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HomeMy WebLinkAbout0068 LONGVIEW DRIVE f - -___-- `p-a> 1 a 4�. -y ��'� Coiajuo-mveal'th of Massachusetts � 12,z)lH l n� �2 I 6-1 ) coo Sheet Metal Permit Date: I Permit ;716 �L_to Estimated Job Cost: S a01000 Permit Fee: S- 15, Plans Submitted: YES NO ✓ Plans Revierved: YES NO ✓ r_ Business License - Applicant License T aM Business Information: I Property Owner/Job Location Information: Name: - VLrn Dfl Oh) E4,'�I� : Name: °Vrederi ck l ff G: 67 Lo V/&)j Lnve, Street: � D � 1�( � �U.l 1U.11'� Street: j J City/Town: - chdBIL City/Town: S Telephone: � /U� I '00 Telephone: Photo I.D. required/Copy-of Photo I.D. attached: YES vl N0 J-1 /M-1-unrestricted license IF-U'U J-2 /M-2-restr1cted to clivellings '-,-stories or less and commercial up to 10,0 R.-2/t ries or ie.ss Residential: 1-2 farnily V Multi-fanily Condo/TotivWf OF—BARNSTABLE Commercial: Of ice Retail Industrial Educational ,Institutional Other Square Footage: under 10,000 sq.ft. ✓ over 10,000 sq. ft., Number of Stories: Sheet metal work to be completed: Ne-w Fork: Renovation: HVAC V Metal-Watershed Roofing Kitchen Exhaust System Metal Chi-nnev/Vents Sir Balancing Provide detailend'd�escription of-work to be done: OL &to 9�r1� INSURANCE COVERAGE: I have a current liability insurance policy or its equivalentwhich meets the requirements of M.G.L. Ch. 112 Yes ( No❑ I If you have checked Yes,'indicate the type of coverage by checking the appropriate box below: ` A liability insurance policy Other type of indemnity ❑ Bond ❑ i OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Nlassachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only i Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this box(],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress InspeCtiD S Dat.. Corinne its Final Inspection - Date - - - - - - - - - - - - -Conrrients I Type or License: j i By ❑ Master I A /, Title ❑ Master-Restricted Cityrown Journeyperson r e ❑ � Signature o� License Pemit f ` - ❑Jcumeype.rson-Restricted 7 License Number: ❑ �)7� I I Fee� ' Check atevoiir:.€ a-ss.c,o�y(dol - I I Inspector Signature of Permit Approval i r' The Commonwealth of Massachusetts = Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): W . V e 12 n o n U , e e�� _N, ,n ac— Address: a',� V, 0,,,.� ia, .,1 ,n� Po R o x I d L G �- City/State/Zip: W . CV� A d h .n Phone#: g Ll )I g o Are you an employer? Check the appropriate box: Type of project(required): 1.R I am a employer with 5, � 4. ❑ I am a general contractor and I employees(full and/or part-time have hired the sub-contractors 6. �]New construction ).' 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] ' c. 152, y 1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating-they are doing all work and then hire outside contractors must submit a new affidavit indicating-such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number_ I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A c.e_ A n^t,.L 1 c c% 1 -�Ns v` )L e, n c-- �o rh 'a Policy#or Self-ins. Lie. Expiration Date: Job Site Address: 'V A I-1 o .A s City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the viol r. vited that a copy of this statement may be forwarded to the Office of .Investigations of the DIA for ins m. co v rification. I do hereby certify under t gin e s perjury that the information provided above is true and correct Si atur . Date: Phone# . b$) R 14 ) - 1 16,6 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: r f IZi;hLfa.>: NI-1LO/4/2013 7 : .19: 111 AM PAGE 5.t/055 Fax Senrer l� DATE ACCIR& CERTIFICATE OF LIABILITY INSURANCE 10-04.2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION ISWAIVED, 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 `TAME: ROGERS&GRAY 104S AGCY PHor'M FAX IA:C. PL- Ex;C fA;C N:ot: 434 ROUTE 134 E,%,IAIL SOUTH DENNIS,10A02660 INSUREPISI P.?FORGI210 COVERAGE N..IC 11ISUFER P.:ACE M-01IG1I I IN:SUF:APICE COMPANY INSURED INSURER 8: VV VERNON VNHITELEY PLUFIBING& INSURER C: HEATING CO INC&CHATHAi':I SHEET NI ETAL INC INSURER 0: PO BOX 1266 IIdSJRER E: WEST CHATHANI,AAA 02669 INSURER F: COVERAGES CERTIFICATE NUMBER- REVISION NUMBER,: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N.AI,,IED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY P,EQUIRE141ENT, TERNI OR CONDITION OF ANY CONTRACT OR OTHER, DOCUMENT WITH RESPECT TO VIHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE: POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERiMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAhMS. II11sF, ADOLISU6�j I POLICY EFF I POUCYEX? I LIMITS LTR T(PEOF INSURANCE lilSP. \4'y0 POLICYNUMSER (I,i!,L'ODrT'YYY) I}iM:OD!Y'1'M GENERAL LIABILITY EACH OCCURRENCE IS D AyrA.GE TC IENTED I g COMMERCIAL GHHER.=L LIAEILITY F.E;•IIaE 1-2':'i.'vr.'=ta12'; I CLAIr.1S-1 ADE I OCCUR. I MED ElP r.,%ny nnc p^.,arc) Is PERSONAL 1,AC:;IV!!!R'! IS GENIEP-1 AGGREGATE IS G=N'!AvGFic'=A.T_'LIralT A?PLIEa P==: FROIDUCTS•COMP;OP AGG Is FOLICY I JE I I LOC - IS i.a AUT0410BILE LWBIU Y COL.ncudcnri Ir1.0 sI,C!E LIMIT Is �A.N AUTO ECOILY INJUR\'(Per aercn) IS ALL O's:9•IED SCHEDULED BODILY 1wuF.Y(Paracdderal Is AUTOS AUTOS N OPJ r'i•;:V ED F�_�'F:`:i r °.IAAGE IS �IR_vAUTOS AUTOS IS �Ui:iBP.ELLA LIAR OCCUR EACH CCCURPEtdCE IS EXCESS LIA6 CL�J}:IS-d.'..CDE A-ur.-`AT= IS I DED I F.ETENJTIOr IS IS WORKERS COMPENSATION X `.VC BT,TU- G AND EMPLOYERS'LIRE[UrY YIN TC•zf LI•(ITS ER AV'iFP.OPRI�TOP.rPrrTNEFJEXEC:UTI'•i=N I E.L.EACH ACCIDENT 1600000 OFF ICER'MEf,IBEP.EX.'CLUDED? - rA 6S62UB 10-01-2013 10-01-2014 (Llandalcry in r•1'=1 44f2L66-'r, E.L.C•ISEA.aE-Eh Ei:?F!Ci 5'EE $JOO,000 If ycs.d_scnt..:under E.L.DISEASE•POLICY Usa17 1$500,000 DESCRIPTION OF OPERATIONS t5!rnr DESCRIP T ION OF OPERATIONS I LOCA71CIIS I VEHICLES(Atlach ACORD 101,Additional Remarks Schadule,If more spa-Is requlred) CERTIFICATE HOLDER CANCELLATION TO'•:'!1'N OF BAP,idSTfiBLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 200 B,IAIf`I BARN T CANCELLED BEFORE THE EXPIRATION DATE THEREOF, 00NlAIS,PiTREE01 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE HYANNPOLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD COP,POR,4.TION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Fold.Then Detach Along All Perforations ,:COMMONWEALTH OF MASSACHUSETTS 0 0 0 0 0 BOARD SHEET METAL WORKERS SM AS A BUSINESS ISSUES.THE ABOVE LICENSE TO TYPE ER`IC T.. WH.ITELEY:. W VERN.ON WHITELEY PLBG A.ND_B 28_ VIL'LAGE . LANDING G . PO BOX 126G W CHATHAM , MA`•02G69 000 292629 - f 1`6.0 12/22/14 292629:. NMI Fold..Then Detach Along All Perforations ' 1 COMMONWEALTH�OF MASSACHUSETTS — ,, �I SSUESFTHE E'OLLOW{ING 'L'1 CENSE J' { AS A. MASTER UNRESTRICTED I FRIG T� WH'ITELEY t' rgy I� F PO BOX 2�8 1� z WEST �HAT,HAM � MA :02669-02�+8 ,� s u = �� F 5 ASSACH�TSETTS DR��ER'S LICENSE -ISz, 4"a315 4�ey 9aEND '4d NUMBER_= 4 � �� _ � are ti�7�� NONE.,S70199211 w 'i 1 •+z - e;1811 MAIN:ST W CHATHAM MA 02669 /—'�� 'l i 5 DD 01-09.2014 Rev07 15;2009 t r-: /S Town of Barnstable antae;r, . t - Regulato Services KAea. � Thomas F.Geller,Director t639. n b Building Division Tom Perry,Duildmg Commissioner 200 Main'Street,Hyannis,MA 02601 vmw.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property owner must Complete and Sign This Section U_U9_ffi9A.Builder (� e z'— ��C ���• T r � �-�_. .�,as Uwnet of the sub* ' property hereby authorize �, Ve.rnt)r) to art on my behalf; ini all matters relative to Mork autho=ed by this buffding permit I 69 b i ev Srive, A.ddtess of Job) Pool fences and alarms are.the responsibility of the a licarit. Poo ls ols are not-to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signat xse of ex •Signature of llppEunt Print Naf.e Print Name Date QYORMS:OWNERPERMrSSIONPOOLS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel U ! /00 Application 1 Health Division Date Issued Conservation Division Application F60 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic = OKH Preservation/ Hyannis Project Stre t Address 1 Village y�n1/J�S Owner t;l\ Address a �l� Telephone Permit Request -ruitinna we& 4o mW W tt — w o5kk %ii!�- 614b ,Square feet: 1 st floor: existing y�proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay, Project Valuation Construction Type 'tO&Q11 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family units) Age of Existing Structu e 6D Historic House: ❑Yes ®'No On Old King's Highway: ❑Yes Zo 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 2 new Mfl11 6 WVff5VM Total Room Count (not including baths): existing (? new�J 3 First Floor Room Count Heat Type and Fuel: ®'Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ®"No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Zo Detached garage::-existing eing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ new size Shed: ❑ existin ❑ new size Other: 9 9 — 9 — Zoning Board of Appeals Au rization ❑ Appeal # Recorded ❑ c' 0 Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use o v � APPLICANT INFORMATION " (BUILDER OR HOMEOWNER) _ Lf �� rn Name AMIll Telephone Number Address / License # �1 Home Improvement Contractor# Email wawtmp `� / Worker's Compensation # 66 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE E f1 1 FOR.OFFICIAL USE ONLY APPLICATION# a r i DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE `i OWNER- a DATE OF INSPECTION: FOUNDATION { FRAME INSULATION f FIREPLACE ELECTRICAL: ROUGH FINAL 1 ' PLUMBING: ROUGH FINAL . GAS: ROUGH FINAL FINAL BUILDING DAFTE-CLOSED OUT A%5WKTION PLAN NO. Town of Barnstable .regulatory Services Thom as F, Gei]er, Dired O-r Building Division Th om ns P erry, GB 0, B ni]din g C onimissi o n er 200 Main Street, Hyannis,MA 02601 " ... www.town.barnstahlama.us Oifica: 508-862,=4038 Fax 508490-6230 ` -PLAN REVIEW Owner: Map/Parcel: -25-/ 0ZY 001 Project Addressf, ' LQA36vT-C-w 9- Builder-:- The following items were noted on reviewing: (1��•�T C-6 M W 2-01? (SPOKE w)Co,J7XA<7ZtZ - 81ghV) Reviewed by: Has Camxaamtkn�gfMassachasef& Depart ofhtdWs&itd Accidents Q&e of nvestiga ions 600 Waybington Feet B ratan,MA 0211 uwmznass�gayMia Workers' CampensafionInsurance Affidavit Builders/Conti-actarsM4actrician&Mumbers AplAkamt Informatim Please Print bly Namo cl��a� eai7: �e Mdress: 1 ll iaty,/Sta r Phone47 _. . ._.1re.yon an.employer?check . . apprgpriaibo� = of •o" I_❑ I Eloyer with �- ❑I a. 1 ctrntiactor and Z l (full wihrpart#ame)- * havehirrtlxe sub cautFactcres 6_ ;:I N oansctiou 2. I wn proprietor or partner- listed on the attached sheet y- deling ship rind hate nz employeas These silo--contractors have 8. Demolition worling for me in any capacity employees and have workers" 9 Building addition [No,WorkitrS,comp_invir.�nre comp_inmranrp �_ We are a carporaticnand its lf?�Electrical repairs or additions �ed-I 3_El I am a homeowner doing all Word officers have exercisedweir 11�Plumbing repairs or additions mysei€.[No worb--cs'comp. nit ofe2mmptioa per 11fGL 120 Rnafrepairs inmxrance required_]I c.152,§1(4),and wehas,v--no� employees_lNa worb 13_0 other comp_in= re require -J. *?xxy snpbcat that cbedcs boa W1 tffist elso fat out the suction below shasxing their voiirs7 rnmpensatioaipnls}su�rma[my t F-ameowners who submit ibis afndsvit inmrstiog they ate doing slInu3c and they hug trutside c TMArt*"s must submit a new affidarit IDditating such- FCes»cmm thst check this bas most sttarhrd ma arMitinnal sheet sboiring the nsme of the wV-- rod stsie whether ocm=finis$mAities have mplayees- If the Mira cautnictots have empIoyees,thV Est provide their warktrs'comp-police atmtber- 1 am an employer that is prmidEag arorJ�ers'congmnsation irmiri rEce for MY aftylcyees. Helots is the pa c,}artd job site informaA-am ,n Iasarance CompanyNatne: NA C(l�(� Policy:g Cr ins-U(-- 00 t ExpiratioIIDate- — ao Jolt Sri_4ddress: 1q, ( ityl5tatelZip: Attach a CIDPy of the compensation policy declaration page(showing the policy number and e3q*ation date}. Failure to secure caveiage as mquiredu der Section 25A o€MIGL c. 152 can lead to the imp sitim ofcriminal penalties of a fine up tQ 1,SOTk_d[1 andlar one year as well as ci-vil pesalfies m the form of a STOP WORK ORDER and a finer ofup to�250-09 a day against the violato _ 10 advised that a copy of this statement may be f arwarded to the Office.of Investigations of the DIA far incaranr av v-eeification_ Ida hereby certify sander-the pains tt s a,p�r� ghat the innrrtmatiorr prodded a is and correct Simature: ate= (N cia£u-w an[y. Do,not write in tFtis atrea,tv be campletcri by city or town off ciaL City or Town:. PerffitUcense# Issuing Authority(drele one}: L Baard of Health 2.Build'iug I}egartnaent I C41TOWR Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone g: 6 Informafion and Instrucfions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as``_..every person in.the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other Iegal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the Iegal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building-appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for airy 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 vzth the ffisuan ce requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addresses)and phone number(s)along with their cer tincate(s)of in u ance. 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 maybe submitted to the Depai-went 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 obt-ain 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 wi7J be used as a reference number. In addi ion,an applicant that must submit multiple pemitllimnse applications in any given year,need only submitoae 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 fur Rut re permits or licenses. A new affidavit must be fiRed 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 NTOT required to complete this a-Tadavit The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a calL The Depart meat's address,telephone and fax number. The Commanwealth of Massachusetts Depaxtment Qf Industdal Accidents office of kwsdptians Wo Washington Sft,'�:et Reston=MA G2II TeLL A 617 727-49GO ext 4-06 or 1477-MASSAFE Revised 4-24-07 Fax#6I 7-727-7-145 w .massgov/dia Town of Barnstable x t Regulatory Services 9MMST LE$ Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, mod IbAuy5 , as Owner of the subject property hereby authorize dam�&ffc 6k0A to act on my behalf, 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 ins alled and all fin inspections-are performed and accepted. Signature of 04mer Signa e of licant Print Name Print Name Date Q:FORMS:O WNEP PERMLSSIOI\TPOOLS Regulatory Services ��oF[ttE roty� Richard V.ScaIi,Director ° Building Division t • zAxxsrAar Tom Perry,Building Commissioner MAss 200 Main Street; Hyannis,MA 02601 www.town.barnstable.ma.us Office: 50 8-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRFSS: ciTy/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible'for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of BuildingOfEcial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a persou(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who.use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fuIIy aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification-for use in your community. Q:\WPF=\FORMS\building permit forms\EXPRESS.doc Revised 061313 License or registration valid for individul use only •before the expiration date. If found return to: Office of Consumer Aft' 'rs and Business Regulation 10 Park Plaza-Suit 0 Boston,MA 0211 li I ! Not valid withoutsi ture t -— - - -- i ,per c�%he po�nmw�u�seaCG�a�C%lGao6acx"eff' \-Office.of Consumer Affairs&Business,Regulation ME IMPROVEMENT CONTRACTOR egistration i157390 Type: xpiration:- 91 8=1.5 DBA FULL HOUSE IMPRC!UEMEN ADAM LABONTE ` ------ IS PAYSON PATH g y ps WEST YARMOUTH,MA 02673 Undersecretary j Unrestricted-Buildings of any use group which ain i . cont less than 35,000 cubic feet(991m3)of enclosed space: I' Failure to possess a current edition of the Massachusetts .State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass:Gov/DPS • I r I Massachusetts -Department of Public Safety i I Board of Building Regulations and Standards gl Construction Supervisor j ee , License: GS-082931 ADAM LABONTEz` 15 PAYSON PAT1€I- qj W YARIVIOUTH MA ,v�:S Expiresion CM , , Town of Barnstable *Permit# Expires 6 monthskrom issue dat Regulatory Services Fee snaxsrABL% 16.39. `0� Thomas F.Geiler,Director X-PRESS PERMIT Division Tom Perry,CBO, Building Commissioner SEP — s ZO1Z 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862.-4038 TO�/� EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL Not Valid without Red X-Press Impri Map/parcel Number o25- p � 6 / _ Pro e Address ❑Residential Value of Work 52 5v Minimum fee of$35.0.0 for work under$6000.00 Owner's Name&Address I �� �� ,IDS �,lv Lrj��Pl,J QI f�YQ eG��r/U�j'e Contractor's Name I"D►. UtT Telephone Number �7LJ 72 2 05-22 Home Improvement Contractor License#(if applicable) 17Z"t 7A Construction Supervisor's License#(if applicable) /U 5� S l ❑Workman's Compensation Insurance Cheek one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque (check box) L(j Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to J �!)i( ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ 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 re uired. /11 SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.d c Revised 053012 License or registration valid.for individul use only i before toe expiration date. If found return to: Office of Consumer Affairs and Business Regulation j i 10°Park Plaza-Suite 5.110 Boston,MA 02116 I 1 i Not valid wit out signature j oryry�ory /�a ess.. ec'gop"TiT"s ,RV ,CDR hype Coosua` N(CD ptT�ee�,MPRpVEMZes GK Gx-\F `� K GL\FF p,p,SR\G RD . 12 BP�DI 1 M0 O eb;of Public daeds DePa,tm sand Stan hu5ettsn9 ReVIati° 1� {Jlassac e ` M °f guild i,oT Spialri g°aT�tTuction S° 105g5A Con Licen5e• CK C OL Ala W R YZBALD 42631 ExPiT3t10n G np16 v The Commonwealth of Massachusetts I ^; I Department of Industrial Accidents Office of Investigations , U 600 Washington Street Boston, MA 02111 r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip:a C)Z 3& Phone #: / Are you an employer?Check the appropriate box: Type of project(required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hued the sub-contractors 2.L]CJ I am a sole proprietor or partner- listed on the attached sheet. . ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. g. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LE] Plumbing repairs or additions myself. [No workers' comp. . c. 152, §](4), and we have no 12.0 Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: - Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify dertheposand pe alt' f p, ury that the information provided above is true and correct Signature: Date: —� Phone#: Official use only. Do not write in this area;to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or.to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." , Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of. insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is Tequired. 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. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia :i „y' f , Town of Barnstable ` Regulatory Services � SARNSPABL� ' v MAR& Thomas F. Geiler,Director E16yq. Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder. r, 1�;k� �erc« 5 , as owner of the subject property hereby authorize P(h}�� �.' iOG to act on my behalf, in all matters relative to work authorized by this building permit application for. L Vle-w dr, e e vll t ^ Address of Job) 5ignawre of er "Dafe Ake- FreAa-ks Print Name If Propea Owneris applying for permit please complete. the Homeowners License Exemption Form on :the reverse side. Town of Barnstable THE rp�y o Regulatory Services Thomas F. Geiler, Director MASS 1639. Building Division Tom Perry, Building Commissioner 200 Mairi.Street, Hyannis,MA 02601 www.town-barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOI%�OVNER LICENSE EXEMPTION Please Print r 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"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does Dot possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWKER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which-there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constn}cts more than one home in a two-year period shall not be considered a bomeoymer. Such "homeowner"shall submit to the Budding Official on a form acceptable to the Building Official;,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that,he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that.he/she will comply with said procedures and requirements. Signatirre of Homeowner Approval of Building.Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner perfomvng work for which a building permit is required shall be exempt from the provisions of this sccdon.(Secd&n I D9.I.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that sue h Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack ofawarcness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimutcly responsible. To ensure that the homeowner is fully aware of his/hCr responnbilitics,many communities require,m part of the permit application, that the homeowner certify that hrlshe understands the responnbilitics of a Supervisor. On the last page of this issue is a.form currently used by several towns. You may care t amend and adopt such a forra/certification for use in your cornmunity: °Ft , . Town of Barnstable *Permit �. Expires 6 months from issue date Regulatory Services Fee_ BARNSfAB S PEpppppp���@g 'IT Thomas F.Geiler,Director � LE, • f0 MA't a Building Division DEC 2 6 2007 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 �09WN OF BARNSTABLE www•town.barnstable.ma.us Office: 0 -862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ��tt Not Valid without Red X-Press Imprint Map/parcel Number� � U 71 661 Property Address b L®Vk J t w �'U f .S Residential Value of Work (o©©l Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ( Jk 64-. t�P l l d t W e. V-) ,ramr- 94- Contractor's Name�1(2Uti l5 oVyt� �lh n votJz {^��" �► c Telephone Number �S' '�y Home Improvement Contractor License#(if applicable) (®L x5-t -e'f"h (f x! i z L Construction Supervisor's License#(if applicable) (� S �S 0 19Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name A T TA L Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side 1 Replacement Windows/doors/sliders. U-Value dJ 1 (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:buildingpermits/express Revise091307 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111' wlvw.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print LeLibly Name(Business/Organizationadividual):6 Te J e s H m k L wt►a►v d AJ, -Address: t\ City/State/Zip: Fk�, C J pa-115 Phone.#: Are you an employer? Check the appropriate bog: Type of project(required):, 1,�q I am a employer 4, [] I am a general contractor and I mp yer with 6. ❑New construction . employees(full and/or part-time,).* • have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. 0 Demolition cvorkin for me in an capacity. employee6 and have workers' g y p ty 9, ❑Building addition [No workers comp,insurance comp.insurance.$' 5, We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 11. Plumbin repairs or additions '3:❑ I am a homeowner doing till�work . � . g p myself,[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13. Other_ employees. [Na workers' --- comp,insurance required.] �n J *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 ttien hire outside contractors mutt submit anew affidavit indicating'such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. ifthe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and jab site. information. Insurance Company Name: � � • l Policy#or Self-ins.Lic,#: �' `�(O Expiration Date W�'1 ✓� 2 City/State/Zip: -e ,lob Site Address: �� Attach a copy of the workers' compensation policy declaration page-(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the CIA for insurance coverage verification. Ido hereby c under thepains•andpenalties ofperjury that the information provided above is true and correct. Si ature: Date — i Phone# Official use only. Do not write 1n.this area, to be completed by,city or town official y City or Town: ' Permit/License# Issuing Authority(circle one): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: •Phone#: IC .....,y,tyt« .���:y�. `.st�,r:r��ti�,.cstiirr••r r - • • • • THLINSURANCE COFIPANY OF THE STATE OF PENNSYLVANIA 75190-0000 WC 176-64-20 13889 ------------------013-82-0207-00-- PENNSYLVAN I A • • ••• ST EVE N5 Hok .WROVEMENT CO INC ��� Member Companies of 1177 ,1.19g ALDEN ROAD RHAVEN; MA 02719-0000 American International Group FAI EXECUTIVE OFFICES: 70 PINE STREET, NEW YORK. N.Y. 10270 SEE NAME AND ADDRESS SCHEDULE - WC990610 Liz MA IPRODUCERS NAME AILING ADDRESS PMC INS AGENCY INC WORKERS COMPENSATION AND EMPLOYERS 50 CABOT STREET LABILITY POLICY INFORMATION PAGE PO BOX 920179 NEEDHAM MA 024 2-0002 INSURED IS. PREVIOUS POLICY NUMBER CORPORATION RENEWAL 008937801 OTHER WORKPLACES NOT SHOWN ABOVE:SEE NAME-- AND ADDRESS SCHEDULE - Wcggo6lo ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the Insured's mailing address FROM 02/04/07 TO 02/04/08 ITEM a A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA 9. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed In Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1 ,000,000 each accident Bodily Injury by Disease $ 1 ,000,000 policy limit Bodily Injury by Disease $ 1 ,000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR At CO- CT OC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SO TN .TX UT VA VT WI ITEM The,premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. -All information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Remuneration Premium Classifications Code Number ❑ ❑ munera on X Annual l 3 Year X Annual 3 Year SEE EXTENSION OF INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $284 MA MINIMUM PREMIUM S500 MA TOTAL ESTIMATED PREMIUM fl indleited below. Interim adjustments of premium shall be made: Semi-Annually 11 Quarterly El Monthly DEPOSIT PREMIUM ENDORSEMENTS IFORM NUMBER) SEE ATTACHED FORM SCHEDULE - WC990612 01/05/07 •PARSIPPANY 82 Issue Date Issuing Office Authorized Representative we 00 00 01 39967 IME Town of Barnstable BARNWABLE. : Regulatory Services MASS. � 039. � Thomas F.Geiler,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. Ak�Aa.-t e Fy e it ��s ,as Owner of the subject property hereby authorize Jetl e,x &4L V,4 dT1esJe.JJ' to act on my behalf, in all matters relative to work authorized by this building permit application for: .s / bg Lo!n4 V i e t V'J',4-t- �14J61«.t f-e- (Address of Job) i --lo-07 Signature of Owner Date Print Name Q:Forms:bui Idingpermits/express Revise091307 � } :li`F, ..�''X �� .jn. Yam, .� ��r :.T3;T "d;K'S C.y�.ry�� ` 1 Cb�'R`.,,C.n'f'Ds:yivAS Y '.'�1-• �. 5 _ �M� t� �„•f ft&Srb .. � � .s., to p t�5� '��"<.`4` ��yyy _ ..4� -17'� _ l to .:off r��� � ,y:t � +. -, f.�✓'.,�`n �'�����ryry����.y'�., �,y.,.�� � ; _ ; �a•`'w�z`'' S-��' •�� y �- - '%. .mt• ��t '..� T ,. � 5 :N'C.+�Y:J •'7��., "7..ry »1' T:`Y A.J � fF ` r� ��x � _ .- '.2y' �x..}` Y� :.<aa.�" � n, -7 'Y, }b, � ..'�:::.:. p6•wP'a'T.;„ �d i'fr _ A b �':s5:.y,:•`_T• ,'.FLU= •�'x �^ f. al 4✓ �.-�-,��-�-g �az ':c;"y`��'i°k• Mi: .,,hf r... _ ;.�. �:r�c;: �' �"� �,;i:. 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ARCHITECT: SCHEDULE OF DRAWINGS G IAM P I ETRO ARCHITECTS F T1 TITLE SHEET a 354 Gifford Street TEL 508 540 7400 z Falmouth, MA 02540 FAX 508 540 0220 " AB1 EXISTING ELEVATIONS o BUILDER: ( 2E D IO T FLOOR P AB EXISTING FOUR AT N/FIRS I ^ --- - Al. ELEVATION/DETAILS FULL HOUSE HOME` A2 NEW FOUNDATION/FIRST FLOOR PLAN V IMPROVEMENT x BUIILDING 8. REMODELING & DETAILS z 1. P.O.BOX 1032 TEL 508 348 4018 _ A3' FIRST.FLOOR/ROOF FRAMING PLAN SOUTH YARMOUTH,MA 02664 FAX 508 258 8427 & DETAILS JAj ETECTORS REVIEWED172 1-0-A E BUILDING DEPT. DATE E~ O �> FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING ALTERATIONS TO: a U O Z FREDERICKS IES,IDENCE. �� 0ou . Q 68•LONGVIEW DRIVE, w CENTERVILLE, MA DO NOT GY RP OP➢KMOF 4"e°:G Ro�➢ACR°r P'6.d➢.p�ai1�'D SCALE FROM �+MALN®NOWITHIENf THE F3�R➢�8 WPUB-R17�fEti CONB➢Mf OF R DRAWING) 1AU13 F.OIAMPIETRO - - - ABBREVIATIONS SYMBOLS AB. ANOHOR BOLT on. DEM FT FUOr MAT. MATERIAL - PANT. PANTGON. --TD . TOP OF FOUNDATION �,/y� //fit MORPH AfBOW - INTERIOR ELEVATION - - - WELDED WINE METH Qy AYF. ABOVE FDRaH PLOOft BA DIA L&ER M. FGUTRM - MAY YAm1UM PI- PLAPE - T.O.W. TOP OP WAII.. \U// NUMBERo WDIOATE ELEVATION • ACT' ACOOaTtlAL THE D.L. —GORDON tNO. PoUNDITON 1@tlR.. -1IN0I1NItlAL.. PLA9.-. PL1aLER. T TRIAD.. 'i 41 NUMBER a LETTER WDICIATEO PROPERTY LINE - U y,l) ALUM ALuI�BM OR DOOR PURR FUMMONO) INm INSUTAns' - P.IAM. PLAOTJ LAMMTE' TYP. TYPICAL" . aECNON 1NOIdATOR-f.F.ITER- THE DEAWINO WHERE THE moo me MED DR DOUBT (i d OAR TNT. INTEROR PLBd. PLUMBING UNFIN. UNFaDom !p\ HI TOP HALF OF CIRCLE S Dlana ELEVATIONN ARE LOCATED - CENTER LINE - ♦..! y O e AT DR DRAWER da, OALYAN® m - low - PLYWD PLYWOOD .I.P. vERrY IN FmD '1`-'rw`yrT` THE(LPEdon BROOD& nx NU1mm .,.y Bala SACBdEfNT D"(s) DRAWmidB) - 00 OENWGI.00NTRACIeR L.UL LIIBNATE P.T. PRE00URE TREATED VIN VINYL AND LETTER IN THE BOTTDM HALF CONCRETE-PLAN OR CECTION- IBBATF.B THE DWO:ON"M y V) O O BT KDOR O1lB OF DROIXINO PoOMAIN OL OWINGLAZING LAv. LAVATORY dEQ QUARRY THE VcT-0 FDIYL do ON T118 THE 0EVTION APPEARo TRICK-FIARR OR BEOIIONP U O BLE BLOCE EL DISHWASHER OR ORAOUM L IffiNQtH Him. RMILMER VWtl VINYL WALL Cov®BB BIER BmtlKM BLOC. ELEO[WON and. OYP¢UM BOARD 1RR-. MANUPACTOPEN ASP. sovdio RAIDR WO WATER CIDpET - CONCRETE BLOCK - �••1 `� +4e.a NEW SPOT 08vATON - - O SOT' BOTOM EL ELEVATOR HDBD UARDEDLUM M.O. "TIMMUY OPENING REV. REwaLONa WDW. pDBOW I� PLANS DR SECTION)♦ A) s H.O.R. BEAM OP WAIL EIEv. ELEVATOR HDRID-0 eARpW00D - MAT. MATERIAL R sRUDERous' W WBEfWBTH 49.a a EIT Goo SPOT SLEVATOn ® W��u BM BEAM � EMERdQNOY HVAO IBATINO.VENI'DAlINd. MAY MAmfUY RD.. ROOF DRAM PLYWOOD.LARGE Y�^.�^../ WITH .�49 NEW dONTOURB Mod HtBDINO Ep. EQUAL A AB OONDmONINd AmOH.. YEOHANItlAL R11. ROOM n/u WIITIOUT ��4e ERfa[INtl dONTOUR .s��A pTEEL BARGE adALE - C) rn 'O vOi UG1 CPT CARPET Rotor. E.MlRd HOMR HARDWARE 'MIN. MDIWVM MO. TOUCH OPENING W.W.M. WELDED WINE 1WH cm CASEMENT or M. BUT ®OHT MID. MOUNTED Oxim. pP.C1'ION WD WOOD -7} ELEVATOR MARK © ROUGH LUMBER � � - .. CE OAINH(INd) - V D ANaBN low - H.1L HOIA.OII METAL NO A'UIBHt sdm. ROmBE � - F L CW OMUNO Elm EXPOSED INSTIL WSMATION MOM. NOYDUI. sPEd. WEMPOATONC `/1�� d01TnIN dUDRDINATEa& N�i/ MM LUMBER Lie,4 COL dOLUMM FB. EXTEMOR nNlam TNT. low RTA NOT TO aO.UE A&p pH®F&POLE v REPER@I@ OEM IDN� - � BBUTATON-MGM - - CONC. CONCRETE FA nRE AURl1 LAM. LAMINATE e n ON DEBTOR sD. a'TS51. ® - Cn CEO CONCRETE MASONRY UNT P,B 0. F'umi1Cm W OaBre LAv. LAVATORY, OH OVBRHEID ROOM NUMB®N - CONBT. dONHIRDCRON FE PH>8 8E1'INOUIBINH L LQNCTH OPNO. "BBBiO Tx aVaP6N0® OI DOOR NUMBER INSUW'LON-BAIT ti"`h•'. CONT. dONTNDODC FL FDOR(INO) M MANUFACTURER PIT. PAIRED T&B Tole"ol IUM I� TMORL ve3+'4A'.2. G OONTNOI./CONpTt low nDOR FUUOREBCENT M.O. MAP-OPONINd FRI. PANE1. T&d TONDOZWROOVE - - AO WINDOW TYPE EARTH ` tlOMPACI OAAVEL '*AM TYPE GENERAL NOTES G.0 TO PROVIDE PLYWOOD PANELS TO PROTECT 4.The General Contractor shall verity all dimensions at the site and shall notify the 16.The General doatmctor shall submit to the Architect for review and approval, shop drawings WINDOWS AND DOORS PRon WIND SLOWN DEBRIS. Architect o[ any discrepancies before proceeding with the Work or purchasing materials fo:all manufactured structural elements (ie.: steel beams& columns, LVL beama, trues joists, PANELS ARE TO BE LABELED AND STORED ON .1. The General Conditions state that the Contract Documents are complimentary. or equipment..Verify critical dimensions in the field before fabricating items which moat - wood roof trusses, steel joistd, etc.) in accordance with 780 CMR section 116.2.2 entitled SITE PER 780CMR CHAPTER 5501.2.1.2 fit adjoining construction. 'Architect En Beer reconstruction". ' DRAWING 1117-E: 2. Provide the services of a Mnsachueetts Registered 15urveyor to layout structure on nits / g responsibilities during - and establish existing elevations.Elevation of finished floor shall be established by 5. All details are typical unless otherwise noted and are not necessarily shown in the 17.The General Contractor shall notify the Architect/Engineer of required inspections at least �r 5Pp I� , Architect with elevation information provided by Surveyor. Documents at all locations where they occur. two (2) days in advance. O�U L E 18.Allwarranties, guarantees and service maintenance agreements shall commence with - - - 3.The General Contractor is responsible for all the work. - 6. The Architectural Documents govern the location of all'Electrical and Mechanical items the issuance of the occupancy permit so that the Owner may receive full use of the item A. Build and install parts of the Work level, plumb, square and in correct position. installed as a part of the Work. for the guarantee or warranty period .. B.Make joints tight and neat. H such is impoppible, apply moldings,sealant or other DRAWNBY' yg joint treatment as directed by Architect. 7. Existing items which are not to be removed and are damaged or removed in the course 10. GENE-RAL WORK TO BE PERFORMED AS PART OF THE GENERAL OONSTRUCTION: C. Under potentially damp conditions, provide galvanic insulation between different of the Work shall be repaired and replaced in like new condltioa'without cost. I A ;peal cracks and openings to make the exterior skin of the building'tight to water and CHECKED BY: metals which are not adjacent on the galvanic scale. 8. Existing surfaces disturbed during the course of the Work shall be reconstructed and �+ir entry. - - D.Apply protective not to parts of the Work before concealing them. For ezampie, finished to match adjoining surfaces. Patched areas shall be finished in such a manner B. ':ovide adequate blocking, bracing, Tilers, fastenings and other supports to matall p ppp DATE: paint door tope, bottoms, glazing atops. glazing rabbets, and hardware cutouts before as to provide visual and structural continuity across the entire affected surface. parts of the work securely. Blocking, bracing, milers, fastenings and other supports � IQ hanging doors, and paint corrodible mountingplates before in tallin H.All.voids created or aurfaces disturbed resulting from cutting, removal or installation of shall be of a type not subject to deterioration or weakening as the result of - ♦ - REVISIONS: 7/3/14 p s g Porto over them. .' °' mumvc E. Where accessories are required in order to install parts of the Work in noble farm elements as part of the Work shall be tilled and finished to match adjoining construction. environmental conditions or aging. - �� and to make the Work performsproperly, d. Perform cutting and patching for all trades. Patch holes where ducts, conduit. pipes p provide such accessories. H special tools 10. Except as provided in the Documents, no structural member or element shall be cut e required to maintain, adjust and repair products, provide them. without written approval of the Architect. The General Contractor shall coordinate all and other products pass through or are being removed from existing construction. F. Follow manufacturer's instructions for assemblies installing and adjusting D.Provide ti odes, furred spaces, trenches, covers, pits, foundations and other g, g 7 g products. cutting and shell advise the Architect of any potential conflicts with new or existing - Do not install products in a manner contrary to the manufacturer's instruction structure. - contruction required in conjunction with the Work.. H such construction to not unload authorized in writing by the Architect. shown on the Drawings,.coordinate with Architect for sizes and placement.. G. Adjust and operate all items of equipment,leaving them fully ready for use. 11. Demolition work shall only be carried out once all temporary shoring and bracing is is E.Provide and coordinate access doors and panels as required for access to equipment ;.' ,� �� / �tr5^ place. Removal of all temporary supports shall be completed only after new work is secure requiring adjustment, inspection, maintenance or other access and as required for access 11 L EfI ItifAt PROJECT No. I4�7 H. The division of the Documents into Architectural,,8tructural, Electrical, Mechanical, and complete.Plumbing and Civil components is not intended as division of the Work by trade or p - - to spaces not otherwise accessible, such as attics and crawl spaces. _ F. Check Drawings and manufacturers' literature for requirements.for bases, pads, and SHEET No. otherwise. 12.All materiels, equipment and workmanhip shell conform to the requirements of other supporting structures. Provide such structu:es. Remove supporting structures •q I. Provide utility installation from lot line to house including underground electrical, authorltiep having jurisdiction of the Work. ,associated with removed'equipment and patch remain. surfaces. ¢spy{p'`I ,7! r}•�I A,} water, telephone end CATV to comply with all local codes endquirements. 13. All materials and equipment shall comply with the Occu tional Oafet and Health Act, G.Ae art o4 on year warrant a cif ed in the Oenere!Conditions, re - "` 7IV Jo NJ�"(1�1 d. Concrete shall have compressive strength of 3000 pal ® 28 days for wells and Pa y p e y y pe pair cracks and _ 4000psi® 28 days for Bleb work, and reinforcing rods&woven wire fabric (WWF) including all amendments. other damage which occur as a result of settlement and shrinkage during the first year - per drawings. Where noted, provide hard steel trowel finish on Blabs. 14.All materials and equipment Nhall conform to the requirements of authorities having after Substantial Completion. - Da opproofing shall be factory manufactured semi-mastic consistency from asphalts jurisdiction regarding not using or installing asbestos or nbestoo-containing materials. 20. Al work shall conforra to the applicable pactione�of the Eighth Edition of the and mineral fibers, and installed an all ells and footings. Massachusetts State Building Code (International Residential Code for One- & ►t� Pie Piers for decks shall be concrete filled IT1 onotube forms. 16.All paint used on all products and assemblies shall conform to A.N.S.I. 288.1, Two-Family Dwellings, including Amendenta). ®® N®������ ��®1Y1 DRAWINGS $pecifications for Paints and doetings Accessible to Children to Minimize Dry Film Toxicity. r it 11YB.� r Qa O I - N3 l 1 _I r .n - rn _ _ _ ®Im�u►� �®fi®® - ® m Q MIMI _ Z "film] jEUMMLuu111 t WWllLllLY —10 Ell vDffw r n A rn m Z EMI(IIIilWll1119 N rn � - Z - I M j - ®mammm_ 0 m - - - NU13 . - c n tj S tyn O : ARCHITECT CONSULTANT- - z z �� Gia-ipietro Architects Y ALTERATIONS To: ° afford Street nix 354 G FREDERICKS RESIDENCE 8 , `'' �?o� Falmouth, MA 02540 68 LONGVIEW DRIVE 0.492 a w Tel: 503-540-7400 CENTERVILLE, MA ME _ Pa;c: 503-540-0220 GNATURE SIGNATURE E EXISTING DECK FIRST FLOOR WALL LEGEND W I N D 0 W & D 0 0 R a 1y S C H E D U L E. TA NEW.WALL v m G: TYPE: DOUBLE HUNG WINDOW' 66'-6°(EXISTING OVERALL) � O - EXISTING WALL "• UNIT SIZE: MFR.: ANDERSEN 400 SERIES . PROD.N0. TW24310 EN�4' _ -'I^ _ R.O. W.H B 1/8'X 1'-0 e306E STOOP Do ING' - EX I OJ' I ING .-_`.___ U'tf"10 WALL Ott.: 3HH.RELOCATE Bu`"E°'D OUTDOOR 4 REMARKS: INSTALL PER MFRa. L13'-2° 0° DORo, c I-1 v INSTRUCTIONS. . O 'EXISTING SHOWER I. MATCH EXISRNG TRIM 1 EXISTING EXISTING EXISTING a 2'-5 5/8°' ® r' - LEGEND UNIT srzE6 q © © ttPE: SIDE DOOR PO 7iW1 I - PROD MOMAWK OR EQUAL DN PROD.N0. SELECTED BY OWNER I E FI E - - E I T G Z� OO SMOKE DETECTER WxH SEE PLAN SITTING. ® om.: t AREA _" w i c EXISTING _ CE BE R RO M ETDE�RRBON REMARKS: INSTALL PER MFR.. W ' - - __ _ w. _ INSTRUCTIONS KITCHEN - - MATCH EXISTING TRIM V IN LA �_RIE9� z_ ---- VA'I 'r W Lo BE 'JIN I --_ PANTRY - ® j TAG: O TYPE: DOUBLE HUNG WINDOW W 1.�I - eti ❑ _ UNIT SIZE: MFR.: ANOERSEN 400 SERIES Q 306E ` j PROD.N0. TW2442 5 Vy EXISTING R.O. W><H '-s t e'x a' - a'- EX15TING n I FULL BATH. 'Lo r ott.: t ,�'„) a I //�/ // /) x Ip - _ v REMARKS: INSTALL PER MFRa. �1 2869 FIREPLACE V V�O i I O W INSTRUCTONS W r�-1 0 i • FULL BAT4: - LAUNDRY LIN n r�l �i/ O " 9 ? EXIS I�IDfG 2'-5 5/B' E�V z :I B d I s I LF BAT ,•,/ 00 z O O 3'X5' EX15TING EXISTING EXISTING LIVING v W _ W �+J ASN�OWERSIBLE ROOM CL05 z X BED ROOM' q FOUNDATION WALL LEGEND m EXISTING EXISTING I NEW STUD WALLS EXISTING CONC. FOUNDATION WALL ,. EXISTING STUD WALLS _ DEMO WALL 20'-6'(IXISTING) 38--0' (EXISTING) cn CD u Lr) N - 66'-6°(EXISTING) J�-t gOjO - NEW FIRST FLOOR FLANQ o� SCALE: 1/4". = 1'-0" a �H C7 0 F-1 EXISTING FLOOR tl• - 'n\ - CONSTRUCTION/ - ^ - _ cd _ INSULATION TO REMAIN - ♦ r 2°RIGID 1 IN'•.I.II.:ATICNI EACH SAY Y ---- _ I - 4' NEW II .. A�NON'FAPERFACED BLUE BOARD 2 X 4 STUD WALL - - � � yGyAI„E�EXERGISG3 1/2° FIBERGLASSSOUND BAITS UNFINISHEDROOM _FINISHED BASEMENT 1YDRAWING TTII.E: 1/2 NON PAPER 5 V 1/2''.NON PAPER Z P I T� (�T5�F BASEMENT FACED BLUE BOARD ,FACED BLUE BOARD F - U UTILITY GAME - NEW IrQRS / Nr EXISTING �\ 2 X 4 STUD WALL V w I TI S AIRS IX oeMS TO REMAIN CLOSET ROOM ; GLOM Q^�M��PUS . CONCRETE \ \Y'oT':9 FOUNDATION 24°ON CENTER W ENGINEERED HARD `� \ 1/2°.NON PAPER FACED BLUE WOOD APPROVED BOARD 13 FOR BASEMENT iv - -- - ro •,�"' .."�'• DRAWN BY-- I i WALL 2'RIGID INSULATION.JOINTS TO 5 1/2'SPEED BASE INSTALLATIONS - - 1--� -1 f— 'I �L� f•�+ ? �'g r BE TAPED.GAPS TO BE FILLED U FINISH SPACE ONLY -_ �- _ _ 5 —T - - m WITH EXPANDING FOAM CAULKING - - '' T -- (- -- 1 1 ^^' X CHECKED E%115TN n J - L �' �S W G _ 9 .HAL 6 6" 2 X 4 PT BOTTOM PLATE - � � .. FIREPLACE o �� o DATE: f4 2, I/2° PLYWOOD � � � - fVt Wl ° _ y. A2 - d NEW EGRESS REVISIONS: 7/3/14 1/2 SPEED BASE.FINISH SPACE ONLY - ® g WINDOW XP5 FOAM BOARD $ IN E 10 W L E I NEW BEDROO 26 O SCALE: 1/2'.I'-0' A3 • EXISTING ENGINEERED HARD WOOD CONCRETE SLAB APPROVED FOR BASEMEN - _ - INSTALLATIONS ®�® tl FOUNDATION INTERIOR F NSTALLSCA EPER MFRa PROJECT No. 1407 n WALL DETAIL w'_4°. 2'-u§°_ F] INSTRUCTIONS SHEET No. SCALE, I/2'•I'-0' x - / 3-41I C . 4 m KE �� a �N\ MAS E B TH NEW' FOUNDATION PLAN r; A2 SCALE: 1/4" = 1'-01- 25'-6'(IXISTING 38'-0°(EXISTING) OF 3 EXISTING RIDGE VENT - ATTIC o z EXISTING ROOF c7 C h CONSTRUCTION TO REMAIN ADDITIONAL 2X ABOVE WINDOW WELL SIDE PANELS MUST NEW R-4E INSULATION ST7ROFOAM CIRCULATOR OPENING EXTEND 41NC4ES ABOVE GRADE EXIST. CEILING JOISTS® 16 o.c. - - ISTIN6 STRUCT LEVEL.GRADE MUST BE SLOPED - i NEW 2x6 WINDWASH BLOCKING. AWAY FROM WELL. DOWNSPOUTS MUST ALSO BE DIRECTED AWAY TOP t BOTTOM PLATE FROM WELL.GRADE TO BE TO BE BOLTED TO THE VERIFIED BY GC EXISTING 'EXISTING EAVE VENT FOUNDATION WALL .SCAPEWEL 4%2-42 —III—III—III_ F 2 o a SAVE VENT FINISH CEILING 6 WALLS WIND - TO MATCH HOUSE OW - WELL EGRE5 5 KIND �' �Y ANDERSEN TW2442 _ _ _ 2:2x8'e W/$° I—I I I—IIII—III- . PL7:HEADER 400 SERIES III III—III m TELEVISION' ALL NEW DOORS/TRIM G _- FR.INSTALL PER III —III Tu TO MATCH EXISTING - INSTRUCTIONS _III—III—I I I— i7 NEW WINDOW/HEADER HEIGHT - 'III' El—I I I z TO MATCH EXISTING HOUSE ` y� Tmii�l IN-LAW BEDROOM NEW R 21 1 III —L I=I W "v 3/4° FINISH FLOOR NEW R 21 m -III— USE 3/4'CLEAN FREE-DRAINING NEW R 21 - 44'MAXIMUM FROM SILL T ROCK OR A6 STONE AT LEAST 12' INSULATION - EXISTING 2X4 WALL - TO MEET'EGRER TO 55 CODE N I—I I I—I IN WIDTH AROUND ALL SIDES OF 3/4° SUB-FLOOR THE WELL FILL TO DEPTH OF ., CONSTRUCTION TO REMAIN REQUIREMENTS III—III FOUNDATION FOOTING P.T. RIM BOARD •` P.T. 2X6 SILL 2 X 10 FLOOR JOIST® 16° o.c. _ Ell I— III—I I I IIIII W W/ R-30 F15ERGLA55 INSULATION =III—III—I - — — —III—III—III—III=III—I A � -FISH FLOOR TO BE LEVEL W/ _ - POURED CONC. INFILL AT EXISTING III III— III— — —I I I—III—III—" —I I- Q 1°°-1 '-1 • —III III—III—I —III— III—III—III—III- rn MAIN HOUSE FLOOR - � GARAGE DOOR OPENING H C/1 \\\/�� \�/•`\/\\ PRESSURE TREATED SLEEPERS SIZE TO BE FILL INTO PERIMETER Q W DETERMINED IN FIELD. GC TO VERIFY \ \//\ \//\\/\ DRAIN IF AVAILABLE\—6 ARRIER ' EXISTING SLAB ON TOP'ILL POLY EXIST. CONC. SLAB ��\�/\/ T SECTION V�1 > . • / _ D SCALE: 1/2°.I'-0° -" r \ \JTr\\\IIIJIII JJ a� oz 1.4 w C .SECTION /W ooU c U Lr) N H GALVANIZED STEEL oN JOIST HANGERS - - V t\O NEW 2X10 RIM BOARD I AT EA. FLOOR JOIST _ - I, 2+2xB'a W/)=i"� 1� - - }M '� o c PL7.HEADER .s ER)L vt ut - I -t'^-^ •��^ .1 I I I I I I I I I I I I I I I I I I' I I� � I f 11 I I I I- I - I I 1 1 II I i •"/�+ l!•1 cJ 11 I I I I I I I I I I I II I I I I I I I I' I 4 I I I I I I I I I I I I I I I I I I I I I y l I/,!I I 1 I I I I II 1 I �^Z.•. IXI5TING RkFTER5 It RIDGE I 1 [h I I I I I 1 11� II I I I1� I I I I I I I I I .II I I I I I1� .I v I I I /�Y/I ® I I 142LTIAG FLOO9 Jo16T I 11 I 1 -I I f I I I I I I m I I I- I f I I I I 1 I I I I I I I I I I I I f I I I . I I _ -I I - . I on II I l`yI I\I�II -II. 1I I 7TIt—}IT- yIiI IGII- 1 _ DRAWI�I�NQGc�TITLE: I I I/I I I I I 1 1 I: I I FRAMING��p �01 �N S STINq RAFTER RID4 SEC70NS OTILS DRAWN BY: �.� CHECKED BY: � - I DATE: I I I A 1 I I I 'I� I I - REVISIONS: 7/3/f4 1 2:2 . 11 I NEW 2XI0 RIM BOARD I I xB'e W/Xa'PLY,HEADER II I\I i II I 1 m z I I x o. b I PROJECT No. I I m 1 1407 J 1 SHEET No. 2B'-6°(IXISTINGJ - 20'-b'(IXISTING) _ A3 .FIRST FLOOR FRAMING flLAN ROOF FRAMING. PLAN SCALE: I/4" I'-0` "SCALE: i/4 I'-0I OF 3 � i CISS - z O U. u q dk A I I I I'l It, 11'A I 1''1111" 11'A,11 lI 1 11 [1 1 1 1] 11 1 111,1 1 ® W �. W w :d ..Q � � Qw 03� _— _—_— —_ _—,_— __ ��.. . . .. . . . . ,r T II Illilllll a U O z FRONT ELEVATION RIGa-IT ELEVATION ww SCALE: 1/4" = 1'-01 SCALE 1/4" = 1'-0" ^ U r n uLLn - u In Ill c6 i MUM ' FIRST C7 i IRSL ELOOR--,�- i IF LEFT ELEVATION SACK ELEVATION > DRAWBJ011TLE, EXISTING SCALE: 1/4" 1'-0" SCALE: 1/4" = 1'-0" ELEVATIONS - DRAWN BY: py - CHECKED BY: �4�5 • - DATE: 712IY4 ' .. {.-. REVISIONS: 713114 A H�l - - PROJECT No. 1407 ,. SHEET No. AB I OF 2 AS-BUOLTS tTl rn D X D� • � Z , o � ; T —� X ---- --------- 1 -- Q (A I v O � �—� I -- ° -- Cl— I Orn� ©b O °q3 n X � C<1 x vX D Z Z u Z. P O D e X z j I N U D x -X IIII z z O �z �z r Z Ll m n 3 r ------- rn 7C D Z °X Z o U) �z a o o. rn O OX O(t OZ r N AZ SOX O� m Dz O � �.{ O AD _ MOZ r O A I I III . III! 01 Z L; > � rn Z L��J 3 rn zz IC � rn r ---------T m _ —_J -_ - - z m 1 X I N roe , N IL- I L J A /l Z II N r � , 0 L J - - II DOX r I C X ,�--1�u 3=� z II El I 90'-0° - ARCHITECT CONSULTANT z o Giarn ietro Architects ALTERATIONS To: �o Po p tects FREDERICKS RESIDENCE ''y n�� ;: 354 Gifford Street B 9 N N �g� 68 LOIVGVIEW DRIVE ML492B NAli` Falmouth, MA 02540 ItL ou>, Tel: soa-s4o-740o CENTERVILLE, MA \ WOPax:508-540220 A $f NATURE- SIGNATURE -