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0077 WIANNO AVENUE
0 f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel'. 00S, ; Application #C (W C[s Health Division Date Issued 3 �� Conservation Division Application Fee I Planning Dept. Permit Fee (0-3 a �� Date Definitive Plan Approved by Planning BoardCo3)!OI! Historic - OKH Preservation / Hyannis Project Street Address i A t4 it O A o Village _ S`tf►JI �.�� Owner Address Telephone Permit Request 1F)f mog&T V_ ( t,1 EAPvtiU fz- A `&(a7r t C_n tL lad. R,00 r AW 6- Vst --14 o MAI t s AAA Uo UvLai T s Z v►� Square feet. 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatiortf L_�'..000,0 Construction Type Lot Size a �;4' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Full Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing®new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other , Central Air: ❑ Yes ❑ No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑ No �! -a Detached garage:�existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: O;existing -Ellnewa size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other' � � CD V7 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ � a,. Commercial ❑Yes ❑ No If yes, site plan review# s I � Current Use Proposed Use v "� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ?A �. �\A�-� 1 A) � Z Telephone Number � � � - Z Address Q! �"t l H �T License # 1 ,0 l� I jam/H JU ni r S ,mot Z .n d Home Improvement Contractor# Z 6, Z c Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ► A) A DI SP e SA L SIGNATURE? �✓ 't-, ! DATE FOR-OFFICIAL USE ONLY .APPLICATION# ' DATE ISSUED << MAP/PARCEL N0. s •• ADDRESS F'' VILLAGE • 1 t OWNER DATE OF INSPECTION: 7 � FOUNDATION �`� FRAME & (Alu t s; INSULATION z FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL. ; GAS: ROUGH FINAL 5 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.� The Commonwealth of Massachusetts I Department of Industrial Accidents 1 f y� i Office of Investigations IT 600 Washington Street Boston, MA 02111 c ww►v.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Bus iness/Organization/lndividual): �` o L ,Pz Z Address: 4 S i City/State/Zip: 14y'd viva �-Ja 0 LGes,A Phone #: �;-®EJ s y:4 4 S .3 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.El I am'a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship and have no employees These sub-contractors have I 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. EJ Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 l.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.}t employees. [No workers' comp. insurance required.] 13.❑Other *Any applicant that checks box N I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this'affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box,must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name:_L VA Oa Policy#or Self-ins. Lie. #: }}1.4 09 Expiration Date: / / G 3 �� ! 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$1,500.06 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 ofthe DIA for insurance coverage verification. I do hereby certif der the pains and penalties of perjury that the information provided above is true and correct. Signature Date: Phone#• 10 G �/ Official use only. Do not write in this area, to be completed by city or town official. City or Town:. Permit/License# i Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector 6. Other 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 defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely;by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is 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 pen-nit 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-MAS.SAFE Fax^# 617-727-7749 Revised 5-26-05 „�a; : .uatrtsrwaLE. Town of Barnstable Regulatory Services Thomas R.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office:508-862-4038 Fax:508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize Pablo Martinez to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Ignature of Own r Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\UsenWecollik\AppData\t.ocallMicrosofhWindows\Tempaary Intemet FileslContent.Outlook\DDV87AAZ\EXPPMS.doc Revised 072110 License or registration-valid for individul use only �Office of Consumer Affairs&Business Regulation n found return.to: i HOME IMPROVEMENT CONTRACTOR.,;; . � before the expiration date. If.office of Consumer-Affairs and Business Regulation Registration: `'142802 Type: r DBA 10-Park Plaza-Suite 5170 Expiration__ 5%20Y2012 Boston,MA 02116 ,p CUERVO BUILDING+REMODELING t^ PABLO MARTINEZl"- - - -., �-r✓ 49 SMITH ST - " ' ' Not valid without sig ture HYANNIS,MA 02601 `.%�> Undersecretary . tV11issachusetts- Department of Public Safe" Board-,of Building IZl"�ulatlpns and Standards ' Construction Supervisor License License: CS 103617 Restricted to: 0.0 PABLO MARTINEZ 49 SMITH ST • HYANNIS, MA 02601 ��_ �• �l� Expiration: 11/17/2013 T r##: 103617 ('ununi..iuncr t I - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION y ' Map Parcel UZ Application #, Health Division Date Issued Conservation Division Application F So Planning Dept. Permit Feed Date Definitive Plan Approved by Planning Board f� Historic - OKH Preservation/ Hyannis Project Street Address 7 1XjmA.9,AJ o Atlie Village Owner ��U Address / [� Telephone Permit.Request ADD A ef 1.04-",ne4 c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay, ;Project Valuation n�.�Construction Type Lot Size `O Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) 1 Age of Existing Structure 9�� 5 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ZFull ErCrawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) t--) ID t-�' 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 Fu I: Gas ❑ Oil ❑ Electric ❑ Other Central Air: /Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑yes ❑ No C Zexisting Detached garage: ❑ new size_Pool: ❑ existing 0 new size _ Barn. existing n WX- size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other Q Zoning Board of AppealZo orization ❑ Appeal # Recorded ❑ Commercial ❑Yes If es site Ian review # w 304 oY p m J P- Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name L� J1� Telephone Number �SV 2-3-7 97EI Address 17 7 License # l�4 Mfi- P20T_ Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESUPW9 FROM THIS PROJEQT WILL BE TAKEN TO SIGNATURE DATE J ,3 i� F tt - FOR OFFICIAL USE ONLY t APPLICATION# DATEISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER +` t DATE OF INSPECTION: _.._:FOUNDATION~ r FRAME INSULATION E FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH t FINAL GAS: ROUGH FINAL I I' FINAL BUILDING s c - DATE CLOSED OUT i r ASSOCIATION PLAN NO. F The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations i 600 Washington Street` Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A' licant Information Please Print Legibly Name(Business/Organhzation/lndividual): V 'Cl D Addres � � c ►Qz s: City/State/Zip:�� c 1 Phone#. 9411I� Are you an employer?Check the appropriate x: Type of project(required): 1.❑ I am a employer with . I am a general contractor and I U] have hired the sub-contractors employees(full and/or part-time).* 6. ❑New construction 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• �ruilding olition working for me in any capacity. employees and have workers' 9. addition [No workers'comp. insurance comp. insurance.$ required 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions / q ] officers have exercised their I I. Plumbing repairs or additions 3J❑ I am a homeowner doing all work ❑ g p. 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#l.must also fill'out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: .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 nder the g 'ns and penalties of perjury that the information provided above is true and correct. -Signature: /C/ Z Date: Phone#: Official use only. Do not write in this area,to be completed by city or town offtciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: - Phone#: Information and .Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more .. of the foregoing engaged iri 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 bean employer. MGL chapter.152;-§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required...Be advised that this affidavit maybe 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 cityor 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 ' towti)."A copy of the affidavit that has been officially stamped or marked by the city,or.town may be provided to the-.' . . applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be'filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to.burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions; please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street . Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia LARS04 OP ID: 26 CERTIFICATE OF LIABILITY INSURANCE 1 DATE 03126DIVYYY) 3I26113 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(les) 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 endorsements. CONTACT PRODUCER Phone:508-485-8211 NAME: D. Francis Murphy Ins Agcy Inc Fax:5081385�557 PHONEAX Marlboro Office Arc No E A/C No): 200 Main Street E-MAIL Marlboro,MA 01752 ADDRESS: Albert Yesue X5120 INSURER(S)AFFORDING COVERAGE NAIC 8 INSURERA:NGM Insurance Company 14788 INSURED K&D Construction INSURER B:Associated Employers Ins.Co. 11104 Darryl Larson&Kevin Larson INSURERC: Partnership 95 Essex St INSURER D: Marlborough,MA 01752 INSURERE: 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. 1LTR TYPE OF INSURANCE INSR POLICY NUMBER MMfDDNYYY MMIDDnYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERALUABILITY* MPK47069 08/30/12 08/30/13 PREMISES Ea occurrence $ 500,000 CLAIMS-MADEI OCCUR MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AG $ 2,000,000 POLICY PRCOT- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION X WCSTATU- OTH- AND EMPLOYERS'LIABILITY R I _ B ANY PROPRIETORIPARTNEWEXECUTIVE Y 1 N N 1 A CC50050069592013A 03/20/13 03/20/14 E.L.EACH ACCIDENT $ 100,00 OFFICERIMEMBER EXCLUDED9 a (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Carpentry Residential 77 Wianno Ave Osterville MA CERTIFICATE HOLDER CANCELLATION BRUS005 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Jim Bruso ACCORDANCE WITH THE POLICY PROVISIONS. 198 Bristol Rd Wellesley, MA 02481 AUTHORIZED REPRESENTATIVE �lY-CNV►1.ti1 co-. l��/y,U O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r ,: Contractor Name- MD Construction 28 Orchard Dr Hudson, Ma 01749 W/C AMI Insurance Company FYI T Town of Barnstable Regulatory Services BMWSTABLE, : Thomas F.Geiler,Director y MASS. �A i639• .0� Building Division QED MA'1 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 Cy Please Print JOB LOCATION: number street village name �v home phone# work phone# C-RRENT MAILING ADDRESS: T 09 A{Q1S-_A ( 1< city/town f 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 requir ents. i ture 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 form/certification for use in your community. Q:forms:homeexempt Town of Barnstable Regulatory Services ` 1n MASS. �is Thomas F.Geiler,Director i639' `0� iOTEn p„►�" 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. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 62012 i i 03/04/2013 07:32 508-790-4686 PAGE 05/05 Taylor Design .A.ssociate5, Inc. P. 0.Box 1313 JForestdale, MA. 02644 Tcicphone& Fax: (508) 790-4686 March 1, 2013 E. J. Jaxtimer Builder,Inc. 48 Rosary Lame Hyannis, MA 02601 RE: May Residence Inspection—March 1, 2013 r 192 Garrison Lane Osterville, MA. Dear Mr. Jaxtimer, The structural framing of the renovated structure was inspected. Some of the existing first floor framing was reviewed for possible renovation. The completed renovated structural framing meets and exceeds the requirements of the Massachusetts State Building Code, 8'h Edition. We reviewed the removal of two 3 '/z"dia. lally columns below the kitchen framing. A,replacement beam would span 22'-8"+/-from an interior]ally column to the existing concrete foundation wall,or a lally column next to the wall. The beams could be a W9x40 or a W 1N30, A-36, steel beam. The interior lally column would be supported by a 3'x3'xl2" deep plaint footing flush with the existing concrete floor. If that size footing does not exist, it needs to be provided. The existing 3 —2"x10"carry beams that span 8'-6" and 8'-0"below the great room and kitchen provide the code required support of 40 psf live Load and 10 psf dead load. The two new low ridges above bedrooms#2 and#5 will be strengthened by reducing the span with 4"x4"posts in the second floor ceiling ad4acent to the intersection with the higher, main ridge. 03/04/2013 07:32 508-790-4686 PAGE 04/05 Page 2 RE: May Residence March 1,2013 r J The calculations for these areas are enclosed. If you have any questions,please feel free to contact me. i c , W 217 UJ R. Grego ylor, Presid Enc. 03/04/2013 07:32 508-790-4686 PAGE 01/05 JOB• A.- TAYLOR DESIGN ASSOC., INC. SNE6TNO. {Z„-- i _ of stda Box 1313 n Forestdale, MA 02644 CALCULATED BY— � DATE ��'" •L�_ Tel./Fax: (508) 790-4686 CHECKED BY DATE SCALE ..... .. 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' L , i 03/04/2013 07:32 508-790-4686 PAGE 02/05 - roe �"�''� l�t�'.!°9•g C�..�•�`xTi�L�Q�_ TAYLOR DESIGN ASSOC.,INC. SHEUNO.�.�� of P.O. Box 1313 C-rlbr LOS � Forestdale, MA 02644 CALCULATED BY �n-� Tel./Fax: (508) 790-4686 CHECKED BY DATE CZia+ 1 SCALE ....... ..... .... d ..... ..... _ ..._ .._. u 40 iv . ........ n...........,_.. . , ..............................:...........:..........................:..........._:.......... ..........w.:-. ;...........:.........::......._. .... . .5. .............._......................................._....................................... .._.......�.......-......._ _._........ ............:............._........... _.._. ._.................... ........................::... ... .........._..... ...... ... ...... !'cam ....... .... ::.........::... r...: ....s. ._..._ ? s .........:............ ; ........ ........................_.............................._...•......._•............._............ 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Box 1313 Forestdale, MA 02644 oaLcuLArEo BY— C-z c Tel./Fax: (508) 790.4686 OF CHECKED BY „ .... ...... .....................__... .......... .�................... .... .... ._... ........._................-.. ._. ............... ... .... ... _..._.._.......... ....... .. 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'. ...:... du _............... ............_.............._...... ,... .. /....�.o x_...30.._.:.................... _...:...l..z...o-�................_...b.t'... ' .................... ............._... : .......:..._... ......_......................... . . :. . .............. :........ ..... , .... ................... ... ..... �....� .... .... .... :....... ... 6.... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel.. d© � Application # 'R©/oo;/0_13�z Health Division Date Issued Z t Conservation Division Application Fee C2 Planning Dept. .:'Permit Fee 3 . Date Definitive Plan-Approved by Planning Board ZIG/�o. J Historic - OKH Preservation/Hyannis Project Street Address 1X/ I A to fy 1D ,A:i/E• Village 0 6TF,1Z I!i LLE Owner SAnJ • G _FRLLo IQ Address / Z y vU&LLe&LEy zD . .eLaa O MA Telephone Permit Request f-t' �--oVF- i NuT69A*F_ dp-vwALL Kile W-A) 6Ab1 AJF_tS GE2a H L T Le F ao A"FNAoo,-k S w-TF- low- o A,�45e ' Square feet: 1 st floor: existing L 13�proposed / /1 2nd floor: existing 114 proposed ! 16 ATotal new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 000, oo Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, 1-4 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes » No Basement Type: )l Full 9.Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) O Basement Unfinished Area(sq.ft) 6 Z 3•S0 Number of Baths: Full: existing_ new 0 Half: existing ® new Number of Bedrooms: existing —new s, co Total Room Count (not including baths): existing new First Floor Room Count CD Heat Type and Fuel: I(Gas ' ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes No Ex Fireplaces: Existing p � g New O Existing wood coal stove: ❑`es 5KNO Detached garage: 9existing ❑ new sizeW"Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0 new, size_ Q Attached garage: ❑existing 0 new size _Shed: ❑ existing ❑ new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ i Commercial ❑Yes V No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION fib BUILDER OR HOMEOWNER) Name?A. L � lJ W E Z Telephone Number �-,:O 39 93 Address 4 01 C, �A aiH CIT License # 4 n/N 15 kl A n Z t-01 Home Improvement Contractor# •Z 602- Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ?iAiA, N��IZD1Ll�€. S A PJ N - — v SIGNATURE, DATE 1 `r FOR OFFICIAL USE ONLY APPLICATION# t DATE ISSUED' MAP./PARCEL NO.. �• ADDRESS: . VILLAGE OWNER 4 DATE OF INSPECTION: r FOUNDATION": FRAME INSULATION.'' FIREPLACE r ELECTRICAL: ROUGH FINAL !, PLUMBING: ROUGH FINAL :ROUGH r_a `y" 4= FINAL f NAL RUILDIN_G_3L—l-, , DATE CLOSED OUT ASSOCIATION PLAN NO. 1 A The Commonwealth of Massachusetts Department of Industrial Accidents t 14 t `I Office of Investigations tl"iN t E 'l�• 600 Washington Street ;lilt, Boston, MA 02111 �= www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers A.tplicant Information Please Print Legibly Kane (Business/Organization/Individual): 2a y)Lo A y l 1 N em Adlress: 4 of S, H tT 1-1 ST Cit)/State/Zip: u,tasyrits )-ciiF o "oA. Phone #: SO 8 4 3`i 3 Are sou an employer?Check the appropriate box: Type of project (required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.9 1 am a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship and have.no employees These sub-contractors have 8. Demolition Working for me in any capacity. workers' comp, insurance. 9. ❑ Building addition No workers' comp. insurance 5. '❑ We are a corporation and its required.] officers have exercised their 10.E Electrical repairs or additions 3.❑ Iam a homeowner doing all work right of exemption per MGL 1 1.E Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4), and we have no 12.E Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp, insurance required.] 'Any appliant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowters who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractort that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: elo a,. µ t l2-Ge /A, V&A,V Policy #or Self-ins. Lic. #: Expiration Date: // Jz3 /Zm Otj Job Site Address: -7-4 W1 4 MA/® AUE City/State/Zip:obTg 2VI LE MA (02j, 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, 1 do hereby certify cinder thepains andpenalties ofperjury that the information provided above is true and correct Signature: QA t/ yV1,,C� Date: / //Z 3//a Phone#: So 0 3 FOther only. Do not write in this area, to be completed by city or town official. n: Permit/License# thority(circle one): Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector son: Phone#: I M1 • L Information and Instructions IZassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. lursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, o press 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 nceiver 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 of on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." NGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have.been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. 'if an LLC or LLP does have employees,a policy is 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 5-26-05 www.mass.gov/dia t ,wutsrw» NAM Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,CBO Building Commissioner .200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office:508-862-4038 Fax:508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1, 60'5-kt f: 1 O K ,as Owner of the subject property hereby authorize Pablo Martinez to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Ju-4&L Signature of Ow er Date SosaVk C�• F2[�6 v1 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:lUsersWemilik1AppDataU-ocallMicrosoftlWindowslTemporary Intemet Files\Content.outlooklDDV87AAZ1EXPRMS.doc Revised 072110 I.Iu��acnusCtis - ucpartmcnt Of PUI)IiC Sufct, Boar&of Building- Regulations and Standards Construction Supervisor License u ,License: CS 103617 Restricted.to: 00 . e1 PABLO MARTINEZ 49 SMITH ST HYANNIS, MA 02601 Expiration: 11/17/2013 ('ununissiuner Tr#: 103617 '. � �'l� -�a.�vrno�u„ea�.o�✓�«aaoclu�aetla _.� --�—, Office of Consumer Affairs&Business Regulation - j License or registration valid for individul use only I — HOME IMPROVEMENT CONTRACTOR..., . before the expiration date. If found return to: - — = Reg istration:;. 142802 Type: Office of.Consumer Affairs and Business Regulation Expi ratio n:--'`5 30%2.01.2 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 CUERVO BUILDING+REIVIOQELING -h • ,C,._"'�"-: .PABLO MARTINET•> `= 49 SMITH ST = = ==' =• j HYANNIS,MA 02601 -r" Undersecretary Not valid without sig ture '1 I Home Energy Raters.LLC BTorrey @EnergycodeHelp.com Box 989,E.Sandwich,Ma 02537 888-503-2233 Duct Leakage Test Address 77 Wianno Ave Osterville , Ma 02655 Date — 1 June 2011 Test Type — Rough - In — Total Leakage Conditioned floor area =3162 Sq FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM = 189.72 CFM (3162 /100 x 6 = 189.72) Duct leakage tested = 180 CFM This Home complies with Section 403.2.2 Of the 2009 IECC Code Date of Test: 1 June 2011 Technician: C.Mazzola Test File: Untitled Customer: Braga Brothers Building Address: 77 Wanno Aare 77 UUfanno Aare Osterville,Nb 02665 Ostenrille,MA02656 Phone: Fax: Test Results 1. Wasur+ed Duct Leakage: 180.0 CFM 134.0 sq.in. (+1-0.0%) 2. Duct Leakage as a Percent of System Airflow: 3. Duct Leakage as a Percent of Building Floor Area: 5.7% 4. Leakage Split: Supply Side: Return Side: 5. Duct Leakage Curve: Flow Coefficient (C): 26.1 Exponent(n): 0.600(Assumed) 6 Test Settings: Test Nbde: Pressurization Test Pressure: 25.0 Pa Equipment: Series B Minneapolis Duct Blaster Test Type: Total Leakage (Duct Blaster Only) Building and System Parameters: Floor Area: 3162 sq.ft. Aarerage Supply Operating Pressure: Pa System Airflow: Auerage Return Operating Pressure: Pa Contact our office with any questions, Q � y Bruce Torrey, — ZE ti Certified HERS Rater Home Energy Raters LLC N rr TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel D V Z Application # c) D �� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address -1, `n 0 V e, Village e'S y 1 � e Owner Fq 'Ia-)� Address � o Telephone _ 11 Permit Request ` ) 1ct ( a P w --b— OL'YX Cad I r 'Y1 CJ,/ e .. o e'rY1 P h t a°`K w r Square feet: 1 st floor:'existing proposed 2nd floor: existing proposed Total neon;. . Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family 0 Multi-Family (# units) Age of Existing Structure Historic House: 0 Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl 0 Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: 0 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) C Name Y Q a 8S(9y- Telephone Number C_7 7 q� ` P^ /7 (951 Address �a R CSa -)_7 ��1 -* a•l License#5 r rct-rq e tq t 14& JPsg �'7 ( -7 Home Improvement Contractor# `0 C� Worker's Compensation # W G a -31S -3 7 0 V OJ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO VV rM SIGNATURE rk DATE .5 Q U FOR OFFICIAL USE ONLY - -4PPL"ICATION# DATE ISSUED . MAP/PARCEL N0. r ADDRESS VILLAGE S f OWNER' ; DATE OF INSPECTION: FOUNDATION e: FRAME INSULATION F FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL s' GAS: ROUGH FINAL FINAL BUILDING o 3 9 t DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts >Aj Department of Industrial Accidents ILA fOffice of Investigations 600 Washington Street Boston,MA 02111 �v r;=' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information f Please Print Legibly Name(Business/Organizabon/Individual): jBy Q 65dcl. P1 U'Y!/t � X Address: q j Adsq3-1 l '"1 U'h it of City/State/Zip: 0 'Y1'-11 1'5 � ''l Oda/ Phone #: 7 '167SI Are u an employer?Check the appropriate box: Type of project(required): 1.KI am a employer with 3 . 4. ❑ I am a general contractor and 1 6. 0 New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet 1 ? Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 1 LE) Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t. employees. [No workers' 13.❑ Other / comp.insurance required.] "Any applicant that checks box tl I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information- Insurance Insurance Company Name: �e-fij 1,,/Policy#or Self-ins. Lic. #: V�/ !°9-- 3/_5- 37 4i !U W— 010 Expiration Date: 3 v/ I a Job Site Address: I Q'h'lti d Ve 09 ter V i �l e City/State/Zip: (06 �5 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 certi u er the ains and penalties of perjury that the information provided abo }e hiss tr and correct Si ature: Date: J 71 0 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: 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 defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that."every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is 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 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 1-9.77-MASSAFB Revised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia of THETp� Town of Barnstable y�V Regulatory Services w BAWSTABLF. „ASR Thomas F. Geiler,Director rE1619- -Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-62_ Property Owner Must Complete and Sign This Section If Using A Builder G � l I, U, J V Q- ` ©Y-\ , as Owner of the subject property P nY hereby authori215- a ex B)-(2 C Bja )So9. to act on my behalf, iri all matters relative to work authorized by this building permit application for. -77 kictn-qo five �s esv►11 e , (Address of Job) o� a.0 / / ignatu.re of Owner Date Print-Name If Property Owner is applying forpermitplease complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION THE Tp�y Town of Barnstable �pp . _ Regulatory Services BARNSTABLE, % Thomas F. Geiler, Director Q MASS.i639• Building Division -(7 �0 ' Tom Perry,Building Commissioner 200 Main Street.Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 - ---- ---------------------- HOKE_ OWNER LICENSE EXEMPTION Please Print DA TE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include o`aner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or faun structures. A person who constructs more than one borne 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 buildinl?permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other- applicable crides, bylaws, rules and regulations, The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section I27.0 Construction Control. ROATEOWNER'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 ofconstruction 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 supensor(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 responsibi)ities,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 caret amend and adopt such a for ✓certifiication for use in your community. CERTIFICATE OF LIABILITY INSURANCE DATE IMMlOD/YYYY) 02/28/2011 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(les) 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 NAME: UT Schlegel s Schlegel Insurance Brokers Inc PHONE A (AIC,No,E:t): I(A10,No): 34 MAIN STREET E-MAIL - — ADDRESS: ..VRODLCER CUSTOMER ID p: _ West Yarmouth, MA 02673 INSURER(S)AFFORDING COVERAGE NAIC II INSURED INSURERANGM INSURANCE_ Alex Braga Dba Braga Bros Plumbing 6 Heating INSURER a PROGRESSIVE 2 Mountwood Rd - - INSURER C: INSURER D: Marstons Mills, MA 02648 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSO--•-__---.._.. —_�._._—__—;ADDC'SUBR—__._. _ _ LTR : TYPE OF INSURANCE INSR ut iWVD POLICY NUMBER --� c ET—MML P 1 (MMlDOlYYVY) AIDD/YYYY) LIMITS A GENERAL LIABILITY j iMP03439T 102/17/11 IO2/17/12I EACH OCCURRENCE $1,000,000 'X COMMERCIAL GENERAL LIABILITY ! -DAMAGETO-RENTED PREMISES(Ea occurrence) S500,000 -- _+CLAIMS-MADE iX _OCCUR MED EXP(Any one person) _ S10,000 _____-____ ,__: l I I •�PERSONAL&ADV INJURY i S 1,000,000 GENERAL AGGREGATE 152,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: 1 PRODUCTS•COMPlOPAGG I52,000,000 --'-.POLICY i j JECT j !LOC j i i S AUTOMOBILE LIABILITY I ' (s B 104574174 i02/24/11IO2/24/12i COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS I I ) I `BODILY INJURY(Per person) S 100,000 1 I I BODILY INJURY(Per accidenl) I S 300,000 X SCHEDULED AUTOS ! I I PROPERTYDAMAGE HIRED AUTOS f i I I(Per accidenl) i s 100,000 I NON-OWNED AUTOS 1 I I I$ ! UMBRELLA LIAR I f OCCUR I I EACHOCCURRENCE S EXCESS LIAB 1 ! .-- CLAIMS-MADE l I I I I I AGGREGATE S DEDUCTIBLE is RETENTION S C WORKERS COMPENSATION j+ WC2-31S-376962-010 03/04/10 .03/09/11 g CS TA u- toTH- AND EMPLOYERS'LIABILITY Y I N i I I TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE 1 i i{ 03/04/11 63/04/12 E.L.F.ACH ACCIDENT S 100,000 OFFICEROMEMBER EXCLUDED? X N I A: i , (tOandalory in NH) — If yes.descnbe under ! ` ' I I E.L.DISEASE-EA EMPLOYEE s 100,000 I DESCRIPTION OF OPERATIONS be'.ow i E.L.DISEASE•POLICY LIMIT S 500,000 tESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101.Additional Remarks Schedule,if more space is required) rHE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR ALEX BRAGA :ERTIFICATE HOLDER CANCELLATION COWN OF BARNSTABLE 3UILDING DIVISION 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. IYANNIS, MA 02601 ?AX # 508-790-6230 AUTHORIZED REPRESENTATIV 1TTN: PLUMBING DEPARTMENT ©1988-2009 ACOR CORPORATION. All rights reserved. .CORD 25(2009/09) The ACORD name and logo are registered marks of ACORD ----------------------- ----= COMMONWEALTH OF MASSACHUSETTS LICENSED AS A JOURNEYMAN PLUMBER SAFETY CERTIFICATE ISSUES THIS LICENSE TO Atex B. Braga i Has completed Excellence in Safety's Powered A L E X B BRAG A Industrial Truck Operator Training at Botello-• M i, Home Center,Mashpee,MA-. 2 MOUNTWOOD RD. l Richard Hughes,C.E.C.M. January 9,2008 MARSTONS MILLS MA 02648-2111 Trainer Training Date f` 31524 05/01/12 757564 t t !a� '• eLICENSE NO. EXPIRATIONDATE SERIAL NO. F L COMMONWEALTH OF MASSACHUSETTS�� • ® Tv .2 IN PLUMBERS AND GASFITTERS 800.621.9419 LICENIJSUEDJ 7ACA)VMASTER PLUMBER LIIJ L"iV.7L (✓ Name: Alex Braga ALEX B BRAGA Registration Number: 169165 4 _5 Date: 12/10/2009 2 MOUNTWOOD RD n Rinnai Tankless Water Heater MARSTONS MILLS MA 02648-2111 Installation Training Course — 5668 0- /=0- / 2., 778-7-�34 r A r COMMONWEALTH OF MASSACHUSETTS— Gastite . . .. . , :.. . . The system is the solution' AS A MASTER-UNRESTRICTED The following person has successfully completed the Gastite ISSUES THE ABOVE LICENSE TO: 1 Certification Training Program and is hereby recognized as a `f _ t Qualified Gastite Installer A L E X B BRAG A Alex 3raga_ Bill Van Norman Name Instructor 2 MOUNTWOOD RD in Braga Bros Rg&Htg__ 110/07/2009 Company 0813438610 mate MARSTONS MILLS MA 0 2 6 4 8-2111 Ce-ificaie\o. 169525 Authorized to purchase ardinsta::Gas::a=lexible Gas Piping 6717 08/28/12 977645 I 1-800-652-C208 vnnv.Gas;i;e.com LICENSE • EXPIRATION DATE, • TrOR. &tiEi fizatz Of C0n2#&t10& The person named below has completed the TracPipe training program and is hereby awarded the Alex B Braga vGtTraining edby CERTIFICATE OF TRAINING. 4" d ay a EPA Approved nn a Fit, September 30.1993 A I e x erGtgq P 7ggQ BYa-4.it, e� Technician'TYPE UNIVERSAL Installer's Name .j Company ad. aeguwd Gry 40 e92..82 &&pad I (Cert- ruct 3 2302994 3/29/2011 b ate No.1 3 3 9 6 8 3 �.® ay Certificate Number Date President VGI Training Div iL 't 2 bll � �� � �o�rrttroy Town of Barnstable 'Permit 2 Regulatory Services EF�t� S.ARgSrX73LE, . _ IrAG. q v ,a1v- ,gym Thomas F. Geiler, Director $ATE A 02- h Building Division Tom Perry, CBO, Building Commissioner 200 Plain Street, Hyannis, MA 02601 www.t.own.barnstable.ma.us Office: SOS-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ii Nol Valirl without Rerl X-Press Imprint Map/parcel Number I O� Property Address 77 �nliqAny �ve. 04ev-vlllf- 05 fX Residential Value of Work $600 Minimum fee ofS35.00 for work under$6000.00 Owner's Name & Address USo,n �� (off Z �ESI 13elMUl! (.9 M Contractor's Narne PC4 f-ictdrr6Z_ CJ2vv0 T elephone Number SOS Z 74 3�93 Home Improvement Contractor License#(if applicable) i 7 Construction Supervisor's License#(if applicable) V � .�� ❑Workman's Compensation Insurance ` PEERm Check one: V`I [ I am a sole proprietor AN 2 a ❑ I am the Homeowner 7-OWN I have Worker's Compensation Insurance OF E3ARNSTABLE Insurance Company Name �w��r�MLvut.. T„Surrviw Workman's Comp.Policy f/ 4 . 25 Copy of Insurance Compliance Certificate must accompany each permit, Permit Request (check box) [� Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to-0 td Wa3�01. ❑ Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof) �] Re-side #of doors Replace ent Windows/do s/s ers. U-Value 0. 31, (maximum .35)#of windows T -YEN e — ��.. ��` *Where required: Issuance of t its permit does not exemp compliance with other town panment reg ti is,i.e.Historic,Conscrvntion,ctc. ***Note: Property Owner-.must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is eq uired. r: I The Coulnlom.venllll ofllfassachltsetts - -- Departlrierlt ofludttsirial_4cciderrts Office oflnvestigalions 600 Washlll ton Street o g Boston, t L4 02111 1 PrPrv.Mass-go i ldh7 ti1forkers' Campensati.on Insmmuce Affida-vit: Builders/Cau.ti-actors,/Electizc ans/Pl:umbers Applicant Information Please PjintLegibly Name. (Bustoe&vDrgauization.Udividttal): R 61oo Ma%fAuz So(L PfoQd[4, Address: 49 SM I N^ 4. 4Y(Innts City/State/Zip: ,,,,> 016o) Phone 27 y - 3-Ig 3 LE11 arr employer?-Check the approprin'tc box: [11 e of project{required): a employer with. 4. ❑ I wn a general contractorJloyees(fuBand/orpart=time).* have h t:ed.the sub-contra -New constnrction a solepropri :tor orpartner- listed on:tire attached sheRemodeling .and have no employees These sub-contractors hay .Demolition king :for me in any capacity. employees and have work .Buildin additionworkers' co'iup.in-RIT-ance comp.insuramce..7 $ired] 5. ❑ We area coiporation.andi Electrical repairs ora.dditionsofficers have exercised thea homeou'raer doisrg.all work Plumbing repa•us or additionslf [No workers'comp. right of exemptionper NfGRoof repairs nce:required.] 7 c. 152,§1�4)., and we have ewployees. [No workers' Other covlp.:insurance.required.] 'Any applicant that checks box#1.nwst also fill out the section below shaving ibsir workers'compensation policy infoawtiaa. I Hameowmers wbo submit Ihrs.affida0t ln&-csting they are doin'g all work and then hire autsid'econtmclors rausl 6nbanit.a UEw affidavit indicating such_ rCoatracosrs that check this box must etacheA sn additional-SbEet ahon<inE_the oMne of the sub=coirtrxzrs sad state wbeth-er or not those entities have en4i7ayees. Ifthe sub>conttactors:hsve employees,.they.must provide their workers'comp.poli,c5•number. I ant an:eNtploller that is proviAng workers'colupetlsalYon his -rance far inj,emploj ees. Below is the policy anal job site it forfftatioll. Insurance Company Name: CnMMuLe- 113vJ(oce- Policy#or 5e1f-irrs_Lic.#: P 258 Expirntion Dale: I I Z 3 11 Job Site Address: 77 W►hMo Ave . Gil}'/State/Zip: (7SItl yl All Attach a copy of the deciaratioa page(shoiidng the policy number and expu•ation date). Failure to secure coverage as required under Section 2.5A of MGL c. 152 can lead to the imposition of criminal pemlIties of a fine up to S1,500..00 and/or one-year imprisonment,as well as 6 61 penalties in the form of a STOP WORP'ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do he"by Cagrd linder th pains and per allies of peljuty that the h.t/ortnatt'ort prm i6d above is trrr.e.and correct Si tune: Dote: Z {✓ Phone#: Z y 3 19 g 3 FFtn-,,-rd oltly. Do not write in fibs area,to be coutpleted by cih'or toivn official n: Per mit/License# orit)'(circle one): ealth 2. B '•din epartment 3.Clty]Town Clerlc_4.Electrical lr_cnert�r ri Plnmhi� u 7e.- —, Massachusetts- Department of Public Safety' a Bourd of Building Regulations find St an(fiwds Construction Supervisor License . ,l License: CS 103617 - Restricted to: 00 PABLO MARTINEZ 49 SMITH ST HYANNIS, MA 02601 Expiration: 11/17/2013 ('unnnissi„ncr Tr#: 103617 1 uueall� o�✓ d° 'Gbe License or registration valid-for individul use only. Affairs&Business Regulation before the expiration date. If found return to: Office of Consumer ' f Consumer Affairs and Business Regulation k HOME IMPROVEMENT CONTRACTOR ::;Type tJI office o . Registration:t1t42802 a 10 Park Plaza-Suite 5170 Boston,MA 02116 Expiration-�`_Woy0 201 DBA j —< 't CUERVO BUILD EMQDELIf�G PABLO K. MARTINE� �Bo 49 SMITH Sit < I� !—g Not valid without sig ture HYANNIS,MA 02601 `^Hyya Undersecretary l r ' , f c� i • BAattsrnau,NAM • l Town of Barnstable Regulatory Services Thomas X.Geiter,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barnstable.mams. Office:508-862-403.8 Fax:508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize Pablo Martinez to act on my behalf, in all matters relative to work authorized by this building permit application for: 77 o A v e (Address of Job) Ignature of Own r Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:tUsetsWecollikXAppDwaU.=I\MicrosofhWindowskTempaary Intemet Files\ConkntOtnlooWDV87AAZT-XPRBS.doc Revised 072110 j I I , M.A.P: INSTALLED BUILDING PRODUCTS P.O. BOX 1309 SAGAMORE BEACH, MA. 02562 (508) 888-3-59.9 (508) 888-9609 Fax ' . Date job completed: zo i1 Address of foam application: )MMO Rd Inches-sprayed in: ' Ceiling a - Walls Slopes Overhang Bsmt Ceil Stwl Blockers:&Runners Cath Ceil Cath Walls Knee Walls . AM Walls . Crawl Ceil Installers Signature: ,C3 :; of - WINDOW SCHEDULE All Windows and Glass Doors are to be ANDERSEN 200 series with _ white vinyl clad exterior frames,prefinlshed white interior,low E4 ' annealed argon glass.Grilles are Finelight"between the glass" 1144"Colonial divided light(where Indicated on plan). Included should be ANDERSEN hardware and White screens. No. MFG Designation Rough Opening Locaction Style 1. 2846 2'-101/8"x4'-91/4" Fam.Room D.H. 2. 3846 3'-10 1/8'x4'-9 1/4" Fam.Room D.H. iRo S rlGo24w ft"oe ( I N6„Aylixe:ilst. I � � Fw•w wua_- ,.I / wad ! Pocket i o yl l I v 4��� .FRAMI£.edRY1eR' p Oi -,. I1 �. 0 w. 24 .��; ..w.w...:.......... I L�: i 1 Iil To M.OEDRa?M WPU.. - l3fila+vC Cxe?n I i ' Z 7 f i oc"AFF. Ili ---- �u� 4. I —�7 INY i 4' ` A X,4 I 7. =�l . II I SECOND FLOOR PLAN acue:/4". =o •raw®ay: ' o„e:lai8•II ory e cuT LENGTH END LENGTH, NfrV .' CLEAR. . . yl .PJd btSllgoN'. SPAN. t` UWL*ARE O6O FAGH�.117 - ' t�cTt-(21oF?Wrl.l. .. .. END Pr ON de'nlnlnun.Je LENGTH ._ end distance. 20 c- tot; - Simpson Strong-Tie - CS Called Strop 7 Wall'. wall atrapping detail i. ' -_..C1P1-fDVG.NOTCFHNG AND DRILLING PAS17:N�9CR®iJfB FOR S7RUCNRALMffiNBSRS .-� .. FASTENER SCHF.DUIEPOR STRUCIt1RAL MF,6m8RS. DESCRIMONOPBUDDIN SPACING OF PASIIIVupp - NUMBER AND y MATERIALS DESCRIPTION OF PA8'1�4BR•`!" Iwtvmrd)am mppsrt!•' TYPE OF DFSCRMT10NOg BUn.D1NG RLPMFNiS PAMMR`•" BPACING OF FASTENERS Outof thltd'O} se I s i�-w Wood aa'nmrnl o mMoor mofaod waE to and woD t^ha'°i° oiat m rill or girder,toe nail 3-8d - . span only /"'-K' 6d mmnm mil(sebfio«,walD 6 . . .p y .. arc vew.rim J aa...,c�° Bd mrsecm mil lr 2'8d "x6'mbno««lessmeach joist.ram mil 2 liG• I t °6,.-I. Bd mromva Hail 6 IY - IK'-IK' lad common nail Bd defonind nail 6 12 -a,bn-rooin« ,blindo W(am mil 2•I6d - ... OWa won�� late to Joist or blocking.face nail I6d 160 o.e. K•mgdor allolosic 1•SmImiad roofing mB 6d comrmn nail 3. 6 mtl ro tole plainop ot solo K and mil too nail 3-Bd«L 16d fibetbaaxti sheathin -of,16 IK Ion K'sauaoral mlldosic IK'galvmiLed roofing mil ble studs,fact mil loll Lt'ac. 1/410Io1 I I auax fibertiserdalteaW' seilam 16 1%1- biero later foot nail 10d 24'0<. depth;Man. ....... . 1/8 Joist 2"Min. I 1 /s•ertucmml m0blosie IK golvanisd tooling awl ad common nail 3 6 le Tate ro'oia«bl w bmmd wail pamla 7-16d j 16'o.c �.� 1 T �° fiberboard ahowhia sm 16 �tlti Ina . dopth,Mitit. e«+e I I K'gypsum sheathing 1K•galvaoired tooting mil:bd mtwrmn 4 t '1 ls lei pl ,minimum 24-inch offset of end joinu.fan 8-16d - 1/3701§t' .- emit smplegalvanhs4 lK long lW loddn between joists or raD«sro lste,tad mil 3-8d' dapth,Man k .1/a!plot. Pnoonxwn�sm nose %. W«S gyp-sheahing 13G'galvnniud rooliog mil:8d mrmsen 4 t 'tier ro lsm,toe mil 8tl .. depth.Max. mil.atepk gwvaniz<d,1%•loos:I%' .latter. at coftm and inrorseaiom%fe�e mil 2-10d - wdxarrow mrew W«S Hilt header,two - with W pace, 16d l6•ere along eacb edge -' •. 1, $olldodvnjolet and raftoYnotChing and boying.Iltolto t 1 Woodre•odneal cavddmtlonmbaetrnmeda m6a ontiauedhcader,two ' 16d t6'oc.alm cached I I Wend lean 6d defomrcd nag«ad ao®ma mil 6 12 'I' 'tiara to plate,tan Dail 3-8d . i I �o 8d menrrmm Dail«Bd deformed mil 6 II ondnuom header to stud,roe mil 4.8d I - l%'-114• 10d commnm mil«Bd deformed m0 6 t2 ili iet.I.P.oxen 'time,face mil 3-lOd c _ F«Sk I in:h:a25.4 rmq 1 fool-306.E tam l ml perbour=1.609lo t 'kin Dorm llel mRers.Ease aeit 3-I0d- I &All nails ate amsethcotvnmM1 box«defoened shanks except when,othetwiso stated.Nails used f«framing and ato Plato.toe mil 2.16d I rw.aBeou.oaoom cat,, sheathing conxedmu shall have munintim avaego bending yield voinglhs as shown:80 ksi(531 M wf shank. - - dinnn¢r or 0.192 inch 120d common oail).90 ksi(620 MPa)fw dmi c dimmtm largo than 0142 inch bar not •brace ro each stud end plate,Etna nail 2-B" 2 1 131' larger than 0.177 inch,and IOD let(689 NiPa)for shank di.-AM of 0.142 inch err leas •x 6'rhembin in eah bean fan nail 2'8d - b.Stapp.-16 gage wire and have a mioiesem'l minch on dad.aowo width 8 °g' 2 Ica,IK' - aW XA NOM5 ANP MUM SPECIFICATIONS � e Nailer"I be spaced at rot mom than six inches m antes a all nipporb where spate an,48 inchex«gewu.' •x a-sheathing ro each beating,face nail 2-8d - d.Fet,40otSydghtRoot«fmrfo«byaine-foot Panels shall be applied vatieallr: `� 3 lea,lK- . I.Mf wo#rtarhlp to radam to tk regbemm's d Ik MahzFtxetts State C+ddtq Cat Nest.editlm m e.spacing of fnuarre not includd in this table shall be based on 790 MIR Table 56023(2). }gd f.F«agions havlog baaie wi�speed of llOmpt«greeter.gd defoema mUa e(mllbe ascd(«emciing plywood tda than l'xg'aleaWingmmch hewing.[am nail d I I'14' 2Fa sit keanacad Kafaq tdmndien zee Slt Plan by others. andwwdan=uulpawJmdahathwgtonmmingwia inemnm=48•i°ehdistenee6wngOAemdwaRs.ifinean oilt-u mtemrsmds IOd 24'oc. SAssned tit afty allc sad lGrtq ryak y-5000W.ra a madua sad/read oero, n roof heigbt ls man,thsi 25 trot,tip ro 33 foe ph w lean If�o�0�v�s'ot ere unnoticed wtact tie En*_d Rend, woo.w stemma<r B•ro Ole cod waius having�wind speed of spaced six ¢Inch es on nags P«bmatu basic wood snnmml osmr roof sheathing Nail-at each as follows: , 4.=Y_•Mmmm 28 dal strercdit re-50009si.,5/4"aPyegate.kzped Pa Amkan BO^OsiOFJ°m opmuw°9"" mils for 6Bnel ofs at sp°Cto dx laehsa a Gana.What bade wind cinch s n ceta than lot¢Wit, milt-up gudw and beams,l;nch lumber lsyen lad Agg o tad bottarrt wad Sk I inch=25.4 man. eosehrrg lmtc(m°(dwcs an m able cad s;and(b dell he sots six inches on cewafof mii g. era�d°d 1 ac mils w ends Caaet kstthd4 Cale.karat isase,mamm s4ry K A". errs-incb distance Gmo ridge,eaten and gable sell walla:and lose Gmhea m txata ro gable sell wan Gaming. nAt a eadt Dae fo, Bdta:ASiM A507 4 strd,5/8"dtamtc,IZ"klq.wBh ads ad'/'t5"s I/4" h Gypa°m almathiag.ahall maPorm to ASIM C 79 and shall be installed in ammWrnce with GA 253.FiberbmN Lut1s 2-lbd At each shall mnfsmm id-AHA 194.1«AMU C 20A raRera ro ridge,valley«hip mRaa:We mil 4-16d Plate radwrs.zpa-id 4'-O"oc Ice ranvet Was tee w/a rysm P11U•serles bxe:a spaced 2•-O'•oc. i spndag futr art tin«dx=tW m;I 3-8d (a alder-argak raalesRac. �. '.; °8 Paaal edgm appfra ropanc!adga by Gwoing member and w - b.the Taadatkn w�#�6e retdaced arch ere matt 4 ba tip ell bottan,hyped nwi 15". i finning and ly all mho[Ime n m dswhtag tmow edge aPP�a t°l a°PPWW by - p P�a�a,Blocking ofmof«floe thembing pand edges pis.. scaler _ Res uas ro raRen,Ease 18d FP.MIPY ro din(raining menthes droll set be .except w inmrxwion of adjanzw roof 0- Rena and roof •1 1' 1 t E, puGncmr s pptided by 6mdngi tnerohes«mlid b ' I.M wabma�q t aa('mr.to tle regaemads d dr MaszairmeNa Stets BaWo-q Cab latest edtxn i I ` � aha0 Tao lecklsg' . 2.5trurhrdDeskniwrk: Sssroa soemnwmkarnmmmmr famwemmm.1Mnaemtramlamme3nT4MMAPPS(-PIPwaramui. .. . Deal Loafs:Acid MW d Atl&g Cmw,ts I smmmeaemmdnrbemn I Asa ice eam,cm.Satter Swann rose 19L MSTALLAnMt . Lae Laals:Srow law!-'�p6m AdL)wiFh eppilydk rair:txn •xo aseantu.^aurm. � - AyY5L=w-20vsr •sn ttmmsu:o mr sox osamnwnm ' LiWgflor- 40psf ,msuem arse lsmw.l I ` 2xl2 Pst3ue ' . 5 gFlea-50psf •m-0a drhwawsoxsao+L / wamw . Della ad Dicwcs- .msroem mn�mm asaom ce lSAQLta ° ::. .. Wtd ial:Lrderw need:ilO MPH ErPoare B no onions 09 aoegam,es W.W 5.5imchrd 5td:(as regaed) or tans.tmwoemoero•to tmmr e . a.A5fM A572 Gale 5P. wttlt not thbdA, raved pasdem mamtmpa•tm o. :''F . 4mpas?. PmL0 M6:A51MAb07.t/2" .m:aa mmenawtuta•ta'mrwe 4 dun-W.Pucivd hol.;9/16"dlanetsr. P2•aalnarnatm-Psaa.atat rw�Il•a at3-M'9e asmhna awmbe �' u':,.. .... r 6mudl- 2-1K' 9%13 MS3-1W .-W.• b.W,�Ns:9cp weld r.p ad has,plats W ulnro:dw weld beatq plates to beams use E70a •R.«dms titer epoch/ms tmmn a a i W'�•''' �S KYJN' 60a Y.Y/K' 6m K'eP ... elect aleles.Ntanvtn,a:field w,W b4 ratffw waters. tmenm rtmsnxwd T.a:ma , / 2X¢ c Deflator Cmtoia:L/560 twat Lod ddledim. MWro m wand m lw,span,FM 0 a.ftkc Franhx them r.Wean pspsmTacmmm z. aNrear tal6a Eraser:Spnxeiotefr Nr2 arch F6-IOOOpsI,E-I,�DD,000Pyabettc. •Oatamm ¢snout noswbeanm aw. .. ., .:. b.PresaretrantadinMr(P.f.):SalkmPanwtihfb-I tea." a°a'°'ma°nfarb"e H2.5A.Installation /5C10pa.E-1,600,0001r.1 or beUc. oeasm Ws Tnenrodb a me tvtbwc m>w c.Laneatcd Vaea Lucl.,r:Al LN.#d be 1.9E LVL with Fb-2925ps1 E-1.9006.Fv-255 W'm^"d'.WM dWWby a eadva (Nails into both top plates) Pal.F-per-750Ps1:ft 51055ps1,Pawn(P5L):ARM skull be sets 1.9E5 wllh Ikdmwra wise sa im mg 1,n.seam.. amen m N r Ms° .. .- - - . Pa- •..SL6,ryl{alisn ad imtimE lS ergo.,tilers asy �-.._- •'-•�^ / •'�. F6-2900pst EI.900tet Pv-265pN.Frp,r-950pA.Fc._P W-29C0Psl.Note dmt I.a tK•(sa xsan amsh i.:mann r msmu ro xw su .. MV4-ad Padaec be used aduduaaKably �.By.a.o. WSLMIe os 80 awasho see.aarE awmblrP , awl ..af,d D-Ac.MUhr,.ixlre nim�dmG I•W,•,t-SW 2-IP.',I-3W 4•]K' ' 1.DeMctl Cr wta L/480 Lae La-A.L/560 fob?Icai. :axsu.o>m m mamsuaartet. sw:ssm a aw 6a ma Y.� V [m KOOK' Sm Kffi 2Proak 4w A-onys d enp,erad tatc N91,ema err�Pro to autetds Wrdsas[q. - rsc®wuuwsumawam ta.onm rmtuasici, A - 5�Mtai Cmeaas: .. WmdC Inxtkn mmctero Shp--%-M'ib Ca M6 h- -011sttlbd matdahra emnsl.Isweve amavna,soe mssaes..ePOe smta..Luoe -. . bl PT ■vamm °•moss" tam. scan :Ina.. caws sane .? - T .. regaerrcds, a- ft d W hies with fk st,ref 4vdW 64 Be kcrt r c6ra. s 2 o omol IK era arao wan IG4: sic , .`'•,, .I^ ..,•-'•,I. •.._..-. a Rdtc to Rd*Berne Ike 5tep.05u-sobs hfti-a%MW Straps a,r tie toll d ilia rod w s eamld HO. ram 'Sm -ti.. tar no eras I , ' skalhcq�d 18"oz.ff mn M npa-tbs dredhi 6cW tic rtdx naied with 8•Bd nail ere mteaeA a• -?an=i°_1w1.._ im ess aro ust. eras co b.UtR *OKUUp Plate:StnpzaiK2.5A 'a .Pse(Am nor M, aw oats s,s ms ENDWALL . 0 spaaa K-a10 /aYJ teal :W nice aid res c.Bad•M:t;Sbpwl Straps LiPq d 48"oc Fa Ist 0.to de se ad MSfASb et 48"oc,fa bltq Fk. E aptrsnK-aK- ms :uea• set ern ass - GM 2d 0.sbds to de 1st D.aids. r; :pt® x-anl uw rota to:e rso eat nozo ' . 6. r.rrawesnw.m.wsamwamsd,.mcnssrmamssewmm.dWls a®awwaagaam.dw A }t a bth!ikst" dh.v tale wap Pell shR boater .Lowo°sewaowmeewm.nrmss.Iws mrdas®no.mo.smaaesax,yaw sew - . . dml s1a'I bddtgs bwiWdmtb»th�n 2'$"+adakq' .Ln.ealnaoasu+"rvffwma mmam aedms°xom+e+monmam�name®e.mv.mms t. BLOCI(IN ' htdrot sere lhail0'-O". amawawmimdmsenaaiatwe.mdbaaa--ft _ l am slraae..;r.r,os..:c.emmm�nm.�,e ea. v .BLOCKING b.Fmtecioo6dmmmmbrt6"o.calugtleetlrrsadl2"ac.fatlickmedia, "eta,' '' .armsmsasrroa..nua.er omsw+m.ssws r0''OG . aeue, onovmay. n.viner . 4- SECTION A-A . 'j. Iu.ve, am.ao lo.2lOcj. oeuwrwo Nuueea. r • I I!3 • L- i I � t:. I ELEVATION VIEW • ..ruin:u.u.ry.:n<::nnrt x¢n.r x.ui *.: p.'.s, !i', I 6 x 6 DOUG FIR No.2 POST AT 1 FLITCH PLATE BEAM Fi t0 H 111 „1 I o . �AHILy_{�mM .I Muo(tao,� in ' IL F0. t. ---�Yx 10S y . r dM - T QShr T�Fb 1 f BEAM#} ri i �J' fI IL LSEw.DT'e48fh1 Us1cCE� e � � 1k _h '� :�:Nr.1,:raM NUH.fu1...DsrOfD Y hl� k+rta,enl I � � i o ),.14NTTAo•LS ��eEo � S �'i ' ELEVATION VIEW .• I �"C>saT) ! w •a 1 � m o F 2 DOUG FIR No.2 POSTAT )J µV4bD1' �'waIA15 P6a0E * EXISTING BASEMENT BEAM KT Da/.GAS QP.- 1 .:�0.)2r- I Ur�Hr G:cR•D O.. .. .. 4LY1'A (0 I, DM P.w T-BS- T:Ih kE NEW CL.wc P.v wo,gs- ' 1 bt(,we FI&- OF ifMr. N lv4x7n' •Fbnr-le E7(6f.Rur4 Goer. o t Ybf I I n Ir IR.w WLHtgOtt(8)I!V+w11'/6 MW 0-,r6 I n" 9 Xo-a� BEAM#� -— I I p' - - �1 uP I p•`-ol-_ BEA;kl ParW _ ELEVATIO,urV1EW .I (_ - 1 2 l $LAN �.erp„t �t'ooe 2rie.rt...e.-r I � NQ+!GAesC woor�/.s.+¢.o.n. 4f1-e'ot ct:«BE,A)ro I COPED BEAM CONNECTION BM W H x I5 TO W S x 67 WELD FLffCH PLATE TOG AT BEARING i COG.so-c< .5.. r■(s'x 42-orty .fo,T.�e.r Fw..s+rss.C'rYo LOCATION TO PROVIDE CONTINUOUS BEAM.ET4D 10 CpN A"06r/6.......• • OFLVLSTOBECETTEREDONBFARMG CBL.�4K�/�.rO IS�QhY r j LOCATION. S 10(°Of nfE W itpjtM," d ®.SYtolc.�..AE'Ibc7� CAIRZOOI'1oN0»:IDE.DCTEC(IbR � ' �1fa1J[oFJ7T ' NOTES: '�• 1 —.__._.__. F BEAMS d IIALL STE FIRST FLOOR PLAN •j _ :s.•""- I'3. Ii r.SB Ii51. ! I BEAM SCHEDULE 21 ALL TUBE STEEL POSTS TO BE Fy 146 XSI. I 4u .N.rw: SaFf. Iqx BEAM 11 BE TYPE BEAM LENGTH 3)TURF.STEEL POST TOP PL4TG5:3i4"PLATE W!(4) BOLTS OR n" C N'r7N000 FILL r WELD FR M TOP PLATE TO BOTTOM FLANGE OF HFAM. ELEVATION VIEW hl R113r4'a71/4'LVLS WIT'll314'x T STEEL FLITCH PLATE(REFER TO NOTE 5) L-2T•6_x -111-1 4)ATTACH 2X NAILERS TO FLANGES OF STEEL BEAMS W/W DIA.BOLTS DISCLAIMER NOTE: P2 (2)1314'x7IA'LVLS WITH 3t4'xr STEEL FLITCH PLATE(REFER To NOTE 5) L-14'•U'- AT 32.O.C(SfAGGEREDON BEAM WEB)ARCHITECT TO VERIFY FINISHED A FALLON Re .I 2 END BEARING AT W B x67 BEAM DEPTHS DO NOT PROJECT LOWER THAN MINIMUM REQUIRED THE STRUCTURAL DESIGN AS SHOWNON THESE j BM P3 WBxb7 L-14-Trt CEILING HEIGHT PER MA BUILDING CODE. ' PLANS IS FOR THE BEAMS AS SHOWN IN THE BEAM OI\nL I p4 WBxIS SCHEDULE AND FOR THE POSTS WHICH SUPPORT N,41715 i L•17•V•t 5)ALL FLITCH PLATE BEAMS SHALL BE CONNECTED WITH 51r DN. THE BEAMS.ALL OTHER EXISTING OR PROPOSED "'I• 18 �) ..w.4n ! p5 (3)1 314'x 7 l/4'L VLS BOLTS AT I6'O.G ALTERNATING TOP/BOTTOM OF BEAM A MINIMUM OF r. L�11'-6•s 2•FROMTOPBOTT L%EDGESOFLVL STRUCTURE IS BEYOND 771E SCOPE OF THIS �.\\ . DESIGN. ■A � �CMAi 77 WIANNO qV y i I - .., ,. ... .. •y4^"1 , .. SECeuD F(aol¢FiQ.EplrvG AGM! I I 11 I ( I I I k ! 11 i ' I , I -up I w �— 1 �._-----. .. . .. .. ................ r�::. -� c.K.F.L. / { — ' fx•..a,3` I I i i p ..7.rT►— '— L i U.JDFfPw M. e F � � � : D.•sat ETuff lf.ar s ' ! ,i WAu.Cerc4.na n TS VtV kk II ! • j I ir*$,L tf Ps—r t,*-- - POST wro BcApt. TSMRYY I I ! Dos....&uNJPFLJs•'Mlrw FVLL pas V/ro ACAA• rr 1 i i! T pAeVevt Foo.lOATT••J .._._. �A_ENEn1T.. LA"SEWISM"W. i I � ( i 2R 2Y17.•'TkLtlwrc. FIG I ! i I � � -- --------- � NFw 3rx LAaLy L� To Auw WorN L 4 J H.s BNrCA'a ' I .1 ?arwBw�' OF DOVUL FL-& LA,LLkr,rArwl. —PT.2Y4 WALL OWDEF ! I j l f i _ ♦^'1 7/NM$yt•LAu7 I I n�,..,� I . V•umct Orsr T�' I ,v,.nomwnma . sSY !- :.l_ .J A s-wmr i t V UP Z, z' 4•`r I i EVAT N I EL IO VIEW .. ' , ,..nune.sa n.rtroavaansmaou,.sx,., . � rasarmm,.,.sr rac.ayssormmw.rmsn �.. I I BEANG OF TUBE STEEL POST Frc ARI T CONCRETE PAD FOOTING I i 1 I -foLiN�-:Anow pLAN . I I DISCLAIMER NOTE: FA u OfJ R D I THE STRUCTURAL DESIGN AS SHOWN ON THESE PLANS IS FOR THE BEAMS AS SHOWN DI THE BEAM <tn6 y6••, f,p war.•ays:o•r: SCHEDULE AND FOR THE POSTS WHICH SUPPORT I 14J li . I THE BEAMS.ALL OTHER EXISTING OR PROPOSED s• ^�*• E ST RUCTURE IS BEYOND THE SCOPE OF THIS µ O`A^DESIGN. _ Ty i 't , rA D�Ha 7ti WI^Rwo AVe. f . i D ( ) i . i Elk I S L SMOKE DETECTORSR,EVIEINEp _.. ':.:.SQIJTH_ �/ T10 ��;EYPtiTLo:N_.......... ....... -J A fA _E BUILD IN G'DET DATE FIRE DEPARTMENT DATE j BOTH SIGNATURES ARE REQUI, a- R PERMITTING Ltd JTI EJ tL ..,.... _ - - - i • _ E ON V.lE VA71. NQRrt-t LEJ f LLO.N R9 �. 77 WIANNO: AVE, r 0 L :C4j"F'n °r ! iy� ERR i j Z na oz 1�. N ) � Z � s �R :o IV m 3 � �Er s ;c� OI , —O 9 r i R y.. — -- - ' f •! 1 -� iN I • I i i i - t 44 i vr 9'M Vic `.- +full' TO •OOP -I-- — ' `J'—i.l_�— �. i L \. �,:: ; �_ —4..2. c 1 i oc , Ul i i :.. : . . I I;�l� i i • y j .m. IIN it �© ' � __ .. . . i - _- .. .. .. ...•. . • ac_:r- i � + 3'0� IZ-�" . . . 1 19=0' �, r�'-.o.' 3�.0"� j : �- � .. �� U-41 .cn i ri F �-30 S �( APPLICANT To COMPLETE SUBMIT WITH PERMIT APPLICATION ' '. Al Gn;rlc w[f nod G'onsrrnor[n,r frr N;g[r lend A�cnr:,./to ugh end Znnc n �sPllscc_de,Nc s::..,_ tMassachusettsCheclLtistforC9mydanceC7RnS.e?BS]!t3),41' �B ZONE 0 Cbe k t M-issachusettS.ChreeldisF-for rrComru iaR a ao en+n sSa=2pne .p...._,.............._,s3o, )....,..._.....p .' 110MPH EXPOSU WIND _ .. GmPliuice - - ..-.-.... ..........,.. _ 2C�cA4RR:rcIE _.;.:... �w.. Teal eneral � . -..._ Loa fbepMd 6(t6dC mmi ' e2 G NeNnp Scb a0i-exG..__ I. Br11S'OCCL€Kl?95_. 1n scovE k/ ... La I ro.or l m nnnl _'_...... a .._.._...._euP._.1:!'� .._._.. - . no mg . ... _ Wind Speed(3:aeC gust)........................:....._....-...._............_................................................. •. -•-r Nm-I.stsJ j aria Wad Con.Won,a) awes-N-v:6. _ .. L.teial(ro.a(I adenOplmomr!rannano)...._._.,,...._.,_._..._tiook. ' 0:Z _v Numbe of NumberoT Nall 5 Q Wind Expaaure GlepuY.....•.._............. � c, reap eedd.rp we0 openldps(mwd Iaryeat opodnp but cnadt en epeninps r«2orirwan^•a T.N.e) � JOINT DE Box'Nells . 1.2 APPUCABILIN 'cam.• _-_.- Dac na Clo On M_2_am''aa+Ts2kbdu Hems.soma _.._.._.._....._..._...._._._..._._.,_Rana e)____.._..._'.._...__'t;n 6_id.sti• t/ . _ Number otSteAea(a roof whkh ateeods Bill 72 c1oPe,anaf 9 Z....dens..ab Sid Plala sliaro .......... a).__..::-...___.._., �n 6 In.s tr' BIO to Romer oe•rra0e0) mmz•BdNR 211 Od• each en0 ..._...._.._. 2 51212 6r1 Board,1B JF5tC R"' K - Roof Pitch......:..................................._._...-.........:..... g .rt.533' Full fbiQlrl SnMa(no.dCtuda)_......___.......-__.__(Table e).._;... _:..._._._..._......_...__Tabl.- m 21Bd. 16d e8 .............._......._....._..(Fla z)....._.axiacfw........10,4 y openl.g bat meek..n...wasps roc oomd'nnP,•••.able e) to (2[d Ord) each end ..._ M n Roof HdBhl....................: - NonLoatl Boadn wad OOeninpa(need........ Bulldinp Width.W..............:............._.:...._..................."(Fla 3)' IdJ/:6"R Sa0 Header,&Pans............._._._._..:.._.._...._..._...._......:(Table aL-_.:.....:.... _ G„p. R F B c6�_PJrRY.4:9R/1$D--_. 8ulldinp Lang k L......._...... (Fig9)..._._.............._..........- _ __ ._.........-.___ _._-_._._..-. .......................:.................... 311CLL SId P(6to SDaro........:.... ...... ._(TPWe 9}....._.. �.R�fn.S WYII rOmlR I:Dq«s a• .Fun Wilh!Snstmas(ro:..f dud.)_._..._._....,_...._...__(Table a _ P Puttee at Intpaactbna(Face-rlelled) 4-1fld 6.1&d t oIntle Building Aspect ReW(L[W)........ ...............................:.(RR4)..__... .. 1--._:.._._._...__._..._._. -� To Nominal Hdghl dT..ilesl DPeNnp ...... ................(Fla 4J...•.: 4=9-+5 0'8' �( Ip ear, c. Head Be 18Q 16d g Stud lled) I W --_____. _ ' EMeW.n With gedst w..nd sn 'simulibnaoaary' Stud to toH ode(Factsit 2_6d 2.80119 General l carnPl.nas vAth Pram,co us,60na_...._,_. (Table 2)._........:......_. SMa 1 T nL -_ _--_ . d ' ��'s a 7/ er to H clan(Feco-o-neRed) 2-i8d � � 18'.......soap ad gill 1 ro. rr.nesloPe.unp ....-...(nwea).�. � .- ^rR . Fdpe Nan Spade. - .(T..ba 70«note trials) .... �Q_M. FIOOr FfaRll - ..C a ia-� a.Aia9w •geld. J SAI Top Platri or hder ff0e•NaBed)(F(g.14) 4A -10d olst shear Cl Colrnacaon'ro.of 6. mmmon n..ns •Pb t o.:..___.-_____.._-.�__. ✓/ Slocldng t0 Joist Croeatalled) 2-Bd 2-10d 'each end. .... Si� __- ....... __-- -T/ ........................................... Percent Frmaialgn I Sa IN _.(.tale 101- ':'sx Adauanal np r«oven wm oPe.dnp>sg-(easier r;oncaPls)_.__._ :�tp Led y S(dp m'Beabe SM m or Gi Plate rder(�F eace{latletl) S 41&1 each Wet ...... .... 1.iaiBiAum Bdltlkrp il101mens1pn.L Jobe Bandj Ledger beam R�oe•)N,ada� a� a-16d ow NmiNd Mel tdTatlast Openirrpa.-- '_,........ .. :8'6' (Epd 18d 4.1 2; d ryes. .-_._.r..._..___...__...,(noa41-:_:.-.._tie-) _ GaS_ 051 oo"all -low � a Top Putts R Red)(Fig.14) 2-988,� '&16d _. r Nlr��ass (Table t/«nem 4 vwa)---•-•--a-In. �( N (Table1 t -�,- Bard J to SNd - - _�. Sheer nroee..a ro.or/6d wmmon naes)Rab 11 .___._..___...___.__,...___• 'Roof S Structural Perunl FULLHeipnl SMatl,kg__.___.(Tabb 11)__.-.-_._.___-....,. - Wood Rafters or Panes .. ._.._........_.......__......_...... .Sx Mdivannl sheathlne....Wien With Opednp>6'a-.(Oeslpn'ConcePts)._-__:,_._., RORers of busses ceased up 1016'o.a. Sd 10d'. B'acted8'Oeld • 1 wad GaAOMp Rafters or Weave spaced over 17 o,p.,.' Bd tOA, .4'ed8d 4•flaltl .3n Fceele ......._.. - J: sPeed7._- ._...:-...-.-_'-•-------- --_,..�.- Gable ehdwall take or take truss w/o able. 'ad. 10d edgel B•_ ..___...._............... rt s'tz 8' Rnld .. rake /lockout ttocla Bd .. .._..:-........._....._.. . yt RoORPs�•• dB' . F 6)................•......-............... �� rni Iona.nembusPensdrePkeoa--_...._.(Fiv It ft a use AWc sewn 7q.L'aee elNi4 webclte) ,Gable lake - �etlgd 4•lieltl . Roor.OyeRrono._._....._...._......._.....__.._.._..(Flours 19)........_.:. •Gab endwa0 or rWmb ss w/structural out lookers '13d 100 '- _........._.,..................._..... /M1 So! T-I.ReRar CoturePllona atioldbeedngwalW. BShaeTh➢lag • . . u .. ' ' Pn pdatart'Conneaon - Gypsum Walilioeld 5d coolers ,- : 7-edgd 10-OeW. . lti--S /n�'.. _..__.._.....- ...............................B)......_............._...__........._........ .y Car-_.._.___....... ..(Toby t2). Um�117Wr z SWPh74ilfil?M-?�.A'.=RXPfER 1.......... � Latorat-_..____.:.-.. .._.......QaNa 12):.. _ .. L. per Vital]Sheathing.� . ' lau, ........._.............._....._............... .)...._.._:........_.- sneer._.---_.___-.._t_age 21a tztable 1_.__..___._..._.._ T- glr. Wood Structure.p to 24 _- .. T,ie in. IWapeswa Connod.ars,iromar eoa not erred Per PeB•2f...(rase lsJ. _.��.-arself.Lntf .._..... __...........__,..f �1/ Gable Rakd Ouuooker._....._.........::......_-....(Flaure 20)r-. .'&S-ar f7.cr L/2 —- Studs 2Sf3Y up pFibertweM Panels Bd 1� Er 6-•eld l _... .....Il.. _i{._I Tnrse'or RaRu Coiinedions at NonLoadeeailr;Waal -. . ToP—� 4.1 WACts. PrrW.laran Y. m Wallboard Sd - T gd.1 . Wan Hdahit ( - Ja. , Fiber r wdlh'......_..........._..._.-.._.._....._.......(F+s.lb ens.able 5)..._.._.___... d s1a : . . � leecmarw>n rnda)'-((" raj_:............_......-'--L Vim. Floor sheanling Na .._.._-.......:.__._..._Fig,loendramos>_......_.___... _Rszo ca Roof shmBanp TYPO- eel._.......: W60d less a(PenWe 'IR'8: N ' .Well SNd Sparing "' .. (Fla 7.0 anq Table e)................LrB tnrs24',o:a Yc 10d d 12 field edge/ field _ft 9E" .Rod SAeathbg 7nklmass_._.._.:_. ,.• min.z 7N6'WSP 1 Bedge/ . -..s - -' well Sloryr�Tlslde ..,- ddS G �. .......:_(Figs.7A8)_........_.,..__......._.._. -__'--___ _ - ..-_ _ Grea 1 1 r(' _........._:-..._...... � 'Roofsneo Fad' �'. ..(ro _.�_....-. '_.� _ '' 1• to then Oct B'� . -6.6RTfflJfi.'.Sf_G"XvZ-R:22 b/atA.. ' 4.2 ExreruoR WALLS' .._ __. Me This drecNkt W 0o metb�i lob onUrery.ordudLg u+e s� 2 nand In Z W.comply With the-req*om.-at s of .. Bd (laid .- Wood Slurb' r 780 CtAR�bi21.i TtamA.Naa meddle.t rrrei(n Its M rdlowhg mnbl slurps and hold downs bra rrol `�P,C - resistant Ik and Beg ideld,-h IB .faedboadhil wall a...... ..............._...(Table-5) Irl: (•) -hook A Lombeadh Ile_.._._...__.._.._______...(Table$).:..• '....a_.. =R Jr. o: . 1 Om Um WF6A1110 mph GUDd . .oadna resbta 11 gage na 16 a espies ere perm � c eddiUonaY raper romeMs .. g w•a .a, sled straps per Flpl4o s . Gable Eno wen Bracing � b. �, 'Corrosion I .(lea 1q)_-_.--------__.._.._._.._.._.. lae06 Straps Par Hours 11' Foil Height Endwags[utls.........-,a.:_....._......._... Upnrt Stre"par 14 Mail: omernlae Satefl,S9R9 gNen for 0811s are lbfnRWe VAro b]TR9.Box end heomBRc ne6a of equI,�Iehl ' wEe Attic Floor Len (Fl911)...-__._.......__....._..._:-.G R2Wld Flprdo '"T .• l" -- I:Unless :yy,Qgx±rnlL, ,gtn_._._.._____....._..._.._..., / - - " d.. S p«Rguro 17, diameter end equal0rgrPater IenBth to the specified aoimn0n nape may be substituted unless otherwise, Gypsum Celnnp Length ill WSP not ieea)_........_..._(F)glt)_._:..,.__...,-......,._..__.--nzalaN _ eom«sbrd Nold.obwrrs oar FtpuI lap and Roan+lab'.:.. 'v. ?�'�.. I .. � . l end 2 x 4 CONNuous I.atersl Brace 0 6 R ac...(Ft9 11j:...:.........:__.......-.__.____.._.-._.... e. or 1 s 3 eeNn NMn t8's .ran.wtth z x 4 PloPwng@ Pa g in mE)olst ar W a Jae 2 E.mepuo 1Og;d ly n.V.6(.to S'[L enact be penrilaed wren S%Ib added a the Percent/whoight 11-t dap prohibited. .. . .. .r,. ! fl g st4"Q padn9 4 - - r seown in Tables 10 and I I '. . fts do Ys :. Double Top Plate . The bo pate- vane shag , >ti nwNn tnidaress ad o. . . a0rarements Sparc Lengdr (Fig 13 end Teb(e B).:......._._.___...:.._. +1i �/ Il..rti"W in aided... beaMdmrimj at Ix.asliu.e neat fR 'ma •' SpOeo Conneyion(rio.'of red common na6s).__._..-(Ta>rle 8)-.....-.-...._.-...-._..•....... - t -Sw�nsfl_aa t-ta�w.'�¢7 ease--. iI _ '11Y\4.�[t)r3G.t�AYT. .. -- � _¢1�x52v6SLC4r15_CCv�I):1SlOr+�•' • �I: I v:G.f.E+cCiq�R>vdN'- �., � _-__ -_ i l -.� .-.. ;4ws4.ti5.A!p�E'-_:::. 1 i c ---------- - - - + mod• s---.:_ �'�I, -.. �. j• 1., � � � � � ` .. -- - � � 'Jr LINE .1 y niDRYeo I :r �r.r^t� �./� �I,� - �.. .. ;r.' � ,CXA�:tiEa/F'�:498:_S?4LtN.C!io•n:o-) . ....-_.—... __.._---'2cbUFS � —.. - , rs[tiahioaGra . • � .. '• - � t.10te.:.COMTRnC1:OR'lT+y¢R\F`L..iS\t:-9ltiCli6.lRN'T.'W"'s rte•.-_.. _ _: T ._. p.. FRUNT �.l!_Vr�T:.I.O.N.L.'/l_et.•_¢)_—__._—.—.— -sell,�N'(;�_���1�.11-_Cs'{tt0� _ r _ .tee , lY7RiCfiE33�Cn 1�"TTyC1,q u. Druce Uevlin _ 1 O Z O 7742384YM3 ...- O �rrr- r / Q7 ASSESSORS REF. : Map 141, Parcel 002 / s97 O � 2Q0 OVERLAY DISTRICT. N ocor � oc � s�� AP — Aquifer Protection District '� �0 '�, 46.0' FLOOD ZONE: �C� 19.5, / ce/DH Zone C Gr Proposeo(RoofOver o Fnd Community Panel No. / Existing Entry / #July 2 2, 1992 D o , ' / d #77 Lot Area / 2 Sty w/f 15,250±SF s. Dwelling ZONES. ° RC BA 1 Sty w/f — Area 87,120 SF(min.) RPOD Area (min.) no Garage / ��°o Frontage (min) 20' Frontage (min) 20' Width 100 (min) Width (min) no Setbacks: Setbacks: / 27.1' / �y` Fron t 20' Fron t 20' / Side 10' Side no \�cco� Rear 10' Rear no Note�Q Approximate Septic ,� T Q From BOH Asbuilt / ^�� O° 'h 1.) The structures shown were located on the ground ���NOF114 Cc- 41 �17 ���� by conventional survey methods on 18/NOV/10 and sow Q / � 23/FEB/11. + A \s�0c4 RICHARD R. ofo^s o ° �'NEUREUX: 2.) The property line information shown hereon was NO. 312 ae o' �,�P a� compiled from available record information. L 3.) This plan is j no't for recording and is not to be used for construction layout or deed description purposes. 0 5 10 15 20 J0 40 FEET NIF Ronald E & Jill H Murphy /CB/DH P y Fnd Sheet # Title: Prepared For: Notes/Revisions: Plot Plan For New Entry CapeSury Scale: 1"-20' Fallon Renovation And See Above 1 °f At 77 Wianno A Venue 7 Porker Rood Dote: Design, LLC osterville MA 02655 241FEB/11 124 Wellesley Road BAR/VSTABLE (Osterville) MA (508)420-3994 (508)420-3995 lox Dwg. Belmont MA 02478 copesurv@copecod.net C286-4g 1