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1247 MAIN ST./RTE 6A(W.BARN.)
I 741;rz ,j IN t UPC 12534 No. -153,LOR q�s7cot+s`' HASTINGS MN c- r t 30 Application number..... —.,1. ... .qs... Fee..................... . KAM Building Inspectors Initials.... ...................... �C,�j, � q Date Issued.....�.�.�..1....,1. 1 . Map/Parcel.............: .....Q 1....................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: (2`1 �A&% S�,cee� Va.5 - rS A e NUMBER STREET VILLAGE Owner's Name: R'�}�hDom► i-0 ve Phone Number_ 6 17 6 y 2' 9-ZZ3 Email Address:Lkc+T-qneo o„n Cell Phone Number Project cost$ ``�"35010, Check one Residential V Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than I layer of shingles) Construction Debris will.be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY-IS/N A ulcTnwir n1cTDIrT vn11 A/U Icr nRTAllu micrnR/r aooRnVdI RFMRF d 0FRM1T rdA1 RF 1«11Fn APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No ' (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 201bs. or>Yes No , if yes, a gas permit is required. Natural Gas'Yes` No , if yes,a gas permit is required. ; Iffood is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# : y-r U ►- Model/I.D. F 9 0 0 Fuel Type jA,n0.1) Testing Lab .hVec h Sigty<<.e5 Offsets from combustibles: front bask left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: ��n T�r��n..i Ni���c�ef L-,Dyel l Telephone Number 7 `�2- 9 2-2.3 Cell or Work number 5 M9- I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. ` Signature s Date I1oJ 1 a).a 0 APPLICANT'S SIGNATURE Signature Date do v All permit applications are subject to a building official's approval prior to issuance. ter . Town of Barnstable Building .Post;This.Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept BAMSrAHM MAS& ;Posted Until final Inspection Has Been Made. " - 1� i6Sq Q,O 1 11 Where a Certificate of Occupancy is Required,such Building shall be Occupied until a Final Inspection has been made Pey�n11 Permit No. B-19-3845 Applicant Name: LOVELL,ANTHONY Approvals Date Issued: 11/14/2019 Current Use: Structure Permit Type: Building-Stove Expiration Date: 05/14/2020 Foundation: Location: 1247 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot: 178-021 Zoning District: RF Sheathing: Owner on Record: LOVELL,ANTHONY Contractor Name: Framing: 1 Address: 1247 MAIN STREET Contractor License: 2 Est. Project Cost: $0.00 WEST BARNSTABLE, MA 02668 Chimney: Description: jotul -f400 castine-wood stove Permit Fee: $35.00 Fee Paid:, $35.00 Insulation: Project Review Req: : Final: Date: 11/14/2019 Plumbing/Gas Rough Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withimsix months after,issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. i" Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:! Service: r` 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health ersons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: CERTIFICATE OF LIABILITY INSURANCE DA09/24/2o 9 TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS IFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LOW. 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 have ADDITIONAL INSURED provisions or be endorsed. It 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 ileu of such endorsement(s). PRODUCER CONTACT NAME: Laura J Murphy HART INSURANCE AGENCY, INC. PHONE 508 759 7326 X207 FAX 243 MAIN STREET A+c,Ngkt.._ PO BOX 700 E-MADDRESS: Imurphy@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER AEVANSTON INSURANCE CO _35378 — -----._........................................_._.� .._....._..----- INSURED Sandwich Chimney Sweep INSURER_B_ ATLANTIC CHARTER INSURANCE COMPANY 44326 PO Box 90 —_ ..__._._ Sandwich,MA 02563 INSURER C: ARBELLA PROTECTIO INSURANCE CO -------- -- INSURER D INSURER E: INSURER F: _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR --''- -------- �ADDLISUBR POLICY EFF POLICY EXP .......... LTR TYPE OF INSURANCE POLICY NUMBER i fMWDDIYYYY) I M LIMITS A COMMERCIAL GENERAL LIABILITY 3ET6635 i 10/09/2018 10/09/2019 I EACH OCCURRENCE $. 1,00.0,000 DAMAGE O RENTED "�--- CLAIMS•MADE [ OCCUR 1 REMISES(E oc rrancel $ 50,000 MED EXP(Any one person) _ $ 1,000 PERSONAL S ADV_INJURY_ S 1.000,000 GEN'L.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 (� VI POLICY 1 1 JEDT i— LOC I PRODUCTS-COMP!OPAGG $ 2000,000 -1I OTHER: $ Ci ' AUTOMOBILE LIABILITY I 1020015930 03/22/2019 03/22/2020 COMBINED SINGLE LIMIT $ Ea acclda t) ANY AUTO 3 ! ! BODILY INJURY(Per person) $ 100,000 OWNED SCHEDULED ( BODILY INJURY(Per accident) $ 300,000 AUTOS ONLY AUTOS _ HIRED NON-OWNED ! j�PeOPERTY DAMAGE $ 1 OO,000'. AUTOS ONLY AUTOS ONLY i i It II $ I UMBRELLA LIAB OCCUR _ i EACH OCCURRENCE _ $ EXCESS LH I I CLAIMS-MA AGGREGATE �- $ EXE IAR DED F I RETENTION$ I $ B WORKERS COMPENSATION WCV01153105 05/13/2019 05/13/2020 srT UTE ER AND EMPLOYERS'LIABILITY Y I N i I _ i ANY PROPRIETORiPARTNERIEXECUTIVE a i N!A! i i OFFICER?MEMBER EXCLUDED? E.L.EACH ACCIDENT $_ 500,000 (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $ 500,000 If es,describe under — i DESCRIPTION OF OPERATIONS below ! E.L.DISEASE POLICY LIMIT $ 500,000 i I ' j I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more apace Is.required) Operations per terms&conditions in the policy CERTIFICATE HOLDER CANCELLATION Town of Barnstable Building Depts Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hyannis,MA.02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information lL Please Print Legibly Name(Business/Organization/Individual): yyr j mmr'oly Address: 'SVre•e.� City/State/Zip: We5� lkv l\! �Oe Pi fi 6405 Phone#: ( 1 9 173 Are you an employer?Check the appropriatRpI x: Type of project(required): 1.El am a employer with 4. am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling - ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• t 9. ❑Building addition [No workers'comp. insurance 'comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions ] officers have exercised their I I. Plumbing repairs or additions 3.❑ 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#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 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 under the�ains and penalties of perjury that the information provided above is true and correct Signature ���tJ`^� �.t.tA Date: Lo V 1�, 2"O ) Phone#• 617 (4 z / Z 2-� i OJjicial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." . MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia Jun 20 2019 11:50AM Tupper Construction Co. 15087785010 page 1 TU PPE R CONSTR CTION CO-LA r-- 546A Higgins Crowell Rd,WEST YA OUTH.MA 02673 PHONE: 508-778-0111 FAX: 0&776-5010 EMAIL:admin@tupperc .cam 0 Date: Town of Barnstable e Building Inspector 200 Main Street ''' M Hyannis, MA 02601 (508) 790-6230 fax Re: Insulation Permit at Permit# Issued On This affidavit is to certify that all work completed for the above permit application has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, i Richard Tupper License# CS-69058 Town of Barnstable Building s Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept HAWNWA NAB& Posted Until Final Inspection Has Been Made. Permit 1639. ' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit NO. B-19-1580 Applicant Name: Richard Tupper Approvals Date Issued: 05/14/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/14/2019 Foundation: Location: 1247 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot: 178-021 Zoning District: RF Sheathing: Owner on Record: LOVELL,ANTHONY Contractor Name: Richard S Tupper Framing: 1 Address: 1247 MAIN STREET Contractor License: CS-069058 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $6,344.00 Chimney: Description: Install ventilation chutes and soffit vents,install R-19 fiberglass and Permit Fee: $85.00 rigid board along kneewall slope, reposition existing insulation,air Insulation: Fee Paid: $85.00 seal home to restrict air leakage,install rigid board along basement sills, install 10 mil poly along crawlspace floor. Date: 5/14/2019 Final: Project Review Req: � Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Pers ns contra g with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department - � All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: i i L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 178 Parcel QZ/ Application to Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ' D-OV3- Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 2 Y7 &)q Village Owner (' �12����� d >4/�� �dl-C- Address RZ.) ✓1v� 302 G1/ 311-lKys,ELF Telephone/ .?3 7- 6S /l dc6� Permit Request NCk/ 2ez N zy' SH;eD (21-144C��op`� Square feet: 1 st floor: existing proposed 576 2nd floor: existing proposed Total new. Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 1-t7Z ;zA' 4F 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: Yew❑ No aBasement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other tl � n Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new I Number of Bedrooms: existing _new Total Room Count (not including baths): existing new -- First Floor Room Count _r__3 '' Heat Type and+Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other c'ati� 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 JIB new size.5Z 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 1C IqA'1�>E?''vA)sr=-5d,,J . JAAJ - Telephone Number Address License # CS 06)"77/� /A1?1 ZS�� Home Improvement Contractor# /00 VU-s Em. , 0a® �lCkr� 2kl/�N/7C/i'wn�,C�J�j Worker's Compensation # I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /GNU Gt// Im C) 'L SIGNATURE DATE �21S/! -,z ice.. i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ,s k "z ADDRESS VILLAGE s OWNER r DATE OF INSPECTION: )AFOUNDATION°� nls' '�0,. 9��km l FRAME Zf�� Rd 4• +s INSULATION r .. FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL Y FINAL BUILDING. _ fIN °K ALFl . liq /trn4— r 't DATE CLOSED OUT ASSOCIATION PLAN.NO. The Commonwealth of Massachusetts Department of IndustridlAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Legibly Name(Business/organization/lndividual): E i,j, �l N�k5'2S y N o n)S C., _ Address: L'y/a v k) City/State/Zip: ';A N D tJl c9 P4 O Phone#: rsog Are you an employer?Check the appropriate boar Type of project(required): 1.E4 I am a employer with_� 4. El am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or.partner- listed on.the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity, employees and have workers' [No workers'comp. insurance comp. insurance 3 9. Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work. officers have exercised their 11.❑Plumbing repairs or additions ms sel£ o workers'com . . right of exemption per MGL in urance r ed t P c. 152, §1(4),and we have no 12.❑Roof repairs ] 13.❑ Otter employees. [No workers' comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy infbn3mbon. 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 h the:policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#:_ ;2 / Lf f to Expiration Date: Job Site Address:_ 1,7 u City/State/Zip:_l✓ �/�if'/✓S/ /jLEG�' 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$1,50900 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 ce r the and penalties ofpedury that the information provided above is true and correct. Si ature:X Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ACoRo® CERTIFICATE OF LIABILITY INSURANCE DATE(MWOQrYYYY) 1 0104/2 01 3 THIS CERTIFICATE IS ISSUED A5 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject 10 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 Ileu of such endorsements. PRODUCER CON TAC Mork Sylvia Insurance Agency,LLC NAME: Debbie 404 Main Street PHONE 50B 957-2126 LAIC—.Egli() arc o1:508.957-2781 AIL Eenterville. MA 02632 RE ssb INSURER(S)AFFORDING COVERAGE i NAIC N INSURER A;Farm Family Casualty Insurance INSURED R.W.Anderson&Sons Inc INSURER e: 6 Willow St INSURER C: Sandwich,MA 02563 INSURERD: INSURERE., I , 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. lMS—RLTR TYPE OF INSURANCE AWL POUCY EFF POLICY EXP PO NIODHW DD LIMITS GENERAL LIALIABILITYLICY NUMBER EACH OCCURRENCE E COMMERCULL GENERAL LIABILITY PISES fER oAcir(IT 5 _ ,)CLAIMS-MAQE i1EM OCCUR ' ME EXF JAny ono'Prawn) S PERSONAL&AOV INJURY E GENERAL AGGREGATE 3 _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOP AGG S PO LICY S AUTOMOBILE UAMUTY COMPINED SINGLE LIMI' ectltleMS I _ ANY AUTO ALL OWNED SCHEDULED BODILv INJURY(Pot person) 3 ` AUTOS AUTOS BODILY INJURY(PP±rAcclaoM) S HIREDAurOS NON•OWNED PRO ERTrDAMAGE AUTOS g _(Ee[aetMtent) S UMBRELLA UAB OCCUR EACH OCCURRENCE 2 EXtEb6 UAB CLAIMS-MADE AGGREGATE E DED RETENTI E S A AND EMPS VEERS'LSATIQN 2001 VW446 9/18/2013 9/18/2014 WC STAY oTH- AND ENPLOYFl18'LIABLLITY YIN .[ZY_U x ER— ANY PROPRIETOR/PARTNEWEXECLITIVE OFFICER/MEMBER EXCLUDED? MIA E.L;EACH ACCIDENT 0 600,000 (ManOalory b NH) E.L.DISEASE-EA EMPLOYE E 500,000 II yyaaaa,,defaihR yndet DESCRIPTIOM Of OPERATIONS betas E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERAMONSI'LOCATIONS/VEHICLES(AREeh ACORD 101,AddIHw I ItOn"09 SCMAWa,It More Epau fa NgMmd) ' CARPENTRY CERTIFICATE HOLDER CANCELLATION (508)833-0016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Sandwich Building Dept THE EXPIRATION DATA THEREOF, NOTICE ;WILL BE DELIVERED IN 16 Jan Sebastian Drive ACCORDANCE MTN THE POLICY t7P15IONS. Sandwich.MA 02563 AUTHOAIjEp REP SE TA I 1088.2010 ACO RATION. All rights reserved, " ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD of - Town of Barnstable o« Regulatory Services h g Thomas•F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder K&N N3 L4.\L C Nko' S G k4s Owner of the subject;ProPertY hereby autho CAS 1y�tfk.S A) -f v,y g, Jtie to act on ray 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 ins ections are performed and accepted. Siggatue o Signature of Applicant Print Name Print Name WORM&OWNERPERMISSIONPOOL•S 62012 4 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston;Massachusetts 02116 Home Improvement C aiii ctor Registration Reqistration: 109503 r_ 'Type: Private Corporation Expiration: 9/16/2014 Tr# 229705 RW ANDERSON & SONS INC k" RICHARD ANDERSON 6 WILLOW ST SANDWICH, MA 02563 Q �¢ `gin .w Update Address and return card.Mark reason for change. ❑ Address ❑ Renewal Employment Lost Card SCA 1 Co 20M-65/11 . ° C��aa°Iatio aeka License or registration valid for individul use otil Office of Consumer Affairs&Busi ess Regulation g y OME IMPROVEMENT CONTRACTOR before the expiration date: If found return to: egistration: kl!a l503 Type: Office of Consumer Affairs and Business Regulation xpiration: � e�Q,1g Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 RW A. DERSON 8 Sfl1.' N^ RICHARD ANDERS� 6 WILLOW ST SANDWICH, MA 02563ir Undersecretary Not valid without signature j i Massachusetts - Department of Public Safety Board of.Building Regulations and Standards Construction Supervisor License: CS-007714 t RICHARD W ArI]ARSO' ' i 20 GROVE ST SANDWICH MA70256a3 J,•�� �� v Expiration i 05/26/2014 Commissioner 7. py1HE T� I Barnstable Old Kings Highway Historic District Committee DAM EZ ? 200 Main Street,Hyannis,MA 02601,TEL: 508=8624787 FaX.5.0:8-862-4784 F°'�'� APPLICATION, .`CERTIFICATE OF APPROPRIA'Z'ENESS Application is.hereby made;with five(5).complete sets,for the issuance of a Certificate of Appropriateness under Sebtion 6 of Chapter 470,Acts and Resolves of Massachusetts, 103,for proposed woik as-described.below and on plans,drawings,or photographs accompanying tfiis applica.off for. Check all catego es that apply. 1 Building:construction: 0 New X Addition ❑ Alteration . 2. Type.of Buildinj: � House: Garage/bam Shed ❑ .Commercial. Other 3. .ExteriorPaintim roof .❑ new roof 0 color/material change,of trim, siding,window, door 4. Sif?aa:::, El New Sign 0 Existing'Siga ❑ Repainting Existing Sign 5. Structure: 0 Fence 11. Wall ❑ Flagpole ❑ Retamm wall ❑ Tennis court ElOther 6. Pool ❑ Sw.u=ing ' 0 Other man-made pool ❑ Solar parcels' ❑ Other Type or printLegibly: Date ref z2J/.� . NOTE A1.1'applications must be s1kned by the current owner .Owner`(print): , f.(„��iQ/` %� ¢GL Telephone#: �S b�� _7,3'7-5 Zf 7 Address of Proposed Work:: Z 42 2-r lv f3 ^Village A),l34du,577Z c ap Lot# /_29-c�2/ . Mailing Address(if d en6pk3 GJ. tiS773[E �> Owner's Signature.. Descipton'of Proposed.York: CZiye partic ars.of work to be done: 2v X Z4' S j � fA Agent or Contraotor:(print); hJ,��jf�;5'G 0 's�'OjJS. /g Telephone#: Address: 4014" S4N /✓/C . ejzS7�� Contractor/Agent' signature: . For committee use only. This Certif cate is hereby APP OE D. D Date Members signatures W APPROVED NOV 13 2013 (3)7,0 1. .. / Town of Barnstable Committee wad . 1 � r � CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 copies Foundation Type: (Max. 12"exposed)(material-brick/cement,other) OA-) SouyTVW- ?tZR,0 PtF)? P[AA-� Siding Type: Clapboard_ shingle X other Material: red cedar white cedar _ other Color: A)41V1W1- Chimney 1Vfaterial`. 4Z4 Color: Roof Material: (make&style) (�*Ar7Z L7rV lc cyil, oI04S Color: Roof Pitch(s)r (7/12 minimum) 911 (specify on.plans for new buildings, major additions) Window and door trim material: wood N<;' other material,specify Size of cornerboards 1 X d-(n size of casings(1 X 4 min.) color Rakes..Ist member )X6„ 2°4 member X 2" Depth of overhang Window: (make/model) -5Xy&?,�1,,L.. material. Pc>L11•VAAeL- color hjlilI 72= (Provide window schedule on plan for new buildings, major additions) Window grills (please check all that apply_: true divided lights— exterior glued grills_ grills between glass X removable interior None Door'style and maker q.L/f 77F",*1'!2U material Color: j,✓,r��yt .Garage Door,Style /) Size of opening Material &006,D Color W ff/7 Shutter Type/Style/Material' /V1�- Color: Gutter Type/Material:, . t U i-k1 rz:-. 4,,M 1N L) Color: ! >TC Deck?material: 'wood other material, specify. T' Color: Skylight,type/make/model/: -- material Color: Size:;r,l ri 7,7Tr, is,, Sign size: — Type/Materials: Color: ry a tag"t 4. 4 Fence'Type(max 6')Style — material: _ Color: Retaining wall: Material: .APPROVE® Lightipg;;freestanding — on building A OK-1 ro bvlz.illuminahng sign OTHER INFORMATION: NOV 13. 209 THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Town of Barnstable Old King's Highway Committee Please:provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (planpreparer) Print Name 2�Gt2� lw�cf�S'�� 2 O:WOardsandCnmmissin?L001dKinvs H10hwnvI10V9Annlirn/innslnK97011 rPrl AnnrnnrinlanP dnr Town of Barnstable Geographic Information System October 24, 2013 178006 <178003 178015002CN D #1071 #1121 #1170 Allllllh� 178015001 155030 4178004 #1190 178017 #2416 .#1165 #0 178016 #1194 178004001 #0 3 Z 198003 178018 #0 #1220 178018001 i #0 i i 178020 178001 #0 #0 178021001 178019 198004 178021 #0 # #1247 0 #0 177001 178031 00 #1310 177006 #1344 # 197046 •#1374 178021002 • 155032001 #1295 #2320 177004 #1340 177003 #1375 177002 #0 0 146 Feet 1#0„ #o DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:178 Parcel:021 a boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner:GALL,CHARLES&DARA Total Assessed Value:$492400 Selected Parcel W+ 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessors tax parcels. They are not true properly Co-Owner: Acreage:2.96 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:1247 MAIN ST./RTE 6A(W.BARN.) d such as building locations. Buffer 1. AWC GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS 110 MPH WIND ZONE n n MASSACHUSETTS CHECKLIST FOR COMPLIANCE C180 CMR 5301,2.I,IJ ®.CHECK COMPLIANCE Ull Ull I.I SCOPE WIND SPEED(33EC.GUST)._._________________________________________________________________________110 MPH ' WIND EXPOSURE CATEGORY---------------------------------------------------------------------------------B 1.2 APPLICABILITY NUMBER OF STORIES(A ROOF WHICH EXCEEDS 8 IN 12 SLOPE SHALL BE CONSIDERED A STORY) _I STORIES<2 STORIES ROOF PITCH-----------------------------------------(FIG 2) -------------------------------------2542<12:12 MEAN ROOF HEIGHT--------------_------------------*(FIG 2) ._____-_._--__-._ ------------------- S FT<33'�L BUILDING WIDTH.W-----------------------------------(FIG 3)-------------------------------------B_FT(80' BUILDING LENGTH,L_________________________________(FIG 3)------------------------------------- 11_FT<80'�L BUILDING ASPECT RATIO MU)------------------------(FIG 4)------.------------------------------. _(3U�— NOMINAL HEIGHT OF TALLEST OPENING?________________(FIG 4)-------------------------------------- <6'8' 1.3 FRAMING CONNECTIONS GENERAL COMPLIANCE WITH FRAMING CONNECTIONS.._. RABLE 2).____________________________________________. 2.1 FOUNDATION FOUNDATION WALLS MEETING REQUIREMENTS OF 180 CMR 5404.1 CONCRETE.............................._:--_--.____•._-..-.-__....___-_------ --------------. CONCRETE MASONRY-----------------______________________________________________________ _________. 2,2 ANCHORAGE TO FOUNDATION' 5/8'ANCHOR BOLTS IMBEDDED OR 5/8'PROPRIETARY MECHANICAL ANCHORS AS AN ALTERNATIVE IN CONCRETE ONLY BOLT SPACING-GENERAL ..............:..........(TABLE 4)-------------------------------------- IN._fL_ BOLT SPACING FROM END/JOINT OF PLATE---------(FIG 5).............................AKt.F00T IN.<6'-12,_1L BOLT EMBEDMENTIANCRETE----------_____j• (FIG 5).___..___.___._____:._..__._.___.._._JZ IN.)1' BOLT EMBEDMENT-MA80NRY.....:..........:�_...(FIG 5)._.____.__.__._____---- ___.._.__....�hL>15'�— PLATE WASHER___________________________________(FIG 5)-------------------------------------->3'X3'XI/4'�L_ 3.1 FLOORS FLOOR FRAMING MEMBER SPANS CHECKED------------(PER 180 CMR 55.00)---------------------------------- MAXIMUM FLOOR OPENING DIMENSION------ ......(FIG 6)-------------------------------------- e) FT<12' FULL HEIGHT WALL STUDS AT FLOOR OPENINGS LESS 2'FROM EXTERIOR WALL(FIG 6)----------------------------- MAXIMUM FLOOR JOIST SETBACKS SUPPORTING LOADBEARING WALLS OR SHEARWALL.(FIG 1)..................................... e) FT<d MAXIMUM CANTILEVERED FLOOR JOIST SUPPORTING LOADBEARING WA"OR WEARWALL.(FIG 8)......:.............................. Q FT<d FLOOR BRACING AT ENOWALLB-----------------------(FIG 9) -----------------:--------...................... _1L_ FLOOR SHEATHING TYPE------------------------------(PER 100 CMR 55.00)-----------__-.____.-_.._.-_...._. _ML FLOOR SHEATHING THICKNESS....................y-_.(PER 180 CMR moo)._.:._:__....._______-___.3L4_N._AL FLOOR SHEATHING FASTENING........................(TABLE 2)_d NAILS AT IN W648AY9UN FIELD=1L 4,1 WALLS WALL HEIGHT LOADBEARING WALLS-----------------------------(FIG 10 AND TABLE 5)._-_._ ------------------12-FT<V NON-LOADBEARING WALLS.-----------------------(FIG 10 AND TABLE 5)---------:-------------...Q_FT<20;IL WALL STUD SPACING---------------------------------(FIG 10 AND TABLE 5)-------------------QIN<24'O.C.I_ WALL STORY OFFSETS-------------------------------(FIG 11 8)-------------------_----------------2_FT(d_1L_ 4,2 EXTERIOR WALLS' WALL STUDS LOADBEARING WALLS.............................(TABLE 5)--------fi>hb-v.48:_n.G_.2X--FT—IN—3L_ NON-LOADBEARING WALLS.........................RABLE 9)............................2X NONE FT_N�L GABLE END WALL BRACING' FULL HEIGHT ENDWALL STUDS.----------------------(FIG 10)---.._..______._-.....___-.-..__.._._..__-.__. �L WSP ATTIC FLOOR LENGTH-------------------------(FIG 11)------------------------------------ FT>W/3 GYPSUM CEILING LENGTH(IF WSP NOT USED).__.....(FIG IU____________________________________lZ FT>0.9W_1L AND 2X4 CONTINUOUS LATERAL BRACE•6 FT.0.0,(FIG IU----------------------------------------------. �L— OR IX3 CEILING FURRING STRIPS•16'SPACING MIN.WITH 2X4 BLOCKING c 4 FT.SPACING IN END_-__-____--. �L JOIST OR TRUSS BAYS__________________________________________________________________________________ _1L DOUBLE TOP PLATE SPLICE LENGTH---------------------------------(FIG B AND TABLE 6).___---________....__-----._AFT SPLICE CONNECTION(NO.OF I"COMMON NAILS) (TABLE 6)--------------------------------------- _e!) LOADBEARING WALL CONNECTIONS LATERAL(NO.OF 16P COMMON RAILS)------------(TABLE V........................................ �. NON-LOADBEARING WALL CONNECTIONS LATERAL(NO.OF ibd COMMON NAILS)............RABLE 0)...------------------------------------ LOAD BEARING WALL OPENINGS(RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE 9) HEADER 8PAN6-----------------------_---------(TABLE 9)--------------------------------3-FT-fiJN.<IV- 11— SILL PLATE SPANS-------------------------------(TABLE 9)......_____.___._. .____..__._g_pT-h_JN.<11'�— FULL HEIGHT STUDS(NO.OF STUDS)---------------(TABLE 9)----------bX6 Pb9T"'.............._ NON-LOAD BEARING WALL OPENINGS(RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE ) '/l,/�••(/C(�L U Z HEADER SPANS---------------------------------(TABLE 9)-----------------------------�--FT..,j21N:<12'_>L_ 2 (°� SILL PLATE SPANS______________________________(TABLE 9)-----------------------------�T-ft,.JN.<12'�L FULL HEIGHT STUDS(NO.OF STUDS)---------------RABLE 9)-----------C?XhP-Qli7----------------- EXTERIOR WALL SHEATHING TO RESIST UPLIFT AND 844EAR SIMULTANEOUSLIs l 2 LF7 MINIMUM BUILDING DIMENSION,(W) NOMINAL HEIGHT OF TALLEST OPENING?__________________________________________________________hZe<6'0' 'j SHEATHING TYPE--------------------------------(NOTE 4)---------_-------------------JX9 AGA_RPs!_ EDGE NAIL SPACING-----------------------------(TABLE 10 OR NOTE 4 IF LESS)..-__.._-_....._-._—IN._1L_ FIELD NAIL SPACING-----------------------------(TABLE 10) .____--_-_._-.--.._-__-_-.-.____.___�F'R1C4_1L SHEAR CONNECTION(NO.OF 16d COMMON NAILS) (TABLE 10)______________________________ iah= PERCENT FULL-HEIGHT SHEATHING.................(TABLE 10)---------------------- tX&*Q-�__% 5%ADDITIONAL SHEATHING FOR WALL WITH OPENING>6'8'(DESIGN CONCEPTS)------------------------- MAXIMUM BUILDING DIMENSION.(L) ' NOMINAL HEIGHT OF TALLEST OPENING?________________________________________________________fij .(6'0' SHEATHING TYPE..------------------------------MOTE 4)-----------------------------IX&15OARQ:1__ w �i EDGE NAIL SPACING-----------------------------(TABLE II OR NOTE 4 IF LESS)-------------------- N FIELD NAIL SPACING.............................(TABLE IU._-__--_-_._.___._..___.__...,----y.-_--- SWEAR CONNECTION N IN COMMON NAILS 1 6,�E1 �-j PERCENT FULL-WEIGHT (TABLE ....._r, E IU ._-_____________________ g_1 . �% ,_1L R. �r 5%ADDITIONAL SHEATHING FOR WALL WITH OPENING>6'8'(DESIGN CONCEPTS)__________________________ _1L S C WALL CLADDING [� RATED FOR WIND SPEEDt.______________________________________________________________________________. _ 5,1 ROOFS O ROOF FRAMING MEMBER SPANS C44ECKEDI(FOR RAFTERS USE AWC SPAN TOOL,SEE BARS WEBSITE) .�— O ROOF OVERHANG..---------------------- ----..(FIGURE 1%)--------------ItalFT<SMALLER OF 2'OR L13 r�Y 7y TRUSS OR RAFTER CONNECTIONS AT LOADBEARING WALLS NOTES, C •+ �j. PROPRIETARY CONNECTORS I.'THIS CHEKLIST SHALL BE MET IN ITS ENTIF y IC UPLIFT----------------------------------------(TABLE 12)-------------------------------------U•25kPLF_>L REQUIREMENTS OF 190 CHR 5301.2.1.1 ITEM 1 (q � LATERAL------------------------------------- �.____________________________ .,__.._---_____-._--._..-.---_._-._..L• pLF AND HOLD DOWNS ARE NOT REQUIRED F t=i "'• O SHEAR_ _______________________________RABLE 12)-------------------------------------6.--13-PLF A:STEEL STRAPS PER FIGURE 5 RIDGE STRAP CONNECTIONS,IF COLLAR TIES NOT USED PER(TABLE B1--------------------------------T-162YLF J B,20 GAGE STRAPS PER FIGURE II GABLE RAKE OUTLOOKER-----_----------------------(FIGURE 20)--------------_Q_FT<SMALLER OF 2'OR L/2_>L C.UPLIFT STRAPS PER FIGURE 14 (/1 TRUSS OR RAFTER CONNECTIONS AT NON-LOADBEARING WALLS D,ALL STRAPS PER FIGURE TI PROPRIETARY CONNECTORS Er CORNER STUD HOLD DOWNS PER FI WUPLIFT----------------------------------------(TABLE 14)..................................... 411 �L 2. EXCEPTION,OPENING HEIGHT OF UP TO.O LATERAL(NO.OF I&d COMMON NAILS)----------(TABLE H)-------------------------------------L.14A I �j_ REQUIREMENTS SHOWN IN TABLES 10 ANC A ROOF SHEATHING TYPE-----------------1._..-..-____.(PER 180 CMR 58.00 AND 59.00).--__---- -- __._ _. — _ • >L - - 3. THE BOTTOM SILL PLANE IN EXTERIOR Wi ROOF SHEATHING THICKNESS-----------------------------------------------------1X9_AQAf325_IN.>VI6'WSP�L_ 4' A.FROM TABLE 10 AND II AND LOCATIC ROOF SHEATHING FASTENING-------------------------- (TABLE 2).__.-_____..-_- ----------------------------- �_ SHEATHING AND NAIL SPACING REOL BUILDER JOB ADDRESSI DESIGN N ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ()2 Application # �� Health Division Date Issued L D- Conservation Division Application Fee Planning Dept. Permit Fee V L` * Date Definitive Plan Approved b Planning Board Historic - dKH S �t I�� P eservati n/ Hyannis jt2_0 Project Street Address 47 6,�t 6 a Village to, _9"Nsry-),I�C Owner L't�/�/k[—S �/J�C'�l �9�- Address 62 13INtJ57M( Telephone C56'0 737-6,S /1 p2�� Permit Request ' X 1z' 5Ti GC 0q0D/77oAJ 7�25 Square feet: 1 st floor: existing 91-z proposed �2nd floor: existing — proposed - Total new ILVT t Zoning District Flood Plain Groundwater Overlay Project Valuation C1t 6 u U Construction Type Gwo-1-0 f � Lot Size / !?I&o -+ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 2e,01 Historic House: ❑Yes ❑ No On Old King's Highway: )4Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) X-4- Basement Unfinished Area (sq.ft) iy,q Number of Baths: Full: existing new Half: existing AW newer }5 Number of Bedrooms: iV existing _new C Total Room fount (not including baths): existing — new First Floor Room fount Heat Type ar�d Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: 0 Yes ❑ No Fireplaces: Existing k-,9- New Existing wood/coal ove: ❑Ygs Q`1�10 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:�Kexistin ❑ nev,l�',,) ize"�' Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes X No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name P L✓a AUp /��'D� v �S'rNS, /,JG Telephone Number &016 ggy 'S 7� Address License # L'S UU 77/46 ls4NJwJ1�, Alf v2SZ3 Home Improvement Contractor# ° nn RV/a C41,9 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Gc/ a S SIGNATURE DATE / 3// 3 FOR OFFICIAL USE ONLY 1i '+ APPLICATION# " DATE ISSUED MAP'/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: _ u FQUNDATI.OML.44,;9s� FRAME ' i ddNSULAlION,+:, .A.t-r FIREPLACE ELECTRICAL: ROUGH. FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL y ' FINAL BUILDING=��16 �� k DATE CLOSED OUT ;4 ASSOCIATION PLAN NO. j The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumbers Applicant Information .. n Please Print Legibly Name(Business/Organization/Individnal): N�A S b N / �)<y ti S Address: City/State/Zip: fUD 1Jl C/a/W O Z`)6.3 Phone#: _,S 09) Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with_1�> 4. ❑ I am a general contractor and I 6. El New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or.partner- listed on.the attached sheet 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' [No workers'Comp. ce comp.insurance t 9. [ C Building addition inc�tran 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 l 1.❑Plumbing repairs or additions myself o workers'coin . right of exemption per MGL p and we have no 12.❑Roof repairs c. 152 insurance required.]t ' §1(4), 13.❑ Otlier employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractms 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 isproviding workers'compensation insurance for my employees. Below is the:policy and job site information. i Insurance Company Name: _rC�1;PlH /�/�l"j/�y r/��,7-2_Ty Policy#or Self-ins.Lic.#: 244::) Expiration Date: Job Site Address: Z y �=►' w� L✓ . city/State/zip: ��icn/✓S�?���E ZO IzG�~ 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$1,50D: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 c r the 'pff and penalties ofperjury that the information provided above is true and correct. Si ate: x' Date: �Z Z /S Phone#: k-'2S/ 9SS ',-7Z•,� 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#: ArCORd DATE(MM/DD1rYYY) CERTIFICATE OF LIABILITY INSURANCE ,0104/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certMicate holder i3 an ADDITIONAL INSURED,the pOiicy(il:s)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 Ileu of such endorsements. PRODUCER CONTAC Mork Sylvia Insurance Agency,LLC NAME: Debbie 404 Main Street PHOWE 506 957-2125 E-MAIL I" — FAX ou508-957-2781 CenteNille, MA 02632 QE INSURER(R)AFFORDING COVERAOE NAICM _ INSURED INSUAERA!Farm Family Casually Insurance R.W.Anderson&Sons Inc IN3URER 9: 6 Willow St INSURER C: Sandwich,MA 02563 INSURERD: INSURER E• ' COVERAGES IN F 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. N18R RAWL TYPE OR INSURANCE POLICY EFF POLICY EXP GENERAL LIABILITY ' POLICY NURIaER NIDO/YY, pD LIMITB EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DA _.gEMI E >icir(renee T _ CLAIMS MADE OCCUR MF.D EXB(An on among S • PERSONAL dADVINJURY S OENERALAGGREGATE S _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM?IOP AGG E POLICY PRO. I,OC E AUTOMOBILE LIABILITY COlA1 INED SINGLE LIMIT 8gcWeMS ANY AUTO BODILY INJURY(Per person) S ALL DINNED SCHEDULED AUTOS AUTOS NON0 ED BODILYINJURY� (PorgcC�Cglfij S HIRED AUTOS AUTOS PRO ERT7 DAMAGE _(@er evtlenfl 3 ;DED . LA LIAR OCCUR EACH OCCURRENCE S EXCESSUAB CLAIMS-MADE AGGREGATE S RETENTI 3 A 'WDRKER9 COMPENSATION 7 AND EMPLOYERS,LIABILITY 2001 W6446 9/18/2013 el18 2014 M STATU- OTH ANY PROPRIETORI)ARTNERIEX9CUTr4E YIN .LtY_Ll x E L_ OFFICER/MEMBER EXCLUDE07 MIA E.L.EACH ACCIDENT B 500,000 IM4n0d1ory bn NNI E.L.DISEASE-EA EMPLOYE. S 500,000 If yea desa;en urWel DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 500,000 DEESCRIPTWON OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORO 101,AddMoml Remstkl Schedule,Umorn 111011te B roqulmd) CARPENTRY CERTIFICATE HOLDER CANCELLATION (508)833-001 B SHOULD ANY OF THE ABOVE DESCRIBED POLIC1E3 BE CANCELLED BEFORE Town of Sandwich Building Dept THE EXPIRATION DATE THEREOF, NOTICEWILL BE DELIVERED IN 16 Jon Sebastian Drive ACCORDANCE WITH THE POLICY OF151�N3. Sandwich,MA 02663 AUTNO01291)REP SE TATI ! 1088.2010 ACOR RATION. All tights reserved, ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston;Massachusetts 02116 Home Improvement C or Registration --� Registration: 109503 P -Type: Private Corporation Expiration: 9/18/2014 Tr# 229705 RW ANDERSON & SONS INC RICHARD ANDERS.ON ` c 6 WILLOW ST �� w SANDWICH, MA 02563 w4 ``: M Update Address and return card.Mark reason for change. Address Ej Renewal ❑ Employment Lost Card SCA 1 Co 2OM-05/11 C�fze�p ffrA ouaecr�c o C aac�ivaolXa License or registration valid for individul use only Office of C onsumer affair§&Busi ess Regulation g Y — OME IMPROVEMENT CONTRACTOR before the expiration date: If found return to: egistration: ��.�•1..-0� 503 Type: Office of Consumer Affairs and Business Regulation xpiration: _�/3NiY1g Private Corporatioai 10 Park Plaza-Suite 5170 Boston,MA 02116 RW A DERSON& ", 1 h -- 'W I if RICHARD ANDERSO• N 6 WILLOW ST SANDWICH, MA 02563 ? Undersecretary Not valid without signature Massachusetts -Department of Public Safety Board of.Building Regulations and Standards 1 Construction Supervisor 1 License: CS-007714 f, RICHARD W AND#RSO j 20 GROVE ST : = 1 SANDWICH MA7025k ,i Expiration 05/26/2014 Commissioner z"e Own o1barnstable , . . '; Regulatory Services MASS � Thomas'F.Geiler,Director 163q. Balding Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.as Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section ' If Usirl�A Builder I I, GAkas Ownct of the subject,ptoperty hereby authorize_ , CJ, i�rS'v�J -� vet;"y ' to act on my behalf in all matters relative to work authorized by this building permit ..I.zLf7 P r&A AJ. NS�3�31c (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 ins ections are performed-and accepted. I n ' Signaure m Signature of Applicant - > Aar U G_ e A)Vv; Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOL•S 62012 VIC Bar:;686ble Old Kings.Highway Historic District Commi tee NO.Main•Street,Hyannis,MA 0260.1,TES.: 508462-L.'I FaX 5.08-862-4784 - . . APPLICATION, .`CERTIFICATE OF APPROPRIA'�'ENESS Application'is.hereby made;with five(S).complete sets,for the issuance of a Certificate of Appropriateness under Seotion 6 of Chapter470,:Acts and'1Zesolves:of Massachusetts,.1973,for proposed work as'described.below and on plans,drawings,or photographs accompanying tbis application•for Check all'categokes that apply,. 1 Bi ilding:construction: New . ..9-Addition - ❑ Alteration 2. Type.of Building: El. House 0 GaragAam Shed ❑.Commercial El Other 3. .Exterioi Painting;roof .❑.mew roof � color/material change,of trim, siding,window, door ❑ New Sign '❑ E)dsting.'Sign ❑ Repai t g-Existing Sign 5. Structure: 0 Fence. ❑ Wall ❑ Flagpole ❑ Retauung wallf .❑ Tennis court ❑ Other 6: -Pool ❑ SWU ' ing ' 0 Other man-made pool ❑ Solar panels ❑ Other Type!or Print'Legibly: Date NOTE A11 appticatio4s nwst•be signed by the current owner Owner(print): . , 'DiQ►p, ><f J-r�} _� -s�tGL' Telephone _ZS7-S 47 Address of Proposed Work:: 1Z Village,4),f 3Pp 57 zgtlap Lot# 1- -c�?- Mailing Address(if en t �C v GJ. ivS773/3LE U . Owner's Signature.. �. Desoiiption ofErope7sedVork: Giyepartic ars.ofworktobe'done: Zv>c 24' $tX 1z 4Wfz70 Agent or Contractor:(print);�C'rLt�, w,��jE�,S''G,t> 'Uw 5' / Telephone#: 5 U 8�'�S Zv Address: LdGI s�N !✓/C i1 ZS�� ' Contractor/Agent'•signature: ." For committee use only. This Certificate is hereby.AP P° Q VE DE D Date ��. J;;5 _ embers signatures R 4- APPROVED N0..V 13 2013 • '(� ��'�J`����S�:c`� '`�13f Zit Town of Barnstable Ulu 1xillyti ig way Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 COp1eS Foundation Type: (Max. 12"exposed)(material-brick/cement, other) -- DAl) SONbZ13C RaRf AFJ? PMA-) Siding Type: Clapboard_ shingle X_ other Material: red cedar white cedar S other Color: NkAL Chimney Material: 424 Color: Roof!Material: (make&style) Color: RoofPitch(s): (7/12 minimum) 911?- (specify on.plans for new buildings, major additions) Window and door trim material: wood >; other material,specify n Size of coinerboards lX Y.''.to size of casings(1 X 4 min.) /X color Rakeg..Ist member „ 2°d member /X V Depth of overhang Window: (make/model) j1L.✓J5�21,pu . material. color lr,J/V-t 72 .(Provide window schedule on plan for.new buildings, major additions) s Window grills (please check all that apply_: true divided lights_ exterior glued grills_ grills between glass X removable interior None Door style and make: q.L/>Z-- 77�A77?U material Color: j,,,-j, 4/yZ Garage Door,Style v4d2� Size of opening Material 4)06 0 Color G✓�}/TE .Shutter Type/Style/Material: ti* Color: Guttei Type/Material:. (N iki 1-Z5- )qL yM>/ty L Color: Deck;material: wood other material,specify. Color: Skylight,type/make/model/: -- material Color: Sign size: — Type/Materials: — Color: ,� n. 2 Fence Type"(piax 6')Style . material: _ Color: Retaining wall: Material: — Lighting;freestanding _ J on building NE—XTTv �alz.illuminatmAPPROVED g OTHER INFORMATION: NOV 1 .3. 2013 TM ATTACHED CHECK ILISTT MUST BE.COMPLETED AND SUBMITTED Town of BarnstableOld King's Highway Committee Please:provide samples of' 'aint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc Signed: (plan pieparer) Print Name /01 l) /9�V��fzS'0&J 2 Town of Barnstable Geographic Information System October 24,2013 178006 <178003 178015002CN D #1071 #1121 #1170 416 178015001 #2 #178004 #1190 178017 #2416 4#1165 178016 #0 #1194 178004001 #0 3 Z. 198003 178018 #0 #1220 178018001 a' #0 178020 118001 #0 #0 178021001 178021 p #0 178019 198004 #1247 #0 #0 177001 178031 #0 #1310 � � ® IT7006 #1344 A* 197046 178021002 #137W • 155032001 #1295 #2320 177004 #1340 ■ 177003 #1376 177002 #0 0 146 Feet 19701t #0 DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:178 Parcel:021 boundary determination or regulatory Interpretation. Enlargements beyond a scale of Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map Owner:GALL,CHARLES 8 DARA Total Assessed Value:$492400 are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:2.96 acres Abutters ,ke boundaries and do not represent accurate relationships to physical features on the map Location:1247 MAIN ST./RTE 6A(W.BARN.) i such as building locations. Buffer � � . AWC GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS 110 MP14 WIND ZONE n MASSACHUSETTS CHECKLIST FOR COMPLIANCE(780 CMR 5301,2,I,IJ CHECK COMPLIANCE 1.1 SCOPE U O WIND SPEED("EC.GUST)._:_______________________ _______________________________________-110 MPH WIND EXPOSURE CATEGORY------------------------------------_____________ B 1,2 APPLICABILITY NUMBER OF STORIES(A ROOF WHICH EXCEEDS 8 IN 12 SLOPE SHALL BE CONSIDERED A STORY) _I_STORIES(2 STORIES ROOF PITCH-----------------------------------------(FIG 2) -------._____._________ __________2 5L12.(12:12�L MEAN ROOF HEIGHT__________________________________(FIG 2) ,__:_________________________________ S FT<33'�L BUILDING WIDTH,W---_-------------------------------(FIG 3)--------------------------------------A— <80'�L BUILDING LENGTH,L---------------------------------(FIG 3),____________________________________ 12 FT C 80' BUILDING ASPECT RATIO(LAU)------------------------(FIG 4)---------_________________________.._I_<3.1_AL NOMINAL HEIGHT OF TALLEST OPENING________________(FIG 4).__.___.____________---,---------,--- - 6'8"�L L3 FRAMING CONNECTIONS GENERAL COMPLIANCE WITH FRAMING CONNECTIONS.__. (TABLE 2)----------------_____.________________________- 2,1 FOUNDATION FOUNDATION WALLS MEETING REQUIREMENTS OF"ISO CMR 5404.1 CONCRETE_____________________________________________________________________ CONCRETE MASONRY_____________________________________________________ 2,2 ANCHORAGE TO FOUNDATION" 5/8'ANCHOR BOLTS IMBEDDED OR 5/6'PROPRIETARY MECHANICAL ANCHORS AS AN ALTERNATIVE IN CONCRETE ONLY BOLT BPACINGGENERAL -------------------------(TABLE 4)...................................... 12" IN. BOLT SPACING FROM END/JONT OF PLATE.........(FIG 5)............................J310A.F=IN.(b'-If-IC- BOLT EMBEDMENT-CONCRETE........ (FIG 5)------------------------------------,..Q IN,)l'_]L BOLT.EMBEDMENT-MASONRY-----------------------(FIG 5),._____ ______________-e_IN.>15"�— PLATEWASHER---------_-------------------------(FIG 5)-------------------------------------- I/ 3.1 FLOORS FLOOR FRAMING MEMBER SPANS CHECKED............(PER l80 CMR 99.00),__ MAXIMUM FLOOR OPENING DIMENSION,_______________,(FIG b).......... ,1Z_FT(12'_9L FULL HEIGHT WALL STUDS AT FLOOR OPENINGS'LES9 2'FROM EXTERIOR WALL(FIG b)............................. IL_ MAXIMUM FLOOR JOIST SETBACKS SUPPORTING LOADBEARING WALLS OR SHEARWALL.(FIG l)-------------------------------------—(2-_FT(d MAXIMUM CANTILEVERED FLOOR JOIST SUPPORTING LOADBEARING WALLS OR SHEARWALL.(FIG 8)--------------------------------------- _FT<d FLOOR BRACING AT ENDWALLS,_____________________,(FIG 9) FLOOR BREATHING TYPE._______________a-------......(PER 1860 CMR 55.00):-______- _._._____y._._- _1L_ FLOOR SHEATHING THICKNESS-------------------------(PER 180 CMR 55.00).___-__-__- ___-.____,a IN.�L FLOOR SHEATHING FASTENING________________________(TABLE 2) d NAILS AT N EDGGRAyZLIH FIELD�L 4.1 WALLS WALL WEIGHT LOADBEARING WALLS _____________________(FIG 10 AND TABLE 5),____..__..___________,--0_FT(10' NON-LOADSEARING WALLS___________________ (FIG 10 AND TABLE 5)-------.----------------Q_FT<20:_1L WALL STUD SPACING,_ ________________,(FIG IC AND TABLE 5)-------------------QIN<24'O,C.�L WALL STORY OFFSETS-------------------------------(FIG T/8)----------------------------------- n FT<d_IL 4.2 EXTERIOR WALLS' WALL STUDS n OADBEARNG WALLS -.(TABLE S)._______6XLa D.},4B..CLG..2X__FT_IN_>L NON-LOADBEARING WALLS.........................(TABLE 5)............................7X. QUEFT_IN_I/ GABLE END WALL BRACING' FULL HEIGHT ENDWALL STUD&----------------------(FIG 10)._-________________.,__._________..._________. —IL WSP ATTIC FLOOR LENGTH,_______________________,(FIG IU------------------------------------e.FT>W/3—1L GYPSUM CEILING LENGTH(IF WSP NOT USED)-_______-(FIG IU--------------------......._......._e FT>OAW�L AND 2X4 CONTINUOUS LATERAL BRACE•6 FT,O.C.(FIG IU.______________________ OR DO CEILING FURRING STRIPS•16'SPACING MIN.WITH 2X4 BLOCKING a 4 FT,SPACING IN END___________, _IL JOISTOR TRUSS BAYS,________________________________,________.______.___.___.._._.__.______._________. _IL DOUBLE TOP PLATE SPLICE LENGTH--------------------------_------(FIG B AND TABLE 6),__---_--------------------AFT_1L SPLICE CONNECTION(NO.OF Ibd COMMON NAILS) (TABLE 6)---------------------------------------_0 LOADBEARING WALL CONNECTIONS LATERAL(NO.OF 16D COMMON NAILS)------------(TABLE T)----------------------------------------e) _1L NON-LOADBEARING WALL CONNECTIONS LATERAL(NO,OF Ibd COMMON NAILS)------------(TABLE el),______________------------------------ e3 LOAD BEARING WALL OPENINGS(RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE 9) HEADER SPANS---------------------------------(TABLE 9),______________..,.______._:, i .CL IN.<11, BILL PLATE SPANS,____.___________- --,(TABLE 9),_._________________ _ 3_FT A IN.<11'.�_ FULL HEIGHT STUDS(NO,OF STUDS)_______________(TABLE 9),__--_____DWI P03T____--- �L NON-LOAD BEARING WALL OPENINGS!RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE ) /� HEADER SPANS_________________________________(TABLE 9)----------------------_--------a-FT A IN.C 12'_V SILL PLATE SPANS _________________,(TABLE 9),_______..__________________-AFT_.kjN.<12' j _FULL HEIGHT STUDS(NO.OF STUDS)---------------(TABLE 13)-----------6L)(ELP_QSJ EXTERIOR WALL SHEATHING TO RESIST UPLIFT AND SHEAR SIMULTANEOUSO MINIMUMBUILDING DIMENSION,(W) /2 4-7' NOMINAL}'EIGHT OF TALLEST OPETUNG2.----------------------_________________________________.lx'$'C 6'B°_1L SHEATHING TYPE,______________________ ____.MOTE 4)---------------------------,_J?S8.A0_ARD� EDGE NAIL SPACING-----------------------------(TABLE 10 OR NOTE 4 IF LESS),__________-___-..__IN. FIELD NAIL SPACING- __________________(TABLE 10) ,______________________________..___ R4C3_1L SWEAR CONNECTION(NO.OF Ifid COMMON HEIGHT PERCENT%ADDITIONAL NAL BHEAtN�ING FOR WALL WTHIOPENINAG�)6'8)(OESIGN CONCEPT-)__ B�A"-a _� J MAXIMUM BUILDING DIMENSION,(L) J� NOMINAL HEIGHT OF TALLEST OPENING 2________________________________________________ Ab_Bf< pT SHEATHING TYPE---------------------- MOTE 4).________..____..._.____..__.IXhAAARQ$_ L PUN y S'r/�L� OEDGE NAIL SPACING,___________________________,(TABLE 11 OR NOTE 4 IF LESS)--------------------_IN.� I FIELD NAIL SPACING-----------------------------(TABLE IU-____ ___._._______mil+�L_ -HEAR CONNECTION(NO,OF 16d COMMON NAILS) RABLE IU,_____________________________6 ,>rI �L PERCENT FULL-HEIGHT SHEATHING (TABLE IU________________________fig B.___.____A _1L_ 5%ADDITIONAL SHEATHING FOR WALL WITH OPENING>b'S"(DESIGN CONCEPTS)----------------- ----------- 3 WALL CLADDING�. RATED FOR WIND SPEED7________________________________________________________________________________ _IL Q 5.1 ROOFS A ROOF FRAMING MEMBER SPANS CHECKEDI(FOR RAFTERS USE AWC SPAN TOOL,SEE BBRS WEBSITE) S ROOF OVERHANG,----------------------------------(FIGURE 19)._________. >111FT<SMALLER OF Y OR V3�L TRUSS OR RAFTER CONNECTIONS At LOADBEARING WALLS NOTES: PROPRIETARY CONNECTORS I. THIS CHEKLIST SHALL BE MET IN ^1 O LATERUPLIFt._______________________________________(TABLE 12)._.___________________________ _____.U. pLF�L REQUIREMENTS OF T80 CMR SR �i LATERAL___ _ _ _ _ ____ _,L.j](ZPLF_1L AND HOLD DOWNS ARE NOT RE pSHEAR_______________________________________(TABLE 12)._._._.____________._ S.�PLF_IL_ A:STEEL STRAPS PER FIGURI N RIDGE STRAP CONNECTIONS,IF COLLAR TIES NOT USED PER(TABLE 131--------------------------------T•1&2_PLF B,20 GAGE STRAPS PER FIG GABLE RAKE OUTLOOKER____________________________(FIGURE 20),_____________ n_FT<SMALLER OF 2'OR Ld _ TRUSS OR RAFTER CONNECTIONS AT NON-LOADBEARING WALLS C:UPLIFT STRAPS PER FIGUR �+ PROPRIETARY CONNECTORS D:ALL STRAPS PER FIGURE I � UPLIFT----------------------------------------(TABLE E:CORNER STUD HOLD DOWr ABLE 14)------------------------------------- 411 2. EXC ' LATERAL(NO.OF Ibd COMMON NAILS)----------(TABLE OPENING HEIGHT OF 14)-------------------------------------L-WAt B.-IL_ REQUIREMENTS SHOWN IN TABLE ROOF SHEATHING TYPE,_____________________________(PER 180 CMR 58.00 AND 59.00).________.__- _� 3, THE BOTTOM BILL PLANE IN TABLE ROOF SHEATHING THICKNESS---------------------________________________________ B�_QARDg IN.>VI6'WSP_�L 4 A.FROM TABLE IO AND II AND ROOF 6HEATHING FASTENING,_________________________(TABLE 2)--------------------------------------- —IL .SHEATHING AND NAIL 1 AND 0013O 363 °FIME i Town of Barnstable *Permit# Expires 6 months rom issue date Regulatory Services Fee e r r + BARNSTABLE, v� MASS, Thomas F.Geiler,Director ArE p�,I A Building Division X-PRESS P Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 NOV 13 2013 www.town.barnstable.ma.us 0 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAITQ' .(jF BARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number Property Address 12-147 R-�- 6.4 1,09 0 9RA,)S'1-11'/✓LC oResidential Value of Work$ �7t t�t�o�� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name r/iy 2L�_�U xJ -f c�N- /i� Telephone Number 6 Ug) ?93 . 7 z— Home Improvement Contractor License#(if applicable) ' (��S�U 3 Email: 423AJ,c 4 fAj Construction Supervisor's License#(if applicable) C'S —W�71* 0Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy Copy of Insurance Compliance:Certificate must accompany each permit. Permit 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) ® Re-side AReplacement Windows/doors/sliders..U-Value r-s i (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 permii 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 co y f the Home Improvement Contractors License&Construction Supervisors License is e r SIGNATURE: C:\Users\decollikWppData\Local\Microsoft\ mdows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 �TME Town of Barnstable Regulatory Services � '� Thomail.Geiler,Director Building Divisim "Tom Perry,Building Commissioner . 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 50&,790-623.0. Property Owner Must Complete and Sign This Section If Using A Builder ',�-GAk tp Ownet of the mbject property hereby authorize 6kSI;jJ *-�v4t JAIL to act.on mp behalf, in all matters xelative 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 ins eciions'are performed and accepted. L! S�gat;ite-° Signature of Applicant Print Maine Print Name Date QTORMS:OWNERPERMIMIONPOOLS 62012 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): , C2.Sov-) - -Szws �NG Address: �v Gt/GL,COrd �� City/State/Zip: 1 S 63 Phone #: Are on an employer?Check the appropriate box: Type of project(required): 1 I am a employer with�— 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself o work ' right of exemption per MGL y � workers' comp. 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[E Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: ;&Jo//i.,'/GL 4'6' Expiration Date: Job Site Address: IL1f Z-—64 Lt/, 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 cert the ly s 1( d penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �— — Office of Consumer Affairs and Blur/s//iness Regulation 10 Park Plaza - Suite 5170 Boston, Massac setts 02 116 Home Improvement C for Registration =� Registration: 109503 _=- -Type: Private Corporation zl L Expiration: 9/14/2014 Tr# 229705 RW ANDERSON & SONS INCH RICHARD ANDERSON i c 6 WILLOW ST ' SANDWICH, MA 02563 I� Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card SCA 1 20M-05/11 . C jze�h0fa?uuea9•°l�?/�aadaclu�ael?a License or registration valid for individul use only Office of c>;onsumer Affairs&Busy ess Regulation g OME.IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistratiow, �gyyi 9503 Type: Office of Consumer Affairs and Business Regulation x iration: �Cib °94_ Private Corporatiosr 10 Park Plaza-Suite 5170 P ' Boston,MA 02116 RVAD S0N&Sd RICHARD ANDERS� 6 WILLOW ST \ / SANDWICH, MA 02563 -P=1ti� Undersecretary Not valid without signature u Massachusetts - Department of Ru.blic Safety Board of.Building Regulations and Standards Construction Supervisor t r License: CS-007714 RICHARD W ANDERSO = 20 GROVE ST = + SANDWICH MA%02563 � y � ,�\\'\ Expiration 1 05/26/2014 Commissioner ACORV® CERTIFICATE OF LIABILITY INSURANCE DATE(MNUODIYYYY) ,1„M412013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the Policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement s. PRODUCER C40NTAC Mark Sylvia Insurance Agency,LLC NAME: Debbie 404 Main Street PHONE 508 957-2125 r^X a„Eat4�_ AfO o,1;508-957-27t11 E-MAIL . Centerville, MA 02632 INSURE R(s)AFFORDING COVERAGE _ NAICN INauRER A!Form Family Casualty Insurance INSURED R.W.Anderson&Sons Inc INSURER a: a Willow St INSURER c Sandwich,MA 02563 INSURER 0 t INSURERE: i •- IN 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 REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W)TN 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. INBR TYPE CP INSURANCE A L SUN POLICY EFR POLICY EXP POLICY NUMBER MIDDIYYY DD LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY OgEMISr IEa omf!(<ence S CLAIMS•MAOE.�OCCUR r - MF0 EXP(AAy ono'rxacn) S 1. PERSONAL S ADV INJURY s LPFR(ODUCT$ NERALAGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: -COMFfOP AGG SJArT ElPRO- I,OC IS AUiONOBIIE LIABILITY - MPINED SINGLE LIMIT Jleckfeedl I _ ANY AUTO BODILY INJURY(Ppr person) S ` ALL OWNED SCHEDULED _ AUTOS - AUTOS BODILY INJURY(Pore061deM) S NON-OwNED p H02EDALITOC AUTOS -(R67EtR,tleTMn11 AGE S = 1 I s LLUIMiSREL"ILA LIAR OCCUR EACH OCCURRENT E S CESS LIARCLAIMS•MAOE AGGREGATE S D RETENTI S A AND EMPS COMPENSATION 2001 W6446 9/18/2013 9/1812014 wC sTATu• OTH- 6 AND EMPLOVFJ28'LIABILRY YIN .Li`Cll I x EB_ ANYPROPRIETORIPXCLUDRIE)(ECllTME E.L;EACH ACCIDENT S SOO,o00 OFF tfolor EMBER HxCLUDED9 N f A (MapOelofy cn NH) � i Ilyyaess d"coibn vndw E.L.DI8EA9E-EA EMPLOY S 500,000 DESCRIPTION Of OPERATIONS OelOx E.L.DISEAOE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LocAnDNs r VENICI,es(ARSeh ACOR0101.Additional Remgeke sch"we,Irroaro Speee Is roqulr+d) CARPENTRY CERTIFICATE HOLDER CANCELLATION (508)833 001E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Sandwich Building.Dept THE EXPIRATION OATe THEREOF, NOTICE WILL BE DELIVERED IN 16 Jon Sebastian Drive ACCORDANCE MTN THE POLICY O IQN3, Sandwlch,MA 02563 AUTMOR12ED REP SP TATI d l 1988.2010 ACOR RATION. All rights reserved, ACORD T5(2010l05) The ACORD name and are registered marks of ACORD .NSTABLE.BUILDING.PERMIT.APPLICATION: Map Parcel Applicatioi. Health Division a ?`'Date Issued Conservation Division ' ' =Appl'icatiora Fee Planning'Dept.; Permit }` .. Fee! Date Definitive:Plan Approvedy Planning Board Historic - OKH Preservation/ HyannisAlt e 51 e l�dd ess y Village e9wit t, G.Y1 1d Address s AM Telephone 7 7 oZ p7 v� Permit Request jib AnA)X) kr !�O' C ;a i S-qyare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoni District Flood Plain Groundwater:Overlay ; Project tion Construction Type Lot.Size Grandfathered: ❑Yes ' ❑ No If yes, att supporting documentation. Dwelling Type: Single amily Z0 Two Family ❑ Multi-Family (# uni Age of Existing Structure Historic House: ❑Yes ❑ On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Cr a ❑Walkout ❑ Other Basement Finished Area(sq.ft.); asement Unfinished Area Number of Baths: Full: existing ne Half: existing �:Z new Number of Bedrooms: exis ' g _ne Total Room Count (not including baths xisting ne First Floor R om Count? Heat Type and Fuel: ❑ Gas it ❑ Electric ❑Other Central Air: ❑Yes ❑ N Fireplaces: Existing New ing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ e ' ting ❑ new size—Pool: ❑existing ❑ new size _ Bar : ❑ existing ❑ new size_ Attached garag existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoni card of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use -Ah I e��Z Ae-Y4 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 5; Telephone Number ,-5'�DFr 7 LIO 7 (c)--,, V, _N�b - Address ��\ License# \�IbC�C;5AC,( AA !.0'7/7V Home Improvement Contractor# Worker's Compensation # 4)c L-4w ALL CONSTRUCTION DE IS NULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL,USE ONLY APPLICATION# t, . DATE ISSUED MAP/PARCEL NO. a. . VILLAGE • • ADDRESS OWNER _ DATE OF INSPECTION: ` a - FOUNDATION FRAME u. INSULATION FIREPLACE + ELECTRICAL: ROUGH J '':.FINAL Y" ' PLUMBING: ROUGH ',FINAL GAS: ROUGH = -FINAL FINAL BUILDING ` DATE CLOSED OUT ' ASSOCIATION PLAN-NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): --s�=� S I Address: K�>DX 1-C) I City/State/Zip: ' ��AkA4-j270 Phone#: ,SUB 711,Orl 7 9;L Are you an employer?Check the appropriate box: Type of project(required): 1 I am a employer with la 4. ❑ I am a general contractor and I 6. El 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. �• 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.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),and we have no 12.❑Roof reps insurance required.]t employees.[No workers' 13�Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �cc(�:53r Policy#or Self-ins.Lic.#: VkU_,,` 461 S S S'1 Expiration Date: Job Site Address: P� Al t `wll� City/State/Zip:��`j,� 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 der the pains and penalties of perjury that the information provided above 's true and correct. Si nature: C c Date: Phone#: ID- 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#: a. SPERTEN-01 DESA CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY`) 3/14/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER (508)676-0309 NAME:CT Viveiros Insurance Agency,Inc. PHONE I FAX 375 Airport Road E MAIL Ext: qIC No Fall River,MA 02720 ADDRESS: INSURERS AFFORDING COVERAGE NAIC N INSURER A:Peerless Ins Commercial Lines 24198 INSURED Sperry Tents Inc. INSURERB:Peerless Ins Personal Lines PO BOX 10 INSURER C: Rochester, MA 02770 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICYPOLICY NUMBER MM/DD/EFF POLICMMIDDY EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A RENTED X COMMERCIAL GENERAL LIABILITY 549986 10/15/2011 10/15/2012 PREMISES Ea occurrence $ 100,0014 CLAIMS-MADE FX]OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident B ANY AUTO BA4549982 10/15/2011 10/15/2012 BODILY INJURY(Per person) $ 20,000 ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ 40,000 AUTOS X AUTOS N NED PROPERTY DAMAGE X HIRED AUTOS X AUTOSUTOS Per accident $ included UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATU- O AND EMPLOYERS'LIABILITY TWOCRY LI S ER R A ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N/A WC4615559 10/15/2011 10/15/2012 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Joanne Wastram ACCORDANCE WITH THE POLICY PROVISIONS. Bay View Farm 1247 Main Street AUTHORIZED REPRESENTATIVE Barnstable,MA- ©1988-2010 ACORD CORPORATION. All rights reserved. . ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD try snnxsTABM 1639• Town of Barnstable �� OMfdA Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Q�44LICS 6ALI' �b .� �F�I.L ,as Owner of the subject property hereby authorize 'DTI �'4�y to act on my behalf, in all matters relative to work authorized by this building permit application for: ST- (Address of Job) Signature of Owner 6 ate CANUW Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemo Filcs\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 I , y Certificate of Flame Resistance Manufacturer Number Sperry Sails Date of Manufacture 765 3-Se 10 11 Marconi Lane Marion, MA 02738 (508)748-2581 This is to certify that the materials described have been flame-retardant treated or are inherently non-flammable and were supplied to: Name: Sperry Tents City: Rochester 02770 State: MA Certification is hereby made that: The articles described on this certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshal Code equal to or exceeding NFPA 701,CPAI 84 Method of Application: Coated I Lot Number: 0 Fabric Color Type and Weight Oster Polyester 7.5 oz. Descri tion of Item Certified: 46x105 ft. Pole Tent Flame-Retardant Process Used Will Not Be Removed By Washing And is Effective For The Life Of The Fabric Name of Applicator of FR Finish Sig ed Kolon iz A ,i. AWAft C�.ex�tt Irate .�1ete Namiftetm a Number T S Daft of Nan Z�8 1I I M�arFooni In Box12115 #Ottr63 Marian,Mass 02738 ec..A:spGrryealis.Lam 7�[ e-mail:sDMrY I $eapernd-nct This is to certify that the materials described-have been. flame-retardant treated-'(or are inherently nonflammable) And were supplied to: q NAME: .w', .........i . w CITY )h ON/h STATE Certification is hereby made that: The articles described on_this cerdfiicate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marsha ail Code, equal to or exceeds NFPA 781, CPAI-84 Method of application: �0a► i� Type,color,and weighty canvaslvinyl- L ,�. C� � 4r vV 14�iR 01� � 7 `t p 'ptio of item �t t Xt Flame Retardant Process Used Will Not Be Removed By Washing And is Effecthm For The Life Of The Fabric time of of Flame Rasistaat . w- Si9ndl: � r N Erika Wastrom and Dan Dewey Bay View Farm September 22, 2012 ❑ S ❑ 8 - ❑ B ❑ 8 0000 0000 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ MEMO ENO M M ❑❑❑❑❑❑❑❑ ❑❑❑❑❑❑❑❑ ❑❑❑❑❑❑❑❑ We We WC ❑❑❑❑❑❑❑❑ ❑❑❑❑❑❑❑❑ ❑❑❑❑❑❑❑❑ SperryC'AD Event Design Tool - http:i!w��w.speriytentsi�larion.com/productsiicovia Charles Gall 1247 Main Street West Barnstable MA 02668 9 April, 2012 Robin Anderson Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Dear Ms. Anderson: Here are the details about the festivities at our home for which Laura Keirstead of Sperry Tent had been in contact with your office. She was beginning the process to obtain a permit to erect a temporary tent. As we discussed on the telephone,this is a one-time private event and will begin and conclude on the same day. Our next door neighbors, Dan Dewey and Erika Wastrom, who live at 1375 Main Street, are getting married on September 22, 2012 at a local church and the reception is to be held at our property. Dan and Erika love the Great Marsh and wanted to have their celebration here so that their friends and family can experience their favorite place with them on their special day. We happily agreed to host the reception for them and have been aware of all the planning along with Erika's parents,Bob and Jeanne Wastrom. I can assure you that we have no intention of becoming involved in any kind of business to host events or provide facilities for profit. Dan and Erika are not paying us anything for the use of our property and we would not accept any remuneration if offered. In addition, I can relate that there will be little or no local impact during the event. Traffic and parking concerns have been addressed by the use of a shuttle from the church to our home and back, so there will be no parking issues and very little additional traffic from our driveway onto Main Street(Route 6A). The celebration is scheduled to be over in the early evening so that in the unlikely event that any of our neighbors can hear the festivities, it will all be quiet before anyone's bed time. If you know the area,you are already aware that we have few neighbors and that all of them are quite some distance away. The tent is intended for shelter if the weather is a problem and for a sun shade if the weather is particularly warm. There will be no permanent structures related to the event. If you have any additional questions,please don't hesitate to contact me on my cell phone at(508)737-5247. Sincerely; ' TOWN OF BARNSTABLE 2012 AIR ► 8 AM I I. 4 6 SPERRY TENTS DIVISION Town of Barnstable 200 Main St Hyannis MA 02601 Attn: Building Department Lauren Keirstead is eligible to sign for and pull all permits in the Town of Barnstable for the 2012 season. Tim Sperry Presi ent P.O.Box 10 15 Dexter Lane Rochester,NIA02770 Office (508)748-1792 Fax(774)849-35 sperrytents.co Ld 91 i . i✓ i/,/ �Aa i / f. OL 11 � s / �� / 4 ' Bic 22592 Pg 230 --1 153 01-08-2008 a"Z 02'31 a V �4 Option to Purchase OPTION BARNSTABLE LAND TRUST, INC., (federal ID# 22-2483063), a Massachusetts charitable organization with a principal office at 407 North Street, Hyannis, Massachusetts, 02601 and a mailing address of P.O. Box 224, Cotuit, Massachusetts, 02635 (hereinafter "Grantor"), in consideration of the payment of $50,000.00 the receipt of which is hereby acknowledged, (hereinafter "Option Payment") made by THE INHABITANTS OF THE TOWN OF BARNSTABLE a Massachusetts municipal corporation known as the TOWN OF BARNSTABLE organized under a charter adopted pursuant to Mass. Const. Amend. Art. 89 § 3 on April 11, 1989 with principal offices C/O Town Manager at New Town Hall, 367 Main Street, Hyannis, Barnstable County, Massachusetts, 02601-3907 (hereinafter"Grantee), receipt of which Grantor acknowledges, grants to Grantee, its successors, and assigns, an interest in the following described property (hereinafter "property") owned by Grantor consisting of an option to purchase the fee in the event Grantor voluntarily gives, grants, conveys, or otherwise transfers, or suffers involuntary transfer, of _! \any interest, whether legal or equitable, lien, encumbrance or possession of the property from the date of this Option to other than a "qualified organization" as defined in Section 170(h)(3) of the Internal Revenue Code of 1986, as amended, including without limitation, a government entity except as provided under paragraph (g) of Grantor's Obligations and Representations, or prior thereto violates any of the. obligations or representations imposed upon Grantor hereunder (hereinafter the"option event"). For title reference see the deed as recorded June 21, 2006 in Book 21116 Page 135 at the Barnstable County Registry of Deeds. Property Description: That property in West Barnstable, Barnstable County Massachusetts more particularly shown as "Lot 3"on a plan of land entitled"Plan of Land Prepared for 1247 Main Street Realty Trust"as recorded at the Barnstable County Registry of Deeds in Plan Book 600,Page 83 and as described within the Conservation Restriction and Easement as recorded on July 7, 2006 in Book 21167 Page 160 at the Barnstable County Registry of Deeds. Grantor shall give Grantee written notice by certified mail, return receipt requested, prior to the occurrence of the option event sufficient to allow Grantee at least ninety (90) days from the date of receipt of such notice to tender the purchase price (the "option period"). Upon tender of the purchase price at the time and place specified by Grantee Grantor shall deliver to Grantee in exchange for payment of the purchase price a duly executed and authorized Quitclaim Deed conveying the property to Grantee free from all liens and encumbrances except the Conservation ZI) Restriction and Easement recorded on July 7, 2006 in Book 21167 Page 160 as document#43359 at s the Barnstable County Registry of Deeds and any encumbrances arising under paragraph (g) of Grantor's Obligations and Representations. Any option event which occurs prior to the expiration of the option period shall be void and of no effect and Grantee will hold Grantor harmless from such event and undertake any and all actions at its expense to remove interests or encumbrances that. occur prior to the option period notwithstanding any action taken by Grantor under paragraph (h) of Bk 22592 Pg 231 #1153 Grantor's Obligations and Representations.. Grantor shall participate in support of any proceedings required for approval of, and following approval delivery of, a duly executed and authorized Quitclaim Deed to Grantee at the expiration of the option period. PURCHASE PRICE Grantor shall deliver the deed to Grantee as aforesaid in exchange for payment to Grantor by Grantee of the purchase price in the amount of One hundred and No/100($100.00)Dollars. GRANTOR'S OBLIGATIONS AND REPRESENTATIONS (a) Grantor shall maintain general liability insurance not less than$1,000,000 covering the Property. Grantor shall, upon request by Grantee at any time after the date of this Option, deliver to Grantee a copy of the insurance policy or a certificate thereof covering the Property. (b) Grantor shall keep the Property in the same condition it is now in or may be put in, reasonable use and wear thereof excepted, and except for fire or other casualty, all as provided for in the aforementioned Conservation.Restriction and Easement. This obligation shall not be construed so as to prevent Grantor from making improvements to the property to enhance its preservation or its accessibility to Grantor's invitees or the public as provided for in the aforementioned Conservation Restriction and Easement. The Grantor reserves the right to demolish the structure as provided in the aforementioned Conservation Restriction and Easement. (c) If the Property or any interest therein or portion thereof is taken by eminent domain by Grantee, this Option shall terminate, whether or not Grantee has given notice of exercise of the Option. If the Property or any interest therein or portion thereof is taken by eminent domain other than by Grantee, this Option shall be limited to payment of damages to Grantee equal to the amount of the option payment. (d) Grantor is the sole owner of the Property, and Grantor has full power to execute, deliver, and perform the terms and provisions of this Option, and such performance shall not constitute a breach or violation of any agreement, obligation, or instrument of any kind to which Grantor is a party or to which the Property is subject. (e) Grantor knows of no threatened or pending special assessment against any part of the Property, nor any proposed or pending proceeding to alter the zoning classification of any portion of the Property, nor any pending or threatened action or proceeding regarding the ownership, use, or occupancy of any part of the Property or asserting that the Property or the ownership, use, or occupancy thereof are in violation of any applicable legal requirement. (f) Grantor has received no notice of violation of any law, code, ordinance, by-law, rule, or regulation adopted by any governmental authority and applicable to the Property. (g) Prior to expiration of the option period and in order to enhance preservation or accessibility of the property as permitted under the aforementioned Conservation Restriction and Easement, Grantor may with Grantee's prior written consent, encumber, mortgage, or grant any other interest, right or • Bk 22592 Pg 232 #1153 possession in the Property Grantee's consent shall not be unreasonably .withheld provided preservation or accessibility will be enhanced and the value of the property will not be diminished to less than the amount of the option payment. (h) In the event that any of the foregoing representations or warranties are breached, upon receipt of written notice from Grantee detailing alleged breach of a representation and/or warranty, then the Grantor shall have 90 days to cure or remedy the alleged breach of representation or warranty. In the event that the Grantor fails to cure,then.Grantee may exercise this option. AFFIDAVIT OF EXERCISE OR COMPLIANCE In the event of the occurrence of the option event Grantor shall fail to fulfill its obligations arising hereunder to support all proceedings for approval of exercise of this option by Grantee or to deliver the deed to Grantor upon tender of payment, Grantor shall tender the purchase price and record an affidavit in the Registry of Deeds affirming such failure(s) and tender of payment which shall thereupon vest title to the property in Grantee. In the event that Grantor complies with all requirements hereunder but Grantee fails to tender payment of the purchase price in accordance with the terms of this grant, Grantor may record an affidavit in the Registry of Deeds affirming such failure(s) which shall thereupon discharge this option. RECORDING This instrument or a notice shall at the time of delivery of this Option and payment of the Option Payment be recorded at the Registry of Deeds. GENERAL Grantee shall not, except as permitted under the provisions of the aforementioned Conservation Restriction and Easement, convey, assign, or otherwise transfer this Option or its rights and obligations hereunder to other than a "qualified organization'' as defined under Section IX of the aforementioned Conservation Restriction and Easement as recorded on July 7, 2006 in Book 21167 Page 160 as document #43359 at the Barnstable County Registry of Deeds. No officer, director, shareholder, trustee, or beneficiary of a trust, if any, under which Grantor acts in executing this Option Agreement shall be personally liable for any obligation, express or implied, hereunder. If any of the foregoing provisions or any application thereof shall be invalid or unenforceable,the other provisions and any other application of such provisions shall not be affected thereby. Without limiting the foregoing, if by operation of Iaw, the effectiveness of this Option is restricted in time to a period shorter than the Option Period, this Option shall remain in effect as long as permitted. OPTION PERIOD The"option period" shall be fifty(50)years from the date hereof. - Bk 22592 Pg 233 #1153 MISCELLANEOUS In the event that any of the foregoing should conflict with the terms of the aforementioned Conservation Restriction and Easement, the terms of the Conservation Restriction and Easement shall prevail This option is granted to and acquired by the Town of Barnstable pursuant to the provisions of the Community Preservation Act,G. L.c.44B § 1 et. seq. it I Executed under seal this r# day of &, Z JL ,2007. Grantor: IX Thomas 1Vj1I n,President Jose awley,&aasurer Barnst9e Land Trust Barnstable Land Trust COMMONWEALTH OF MASSACHUSETTS Barnstable ss. Then personally appeared the above-named Thomas Mullen,and proved to me through, r}°�.`' evidence of identification,which was personal knowledge,to be the person whose n Pis Wd Ab;. the document, and acknowledged the foregoing ins o is e c deb Elie. t r� 'i T:; 'Not9fy Public I �► '� •r My/commission expires: BARNSTABLE REGISTRY OF DEEDS i --� �, � - � � �8 - 1 ��2 �� { �I ��� � i C�'l,�c� �, � � � af$cial Website of The Town of Barnstable - Property Lookup Page 1 of 3 Select Language Assessing Division Property Lookup Results - 2012 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< Print Friendly Owner Information-Map/Block/Lot:178/021/-Use Code:1010 Owner Owner Name as of 1/1112 GALL,CHARLES&DARA Map/Block/Lot G1S MAPS 1247 MAIN STREET/ROUTE 6A 178/021/ W BARNSTABLE,MA.02668 Property Address Co-Owner Name 1247 MAIN ST./RTE 6A(W.BARN.) Village:West Barnstable Town Sewer At Address:No Assessed Values 2012-Map/Block/Lot:178/021/-Use Code: 1010 2012 Appraised Value 2012 Assessed Value Past Comparisons Building Value: $160,400 $160,400 Year Total Assessed Value Extra Features: $39,300 $39,300 2011-$517,200 _ Outbuildings: $33,000 $33,000 2010-$532,200 Land Value: $269,000 $269,000 2009-$401,900 2008-$435,100 2007-$533.200 2012 Totals $501,700 $501,700 2006-$750,200 Tax Information 2012-Map/Block/Lot:178/0211-Use Code:1010 Taxes W.Barnstable FD Tax(Residential)$1,354.59 Fiscal Year 2012 TAX RATES HERE Community Preservation Act Tax $126.73 Town Tax(Residential) $4.224.31 $5,705.63 Sales History-Map/Block/Lot:178/021/-Use Code:1010 History: Owner: Sale Date Book/Page: Sale Price: GALL,CHARLES&DARA 5/1/2008 22877/86 $829000 ROSS,RUSSELL L,TRS 3/19/2008 22765/125 $1 ROSS,RUSSELL L TR 3/20/2006 20833/218 $1 ROSS,RUSSELL L 3/6/2006 20793/167 $1 ROSS,RUSSELL L TR 10/18/2004 19142/070 $100 ROSS,RUSSELL L 9/29/2004 19079/259 $100 ROSS,RUSSELL L TR 6/24/2003 17142/349 $1 ROSS,RUSSELL L 6/24/2003 17142/322 $550000 MCMAHON,MARK J&CAROL A 11/21/1996 10492/029 $1 MCMAHON,MARK J 1/1 511 99 0 P0120-El $1 HOFFMANN,GERTRUDE E 7324/028 $1 HOFFMANN,OTTO K 796/336 $0 Sketches-Map/Block/Lot:178 1 021/-Use Code:1010 �6 FHWdtA'j F[P I BM AS Built CardS:Clickcard#to view:Card#1 1 http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen l 2.asp?searchparcel=17... 4/6/2012 Off-bial Website of The Town of Barnstable - Property Lookup Page 2 of 3 Constructions Details-Map/Block/Lot: 178/021/-Use Code:1010 Building Details Land Building value $160,400 Bedrooms 4 Bedrooms USE CODE 1010 Total Improvements Value $185,089 Bathrooms 2 Full Lot Size(Acres) 2.96 Model Residential Total Rooms 7 Appraised Value $269.000 Style Cape Cod Heat Fuel Oil Assessed Value $269.000 Grade Average Plus Heat Type Steam Year Built 1930 AC Type None Effective depreciation 15 Interior Floors CarpetHardwood Stories Interior Walls Plastered Living Area sq/ft 1,750 Exterior Walls Wood Shingle Gross Area sq/ft 3,972 Roof Structure Gable/Hip Roof Cover Wood Shingle Outbuildings&Extra Features-Map/Block/Lot:178/021/-Use Code:1010 Code Description Units/SO ft Appraised Value Assessed Value FOP Open Porch-roof-ceiling 112 $3,800 $3,800 BMT Basement-Unfinished 1120 $21,500 $21,500 BFA1 Bsmt Fin-Good- 560 $14,000 $14,000 Partitioned FCP Carport-flat roof 500 $6,200 $6.200 BRN1 Bam-1 Story 322 $7,800 $7,800 BRN3 Bam 1 Sty/Lt 576 $19,000 $19,000 Sketch Legend Property Sketch Legend AOF Office,(Average) FTS Third Story Living Area(Finished) SFB Base,Semi-Finished BAS First Floor,Living Area FUS Second Story Living Area(Finished) TQS Three Quarters Story(Finished) BMT Basement Area(Unfinished) GAR Garage UAT Attic Area(Unfinished) CLP Loading Platform GRNGreenhouse UHS Half Story(Unfinished) CANCanopy MZ1 Mezzanine,Unfinished UST Utility Area(Unfinished) FAT Attic Area(Finished) MZ2 Mezzanine,Semi-finished UTQ Three Quarters Story(Unfinished) FBM Finished Basement MZ3 Mezzanine,finished UUA Unfinished Utility Attic FCP Carport PAT Patio Outbuilding Listed UUS Full Upper 2nd Story(Unfinished) FEP Enclosed Porch PTO Patio WDK Wood Deck FHS Half Story(Finished) REF Reference Only WKO Wood Deck Outbuilding Listed FOP Open or Screened in Porch SDA Store Display Area QDPrint Friendly Contact Director of Assessing Jeffrey Rudziak �P 508-862-4022 ;F 508-862-4722 8:30a.m.to 4:30p.m. ;Helpful Links to Downloads Abatements Department of Revenue Exemptions Parcel Consolidation Questions about values Town Tax Rates-FY12 Town Land Use Codes Helpful Maps All Town Maps Flood Insurance Maps Property Maps http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen l 2.asp?searchparcel=l 7... 4/6/2012 .0f-cial Website of The Town of Barnstable - Property Lookup Page 3 of 3 Contact Director of Assessing Jeffrey Rudziak P 508-8624022 F 508-8624722 ,8:30a.m.to 4:30p.m. Related Boards Board of Assessors Owned and Operated by The Town of Barnstable-Information Technology Home Departments&Services I Boards&Committees I Residents&Visitors I Doing Business I Town Calendar I Phone Directory I Employment I Email Town Hall I http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen l 2.asp?searchparcel=17... 4/6/2012 PROJEC NAME: 14Y 7 . ADDRESS: 1AV 7 ST PERMIT# P-067 9 6 d Z Co,9 PERMIT DATE: d LARGE ROLLED PLANS ARE IN: BOX qp SLOT Data entered rn MAPS program on: BY: , TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION... :_-.Applicatib.b # Map Parcel— (0 Health I bivisio-h .`Date Issupd L .'., Conservation Division Application Fee Planning-Dept; "Perrnit Fee; Date Definitive:Plan Approved by Planning Board Historic = OKH Preservation Hyannis Project Street Address �Z-47 R-1- A9 Village Owner 2ARPt CDO-LC, —Address U. SO,* Telephone 737 -16- Coo Permit Request pe. I)R" M Square feet: 1 st floor: existing .I IA46 ropose'd 1140 :2nd floor: existing 5146 proposed Total new p 30- z6hing District Flood Plain Groundwater.Overlay Project Valuation �C>oz> Construction Type of29PW L6.t Size 12- q/&:t Grandfathere'd: Ll Yes U No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family Ll Multi-Family (# units) Age of Existing Structure Historic House: El Yes ULNo On Old King's Highway: Wyes 0 No Basement Type: Q Full Ll Crawl Ll Walkout U Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 0 Number of Baths: Full: existing new = Half: existing new Number of Bedrooms: existing-61-new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: LJ Gas YLOil Ll Electric Ll Other Central Air: 0 Yes Q No Fireplaces: Existing New Existing wog 'coal sties 6-Yes Q No Detached garage: El existing Ll new size—Pool: Ll existing Ll new size Barn: 0:existingwED nFpv size E; ;r. Attached garage: El existing Ll new size Shed: Ll existing L] new size Other:=1 2: 00 Zoning Board of Appeals Authohzation Q Appeal # Recorded Ll cn M Commercial U Yes LJ No If yes, site plan review # Current Use 19&P,-6: Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name P_1ajfiE_ZI fJ_ 294)0)ee50A_) Telephone Number _ (5A0k Address 20 dlet)II& S 7'-- License#_ C-S -721q SAjLJ PI-)Z-C Z),?)_6 3 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE N DATE—0 FOR OFFICIAL USE ONLY A3'PLICATION# QATE ISSUED ' MAP PARCEL NO. _ ADDRESS VILLAGE iOWNER h DATE OF INSPECTION: .,.FOUNDATION FRAME INSULATION 61A)5 yA8/o'F FIREPLACE 3 _ ELECTRICAL: ROUGH :FINAL PLUMBING: ROUGH FINAL ` GAS: _ ROUGH FINAL FINAL BUILDING 02'6 O 1� Ojr `t( DATE CLOSED OUT ASSOCIATION PLAN NO. ' 1 V4E r Town of Barnstable Regulatory Services ,,�Lr- Thomas F. Geiler,Director 'rEn ;►`'� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyanriis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW N-lp # 2 oo?oo z b7 Owner: 6;jCv - Map/Parcel: Project Address IP'17 ?f 4 i.)w Builder: �• �r��eSo0/ . The following items were noted on reviewing: ©w Aj V nor)(L) 13)&-7-ff itt u s 7,' I`figVr- luCc*A N t c l,hE-R�TCA7710-t/ . Sao-w�Z � Ue�vr �oeoa6� .ToFFi7 Reviewed by: Date: Q:Forms:Plnrvw t REScheck Software Version 4.1.3 CNJ( Compliance Certificate Project Title: Gall Dormer- Map 178, Lot 121 Report Date:01/22/09 Data filename:C:\Program Files\Check\REScheck\Gall dormer.rck Energy Code: Massachusetts Energy Code Location: Sandwich,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 3% Heating Degree Days: 6297 Construction Site: Owner/Agent: Designer/Contractor: 1247 Rt.6A Cara&Charles Gall R.W.Anderson&Sons,Inc. W.Barnstable,MA 02563 232 Prescott Rd. 6 Willow St. Manchester,ME 04351 Sandwich,MA 02563 508 737-5247 508 888-5720 :,Compliance: Compliance:21.2%Better Than Code Maximum UA:33 Your UA:26 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 142 30.0 0.0 5 Wall 1:Wood Frame,16"o.c. 240 13.0 0.0 19 Window 1:Wood Frame:Double Pane with Low-E 7 0.320 2 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Name-Title gnature Date Project Title: Gall Donner-Map 178, Lot 121 Report date: 01/22/09 Data filename:C:\Program Files\Check\REScheck\Gall dormer.rck Page 1 of 1 i ,nartsrnst.e, r � MASS. ,� Town of Barnstable �FDMArA Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA'02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 12.0, /?AJ oy ¢"sO/JS ].VC— to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner 0 Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Filcs\Content.Outlook\MY7NB4IL\EXPRESS.doc Revised 100608 DEC-18-2008 17:12 From:MARK SYLVIA INS 5084209227 To:508 888 5720 P.1/1 DATE(I NIfDOlm ACORD CERTIFICATE OF LIABILITY INSURANCE 12/lIK008 PROpUGIIiR ' Sedal It< 103078 THIS CERTIFICATE IS 166UED AS A MATTER OF INFORMATION MARK BYLVIA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 771 MAIN STREET ALTER THE COV RAGE AFFORDED BY THE POLIO ES BELOW. OSTERVILLI .MA 02660 TEL: 509 428-Wo FAX: 609420-8327 INSURERS AFFORDING COVERAGE NAIC# INOUpli0 INOURBR A' FARM FAMILY CASUALTY INSURANCE CO RW ANDERSON a SONS[NO INSURER B: 8 WILLOW ST rNaURr:RC: SANOWICH, MA 02563.2015 INBUR[R D: waURCR C: COVERAGES. M2.POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.N0T1M7HGTANDINO ANr REQUIREMENT,TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CCRTIFICATE MAY Be ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY The POLICES DEBCRO130 HEREIN 19 SUBJECT TO ALL THE TERMS, EXCLUGIONS AND 0ONDITIONG OF SUCH POLICIES,AODREGATQ LIMITS SHOWN MAY HAVE BEEN REDUCPO BY PAID CLAIMS. TYPB.OP.INSURANCE POLICY NUMBER ' N LIWYa OENCRALLIADILITY CU EACHOGRRCNCH i COMMQRCIAL GENERAL LIABILITY CLAIMO MADO OCCUR Ml'D PXP An nne rwn i P BONA.A ADV INJURY i ..... ....... .. OENP.RAL AOGArOATE 6 GDNL i►OGREOATe LIMIT APPLIEa PER PRODUCTS-COMPIOP ACID S po� LOC A1I1. MODIL8 41ABlUTV COMBINED CMLE LIMIT i (Cc avokwl) ANY AUTO ALL OWNEDAUT06 BODILY INJURY f IPn Pawn) 6CHODLueD AUTOG HIRZD AUTOS BODILY INJURY f NON-0WNBD AUTOS (Per aoab�yM1p (Par�ia7QaA MADE i ... ...... .. . ........... AUTO ONLY•GA ACCIDENT S OA/(AOC UAaIUTY ANY AOTO OTHER 1NAN AG[, i AUTO ONLY AnG i 1110EOSIUMORCLLA LIABIUTY IIACM OCCURRENCE OCCUR CLAIMS MADe AOOREOAYC i I i DEDUCTIBLE i R@TENTION f 1NORKOWS00MPGN9AYIONAND 2001W84a8 oenen008 09/18R009 x A EMPLOYRRS'LIAMU Y' " I't RACK ACC106NT s 500.000 ANY PROPRILRORIPAKINERMXECU11YO FLOIEII-ARF.nA r:MPlov... 500.001) om4cff rMeMBEA VcLu0E01 a�1 aaicrmr ul,wr' rl Sr•ARE-POLICY LIMIT s 500.000 6P.66PAI P OVQ91ONO Dhow OTNER peacRipmN OP OPCRATIDNWLOCATIONWWMIGI.CWURCLUDIONS ADDW By 009RUMONTIOPECIAL PROYIOION6 CARP>ENT.RY CUSTOM BUILDER CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THe ABOVR DESCg=o POLICIES BE CANCELL61)DEFORC'MG EXPIRATION EXPIRATION THEREOF.THO ISSUMO INOUROR WILL GNDPAVOR TO MAIL DAYO WRITTEN TOWN OF•BARNSUBLE NOTICC TO THE CG 6 N RYIFICAT0LD8R NAMQD TO THe LEFT.BUT FAILURQ TO DO 60 SHALL SUILDINGDEPT ImpO6E po OOLIOATIONOR LIABILITY OP ANY N1NDuPONTHr,waURCR.ITC AOENTOOR 200 MAIN STREET RrPRr• rN A HYANNIS, MA 02801 AUTO M I FAX; 50B-790.8230 AND INSURED 508-833-1751 DEBS ACORD 25.(2001=) m CORD CORPORATION 1080 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Legibly Naive(Business/Organization/Individual): Address: ��— City/State/Zip: . PGJ/C-114 Phone.#: ��� Are you an employer? Check the appropriate box: Type of project(required): 1.9 I am a employer with 4 _ 4. 1 am a general contractor and I employees(full and/or part-tim.e).* have hired the sub-contractors 6. New construction .2.❑ I am a sole proprietor or partner-' listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P ty• # 9. %Building addition [No workers'comp. insurance comp.insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its P 3.❑ 1 am a homeowner doing all work officers have exercised their I I. Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] "Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Icontractors 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.M 2,00 Expiration Date: CO- Job Site Address: � W7 14 City/State/Zip:InJ &4PP9; /11� 421o9 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi the pain nd penalties of perjury that the information provided above is true and correct. signafore: V Date: & Phone#: 06 Official use only. Do not write in this area,tb 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#: � f . 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-conti-actor(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 maybe 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 11-22-06 www.mass.gov/dia BAeof 14if�'iN� o'rys a (fi � License or registration valid for individul use only ' _ — HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board'of Building Regulations and Standards Reg istrafi o n: 10950;3 One Ashburton Place Rm 1301 Expirat[on' 9/16/2010 Tr# 273713 Boston,Ma.02108 Type=Prix to Corporation RW ANDE.RSON&S:O:N �� J Sa RICHARD ANDEf2SO.N• 6 WILLOW ST SANDWICH,MA 02c6 '4 Administrator Not valid without signature Massachusetts- Department of Pufilic S:ut`e"tN..`^ Board of Buildin;* Re=ut ttions aniJ Standard y Construct-.Supervisor .License k; License CS 7714 RI0HARD W�SAND. RSON. 20 GROVEt" T SANDWICH,,MA 02563 cam _ iyi Expiration: 5/26/2010 %• C'ui»niissiuner. :. Tr* 25879 _.. , f �o4.iHe rho Barnstable Old Kings Highway Historic District Committee nx�.Ysrr.nre, ; 200 Main Street,Hyannis, MA 02601,TEL: 508-862-4787 Fax 508-862-4784 $A a63 q..A s0 '--" APPLICATION, CERTIFICATE OF APPROPRIATENESS o Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of �� Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings, photographs accompanying this application for: Check all categories that apply; o y 1. Building construction: El 'New ❑ Addition. Alteration �rn 2. Type of Building: House ❑ Garage/barn ❑ Shed ❑ Commercial ❑ Other :� 3. Exterior Painting,.roof ❑ new roof ❑ color/material change, of trim, siding,window, door 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool . Type or Print Legibly: Date: \\ Address of proposed work: House# Street: -t LU M��N �7 ) Village4/, �6LE Assessors Map Lot# Description of Proposed.Work: Give particulars of work to be done: Agent or Contractor(print): QW 4P Q65i M`D6J FI 96-A S /�L Telephone#: Address: Contractor/Agent'signature: NOTE All applications must st ned by the current owner Owner(print): 7 Telephone Owners mailing address: Owner's signature: For coin 'ttee nse only. This Certificate is PRO ED/ ENIED Date \ Members-signatures DEC 18 2008 TOWN OF BARNSTABLE con ition oval: HISTORIC PRESERVATION C i /)/?.0 a/� ,,\e' _ 0tgaN\9r�N 10 �a9s�\,dee 1 C:Oocuments and SettingsldecolliklLocal SettingslTemporary Internet FileAOLKl10KH Cen Appropriateness 07.doc 6\6 GOP r v. ,ram �� 11. p L ��: l� u ,� , DEC 1 8 ZUU8 I�� Town of Barnstable Old King's Highway Regional Historic District Com i �TpWN OF BARNSTABLE `fi1�TORIC PRESERVATION CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 eopieS Foundation Type: (Max. 18"exposed)(material-brick/cement,other) Siding Type Sl ji/3GLC5 material: U) -h r� Qr=76 4-2 Color: /tJIQ`70h��L Chimney Material: Color: Roof Material: (make&style) Color: Trim material Color: Roof Pitch: (7/12 minimum) v2M ea 0/-) Window: (make/model) Yjo-5-1-4r- -G4S-0 material e4A00-7 color OH rz! Size(s): x —FP--vim V1 7► �c�=� L(G14 i Door style and make: material Color: Garage Door,Style Size Material Color Shutter Type/Material: Color: Gutter Type/Material: Color: Decks: material Size Color: Skylight,type/make/model/: material Color: Size: Sign size: Type/Materials: Color: Fence.Type(max 6' )Style material: Color: Retaining.wall: Material: Lighting, freestanding on building illuminating sign Please provide samples-of paint colors and manufacturers brochure of style of windows,doors,garage door, fences,lamp.posts etc �') ADDITIONAL INFORMATION: �� r �QQQ �e a'o Signed: la prepares) print name ('1Py tel,no. V� �3� v"?( Location of application: Street no. (7 � Street Village 2 C.Documents and SettingsldecolhklLocal SettingslTemporary Internet FilesIOLKI10KH Cert Appropriateness 07.doc potsw Double 1-3/4" x 9-1/2" VERSA-LAMO 2.0 3100 SP Floor Beam1F1301 BC CALC®2.0 Design Report-US 1 span No cantilevers 1 0/12 slope Tuesday, February 03,2009 14:13 Build 279 File Name: R Anderson_Gall.BCC Job Name: Gall Description: FB01 Address: 1247 Route 6A Specifier: Joe Madera City, State,Zip:West Barnstable, MA Designer: Customer: R.W.Anderson, Inc Company: Shepley Wood Products Code reports: ESR-1040 Misc: I I I I I I I 2 1 1 1 1 1 1 I I I I 4 I I I 1 i i 31 I I I I I I I I i I I l i l 11i I I i i 1 1 ! I 1Q-00-00 BO,3-1/2" B1,3-1/2" LL 450 Ibs LL 450 Ibs DL 1,797 Ibs DL 1,797lbs SL 2,100 Ibs SL 2,100 Ibs Total Horizontal Product Length=10-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 10-00-00 40 10 01-00-00 2 Unf. Lin. (plf) Left 00-00-00 10-00-00 80 n/a 3 ceiling Unf.Area (psf) Left 00-00-00 10-00-00 10 10 05-00-00 4 roof Unf.Area (psf) Left 00-00-00 10-00-00 15 30 14-00-00 Controls Summary Value %Allowable Duration case Span Disclosure Pos. Moment 9,894 ft-Ibs 61.6% 115% 13 1 -Internal Completeness and accuracy of input must End Shear 3,405 Ibs 46.9% 115% 2 • 1 -Left be verified by anyone who would rely on Total Load Defl. U353(0.324") 68.0% 13 1 output as evidence of suitability for Live Load Defl. U602(0.19") 59.8% 13 1 particular application.Output here based .324" 32.4% 13 1 on building code-accepted design Max Defl. 0 Span/Depth .3 1 properties and analysis methods. P P n Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3-1/2"x 3-1/2" 4,347 Ibs n/a 47.3% Unspecified or ask questions,please call B1 Post 3-1/2"x 3-1/2" 4,347 Ibs n/a 47.3% Unspecified (800)232-0788 before installation. BC CALC®,BC FRAMER®,AJSTM, Notes ALLJOIST®,BC RIM BOARD-,BCIG, Design meets Code minimum(U240)Total load deflection criteria. BOISE GLULAMT"" SIMPLE FRAMING Design meets Code minimum(U360) Live load deflection criteria. SYSTEMS,VERSA-LAMS,VERSA-RIM Design meets arbitrary(1") Maximum load deflection criteria. PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, Connection Diagram L.L.C. b d a c a minimum=2" c=5-1/2" b minimum=3" d = 12" Member has no side loads. N-01SIAI.13 Connectors are: 16d Common Nails L Z M WJ ' - 83J 6001 Page 1 of 1 /via ���� � � �'F!9-stc i z r�e : .�� 1 • ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION • �CP�a Map I`7 Parcel Application # Health Division Date Issued l�l Conservation Division I� �6I 2`I 6c� Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address �-�f fi Village '10 A17Yen)ST7'��4_ Owner G'l�/�>''uL.Z=S �-/� �- �s��L Address TO. e9k 3©7 LJ, Telephone (J�U�l 731- S 2 47 rmifRequest 1 e/"1aye Square feet: 1 st floor: existing proposed 2nd floor: existing proposed, Total new Zoning District Flood Plain Groundwater Overlay - Project Valuation 0 000 " Construction Type Lot Size .1'QA- 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: `A 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: 0 Gas ❑ Oil ❑ Electric ❑Other P/9 Central Air: ❑Yes 64 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage: 0 existing ❑ new size_Pool: 0 existing ❑ new size _ Barn: 0 existing new size q/z Attached garage: ❑ existing ❑ new size _Shed: 0 existing ❑ new size _ Other: �# `- ND cn �' Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 0 �• L Commercial ❑Yes ❑ No If yes, site plan review# co iy Current Use Proposed Use rn APPLICANT INFORMATION - -- - - (BUILDER OR HOMEOWNER) Name �.fib • 6�Pj Qef?SoAJ 4--901d S, !/J G Telephone Number Address 6? fit,/4 La A/ 6-r License -7 7 / q 4 ��/G�• � ��S 6S Home Improvement Contractor# 3 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ('*,\ 41) # SIGNATURE DATE i 0 - a a - G ` FOR OFFICIAL USE'ONLY APPLICATION# DATE ISSUED ` y MAP";ARCEL NO .1 ADDRESS VILLAGE s t OWNER ' s 3 DATE OF INSPECTION: f FOUNDATION '� D oX J o'ts �s s,ob FRAME �f �3�oQRi1l ;ClCit�iyl S �OIZD R*,klc o t << INSULATION j FIREPLACE `> ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �G 7 �d' 0 /P owlz�9 • . I�D � ScSn d /2• • DATE CLOSED OUT ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts .Departs.neast of Industrial Accidents Office of Investigations a 60.0 Washington Street Boston, MA 02111 �H www.inass.gov/dia Workers' Compensation lusty,ance Affidavit: Builders/Contractors/Electricians/Plu�Mbe:rs Applicantlnfo.rmation tt..,, P.leasePrint Ise ibl Name (Business/Organization/lndividual): �� W, /l N 1N t Address: City/State/Zip: OLS Z 3 Phone.##: Are you an employer? Check the appro"Hate box: Type of project(required): 1.® .I am a employer with tog _ .4. ❑ I am a general contractor and I 6 ®New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling }4.-, oncl l,a}iv„�0 1,,., .F�. These sub-contractors have 8. ❑ Demolition s.ir, rnY ees working for me in any capacity. employees and have workers 9 ❑Building addition [No workers' comp. insurance comp. insurance.$ required.) 5. ❑.We are a corporation and its 10.❑ 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.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no q employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill,out ttie!section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating theyi are doing all work and then hire outside contractors must submit a new affidavit indicating such. . tContraetors that check this-box must attached an additi6nal sheet showing then ame of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,the'imust provide their workers'comp.policy number. I ant an employer that is providing:workers'contp.ensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: e 1 �•�rl/L Y y�L Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: ( 2 4-7 P'Jf}1^27 9-t City/State/Zip: 4.). 6z1�S7 ,1 oZ�6�` 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 or._e-year itn,-nsq*=nent,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. 13e advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance covekage verification. I do hereby certify un ' th- paints-and per.hies of perjury that the infornnation provided above is true and correct. r Signature: Date: — Phone M CV9's Official use only. Do not write in This ai;ea, to be conrpleled by city or lotvrt official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.BuildingDepartiient 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: OCT-�3-2008 08:29 From:MARK SYLVIA INS 5084209227 To:5W B88 5720 P.1`3 ACORD CERTIFICATE OF LIABILITY INSURANCE 10n3/200e PNDDIJC6R 9etiel# 102849 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARK SYLVIA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT APAEND, EXPEND OR 771 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02665 NAIC# TEL: 508.428.OW FAX: 608-4204227 INSURERS AFFORDING COVERAGE INSURER A. FARM FAMILY CASUALTY INSURANCE CO INSURED RW ANDERSON&SONS INC INSURER 11 6 WILLOW ST IWwnr.R C: SANDWICH, MA 02563.2015 INSURER D: INSURER G' COVERAGES THE POLICIES OF INSURANCE USTED BELOW HAVE OPEN ISSUED To THE INSURED NAMED ABOVE FOR THG POUCY PERIOD INDICATED.NOYWITHSTANDINOR ANY MAY PERTAIN,,REQUIREMENT. INSURANCE AFPORR D BY�OUCESDESCR BED HEREIN IS SUBJECT TO ALL THE T OR OTHER OOCWeNj WITH RESPECT OTERMS TERMS. AND CONDITIONS OP ISSUEDCER'nFICATE MAY BE CH POLICI2S,AGOREGATe LIMITS OHOWN MAY HAVE'BEEN REDUCED BY PAID CLADAS X N uMrre 1 M OO TYPO OP INSURANCE POLICY NUMBER EACH OOCURRENCr s GENERAL L1AGILITY 9AM960 LNYI:O 8 COMMERCIAL GENERAL LIABILITY -------- CLAIMS MADE OCCUR P-.RSON An one lUR f PF:R60NAL A AOV INJURY E OGNERAL AGGRFOATE f PRoDUCTR-COMPIOP AGo A GT:N'L AOORG6A7E LIMIT APPLIGS PER ' POLICY M P LOC AUTOMOBILE LIABIUTY (F-s COMBINED BINDLE LIMIT Ee toaldOro) ANY AUTO ALL OWNED AUTOS OOWIY PLXIRY s (Pm.p�nonl SCHEDULED AUTOG BODILY INJURY f HIRED AUTOS (Pm Aaadmul NON-OWNEo AUT00 PjtOOpp DAMAI3E 8 ( I.Qald AUTO ONLY•EA ACCIOFNT f OARAOO LIADILITr EA ACC S OTHF31 THAN ANY AUTO AIJTOONLY AGG S OACH OCCURRfiNCE % BXC668IUMERELLA LIABILITY f OCCUR CLAIMSMAD0 AGGREGATE f f OEOUCTIOLE f RETENTION S A X A WORKER'S COMPENSATION AND 2001 W8449 09/182008 09/18/20DO 500 000 EMPLOYERS'UADILITY �E-L QACN ACCIDCNT f ANY PROPRIGTORIPARTNCRfEXECUTIVE DISEARG•f.:A FMPLOYCFI s SOD.00O OFFI:6RIME SER p(CLUOEOT N yye■■deeuiQe untlel rL DILEAGG-POLX V LIAAIT f 500 0 BPEI:IAL PROVISnNS MIOW OTHER D88CRIPTI0N Of OPERATIONBILOCATIONBIVEMICLE810XCLU810N8 ADDED BY EN0ORBOYGNTl8PBCIAL PROVISIDNO CARPENTRY CUSTOM BUILDER JOB LOC. CHARLES GALL, 1247 RTE AA, WEST BARNSTABLE MA CERTIFICATE MOLDER CANCELLATION SHOULD ANY Of!THE ABOVE DEMRIUM POLICIES BE CANCELLED BEFORE THr VXPIRAT10N DATE THEREOF.THE ISSUING It"ER WILL ENDEAVOR TO MAIL DAYS WM'ryF N TOWN OF BARNSTABLE NOnCG TO Tto CER AWATE HOLDOR NAMED TO THD LEFT.BUT FAILURE TO DO 90 SHALL BUILDING DEPARTMENT IMPOSE No OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 MAIN STREET RCPRESENTATIVG6 HYANNIS. MA 02601 AW"GI 2Eo R8PROUNTAVIVE FAX: 608.790-0230 DEBS ® ORD CORPORATION 1086 ACORO 26(10011081 J e ,,,, Boar o ui in e ula�fon'S an ar . One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improveme -t C' tractor Registration iv Registration: 109503 Type: Private Corporation Expiration: 9/16/2010 Tr# 273713 RW ANDERSON & SONS INCRICHARD AND h v 6 WILLOW ST ERSON SANDWICH, MA 02563 Update Address and return card.Mark reason for change. Address _1 Renewal f-7 Employment i-1 Lost Card r DPS-CA1 0 5OM-07/07-PC8490 (Massachusetts - Department of Public Safeth Board of Rdildin!, Rel-uiations and Standard; Construction Supervisor License", License: CS '7714 Restricted to: 00 4. RICHARD.W?ANDERSON 20 GROVE-ST �` k SANDWICH;"MA 02563 Expiration: 5/26/2016 t / Co nunissionel. Tr#: 25879 1 1 shed hdr by Weyerhaeuser 2 Pcs of 1 3/4" x 9 1/4" 1.9E Microllam@ LVL TJ-8eam&6.30 Serial Number:7005107030 User:2 11/13/200812:48:11,PM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page Engine Version:6.30.14 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope:OM2 Roof Slope3M2 Ouerall Dimension:2V o, a ; a, a a 8. d 8' b g. All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width:7' Primary Load Group-Snow(psf):30.0 Live at 115%duration, 12.0 Dead SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50" 1.50" 733/314/0/1047 L1: Blocking 1 Ply 1 3/4"x 9 1/4"1.9E Microllam®LVL 2 Stud wall 3.50" 1.84" 1911 /833/0/2743 L1: Blocking 1 Ply 1 3/4"x 9 1/4"1.9E Microllam®LVL 3 Stud wall 3.50" 1.84" 1911 /833/0/2743 L1: Blocking 1 Ply 1 3/4"x 9 1/4"1.9E Microllam®LVL 4 Stud wall 3.50" 1.50" 733/314/0/1047 L1: Blocking 1 Ply 1 3/4"x 9 1/4"1.9E MicrollamS LVL -See iLevele Specifier's/Builder's Guide for detail(s): L1: Blocking DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) 1454 1174 7074 Passed(17%) Lt.end Span 3 under Snow ADJACENT span loading Moment(Ft-Lbs) -2019 -2019 12884 Passed(16%) Bearing 3 under Snow ADJACENT span loading Live Load Defl(in) 0.030 0.261 Passed(U999+) MID Span 3 under Snow ALTERNATE span loading Total Load Defl(in) 0.042 0.392 Passed(U999+) MID Span 3 under Snow ALTERNATE span loading -Deflection Criteria:STAN DARD(LL:U360,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 24'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 and adjacent member pattern loading. -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by iLevele. iLevele warrants the sizing of its products by this software will be accomplished in accordance with iLevele product design criteria and code accepted design values. The specific product application, input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevele Associate. -Not all products are readily available. Check with your supplier or iLevele technical representative for product availability. -THIS ANALYSIS FOR iLevele PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevele Distribution product listed above. -Note:See iLevele Specifier's/Builder's Guide for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION: for Michele Cudilo g CL;DILO J.B DESIGNS Michele Cudilo, P.E. pdr,.3A-' i r I ?, �- 123 Cottonwood Lane S(f;UCTUF"'L.,��V. 1247 ROUTE 6A,W. BARNSTABLE Centerville, MA 02632-1979 Phone:5087717601 Fax :5087717163 Fyn%;pj� mcudilo@comcast.net Copyright O 2007 by iLevel®, Federal Way, WA. y{-� Microllam is a registered trademark of iLevel®. // V G!/�3l6 Of'IKE rod Town of Banastsbl e T Regulatory �ervxces y y t EA�RNSr"B 7 Thomas F. Geiler, Director 6�' � rEto) -Building Division Tom Perry, Building Commissioner . 200 Main Street, f4yannis, MA 02601 www.toivn.barnstable.ma,us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder seas Owner:of the subject. ro- er I, � ._ J P P -ty . hereby authorize u �fN ►'J - JNS ��� to act on my behalf, -in all.tnatters relative to work authorized by this building permit application for: (Address of job) Signature of Owque ate Print Name Ieprope•r-ty Owner is applying forpezmit please compl'et'e. the Homeo:wnc.rs License Exemption Fora on th-e reverse side. � (V °F,"Erb Barnstable Old Kings Highway Historic District mittee 0 i 200 Main Street,Hyannis, MA 02601,TEL: 508-862-4787 Fax 508-862- rsnnxsrnoi:e, - � 16g9- �0 APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply; 1. Building construction: X New ❑ Addition ❑ Alteration 2. Type of Building: ❑ House Garage/barn ❑ Shed ❑ Commercial ❑ OtherFo �C0 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding,window, door Cn 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign �ro 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wail ❑ tennis court,-❑ FAher ! (n 6. Pool ❑ swimming J El Other man-made pool 1? j Type or Print Legibly:/ Date: / 'i 2`U R Address of proposed work: House# 1 1,7 Street: — !" (0 � w Village 4) f3,9R�S?2Z�I&Assessors Map Lot# l 7 Description of Proposed Work: Give particulars of work to be done: X Z 4 7?71 A 4--k Rjt�� _504� Telephone#: Jog "5-72 Agent or Contractor(print):��L1'7c�� Address: Contractor/Agent' signature: NOTE All applications must be signed by the current owner �, "�flf�� (',t`1� Telephone#: '� JCS f8 Owner(print): �,'�R,�,,,,�, Owners mailing address: p4 &,r "l W, W Owner's signature: j - For committee use only. This Certificate is hereby APPROVED/DEMED rj �-� Date Members signatures D C E �Vf S E P 17 2008 0 rDAIN OF BARNSTABLE n ► 'ons pproval: HISTORIC PRES'RVA T ION �- C:IDocuments and SettingsldecollWLocal SettingslTemporary Internet FilesIOLK110KH Cert Appropriateness 07.doc t Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type:(Max. 18"exposed)(material-brick/cement,other) CoN C,?&�—r' Siding Type k �oUlGi twin material: /P'NE Color: P>fv _71'11J'ZAI!l 12 Chimney Material: io(J11� Color: A0 Roof Material: (make&style) Color: Ccfnt3 7,vy .?e�7,� Trim material P)n Color: f . Roof Pitch:(7/12 minimum) -112 MAJA.> 6 3/f Window: (make/model) v5'��� s'/�St� material 4✓)Oao color 4Jf-f/TL Size(s): v?Al-I& Door style and make: vq-2 D/M aterial `7r¢ Pi�iE� Color: Garage Door, Style Al/I Size N1�7 Material N/9 Color A)7g Shutter Type/Material: N/t Color: /Vf� Gutter Type/Material: LU J✓y".�li e it Color: G lw;17E Decks: material ,nf.9 Size s(J 15;" Color: /V1. Skylight,type/make/model/: IZJ1q material Color: Size:. Sign size: Type/Materials: Color: Fence Type(max 6' )Style P material: Color: Retaining wall: Material: Lighting,freestanding N 4 on building SSE -7-/G77-/?&Tuminating sign Please provide samples of paint colors and manufacturers brochure of style of windows,doors,garage door, fences,lamp posts etc ® c' ADDITIONAL INFORMATION: ' 9 ot�a1` ee ',�� IVS7k13i.N Signed: (plan preparer) 0 9yd` _ print name tel.no. !�DB) � 5'7 ocation o ication: Street no. 1-a- Street R-- lG Village L01 &?n,11 97-29IJ4,6' 2 C:(Documents and SettingsldecollWLocal SettingslTemporary Internet FilesIOLK110KH Cert Appropriateness 07.doc �u0 v 7&4c)o IME r Town of Barnstable *Permit# ,p 0 Expires 6 months from issue date �7 Regulatory Services Fee - • anxrtsrnBt.e, v� 1'�. `�� Thomas F.Geiler,Director plf0 MA'I s Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 026.01 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 17yt Property Address 12J4-7 e4- 2tu 5 Eg Residential Value of Work_V1 r? Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address—r'r 4 fl-�r�� -4- j)A P-A (�I AL. L- i`z1+�1 /�-t-(v14 �?o. oX 3 ��l W. --gHpNSi413 C-EE_l`-J/9-U26C�� Contractor's Name D EF' 'ohJ <T S01-)S Telephone Number U Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) aS ❑Workman's Compensation Insurance X-PRESS PERMIT {th� qld�F�6 IT Check one: - 6® a7 ❑ I am a sole proprietor "❑ I am the Homeowner DEC 18 2-008 J" .I have Worker's Compensation Insuurrance TOWN of BARNSTASI�E. Insurance Company Name Workman's Comp.Policy# " Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) n /• Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over. existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) r Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. '``dsQ�t:1 ***Note: Prope caner must sign Property Owner Letter of Permission. , A c the Home Improvement Contractors License is required. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\MY7NB4IL\EXPRFSS.d'od` 1 Revised 100608 The Co.innionwea-Ith of Massachusetts D8parttnent of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.n.tass.govIdia Workers'-Compensati-on lustrriauce Affidavit: Buil I ders/C:o-iitractors/glectricians/Plu-mbers Applica-latinfo.-irmation Please Print Lel4ibly .D A-� Name(Busiiiess/organization/individual): et�'S Address: City/State/Z1p.-S617JDk,)(C- � ::; 0 2SIP3 Phone.#: Gs:y�S- Are you an employer? Check the appropriate box: Type of project(required): 1.2r.1 Am a employer with 12 4. E] I am a general contractor and 1 6. E)New construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. M Remodeling 2.El I am a sole proprietor or partner- These sub-contractors have 8. ,7 shi-and have no,-Tp101,eP_s J Demolition employees and have workers' working for me in An capacity. 9. M Building addition y t insurance. ' [No workers' comp.insurance comp. 10.[] Electrical repairs or additions requixed.] 5. ❑ We are a corporation and its 3.❑ 1 am a homeowner doing all.work officers have exercised their I LE]Plumbing repairs or additions myself (No workers' comp.mp. right of exemption per MGL 1.2.E] Roof repairs c. 152, §1(4),and we have no insurance required.] t employees. [No workers' 13.El Other comp. insurance required.] *Any applicant that checks box#1 must also fili.out thelsection below showing their workers'compensation policy information. 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 additibnal sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,the.Ylmust provide their workers'comp.policy number. I(iiiiatieiytployet-tliatispi-ovidittg.)Yoi-ket*s;?icotitpeitsatioitittsui-aticefoi-ntyeiytployees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.M 2-42 o..;l Lo lea 4 4 C, Expiration Date:_ Job Site Address:— I-,?-Lf-7 City/State/Zip: U Attach a copy of the workers' co'mpensati6n policy declaration page(showing the policy number and expiration date). A Failure to secure coverage as required underi'Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a Pena' ies in Che-form of a STOP iYORK ORDER and a fine a, it fine up to$1,500-00 and/or one-year finP`i'-'0hM enZ, of up to$250.00 a day against the violator. 18e advised that a copy of this statement may be forwarded to the Office of Investigations of the DI for insurance cov6jage verification. I do hereby cet i u the -arid it' f vi Jury that the information pro "d' I b ve is true and correct. Jpa' Date: e(,W e: ' t(7 Signature: Phone M Official use only. Do not write il,this area, to bec-oinpletecVby city or town official. City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Depardifient 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone &MWSTABLE, ' f 9 a Town of Barnstable DN1`, Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ,as Owner of the subject property hereby authorize K LJ, A xs'P Aie to act on my behalf, in all matters relative to work authorized by this building permit application for: ( Z L+'7 (Address of Job) Signature of Owner 0 Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\LocalkMicrosoft\Windows\Temporary Intemet Files\Content.0utlook\MY7NB4IL\EXPRESS.doe Revised 100608 -�e , e Boar o ui in e ula'�on�iaA ar One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improveme t Co. tractor Registration Registration: 109503 Type: Private Corporation Expiration: 9/16/2010 Tr# 273713 RW ANDERSON & SONS INC M r RICHARD ANDERSON - 6 WILLOW ST SANDWICH, MA 02563 w ....... Update Address and return card. Mark reason for change. Address _ Renewal - Employment to ment -! Lost Card I.� DPS-CAI is 5OM-07/07-PC8490 Massachusetts - Delmi-tnnent of Public SafetN Board of Rdildina Re(yuhttions and Standards-*' Construction Supervisor License` _License: CS 7714 Resfricted.toi. 00 `RICHARD;'iW':ANDERSON :.20:GROVE'ST P SANDWICk"' 025'63 1 Expiration: 5/26/2010 .'Commissioner Tr#:-25879 rl � I Ate Boarr�fui >_ng gula'F'on an tan ar One Ashburton Place - Room 1301 Boston. Massachusetts 02108 N Home I'mprovement.Contractor Registration t- . _ — Registration: .109503 CA oD _- _ — Type: Private Corporation W Exp nation: 9/16/2010' Trft 273713 RW ANDERSON & SONS,INC =_ - -_-- o RICHARD ANDERSON -- -_ ?"y - - V' 6 WILLOW ST ter_ SANDWICH, MA.02563 _ ; '_-_: •��r �J. t if"?c� C Update Address and return card. Kark reason for change. Address " Renewal Employment Lost Card C DPS-CAI A 5OM•07/07-PC8490 C " 0 O oa C O L a), C O ' O O O O ' O :. 0 N , A" Q E3�C3 '5 M® iJ C-18-2008 17:11 From:MARK SYLUTA INS 5084209227 To: 15087906230 P.1/1 10 ■ DATE(MMIDONY) om,ACQRD,.M CERTIFICATE 4F LIABILITY INSURANCE 12/18/2008 .PRYC5R Serial# 103076 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARK 6YLVIA INSURANCE!AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE' HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 771 MAIN STREET ALTER THE COVERAGE AFFORP90 BY TH POLIC'IES BELOW. 6STOWILLE;MA 62066 TEL: 608-028=-0440 FAX: 608-420.9227 INBURBRS AFFORDING COVERAGE NAIL# 1(dJURgI� "' INSURER A' FARM FAMILY CASUALTY INsuRANCI5 TW W ANDERSON 8 SONSJNC INSURER D; 6-WILLOW ST INSURER C: SANDWICH, MA 02563.2015 INSURER-D. C . INSURER a OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN.ISSUEO TO THE INSURED NAMED ABOVE FOR TH12 POLICY PERIOD INDICATED,NOTWITHSTANDING ANY.REQUIREM2NT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY Be ISSUED OR MAY PLRTAIN,THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF GUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPB.OF INSURANC9 POLICY NUMORR P IC F T V X11 T N LIMITS GENERAL LIABILITY EACH OCCURRENCE 6 ' F• f•NTkp COMMr:RdAL GGNGRAL LIABILITY CLAI. 5 MADO �OGCUR MfD FT%P An on* anon S PrASONAL&ADV INJUR $ QCNRRAL AGGRFiQATL! v C OIuN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS•COMP/OP AGO S bOuCY.77 P I.00 ....... ....... ... AUTOMODILI3 LIADILITY COMBINED GINOLC LIMIT S I - (Ea eaaldonp ANY AUTO All OWNGD.AUTOS RODILYINJURY � GCHEDULCD AUTOS (Par parson) HIRIJD!AIJTOG DODILY INJURY 6 - ON.0INNED A1170,ri (Par aoaidan) r�OPEDealR Y pAMAOC g r on OARAGI3'LIAOILITY AUTO ONLY•DA ACCIDBNT S ANY AUTO OTI4CR THAN RA ACC 5 AUTO ONLY A00 6 13RCG861UMDRELL.A LIABILITY I?ACH OCCURRI1NCl3 L OCCUR ID CLAIMS MADE AGaRI?GATE 6 I G DEDUCTIBLER 6 RETENTION 9 6 WOMITIR'S COMPENSATION AND 200IW6446 00/18/2008 00/1812009 X A g PLOYURB'LIABILITY F.I.MACH ACCYOCNT G 500,000 ANY PROPaIHTORIPARTN5RAcXGCUTIVE' OI7u10EtiMEMBM QXCLUD5M4 f•L OItSEASF.•FA F.MPI.o ,E 500 OOO if 4ei4iiha under 1'fl'x-FkIAt,PROVISIONS below 61.DIGP-AS.-POIJCY LI IT 500 000 ..........OT,NER.... 011-f3CRIPTION OP OPQRATIONSILOCATIONSIV13HICLC819XCLUSIONB AD013D DY GN0OR3eMBNT/BPI3CIAL PROVISIONS CA0 N:,TRY CUSTOM BUILDER CERTIFICATE NOI CI?R CANCELLATION 6NOULD ANY OF'1'MI]ADOV(;DCBCRIDCD P(?LIC11;6 DC GANGCI_U:D 015PORO 7Hf.•EXPIRATION DATE THER00P THE ISSUING INSURER WILL 13NDCAVOP TO MAIL GAYS WRITTEN TOWN OP BARNSTABL E NOTIC13 TO THO CISRTIPICATE HOLDER NAMED TO THU LVFT OUT FAILURe TO DO So SHALL BUILDING DEPT 200 MAIN STREET IMPO6C OBLIGATION OR LUSILITY OP ANY KIND UPON THO IN6UROR,ITS AGENTS OR HYANNIS, MA '02801 Rr:PRr•.r7N AT FAX; 508-780.6230 AND INSURED 608.833.1751 AUTHO Ize ar d DE9S ACORD..6.j2001108) ® CORD CORPORATION 1008 Town of Barnstable Old King's Highway Historic District Commi �K.S,.aL� • 200 Main Street,Hyannis,Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 0 APPLICATION, CERTIFICATE OF APPROPRIATENESS FOR DEMOLITION OR RELOCATION OF A BUILDING OR STRUCTURE (including partial demolitions of buildings,structures; outbuildings,stonewalls,etc.) Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts,1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application: ' !79 Date: l 4r' Address of Proposed work: Assessors Map and lot# %Zzf'7 y z/ House# 1Z47 Street /Z Sr Village: Aj o Demolition of. ❑house ❑part of house ❑Garage ❑ barn Elstable Elcommercial ❑stone wall $other Description of Proposed Work: I'A'IyVC— �v r 36 /.0 Go2vc�,vlD ����` CD ''' A � r T,Y Please complete the following information: co I Square footage of footprint of building(s)to be demolished: Building 1: 2: Square footage of total floor area of build ng(s)to be demolished: Building 1: 2: Owner(please print): C'Y�R0..k� G_K1_ D 444-1111 �11 IGWI, Tel#: 1 J6% _1p `S2V'I Owner's mailing address: QU Gr,)c %cn vu• GNt_0S`N1Nk>; Mfl o2L(j Signature of Owner : &, 4, C(-)),,, a)/)� Note:All applicaiiinis.must be signed by the own evidence of authority to ad for the owner submitted Agent/Contractor(please print): tal • ,�--,-'5y c:- Tel Address: GJlL a PC--iet7 Signature of Contractor/Agent: If application is for removal to a different]location,state.where: Note: A separate Certificate of Appropriateness is requiredfor a relocation of a builtling.or structure wit to he B4stable Old Kings Highway Historic District. I n4 Q r Check list I ,� _ Application for Certificate`of Appropriateness for Demolition or Removal,4 copies 0�,� o Fe Site plan,4 copies, �cco� Photographs of all elevations of building(s),outbuilding(s)or stone walls being demolished. _ Fee according to schedule. List of abutters,see staff j z For Committee Use Only This Certificate is hereby Approve Date: l� P (1 � � Committee Members�Signatures: • � o (1 E C �. ((�iCC c lit (1 � v J q 1 7 [008 Conditio s Nivroval, Aa+VS"�'I�BLE C:0ocuments and SettingsldecolliklLocal SettingslTemporary Internet Files10LK110KHDemolition 07.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I- Parcel O 7 Application# o200ZQ y�l� Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ak 7 o7 Historic-OKH Preservation/Hyannis Project Street Address ITL44 1AI C^kv) � I�Jk(Q44 Village 11�Jt `(1 S+u , Owner t-4 . 37�c.Y LXS/ PC. MWCO Address Z(v (` (9 C'a'�ta ' Si, [,�4S1a TMA Telephone �;CfiS -ZZ I ' aoL-PS' C t3 Permit Request 7-0 Q)Lt fJ Cj t� �e.✓1� f�Z>>M QsIC{�d�- ' ITS "�� U I` w+ S k + CA u fi ', _i_5L6CR_ 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 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/cpal stove` Yes: ❑No r- ., Detached garage:❑existing ❑new size Pool:El existing ❑new size Barn:&existing E5'new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: o -o • .. co Zoning°Board of Appeals Authorization `❑ Appeal# - - Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use n BUILDER INFORMATION NameOl�'COU`� �-`JGr Telephone Number R- ?�G'�"90® Address l ftwi/i Ce N �� License# 0( A SC.6kl/� _C��n I OLM99 Home Improvement Contractor# KA A Worker's Compensation# Via• jn�6?,fo �S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO M_CAeoyY o. ►'LP.�S� JCo a 0 lJ A r.-r Q C,�� (ALAt( A (A' Ix In 0(n a k-Y S�e '�.P- SIGNATURE DATE (S4E!R Q tJ;_-te of - t Y:eoj CQpjJ ,rd . i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. i ADDRESS; VILLAGE. OWNER Vi b DATE OF INSPECTION: FOUNDATION FRAME J A ' m INSULATION ; r FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING ; DATE CLOSED OUT ASSOCIATION PLAN NO. J ' I 07/23/2007 11:59 FAX 5083989091 UnderCover Tent & Party 10002 aGORD_ CERTIFICATE ®F LIABILITY INSURANCE �P ID s DATE(MNIDOJYYYY) tJblOER-1 06 13 01 PRODu R TFns CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Barry Insurance Agency HOLDER.THIS CERTIFICATE DOES N07 AMEND,EXTEND OR 300 COZOZ6611 St Suite 306 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Quincy MA 02169 phone°617-S7 9-5 50 0 pat 1617-419-87 61 INSURERS AFFORDING COVERAGE NIAAIC A INSURED -- - +— INWRERIq -11atLeaal Visa#*lbt— muRSRt ATG In8uranC® Com an QTtdarC0 Ar Tent 8 Party INSURERC: Tony pr Iz%i 31 ArA'r C8(1 �a� 0a66o INSURERD: South De a AK IMSURERE; ` COVERAGES THE POLICIES OF INSURJWCt LISTED Br.LOW WAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REGIJPZMENT,TERM OR COWITION 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 HEREAN Ib 6UT11ECT TO ALL TH£TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIWTS SHOWN MAY NAVC SEEN REDUCED 6Y PAID CLAIM9. CY POLICY NUMBER 11V6' UNITS LTR 6A TYPE OF INSURANCE DA M►AIODIW AT2 bIODIYY DEHERAL LIABILITY EACH OCCURRENCE b COMMERCIAL GENERALLWBILIrr PREMISES °oW.enu) 6 CLAIMS MADE 0 OCCUR MED W(Any ena person) 6 4 I PERSONAL b AOV IWURY 16 GENERALAOOREGATE I 1 p PER: PRODUCTS-COMP/OP AGG 5 OEN L AGGREGATE L NATAP LIES EP POLICY M%tT LOC AUTON,O9tLE LIABILITY COMVINEO SINGLE LIMB A ANYAUTn al9H06653 05/02/07I 05/02/08 $1,000,000 ALL OWNED AUTOS I BODILY INJURY 3 l ( (Per per8C11) X SCHEDULEOAUT08 x HIRED AUTOS I I BODILY IWURY ' �( NON OWNEDAVTOy II (Per eccWanU = 1 PROPERTY DAMAtE 6 (Per 8R4BI11) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 6 ANYAUTO OTHER THAN EAACC 9 AVTOONLY: AOG I OTESSIUMBRUAALIABAITY EACH OCCURRENCE 6 OCCUR 0"A OAS MADE JAGGREGATE Is S DEDUCTIBLE S I RETENTION i Is I WOAitERS COMPENSATION AND TOR Y LJ RS ER _ EMPLOYERS'LUU31LITY 8 ANY PROPRIETDlLPARTNERIE><ECUTNE IWC6836887 04/15/01 04/15/09 EL.6ACNACCIDENT 61000004 OTFICERJMEMBEREXCLUDEDT E.L.DISEASt-EAFMPLOYE S 1000000 p yyooss 4=0fto unea BPELIAL PROVISIONS DYbw F_1.OI6tASE-POLICY LIMIT 1100 G 000 OTHER DESCMPTON OF OPERATIONS I►OCATIONS I VEMICLEV EXCLUSION3 ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION aTATTQE1'R 6MOULD ANY OF THE ABOVE DEBCAMW POLICIES eE CANCELLED BEFORE THE 9MRATlON - DATE THEREOF.THE 19SIANO INSURER WILL ENDEAVOR TO MIL- 10 DAYS WRITTEN NOTICE TO THE CEWTIFH.ATE HOLDER NAMES TO THE LEFT.OUT VOKURE TO DO SO SHALL r WPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AU t A j ACORD 25(3001108) ®ACORD CORPORATION 1988 I " 07/23/2007 13:26 FAX 5083989091 UndeMbVeP Teel & P&PtY 0 001 H L T 5067713463 P.1 __— TOWN VFAARNSTABLE BUILDING PERMIT A1101I.1,cvi-iUN Map t % Parcel�r.', i ( .— Application lr Health Division Cortservat on D!,Islon �.� Permit N Tax Cool lbR _ bate Issued Treasurer _ Application Fee Planning/Dept Permh Feg. Date Definitive Man Approved by Planning Board_ Historic-OKH PreServatiuNHyaru fs. - - Project Strew.Adem%a 12t-i� Vk kV% Village Owner t-AC. rrexi/1 Me(--Lbwa N Address ... + Permit t--moo MLA- -n e% 9DI.. /00' -re, t Ir,,p�4s�A�- Fs,1 a. Q 4VLD' �i�,ta' --_ L�Kna �,r r tCr.n Q nd� t�C✓ �iir G ^Cir91 ` ( k7Lsi 'M.f4 /Pd1 nrfP' /fiYl^n ' Ir�{�1Li�1�t>>ct )I r2,EZ-4 la:3g�pt/y�-q 4 ;guars test:i et floor.existing— = prrgxrygd �2M1tl0err;e,dslingT proposed Tot01 newv Zoning Distod Flood Plaln- - Groundwater Overlay YroJ®ct.Valuatlon Consituction.Type Lot Size ' GrandtaNered: O Yes O No d yac edacl+Rupporlituy douunwtizaygn. Dwelling Type-.Single Family O Two Family U Multi-Family(V units) Age of Existing Structure — H'istolic Mouse: O Yes O No to Old King's Highway: U Yes la No Basement Type: Q Full t]>✓rawl O Walkout O Other _. _ Basement Finished Area(sq.ft.). Basement Unfinished Area(sq.tt) i Nicobar of haft: Full:existing _new_, _ Half:existing_ _ new. Nurfi bde bf Bedroom§: existing .new Total Room Count(not including baths):existing new First.Floor Room Count I neat Type and Fuel: U Gab .O Oil O Simile ❑Otl►er. Central Air:.O Yes D No. Flreplaces:•Fxisting. New-- Existing wood/coal stove: ❑Yes O No Oetached garage:O existing gnaw size Pool:1]existing U new size. Sam:O existing anew size Attached garage:O existing _O new.size shed:O existing U naw size Other: Zoning hoard of Appeals Authorization O Appeal ft Recorded U Commercial ❑Yes tJ No If yes,she plan review a CurMni Use Propotu,d use - BU"MER.INFORMATION Telephone Numger3 34' c-90t� Addres8�4 M.✓i L G Vt ,y &icense k _.._ " s � i fn iS (P(L Home Im m-ement contract k _ ..P _..._.. .........._.or _Wnrlter's Compensation Y ALL CONMUCTMN DEBRIS RESULTING,FROM THIS PROJECT WILL BE TAKEN TO�(r.r n�,n4�a^c �9�wS2 �. 1 i �tl.t:p •-- •vi-t C:��.n l t v�r i� r'�1[� D � �.�fi �, GIVATURE DATE,.- D�— � - �23 07/23/2007 11:58 FAX 5083989091 Undercover 'Tent & Pdrty 0 001 Ceftificate of Flame Resistance , REGISTERED tEG ISSUED BY bob d monufacwn. RR JOHNSON OUTDOORS INC. n 8INGHAMTON.NEW YORK 13gOR F-1h3.01 M*hfbd"4 of"pt►taa4 Jan. 8000 TendP►ant�me> sA ThfS 23 tS w"ft&At GM FOO614M Mein lwaa boon aaaamtasmis ovd fmm matww 6ae1e3seift llft o slat,eet es. hem b►v* NAME: UNDERCOVER TMTS CITY._ -NEST YARKOUTH STATE. MA Csrwbmi ll+mee to fleby noft did: I 71m afftWs NP I F1 I an fft e,wFo o hm bean waudadumd w1h on eppwrtd Nnna nft dm dw** h=mo tanw wflh f CSNNvft SM Ftm VAI"Cvd4 MPPA M*,UNlWWrIM kabmabry of GW$v,ON hM bean WMd in soosrdana with He Fed"Toa AtAi{BtfRd SpedgMum SM RMS2 w mad Uo ANINy 94m m m!6R C-43W®- • I f Ty;w cW6r vW KdO qf t 1602 Vinyl White Trans oesaAgian a►it�rn asRllied _ Genesis 50 x 100 Memo Retardant Pro==Wed Wit!Hot®@ ftmovW By W=hMg And � In For The Life O The Faber I Snyder w6aufavw ,um. ' No�alftt�tut+R of fba,la ReaeNa�Vlnyll,8>lofnatas � PAra<1w1FM,�pNfa841f ONi000stS It/C, .�6�m,a I v (-JC1L:23-2007-1 45AM DBC L T 508771346IV0.237 P.1/1 P- 1 N 'own of Barnstable: Regulatory Services s ��, Yhokaaa T,Geacr,Director rn a Building))iViSion Tory?erry_ Bvildiz C:nmma tvivmr 200 Mail Streets.HyFn�i s,t�qq 0.260, • rp9►�v.tot+�.baraateDle��f,us •. ' Officc: 508-062-4038 . F.�: 508-790-6z30 Property Owucr Must Complete and Sign This Section If Using. A.Buildcz I, r�VY1aS• Mc' (a'?2v.WC,iv1 ��,ss O�vaes of The subject Pic pe_rry ),e.•eby auchori2e (��dp„1l'Lr1rQf' j f y 'PC rlu to act nr.my behalf, ia.al=Mrs relative to,work authorized by;his biiilciag pez=�t application ion N ree7 (n Y1S'�Zt�O LQ, ' . (Arlc�eas o Job $' ture•o der . . _ _ ..—_..__.� 73 Oq � Due W 7AY"Aks M c 5 Gv-� Q;C?:SS:OWId�ti:TJ�S.L5101. ` Barnstable Land Trust August. I 1, 200 7 - � p 300 Guests _F_ r RAW BAR AUCTION DISPLAY 01 0 y ' 0 0 ` bi ve V 'C c&, ° 0 0 0 . 0 I'69� AUCTION DISPLAY 11�, v CATERER ` Proposal by— ?.C� o ` (�X O i�/1 UnderCover Tent Party Town of Barnstable Geographic'lnformation System July 23,,2007 178004 155030 #1165 178015001 178016 178017 #2420 #1190 #1194 #0 178004001- - 1i 0 �iy J 198003 s #0 • F� 178018 #o 6% 178020 1178001 #0 198004 - o _ #0 178019 #0 178021 #1247 0 177006 #13" f 197046 #0�1. v Q #1374 155032001 197013 #2320 0 #1426 177004 #1340 Q - 1noo3 197010 #1375 #1401 r 177002 #0 197011 #o 197601001 #86 e.4 197001002 0 162 Feet #0 tl�llllt� ._ a DISCLAIMERS:This ma is for planning Ma 178 Parcel:021 Selected Parcel p p t purposes only. It is not adequate for legal P boundary determination or regulatory interpretation. Enlargements beyond a scale of - Owner:ROSS,RUSSELL L TR Total Assessed Value:$533200 1"=100'may not meet established map accuracy standards. The parcel lines on this map yea ,• ,E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:BAYVIEW FARM REALTY TRUST Acreage:12.30 acres Abutters :: i boundaries and do not represent accurate relationships to physical features on the map Location:1247 MAIN ST./RTE 6A(W.BARN.) / such as building locations. r Buffer F 07/27/2007 13:48 FAX 5083989091 UnderCover Tent & Party 0 002 B L r 5087713463 P. 2 Tlw Comt►mortweakh ofMwSachUse&s Ddpartmad oflredas&W AcdPdent7 Office ofinveatigations 600 Washington Street BOSIOl,MA 02II.1 ! ! >•vww mae�tgow/d1a • Worbmr Compensation Irisuranee AffedAvit:Builders/Contractors/Eleetricians/Plnmberm Amplicaxt -tonlease Print i.evihly Name i Address: JA Jrtt-A OW city/Staftain SU 44_-x /n l5 tMA' phone.#: -19(oY1 G .ore an amploye�r3 Chwk toe rpprop 'l�+pe efpio)eet(regtelred):• 1.L'! I am a e�ioyes with I ere a gm old con�tcDor mud I etagploqeea Gw eoe%rpatktime).w have hired the oub-co=dM 6. ❑Now consttvcdea 2•❑ I am a tole l itopdatw to pwft a, listed an thwdbt hcd skeet: 7. Q Rttsaoti&g snip rod ltsvo no cuployees r1eto sub-contractors have 6, Q Dmaolitioa woftg for his in my c?Pacih► employeti9 and have workers' ' [No svftp,COMP.imviance gyp.iastuance.t 9• [3]Building addition regtt t&l S. We are a corporation and its 10.Q Elcatrloal rqU&S or additions 3•❑ I sm a homeowner dub#all work offecaa bavc exercised their 11.Q Plw*1,09 rapaim or additions myselL(No�voakt;:a'comp, right of eitetitption per MOL iosum 12.0 Roof rep ass oe ngatod.]t c.152,¢1(4).and we have no i �ploYema.[Nis wad ore, .13.[70dw_ TC�rin �4� gyp•mettrance req»ired] . i f ftyagp>(aapt ese ehsota'nar.t trout a!'o SAouc digco'tioa bnicw thowaa p N tantimt poL'try ,,, Hommwtrse*0 subtpit this at5dnrit Winting Oar are doing all walk and thta hire outside canbutpo tm11t'dbadt•arw stAdavl,=Cdaa+eseri thastwk ttdsbox uuq t•tuuaed m aOatEe�W'h=t Abuwba rho name of the sub•eentr&Av and rate tadtmnsas . cut"set, VON M flsve wia,dta scent those eatitia 6sve �laY'�°•�'tt�ct P��far twtuas'w-v,politynwnba. _ .raw are tasployer that is p►ouidirt�workers'eontpensat vte insurance for.ny empfoyeex Below Ire polity and fob site Inforpeall0lR ik . t mn=o Con3aayName Policy*or 9elt4ns.Lie.it= �4L5 [S StcpittititsnDale - �rJ Job Site Addresn: _ -_l V1.Sip"f't 1 `t' �r' C 1 A A- (06, e A•t4tch a copy of the workers'compensadon policy declaration pane(Showing the policy number and eVlradou state). FailUM to ttaauze t ovCM9G as required under St t lion 25A of MGL G. 152 can lead to the iMVottlitm of camfnal pettalt;oc of a Sao tip to SI,SOO.GC and/or one-year imprisonment;as well as civil penalties in 66 form of a STOP WOD Of CdM p$PC"aMER and a 2 ine of uP to$250.00 a day against*violator. Be advised thas A coppof this statement maybe f awarded to the oificc of lnvestipmtiou ofthe DIA for insurance eo)era a yetifzrwtion. Ida hereby eel rjr itndar the pteQins andpenauin ofPMKry that the inforncativn provided abovq it acre and correct ien e:C [ 1 t1 i i rco, ty aj,town offid 1y ar?ownsPermit/License UC Authority(circle one). oard of Health Z.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Phcmbing Inspector teaertact Person: phone A i i i i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Par I Application# Health Division Conservation Division Permit# S Tax Collector Date Issued -_7 Treasurer Application Fee - J y Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 19 47 MQ in ,.S'-TP P- Village 4o Y-4i, St Owner Address 51 vfft 67 !t) Telephone ) - 77 1 -as SS Permit Request C20 X .1-O -ko+ On 1 E I c� �7t t•11�1Gu� -vW� �G�-(.I ,h v, I u cl e G(,c cc(er,� i,c A s r ►-nn2 1 aC + Se f vy os a /- A/� �/16 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed i Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type j 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 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 ! =u �.l( _V Central Air: ❑Yes Cl No Fireplaces: Existing New Existing wood/coal-stove: ❑,_Y.es -13 No 00 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size, Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: - 0 i Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use rIN Pro o d Use . �J �A I LV_A_�u I UA Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3&1 FOR OFFICIAL USE ONLY r PERMIT NO. DATE ISSUED MAP/PARCEL;NO. ADDRESS! VILLAGE OWNER L DATE OF INSPECTION: FOUNDATION 4 FRAME 0 INSULATION r' FIREPLACE - ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL ti GAS: ROUGH FINAL FINAL BUILDING f , F DATE CLOSED OUT o . ASSOCIATION PLAN NO: g .f N -! 2R06 NAR 3 1 AN 9:.28 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AiDpilcant Information Please Print Le ibl Name (Business/organization/Individual): actun Address: Ltfl ct o 11 City/State/Z* - Phone#: ohs Are you an employer? Check the appropriate box: Type of project(required): L❑ I am a employer with 4. I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* aye hired the sub-contractors 7 ❑ Remodeling 2.❑ I am a sole proprietor or pa per- listed on the attached sheet ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp.insurance. g. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work \ right of exemption per MGL 11.❑ 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' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.' t Homeowners who submit this affidavit indicating they are doing all work andthen hire outside contractors must submit a new affidavit indicating such lContract=that check this box must attached an additional sheet showing the name of the subcontractors 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 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 cceer-tify under the pains and penalties of perjury that the information provided above is true and correct Signa Date: 312q f Zbo� Phone#: 7?/- NX 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 Heath 3.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions �, t 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 aiairitemiance, 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 cornTn alth 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 fi the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage. Also be sure.to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials _ Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of The affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in . (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided m the applicant as proof thata valid affidavit is on file for future permits or licenses. Anew 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-S77-MASSAF'E Fax#617-727-7749 Revised 5-26-05 www.mass.gov/aia i r f r^v °F�► ta,, Town of Barnstable Regulatory Services v MAS& E�; Thomas F.Geller,Director &639- 14 Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.rna.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 11kihwav\ At) �/ �is=Owner of the subject property hereby authorize (,/it M-V\ to act on my behalf, in all matters relative to work authorized by this building permit application for: . (Address of Job) 'JZX)f . Signature Owner Date JA Print Name QTORM&OWNERPERMISSION r Date: 1:2T PM TO: i1 711bUU771341b3 llOw11RB & v,ve11 rage: UVJ-VUJ Client#:18103 2AMERICANTE A:CORD,.- CERTIFICATE -OF LIABILITY INSURANCE 03/27106°"'" ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&-O'Neil-Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE, HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West-Main-St.PO Box 1990- Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC 4 INSURED INSURER A: Associated Employers Insurance Compa American Tent and Table,Inc. INSURER B: P.O.Box 1348 INSURER G: Marstons Mills,MA 02648 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY.HAVE BEEN-REDUCED BY PAID CLAIMS... POLICY EFFECTIVE POLICY EXPIRATION LTR INSIR TYPE OF INSURANCE POLICYNUMBER 'DATE MMIDD/YY DATE MMIDDM' LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea oc. a. $ CLAIMS MADE-F-1 OCCUR ME EXP(Any one person) $ - PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY PRO- LOC JECT AUTOMOBILE LIABILITY - • COMBINED SINGLE LIMIT $ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ , SCHEDULED AUTOS• (Per person) HIRED AUTOS I BODILY INJURY NON-OWNED AUTOS (Per accident) 1 PROPERTY DAMAGE (Per accidcnt) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO ` OTHER THAN EA ACC $ ' AUTO ONLY: I AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION STATU- $ A WORKERS COMPENSATION AND WCCSO040012OOS O412310S 04123/06 X WCY LIMITS SLIMIT 44 OTH- TO EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT ER $'I OO OOO OFF ICERIMEMBER EXCLUDED? E.L.DISEASE•EA EMPLOYEE $100,000 11 yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 000 OTHER' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job:#9344-20x20 Tent . I Insurance coverage is limited to the terms,conditions,exclusions,other Ilmltations and.endorsements.- Nothing.contained In the certificate.of insurance shall be deemed to have altered,waived,or extended the (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Barnstable Land Trust DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL I fL DAYS WRITTEN PO Box 224' NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Cotult, MA 02635 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR J REPRESENTATIVES. AUTHORIZED REPRESENTATIVE_ •5..•rPr-.-•.ram... `�� ACORD-25-(2001/08)1 of 3" #42159- LS1 © ACORD CORPORATION 1988 Z 03/27/2006 12:44 5084202705 AMERICAN TENT PAGE 02 ti, :cc -i .w. .s• ..�.,, 'r,••j,�a.," ,.,;�'n�:�:;''l,.':v•'S`i " r ;:i',�,Y�.,.;�;''`l;s .•,'ep;,.` r '1 ., .it� .( '�{...�;,,+ /�♦ ;r.'. .i�..F... i. r`1��L).i.. . �3..�t �;.::¢. ::,,•. q/ < "•yp,:.� .r.s}k'•; , , Ti I b t !, 'u;,:;r,'.ht'::,•'`•:?;,-'�_''.L�':is�ir.�:;ry;y9ti�t�v"rG'�.�,'M:r3dW+t,�i�� ':�0�!fl.i'�'M::;':I::,ird ��ufi'Fdt��i��i;•.,r:.tty>�c.,rt!.i. ®f Dae Certificate Dow Heated at RrGMTERED ISSUED BY: mandacbesA AMMAThON. AMC TFJfTS&EVENTS L'fy: CONCERM NO. 4w ALASKA'AVENUE s, TORRANCE-CA 90503 1 o`1 CAL COMB F11St.0t S" `� (318).128•fr080 This is 10 cer"that the materials described below hereof have base Rome Fetardant heated�a are lnher- ,.. -' endy nonflammable): FOR AMERICAN TENT 8 TABLE ADDRESS. 361 OLD.FALJMOUTH ROAD,STE 41 0 MA.02648 My MA RSTONS MILLS sTATt Cel'Uflcation is hereby made that: (check "a"or ub") sI (a) The articles described Mow this certlticats have been treated with a flame retardant chemical atpproved and registered by the State Fire arshal and that the applicatiatof said chemical was don®in confor- M "+ ulatlona of the State Fire Ne►shal. • manes with the taws of the State d California arhd.tf►a Rules and Reg ,,''t• Navy*.of chemical used..........................................Chem.Reg.No. Meathod of application.. _.................................................................................. ._..-. (b) The articles described below hereof am madefrom a Name�oaistant fabric or maltenal registered and Y;,..,, approved be the State Fire Marshal for such use,Fabric has been tasted wW passes NFPA701 Trade name of flameresislant fabric a material used.. •�8- ` W!L NOT_ .- • " The Flame.ReRardant Process Used Be Removed by Washing ...`wo or WN not) David Bradley Chuck Miller President ::.�,.: •d�� y,'•• '4 ik '0�+ Q(•%;-:;,."'iI'k{l'f!Yii'`i'jr'jlS•'A�, ;;gi�:'-;'Y• a::.' :ae,;*-./+ .i,r,r'i f..W'r•{i!f tt .t,:y. F't 't Pal 1 ii.' 6 nr, H.,,.it{• ,r,::f9 ;•,< .,,v� +•i" S �`` ..�.4 (..,�,i: ;.i{1 H /;;9 ,�J.Igg:�•;°k d, •.,;{�.•: :,�4P,q N,�,'r1 J:1:'+.. �V,i, �79;�•..J,,,.,fi o , ':7;,�,,.{/,.t.%%i. :' •tiG' r�i•�,•,:d.,A..n..r�.�fa.f'rJ ,/�:> ,.5,!. ,..�., `t•,i`'*•.rr,, F.v:;�,^. '1'• ,r. �3., } ,i;y- CUSTOMER ORDER NO. 0134713 - R134713 ITEMS MANUFACTURED: 2- 10 X 10 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 2- 10 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE, 2- 15X 15 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 3-20X 20 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE, 3-20 X f 0 STANDARD FRAME CANOPY MIDDLES- CLASP ULTRA WHITE, 2-30 X 30 STANDARD FRAME CANOPY 2 PC. top ENDS-CLASP ULTRA WK/TE, 3-30 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE. ' C Bafflin Foundation Bayview Farm Project Phase 2, West Barnstable,MA 9 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' Parcel Permit# �. Hed) Division Date Issued _ Conservation Division Fee r:�nl Tax Collector Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis [Telephone oject Street Address Zy� WA�� lage L��� ner � �c-�aw3 Address 1Z� ASO� $ ^ 22� -ooYSrmit Request am me Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay 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 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 Detached garage:❑existing ❑new size Pool:❑existing Cl new size Barn:❑existing ❑new size Attached garage:0 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 BUILDER INFORMATION Name 19-vvp.4 .'1M�GbJ-DA►J Telephone Number �$� Z21—Ofl4S Address�21��, ihz1`��0`,�� �t License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATI.��� --� � � DATE e FOR OFFICIAL USE ONLY i PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: h FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED_OUT „ ASSOCIATION PLAN NO. of r Town of Barnstable Regulatory Services BMNSCABLE, Mass, Thomas F.Geiler,Director 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 Property Owner Must Complete and Sign This Section If Using A Builder I, Q• �� � , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 22. 0 1 � Signature of Owner Date Print Name Q:FORMS:O W NERPERMIS S ION u"c CL- PP,'�cPrll C?it Liu—r-fD ctcP,r�fi I M P O R TA N T D O C V M E B�T aPr�r_frJ�L PrPcld-d3-P-L LI-Jd-LIJEEJ Certlfieat e of IF lan-N R esistapee- iEGIS T RATION ISSUED BY APPLICATION Q f �01 ft Date of Shipment s 03/03/OS NUMBER INDUS7RIE INC, EVANSVILLE, INDIANA 47725 Tent Identification i 1'1 1 '� t•M' MANUFACTURERS OF THE FINISHED 0403,4915--- TENT PRODUCTS DESCRIBED HEREIN ---------- This is to certify that the materials described have been flame-retardant treated or are inherently noninflammable) and were supplied to: 254700 PARTY CAPE COD 660 MACARTHUR BLVD POCASSET MA 025592230 Certification is hereby made that: t The articles described•on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. Serial -- S1004)0W..) j Description of item certified: 1 Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric IOI IN Iw)'1_I,' `TATESVIL,LE NC I Signed: SPECIAL EVENTS DIVISION-ANCHOR INDUSTRIES INC. ?:J�1����e_�cPr�cPrcPcPePr��rPcJ�cPePe_J"cJ'r�ePrPcPrJ�cPeP�ePrJ�cPnrJ�cJ�E1aePPrJ�PePr t�el�cPr�EJ�r1cPePePePElPcPe�rJ�.f�I� Please take this certificate of Flame Resistance to your local building department to attain a permit for the tent installation. Massachusetts State code requires a permit for all tent installations. Please be advised that a Dig Safe inspection is also required for all tent installations. In preparation for the inspection Dig Safe requires all sites to stake the tent area with white markings. Party Cape Cod will call you the week of your function to advise you of your inspection date. I Engineering Dept. (3rd floor) Map I Parcel Permit# 33 b House# kl Ll, p� Date Issued /o apin, Board of Health(3rd floor)(8:15 - 9:30/1:00-*,6 � - ,2�, • Fee $�PTIC � Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 2, INSTALLED IN CODApU NC- "a A//A WJ Ev IRON ODE AND ./lan Beard /V 4— 19 OW IONS � BARN9TABLE. 00 TOWN OF BARNSTABLE 4 Building Permit Application /, � Q Project Sif#et Address_ {� q, 1/�� 1 T i l S" � ' �, - s Village W 0)1(11aS> D Owner �-� C MG A4 lk4 Address l A y7 Me /,N Telephone a0cg 3-7 5 -o a Permit Request 1{V p First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size 0 V�D+ Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes 34 No On Old King's HigE way ❑Yes A No Basement Type: ❑Full ACrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing 3New 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 Garage: ❑Detached(size) Other Detached Structures: Pool(size) 0 /x `4® i ❑Attached(size) ❑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 ((�� /nBuilder Information Name 0 hi PO p L-S 6- Is Y Telephone Number 9<3 Address t5-01 ff f7 � ;� f eoq_d License# ® � 3 a Y"7` 0,0Z Home Improvement Contractor# f U� Worker's Compensation# ©03 to 13 G 99` ?9� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO owA is -- _ us-c-A ck s Jack- F 1 SIGNATURE DATE BUILDING PERMIT DENIED FO E F ALOWING REASONS OIL Z� i � - � �. . FOR OFFICIAL USE ONLY PERMIT NO. 3 _ DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE L OWNER . DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL. GAS: ?ROUGH FINAL FINAL BUILDING DATE CLOSED°OUT a ASSOCIATION PLAN NO. . I � , ° •. he Town of Barnstable RA� Mrs m �$ Department of SeaIth Safety and Environmental Services Building DiviSIOII 367 Main Stress,Hyannis MA C601 Raiph Crosson Office: SOS-790.6=7 Building Ccmrnissicn-- Fax: 509-790-Q30 For oMce use only Permit no. , Date AFFIDAVIT HOME IMPROVEMENT•CONTRACI'OR LAW SUPPLEMENT TO PERMIT APPLICATION MGL a t42A 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 tour dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain cxecptions,along with other requirements. , o T A a f? SLIJ ���-Est.Cost, + D �' 0 Type of worn: �- Address of Work: , S �A ��� US70b Owner's Name q Date of Permit Appllcadon• I � 13 11)C7 I hereby certify that: Registration is not required for the following reason(s): Work ezctnded by law _ _ ob under SI.000. Building not owner6occupied Owner pulling own permit Notice is hereby&eu that: OWNERS .PULLING THM OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE 9051E IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE,ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c- I42A SIGNED UNDER PENALTIES OF PERJURY I hereby appiy fora permit as the agent of the owner. )o J1i1q±LLAJ PD-0 L.S SPC4�(� 1 15? 15? Contractor Name Registration No. Days OR ownees Nume Date The Commonwealth of Massachusetts =N Department of Industriir!Accidents ,� ; _ Office 011HY95992MRS -�" 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone 0 C] I am a homeowner performing all work myself. ❑ I am a sole netor and have no one workin in any ca aciry � � �iiii �iiiii�/ii��i/����/iiia�/�/��//m/�/a/����/,a,�//�iiiiai�/i�/�//�/i�,a��,��r,;i,,; J� 'am an emplover providing workers' compensation for my employees working on this job. comannv name• address: �^ �• city- . hone#� � Z� G � insurance en. Pn1iCV# O � � //////.//�Gi, ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: .... .. com anv name: ■ddress• C1W phone#- insurance co. com anv name- :::;::•;:,.:.... . .. ................. . address: dtv phone#- 81 insurance co. Failure to secure coverage as required tinder Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a One up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP♦VORK ORDER and a One of SI00.00 a day against me. I understand that a copy of this stawnent may be forwarded to the Omce of Investigations of the DIA for coverage verincation. !do hereby certify under the pains and pe allies of pedury that the information provided above is true and coffee Signature Date I - Print name Phonic o 8 6 -3 3�c7 o fficialo not write in this am to be completed by city or town oOldal town: permitNeense 0 ❑Lice lnq Department ❑Licensing Board Office response is required ❑Hcalthten'a runes ❑Health Dep-=ent phone 0: ❑Other (UMM"M0 9/93 P1A) Information and Instructions : a . Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the `law", an employee is defined as every person in the service of another under any cori=--c 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 die foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the remiver . 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 ,..�.e_�..{...,s....,t...rc ,,net tin maintenance , construction or repair work on such dwelling house or on the grounds e: building appurtenant thereto shall not because of such employment be deemed to be as employer. MGL chapter 152 section 25 also states that every state or,local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealthror anv of its political subdivisions shall enter into any contract for the peifonnance of public work until of this chapter acceptable evidence of compliance with the insurance requirements r have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplving company names, 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. FEE. SUNNI City or Towns 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 pmMit/licen ce number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have bees made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please .io 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 Imresduatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 • '`•.- J iJ a�tf. `t''3�;�f��.�•.A'.�C r':i '�vY�� t v a• c '. U�: k1.{�,4al ��tp•.'�{,'G'f•'�t t� �t'{ + n ; I t!1t.` AJ�gd rr f o } �(+�� >, /'•' 61rxt �.!, deice\•: : t t �,`}. ' F E� 1 r ri 5 r v � yte. � ��}1�e��},J�'v�����J11� �. -J 1 t r .� �`�. '0 Y. _�/ .Ny& 'y']1�. •' �'.li l` ) "tlf� >.b rj, cJ tniA 1 ti- �:ti • .. f ,_ y , .' .kQ a 8k��%t� �� �a��;�,;r " � {1�','`;'�gyL�y���r"�;1��`"�;(yt,5r'`�•�.�t;�. '.. 1;�d ,t ` i t�'SJt ' �7t1"ry�y7i•.S�� �� .rr+'7,�•7.` • r7o0nRsS':REGIgT As t 0. r u"j� Rr� r i� `1� i ;>r �"v QVfgENNT' NTRRAHOM7 IfPguBoar o ig. ula 4.;.. Ak One. Ashbur,ton: Place � , �,��• tr, � � �j:�+ �wr k'4y�z 5 ,+� 4� c:t � is ► �, t��,t f r i,}+ .+ fi i,,F% ti�t f r wr }Y t L Z t 2, }�+,•i , J i i'} a $ S try •'( .f�� iA t 4)Y F A ±� ...(bs P J tYlf, �.. Boston, a-Massachusetts -4210J8 s• r tJ , �Jr�J9ft1 r 1Sf`r<.`�!,�i�i� 'ls�9 ``,,�� � ( t J 63�Y, sy' 1�'� �v1'� '�.rt• - y a i J .�t� t�'�,.rti K Ef4( JF� ����� 1 p<��f$� �� il� d�t, y,•. :HOME IMPROVEMENT' CONTRACTOR �{ 'i `� a'���Yr��y�•�t��,�� '+���� �' -�,��.��r�t�?'" �.ar�:�•.�����.��,J�:' I,'.�.,.�• ng�,c� s iatY.. "r 1 r Wow' �• f C r_ } 1� j° LT ,'' i�`'}'Si Y"� g'� Registration 108298 Expiration ' t Type — PRIVATE CORPORATION !''' f 4" t` � � fi r. '' "' ' '' �'• 1 tbJF � }�I,CT� �tt.; t Sa f f�•fl ,i. i!��� t,rvt !�, ,. Q�yu� r� 0 �{ �1C' y k c ►i It4a { AN AARON POOLS & SPAS INC . �"� fig' hff3t�`rt:. �?tktr Harold M. Peery 597' State Road 4'r1.� �i Ur North Dartmouth:.MA 02747 ��'F: +i�'��7;,�+J��y, " '' '4 �,�..,.h • f FIN' t ,• 47-yn af• ,,d! •!' •-y!„1. ,,n�Y�. .. ' •. H t •Qki y�•;5,`V+�: `.�ti+7; :> yt. ,� ytt •� y t ,r'Y �'Y 'ydi>Wr` 't�r�,R�t � 5V: a1 t, •1�''1 of iW+y'9 !�!��e��� •.o�� 5 �2 s, �I ... ... + , i�lit Klt.r t..j,•j i�t���t'�'� 1 ! ,4 ..J 4 J,��'B�RO � ���r ' �G213� ,,, •$ •I • ... _ e. ... _i�:��• ,•.�•;Li1iCL,f. alunai�Naa � 25493 I)I i'Ali I ML:N I 01= I'lJ(il_IC SAFEI Y ONE. I1�;EIEtURTON PLACE, RM 1301 BO`",TON, IIA 011083 1618 CON S fRUC I ION '�UP(AW- SOR L.:I_CENSi". NuinL,cfr c Expi. : BirLhdate: C; 07;i:S '::> yfi/0it/; 000 0f}/,.raEs f 19n1 s•. - R1,,I-' r i.r::I:J:•d I o: Oi0 ; HAROLD M FERRY - : ~-- juN vo ,3LI-KI_LL SF I: TAUNTON, MA 02718 — +• Keep top for receipt and change of address notification. I ' I ' e 1 E e 1 :s• • • e F�--A --� BILL OF MATERIALS Dc 13.8'Plain Panels(08-009.5) 2.6'Plain Panels(08-014-5) ' 14 Plain Panel(08-016-5) 1.90°Corner Set(08.020) E F a H K I2•Turnbuckle Braces(08.214) SIZE A 1 B 1 C D E F 1 G 1 H J K L 1-Steel Hardware Kit(08.204) f3� 8� 8� 8� 20':40' 20' 40' 8'6' 3'4' 13'6' 15'6' 7' 4' 6' e' 5'2' 1.20x40 Straight Coping Set 0 Radius(10.003) ,K,,,,,,D.,D„p 2a as s'6• 3.4• t3'6• ts'e• 7' 4' a' e' 4'r ' 1.90°Coping Corner Set(10.004) Ioa sroa orIDR 15 8, 1-Vinyl Liner(see options below) CE {177 a-12 11. r-moo` I ,* 6'Step-Remove 2{08-009.5)8'panels and ® 1ID°`� reip�E 9 I-(08-016-5)4'panel.Insert 1•(01-006)6'step 8 of and 2408-013-5)1'panels. 8, �Q ¢� ®T WUiEI 8'Step-Remove 2-(08-009-5)8'panels and 1-(08.016-5)4'panel. Insert 1•(01.002)8'step (j 4' and 2408-014-5)6'panels. ' FILLET o Q o Q CORNERS 8 O O O 2R SAND CARE OR qW replace 4.8'plain panels(08-009-5)with: b!, sTAFa 8'skimmerpanel(08-011-5) CONMEpANELs �8'inlet panels(08-010-5)8'light panel(08-012.5) STEEL STEP OPTIONS COPING LAYOUT 8'Steel Step(side)Remove , , , , 2408-009.5)8'panels.Insert H-6:(03-605-CS),(03.605•LS),(03.605-RS) - _ 1{08-301)8'steel step, z ! 1-8:(03-205-(S),(03.205•LS),(03.105-RS) 1-(08 p13.5)1'panel,1{08-167) 1 S-4:(03-305-(S1,(03.305-LSI,(03.305-RS) •� . ;,(6 - -;_., � 45°xl'feller panel and 1-(08-168) 6 7 • NSPI TYPE 111 4'fllerpanel. 1410-083►steel ste co in set and 1-(]0-085) coping comer set required. See page 1. -8 B'Steel Step(end)Remove 2•(08-009.518'panels and 1408-016.5)4'panel.Insert i-, = , i' T 1-(08.301)8'steel ste, , 6 6 2408.167)45°x 1'filler panels, 140B-015 515'panels and 8 U 8 U Ug TOPAZ STERLING STONETITE 2 08-.2214)turnbuckle eb uckle braces. (03.605) (03.205) (03.305) p coping set NON DIVING LINERS and 2-(10-085)coping comer sets H-6(03.643) I-8103.143) S•14103.343) required.See page 1. D••1•.1 R i,yew-p-,i6g b,e dear 1 N,*pDd ge e,,'d yLV,.FWP pod-a d 6w dN NO DrvWG-irg Idlds are praparly insbee0. ' THIS DOOAAENf Is FOR IUUSTRAnW PURPOSES OIdC •W4r WATNE 1001f®,a1C SIO fllY►1rx tMM, Diagonals given to 90°pofm of comers - g• W,r*,.i Spa A be 'd me °°'�""'""M. STERLING rrwAiMEIN16e011RA (219)utdnl ,�.d.�%...Jd _ *dbNa-id apW,. �. . _�. pCJLS R,ftilfl,.bawd,"' ,larb...IDrrh 1d-ial pod pe 6k d by FWP Or.Dlbbn,bla b dN� The D.AWIMO NUN{t! GENERAL • • • 11 dWN bom�d>a slides ors b he used»id,dNse pod pleme dp o o.eaaanor or u.°oa, '. A.:W Rbd dvi•ulas an tlan Filr•e,nimo and Pad,. I,Sa1bI-mB,a,e.e b-hv cap0*4 20110 PW.. �•3.&-.1D1 Mb•-7 Ila,oedda,oud. h+s lim'mr .k da�rd,PA.ft inodlii gd�6mr . a•IeaeDr u,d 1,rclm agv.o..rpb,e.�DP°OIFwP.nl. , °ew'm '••,xi6•r,•Ds•,�• STR-0 2 bmr d of IsaD 6'oboes Fi.Dida uidrbor d1'A~ aadd a.L slieea an dN,e ' R nNeads a„Da,d 11.r.ue Ngpmtion, a r 20'X 401D5 .4 y bP P°d Nolo,ndW pads.Far inbmlalwa mrlcarn rg '' gaNd e,.d'a'va.71,r.aNr add }•� 6d.l.sda,. - 1 4 eDdfii wt11.n°rfcapal,Iw'n,ot.,id; sbrdard,,wrib:Faana„d5po 3 Pad bDinna;7 i i l s,milaNe. „Nd,ad,a a.va,bim.nN 3icy i,e»mnaanar.. 1995 3 a.• -` A-,Ala nd i°,VA 2231*•703/838-0083 ISAT RECTANGLE 6-RADIUS COIYl10Mf I M..O.T w.-roOW,,MC. """ •Z 5 \ `. •'�\ / 1, : \/6.2 MA18 P17BAV 5.4 STANDARD LEGEND j 9. ;r \\\ i• I ;i.I' \ ,\r�0_...�` y„)�I note:not all sM:bo!s will appem an o map 6.8 GOLF COURSE FAIRWAY \ i , \•<K,� -\� S. ('`�T:• .c.`p� r\6.6.,:r.:.1 j�� \,5.5 \• 4,•� \ MAP IIT -- DECIDUOUS TREES IT 3c \\. '^Cj� _.._-/ i 5•` ' ,� .9 EDGE OF BRUSH `i? y! •t t t `S,� ..___......._..._. > X - �� • (.y'-" Fes► ORCHARD OR NURSERY } � �_ ,r•<r P�• ` -`• `\\` 'r��, //,�/./ /' J.� CONIFEROUSTREES `r ry ( \ i ,,•.tiY� t N '�t r\�' ♦/7.0 MARSH AREA 2 \ EDGE OF WATER ( / , i:5.4 / DIRT ROAD �•.....__........_.,\ a..•<% `• � � '. ! O�•�DRIVEWAYS / P \r24 n _ .• '<, / i\14.2'I / 1 -PARK LOT /♦ .B ....y f.\14 rl;C I' � jT / - i\7 ?..�`'�?x�., PAVED ROAD 26.1 r �r DITCHES .Y•�'�- /' Ila PATH TRAIT ffu r\ PROPERTY LINES . •\�.4 ' n r \, '•-. `�. ,/ '. iY __.= ! / .+• i\ ^✓,;;.../; is i^ _ .-\_•_ •M^-„ .. i? MAP# /`mil f 22.2� n74.6 .r»•• - J\„`•?sue /i s1-< -PARCEL NUMBER \ '=w ..Jg'?-. /' �, ^�•' -._.� �� HOUSE NUMBER \� 5.9 1� \ ^-' 2 FOOT CONTOUR LIFE 26.1 /' ♦r , �t; I :% /„�Ll \/4.6�" w': i q;S'. - �/ 10 FOOT CONTOUR LINE i i(22.5. �y7 y��%i" �*.-.�4'x-' .r:1 r...,;�•�. .iI'•r'4.5 !:{ r \'; ..^ � :• �_-/,� ..Y ,e ti-c .. SPOT ELEVATION y" // ,t:- -U MAPI /4.9 - - fl�;... �j'�5.7 7j / \; - ,t....-, / fig.\ \ ~ -• STONE WALL d \\'`1t.�\XY'\y./6 //`J\r7, ,ri//•/i.-/__'\r/y\i/\i�,\p,�<� /!,r/I.,'�4'>r�b/11Il/f''i��'\ r.%... .yr• �\/\♦✓ \ _,'}�(I,I,\\iiI \\��\`^�\\\\S\•\`\\ \\\♦�ma!!r\y�+\_^4\..�gin:...'\f..•7/•\:t\\i/\,+,•`��1{;,•!�,:I,.��It:jv.Y�:t/'..5:` '`�\\\ ``\`.\'\\..�..k�l.\/,.j\"Cc/�_:\\•/\ r :\ rwi ^,n iFy/t�LI��5`5r��`Fit'r�/.r.vYI\s\f-��`=jr`•\<.�\�\`L1 t =...`_.S_.... FENCE ELEJ' F/ l�(I y 4.6 4.1 j RETAINING WALL \: 4.14.6, t\\� ` / 17 RAIL ROAD IftACKSi \ STONE 1Ff1Y NT/ h 24.51 4.4tS SWIMMING POOL �.3 01///" • PORCH/DECK 36 3.9 :jJ GI- BUILDINGS/STRUCTU R ES25.3i \ 'Vs 'ri \\;a (, •`l/ yy '4.6 DOCK/PIER/JETTY :. ` \� r. /\23.3 i 14�,.x.. .\`:- ,' Vi,` j(3.4 ',iy, �. �\` '�.,/,:r?' \• -_ l �] ASSESSOR'S MAP BOUNDARY .s i0 //;/ r /: / i\3.9J '_ � � `��`. ` of _.__ a VALVE o MANHOLES MAP in o POST o' I \ \ .-` \•„ r •\ - _ U�C30LE r ' t \ I SI RM GRAIN �l (5 i I' 6 (r,/ \r g E> \- \ =: t. .=� _ --- roU 0 i� /j' .- 1.�.�• `- - 0 S IONSRS +•r n i / \r4 ,i I`r. U6H1 O EU(TBO% r\ .4 3.- 3\' � q 177 iSITE MAP / \/50 \`\ 4.6 \\: . _. -Y,. \\... .'.,,..i'. p{'� :: I ;*�ktaYY-'.,:` G Fo \ �j �`� ��\,,,•+..,._ / j r .0.8. APNIC INFORMATION SYSTEMS UIIII ... ../ / _J ...A:. �` ...... .. j�4.6 "` - %\4 /A ,'� `'v\4.2 GSCALE:in feet .1�. S �(1 ... ~ -r�;" is .... � • - , i\4 Q 200 1 INCH - 0 FEET 5' ' / ;: ..\r4 1N 4.1 ' �:.x::C'l•:J'ey.., I �.. .. 4 ;\;4•94.2 \•�\ _ {:.ti'�::.�_'Y..:Y Jr,_ _ %/ ~7; - � 1 _.- 2.2 - .. l a . .,- e S r I:4m.�.Apn Na.a 5. _ 2.2: \r5 \\'lNOTE:THE �' ,/\�..._:.` `,�s.. .' .� 1..., •;�r� i n�uunpxeup�iavaswnrpsu�imFRwDLFp[mu nPesuuu nmlm. .4(,�� •j , PoDfNO1051111•_AOP,HARLNE79R pBOTH FPNNp ITH 199E U0.Mp OS.MBIDGP/PN A.10p'FX61X[EHA6 b9[S906 NAPS 199 • `� �.. s' u` aiairt :l�.��aar.MvsvN�nrtpu4NrEtoFnll. 'L-v Y.:.:�.Y5s4`\ \ :';\� / ` i r♦ ,\ ..... 'v 5. .<±Y•„\ \/,•;•' •� �a• SWELu9IXf/i61. �7 3- �y co a _S% \ v bill U 6 �• \ / d �d Q •\� •��i � _ � a kin ® o ° ,� �s, o n � t I 1 r 18 9. < Fr ebj knas stx"n on y.h- n 6.8 god w"i i '� J\ �c ro p,ys olft - - 4: `1 II 5. X7.0 X 14.2 }/24. ! /� 19 26.4 i�5.4 x 5.0�I ��4.6\ ,,�4. \\ X ;" /4.9 `. i l `m Application to / Old Kings Highway Regional Historic'District Committee in the Town of Barnstable for a 61 9 9. 8 236 CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1.973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: C41 ew Building " ❑ Addition ❑ Alteration „ Indicate type of building: ❑ House ❑ Garage ❑ Commercial OtherN 2ar11/l CJ 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign. ❑ Existing sign ❑ Repainting existing sign r 4. Structure: ( Fence ❑ Wall ❑ Flagpole ❑.Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK l�l . Cam\ CZk ( A ASSESSORS MAP NO. 178 OWNER ` , , -�- °�� (' r 1 r t�%-Nk OC\) ASSESSORS LOT NO. HOME ADDRESS 1 MCL\ -S - ��-y�.�:R,��}�$� ' TEL. NOtL, - ) T 67 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR I�Pt�--01� 9©0 0-".,) G�„S TEL. N �M)99 6--33-AD ADDRESS i 1 � 1� '`V•QC-JL"J44 ikt.' DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side), in materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). V, F `01 Signed . Owner-Contractor-Agent Space below line for Committee use. Received by H.D.C. {� j L4 bath' -} 'i i The Certificate is hereby -- Date Tiro ', v —tt L approved" ❑ " IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period nrnviriori in tho Art y h Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION Cra JQ �,. QCAIJ 1 1Z bo SIDING TYPE�e GC �CA�AJ COLOR QUrjZ-1.�(� CHIMNEY TYPE 'COLOR ROOF MATERIAL \ �'��. �- COLOR PITCH IQ 6.,&j R, WINDOWS' SIZE TRIM COLOR DOORS COLORS SHUTTER$ J�. -- COLORS GUTTERS `yZS !\S' COLORS DECKS .� �"'� MATERIALS GARAGE DOORS 0P,3 COLORS SIGNS .... COLORS �,.0 d L 0 FENCE �.`�\ d2.. LL��� COLOR �& EA NOTES: Pill out completely, including measurements and materials/colors to be used. Three copies of this form -are required for submittal of an application, along 'with three copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT cr g ✓�,,,vs,s swuaL ac a ,� �: •.: ems"°,:—. A , 1 f 94—1 Acres 71. 7.5 �7.fOUe.Nvr7✓ri Q .%kV'.: � �r. � .. ^rE„/4Ave�N may : •� �L ANOP,LAND OF BAYVI EWARM 40. 'Z Oc'Ara o YN Ol�o K. NofFrrio�� Llwne.- 'I a/1(eST AP44tVt OL2 7 ^%S.• ,•� • . .. /. (n l c� 7 I 70 /40'/�J�] p � II`L I^ 7. �i44.IqQ / der F 51e,; pA D t�e-1 Ill •.Qr 'o i r �+ d. � :B�� i e �.e 0.oo `o S Sz "35 /V�f I ■ ■ II �•.'7=Y7.itOC'S�7C•)��i`fY.r�i�P:/!•X.T/OE � I \ _ _ - I - - - ---------------- ■_._.o._r_._. .................... 1 ■■■ ......................... „B .......... 1 '.......... ...... son _._._._._._. ■a■ 1_._._. ._._._. ._I son ._._._.. ............ '.._._..� ... ■....._..... .................. ......_.. i . ��� •... ■';. - --_ - - __ - - - .._._._ ............ ....... 1 _ _ �■.■ u�___ 1_._._.. ■■■ ��� �. �,■. ------- 1 �i�i�.il Mil .............:. - ■.........i �_. j :�:moo - "u...u..■ ■..\.....■l-__--_J..:...■ ......... Ill\� ........ 1 ._._..■ ■■■ �� ' ... ....... - 1 ....... -�■ • - • ............... ................. of .oi1i.. moo 1 = = 1 ._._.■ i�i_u II..0.13__12_1_. _..1_..1_..- --.i uemu.=_ =unou ■■■I nilti son.. - .:_.._ . _. u_■ -_ -iouui u.n.u.uui uvu.. ■_ n =�-= 1 '=== ■■■ --------' mom . .. :...� all ...1 ...... .::.....� 1...........\I .::.:... _ ...... n 0 If - 1 n 1_/ _._._._._.r: _ _ ........................ :.. ............................. .._ .._ 1. ..:-1:::.....::.::.: ::S ::�1 .._._._._._._._.._ 1_.. 1_.. ...................... i 1_ ANDERSON 4 SONS, INC, MR 4 MRSPROPOSED SHED CHICKEN ... 02563 - - - IN - SANDWICH, MA. a I } . . - - I a.. --------------- ----------------------------------------------- I ......... .. ............. ■■6 :........ .......... ■■■ ::: ' n mmm ■■■ s =; ■■ a-i-i-i ■■■ —' : X;: {,X:;i .. ...... �_._._.. •_ -. i .._._.- - . -- u.eun■■i m u-usu. 11' r -•_•_-_ ■■■ - i i._-_•_� ■■■ -----------------------r Dill _-_ ■■■ — ;• r �1---�—_--_� -- _ Ir IIh :i:u-:-: ------------- � i ■,� iii:ice III _ _— n _ _-__ li ■•■u n.o-u-no..uuuu n I, iieuu-� �un-uinN i%ui:.iui�i ■■■ euni:: .._ .._ n _ j r ••— II ...... n .._ ...................................... .._ ,r _ �i !! ------------ ....-.......----• : .._ I. -ll r' .............. -r- s - . - • ii��, '�.® mil BUILDER -. - - 4 MRS GALL PROPOSED SHEDWILLOW STREET, 1241 RT. &A AND CHICKEN COOP - - y - - - - - L • - - ASPHALT ROOFING EXISTX I L'T IIV S1.I/: ICE 4 WATER BARRI ING _____________ IXa ROUGH SAWN TYP.H2.5A TIES DRIP EDGE 5"GUTTER EXISTING TYP. IX8/DC2 TYP. Ufa/IX2 RAKE, UC8 FACIA I RAKE BRDS.. �� - - - O IX8 SOFFIT - - 2-1/4"VENT I-9/a•BED MLOG. ' G SHINGLES an x6 CONTINUOUS 0 .� HEADER. [I S ,p 0r,f TYP.Bch CAP P.D<5/IX (Oal (UPLIFT 1050) NR.BRDB. o, ' - 1X� UCB ROUGH SAWN EXISTING LEFT ELEVATION RIGHT ELEVATION ,a LT ROOFING 2xa RAFTERS•Ib•O.C. N9 ROUGH SAWN »5 EAVE DETAILS ICE 4 WATER BARRIER ASPHALT SHINGLES /C SHINGLE54P. D TYP.Dfb ON FLAT �D(b ROUGH BA1111 DIAGONAL BRAGNG FRONT ELEVATION a '�PROPOSED-- .,�„ -.o -�.'-,--PONY c 9TALL - 0 EXISTING U STALL STAM W EXISTING ° 0 p TYP.HANGERS ® 0 2X NAILER 0/, GROSS SECTION DETAILS Qo, TYP.A 230 BABE (UPLIFT 2300J ® g.0 °G ROOF FRAMING PLAN , GRADE EXISTING EXISTING EXISTING '4 >l"•°. OPEN CLOSED TRACK - - _ •��•�•e STALL BAY AND ° b STORAGE °° (U(P�I • 0 EXISTING t° ' STALL O EXISTING •° e. P PRPOSED a•f•° q PONY A•a .°O 9 STALL ,a'• ° GRAVE7. FLOOR PLAN 4 SIC°s FOOT PLAN NT D 'aD°BIG FOOTS'<o a 32X32 32532 / TYP.6X6 ROUGH SAWN 1 / -'-- -----------`�*-TYP.IY DIAM.CONC.FILLED TUBE ON 24"X24'XI2'FTC. 12'-5W 12'-5i5° OR EQUAL. BUILDER JOB ADDRE55 DESIGN DATE REVISION DRAWN BY PAGE SCALE f� Des/gins R.W. ANDERSON 4 SONS, INC. MR 4 MRS GALL PROPOSED 12'X8' ✓�✓�✓�N/�rl�/�d 0 ��1�o ®a �/ 10-31-13 • JB •_LoF__L I/4•.I'o° fo WILLOW STREET, 1241 RT. &A PONY STALL SANDWICH, MA. 02563 o I N LOOEe m° .-0 rui or ee i�ePw xe ni exaeT e m um�aaeca vrt ac x«wcwere roo woe v au roomne auu onE o e•sau R¢oen om re mr oo�N. (50BJ 494-W-I 4 WEST BARNSTABLE MA. _ roa•Bare caaawm ow Foa•*�uee on Haas �"Fnacn�cF°°weave°°>m+c'nd. ° ° .LL°+�'w+m�.. `•'°"TM"Y'oc"L vnom` ro '°wnw°a 'iacuu� �a eav as . oaeArmaoe ouuaNe eoN•Traa:Taoaa ueera.aneTAlLH MI cww I i 4► Lo ASPHALT ROOFING , 111 EXISTING ICE 4 WATER BARRI D<8 ROUGH SAWN TYP.H2.SA TIES n � DRIP EDGE • . EXISTINCx 5•GUTTER TYP. DCB/Df) TYP. IXS/IX2 RAKE BRDS. D<e FACIA �s RAKE BRDS. zB v IX8 SOFFIT . ' 2-1/4'VENT ��p••. . IEMI 1.3/8'BED MLDG. °• . s G BHMGLE9 Mucus °(x) HEADER. . TYP.BC&OAP P.DCS/CK - (0� (UPLIFT 1050) NR.BIRDS. ° .gyp IX8 ROUGH SAWN EXISTING (�I LEFT ELEVATION RIGHT ELEVATION ,l> T ROOFING ILI EAY 2X8 RAFTERS 16'O.C. DCS ROUGH SAWN NS EAVE DETAILS ® . _ ICE 4 WATER BARRIER ASPHALT SHINGLES e Q TYP.D<5/DC /G SHING �'•�.v'• (TYP.2X6 ON R-AT ® m M NR.BRDS. ,•%}-1'. _ Z"' . ! D1B ROUGH SA DIAGONAL BRACING r..l fn(A E cpE FRONT ELEVATION .p PONY . .� STALL EXISTING ' STALL eTuen i► EXISTING 3 ° ^ .HAI16BZS NAIL_ Q_ ° e f GROSS SECTION DETAILS TYP.ABu66 BABE ° ROOF FRAMINGPLAN ���) '.� '° GRADE • sLa n. EXISTING EXISTING EXISTING k ��• •°dy OPEN CLOSED TRACK _ _ •.' ° STALL BAY AND !• °'•° °'•°. a STORAGE I STALL ' EXISTING •o"f1°'° 'Q PRPOSED a:•�� PONY .°d•a. STALL FLOOR PLAN 4 " BIG FOOT PLAN °ab IO GRAVEL i eeeel� °. �ad,Vl�i 32X32 3DC32 orelmm �� TYP.6�X6+ROUGH SAWN: / - ---'``�`'- --------;� TYP.P DIAM.CONC.FILLED 3'-314, V-111 3'-314' 6'-2%' 6'-2b° TUBE ON .. 12'-516' - - 12'-SW OR EQUAL 'X24'XIY FTC. _ BUILDER JOB ADDRESS DESIGN- /f///f/////f - j DATE REVISION DRAWN BY PAGE SCALE ^�� �� R.W. ANDERSON t SONS, INC. MR t MRS GALL PROPOSED 12'XB" w�-✓�..!o�&�I�O ll��C�!'�—�a��-3��7�o�®a � 10-31-13 • JB •J—oF_L v4'•Po° �//J 6 WILLOW STREET, 1241 RT, 6A PONY STALL N a ,8 ,:�.m, a cww�,.wce Y.M.�: z•xK*•m.�rn.sortcrvffNr�.°LL cowa.s a Roo•w• y.0 rooT•°°•_..., onsTa eoae"'°° ° SANDWICH, 4944534 MA. 02563 WEST BARNSTABLE MA. oI �;�• "s' �•' TM�^ � °° "�' °°�° T.�^4°�.• �` J NEW EXTERIOR WALLS 17 ______________________________________________'-I ________-____._____-________ _ ------------------------------------ TYP. IX8/IX3l '3•Pluses � � ; m� NEW INTERIOR WALLS `, 5-1/�"LVL'e BELOW WALL RAY.E/B/RDS..-' 7 I 28XI6 POSTING DOWN INTO W/C SHINGLE5 J' - 1 O 60 NEW BASEMENT. EXISTING WALLS NEW TYP. RS ER . / CNR. BRDS - 0 EXISTING-; - - m - EXi5TING EXISTING EXISTING a BEDROOM LANDING BEDROOM ? Q 3-PLU9 TYP. IXOAX3 ' RAKE BROS. ' •W/C SHINGLE5 . NEW -g8 TYP. UCS/IX6 ..� OO ✓� �� �^ CNR.BROS. - Y � EXISTING LEFT ELEVATION ' EXISTING AND NEW SECOND FLOOR PLAN RIGHT ELEVATION 3w � o EXISTING ASPHALT ROOFING ' EXISTING* I TYP. IX5/IX6 CNR.BROS. r ' � � . � � ' :' '... � � :� � '� �` /C SHINGLES •:. � a FRONT ELEVATION R, EXISTINCZ REAR ELEVATION - R.W. ANDERSON B SONS, INC. W GALL RESIDENCE - PROPOSED SECOND_ FLOOR BATH DATE REVISION DRAWN BY PAGE SCALE_ _ _ _ .._ _ REBUILD EXISTING.ROOF D�CK. 1-12-09 -L of v4 - - -- - '- _ _ _ _ _ JB .Des ns 9 6 WILLOW STREET, � 1241 ROUTE 6A Q - m SANDWICH, MA. 02563 m WEST BARNSTABLE MA. �I �49EOFORayyyeee�Py �AElPonfpPFp Cpp�LnCEWNJl ZFXGTB ANORflAFOQCEXENTOFd(CGNGREEFLYTNG9 Jl<LLFGtlT/N6lBNalIXhJOLELOBFR092INL�N�YOEPTN p, pq BS' j ' Ax L0.�1L B�rt11XVG COLaEB I.m 0.QOpAICE1.B OEBLiN9 TLY NOI�E HELD HEBP0.V99LE lw9T BE DETGF.YiN2 BY CE WG V YB0.1 C01m/ AND ALLEP%CLE Nl vEA/ 9)A4.2W L ELtT1EN)B FGR OEIC.V i 9� ,]'ii 11LjT g/pN9T/91E/{y,P.66B O Z FO.Q BNE COLdINLCH!GR EQQ!NF lL9F OF n+EBF RQAJLVGB LUNWG G4V?J.P.'KTAOK PRAC/CEO OE GO.w✓IItLLT.g £RUY B/GN.Y 6IliI LGCAL L ENvu'-R 44'IN O_Al ENGLVEER AND EXICDMG OiiC4L9. 4 , 2X8 RAFTERS B Jr.-O.G. It I/2"PLY.SHEATHING Q3„PULs I5•ASPHALT PAPER WIND ASPHALT SHINGLES ZONE R30 INSUL. '1 IX3 STRAPPING © ' I/Y WALLBOARD 1/2"WALL BOARD NEW 2X4'a D I O.C. EXISTING BATH LANDING RI3 INSU ATION •••- 3/4"T/G PLY:•.-•• I/2"PLY.SHEATHING NAILED a GLUED: TYVEK ILRAP OR EQUAL SIDING- — 5/4X6 PRO-SELL - oas c PT SLEEPERS TYP.WEAT14ERBEST ADD 9-1/2"LVL'. R IN SYSTEM, BELOW NEW RUBBER 1"fEMBRAINE AIL - •' EXISTING ,q INSULATION BOARD RACE . - FOYER DORMER WALL TYP.2X6 Ra SILL 3/4°T/G PLYWOOD WITH 5/8°XP21* 2XIO's B 16°D.C. p EXISTING ANGH R BELTS, KITCHEN 2X6 PT 4"50. LUMN BOLTED {UNFINISHED Q G TO BEAM ABOVE STORAGE le FIGURE 20. RIDGE BRACE fL ZX6b m Jr.,D.C. EXISTINGEXI TING AREA 4 I/2°PLY.SHEATHING BASEMENT GRANITE TYVEK WRAP OR EQUAL EXIS NG EXI TING WAI1 4'CONC.SLAB SIDING GRANITE GRANITE WALL WALL DIG N — 9 ._______- '.•-':.•' NEW FTC. NEW FROST WALL \ \ CROSS SECTION CBS CROSS SECTION (A) BLOCK FIRST TWO BAYS SPACED AT A MAXIMUM 48" O.G. - RAFTERS TYP.BLOCKING D EACH BAY .I U ABOVE TOP PLATE W•• OG• �; -- I — ;4 4; &IS- OFING „K a B lu T PAPER PHALT ROOFIN ;O 1T-IS•ASPHALT PAPER SECOND FLOOR ATHING � 1/2"SHEATHING ,.145 TIES " T A MAXIMUM BLOCK FIRST TWO BAYS NEW SPACED A TYP.N5 TIES 48°O.G. DRIP EDGE DORM�R DRIP EDGE DORM I . 5°GUTiERN. „ IX8 FACIA IX SOFFIT IXB:FACIA - FIRSTFLOOR . 2-1/4"'VENT. - IX SOFFIT JOIST 1-3/4"BED MLDG, 2-I/4°VENT BLOCK FIRST TWO BAYS NOTCH F 1-3/4"BED MLDG. FRIEZE U{� ` SPACED AT A MAXIMUM TO.RECEIVE SIDING. NOTCH FRIEZE „\V�! 48"O.G. TO RECEIVE SIDING. r y JOIST EAvE _ - - BASEMENT "1 E4VE DETAILS e2* EAVE DETAILS ROOF FRAMING PLAN FIGURE S, FLOOR d RAFTER BRACING 2 R.W. ANDERSON d SONS,.ING, �W GALL RESIDENCE.. PROPOSED SECOND. FLOOR.BATH Dare SION DRAWN BY. PAGE SCALE.^ _REVI .-. ..--_.--J�- AND REBUILD EXISTING ROOF DECK. I-12-09 .0 OF �signs- 9 6 WILLOW STREET, � 1241 ROUTE 6A o I m SANDWICH, MA. 02563 m WEST BARNSTABLE MA" � z �'��"��-�������N9�,.E�D�LI�,�E�.,,..�L ZE>�.��..®RT�..,LE,Er�a ,a,ALL�>��,.L«,B�BFL�,�„Lo,E�Be�,•DE..»c }ryI)1 ' •'• (� DI e'r..BIOLOgK CODE!AND ORDOILNCFS B DEl.NN!HAT NO)BE Irv1D RE9P0.V!'^•a ltL9)DF DE)ENHD/BJ BY LLYJL?08 CdAVJbN!AND AlLEPT E %1 vElJltY 8,R(CNFAL B.EHEN9!OR DF9GN.G� AI!( •P.0.HO%DS ,•I.,08//9�353( -S 2 FOR�✓!E C0.�/1q`tl QQ FOR INEWE LP DG9F AZd¢9JG!�CON911PIIC1lGL PR.CRCE!OR Ld"J1RI.GnIOJ'L V"F&T DFJU'N Q4IM LGCdL EHIrO®2 601N LQ.AL E`GMcFR dAQ)BIADAY L�'iL^NL0. 77 LLtST BARII9F4BlE Hl O)640 AWC GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS 110 MPH WIND ZONE s MASSAGHUSETTS CHECKLIST FOR COMPLIANCE 1180 CMR 5301.2,1.15 ®CHECK n� COMPLIANCE U/)// G� �viU/,//U/S/)��-/�OS/l,/-/L--(//j/[l EG'X 0(0*u O _ 123 WIND n I,I SCOPE izo? \ //WND SPEED f35EC.GUST)________________________.__-_-._.._-.__--_.-_---__--._...-.______.______..-IIO MPN \J/`� WIND EXPOSURE CATEGORY________________-__._______..___-_-________._-_-__.--____-_•_-_..._________-__.B 1.2 APPLICABILITY NUMBER OF STORIES(A ROOF WHICH EXCEEDS B IN U SLOPE SHALL BE CONSIDERED A STORY) / NunBER OF ._.eL_STORIES<2 STORIES ✓ \\\ \ JOINT-DESCRIPTION NUMBER of ROOF PITCH---------------------------------------- (FIG J ' �. <12:12 UMSEF, NAIL SPACING ' ___________________________________ NAILS BOX NAILS n MEAN ROOF HEIGHT.......................... MG 2) .----...._._____-_.___-__-_.._______ar.:�p��FTC 33' BUILDING WIDTH,W___________________________________ (FIG 3).____,-__,____-____.__-__-_--_______JTL•ZFT<BO' \\ TYP.FIELD NAIL SPACING ROOF FRAMING BUILDING LENGTH.L._-___---------------------------(FIG-3)..__.-....-.._...__. -- FT<B0' ad COMMON B G"O.C. BUILDING ASPECT RATIO(LAU)-------- -,-, (FIG 4) )/-1c(3.i T ,_' BLOCKING TO RAFTERS ROE-NAILED) 2-Bd 2-IOtl EACH END _..________ __________________________ T RIM BOARD TO RAFTER(l!D-NO )-16✓ - d 316a EACH 040 NOMINAL HEIGHT OF TALLEST OPENING)_______________ (FIG 4)..........................,..---_- ,S-,�C 6•B+ TYP,Vi6•WOOD " •° i- WALL FRAMING ,1 1.3 FRAMING CONNECTIONS STRUCTURAL PA GENERAL COMPLIANCE WITH FRAMING CONNECTIONS.... (TABLE 2)............................................ ..' \ _ •'• TOP PLATE STUD FACE INTERSECTIONS (FACE-HAILED) }16dd S•16d AT JOINTS ., T ( 2-Idd 2C ALONG 2.1 FOUNDATION '•. ,. ,.• ' o HEADER(F Isd EDGES , HEAD T N ER ACE-NAILED) I6 I'°'O. L NG_lOG-S FLOOR FRAMING FOUNCONCRETE DATION WALLS MEETING REQUIREMENTS OF lB0 CMR 54---- / JOIST TO 9U1-TOP PLATE OR GIRD=¢ROE-PACED) 4-8d 4-IOd PER JOIST CONCRETE MASONRY.______________________________________________________---------------------------- N�A- TYP.EDGE NAIL oPACING '.;•.;•.;'•>"• BLOCKING TO BILL OROTOPR E 3-I d 40. EACH END BLOCKING (Bd COMMON B 6°O.C,I •,• ',•- ROE-NAILED) 2.2 ANCHORAGE TO FOUNDATIOt Y �� \ \\ \ N. LEDGER STRIP TO BEAM O-R GIRDER(FACE-NAILED) 316d 4-16d EACH BLOCK JOIST 5/8 ANCHOR BOLTS IMBEDDED OR 5/e'PROPRIETARY MECHANICAL ANCHORS AS AN ALTERNATIVE IN CONCRETE ON(.Y , • - - BAN ON LEDGER TO SEAM ROE-NAILED) 9-Bd 3-I0d PER JOIST BOLT SPACING-GENERAL-__..._.._ .RABLE 4),_____________________________ _,�S_II,L ✓ RAFTER CONNECTIONS BAND JOIST TO J019T(END-NAM1ED) YI6d 4-Ibd PER J019T BOLT SPACING FROM END/JOINT OF PLAT-----------(FIG 5)------------------- f-I? M.(6•42" ✓ NON- ••,TYP.HI TIES BAND JOIST TO SILL OR TOP PLATE ROC-NAILED) 2-Ibtl 3•Ibtl PER JOIST BOLT EMSEDMENiCONCRETE--.______ (FIG 5)------------------------------------ IN,)T'T LOADBEARING =` ROOF SHEATHING r, BOLT EMBEDMENT-MASONRY----------------------(FIG S)-----------------------------------_IN.)IS' y/� STUD HEIGHT •, ,. PLATE WA514ER----------------------------------(FIG 5)----------------------------- __.)3'X3'XI/4' UPL�T WOOD STRUCTURAL PANELS MAX.WALL I `:.. ' `" LOADBEARING RAFTERS OR TRUS9E5 SPACED UP TO IS'O.G. ad IOd 6'EDGE /6'FIELD 3.11 FLOORS NEC-HT 70' _• STUD HEIGHT RAFTERS OR TRUSSES SPACED OVER IS"O.C. ad IDd 4'EDGE/4'FIELD '" '- GABLE ENALL RAKE OR RAKE TRUSS ad IOd 6'EDGE/6'FIELD OOR FRAMING MEMBER SPANS CHECKED.__.______.(pER'IBO GMR 55.001______________,_______ DWWTN NO GABLE Ovc4NANC- MAXU-NM FLOOR OPENING DIMENSION________________(FIG 6)------------------ FT<IY I + • _ _____________________________ •' HEIGHT GABLE ACE OR RAKE TRL'99 8d IOd G'EDGE/6'FIELD MAX WALL FULL HEIGHT WALL STUDS AT FLOOR OPENING-5 LESS 2'FROM EXTERIOR WALL(FIG 61_________________ ________ , MAXMl1H FLOOR JOIST SETBACKS I , •,, •,�.,�.;, - ' ^ HT 10' -STRUCTURAL iLOOKE¢S ,>I " CABLE ENDWALL RAKE OR RAKE TRUSS ad IOd 4'EDGE/4'FIELD - SUPPORTING LOADBEARINGWALLS OR SHEARWALL,!FIG U-------------------------------------ESL FT(d -• ." •- WA-OOKOUT BLOCKS MAXIMUM CANTILEVERED FLOOR JOIST /'PrI CEILING SHEATHING SUPPORTING LAT ENDWALLS WALLS OR SH=_AR----- (FIG B)------------------------------------_FT(d- _ _ GYPSUM WALLBOARD 5d COOLERS _ V EDGE/p•FIELD BOOR BRACING AT D•mlilALLS_______________________(FIG 9)----------------------------------------------- FLOOR ON _A_ TYPE-----------------------------(PER TBO CMR 55.00)-------------------------- �7" 1 _ WALL SHEATHING FLOOR SNFI.THING THICKNESS.______________________.(PH2100r.-I'IR 55.00).__._____________________. 'G IN. . ���/// FLOOR SHEATHING FASTENING------------------------RABLE 2)_1�d NAILS AT_ A RJ EDGE/ �M FIELD_ I „- '„'', PANELS 11 WOOD 5TR11GNRAL STUDS SPACED UP TO 24'O.C. ad IOd o•EDGE/IY FIELD 4.1 WALLS I I/2'AND 25/3Y FIBERBOARD PANELS 0d - 3'Ecw=_/6'FIELD WALL HEIGHT 1 ;:•:; _- - - '" ••" V2'GYPSUM WALLBOARD ad COOLERS l'EDGE/10°FIELD LOADBEARING WALLS.___------------------------(FIG 10 AND TABLE 3).--------------------- FT<10.' FLOOR SHEATHING L STUDADBEA¢ING WALLS________________________(FIG 10 AND TABLE 5)--__,________________-N1 FT C 20' LATERAL WOOD STRUCTURAL PANELS WALL STUD SPACING._______..__._..__ fFiG 10 AND TABLE 5).______ I •; '•a" _______________ , __,________.�_IN<24'O.C. _ _ , WALL STORY OFFSETS (FIG l 8).-______-_ ��FT(d •• ,'•• •• + � I'OR LESS Btl IOtl 6'EDGE/G FIELD _________________ 1 GREATER THAN f IOd ICtl 6"EDGE/b'FIELD 4.2 EXTERIOR WALLS) 1 WALL STUDS `• '- TY HO RIZONTAL ORIZONTAL DOUBLE I •'-•+ LOADBEARING WALLS-----------------------------RABLE S)---------------------------2X�•�FT�IN-��- � SHEAR NAIL EDGE(STAGGERED NAIL TABLE 2. GENERAL NAILING SCHEDULE i NON-LOADBF-4RMG WALLS------------------------(TABLE 5)---------------------------2X IN PATTERN 8d COr"ONo 3'O.C. GABLE END WALL BRACINd _':.'.` >_-, PAI RILL HEIGHT ENDWALL STUDS______________________(FIG 10).___________._ >..'•'..'' TYP.l/16'UIOOD STRUCTURAL WSP ATTIC FLOOR LENGTH------------------------- FIG III------------------------------------_FT)W/3 T I .' -.- VERTICAL PANEL SN=J+ GA GYPSUM CEILING LENGTH(IF WSP NOT USED)......-(FIG III--------------------_--------------_FT)0.9C1 MiE `- ,•• AND 2X4 CONTINUOUS LATERAL BRACE o 6 FT.O.C.(FIG-IU_________________________________________ �� II ( i OR DC3 C'cR.ING FURRING STRIPS a 16'SPACING WINE WITH 7X4 BLOCKING e 4 FT.SPACING IN END__• ____. P VERTICAL EDGE N JOIST OR TRUSS BAYS___________________________________________,_ 17 •' '• TY . AIL DOUBLE TOP PLATE -'--- ------------------- SPACING(ad COMMON DOABLE TOP PLATE SPLICE LENGTH---------------------------------(FIG 13 AND TABLE 6)---------------------------_AFT ✓ 1 '•.. T _ SPLICE CONNECTION MO.OF lad COMMON NAILS) (TABLE 61________________________________„___� 1 ." TYP.FIELD NAIL SPACING I LOADBF?RING WALL CONNECTIONS LATERAL MO,OF WALL COMMON NAILSA...........RABLE l).________________„_,_______,_„______-_t2_ Bd COMMON a D.C. I NON-LOADBEARING WALL CONNECTIONS -•• LATERAL lNO-OF 16d COMMON NAILS).__________,(TABLE B).___________________•________________.� I •-_'.' LOAD BEARING WALL OPENINGS!RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE 9) DOLSLE HEADER HEADER SPANS_________________________________RABLE 9).__________________________.AFT�I4-<II' •� .'•' SILL PLA=SPANS..____________________________RABL 9/-----------------------------�T Aj_JN-(11, - i FULL HEIGHT STUDS(NO.OF STUDS)_______________RABLE 9I,_____________-___ _________ 'e �I NON-LOAD BEARING WALL OPENINGS!RECORD LARGEST OPENNG BUi CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE 9) '• � � HEIGHT i e P ° ° r WE SPANS RABLE 9).______ _�T SIN,<TY /n• •<e> a. SILL PLATE SPANS._____,_ _,RABLE 9)-______ �T Jy,C 12•A 'e - B-e q•e •• B•e da �� ,> ° )� ° REOUIREMEMS AT EACH END OF HEADER J•4 STUD FULL HEIGHT STUDS(NO.OF STUDS)_______________RABLE 9).________ .......... ° EXTERIOR WALL SHEATHING TO RESIST UPLIFT AND SHEAR SR111LTANEAISL¢ a °B B° -t MINI HINIMUM BUILDING DIMENSION,W ✓ - °p r nun HEADJ2 SPAN HEADERNUMBER UPsF LATERAL i W7NDOW SILL PLATE NOMINAL HFJ'H OF TALLEST OPENMGT.______________________________________________ <68' a ° ° e fFTJ SIZE FULL-HEUGHi A9J (LB.) ° e e SHEATHING TYPE._______________________________(NOTE 4)-------------------- I e 24'O.C,MAX. ''e <r> '• 2 STUDS .�C e I .° °B.e' 4'O.C.MAX. EDGE NAIL SPACING___________________„__„_„RABLE 10 OR NOTE 4 IF LESS)._„__,__,__„-,-_�_Rd, B STUD SPACING s° ° l STUD SPACING 2' 2-2X4 I 2il 132 e FIELD NAIL SPACING.___________________________RABLE 10) ----------------------------_----_._�2=1N:� a o a > r ' ___ ____ Hill _ ---- FIELD e 0 '� e ° 'e � n e+'e ' SHEAR CONNECTION T S A 1IN COMMON NAILS) RABLE 10),___________________________________ '•° de d•e B•e de e 0•e .°d•• 3' 2-2X4 2 416 198 PERCENT FULLH<EIGHT SHEATHING________________(TABLE 10) � ., •. ., ,-._______________' ---------__ 4' 2-2X4 2 S54 264. •. SA ADDITIONAL SHEATHING FOR WALL WITH OPENING)6'B'(DESIGN CONCFYT51_____________ e • e e:e ° • MAXIMJM BUILDING DIMENSION,L t ' t � e,,• - 5 2-2X4 3 693 330 NOMINAL HEIGHT OF TALLEST OPENING ,____ <6'B' 61 I 6� 2-2X6 3 831 39'0 -- %- ---------- - --------- ✓ /. __'_ SHEATHING TYPE_______________________________MOTE 4)_____________.___. ___________________ 1 7 - 2-2X8 3. 9l0' 462 LESS) EDGE NAIL SPACING.___________________________RABLE II OR NOTc<4- -----________:__________-N, - MAXIMUM WALL STUD I••IEICzI-{T , STUD SPACING 8' 2-2XI2.. 3 I,108 528 'e ,°d•e .°B�a .�c'� ,`Be "n; °n-; "B•e�.:8•e "Ba FIELD CONNECTION ___________________ _______rtABLE IU.__._.________________________________�<t M-�_ r 4 SHEAR CONNECTION lNO.OF 16d COMMON NAILS) RABLE ILL._________ __________•-_______ Z` 9' 3-2XI0 3 1�41 594 .mot a o, e, �° ,e a Te;,t PERCENT FULL-HDGM SHEATHING !TABLE IU________________________ RAFTER CONNECTION AND WALL SHEATHING lo' 3-2X12 4 1,385 660 'n °B•e Be .`6,•.`6,•.°P•+ en. �'•° �'•" _5X ADDITIONAL SHEATHING FOR WALL WITH OPENING J 6'8'(DESIGN CONGc?TS)____. `- ° •>. ANCHOR BOLTS AFN�D II' 4-2XIO 4 1524 l26 •: TYP. e WALL CLADDING e. r. °, °, °,! 3°X3-XV4°PLATE WA d•e d RATED FOR WND SPE-OL______________________________________________________________________ ' 5,1 ROOFS ✓ TABLE 9. WALL OPENINGS - HEADERS ROOF FRAMING MEMBER SPANS CHECKED)!FOR RAFTERS USE AWC SPAN TOOL,SEE BBRS UF_BSRFje .°d n•°0•e• O•e'°Be• de•°d•e•°d°•°d n•°Bro•°Are•° ee ROOF OVERHANG-----------------------------------(FIGURE 13)---------------ZILFT C SMALLER OF 2-OR L/3 �7` IN LOADBEARING WALLS TRUSS OR RAFTER CONNECTIONS AT LOADBEARING WALLS NOTES: PRO LIFT. R7 CONNECTORS _ 1. THIS CHEKLIST SHALL BE MET M ITS ENTIRETY,EXCLUDING THE SPECIFIC EXCEPTION NOTED IN 1,TO COMPLY WITH THE UPLIFT._._____________________„____________„RABLE D) _________._________,_ REQUIREMENTS OF l80 CMR 530L21.1 ITEIY 1.IF THE CHECKLIST 19 MET M ITS ENTIRETY THEN THE FOLLOWING METAL STRAPS - • °Gn'eda'°Oe'ode'eBe•eSe•eOe'°Be'°Oe'°O• LATERAL_______________________„_,_______„ .,-„•,--„--__ 17I Pli AND MOLD DOWNS ARE NOT REQUIRED PER THE WFCM 110 MPH GUIDE. ✓ e ° ° e e • ° e e e ___________________ SHEAR._____________IF---------------------------------------RABLE U).__________________________._,_____.5•],ZpLF A:STEEL STRAPS PER FIGURE 5 RIDGE STRAP CONNECTIONS,IF COLLAR TIES NOT USED PER(TABLE 13)_______________________________T+2'�PLF B:20 GAGE STRAPS PER FIGURE 11 GABLE RAKE OUTLOOKER----------------------------(FIGURE 20)-------------.&. FT<SMALLER OF 2'OR Ll7 C•UPLIFT STRAPS PER FICNRE.H TRUSS OR RAFTER CONNECTIONS AT NON-LOADBEARING WALLS PROPRIETARY CONNECTORS D.ALL STRAPS PER FIGURE n 6 CORNER STUD HOLD DOWNS PER FIGURE Uie AND FIGURE 18b UPLIFT------- _______________________________(TABLE H)------------------------------------UB. 2. EXCEPTION:OPENING HEIGHT OF UP TO a FT.SHALL BE PERMITTED WHEN y IS ADDED TO THE PERCENT FULL-HEIC-MT SHEATHING LATERAL(T0-OF 16d COMMON N______________RABLE HJ................ ------.- REQUIREMENTS SHOWN IN TABLES 10 AND 11, FIGURE Il. STUDS AND HEADERS ROOF SHEATHING TYPE------------------------------(PER T80 CMR 58-00 AND 5---------------------------- T 3. THE BOTTOM SILL PLANE IN EXTERIOR WALLS SHALL BE A MINIMUM Y IN.NOMINAL THICKNESS PRESSURE TREATED-2-GRADE. ROOF SHEATHING THICKNESS_____________________________________________________________��IN.)l/10'WSP 4 A FROM TABLE 10 AND 11 AND LOCATION OF WALL SHEATHING AND BUILDING ASPECT RATIO,DETERMINE PERCENT FULL-HEIGHT �+ RaCr SHEATHING FABTENin'G.________________________RABLE 2)------________•__---_„•-_-„-_------_ SHEATHING AND NAIL SPACING REQUIREMENTS. AROUND WALL OPENINGS R.W. ANDERSON 4 SONS, INC. W GALL RESIDENCE NI PROPOSED SECOND FLOOR BATH DATE REVISION DRAWN BY PAGE SCALE AND..REBUILD-EXISTING•ROOF`ID€CK:- 1-12-09 - #' �:__. _, 9. 6.WILLOW STREET, Q- 124-1' ROUTE-'6A" p_. _ _ , .._. ��-- - $•% /7S. - m SANDWICH, MA. 02563 WEST BARNSTABLE MA. L VP RC q\E�DR�UB�B[FdvEl F70.YJ449Bp RFJM J@EfOR CDYP[/d cE mn Al 2kYdGt sim AND RONlOACF Nr CP A[L GG,NJPF6lCpy , 13 ALL pMTdG9„<4l1 pTETOBFiLQ gid,! BMERLI OIPL LLGIL BV60AG COGEB 4WD pVD��Ei b CFJK,NB Y1I Atli B<1dL2D!$lPLWS�LE lWlT B8 D�ER/fpm BY L0.^AL BOS LO.VQ'/)WN9 AND ACC£PTABIE !!1 I ERSY BTRI.C}VRAL E2F4T<fe f.OR OfBGI<.d Ty,L P-O-BO}(.y,5 '•/SdBI IN-9yI Z I FCA aye Cd/.Dmamq L'R AwI OF 1N 3EOR/W�Vd!ObPMd CQWTRLCTIO)L PRALT/CEB QF GGWBIR.•G1CH VBPiY OF-)1GN mD/LOCAL EAYP'm2 ml+I[LC.CL ENGIAIFF]P Ir1m q'ilt-JA[J. J:p �9T B4RMBTAB=L'MA OT66B • I;"S�4WALL WITH�;-OF FULL HEIGHT SHEATHING - m�? RATIO NAIL EDGE-,L:O.C.RELD LL"O:C. - 13'-5'h" , n i sl} 6'-3'h° YPws� _WALL WITH&aLOF FULL HEIGHT SHEATHING }__ SHEAR WALL a I.}SRATIO NAIL EDGE O.C.FIELD L"O.C. _ n . -QY PLUS 6' SHEAR WALL EXISTING M EXISTING t r u r LEFT ELEVATION . RIGHT ELEVATION 3'-54" 3'-5W WALL WITH OF FULL HEIGHT SHEATHING- EXISTING SHEAR SHEAR s-RATIO NAIL EDGE_"O.C.FIELD O-G. L WALL WALL 1 I I ASPH LT R OFING EXISTING Fm� D FRONT ELEVATION' r1 EXISTING t REAR ELEVATION SHEAR SHEAR WALL 21'-B" WALL !.L WALL-WITH L'-S OF FULL HEIGHT SHEATHING o LSu RATIO NAIL EDGE 6 "O.C.FIELD 1L"O.G- - 4 DATE REVISION DRAWN BY PAGE SCALE PROPOSED SECOND FLOOR BATH IR W:-ANDER50N-4,SONS; INC: rW GALL-RESIDENCE _ ......_._._. ,•_�__._.. __ . _ .:.. o + 4 AND REBUILD EXISTING ROOF DECK. 1-12-09 # _ rs �OF`-� iiaao" �j Design46 9I 6 WILLOW STREET, Q 124Z ROUTE 6A 1 m SANDWICH, MA. 02563 WEST BARNSTABLE MA. zl VPU¢fi UE OE GPA¢0V5l1F<vElFterLa!£a RFlPoXl�Lf fOR COf�«AACE¢)MAL ]EXAOJlg AXD REnsoRcom TOF A4 CONCRP2 FgllM9! 3J NL FOOIPV0994LL FX FIO BIIGJ NP092B@YH+ff OFP d LOGLL Bn¢VAG IGDP!<nD ORO.NdIKPI. D'-l/GX!MAY XOT B6 NF30 R�'9PAvl.OLE �atlT EP OL�E'Ann®BY LGCAL IO.Z GOIm?AOn'9<NO<CCB'1.a96E %J Y!V/FY!)W.CNRdL Q..EJrtHM fCR DEIK.N)IIIP IO-@OX�5 •ISOBJ�9L•!SJI O FGQ!IR COAm1TfOR!OR FOR TlIE IB£CF J!!LP ORAIRNG!OIanLVG COW!)RIlO)/OX PRAGRCE!CF CONlRTxTroX IrcARY OF!/GI.'P➢AI LLYdL ElK'INEDn- W1N LCGL EhGtvEFA A.VD B161OLNG OFi✓�e�• l ^!l GdRNlTAB1E lL4'O)bbe ll ' .RES ME..l SWINE -- RM MEE MEE SEEM NUMMEME MEN MEN ME OEM MEN mom MEE ■�o..®e®.■■®®■®..u�amoms.o..s®� it . �■�®■�®■ ■ .■.��.��■��■��.��■�.■�.��.��■��■ot�.�■ ■■■■■ ■■®■■®■■®■■■■■■® ■ �■s■ e■■ ■■o■s�■s�■ �i�■■ ■■ ■■�■■�■■�■■�■■�■■�■■�■■�■■-■■�■, ■■.■■®®■®■■®®■®■®®s■...■s■■ ■■®■■ ■■ .■a■ .■.■■■ .■.■■■.■■■�.■�.■�.■.■■■■..■■■■■�.■■■■� — ®.®®.■®.®®e■®■ . —o imi■smi■si■�i■�i■�n�i■®i■�M■�i■�i®� = —--------- -- -- ■■!■.®■■®®■®■■®■■®■■®■■®■■!es®■■®■■®s■�■ ■.s■■w.■o.■.■.■�.■�.■�.■�.■e•.■�.■�.■®._■_.•�� ■0■s®■■®■a®■■®.a■■s■a■■�.■�■■ma"mm ■■�v■.n. ® - - ® .. .- . DECEHE DEC 1 8 2008 TOWN OF BARNSTABLE HISTORIC PRESERVATION - - - - - - - - - - - - - - - - - - - - F. t Fo rEl OO . � . i�. .. .. .. .. .. _ _ flncn c `� e�flfl . Oo L-i -- O� j MY 1 .1 1 1 -A: ot [� c� ®� P�ppF� 9 'P� 14100 ga��scaaae Kn9sH�eew y Q\d COf(\ p LACE [IdE DEC 18 2008 TOWN OF BARNSTABLE HISTORIC PRESERVATION fl LEFT ELEVATION ..... ..... 6" 0 i. i . i 1 i f ` O � . E S - Sln°�1 ATION' APPROVEDHT _ JAN 14 2009 Town of Barnstable Old Kings Highwa Committee y lX4ra�ruiloe 4 , ELZVATIO A 1 1� I aa�1\�S6�y�M\o CjlFi V q O SOX? 5 ..�M�svie9�0 . IIJEBt 844RIVBf4BLE HAU O.'l"0 • ti6o i� II 0 �� - N� EL E VA Tl ON I �k\A - 11 , .... :. .. .. .. . . Y o ` 92 _ i tI MR 4 MRS a4L.L 1241 RT, 6A; WEST BARNST,ABLE MA. 026�08 R.I.U. ANDERS:ON 4 SONS, INC. 6 WILLOW STREET, I SANDWICH, MA. 02563 i , R-16-s.-HT APPROVED d 'Ij P o, soX its assi 0 C T 0 9 2008 ELEVATION. .urger e�:.gR1VerAME rtid: o.3dl" Town of Barnstable Old King's Highway Committee II �EA AL EwY ATIC i I I; MR 4 MRS CALL 1241 RT. 6A _ I IU:ESTia_..02i'ofo8 �. R,W: ANDERSON 4 SONS, INC, 6 W1LLOW STREET, SANDWICH, MA, 02563 • App ro r 0!a Kip f Barr�srablE I \ I CO TYP, 1x8ilx3 I . RAKE _ BRDS, ix8 BARN BOARDS O I rl'P. ix5�ix6 CNR. BRDS. _ I R ELEVATION t 1I - , A+ Y O, ♦ T SONS, WILLOW ST SANDWir- IRT =UJST t.0 rm . APPROV ED 0 C T 0 9 2008 Town of Barnsra;,;� Old Kin g's i;yhway ,gSPNALT ROOFING I I ! I Tl'P, IX511X6 _ I I r TYP. 6X6 PT POST ! ! ! 1 t I �24-1 de-> e- EN LEF I . - lili , i ► � li �--� ii , I � . it I II i ; 40" 6'_p" lop-oil 18'—011 f "LIDING- DOOR 3rox31 \/ /o 3r� � /oX3ro\/ / ; OPENING OPENING i � i i i STAIRS UP I I 1 I I F 1 I 1 - 1 cn a I —1 O �r N ® 2k8'6 lro O.G. 16" O.C. 2X10's 16" O.G. (AI30VE) 1AE30YE 1= j 1A30Y ) o o a; z OPEN o CLOSED . TRACK 4 r STALL DAY AND X STORAGE `1' ..3 Ul 1 m N ' GRAVEL { �� TYP, B T SLAB= Tl'I B T SLAB= 4'' 1 HK CONC W/ 4" TNK CONC W/ FIE'=R.—MESH REINF FIBERMESN REINF 1- cZ - ON 6 MI L POLY. `14 I O•.• 6 �'fJLL POLY. 3rox3(o 3(oX3ro OPENING ; OPENING _ 24X20 O 10'-G" SLIDING DOOR 6 1 I I 1 11 I I I I 11 1 a 4 -O (o -O 41.-O (o -O 12 -O 6 -O t y i 14'7011 24'-0" I 1 I aaulwwo 38 -O • i�. t r algelswe8;0�Mo1O 8001 6 0 P 1 R 6 T PLOOR PLAN CDA PROPOSED 38'X24' BARN 10-02 eV PURCHASE OF LReAWI 56 LEAVES PURCHASER RESPONSIBLE FOP !U/TH ALL. W EXACT SIZE r41,V REINFORCEMENT OF ALL CONCRETE f,O0T/NG5 Q LOCAL BUILO/NG CODES AND OROINANCEa: .k3.DEs/GN8 MA r N07 BE H=LD RESPON5/BLE MUST BE Dt;reM/NID BY LOC LSO/L CONDITIONS AND AGGEPTA FOR SITE CONDITIONS OR FOR THE USE OF THESE DRAIlI/NG5 DURING CG.NSTIPUCTIQAG PRACTICES OF CONS TRUCTIOM VER/Fr DESIGN lU/TN 4OCAL ENG/N Epi TYP.HANGERS ASPHALT ROOFING ASPHALT ROOFING �—�, U 3 : U p � O d m Q o r IX8 BARN BOARDS TYP.IX5/IX6 I _-- - ---_ _ CNR.6RD5. IIII :: �® --- - RAKE BIRDS. 1 IX8 BARN BOARDS TYP. IX5/IX6 LEFT ELEVATION 'o I I GNR.BIRDS. SECOND FLOOR FRAMING PLAN Illli � II : I I RIGHT ELEVATION CNR.BRDS6 ii FRONT ELEVATION I 24._O" 4'-0" &'-0„ 10'-6". Ili 611 _ 12'O" I I !♦1 9'O 6LIDpIG DOO.� 36X36 36X36 OPENING OPEtUNG 1 '6TAIRB UP ; i BTAIRB•DOL'IN --TRAP p 4:.OYE X 'DOOM•� ® O.C. 2X10.'6-c—2X10'e o I6° —°s 0 If,"O.G. W (ABOVE) (ABOVE) Z TYP. IXB/IX3 j 1 RAKE BRDS, m ROOF Q : Q STORAGE CLOSED -4 Q TRACK 3 U B O '^ BAY F1 E AND 4 4 .9 : 0_ AREA m v IXB BARN BOARDS STALL m `T w STORAGE N `V m r L m ® GRAVEL w --- TYP. —_ B T SLAB. ',.4 LA9= x FIBERHESHNREINF ON 6FIBERMES"POLYF LL POLY. : d B X ' — ON'6'hl L TYP-IX5/IX6, - -= - 36X36 "36X36' HDR..FOR FUTURE . d' .CNR.BIRDS. -- OPENING oPElm<! �,., DO R S'DOOR. ... (1 9'-0'SLIDING DOOR 24X20 REAR ELEVATION 4'0° 6'O° 4'-0" 6 24'-Qa 14'-O" ! 24'-0" SECONID FLOOR PLAN FIRST FLOOR PLAN t1 , R.W ANDERSON 4 SONS, INC. MR 4 MRS GALL PROPOSED 381X24' BARN Iv DATE REVISION 'DRAWN Bl PAGE SCALE 9 C� WILLOW STREET, A 1247 T 6 0l 117_ 10-02-08 9 �-of (iaa Il. � �$Ign$ R A mSANDWICH, MA. 02563 m WEST BARNSTABLE M4. 02�068 o TUH PlJL"JE CF DRYWNG9 LFiVE9 PLQGKgg�REJPONJIB EfOR COMP LANCE 0 ACL LIXACT a,>v AND RELVFORCL TOF ALL COACR FO fT %Li1LLl rO sbNALL IX1E B BWI FROBTLPIE YE DEP L Ir pq eOX;JS LiCA[BVdOlNG,LOOp.AND ORDAYANLES.B OEJ/GNJ TWT NOT BE NELO R3fj'JNIIBLE Tf(L9T BEOETER/TNED BY LOCAL 90/L-MOM ANO A- BR VERIFY 9TRS/^MiGL ELEMEN/J FOR OFNGN/Bfs y ih J/,�1M1� Z I FOR J/TE CO/A/TION9 OR FOR THE IOE OP TNEJE ORA¢GYGS IXFRNG COA'JIRLCNON. PRAGI/CE4 OF GONJ Il:I.iCTroK YflQIFY DEJK.N ININ LOLAl ENGMEF)3. Gl1I L-ENGNEFR AND BI/J.ONG G1 rI L. i 1 ffEJTBARN9TABLE/1A•?�3J8' r ------------------------------------------------------ ----------------------------------------------- 110 EXPOSURE ---------------------------------- --- ----------------------------------------------------------- o alDA Io 7 ONE LU 2>14 CONT. LATER u BRACING O.G. 6 ----------------------------------- --- ----------------------------------------------------------- 1�7—---- ------- CEILING JOIST (LO r YPSLIM BOARD W A In O 5d COOLER NAILS o 10'O.C. Eid COOLER NAILS o V EXTEND HEADER ------------------------------------- KI NG 2X4 BLOCK NAILED TO STUD --- ------------------ ----------------------------------------- To EACH BRACE IN -------- ---------------------------- -IRAMING FLAN MR SPACED -1 :1 • L.-I ROOF F WITH`4'ioo'a5TNAIl-S. ---------------- -------------------------2��Ar-!R:-------- ------ --I 11-0 L 6-rl 24'-0' FIGURE 11. CEILING BRACING FOUNDATION FLAN NAIL TOP PLATE GABLE ENDWALL TO HEADER NAIL SCHEDULE TWO ROWS OF IGcl 4"POURED CONC.SLAB 8d COMMON NAILS AT 3"O.C. AT 3"O.G. 16"CONCRETE WALL DAMP PROOFING CSA 2 5W ANCHOR BOLTS WITHAPPOVED. ° vp / BLOCK FIRST TWO BAYS 3"X3"PLATE WASHERS SPACED AT A MAXIMUM 48"0 c v COMPACTED GRANULAR 2 RAFTERS X&KEY IO-X -UNC.IFTG. RIDGE VENT TYP.BLOCKING 0 EACH SAY 2XtO RIDGE ABOVE TOP PLATE A RIDGE VENT 2X8 RAFTERS 16"O.C. r 'Dr '0 RIDGE RAF �n PLY. PLY.SHEATHING 5-ASPHALT PAPER I I_, L ASPHALT SHINGLES 2X SECOND FLOOR GARAGE OPENING DETAILS FOOTING DETAILS 16 -c BLOCK FIRST TWO BAYS LATERAL SPACED AT A MAXIMUM TYP.ANCHOR BOLT AND UPLIFT a" CONCRETE WALL 41l"O.C. 3-X3A/4'PLATE WASHER STORAGE 2X5 RAFTERS a 16'O.C. TYP.SPACING 1/2"PLY.'SHEATHING SHEAR FAR 15'ASPWALT.PAPER� T/G PLY, 2X6 PT PLATE LATE ASPHALT SHINGLES NAILED,.'GLUED. 2X 10'.o le'"O.G. 7x 10.-16"O. FIRST FLOORe. W12 STEEL 13SAN 2X6'.lb 16"O.C- JOIST PLYWOOD JOIST —. . - I . 0 TYVEK'WRAP OR EQUAL b..• b. EQUAL -IRS BLOCK FIRST TWO BAYS BARN BOARD ..SPA6EO AT A MAXIMUM OkA 46"6.C. 9 6 6.. 6. 41' BAY .6'-12"FROM END STALL TACK PLATES .AND STORAGE e CONC.5LAS BASEMENT FIGURE 20. RIDGE BRACE TYFI, ANCHOR BOLT &FACING FIGURE S, FLOOR 4 RAFTER BRACING CROSS SECTiON (A) DATE- -,REVISION ORA WIN I BY., PAGE SCALE .66 Igns 9) R W ANOER5dN 4 SONS,* INC. MR MS kGALL PROPOSED 38'X24' BARN. 1 , - 2 OS 2 ro'WILLOW STREET, IR 1241 T, roA SANDWICH, MA. 02563 m WEST B,4RNSTABLE MA. 02668. BE RE��E VBT�By A=�TA� VM�6 �fW � ANO Y AWG zVIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS 110 MPH WIND ZONE MASSACHUSETTS CHECKLIST FOR COMPLIANCE (180 CMR 5301.2.1.15 ® CHECK COMPLIANCEWIND ZONE I.I SCOPE WIND SPEED 35EC.GUST)-------------------_-------------------------------------------------------IIO MPH WIND EXPOSURE CATEGORY-------------------------------------------------------------------------- IS 1.2 APPLICABILITY NUMBER OF STORIES(A ROOF WHICH EXCEEDS 8 IN 12 SLOPE SHALL BE CONSIDERED A STORY) L- \\ \ JOINT DESCRIPTION �vnBER of STORIES(2 STORIES� M1M0FR OF COMMON NAIL SPACMG _ _______ 12:12 B OX NAILS ROOF PITCH._____._____ ___________________________(FIG 2) .______-___.__ __________.____ 91,�( MEAN ROOF HEIGHT_________________ -_.!FIG 2) ---------_-----------_-_--______-___�FT(33' NAILS BUILDINNG WIDTH,W___________________________________!FIG 31.__._---_--__------- -_-tt FIEL FT<BO' \ TTP. D NAIL SPADING ROOF FRAMING BUILDG LENGTH,L________________ ----------------(FIG-3)------------------------------------ FT(BO'� \ Bd COMMON a b2..°O.C. BLOCKING TO RAFTERS fTOE-NAILED) 2d 2-IBtl EAOH END BUILDING ASPECT RATIO(LAW----------------------- (FIG 4)-------------- ----------------- 7C (3.1_•G. - RIM BOARD TO RAFTER(END-NAILED) 2.16d 316d EACH END NOMINAL HEIGHT OF TALLEST OP=_NING)_______________(FIG 4)-----------_------------------------ 6'S'_IL_ TYP.VI6°WOOD WALL FRAMING .. 1.3 FRAMING CONNECTIONS STRUCTURAL PANS INTERSECTIONS, •„ „ TOP PLATE AT INTERSECTIONS(PAGE NAILED) 5-IGd AT b JOINTS GENERAL COMPLIANCE WITH FRAMING CONNECTN ._.S. (TABLE 2l____________________________________________ ✓ \ ,,, STUD TO STUD 2-16d 2•id X'04. --mod- HEADER TO HEADER!FACE-NAILED) Ib Ind d 16.O.C.ALONG EDGE5 2.1 FOUNDATION •., FLOOR FRAMING FOUNDATION WALLS MEETING REQUIREMENTS OF ISO CMR 5404.1 JOIST TO SILL,TOP PLATE OR GIRDER ROE-NAILED) 4-Bd 41Od PER JOIST CONCRETE______________________ ---------------------------------------------------------------------- ✓ BLOCKING-TO JOIST(TOE-NAILED) 2-fid 2- .•` , CONCRETE MASONRY.__----------------------------------_--------------------------------------------- [ TYP.EDGE NAIL SPACIN "•>•'•>-'•• 1od EACH ENV (Bd COMMON r 6°O.C.) BLOCKING TO SILL OR TOP PLATE(TOE-NAILED) 3-Isd 4-16d EACH BLOCK 2.2 ANCHORAGE TO FOUNDATION' ' '•:•,•.'•• LEDGER STRIP TO BEAM'OR GIRDER(FACE-NAILED) 31Gd 4-16d EACH JOIST "•, 5/8'ANCHOR BOLTS IMBEDDED OR 5/e'PROPRIETARY MECHANICAL ANCHORS AS AN ALTERNATIVE IN CONCRETE ONLY JOIST ON LEDGER TO BEAM ROE-NAILED) 3Bd 3-1pd PER JOIST RAFTER CONNECTIONS BAND J015T TO JOIST(END-NAILED) e-Wd 4-16d PER JOIST BOLT 5PACING-GENERAL.-_______.______________.(TABLE 4)._-__-_--__-__-____-_---_-____-__- -?A IN.-!L NON- TYP.NI TIES BAND JOIST To SRL BR TOP PLATE ROE•NAILED) 2-16d 3-Ind PER JOIST BOLT SPACING FROM END/JOINT OF PLATE---------(FIG 5)._______________________________-I>=L7-IN.(6`-12° LOADBEARING I ROOF SHEATHING BOLT EMBEDMENT-CONCRETE ______ _______________(FIG 5)------------------------------------_IN.)1' BOLT EMBEDMENT-MA50NRY----------------------(FIC 5).__________________________________-IN.>15` "P STUD HEIGHT t - ', WOOD STRUCTURAL PANELS PLATE WASHER._____ ---------------------------(FIG 5)-------------------------------------)3"X3°XI/4' UPLIFT MAX.WALL . LOADBEARING RAFTERS OR TRUSSES SPACED UP TO 160 O.G. 8d IOd G'EDGE/6'FIELD STUD HEIGHT RM?ERS OR TRUSSES SPACED OVER t6'O.G. ad IOd 4'EDGE/4'FIELD 3.1 FLOOR HEGHT 20'S I I GABLE ENOWALL RAKE OR RAKE TRUSS ad IBd 6'EDGE/6'FIELD FLOOR FRAMING MEMBER SPANS CHECKED-----------(PER 180 CMR 55.00)--------------------------------- WITH NO GABLE OVERHANG MAXIMUM FLOOR OPENING DIMENSION________________(FIG 6)--------------------------------------FT(12'v - -••' MAX.WALL GABLE ENOWALL RAKE OR RAKE TRU55 ad IOd 6°EDGE/6'FIELD FULL HEIGHT WALL STUDS AT FLOOR OPENINGS LESS 2'FROM EXTERIOR WALL(FIG 61___________________________ _✓ I I •; HEIGHT 10 W/STRUCTURAL OUTLOOKBR5 MAXIMUM FLOOR JOIST SETBACKS GABLE ElNDWALL RAKE OR RAKE TRUSS ad IOd 4'EDGE/4'FIELD SUPPORTING LOADBEARING WALLS OR SHEARWALL.!FIG U-------------------------_-----------_FT(d ✓ •,`, ••`,•. W/LOOKOUT BLOCKS MAXIMUM CANTILEVERED FLOOR JOIST ' •'- ''• ''_• CEILING SHEATHING SUPPORTING LOADBEARING WALLS OR SHEARWALL.(FIG-B)__________----------- ______ __________ 5d FT(d�L " " ' ••• •.; •. GOO)-ER9 - / FLOOR BRACING AT ENDWALLS-----------------------(FIG 9).__________.__._____..________________________. �L '.'_'. _' _ GYPSUM WALLBOARD V EDGE 10'FIELD FLOOR SHEATHING TYPE-----------------------------(PER 150 CMR 55.00)------------------------ I WALL SHEATHING FLOOR SHEATHING THICKNESS.____-------------------(PEP.180 CMR 55.00).______________________-�-t IN. _'> FLOOR SHEATHING FASTENING------------------------RABLE 2)��NAILS AT� N OG-/ �IN FIELD 'I ' • -•�' ND55PA SPACED UP TO]45oC 6d IY L U00 ` S IOd 6 EDGE/ FIELD y i _ i/)'AND 25/3Y FIBERBOARD PANELS ad - 3'EDGE/6•FIELD 4.I WALLS V)'GYPSUM WALLBOARD Sd COOLERS l'EDGE/10'FIELD WALL HEIGHT •,;•. •.;•' •.;. LOADBEARING WALLS.___________________________(FIG 10 AND TABLE 5)-_____________..-____.B�L FT(10' - ',.' FLOOR SHEATHING ' LATERAL 'NON-LOADBEARING WALLS------------------------(FIG 10 AND TABLE 5)----------------------AG-FT<20; '! �.,• .,� •i L•IOOD STRUOTURAL PAf(EL9 WALL STUD SPACING---------------------------------(FIG 10 AND TABLE 5J------------------- /( IN(24'O.C. ✓ '„' '„- ', P OR LESS 6d 10d G'EDGE/tY FIELD WALL STORY OFFSETS._____________________________.(FK l t 8)--------------------------------__._FT<d JL •. ,••.> GREATER THAN 1' IOd IOd G'EDGE/6'FIELD 4.2 EXTERIOR WALLS' WALL STUDS -�,••�. >. TP.HORIZONTAL DOUBLE TABLE 2, GENERAL NAILING SCHEDULE NAIL EDGE!STAGGERED NAIL LOADBEARING WALLS-----------------------------(TABLE 5)---------------------------2XJC_-LEFTl M ✓ SHEAR PATTERN 8d COMMON_ O:C. NO WALLS------------------------(TABLE S)---------------------------7X�-�FT�MJ� "''i'•:'•i'• GABLE END WALL BRACING) FULL HEIGHT ITIDWALL 511D5______________________(FIG 10)---------------------------------------------- _L! ,.; ..; ..'•..' TYP.l/ib'WOOD STRUCTURAL W5P ATTIC FLOOR LENC-TH._______________________.(FIG IU._________._-_.__-__-.___--.-____-_.-FT)W/9 ✓ VERTICAL PANEL SHEATHING GYPSUM CEILING LENGTH(IF WSP NOT USEDJ-------(FIG IU-----------------------------------_FT)0.9W ' AND 2X4 CONTINUOUS LATERAL BRACE o 6 FT.O.C,(FIG III____________________ �_ uI '•' Irul •� 9 •• • TYP.VERTICAL EDGE NAIL OR IX3 CEILING FURRING STRIPS u I6 SPACING MIN.WITH 2X4 BLOCKING e 4 FT.SPACING IN ENQ_________-- I DOUBLE TOP PLEA JOIST OR TRUSS BAYS-----------___________________________________________________ JL > _•... `a SPACING!8d COMMON ___________________ 1 _ �\ DOUBLE TOP PLATE _O.CJ .� SPLICE LENGTH;________________________________(FIG B AND TABLE 6)---------------------_----- Jr FT fJQ� SPLICE CONNECTION(NO.OF 16d COMMON NAILSJ (TABLE bl..........._------------------------- JL TYP-FIE NAIL SPACING LOADBEARING WALL CONNECTIONS ' •,' ,' > '' FIELD LD✓ 8d COMMON e_O.C. LATERAL(NO.OF 160 COMMON NAILS)------------ 1)----------------______________________. �� �, •'•••�'••','••"••' - 8 04-1-OADBEARING WALL CONNECTIONS ' ' '".i•, _'•,," LATERAL(NO.OF 16d COMMON NAILS)------------(TABLE 91.....__------------------------------- .•' DOUBLE HEADER LOAD BEARING WALL OPENINGS(RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE 9) •.; HEADER SPANS---------------------------------RABLE 9)----------------------------_LFT IN.<IT ✓ SILL PLATE SPANS------------------------------(TABLE 9)------------------------------FT IN.<11' ✓ I __ FULL HEIGHT STUDS(NO.OF STUDS)---------------(TABLE 9)-------------------------- ..........._z- - 'A " FULL NON-LOAD BEARING WALL OPENINGS(RECORD LARGEST OPENING BUT CHECK ALL OPENINGS FOR COMPLIANCE TO TABLE 9) HEIGHT e e HEADER SPANS________________________________RABLE 9)..___________________________-CO�T 3JN.<U'� ado °4 e I V' dc'o°:o•:e STUD SILL PLATE SPANS------------------------------(TABLE 91-----------------------------_ T�JN.<U' .' ° 'e' ° 1. ^ - ,. '° •. . FULL.HEIGHT STUDS MO.OF STUDS)---------------RABLE'9)--------------------------------------� _1� a• a• w � � •°•° e, e � REQUIREMENTS AT EACH E3lD OF HEADER _ K STUD JAC EXTERIOR WALL SHEATHING TO RESIST UPLIFT AND SHEAR bIMULTANEOUSL� MINIMUM .°d'e .°d•e e .°d•e•.°d••• HEADER SPAN HEADER FN IMBER OF UPLIFT LATFJ2AL WINDOW SILL PLATE MINIMUM BUILDING DIMENSION,W •. e � 'FULL-HEK°HT I NOMINAL HEIGHT OF TALLEST OPENING?-------------------------------------------------------- & (6B' ✓ 'a ° a v a• ° (FTJ SIZE SNOB (LB.1 (LB,) e e SHEATHING TYPE.______________________________-!NOTE 4)-________. ° 24'O.C.MAX, •' STUD O.C.MAX. EDGE NAIL SPACING.-______________ _(TABLE 10 OR NOTE 4 IF LESS)._________________ IN. •� 5TUD SPACING,• ,. .1 °. • bTUD'bPACING 2' 2-2X4 ) 211 132 - - _ - _ _____ FIELD NAIL SPACING-------------- _____.!TABLE 10) J11N.� a,! a• •° a a• o, u e Ya° _ e ,��a 3' 2-2X4 2 416 19B I SHEAR CONNECTION(NO.OF 16d COMMON NAILS) (TABLE IB)____________________________________ �$_ .°d•e .°d•e .°°•c Oro•. `° .^)'e .°d•e•.°d•e•.°0 PERCENT FULL-HEIGHT SHEATHING________________(TABLE 101................ �3 ° �.' a '.' e e:' 4' 2-2X4. 2 554 264. ______________________ L._ s .' ° Sz ADDITIONAL SHEATHING FOR WALL'.WITH:OPENMG)'6'8°(DESIGN CONCEPTS!______________________. a e •'e •' 5' 2-2X4 3 693 •,330 e. MAXIMUM BUILDING DIMENSION,L , °••, d•e dro 'e °•e • 6' 2-2X6 3' 531 396 HEIGHT OF TALLEST OPENING-------------------------------------------------_------�L<6'8' ✓ '- -. •L.. •`:.___________. ._____-______,4----------- NOMINAL SHEATHING TYPE_______________________________(NOTE 4) ____ _I l` 2-2X8. 3 .910 462' EDGE NAIL SPACING------------------_---------RABLE II OR NOTE 4IF LESS)..__________________ IN. - � � � 8' .�2-2X 12 3 I,IOB 52B .'A'e ,°d•e d .°de .add .°de .°d'e .;dro .°d•e .°d•y . FIELD.NAIL SPACING:____________________-______-RABLE IU.____::___r_____________________:____ IN. MAXIMUM WALL STUD:NEI'CsNT STUD SPACING •e- •.. ° ,° ,e•° ,a•a,�. ° •°�e✓ - 13 3-2XIO 3 1,241 554 4 • ! •••a:. `SHEAR*CONNECTION(NO.OF Ibd COMMON NAILS) RABLE'lll______________________________________3_ (,ao, o• ,o, a, o, M e A e e PERCENT FULL-HEIGHT SHEATHING (TABLE IU._____________________________________ A RAFTER CONNECTION AND WALL,SHEATHING' °•..°d•e •d•e•.`d•e .°0•e•.°d•••�n•,�• °'^•• °^a• .°d•e•.°de '� 10' 3-2XI2 4 1,385 660 ,- I. •, .. a TYP.AN BOLTS AND•e •� Ss ADDITIONAL SHEATHING FOR WALL WITH OPENING)6'B'(DESIGN CONCEPTS)_________________________ 'll' 4-2XI0 4 1,524 126 ° e WALL CLADDING ______________________________________ .a,!a a,�'a e,°.° o,;'D a. 3'X3°XI/4'PLAT-.WASHER.: °. e RATED FOR WIND SPEEDi________________________________________ ��. � .. •° d•e .. d•e d•e .°d•e .°d•e d•e d�e d•e d•e .°d•e .ad TABLE S, WALL OPENINGS - HEADERS 5.1 ROOFS. ROOF FRAMING MEFIBER SPANS CHECKED?(FOR RAFTERS USE AWC SPAN TOOL,SEE'BBR5 WEBSITE) ✓ IN LOADBEARING WALLS '° •°°'° .`°'°..e°'e`,a°'°°.a°'°•,°'°•-a°'°�•<°''••a°'°••°.°•'' _ ROOF OVERHANG.________________________----------------------(FIGURE 19)---------------FT(-SMALLER OF 2'OR L/3_� ' TRUSS OR RAFTEROOI(NEGTIONB AT LOADBEARING WALLS NOTES: .°d•e .°d•e .°d•e .°d•e ,°C•e .°d•e .°de .°d•e .°d•e .°d•• PROPRIETARY CONNECTORS I. THIS CHEKLI5T SHALL BE MET IN ITS ENTIRETY,EXCLUDING THE SPECIFIC EXCEPTION NOTED IN 2,TO COMPLY WITH THE .' a e' e e e '' a •' a '' '' '' e UPLIFT._______________ ________________-(TABLE 12)------------------------------------U•�LF '� REQUIREMENTS OF 180 CMR 5301.2.1.1 ITEM I,IF THE CHECKLIST 15 MET IN ITS ENTIRETY THEN THE FOLLOWING METAL STRAPS ° ° ° ' • ° ° ° LATERAL___________________________________- ------------------------------------ L•J'LF✓ AND HOLD DOWNS ARE NOT REQUIRED PER THE WFCM 110 MPH GUIDE: SHEAR.______________________________________(TABLE 12).__________________________________.SELF A.STEEL.STRAPS PER FIGURE 5 RIDGE.STRAP CONNECTIONS,IF COLLAR TIES NOT USED PER(TABLE IS)_____________________________.T•_pLF_IL_ B:20 GAGE STRAPS PER FIGURE II GABLE RAKE OUTLOOKER----------------------------(FIGURE 20)-------------_FT(SMALLER OF 2'OR LR ✓ C.UPLIFT STRAPS PER FIGURE 14 TRUSS OR RAFTER CONNECTIONS AT NON-LOADBEARING WALLS D:ALL STRAPS PER FIGURE TT PROPRIETARY CONNECTORS E.CORNER STUD HOLD DOWNS PER FIGURE I8e AND FIGURE ISO UPLIFT-----------__----_---------------------RABLE H)---------------:___________________.U•J5. 2, EXCEPTION:OPENING HEIGHT OF UP TO B FT.SHALL BE PERMITTED WHEN 5.L5 ADDED TO THE PERCENT FULL-HEIGHT SHEATHING T�� LATERAL(NO.OF 16d COMMON MAIL51---------(TABLE K):____________________ _____________.L•�B: '�' REQUIREMENTS SHOWN IN TABLES 10 AND II. - FIGURE 11• .STUDS AI-�lD -HEADERS ROOFSHEATHMG TYPE.____._______________---------(PER Igo CMR 58.00 AND 59.00)._____ ______________ �L 3, THE BOTTOM SILL PLANE IN EXTERIOR WALLS SHALL BE A hUNIhIUM y M:NOMINAL THICKNESS PRESSURE TREATED!2GRADE. ROOF SHEATHING THICKNE5S--------------------------------------------------_---------- IN.)1/16'WSP T 4 A.FROM TABLE 10 AND II AND LOCATION OF WALL SHEATHING AND BUILDING ASPECT RATIO,DETERMINE PERCENT FULL-HEIGHT ROOF SHEATHING FASTENING-------------------------(TABLE 2).__.---.____._.________________--------_ SHEATHING AND NAIL SPACING REQUIREMENTS. AROUND WALL OPENINGS F OI I DATE REVISION DRAWN BY PAGE 3 'SCALE g R.W° ANDERSON 4 SONS, INC. MR 4 MRS GALL PROPOSE 38'X24 BARN /� OF D 10-02-OS # - )i4:v �NG oe {T•�) �7 /'Y7 9I 6 WILLOW STREET, 0 1241 RT. &A tf m SANDWICH, MA. 025ro3 WEST BARNSTABLE MA. 02(o68 NI' N6 coo sA`m onO, �J ;n;s o; L"�,PaM r `coeE`,wmD BrL `'c'�ao"�co��17°$NP=O-rABA ';;v0ZIF,"-,'�>R�enozBN°"4L MXE m ilXre �rd';�4Y DEP> ( P.480X,05 /800)19l 459I !OR 9IIE COND/IApN50R NOR 1N6(HE ci llFlF'pp,y)Q,6S LYLq,N6 CON91A'lCll01�L PRLclKE9 Lt�cON9i1PGC'IpM V R1 OF9 NWIN LOCAL 016NID IN LL!^_AL ENG,NEEP AND BI6LD:NG OFiK/ALB. RF5T 94RN9TA91PMd.OJ660 o N I Lo us sA l ROUTE , 6A i l LOCUS MAC' (NOT TO SCALE) l 1 I 1 1 j { y i O I 0 CA 3 d Q ti PASTURE w { f LOT 2 128,916± SQ.FT. ti©° E �s° EXIST. WELL �--+ EXISTING D WELLING 1247 PROPOSED SZO ADDITION � 5 / "°F�,Pp sEPTIc24O,, WETLAND LINE TA 120.4±' 17 7_ TAKENFROM '� PRIOR SURVEY PUMP �i¢ E CHAMBER BARN G t PROPOSED ' COOp ice+, N � D BOX • . �4 U" BLEACH FIELD x 442.001 • ,,� ASSESSORS MAP 178 PARCEL 021 �k NOTE: THE EXISTING SEPTIC SYSTEM SHOWN ON THIS �`""`�-� . . _ PLO T PLAN PLAN WAS PLOTTED BY TIES FROM THE AS BUILT c T�, CARD FOUND FILED AT THE BARNSATBLE BOARD THE EXISTING BUILDINGS SHOWN ON THIS PLAN SHOWING ING A PROPOSED BARN OF HEALTH. WAS LOCATED BY AN INSTRUMENT SURVEY ON 12/04/08 AND EXISTS ON THE GROUND AS SHOWN. LOT 2, # 1247 ROUTE 6A WEST BARNSTABLE, MA SCALE 1"=40' OCTOBER 23,2013 CANAL LAND SURVEYING & PERMITTING INC. j SCALE 1" = 40' 306 OLD PLYMOUTH ROAD, SAGAMORE BEACH, MA 0 401 801 1201canalsurvey@verizon.net (508-888-5955) ®4N®413 PROJECT NUMBER 08-050 DATE PRO ONAL LAND SURVEYOR DRAWN BY:PDR/CHECKED BY:RJR i Lo us s ROU TE 6A .. s i LOCUS MAP (NOT TO SCALE) f 1 it I ING - o O Zp'I• o o O l' �I .Q, J lC? � ti PASTURE LOT 2 128,916± SO.FI'. EXIST. WELL ,ri _ ,_ EXISTING DWELLING r #1247 _ k "off PROPOSED ADDITION pRoPos 24'x20� SEPTIC WETLAND LINE 120.4±1 sNED 17 71 TANK TAKEN FROM UMPPRIOR SURVEY 1 EXISTING CHAMBER -BARN C RFIOICOSED 4 r Coop N + D-BOX N r L.EACI44 uil • i � NOTE: ASSESSORS MAP 178 PARCEL 021 THE EXISTING SEPTIC SYSTEM SHOWN ON THIS PLO T PLAN PLAN WAS PLOTTED BY TIES FROM THE AS BUILT T /-r CARD FOUND FILED AT THE BARNSATBLE BOARD THE EXISTING BUILDINGS SHOWN ON THIS PLAN SHOWING A PROPOSED BARN j OF HEALTH. WAS LOCATED BY AN INSTRUMENT SURVEY ON 12/04/08 AND EXISTS ON THE GROUND AS SHOWN• LOT 2, # 1247 ROUTE 6A WEST BARNSTABLE, CIA SCALE 1" =40' OCTOBER 23,2013 I CANAL LAND SURVEYING & PERMITTING INC. SCALE 1" = 40" 306 OLD PLYMOUTH ROAD SAGAMORE o� 40' so' i2a � BEACH, MA canalsurvey@verizon.net (508-888-5955) PROJECT NUMBER 08-050 DATE PROS ONAL LAND SURVEYOR DRAWN BY.PDR/CHECKED BY;AJH I` 1 TO Us sa R O UTE 6 A 40.2gy83.93 LOCUS MAP 1 131.08' (NOT TO SCALE) I I r I 1 r r ' 1 Ir Q1 I 1 1 I � t 1 1 t i / r / r i 1 1 / t r 1 r / 1 t r 1 I r I 1 r 1 / I 1 o � r J / ! II;--, r'� 1 coo 1 1 1 � LOT 2 128,916± SQ. FT. 1 S000, / v, EXISTING D FELLING i #1247 Ck Py EXISTING POOL TO O ! I BE REMOVED TO ACCOMMODATE NEW BARN _ I_ 131.0-t' WEUAND LINE 6 TAKEN FROM PROPOSED PRIOR SURVEY i v� 24�, 38` 151.8±' 442.00' HISTORIC REVIEW PLAN THE EXISTING DWELLING SHOWN ON THIS PLAN SHOWING A PROPOSED BARN WAS LOCATED BY AN INSTRUMENT SURVEY ON 09/12/08 AND EXISTS ON THE GROUND AS SHOWN. LOT 2, # 1247 ROUTE 6A WEST BARNSTABLE, MA SCALE I" = 40' SEPTEMBER 17,2008 SCALE 1" = 40' CANAL LAND SURVEYING & PERMITTING INC. 0' 49 80' 120' 7 18 ROUTE 6A, SANDWICH, MA DATE PROFESSION D SURVEYOR (508-888-5955) THIS PLAN IS ONLY FOR FILING WITH THE KINGS HIGHWAY HISTORIC COMMISSION, PROJECT NUMBER o8-050 AND NOT TO BE FILED WITH ANY OTHER BOARD. C o2f DRAWN BY:PDR/CEiECICFFD BY:RJE LO(ULSJ 6A ' LOCUS 1 (NOT TO SCALE) r � � I r , I , I t I I 1 r , I I , t r r , 1 t f 1 j � 1 t ! , I ' 1 r O t ' t r t � I t t � t 20 0 o v t r l � t + r , t t r � 1-1� r , r r _ %i W r+_ \ r r LOT 2 a { 128,91.6± SQ. FT. r S�00, EX'S'qNG DWELLING ! / #1247 EXISTING POOL T4 BE REMOVED TO ACCOMMODATE NEW BARN WETLAND LINE =�1 131.0 .. TAKEN FROM PRIOR SURVEY 1' OpOSED, 1 �\24'�3g� i j 442.00' ASSESSORS MAP 178 PARCEL 021 PLO T PLAN THE EXISTING DWELLING SHOWN ON THIS PLAN SHOWING A PROPOSED BARN WAS LOCATED BY AN INSTRUMENT SURVEY ON 09/12/08 AND EXISTS ON THE GROUND AS SHOWN. LOT 2, # 1247 ROUTE 6A WEST BARNSTABLE, MA SCALE 1" =40' OCTOBER 17,2008 t SCALE 1" 40' CANAL LAND SURVEYING & PERMITTING INC. =0' 49 80' 120' 1ey bB 18 ROUTE 6A, SANDWICH,I, MA DATE PROFESSI N LAND SURVEYOR (508-888-5955) _ PROJECT NUMBER 08-050 DRAWN BY:PDR/CHRCKED BY:R7H I i i c LOCUS RO C.TT bA . , a LOCUS MAP r , (NOT TO SCALE) ! t i ji 1 t 1 ! r J t ' t ! l t� r t t J ' I ! r I t t r 1 1 f � tr � J ' ! O ' r 1 r r _ 1 / r 4 i PROPOSED t PASTURE J J I w LOT /2 , 1 R ° 128,916-- 4Q. FT. a ! tr EXIST. WELL DWELLING #1247 DECK EXISTING PO TOO rr.r BE REMOVED ACCOMMODATE NEW N PROPOSED SEPTI 131.0* WETLAND LINE f MANURE STORAGE TAKEN FROM 107.8 (SEE DETAIL PLAN,BY OTHERS) PR 0 PRIOR SURVEY POSED AAtoros� IJMP \ C 1MBER 13A ?N PAnnocx _BOX -. LEACH ` O� 1+ FIELD rRorosv)1wNca 442.00' \ ASSESSORS MAP 178 PARCEL 021 �k NOTE: THE EXISTING SEPTIC SYSTEM SHOWN ON THIS �`' ,•,_ PLO T PLAN PLAN WAS PLOTTED BY TIES FROM THE AS BUILT CARD FOUND FILED AT THE BARNSATBLE BOARD THE EXISTING DWELLING SHOWN ON THIS PLAN SHO �'v`�,ING A PROPOSED BARN OF HEALTH. WAS LOCATED BY AN INSTRUMENT SURVEY ON LOT 09/12/08 AND EXISTS ON THE GROUND AS SHOWN. LO 1 2, # 1247 ROUTE 6A WEST BARNSTABLE, MA SCALE 1" =40' OCTOBER 17,2008/REVISED 10/27/08 SCALE 1" 40' CANAL LAND SURVEYING & PERMITTING INC. - 2 L� 18 ROUTE 6A, SANDWICH, MA 0 40 80 120 DATE PROFESSIOlfAYLAND SURVEYOR (508-888-59511 5) PROJECT NUMBER 08-050 DRAWN BY:PDR/cHEa<m BY:RJFI i y i I Wtus sa RO ,N} ATE 6A ST � 1 LOCUS j 1 (NOT TO SCALE) 1 i 1 r 1 1 1 1 ' ! 1 f 1 r ! 1 1 1 1 t 1 1 1 i 1 ' r t i 1 f 1 f I 1 ! 1 !1 i 1 r 1 i ! r r r r t ' l � r d ' 1 1 / f f � � 1 / A0 / / r r � PROPOSED _ -- PASTURE r / f LOT 2 / `\ 128,916± SQ. FT, � o ' 0 1 a r EXIST. z I WELL ' m 0 VVV"" 1 is i b �Y ' EXISTING o DWELLMG \ #1247 Clf�" r99 l PROPOSED -- -- SEPTIC MANURE STORAGE TANK WETLAND LINE (SEE DETAIL PLAN,BY OTHERS) '` 127.1 TAKEN FR OM \ PRIOR SURVEY g \ 1 P \ EXISTING CH BER \ FOUNDATION 156.6± \ ►' 4 _,,� � D-BOX - LEACHCN O ,{ EIELD h PROP— FENCEz 442.00' \ �k NOTE: — ASSESSORS MAP 178 PARCEL 021 THE EXISTING SEPTIC SYSTEM SHOWN ON THIS ` �� _••_ PLO T PLAN PLAN WAS PLOTTED BY TIES FROM THE AS BUILT CARD FOUND FILED AT THE BARNSATBLE BOARD THE FOUNDATION SHOWN ON THIS PLAN SHOWING AN AS BUILT FOUNDATION OF HEALTH. WAS LOCATED BY AN INSTRUMENT SURVEY ON 12/04/08 AND EXISTS ON THE GROUND AS SHOWN. LOT 2, # 1247 ROUTE 6A WEST BARNSTABLE, MA SCALE 1" =40' DECEMBER 9,2008 CANAL LAND SURVEYING & PERMITTING INC. SCALE �" = 40'0' 40' 80' 120' 18 ROUTE 6A, SANDWICH, MA (508-888-5955) PROJECT NUMBER 08-050 DATE PROFESSIONAL LAND SURVEYOR L/ DRAWN BY:PDR/CBECICED BY:RJH