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0091 WATERS EDGE
1 1 �W�� �� e r..� ._ ._.._..,�� I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION e9Map% Parcel 7 Application # Health Division Date Issued IoAl Z' Conservation Division '. Application Fee U� Planning Dept. Permit Fee -A Date Definitive Plan Approved by Planning Board F, Historic - OKH Preservation / Hyannis Project Street Address 91 L(_J A-4�--P S 626�5 j Village IMPS-TOMS L-LS Owner Low IMc 60mr-u Address Telephone -Permit Request 2�oc�ek a Ems:i s-tl nc, lo4Kay�.,vts. 4-61 4s'-'zn C/e.4O 1 w� 0 Floca:.,R -i ci.. ine, . T-K44 a-4,A %r4J 4j 41 I 060 F(C)OM IC;*1c/sttaw".eL cJuto,C,)a a4d 1005 1 Ns-oU k.> Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000 Construction Type V. Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting d''cumRtation. Dwelling Type: Single Family ,� Two Family ❑ Multi-Family (# units) Age of Existing Structure 1166a Historic House: ❑Yes ,eI No On Old King's Aighway�0 Yei O No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other o Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: O 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 jj_ / ,(�QI APPLICANT INFORMATION -r,5/Ad e'"""". "' BUILDER OR HOMEOWNER) Name uakLe -,- c , Telephone Number 5Q:: " y C Address ! 1 5wzi- E- License# b7N495--?/ Home Improvement Contractor# 1601;�UO Email b"o ( Ce4p r r-,ACI�4&.sS •cO►-A Worker's Compensation # 5FW5-00651Z�6 13 , ALL CONSTRUCTION IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �s ` SIGNATURE DATE / l FOR OFFICIAL USE ONLY f a APPLICATION# f � DiTE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE - OWNER . DATE OF INSPECTION: FOUNDATION. t FRAME ,36eWt4(tAfi�U-k INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL CAS: ROUGH FINAL FINAL BUILDING (� B v� f c f DA &CLOS:ED OUT AS,' ION PLAN NO. The Commonwealth of Massachusetts Depardnent of Industrial Accidents O. ee.of Imestigadons 600 Washington Street Boston,JVA 02111 www.mossgov/dia Workers' Compensation Insurance Affldavit: Huffders/Contractors/Electricians/Plumbers AnoUcant information Please Print L i Name(Business/organizatiotJ�tividt�: - � I yl" � . Address: 99 � jZc/ s Ci ou an lZi 5,4 2 .MA 0)-5'7,2Phone#: 568- Are yore as employer?Check the appropriate box-: 1.12�I am a employer with /vZ 4. ❑ I am a general contractor and I Type otprojeet(requite): employees(tirll and/or part time).• have hind the sub-contractom 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 working for me in any capacity employees and have workers' 8' Demolition (No worker'comp.insurance comp.insurance.: 9. ❑Building addition 3.❑ required] S. ❑ We are a corporation and its 10.0 Electrical repairs or additions 1 am a homeowner doing all work officers have exercised their myself[No workers,comp. right of exemption per MOO 1 i.❑Plumbing'repairs or additions insurance required,]t c. 15Z§1(4),and we have no 12•0 Roof repairs 3a.❑ I am a homeowner acting as a employees.[No workers' 13.❑Other general contractor(refer to#4) comp.insurance required.1 tAny appticam that ebecka box Ml mwt am tin ow the archon below showing dick wotimra'eoewpenaaddtWicy . Homeawmms who wbndt Chia attidavit h dtadng they ate doing ell work add dun hire tCMMWCM that d=k this boat ow awwhed m additiadal sheet o eoanactats men aubmtt a new a ftwit iadieatiag such. emptoyeea. tf the ab•esnoacM have dams of the sub.00eaactas and emte whether or dot dwn enmies have •�Y most Pw�heir wotken'comp,Pat�9 cumber ant an empkyrr Injoreraeto that!s provld/ng wodfm'comPensadon tsuranee jor my employeies Below b the paNry treeI ob sftta Insurance Company Name: E� Policy#or Self-ins. nLiu#: / C SOC)5-(M n5/a ration Date:_ /'— iZ _�y -- Job Site Address: 1 (,e�Wi�fL 5"ci City/State/2;p:�Z.SW►NS Av L5* Y44. �6y� Attach a copy of the workers'compeaaadoa Polley declaratloa page(sh Failure to secure coverageo�g the Polley number and expiration date). as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine.up to S 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 Invests US0.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of gAdOM of the DIA for irLmuance coverage verification, I do hereby COO under the pabn and penaMet of erjmy that the h'f0 pruzvtde0 abotns la tars arm cornctc Phimet a . F6.0ther use onlx Do not to this arcs,to be eompktod by ci ty or town o,�/at Town: Permit/License# Authority(circle one): of Health Z.Building Department 3.City/Town Clerk 4. Eleetrlcai Inspector S.Plumbing inspector Person: Phone M i Client#: 18234 2CIKI ACORD. CERTIFICATE OF LIABILITY INSURANCE 02/13/2014 DATE(MM/DD/YYYY) _[THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil. PHONE 508 775-1620 FAX 50 Insurance Agency E-M INo,L �t= a►c,No: 87781218 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NA,Ic n INSURER A:Safety Insurance Company INSURED INSURER B:Associated Employers Insurance Cape&Island Kitchens,Inc. 99 State Road,Route 3A INSURER C:Safety Indemnity Sagamore Beach,MA 02562 INSURER D: 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. IN R TYPE OF INSURANCE INSR SW VDUBN POLICY NUMBER MMMMO EFF PMWDDY IXP LIMITS A GENERAL LIABILITY BMA0014847 2/03/2013 1210312014 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE O RENTED PREMISE Ea occurrence $100 000 CLAIMS-MADE F-x]OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO ECTLOC $ C AUTOMOBILE LIABILITY 5058451 1210312013 12/03/201 CO EE,eBW,.nISINGLE LIMB 1,000,000 person) ANY AUTO BODILY INJURY(Per p $ ALL AUTOS OWNED M AAUTOESULEDBODILY INJURY(Per accident) $ X HIREDAUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ X rive Oth Car $ A X UMBRELLA LIAR X OCCUR CM00001260 1210312013 1210312014.EACH OCCURRENCE $2 000 OOO EXCESS LIAR CLAIMS-MADE AGGREGATE s2,000,000 BED X RETENnONS10000 $ B AND EMPs COMPENSATIONIILIT WCC50050064722013A 9/07/2013 09/07/201 X we sTATU OETH- AND EMPLOYERS'LIABILrrY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? a N/A (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more apace is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA-02601 AUTHORIZED REPRESENTATIVES ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S125277/M125227 KKM Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-076571 W ILLIAM L SCH�AITZ 66 CARAVEL DW ° s - HATCHVILLES MA0253 ' Expiration Commissioner 09/09/2015 eioo�r�r�aa�rcuealC/r, Office of Consumer Affairs&Business Regulation License or registration valid for individul use only — __ ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration:_,j60266-. Office of Consumer Affairs and Business Regulation Type: 10 Park Plaza-Suite 5170 Expiratior:=7j7j20jg Supplement Card a:r•:;;;`' Boston,MA 02116 Cape&lslands Kitchen&Bath Reiriodefing Inc WILLIAM SCHMITZ ..." r 99 State St. x: g Sagamore Beach, MA 02562 Undersecretary Not valid without signature t iL CAPE&ISLAND KITCHEN AND BATH REMODELING INC. 99 State Road, Route 3A Sagamore Beach, MA 02562 Phone: 5 -47 2 Fax: 50 3 - 1442 Contract Date: 7-9-14 To: Ellen McDonald 91 Waters Edge Marstin Mills, Ma. 508-428-6379 Cape & Island Kitchen &Bath Remodeling Inc.-will provide the following renovations to two existing bathrooms. Included are as follows with respective allowances: Master Bath: Plumbing: • Remove existing shower. • Remove existing toilet and replace with new. Allowance: $400.00 • Disconnect existing sink and faucet. Faucet allowance: $250.00 • Sink comes with granite top. See other contract. • Remove and replace section of baseboard heat. Replace with anti stain. • Replace shower valve and trim with spray head. Allowance: $500.00 Electrical: • Install owner supplied sconce light over mirror. • Provide proper GFI receptacle. Tile: • Supply and install tile on [3] walls in shower up to ceiling. Tile allowance: $8.00 per sq. ft. • Supply and install recessed niche. • Supply and install custom the floor in shower. Tile allowance: $15.00 per sq. ft. • Supply and install main bath tile floor. Tile allowance: $8.00 per sq. ft. • Supply and install Grout Once Sealer throughout. • Please select grout colors when selecting tile. • Border pieces to be price3d separately. �l 'Provide all necessary permits. Provide small trash container on site. • Gut [3] walls in shower area. • Provide blocking in walls where required. • Remove existing vanity and top. • Remove existing baseboard moldings and existing flooring. • Remove and replace mirror with new flat mirror. • Supply and install Denshield in shower and then water proofing system. • Supply and install Hardibacker underlayment in Thin Set Mortar prior to tile. • Match threshold of shower to counter top selection. • Hang all owner supplied towel bars and holders ect. • Supply and install new shower door. Allowance: $1,000.00 • Coordinate vanity and top installation and reconnect of plumbing. • Paint bathroom complete. • Clean work area each day. iall bath: Numbing: • Remove existing tub and shower. • Remove existing toilet and replace with new. Toilet Allowance: $400.00 • Disconnect existing sink and faucet. Faucet allowance: $250.00 • Sink comes with granite top. • Remove existing section of heat and replace with anti stain. • Supply and install new tub. Allowance: $600.00 Devonshire at this time. Must confirm. • Color or toilet and tub: Bisquit. To be confirmed. • Supply and install new tub and shower valve. Allowance: $750.00 Electrical: • Supply and install fan/ light combo in ceiling. Make sure vented properly. • Provide proper GFI receptacle. • Install owner supplied sconce over mirror. rile: • Tile [3] walls in tub/shower area up to ceiling. Tile allowance: $8.00 • Tile bathroom floor. Tile allowance: $8.00 • Supply and install either recessed niche or corner soap dishes?To be selected. • Grout Once Dealer provided. .7eneral: • Gut [3] walls in tub area. • Remove existing vanity and top. • Remove existing flooring and baseboards. • Remove existing mirror. • Supply and install Denshield or Durock in tub area. Prep for tile. • Supply and install hardibacker underlayment set in Thin Set Mortar prior to floor tile installation. • Provide blocking in walls where required. • Install owner supplied towel bars, paper holder and shower curtain rod. • Install new mirror. • Paint bathroom complete. • Clean area each day. .node) portion: $28,000.00 ,lent schedule as follows: • Deposit required upon signing contract: $5,000.00 • Payment due upon completion of demolition: $6,000.00 • Payment.due upon completion of rough inspections: $7,000.00 • Payment due upon completion of the prep: $7,000.00 • Final payment due upon completion of work: $3,000.00 We propose to furnish material and labor in accordance with the above specifications for the sum of TOTAL OF$28,000.00 In the event that it is necessary to pursue any legal action to collect any outstanding balance the customer shall be responsible for the total balance plus all legal costs. ACCEPTANCE OF PROPOSAL: r SIGNATURE �'"�: DATE Michael Heinrichs Project Manager 7-9-14 C#774-208-2362 i � tz °b C M C a CD x 00 w 1 N N ay y p 0 90 C � \a � O N it A O � A I r so" l' NOTES REMOVE EXISTING PLUMBING FIXTURES. =,M ,,, •REPLACE TUB,TOILET,SINK AND FAUCET. GUT 3 WALLS IN SHQ+/VER45 e •REMOVE AND REPLACE HEAT WITH ANTI STAIN. OO D —�ml� A :TOILET ALLOWANCE:$400.00 ^Ir .0 g a"� ' `�Y><1 q" X `FAUCET ALLOWANCE:$250.00 N _j 60R-KBATH m ) •TUB ALLOWANCE:$600.00 Q —------ `SHOWER VALVE AND TRIM WITH SPRAY:$750.00 F —�- -`TILE 3 WALLS IN SHOWER TO CEILING. O — TILE ALLOWANCE FOR WALLS AND FLOORING:$6.00 Li REMOVE EXISTING CEILING AND REPLACE. � ~ 'REMOVE EXTERIOR WALL NEEDED.TO INSTALL NEW TUB. cp H Q ' - VIDE ALL ELECTRICAL. <-- ------ -----` 0 REPLACE EXISTING CEILING FAN/LIGHT COMBO. F- REPLACE CEILING INSTALL OWNER SUPPLIED SCONCE OVER VANITY. co REPLACE CEILING FAN/LIGHT PROVIDE BLOCKING IN WALLS WHERE REQUIRED. Lh = •INSTALL OWNER SUPPLIED TOWEL BARS AND PAPER HOLDER ECT. w •INSTALL OWNER SUPPLIED CURTAIN ROD. U //^\\ t LU aTOILET-1 ----- 6VS�'1FP � 412 z 1022 t All dimensions-size designations 20 20 ja, This is an original design and must Designed:7/,3/2014` given are subject to verification on TECHNOLOGIES MI not be released or copied unless Printed:7/8/2014 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Mcdonald bath 1 "A tL All Drawing#: 1 I No Scale. i s T Gr2 48" �. P. ;.,DEMO 3 WALLLS IN SHOWE R . . . . F7ns j . . NOTES - ? 4'-dsU :%•il CORNER BENCH 'GUT 3 WALLS IN SHOWER >; ' REMOVE EXISTING FLOOR AND BASE' E•sr 60-SHWR " REMOVE EXISTING VANITY&TOP cfl p ':¢ I;,"`;r: •. - REPLACE EXISTING HEAT WITH ANTI STAIN w, ` "WATER PROOF WALLS IN SHOWER .-a; --=--= - t^"� NEW TILE FLOOR hi *TILE 3 WALLS TO CEILING co PROVIDE RECESSED NICHE Ufa! •tY i� _ CHANGE PLUMBING FIXTURES IN SHOWER F _ + �,� INSTALL NEW SINK AND FAUCET r; rfii r , Q m �,� � �� REPLACE BASEBOARD MOLDINGS —' w -� f:iy^7a ' HANG NEW MIRROR . _ 6t Z <l ` INSTALL OWNER SUPPLIED TOWEL BARS ECT. *TOILET ALLOWANCE: $400.00 CD" FAUCET ALLOWANCE: $250.00 nw of U) y.,.a.' �iW —,* SHOWER VALVE AND TRIM ALLOWANCE: $500.00 M ! Z < c -*SHOWER DOOR ALLOWANCE: $1,000.00 Q N fillerfi —394�� �, 2 „ 493 n a , r OZ .�—344 i --604 All dimensions_size designations , This is an original design and must Designed:7/3/2014 given are subject to verification on TECNNOIOGIE5 not be released or copied unless Printed:7/3/2014 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Mcdonald bath 2 All Drawing#: I No Scale. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN OF BARNSTABLE' Map �0.2 Parcel., OL4.� Application # ld a C( Health Division 7010 MAR 26' AM 8: 50 Date Issued 7i 't v Conservation Divisions Application Fee 42 Planning Dept. Permit Fee 4 02--0) DIVIS�Ot4 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis fL Project Street Address W a*u Village I i is Owner lob` . }m Ctd v hQ, I J Address mar Telephone 2 — �C / 7 S. 0 Permit Request Rooi 0, e,kI P'S zl&r r Square feet: 1 st floor: existing 3Wproposed 2nd floor: existing proposed Total new G Zoning District Flood Plain Groundwater Overlay Project Valuation �L0 0 J 6.. Construction Type y 0()C Lot Size Grandfathered: ❑Yes' ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 6 Two Family 0 Multi-Family (# units) Age of Existing Structure r- Historic House: ❑Yes iO(No On Old King's Highway: ❑Yes �Oo Basement Type: ❑ Full ❑ Crawl Walkout ❑ Other Basement Finished Area (sq.ft.) 700 Basement Unfinished Area(sq.ft) S s�"0 Number of Baths: Full: existing new -- 6 Half: existing ' new Number of Bedrooms: 3 existing Q_new Total Room Count (not including baths): existing 7 new First Floor Room Count A Heat Type and Fuel: Gas Qi(Oil Ell Electric ❑ Other Central Air: a Yes ❑ No . Fireplaces: Existing_2 New 0 Existing wood/coal stove: ❑Yes Lk No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: U1xisting 0 new size _Shed: Yexisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ .Appeal # Recorded ❑ Commercial ❑Yes E�No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION } (BUILDER OR HOMEOWNER) Name JOB Q��S �Q�ikr,Co �� Telephone Number G� z/a�6 79 Address C/1/Q. ,� s ��4L License # Cs 73 O 3 Y /Mcp r,56 n s O f Js /3'IQ, 0 264�'&::� Home Improvement Contractor# Worker's Compensation # NCO 17 3 (0 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO jgo(t ,' 4, SIGNATURE 3 �� 1. DATE��9 h o • r • FOR OFFICIAL USE ONLY XPPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE , OWNER DATE OF INSPECTION: r FOUNDATION FRAME L o e o I �LC INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL =r. PLUMBING: ROUGH FINAL _ GAS: _ ROUGH FINAL FINAL BUILDING. DATE CLOSED OUT -. ' ASSOCIATION PLAN NO. f ' J S r E The Commonwealth of Massachusetts Department ofI'ndustrialAccidents Office of Investigations d00 Washington Street Boston, MA 02111 wfvw.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly /i Name (Business/Organization/Individual): Address: City/State/Zip: r Phone #:t5 01�_ .�'"'>3� Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with .4. 0 I am a general contractor and I 6. ❑New construction emplo have hired the sub-contractors - yees (full and/or part-time).* listed on the attached sheet. 7, ❑ Remodeling 2.El I am a sole proprietor or partner- . ship and have no employees These sub-contractors have g, E] Demolition employees and have workers' working for me in any capacity. 9 VBuilding addition [No workers' comp. insurance comp.insurance,t • , required.] 5. We are a corporation and its 10.0 Electrical repairs or add tic 3. I am a homeowner doing all work officers have exercised their I LEJ Plumbing repairs or additic myself. [No workers' comp. right of exemption per MGL 12.0 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 i#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. tContradtors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employers. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy# or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date) Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of; 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 f 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. 1 rlo hereby certi under the pains and penalties of perjury that the information provided above is trite and correct. Si ature: Date: Phone# sd? /oZ,P-6, 2/ Official itse 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 S. Plumbing Inspector Information and, Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, .express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,.or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter.152, §25C(7)states`.`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public--work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a.reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The 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 Fax # 617-727-7749 Revised 4-24-07 www.inass.gov/dia Town of.Barnstable OFtME Tp� o Regulatory Services BARNSrABLE, ; Thomas F.Geiler,Director 9�A '3s: �0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ff,, Please Print DATE: A(� V - JOB LOCATION: VI/�G �� 1' +iJ!/1�" J/ /� number street /village// J�^ / [/ "HOMEOWNER": I�iiu(J /�1 /�/(J�:��iYI�� /J�7 r�I /� 1� 4�S_5 ✓ name // ,,, ,.( home phone ,#t� work phone CURRENT MAILING ADDRESS: t b /P, S- 64. , 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 Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Sign re of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require;as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fonn/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC oFIKE r� Town of Barnstable Regulatory Services �s Ms�iE� Thomas F. Geiler,Director 0.19. % 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 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner.is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 0 FORM&OWNERPERMISSION I 44-6,f P-18 3 tN of Mq 1 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS q ( Gfi4Tt25 MASSACHUSETTS STATE BUILDING CODE r >rDco� MICHELE ��, mfieS`fe-As MIl.I.,SJ''lA _V CUDILO AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone t9F�► ° No.34774 Cn Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' STRUCTURAL 9Fc1"TI: 0 Check s; NAB� Compliance 1.1 SCOPE Wind Speed(3-sec.gust) ............................ .. . ..... ... ........ ... 110 mph Wind Exposure Category .. ........................ ... ........................... B _.LJ_ 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories s 2 stories Roof Pitch .................. . . .. .. ...... (Fig 2) ....... .... ...... ..(Ai— s 12:12 ..j1 Z L Mean Roof Height ... . ... .............. ... (Fig 2) . ...... .. . . ........ 7}ft s 33' Building Width,W ........... ... . .. ...... (Fig 3) ... ... ..... .. . ..... -4.2`ft s 80' .�. Building Length,L ........... . ... ........ (Fig 3) . �1 ft s 80' Building Aspect Ratio(L/W) ...... ...... (Fig 4) . .. ........ .. ... ... . 1.75*I s 3:1 Nominal Height of Tallest Opening= . ...... ... (Fig 4) ... ... ....... ........(4L-g"'s 6'8" _ 1.3 FRAMING CONNECTIONS General compliance with framing connections... (Table 2) ..... .. ... . .. ..... ........... It 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete ...................... .... ........ ................................ Concrete Masonry ........................ ... .... . .... ... .................... v 2.2 ANCHORAGE TO FOUNDATJON'- %"Anchor Bolts imbedded or W'Proprietary Mechanical G 1 Anchors 4s an 4Itemative in concrete only -. J Bolt Spacing-general.................. (Table 4) to l NI'G�. D. — in. _ Bolt Spacing from end/joint of plate ..... .. (Fig 5) ............... ^'fo in.s 6"-12" Bolt Embedment-concrete............ .. (Fig 5)...... ................. . in.2 7" - - Bolt Embedment-masonry.............. (Fig 5) .................. — in.x 15" J Plate Washer ......................... (Fig 5) ................... x 3"x 3"x W' 3.1 FLOORS Floor framing member spans checked ......... (per 780 CMR 55.00) .................... Maximum Floor Opening Dimension.......... (Fig 6) ..................... =ft s 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) ............. _1_ Maximum Floor Joist Setbacks Supporting Loadbearing Walla or Shearwall . (Fig 7) ....................... =ft s d ✓ Maximum Candtevered Floor Joists Supporting Loadbearing Walls or Shearwall . (Fig 8) ...... ............... .. =ft s d Floor Bracing at Endwalls .................. (Fig 9) ......... .. Floor Sheathing Type ..................... (per 780 CMR 55.100) .� �5.� ... Floor Sheathing Thickness ................. (per 780 CMR 55.00) .. [ ....(�in. ,/ Floor Sheathing Fastening .................. (Table 2)_d nails at_in edge/_in field ✓ 4.1 WALLS —Ili f A' Wall Height Loadbearing walls ..................... (Fig 10 and Table 5) .. . ....... —ft s 10' ✓ Non-UxWbearing walls ................. (Fig 10 and Table 5) ... ....... ,_ft s 20' 7 Wall Stud Spacing ........................ (Fig 10 and Table 5) .. .. _in. s 24"o.c. Wall Story Offsets ........................ (Figs 7&8) ..... ... ....... _ft id _ 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls ..................... (Table 5) ........... 2x _ft_in. Non-Loadbearing walls ............... .. (Table 5) ........... 2x -_ft_in. v Gable End Wall Bracing' Full Height Endwall Studs ............... (Fig 10) ................ WSP Attic Floor Length ................ (Fig 11) ..... _ft a W/3 -vim G.m.._O.M_1--th GO wen— M..f i> . . ....... . . ... ....... —.�-o ow and 2 x 4 Continuous Lateral Brace®6 ft.o.c...(Fig 11)................ ............. ....... or I x 3 ceiling furring strips Q 16"spacing min.with 2 x 4 blocking®4 ft.spacing in end joist or truss bays ...................... ...... . .............. ............... Double Top Plate Splice Length.......... .... ... .... ... . (Fig 13 and Table 6)6lF-IvC L-5 .... 2 _ Splice Connection(no.of 16d common nails)(Table 6). . ........ . ................. 1054 780 CMR-Seventh Edition 12/28/07 (Effective 1/1/08) SN OF MgSs (� vt,�l � CUDILO 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS LwSra� G� ° No.34774 � `' q( u kTt,,►2 S U STRUCTURAL APPENDICES tkP�1'or15 q P� Loadbearing Wall Connections Z Fc'.s� �i` Lateral(no.of 16d common nails) ......... (Tables 7) ...... ... . ...... 2 J S;ONAL�' Non-Loadbearing Wall Connections . ........ Lateral(no.of 16d common nails) ......... (Table 8) ........... ... ........... ?/ J Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans......................... (Table 9) ...... . —I ft—Q in.S 11' •� Sill Plate S (Table 9) *ft�in.s I P Pans ....................... . . ....... . ... Full Height Studs(no.of studs) ........... (Table 9) . 2 VV Non-Load Bearing Wall Openings(record largest opening but check all openings four compliance to Table 9) I Header Spans...... .. ................... (Table 9) ... ........... ft1n.s 12' V Sill Plate Spans.... .. ................ ... (Table 9 .. ...... . ... ..Ift_L m.s 12„ Full Height Studs(no.of studs) ........... (Table 9) ... ... .. . ..... .. . .... .... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously` Minimum Building Dimension W Nominal Height of Tallest Opening' .............. .. ..... . ... . .... . . . ..(p s 6'8" v` Sheathing Type................. ..... (note 4).. ...... ..... . ... ...... .. Edge Nail Spacing .. ..... .......... .. (Table 10 or note 4 if less) . . . ...... rn. ✓ Field Nail Spacing ................... (Table 10)... . ..... . .. .. . ... .... in Shear Connection(no.of 16d common nails)(Table 10) j Percent Full-Height Sheathing .......... (Table 10)...pP 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)........... J Maximum Building Dimensia)ng Nominal Height of Tallest ' ......................... ........... 6,8„ J Sheathing Type ...... . ............... (note 4).......... ........ ....... J Edge Nail Spacing ................... (Table I I or note 4 if less) . ..... ... —fin. J Field Nail Spacing ........... ........ (Table 11)...... .. . . . .......... . 12 in. Shear Connection(no.of 16d common nails)(Table 11) ............ Percent Full-Height Sheathing .......... (Table 11 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)......�&) ..... Wall Cladding Rated for Wind Speed? ......................................... .............. �/ 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Too],see BBRS Website) / Roof Overhang........................... (Figure 19) .....L�_ft s smaller of 2'or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift ........... ... ............... (Table 12).................... u.2 Lateral ............................ (Table 12)......... ........... La J Shear. collar (Table 12). S= ���fffttt Ridge Strap Connections,if not page 21(Table 13 T= p If f Gable Rake Outlooker ..................... (Figure 20) t.f.I./}.. ft s smaller of 2'or L/2 .. Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift ........... .................. (Table l4)............ ........ U=_lb. Lateral(no.of 16d common nails) ....... (Table 14)... ...... L W_lb. Roof Sheathing Type ................ ...... (per 780 CMR 58.00 and 59.00)............ Roof Sheathing Thickness .... ............ ..7Ak i .2 7/16" S Roof Sheathing Fastening .................. (Table 2) .SGl. �. z.?2 , ��E���.� Notes: I. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 790 CMR 5301.2.1.1 Item 1.X the checklist is met in its entirety then the following metal straps and hold downs am not required per the WFCM 110 mph Guide: s. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 188 and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing N=inemgHn shownTablas in 10 and n r. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements 12/28/07 (Effective 1/1/08) 780 CMR-Seventh Edition 1055 I I ' GENERAL NOTES AND MATERIAL SPECIFICATIONS• FOUNDATIONS 1. All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12" long,w/2-112"hook spaced 4'oic, r in concrete piers wt Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage). V, FRAMING 1. All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load: Criteria used for 110 MPH Exposure B. 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, l/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: U360 total load deflection. 4.Timber Frami_ruL a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc-par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=290Q psi,E=1,900 ksi,Fv--285 psi,Fc_per--750 psi, Fc_par=2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: U480 Live Load,U360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 48"o/c; Rafter to Ridge Plate: Collar ties min. 1x6Q 48"o/c at top or Simpson Straps over top of plywood spaced 48"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Comers to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building comers. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End d. New Framin¢:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges- plywood edges to this blocking ZN oF'"gSs 8.Nailin¢Schedule: 9�y All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. o`' MICHELE Multiple Studs 16d cQ 12"staggered CUDILO -4 a.All nails shall be common wire nails. ° No.34774 v b.Sub-bore where;nails tend to split wood. STRUCTURAL 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1 d.(2 . RF a� D MICHELE CUD L /� P.E. Pst��A��� NCA.OSts� o out rya St�uctu�cl Er,aimear 123 Cottonwood Lane, Centerville, Manochueette 02632 M mL-J> D i Drawn By: MC Date: ,03 '43 0 Drawing (A'►ZS`nt?" 6t-. o�D4� care- AS NOTED Rev. O ZOI�— S i1— I .. File Name: Project No.. l -- v r f N N Lo7' " t i 11012 7 - E.q - - - CERTIFIED PLOT PLAN E� LOCATION SCALE . .�.�-. .... DATE PLAN REFERENCE . 16--ZA/G.• LQoT��3 ../S��fl bIN p N •P�.�i� 3¢/ I CERTIFY THAT THE . SHOWN ON THIS PLAN IS LOCATED ON THE GROUND %4"'� ✓:F'' AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE `Tt.►</6-.30 j1 � ,,//�� iLo REGISTERED LAND SURVEYOR tN OF p� MICHELE �x►o R�a`�Q �Z .far i RtS �. aXlp CI eat oCUDILO No.34774 STRUCTURAL R;� Lr�rW1 RFC I +- ,�, �. /. �u� a- lyy x 11'f t� cis v- . I I ID �R4 5 w���nn�s�► �1u«<cAr*e cc�P3 1,-UL a __- t i I sue( ) ��,�, �T,) y� �` �r` AZT Gam° ' aous x 6 M-► ►� LA II �0a 51 PutI'l ,`jEC�Q U1Q�J ► >Cg e LsTA 17 f 6 4°lam �� cox � �� Gtled 3i��ef `1 , .. ZN OF MgSS-9 o MICHELE oCUDILO 0 No.34774 STRUCTURAL Q GISTER� SJOlvAL Erie t � .lh� l.ecQgar u a met ' g r A,6DOP, tg %A OF ASS p� MICHELE yG� � CUDILo 0 NO.34774 J STRUCTURAL Pe I St NA��r� �oJ \.o toy 1 � _ pa / 24 olA 16 14, RVOT311 Ck �,N OF MAs p� MICHELE ti� �Co p0 CUDILO 0 No.34714 n STRUCTURAL. / min Is ' `SJIONAL���v I n Pfea, (yam/ N O F Mq Gl /iy/G 1 (O o� MICHELE ti� ���1C4� GR4�ti2. Z CUDILO J •y ' & �elt� ° No.34774 U STRUCTURAL 9FGIStEa`�_� l COW"p0f; kf AL D LUt_ -i%y X Yo cox �lywn� RIAAr3 co �. PT Rr �— ���1�,p�on 5,l�ap1'IQS fe yXlo Poet Ir � 1 a f i 1 1 1,0 .30nA- l uaC r� Plea C � o �o t o pLj r I a �d OG a� e k I - - - - _ 30 Slider Header Carrying Ridge Beam by Weyerhaeuser 2 Pcs of 1 3/4" x 9 1/2" 1.9E Microllam@ LVL TJ-Beam 6.35 Serial Number: user:1 319/2010 2:14:52 PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version:6.35.0 CONTROLS FOR THE APPLICATION AND LOADS'LISTED 1Q P❑ 6 8-6" Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width: 1' Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Floor(1.00) 0.0 80.0 0 To 8'6" Replaces Point(lbs) Snow(1.15) 3227 1039 4'3" - SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplift[Total 1 Wood column 3.00" 1.50" 1614/899/0/2512 L5 None 2 Wood column 3.00" 1.50" 1614/899/0/2512 L5 None -See iLevel®Specifiers/Builder's Guide for detail(s): L5 DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) 2501 -2419 7265 Passed(33%) Rt.end Span 1 under Snow loading Moment(Ft-Lbs) 9557 9557 13541 Passed(71%) MID Span 1 under Snow loading Live Load Deft(in) 0.162 0.206 Passed(U613) MID Span 1 under Snow loading Total Load Defl(in) 0.236 0.412 Passed(U420) MID Span 1 under Snow loading -Deflection Criteria:STAN DARD(LL:U480,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 8'6"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by iLevel®. iLevel®warrants the sizing of its products by this software will be accomplished in accordance with iLevel®product design criteria and code accepted design values. The.specific product application, input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel®Associate. -Not all products are readily available. Check with your supplier or iLevel®technical representative for product availability. -THIS ANALYSIS FOR iLevel®PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel®Distribution product listed above. -Note:See iLevel®Specifier's/Builder's Guide for multiple ply connection. U e° U&'$A APPROVED 3APPROVED AS NOTED . RE-SU8A1;SSlOV PROJECT INFOR TIO APPROVED RFOUlREn OP RATOR INFORMATION: Doug MacDonald R^""'E''�,is:=h=ti yOT A DI" F-ROV/ED Seer Monteforte 9 REc i,+IF_D '4. ACCOhiPA,"IYIfdG 91 Water Edge Roa in ton Builders Supply Checking is.onl r for r ,,• 9 PP Y Marston Mills,Ma ) general con„-70:' ;e with the design33 Main Street concept of the project and general compliance with the Wi i^soon,MA 01887-0671 information given in the contract documents. Any action Ph ne:978-658-4620 shown is subject to the requirements of the plans and Fa :978-657-5844 specifications. Contractor is responsible for: dimensions g nteforte@wilmbuild.com which shall be confirmed and correlated at the job site; coo fabrication processes and techniques Of construction; Copyright 0 2009 by i evelo[I k9eat, a¢?f chds work with that of all other trades; Microllaag is a regi ereAda 8"citlefa68 y9'Oerformance of his work. . MICHELE CUDIL.O :9 � ' , imn- Ridge Beam by Weyerhaeuser 2 Pcs of 1 3/4" x 11 7/8" 1.9E Microllam@ LVL TJ-Beam 6.35 Serial Number: User:, THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version:6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope:0112 Roof Slope0/12 7— -I 0' 2❑ b 12'31/2'* ' All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Bea er. Tributary Load Width: 10'6" Primary Load Group-Snow(p :50.0 Live t 115%duration, 15.0 Dead SUPPORTS: 30 F5F F-eR D Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 2.87" 3227/1039/0/4265 L1: Blocking 1 Ply 1 3/4"x 11 7/8"1.9E Microllam®LVL 2 Stud wall 3.50" 2.87" 3227/1039/0/4265 L1: Blocking 1 Ply 1 3/4"x 11 7/8"1.9E Microllam®LVL -See iLevel@ Specifier's/Builder's Guide for detail(s): L1: Blocking DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) 4149 -3376 9081 Passed(37%) Rt.end Span 1 under Snow loading Moment(Ft-Lbs) 12405 12405 20525 Passed(60%) MID Span 1 under Snow loading Live Load Defl(in) 0.288 0.399 Passed(U499) MID Span 1 under Snow loading Total Load Deft(in) 0.380 0.598 Passed(U377) MID Span 1 under Snow loading -Deflection Criteria:STAN DARD(LL:U360,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 11'7"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by ill iLevel®warrants the sizing of its products by this software will be piccomplished in accordance with iLevel®product design criteria and code accepted design values. The specific product application, input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel@ Associate. -Not all products are readily available. Check with your supplier or iLevel@ technical representative for product availability. -THIS ANALYSIS FOR iLevel@ PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used.for Building Code IBC analyzing the iLevel@ Distribution product listed above. -Note:See iLevel@ Specifier's/Builder's Guide for multiple ply connection. �.4 .. APPROVED . A. VFD AS NOTED' rt:P�r{.•�:ctjA`VjU .a..,, 2. R^.S jnyic3F ;TJ A Dt4n,'r:RO,� PS'EE Checking is only for general confor-:,ance with the desig cept of the project and general compliance with th P RATOR INFORMATION: PROJECT INFORM TI �tion given in the contract dccj.n-nents. Any actiol Monteforte Doug MacDonald shown is subject to the requirements Of the plans an it in on Builders Supply 91 Water Edge Roa s. heichlsin tllnbe confiContrrmedran is d correlated at the erasion Marston Mills,Ma fabricatprocesses and techniques of consjob sitetructions334 Main Street coordi of his work with that of all other trades!Ph Will e:97, 658-4620 01887-0671 an a Satisfactory performance of his work. Fa ne :978 657 5844 MICHELE CUDILO, RE. g nteforte@wilmbuild.com Copyright :y 2009 by eve eernar Way, WA. . N.icrollamE is a registe re �tlemar of iLevelF�py o 0C6bL6o'� Town of Barnstable *Permit#. ~O EYpires 6 months front is date Regulatory Services Fee aP A AA��A 1639 9T Thomas F. Geiler,Director �YI :• lfD hgp,�A 10 Building Division D TOWN OF BARNSTAEU Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 Property Address Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 644/0 / "z t'YCId v�l d Contractor's Name 61,p,(er j1:�t�Ito �"/ Telephone Number Home Improvement Contractor License#(if applicable) —�-j Construction Supervisor's License it(if applicable) ��s �d ❑Workman's Compensation Insurance Check one: ❑ am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name �ti� /J�/ �Q�lr V Workman's Comp.Policy# 2c? -/ c y✓ ��� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ R -roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over_/_existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of1windows *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: i QAWPFILESTORMSIbuiIding penivt forms\EXPRESS.doc Revised 090809 The Commonwealth of Massachusetts Department oflndustrialAccidents Office oflnvestigations 600 Washington Street � y Boston, MA 02111 y� wfvw.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 1 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 constriction listed on the attached sheet. 7, ❑ Remodeling 2.❑ I am a sole proprietor or partner- 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.t 3.�equired.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.)t c. 152,§1(4),and we have no 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. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy 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 tinder the pains and penalties of perjitry that the information provided ab veil trite and correct Signature: Date: 7 0 Phone#: Official ttse only. Do not t•vrite 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 S. 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, constniction 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 perfofrimance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s) name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their 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 permi0license number which will be used as a.reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you.have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 . www.mass.gov/dia �s►,E T Town of Barnstable Regulatory Services BA"WLAJM Thomas F. Geiler,Director 6.3 9. 0� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usina A Builder as er of the subject property hereby authorize to act on my behalf, in all matters relative to work authorize&by this buil g permit application for (Address of Job) Signature of Owner D e Print Name If Property Owner is applying for permit please co Homeowners License Exemption Form on reverse side. n:FORMS:O V✓N ERP E RM I S S I0N ,r s Town of]Barnstable pp S?4E Tp� - o Regulatory Services saRNszes Thomas F. Geiler,Director 9� "IL639. ,0� Building Division PIED a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma,us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: O JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: C 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 Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the buildinjZ 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. S ignitdfe of Homeowner "Approval of Building Official Note: Thiee-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages-a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when"the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPF.ILFS\FORMS\homeexempLDOC Asgtssor's office (1st floor): h L/ �!%t TNfr Assessor's map and lot number .. . �5...-D.') 9 (!± P�9� ����� P Y t - Board of Health (3rd floor): Ej TAIL ED I 0 CO Sewage Permit number .............. ........ —� � -sms " e� ^� sf. cs IFAW E. . Engineering Department (3rd floor): `f,$ p 4�a5 Y ;o House number /APPLICAThONSPPPOSgSwE% 8:30-9:30 A.M.. and 1:00-"2:00 P.M. .only - SEPTIC SYSTEM ML1yr, BE s `+ e e r IN COMPLIA& - N OF B�AB.NSTABLESTALLEDw�Tl TLE 5 Date I L DING INSPECTOR ENVIRONMENTAL CODE ANZ TOWN REGULATICk! A PfP§l'%AJI® � (b " R PERMIT TO �... ?:!'............................................................................................................... a0zatastuPFF@e .�.....il/`!�ff.4...'.r41d�'1 :..:...................... I da e.-_� : ��f Date TO E INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ........................ . . .. Location .....� ....Q........ . .. . ,. .......... ....... ............ `'.'` .... . CR S. �.4.1a .... ProposedUse ... � .QJ.......................................................................................................................................................... Zoning District .................� ............... .........................Fire District ................ .`.f,/....�.1.:.[..�.......................... .u.. 1 (..... �i!>,&A....... ��' f�,?�?�-�- R�?c�l�"Name of Owner .. Q Address C.. .. ..... Name of Builder ..✓� .. 1•& .....1 . ..... Z .C11).��.. �....Address ........ r Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... ....................................................Foundation ... .... .�Q/............................................ ... Exterior '.~.......tl-IV15...P...`......................................Roofing Sl!lF!Q ....... /r!z' :5................................... Floors ....Gi.RA........................................................................Interior ..��L .l ---q !� j* /. * * ................................. Heating d.�.. ...... . . .. ..(7 ...... tr............................Plumbing ............. ......................... . .......: Fireplace ....r ......�f..?.0 ..................................................Approximate Cost .........0O.j.Q.d�.g}� �.. .. ..................J. Definitive Plan Approved by Planning Board _____ _ ........19___ Area ..S�f�1:�:? .....4��. Diagram of Lot and Building with Dimensions Fee ... P. .` ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH WIER i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �.../ .... .,& .................................... Construction Supervisor's License ..0.611W. 0.1.1........... "- MCDONALD, DOUGLAS E. Not 29587 B i1d 1 Story f ................. Permit fqr ..... y...............0.... ... + N ` Location ..... � .,. .91 Waters rs .... . ..... �Ed�^ ' ....... Marstons+*fill ................... ...�.. ............. ....... M 04 Owner ......Douglas E. Mc') nald:9 .. u Type of Construction :�Fram. .��... .... w .a L Plot Lot ................................ Permit Granted .,. July 1, 86 ............................19 Date of Inspection ......19 Date Completed �^ �Zz-9/ v f - Ra w� ma ; r 360•on . N 4/3 0 a/ E<lSEM�� — _ CERTIFIED PLOT PLAN EDP' LOCATION SCALE . .�.�-. ,... DATE PLAN REFERENCE ew OFsv gs� o� EDWAPO� G� I CERTIFY THAT THE c SHOWN ON THIS PLAN IS LOCATED ON THE GROUND o , Y "') AS SHOWN HEREON AND THAT IT CONFORMS TO THE A; �No. 26100 ©J SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. AL L DATE REGISTERED LAND SURVEYOR sue. . .0 :•r° i,j' .•I Z•c PIN _ .. fi: i• .K,.a.DEPT.F�EE CDPY;%,WHITE `FIEED':CDPY.fYELEO�Ii:'IIPPUCANT COPY' o.a: .. BUILDING . T♦OWN;:OF BA`RNSTABLE, MASS cHusETTS PERMIT f`�• ,'A�062—.049••ti• '.. . .• VALIDATION �c July .1, 86: •., DATV�'..` 19 PERMIT NO. i' X Owner istea` Owner: t•. APPLICANT ADDRESS ti r ;••! (NO.) (STREET)• •`(CONTR'S LICENSE) •� ' ' � NUMBER''OF. ' ;'+4 PERMIT TO Build Dwelling.. (_) STORY: Single. Family'>DweTlinP: -DWELLING UNITS ,.,..,-;.,:',,,•_^,.:,.;;.•„�,;.,,;(TKPE,:OF•I,MPROVEMENT) ;:;NO. v (PROPOSED USE). ZONING RF ' aT.t�ocATioN) Lot1#53,:. 91. Waters. Edge, ,Nlarstons Mills DISTRICT .. (NO.). (STREET) i BETWEEN AND ? •.(CROSS STREET)',. JCR SS .STREET) LOT. A{ SUBDIVISION h" LOT ' BLOCK SIZE } BUILDING IS TO BE FT.'.WIDE'BY FT. LONG.BY FT: IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION .=r5 •TO..T.YPE USE GROUP-' BASEMENT WALLS OR FOUNDATION REMAgKS , Sewage. ; 86.=503 :. Yarmouth Road' Auto' Saleg SdslnaxX ($200.'00) 2• AREA.OR 1324 Sq,.�ft, BO,000:•OO PERMIT '.:79.50 VOLUME ESTIMATED COST $ FEE . ;.`•'a CU81C/SQUARE FEET), 1: Dou las E ! OWNER g N�aCDOnald 1. . .: Prince Hinc a !Road,:°Centervi]le: BUF�DING OEPT s � � ApORESS y BY vt.,6.Y'..YHE'°Jl1klOUft"'IVM.,-afn�c-r`v�-iai'cc"r'6're`.c'uey.•rco•..n'e'uu"nS'ue'r-rn`•..,.... ..,,..,.• _ .-- �_FROM.THE:.DFPAR.TMECLT_OF PUOLIC WORKS. THE ISSUANCE. OF..T);IIS PERMIT DOES NOT RELEASE THE APPL-LCA.NT FROM TI{E CONDITION_' OF ANY.APPLICABLE SUBDIVISION RESTRICTIONS: •' �h.. ,-,MINIMUM OF THREE CALL t APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE i.INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ' ALL-CONSTRUCTION WORKS ELECTRICAL, PLUMBING AND I:FOUNDATIONS OR'FOOT�INGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY 'IS RE- MECHANICAL INSTALLATIONS. #' 2.•PRIOR.TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL , i.p•c7.t>. MEMBERS(READY TO LATH). e'. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS .'•i•; 3 - HEATING INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS OTHER 2. 2 BOARD OF HEALTH - WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL.AND VOID IF CONSTRUCTION INSPECTIONS INAICATED ON THIS CARC INSPECTOR HAS APPROVED THE VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCT)ON. PERMIT IS I(CIIFn Ac unTvn ARnvc OR WRITTEN NOTIFICATION. TOWN OF BARNSTABLE Permit No. ..... 9587 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ............ �obur HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to DOUGLAS E. McDONALD Address lot #53 91 Waters Edge, Marstons Mills USE GROUP FIRE GRADING OCCUPANCY LOAD 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. January 29 87 .......................... 19................. .,. ....................... Building Inspector Assessor's office (1st floor): �� o pfTNeto Assessor's map and lot number ..............................`..........,... Board of Health Ord floor): Sewage Permit number .................. . ................... .... . , L B>Bs9TODLE, i Engineering Department (3rd floor): ,JS- 9 rnea CC�� r" �p 1639. `00 House number ......................................../,�... .................... �p�aYa APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only Al WN 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... u....... S, Q &, �� l u 61M G o TYPE OF CONSTRUCTION ........t'1.U!........:......C!?...�.................:�.....!!.`!.......�....;�.,.✓..Q:t'.1.!I.p. .......................... ..................... 7........... TO TF�INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: o :.................... ���... �... 1�1.,. ' . .�.�.s. ........................ Location .....L..�....��........!�►1.. .....,.,........ v a ProposedUse ... .wz ................................................................................................................ ZoningDistrict ..:......................................................................Fire District ...................................:.......................................... t` �r.Name of Owner ..).,K�C�.Q��.S...(,.....!'.!0('.'...�.�?�1.! :............Address /.1` .: f,).1�L2............n...�..ey....� ............ Name of Builder ..al�q(,®5.....1=. .....���,�I:h�..!.( .....Address .l...�...�r�I�G;�....,1.,/.1.,{?�. P�1....R4�........ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...... -.....Foundation ....�� �.:7r......�Q ............................................ .................................................. Exterior t•' vQs.....................................Roofing .fi AAf / ��nQZ.V c.Pi:I:........��.�{^, ...... .................................. Floors .. ........................................................................Interior ..,//../. li(�Q............................................................. Heating (1, / m. L�.............................Plumbiri Fireplace .... ........../y r.).c./K..................................................Approximate Cost ......... i!zA(1 6,.(7 0 .................... ...._!��.��...... • Definitive Plan Approved by Planning Board _✓_�__l�c___ —._______19----A. Area . ......!'`�--t. . . Diagram of Lot and Building with Dimensions Fee ... �.r..J � SUBJECT TO APPROVAL OF BOARD OF HEALTH �Q/�T.� r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .! ............... ! G !%•. .................................... 1 i r a Construction Supervisor's License .. � .......... MCDONALD, DOUGLAS E. A=062-049 No 29587... Permit for Build 1j Story . ............................ Single Family Dwelling ..................Single Location Lot #53, 91 Waters Edge ................................................... Marstons Mills ................................................................................ Owner ....... ......McD.o.nald....... .. . ...... . ........ Type of Construction Y-r.a.me.............................. ........................................ ....................................... Plot ............................ Lot ................................. July j 86 Permit Granted .......................I..................19 Date of Inspection ......................................19 Date Completed ............ ...... .............19