ �//9� Basement Unfinished Area.(sq ft).� % © 0- Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existinnew SEP 0 8 2011 Total Room Count (not including baths): existing new First FloorRoom:Count Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other Central Air: ❑Yes QP o Fireplaces: Existing iNew Existing wood/coal stove: ❑Yes ®"No Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals A orization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use 5' Proposed Use ` '%41r7 0— APPLICANT INFORMATION (BUILDER OR HOMEOWNER)m 1G N �� - ( � C�II - �� c 1 Name Telephone Number r Address License# 1 vl f� 5 2cnt Home Improvement Contractor# I (� Email 01 G�� f�v d'�l� 60 "56C Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 - )7 r FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. f ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. PRATT CONSTRUCTION CO. BUILDING&REMODELING CONTRACTORS a= PATRICK COFFEY c 508.280.4688 coffey7@msn.com a 508.420.9333 153 Lovell's Lane/Box 731 f 508.420.9733 Marstons Mills MA 02648 Patrick Coffey From: Michael Brooke Sent: Friday, September 22,'2017 2:44 PM To: 13UILDING DEP i• Patrick Coffey Subject: Fwd: 650 Lumbert Road, Cen, Permit Application SEP 2 2 2017 TOWN OF BARNSTABLE Get Outlook for iOS �Q r. From: Mckechnie, Rober <R'obert.McKechnie town.barnstable.ma.us> Sent: Friday,September 22. To: Michael Brooke Subject: 650 Lumbert Road,Cen, Permit Application Good Morning Michael, Please stop by the Building department and add more info to your description of work on this permit application. We need a complete description of what you a e proposing.You should have mentioned the removal of the and garage construction of the addition.. Thank you, Bob Robert McKechnie Local Inspector Building Department Town of Barnstable �1 200 Main Street Hyannis, MA 02601 l g 'Ce :2!7—g—. 508-862-4033 �a o r-- • V I-)s`Ja L-�^S Q 7Z. .G 7 ,v A c F 2` ` tic n1?� ✓� ►r✓� L'V Lt / � . ALIT 10, IF y Y'T Ly�'4.'try.j•� �. •C"Y;� .,�;��t-��"..w '�•'.F. . � �' ,�l (r�f> a_ 1/+' � r,"` Cy' �/.>, •. oo 21 t Ng i �.. .X��1`J� F -, �� f � �.. �} ��F �� •ate � n�•�•� ��.t��,�y�.�' t ✓. t i r Is tam %n'pi - ti 1n.7 AIM y9 +may �11 4�31�F it SIR mot sp VA is h 1.AT E)�� ryZ., • 9 1 6 I Mi �. r.t -7r1% `^_ / y.. j,. -V �! o •i _ 5' ..wry - 1"'ti ^'� q sF 'a• 1� f , • •.x � Yin ��' ,.1i t',ti= _ „�-@ xt,,s y], �y •, .-y Ifr $$ r .� �f - �e - � � .�, is �- `'��{" •, �t �• 1 •. ti "! MITI fa.. • t _ S 9/5/2017 Print Page • Outbuildings& Extra Features -Map/Block/Lot: 147/081/-Use Code: 1010 " Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement-Unfinished 936 $ 21,100 $ 21,100 GAR Attached Garage ' 308 $ 8,800 $ 8,800 WDC Wood Deck w/o railings 336 $ 4,900 $ 4,900 FPL2 Fireplace 1.5 stories 1 $ 4,400 $ 4,400 • Sketch Legend Property Sketch Legend r B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium ,r BMT Basement Area(Unfinished) FUS Second Story Living Area (Finished) SPE, Pool Enclosure BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished). CLIP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ 'Three Quarters Story(Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Microsoft VBScript runtime error'800a01a8' Object required: !Assessing/print17.asp,line 153 �a 0&search arcel=147081 4/4 hftp://www.townofbarnstable.us/Assessing/printl7.atp?ap= p , 9/5/2017 Print Page �F 14_. 2°1GA�12 :. , - 14' t CL_ 5 n G- z�- 14. '0167 4 fi 4 WDK2 r , 14" a As Built Cards:Click card#to view: Card #1 I • Constructions Details -MapBlock/Lot: 147/081/- Use Code: 1010 Building Details Land Building value $ 148,000 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $187,306 Bathrooms 2 Full-0 Half Lot Size (Acres) 0.56 Model Residential Total Rooms. 5 Rooms Appraised Value $ 114,900 Style Cape Cod Heat Fuel Oil Assessed Value $ 114,900 Grade Average Heat Type Hot Water Year Built 1978 AC Type None Effective depreciation 21 Interior Floors CarpetWide Pine Stories 1 1/2 Stories Interior Walls Drywall Living Area sq/ft 1,896 Exterior Walls Wood Shingle Gross Area sq/ft 3,804 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp http://www.townofbarnstable.us/Assessing/printl7.asp?ap=0&searchparce1=147081 3/4 9/5/2017 Print Page • Tax Information 2017 -Map/Block/Lot: 147/081/- Use Code: 1010 Taxes C.O.M.M. FD Tax (Residential) $ 368.56 \ Community Preservation Act Tax $ 60.55 Town Tax (Residential) $ 2,018.36 Fiscal Year 2017 TAX RATES HERE $2,447.47 • Sales History Map/Block/Lot: 147/081/- Use Code: 1010 { History: i Owner: Sale Date Book/Page: Sale Price: WHITE, SUSAN&BASLIK, BRIAN 2003-05-13 C169156 $262000 KOMSKY, RICHARD P 1988-12-15 C116354 j,` $155000 SEIFERT, ELOISE P 1985-11-15 ! C104217 $110000 MARONEY; THOMAS F JR 1983-09-15 C93251 �k $81700 • Photos 147/081/- Use Code: 1010 1 • Sketches -Map/Block/Lot: 147/081/- Use Code: 1010 http://www.townofbarnstable.us/Assessing/printl7.asp?ap=0&searchparcel=147081 2/4 9/5/2017 Print Page Print this • Owner Information - Map/Block/Lot: 147/081/-Use Code: 1010 Owner Map/Block/Lot GIS MAPS 147/ 081/ WHITE, SUSAN & BASLIK, BRIAN Property Address Owner Name as of 1/1/16 650 LUMBERT MILL RD 650 LUMBERT MILL ROAD CENTERVILLE, MA. 02632 Co-Owner Name Village: Centerville Town Sewer At Address: No GIS Zoning Value RC • Assessed Values 2017 -Map/Block/Lot: 147/ 081/-Use Code: 1010 2017 Appraised Value 2017 Assessed Value Past Comparisons Building Value: $ 148,000 $ 148,000 Year Assessed Value $ 34,300 . $ 34,300 2016 - $ 298,800 Extra Features: 2015 - $ 296,700 $ 4,900 $ 4,900 2014 - $ 287,800 Outbuildings: 2013 - $ 287,900 2012 - $ 289,700 $ 114,900 $ 114,900 2011 - $ 286,400 Land Value: 2010 - $ 286,000 2009 - $ 324,000 2017 Totals $ 302,100 $ 302,100 2008 - $ 340,400 2007 $ 367,000 Residential Exemption Received= $90,532 http://www.townofbarnstable.us/Assessing/printl7.asp?ap=0&searchparcel=147081 1/4 ' 77w CowmarrlveaWt ofMkssadrusd& Deparh eut ofludasftid Accideds - 600 Washhwton r�lreet Bastan,CIA 02111 tv in Wass gorldia Wcwkers' CnxnpensaUmIummncedavit+]3index-JC�aniractarsMeetacmnslPhombers AppUcant Tmfmm af.Fon. Flease Piint NaII3fi �— Address: Lox 73 mil_ 'L-5T®lv4 iLyf tef s D 2-6 Phona iw 5,:9 Are . an employer?Cheekthe app ropriatebam ' Type,of project r L I am a employer wffi 4. ❑I atn a general contractor and I ype p J ( egnaed): P * lave hired ifte sub-coaktactom 6. ❑New eansfmction employees(full and/or part-ime!)- 2-❑ I am a sole propdetor arpartnw Tisted on- the attached sheet. 7- ❑RP�aadeligg These sub-confractors have slarp and have as employees • 8_,=d:alitioa wadding fm=a is any eraplayces andhave wodwre 9`. LN4 VgPdMrS' comp_insu=me Comp.sn¢mra ml rezluired.] 5- ❑ We are a corporation and its 10.❑Eteo;ca1 repaim or ac3clitioas 3_❑ I aura bomeoun.-er doing all work officers have exercised their 1L❑Plumbmgrepairs or additions. myseM[Na v=g=1' . ti�bt of egempfiou per M(M mi 1?El Roafrepairs i nce reTaired]i c.152,§1(4k and we have ua employees.[No workers' 13.❑Other comp_insurance required_l •dayappEiczut 1cbad1abaxR=mAdmfMoattheswffonbgvwsh dagBien•wai&ens compmm6aupel infocrosri� Hameonraers who sabot$IIS s�da<u iaduariag they i:e tlm�srFwa�G mad then hIIE outride caata�+*�amst sahmita neW affidt iadicatias sacfi fCaattactors$u2ehec1*RboormintwMrhed=addifiaaal shad showmgffiemmneofthesub-cc mundstxEewhetherarnaftseezkidnbn-e eaipra}ees.IfthesaIrtant=±msFuve eaplay5en-%rfieyamstp=-idrthek wada!W-comp.parity ausbEL I arrt arm eai�pin}�r fJecrt is pra��idiax�tvQrirets'can�resa(iore insriraztes�`vr m}*emlrla3�ees $etomv is tl�a prriicy rrr�td jab srta . informa on InsizraaceCompanylfarae: PoRficy 4-or Self-ins--UC-41, l.✓��9 S L 9 / pitatiaaDate: G / Job Re A4d dm= Q- / l/-- 'ee �,�'�'``' L/ City/State zip: Attach a ropy of the workers'corupensationpolrcy-declaration page(shaving the policy number and expiration date). FaRnre to secure coverage as requiredundw Sez ion 25A of MGL c- 152 can lead is the imposition of rAmba I penalties of a line up to$1, O G and/or one-yearimpFisonment,as well as mil peualties.sa the fom of a STOP WORK ORDERand a lane of up to 100 a dap against tlae violator. Be adidsed drat a copy of his statement,smaag be forwarded to the Office of Inestigations of the DIAL far mi si umnm-coverage tiara inn .1 d'17!delay cwlify ux&wdiepainsandpowWesofpzrjuryth&tlie irzzfbrwa€n panic£abmv i s bus acid correct Si�ature: - Date-.E~� 1 Phone i� t t)fi%!;hd&w wiTy. Do not write in dds area,trt be crrrnp;<e a by diy srtown official City or Town- Pe-rnatTkewe;9 Issue A:afimr4(carte one): L Board of Health 2.RoHding Departmeut 3.Cityfrown Qerh 4.Electrical Inspector S.Plumbing hiveetor 6.Other Contact Pierson: Mow#: — -- - - 6 luformation and Instructions M�cean E t s GeberalLaws cbalf=M requaes an empl°ye s to pMviCTF- 'compeusatt®for fhen eulpl0yee5. an errrplayee is defin ed as¢: y Person m$ie service of�oiher ender�Y contact°fhu e, c3j�or ii¢pli�'oral or ." Ar mTkyer is dcfined as"anmdiviffiA PMTtaMMT33P,assoCfion,corporation or o(ia legal mt[L3,or mY twD or more m a oint and including$ie legal Felaese aiives of a der�eased�IoYer,or fao of�.e foregoing J e�rPase, to HovQeverthe received or trustee of an indium Partne ship,association.or o$er Iegal.entity,�Dy�MP y - ovQnez of a dweIImg horse having not more three apm Is aadvYho resides§herein,or the occopnt ofthe- dw•eIImg hDnse of MAW Who emPloys Pem=to do mow,f-.,,,eh r rr;on or repair work am such dv+TeIIing house or on the grounds or buldmg appnr�ihereto shallnotbecayse of such employment be deemed to be an eIMPloyes" MGL c2apter 152,§25C(6)also sfafes ihat aavery strafe or kcal licensing agency shall.WitlihDid flie issuance car renewal of a license or permit to operate a business or to constmct b o=7dmgs in tTie commoawealth for any applicantvPho has notprodnced acceptable evidenm of cumpTianm wi&the I i-anm covexageram-" Additionally,M TM chaptm 152,§25C(7)stags fiN6n=the cOmmmwealihnor any ofitspolitical subcTrvisions shah ent]�r into any cont:ad for the perEmmm ce ofpnblio-wDil-=ff acceptable evidence of compliancewn fie ftMMMcd req=emeMf-.offbisdUpfeshavebeenpresembdinfhemnft g.antboii1y.7 Z . �Phc-aafs to ur siinaiion and,if Please fEI o� the vvo&ers'compensation affidavit completely,by checIong th a boxes fat apply yo and e�b s along withthesc�cste(s)of s°b�o s)name(s), addresses) pbon ea() . . necessa�.Y,�PPIy �� Other f�fo.e awes or L nitedLiabrTityPa[hNX ips(LIP)wi$ino e�IoY�s prance_ L=b—,d LnbL Comp �-� - members or parta�ss,are not rbq=ed to carry worms'comrpensafion insurance. If an TLC or L LP- does have . employees,apolicyisreqaird- B0advisedthat this af &-yk maybe submitted to file Deparhneatoflndustrial Accidevfs for confirmation of insm'ance coverage Also be sure to sfVx and dafe�bte affidavit. The affidavit should nottheD aitmedcf r beei>zm'd to fie city or town that the application for the permit or license is being �P LdIIstrial A_cci d=:L- nonldyou have any questions regarding the late•or if-you are rewired to obtain a workers' oliey,please call the Drpaitnent at thanmaberlisf below: Self-ms�d�Paoies should e�rthtir compensationp Self-insurance,lic=se=mber an the apprcp tin line: City or TowiL of Ficials f Please be sure that the affidavit is complete and.priited legibly. The Department has provided a space at the bottom of the affidavit for you to fiU out is the,event the Office oflav�g�bes to condactyoaregarding the applicant_ Pleasabesurefn ftlinthepml�it/IiceosentrnberwhichwMbeusedasareferencem nbar- I.addition,anapplicant that mast submit m�iple pennWH=nse applioaiions in airy given year,need only submit one affidavit indicating cosent policy information Cif necessary)and modes`mob 55te A +ess"the applicant should write"aII locations in (may or town).-A copy of tha aff davit that has been officially stamped Or maimed by the city or town may be provided tg ine applicant as proofthat a valid affidavit is on file for futm 'permits or licenses- Anew affiitdav mzrst be fMed out each year.Where a home owner or citizen.is obtaining a license or permit not related to any bra e;n=or commercial ve�re (Le.a deg license or permit to bum Ieavcs etc:)said person is NOT r to complete this affidavit TheOfficeofTn Wo,aUbketothankyoumadvance for your coop eration and should you bave any questions. please do nothesitn to&u us a call TheDeparfinenf a address,inlephone and fax nnmbcr 1 Deparbn mt of �AoDO eta f Ce of e g�tio Ras MA RI11 -Ted.4 61 7-727-49W cxt 4€6 m 14 MA YE Fax9 617 727 7M Revised¢24-07 xias�.'a��dia r Town of Barnstable Building Department Services ` M MAW Brian Florence,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www-town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must r Complete and Sign This Section f If Using A Builder I, ➢Zl n U ;✓/-6 t—Ik ,as Owner of the subject property r hereby authorize CV MST C-,V— W C_— to act on my behA in all matters relative to work authorized by this building permit application for: (Address of Job) •+ **Pool fences and alarms are the responsibility'of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. CJ �. Signature of Owner Signs a of ptctl� an Print Name Print Name Date { s s a Q:FORMS:OWNERPERMISSIONPWLS Rev:09/16/17 Town of Barnstable Building ]Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 �,�, MASS www.town.barnstable.ma.us 0s� Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please riot DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"w extenVreonsible ude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire o doess a license,provided that the owner acts as supervisN OFHOMEOWNER Person(s)who owns a parcel of land on which h sh intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures cch use and/or farm structures. A person who constructs more tan one home in a two-year period shall not be considered r. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Off cial,that he/she for all such work performed under the buildin ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibili f compliance with the State Building Code and other,applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she un ds the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will corn with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35, 00 cube feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. , MEO 'S EXEMPTION The Code states that: "Any homeowner pi rforming ork for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 Licensing f construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that s ich Homeo er shall act as supervisor." Many homeowners who use this exemptio are unaware hat they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licens' Constructio Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the omeowner hir unlicensed persons. In this case,our Board cannot. proceed against the unlicensed person as it would 'th a licensed S pervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aw re of his/her res onsibilities,many communities require,as part of the permit application,that the homeowner certify th t he/she underst i ds the responsibilities of a Supervisor. On the last page this issue is a form currently used by several town . You may care t amend and adopt such a form/certification for use in your community. Q:\WPFUES\FORMS\building permit fomu\FMRESS.doc 08/16/17 f — i Massachusetts Qepartrrient pf Pubhc Safety ' i Board of Bulldm Re liaiilons and,;Stantlards -t Licensei,CS8� 5s � ` Construction Superyisor. ' MICHAEL BROOICE°.� ' *� 301^PINE STREET ? ! va F CENTERVILLE MA 02632+ I t � Commissioner 07/14/2Q18 Office of Consum_er Alf''Business Regulation }} 1 l0 IPark lPla�e'5170� Horne Imp>oVementtor Registtaton' Registmfion: 1706W , i Type .ln`dividual Explratlon. 11/22/2017 •Try 273027 •MICHAEL BROQKE •4e M - 'MICHAEL BROOKE ,. .- 301 PiNE�ST '' - t; f *► {} it t, S4 *. C`NTERVILLE, MA 02632 tu ILI t , U date Address and return card Mark reason for chant i+. p s L2` -r. 1 -a' ,k,:] t .is9'- r + �`�'S bnR F- ddr€ss� Peiiet al En+aloyanent Las (ardl t ? I 11� 7 'K'".•°S " ,•-.,r .s J •05711 � � tr �•.� ��F �i .-. +'��nt f e' '�;•7t t nt_t9 eSSs�.blllitlll{/ I" t t +b°'%YV�y,u j N . .�'iN'PRO Cil4F 1 C �NTF'ACTOR �. of 1t r S f3t10 �r ka. T�'p� �� S t�� Ir�lls a110U." It[f 170619 Expo atlon 1 /22/3Q1� f 'nlvlcinal ¢ }L?t fs(70„ vrir,Rtic MIGr4AEL ek6bkE q• t. Y ' ' `' "of v MICHAEL BROOKS ' e.tre.t;a?rCENTERVILLE e 301 PINE ST f NthAUtii • y .,ice, '-i_ + PRATCON-03 MVERTENTE ACORN° DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 6/23/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780662 N NTACT Amanda Pepin - - HUB International New England nHc No,Ext: 508 235-2274 FAX 222 Milliken Boulevard ( ) (AIc,No): Fall River,MA 02721 AD RIES amanda.pepin@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Union Insurance Company 26844 INSURED - INSURER B:Acadia Insurance Company 31325 Pratt Construction Company,LLC INSURER C: PO BOX 731 INSURER D: Marstons Mills,MA 02648 INSURER E: "INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO.WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP - LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR CLAS258949 06/15/2017 06/15/2018 DPREMIaESAMAGE TO a occu e e $ 100,000 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY jREf LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY - COMBINEDSINGLELIMIT $ 1,000,000 ANY AUTO MAA5258950 06/16/2017 06/15/2018 BODILY INJURY Perperson) $ OWNED rx SCHEDULEDBODILY INJURY Peraccdent $ AUTEO�S ONLY AUTOSWN RXAUTOS ONLY AUOTOS ONLDY PPerr ae(At AMAGE $ A X UMBRELLA LIAB X OCCUR - 'EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS-MADE CUAS260210 06/15/2017 0611512018 AGGREGATE $ 3,000,000 DED I X I RETENTION$ 10,000 $ B WORKERS COMPENSATION - X PERTUTE OTH- AND EMPLOYERS'LIABILITY WCAS258961 06115/2017 06/16/2018 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑.NIA E.L.EACH ACCIDENT $ 500,000 ANY EXCLUDED? - - 500,000 ((mMandatory m NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional.Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Information OnlyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r , C 1 Y � / 3 1f 3 4 N stool NOT r fi 21 . ... .. n flat b' &RAMy pyag s 5 q 's f 9 I . NY;Gs 7 YYh>�E' h2 , :. a 1 F h"3.' •P"iem';�s'8 fF - .. •t.. ..- /;._. E6S"ffi'4Fq_,y:. '4� n.y..f:•EY M h �. A � - Aso E / .:.... 4�5 �yXyJ i 4~ • Y � z � :. <. CCFF� '' 5 i , U i 05/01/2003 14: 12 FAX 7817675873 YUNITSENGINEERING PERCY I21002/002 MORTGAGE INSPECTION- SKETCH OF PROPERTY In County,MA Applicant:_ .S JSAA1 lrViIJ7 Book :4fZ Page.7..:!�_- L,C.Con,No. //6.3-^ scela. �•,- �Q� Date: -'5-1-43 s� 41 L / OT / �.I�L 57prrY� Deck a 5'ri f. WavO L O 7" Z -TOWN Or BAr"ISTABI-� • In my professional opinion the buildings are approximately located on the ground as shown l s hereon'and conformed to the appllcabla horizontal dimanslonal yard:atback requiraments of '741 V the Zoning By-Laws of the Tar&6Z of 6.4r7NS7" Bz r �a e at the time of �at; sa t construction or is exempt from violatlon enforcement action under Mae& General tawsrrN '�tt� Chapter 40A-Section 7,the lot as shown does not fall within a i GO year Special Flood R'' ;'M. Hazard zone as dehnsated on the FEMA/FIA National Flood Insurance Program Map: A`- +,ra v f r•.IY e w Z Community No. a 50 ao/ Panal# ooisG Datedr Zone r T • 't' '1"' {:;s �ri TNs axetch was drawn for rnort aus inspoetfon purlwemP on! and Is not to be ryoordod,or cc wa,ed as an hslrumant dune/,it Technical Park DrNe be furirw undamood=I It en hettuni survey is occompfehed at a taiW date wa will not be reeponall a for any rhure.:lhet ocCv, Y• :� Holbrook, MA 0�343 Thfa mongaga fnapecuai is based upon tech Cal standards at edopod by the Ma:�ehuaetu Association ct Land$unrryerR and oMl (5 Engineers Inc.No cenitcatbn to llas hM been made by iNe r.rn. . (78j}767-1400 NOTE:Movable accessary etn,auras are not Htaudod In the xening eaNricatlon. +r,sheds,above grnd a s%imming pools) Gt�l�i'� '� ._Ea�081)767 5873 Anderson781 857.1000 Fax 781-BS7-1054 Insulation, Inc. www.and&=§ nsul:com 706 Bmdcmn Ave PO Box 2003 Abington,.MA;02351 l,flsulatvn eertr', cate WORK:AREA IfiEMiINSTALLED: EXT.Waft 2x6` ft-2a 5.1/?Xis UnCaeed Flherglass Batts WE Walls 2x6 4''Mil Polyettielene Vapor Barrier. Windows and Doors Foamed EZ Flo Min Expansron-foam Attic Wails R-20 51J2 X 15 Krafft Paced filbetlass Batts. Crawl Ceiling R-30 10 X;16 Unfaced'Fiberglass BaI tts. Crawl Ceiling 16in Wire Supports Polystyrene Vent @ Eve Accwent Wind Block Eave Baffle - Poiystyrerre Vent @ Slope Airrnate Extruded Poly Foam Vents, Slope to Plate R-38 Icyr:ene Open Cell Spray Foam Insulation.LDC 70-9.5In. Crawbpace.Runners&Blocicers R-20 Icynene Open Cell Spray Foam Insulation t:pC 70-Sin Attic Floor Open Blow R-38 Cellulose Open Blow Insulatign 11.57"to Settled 10.41" Pre-Batt at Pull-Down/Match R-3812 X 16 Kraft Faced FiberGlass Batts Attic poor tin Fail Faced Polylsocyanurate Foam Swathing 116.5 Customer: Pratt Construction Sob Number: 603732 Job Address 65D l umber Mill Road-Centerville(Off Plans) J DaleComoleted: j.f1 lnsteikr s�gnatwe' " fj I z Ei �Lf Cie \D-, oFTHE Tph, Town of Barnstable *Permit# tips Expires 6 mo t fro s e • x Regulatory Services Fee x x * HARNSTABLE, * - 9 MASS. a �p 039. �0� Richard V.Scali,Interim Director AIfD MAC Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number / �`�,�� E-1 ' Property Address 4; 5, 0 .!!2 IZ rL residential Value of Work$ p"t , ¢®® Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1 % 'S V S A °' -R-15Ll1� 1 0 Contractor's Name F47 C42E 00A,1 71— C-9 so.s-r-,r Telephone Number Home Improvement Contractor License#(if applicable) /4 ,? 9'-f6 Email:?4 (�i Co A, Construction Supervisor's License#(if applicable) )Q,A en ES FOWIT ❑Workman's Compensation Insurance 'P Check one: OCT 312014 ❑ I am a sole proprietor `'OWN OF BARNSTABLE ❑�I m the Homeowner TOWN�I VV t- ®/�Il'Y J fd l shave Worker's Compensation Insurance Insurance Company Name �,► ��,��'% �U4L_ Workman's Comp.Policy# 3 1 S 37 Y X,2<a -e 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) Clacement side Windows/doors/sliders.U-Value ,o_(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 required. SIGNATURE: " T:\KEVlN_D\Building Changes\EXPRESS PERMIT1EXPRESS.doc Revised 061313 Rie CoTruitouivealth of Massctchramsetts Departutent of Industrial Accrrlerrts r ( OKice a,f`Investigations 600 Washington Street r`{ Boston,MA 02111 t vtt�rip.ttart.ssgctvVciact Workers' Compensat mn Insm-ance Affidaiit: Builders,Coma-actor: lectr cians lumbers plicant Information Please Print I.:egib Nance .U.I-D Organ-=ation,,Tndvidaal): ?P",77L'9N S►Ti��/CT O/V �Q ( C Address: z5'3 o..�LLS C�N� i9Q Box 73 l City/State/Zip- rL N3 14� o4e- Phone i Sg E- re you an employer?Check-the appropriate box; Type of project(required) 1.[9';I/a n a employer with 5 _ 4. ❑ I am general contractor and I 6- ❑Netti-cr_uuistnlcion employees(fall anfLFor part-tune).* ha-ve hired the sub-contractors 2-❑ I.am a sole proprietor or partner- listed on the attached,street. `i- E�'Remodeliug ship and have no employees. These sub-contractors have,° tt g- ❑I)eRalotitian ecrorkin¢ for the in any capacit.. employees and have za,a viers' 9- ❑Building addition [No workers'comp,tnsitrs1nce. comp.insuratl:l`�:.- _ required_] 5. We are a corporation and its ME]Electrical repairs.or additions 3.❑ T.am a Homeowner doing al work officers ha-we exercised their 11.❑Plumbing repairs or additions. myself.[No xorkers'coutp. _ right ofexernption per NIGL 12.❑:Roofrepairs insurance required] ,,c. 152 1(4),and we have no i � employees- oworkers' 13•0 Other comp.insuranm required,] *Any appticantfnat checks box r1 must also fiilout the sectionbelda-sl oming tbpirviorhers'camtpensationpoiicy infbnMatkCa- Homeawner5who subunit€bin aftid-v t indicating they are doing all work and then hire outsidecoutracror5MUST submit a new affidavit indicating Basch. =Contracto€s that ched this box, must attached m additional sheet showing the name of the nib-contrs-tars and state whether or not those eutwes have employees. If the su4t—contmc[ors have employees,they mast provide their workers'comp.policy number. Tarn all ltiitpinyer that is pra�ziiitrg Rvorl err 4SOlRRper25`atiDlfl 1LL3arratrCa3 for Lriy.aReataP =ens. Below is thepo c arrd drab site irrforinatiort. - Insurance CompanyName: L1 RE T 1-71! 7-1,44 L Policy 9 or pelf ins-Lic.,r: l,/ 2 It 3 7 3:�.•ZO O) �j+ Eapiration.Date: G ./S. /-Sr Job Site Address:�'S o �y/'7 /"7 r t L XZ C1t t`State/Z •"7— Attack h copy of the workers'compensation policy declaration page(shoring the policy number and expimflon date). Failure to secure coverage as required.corder Section 25A of 11 GL c, 152 can lead to the imposition of criminal penalties of a fine up to.5 1,500.00 andlor one-;year uupnsonrneni as well as civil penalties in the form of a STOP rRFORK 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 o Investigations of the DU for imilrance coverage verification. I do hereby certih,under theperins and penaides gfpednty,thaatthe it forrnafltion provided above is trite and correct. Si. tore: �-.: Date: Phone : �O �� yL $-9"-- fl,f fui�al.trsa3 airty. I,ls L887t isrita�irr this eara�rr,to be caaiipderted by vary'or tOi4n a��caaL City or Town.: Perm td icense Issuing#nthority(circle.one): 1.Board of Health 2.Building Department 3.CityfTow n Olerk 4.Electrical Inspector 5.Plumbing.inspector 6.Other Contact Person: Phone . NOTICE` NOTICE �. TO TO' EMPLOYEES EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street; Boston, Massachusetts 02111 617-727-4900 - 11ttp://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided forpayment to oLu injured employees under the above-mentioned chapter by insuring with: LIBERTY MUTUAL FIRE INSURANCE COMPANY NAME OF INSURANCE COMPANY PO Box 9525,Manchester,NH 03108 (800) 56273936 ADDRESS OF INSURANCE COMPANY RC -31SY37322.0_Q14) 06-15-2014 06-15-2015 _ POLICY NUMBER. EFFECTIVE DATES HUB INTERNATIONAL N E LLC 299 BALLARDVALE ST DBA CJ MCCARTHY INS AGENCY WILMINGTON,MA 01887 (978) 661-6817 NAME OF INSURANCE AGENT ADDRESS PHONE_ �PRATT_CON_ STRUCTION)COMPANY LLC PO BOX 731 MARSTONS MILLS,MA 02648 EMPLOYER. ADDRESS EMPLOYER'S WORKERS' COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above-named insurer is required in cases of personal injuries arising out of and ii the course of employment to fLu-nish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Insured Copy PRATT CONSTRUCTION CO BUILDING&REMODELING CONTRACTORS PATRICK COFFE( c 508.280.4688 cof(ey7@msn.com o 508.420.9333 153 Lovells Lane/Box 731 f 508.420.9733 Marstons Mills MA 02648 mass.9chusetts-Department of Public Safety . Ixoar aP 80ild4ig'RegulAtiotta and Standards Construction Supervisor " License: CS-102647 PATRICK J COFF �' •• j 153 Lovells Lane < M - PO box 731 Marstons Mlls Alk 026 8 Expiration Commissioner 03103/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contrdctor Registration Registration: 163855 i _ Type: Corporation Expiration: 7/31/2015 Tr# 244381 PRATT CONSTRUCTION COMPANY LLC2: ` PATRICK COFFEY P.O. BOX 731 It :ill I MARSTONS MILLS, MA 02648 S 'Update Address and,return card.Mark reason for change. sCA t Co 2OM•05/11 �T Address Renewal E Employment Lost Card &l e%M9n.W�ea a� gac wl& Office of Consumer Affairs&Business Regulation License or registration valid for individul use only c - OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration 465855 Type: Office of Consumer Affairs and Business Regulation `"' Expirationr.7/31.120`1'S Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 PRATT CONSTRUCTION COMPANY LLC. PATRICK COFFEY � 153 LOVELLS LN UNIT MARSTONS MILLS,MA 02648 Undersecretary No slid without tore THE r + BARNSCABLE, Ass. �1639'�A Town of Barnstable ArfO�, Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize IO^ P-M I c), C-OFEC-7. Fg�6 CV'yS 7keco act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date 13 121 fin( � • ��-'f SL1 � Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. T:IKEVIN D\Building Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 TOWN OF BARNSTABLE ■ n g 201407610 BAM&IrABLE, Issue Date: 12/02/14 Permit 9 MASS �p 1639• Applicant: PRATT CONSTRUCTION rF�MAC A Permit Number: B 20143285 Proposed Use: • SINGLE FAMILY HOME Expiration Date: 06/01/15 Location 650 LUMBERT MILL ROAD Zoning District RC Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 147081 Permit Fee$ 127.50 Contractor PRATT CONSTRUCTION Village CENTERVILLE App Fee$ 50.00 License Num 102647 Est Construction Cost$ 25,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND KITCHEN REMODEL&DECK EXTENSION 1OX14 THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: WHITE,SUSAN&BASLIK,BRIAN BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 650 LUMBERT MILL RD INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 1,2 Application Entered by: JL Building Permit Issued By: TEAS PERMTT,CONVEYS,NO RIGHT TO OCCUPY ANY,STREET ALLEY'OR SfDEWALk OR ANY PART,THfiREOF ititkhR 6.RARILY, P ENCROACHMENTS ON PUBLIC PROPERTY NOI Vv SPECIFICALLY"PERMITTED UNDER THE BUILDING CODE MUST BE APPROVEDBY TI-IEJURISDICTION; STREETOR ALLEY_GRADES A WELL ASDEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC) O(j S✓THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANTTI APPLICABLE SUBDIVISION f RESTRIC 3 TIONS •. -> R.... < :Y ,fa MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. t 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 a� 1 iS�ly ✓d 2 v o 2�/ L 5716 3 g vj O l/l y f/S 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 -F ,:, 1 < ,4 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map lN7 Parcel 08 Application # v o 7 Health Division Date Issued I a 2, Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 4P $ Q L.0 t!!2 iseM4— 1'Iz _ fi,a Village C EN1r"e rt,0 c.t_e Owner S. l.✓K t 7-4e 9- B. Bi+S C._'l lK Address Telephone ,;1 40 3,G Permit Request Ki ;c-m em )ZQt!7 oa 4& L -j- ,T! 4ffC *XT7E�/yS oiy Square feet: 1 st floor: existing o proposedim2e2nd floor: existing proposed Total new Zoning District DZ Flood Plain Groundwater Overlay Project Valuation 2-S, o PO- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 9' Two Family ❑ Multi-Family (# units) Age of Existing Structure 3 S Historic House: ❑Yes Flo On Old King s Highwa}:+❑Yes C 14 Basement Type: Full ❑ Crawl ❑Walkout ❑ Other -- Basement Finished Area (sq.ft.) "' Basement Unfinished Area (sq ) 5'� 4 Number of Baths:. Full: existing�� new Half: existing neyv � M Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing G new First Floor Room Count Heat Type and Fuel: a/Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes O'No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Z�No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: deexisting ❑ new sizelvighed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use S 7F'D ,Proposed,.Use. SA),-7 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name P-7' CQF'J4fg'y_ PP. rlr" CO/PS telephone Number S��Z R'Q Address /5 3 C we L L5 Po $oX 7 31 License # C-5 - 0 2.4 t7-4Tz1'7-'oN s /''7i L.L,S 02,G S -Home Improvement Contractor# I L 2 ASS Email PA7-m)c-Kn P-Re,M Lb s Z1W<77w Worker's Compensation # 6.e, „Z -./s 273 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO // N �► SIGNATURE P C0 11f DATE FOR OFFICIAL USE ONLY APPLICATION# DOE ISSUED r ` MAP/PARCEL NO. ADDRESS VILLAGE r OWNER , DATE OF INSPECTION: FOUNDATION C�J3� � Sao w t o r FRAME ( &!l'/ t f INSULATION tl- FIREPLACE ' ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING jjjqjWM!!5- DATTE CLOSED OUT ASSOCIATION PLAN NO. , r i ` 77te Co.-nazontswalth of Massachusetts t De-tartittent o,f Industrial gceidlerats Gl are of Investigations '..c _ h` ; 600 Wa�shittgtota Street Boston,AL4 02111 wwrt.=.rttarsmgovldia Workers' Compensation Insurance Affidavit:Builder-sl ntractors F.lectiiciauslPlumbers Applicant Information Please Print Legibly Nanie(Businesst(hganrzat onlu&vidual): prL✓+77 �9' n'$►1—f��/C� G /V �� t L C Address-lS? C.,Ne- Z F-0 Box 7 1 C;!ty/Stat /Zv N.� 1-71&Z-5 04 IThone g: 5"P E- -2, f; 99 s-�F— A,re_you an employer?Check the appropriate box: Type,of project(required): L L71 am a employer with -5_ 4. ❑ I am s general contractor and I aar * have Hired the sub-contractors 6 ❑New construction employees(full and -part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet- 7- L;�Reinodehng skip and have no employees. These sub-contractors have 8- ❑Demolition evorkmg for rule in any capacity=. eauplc3ym and have workers' [No workers'comp.insurance. comp-insurance 1 9.. ❑Building addition fe l iced. 5. ❑ We are a corporation and its IG.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing rs pair;=s or additions va self.[Tiro workers'comp. right of exemption per MGL 12.❑Roof repairs. insurance required.]T c-152,§1(4),and we have no employees-[No workers' 13.❑Other comp.insurance required-] •Anv applicant that checks box#1 must also fill out the section below shoering their rirotkets'compensation policy infbrmation- 11 Flauteowners wbo submit this affidawat indicating they are doing all work and�¢bire outside con=cton crust subratit anew affidavit indicating such. !contractors that cbeck this box must attached an additional sheet showing the name of the sub-contractors and state whether or not tbose entities have employees. If the sub-cantaactoas have empla)-aes,they must provide their workers'comp.policy number. I am an errtI Ye—r flintasiurat sting►varrker-s'ronrg ewrsntrr�yt artstrrartc$fr�r i eagl es. Below is t1iePrt c rrtud job si#e inforttralion. Insurance Company Name: LI 1 7v 7—UA L Policy 9 or Self-ins-Lic.9: W CZ 3 Il S 3 7 3 2..2O O) y Expiration Bate_ 6 . 1 S /sr Job site Address: y/'7 RCs7-'0LT— /"71 tL 2D Citylstatezipi 4f,�ev7-4e LCa Attach.a copy of the workers'compensation policy declaration page(shoring the policy number and expiration date). Failure to secure coverage as required.under Section 25.A of MGL c, 152 can lead to the imposition of criminal penalties of a fine up to,$1,500.00 an&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 slay against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the:DL4 for insirance coverage-mrification. I do hereby certify render the pains cif/ldperiaWes ofpoijitry that the information provided above z.8 frzte and correct. Signature: �.%� Date- 30 0 41T' 1 f-f Phone##_ So ;Z.9-0 yL 8'91— Off Trial use only. Do not write in this area,to be completed by cite or town official. City or Town: PermitlLkense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical.Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone## 6 NOTICE' NOTICE TO TO EMPLOYEES EMPLOYEE S The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 - http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: LIBERTY MUTUAL FIRE INSURANCE COMPANY NAME OF INSURANCE COMPANY PO Box 9525,Manchester,NH 03108 (800) 562-3936 ADDRESS OF INSURANCE COMPANY WC2-31S-373220-014� 06-15-2014 06-15-2015 POLICY NUMBER EFFECTIVE DATES HUB INTERNATIONAL N E LLC 299 BALLARDVALE ST DBA CJ MCCARTHY INS AGENCY WILMINGTON,MA 01887 (978) 661-6817 NAME OF INSURANCE AGENT ADDRESS PHONE# PRATT CONSTRUCTION COMPANY LLC PO BOX 731 MARSTONS MILLS,MA 02648 EMPLOYER ADDRESS EMPLOYER'S WORKERS' COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above-named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Insured Copy �pTME 1p� P '1' * BARNSTABLE, ' Ass.i6;q• Town of Barnstable 9e_ ,�4a _vArfD MPS A Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I> as Owner of the subject J .property hereby authorize In TMI c-& Co��Ey PtZ,TT- C9"57X40 act on my behalf, in all matters relative to work authorized by this building permit application for: ''/`7',� rzT— l�7/LCCE ti TQ (Address of Job) �'-� JJ O 3 6 Signature of Owner Date 7k 3—1 I A AJ 4.. • ,E S L\ '*6 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN D\Building Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 PRATT CONSTRUCTION CO BUILDING&REMODELING CONTRACTORS PATRICK COFFEY c 508.280.4688 coFey7@msn.com a 508.420.9333 153 Lovells Lane/Box 731 f 508.420.9733 Marstons Mills MA 02648 Massachusetts Department of Public Safety ? : 136ard of Buiid:ing'Begulations And Standards Construction Supen-isor License: CS 102647 PATRICK J COFF£Y w F 153 Lovells Lane r� PO box 731 e t' Marstons Mills A4 026, 8 ✓,�� ""� expiration Commissioner 03/03/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Dome Improvement Contractor Registration Registration: 163855 Type: Corporation i Expiration: 7/31/2015 Tr# 244381 PRATT CONSTRUCTION COMPANY LLC_:}y PATRICK COFFEY P.O. BOX 734 MARSTONS MILLS, MA 02648 ;,4 ; x -Update Address and return card.Mark reason for change. sCA 1 Li 20M•05/11 Address Renewal Employment ❑ Lost Card Office of Consumer Affairs&Business License or registration ss Regulation n valid g anon g for individul use only V)E y OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: °'163855 Type: Office of Consumer Affairs and Business Regulation " '` 10 Park Plaza-Suite 5170 xpiration:- _7/31120T5 Corporation 1!y _a-",;, Boston,MA 02116 PRATT CONSTRUCTION COMPANY LLC. PATRICK COFFEY 153 LOVELLS LN UNIT D' ` g� CIO MILLS,MA 02548 Undersecretary No alid without tore 05/01/2003 14 : 12 FAX 7817875873 YUNITSENGINEERING- + P"ERCY la002/002 MORTGAGE INSPECTION- SKETCH OF PROPERTY In ,t/rER jl"L_L—C 25AR 1GZXe f.County,MA Applicant:_' .S 13A Al WY_1 Tom' L L)l`-t Se Book�$ P Page.T = L,C.Cen.No, //6 3:26 lllz� r7 ILL l-P. Scale. �••- W Date: L oT Z/ Ltd ' t_ 07 • � �•r�s�.X� DECK Z w+ '7�650 P Z_ 40A Q In my professional opinion the bullgings are approximately located on the Ground as shown herebn•and conformed to the applicable horizontal dimensional yard setback requirements of the'Zoning Ely-Laws of the_ ToNld/ of 8.4RA1 ST�tB�.45 at the time of y` construction or is exempt from violation enforcement action under A4ass Genera! Laws Chapter 40A•Section 7,the lot as shown does not fall within a 100 year Special Flood Hazard Zone as dehnsated on the FEMA/FIA National Flood Insurance Program Map: ?�' Community No. a5o 04/ Panel# ao�sc Gated Zone c^_T A 77I9 BKetch was are"for non aus InaD=W purposa?7N ena is not to be rgoordod.or co tinm as an iviurn nt sun h eh0 Atl �4. ! g Y ey '�';�� 7 1 Technical Park Drive be Nrther understood eut it en hswmenl aurwy is ooromplehed at a taro date ova rill not be roe 4Ue Ax an I Holbrook, MA 02343 Pa Y rSuNey<het dear. ' � 1TIa mongege Gnapecean Is based upon rechnlcd standsrtls as edop;ed by the Ma:�ehuseus assoClatbn W lead J�Ntyors end CMIq_�••��(( Engineers IM No cen,rctimn to We has been tirade by INS firm.accessory NOTE:Movable ecceery etNcturas era not ktaudad In Ihm tOdng eentficetlon.5.e r.an ,ehedo,above pd s>,fmming poolal GC' ''• pFa (781) 767 5873 ea- +r✓✓ 67 s� U.e r d� A�J✓ yY Ke G 9 Ale IA 10 Note: This drawingis xe Designed: 7/24/2014 90 :01 i 1 0 1 Z �� interpretation of the genera TECHNOLOGIES Printed: 7/24/2014 appearance of the design. It is not in.eant to be an exact rendition. i�4,N 011v/--7 7- 1-7 Designl. All- Drawing m 1 W r T liq 1, . e 1, 403 ,n u � �nvr �a�� meta w ,d .' �„u�• , r , ,F �i 7 � a n ,t[ �w . . , z ' €ii* ick/Lot: 147 / 081/ - Use Code: 1010' Ml G'iT"g;ii i. X g �44 : y:z y , a 4 , k{k{ . ... ��, { f VI� �i J✓F{SS h$ar<r� � yr�,'y { ;R S'�}�4'`"$ r.'P•" } I/ pr". #{�;�YY'•raS}�3.'y}�,�yr�S>tiYv Y J4�yy�r€{�SY�rr�,,s''�� ,��v{� y �� f {�.y.r Y,�*�'w,{'• � .fit;`y+ y : { J t{{# k{r j y},Pt}a{$r Spy{ $0 }r rr r Sy r { } r{ } ve , > s {{ ,r'mmo z'{ j { f ��osc s6c i{;{ v >i y 2 4yc #x > Y<� f t {J: �/ / 4�/�Tj i '' ` }P{fi2 6/�T6/V I G/�/ yYf y3yi} }y , } �}5ayyZ• , {{2{ \•.}}� y +y{1f` ^3tiEl �"•+rf's•'J.fa+}r2Jr1 f;$ �Y{ { $rr�.k>t�t'Ju'3$�{} yySS$yrf'{}a'�i,�}.�¢ ` .•��,} �°��{#f> �T{}c{fy�Zt3rJ�}}'�$' i f>S}k�,.3+y{�2 sy�' � Z £+1 .f <f,{ ,�y,}r$Jl{ r$S, $r$S r{ ti , 3{t$''$f $. -.{ a "�. yt s� v v {T'S .\{, � S {${srRii { ' ..k; vu g tk2Y22 c xk i }{lt� y�{f� {3 }{} :ft��{; {}J{?�.{� }3}}TY{ ,{��}s J#£y�},}r{ ?+� •� .��, t t r<{.�?�, }>},l" 3 25 r {{}}Z }ty` �t yy � s f3v rs�$ r{ r{�}i" Jy{y �1,�;$S,wr}f��${ r•3y�{e�$#L`yi�:J{'��{S' ,{r•#<y - r,r{� , �} $ ,x'y { }$ : y} aY r r r$r{{,+{{ ,{ rt�J r•: {;y}#g r r y}ra$�s{ £ �.3{�>{try J 3 tif'{} }3 r��{},,y, }y{ }•�.w }fr;{S$SiC #4t5- {Yy,y F �;'�{:+ ray{,{ y�J.• '$..f TY fSa„ }>v}f:lr+r�,SF {4 �fyyk,3{� }}f�{{$Si C W 7 r-n,L �C n,T�-el/i c [ el -0 lit 9 F ,• k• l e / z atr.yr ��F 8 y r H t w ^; b ,► ,.. „ +ems ._ "'`;>�s„ ," ',.�� q, ,. %# ,,; a,+t" ^'r �; r - ,�� .re.»� ��"" F �za� A' �,+:,::w•��'"` " � � et c "rrne�r' r: •,. � a q g F� n� „ ,<,.a ..,: Nr=°7 �ytwa.», � � tea*. .��' t p. °`� ",�'• #�wr� � r r T r e .t '1 s r. _ �7k r ^ r " a r 41, KV o ^ w e a ^ , m. „ „ y „ f Figure 1A: Joist Span—Deck Attached at House and Bearing Over Beam optional overhang existing wall DQL rim joist ;? joist hanger -------------- beam (flush, o. ledger board ar 3 tight bearing) joist g Post, .3 Li/4 maximum Joist Span (Li): see Table 2 overhang Figure 14: General Attachment of Ledger Board to Band Joist or Rim Board exterior sheathing remove siding at ledger prior to installation existing stud wall threshold carefully flashed and existing 2x band joist caulked to prevent water intrusion or 1"minimum continuous flashing EWP rim board with drip edge 2"min. deck joist 1-5/8"mini 5"max. 2"min. 1/2"diamet ag 2x floor joist, �ashers T'h SEiZCoc):S orood MPCoist,WT lts with �.4 • .' a joist hanger existing ; foundation wall 2x ledger board;must be greater than or equal to the depth of the deck joist and no greater than the depth of the band joist f Figure 5: Typical Deck Framing Plan Lumber species: P T S (see Table 1) -I' q `-I r -11 r "ii r n r 'i r i t -1; r r ij r 2x ledger N P , board with '��/"0 D L I bolts/scr slanchors m _ /4 "on center m �" i (se Table 5) N —pl , joist hanger: Ibs x I (see Table 3A) i a ; 6x6 bearr XI ev post I N �— �n IC rim joist � E i cU i � o � stair stringers: cut or solid Ex,S��vC round or square footing: see Table 4 span: _' - _" IIf�LB/�4 max. (__"� or_"x_")x_" thick LB/4 max. (see Figure 28) overhangJ beams an LB : see Table T�� treads: x p ( ) ab e 3 overhang — — LB=S' -_" (see Table 6) 4D American Wood Council s 1 _• 26 November 2014 M c K E N`Z I E Patrick Coffey ENGINEERING Pratt Construction CONSULTANTS PO Box 731 m mi,tuml-citii cncimmnenutl Marston Mills, MA 02648 r�e s-, ' RE: 650 Lumbert Mill Road, Centerville;,,MA V Mr.-Pratt, ,. You retained McKenzie Engineering for your renovation project at 650 Lumbert Mill Y' tta ,s M Road in Centerville.The project entails the removal of a bearing wall and the installation of a support beam and post in the kitchen; and the expansion of the 14'xl4' deck with an additional, independent 14'x 10' deck. � '101 For the kitchen beam,wedesigned two(2) Microlam LVL l-3/4"x 9-112"and a 6x6 lj SPF post on the:first floor. In the floor below, the bearing joist will be padded out with 2x material on both sides(if no joist is present, triple-blocking perpendicular to the f +t joists will be used and a -112"tally down to 1$"x18"x10 concrete footing in the floor below: iC F -- For the deck, use 2x8 PT joists at 16"o.c.to match existing.Install with TO" overhang onto double (2) 2x8 PT girder. Support girder with three (3) 4x6 PT posts and ABU46 I post bases onto 12"dia. sonotubes emplaced to 48"below finished grade,equally ! spaced and 1'0"from ends of girder.At house, attach joists to 2x8 ledger with hangers and ledger to house with;two (2) 1/4".ledgerlok lags every 16"'o.c. .~ If there;are;any -questions on this matter, feel free to contact me at any time. Sincerely, ;A,y� - '+ Mark McI "`nPt Pres., cKenz w'gonsultants, Inc. WO Millstone-Road Brewster;MA 02631 t 774.353.214Q f 774.353.2142 www.mckengineers:com Town of Barnstable ,_ oFtHE T Regulatory Services 1% Thomas F.Geiler,Director TOWN 01F B:` RNSTABLE Building Division 9 M g Tom Perry,Building Commission�ei Oli JUN 3 0 t' 9: 5 9 s6;q. �0 'O�Fp p�p�l a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us e alISION Office: 508-862-4038 Fax;,�598-790-6230 Approved: 41 Fee: , Oa Permit#: HOME OCCUPATION REGISTRATION Date: '�3L)LoL( Name: Phone#: SE)r' 1-04.2 dy 2 Address: S �` � 2^ M TZ 6 Village: GE 7��V t,Lls' Name of Business: 'Tt� CZ(yi flax( C Type of Business: S OL&—> 0>Y r tC 5 Map/Lot: / J r7 D ' INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no iucrease in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned have read and agree with the above restrictions for my home occupation I am registering. Applicant: �V Date: L D D 4-( Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: Fill in please: APPLICANT'S YOUR NAME: ►J2►r9�1 �' f�4�S�-1�L BUSINESS YOUR HOME ADDRESS: CaSO � f /��►�� 2� � �� CAN7R2 V%LLB rrl�j Oa�3 2 TELEPHONE Telephone Number Home 57OR ais• �2�OFNWUSIN POUSfNESSNAME IS THIS A HOME©CCUPATION? YES NO Have you been given approval from the building division? YE NO ADDRESS OF B1151NES5 � t `� /'�.:1 cam- C. `��' iz vY��-s MAP/PARCEL NUMBER .. When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed certificate at the Town Clerk's Office Ist floor-Town Hall). You MUST o to the following office to make sure you below,you may apply for a business c ( ) g 9 have all the required permits and licenses.. GO TO 200 Main St. - (cyRdr of Yarmouth Rd & Main Street) and you will find the following offices: 1. BUILDING C MI SID ER'S This individual ts b inf med it re uirements that pertain to this type of.business. ho ed SignatureKILL COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. **SIGNIFIES A PPRO VA L FORA BUSINESS CERTIFICATE Oft Y, � r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MapO / `7 Parcel ®�� -" Permit#d� dq� Health Division v 7 - Date Issued 114 Conservation°Division v ae l d - Fee- /� tl Tax Collector � �'2�Go� SEPTIC SYSTEM MUST Treasurer Z�l INSTAL LE®IN COWS �P' , t WITH TITLE 5 I Planning Dept. 16 �� i EI�IVI �NI�ENT�L CC- Date Definitive Plan Approved by Planning Board TOWN.REGULATIONS Historic-OKH .4W 7-07v`Preservation/Hyannis .efgW/ v� -Project Street AddressAI— VillageCai Owner ° Address _ems e TelephoneF�do�� Permit Request / 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation orowy Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfath red: ❑Y� e es ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ -Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new �O Total Room Count(not including baths): existing new First Floor Room Count C'S • Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other -. Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name XTelephone Number p Address (J`d ® 4C icense# 042-:6 AHome Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO A_ a_�, " SIGNATURE DATE . FOR OFFICIAL USE ONLY ,p PERMIT NO. `` r DAV ISSUED MAP/PARCEL NO.- ADDRESS a _.. I.. VILLAGE, OWNER- '-- ^ DATE OF INSPECTION. FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH` FINAL a GAS: ROUGH'' - FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. c _ _ r 650 was e/11 • 1 i .� • C. \ # 128 ` l l MAP 147_ _ AP 14 0 MAP 147 # 650 MAP 147 11 - 2 82 # 25 # 636 MAP 147 #8624 MAP 147 , 119 - 2' # 653 MAP H:\BARN\BASEMAP.dgn Jul. 27, 2001 08:44:32 MAP 147 SCALE P=60' property lines shown on this plan ere for asses ep purposes only � � MSM and do not represent actual rekgionships to physical objects NEIM BMW )tm sm f JIJL-17-2001 10:31 RIDER RISK SPECIALISTS 1 508 564 7272 P.03/03 vlkq = I;I 1 1. 1. k M k0� 6--l"; F. z, eP, PC 07/17101 CORDL PRovucEA THIS ckOfFICATE IS ISSUED AS A MATTER OF INFORWTION ONLY AND CONFERS NO RIGHTS UPON THE CEMTICATE. HOLDIA THIS CERTIFICATE DOES NOT AMEND, EXTEND OR RIDER RISK SPECIALISTS ALTER THE 00YERAGE AFFORDED BY THE POLICIES BELOW. INSURANCE AGENCY, INC. COMPANIES AFFORDING COVERAGE P.O.Box 115 COMPANY CATAUNET, MA 02534-0115 A GRANITE -STATE INSURANCE CO. JOURED COMPANY M & F CONSTRUCTION eW MARGARET FITZGIBBON D/B/A COMPANY P.O. BOX 476 c MARSTONS MILLS, MA 02648 CQUIPAW 0--iR R R t. THIS IS TOINSURANCE LISTED CERTIFYTHAT THE POLICIES OF INSURANCE MOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTATrHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY HE NMF!D OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIE8 DESCRIBED HEREIN IS SUBJECT TO ALL THR TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. 00 i TYK OF IXWPAWE POLICYNUMBER P0=r;FFF0TW Pcx=EKPmAnom LTI DATEfMWDWM om(mmlborm aMQW4AL UAWLIlTY s.k.ENERALAGGREGATI $_ COMMEROAL GENERAL UABLITY flPIODUCTO-GOMPIOPAGG S -7 o-nme mAor c=n DEMNAL&ADV INJURY $ OWNERS&GQNTPAr.7QR`S PROT rAE DAMAGE Okny,,Aro grol $ MED EXP(ARV—p—) JS AUTOMOBULIASKMY rX#AaNFDSkNr3Lr;UMrT is ANYAUTO ALL OWNED AUTOS I OWLYINAM SCHEDULED AUTOS HIFWAUTCO OWLT Il'iURY ffi NON-OWNED AUTOS pwoo4wrq PROPorf Omm'SE H cARwr!UMILITY AM ONLY-EA ACCIDENT 9 ANY AUTO OrAER THAN AM QNLY^ I"ACCIDENT 5 AQeMaATF_ ExcMIJAMILITY EACH OCCURRENCE I$ UMBRELLA FORM AmREGATE OTMIR THAN UMBFIEUA FOM 1 NOMM"COMPEIMIATIM AND XT4wem%I 1 UmpLamm,Luwum EL EACH ACCIDENT $100 000 A THE PROPMETOW INCL WC8546888 16/20/01 16/20/02 eL am -FoLof umrr $500LO_p_0 PAI'ITNERGINOGUTIVE BEL EL DotASE-VA EMPLOYEE,0 10 0 0 0 0 1 OFFICERS ARE RX Dn="Q%Of O",PATIi SHOULD ANY OF THE AMOV9 DWRIIII190 FOUCIM U 0"CfWD 10FORE THE TOWN OF BARNSTABLE Ewmpam bAT1 *RPSOF. THE ISSUM COMPMY WILL ENDEK%(Ob In,IIIIWI.,�44 367 S.PLAIN STREET DAYS WMITS NOlIC49 To TM CUMMCAT9 MWER NAWD TO THE WT. HYANNIS, MA 02601 Wr FAILUM TO *tj H*7j4F wmL wilb"ll.110 OINIMA'n011a 0111 UABIUrl of-4y lap% Xrttl M AMlM OR Mr!9WffATIVM 79;MI ............... TOTAL P.O' The Commonwealth of Massachusetts • - Department of Industrial Accidents "- Office ofifires os oOS x• -�� _3 600 Washington Street Boston,Mass. 02111 WorkersIC om ensation Insurance Affidavit ii name: location: �D / G�i�IS f phone city ❑ I am a homeowner performing all work myself ❑ I am a sole netor and have no one woridzg in anv achy I am an em lover providing workers' compensation for my employees woridng on this job. :::: . ::::: :: :.: .: , cots anY nsme: address... Qh„ one# ids nceca. I am a sole propriet ,general contractor, or omeowner(circle one)and have hired the contractors listed below who have the followin n polices: g wo ::. ;. :.. :...: ::::..::;:;::::.:::.:::;.;;::.;: .r- comaenv name: :.::.:::::.:. :::::;:.:;::.:;>:..... ;.:::.;;:.;:.;;:;:.;::.;::.>.;::.;;:.;;;::. ..:..:.:::.::.;:.;::..:.:::.:;;:.;.;:.:.:.:::..::::::. r J s t .— ad dyes � ....... ... snv ranee: :..... ::.::... sw ...:,....:...., ..................... address; ..... _. . h lieu 0 /. Btri}me to secure coverage as required wider Section 25A o[MGL 152 can lead to the impositloa of tslatiaai penalties of a Hoe up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I�derstand that a copy of this statement may be forwarded to the Otnce of Investigations of the DIA for coverage vetincation. I do hereby certify under the pairs and penalties of perjury that the information provided above is trru and correct g/o Date �/ Signature - Print narae Phone# official use only do not write in this area to be completed by city or townofficial city or town: permitilleense# ❑Building Department ❑Licensing Board Q checki[lmmediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (Mvaed 9/95 PJN Information and Instructions I'I Massachuse tts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a Jost enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, emploving employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a Icense or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of msurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as.a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. , The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InvesdoMons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 `; ' r GT/te -Pannnonweallf o�/�aaeac/ucaeCta BOARD OF BUILDING REGULATIONS f' ? :f License•,CONSTRUCTION SUPERVISOR f Numbers GS 065131 ! BirtNdate i 09703M947 2 ExPirea 09/03%2001 Tr.no: 4342 Re3tri�ctet!To: 00 MARGARET M PO BOX 476 MARSTONS MILLS, MA 02648 Administr for :. 3 ator F tHE The Town of Barnstable snxrrsrABM 9c6A ` �0� Department of Health Safety and Environmental Services rFn��A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 10,2000 Richard Komsky 5520 Eton Court Boca Roton,Florida 33486 o Re: 650 Lumbert Mill Road,Centerville,MA Dear Sir: On February 16,2000 I inspected the deck at 650 Lumbert Mill Road,Centerville. This was requested by the Centerville-Osterville-Marstons Mills Fire Department. Your tenant,John Hayes,fell through this deck on February 15,2000 and was taken to Cape Cod Hospital by the Centerville-Osterville-Marston Mills Fire Department Rescue. This deck is not structurally sound. Please apply for a building permit at this office to have it removed, replaced or repaired. Enclosed is a copy of a letter I mailed to your tenant,John Hayes. Sin rely, Ralph Jones . Local Inspector t cc: Bradford Haven enclosure 000310A CF 1ME Tp� * The Town of Barnstable * • BaBxsrABM �cbA 16 q i Department of Health Safety and Environmental Services Teo Mora Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 10,2000 Richard Komsky 650 Lumbert Mill Road Centerville,MA 02632 Re: 650 Lumbert Mill Road,Centerville,MA Dear Sir: On February 16,2000 the Centerville-Osterville-Marstons Mills Fire Department requested a building inspector look at the deck located at 650 Lumbert Mill Road,Centerville. John Hayes,tenant, fell through the deck near the back door on February 15,2000. Upon inspection,I noted a few deck boards in rotted condition. I walked onto the deck and did not fall through. In my opinion,the deck should be removed,replaced or repaired. Sincerely, Ralph Jones Local Inspector } /km cc: John Hayes Bradford Haven ` „ g000310b r r/-/ 7 - O / P CV^ OcA R`t7tv,4� 4--1 cn l ofc,.k Hwy Cc -, t7 kl vyv..l C-0 k Property Location: 650 LUMBERT MILL CENT MAP ID: 147/081/// Vision ID:9688 Other ID: Bldg#: 1 Card I of 1 Print Date:02/16/2000 TV r-UfV1bKY,MUHARD V I [Level F.We wateff aved Description Code Appraised value Assessed value KhhLA_NV 1U10 31100 650 LUMBERTS MILL RD as RESIDNTL 1010 939,200 93,200 801 CENTERVILLE,MA 02632 fj �epfic E DATA-Barnstable,A I AIP"Y1111 K kccounti* Plan Ref. -A rax Dist. 300 Land Ct# Per.Prop. #SR Life Estate ffDL 1 LOT 1 Notes: VISION #DL 2 LC 37432 GIS ID: lotall 124,Juu 1 124,jOg E, ML Z LYA ," '4k V WIN 1to'DuO Yr. 1(,oael Assessed value Yr. code r. e VATNV& &vfv1b&y'K14-tiAKU r UIIW�4 12/15/19 Assessed Value Assessed Value SEIFERT,ELOISE P C104217 11/15/1985 Q 1 110,000 2uuu iuiu JI'l 31,1001998 lulu 31,10U MARONEY,THOMAS F JR C93251 09/15/1983 Q 1 819700 2000 1010 93,2001999 1010 88,1001998 1010 71,500 ota Total.I _171791-M—1 102,60 now ledges a visit by a Data Co ector 0-r-Ass—essor Year lypelDescription Amount Code Description Number Amount Gomm.Int.. 15ED,KALWME, INYM Appraised Bldg.Value(Card) 90,400 Appraised XF(B)Value(Bldg) 2,800 Appraised OB(L)Value(Bldg) 0 7otal:1 'w Appraised Land Value(Bldg) 31,100 " Special Land ValueNMI 4 TV Total Appraised Card Value 124,300 Total Appraised Parcel Value 124,300 Valuation Method: Cost/Market Valuation Net I'otal Appraised Parcel Value 1249ermu3UU RE— s A A t"I'sk-e Date lype Description Amount Insp.Date oComp. Date Comp. Comments Liate 12/1/98 Ys 00 Meas/Listed 54, 4,VA DVV-LIME, 4, 5,W& H4 Use Go de Description one L; Frontage Depth Units Unit Price 1.Factor S.L U.Factor Nbhd. A dj. Notes-AdjlSpecial Pricing nit rice an Val e 1 1010 Single Farn RC_-S- U.56 AU 139,000.00—1.00 5 U.4 U S F U L(.5 6,U TO)N-ofe-s-.TO_IB L J U L; 55'()U0.00 ST9 otal Land value Total Card an units 0.56 AU----Pa-, 0 1 1 a a n u . d�_'- J.56 AU Property Location: 650 LUMBERT MILL CENT MAP ID: 147/081/// Vision ID:9688 Other ID: Bldg#: I Card 1 of I Print Date: 02/16/2000 la", Element Gd. ich. Description ommercial Data Elements Stylerrype )4 Cape cod Element Cd. Ch. Description Model )I Residential Heat&AC FUK 14 FOP 1 b Grade )C C Frame Type Baths/Plumbing Stories 1.5 1 1/2 Stories Occupancy )i Ceiling/Wall Rooms/Prtns Exterior Wall 1 14 Wood Shingle %Common Wall 22 2222 22 2 all Height 1-H5 24 Roof Structure 3 Gable/Hip BAS Roof Cover 3 Asph/F GIs/Cmp UBM 0M 1 C A �OA,ligg 11 11 11 11 a, - Interior Wall 1 5 Drywall , � "�11' -I'm 106'111, 1 6" 14 16 2 Element Gode Description t actor Interior Floor 1 14 Carpet Complex VVDK 14 2 22 Wide Pine Floor Adj Unit Location eating Fuel 2 it 12 12 Heating Type )5 of Water Number of Units AC Type )i one Number of Levels 9 14 %Ownership Bedrooms )3 3 Bedrooms 2S Bathrooms z 2 Bathrooms 111,91"ViT,ON !RFY!1� -Ar 0 Full Unadj.Base to 48.00 Total Rooms 5 Rooms ize Adj.Factor 1.02876 Grade(Q)Index 1.02 ath Type 4 Typical for Gr Adj.Base Rate 50.37 Kitchen Style 4 Typical for Gr Bldg.Value New 99,380 Year Built 1978 24 Eff.Year Built (A)1983 rml Physcl Dep 14 Funcn]Obsinc Econ Obslnc F I Specl.Cond.Code a"I"I I pecl Cond% Code Description Percentage Cond. 1 —TOTU—S-in-g-Fe-Fam Tuff Deprec.Bldg Value 0,400 X�W' Code DesiMptlo'n LIff Units Unit Price Yr. Dp Rt %Cnd Apr. Va7u—e FPL2 Firepl-1/Z Sty T-- TZUU.m-T98-3------r—TUD--—————T'W V ff,-AkRE-A',$' e o Cd Description L IVIngArea UrossArea Ejj.Area Unit Cost Undepree. value 0 ' First t loor ---936-----93-6 5U..37 47,146 FGR Attached Garage 0 308 108 17.66 5,440 FHS Half Story,Finished 655 936 655 35.25 32,992 FOP P O Porch,Open,Finished 0 352 70 10.02 3,526 U U BM Basement,Unfinished 0 936 187 10.06 9,419 WDKWDJ� Wood Deck 0 168 17 5.10 856 I'm ciross- iv ease Area _F159T 3,636i 1,9731 Bldg Va-V 99,.38U RESIDENTIAL PROPERTY MAP NO. LOT NO. _ FIRE DISTRICT SUMMARY ' p, STREET650 T u-bert Mill Rd., Marstons Mills 77 LAND J� 1l�7 81 OWNER C-0 BLDGS. � TOTAL • RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lot #1 BO LAND BLDGS.' 8 O SO H_arjuj:---Allen-A:-&-Cheryl- K... _ .._.._.,.�..,.,.. _8/21/67.._. _1.375...._-49 __ _ 0 TOTAL56 gI LAND O BLDGS. 3 O 00 Trustee TOTAL OJOv Oiffith, Riehard W. , (of RW6 - - LAND • BLDGS. Jehn N. �,� �tl t.S TOTAL Reilly, - LAND • — —_4--15-77— Ctf-:- 0210 $6-0 0. - BLDGS. TOTAL Forms, _ • ! Sher, Harry 12-21-79 Ctf. 80440 ($45, 0�re�7ure LAND Or ('� _ .�- /��j _ � BLDGS. sZ�O �O LS/N vEwTN. 6n,�. Q 'Z/ TOTAL LAND o BLDGS. I e' ° ► l 9 9 y p S COMI 79 TOTAL LAND ANTERIOR INSPECTED: BLDGS. -- TOTAL DATE: 2 ? sr. .:7 LAND ACREAGE COMPUTATIONS !.. BLDGS. LAND TYPE # OF ACRES- PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT _ I U �(!� LAND UGO CLEARED FRONT ��pp - 0) BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR Was pt of Map $147 Lot 11 BLDGS. NASTE'FRONT Plan 6-2 L-60 TOTAL REAR LAND BLDGS. TOTAL LAN D S 61 BLDGS. 01 LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. FOUNDATION BSMT. & ATTIC PLUMBING PRICING Walls .� Fin. Bsmt.Area Bath Room // ease LAND COST �` �� BLDG. COST Blk.Wells Bsmt.Rae.Room St. Shower Bath/-'Gi ✓ Bsmt. PURCH. DATE . Slab Bunt.Garage St. Shower Ext. Walls Walls Attic Fl. &Stairs �, Toilet Room PURCH. PRICE. , - Roof RENT Walls Fin.Attic 6'N F Two Fixt. Bath floors INTERIOR FINISH Lavatory Extra F 1 2 3 Sink . r/2 y, Plaster Water Cie. Extra Attic r ,t�g p _ _ pG' NJ TERIOR WALLS Knotty Pine Water Only 8 v 22_ o Siding Plywood No Plumbing Bsmt. Fin. / w D/� e Siding Plasterboard Int.Fin. `•�I 9 21 Shingles TILING Ck /y Blk. _ G F P Bath Fl. Heat 7, Ol�w /L ark.On Int.Layout ✓ Bath Fl.&Wains. {/ Auto Ht.Unit _vc Veneer Int.Corti Bath Fl.&Walls Fireplace Brk.On HEATING Toilet Rm. Fl. Plumbing 7r- �C7 9Q om.Brk. Hot Air Toilet Rm.Fl. &Wains. , /n Tiling Steam Toilet Rm. Fl. &Walls t Ins. 4/ Hot Water 73 Fj e/ St. Shower Is. Air Cond. Tub Area Total Z�/ Floor Furn. ROOFING 7—a#6 COMPUTATIONS Shingle Pipeless Furn. S.F. Shingle No Heat �0 S.F. Shingle Oil Burner ✓ S.F. Coal Stoker S.F. O Gas ROOF TYPE Electric 8 S. F. /$ OUTBUILDINGS Flat S.F. 1 2 3 4 1 5 1 6 7 1 8 9 10 1 2 3 4 5. 6 7 8 9 10 MEASURED Mansard FIREPLACES S.'F. Pier Found. Floor (�}. el Fireplace Stack 10000 Wall Found. 0.H. Door LISTED FLOORS Fireplace f Sgle.Sdg. Roll Roofing LIGHTING ..__ Dble.Sdg. Shingle Roof No Elect. DATE Shingle Walls Plumbing ood woo ROOMS Cement Blk. Electric r� Tile Bsmt. 1st TOTAL 9S�30 Brick Int. Finish PRICED 2nd 3rd FACTOR �„s li,,I& 7 REPLACEMENT D 1 ,7 OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep• ACTUAL VAL. G. / FfJ Al /_ f-H t 13 FR hl, ' TOTAL Assessor's map and lot number Sewage-Permit number ......../.. T...................................... TOWN OF BARNSTABLE bpi TM E T�Ir • i BARNSTABLE i ° o 9. ,e� BUILDING INSPECTOR / a / S APPLICATION FOR PERMIT TO ............................................................................... (( TYPE OF CONSTRUCTION ................ ......!T.....�....... .?�G^IF;W/F. .__ . ..!................................................. -/,�/ l7 ......�. .....................19.E..... TO THE INSPECTOR OF BUILDINGS: .- J .J The undersigned hereby applies for a permit according to the following information: Location ..........�f..' ............... . .......,... . ..-../............ r.,H,.hp................................l:r........ ........ ......r. .Ic.r.........c. ..................... Proposed Use C .. n.. ! . .... 5.............................r........................I............................... . .. . . . .G � ..:Zoning District t.......................................:n ......................Fire District ....................................................... . �-- ........... Name of Owner e,;A//: A/1?.,.7 kk-4 t S,.. dress ./!C......r�.. ...fZ%' ....'�........�a�;/!K..,�r..f . :. ... .. .... .. .,.. Name of Builder / C "^^--�- - Address ........ ........... Name of Architect :It r1�{...........................................!..}...Address ......... /„v,,!�....... ............... .................................... S 1 Number of Rooms Foundation � .l I"� � . ^ ?c �. ti ........ ................................................... ... ......... .. .........:.... . ............ .. ....... ................. 1.1 C" fs� L T CI� 1 A tl N-P-6Z � ��. �i(�-IExterior .........Roofing p t Floors ......... ..'.} "..�,�J".... 1 „OfR.f!.........................Interior .........................................................l .......................... Heating .... �.��...j.. ..... � . .............................Plumbing ......... !.`/ C ...... ....C?rr,ran t,.............. Fireplace ............................................................ ...................Approximate Cost ..........`. :)........................... ....... ..... ... ..... ..... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ................................... Diagram of Lot and Building with Dimensions Fee ~." ,:.:....... . ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .-:... .. ..:n n . .......:°. Tally Ho Farms, Inc. A=147-81 19949 1 l/2 story No ................. Permit for ...........................:........ single family dwelling ................................................................ Location ........650 Lumb.ert..Mill. ..Road ............ ...... .... .... ......... Centerville ............................................................................... Owner .....Tally...Ho..Farms. .,.....Inc... ............... . .... .. ........ . .. . ... Type of Construction .................frame ......................... ................................................................................ f Plot .......................... Lot ............I~1................ 4 February 8 78 i Permit Granted ...............A.......................19 Date of Inspectio ....................................19 Date Completed ......................................19 r i PERMIT RE-FUSED y ................................................................ 19 .................... ............. ............................................ I ..................... ...... ........................ ,k .......... l ...... ....................... - o Approved .....................................:.......... 19 ............................................................................... ti ............................................................................... ;"�+✓�w. . °'"'fr4�'!�fv �.�V1+=' csm-am.T`• 9 ,. .. .^f .._ _. Y,. rrura.. t TOWN Or.BARNSTABLE permit No. 19949 I Building Inspector cash _ • OCCUPANCY PERMIT Bond .......... �. 5 Issued to Harry Sher Address, 1�� 41 rrn Tin i1 rt M;1i. nnn,i ('�tpvi r'1110 ' Wiring'Inspector �� Inspection date Plumbing Inspector �� ~vl�4 ij Inspection date Gas Inspector F �( Inspection date Engineering Department V>�/tot - irry Inspection dater ,fin Board of Health Inspection date THIS PERMIT WILL NOT BE .VALID, AND THE.,BUILDING SHALL NOT BE OCCUPIED UNTIL - 'SIGNED BY THE BUILDING' INSPECTOR •UPON. SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. /J .,Xr. . d Building Inspector i. TOWN OF BARNSTABLE Permit No. ___19949 _- i Butldbig:Inspector cast, OCCUPANCY 'PERMIT Bona _.-rlA_---- "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 Harry Sher Address lot A 65fi TAmihert- Mi11 Rnn(I r.Pn1'Pr'vi•l1P Wiring Inspector f, y IIispection date Plumbing Ihspector� Inspect,on.date c rCl Gas Inspector f �� Inspection date A"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. _................._............. 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J s o� * - +.�,1£i rl� i't it�'i .11 z� e++y I t 42,r} + `'aa �.r q rR/a$6/$�B yC_ d_ a .,.,: a - �G/G.- -y.:1.� _ J�`L" ,. ,rr` �' '. F§31111, �'e �'i 1 �i-� r:' 0, `�. a.-t. _F°°�"4""". ar``' y-r '/ . ... ex - 'lyyI pj�ay{ �^t r ems.�I�,! y� .. k Rr i 0 �e V4"'b Rr'!�/Sr.6'itJTW��,Q5.5 t''1. r�1./�11 ,�", g B�" ^"S,�yf` �1�- f r rN� tt>f,.j a - F Yt'47'(r i-,�f'c rt v`.9 j1111 4, ,. 444 .r 1 /� N �.�^/,.{ I�,wyny / M1i A alb '^T `(W "1, , ..,'f r f/r:1�� a�.! /� 4'I Ci[rI.I//S i Q.... 1.. s`YF'1:�� Fy I r� 1 Lr�T 1.'(f2r'In�'r�,b#1-f y� II r .Rs a ct M�fk '.,f'}, .C. '��i; ;�d 1� T✓K4r,�,iF:r,1.��rS.7n so% map and lot number .......................................... µ . C77� SEPTIC SYSTEM MUST BE G. 7 INSTALLED IN COMPLIANCE Sewage'�Permit number ............. ........................................_ _ WITH ARTICLE it STATE G� SANITARY' COD .LAM WN �QyO�TNET��o „ TOWN OF ""�BAW.rN"' ABLE i EARiH AHL .i I1y 0ya39 BUI=LDIHG IH P CTOR 00 .a\�e Id �OiN .r. I. t MO ...RP P ....... .... ... r' ............ ^' Wft OF CONSTRUCTION ................ ../� Jp O�j� / J ....... .., :) X-4 N d > `C:) ............. �. —/............19. . The undersigned hereby applies for a permit according to the following inf rmation: 0:2� Location ........F / ,. /:�1r ��1. ......................................1 ..... t.... .... ..... .I. ... ... ProposedUse ............... . z. n' �...Q�.::,� .....1,.'0;m—.S................................................................................ ZoningDistrict ......... .........`...................... ......... .......Fire District ..............................................................e....... Name of Own e?�.... . .b'(• `'�a.7 dGAdd. ' ress . . �. ....... ...... I,�(;9-- Name of Builder ...... .. ........... ^:�.......................Address ........................... . Name of Architect ...1�. ..C.l.�w. ......�..1. �Y?...Address ...........�!'.�::10..4ul'. ... ..... .�+' , � . � r r Number of Rooms .............. ......... .......................................Foundation d:l.>.. ...... Exterior .W.JC-t5h.-X ....(0.1,96. 1.kW. ......Roofing ...................... .�K„a F.�............................. Floors ..........�2 Jr `�'. .............. ......de .&. ........................Interior ......................................... ............... 1 ,..................... Heating ...... .............0.4....�................................Plumbing ...........evnv'(.�. ........ . .........q. ..................... Fireplace ..........! l-'L..G...k�.................................................Approximate Cost .... !tao..® ...... .... Definitive Plan Approved by Planning Board _______________________________19_______. Area f ...... ....................... Diagram of Lot and Building. with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH s ("y .. 5 I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta le re g the above construction. ' G Name .... .. . .... Tally Ho Farms, Inc. 19949 I'**....................Permit for ........ <Alw single famil ...............:......................Y.-dwell.ina................... ...... ... • Location ..........650 L .......... ........ ........................ ................. ............ f. Owner-%...........T-A11Y..JKQ..FArms,...Inc4 Type of, Construction .........fz4me...........n........... ............r........ ....... .................... Plot ............................ Lot ..... 1 . Permit Granted ..........F.e.brua.ry..8........19 78 .. . ........ .... Date of Inspection .....................................19 Date Completed ..........19 PERMIT REFUSED ................................................n: ........ 19 ...................... ..... .. .......... .. .....................6....... .......... ...... ...... . ................ . ................ . .... .... .......... ...... . . . . . ........... ............... ......................... . .... .... .. .......... ... .............. Approved ................................ ........... 19 ............................................................................... . ................ u. ..... ................ V t . THE^ f OCUMCNr L R (RI v4.D hF.ryG0.r7x' li 4vETHE P't( !—'Y-0, CARPEN E- .TNY ,1 CM J AN. STRTJ C12.:.t_ R 5�::✓C .n.5,Iv u JG C.-:YR!GKI'. 1 .1 IN C J S K Trt4J _ From The Workshops Of k T F E TN s 0O c1M l:Il 4 r OR_R2'S EPREO .ANG AN O.NI F ti, ..C,I'7T.GriT N.�.EE PROScCI>T'p TO THE FULL EY OF 11_LAW. THIS PL4 tE UMMED TO T1:E t:0^itUCT:ON OF TtAF.INC.BUILDING COUNTRY CARPENTERS, INC. PURCHASE FROM GDUN R �r N�R INCORPORATED. cNG LAN D Sr l !•--,-'��_,—�,-.�-,�v_%..-_ �-•-,I-sue— 1 >e.r- EAM -BU1 - _�_- - '- - OVERHEAD DOM OVERHEAD DOOR LL FRONT ELEVATION SCALE: 1/4'I 1,0 Barnstable Bl dg.DepL APPMed by: Permit#i23 o o c r- d LEFT ELEVATION SCALE: 1/4" = 1,,0TT n w � N Cn o 0 COUNTRY CARPENTERS, INC. n `c� rn CARRIAGE.HOUSE rn i 36' FRONT 22, DEEP 8/12 PITCH ROOF f FOR: BRIAN BASLIK COPYRIGHT NOTICE: PAGE SCHEDULE 650 LUMBERT MILL ROADCENTERVILLE, MA. 02632 PH: (508) 428-2281 THEE CARPENTERS INCO ORAT D,T EY AMORI THE DESIGN BY COUNTRY -- CARPENTERS INCORPORATED,THEY ARE ME PROPERTY OF COUNTRY 1 FRONT.& LEFT ELEVATIONS ya tNO Sq CON.PUTER FILE�/:03-72-36—boslik0l CT:REG. 523020 DATE: 1 1 Jan 2019 CARPENTERS INCORPORATED WHO RETAINS ALL COMMON TAW, �t, A - STATWTORY AND OTHER RESERVED RIGHTS,INCWDING COPYRIGHT. 2 AND EW Cy 2 FOUNDATION PLAN o TERN MBA MA.REG. 130254 6 THE PURCHASER/OWNER ACKNOWLEDGES THAT THE PUNS. � � R.REG. 21868 REVISED: - SPEGIF7CATIOMS,OESIGIIS-MID DRAWINGS OF COUNTRY GWPENTETB .. - .. _ TNCDa 10M 191E'FOTIO 3E USED BY RN PETtSONS V1MER THRi 3 FRONT & tffT FRAMING - THE PURCHASERi/OWNER AND THAT SUCH DOCUMENTS ARE N 3,�3 w DRAWN BY: PRORZ.'TEO BY THE COPYRIGHT LAWS OF THE UNITED STATES. .fl Q COUNTRY CARPENTERS, INC... THESE DOCUMENTS ARE NOT TO BE REPRODUCED OR TRANSFERRED 4 REAR & RIGHT ELEVATIONS & FRAMING 9o,�,Fc sTE ��" PRE—CUT POST & BEAM BUILDINGS SCALE: AS SHOWN AND ANY VIOLATION OF THIS COPYRIGHT WILL BE PROSECUTED TO .. THE FULL EXTENT OF THE LAW. '�! VE+ 5 SECTION THRU NA 326 GiI Fan STREET, HEBRON, CT 06248-.1347 DRAWING NUMBER. THIS PUN IS LIMITED TO THE CONSTRUCTION OF THE ONE BUILDING PURCHASE FROM COUNTRY CARPENTERS INCORPORATED. 6 CONNECTION DETAILS SEA.IS FOR STRUCTURAL (860) 228-2276 www.countrycarpenters-.com . DESIGN 1 of 6 ES ONLY I .- � . . . 1 . � . I . . . 1 . 1. . . I � I � , , I , I .. . � - . . . . . . . 11 I I .1 I � . I � I� � I I - � � . I I I I .11 . � I I d - Y k £ ( ` 423.5 z I,�,.-�,�.-_--�---,—_,,r",��,._4�,::�..q1_,_B",--"0-�e,,--"�,�",1��Z�Z_,',�,��-,.-*,�."%,l,.,�---,�4,,-,:.;.—1,�;��,�',I,-��,W,,-,�,�.,::�w"1t'"',�.4, 1 ' $ Fy " wH , h SURVEYOR'S `.CERTIFICATION 7 k F � - �{-,- d A t Q ra•¢ a D. U' n , .: .. :,4 �._ .,; QN`, THE ASIS OFa,MY KN.OWLEDGE,.:::.fNFORMATION A°ND' BELIEF 4 1 'CERTIFY, .,'' _ nz - - .✓:: ../ is-'r1�I,, r.A.. , a .r a.; .: 4,'..::... --_.I u > 4�`" ; TQ=.SUSAN WHITE:AND BRfAN BASLIK THAT AS 4THE°RESULT' OF;A f ,k. ,: ` h ,. P RF N T ,, ., . ,, ,LOCATION,_,SURVEY _E ORMED. 0 HE GROUND ON `,4PRlL 5, 2019 IN € v v .; �.,.=.) S �� = 4 {� ', ?, " ACCORt?ANCE WITH;; THE,~NORIN,4L STANDARD OF uCARE EXER,CISE(?=BY ':: `� + : : Le a__;. # _ : -�' PROFESSIQNAL LAND`"'SURVEY.QRS�,PRACTICING 111 THE Ct?ti!lv10N►NEALTH 9 .��' !' ,.r.,1 Jl µg}. .'; vg. i.�L.. .:$.'' ,E.., .`i L `,il_ . ,t,:: i .`..:- ..::'' .`..:;; :7^ i,:'" - :z: . l #_ 4 a Gf7 I a V y ii . I a ;: 4F MASSACNUSETTS, ! FIND =THAT ..THE EXISTING DWEZLfNG "AND ''- _ :.f; °fit ...� -r,, r ..: :.:4 .,._: ,-:.r; ..:� �:-:,; , ..,.:_ ;s:: _ ! .;:.:: x .' 4 i is .. � PROPOSED GARAGE; ARE :SITUATED ON LOCUS SHOWN.HEREON ti _ \.1 k ',,, { t`a cam,„ ,y f i L` n, - C 3 'j' �k. :&+`.;Aft ,. z �e.., {. 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ILI - ,"a TRIPLE 2x8 RAFTERS P..SILL 1 200 RIDGE®36'O"--- - " 2x8 RAFTERS 16" O.C. RAFTER PADDING— LEFTLA L-i FRAMING SCALE: 1/4" = 1 '0" 2x8 COLLAR-TIES 32"O.C-- :I .. OUB'E 2 ' VIEW FROM OUTSIDE HTP37-TZ 3'W"'STEEL ( CH IDES I PLATES APPLIED TO OUTSIDE OF FRAME BEFORE SIDING! - 6xB BEAM MA1C"SPAN FIGURED 9'O" 3x x6 H 3x4 HEAD . 21' 3x4 BRACE - i r6_" 3.6.E - � 7.2••3z6 JAC.vc I � � r� Y NI ' U ' .. - 1.3�. .. _I—.—.g'�'—._. —_'_ — —_9iD•� _—_ NL- NI �I 21.E 3 4 - •Y - 'BRACE P.T.SILL _ L--�---FINISH FLOOR------J L--�----FINISH FLOOR------J I—�IN.FLRrj j FRONT FRAMING SCALE: 1/4" = 1 '0" VIEW FROM OUTSIDE 1 I i I COPYRIGHT NOTICE: THESE DOCUMENTS ILLUSTRATE AN ORIGINAL DESIGN BY COUNTRY r '� AN CARPEHTIItS INCORPORATED,THEY AAE THE PROPERTY OF COUNTW , S TE FAA . CARPENTERS INCORPORATED WHO RETAINS ALL COMMON LAW. 1 m } STATUATORY AND OTHER RESERVED RIGHTS.INCLUDING COPYRIGHT. u ~N 352aJ 0 THE PURCHASER/OMER ACKNOWLEDGES THAT THE PLANS. 9 ¢ . SPECIFICATIONS.DESIGNS AND DRAWINGS OF GOUNIRf CARPENTERS - - Q�0•�F�ST k1COT�ORATED,ARE NOT TO BE USfD BY ANY PERSONS OTHER 1TYP1 F'r`S/NAL \ . THE WRCWISER/OWNER AND THAT SUCH DOCUMENTS ARE - PROTECTED Bf THE COPYRIGHT LAWS OF THE UNTIED STATES. THF�DOCUMEllfS ARE NQf 70 BE REPROWCm OR TRANSFERRED ALL MAIN POSTS & BEAMS � �----------------? - ANo ANr hounoN of ms cDPYwcHr wu eE PRosEcuTm ro GRADED #2 N.E.L.M.A. EASTERN NOTE: SEAL IS FOR srNUcruRAL . THE FULL D(Tl?Tf OF THE LAW. - I i - DESIGN ONLY 4 THIS PLAN I5 LIMRED TO THE CONSTRUCTION OF THE ONE BUILDING PINE, RAFTERS, & JOISTS GRADED FOR CONNECTION DETAILS PURC1fA5E FROM COUNTRY CARPENTERS INCORPORATED. #2 S—P—F. !SEE PAGE --------_J - A/'N C i E LE RAFTERS, DOUBLE COLLAR-TIES RACE AT ALL FRONT POST ATIONS OTHER THAN CORNERS. _ TRIPLE 2x8 RAFTERS 2x10 RIDGE®36'0" - 2x8 RAFTERS 16"O C . 2x'10 RIDGE®36'D"— — RAFTER PADDING 2x8 RAFTERS 16"O-C. DO BLE x8 ' 12 CO R TES 2x8 COLLAR-TIES 32"O.C. . RAFTER PADDING +B��8 EA Sit E NP311 3"x11"STEEL' PLATES APPLIED TO 3.4 GINTs I- OUTSIDEOF FRAME `^ /s'• - - 7-7"I[3" v" EEL - 3"FACE O BEFORE SIDING F I a OC OF RAM RUE RE IDIN E z6 l GO < 4 R 6X8 BEAM MAX. SPAN FIGURED 9'6" x6 POSTS 0 4'8" i - - BRACE ENSIGNS �p - _ 6.8 BEAMS curoN E >< - 6x8 POSTS®4'B" 34 3x4 RACES- „ B _ E ,I-2•-6,� BRA 3x4 2'6,� 6x8 BEAM 3x4 GIRTS 11'3" . BRACE 3"FACE NI � NI 34" 3x4 BRACES o r7I 49' �I T6" 3x4 GIRTS� - a 3"FACE P.T.SILL - - 34"3,4 T.Z..3%4_ - x BRAC JACK REAR FRAMING SCALE: 1/411 1 '0" VIEW FROM OUTSIDE RIGHT FRAMING SCALE: 1/4" = 1 '0" VIEW FROM OUTSIDE 7i ( ! 71ri99 I I REAR ELEVATION SCALE: 11 I . 1/4 1 0 RIGHT ELEVATION SCALE: 1/411 = 11011 COPYRIGHT NOTICE: - - - �y'ANO afq THESi DOCUNENTS ILLUSTRATE AN ORIGINAL DESIGN BY COUNTRY - - CARPENTERS INCORPORATED.THEY ARE THE PROPERTY OF COUNTRY _ e� W CARPENTERS INCORPORATED WHO RETAINS ALL COMMON UW, - .JJ STANA70RY AND OTHER RESERVED RIGHTS,INCLUD GO COPfRICHi. - - - NBA THE PURCHISER/OWNER ACKNOWLEDGES THAT THE S. 'NOTE; VERY IMPORTANT, - o SPECIFlG710N5,DESIGNS AND ORIWINGS OF COUNTRY CARPENTERS NO KILN DRIED h _ WCORPORATED.ARE NOT N BE USED Y%ANY PERSONS OTHER THAN � ) SIDING TRIM, LOFT DECKING, S 9F SSZt3 � ; . THE PURCHAER/%W ER AND THAT sucH DOCUNENrs ARE & ROOF BOARDS MUST BE PROTECTED FROM 0� C STE F`" PROTECTED BY THE cDPYRIGNT LAWS OF THE uNrrED STATES. ABSORBING MOISTURE ON THE CONSTRUCTION ALL MAIN POSTS & BEAMS FS3/NAL THESE DOCUMENTS ARE NOT TO BE REPRODUCED OR TRANSFERRED SITE. KEEP BOARDS UP OFF THE GROUND & COVERED I MID ANY NOLARON OF THIS COPYRIGHT WILL BE PROSECUTED 70 - r----__ --------- WINDOWS THE FULL EXTENT of THE LAW. TO PROTECT FROM GROUND MOISTURE &RAIN. GRADED #2 N.E.L.M.A. EASTERN NOTE: =1 PLAN &DOOR KITS SHOULD BE KEPT INSIDE, I PINE, RAFTERS, & JOISTS GRADED I _ SEAL is FOR sTRucruRnL PHIS PURCHASE F OM CO rD THE OF THE D. BUItDINc UNTIL READY To USE. FOR CONNECTION DETAILS! DESIGN ONLY PURCHASE FROM COUNTRY CONS Ru oN OF THEO. . ! #2 S—P—F. !SEE PAGE 6. PACE 4 jSTRUCTURAL DESIGN DATA: I ALL MAIN POSTS, BEAMS & JOISTS WIND LOAD 120 MPH GRADED #1 &/ OR #2 N.E.L.M.A. ROOF LOAD 45 #PSF EASTERN PINE, RAFTERS GRADED `"—"—"—"—'—"—'—"—"—" TRIPLE — #2 S-P-F UNLESS OTHERWISE NOTED. ' - -• � - 2x8 RAFTER 1'A6 ��O� DOUBLE 2x8 COLLAR-TIES - - 4-1/2"x4-1/2"x48" BRACE UPPER SIDING I OVERLA LOWER S�DING BOgR' I DETAIL SHOWING HOW 90 DEGREE ANGLE j RAKE BOARD OVERLAPS - FROM ROOF REAR TRIM&FACIA ASPHALTSHINGLES NFIBERGLASS NOTE:LOWER GABLE i SIDING EXTENDS FORWARD TRIPLE RAFTER, COLLAR-TIE & BRACE INBY OWNER. TD CREATE HOOD LOOK PER - i ANUFACTURER DETAIL SPEC FICATIONSS - - DETAIL SHOWING HOW RAKE i 2x10 RIDGE BOARD OVERLAPS FRONT TRIM, - I SYNTHETIC WATERPROOF FACIA, &SOFFIT BOARDS UNDERLAYMENT BY OWNER - 1 x6 ROOF SHEATHING - - ROUGH SIDE OUTS II I 12 8 - P �p� S I 2x8 GABLE TO GABLE Ofr STIFFENER, NAILED TO - ,,6 - EACH COLLAR-TIE - - - ��C�FtS 2x8 COLLAR-TIES 32"O.C. .—WOOD SHINGLE - f�'•' 1x2 TRIM / UNDER-COURSE OR - Q ,L+9 METAL DRIP EDGE TRIPLE RAFTERS, DOUBLE 6x8 BEAM BY OWNER O COLLAR-TIES&BRACE AT ALL _ I FRONT CATIONS OTHER 4-12"x4-1R �.-.E 1:2 TRIM THAN CORNERS z 16 - - I' FACIA. 6x8 BEAM ! III �-1 x6 SOFFIT BOARDS - . _ 6x6 POST®4'8" 6x6 POST®7'2" iI EASTERN WHITE PINE 7 .. .. - ' � PREMIUM GRADE SIDING - n' 1x8& 100 SHIPLAP -22' - -—-—-—-—-—-—-—-— -------- -—-— ------------------- — — j ROUGH SIDE OUT j I I I I 2x8 P.T. SILL - I TOP OF WALL TOT 10" - FINISH FLOOR 8" - GRADE a e F'PN H aOORZ .gyp•'CONCRETE FLOOR WITH:6.6 WIRE REINFORCING-` < c a < I —GRADE _ e • . / / / a .// 6"COMPACTED GRAV0. / 1 /i//J// '/''//�. /1;/: o /<// -e� I , :/// / •:////•/i:. /; 'OR SIMILAR SUITABLE //•//'f'%.•/, L'G,�'/r,• /,� S NS REBAR 12" FROM . p MATERIAL I� ( � OP OF WALL,CENTERED Z i 8"CONTINUOUS - - - 10 CONCRETE WALL ON a 'e 2OOTING CONTINUOUS a �(2) #5 REBAR 3"FROM BOTTOM - - FOOTING TO HARD FIRMt5 —7� UNDISTURBED EARTH F FOOTING, 7-1/2"FROM SIDES T < e I10" 10c ' e j ATTENTION: CHECK WITH - LOCAL BUILDING OFFICIAL NOTE; FOUNDATION DESIGN FOR PROPER FOOTING DEPTH! 20" BASES ON SOIL BEARING 20" CAPACITY OF 25D0 P.S.F. SECTION THRU SCALE: 3/811 = 1 'O" COPYRIGHT NOTICE: j ��atNO P�QnE�RSINCORPORATED,I��iR0 AN�THEE PROPERTYY COUNTRY OF COUNTRY FLOOR TYPICALLY PITCHED _ o� MRI FLOOR PER TYPICALLY E CARCARPENTERS MCORPORATED WHO RETAINS ALL COMMON LAW, -. STATUATORY AND OTHER RESERVED RIGHTS,INCLUDING COPYRIGHT. - U 3524� h THE PURCHASER/SIGNER ACKNOWLEDGES THAT THE PLANS, ,o INCORPORATED. RE NOT AND DRAWINGS OF COUNTRY OTHER THA CONCRETE FLOOR - - 9V 9FC THE PURCHASE.ARE NOT TO ER D USED BY ANY PERSONS OTHER THAN RE 3500 PSI sT� PPROTECTED BY THE CO COPYRIGHT LAWS OFF THE UNITEDUCNIITTED STATES.UMENTS __ ss/NAL aG THESE DOCUMEY'AOLAMS ARE HOT TO BE REPRODUCED OR TRANSELUTE EARED i NOTE- THETHE SEAL Is FOR$TRucTURAI �w�TIOF HE LAW. wwrt WILL BE PROSECUTED ro CONCRETE WALLS THIS PLAN IS UNITED TO THE CONSTRUCTION OF THE ONE BUILDING 3000 PSI _ FOR CONNECTION DETAILS' DESIGN ONLY - PURCHASE FROM COUNTRY CARPENTERS INCORPORATED. I SEE PAGE 6. I /L /1(— 5 T _ I • i I VIEW OF GABLE END USP MS1121 RAFTER TO RAFTER STRAPS P INSTALLED EVERY OTHER RAFTER AND \q \ VIEW FROM OUTSIDE NAILED WITH 8-10d COMMON NAILS EACH SIDE .. ' SPACE BETWEEN GABLE RAFTER AND OFRI�GE POST DUE TOO LEVELNESS OFBLE FO NDATION.Y COLLAR-TIE TO RAFTER . NAIL AS SHOWN USE MINIMUM OF 6-12d NAILS TO NAIL TO RAFTER - O��G WITH 12d NAILS. -AND MINIMUM OF 3-12d NAILS TO NAIL TO BEAM. �+- - Qp9 !L� GABLE POST - . RAFTER {, .. 5-12d NAILS TO RAFTER R� „lp w� HOLD RAFTERS FLUSH 3X NAI f USP RT7A HURRICANE TIES O= TIE WITH BOTTOM OF RIDGE INSTALLED EVERY RAFTER �- �Q" R� NB—GC SHOWdN) USING 10 USP CA CQLV' COMMON .. NAILS. RAFTER TO BEAM - c 6-12d NAILS r NAIL 6E �' ' • - +`I` _ ,` R6R 5\DE O�BEM POST —USP R17A HURRICANE TIES INSTALLED EVERY RAFTER : BEAM TO POST -- 'NS—GCOWN) USING 10 USP MINIMUM OF 6-5" POLE - - - - - COMMON NAILS. - EARN NAILS AS SHOWN - - - - I DRAWING REPRESENTS S NTS GENERIC VIEW OF A STANDARD SALTBOX CARRIAGE WITH -0R—USP FA3 ANCHOR - USP PA78 AN COLOR— CODED SEE COLOR CODED PLAN FOR' - - BEAMS AND GIRT NAILED WEL L WITH NAILED WELL WITHSPECIFICS - FRAMING- TO POSTS y f L 12-16d COMMON NAILS 6-tOd x 1-1/2"NAILS - .I s USE 9-5"POLE >. E' BARN NAILS USE 6-5"POLE B USP NAILS HTP37-TZ � M UNAIL SE ING NAILS - �.---NAIL WITH 3-16d USP NP311 NAILING I _ NAILS EACH END. NAILING PLATE USE 12-8d COMMON NAILS— COMM NONO E�LSE L l` - - W F `0 BRACE NAIL e a l MING NAILS. G E', fRf d 'R 6 s 1 _. WE TN - 0 I y L _ II W — I N A ' ly N pW /Ty As srl ,. yy' o , TACK SILL TOGETHER USING 12d GALVANIZED BOX NAILS. ,• °F ;yam COPYRIGHT NOTICE: - • y�E1y�N0 Aegss - - 2 THESE DOCUMENTS ILLUSTRATE AN ORIGINAL DESIGN BY COUNTRY aN0 Ew- - p CARPENTERS INCORPORATED,THEY ARE THE PROPERTYPROPERTYOF COUNTRY - Tf.NH NftA y "CARPENTERS NCORPORATED WHO RETAINS ALL COMMON IA,W, SIATUATORY AND OTHER RESERVED RIGHTS,INCLUDING COPYRIGHT. - - N J5243 - THE PURCHASER/OWNER ACKNOWLEDGES THAT THE PLANS, - _ .. .. .p SPECIFICATIONS,DESIGNS AND DRAWINGS OF COUNTRY CARPENTERS - 9 INCORPORATED.ARE NOT TO BE USED BY ANY PERSONS OTHER THAN - '_ ' - _ Di`9FC'STTHE PURCHASER/OWNER E CH UMENTS PROTECTED BY THE CCPYRIGHTD LAWS OF THE UNITED STATES.ARE _ • Fss/VIAL `\�\� THESE DOCUMENTS ARE NOT TO BE REPRODUCED OR TRANSFERRED VIEW FROM OUTSIDE SEAL IS FOR STRUCTURAL AND ANY VIOLATION OF THIS COPYRIGHT WILL BE PROSECUTED TO EN - - - THE FULL EXTENT OF THE LAW. - DESIGN ONLY THIS PLAN IS LIMITED 7o THE CONSTRUCTION OF THE ONE BUILDING PURCHASE FROM COUNTRY CARPENTERS INCORPORATED. - PAGE 6