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0430 CEDAR STREET
UPC 12543 No,.,. 5rR HASTINOB.UN o C� p����-�'M-<-c � �o-t�v►�.c--9i-� poi -���T oK4 o�`� for . u,:: P�gL-Lje- C�ns � oFT„E T� Town of Barnstable *Permit Fxpir 6 months rom issue date Regulatory Services FeeA BwxNsrnBI.B. MASS. Richard V. Scali,Director 1639. �0 AjEO��A Building Division . Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 13 i (1,� Not Valid without Red X-Press Imprint Map/parcel Number 1 v Property Addressf�d ���� n��'1'� (/lam• �/l� �KJ l ❑ Residential Value of Work'$ '��0. �t� M� in um"f_�=of$3�S OO/�forwor unde $6A.0.0:00]p Owner's Name&Address, 0 ,Nag- Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: SE-p 04 2014 ❑ 1 am a sole proprietor -1 m the Homeowner TOWN OF BARNSTABLE I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to . Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) e sidi ❑ eplacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is -ryquired SIGNA.T•,URE���_ _ On QAWPFILESTORMS ilding permit rms\EXPR S.doc Revised 061313 r �� ��Cornrrxo7afctF�o��fassael�.usrs Deem h zent afbuks&ud Accidents - - Office oflnvest�gaiions 600 Wa5-IrirzgtonSh-eet Boston,,MA 0 111 wwm many-gof'dia W,-o.r e.ts' CompensatiiaxiLlsurance davit:BuEilders/Contra_c'torsMecfricians/Kumbers AppLU ant Infarmafion Please Pxiaf Legibly, �am�(Bt�,�/OFganrrafioo/lndividnal)_ �' �O rz� � � • �/S � // - Phoae4-- 5-0 Are you an employer?Check tTz�appropriate I bc,�= . n:< .; enezal. ontractor anal' L❑ I am a employer with. 4 � I ai � c 6- F]New cons.&-iscuon e=loyees{full andlor part:ime).* have hi-Md the sub-contractors. 2_❑ T azn a sole propr6ator or partner Listed on be attached sheet 7- ❑L�enwdeliag ship zr d haz e no employees 17.ic-se:vab-contractors have S_ ❑De=litioa worker forme in anY � it c c f. empin y�and have vvorkers' ) t 9_ ❑BuiIdir:g ad'dition �raCtro±'kE'rS' C6alp_Tn¢t7rance comp_ �urecr-� 5..[] We are a corporation and its l.f}_❑Electrical repairs or additions ' T:ate�ear n do' all work- arm rls hmve exercised their I ILL]Flumbiag repairs or additions, �j _ � f o"vor1mrs' right.of e:sr pfioa per MGL ' � �- c_ i52,Q 1 ,and A e fisti'e na l2_.❑9Zoof xti�gairs fiimiranre required-] t (� euiployers_[Nonrorkers' 13_❑Other comp_msuranc-regmred-1, 'Any sujdcg�tnxr cI—cks bos r1 nmst slso MI out tba &&Workers'conmenSKtioa povey in53Mn : 9 F_O=cwne s rrbo s�oa it ti�is Qum cixvit inrx'r�F tney a-e 6 nm4;s1 zmrk,E.-A thin bim aLr�2M d.-mrt mn;rp m smcFL Cmusctors-d ch_ack this bcx must MRdred a additionsl s ee; xmd stsb2 xhe txnoz tiaest iiries fi v� tnnloye s_ Ti` sac co iYactuts h-ce euspIayees,my mw-ire d cvorSs'comp:poLcy numhes X a,n art ernper chat is proxrictrig r.t or3;ers'care p=zzsriz�.zr izrsttrcufce for rtl empT�y� fiztars is f3t�paJc}"arzd job silz� Insm-djace CompaffyName: Policy ff or Self iag-Lc� Exptratson Date: Job Site Add=: CibfStatelZip: Attach a-copy of the workers'compeusatiou policy de-chtrstiou page(showing the policy number And expiration date). Failure to seo3re casexage as regturedunder Sectio x 25 fi,of MGL c- 152 can lead to the imposition ofcnmival penalties of a fine up to$1,500.OD andlor oae-yearimpri as well as civil penalties in the form of a STOP WORK ORDER-aad a tine of up.to$250_00 a.day against the violator_ Be adirised that a cagy of this statement maybe forwarded to:the Office of Iuvestsgatiors of fhe DIA for iusau ace,coverage verification_ I da her ere.by crrtifp itnder the pmns andpenalfi6s ofpzrJttry th atthe information pravic&dr above rs bus and correct i LSimature,:— �— - _Q 116/ 4/ Osicrzrl use only. Da zrot srrito in this area;.:a be completed by city or turn officiaL City or Towu: PeradtlLiceuse hE Ensuing Aathoritg(drde one): 1.Board of Hezltb. 2.BuiTdiag I3eparfinent _3-Cify,Tawri Clerk 4_Electrical Enspector Plumbing in-T-..ctor 6.O¢her Co atect Persau. Phone 9_ -- 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an employee is defined as"_.-every person in the service of another under any contract of hire, express or implied, oral or written-" An employer is cleEmed 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 dwe)llug house or on the grounds or building appurtenant thereto shall not because of1sucall employment be deemed to be an employer." MGL chapter 152, §25C(6)also st-1 s th4t"every state or local licensing agency shall withhold the issuance or renewal of a licextse or permit to operate a business or to construct bnildirgs in the commonwealtL for arty applicautwho has not produced acceptable evidence of conapl.ia.n.ce vri-1 a the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)sues"Neither the con�rnonwealL; or any of its political subdivisions shall enter into any contract for the pe_iormance ofpublic work until acceptable evidence of compli.opce vrith.the insur-ance requirements of this chapter have Deen presented to the contracting authority." Applicants — Please fill out the workers' comnDensat;on aF sdavit completely,by chtcldng the boxes that apply to yrur situ.adon ancL i.i necessary,supply sub-coutiacto_(s)na address(es)and phone nnu-r be,-(s) along with their cer i:ficatc(s) of insurance. Limited Liabibity CompF:z;es(LLC) or Limited Liability Pa-r-tDea;h_ips(L_LP)vek&no employes ot>icr than the members or partners,are not rtqi.t;_ed to carry workers' compensation i;si?-ance_ if an LL.0 or LLP does have employees, a policy is required- B.- advised that this affidavit may be s bmAted to he Depart, ent of Industrial Accidents for confirmation ofnis nee r-overage. Also be sure to sign a.L.d date the af5davit Uie afFad-w.,it sLoijld be returned to the city or town that dhe application for the permit or lic zisc is being requesed,not the Deparlbnent of Industrial Accidents- Should you.rya;-e a7-,y questions regarding the laFv or if you ate required to ob�-in a;-rrkers' compensation policy,please call t,v Department at the number listed below. "f--"-innrred companies s:o.or.ld enter He r self-insurance license number on tie appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legs-bly. The Dep;frimeat has provided a space at the bottom of the affidavit for you to fill out ir,the event the Office of Investigations has to C0n`v3ct you regarding the applicant Please be sure to fill in the permiJLccnse number which will be used as a reference number- 1n addition,an.appl cant that must submit multiple permi0 cem;e applications in any given year,need only submit one al�davit indicating cw-rent policy information (if necessary) grid under"lob Site Address-'the applicant should "all locai _ cr or ti city town)-"A copy of the of 1i davit dial has been officially stamped or marked by the city or town may be provided to u'ie applicant as proof that a vat d affid2vit is oa file for future permits or licenses- A new affidavit must be Elltd.oi.it each year_Where a home owner or citizen is obtaining a license or perms not related to any business or commercial venture (i.e.a dog license or permit to bu3m leaves etc.)said person is NOT reff*,ri_red to complete this affida\dt- The Office of Investigations would Eke to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a cal.. The Department's address,telephone and fax number: Th,;�-. Commaawtal&of Massadausctds Departonent of Industrial Accidents Q= Qe of ayesdntimEi 6.00 Washingtan Stet Boston,INIA 02111 ��.-A�l 61 7-727-4900 Qxt 406 or 1-pit -NLkSSAT-E Revised 4-24-07 Fi r` 617-727-7 7 t91 wvgw-mas�govAL,a Town of Barnstable Regulatory Services oFtME r tyy Richard V.Scali,Director ' Building Division t S•ABLF� Tom Perry,Building Commissioner MASS, 200 Main Street, Hyannis,MA 02601 pTEO �a www.town.barnstable.ma.us Off-ice: 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION ^Lo &o/v Please Print JOB LOCATION: `��O (� 6Q 6 4r A)' j LIZ— ftnumber lEa�a "HOMEOWNER": r--T G°O P_c/ E" <E-/-S1�// V 9—c�6 0� 9 a Ehome=pphone# `ork phone#,�. CURRENT WILING ADDRESS: jo o 3 ,S y (,y. I/ZAL) A---A (0 G 00 city/town—�' state zip code The current exemption for"homeowners"was extended to include owner occupiedfdwellines of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. �Signatur__der 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:\WPFILES\FORMS\building permit forms\EXPRFSS.doc Revised 061313 1 THE Tp� Town of Barnstable Regulatory Services • BARNSTABLE, r 9 MASS. g Richard V.Scali,Director �'AIED 39. 06� 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 �j I, XZ, asOwner of the subject property hereby authorize to act.on my behalf, in all matters relative to work authorized)ythis building permitapplication r.lication for. / (Address of Job) '`Pool f nc s 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 I Print Name Print Name Date QTORMS:O WNERPERMISSIONPOOIS i .� .� �� �,�� � ` � a + / 3 � a� .. �� ;. -- �t�� TOWN OF BARNSTABLE 91672 Building * BARNSTABLE, Issue Date: 09/30/13 Permi t MASS. ArFG N9- a Applicant: Permit Number: B 20132360 Proposed Use: SINGLE FAMILY HOME Expiration Date: 03/30/14 Location 430 CEDAR STREET Zoning District RF Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 131056 Permit Fee$ 35.00 Contractor PROPERTY OWNER Village WEST BARNSTABLE App Fee$ 25.00 License Num OWNER Est Construction Cost$ 77,704 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 14X14 SUNROOM;3 CAR GARAGE;DORMER,WINDOWS THIS CARD MUST BE KEPT POSTED UNTIL FINAL CHANGE OF CONTRACTOR FROM JOHN BALDNER TO OWNERJ91213 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: KELSALL,GEORGE R&JOSEPHINE BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 11 SETH PARKER RD -- - "'INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: RM Building Permit Issued By: /fI91S r /2 � TIES PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 1 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. I 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). POST THIS CARD 1 THAT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS _ ELECTRICAL INSPECTION,APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health ;, -• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # 9 7:. Health Division Date Issued 30 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Af Historic - OKH _ Preservation/ Hyannis 1" Project:Street Address Y.-? D V' ,, Village 19va,)u Owner o rs_q Address 0 V Telephone 'So Permit Request © a_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 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- -4 8 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other c w Basement Finished Area (sq.ft.) Basement Unfinished Area (sq. Number of Baths: Full: existing new Half: existing new0 Number of Bedrooms: existing _new n Total Room Count (not including baths): existing new First Floor Room Count ' c 00 rn Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION ` (BUILDER OR HOMEOWNER) Name o 9a Telephone Number 1 � p Address A 6, 13 a Sr �/� 0 ��D 18�YZ _)ALicense # W. "la, Home Improvement Contractor# Emalles v<-C3LK c0 d�om c.1A Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE cl1�,9, o?/� t FOR OFFICIAL USE ONLY r3 APPLICATION# r: ._DATE ISSUED- MAP LPARCEL.NO. s ADDRESS VILLAGE OWNER DATE OF INSPECTION: 2T-FOUNDAT10N-f45;M �:Vf— ^:91;WE�'ff;W FRAME LE Stbe V t 3o Q .3 f FIREPLACE ELECTRICAL: . ROUGH ...FINAL PLUMBING: ROUGH FINAL GAS;,_ _ROU_GH FINAL FINAL BUILDING.t DATE CLOSED OUT z ASSOCIATION'PLAN NO. Town of Barnstable Regulatory Services 9anxiv ieg Thomas F.Geiler,Director .s639 ♦0 1639 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 NOTICE TO THE BUILDING DIVISION OF CHANGE OF CONSTRUCTION SUPERVISOR e owner of property located at K 3 (3 Co e x✓ S rt' w A r d�l n, C) 1,,6 6 2 , hereby certify that K) Q f2 ��� is no longer Construction Supervisor listed on the application for the project under construction as authorized by building'permit# issued on 20-0� I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. OPERTY OWNER DATE q/forms/newcontrowner reference R-5 780 CMR rev:11211 Town of Barnstable Regulatory Services r r Thomas F.. Geiler, Director 1639. '°rFa,,�t► Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,.MA 02601 www.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY . 4W 6 c.J I, -e—o C ction Supervisor License # , hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# 2 , issued to (property address) q 3 0. C-e�✓ ST" (JJ a✓�1 s�6(,� n '7,6<� on The following documents are attached. copy of my Massachusetts State Construction Supervisor's license. or Homeowner's License Exemption form (if applicable) . copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) �-7/1 DER DATE q/forms/newcontrb rev:110410 the Commonwealth of Massachusetts Department of Industrial Accidmis Office of Investigations 600 Washington Street Boston,MA 02111 wnnv.mass.govldia Workers' Compensation Insurance Affidavit:Blinders/ContractorsfFIectricians/Plumbers Applicant Information J Please Print Legibly Name(Business/Oiganiz;&onllndm&ml):_C -eo ✓ -r (s'I Address: 3 0 C ✓ S- T City/Stat&Zip: W r/J Phone#_ 5 Q'T 2 24G 1, Are you an employer?Check the appropriate boa: T of project . 4- am a general contractor and I Type jectr p ( �� 1.El I am a employer with I g 6. ❑New construction employees(full and/or part-time).* have lured the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling slip and have no employees These sub-contractors have g_ ❑Demolition workingfor me in an capacity. employees and have workers' Y � t5'- 9. ❑Building addition [No workers' comp.insurance comp-insuranae.Z required.] 5. ❑ We are a corporation and its 10-❑'Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right.of exemption per MGL 12-M 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 mast also fill out the section below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they are doing all wank and then hire outside contractors mmst submit a new of idaviR indicating sack 'Contractors that check this boat must attached an additional sheet showing the name of the sub-coo uwtors and state whether or not those®6ties have employees. If the sub-contractors have employees,they marstprovide thew workers'comp.policy number. lain are employer that is providing tt orke.rs'compensation insurance for 1ny employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(shoeing 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 imprisommt,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjuty that the information provided above is tnw and correct Signature: Date: 2 A7 l Phone M d 8 3 2� � 7r off 1cial use only. Do not write in this area,to be completed by city or town official, City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cigffown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 TE(NMDDMYM CERTIFICATE OF LIABILITY INSURANCE 9,2�20,3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT7 IFICATE 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 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. be endorsed. If terms and con the dltIons offlthe PoilcY,r is an ce certain policies NAL mayNequrel nhe policy(les)endorsement. statement on this eertaust OiCate does not onDfer Mflhts o the certificate holder in lieu of such endorsement(s). Co TA Bark le Assigned Risk Services p UCER HUB International of New England LLC �. oo e34-45as Arc.Na 866 215-8118 299 Ballardvale St#1 DORE$$: P05CYSerAces berkle isk.com Wilmington,MA 01887 IN%UREFZM A WORD ING my OWE N N9ust a Acadia ln%jranng INSURED INSURER B: Eastward Co Busn Trot Eastward Homes Busn Trot, Eastwarc INSURER G 155 Crowell Rd INSURER Chatham,MA 02633 114 UREA E INSLIRER F: OD CO ERAGES CEi7TIFl ATE N MBER: REVI IO N NUMBER: THIS IS TO cEKrIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI 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. L IBR POLICY NUMBER MMlO !WY TR TYPE OF INSURANCE NSR D I.fM/D IYY YY LIMBS ERA IABILI AUTOMOBILE LIABILITY C gT pp TORY LIMIl1S ERN WORKERS COMPENSATION YIN 1 000.000 AND EMPLOYERS'LIABILITY n E.L EACH ACCIDENT $ , ANY PROP RIETORIPARTNERlEXECUTIVE l� N/A Wr'20-20.002925-02 06/05/2013 06/05/2014 1,000,000 A OPFICEIMEMBER EXCLUOEDT E.L. IREAS .Ea EMP rEe 4 Mand=In NM) 1,000,000 1f yas, Oeri Abe YndBr E 18E -POL V LIMIT DESCRIPTION OF OPERATIONS below N mart sDbee Is requead DESCRIPTON of OPERATIONS I LOCATIONS I VEHICLES(Alteoh ACORD 1o1,Addluanel Remarks Schedule, Coverage Election Category Elect,Status Name Slates) All EntitipgLocajons Officer Include Donald Poyant MA Eastward Homes Busn Trot, Eastward MBT LLC Officer Include William Marsh 155 Crowell Rd Chatham,MA 02633 DER CER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIFICATE Ho THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable Bldg Dept 200 Main Street � ,. � Hyannis,MA 02601 Signature: BRAC 3139 ACORD 25(2010/05) F114E� Town of Barnstable ~� Regulatory Services BLABS.'m Thomas F.Geiler,Director 1659- 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: J U �D t"�— _ �/� • N /�" � number / 1 street i village y� � "HOMEOWNER":6?-6 1- �Z�[r>p�1 SV$—36,PL — 2 6 6 A name //� home phone## work phone# CURRENT MAHJNG ADDRESS: D EJ y 5 7 cityhown 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 hue 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 procedure d requirements andAhat he/she will comply with said procedures and requirements. Signa eo er 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 C:\Users\decollik\AppData\LomMicrosoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EXPRFSS.doc Revised 053012 F +ET Town of Barnstable Regulatory Services q MASS. STABLE g! Thomas F. Geiler,Director �p 16g9. �� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstifilema.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Se on If UsingA Builde I, a- CT-c-, G� s! 1 , as Owner of the subject property hereby authorize /��Is f cu A z � A N I e�S to act on my behalf, in all matters relative to work autho ' ed by this wilding permit If 3d C -v S W S DU> A O v66p/ (Address of Job) **Pool fences d alarms are the responsibility o e applicant. Pools are not to be ed or utilized before fence is installed d all final inspections a e performed and accepted. S' tare of Owner Signature of Applicant Print Name Print Name 7 / 1.3 Tate ' UORMS:OWNERPERMISSIONPOOL•S 62012 �. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION [` O - 36 o� Map v Parcel �AppTication # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board U" Historic - OKH _ Preservation / Hyannis v Project Street Address - 1 14 1t � Village Owner ri +-DA62,.k Lam, Address KP_ k L Telephone Soe' 34,1- G W / Permit Request ���L�4�'rLnr � j►� C�O�,JQ-r' 13-0 Squa e feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning D rict Flood Plain Groundwater Overlay o 0 Project Valuati rL Construction Type < c r� rn p Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supportingcume�ttation. w Dwelling Type: Single Family ❑ Two Family ❑ Multi-.Family (# units) �fl 4 Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'sHighway: ❑Yeo ❑ No ao Basement Type: ❑ Full ❑ Craw 0 Walkout ❑ Other rn Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) - Number of Baths: Full: existing w Half: existing new Number of Bedrooms: existing _ ew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Ot Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: 0 existing ❑ new size _ Barn: 0 existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: 0 existing ❑ new siz Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorde Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4- ( Telephone Number Address ro_ i3y 0 p License # r tc�dfoyy' Al Qdw Td Home Improvement Contractor# N A Worker's Compensation # 76r,) Cl" -2-0►3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ' ✓/ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE -OWNER r, DATE OF INSPECTION: _FOUNDATION. FRAME ' INSULATION 'FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' 5 f Y•{ - r .l The Commnwealth of Massachusetts Deparbnent of Industrial Accidents Office of Investigations ir 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,�/ Please Print Leeibly Name(BusinesstOrpniratiorondividual):1�/-� //> ,�1jN J,',/l�►��, Address: 49 Y_ /&f 6 SG City/State/Zip: Y,44S7VIVS *1u_S t7ft Phone#: cAr.)-/.S Are you an employer?Check the appropriate box: Type of project(required): 1.Eq ouam a employer with 4. [-1I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These subcontractors have g• ❑Demolition working for me in any capacity. employees and have workers' 9. [No workers'comp.insurance comp.insurance.t []Building addition required.] . 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself.[No workers'comp. fight of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no _ employees.[No workers' 13.[Jher , ! J S comp.insurance required.] •Any applersicant that checks box#i must also fill out the section below showing their workers'compensation policy!formation. t Homeown who submit this affidavit indicating they are doing'all work and then hire outside contractors must submit anew affidavit indicating such. tConnuctors that check this box must attached an additional sheet Showing the name of the sub-c6nttaaWrs and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that fs providing workers'eompe rsadon insurance for my employees. Below fs the poffey and job site information ? Insurance Company Name: Policy#or Self-ins.Lic.#:A 10 e.W00— 70 Aag -a /3 4 Expiration Date: Job Site Address: city/Stmaip: �, hT�e L QUW 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 ini the form of a STOP VORK 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 cerd, under the pain and enafties of pe#ury that the information provided above is true and correct Si Date: 2.3& Phone#: 9 Official use only. Do not write in this area,to be completed by 4 or town offkial 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: 'i Phone M �r i I � 61KV, So, ` e i ica e 0' M es is r PAGE. �+ s ance ` 1 ' Date Manufactured AZTEC TENTS s 12/17/2010 �'� 2"S COLUMBIA ST INV NUMBER: 0184178 1r. I! TORRANCE,CA 90503 P.O. NUMBER: (800)228-3687 CUSTOMER NO: AME-R026 >Y;i This is to Certify that the materials described below have been flame retardant treated (or are inherently flame retardant). .air- «:,;•. `✓. AMERICAN TENT&TABLE IN,C. P.O. BOX 1348 ` Mars 200. F ' r tons Mills, MA 02648 W-��=69a7 p r--593.01 �. L E[ mo ern I,M r•.H Ot r' ",�o-F il ��" NCm.xrae,s lol r-aw,m —ft;: k''�"7 ii'j vr.wr rertun erwwret un<. ;..:, r..n aan rvd.n ,oi R4" Certification is hereby made that the articles described below hereof are made TM�.M�. Q "° r•76l-0� %: Tel VRK.p! P=^0900 .•17i-07 t� from a flame-retardant fabric or material registered and approved by the California State Fire Marshal for such use.The fabric has been tested andw'" ! passes NFPA 701 Large Scale. See chart toiright for trade name of flame-resistant fabric or material used and;additionally referenced on the label of the fabric panel. j' ^^=t: •� THE FLAME RETARDANT PROCESS USED WILL NOT BE REMOVED BY WASHING �•'�.•;: David Bradleyf ;� General Manager-Manufacturing Name of Applicator or Production supertnte t Title of Applicator or Production superintendent K: ITEMS MANUFACTURED TYPE PRODUCED 3000 2pc Std Top Only UW ATC Style Clasp jl S 2 20x20 2pc Std Top Only UW ATC Style Clasp �I S 2 Stock #'s 6957,6958 I! 20x20 1pC Top Only UW Stock #'s 6947,6948 S 2 r 20x10 Sid Middle Top Only UW S 3 ATC Style Clasp 6I Stock#'s 6502.6503, 6504 30x10 Std Middle Top Only UW �� S 3 ATC Style Clasp I; 15x15 2pc Std Top Only UW S 1 ATC Style Clasp �"IV 15x15 Std Middle Top Only UW ! S i ATC Style Clasp 1! 10x10 2pc Std Top Only UW S 2 ATC Style Clasp Ijl I0x10 Std Middle Top Only UW S 2 ATC Style Clasp �a 3000 2pc Series 1200 Top UW i; S 1 w/New Plates Grommets �j i I' R� CERTIFICATE OF LIABI LITY INSURANCE m TINE CERMCATE E INUED AS A PATTER OF MN1�i13 Coto DATE DOES NOT T10N ONLY ANC COrFEiIN NO RIGHTS UPON TIE CERTFICATE NOLDEIL TNIS BCi+OW. TIpSTNQY OR NEGA Y AMEND,OGEND,OR ALTER TiE CONERAW AFFORDED BY THE POLICES RI�ENTATIvr.OR PRODUCER INSURANCE A CONTRACT BE7YY�N TIE IBSUNG AIIiNOrI� AFORTANT:N the 9-offeeate holder is an ADOITIONALum�D,the IMN and of 1Ae poie�r,sataio poNcies PO-SOY& f" 6e enftrse& a SUBROdATIOIr Is wAIVEa,sliaject a+liseale holder in vw of suet,��, " e.�►'efTlnTe an A t oIl»>a sues pot poorer r�gpls To the PRcoum -ml OPS A NM:Group` . (617)t7s0o uZ (Q17MT•-87ct we^MA•2186 . aLIYL rraaw bsnranoe CarlipafiTr s37ss Ar mwkm Taus Tabu be P 0 Box 1348 ' Msrsle-is Mira,MA 02M CERTFICATE NUMBED SIONNURIESt NUr TM N TO CERTIFY THAT THE POLICES OF•OURANAE LISTED BELOW WIVE BEEN ISSUED TO TIE 00JRED HOMED ADM FOR THE POLICY PERIOD b—omFICA7ETED N07NOTMSTME•Ki ANY TERM �r OR COMMON OF ANY CONTRACT OR ODIER DOCtT VUTH RESPECT TO MHOH TM CERT MAY BE ISSIA�OR MAY PE2TAl �TIE NSURANCE AFFORDED BY THE POLICES OESCR p NEREW E SLEECT TO ALL THE TERMS. E>GCIURIONS AND COIOffpNS OFSUCIi POLICES.LNM SHOVAN MAY HAVE BEEN REMMED BY PAID CLA•i8_ FW TYPE0F§0KPtA icE PDWOYMU m GEmma u"LITY ti18 EACHOOCtN�810E i CrAMf�tpAL6E18t/1L1JA81LfIY f f aMEDE%P(Awro pew s PetG0WLSADVN,NIRY f GE NEWL fle s AG6RGGATEfMffAPPLJE$Pf3t PRODUCTS-COMPlOPAGG s AU.r0MOBLBLiA8LJTY ANY AUTO f —.. .. BocLy ftKw 6br P@m" i HRMAUTO8 All OSWIED OWLED BOON.YNJAWf(P--ft* f i i INIalBLAWB OCCUR EACHOOCtRiR�CE i E17CESSWI6 HCLAM MADE Af;GR$sAfE f 08D RETBfTtOM f s ADM x Rwwl lwt AWI A gm RH1 NN MIA AWC4W T•26T2•,MM 4MM13 40sam E.L EACH AOCIOM s 9 SAN EL DISGUISE-EA s "elm odour ELCISEASE-PoucYUMr f Soso$ CINCIN n0ICFWIPAT 0M ILOCATN M IVENMM(AgMMACORO1a.AGdNWORrarlsScbsd*-il�spy fseequ�My CENTFTCATE MOLDER CANCELLATION j 'MOULD ANY OF TIE ABOVE DE80=ED PONCES BE CAILOELLED BEFORE i THE E94MTM DATE TMIEOF. NVnCE V LL BE OB VERED N ACCORIA ANCE VAM TIE POLICY PROVISLORIB. AUTHOFAMR ATNE I f ®1 • ao 'meserved. ACM 26 OWNS) The ACORD nowt. and lap are r+egi wed ma*s of ACORD °fTME),, Town of Barnstable Regulatory Services • MAJWSrABLF- nsass g Thomas F.Geiler,Director Building Division ! Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ; L. A , as Owner of the subject property hereby authorize act on my behalf, in all matters relative to work authorized by this building permit application for. 1k4f (Address of job) 5'' ' Signatur of O mer I, ko i J c v Print Name If Pro'perty Owner is:'applyi e Exng for permit please complete the Homeowners Licensemption Form on the reverse side. r� Q:FORMS:OWNERPERMISSION r oFt Town of Barnstable Regulatory Services • ewaxsragLE, • niwsa $ Thomas F. Geiler, Director i639• 0,39 00 Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 i RE: 430 CEDAR STREET WEST BARNSTABLE OUR RECORDS THE FOLLOWING ELECTRICAL PERMIT DOES NOT HAVE A FINAL INSPECTION #91672 ELECTRICAL PERMIT EXPIRED FOR WIRING OF THE ADDITION ON THE BACK OF THE HOUSE CAR GARAGE PROJ"E NAME: ADDR-ESS:.V&p w A PERMIT#__ G�f5'� PERMIT DATE: ZD o4 M/P: LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS program on: BY: i OCT-20-2003 '10:10 AMERICAN surveying P.01/01 T aD �_ t-10 jc-u�►ap,�yc 430 .L_._1Q 1 ZS I"Y Sot . woop® loSt ' i r Yl LOCATION OF STAUOYUH�((�) BASED ON UNES OF OCCUPATION 4 / ONLY, A MORE ACCURATE LOCATIOP! WILL REl1UIRI:AN M MUMENT SURVEY. I I (Fr) 1J W A,� ROINAIDD NATOLI ai r No AMERICAN F �c OF 1 12A4 1!� _ F1 Y' Z-75� A e �6^WAc a 430 •L_..LQ 2- ST Ie. �t ' Woop® I Ioort e, o ); �'j• �, s LOCATION OF STRUCM $)) BASED ON LINES OF OCCMATION ONLY, A MORE ACCURATE LOCA11014 I Mj ✓v j �� r s �a�v� V_ WILL mums AN MIMMUMMT SURVEY. — � I (f-•r) IJ w n,.l ? RONALD- - -- --.... _ _._�._ ------ --- -- ----- — -- NAT'JLI No AMERICAN , a 1204 PHONE (781 - • GI RED LAND S-!RVEYOR, 0 HE BY CERTIFY THAT THE AB MORTGAGE INSPECTION E AN WAS PREPARED FOR OUNTY REGISTRY OF DEE, e�y,cv GATE: �`-`••-1�' RE RD t: CLIENT:_.... - Sol : LC. CFI; MA EW N CONNECTION WITH A N CLIENT REF.#: PLA CE: k ASSESSORS MORTGAGE. AND IS NOT 11lTENDED j,0• DRAWN TOWN F: OR REPRESENTED TO BE A LAND THE LOCATION OF THE ORIGINAL MAP#: PAR L T ATED: R PROPERTY SURVEY. NO DWELLING SHOWN HEREON EITHER ADDRESS: ERG CORNERS WERE SET, AND IT WAS IN COMPLIANCE WITH LOCAL BORROWER: CANNOT BE USED FOR APPLICABLE ZONING BYLAWS IN ESTABLISHING FENCE. HEOGE. EFFECT WHEN CONSTRUCTED OR BUILDING LINES_ THE LAND (WITH RESPECT TO HORIZONTAL SHOWN HEREON IS BASED ON DIMENSIONAL REOUIREMENTS ONLY). ri IFNT FURNISHED nP is FXFWPT ronu %nnl ATIf1N y_ a i ti of TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r ^ Map Parcel S Application# Health Division / a lYI 3-Ygi Conservation Division f �s W/9/w Permit# 7 Tax Collector �� ,�_ ./ Date Issued — _v Treasurer Application Fee �� rjcMo Planniin D_er)t. Permit Fee , S� Date Definitive Plan Approved by;Planning Board EXISTING SEPTIC SYSTEM Historic-OKH Preservation/Hyannis LI D OOF BEDROOMS �f Project Street Address �i� ® C C'04e S 7"�fee Village �$S % �l/ �'��.5/ b�E Z /A a 66 $' Owner<!3 Vo PS e- 9L 70 S A/ /A/ e XfIS19/(Address �4 L'�✓-�f�� S7'���7� Telephone �!�:6 9 3 (a 2 &� a s Permit Request �ZGI e d �& S fI N /�( Q�/l�I 7��� to IV Square feet: 1st floor:existing 1166 proposed / 6- 2nd floor:existing proposed 2J.s Total new Zoning District V F Flood Plain C Groundwater Overlay Project Valuation 7® Construction Type W60,0 Lot Size o /Joto(f- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family k Two Family ❑ Multi-Family(#units) ' Age of Existing Structure / 7 7 v� Historic House: ❑Yes [9"No On Old King's Highway: 6 Yes ❑No Basement Type: 1'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) ��Gs Number of Baths: Full:existing new Half:existing ® new Number of Bedrooms: existing new Total Room Count not including baths):existing S new J ( g ) g � First Floor Room Count 3 r Heat Type and Fuel: 616as ❑Oil ❑ Electric ❑Other Central Air: CKs ❑No Fireplaces: Existing ® New t Existing wood/coal stove: ❑Yes 6-116 Detached garage:eisting C§iew size Pool:4existing Pnew size Q Barn:9existi1ng Anew size. Q -rent- 'bow IV ;� Attached garage:❑existing ❑new size d 63 Shed:Q existing 0 new size 0 Other: 16 T Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ u-1 p r Commercial ❑Yes &4o If yes, site plan review# s � G- Current Use PIP V41-e �Pje S 1 b e AI C el Proposed Use _T/f'/14 BUILDER INFORMATION Name76//A/ T 5g10Nel' TI? Telephone Number 64 YV Address Velp r?e ex, Z)pl y-d License# 0 6 G 9- Home Improvement Contractor# I® 9 I Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /3 fie lu S-W/J L-e, rd�v //�� SIGNATURE DATE f1, 111 4®lzadA FOR OFFICIAL USE ONLY . PERMIT NO. DATE ISSUED WtAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION OrC FRAME X_ 0 INSULATION QP� `0 �U FIREPLACE ELECTRICAL: ROUGH =:_ FINAL C [w PLUMBING: ROUGH FINAL 8 GAS: ROUGH FINAL FINAL BUILDING Vi drod (3 1� �- rr DATE CLOSED OUT ASSOCIATION PLAN NO. I. • l °FINE To Town of Barnstable Regulatory Services STABMAM 1'E' Thomas F.Geiler,Director i639639. `0� '�Eo Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder . I, C I•eo Ge. r�— /G.(S A ,as Owner of the subject property hereby authorize K�-e.,✓ to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signa of Owner Date G r 6-e-, 1Z (S A 1) Print Name Q TORM&OWNERPERMISSION . ; sail.Jd.Ztls(M#nud) . pmetpptni Paekabs�for dna and Two-FamOy RaidentW BugdhW Satgd repo lbds MAXfMUM • MINIMUM :pli�ag Glasag Celiing Wsil Floor .Basement Slab 'Heuia�lCkalina Arcs 0) U-�„dam+ R-v luat R vttuai R Ya(u� W&H Pesisaetts — * . .. ' A:y4uo tt ti''Ine� 3I01 to 4300 Nekting Degrae Ds 1+Iorasat 13 19 10 0 _ Q 'l9 19 10 6 Normal S 1Zeh• 0.30 33 13 19 l0 d. 13 23 N!A NIA .v.,` lS'!. 0.46 31 l9 19 10 y.; w•IS'!. 0.4 : 7E 13'.. 23 NIAa-a-Eq- 1. u AFU �y IS% O.sz 30 19' 19 10.18'f. 033 " 3E •.1#'. 2S NIA NIA y :rsy. O.d1• 3E 19 • u NIA NIA Normal •18y O,+fi 3>R 13 19 10 6 90 AnM Z . 19 90 30 Is 10DRESS OF PROP-ADDRESS .. . SQUARE FQOTAGE OF ALL M 'I MOXWALL•S:: 3, SQUARE FOOTA 'E'OF ALL'atAZINa: / 7�`• ' . , c� 3 DIVIDED BY#2) a o C}LAZZN4 AREA(# � ' , 5. SELECT PACKAGE(Q--AA■Srt:cb8rt 6UOys); .. NOS:. O'i'PI£R#FORE WVOLVED METHODS-OF DETERIvIIZ`IIN13 ENERGY FX , ARB AVAILABLE. ASK VS FORTIES WORMATI N, BLUDINGINSPECTORAPPROYAL: _ - YES: N0: gfcrms-8SG303a 1 '; � ' • r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings MOM. Residential Addition $50.00 Altcrations/Renovations $SQ.00 Change of Contractor/Builder $25M FEE VALUE WORKSBEET j -NEW LrMGC�SPPACE '7 b square feet x$96/sq,foot= I x.0041= / D�s plus frornbelow(if applicable) ALTERATIONSIREIYOVATIONS OF EXISTING SPACE MO t+" 'ef 8 square feet x$641sq,foot= y/ 02 x.0041= ® O plus frombelow(if applicable) • _ /=/SST otoo, tl SeCv�o !=/oaf 9ARAGES•(attached&detached) V v� 00 square feetx$32/sq,ft,_ Y9 9 9 L/-I- x.0041= ACCESSORY STRUCTURE>120 sq.ft.. >120 sf-500 sf $35•.00 >500 sf-750 sf 50.00 . a d OV >750 sf-1000 sf 75,00 �j 6 x >1000 sf-1500 sf 100.00 ®. . >1500 sf-Same as new building permit: square feetx$96/sq,foot= x.0041- 1 STAND ALONE PERMITS 3 ' `34 () 0 Open Porch x$30.00= � '� 5 (number) o � a � 0 Deck �f' e�fGi7,.o2� x$30.00= �+®'® 3 P" (number) a soy Flreplacel x$25.00 so db (number) Inground Slimming Pool $66.00 • I Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee . r °FSHera,, Town of Barnstable Regulatory Services vKAM $ Thomas F.Geiler,Director 039. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-8624038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence.or building be done by registered contractors,with certain exceptions,along with other. requirements. � eL,f3 u L 0 D-e G IC6 Datofon F ho wT Mows Type of Work:1 1U X 11 SUN Too M %C A5:� C A r 146-e Estimated Cost Address of Work: / ,1d Ced Ai 31),op /S7AI-e Owner's Name: 6 I�VS it pis11APe Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Undei$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 01 Date Contractor Name Registration No. OR Date Owner's Name Q:fomwhomeaffidav �2A Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston, Ma�pchusetts 02108. Home Improvemeh antractor Registration Registration: 109344 " Type: Individual ,u Expiration: 9/10/2006 BALDNER FRAMING CO. W JOHN BALDNER, JR. 180 EVERGREEN DR ' w MARSTONS MILLS, MA 02648 ¢f 7C' 4�V Update Address and return card.Mark reason for change. )PS-CA1 Co 50on-oa04-G101216 Address Renewal Employment Lost Card T1. Board of Building Regulations and Standards License or registration valid for individul use only HOME IJPR�O, VEMENT CONTRACTOR before the expiration date. If found return to: Regist�atron 109344 Board of Building Regulations and Standards One Ashburton Place Rm 1301 on:= 19�/2006 Boston,Ma.02108 Type Midual BALDNER FRAMI JOHN BALDNER. F r 180 EVERGREEN MARSTONS MILLS,MA 02648 Administrator I Not valid without signature {.£�' •11. it �L� .. "t BOARD O � C 1 License: CONS BUILt)IN�REGULAFIONS RUCTION SUPERVISOR Number.- S 000656 i Expire's -0811 6 -, 19/20a7 I I Re �/` �" _7s Tr.no: 2406.0 tri-0 j JOHNr-t x J 180 RGREEN MARS' T DI TONS MILLS MRI,s$ii C commissioner i kn , Application to ® Ringo 9bigbimap 3kegionar 3biotArit �Diotrilrt Committee In'the Town of Barnstable CERTIFICATE OF APPROPRIATENESS r ation is hereby made, with four complete sets,for the issuance of a Certificate of Appropriateness under-section. chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, igs,or photographs accompanying this application for. ;K CATEGORIES THAT APPLY: • c,a tenor building construction: ❑ New 'Addition Alteration licate type-of building: ❑ House [O Garage ❑ Commercial ❑ Other . tenor Painting: ❑ Ins or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign r vcture: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other E OR PRINT LEGIBLY: DATE 1 •B zy RESSOFPROPOSED-WORK Ll 3o CQ,Ati., :5t-1,GJ 746$ASSESSOR'S MAP NO. //3 II l f IER G S 0 A,91215 k/_QI ISTi� ASSESSOR'S LOT NO. 6 S, IE ADDRESS q 3_0 C,sp J N✓ �j TELEPHONE NO. 3 Z 9 Gro,2- NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners•across any . c street orway. (Attach additional sheet if necessary.) /� ♦I � n Yf 1�_\� y o ^ IV A A A a® f'l q 66 G4,L IL✓ S T-w q - :NT OR CONTRACTOR J O 4 N T-WI rAw TELEPHONE NO. 4 z k - 9 o a )RESS r-) ti L/ 1 /sr�3 ►�bi s1�, o `1�6'� ',CRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please ide locations of proposed signs. u nl /vD rm t)d too LAB o F I J_1. deJrl�?i +^lt to �r A.vb r-P_L) •-0 u JJL 06•c. A l At�� rI v[t W l A)1 uW S NO51K�d e-Contractor-Agent Co it ee 1s is Certificate is hereby OVED Date Approved/ enied OCT U4700 om . es Members' Signat TOWN OF BARNST LE HISTORIC PRESERV ION Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET TNDAT I ON C C, �C AZ2�) )ING TYPE C_,o �w,� C „ �c COLOR Ai,f ZLbv IMNEY TYPE Al a ea-e. COLOR OF MATERIAL COLOR A� / y, 9rT TCH ;NDOWS C'� ytea `}'�hvS , COLOR Gc.i SIZE &1#� tIM COLOR (a� )ORS--a/,a COLORS Z c/4, iIITTERS COLORS 7TTERS Jr._,.� , a,L�+ COLORS T�d2cJG�✓ BCKS �=y� ,✓� ,5 SCIs`�i �s c.Zt,6- MATERIALS /1 .4 T.•�zs &RAGE DOORS j&,91v-cG COLORS CU KYLIGHTS 7L11 r SIZE !Fri' 6 COLORS lsa ,, o DECEBWE IGNS A) v COLORS U C T U 4 ?005 HISTORIC PRESERVATION 'ENCE D COLOR 07ES: Pill out completely, including measurements- and materials/colors to be used. Your copies of this form are required for submittal of an application, along with Your copies of the plot plan, landscape plan and elevation plans, when applicable. orraum I OCT-20-2003 10:10 AMERICAN surveying P.01/01 Q 2 -75., Acec-c� ?�/F Eu►a�ayc l ZS7Y Sot WGop® . i lO�t i � s I LOCATION OF STRUC7Ui�fr(�J BASED ON ONES OF OCCUPATiOti MLLREAOUIRE AN INMUM T10 j ✓v 1 P� `� s4�n�v 1 SURVEY. i wti� . r o did a.i^r/E � ✓/) tG V � R ONALD NATOLI a AMERICAN ; �]GIST OF 1264 MAI �1 r l n05 I PHONE (981) - ► . --- - ----- - GI ERED LAND SURVEYOR, _. 0 HE BY CERTIFY THAT THE AB MORTGAGE INSPECTION MORTGAGE INSP C P TI N AN WAS PREPARED FOR y,�w DATE: plc``—�x Q3 RECORDS AT: �' OUNTY REGISTRY OF DEED! CLIENT:_ - y BOOK: Il , P GE N CONNECTION WITH A NEW CLIENT REF.�l: PLAN REFERENCE: f F LEI ORTGAGE. AND IS NOT INTENDEO ,1,0 DRAWN TOWN OF: ASSESSORS OR REPRESENTED TO BE A LAND THE LOCATION OF THE ORIGINAL MAPN: PARC L ATED: OR PROPERTY SURVEY. NO DWELLING SHOWN HEREON EITHER ADDRESS: '� T '�'i� '� CORNERS WERE SET, AND IT WAS IN COMPLIANCE WITH .LOCAL BORROWER: CANNOT BE USED FOR APPLICABLE ZONING BYLAWS IN ESTABLISHING FENCE, HEOGE, EFFECT WHEN CONSTRUCTED OR BUILDING LINES. THE LAND (WITH RESPECT TO HORIZONTAL SHOWN HEREON IS BASED ON DIMENSIONAL REQUIREMENTS ONLY), !:I IFNT FI.IRNISHED nR M FVFUPT FAnM VIN AMN L ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# 1 �� Health Divisio l 3 _ Date Issued 2 S�eB l�Op�f Conservation Division �� 01WOV Application Fee Tax Collector Permit Fee d SEPTIC SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by 1�Ipservation/Hyannis r�ng Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH 0a v� P Project Street Address �-{ %� Ceed Qy— Village & -e 2 Owner O r G� C Address 7� S Telephone �C7 Permit Request 2. � t nn_ Ja, CAI )MA_k RA Square feet: 1 st floor: existi g— Proposed 2nd floor: existing ► 1 v proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 10F 000 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 6 Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: Full Cl Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) t00 Number of Baths: Full: existing C911 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:�e 'sting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage` ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use' BUILDER INFORMATION ��� ) NameA (tip Telephone Number V 5 )�VC/ Address 1.11 License# �7�QvAa 94 Home Improvement Contractor# D— C a Worker's Compensation# c"D W _0� v �c ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE `d FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. • ADDRESS" ' VILLAGE ` OWNER DATE OF INSPECTION: FOUNDATION FRAME ^ f A9 01� '3- 9. 0 4 AV INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ~ ` PLUMBING: ROUGE, FINAL•" to N . GAS: RO t7C FINAL A S FINAL BUILDING _ go m op~ Smmr� DATE CLOSED OUTN ® n 1- Q N - ASSOCIATION PLAN NT n c in v r• The Commonwealth of Massachusetts ' _ - Department of Industrial Accidents' 6o0•Washington Street- Boston,Mass. 02111 Workers'.Com ensation.Insurance Affidavit-General Businesses •- AM • 5 is _' .. . • ess: moo__ -,•��- • �`�--� . . .. • . addr (�1 �hone city' � 9iate' Zit)' . work site location(full addressl 'f.�� ❑Retail❑RestaurauiBar/Eatin Establishment I am•a sole proprietor and have no ontr Business Type.* g ' working le any capacity El Office[]Saki(including Real Estate,Antos etc.)' ❑I am an em to er with .' CM to ees Mull&ixait time). ❑Other am an'employer providing vtorkers compensation for my employees working on this job. coin"".9II•. •eme:. •• .;�,- - •.�. ';�':°�; :�'r.;;:.:.�`.;:: ;,;:,;-; .. ;•:• dd�ress� a t •+ n :'c ..:..•:. •,•. r••!4• -•1.�;., tom,`,` _ � y�'` '�(?-,. �./!� .. ci�y �• •� phone.#} Qi ssu' rarice.c$;i: IX �i- +' e •"',;',_a`•x:•.. odic.'.#`' T am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: .. •.,`. ;i;,'-x��;`�• r . , _ •:i:'• :!: 'mot' eddse'ssd. .;� 77. -:''r• '•• ' � `r �;��.�i: ,o;;�;`';••'rr °.i..• p=y;;a1:i„�:•,':;' ~'-iiC :#�• :.i:'::�;:.:+r`. i�. . . IN coin an. nande:. r,. :•.. address:. insurance sb'r `` Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as ctvfl penalties in the foim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that ILcopy of this s nt maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereb certi nder he ains Renalties of perjury that the information provided above is true and correct ' Date • 2� ��"�`� Signature Gc" Print name L� Phone# U official use only do not write in this area to be completed by city or Town official city or town: perzwdbcense# ❑Building Department ClLicensing Board C4 check if immediate response is required []Selectmen's Office ❑Health Department phone#; contact person: ❑Other (revised Sept.2003) Information'and Instructions. Massachusetts General Laws chapter�152 section 25.requires all eiriployers to provide workers' compensation for their. employees: As quoted-from the law . an employee is.defined as every personae the service of another under any contract of hire; express or implied; oral or.written. partnership, association,'corporation or other legal:entity, or.any two or nmre of An employer is defined as an individual,p' hip, . the foregoing engaged in a�joint enferprise, 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. Howevei.the owner of a dwelling house having.'not•more than three apartments and who resides therein, or the,occupant,d the.dwelling house of another who.employs to do,maintenance, construction or repair work on such dweIIing house or on the grounds or building.apP urtenant thereto shall not because of such,employment.be deemed to bean employer.' MGL chapter 152 section 25 also•staies that'every state'or lbcal 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 accep6ble*evidence'of'compliance with the insurance coverage required. Additionally;neither-the coi-amonwealth nor.any.of'its political subdivisions shall enter into any.contract for the performance of public work until e with tpe insurance requirements of tliis chapter have been presented,to the contracting . acceptable evidence of complianc authority. Applicants Please fill is the workers' eompensation affidavit completely,by checking the box that applies to your situation..Please Supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents-for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the""law"or if you are required to obtain a:workers.'compensation policy,please call the Department at the number listed:below. City or Towns . Please be sure that the affidavit is complete andprinted 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 ui the permit/license number which will be used as a reference number. The.affidavits•may be.retumed to or FAX other arrangements have been made. the Department b}�,mail The Office of Investigations would h`ke to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a-call."' t The Department's address,telephone and fax number: The Commonwealth Of Massachusetts' Department of Industrial Accidents emce of I Mstieadens j 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 nhnnP#- (6171 777-4900 exf::466 , (HET Town of Barnstable o� Regulatory Services a sass Thomas F.Geller,Director 4 1639• 1m� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT I[OMM SUppI,EMERNT oVFMMNT TO PERMITAPPLICATION TRACTOR E MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,er ccu ied ion, improvement,removal,demolition,or construction of an addition to any pre-existing wn P biding containing at Least one but not more than four dwelling units or to structures which are A¢ to such e done by registered contractors,with certain exceptions,along with other residence or building b requirements. Estim4ted Cost' d obi Type of Work: Address of Work: Owner's Name• 'ems Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []lob Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWNLERMI IMPROVEMENT WR DEALING WITH O DO�NOT gAYE CONTRACTORS FOR APPLICAB ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER 1YIGL c.142A. SIGNED UNDERPENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: LL, .................. RegistrationNo. Contractor N ne, Date OR Owner's Name T-fin �oF TOwti Town of Barnstable Regulatory Services s e �Ae Thomas F.Geiler,Director HAM 9 1639, �m Building Division Tom Perry, Buf ling Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-8624038 Fax: '508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ---:�....::... _:_.;as.Oaznex.ofthe.subject prop e-rty- ...•_...__ .: hereby authorize 0= .�" `` • to:act on my..behalf,. in all matters relative to work authoiized•byy.this building.pe=k-application1for: (Address of Job) Signature of Owner Date Print Name ,k ✓k d..0e1.14 BOARD OF BUILDING REGULATIONS i License: CONSTRUCTION SUPERVISOR Number. CS 017367 1.. Expires:09/06/2005 Tr.no: 4572 Restricted: 00 WILLIAM MARSH •35.000 cf enclosed space 155 CROWELL RD (MGL C.112 S.60L) CHATHAM, MA 02633 Administrator Masonry only 1 B 2 Family Homes '. ure to possess a current edition of the f Machusetts State Building Code ause for revocation of this license. i DIG SAFE CALL CENTER: (888)344-7233 i Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 107029 Expiration: 7/28/2004 Type: Private Corporation EASTWARD HOMES, INC. William Marsh 155 Crowell Road C G- Chatham, MA 02633 Administrator Y j��jy�7- BEAM B TJ-Beam(TM))6.06SeriallNN.rn ee 210`36 3 Pcs of 1 3/4" x 16" 1.9E Microllam@ LVL User:1 2/16/2004 11:08:27 AM Pagel Engine Version:1.6.44 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED I a; a Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 13' Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration, 10.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Floor(1.00) 520.0 130.0 0 To 19' Replaces Uniform(plf) Floor(1.00) 390.0 190.0 12'To 19' Adds To SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Pocket in masonry wall 3.50" 3.50" 5428/1693/0/7121 L4 None 2 Steel column 3.50" 3.50" 7182/2548/0/9730 L5 None -See TJ SPECIFIER'S/BUILDERS GUIDE for detail(s): L4,L5 DESIGN CONTROLS: Maximum Design Control Control Location Shear(Ibs) -9521 -7694 15960 Passed(48%) Rt.end Span 1 under Floor loading Moment(Ft-Lbs) 36483 36483 46671 Passed(78%) MID Span 1 under Floor loading Live Load Def!(in) 0.548 0.622 Passed(U408) MID Span 1 under Floor loading Total Load Defl(in) 0.729 0.933 Passed(U307) MID Span 1 under Floor loading -Deflection Criteria:STAN DARD(LL:U360,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code NER analyzing the TJ Distribution product listed above. -Note:See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: EASTWARD CO. Bill Rubel KELSALL JOB Mid-Cape Home Centers 430 CEDAR ST PO Box 1418 WEST BARNSTABLE MA 465 RTE 134 South Dennis,MA 02660 Phone:508-398-6071 Fax :508-398-4559 brubel@midcape.net Copyright 2003 by Trus Joist, a Weyerhaeuser Business MicrollamS is a registered trademark of Trus Joist. Feb 17 04 12: 16p MIDCapeSDennis 5083984559 p. 2 BM A��d" ALTERNATE TJ-Sean(TM)6.06 Serial Number.7002103362 User:1 211712004 1-2:03.34PM 3 PCs of 1 3/4" x 11 7/8" 1.9E Microllam® LVL Pago 1 Engine Version,1.6.44 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Ouerall Dimension:25' I Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: 13' Primary Load Group-Residential-Living Areas(pso:40.0 Live at 100%duration, 10.0 Dead Vertical Loads: - Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 1000 300 25' - SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplift[Total 1 Pocket in masonry wall 3.50" 3.50" 40491113810/5187 L4 None 2 Steel column 3.50" 3.50" 10483/2968/0 113451 L5 None 3 Steel column 3.50" 3.50" -3018/-126/-3146/-3146 L5 None -See TJ SPECIFIER'S 1 BUILDERS GUIDE for detail(s):L4,L5 DESIGN CONTROLS: Maximum Design Control Control Location Shear(Ibs) -7518 -6760 11845 Passed(57%) Rt.end Span 1 under Floor loading Moment(Ft-Lbs) -23258 -23258 26772 Passed(87%) MID Span 2 under Floor loading Live Load Deft(in) 0.610 0.628 Passed(U370) MID Span 1 under Floor ALTERNATE span loading Total Load Deft(in) 0.779 0.942 Passed(U290) MID Span 1 under Floor ALTERNATE span loading -Deflection Criteria:STANDARD(LL:U360,TL:L/240). -Uplift exceeds 1000 Ibs.fof unbalanced load. -Bracing(Lu):All compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate member pattern loading. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code NER analyzing the TJ Distribution product listed above. -Note See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: EASTWARC CO. Bill Rubel KELSALL JOB Mid-Cape Home Centers 430 CEDAR ST PO Box 1418 WEST BARNSTABLE MA 465 RTE 134 South Dennis,MA 02660 Phone :508-398-6071 Fax :508-398-4559 brubel@midcape.net Cupgrcisr Zc01 ST 7tus Joist, a :1eye-rhaeu3e: Business Hlcto!lsn:: is a req:stere: Lrnaenark of :rus Joist. C:\Froi:am Files\Trus JOi$L'.TJ-Beam\Jzt File_\EJSTNARD-KELSALL-A.sms Application to: aPE"fi"�'�, Old Kings Hi way Re ional`Histocic District CommitteeUP `��`= g g - } in the Town of Barnstable for a CERTIFICATION-OF EXEMPTION -- - Application is hereby made, in triplicate,for-.-the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, - Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings, or photo. . graphs accompanying this application. I TYPE OR PRINT LEGIBLY .. . DATE �• ` �� ADDRESS OF PROPOSED WORK V"eS� ASSESSORS MAP NO. 13 OWNER ca_� \ ASSESSORS LOT NO, c HOME.ADDRESS �� IvtJl� J3CL 1k0.(240S —1 ZV ' AG.ENT_.OR-CONTRACTOR,. S V C eok,� ADDRESS_ 1 5 �C �C�I� 1C l—► """ TEL, NO. This:application is,for exemption:of proposed.ezterior construction on the ground that: - ❑ . (1Y.I.t.wiil,not be visible from any way of public place. - ❑ (2) ItAs-Within a tafegory declared"entitled to exemption by Old King's Highway Regional Historic District Commisslom`` (Check applicable box) PROPOSED 00RK:.Descr.ibe and-.fur-nish:.plan,of.proposed work,showing locationon lot,and, if an addition Is=involved., show— ing location of existing,building l SIGN D Space below line for Committee use. . Own er•Cont racto r-Agent Received by H.Q.C. The Certificate is hereby Date Time By - Date ' Approved ❑ The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. aErigiheering P-ept. (3ed floor) Map % 3 Parcel 0 S L Permit# 73 3� 1 House# 143 U Date Issued 71al $ Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) y Fee ' o o Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) �L Planning Dept.(1st floor/School Admin. Bldg.) SEPTiC SYS Definitive Plan Approved by Planning Board 19 INSTALLED I NCE WITH T " " IR®NMEN AND G� OWN OF BARNSTAB ®WN REGUU ICNIS Building Permit Application - Project Street Address3 Village (,vim rr Owner Address V Telephone 3 6 2 ? ? S Permit Request l �e rLa�.��t �X S-(�.-� cs �c t� First Floor ,/,9 O D square feet Second Floor Soo square feet Construction Type �.✓c c� �n�---�_ Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size j 19 C ne Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) 'Age of Existing Structure :L 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) /a cn cn Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing %N New �J yflp Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas r©Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ®Attached(size) 2 0 X 310 ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name L/� y Jd h-,i-o Telephone Number 3 U 2- P- 8 7 1 Address /(o o C(r.,,.c 4 s l License#_(2 y S' o Home Improvement Contractor# / d -21 `/ `/ Worker's Compensation# I NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXIS G,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN O01 <ow• SIGNATURE DATE q1.Z11 I a BUILDING PERMIT DBNIED T3RTn FOLLOWING REASON(S) F � FOR OFFICIAL USE ONLY r- PERMIT NO. s DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE, OWNER - ! 4 , DATE OF INSPECTION: - FOUNDATION + FRAME INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL ' PLUMBING:' ROUGH? FINAL GAS: ROUC-:H FINAL f FINAL BUILDING 'S a: � C-) DATE CLOSED OUT ASSOCIATION PLAN NO. " The Commonwealth of Massachusetts Department of Industrial Accidents Office ofynsesuffinioos 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ lamas I d have no one world in amp ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. companv name :: . :.;.:.;:.. ...:.....: :;.. ::: :. address: .::..;.:..:.:....:...:. .. ..:..:.. city phone#: insurance co. nolkv# ❑ I am a sole proprietor,general coat a t r or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: �... irJ company name* � ey address- G mac.v .. ..::::::..: ............... .. ..:::.... :: .....::::::.:.:.::... `' ........:..:....... cityhe :..:..:rJ X. ;.;_:; insurance cn anv name• >::>:><:>:::.:::>:;::;::::::::.::::;::•;::.::::;.;;::.::..:.>:;:.:: :.;:•;:•;•:;:;:•;;::::;;..:.. cam p address: iili FaOuY to secure coverage as required under section 25A of MGL 152 can lead to the imposition of criminal penalties of a One up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification 1 do hereby certify under the pasts and pen allies of perjury that the information provided above is tra,and correct Zttn ure /— ...�Date Phone official use only do not write in this area to be completed by city or town official city or town: pertnittlicense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑selectmen's Office ❑Health Department contact person: phone#; ❑Other (levied 9/95 P1A) The Town of Barnstable • L►arsr�ar.E. • XAM Department of Health Safety and Environmental Services 10rEo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: �-�/Lc9 cr Estimated Cost /2 y Address of Work: Owner's Name: Date of Application: Se-n f" 1 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law [:]Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: I .. 9' zi 4L=�� o Z'•1 9 Da Con, ctor Name Registration No. OR Date Owner's Name q:forms:Affidav _ _ . _ . _. _ - .... ,mow --�- .. ..,...•: - ..." . . --, .. - X &mmonweaa ol,4&w�� HOME IMPROVEMENT CONTRACTORS. REGISTRATION *1 e Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR -- ---------`--------------- -}— Registration 102149 Expiration 06/30/00 0o, ,,��� Type INDIVIDUAL f�• HOME IMPROVEMENT CONTRACTOR Registration 102149 JOHN JOHNSON Type = INDIVIDUAL John J . Johnson Expiration 06/30/00 PO Box 118 160 Church St 1 W . Barnstable MA 02668 JOHN JOHNSON J. Johnson •` ' .. ADMINISrAATOR PO Box 118 160 Church St W. Barnstable MA 02668 T1. ~ � OEPARTMENT OF PUBLIC 'SAFETY CONSTRUCTION SUPERVISOR LICENSE Number, Expires: _ Restrixted To.: Be JOHN J JOHNSON 71i 070v 160 CHURCH ST — . ^W BARNSTABLE, MA 0266c Y Z 2S act EASTWARD COMPANIES INC 155 Crowell Road Chatham MA 02633 NOTE; , (508)945-2300 EXISTING FND AND FOOTING TO REMAIN Fax(508)945-2374. t Fu W Q�i A a°-z M 0z W d Ey M< °mu °mu w a a J REMOVE EXIST -1 U 4 U M NNQ REMOVE EXIST EXIST LALLY TO LALLY NNQ O =Xp NEW 3: 1 3/4TX0 co LALLY r__jREMAIN — UWH X II 1/8" I I ,---,--------- LVL _._.-._._.-i._ii.T._._._._._i._�..T._.-. -._�. ��T i.�,I_J.�_.-._._.ri.��_.i_._._. NEW 3: 1 3/4 L------J L------J L-----!J L----I--IJ REMOVE I LI------J I I , EIST � � X II Z/8" I L-- XIST ---- LVL W L----------------I NOTE: USE 2 X 10 8 14" O.C. TO MATCH EXISTING SCALE: AT FIRST AND SECOND FLOOR USING JOIST HANGERS DATE: 2/18/04 EXIST nn_E: 1 STAIR TO REMAIN FOUNDATION PLAN NOTE: USE 2 X 4'S TO MATCH EXISTING AT SECOND FLOOR CEILING USING JOIST HANGERS USE 2 X 8'S TO MATCH EXISTING AT RAFTERS DRAWNG NO. FOUNDATION PLAN A ! 3 PLANS 3 BJECTT HAN E © COPYRIGHT 2004/EASTWARD CO. INC. 4 'r_ .�..y'.. _I• Ti f - 4 L> r ,.: ;. ..1�_-� � Imo. ._ " I � 7� I I I I' •� ,::•:.� ' :� fr j 1 - T Ittx 14 . 1 T i 4W, I' "41 � =jn �IIt - 1 � T - 1 ,r. NEW ENQLWO R�ROGRAPN/[.'.i B S(/APLY olte,e - '.•.t'--' ' till ry 4W, I31 a .• I,+ I, �/ V• , � I I I I I I � tz ►: J irbwar'olArcD RE7WOGRAi1!IIC90:8'IfGPLYGO_wtvt4', :,' - .� .:5�_ y�:.•..•�: Jr:•' .1 - :.is .h•.�.. `yi'-,' I. tv J. >c'•''tt'':i: ;t' ..�. '�.�:JQpf.-r�J�•.rs�•�.`''T''•i.:d0�:_J.;:`.'.r-','i' ,�i: ilk `I. 1•'n yy I..I . -- • >`.;: lost v:.:i. `g.,.r..-:,,T4^ .'+1.nr e ' `-�•%';�✓-'ii� in.�.,. 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BUILDING CONTRACTOR I " (2).13/4"X9$ HE kDER (L=7') I-JOIST 16" BCI 600'S - 2.0 SP PRO SED 14'-0" SITE SUN I IOOM 13/."X1136 L L RIDGE BEAM KELSALL RESIDENCE DO/ 4"X4" HSS Eo W12X50 (L=21') I ' 6"X6" POST \,'XV_POST_S��(3) tj"X18" LVL (L=18') 10'-0' I A&E FIRM oROpOSFn 28'-0• m TURNING MILL CONSULTANTS,INC. GARAGE DEVELOPERS,ENGINEERS, AND CONSTRUCTION MANAGERS 68 TUPPER ROAD,UNIT 3 r I P.O.BOX 1159,SANDWICH,MA 02563 rao.nwnro-uu rw oonmur 26'-4" EXISTING 1ST FLOOR SITE ADDRESS I 1 - 430 CEDAR STREET I 4"X4" HSS WEST BARNSTABLE,MA 1 2-0" (2) 13'4"XM" LVL hEADER (L 11') —1 SUBMITTALS 4X4 POST (TYP.) (2) I-Y4"X113¢" LVL HEADER (L=19' 44'-4"_,. 10'-O" 24'-0" BEAM PLAN r2 2 g PROPOSED NAILER A 04/03/06 ISSUED FOR CONSTRUCTION SCALE: 1/8" = 1'—O" $-1 I•TYP 1 4"HSS NEW w12 PROFE ONA �fLM ' CONCRETE AND STRUCTURAL 1O STEEL BEAM ,�P��D '�sY REINFORCING STEEL NOTES: STEEL NOTES: STRUCTURAL TIMBER NOTES: 1/2•THK PLATEd TYPICAL _ �5/8"0 BOLTS a �0 }8a N 1. ALL CONCRETE WORK SHALL BE IN ACCORDANCE WITH THE ACI t. CONTRACTOR SHALL VERIFY ALL DIMENSIONS AND CONDITIONS IN _ H 301, ACI 318, ACI 336, ASTM A184, ASTM A185. THE FIELD PRIOR TO FABRICATION AND ERECTION OF ANY MATERIAL. 1.SEC0OP FLOOR JOISTS SHALL BE 16" BCI 600s'- 2.0 TYPICAL m HOLES -ANY UNUSUAL CONDITIONS SHALL BE REPORTED TO THE ATTENTION OF SP. TOP LOAD:OVER BEAM WHERE TOP PLATE DEGIL TYPICAL 2. ALL CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH THE ENGINEER. - POSSIBLE/PRACTICAL IF FLUSH FRAME IS REQUIRED ��l TOP PLATEOF 3000 PSI AT 28 DAYS, UNLESS NOTED OTHERWISE. USE SIMPSON LBV1.81 /16 HANGERS. / ,2. DESIGN AND CONSTRUCTION OF STRUCTURAL STEEL SHALL 2.LVL MEMBERS•'NOTED ON THE PLAN SHALL BE - 8" 4"HSS L 3. REINFORCING STEEL SHALL CONFORM TO ASTM A 615, GRADE 60. -"CONFORM TO THE AMERICAN INSTITUTE OF STEEL CONSTRUCTION VERSA—LAM LVL WITH FB= 3,100 PSI AND M.O.E _ �I•TYP. F' DEFORMED UNLESS NOTED OTHERWISE. WELDED WIRE FABRIC SHALL "SPECIFICATION FOR THE DESIGN, FABRICATION AND ERECTION OF 2,000.000 PSI. OR APPROVED EQUAL. _ CONFORM TO ASTM A 185 WELDED STEEL WIRE FABRIC UNLESS STRUCTURAL STEEL FOR BUILDINGS".. 3.LVL MEMBERS SHALL COMPLY WITH THE INSTRUCTIONS 5 8 NOTED OTHERWISE. SPLICES SHALL BE CLASS "B" AND ALL HOOKS AND RECOMMENDATIONS OF THE MANUFACTURER. 4"HSS 5/8"ANCHOR BOLTS W/ SHALL BE STANDARD. UNO. 3. STRUCTURAL AND MISCELLANEOUS STEEL SHALL CONFORM TO ASTM 4 1/2"MIN. EMBEDMENT A36 STRUCTURAL STEEL UNLESS OTHERWISE INDICATED. 8" 5/8"7HK PLATE 4. THE FOLLOWING MINIMUM CONCRETE COVER SHALL BE PROVIDED - I TYPICAL BOTTOM DRAWN BY: J.P.R. FOR REINFORCING STEEL UNLESS SHOWN OTHERWISE ON DRAWINGS: 4. STEEL PIPE SHALL CONFORM TO ASTM A500 "COLD—FORMED 1— BOTTOM PLATE' -WELDED & SEAMLESS CARBON STEEL STRUCTURAL TUBING GRADE A, - 3/4'm HOLES OR ASTM A53 PIPE STEEL BLACK AND HOT—DIPPED ZINC—COATED TYPICAL CHECKED BY: M.F.J. CONCRETE CAST AGAINST ARTEARTH........3 IN. BOTTOM PLATE DETAIL a' PROPOSED FOUNDATION WELDED AND SEAMLESS TYPE E OR S. GRADE.B. PIPE SIZES. ° CONCRETE EXPOSED TO EARTH OR WEATHER: 1 '`° SHEET TITLE: INDICATED ARE NOMINAL. ACTUAL OUTSIDE DIAMETER IS LARGER. R6 AND LARGER ..........................2 IN. ':e. .,. AND SMALLER & WWF.........1 1/2 IN. 5. STRUCTURAL CONNECTION BOLTS SHALL BE HIGH STRENGTH BOLTS _ CONCRETE NOT EXPOSED TO EARTH OR WEATHER OR NOT (BEARING TYPE) AND CONFORM TO ASTM A325 "HIGH STRENGTH CAST AGAINST THE GROUND: BOLTS FOR STRUCTURAL JOINTS, INCLUDING SUITABLE NUTS AND PLAIN SLAB AND WALL........................3/4 IN. HARDENED WASHERS". ALL BOLTS SHALL BE 5/8" DIA LION. I BEAM PLAN BEAMS AND COLUMNS..............1 1/2 IN. SQUARE TUBE 5. A CHAMFER 3/4" SHALL BE PROVIDED AT ALL EXPOSED EDGES OF COLUMN DETAIL 4 CONCRETE, UNO, IN ACCORDANCE WITH ACI 301 SECTION 4.2.4. SCALE: 3/4" = i'-0" S-1 SHEET NUMBER: S-1 TMC—S'6.18