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0139 WOODSIDE ROAD
/ 39 �vvol7sij � �o „� t t i �l�� �s a o �I y+� �'..�- Town of Barnstable F�RFCEWTJ. ` BASMABL& ` 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit �_ ZZ Application No: TB-17-146 Date Recieved: 1/20/2017 (D 1 L? Job Location: 139 WOODSIDE ROAD,MARSTONS MILLS o Permit For: Building-Solar Panel-Residential Contractor's Name: JASON D STOOTS State Lic. No: CS-090293 ao ii M Address: Dennis, MA 02638 Applicant Phone: 5086947889 (Home)Owner's Name: ANDRE,LOIS R& SPRINGER,EARL T Phone: (508)954-3685 (Home)Owner's Address: 139 WOODSIDE ROAD, WEST BARNSTABLE,MA 02668 Work Description: Solar PV Installation 8.28kW's. Includes 23 modules flush mounted on the roof,grid tied and net metered. Total Value Of Work To Be Performed: $45,1300.0 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Jason Stoots 1/20/2017 5086947889 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $45,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $279.50 _................_......................................._................._.........._................_......__.._..._....................................._...._....._......................_._...........__. _..._..._.-----_......._................... Total Permit Fee Paid: $0.00 a ( i THISJSAOT i' TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map 2 Parcel oZ : Application #2 ftl 3Health'-Division `Lo®Z.- Sr1 Date Issued Conservation'Division Application Fee 69Y"u Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board G,/1-rY0"^0%/ Historic - OKH Preservation / Hyannis 'red " ' O Project Street Address 1,5q UUooyS(D(z pnt- Village Owner A1. VyZ , lxld R Y EARL T Address Ibq \Xd60P1D1 yE Vr, W OA('.t 61Ae�(,E Telephone 040 : Ed -4;* Permit Request D 7�,� V EMIT R-EAR �W 2 POWLE -fO UFAIE RUP f LK, E2 qM (Y9f-Wf O>✓fICE � Vah C. FEN VA Square feet: 1 st floor: existing proposed 0 2nd•floor: existing QM proposed 0 Total new Zoning District RP Flood Plain MIA Groundwater Overlay Mi ig — P(,oject Valuation O60 Construction Type VC/m(?FRAM5 Lot Size ('�,Q� AG Grandfathered: ❑ Yes XNo If yes, attach supporting documentation. Dwelling Type-, Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes A No On Old King's Highway: ❑Yes )<No Basement Type: XFull ❑ Crawl ,,�❑Walkout 0 Other Basement Finished Area(sq.ft.) Rq!) Basement Unfinished Area (sq.ft) 13Z Number of Baths: `Full: existing new Half: existing new Number of Bedrooms: existing I new C0NKR7 DEW INTO $pRh-r Total Room Count (not including baths): existing 7new First Floor Room Count �J Heat Type and Fuel: V Gas ❑ Oil 0 Electric ❑ Other NOT WA7'EK Central Air: ❑Yes )dNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes No 2-q'x2q' Detached garage:A existing ❑ new size_Pool: ❑ existing ❑ new size 44 Barn: ❑ existing ❑ new size1J& Attached garage: 0 existing ❑ new size Shed: ❑ existing ❑ new size if 6 Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ '� Commercial ❑Yes ;4 No If yes, site plan review # Current Use �1t7�-K1�"l� Proposed Use 9E5I DEl\ r/A y� o r. m APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name IN G- Telephone Number 509,4,2_6 " 116 S Address rlolb 0STMV ILIE -- WhAgt I5TA&_E Rd.License # G5 15.851 VSTER V1 ALE Home Improvement Contractor# lo�ol Worker's Compensation # WCA 0212 q6 q/l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 8. F. SIGNATURE -� DATE � r, ` FOR OFFICIAL USE ONLY "RPLICATION# DATE ISSUED - MAP/PARCEL NO. ;ADDRESS - i VILLAGE OWNER ' J DATE OF INSPECTION: FOUNDATION r FRAME ' INSULATION FIREPLACE .' ELECTRICAL: ROUGH - FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE:,CLOSED OUT ASSOCIATION PLAN NO. ' IME A Town of Barnstable Regulatory Services Thomas F.Geiler,Director 1639` Building Division . Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: Project Address /37 jVW5406 0k• Builder: j 0'Pzfz/s RA , The following items were noted on reviewing: A#G6 1:3. 3 x.:3 Atxrr./0 /P cu,ems CoNiy�s �o t DN /2 7A/ '- - Coy vli'Vc l,;:5 oo'T JAIIIC3 .s7v 0I-EN fid GS Top c C_O.S To C6�2/VZ�j2 AAR/i4,v K ";Oe rp Q5 Reviewed by: U Date: 7 7 8 tS Q:Fonns:Plnrvw 6 CONC. WALL • I 4 COIv_C....-.Pl_TCH TO DOORS I ' `N i 24 „ cS'7ilz - - - - 2X!2 RIDGE ASPHALT SHINGLE 2XB_.lG�O.C._._._._ 2XI0 IG'.O.C. RILGE_ -,.VEN.T / _.ilr- CO PLY....—� 2 X4_.-IG_'O.0 I �Iz'.•CJX __�� ' i HlCKS..JR! VENT _ IX5 -\2Xe IG Q C- —. \I2X35.•STEEL i � 9JC8 :.-_ 9.1<8�... .---- 00 _ CDAC..SL2B_—. . -- j /2 I !2' !v' xMRS DOUG SMITH 39 WOODSIDE DR. BARNSTABLE ILP's 45C 24'GAR 4GE 4' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,. Map Parcel Application Health Division - Date Issued Z Conservation Division `(� Applicati*0 C Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 0 Gb Village Owner A gC ute, ' P. & EAIZL T Address. M W00%[OF Dk- � W bAROST-A6be Telephone b�CIO N I INJb (✓ob) Permit Request 60lt✓17 kEAR r701zriM CUA V8 U QT Rk. 1_1 IP H vi/ f:o Li MTH AS VeR- tWrAC�*t7 VR A W 1065. URDVC- t700R & Wkt t, FAHK)T of FIC' f�S 6!d,o WIJ otJ V?,A N I W - q g proposed 0 2nd floor: existing Square feet: 1 st floor: existing 0�. g �J�proposed Total new Zoning District RE Flood Plain W o- Groundwater Overlay �f Project Valuation 5 8©O.00Construction Type WOOD KAH6 Lot Size 032 o2 A CR•E- Grandfathered: ❑Yes J* No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure d MvS- Historic House: ❑Yes X No On Old King's Highway: ❑Yes A No Basement Type: W Full ❑ Crawl ❑Walkout ❑ Other m Basement Finished Area(sq.ft.) 89 5- Basement Unfinished Area (sq.Jt)i l 3 Number of Baths: Full: existing_ new Half: existing new _ Number of Bedrooms: S 1 new existing _ CON(lEkT DEN 1147-0 &DRM w �- Total Room Count (not including baths): existing 7 new First Floor Roon i Count 3 Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other Hyi Wt,MR Central Air: ❑Yes A No Fireplaces: Existing I New _A Existing wood/coal stove: ❑Yes A No Detached garage:)(existing ❑ new size_Pool: ❑ existing ❑ new size 4* Barn: ❑ existing ❑ new size/J�-4 Attached garage: ❑ existing ❑ new size4h Shed: ❑ existing ❑ new size o Other: Iy.119 Zoning Board of Appeals Authorization ❑ Appeal # 1414 Recorded ❑ Commercial ❑Yes )d No If yes, site plan review# Current Use QES( DE WT1,1-L Proposed Use AES I DEAI T 1 A1. - - - -APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name r I Nf;- Telephone Number ��� ^ 1t 6V Address ��U VGiTE12,�!Ll.�—(�(j, IARl Tai�c.� gyp• License# 0,5 f DcYrr.K V 11,l r f"l A Home Improvement Contractor# 101�01 q Worker's Compensation # wh ayz �s g It ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATLIRE /G-/ SATE /p � FOR OFFICIAL USE ONLY 5 APPLICATION# ' DATE ISSUED MAP/PARCEL N0. - ADDRESS VILLAGE "OWNER , DATE OF INSPECTION: - 'e FOUNDATION FRAME /� o� `�a��9.Q �� L�or�^e c�rens INSULATION FIREPLACE ,c ELECTRICAL: ROUGH FINAL ' f PLUMBING: ROUGH FINAL z GAS: ROUGH FINAL `FINAL BUILDING . DATE°CLOSED OUT) _. ASSOCIATION PLAN NO. s r T. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston, MA 02111 °� ;• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information r ` Please Print Lefibly Name(Business/OrganizatiorAndividual): V,21 17o N QM l k 70 N, I lJ c Address: �35 N.TF-�Q L t,� - W-$AP4-3SGA13,UE City/State/Zip: ASTER, t i'LE, R A: A6 1KIr Phone.#: (go) Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2:❑ I am a sole proprietor or partner listed on the-attached sheet. 7...❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY t 9. Building addition A01710jt;.D keel` [No workers'comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 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 the policy and job site information. n /� UL)r_fk0PVe-- Insurance Company Name: VIA _ Policy#or Self-ins. Lic. #: yy' �o��a��{ (p (� Expiration Date: ✓� �3'0 9 Job Site Address: I�� ���✓Ga�G ��- 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 tip 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 statemerit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pain and pen es of erjury th the information provided above is true and correct. ASi afore: Date: �2 Phone#: LMb S_ Official use only. Do not write in this area, to be completed by city or town officiat 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 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 defuied as"...every person in the service of another under any contract of hiie, 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 representafives-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 Nvith 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-contiactor(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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications m 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# 617427-7749 Revised 11-22-06 www.mass.gov/dia j Date: 6/18/2008 Time: 10:51 AM To: @ 9,15084281196 Page: 002 Client#: 646400 2NORRISEB ACORiD. CERTIFICATE OF LIABILITY INSURANCE o6;8/Qa°"�"' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Acadia Insurance E. B. Norris&Son., Inc. INSURERB: 138 Osterville West Barnstable Road INSURER C: Osterville, MA 02655 INSURER D: INSURER E: COVERAGES THE POLICIES 0=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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE Of INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MMIDD/YY DATE MM/OD/YY A GENERAL LIABILITY CPA005234519 05/03/08 05/03/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMA SE 50 REoNT�ED nce1 $250 000 CLAIMS MADE DJ OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEOULEDAUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION S s A WORKERS COMPENSATION AND WCA021246411 05/03/08 05103/09 X TWO C SLIMIT DER EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTNE E.L.EACH ACCIDENT $SOO,000 OFFICER/MEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEE s500,000 If es,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT s500 UUU OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 11U_ DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R PRESENTATIVE ACORD 25(2001/08)1 of 2 #52449 LS1 © ACORD CORPORATION 1988 r ✓1LC -VOJ)YI)`Ly/T.LIlGCGLLI'G �,./��;1�C�LpU.i6 Board of Building Regulatio sand Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 102014 Board of Building Regulations and Standards Expiration: 6/30/2010 Try 268470 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: Private Corporation ERNEST B. NORRIS&SON INC Craig Ashworth 138 Osterville W.Barnstable rd.:' Osterville, MA 02655 Administrator Not valid without signature r I I - I ' /ce -Pll nowevet4C/r• a"Kwaclw6eA Board of Building Regulations and Standards k� Construction Supervisor License I a+ License: CS 15851 'a Birthdate _9/28/1953 Expiration g/28/P009 Tr# 2366 E • � '- Restriction_-00. CRAIG N ASHWQR�TH =/y 385 SEA STREET HYANNIS,MA 02601 Commissioner _•--a•.. - --ter -- -• - ... . r egulatf r Set:dices- BARN'S'TABLE. ` yuw ' a Thomas F. Geiler,Director 1659. Buildincy Division : Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 face: 508-862-4038 Fa7x: 508-790-6230 Property O-wner Must CoMpl_ete and Sign This Section f „ti Ider I, 174(2 C / SW,-2//`/CE/?. �0 , as Ownes of the subject property hereby authorize N��le/S r6� 1,J C to act on.Ln7 behalf, r in all matters relative to'�-,-ork authorized by this building permit application for: (Address of Job) C � gn�tute of Ow I Date Tint NN ar: • ;4 REScheck Software Version 4.1.3 Compliance Certificate Report Date: 12/02/08 Data filename:Untitied.rcc Energy Code: Massachusetts Energy Code Location: Barnstable,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non lectric Resistance) Glazing Area Percentage: 8% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: Lois R&Earl T Andre M.Korfanta 139 Woodside Dr. E.B.Norris&Son,Inc. W.Barnstable,MA 138 Osterville-W.Barnstable Rd. Ostreville,MA 02655 508-428-1165 mkorfanta@ebnorris.com Cornpliaoce:,Passes Compliance:50.4%Better Than Code Maximum UA:115 Your UA:57 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 441 30.0 30.0 7 Wall 1:Wood Frame,16'o.c. 672 19.0 19.0 21 Window 1:Wood Frame:Double Pane with Low-E 52 0.350 18 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 441 19.0 19.0 11 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checidist The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. M.Kortanta-Estimator t —Z— 0 f7 Name-Title Signature Date Project Title: Report date: 12/02/08 Data filename: Untitled.rdc Page 1 of 4 s ' REScheck Software Version 4.1.3 Inspection Checklist Date: 12/02/08 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity+R-30.0 continuous insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity+R-19.0 continuous insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity+R-19.0 continuous insulation Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ When installed in the building envelope,recessed lighting fixtures#meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfrn(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture has been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Installed on the warm4n-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are dearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Ducts are insulated per Table 6106.4.4.3. Duct Construction: ❑ Al accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,are sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system provides a means for balancing air and water systems. Temperature Controls: ❑ Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: Project Title: Report date: 12/02/08 Data filename: Untitied.rck Page 2 of 4 Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 6106.4. Circulating Hot Water Systems: Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time dodo. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: Report date: 12/02/08 Data filename: Untitled.rdc Pace 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes �• Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1" Up to 1.25' 1.5"to 2.0" Over 2' Temperature(°F) 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 1OD-130 0.5 0.5 0.5 1.0 Table 2.Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Piping System Types Fluid Temp.Range( F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 12/02/08 Data filename: Untitled.rck Page 4 of 4 AWC Guide to Wood Construction in High Wind At I10 Mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.:1.1)1 Q Check Compliance 1.1 SCOPE ...... 110 mph Wind Speed 3-sec.gust) .......................................... WindExposure Category.................................................................. .............................................................B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) '2/ stories <_2 stories RoofPitch ...........................................................................(Fig 2) ........................................... . 3 :512:12 ✓ MeanRoof Height ..............................................................(Fig 2)................................................2L ft <_33' V Building Width,W ...............................................................(Fig 3)................/3...........................2(, ft :580' BuildingLength, L...............................................................(Fig 3)...............2.--Z.........................c� 5 80' Building Aspect Ratio(L/W) ...............................................(Fig 4).......................V to .................�_<3:1 ✓( Nominal Height of Tallest O enin 2 (Fig 4)...............................•...•.••........• <6'8" -� 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete........ ...................................................... .. . .. ... ConcreteMasonry .................................................................... ....... ../.7t"............................................... 2.2 ANCHORAGE TO FOUNDATION'.3 5/8"Anchor Bolts imbedded or 518"Proprietary Mechanical Anchors as an alternative in concrete only 601111 Sp6rig—geneTai ..........................................fable 4 .................... .......................... Bolt Spacing from end/joint of plate (Fig 5)................. in.<_6"-12" ............................. ............ Bolt Embedment-concrete.........................................(Fig 5)........... .. .. ....................... in.z 7„ Bolt Embedment-masonry.........................................(Fig 5)................... .. ...: ..... in.>_ 15„ ........... PlateWasher................................................................(Fig 5).................. ...........................z 3 x 3„x 1/ 3.1 FLOORS ......(per 780 CMR Chapter 55)......................... Floor framing member spans checked ......................... ......12 /✓ Maximum Floor Opening Dimension...................................(Fig 6).................................................. ft< 12 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)....................................................—ft <_d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)....................................................— FloorBracing at Endwalls....................................................(Fig 9)..........................................................ft.c / Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)................................... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)..................� in. Floor Sheathing Fastening..................................................(Table 2)..—d nails at in edge/ in field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)...........................—ft <_ 10, cry Non-Loadbearing walls,!A.t!g...................................(Fig 10 and Table 5)...........................—ft <_20' Wall Stud Spacing ........................................................(Fig 10 and Table 5)..................._in. <_24"o.c. WallStory Offsets ........................................................(Figs 7&8)........................................ .—ft d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearingwalls........................................................(Table 5)..............................2x—-—ft—in. Non-Loadbearing walls 04 (Table 5)..............................2x - ft in. 2 Gable End Wall Bracing' ,,//� FullHeight Endwall Studs............................................(Fig 10)................................................... ........ � WSP Attic Floor Length................................................(Fig 11)............................................. ft>_W/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................ ft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11)............................................................... or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays 4__1 Double Top Plate ft SpliceLength ........................................................(Fig 13 and Table 6)....................................— Splice Connection (no.of 16d common nails)..............(Table 6).........................................................— i r AWC Guide to Wood Construction in High Wind Areas: 110 snph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.3.)l Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Table 8)....................................................:.. Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9).................................._ft_in._11' �V SillPlate Spans ........................................................(Table 9).................................._ft_rn. Full Height Studs (no.of studs)....................................(Table 9)....................................................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).................................._ft_in. < Sill Plate Spans...........................................................(Table 9).................................._ft_in.<_12" Full Height Studs(no.of studs)....................................(Table 9)....................................................... i Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W I Nominal Height of Tallest Opening2 ..............................................................................._<_6'8» A Sheathing Type..............................................(note 4) N ..................................................... Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 10)................................................. in. Shear Connection(no.of 16d common nails)(Table 10)...................................................... Percent Full-Height Sheathing.......................(Table 10)...................................................._% *-5%Additional Sheathing for Wall with Opening >6'8"(Design Concepts).................... 9 Maximum Building Dimension, L Nominal Height of Tallest Opening2........................................................................._<_6'8" �! SheathingType..............................................(note 4)..................................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. FieldNail Spacing..........................................(Table 11)................................................. in. Shear Connection (no.of 16d common nails)(Table 11)...................................................... Percent Full-Height Sheathing ......... able 11 ...................................................._% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Wall Cladding � Ratedfor Wind Speed?.............................................................. ............................................................... 4 5.1 ROOFS Roof framing member spans checked?.................:....(For Rafters use AWC Span Tool,see BBRS Website) /Y Roof Overhang (Figure 19) ............._ft<_smaller of 2'or U3 /�A Truss or Rafter Connections at Loadbearing Walls 0 fP.cN( G((ART'y� r Proprietary Connectors . rrl,L � Uplift................................................(Table 12)............................................U= plf Lateral.............................................(Table 12).............................................L= plf Shear...............................................(Table 12)............................................S= plf Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...................:...........T= plf . Gable Rake Outlooker..........................................(Figure 20) ............. ft<_smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors N rUplift................................................(Table 14)............................................U= lb. Lateral (no.of 16d common nails)...(Table 14).......................................L= lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness ............................................ in.>_7/16"WSP i Roof Sheathing Fastening............................................(Table 2)........................................................._ I Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 i c. Uplift Straps per Figure 14 I1 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a 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 requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade, t i AWC Guide to Wood Construction in High Wind Areas: 110 snph Wind Zone Massachusetts Checklist for Compliance(780 cmx 5301.2.1.1.)' 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 b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment •-MM THIS EDGE RESM ON MAMING USE8d NAILS AT6bc 11 11 1 I n n 1 u bl 11 11 11 1 11 11 11 11 11 II 11 11 1 11 11 11 1 /1 11 II D 1 • 1 11 It G 1 11 Il 1 /1 I 1 O 71 1'1•F 1 If it 11 4 1 II m u It I{ Q 11 11 �. 1 II W h It 1 Z II 11 if g 1 n u II � YI If 1 • 1, yl I 11 � ii ll � 1 • It 11 1{ QQ 1 I! fI If 111 1 IL U 1•I � I I Q I I 1 1 W 1 it 14u t II rl 11 1 11 {1 1 NAILSPACiNG I 1 {�PA�N_E_t_ d 1 v See Detail on Next Page ! Vertical and Horizontal Nailing for Panel Attachment � Y I_ , . e 1 AWC Guide to Wood Construction in High Wind Arens: I10 snph Wind Zone Massachusetts Checklist for Compliance(7so CMR 5301.2.1..1)1 TWO � �- ♦ r � � JJ ti kfE a I FRAAAING MEMBERS i � EDGE RdTERMEDIAT£ �� �� I sat 3'MIN, STAGGERED KWL PATTERN PANEL PANEL EDGE DOUBLE NAIL EDGE SPACING DETAIL Detail Vertical and Horizontal Nailing for Panel Attachment � r i ii L 1 A �a as 7 Gs.Jn N � oVY1c Q (� -T_r. = 1 d fo 44 2471 C'j L•.ocArio.v: _(`!i A�S �t:�> C'�tt Ll S i A`L Fo '_ X ASS SOP_ S LcDT a TNgT T/,/jt:-- Z-O G 4 T,E 0 CIA/ TINE Assessor's map' and lot number �.�.......Y.4!.l:G< (} / � P�Of THE T0�` Sewage Permit number ..... S�U.....................� ZBBBSTABLE, House number. i rasa 0 039. TOWN OF BARNSTABLE BUILDING I ,SPECTOR APPLICATION FOR PERMIT TO gi�Q .......................... TYPE OF CONSTRUCTION .......................................................................................................:............................. J a{ J ........ .. .................................19........ TO THE INSPECTOR OFI BUILDINGS: The undersigned hereby 'applies for a( permit according to the following information: Location ........................................... �4.. ........�1!l.aY....0//II........................ ............... ....... . Proposed Use -sue...... ..........s�...................................................................................................................... . .... Zoning- District ........... . ire istnct. '........ ,...................., .�Name of Owner ......................I Y(.� (�r.`rJ. .p.J►'.�.Address�T !� �':`Ed j..........................'ff�lLt Off.. 'f ,W// `Name`of Builder .�... �C;4�Ct^ ....... ohl!i-c�I,.........Address .�...U.t f. .. f�G gyq►f(pN) ...5 w - Nameof Architect ..................................................................Address .................................................................................... ..................Foundatio I Number of Rooms n ... : W ....C.cSVi�/Lc� ..'.0..�`!. �I Exterior .. ..... V+IvK? ....................................Roofing f ,o�.�c`F........................................................... „Floors C- A..e .Q '........Interior ..t..c Hedtmg�......G. ...e.....iC�/` ..... Plumbing ... cl �!...!c .............................. .................`.... ... .. . .. ` Fireplace � Q................................................................Approximate Co" st ................ ................. �................. .... Definitive Plan Approved by Planning`Board -----------__________________19 Area .......................................... Diagram of Lot and Building with Dimensions Fee .. SUBJECT-TO APPROVAL OF BOARD OF HEALTH 4 ;P11q� f a f • I 6„ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the-Townaof Barnstable ordiff the above construction. - Name ...........J err . . . ............... . ... ................. . / ..... l76c>3 " Construction Supervisor's Supervisor's License .....`............................... e. JOELEE TRUST/J. GRIBKO, TRUSTEE A=127-28 �-/,2-7-aa� 27903 One Story I No .................. Permit'for .................................... ,,,$ �g1e,.Family., Dwellin Location ....L.P.t... .......139. Woodside Road ................ c�>;S.tP. s...Mills.......................... Owner ...Ji�e.].�.e... rs t/J. Gribko Trustee Type of Construction ........F.]:ame.................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...MaY......2.Q.R...................19 85 Date of Inspection ..........._........................1,9 Date Completed 19 '"E F, Town of Barnstable BARNSTABLE. Regulatory Services 4. MASS. t639 A Building Division prEO MPS 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 V Inspection Correction Notice Type of Inspection OfR Location l3? LOO. T gar- �{ /Y-r Permit Number eft� Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: Q fL�l�� �l7 �iV?� G�dims-Ef �'64-!•�YL!�z-S .4r 12��� sy-�tL-- Z� �c.�,-�.��4c� D 7b 11u SC L'q-r&' • 11 Please call: 508-862-4038 fo`r-re-inspectio . Inspected by Date /,7? / 4 9 5:�'" �� � Assessor's Office 1st floor Map,/ —lit. 0 V . Permit# 3�� ) �b I ` Conservation Office 4th floor) Date Issued r Board of Health Ord floor , - ,' Engineering Dept. Ord floor House# f= i - f Planning Dept. 1st floor/School Admin.Bld . :• • R,EMAKNAM _ Definitive Plan Approved by Planning Board 19 (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) c 'ti� � mod' TOWN OF BARNSTABLE`�z �® Building Permit Application ��,�® Proiect Street Address tag 139 WOODSIDE ROAD e7j��1 Lsrr'� 3�1 Village MAugTO NS MI-I,1;S Fire District ., Owner DOUGLAS E. & REBECCA SMITH Address Telephone 4 2 0—2 7 5 Permit Rc uest: A-TT-A CURB _ �j j LA—e Zoning District R E Flood Plain C Water Protection Lot Size 1 . A Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Us C /�9-films j�� r2 S1' �L/�� Construction Type wnCn FgA1dE T:412 Q, TU``'`'G'lLe� oZ""') �✓� Existing Information Dwelling Type: Single Family # Two family Multi-family Age of structure In Basement type CONC . Mk- Historic House Finished Old King's Highway Unfinished Number of Baths 0 No.of Bedrooms Total Room Count(not including baths) @ a e n e up e e e e,,n First Floor Heat Type and Fuel e�1 E Central Air NONE Fireplaces NONE Garage: Detached Other Detached Structures: Pool 0 Attached Bam 0 None Sheds � Other Builder Information Name ED FANNING Telephone number 428-7411 Address 295 LONG POND R D License# 019597 M A R S T g N S , MILLS ?4A 8T— Home Improvement Contractor# 1111 Worker's Compensation # 614 K 3 0 2 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO BARN 4 T A RT.R Project Cost / `7 CU-y FeeS'd,C/Z) SIGNATURE DATE 2�ZZt BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY V-, 2/23/95 �$ ` O ADDRESS 139 Woodside Road VILLAGE Marstons Mills Doug & Rebecca Smith OWNER DATE OF LNSPECTION: � FOUNDATION FRAME WSULATION FIREPLACE ELECTRICAL: 'ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: . F ASSOCIATE PLAN NO. i. _—————————— FsNsretopos�aaca��aat ————————' sssttsStataBslidint ---- �; .. Afassaoa COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY ' CodslscsssOtOrrevocation ONE ASHBORTON PLACE ofthislice"O. OF BOSTON,MA 02108 `� MASSACHUSETTS LICENSE CAUTION C 0 N S T R. U P f..R 1l T S O FOR PROTECTION AGAINST EXPIRATION DATE 22 9 9 .pR,a;�J0 EFFECTIVE DATE LIC-NO. T pR FT NT IN APPROPRIATE, PUT RIGHT S RESTRICTIONS ' (�f,/ >U 1 9 9 3 a 1 3 5 9 7 � BOX ON LICENSE. NONE o ° BLASTING OPERATORS Z ? +1 LOi�GPC1 . Z z ;�c��taTO'ti `41LL3 p,A 0264g Z ("�'^�1UST�CLUDEPHOTO. gg 016-36-9648 m ll��J 1(�t w• Q;9PR ONLY) FE1 b f L1. LJ NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED-OR-SIGNATURE OF THE COMMISSIONER -'I'L U 7 17JQA Z = , w HEIGHT: / DOB: �'�' '� �� 1 O/2 2/1 9 4 b « SIG't-�7 p ULL Q', IGNAT '`�: -:• t_j-., A OF UC NSEE D THIS DOCUMENT MUST�E U^.��� CARRIED ONTHE PERSONOF STONER �•. � f, THE HOLDER WHEN EN-. GAGEDINTHISOCCUPATION. OTHERS:-RfGHYTHUMB PRIM I i i 1 I ------------------------------------- HOME IMPROVEMENT CONTRACTOR Registration 111.163 Type - INDIVIDUAL Expiration 12/09/96 EDWARD J FANNING EDWARD J. FANNING �t,295 LONG POND RD ADMINISTRATOR MARSTONS MILLS MA 02648 11:02 '91 17:02 $6177277122 DEPT IND ACCID a 001 C0t)Un.0J2.Lt1ea 1L o Waijacfz.u.Settj .� cc�� 2apartment o�J'ndu�fria(�cci 600 Wu�lon Shwef James J.Campbell Boston,, ///wac" 02 f f f Commissioner Workers' Compensation Insurance Affidavit 1, ED FANNING (1loeusedpematee) with a principal place of business at: 295 LONG POND RD MARSTONS MILLS , MASS (GtY/Srne/ZIa) do hereby certify under the pains and penalties of perjury, that: �) I am an employer provid'mg workers' compensation coverage for*my employees working on this job. THE TRAVELERS INS 614K3025 Insurance Company Policy Humber () l am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () I am a homeowner performing all the work myself. I t:nde:-stand that a copy of L~is statement will be fo v.zrded to d:e Office of Investirztions of the D1A for co%Trage verification and that failure to secure ccvr-age as rec fired under Section 25A of MGL 152 can lead to the Imposition of criminal penalties eonsisdn¢of a fine of up to S 1,500.00 and/or cr.: yezrs' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this day of 19 /dz�� Licensee! a ittee Building Department Licensing Board selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # 37 yyJ Tic' `fit wT, : �-r1 ��� ��I� 3oi 1`,zjn Juc,: liv:11111 -n41.02v01 OSoc: 508-790-6227 Fa�c 508775 3344 pmlphQwss�a Bw mgQ=missioncr For office use only Pctmit no. Date AFl?IDAVIT HOME 130R0VEMEn4WN 1RACPORiAW SMPIErdEKM PER?aTAPMC&UOK - M<; c 142A scquires that the-=00 ion,akecatinrs, ation,2cp2m,miode nizafioq imP mot. ztmovaL demolition,or oomuaion a an ad&&m to building coruaining at least oae but not mote than faurdaclli �P fit' rtg units ar to stia�wh_*&mm a t-�C 10:such r sidenoc or building be dOm by registc contmctors,aith attain�mcccpticv-,, a'iih o Tjpeof u'orl:: WOOD FRAME Est Cast $17 , 000:00 AddressofWork: 139 WOODSIDE ROAD MARSTONS MILLS . 0--ir,erN-;an t: DOUGLAS & REBECCA SMITH Datc of Permit Application: F E B 21 1995 I her�„'Fn-ocizifvlhat: RcgisLmiion is not rquired for the following ric2son(s): Work<xcludd b%-1 w Job under S 11000 Ecilding not ociTQ-oCCL.pid O%..ncr pulling Oo%%m pamix 'Notice is hcrcb%-g;ivcn slut: 10',1,'!N*Ep—<PULT-RNG T�]R O�:'�i�t`•. O�DSI.LT`:G�:'T7;=1;,jN'REG1SM--RED CO,,,'3-RACTO;t FOR APPLICABLE FON,'i P. =0�i`•�•i �:'0=�, DD ?<OT 1'_f,:'E ACC`rSS TO r� :�.ETi��T10 PF.O �r;Or CiJf�c+•� ftt7l�7fF 1<2iS S1G'NLD U, DCR P C N LTILS OF r1:RR!!.r z1 OR i IJ2lC' OM�U n2-mc ra_ LOT 35 SE JY 139 f/ LOT 36 0 LOT 37 TOWN OF BARNSTABLE 'b 719 WN FOREST t RES. 'ZONE "RF" This MORTGAGE INSPECTION Play ` For FLOOD ZONL' "C" TOWN: 17-AUU& —REGISTRY OWNER: V JZQ1.�9&Z_;7AWWC_a4_6&T_H DEED REEF: �ZZ?�,1 W— — — — _BUYER• �F1FT�Nr DATE: .�%/,�4— _ — — — _ _ pLAN REF• 239 �7 —— _SC jig:1"- SO FT. I HEREBY CERTIFY TO _ THAT THE BUII:DING . YANKEE SURVEY o' SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS p/1UL '' CONSULTANTS SHOWN AND THAT ITS POSITION DOES" CONFORM MERITNEW H ` 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE f•320 8 TOWN OF RAMCLA E AND THAT Q INDUSTRY ROAD IT DOES NOT_ LIES WITHIN THE SPECIAL FLOOD HAZARD yS�o�P MARSMNS Uns , MA. 02648 LAREA AS SHOWN ON` THE H:U.D. MAP DATED '8/19/85 �q�Vp.BURN fi0� TEL' 428-0055 250001 0015� C„ K ^ _ _^� __ _ FAX 420-5563 t Robert A. McKenna P.O. Box 772 W. Barnstable, MA 02 668 ., Building Inspector Town of Barnstable 367 Main Street Hyannis, MA 02601 To wham it.may concern: I am writing this letter to report an abuse of the zoning and building code of the Town of Barnstable. The property 'in violation is located at 139 Woodside Drive, West Barnstable. This property is reg_stered with the Town Assessors office as a single-family dwelling and is taxed- as such. However, being a former renter of this property I can attest that is is being operated as a two-family- separate lease dwelling for financial gain by the owner and is fraudulently misrepresented as a single family unit for tax puzposes. I once co::sidered purchasing this property and did some researching, subsequently I discovered that this property was illegally constructed according to the zoning laws and was distressed to learn this. Needless to say it was disconcerting to realize I was contributing funds to an owner 'who defrauds the town out of essential tax money. I find it very unfair and unjust that the owner, Alex Gribko 4060 Sugarhill Ave, Jensen Beach Florida, is getting away with ::his. As a government employee and honest taxpayer I would like to see this practice stopped, especially consider- ing the fiscal shape of this State. We need to minimize this kind of tax fraud and maximize tax revenues. Overlooking these situations condones more such activity and undermines the tax system. If needed, I would be willing to testify regarding the facts in this case. Thank you, �'PIC, . Robert A. McKenna � o�ti Rl 2 7 0 238 APPRAI' SAL D A T A KEY 69598 GRIBKO, JANET L TRE LAND BLDIFEATURES BUILDINGS NUMBER Z7N/FL=RF 67,000 191 4,8 0 A-COST 161 :r3oo Fly BY FR 31t-*� C-INCOME FCA=10ii FCS=00 S.I'ZE= 2080 JUST-VAL LEV=3:100 CONST-C 0 ----COPFARISON TO CONTROL AREA 8`12AC ------------------------------ NEIGHBORHOOD 827AC UEST BARNSTABLE FARCEL CONTROL. AREA TREND STANDARD 107 10 LAND-TYPE 67000] LAND-MEAN 161800] 946467 InFROVED-nEAN -2 FRONT-FT 100 DEPTH/ACRES TABLE 02 LOCATION-ADJ APPLY-VAL-STAT 1 LNRjLAND LFT1IMPjADj.S1SBl1FEAT STRJSTRUCTURE ARRJAREA-NEASUREMENTS NORJNOTES COMJPARKET INCJINCOME PMRIPERMITS f3RRJGRAPHIC FUNCTION-[ STRUCTURE-CARD NO-fOOO] DATA-' is P127 028. P E R M I T FFNT] ACTIONf R] CARDf C OO] KEY 69598 (}0000000 PERhIT—NO MO YR TYPE VALUE CK—BY ISO YX `RCMP NEV/DEnO COMMENT [BZ-7903J [05J [ 5J CHDJ J 550001 fFRJ I01.] f86J C100] [NEU J fVM l STORYT f JC I JC JJ J !' JI JI JC Jf J . I J f Jf Jf I J J +_" JC Jt JC J J JI J !: JI JC Jr J r J r J !: JI JI JJ JC JI J !: I Jf J r J C J C J C J f J J J i J C J f J f J C J f r Jr Jf' Jr J :J JC JI Jf JC JC J r J f J f J f J f J J J f J f J C i f J f a I J r J £ I JI JJ Jf' JI JC Jr JC 1 J ! o f J 1 r J ! JC Jr JJ JC JI JC J !: JC J C J J C J f J C J J I J f J f J f J C J f J r Jf JC Jr £ Jf JC Jf' J .1 Jf JC J £ Jf Jf J C J r JI JI Jt: JJ JC J £ JC J £ JC J C J C Jf Jf. JC JJ if I Jf Jf f Jr JI J !- JJ JI JI Jf' I Jr J C J f Jf I Jr I I I Jf I Jf' T7ZVI .. ,�. The Town of Barnstable Inspection Department �• • '� 367 Main Street, Hyannis, MA 02601 '. 508-790-6227 " Joseph'D.*DaL,, ' Building`Commissioner February 41. 1993. Mr. David �, F;.�;• f, •=. Fitzgerald 139 Woodside Drive ` West Barnstable, MA 02268 Dear Mr. Fitzgerald: Enclosed as � 1 .per our telephone conversation, please ' find a Complaint/Inquiry form. Please fill out the upper` portion of the form and return it to this office for reviewe"%, . Very uly, yours, G. Robbins Office Assistant enc. cc: Town Attorney • SENDER: Complete items 1 and 2%when additional services are desired, and complete items 3 and 4. Put your address in the"RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you.The return recei t fee will rovide ou the name of the erson delivered to and t`,e date of.delivery. For ad itioF-a ees t e of owing services are avai a le. onsult postmaster or tees an check oxles or additional servicels)requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery (Extra charge) (Extra charge) 3,_Article Addressed to: 0 4. Article Number �•s P 017 014 348 Ms. Janet L. Gribkoq JR Type of Service: Jolee trust ElRegistered ElInsured 4060 Sugar venue El Certified ❑ COD Hill Avenue El Express Mail ❑ Return Race' t Jensen Beach, FL '34957 for MerchanSse Always obtain signature of addressee x or agentt,an_d DATE DELIVERED. S. S' na ure — Address ` 8. Act 66iee's Address (ONLY if X requested and fee paid) 6. S' nature — Agent 1 X 7. Date of Delivery PS Form 3811, Apr. 1989 %*; 89.238-815 DOMESTIC RETURN RECEIPT D�, '- UNITED STATES POSTAL SERVOFFICIAL BUSINESSSENDER INSTRUCTIONSPrint our name,address and ZIP Coin the space below. 1 • Complete items 1,2,3,and 4 on the f3 U. fL: reverse. J! • Attach to front of article if space permits, otherwise affix to back of article. �`9�Rsl R IVATE • Endorse article "Return Receipt 00 Requested"adjacent to number. RETURN Print Sender's name, address, and'ZIP Code in the space below. TO Mr. Joseph D. DALui, Building Commissioner TOWN OF BARNSTABL,E- 367 Main Street Hyannis, MA -02601 P 10Z7 014 348 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) sent to s. Janet r i co, TIL Jolee Trust Street and No. 4060 Sugar Hill Avenue P.O.,styensen each, FL 34957 I Postage S Certified Fee •• Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered an c* Return Receipt showing to whom, Date,and Address of Delivery m j TOTAL Postage and Fees S 0 m Postmark or Date A E 0 LL rn a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTE[V adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. ;r U.S.G.P.0.1997-197-722 JOSEPH D. DALuz 790-622 Iluilding Commiuiontr rELEPHONE00=i4X:IIX }F}ffOCXYKYJI( TOWN OF BARNSTABLIE,,-, BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 October 25, 1990 Ms. Janet L. Gribko, Trustee Jolee Trust 4060 Sugar Hill Avenue Jensen Beach, FL 34957 Re: A=127-028 139 Woodside Drive, Marstons Mills Dear Ms. Gribko: This office is in receipt of a written complaint re the use of your dwelling located at 139 Woodside Drive, Marstons Mills. Please contact this office immediately re the above matter. Peace, Os.eph D. Da uzing Commissioner JDD/gr cc: Complainant Town Manager Certified mail: P 017 014 348 R.R.R. a „t A=127-028 � 1�fla V Gl'C-& as, /49,0 Ai'q eq� a A=127-028 a �—JOSEPH D. DALuz 790-622 Building Committiontr TELEPHONEr?CiC 'XXZX 347Zl AMM TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 October 25, 1990 Ms. Janet L. Gribko, Trustee Jolee Trust 4060 Sugar Hill Avenue Jensen Beach, FL 34957 Re: A=127-028 139 Woodside Drive, Marstons Mills Dear Ms. Gribko: This office is in receipt of a written complaint re the use of your dwelling located at 139 Woodside Drive, Marstons Mills. Please contact this office immediately re the above matter. Peace, osep!hD. Da uzg Commissioner JDD/gr cc: Complainant Town Manager Certified mail: P 017 014 348 R.R.R. t • TOWN OF BARNSTABLE Permit No. ___27903 = Building Inspector Cash OCCUPANCY PERMIT Bond Q Si Joelee Trust Issued to J. Gribko, Trustee Address Lot 36, 139 Woodside Road, Marstons Mills Wiring Inspector ��6, �-y.� Inspection date �� v Plumbing Inspector Inspection date ..�L., v Cxas Inspector � ��/�,�„�Z ,,. d � Inspection date Engineering Department �� � � ' ��(` Inspection date �" 40 Board of Health ' Inspection date 6�/�' ��✓ 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 TBE MASSACHUSETTS STATE BUILDING,CODE. .................... ................ __ _._._ Building Inspector .. �.� ,� ,i.-.,. �-^ev Yfs �s���..-..j.T•- �.u.+i ,�� .�-i t w '_�jv:�. i � .y. v .-/. 2'P t ��.,�` '°•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT Z DARWIT : TOWN OFFICE-.BUILDING rut e 9 HYANNIS, MASS. 02601 J( MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Q Building Permit #............ —/, .»»....._........................... ............................_. ...............»..... .....»..._._.................»»»» »»» uissued to ..4�. „/yt (,5......................._..............................._......................_....... Please release the performance bond. rEj, 1 ff 7,'Assessor's map and lot number ........... .�Ar'1Y....................... WITH+ ti rNe r' iI TITLEo� OF Sewage Permit number 9. �/ ENVIRONMENTAL CC c� .� r._ /y � f;l)t f..Qd../ !64!/.^................ r. ®V Y : 89BB9TODLE. i House number ..................... ..... r rasa Gp 639. `000 TOWN- OF BARNSTABLE : BUILD G I. PECTOR APPLICATION FOR PERMIT TO lL ✓/ .............. l....!. � TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 6t�OOAS Location ../'terlCcl. dill 6 ProposedUse ..rtit:..... ..UI -*.-.............................................................................................................................................. ZoningDistrict ........... ..........................................Fire District ........................................... . ................................ �c� �i�iti o r- w` / - / t, Name of Owner VQQI(`� ........ . ... ►..::...*......... .Address�l..... .. Name of Builder .... .. . .. ...... ........ ........... .. . ..........Addre ......................................... r Name of Architect ........................................Address .................................................................................... .......................... p Number of Rooms ` .. ...................................................Foundation .. � .^.Q v� �l.. Exterior .L�`�.` .....�V!�... ....................................Roofing C O S....�1 ........................................................ /1, CND^ Floors '� ..................................Interior .. Heating ...... Cl.�.J. ..K?...1�0.4......................................Plumbing .... . .:.......... ............ \Fireplace .....' . .... ...................................................................Approximate. ost :................ ................... ................... Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area .................................... a� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 t0— b3 ►q OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ` I hereby agree to conform to all the Rules and Regulations of of Barnstob a the above construction. Name .......:... 2 ....rJ.. oe 7663 Construction Supervisor's License .................................... OELEE TRUST/J. GRIBKO, TRUSTEE 27903 No ................. Permit for ....One. Story ................................ ........Single...Family....Dwelling. . .............. . .. ....... .. ... .... .... .. .... .. .. Location ......Lot 36, 139 Woodside goad ..................................................... Marstons Mills .......................................................................... Owner ...........Jo.e.l.e.e...T.rus.t/.J......G.ribko, Trustee" A ....... ..I. .. . .. .......... Type 'of Construction .....Frame.......................... .... .. . . ................................................................................ Plot ............................ Lot ................................ May 20 , - 85 Permit Granted ........................................19 Date of Inspection ..............19 Date Completed ............. It �aa � Sl © E SzC) i 1 Gor�G. too 1 4 1.1 - N Y ED — L o7 4o, -BZ r, s- t .�oc�rio�v cot-5S Mll.l_S M SS A L E X G-F-2' 1 B KO ,e�F�tc�vc�: Ass EssolZs MAP 12-'7 LOT Z8 2 NG`CEBY ClACT/FY 7-N.44T T.NE BV/L.0/.V4r SA,ION/.t/ O.V 7'/.//S- PLA4.V /S LOCA97700 O.t/ T.V& (F.C4v va JQS WAVO W_ .V r !`lN I *H E wn /24-- en9i�-rear�r�y �u OJALA • 4 r �, #26348 e, i L•4•vZ7 StJ.lViYo.O3 $ f¢�.5� �xi __ GOU7W G.4 7-A-/, A-0OZZ. i 00g v SMOKE DETECTORS REVIEWED ° o BARNSTABLE BUILDING DEPT. 6 D s s W� Z NB 0 FIRE DEPARTMENT DATE 11 T CA5EMENT BOTH SIGNATURES ARE REQUIRED FOR PERMITTING (2)CASEMENTS i CXW 135 9LT CXW 1 45 1 2LT I �IDim" LINEN ° ' 5)5HELVE5 IMPORTANT — UPGRADE REQUIRED oru+wry BY:MK N 0 I z Q BATH STATE BUILDING CODE REQUIRES THE UPGRADING OF O w ---J TILE SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN F- FORMICA cNrP. ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. °. MIRROR 32°x60°FIBERGLASS a/ N • O 5HOWER w/SURROUND NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE Q F@ O INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT DOES NOT SATISFY THIS REQUIREMENT. IL) p� 3 o z w 2.a x6 �� CARBON MONOXIDE ALARMS 0 ae g MUST BE INSTALLED PER N F MASSACHUSETTS BUILDING CODE L 3 T �'ns 3m m ` EXIST.Ist FLR BELOW 2ND 6DRM o OC OAK FLOOR I° O O 7'-6°CLG.HT i. : O EXI5T.CA5EMENT —) WINDOWS � LL_ O o � '• I � II �O KN J 5'-O x 6'-O 5'-O"x 6'-O (� d O U to "? CL05Ef CL05ET M KV POLE 6 5HELF KV POLE t 5HELF ' 43-1/2-KNEE WALL EX15T.ATTIC ACCF-55 e O i o N lD • - N t w Lu 0 Z PROPOSED SECOND FLOOR PLAN 0.� - Z NN v O N 0 LIL li-NW N O NO O O T 12 3�— DRAWN BY:MK Ll � `� EXISTIy6 O INSTALL G'C51 G COIL 5TRAP 111111 11 IT MN[l i m p Q N ` Z Q Q m If 1111[ W l � . cc G 0 1 A EXISTING 12 Z �10 O o p IL- In (n 0 FINISHED 2nd FLOOR L ' 11 1 I 1 1 11 11 I ii --- O C _ I II 1 I II � 11 L � II m I 11 ! I II II� I 1 I 11 1 II 11 11 11. I 11 II - u 1� u LI u a: u u _� lLJ INSTALL FLOOR-TO-FLOOR CMST 12 „// W 5TRAP5 ON TH15 WALL ~ O II p �Lu(� J U J Q O " tl� ____FINISHED Ist FLOOR O^/ LL_ 0 0 N N l LU m LU W > 0 Z I RIGHT ELEVATION w o = I I-Du A- 2 Y r Z N� O o „ O W M r 'v. NEW ALUMINUM GUTTER IF ZwN BY:MK w/DOWN-MATCH EX15T. O � � II If II IIITII I ILJ INSTALL G'C516 COIL 5TRAP W m In Z EEl cz < Ill IZ \\ // Lu Q 1J � 3 w I � � o 1 1#1 z Lu °L I I O o D Ln In ^ OLn . 11 It 1111 11 if 1111 - r, I.L L O •i�.1 113 (n , W 1L 1 IL!I II 1 .1L J.LI ILI — NEW EXISTING z O Q > o lLJ J II 11J Q �. 11J Q U to OC cc O O N lD CV Lu m tu a W O Z z O W N REAR ELEVATION o t _ N m A-3 C p N J m RIDGE VENT z Z RAFTER-RIDGE 5TW O Z,, o Ln mg CONNECTION LSTA 21 @ EVERY RAFTER N Y- (SEE NOTE 5/A I) CZ ROOF A55EMBLY 12 O nr T E K-ib—•[7P ?w-E T, 3 z �g DORMER RAFTER @ I G"o/c u R-30 GATT IN5ULATION ) r w M CDX 5HEATING _ So # FELT PAPER TDY PLAiS=r0-5.M? Cbi4l<( �60 _ A5FHALT 5HINGLE5 3C yr5, Q 12 / / DRAWN BY:MK z o < O u7 t4 i rl U VTTE ft, I ii U) uj vJ bvVJNSPT 1 — — — — — -- R-30 BATTS 1 m Lu _!x "_Fla G 115 cz z p F o i I - i 0 o o o J p I Z) o u � m L' 2nd DDRM z I m I J L _ cot EXT. WALL ASSEMBLY - 2xG" STUD @ I G"o/c o - R-1 9 BATT5 I / // Z = - 1/2" CDX 5hEATING N - TYPAR or EQ. - W/C 5HINGLE5 i / Ivu uu / 0 0 N ' CY • ewo i Z a O N Q W 0, 5ECTION 1/2"= 1'-0" A— ' I t 4. i • i 1 . wo ol3- Q 3 p F- i 1'-pu 0-Cf c_�8-off \Sl I WOOVs(VE 1Zoa � i S ' i Si LLJ IL . i I/ i rr 0 � I i i VL, !oE r� r11,F I'l I Y2 tip VC1 1? �l sT�, M