HomeMy WebLinkAbout1685 MAIN ST./RTE 6A(W.BARN.) OxfordNO. 152 1/3 ORA
� a•
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map CO Parcel y Application #C�N 111�J
Health Division Date Issued /
Conservation Division oc Application Fee [ -
Planning Dept. Permit Fee J ' ' 0L
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation/ Hyannis
Project Street Address (0 M aI h
Village P_>�'�-' l�/_ZM/L
Owner L1 M&hh Address I r:,-) bwn 41 V Darn
Telephone o,6 "-,36Z-- ?)1c-) 14A 6(0
'Permit Request (3YytU-- -S��C,�V1�"1
Square feet: 1 st floor: existing 1608 proposed _2nd floor: existing proposed Total new
o
Zoning District r Flood Plain Groundwater Overlay :::E:
'Project Valuation �b b� Construction Type t, o
Lot Size � - Grandfathered: ❑Yes ❑ No If yes, attacfrsupporting,-docurr entation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
? - Age of Existing Structure Historic House: ❑Yes No On Old King's Highway Yes 0 No
e a4,
Basement Type: Full ❑ Crawl Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing OYV-.l new Half: existing new
Number of Bedrooms: existing —new
Total Room Count (not including bath 3): existing new First Flo r Room Count
Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other 4w1V--�A-n d
Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0 existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: 0 existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial 0 Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name 1 �% i:� LN, Telephone Number
Address �". X , fi � j MA License# C -7
Home Improvement Contractor# 1 � 4 8 a I
1 Worker's Compensation #
ALL CONSTRUCTION DERR S RESULTING FROM THIS PROJECT WILL BE TAKEN TO yLXm b-b
t� PDsa 1
SIGNATURE DATE ` / G • Z ���
} FOR OFFICIAL USE ONLY
APPLICATION#
ISSUED
DATE ISS
t � Y
AP/PARCEL NO.
ADDRESS 4 VILLAGE
OWNER
DATE OF INSPECTION:
�. _.FOUNDATION o!G S,L2.Jig-Rlw4,,, ;
FRAME 13P7V,*
INSULATION �� o tom. r vie ►
t .
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL '
_ r
GAS: ROUGH FINAL
t
?11 FINAL BUILDING z z �j�`�—
C3
f
r. DATE CLOSED.OUT
ASSOCIATION PLANNO.-:`!"
I'he Commonwealth of Massa&usetts
DI D ent a f final Acddetr
e�artnr fIndw
Offim oflnvesd9adons
.600 washhwonsbwt
Boston,MAWHI
www.rrrmx:gosl�dra
Worlm-e Camp essafianbmimncelAffidxvit:BiMa-miContsachor&fEFectriciausfPlumbers
AmEcant Infornafim Please Print 'bIy
Name
Address: KtD;-°Pzbx $ D2_1>r5 U
City/stati,:/Zsp: PE�-JNII b Z63 Pb $ �3`3 5 -z
Arc yan an employe•?Cheek the appmpriak bom Type of project(ralu=1):
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑Now construction
employees(full andlarpart-time)_* have hued the sub-coubactam
2-0 I am a sole proprietor orpartner- fisted on the attached sheet: 7.. Remodeling
slop and have no employees These sub-onntracturs}rave 8. ❑Den tin
working for me in any capac ly employees Q_X Bnilcimg addition
[NOwvrl►zcs comp.u>surance " C0mp-
�d-] 5- ❑ We are a corpondoa and its 14❑Electrical repairs ter addition
3_❑ I am a homeowner doing all work officers have exercised dmir 11.❑Plumbing repairs or additions
=yset£[No wtxkErs camp right ofememption per MGL 12.❑Boaf
insurance required.]t c-152,§1(4),and we have no zEpazts
employees_Lido wars' 13_0 Other
comp.insurance required`]
'Any appEmrt fhat clip box al mastalso fM ovtthe sec6onbelowsboviin5 di&wcdm:e o=PM tiDM policy infmmwdiM
11caaw aem ttho subs this tdEdavk in&cxtin6 they tS doing KU vwksnd&mhis outside cMtncmammst suhm Z new afidavit iudiceimo W ch_
�CoaWctaathatchecls this box mast attached an additional short dwvdng the name of ft mb-c=Calxs and ctue xLdha arnottbase mtidE slm
employees. Iftltrsal?ca Lcioabasem*:oy--ahoy—, pnM&ffieirwards'aomp.poEcym>mbrr.
" I aln ern atftpinyer tlirttispravidirtg ttrorkers'eorttprresafian irtsrtrautca for mJ*enrplcaya� �eionr is 8�¢palicp turd,job situ
irtformadam
Insurance Company Name:
Policy 4 or Self-ins.Uc.# Fxpiration Date:
Job Site Address: City/Sp:
Attach a ropy of the workers'compensation policy declaration page(showing the policy number and espim ran date).
Failure to secure coverage as required under Section 25A of MGL c.152.am lead to the imposition oferimiaal peusltias of a
fine up to$1,500.00 and/or ona-year impriso—t,as wen as civil penalties in the fbm of a STOP WORK ORDER and a fore.
of up to$250A0 a day against the violator- Be advised that a copy of this statement maybe fitawarded to the Office of
Is estigatitms of the DIA for insara=coverage veriffcaticn-
Idohereby:nunderfhepiins jMdPVUaUqTqf iliettheinforiam miprovidedtrhuuaisiseandearrarat
phone# ,,a
01rW ld am onljt Do nut wr&r in this area,la ba eampleted by My artmm a,f fres�i
Cady or Tows: pera* icense#
Ong Aatho=ity(drele once
L Board of Healtic 2.Ituifiling Department 2.CAyfrown Berk 4.33ect cal Inspector 'S.Plutbmg Spector
6.Other
Contact Fauna: ;Phone 9:
6
_
'
' ~ ' A TYC Guide to Wood Consfruction in High Wind Areas:R 0 mph [fruld Zone
������^^'t� �'h t f6]� ���^�°�Y aT�ce(7OBCKYt5301:L/J)/ - '
. .
' [h=k _
---V-__-
1.1 SCOPE ,
Wind Speed(3-amgust).'_----.--____'---_-------'---.--____'-___''__--_..._- 110 mph
Wind Exposure -�--
.,.~ Exposure Category................Engineering Required For Entire Project.......................................C
. 12 APPLICABILITY _ . '
� N��������w� ��8�12�Dpeshall be considered a story) stories :52stories
. RnDf Pitch............ ............................................................... ............................................. s12:12
MeanRoof Height ............................................................ .......................................... .....___ft !933'
BuildingWidth,VV _............................................. ............ ...................:.................. ftg157
L _-.----_-_______':__-,----- __'-___ .580
� Building - ___--_�_--'_-[F�41_ g 3c1
Building ' ' ' ��8^
Nominal Height of Tallest -____-_-_'r—��4)--------_—'-----�_-_
^ . �
� . ..
/ 1�3 FRAMING
� General nomoUancmv��ham�goonneodonm___--__(Ta6�2)---_-_--'_'-_-_-_--__--- ��--
� .
� 2.1 FOUNDATION
Foundation Walls meeting requirements'of7OOCMR54Q41 '
� Concnat�.--..-'�-_.-_-.---_----'''.'---------.-..------''---------'------ �
' Concrete Masonry.................................................................................................................:-------' -l�--
i 2-2ANCHORAbETQFOUNDAT7O0"3.
| 5/B^Anchor Bolts4mbedded or PrDpdetary alternative hnconcrete only
T �
�
Bolt e**°a ---`('""e-) ----
Bolt~r~~^o from~^~,- -of plate............ ...............(Fig- ----' |
/ Bolt Embedment-concrete.........................................(Fig
Bolt -maoon�'_--.__,--_---'-- `-�--/-----'---'---- i�� 16r
' ' �3^�3^x�� �
� pk�e\Naahac'�__-_'__-''_-_-_-_-_--_-(=� 5)'____-'--_---_'-'_---
3.1 FLOORS
� F|oorfruoingn�ember spans checked --'-------_-_-'(perTOOCy�R�hopba 55)...................................
��12.
K«a�m�nRoor �knensbn____----__----(�QO)----' r'---'---'--` ' ----
FuUHa�htVVa{Studs aLF�orOppn�gok�o than 2'fnomEzbahorVVaU(�gO).-_-_----_---......... -_--
' MhdmUm Floor Joist Setbacks �
' LoodbeahngVV��crShaanwaU--__---(�g7]-__'--,-_--_-.�'------_._--ft �d -_--
k4a�m Cantilevered Joists
�
Maximum Floor �
SuppDriingLoadboahngVVoUy'orShoonwaU_---.--- 8 ......................................................_--ft 5d
RoorJBnacingatEndwdls.................................................... --�r~
' Floor Sheathing --_.-'--__'__.
Floor Sheathing lbbdoness ........................................... -��-
Floor Sheathing Fasb*rfing...............................................-<|a�lmu)-___d nails a, In edge/___o/field
/
4.1 WALLS
' Wall Height '
Loadbearin and Table -----_----- � 51Oy .
� - walls........... �ndTob� _--- ft'52� '
| Wall StudSpacing � _--_'-___��__----_'-.--. and Tab�5)_-_-._���k�ua4`o/�
| � � Wall Story Offsets .-__-___---_----'__�-��Qs7�O)__�------'—'------'`---ft �d
� ^ .
4.2 EXTERJOR-WA-LS^
Wood Studs
Loadboadngv�ralls.........---.-_--_----'_'---_ -----'-.--.--_2x�__-___fti�
Non-Loedb � �ab�S\---'-_--.----2x� - ftb�
Qsb�End\&aU ` � .
Full � ----
� Floor Length 11 ' ____ftu6@�
| 'Gypsum used 11)............................................___ftaO.9VV
' and2x4Continuous Lateral Brabe@Gito.c.- (FiQ11)............................................................. �
or1z3 ceiling huning strips @1G^spacing min.With 2x4,blocking @4ft.spacingin end Joist or truss boy���`
� Double Top Plate
Splice Length .................:.................................... Table G).....................................___ft ^^
Splice Connection(no of1Gd common nalls)..............(Table G)...........................,............................_�_ _y�_
|
/
AFYC guide to Wood Construction In Hig11 Wind Areas: 110 utph Knd Zone,
Massachusetts Checklist for Compliance (790 CkIZ530".2.1.01
Loadbearing Wall Connections
Lateral(no.of 16d common nails)................................(Tables 7)...................................................
Non-Loadbearing Wall Connections
Lateral(no.of 16d common nails)......................_........ffable 8).......................................................
Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
9
Header Spans .......:................................................(Table 9)................ i_ft_ n.5 11
Sill Plate Spans I...........................:............_............(Table 9).............._..................._ft_rn. 1 _
Full Height Studs (no.ofstuds)....................................(Table 9)....................._._.........................
.....
Non-Load Bearing Wall Openings (record largest opening btit check all openings for compliance to Table 9)
HeaderSpans.................................................._.........(Table 9).................................._ft—in.5121
SillPlate Spans...........................................................(Table 9).............._.................._ft in.512"
Full Height Studs(no.of studs)...._.::...........................(Table 9)..............................................
Exterior Wall Sheathing to Resist Upfi t and Shear SimultaneousV
Minimum Building Dimension, W
Nominal Height of Tallest Openingz .........................................................................._.... 5 6'8'
SheathingType..............................................(note 4).......................................................
Edge Nail Spacing.........................................(fable 10 or.note 4 if less)......................... in.
Feld Nail Spacing.................:........................(Table 10)................................................. in.
Shear Connection(no.of 16d common nails)(Table 10)......�................................................
Percent Full-Height Sheathing.... able 10 °
g g..:................. (T )....,.---•--......_................................._/o
5%Additional Sheathing for WaII with Opening>6'8'(Design Concepts)....................
Maximum Building Dimension, L
Nominal Height of Tallest Opening2.........................................................................__<6'8'
Sheathing Type..............................................(note 4).......................................
......_......
Edge Nail Spacing.........................................(fable'l I or note 4 if less)........................ in.
FeldNall Spacing...........................................(Table 11).................,._.....................I....... in.
Shear Connection(no.of 16d common nails)(Table 11)......... ................_...... ..........
Percent Full-Height Sheathing........................(Table 11)..................................................... %
5%Additional Sheathing for Wall with*Opening>6V(Design Concepts).............. ..
Wall Cladding
Ratedfor Wind Speed?.............................................................. ............................................................... ..
5.1 fZOOFS_
Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website)
Roof Overhang ...................................................(Figure 19) ............. ft 5 smaller of 2'or U3
Truss or Rafter Connections at Loadbearing Walls ;
Proprietary Connectors
Uplift................................................(fable 12)....................................:........U= plf
Lateral................... ..(Table 12).......................... .......L= pif
Shear................................................(Table 12)............................................S=___L pif
Ridge Strap Connections,if collar ties not used per page 21'... (Table 13)...............................T= pif
Gable Rake Oudooker..........................................(Figure 20)............. ft-<smaller of 2'or L/2 '
Truss or Rafter Connections at'Non-Loadbeadng Walls
Proprietary Connectors
Uplift.................. .: .....(fable 14)............................................ -
Lateral(no.of 16d common nails)...(Table 14).......................................L= lb.
Roof Sheathing Type..................... ....(per 780 CMR Chapters 58 argi 59)
Roof Sheathing Thickness..........-•...............•----_...:..................---......................__.....) in.Z 7/16'WSP
Roof Sheathing Fastening ..._.. able 2).........................................................
9 g.................._.... . ......... (T _
Notes:
•1. . This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of
780 CMR-5301.2.1.1 Item 1. If the checklst is met in its entirety then the following metal straps and hold downs ara 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. Comer Stud Hold Downs per Figure 18a and Figure 18b
2. Exception:Opening heights'of up to 8 ft shall be permitted when 5%is added to the percent full-height sheathing
requirements shown in Tables 10 arid 11.
3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal 6ickness pressure treated#E2-gndde. '
Town of Barnstable
Regulatory Services
BARNSMMAS&M� Richard V.Scali,Interim Director
.i6;9 �0
'0 639 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, l �Z d I�Q�►�l f�• ��U�� �j�j , as Owner of the subject property
J
hereby authorize W + CU to act on my behalf,
in all matters relative to work authorized by this building permit
IVC&IV) /'Drk I W��-
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of er Signatuie of Applicant
L Cu
Print Name Print game
Date
OTORMS:OWNERPERNMIONPOOLS 10/13
Town of Barnstable
Regulatory Services
pUVE rqp� Richard V.Scali,Interim Director
Building Division
zrrsresrs Tom Perry,Building Commissioner
KAS&
200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB.LOCATION:
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 work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homedwner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner
engages a person(s)for hire to do such work,that such'Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms\MTRESS.doe
Revised 061313
f v/eeomvi�zaru�e�clU o�Caa�ccaedd,
Offce of Consumer Affairs&Business 1[iegulahon License or registration valid for individul use only
- _ ME IMPROVEMENT CONTRACTOR before the expiration.date. If found return to:
e Office of Consumer..Affairs and Business Regulation
gistration: r;154801 Type:
xpiration 4/9/2015..-3 Individual : 10 Park Plaza-Suite 5170
_ -�— Boston MA 02116
LEGARE W.,GUYLER� a< �" y
LEGARE CUYER
39VVHIG ST ;
rt
DENNIS,MA.02638. i__r=
Undersecretary. 1Tva&lidwi_thWout*
.signature
as Massachusetts -
tt Department of Public Safety
+I. Board of Bu• . •
• ' ilding Regulations'and Standards
f: Co
nstructiun Sulici isu
Licenses CS-007987
i j
LEGARE W .,.
' PO BOX 4581-t,!
�
Dr'' 02638
Commissioner Expiration
02/0S/2014
I
:tea,
6rxe rpol;)MU UVu lm".
Office of Consumer Affairs&Business Regulat,on License or registration valid for individul use only
OME IMPROVEMENT CONTRACTOR before the expiration date. If found return:to:
egistration: y154801 Type: Office of Consumer Affairs"and Business Regulation
8 10 Park Plaza-Suite 5170 y
xpiration. 4'%9/2015_?: Individual
t Boston,MA 02116
LEGARE W.CUYLER;
z I
;r LEGARE• CUYER "'
DENNIS, MA.02638 `.._�-� a
Undersecretary. No valid withoutsignature'
tt Massachusetts -Department of Public Safety
1 '
Boaed of Building Regulations and Standards
I:.
Cunstructiun Supen'isu0.
_ Licenser CS-007987
LEGARE W
, �LERa�
PO BOX 458.` r
DEN1V1�5' �02638 n
Commissioner Expiration
- 02/05/2014
®Boise Cascade Triple 1-3/4" x 16" VERSA-LAM® 2.0 3100 SP Floor. eamlFB02
i
i Dry 1 span No cantilevers 1 0/12 slope Tuesday, December 10, 2013
BC CALC®Design Report-US
Build 2627 File Name: L Cuyler_Dorris
Job Name: Betsy Dorris Description: Designs\FB02
Address: 1685 Main Street(Rte.6A) Specifier: J Madera
City, State,Zip:West Barnstable, MA Designer:
Customer: Lagare Cuyler Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
I t l I q !
3 1
1 9-00-00
Bo 61
Total Horizontal Product Length=19-00-00
Reaction Summary(Down/Uplift) (,Ibs)
Bearing Live Dead Snow Wind Roof Live
BO, 3-1/2" 887/0 2,561 /0 3,594/0
B1, 3-1/2" 887/0 2,317/0 3,025/0
Live Dead Snow Wind Roof Live Trib.
Load Summary
Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125%
1 Standard Load Unf.Area(lb/ft112) L 00-00-00 19-00-00 40 10 01-04-00
2 Unf.Area(lb/f;A2) L 00-00-00 19-00-00 10 03-06-00
3 Unf.Area(lb/ft^2) L 00-00-00 07-06-00 15 35 03-06-00
4 Unf.Area(lb/ft^2) L 00-00-00 19-00-00 30 10 01-04-00
5 Unf.Area(lb/ft^2) L 00-00-00 19-00-00 15 30 10-00-00
Disclosure
Controls Summary Value %Allowable Duration Case Location Completeness and accuracy of input must
Pos. Moment 25,404 ft-Ibs 39.4% 115% 2 09-00-07 be verified by anyone who would rely on
End Shear 5,000 Ibs 27.2% 115% 2 01-07-08 output as evidence of suitability for
Total Load Defl. U505(0.441'.') 47.5% n/a 2 09-04-14 particular application.Output here based
Live Load Defl. U880 0.253" 40.9% n/a 5 09-04-11 on building and
code-acceptedlysis design
( ) properties and analysis methods.
Max Defl. 0.441" 44.1% n/a 2 09-04-14 installation of BOISE engineered wood
Span/Depth 13.9 n/a n/a 0 00-00-00 products must be in accordance with
current Installation Guide and applicable
building codes.To obtain Installation Guide
%Allow %Allow or ask questions,please call
Bearing Supports Dim.(L x W) Value Support Member Material (800)232-0788 before installation.
BO Post 3-1/2"x 5-1/4"` 6,155 Ibs n/a 44.7% Unspecified
B1 Post 3-1/2"x 5-1/4" 5,341 Ibs n/a 38.8% Unspecified BC CALC®,BC FRAMER@,AJST"'
ALLJOISTS,BC RIM BOARD ,BCI®,
BOISE GLULAMTm,SIMPLE FRAMING
Notes SYSTEM®,VERSA-LAM®,VERSA-RIM
Design meets Code minimum U240 Tot ,load deflection criteria. PLUS®,VERSA-RIM®,
g ( ) a VERSA-STRAND®,VERSA-STUD®are
Design meets Code minimum(U360)Live load deflection criteria. trademarks of Boise Cascade wood
Design meets arbitrary(1")Maximum total load deflection criteria. Products L.L.C.
Calculations assume Member is Fully BraRed.
Design based on Dry Service Condition.
i Deflections less than 1/8"were ignored in the results.
Fastener Manufacturer: TrussLok(tm)
®Bolse Cascade Triple 1-3/4" x 16" VERSA-LAM®230 3100 SP Floor Beam%FB02
Dry 1 span No cantilevers 1 0/12 slope Tuesday, December 10,2013
BC CALC®Design Report-US
Build 2627 File Name: L Cuyler_Dorris
Job Name: Betsy Dorris Description: Designs\FB02
Address: 1685 Main Street(Rte.6A) Specifier: J Madera
City, State,Zip:West Barnstable, MA Designer:
Customer: Lagare Cuyler Company: Shepley Wood Products:,
Code reports: ESR-1040 Misc: „
Connection Diagram
�l b + d—
a
e
a minimum=2" c= 12"
b minimum=4" d=24"
e minimum= 1"
All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams.
All TrussLok screws may be installed from one side of multiply Versa-Lam beams.
Member has no side loads.
Connectors are: FMTSL005
Page 2 of 2
®Boise Cascade Triple 1-3/4" x 14" VERSA-LAW 2.0 3100 SP Floor Beam1F1301
Dry 1 span No cantilevers 1 0/12 slope Tuesday, December 10, 2013
BC CALC®Design Report-US
Build 2627 File Name: L Cuyler_Dorris
Job Name: Betsy Dorris Description: Designs\FB01
Address: 1685 Main Street(Rte.6A) Specifier: J Madera
City, State,Zip:West Barnstable, MA Designer:
Customer: Lagare Cuyler Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
t i t t i l r t i 3 t t t t i t i t i i 7
-i=-
!
I t 1 1 1 ' 7 i l i l { g l
4
I I I t l i i i ( i i l l ( 1 1 I I I
15-00-00
Bo
61
Total Horizontal Product Length=15-00-00
Reaction Summary(Down/Uplift) (Ibs)
Bearing Live Dead Snow Wind Roof Live
BO, 3-1/2" 5,505/0 3,955/0 3,525/0
B1, 3-1/2" 5,505/0 3,955/0 3,525/0
Live Dead Snow Wind Roof Live Trib.
Load Summary
Tag Description Load Type Ref. Stan: End 100% 90% 115% 160% 126%
1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 15=00:.O 40 10 01-00-00
2 Unf. Lin. (lb/ft). L 00-00-00 15-00-00 80 n/a
3 Unf. Lin. (lb/ft) L 00-00-00 15-00-00 484 121 n/a
4 Unf.Area(lb/ft^2) L 00-00-00 15-00-00 15 40 02-00-00
5 Unf.Area(lb/ft^2) L 00-00-00 15-00-00 30 10 07-00-00
6 Unf.Area(lb/ft^2) L 00-00-00 15-00-00 15 30 13-00-00
Controls Summary Value %Allowable Duration Disclosure
Case Location Completeness and accuracy of input must
"Pos. Moment 33,339 ft-Ibs 76.5% 100% 1 07-06-00 be verified by anyone who would rely on
End Shear 7,620 Ibs 54.6% 100% 1 01-05-08 output as evidence of suitability for
Total Load Defl. U291 (0.599") 82.4% n/a 3 07-06-00 particular application.Output here based
Live Load Defl. U461 (0.378") 78.1% n/a 6 07-06-00 properties
building and
code-acceptedlysis design
properties and analysis methods.
Max Defl. 0.599" 59.9% n/a 3 07-06-00 Installation of BOISE engineered wood
Span/Depth 12.5 n/a n/a 0 00-00-00 products must be in accordance with
current Installation Guide and applicable
building codes.To obtain Installation Guide
Allow
ask questions,please call
Bearing Supports Dim.(L x W) Value Support Member (8
Material 00)232-0788 before installation.
BO Post 3-1/2"x 5-1/4" 10,727 Ibs n/a 77.8% Unspecified
B1 Post 3-1/2"x 5-1/4" 10,727 Ibs n/a 77.8% Unspecified BC CALC®,BC FRAMER®,AJS-,
ALLJOIST®,BC RIM BOARD ,BCI®,
BOISE GLULAM-,SIMPLE FRAMING
Notes SYSTEM®,VERSA-LAM®,VERSA-RIM
PLUS®,VERSA-RIM®, '
Design meets Code minimum(U240)Total load deflection criteria. >.,
VERSA-STRAND®,VERSA-STUD®afe -
Design meets Code minimum(U360) Live load deflection criteria. trademarks of Boise Cascade wood
Design meets arbitrary(T) Maximum total load deflection criteria. Products L.L.C.
Calculations assume Member is Fully Braced.
Design based on Dry Service Condition.
Deflections less than 1/8"were ignored in the results.
Fastener Manufacturer: TrussLok(tm)
Page 1 of 2
®Boise Cascade Single 5-1/4" x 5-1/4" VERSA-LAM® 1.7 2650 SP CL01
Dry 1 8'0"Column Freestanding
BC COLUMN®4.2 Design Report-US ASD
Build 2627 File Name: L Cuyler_Dorris
Job Name: Betsy Dorris Description: POSTS FOR BEAM AT REAR
Address: 1685 Main Street(Rte.6A) Specifier: J Madera
City, State,Zip:West Barnstable, MA Designer:
Customer: Lagare Cuyler Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
Updated: Tuesday, December 10,2013
Live Dead Snow Wind Roof Livi
5.25" Load Summary
Column ffil
Tag Description Load Type Start End 100% 90% 115% 160°k 125%
Freestanding5.25" 1 Conc. Pt. (Ibs) 00-00-00 00-00-00 5,505 3,955 3,525
Bracing Elevation Sheathing
Top 08-00-00
Base 00-00-00
Load
Controls Summary Value %Allowable Duration Case
Top 1 Col. Compression n/a 20.5% 115% 3
8'0" Slenderness Ratio 18.29 36.6% n/a 0
Cautions
Design does not consider perpendicular to grain stress on the sill plate or other supporting member.
Notes
A generic column cap was used in the analysis of the column. Make sure to install and size the cap.
BC Column is intended for use with gravity and out of plane lateral loading only
Design is based on member being used as a column only.
Disclosure
Completeness and.accuracy.of.input must be verified by anyone who would rely on output as evidence of suitability for
particular application.Output here based on building code-accepted design properties and analysis methods.Installation
of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building
codes.To obtain Installation Guide or ask questions,please call(800)232-0788 before installation.
BC CALCO,BC FRAMER®,AJSTm,ALLJOISTO,BC RIM BOARDTm,BC10,BOISE GLULAM-,SIMPLE FRAMING
SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®,VERSA-STRANDS,VERSA-STUDS are trademarks '
of Boise Cascade Wood Products L.L.C.
Not to scale
Page 1 of 1
I_ i
�Ij►)BolseCascade Triple 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor L3eam1FB01
Dry 1 span No cantilevers 1 0/12 slope Tuesday, December 10, 2013
BC CALC®Design Report-US
Build 2627 File Name: L Cuyler_Dorris
Job Name: Betsy Dorris Description: Designs\FB01
Address: 1685 Main Street(Rte.6A) Specifier: J Madera
City, State,Zip:West Barnstable, MA Designer:
Customer: Lagare Cuyler Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
Connection Diagram
b d r
i a
c
I e
a minimum=2" c= 10"
b minimum=4" d=24"
e minimum= 1"
All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams.
All TrussLok screws may be installed from one side of multiply Versa-Lam beams.
Member has no side loads.
Connectors are: FMTSL005
Page 2 of 2
TOP FNDN,' AT EL. 62.8' SYSTEM PROFILE
ACCESS COVER TO WITHIN 6' OF FIN. GRADE (NOT TO SCALE)
ACCESS COVER (WATERTIGHT) TO
55.0' MINIMUM .75, OF COVER OVER PRECAST /� WITHIN 6' OF FIN. GRADE 2% SLOPE REQUIRED OVER Sy' !
2' DOUBLE WASHED PEASTONEx,
RUN PIPE LEVEL
/—FOR FIRST 2'
PROPOSED 1500 rF3�Fl
GALLON SEPTIC
53.0' TANK (H— 10 ) GAS.
�� � CJ O C1 C1 O O O C
BAFFLE 51.46' o
55.0' 51.19' C 0 =0 O OCJC
�6' CRUSHED STONE OR MECHANICAL C7 0 Fl � Fl � = C
Cam_% SLOPE) COMPACTION. (15.221 121) ,$ 2� a CD 0 C
DEPTH OF FLOW = 4' ( % SLOPE) ( % SLOPE) 3/4' TO 1 1/2' DOUBLE WASHE
TEE SIZES,
INLET DEPTH = 10
OUTLET DEPTH -
14"
FOUNDATION— 37' SEPTIC TANK 86' : D' BOX 12'
9g R_, RourE 6
L=58.54' �23. 75,
R=30.36'
=148.66' R=559.45'
_I
+4 .0
LOT AREA
70,274f SQ. FT.
1.61 f ACRES
+SS
�O
0
EXISTING 62.3
BENCH MARK - DWELLING +s .
NAIL SET IN 22"
P.PINE ELEV. 592 9 +s�,
58.3 (ASSMD) +56'
s 9
N s. EXIST. WELLtQ /
5 + +5s
�4\ _ v 55.9
d.
S •3
�l
55.E
5 SCR
+ .7 +554 +�'',
h
S / 55.6 55.5 h 9 +55.6 1
5.8 56 � 14" CIA ;
8
5 +5 +56.2
56.1
9
.157 + .
LL +59.8
GARD 58 0
I
` +
5'REMOVAL OF UNSUITABLE SOIL REQUIRED +61.6 s
AROUND PERIMETER OF LEACHING FACILITY, ,AREA F G + -
DONN TO SUITABLE SOIL LAYER (0).
REPLACE VATH CLEAN MED. SAND. ENGINEER R AINS�DF ARN
TO INSPECT AND CERTIFY REMOVAL H
+62. J 24" P.P
L0 aN 2
+622
V7 �
62.3
{
O
J
cfl
(p
(O
(p
:; ,•:x 197.I5'
02- 152
TEST HOLE LOGS
ENGINEER: ARNE H. OJALA, PE
55.0' WITNESS. DAVID STANTON
DATE 650 2/ / �
0
3' MAX. PERC. RATE _ < 2 MIN/INCH
0
J
52'0 CLASS I&II SOILS P# 10254 ROUTE 6A
En
' AROUND Z
ELEV. LOCUS F
49.19' 01 �$�]'
A
/LS
12" 10YR 4/2
g .LOCATION MAP NTS
/FS
G 22'f 24" 10YR 5/8 ASSESSORS MAP196 PARCEL 8
4.09
Cl
FS VARIANCE REQUESTED UNDER TOWN OF
BARNSTABLE WELL REGULATION: SAS TO BE 101'
62" 2.5Y 6/6 FROM EXISTING LOCUS' WELL (49' VARIANCE
REQUESTED)—A riWv� 1,.k-#4vjSe i1�i1dy
/C? NOTE: EXISTING CESSPOOL IS 70' TO EXISTING
TIGHT SILT LOCUS' WELL
45.1' LOAM
GROUNDWATER EXPECTED AT EL. 27t PER
BARNSTABLE G15 GROUNDWATER MAP $4" 2.5Y 5/4
51.1
C3
LS
7.5YR 5/6
156" 45.1'
� NO WATER
ENCOUNTERED NOTES:
EPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED > 1. DATUM IS APPROXIMATED FROM QUAD
ESIGN FLOW: 4 BEDROOMS ( 110 GPD) = 440 GPD 2. MUNICIPAL , WATER IS NOT AVAII ABLE
Jt A �+40 GPD DESIGN ELu W p�INIMi Inn P.P_ PTTf I I _T�I DP- 1 /0• PF�? F nn.T.
EPTIC TANK 440 GPD < 2 ) = 880 4. DESIGN LOADING FOR ALL —PRECAST UNITS TO BE AASH❑ H— 1 C
5. PIPE JOINTS TO BE MADE WATERTIGHT.
SE A 1500 . GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS,
EACHING: ENVIRONMENTAL CODE , TITLE V.
SIDES 2(33.5 + '12.83) 2 (.74) = 137 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS' NE
TO BE USED FOR ANY OTHER PURPOSE.
30TTOM: 33.5 x 12.83 (.74) = 318 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4° PVC.
'OTAL: S.F. 455 GPD 9, COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOU'
INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINEI
JSE (3) 500 GAL LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH.
:QUAL) WITH 4' STONE ALL AROUND 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING SEPTIC SYS7
a
LEGEND TITLE S SITE PLAN
100.0 PROPOSER SPOT ELEVATION OF 1685 MAIN STREET
100x0 EXISTING SPOT ELEVATION
IN THE TOWN OF:
00 PROPOSED CONTOUR ( WEST) B A R N S T A B L E
100 EXISTING CONTOUR PREPARED FOR: BETSY DORISS
30 0 T 30 60 90
BOARD OF HEALTH
APPROVED DATE MA SCALE: 1" = 30' DATE: JUNE 12, 2002
REV. 10/31/02 (WELL NOTE)
off 508-362-4541
Fox 508 362-9980
,H OF �AJJq � ��lN DF Mgss9�y
I .
down cape engineering, inc. � AH'E `yam o�LA Gam,
CIVIL
OJALA
CIVIL ENGINEERS �o No.26348 a� No. 30792 �
0
LAND SURVEYORS 1p /STEOs�Qa`� �°,��s ON
TE NG� nn
939 main st, yarmouth, mQ 02675 ---
ARNE H. OJALA, P.E., P.L.S. DATE
i
t
THE tp�,
p Barnstable Old Kings Highway Historic District.Committee
. :
&AMST"L ; 200 Main Street,Hyannis, MA 02601,TEL: 508-862-4787 Fax 508-862-4784
ED 6 39-.6�0bO1
APPLICATION, CERTIFICATE OF APPROPRIATENESS
Application is hereby made,with five(5)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: ❑ New D<Addition Alteration
2. Type of Building: House ❑ Garagelbarn ❑ 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 ❑ Solar panels ❑ Other
Type or Print Legibly: Date
NOTE All applications must be signed by the current owner
Owner(print): � �j��0-A o Telephone#:
Address of Proposed Work: M a 11I 6. L 16-A villageWt T5 4-Z,N A Map Lot# 8
Mailing Address(if diffe a t)
Owner's Signature ih
Description of Proposed W rk: a particulars of work to be done:
' 6Ile
d�) I►v� >v n'
Agent or Contractor(print):Is .V Telephone#: -SOB
Address: D 6�
Contractor/Agent' signature:
For committee use only. This Certificate is herebfXPPRO /D
Date L Members signatur
RECEIVED
GEC 182013
G''OWTH MANAGEMENT
APPROVED
Town of Barnstable
Old Comm committee 1
Q.IBoards and Commissions101d Kings High%WlOKHApplicationslOKH 2O11 Cert Appropriateness.doc
l .
ti
CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 5 Copies
Foundation Type: (Max. 12"exposed)(material-brick/cement, other) C C*n In-4, P—Y o
Siding Type: Clapboard_ shingle X_ other 41
Material: red cedar white cedar _� other Color: { 1� '
Chimney Material: Color:
Roof Material: (make&style) C teh,h � L by-\l FYI it Color:[IV Vl YJ
Roof Pitch(s): (7/12 minimum) Z (speck on plans for new buildings, major additions)
Window and door trim material: wood X other material, specify
a
Size of cornerboards X (j size of casings(1 X 4 min.) color
Rakes Ist member 2nd member Depth of overhang
iI
Window: (make/model) material color i.-0 {n&VV GV Iv1 �d /
(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_removable interior_ None
Door style and make:Ti 1-,- ► �Tl�v material r, 1 Color: � Vvl
Garage Door,Style Size of opening Material Color
Shutter Type/Style/Material: Color:
Gutter Type/Material: Color:
Deck material: wood _ other material,specify Color: a TV T-
Skylight,type/make/model/: material Color: Size:
Sign size: Type/Materials: Color: RECEIVED
Fence Type(max 6')Style material: Color: 2013
Retaining wall: Material: ARP nr
,
Lighting,freestanding on building illuminating sign
OTHER INFORMATION: '6 - f8ainstable
Old King's Highway
THE ATTACHED CHECK LIST MUST BE COMPLETED AND SUBMITTED Committee
Please provide samples of paint colors,manufacturers brochure of windows,doors,garage door,fences,lamp posts etc
Signed: (plan preparer) Print Name , cuq c c k
2
Q:Woards and Commissions101d Kings HighwaylOKHApplicationslOKH2O11 Cert Appropriateness.doc
s
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41
INSULATION CO. October 02, 2014
Job Location:
Legare Cuyler Doriss
P O Box 458 1685 Main St
Dennis, MA 02638 W Barnstable
Insulation installed to specifications below:
..................................................................................................................................................................................................................................................
..................................................................................................................................................................................................................................................
Ira _ ..::::::' [' :': ::.::::::` ':
....................::::.::::::::::::::::::::::IZ:::�a........::::::::::::::: k�..... timer::::::::::::::::: YPe:::::::::::::....omme...t::::::..............................
Cathedral Ceilings R-30/4.5" BaySeal CC Closed Cell Spray Foam Insulation
Exposed Ceilings R-30 9-1/2" Owens Corning Kraft Faced w/2'vents @ eaves
Exterior Walls R-13 3-1/2" Owens Corning Unfaced w/polyfilm
Overhang R-30 9-1/2" Owens Corning Kraft Faced
Floor over Slab R-30 9-1/2" Owens Corning Kraft Faced
*Specifications for Spray Polymer Foam application-
Bayer BaySeal CC X - R-Value per inch= 6.9
Water Vapor Transmission= .80 @ 1 inch.
All components with spray polymer foam installed are average minimum thickness as described.
I hereby certify the insulation products have been installed in accordance to the specifications
stated above
Tim Trott
Summit Insulation Co., Inc.
P.O. Box 1337
Harwich, MA 02645
(508)430-8144
1 I
e� a�
0
i
n `
A
BAYER Bayer Material Scien.ce
~� R
BAYSEALTM CC X Product Information
Spray-Applied Polyurethane Foam Insulation
Division 7-Thermal and Moisture Protection
Product Description Bayseal CC X foam is available in two grades for
Bayseal closed-cell X(CC X)spray-applied poly- warm and cold weather applications; suggested
urethane foam insulation is a two component,HFC- ambient substrate temperatures are specified below:
245fa blown, medium density,.structural system
designed for commercial, industrial and residential Grade Substrate/Ambient Temperature
insulation applications. Bayseal CC X 50T to 120T
Bayseal CC XP 30T to 80°F
Closed-cell polyurethane foam yields a high R-value
and minimizes air and moisture infiltration.Bayseal Recommended uses
CC X can increase structural integrity.This product Walls Unvented Attics
may also contribute to a healthier indoor environ- Ceilings Floors
ment by helping to control problems associated with Vented Attics Piping
moisture vapor drive. The fluid applied,expanding Unvented Crawl Spaces Vented Crawl Spaces
nature of Bayseal CC X foam-forming system during Foundations Concrete Slabs
application provides increased performance value by Ducts Tanks
sealing the building envelope. Cold Storage Freezers
The Bayseal CC X foam-forming system is com- Coolers
prised of an"A"component or aromatic diisocyanate
manufactured by Bayer MaterialScience LLC and a As with any product, use of Bayseal CC X foam-
blended"B"component which included polyols,fire forming system must be tested(including, but not
retarding materials, and additives. limited to,field testing) in advance by the user to
determine suitability.
Bayseal CC X has passed the International Code
Council Acceptance Criteria 377,for spray-applied
polyurethane foam insulation,Appendix X for use
without the use of the prescribed ignition barrier and
without the need for additional fire resistive coating.
I
Page 1 of 4—Document contains important information and must be read in its entirety.
r
Typical Physical Properties"
Properties Test Method Value
Fungi Resistance: ASTM G-21 Zero Rating
R Value(aged): ASTM C-518 6.9 at 1 inch
24 at 3.5 inches
38 at 5.5 inches,
54 at 7.9 inches,
Compressive Strength: ASTM D-1621 25 psi nominal
Core Density: ASTM D-1622 2.0 lbs./ft' nominal
Closed Cell Content: ASTM D-2856 >90%
Tensile Strength: ASTM D-1623 60 psi nominal
Moisture Vapor Transmission (Permeance): ASTM E-96 0.80 Perms at 1"
0.23 Perms at 3.5"
0.14 Perms at 5.5"
0.10 Perms at 7.9"
Water Absorption ASTM D-2842 <2%
Dimensional Stability: ASTM D-2126 <10%
158°F&97%R.H. %Change in Volume
Air Leakage Rate: ASTM E-2178 <0.02 L s-'m-'
Surface Burning Characteristics" ASTM E-84 Flame Spread Index <25
4-inches Smoke Developed Index<450
These items are provided as general information only. They are approximate values and are not part of the product specifications.
These numerical flame spread values are not a true reflection on how this or any material will perform in actual fire conditions.
Values extrapolated from 3.5-inch thick sample testing.
Environmental Consideration and Wind velocities in excess of 12 miles per hour may
Substrate Temperatures result in excessive loss of exotherm and interfere
Applicators must recognize and anticipate environ- With the mixing efficiency, affecting foam surface,
mental conditions prior to application to ensure the cure,and physical properties and will cause over-
highest quality foam and to maximize yield.Ambient spray. Precautions must be taken to prevent damage
air and substrate temperature, moisture, and wind to adjacent areas from overspray.
velocity are all critical determinants of foam quality
and selection of the appropriate reactivity formula-
tion.Variations in ambient air and substrate tempera-
ture will influence the chemical reaction of the two Storage Conditions
components,directly affecting the expansion rate, Store at 70°F to 80°F in a dry and well ventilated
amount of rise,yield,adhesion and the resultant area,a minimum of 48 hours prior to application of
physical properties of the foam insulation. material. Materials in containers should be main-
tained at 65°F to 85°F while in use. Conditioned
To obtain optimum results,the Bayseal CC X sys- trailers or tanks may be necessary. Material tempera-
tem should only be spray-applied to substrates when ture should be confirmed with a thermometer or an
ambient air and surface temperatures fall within the infrared gun. Do not configure equipment to recircu-
range of 30°F and 1207.All substrates to be sprayed late Bayseal CC components from proportioner back
into drum. Do not recirculate or mix other suppliers'
must be free of dirt,soil,grease, oil and moisture "A"or"B"component into Bayseal CC X system
prior to application. Moisture in any form: exces- containers.
sive humidity(>85%R.H.), rain, fog, or ice will
react chemically and will adversely affect system
performance and corresponding physical properties. CAUTION: If components are below suggested
Application should not take place when the ambient temperatures,the increased viscosity of the com-
temperature is within 5°F of the dew point. Primers ponents may cause pump cavitation resulting in
may be necessary dependent upon conditions; consult unacceptable SPF application. If components are
a Bayer MaterialScience LLC technical service rep- above suggested temperatures,there may be loss
resentative. of blowing agent resulting in diminshed yield.
Page 2 of 4—Document contains important information and must be read in its entirety.
J'
Processing Equipment Thermal Barrier
2:1 transfer pumps are recommended for material The International Building Code and International
transfer from container to the proportioner. The plural Residential Code requires that SPF be separated from
component proportioner must be capable of supply- the interior of a building by an approved fifteen
ing each component within t 2%of the desired l:1 (15)minute thermal barrier, such as 1/2"gypsum
mixing ratio by volume. Hose heaters should be wall board or equivalent, installed per manufacturer's
set to deliver 120°F to 135°F materials to the spray instructions and corresponding code requirements.
gun. These settings will ensure thorough mixing in The International Building Code allows for omission
the spray gun mix chamber in typical applications. of the prescribed thermal barrier in certain instance,
Optimum hose pressure and temperature will vary such as:
with equipment type and condition, ambient and sub-
strate conditions,and the specific application. It is the • attics and crawlspaces with limited access
responsibility of the applicator to properly interpret •approval by way of diversified testing,such
equipment technical literature,particularly informa- as room corner protocols
tion that relates to the acceptable combinations of
gun chamber size, proportioner output,and material Local building codes may vary and must be consulted
pressures.The relationship between proper chamber for applicability of thermal barrier exceptions.
size and the capacity of the proportioner's pre-heater
is critical. Mechanical purge spray guns(specifically
direct impingement or DI type)are recommended for Handling Information
highest foam quality. Applicators should ensure the safety of the jobsite
and construction personnel by posting appropriate
CAUTION: Extreme care must be taken when signs warning that all "hot work"such as welding,
removing and reinstalling drum transfer pumps so soldering,and cutting with torches should not take
as NOT to reverse the"A" and "B"components. place until a thermal barrier or approved equivalent
is installed over any exposed polyurethane foam.
Processing Parameters and
Ph sical Characteristics Vapor Retarder
Pre-heater Temperature: "A"and"B"120-135°F Bayseal CC X qualifies as a vapor retarder as defined
Hose Temperature: "A"and"B" 120-135°F by the International Code Council and ASHRAE
Pressures: 1000-1500 psi(dynamic)* (Class 11)at a minimum thickness of one inch. Build-
Mix Ratio Parts: 1 to 1 by volume"A"to"B" ing construction types with a persistent,high mois-
Viscosit at 75°F 400-500 cps"B"Component ture drive require additional moisture remediation.
Shelf Life s months @ s5°F to s0°F The contractor should consult local building codes to
Dependent upon hose length. establish the vapor retarder requirement.
Page 3 of 4—Document contains important information and must be read in its entirety.
I
I y
Per Lift Application Health and Safety Information
Applicators should limit per lift thickness of Bayseal Appropriate literature has been assembled which
CC X to 2 inches for optimal processing and physical provides information concerning the health and
properties,with the following exception: If the lift safety precautions that must be observed when han-
encapsulates CPVC piping the maximum lift thick- dling materials used to produce.Bayseal CC X foam.
ness is 2 inches. Second lifts, if necessary, should be. Before working with this product,you must read and
applied after 10 minutes of cure time. For substrates become familiar with the available information on
with special sensitivity to heat,the resultant exotherm its risks, proper use and handling. This cannot be
must be considered before application of SPF. It is overemphasized. Information is available in several
the responsibility of the applicator to ensure SPF forms,e.g., material safety data sheets and product
exotherm will not adversely affect substrates. labels. More resources are available at spraypolyure-
thane.com, polyurethane.org,sprayfoam.org, bay-
careonline.com,or by contacting the Bayer
MaterialScience Product Safety and Regulatory Af-
fairs Department in Pittsburgh,PA.
Note: The information contained in this bulletin is current as of August 2011, please contact Bayer MaterialScience to
determine whether this publication has been revised.
Bayer MaterialScience LLC
100 Bayer Road • Pittsburgh, PA 15205-9741 • Phone: 1-800-662-2927 • www.spf.bayermateriaiscience.com
The manner in which you use and the purpose to which you put and utilize our products,technical assistance and information(whether verbal,written or by
way of production evaluations),including any suggested formulations and recommendations,are beyond our control.Therefore,it is imperative that you test our
products,technical assistance and information to determine to your own satisfaction whether our products,technical assistance and information are suitable for
your intended uses and applications.This application-specific analysis must at least include testing to determine suitability from a technical as well as health,
safety,and environmental standpoint.Such testing has not necessarily been done by us.Unless we otherwise agree in writing,all products are sold strictly
pursuant to the terms of our standard conditions of sale which are available upon request.All information and technical assistance is given without warranty
or guarantee and is subject to change without notice.It is expressly understood and agreed that you assume and hereby expressly release us from all liability,
in tort,contract or otherwise,incurred in connection with the use of our products,technical assistance,and information.Any statement or recommendation not
contained herein is unauthorized and shall not bind us.Nothing herein shall be construed as a recommendation to use any product in conflict with any claim of
any patent relative to any material or its use.No license is implied or in fact granted under the claims of any patent.
Sales Offices
2400 Spring Steubner Road West,Spring,TX 77389 • 1-800-221-3626 • Fax:1-281-288-6450
Sayseal CC X 8i11
Page 4 of 4—Document contains important information and must be read in its entirety.
Boise Cascade Triple 1-3/4" 4 S14- ERSA-LAM® 2.0 3100 SP Floor Beam\FB05
Dry 1 span No cantilevers 1 0/12 slope Wednesday, April 09, 2014
BC CALC®Design Report- US
Build 2627 File Name: L Cuyler_Dorris
Job Name: Betsy Dorris Description: Designs\FB05
Address: 1685 Main Street( Rte. 6A) Specifier: J Madera
City, State, Zip: West Barnstable, MA Designer:
Customer: Lagare Cuyler Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
s �
I I I I I I I I I s l I I I I I I I
I I I I I I I I l l a l ( I I I I I
I 1 13 I I
I I I I I I I I I I I I I I 2 I I I I I I I I
19-00-00
BO 131
Total Horizontal Product Length= 19-00-00
Reaction Summary(Down/Uplift) (Ibs)
Bearing Live Dead Snow Wind Roof Live
BO, 3-1/2" 1,551 /0 2,793/0 3,594/0
B1, 3-1/2" 1,193/0 2,409/0 3,025/0
Live Dead Snow Wind Roof Live Trib.
Load Summary
Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125%
1 Standard Load Unf. Area (lb/ft^2) L 00-00-00 19-00-00 40 10 01-04-00
2 Unf. Area (lb/ft^2) L 00-00-00 19-00-00 10 03-06-00
3 Unf. Area (lb/ft^2) L 00-00-00 07-06-00 15 35 03-06-00
Y 4 Unf. Area(lb/ft^2) L 00-00-00 19-00-00 30 10 01-04-00
5 Unf. Area (lb/ft^2) L 00-00-00 19-00-00 15 30 10-00-00
6 Conc. Pt. (Ibs) L 05-06-00 05-06-00 784 307 n/a
7 Conc. Pt. (Ibs) L 08-06-00 08-06-00 187 75 n/a
Disclosure
Controls Summary Value %Allowable Duration Case Location Completeness and accuracy of input must
Pos. Moment 28,138 ft-Ibs 56.2% 115% 3 08-06-00 be verified by anyone who would rely on
End Shear 5,672 Ibs 35.3% 115% 3 01-05-08 output as evidence of suitability for
Total Load Defl. U308 (0.723") 78% n/a 3 09-04-00 particular application.Output here based
on building code-accepted design
Live Load Defl. U534 (0.417") 67.4% n/a 6 09-03-12 properties and analysis methods.
Max Defl. 0.723" 72.3% n/a 3 09-04-00 Installation of BOISE engineered wood
Span/Depth 15.9 n/a n/a 0 00-00-00 products must be in accordance with
current Installation Guide and applicable
%Allow %Allow building codes.To obtain Installation Guide
or ask questions,please call
Bearing Supports Dim.(L x W) Value Support Member Material (800)232-0788 before installation.\n\nBC
BO Post 3-1/2"z 5-1/4" 6,652 Ibs n/a 48.3% Unspecified CALC®,BC FRAMER@,AJS-,
B1 Post 3-1/2"x 5-1/4" 5,572 Ibs n/a 40.4% Unspecified ALLJOIST®,BC RIM BOARD TM BCI®,
BOISE GLULAM-,SIMPLE FRAMING
Notes SYSTEM®,VERSA-LAM®,VERSA-RIM
PLUS®,VERSA-RIM®,
Design meets Code minimum (U240)Total load deflection criteria. VERSA-STRAND®,VERSA-STUD®are
Design meets Code minimum (U360) Live load deflection criteria. trademarks of Boise Cascade Wood
Design meets arbitrary (1") Maximum total load deflection criteria. Products L.L.C.
Calculations assume Member is Fully Braced.
Design based on Dry Service Condition.
Deflections less than 1/8"were ignored in the results.
Fastener Manufacturer: TrussLok(tm)
Page 1 of 2
}Boise cascade Triple 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor Beam\FBOS
Dry 1 span No cantilevers 1 0/12 slope Wednesday, April 09, 2014
BC CALCO Design Report- US
Build 2627 File Name: L Cuyler_Dorris
Job Name: Betsy Dorris Description: Designs\FB05 0
Address: 1685 Main Street'( Rte. 6A) Specifier: J Madera
City, State, Zip:West Barnstable, MA Designer:
Customer: Lagare Cuyler Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
Connection Diagram
�{ b d
a
c �
e
a minimum =2" c= 10"
b minimum =4" d = 24"
e minimum = 1"
Connection design assumes point load is top-loaded. For connection design of side-loaded
point loads, please consult a technical representative or professional of Record.
All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams.
All TrussLok screws may be installed from one side of multiply Versa-Lam beams.
Member has no side loads.
Connectors are: FMTSL005
Page 2 of 2
k
I
�,
i
��4
7 `�
;)
i
i
� . . I
j �
T Boise Cascade Triple 1-3/4" 11-1/4' VERSA-LAM® 2.0 3100 SP Floor Beam\FB03
Dry 11 as-rNO cantilevers 1 0/12 slope Wednesday, April 09, 2014
BC CALC®Design Report;US
1
Build 2627 File Name: L Cuyler_Dorris
Job Name: Betsy Dorris Description: Designs\FB03
Address: 1685 Main Street(,Rte. 6A) Specifier: J Madera
City, State, Zip: West Barnstable, MA Designer:
Customer: i Lagare Cuyler Company: Shepley Wood Products
Code reports: ESR-1040 Misc:
I I I I I I I I I I 1 1 1 1 1 3 1 I I I I I I I I I I 1 1 1
I I I I I I I I 1 1 1 1 1 1 1 2 1 I I I I I I I I I I I I
I I I I I I I T I I I 1161 I I I I I I I I
I I I I I I I I I sl I I I I I I I I I I
I I I 41 I I I I I I I I
12-00-00
BO B1
Total Horizontal Product Length= 12-00-00
Reaction Summary (Down /Uplift) (Ibs)
Bearing Live Dead Snow Wind Roof Live
BO, 3-1/2" 4,404/0 3,139/0 2,820/0
B1, 3-1/2" 4,404/0 3,139/0 2,820/0
Live Dead Snow Wind Roof Live Trib.
Load Summary
Tag Description Load Type, Ref. Start End 100% 90% 115% 160% 125%
1 Standard Load Unf.Area (lb/ft^2) L 00-00-00 12-00-00 40 10 01-00-00
2 Unf. Lin. (lb/ft) L 00-00-00 12-00-00 80 n/a
3 Unf. Lin. (lb/ft) L 00-00-00 12-00-00 484 121 n/a
4 Unf. Area (lb/ft^2) L 00-00-00 12-00-00 15 40 02-00-00
5 Unf. Area (lb/ft^2) L 00-00-00 12-00-00 30 10 07-00-00
6 Unf.Area (lb/ft^2) L 00-00-00 12-00-00 15 30 13-00-00
Disclosure
Controls Summary Value %Allowable Duration Case Location Completeness and accuracy of input must
Pos. Moment 20,932 ft-Ibs 72.6% 100% 1 06-00-00 be verified by anyone who would rely on
End Shear 5,997 Ibs 53.4% 100% 1 01-02-12 output as evidence of suitability for
Total Load Defl. U303 (0.457") 79.2% n/a 3 06-00-00 particular application.Output here based
Live Load Defl. U479 (0.289") 75.2% n/a 6 06-00-00 on building code-accepted design
properties and analysis methods.
Max Defl. 0.457" 45.7% n/a 3 06-00-00 Installation of BOISE engineered wood
Span/Depth 12.3 n/a n/a 0 00-00-00 products must be in accordance with
current Installation Guide and applicable
Allow %Allow building codes.To obtain Installation Guide
or ask questions,please call
Bearing Supports Dim.(L x W) Value Support Member Material (800)232-0788 before installation.\n\nBC
BO Post 3-1/2"x 5-1/4" 8,557 Ibs n/a 62.1% Unspecified CALC®,BC FRAMER@,AJS-,
B1 Post 3-1/2"x 5-1/4" 8,557 Ibs n/a 62.1% Unspecified ALLJOISTO,BC RIM BOARDTM,BUID,
BOISE GLULAMTM,SIMPLE FRAMING
SYSTEM®,VERSA-LAM®,VERSA-RIM
Notes PLUS®,VERSA-RIM®,
Design meets Code minimum (U240)Total load deflection criteria. VERSA-STRANDS,VERSA-STUD®are
Design meets Code:minimum (U360) Live load deflection criteria. trademarks of Boise Cascade Wood
Design meets arbitrary (1") Maximum total load deflection criteria. Products L.L.C.
Calculations assume Member is Fully Braced.
Design based on Dry Service Condition.
Deflections less than 1/8"were ignored in the results.
Fastener Manufacturer: TrussLok(tm)
Page 1 of 2
®Boise cascade Triple 1-3/4" x 11-1/4" VERSA-LAM® 2.0 3100 SP Floor BeamXFB03
Dry 1 span No cantilevers 1 0/12 slope Wednesday,April 09, 2014
BC CALC®D g�Repo'rt�US
Build 2627, i, File Name: L Cuyler_Dorris ,
Job Name: Betsy Dorris t Description: Designs\FB03
Address: 1685 Main Street( Rte. 6A) Specifier: J Madera
City, State,,,Zip: West Barnstable, W,, Designer:
Customer:' Lagare Cuyler Company: Shepley Wood Products
Code reports: ESR-1040 ` Misc:
Connection Diagram
bL d
a ✓v
w
c
0.
e v
a minimum =2" c= 7-1/4"
b minimum =4" d = 24"
e minimum = 1"
All TrussLok screws maybe installed from one side of multiple ply VERSA-LAM beams.
All TrussLok screws may be installed from one side of multiply Versa-Lam beams.
Member has no side loads.
Connectors are: FMTSL005
Page 2 of 2
ao c
0 IKE Town of Barnstable .*Permit# _
Expires 6 monilrsfrom issue date '
Regulatory Services Fee
' BARNSTABLE,
9cb 9.16 � Thomas F. Geiler,Director
HIED MAt a
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601 _
www.town.barnstab le.ma.us
Office: 508-862-4038 Fax: 508-790-6230 ®V
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number Q
Property Address & �•r — Uj
residential Value of Work � U Minimum fee of$35.00 for work under S6000.00
Owner's Name &Address L( ,/};���`l,•� DZ tz ( 9_S
l6CJ Z) �y6 �t1 '
Contractor's Name z f C. y -�' �t�,!/l.� Telephone Number �50 J) 2 80 3��
Home Improvement Contractor License#(if applicable) 12 U ci
Construction Supervisor's License#(if applicable) ( U
❑Workman's Compensation Insurance
Check one: �p � � �
El am a sole proprietor ! PERMIT .
❑ I am the Homeowner
[have Worker's Compensation Insurance APR 2 7
Insurance Company Name 1�? r\ ���-� TOWN OF BARNSTABLE
Workman's Comp. Policy# La S J P -3 -7 U fs
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
I -Re-roof(stripping old shingles) All construction debris will be taken.to a�--w
❑ Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/s)iders, 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 th me Improvement Contractors License & Construction Supervisors License is
requir
SIGNATURE: ,
Q:IWPFILESIFORMSCb din permit formsTXPRESS.doc
Revised 0701 10
The Commonwealth of Massach useits
( ^ I Department of Industrial Accidents
f A. J,' d Office of Investigations
W t, I 600 Washington Street
Boston, MA 02111
www.mass.g ov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please.Print Legibly
Nasne (Business/Organization/Individ-ual):
Address: 0 erJG`_' Y �(
City/State/Zip: L/J' Phone #:� -Z-B d ' 3 2
Are you an employer?Check the appropriate box: Type of project(required):
I. RI-aff a employer with 2— 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hued the sub-contractors
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. # 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition '
working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance 5. ElWe are a corporation and its
required.] officers have exercised their ME] Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 1.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §](4), and we have no 12repairs .
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 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
I information. /
Insurance Company Name:
3 3
AlOf
Policy#or Self-ins. Lie.#: y�.3S ( - �� U (� Expiration Date:
Job Site Address: 46 5 y City/State/Zip: C✓��"S/r //� $t ,>
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certi der e i and penalties of perjury that the information provided a ve is true and correct
signature: Date: L40
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
r.,.....s o _ .. Phnne#:
n �
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 "...evdry person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual,partnership,association, corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership,association or other legal entity, employing employees: However the
owner,of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or•to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy isTequired. 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-NIASSAFE
Fax# 617-727-7749
Revised 5-26-05
www.mass.gov/dia .
r ti Town of Barnstable'
o
Regulatory Services
BAMMMAv BL E� Thomas F. Geiler,Director
E1) Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-962-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using.A Builder
,.as Owner of the suhect.property
hereby authorize ���( to act on mybeha.lf,
in all matters relative to work authorized by this bading permit application for.
(Address of Job
S' tore of to
Print Name
If PT Owner is applying for permit please complete. the
Homeowners License Exemption Form on '.the reverse side.
Town of Barnstable
Regulatory Services .
Thomas F. Geller, Director _
Muss
Building Division"
�PrED �} Tom Perry, Building Commissioner
200 Mairi•Stract,_Hyannis, MA 02601
wwsv.town.b arrrstable.ma.us
Offi-ce: 508-862-4038 Fax:- 508-790-6230
HOA�OWNER LICENSE EXEMPTTON
Please Print
DATE
JOB LOCATION:
number street village
"HOMEOWNER":
name borne phone# work phone#
CURRENT MA UNG ADDRESS:
eityhowo state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellin)?s of six units or less and
to allow homeowners to engage an individual for hue who does not possess a license,provided that the owner acts as
Supery sor.
DEFWMON OF BOhtFOWN'ER
Person(s)who owns a parcel of land on wbich he/she resides or intends to reside, on whicb.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 constrgcts more than one home in a two-year period sha11 not be considered a homeowner, Such
"homeowner"shall submit to the Budding Official on.a form acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the buildinz permit (Section 109.1.1)
Tbte undersigned`borneowner"assumes responsibility for compliance with the State Building Code and other
applicable codes, bylaws,rules and regulations.
The undersigned"homeowner"certifies that.he/she.understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that helsbe will comply with said procedures and
requirements.
Signatbre of Homeowner
Approval of Building.Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that-• "Any homeowner performing work far which a building permit is rcquircd shaD be eisions
of this see, .(Scction Io9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a pasori(s)fir hire
from the provhire to do such
wall-,that su`ch Homcowncr shall act as supervisor."
lri'any homcowncrs who use this rxc rrption an:unaware that they arc assurrring the responsibrlities of 6 supevisor(set Appendix Q,
Ru)cs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awamaiess bfteri[subs in krious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot procccd against the unliccnscd pgson as it would with i licensed
Supervisor. The horiieowna acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/herrupoanbilitics,many communities require,as part of the permit application,
that the homeowna certify that he/she understands the msponsibilitics of a Supervisor. On the last page of this issue is B.form eurrrnt)y used by
several towns. You may care t amend and adopt such a form1ecrtifi cation for use in your community.
C Office of Consumer Affairs& usiness Regulatier. 1; Lrcensc or registration valid for iridiviclul use only' r j
HOME IMPROVEMENT CONTRACTOR hey=►e the eXpiration date. If found return to-
w.
_ f FOffice of Consumer'Affairs and Business Regulation 'i
Reyistration ` 78 r78 {
Ex iration:`_—`'_5/_�6/2011 lr 10 Park_Ptaza Suite 5170 'l: i
P Tr#' 287366 f Boston,MA 02116
Type: Indnridus.l`_
�7 J
SEAN E.°ANDERSON_
SEAN ANDERS�ON ��_ 1,
'50 TRQWBRIDGEtPATHi�—
W.YARTMOU.TH, MA,0267.3 " UndersecretaryS. N
— - —
9.va id without,ignat
d
Massachusetts-
D
Btru t1 of Bui epartment of Public Safet,. !
ldin- Reg
Construction Su trl.tt►oris and St:rrttl:rr'ds
Supervisor and
License: CS 74101
SEAN E ANDERSON
50 TROWBRIDGE PATH s
WEST YARMOUTH, i y
MA 02673
('unmiissiuncr Expiration: 2/24/2013
Tr#: 9749
%Jzj ASS/3l bQ
.x C2-1 6/30/2010 5 : 38 : 48 AM PACE 2/002 Fax Server
#NOrl bl017ddr—,
%ACORD. CERTIFICATE OF INSURANCE MATTER OF INFO osO to
PRODUCER .THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE It
S1 iBAUGH INS HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
NOR'i'HWWI�E MAIN STRE SI ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
540 540
COMPANIES AFFORDING COVERAGE
y
HYANNIS,MA (12601
COMPANY
73BILL A HARTFORDGROUP
INSURED COMPANY
B
SEAN E ANDERSON CONSTRUCTION
LLC COMPANY
50 TROWBIUDGE PATH C
W YARMOU'l 11,MA 02673 COMPANY
D
COVERAGES
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. 'THE INSURANCE AFFORDED
By
THE POLICES DESCRIBED HEREON IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM\DD\YY) DATE(MM\DD\YY) LIMITS
GENERAL AGGREGATE $
GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $
COMMERCIAL GENERAL LIABILITY PERSONAL&&ADV.INJURY $
CLAIMS MADE OCCUR. EACH OCCURRENCE S
OWNER'S&&CONTRACTOR'S PROT. FIRE DAMAGE(Any one lire) S
MEO.EXPENSE(Any one person) $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO
BODILY INJURY(Per Person) $
ALL OW NED AUTOS BODILY INJURY(Per Accident) $
SCHEDULE AUTOS PROPERTY DAMAGE $
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTOS OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGREGATE S
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
A EMPOLYER'S LIABILITY EACH 4235P397-10 OS 21 10 05 21-11 STATUTORY LIMITS X500.000
' EACH ACCIDENT S
THE PROPRIETOR/ DISEASE•POLICY LIMIT S 500,000
PARTNERS/EXECUTIVE INCL DISEASE•EACH EMPLOYEE $ 500,000
iOFFICERS ARE: X EXCL
OTHER
DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
7111S RrTLACES ANY MOR CERTIFICATE ISSUED TO T'lIL CE•RTIFICAT1711OLDL-R A1l7ECPLrG WORKERS COMP COVFRAOP
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
TOWN OF BARNSTABI.E DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN rJOTICE
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE
3�17 MAID STR} I f SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS
OR REPRESENTATIVES.
BARNSTABLE,MA 02001 AUTHORIZED REPRESENTATIVE
ACORD 25-5(3/93) Ramani Ayer
r) Map Paicel U O Permit# qml
House# (�$"�'f Date Issued
3rd floor)(8:15 9:30/1:00- Fee 2:2 10_
Conservation Office(4th floor)(8:30- 9:30/1:00=2:00)
Planning Dept. (1st floor/School Admin. Bldg.)
Definitive Plan Appro e P nning Board 19
• BARNSTABLE.
MAS&
1
T OF BARNSTABLE.
!! Building Permit Application
Project Street Address 1p S kA-A( iy v 1.
Village _
Owner 6_:7 1`Z A,(f b1Y4 A- -- D P•.,( SS Address (0 p"C t 9F W /kQ llj
Telephone
Permit Request �'S� t�•�YL® t ��t (12-1� - N C r -1�• i A) 6 ti- S (Ti-
'First Floor square feet Second Floor' square feet
,Construction Type
Estimated Project Cost $
Zoning District R P Flood Plain Water Protection
Lot Size ��� (}Zu n, Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House UYes ❑No On Old King's Highway &Q ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Bas nt Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No. of Bedrooms: Existing New
Total Room Count(not including bat xisting 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: ❑D ched(size) Other Detached Structures: ❑Pool(size)
Attached(size) 9'Bam(size)
J
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ( 1110 If yes, site plan review#
Current Use R1 rs 1 D� s1 rlA L_- Proposed Use
�V �AJ Builder Information
Name b+t 6_r— J-� V L J-1 06- Telephone Number
Address L 125 License#
Home Improvement Contractor#
Worker's Compensation#
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
SIGNATURE DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
UV
FOR OFFICIAL USE ONLY ,
Y
r
PERMIT NO.
DATE ISSUED •�� _ (�'
MAP/PARCEL NO.
ADDRESS ' VILLAGE
OWNER
DATE OT,INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE -
ELECTRICAL: . ROUGH `` FINAL
PLUMBING: ROUGH FINAL
GAS:• ROUGH -~ FINAL
FINAL BUILDING -' 1
DATE CLOSED OUT
ASSOCIATION PLAN NO.
07-30-1998 08:30 5089476557 PIASS.DEP/SOUTHEAST REGION P.03
BUILDIN4 INSPECTION CERTIFICATION ATTACHMENT
Building Address : 1685 MAIN STREET, WEST BARNSTABLE, MA 02668
1 . Is the building structure sound for fire YesE No ❑
training?
2 . Is the structure more than 75 feet from the
nearest residence? Yesa No ❑
3 . Is there vinyl or asphalt .siding on the
structure? Yes No❑
4 . Is the building clean of all miscellaneous . ❑
solid waste . (i, e . , trash, paint cans, etc . ) Yes No
S . Have the fuel storage tanks been removed from
the structure? Yes No ❑
6 . Is the building free of all asbestos-contji'nzrg
materials? (i . e . insulating and construction ® a
materials, etc . ) Yes No
I, the Building Inspector, certify that the responses to Items
1-6 above, are true to the beat of my knowledge and is based upon
an inspection conducted by the undersigned on JULY 31 , 1998
7
Signatu256'T' ! r Date
THOMAS PERRY BUILDING INSPECTOR
Name Title
The Commonwealth of Massachusetts
=T --- Department of Industrial Accidents
=°° - � Of>-ice;of/noesligations
600 Washington'Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
name: 2>Tl+ DO 21 S S
location:
city,
Ae+,)SS� 6 CiT phone# _1�m 4s
I am a homeowner performing all work myself.
❑ lam a sole roprietor and have no one workin in any capacity
❑ I am an employer providing workers' compensation for my employees working on this job.
al
company name: :..
_
address:.
ciri phone#.
insurance co. RolicV#
❑ 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:
company name: ^ "'
address:
city phone#.
olic*#
insurance co.
/ 30MV0007=111 %
campanv name
address:
city phone#.
olicv#...
insurance co:. :;> :::::>::::>::.>::<:::«;><:;;::::>::>:::::<:::>:::>::::.,::
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S 1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby cent' the pains:djJpna1U(ies of perjury that the information provided above is truo and correct
Signature Date 1111,11 q 0 _ .
9-0
Print name L_L �1 �o 2LS Phone# b O s � ~ Lisofficial use only do not write in this area to be completed by city or town official
;r
city or town: permit/license# ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
(tevined 9/95 P1A)
AkL
Information and Instructions
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 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
? 0,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 o the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying 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.
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 permit/license number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
��O��/O/OHO/O/�O�/O/�0����00�������000���0�0/O/���O���O%�/i,��i��,,.�/Di/����/
gThe Department's address,telephone and fax number- %
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Me of Imlesugadons
600 Washington Street ,
Boston;Ma. 02111
fax#: (617) 727-7749 -
phone#: (617) 727-4900 ext. 406, 409 or 375
Application to 1 1 6
Old Kings Highway Regional Historic District Committee
in the Town of Barnstable for a
CERTIFICATE FOR DEMOLITION OR REMOVAL
Application is hereby made, in triplicate, for the issuance of a Permit for Demolition or Removal of a building or a structure or
part thereof, 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.
TYPE OR PRINT LEGIBLY DATE _
ADDRESS OF PROPOSED WORK I b� Mkt j 4 ST. W�WN91 (JESESSORS MAP NO.
OWNER GU ?-4PJ6*Q+ A 'D0 i?1 SS ASSESSORS LOT Nt -1
HOME ADDRESS HAlN �` yy " '�'"' ' TEL N0.
NAMES AND ADDRESSES OF ABUTTING OWNERS: Include names of adjacent property owners across any public street
or way. (Attach additional sheet. if necessary).
L01,AA Ll 2 flC G-12 1,U , i31� s T421) L% M A o �G
t r-I r?Sl Lv►1-i9-Ow Cc-hv r L+ a2 e . loG� W w�.n1�s �� ►� o�-���
P.U
f
AGENT OR CONTRACTOR TEL NO.
ADDRESS
DESCRIPTION OF PROPOSED WORK: If building is to be removed, give new location. Snap shots showing all views of
building must accompany application. (Attach additional sheet. if necessary). .
Note: If approval is granted for relocation, a separate Certificate of Appropriateness is required for new location if within
the Old King's Highway Regional Historic District.
SIGNED
er•Contrector•Agent
Space below line for Committee use.
ec' e y C " The'Certificate is hereby Date
I ZZ -I
Approved IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period
provided in the Act.
Disapproved ❑