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Home My WebLink About0310 PINE STREET P/�� UPC 12543 No. 53LOR MOa+ �.n.n ABM �d r� S o �` U'`� -b ��; (a� l� FTHE Tpk, Town of Barnstable "Permit# 'G Expires 6 mouths from issue date Regulatory Services Fee 5115 , � BARNSTABI.E, v� b S. ,0 Thomas F. Geiler, Director jDlEn n�tr� Building Division X-PRESS PERMI Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 JUL 1 3 2010 www.town.barnstable.ma.us Office: 508-862-4038 TQVVN OF &FRVAof3 fl30 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address •�� f�J��1�� J✓ . ��.J ❑ Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name& Address��/�'� �J � 9 Contractor's Name �� —� ef4 C"/45E� Telephone Number(f t'2i z Home Improvement Contractor License# (if applicable) 11116-2 Construction Supervisor's License#(if applicable) 4",se ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ 1 am the Homeowner &?I—have Worker's Compensation Insurance In'au ance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) VRe-roof(stripping old shingles) All construction debris will be taken to� �� ❑ Re-roof(not stripping. Going over, existing layers of roof) U,Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is required SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 070110 f f , r The Commonwealth of Massachusetts _ Department of Industrial Accidents Office. of Investigations ,:j. a 600 Washingto77 Street Boston, A14- 02111 wtviv.amass gov/dia 'Workers' Compensation Insurance Affidavit: Builder s!Conti-actoi-s/E-lectiic -inslPli,mbers Applicant Information Please Print Legibly Name(Buseue at. u4ndividual): Address. A City/Stat&Zip: R_V �P�& / Y4V Phone#: Are you an employer?Check the appropriate boa.: Type of project(required):. L❑ I am a employer with 1 4. ❑ I am a general contractor and I 6_ ❑Neu constriction employees(full and/or part-time).* have hired the sub-contractors I❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have $_ ❑ Demolition 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 urork officers have exercised their I LF]Plumbing repairs or additions 'c right of exemption per MGL myself. �o workers �P• 12, Roof repairs c. 152, 1(4),and we have no insurance required]t � employees.[No workers' 13.❑Other comp.insurance required.] •Any applicant that checks box#1 inns also fill out the section belm,showing their workers'compensation policy infortrtation- 1 Homeowners who submit ibis affidavit indicating they are doing all work and then hire outside contractors crust submit a new affidavit indicating such- 'Contractors that check this boa must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Ifthe subcontractors have employees,theymust provide their workers'comp.policy number. I a►n a►z einployer tital is prouidi►ng ittorkers'ca►tpensrrtiort izrsztraa:ce for,►zzy eiilployees. Below is the policy rind job site Itizr►nzatian `� � /IjOrLoz Insurance Company Name: G t+,�� Policy#or Self-ins-Lic.#: jN G �S— o� V U�� Expiration Date: C� Job Site Address: ge),P P/00 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. 1.52 can lead to the imposition of criminAI penalties of a fine up to 51,500.00 and/or one-year imprisonment,as well.as civil penalties in the form of a STOP WORK ORDER and a fine of up to 050.00 a day against the violator. Be ad-vised that a copy of this statement may be forwarded to the Office of Investiptions of the.DIA for insurance coverage verification_ I do hereby certify under and a of pegury tlta.t the inforr►zation prot7dad a.boiv is tonifi�e and correct Si ture.: Date: t✓ Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Torn: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/To,;lm Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: h Phone#: �oF IKE)per • BARNSfABLE, � 'ss Town of Barnstable i639• �� AIFp�,�A 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 /lC� ��C� � to act on my behalf, in all matters relative to work authorized by this building perinit application for: (� 1 (Address of Job) Signature of Own&J Date Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on.the reverse side. Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revised 070110 4/12/2010 7:07:19 AM PST (GMT-8) FROM: insurancevisions.com-TO: 15087781218 Page: 3 of 3 ,a Q H CERTIFICATE OF LIABILITY INSURANCE 411212010 PRODUCER DOWLING&UNEIL INS AGENCY INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 973 IYANNOUGH RD ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HYANNIS,MA 02601 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 508 775-1620 S08 7784218 INSURERS AFFORDING COVERAGE NAIC# 11SDR EO ROBERT GLOVER INSURERla DBA ROBERT GLOVER BUILDING INSURERB: PO BOX 703 INSURER a: MARSTON MILLS MA02648 INsuRERrx INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. BIER POLICY NUMBER POLCY EFFECTIVE POLICYEXPMTION Lwrrs GENERALLIASILITY EACH OCCURRENCE $ COMMERCIALGENERALLIABILITY p I S $ CLAWS MADE OCOUR MED EXP An ona Bmi PERSONAL$AOV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE KJMRAPPL.ES PER: PRODUCTS.COMPIOP AGG $ IECT POLICY PRO. LOC AUTOMOBILIELIABS.ITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea amdent) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Perpers0n) $ HM AUTOS BODILY INJURY $ k NONOwNED AUTOS (Per acdtlaM) PROPERTY DAMAGE $ (PeracddeM) CIARAGELIMI Y AUTO ONLY-EAACCIOENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS/UMenELLA LIABLITY EACH OCCURRENCE $ OCCUR F1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WC ATU. O - A WOMRSCOMPENSATION WC2-31S320856-010 4M912010 4/19/2011 AND E MPL DYERS'LIA®JITY ANY PROPRIETORIPARTWMEXECU71VE YIN E.L.EACH ACGDENT $ 100000 OFFI M (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 100000 IT desrnbeLoder habw L RJ EL. 500000 S =9 IONS OTHER DESCRIPTION OF OPERATIONS/LOC.ATtONS[VEHICLES/EXCLUSbISADDED BY010019 MENr/SPBCLALPROVISIONS ROBERT GLOVER IS INCLUDED BY THE WORKERS COMPENSATION POLICY Workers Compensation Insurance:Pert One of the policy applies only to the Workers Compensation Low of the State of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEF�ORETHE EXPIRATION TOWN OF BARNSTABLE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL n 10 DAY$WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL. 230 SOUTH STREET HYANN IS MA 02601 IMPOSE NO OBLIGATION OR LIABIM OF ANY KIND UPON THE INSURER,ITS AGENTS OR I REPRESENTATIVES_ AUTNORUED REPRESEHTATWE Jeff Eldridge � ��' ACORD 25(2009101) 9)1988-2009 ACORD CORPORATION. All rights reserved. CERT NO.: 7197013 CLLENT COBS: 1364178 Deb oerochemont 4/L2/2010 7:05:10 AN Page 1 of 1 i 0p�rpol' � rsuliofis��.^.,�.....�,_ ,�_ .�\ egu ari an 0 1 Re .'q: ..,j752 '1;. He' ::<i> 52 PP aV PLI tMRSTON Aftl. jvlgs� iRD-'-... '' _ Atlministr '' Atlminislrarc` License or registralitkvnlid for individul use only License or registratiogvalid for individul use only before the expiration i`.pte. i;found retnrn fo:" before'Ilidexpiration.ifnte. i`found relnrn fo: 3oa7�.;;i PuUj,'ng Reg?liitions-and St14.nrds' 3os•<.i:'Fui'ding Reg�;lntions and.SV,,>il.-ards' One Asnbur'oi Asnbbr•o�.'•-r--'s^''+^� Boston,Mar02108 Boston,Mn:02108 i Not vnliJ adhc.lt vgnnf ure - Not valid aJhc.d slgnnlure . - t u-uucnl of Public Sal'ct�' Dc t❑Krocnt uf.P.ublic safe" \9ussathu set cs-Dcl' ,ulafron,and Slnntl:trd5 ervisor License .,�:. {\9assachusclts- 1' 1 Bu;u d'It'Building Rc- License Construction Sup 1 Buanl of construction n;:Supervisor s:tart Sl:uulart s Construction P License:CS 39068 License:CS 39W Restricted to: 00. Restricted to: 00• ROBERTJ GLOVER ROBERTJ GLOVER p0 BOX 703 MA 02648 p0 BOX 703 MARSTONS MILLS, MARSTONS MILLS.MA 02648 Expiration: 612420/2 Expiration:,S@gn012 d TO: 23910 Trff: 23910 .,l'ununisa"p11 ('unuuix.i,w, t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map 74 Parcel+Cb/ old z ;' .� Application Health Division Date Issued Conservation Division O Application Fee Planning Dept. Permit Fee Date Definitive Pla A ved by P nning Board , .o . Historic - OKH o Preservation/Hyannis dp Project Street Address P,CPA 0-7 'PlA c Village Owner �4U ��-�d�i`s /�� Address �Y/® S/ &4 Telephone - Permit Request Square feet: 1 st floor: existing 1'3 proposed 2nd floor: existing ��-17proposed _Total.new Zoning District Flood Plain Groundwater Overlay 1` 'roject Valuation Q 40 Construction Type ./ � Lot Size �� ® Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .16 Two Family ❑ Multi-Family(# units) Age of Existing Structure a267 Historic House: 0 Yes ❑ No On Old King's Highway: 11 Yes ❑ No Basement Type: ❑ Full V Crawl ❑Walkout ❑ Other p Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) / Number of Baths: Full: existing :;2- new - 1 Half: existing new _ Number of Bedrooms: existing 0new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ®Oil 0 Electric ❑ Other Central Air: 0 Yes 0 No Fireplaces: Existing New p g�_ Existing wood/ oal stove: ❑.:.yes a No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ isting 0;1 new size Attached garage: ❑ existing ❑ new size _Shed: ❑ existing 0 new size _ Other: o x Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ : _ J Commercial ❑Yes 0 No If yes, site plan review # _� W r• Current Use d% 7ad1Y1�✓ MORIf-' Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ®' Telephone Number Address �d-V .21 zs� License # � �� j��6'y� �`�'� Home Improvement Contractor# Worker's Compensation # WC�?"��s= c��t��-'Cll� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r ' FOR OFFICIAL USE ONLY APPLICATION# j DATE ISSUED TAP/PARCEL NO. I - M � ADDRESS y VILLAGE - -.OWNER I DATE OF INSPECTION:. FOUNDATION _,FRAME 9 ")7 f oK t' INSULATION 0 /2- b`( -FIREPLACE ° r ELECTRICAL: ROUGH FINAL ' fi . 'PLUMBING: ROUGH FINAL—" I GAS: ROUGH FINAL f' FINAL BUILDING t DATE CLOSED OUT ; ASSOCIATION.PLAN NO.r f - ` JOB ari AY 1V TAYL'OR DESIGN ASSOC., INC. SHEETNO. OF P.O. Box 1313 FORESTDALE; MA 02644 CALCULATED By C'-7-r DATE TEL./FAX: (508) 790-4686 CHECKED BY DATE SCALE �N Of G i .. ..... ..... ..... ..... ...... ..... _.... ...... -.-.. .._ .._. .............................:........................................................i..,..........'.............'............_'s.............d....... ... - [ i i i T4l'i TRl1CT I� .�- o TAYWR 9 : ..... :.... ....:. :.. .._:.... .... ........:..... ......... ....:..... ..... ......_............... ..... ............�.z..... ..... . .... ..... ...... ...... .... ... .... ..... ...................... . .. 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U._...5..c..............................N..........................�.-_J..:........................ .................:....................5.<7................... .....;... ....... ......�4..................................:............._.. . .... .... ... ..... ...... ...... ..... ..... ..... ..... ..... ...... ...... ..- ..... ..... ...... ............................ ..... ..... ..... _... ..................................._.. 7' �Z' ......... ..... ..... ..... ..... ...... ..... ..... ...... ..... ...... ..... .................... .. ........ d............... .. :................... ..... . .�..............:..... �2 ......� Z.4. ..; .. .. ...... �� in Q� ........ ..... �o�TMrTay Town of-Barnstable Regulatory Services y fn;i1619. Thomas F. Geiler,.Director. � � - Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnsta ble_ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This ISection If Using A Builder l 1- W. ��N , as Owner of the subject property hereby authorize 2oi3ep r- `(Lo(1L�2 to act on ray behalf, in all matters relative to work authorized by this building permit application for: 3 ID `R/lvC r sr PA12 ry 5-1)4 141-6 mA (Address of Job) MA 11 11 &&tvv-, 2--1 .Signature of Owner Date Print Name If Property Owner is applying for.permit please complete the Homeowners License Exemption Form on th:e reverse side. Town of Barnstable ; �ofYHE rpm : o� Regulatory Services Thomas F. Geiler,Director gARNSCABLE, pia MASS. a�m� Building Division JFD � Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 0260I www.town.barnstable.ma.us lice: 508-862-4038 Fax: 568-79076230 HO EOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village .HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts-as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on"which he/she resides or intends to reside, on which there is, or is intended to . be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such woik performed under the building permit._(Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minirnurrr inspection procedures and requirements and that he/she will comply with'said procedures and i requirements. I ,ignaturc of Homeowner .pproval of Building Official Note: •Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the tate Building Code Section 127.0 Construction Control. HOIvJEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions ' this section(Section 109.1..1 -Licensing of construction Supervisors);provided that-if the homeowner engages a person(s)for hire to do such )rk,that such Homeowner shall act as supervisor." Many homeowners who use this exemption arc unaware that they are assuming the responsibilities of s supervisor(see Appendix Q, i)es&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly ien the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would tiith a licensed pervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, .t the homeowner certify that hc1she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently,used by ,cnl towns. You may care t amend and adopt such a form/ccrtificaLion for use in your Community. 1 The CornmonwaixLth of Massach•usetrs ,Department of Industrial Accidents Office of Investigations 600 Washington Street Roston, ,?IA 02111 www.m-ass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectri�cians/Plumbers ffid Applicant Information Please Print Let?itblY Name (Business/Orgamiza6bnflndividual): R&, Address: City/State./Zip:104&U, u� ��3' Phone.#:�®ZS— 1, `7 � F re you an employer? Check the appropriate box: Type of project(required): ] Iam a employer with 4. ❑ I am a general contractor and I6 ❑Hew construction employees (full and/or part-time).* boon hired the Sub-contractors❑ I am a'sole proprietor or partner- ��°A the attached sheet 7.,�Remodeling ship and have no employees These sub-contractors have g• ❑Demolition employees and have workers' Buildin addition workings for me in any capacity. t 9. ❑ g [No workers' cQmpAnsinancc comp-1rLSuranGe. 5. ❑ We are a corporation and its 10-❑Electrical repaizs or additions rcghurcd] officers have exercised their I1.❑Pl=bing repairs or atid.itions 3.❑ I am a homcowncr doing all work right of exemptionMG per L 12 ❑Roof repairs myscl£jNo workers' comp_ c. 152, §1(4), and we have no incnranc .required_]t -13.❑Other employees. [No workers' comp.insurance rcgtured.] •Any applicant that checks box#1 mrnut also fM out the section below sbowing their workers'eomopensati—policy infarrmtioci. t Homcowocn who submit this afdavit indicating tbcy arc doing all work and thrn hint outcidc contractors must submit anew aJ5da-6t indicating such. ZL--m raetors that ebeek this box must atatbcd as additional sb=t showing the name of the sub- a tractors and state whether yr not thosC entitits have anployccs. If the sub-contractors have enymloy=,they must providb their vrorkerT'comp.policy number. fain an employer that!s providing workers'compensation insurance for my employees. Belaw is the polity and jab site information. /A vl� z4ff✓ 1nguiancc Comp anyName:11 4 ? �"' Policy#or Sclf--ins. Lic. M. �C d e�/S"�v ' p Expi:mtionDat,: Job Site Address: City/Statc/Zip::Ilf• el- ✓: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to SCCurC roVerage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a 5nc 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 violater. Bc advised that a copy-of this statc=rrit maybe forwarded to the Office of Invcsti Fatious of the bIA for instrance coverage verification. I do hereby cerfrJ under e p d aides of perjury that the information provided above u'tru e and cerrerl. ahu Datr,: — Si Phone OffzcUd use only. Do not write in this area, tb be completed by city or town official City or Town: Permit/Liceasa# Issuing Authority.(circle one): 1.Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector -5.Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their cmployccs: Pursuant to this stat atc, an employee is defined as "...every person ia.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 ofanindividual,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 iwclling house of another who employs persons to do maintenancc, construction or repair work on such dwelling house Dr on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an cm�loyer." YfGL chapter 152' §25C(6) also states that"every state or Iocal licensing agency shall withhold the issuance or. 'enewal of a license or permit to operate a business or to construct buildings in the cgmnaonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." UdditionaIly,MGL chapter 152, §25C('n states `Neither the commonwealth nor any of its political subdivisions shall rater into any contract for the performance of public war!until acceptable evidence of compliance with the inzu e cquircments of this chapter have been presented to the contracting authority.' ,pplicanty lease fill out the workers' compensation affidavit completely, by checking the boxes that apply to.your situation and if ecessary,supply rab-eontractor(s)name(s), address(es) and phone numbers) along with their eertifica.tc(s)of mirancc. Limited Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no-employees other than. the icmbcn or parkas, are not required to carry workers' compensation insurance. If an LLC or LL.P does have uployces, a policy is required.. Be advised that this affidavit may be submitted to the Department of Industrial ccidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should returned to the city or town that the application for the pem3.t or license is being requcstcd, not the Department of udmtial Accidents. Should you have any questions regarding the law or if you arc required to obtain a workers' ,mpens .lion policy,pleaso call the Department at the nur4ber listed below. Self-insured companies should enter their If-ins ranro license number on the appropriate lint. ity or Towp Officials case be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom 'the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant case be sure to fill in the permit/licenst number which will be used as a reference number. Ia addition, an applicant at must submit multiple permit/license applications in any given year, need only submit onF affidavit indicating current lacy info=aation(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or xn)."A copy of.the affidavit that has been officially stamped or marked by the city or town may be provided to the plicant as proof that a valid affidavit is on file for fixture permits or licenses. A new affidavit.must be filled out each ar.Where a bome owner or citizen is obta''ning a license or permit not related io any business or commercial venture eaves etc.) said person is NOT required to complete this affidavit a dog license or permit to born l e Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, ase do not hesitate to give us a call. Department's address, tcicphoac•and fax number. The C6mmon ArWth of Massachusetts Department of Industrial Accidents Office of Investigations 6.00 Washington Street Boston, MA 02111 Tel. # 617-727-490.0 ext 4.06 or 1-977-MASSAFE Fax# 617-727-7749 i 11-22-06 www.mass.gov/dia r Liberty Mutual Group Liberty P.O.Box 9090 7�� Dover,NH03821-9090 1ril1tL1 Telephone(800)653-7893 Fax(603)-245-5330 August 19,2008 TOWNOF BARNSTABLE ATIN:BLDG DEPT 230 SOUTH STREET HYANNIS, MA 02601- RE: Certificate of Workers Compensation Insurance I Insured: ROBERT GLOVER ROBERT GLOVER BUILDING PO BOX 703 MARSTON MILLS, MA 02648 Policy Number. WC2-31S-320856-018 Effective: 4/19/2008 Expiration: 4/19/2009 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability(Limitsl: Sole Proprietor/Partner Coverage Election: The workers compensation Bodily Injury By Accident $100,000 Each Accident policy does not provide Bodily Injury by Disease: $ 100,000 Each Person coverage for. Bodily Injury by Disease: $ 300,000 Policy Limits ROBERT' GLOVER As of this date,the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions,and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend,extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc Insured Producer of Record: ROBERT GLOVER SANDPIPER INSURANCE AGENCY INC ROBERT GLOVER BUILDING 12 ENTERPRISE RD ,ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO--FAMILY DETACHED RESIDENTIAL CONSTRIJCT`ION (780 CMR 61.00) Applicant Name; — Q.?L�� Site Address: Q print J Town: Applicant Phone: <oe l-), 0 - .2/6-79 Applicant Signature: Date of Application: - 0 NEW CONSTRUCTION: (cho-ose ONE of the following two options) 780 CMI2'TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or . Slab QOption 1: Basement . D Fenestration exposed Wall Floor Wall Perimeter AFUE 14SPF S1EER' U-factor floors• R-Value R-Value R-Value R-Value R-Value and Depth National Appliviee Energy 35 R-10, Conservation Act(NAECA)of R=3 8 R-19 R-19 R-10 4 f� 1987 as amended,minimums or renter as fl llcable Note: This form is not required if you choose either of the two versions of REScheck.as.listed below. ] Option 2; �• REScheck Version 4.1.2 or later variant software analysis must-be completed (780 CMR.6107.3.2 RES cheek--Webb which can be accessed at http•//www.e.nergycodes.goy/reschccld D)DXTIOZVS`6n, .TERA:TIONS:TO!EXISTING..BUILDIlVGS:`OV R5;XEr�RS OLD 3uildings under S years old must use option#1 or#2 in New Consb'uction section above. . omplete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_ a) . ®�SF 100 x/� " o'��2V _ /o of glazing (b) Glazing area equal's.�l SF b a lazing is'<:40D/o-use.the, chart below. If.,glaziri :is >:40°Q/o roceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS 7tExpoSed,f]ODrs MINIMUM Ceiling and Slab Perimeter Wall Floor Basement Wall R-Value R-value R-Value and De th'RVaue• _R-37 a R-13 + R-19 R-10, R-10, 4 feet / R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the'fulI R-value over the entire ceiling area(i.e. not compress.ed over exterior rYalls, and including any access op enin s).' S1 OOM-An addition or alteration to an existing building/dwelling unit where-the total glazing area of said addition exceeds 40% of the combined gross wall an{ ceiling area of the addition, Note:. Owner to fill out Cons timer Information Form (found in Appendix 120,P �T ✓lie• � i a�✓�aaaac�ivaeC7a "Board of Ryilding)t i tt0>tA {UStan{1ltxilx kr f e or registration valid for individul useitinly liOh�I�1M�'IifSY f Mt ppT�iARTORk :�I�+P' the expir ation date If found return to::_. RitfiatiQn�191 ��s y lf Building Regulations and Standards :-IW o x Ex �raflon =1 P hbni Place R `1301 urto s 0�r � /�Bto ,Ma 2108 a R.GLOVER:BUILOItVG GO - ROBER7 GLOVEER ,kVl t P BOX 73/13 CURFIS BOG RL3�( z, { 6�rP,FSTONS MILLS,MA©26g8 �� + S N valid rvttbout stgti'ature 4' ^ _ �/l �i1 �. _, .. _._-�.. f11s_:•L..V1�;^xi�r.. h�L�.�_.��:_L�.Ld-5_,-:; ;1..._,__��•_�_�F�-_--.._..______. �.. .___F ' - �: ✓lie zJo�nvnuyruue� o��/�cuaacfiueea� Board-of Building Regulations and Standards ,. constructigh�Supgrvisor License e Lic��s CS ti8868 Expirat 24 10" Tr#'2499p _ ..— Restr �oyn 00 ROBERT J GLOVE IV R a - � IPO BOX 703 _ t MARSTONS MILLS- MA 026448 Coii4nissi0ner - a Barnstable Old Kings Highway Historic District Committee 200 Main Street,Hyannis,MA 02601;TEL: 508-862-4787 Fax 508-862-4784 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; 00 --�W 1. Building construction: ❑ New Addition Pg�Alteration 2. Type of Building: 9 House ❑ Garage/bam ❑ Shed ❑ Commercial ❑Pther v� rn 3. Exterior Painting,roof ❑ new roof N color/material change,of trim, siding, window, door , 4. Sign : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sigd - w 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis couR'❑ Other 6. Pool ❑ swimming El Other man-made pool Type or Print LegiiblT. Date: 20AL4 —2.003 Address of proposed work: House# J�d Street PN05 d 7— Village W.5AF44 • Assessors'Map Lot# AA I6,L- 1. Description of Proposed Work: Give particulars of work to be done:M6 L-Mo O of TWE f X i5TlW, KIT(WW A(664A AIJ l v ! • • � 3 M E2 '. Go 'f�LUGT oJJ }F +4 W Ki-MIJ9 N Atl Y V rj-. �V1•lJ 3 li Ql k]6 6 " M-k7T' 0 T U K G V; . 71-JE LoRle, A LSv G -W L7E AP V?-4N X QfTWE. Q<y5i cIJG WOLJr5 Jot i IjMV 61171"6 1IA. A.Nt2 19LE.Fl,-6,r- Agent or Contractor(print): 6 1JU Q --& elephone#: *3,62 J45-b Address: 1 Contractor/Agent' signature: %O�Em NOTE Al!app " °nos must besigned by dF current own r 2 (T Owner(print):A L M��—�1��. — Telephone#: 6V3 Owners mailing acwress: ljA►(,AC M F37 D 17141!� UY— ? ' J Y /o� 7 Owner's signature: For committee use only. This Certificate is by APPROVED/DEN1® .4 La �� U i , �' Date 'rl/o 10$' Members signatur rn LI - AUG 2 0 2008 6-1 E /y/conditions o/�f approval: 1 O I L e t.b l w ' rJ o� a c.� w /I 13 Q �-(`✓l G eC� w .!"_ j ls:.a 10 20U8 Q:IGMD.Graupsioid Kings HdghwtrylOKH New AppIOKHCelt Appvpnaum=07.doe - Ir3Nln(y4 Odr,3stable 00=sway I 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) OX 1S'1 � '13+Z1G{�.•�T01�� Siding Type PbN4W material: WHkTY-- 615PA R •$11 Color:U&7,VS 1 tAIAM ow- Chimney Material: 6R CX— Color: WH 1T5 r -UT— Roof Material: (make&style) A4 f dd N 1 d 4 L65 'A f4f 4?—'1M5 Color: 1b MA VC44 V (1.S7jN4 �x>'iT� : �GAR G�A�R AZE1�• - Trim material NM A DDLI'LOPA : A ?� - Color: V W&11 Roof Pitch:-(7/12 minimum) 7 Z To /VMAT&O 6DGt:-5110,3G Window: (make/model) ANVfc-��w- 400 material WDOD •4/1N GA Q color Wok 6TG Size(s): fiG15'T" G ; AQ04U-46 DP•• � IPW4 ei ANMZ4f---0 400 L-s w W N;T'E Door style and make:4AI!54? material v4)00D Color:19-0 MCt7M=V V ;?Z� Garage Door, Style NA Size Material Color Shutter Type/Material: N-A• Color: Gutter Type/Material: A 2Zr— Color: W N M—r Decks: material r39k/,4 Size 1Z XZO t Color: 7-E7 f,7 3 mygi. Skylight, type/make/model/: N A • material Color: Size:r Sign size: N + Type/Materials: Color: I.n AS V , Fence Type(max 6' ) Style .N •• material: Color: 1i L I _ v Retaining wall: Material: Iy Tn •^F�; t' ` , Lighting, freestanding • A on building LQNT"S illuminating sign •� Please provide samples of paint colors and manufacturers brochure of style of windows,doors,garage door, fences,lamp posts etc ADDITIONAL INFORMATION: TW G A N )NO cV W S aA U-- MA\( AW T L41M C Fixes T . ` E wTilibala A /� Y Signed: (plan preparer) print name rWkA tel.no. �r'OR 3 Z 47]�2 Location of application: Street no. �O Street P]JVC 7- VillageWC- �AQN4•I'�(Tt 2 Q:IGMD-Groupsl0id Kings Highwa)AOKH New AppIOKH Cent Appropriateness 07.doc Plans shall include the following: X Name of applicant, street location, map and parcel. X Name of Builder Designer, or architect;original signature of plan preparer and stamp; plan date, and all revision dates. ALL NEW HOUSE OR COMMERCIAL BUILDING PLANS MUST HAVE AN ORIGINAL SIGNATURE AND STAMP, IF ANY, BY A REGISTERED ARCHITECT, MEMBER OF AIBD, OR A LICENSED MASSACHUSETTS HOME IMPROVEMENT CONTRACTOR, UNLESS THIS REQUIREMENT IS WAIVED BY THE OKH DISTRICT COMMITTEE. X A written and drawn scale. XElevations of all (affected) sides of-the building, with dimensions including height from the natural grade adjacent to the building to the top of the ridge; location and elevation of finished grade,roof pitch(s), dormer setbacks; trim style, window and door styles. Changes to existing buildings must be clouded on drawings. r Landscaping plan,4 copies drawn on a certified perimeter plan containing the following information: XC Name of applicant, street address, assessor's map and parcel number. Name, address and telephone number of the plan.preparer; plan date and dates of revisions. The location of existing and proposed buildings and structures, and lot lines. W1Q Natural features of site (e.g. rock outcroppings, streams,wetlands, etc.). Existing buffer areas to remain. N14 Location and species of trees outside of buffer areas greater than 12"caliper to be retained or removed. l—`The location, number, size and name of proposed new trees and plants. Driveway,parking areas, walkways, and patios indicating materials to be used. Existing stone walls, and proposed walls including retaining walls for slope retention or septic systems. (for removal of stone walls, file Demolition Form). �LAAII proposed exterior lighting and signs.. NA Sketch or photos of adjacent properties, (1 copy only) A sketch(s)to scale or photographs of nearby adjacent buildings, where present, along both sides of the street frontage, showing the proposed new house or commercial building in scale and in relationship to the existing buildings. Please discuss with staff if you do not think this is relevant to your application. Photographs of all sides of existing buildings to remain, or being added to (1 set oil Fee according to schedule. 4 $ p a 10 t Please complete the following: 4if Existing building, foot print: Building 15C7 sq. ft. Building 2 Existing Building, gross floor area, including area of finished basement: Building 1 sq. ft. Building 2 New building or addition, foot print: Building 1 14ir2 - sq. ft': Building 2 _New Building or addition, gross floor area, including area of finished basement: Building 1 2.0 sq. ft. Building 2 4 Q:IGMD-Groups101d Kings HighwaylOKHNew AppIOKHCert Appropriateness 07.doc Town.of Barnstable 1 OE. Old King's Highway Historic District Committee RAMSrABLE. 200 Main Street, Hyannis, Massachusetts 02601 KA.ca (508) 862-4787 Fax (508) 862-4784 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 Sectiog of Chapterdy0, Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photograph Mcomparrp g;this application: Date: 1,P✓EULI+ 00 Address of Proposed work: Assessors Map and lot# IM/ / 4 Y! House# Street Village: Demolition of: ❑house Apartofhouse ❑Garage ❑ barn ❑stable ❑co ercial n stone wales El other e` " Description of Proposed Work: -1�� 5 1)� C+ ��y�1 ��r Kl rL P (/V��"✓✓✓r�{ Please complete the following information: Square footage of footprint of building(s)to be demolished: Building 1: G1-11 2: Square footage of total floor area of building(s)to be demolished: Building 1: 2: Owner(please print): 90VI Tel#: Owner's mailing address:�A1,1 Y, 6W OV 4API(2/1 ►��>; . I!QQ t UM-)i (Jll- 6,62 -30 J�Y Signature of Owner Note: All applications must be signed by the owner]or evidence ofauthoritp to act for the owner submitted Agent/Contractor�please print): 01 A T e I#: `5-0 7- Address: . /4 1 .tl � f� /�/..� �fG� 7S� Signature of Contractor/Agent: VU , i�fJ✓f If application is for removal to a different location,state where: Note: A separate Certificate of Appropriateness is required for a relocation of a building or structure within the Barnstable Old Kings Highway Historic District. Check list Application for Certificate of Appropriateness for Demolition or Removal,4 copies Site plan,4 copies, Photographs of all elevations of building(s), outbuilding(s) or stone walls being demolished. Fee according to schedule. List of abutters,see staff m a yJ� For Committee Use Only This Certificate is hereby Approved/Denied Date: P� o ttee Members Signatures: hZ 1 Conditions of Approval, if any ' AUG 2 0 2008 ` kip 1 Q:IGMD-Groups{Old Kings Highway0KH New App t0KH Demolition 07.doc 80iSE- . Single 11-7/8" AJSTM 20 MSR Joistl1st FlooADR1 BC CALCS 9.5 Design Report-US 2 spans I Left cantilever 1 0/12 slope Friday,August 29, 2008 16:38 Build 91 16"OCS I Repetitive Glued&nailed construction File Name: Glover Faeron.BCC Job Name: Faeron Residence Description: 1st Floor\DR1 Address: 310 Pine St Specifier: be City, State,Zip: West Barnstable, Ma' Designer: Customer: Bob Glover Company: Shepley Wood Products Code reports: ESR-1144 Misc: 3 2 I 01-11-14 16-02-08 B1,10" B2,5-1/2" LL 534 Ibs LL 443 Ibs DL 468 Ibs DL 72 Ibs SL 428 Ibs Total Horizontal Product Length=18-02-06 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left • 00-00-00 18-02-06 40 10 16" 2 wall Conc. Lin. (plf) Left 00-00-00 00-00-00 0 80 16" 3 roof Conc. Lin. (plf) Left 00-00-00 00-00-00 143 285 16" Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 1786 ft-Ibs 40.6% 100% 16 2- Internal be verified by anyone who would rely on Neg. Moment -1479 ft-Ibs 29.2% 115% 2 2-Left output as evidence of suitability for End Reaction 484 Ibs 34.9% 100% 16 2-Right particular application.Output here based Int. Reaction 1375 Ibs 40.8% 115% 2 1 -Right on building code-accepted design Cont. Shear 782 Ibs 45.6% 115% 13 1 -Right properties and analysis methods. 9 Installation of BOISE engineered wood Total Load Defl. 2xU677(0.071") 26.6% 13 1 -Cantilever products must be in accordance with Live Load Defl. U1008(0.188") 47.6% 16 2 current Installation Guide and applicable Total Neg. Defl. -0.055" 11.0% 16 1 -Cantilever building codes.To obtain Installation Guide Max Defl. 0.198" 19.8% 16 2 or ask questions,please call Span/Depth 16.0 n/a 0 2 (888)234-0056 before installation. BC CALC®,BC FRAMERS,AJSTM', %Allow %Allow ALLJOISTS, BC RIM BOARDTm, BCIS, Bearing Supports Dim.(L x W) Value Support Member Material BOISE GLULAMM,SIMPLE FRAMING B1 Wall/Plate 10"x 2-1/2" 1431 Ibs n/a n/a Unspecified SYSTEMS,VERSA-LAMS,VERSA-RIM B2 Wall/Plate 5-1/2"x 2-1/2" 514 Ibs n/a n/a Unspecified PLUS@,VERSA-RIMS, VERSA-STRANDS,VERSA-STUDS are trademarks of Boise Wood Products, Cautions L.L.C. Design assumes Top and Bottom flanges to be restrained at cantilever. Notes Design meets Code minimum(2xU180)Total load deflection criteria. Design meets User specified (U480) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Composite El value based on 23/32"thick sheathing glued and nailed to joist. i Page 1 of 1 Boisw . 4 Single 11-7/8" AJSTm 20 MSR Joistl1st Floor\DR2 BC CALC®9.5 Design Report- US 1 span I No cantilevers 0/12 slope Friday,August 29, 2008 16:38 Build 91 16"OCS Repetitive Glued&nailed construction File Name: Glover Faeron.BCC Job Name: Faeron Residence Description: 1 st Floor\DR2 Address: 310 Pine St Specifier: be City, State,Zip: West Barnstable, Ma Designer: Customer: Bob Glover Company: Shepley Wood Products Code reports: ESR-1144 Misc: 16-06-06 BO,8-7/8" B1,5-1/2" LL 448 Ibs LL 433 Ibs DL 112 Ibs DL 108 Ibs Total Horizontal Product Length=16-06-06 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 16-06-06 40 10 16" Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 1991 ft-Ibs 45.3% 100% 1 1 - Internal be verified by anyone who would rely on End Reaction 511 Ibs 36.9% 100% 1 1 -Left output as evidence of suitability for Total Load Defl. U846 (0.219") 28.4% 1 1 particular application.Output here based Live Load Defl. U1057 (0.176") 45.4% 1 1 on building code-accepted design Max Defl. 0.219" 21.9% 1 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 15.6 n/a 0 1 products must be in accordance with current Installation Guide and applicable %Allow %Allow building codes.To obtain Installation Guide Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call BO Wall/Plate 8-7/8"x 2-1/2" 560 Ibs n/a n/a Unspecified (888)234-0056 before installation. B1 Wall/Plate 5-1/2"x 2-1/2" 542 Ibs n/a n/a Unspecified BC CALCO, BC FRAMER@,AJSTM, ALLJOIST@, BC RIM BOARDTM,BCI@, Notes BOISE GLULAMT"" SIMPLE FRAMING SYSTEM@,VERSA-LAM@,VERSA-RIM Design meets Code minimum(U240)Total load deflection criteria. PLUSO,VERSA-RIM@, Design meets User specified (U480) Live load deflection criteria. VERSA-STRAND@,VERSA-STUD@ are Design meets arbitrary(1") Maximum load deflection criteria. trademarks of Boise Wood Products, Composite El value based on 23/32"thick sheathing glued and nailed to joist. L.L.C. I Page 1 of 1 780 CMR: STATE BOARD 00 BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE AWC Guide to Wood Construction in High Wind Areas:110 niph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' Q Check 11 SCOPECompliance Wind Speed(3-sec.rst) ...........................:....................... 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) —L stories 5 2 stories Roof Pitch _ ................... (Fig 2) ................. _fj s 12:12 Mean Roof Height ......................... (Fig 2) ......:..........r... 1 ft 5 33' — Building Width,W ....................... (Fig 3) ................... ft s 80' — Building-Length,L ...:................... (Fig 3) ................... ft s 80' — Building Aspect Ratio(L/W) ............. (Fig 4) ...................%•e•�s 63:1 Nominal Height of Tallest Opening' .(F 4 1.3 FRAMING CONNECTIONS General compliance with framing connections... (Table 2) _ 2.1 FOUNDATION \wFbunda'tion Walls meeting requirements of 780 CMR 5404.1 Concrete .................................................................. Concrete MasoMy ........................................................... 2.2 ANCHORAGE,TO FOUNDATION'-' Anchor Bolts imbedded or%"Proprietary Mechanical Anchors as an alternative in conere only 'Dolt Spacing-general .................. (Table 4) . JIM in. T Bolt Spacing from end/joint of plate ....... (Fig 5) ............... -F,z in.s 6 -12 Bolt Embedment-concrete.............. (Fig 5)...... ...................., n. -7". Bolt Embedment-masonry.............. (Fig 5) in.Z 15" _ Plate Washer .......................?.. (Fig 5) ................... z 3"x 3"x.'/," 3.1 FLOORS r Floor framing member spans ciird .......... (per 780 CMR 55.00) ................ .... _ Maximum Floor Opening Dimension.......... (Fig 6) ..................... 5 12' {F04Height Wall Studs at Floof0penings less than 2'from Exterior Wall(Fig 6) ............. MAfiokum Floor Joist Setbacks Oupporting Loadbearing Walls or Shearwall . (Fig 7) ........................ Q ft s d _ Maximum Cantilevered Floor Joists Supportin Loadbearing Walls or Shearwall . (Fig 8) ..... .................. Q ft 5 d _ Floor Bracing at Endwalls .................. (Fig 9) _ Floor Sheathing Type ..................... (per 780 CMR 55.00) ............ _ Floor Sheathing Thickness ................. (per 780 CMR 55.00) ............ /..l in. _ Floor Sheathing Fastening .................. (Table 2)e d nails at_Q* in edge/�in field _ 4.1 WALLS Wall Height Loadbearing walls ..:.................. (Fig 10 and Table 5) ....... -7, �' ': t -.5 10' _ Non-Loadbearing walls ::............. (Fig 10 and Table 5)....... ft s 20' _ Wall Stud Spacing ........................ (Fig 10 and Table 5) ......./t in.s 24"o.c. _ Well.Story Offsets ........................ (Figs 7&8) ................... 0 ft 5 d 4.2 EXTERIOR WALLS' Wood Studs I, Loadbearing walls .................... (Table 5) ............2x --T ft `T in. _ Non-Loadbearing walls ................. (Table 5) ............2'x - ft in. Gable End Wall Bracing' Full Height Endwall Studs............... (Fig 10) .............................. _ WSP Attic Floor Length ................. (Fig 1 I) —ft zW/3 _ Gypsum Ceiling Length(if WSP not used)(Fig 11) ..................... _ft>0.9W _ and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11).............................. ....... _ or I x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays .......................................................... Double Top Plate ,l Splice Length....:.................... (Fig 13 and Table 6) ..........1•...)k ft Splice Connection(no.of 16d common nails)(Table 6)........................... 1054 780 CMR-Seventh Edition 12/28/07 (Effective 1/1/08), 780 CMR: STATE BOARD OF BUILDING.REGULATIONS AND STANDARDS APPENDICES Loadbearing Wall Connections - Lateral(no.of 16d common nails) ......... (Tables 7) .................. ....... �i 'Non-Loadbearing Wall Connections / Lateral no.of 16d common nails - able 8) ✓✓✓/Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans......................... (Table 9) ..............4 ft in._< I V / Sill Plate Spans ............ (Table 9) .... Spft in.s 11' ........... .......... Full Height Studs(no.of studs) ........... (Table 9) .......................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans...... ..................... (Table 9) .............•2—ft in.s 12' — Sill Plate Spans.... .. . .................. (Table 9) ..............Z ft ` in.s 12" — Full Height Studs(no.of studs) ........... (Table 9) ......................... .I -yt Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously" Minimum Building Dimension,W Nominal Height of Tallest Opening...................................CpQ 6'8" Sheathing Type...................... (note 4 .........................rZ Edge Nail Spacing ................... (Table 10 or note 4 if less) ......... „Z in. Field Nail Spacing ................... (Table 10)................. ..... .jCa in. _ Shear Connecitbn(no.of 16d common nails)(fable 10) . ...... .Z Percent Full-Height Sheathing ........:. (Table 10)........................I% _ Cj 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)........... — Maximum Building Dimension,L Nominal Height of Tallest Openine...........:........................�.�5 6'8" — Sheathing Type....................... (note 4).....................4�2 CAS Edge Nail Spacing ................... (Table 1 I or note 4 if less) ......�>�t. in. Field Nail Spacing .................... (Table 11).....................: in. _ Shear Connection(no.of l6d common nails)(Table 11) .....................z. j;�r. — Percent Full-Height Sheathing .......... (Table 11).......................:2 %` 6%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).......° Wall Cladding Rated for Wind Speed? ......................................................... t; 5.1 ROOFS / Roof framing member spans checked? (For Rafters use AWC Span Tool,see BBRS Website)� Roof Overhang...................... ..... (Figure 19) ......S'j ft.,smallee of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift .................. (Table 12)...........".t. 1. ...:. U (pplf llts Lateral .................. (Table 12).................... I=j(_.j(0plf rc�. Shear.......................:....... (Table 12) S='M plf Ridge Strap Connections,if collar ties not used per page 21 (Table 13)............. T=#*Zplf Gable Rake Outlooker ..................... (Figure 20) ...... ft s smaller of T bi L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift . .....•...................... (Table 14).........:.......... U=—lb. _ Lateral(no.of l6d common nails) ....... (Table 14).................... L=—Ib. `— i Roof Sheathing Type ...................... (per 780 CMR 58.00 and 59.00) ...6Yg1.'.C.b)C. C Roof Sheathing Thickness .......................................V$'V in.z 7/16"WSP — Roof Sheathing Fastening .................. (Table 2) .....$�.(+�l� .. _ Notes: tQMFLdLz 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d: All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.$hall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. 4. a. From Tables 10 and l l and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements 12/28/07 (Effective 1/1/08) 780 CMR-Seventh Edition 1055 Table 2. General Nailing Schedule Tili-V _ �L1 .. r, :1 i��j' ] i Roo:gaming 2-Od 2-1 Od each end Blocking to Rafter(Toe-nailed) 2-16d 3-16d each end. r Rim Board to Rafter(End-nailed) I1: Wall Framing t� 4-16d 5-16d at joints Top Plates at Intersections (Face nailed) 2-i 6d 24" o.c. r� Stud to Stud (Face-nailed) 2-16d Header to Headef(Face-nailed) — 16d 1 Gd 16" o.c. along edges - Q Floor Framing CP Joist to Sill, Top Plate or Girder(Toe-nailed) (Fig. 14) 4-8d 4-1 Od per joist =� Blocking to Joist (Toe-nailed) i 2-8d 2-1 Od each end Blocking to Sill or Top Plate (Toe-nailed) 3-16d 4-16d each block C� Ledger Strip to Beam or Girder (Face-nailed) 3-16d 4-16d each joist Joist on Ledger to Beam (Toe-nailed) 3 3- 8d 3-1 Od per joist Band Joist to Joist (End-nailed) (Fig. 14) 3-16d 4-16d per joist Band Joist to Sill or Top Plate (Toe-nailed) (Fig. 14) 2-16d 3-16d 1per Toot Wood Structural Panels r rafters or trusses spaced up to 16" o.c. 8d 10d 6" edge/G"field Fafters or trusses spaced over 16" o.c. 8d •i Od �" edge/4" field gable endwall rake or rake truss w/o gable overhang 8d i Od 6" edge/G" field gable endwall rake or rake truss w/structural 8d 10d G" edge/6" field ou'loot,ers gable endwall rake or rake truss w/lookout blocks 8d 10d 4" edge/4"field Ceiling Sheathing Gypsum Wallboard _ 5d coolers_ r 7" edge/ 10" field . .-.a •'..:zing , Wood Structural Panels studs spaced up to 24 o.c. 8d 10d 6" edge/ 12" field 112" and 25/32" Fiberboard Panels 8d1 — 3" edge/6" field 1/2" Gypsum Wallboard 5d coolers — 7" edge/ 10" field rFloor Sheathing � Wood Structural Panels 8d -i Od 6" edge/ -I 2"field -•I" or t less 1° Od -i 6d 6" edge/6" field greaer than 1 Corrosion resistant 11 gage roofing nails and 16 gage staples are permitted,check IBC for additional requirements. $;is. Unless otherwise stated, sizes given for nails are common wire sues. Box and pneumatic nails of equivalent ' diameter and equal or greater length to she specified common nails may be substituted unless other..iss .rah: "sled. .AMERICAN FOREST&I PAPER ASSOCIATION 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS' THE MASSACHUSETTS STATE BUILDING CODE b. Wood Structural'Panels shall be minimum thickness of 7/16'and be installed as follows: y i. Panels shall be installed with strength axis parallel to studs. x. ii: All horizontal joints shall occur over and be nailed to framing. \e iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. IV. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first Floor framing. v. Horizontal nail spacing at double top plates,band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment WHEN THIS EDGE RESTS ON FRAWNG USE 8d NAILS j AT fi'o c -- --- 11 11 � LU ' 11 11 11 11 11 II 11 11 u u 1 /1 11 1 II n u II 11 ii ii 11 n n it ' 11 11 11 OO 11 11 11 ' • ,1 ( 11 I 1 I O I'1 Il f ' II m 11 11 Q 11 . 11 }' 11 11 •O 11 . 1 Q 11 I1 0 J 11 11 11 Z 11 Z m n �� gag 11 d i 11 0 11 11 LL I1 11 11 I 1 W 11 11 tll 11 1 1 I.UJ !1 11 ISM 11 l I1 Z 11 11 a 11 i ' Q 11 11 W 11 ! U n 11 I �J 11 p 11 �1 11 11 DOUBLE EDGE $'NLSPACING PANEL d I See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment a 1056 _780 CMR-Seventh Edition 12/28/07 (Effective 1/1/08) ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 13— —0,W..,Sum. J.Lt h.ng.r BY: LEGEND Side�dsd ComseWn d! REVISIONS: L Vord IM da.SIN(b) fine BeerhpWmBMow P—. —0.0--- 17— -j 1W.--raft, e!,arin-gWallAboms -- ------- -- L---------- -- Wmo Non-Sewtv Well 8*10% jNlon-Beaft Well Abovi I...... minMun eel earim WVn Post Below Poll At ove 'er,, Versa-Lem LVL boom Multiple Member Connection Bait Multi le Member Connection Nall ...... Attachment at End ��n Panels at Interior Bearin Post Load Transfer Rim Board LVL Header Openino Exterior End Wall S2PRO—rt F50 N.T.S. N.T.S. N.T.S. (F a F08 N.T.S. N.T.S. N.T.S. N.T.S. N.T.S. Post Above It Below EXISTING 2 2 zo 0 >Lu 2 z Ch co 20K 2 2 DR2 2 Verify Shelf F—Ing SchoW.-Nomblatned 2 Tag cny oestdition L.0 1 6 11.718'. S"20MSR 200• 2 'S I1-7?3'AJS*'20.V.SR ISO' 3 d 11-718`AJSIMVSR S'a' Not... 4 3 I1-',.,r�S'-20VSR a,T 2 ll 6 I-Yrx 11.7fir VERSA-LAMS ZO3100 SP 160 Shnodp dawingp..l—typ,ca"l dIon1Wls BLK1 fo.l.g . m;82 4 1,V4"x 11-718"VIERSAAAMS 203100 SP 4(r In.tallatien procedure.and tmIt SLKI SLK 11-?M'A-1S'20.V.SR 38'0' Id.niffl—tim,marks. hall be 2 submitted Zr approval by the 15 1 TL I-la-,11.718-SCRIM BOARO-OSB OW IT project sochttectlordle—gineen, 5 Exx�qu.nifti..and ltmqft.are the sponsIbIllty of the contra�r. corm.".,1.to—11,all booms and to aft at their enact locations. The floar.ytmo LVL)are d—Ignedlerflem,lood.only. Root leads ham rafters•bmcfng. and=m,must bear:� sted- 5 wall, d batdm; DR1 trolght 161,Flea, .Any Accessory Sd.W. real leads cabled by the floor system ...I be so Ind]-td-the framing Tag Cry Manufacnumm Prodixt DexrlplMpl.. ularIfted!to..ft,tab—aff. III I Me Im HKUS410 Product to be Ittered.handled and — I SIMpm Strong 1—tt'led I ---Man-with H2 4 Stmp—Saong,71.I— KUSI.81110 m-1mvhnner's recommended— H3 6 SLMP—Strong-TI.Inc. IUS2.5611 1.88 5 2 81(2 --------- ------- -----------3------------------ r 5 —B2 82- -3 3 —31ILH2 i I I ====B1(2) 2 LL —2 ol 2 :81(2) —4 r H1 -jj-4— H3 B2(2) 5 BC FRAMER®6 —-- -------------------------------------------- SCALE: 1/2"=V-0" —START FRAMING HERE 5 DATE: 8/29/2008 1 st Floor Al BY: be 11-7/8"AJS 20 MSR rod FILE: Glover Faen.b 16"OCS 1 st Floor SHEET: 1 if 1/2 = 11-011 Last Saved Date:8/29/2008 3:37 PM Print Date: 8/29/2008 4:35 PM ------------------------------------------------------------ --- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ' --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- LEGEND Side Leeded!Unneedon ...—C... REVISIONS: BY: See— 'Post Beim Pod At ove LVL boom Multiple Member Connection Bolt nnection Nail Attachment at End n Panels at Interior Bearin Post Load Transfer Rim Board LVL Header Opening Exterior End Wall Support Sy e jPosi Above&Below EXISTING Of LU MOZ � verify Shelf IdFlor do- -2 Tag I City Descripthon Length Shop dr-dutge.typicual detail. 2 submitted far pp—al by the the responsibility the control Contractor Is to raft all beams and)a ta at their moscut laccuefla— designed far floo,lood.only. A-1 lead.from raftme,bracing, DRII to Floor straight through to a Ing.Any AoceswM Schedule real lead.carried by Me fican,system must lea,so Indicated 0,the framing —H1 Prod-0 to be stared,handled and IZZ uo al es se so he -4= H1 START FRAMING HERE FILE: Glover Faeron.bd — __ *~� Floor- If { 'U �� 1�� :� 1/—�/'Last Saved Date:8/29/2008 ` zurpM '^^- ' = � ! Print Date:-___��noo�*u PM --- LEGEND ROUE 99 PROPOSED CONTOUR sq 99 PROPOSED SPOT GRADE Screened d °°° — 40 EXISTING CONTOUR o, 9 X LOT 2 0 EXIST CESSP0X 30..23 EXISTING SPOT GRADE 4, MAP 176 N To be pumped &' PARCEL 1-2 Y Furled with sand TEST PIT n��h Si 89,1221S.F. EXISTING WATER SERVICE c 2.05tAc. Q° o / -Vi}l LOCUS N � Q0 LOCUS MAP N.T.S. GENERAL NOTES: I ti0 sob. ALL-CHANGES TO THIS PLAN MUST BE APPROVED BY .THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. �`°�Q 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS .L OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE Sep 1°�' 3 — p4�'o �� °�'�a \� \�\ LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: Tank LOCAL VARIANCE FROM WELL SETBACK: 1) A 31' variance to the owners well, for a separation of 119'. °6 t•1,, 3. o . THE SEWAGE' DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 10a'39 a .' ` ti TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 1 1 �� IO. DESIGN ENGINEER. i I 0, CQ r 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING c y FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN �j �1 3;1� 0 . ENGINEER BEFORE CONSTRUCTION CONTINUES. O o I BFlj NG / p Z° ` 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. �Q• =1 —� i yoUSF� ,��M i 6. THE.DESIGN ENGINEER IS NOT, RESPONSIBLE FOR THE FAILURE OF i a ��' / X .i Ip fOJ / .1� _ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF ho CIL. 66> / 100 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. ( 7. WATER SUPPLY .PROVIDED BY PRIVATE WELL. �`(/ 8. THERE 'ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. OTHER THAN THE OWNERS WELL. rb 9. ALL AREAS CLEARED FOR CONSTRUCTION ARE TO BE RESTORED TO A CONDITION AGREED UPON BY THE OWNER AND CONTRACTOR. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE O O :`1 cu Q \ —'� 2 '/ THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO.BEGINNING Q� I.`... \ CONSTRUCTION. BENCHMARK O� I';,:';,: I �+1a2' 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 1 3 R' RT. COR. TOP .STEP wners well 04 ,023 10 EL: 107.20 (assumed) IN THE AND REPLACE WITH CLEAN BENEATH DFILLLRAS SPECIFIED INS310 CMRTHE 255(3).S 119' to. 33.5' EL 103.83 �g W 3 �0�9g // PLAN REVISION: 132' 1°3a� ,°329 stone wolf �°2 /Q � i // 1. 2/8/02 RE-SITED S.A.S. DUE TO POOR SOILS ENCOUNTERED WITHIN THE i Of Mq f f9 AREA OF THE ORIGINAL DESIGN LOCATION. 66`06'10' W —�' e pf �aVe PROPOSED SEPTIC SYSTEM UPGRADE — ti � , �o�� PETER T. �� PINE STREET 2?3 ,° o McENTEE N 310 PINE STREET WEST BARNSTABLE MA 1° / CIVIL I No. 35109 Prepared for: Barbara Breisky, 310 Pine Street, West Barnstable, .MA AFC/Sla Engineering by: Surveying by: SCALE DRAWN JOB. NO. SCALD 1'=20' � �Fs Engineering Works Tm7yA. Warner P.L.S. 1"=20' P.T.M. 04-02 23 Deer Hollow Road' 22 Long Road Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. 0 20 40 i `� (508) 477-5313 (508) 432-8309 02/19/O2 P.T.M. 1 Of 2 37/0 P,ne ��►. �„a Ildl�x.o rslalaT M.t uv�cltret A 20 Alb 2000 -- A'le Oer 2006 II II 11 II I I I I I I I I I II II II II I II II II II I II II 11 II I � II II II II I t 11 II 11 11 I II II II II II II II II 11 I ---� it nWiQl IBM 11 11 11 II I II II 11 II II II---• ---4 I 11 II II II ; ARCHM5CT .. II II II II I II II II II II 1L__ I II II II II I. 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I I 1 •• i 6TAlQ V 1 I I I I M'OOW- t>� ; ..• ; ; ". ; r EIWTTI®ALOITGfh!'•O' I I Y+dL4)I MOM 11N .A a 1 6X6 POLY- 1 1 I BTHYLJ9!m VAPOR RErAROER I I 40'eotlDTlee vrltaOLA P+OUDATION PpjopckmD PROPOSED FIRST FLOOR PLAN: ��"*� ; i i I td CO"COM a PO"ATTON WA" EXISTNIS FIRST PL-OOR PLAN: v -tf FLOOR PLAYS I au 2+COncR&M ROOTTIO I I DATE KKK G6 Ch�r�c S�.Y wa R O � !lAWI!Y>I P L---- - - ;J-I----1 I CL 2 pm ' No. 1828 - Lt---------- -- ----------t� 0 via EAST DENNIS, 1 1 I 1 I 1'o MASS. 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I I ANDERBEM DAsEmwfr 1 I 1 I I I 1 I WINDOW-TYPICAL I . rN r-Nr Tnw 1 I 4 ccmcREYE DL115 W/Ism 1 i VJGSTM AND 10/ Moposm 6 40 ms VAON 6 POR KL POLY- I j lo-D01107um PERGOLA FOU'®AIM - RIER PROPOSED FIRST FLOOR PLAN: ar COMCM11101 PCILINDA1171N WAS- EXMTMG FIRST FLOOR PLAN: FLOM PLANS 4VX xv COMCRW n FooRIG DATR 46 AM 2008 I C I 11 I DRAWN By, I I I I I I I PGB L r-r PROPOSED F0LMDATtO""t3MENT PLAN: v.•ro i' T. -. LEGEND RoU� 99 PROPOSED CONTOUR Cq F9_9_1 PROPOSED SPOT GRADE Screened bldg. pA° 40 EXISTING CONTOUR a� LOT 2 C T.EXIS CESSPOOLS 30..23 EXISTING SPOT GRADE MAP 176 To lbe pumped PARCEL 1-2 " FlIted wJth sand r TEST PIT 11(''19 89,122tS.F ~�► W EXISTING WATER SERVICE Church st � t 2.05tAc. • � � J R0� �P o� o I / read LOCUS 0� OJT LOCUS MAP N.T.S. N ( t ; `� ,t oe °� 92 GENERAL NOTES: cA . i t ti aoJ• ,®�•o 1. ALL-CHANGES TO THIS PLAN MUST BE APPROVED BY.THE LOCAL �\ tit --� �t d BOARD OF HEALTH AND THE DESIGN ENGINEER. �CZ,� 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Q� OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE Set 1°�' 3 — p4 e, \ �°�'�g \� \� . LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: Tank LOCAL VARIANCE FROM WELL SETBACK: $ Shed ' �° y ! a2 h 9�� 1) A 31' variance to the owners well, for a separation of 119'. °g39 3. THE SEWAGE' DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 1 tt ti` ` tO DESIGN ENGINEER. l° r`'— i i 0, C 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING j ,063, oaP FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN -�'//o,, 'ti0 0 . ENGINEER BEFORE CONSTRUCTION CONTINUES. 0P o + 4 BNG j p �p3'(9 Q 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. �% �Q• ^1 l tioFSF�R,O�M i 6. THE.DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF x ho Ip66j0> / � �'10 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF C'L. / _ — 100 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. a6o � 7. WATER SUPPLY .PROVIDED BY PRIVATE WELL. i ^�6t� / '� 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. �� —rL�O rJ �� ✓ ��' / - OTHER THAN THE OWNERS WELL. Props ��035 "r i' "� 9. ALL AREAS CLEARED FOR CONSTRUCTION ARE TO BE RESTORED TO i _ff Box ��S '� / Q A CONDITION AGREED UPON BY THE OWNER AND CONTRACTOR. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO.-BEGINNING I c�u _ e c� ( CU BENCHMARK CONSTRUCTION.. , _13 b ► Z 0°j ' QZ' 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS PR17P1: 't�41iSy: ; I.R 3 R � RT. COR. TOP STEPto wners well ,°- 0 IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES.OF THE S.A.S. 119 � 33.5' 1 S EL: 107.20 (assumed) AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). % q0 i _ °A �� EL 103.83 �5 W r^ 1p�� // PLAN REVISION: / 1. 2/8/02 RE-SITED S.A.S. DUE TO POOR SOILS ENCOUNTERED WITHIN THE 1p�oj`� 132' 1°3a� 1p32� stone wait 1°Z e / . �/ pF 84jr AREA OF THE ORIGINAL DESIGN LOCATION. 66'Q6'10' W "_aver�en'o�• � 1p1`3 �' Q� ql' edge f p kr' `� o PETER T. � PROPOSED SEPTIC SYSTEM UPGRADE f�INE STREE-Tl°2?3 McENTEE N 310 PINE. STREET, WEST BARNSTABLE, MA CIVIL No, 35109 Prepared for: Barbara Breisky, 310 Pine Street, West Barnstable, .MA �£ClS1E `�� Engineering by: Surveying by: SCALE DRAWN JOB. NO. SCALE, 1'=20' FS Engineering Works Terry A. Warner P.L.S. 1"=20' P.T.,M. 04-02 23 Deer Hollow Road- 22 Long Road Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. 0 20 40 �\v (508) 477-5313 (508) 432-8309 02/19/02 P.T.M. 1 Of 2 .t Church St. \ Locus a 'PC,µet \ DN STN WALL QpC 97.1.12 // 09 .A c�PSS 6 L- 112.65 Screened F` 00, PO brag. Lot 3 9�d ' ! 113.79 2.05+/- ACRES x LOCATION MAP ; Map 176 ��' 4- Parcel 1-2 \ O M rF Map 176 Parcel 1-2 x 1071 \ 110.72 ti / Proposed Addltlon J \ Within Existing Footprint 98.59 0/ 106.58 Garage 111.67 f / ea9e \ DH IN STN WALL 1� 106.14 111.22 / i p� . 111.03 / x 107.05 ^ Shed � / 10 106. 107.0 �-- / / Ret. wall \` 108.39 .109.33 ye / \ WELL \ / �106.01 � 09 / x 106.to Exist. //��,,,, /Brick 9� Pro / O.H.W. 8.75 / 105.10 Terrace's p• -- ' � f06.52 Fdn. 1Q3.92 UP 105.18 O Ed aF 104.81 spool 0® ' . ' x 105.57/ - - Prop. 106.18 f / 98.44 . 106.93 Ces / g2 Crawl I a 6„6, 104.40 / I _ /dam 4' 104.95 _IOq-- 106.25 / #310 98.98 Opt j7 -0103.83 \ .20.? TOF=106.6.' / 1 /I () 104.89 TP f ' 103.49 x 1Q3.5] \ s" j/' 28.4' 1 9. O� Q f�T� 104.14 Q--of 103,29 106.15 A 103.79 / I 1 98.07 nPn� 102.95 130.l0 R 142 71�43' 'W ` - 102.73 102.33 ane J01.38 100.98 / % / / 97.70 x ]02.59 , . / e0 PLAN OF LAND IN 10 f ! UP 91/256 / / #rZST BARNSTABLE, A4. j ate.3ar�1 N A .V'e 2 PREPARED FOR ea IJOIlCLAS T. FLAR01V 01 �' oQ Scale: 1'=20' JUNE 18, 2008 97.54 Rev. 8122105 98•- . scaler 1'=20' 22 LONG ROAD Owner of Record., Douglas T. Fearon HARWICH, MA, 02645 o' 20' ao bo' (508) 432-8309 D.B. 14 910 Pg. 85 97.38 Project No. 02-103PP.DWG i Church St, L ocu5 P/nP `r �Oo-d D IN STN WALL het \ � X . � M PSs 112.65 Screened �y I o bldg. Lot 3 QCY 113.79 2,05+/- ACRES F� x - L MCA T117N MAP Map 176 Parcel 1 2 \ coo u F-9 f F� x 1071 Map 176 Parcel 1-2 \ 110.72 ti /� Proposed Addit/on 98.59 DH IN STN WALL i 0 J 106.58 Garage 9Q 111,67 ga 111.22 ` 0� 106.14 111.03 t' �� J 0 /f x 107.05 10 106�9 . \ 107.01., Shed Ret, wall 108.39 �109.33 i' �� - � WELL � ~x 106.01 - x 106.�3/�' : N 8.75 I;r,;'c �3 / Pro % O.H.W. -- 9 UP 105.10 106.52 f� Fdn, i 161.92 � d 105,18 Edge of- \ 1� 10010, / 98.44 2 la wn _ x 105.57/ Prop arc 106,18 Q dt 104.81 0 Cra wl Q o li 2�'2 < m r 106.93 N 104.40 ' 5g�36 106.2�, 20- !✓ 104.95 -- 104 -- _.__ ____ _ #310 �d 83. 98.98 op 103.83 ~ � TLIF=106,67 104.89 103.49 x i103.5 \ �s 28.4' ` 99. F j / Q�� 7.20 1 98,07 104.14 103.79, , f - T 103.29 ti lb6.f 5' t op pQ�P'�Pn 102,95 /- - �1,r 160.07 .. fL r130. 10 R-142 102.73 102.33 Ore__' 100 01,38 100.98 ' 97.70 PLAN OF LAND x 102.59 ` - / � -_ ---- / IN TYL'ST BARNSTABLE, .CIA. 102.36 UP 91/25 / , / -`r,�// ' r f PREPARED FOR, 1 ^.,IP 1 t � tio2 � 0 IDOUCLAS T. FL'ARON ate/ FI/ JUNE 18 , 2008 VZ x 97.54 4 o TARRY A. XARNL'R, P. L. S. 9$ 22 LONG ROAD Scales 1'=20' HARWICH, MA, 02645 Owner off' Records Douglas T. Fearon ,J o- 20' 40' 60, (508) 432-8309 D,B, 14 910 Pg, 85 97.38 Project No. 02-103PP,DWG