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Home My WebLink About0039 BAY SHORE ROAD -�� S �o� ��. � �� t Town of Barnstable Duilding be PostThis-Card,So Tlat.itais U�sible From the Street Approved Plans Must `Retamed on Job andthis Car d Must'be4 Kept BARr1'SCABLB, ' ,, ;: Fa ys. 6.t:.' s � S.i',. '3'¢ ¢f . F t ''` ' .•i. v M" Posted Until Final Inspection Has Been Made �� A � a Where a Certificate,of Occupancy is Required,sachBuilding shall Not 6e Occupied..unt�IaFinaiNlnspectwn hasbeen made Permit Permit No. B-20-1716 Applicant Name: WILLIAM G MORRISON Approvals Date Issued:. 07/17/2020 Current Use: Structure Permit Type: Building-Sheet.Metal-Residential Expiration Date: 01/17/2021 Foundation: Location`. 39 BAY SHORE ROAD,HYANNIS Map/Lot. 326 088 Zoning District: RB Sheathing: 77 ; f Owner on Record: FALLON,JOSEPH F&SUSAN G TRS '° 3 Contractor Name WILLIAM G MORRISON Framing: 1 Address: C/O CBDCPA, 231 SUTTON ST Con'tractor'License:- 1485 2 NORTH ANDOVER,'MA 01845 : Est! Protect Cost: $0.00 Chimney: Description: Complete Installation of two gas fired furnace's One;furnace to be P e rMi VTee: $85.00 &au a-MCC Insulation: P'"``� located in the crawlspace. Provide for ducted zones ofihe�ating and 7/2� ' (* ." Fee Pald $85.00 a_ir conditioning. - Final: Dateox 7/17/2020 Project Review Req: Plumbing/Gas Rough Plumbing: ;•� 57, , Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six rhonths after issuance.. All work authorized by this permit shall conform to the approved applicati�n and the approved construction documents forwhIch,thls permit has been granted. Rough Gas: r All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning.;by laws and codes. t Final Gas: This permit shall be displayed in a'location clearly visible from access st'reetor road and shall be maintained open for public mspection for the entire duration of the work until the completion of the same. 3 , ,, Electrical The Certificate of Occupancy will not be issued until all applicable signatures by�theBuilding and Flre®fficials ra a provided on the permit. Service: Minimum of Five Call Inspections Required for All Construction Works re� 1.foundation or Footing Rough: 2.Sheathing Inspection •.w ., ..�:.' e ... .,n- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.insulation J 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ' ~ Commonwealth of Massachusetts ��' 1��dO ad Sheet Metal Permit Map Parcel Os c Date: / b' = Permit Estimated Job-Cost: $ f Permit Fee: $ �S Plans Submitted: YES NO Plans Reviewed: YES NO Business License# 3 Applicant License# Business Information: Property Owner/Job Location Information: Name: Coot k A2n s ��ne k G Name: �16Se (: , Street: � o��cL street:_. �� City/Town: ` City/Town: TG M.� Telephoner t�0 1 1 Telephoner t Photo I.D.required/Copy of Photo I.D.attached:` Y YES t/ NO sr2$lnitial J=1 M-1-unrestricted license- � . : . J-2/.M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family' C-'O" Multi-family - Condo/:Townhouses Others rBU(LDING.DEP1, Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other JUL o$ 2020 Square Footage: under 1.6,000 sq. ft. over 10,000 sq. ft. Number of Stories: WN'®F STABLE •Sheet metal wv k to be completed: Ne-v, Work: Renovation: '1✓ HVAC Metal Watershed Roofing Kitchen E)di ust System Metal Chimney/Vents.' Air-Balancing Provide detailed description of work to be done: ' A�Cod- t o *-t— OM A, 0 i14- �n��Cs� A% INSURANCE COVERAGE: I have a current li b@ ilifit insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes❑ No ❑ If you have checked yq§, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑' Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waiyes this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent ' By checking this box[], 1 hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts.Building Code and'Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Fro>ress Inspections Date Comments Kinal Inspection Date .-,Comments Type of License: By ❑Master True ❑Master-Restricted l� ---� Cityrrown QJoumeyperson. Signature of Licensee Permit ❑Joumeyperson-Restricted 101 License Number. Fee$ ❑ - Check at www.mass.gov,Idol Email: l-Q C.0�A Inspector Signature of Permit Approval The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):� k �� -5 \�,&oAh2!� -k c,4 - Address: 1�0 ekc0, City/State/Zip: Phone#: '19J06 Are you an employer?Check the appropriate box: Type of project(required):. I.❑ I am a employer with 4. ❑ I am,a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.f required.] 5.!V5,yVe are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work . ,officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no � ° employees. [No workers' 13. Ot.h. er s comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their'workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: p �1dC Policy#or Self-ins.Lic.#: V�J ' �lo �1 Expiration Date: O Job Site Address: Sl-� c� . City/State/Zip: W o� , Attach a copy of the workers' compensation policy declaration page(showing the policy-number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided L bove is true and correct Sip-nature Date Ci Phone#: 5 'off Official use only.'Do not write in this area,to be completed by city or town official City or Town: Perinit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined_ as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having.not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial' Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts w Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 . Fax#617-727-7749 www.mass.gov/dia 3 p� s 7- hM ,, t.�" /''� �yfl6 ..y SQLL0IMNG^ f ENSE& 7,p,'W^ r rR*UNRESTi1 "° 1 `fi ¢ r'�'yr*F' +t" S'•.� ate-*s�' � } s t P`? l Vs V I.�dAM G-MORRI "CAN ANDIAI�CF, 1 t1a5fi 261 R. - I�y . � wr�ty^ e 1' „�`S'�G � +,,w"^'r. �r t a✓u. Z1��Gr'�r" s .r '�'� � . o D � t _ i IVIAP INSTALLED BUKDINf3 f'ROOI,JC')-,S PO SAC7AMC7RC!B[,�C'11, AAj.102.5C,2 1P,IStil./1'lJONC:ERTIFICA-I'IC)N-F�CF. IECC L'^,'Ti1N5ULA'I'1fDN Eat;�rtx Lht�l)y; Type.i - �°� s_p.Aani-I(;,aci•lrrer: r li-a all,e: . Exterior +,valls(other); Mani,,facturer. Interior!Wahs _ �_ _ _F-V;31U0, (. Stairwc'II: la cttirer; B'sment T I Ceiling: - - Mi3rlufacturer.' 166td�ra t+s nt�t` Fiat ,lin _R-Value; 3 p;5; -Fypn --'--`_"'---•-----`��la��..._.Mantifacturf::r: ��r - 810 N IlJS_Ulgj IUIU lIERGLgSS OR CELI ULC1S �- ENterior waNs.: IVIanufarturei: d rh!cls,ar-ss, _ Cov ra --.settled R-Value; �-- - Insiall c! r ilcimess; e ge 11 r,_a — Inttalld density> _ of Bags' -.. rl,?t r}F p, ; ~.--`-`�--- .�A,9ai`iufaetur•Pr;SettlEtl Tj-gclsness, Cou�atzoF - --=-._.- Settled R-Value, - - installed tluclu,ess: t:+.bra - Number�f f3ap5`�` -tl� taliR�t derts Tme, ) er. MaI'iufaCtUr'Set iled Th,CI�Iiess _`--- ---,._.�_� r --. . - _ _, __:Inst�-ailed tnicl;r, s5 Coverage I?rea; _Settled R Value: e,.., installed den,rty: ----. ._ Nur nkje, of Rugs: F. r -JledBu,ldiuE Pr'oduCi _ (� Town of Barnstable Building g ' i..,. ¥. �� f., ° zx .0 -. -,t t�; '`tt ' e a �: {;q "' ��R= So-, hat�tis1/is�ble;F,romthe:Street A roved Plans Must be•Retatnedon J`ob and his,Gard Must beKe t n p base• �* PostedUntil Final Insp,ectionHas_Been Made �� ; � � ,� �� a� , �; °' Where'a,Ceit�ficate of.Occu aoc Is'Re wired.such B'u ldm�=shall Not be Occu i until a F�nalans ection has been matle Permit p». Permit No. B-20-485 Applicant Name: PABLO MARTINEZ CUERVO BUILDING AND Approvals REMODELING • Structure Date Issued: 03/09/2020 Current Use: Foundation: Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/09/2020 Sheathing: Location: 39 BAY SHORE ROAD,HYANNIS IVlap/Lot326 088 Zoning District: RB - Framing: 1 Owner on Record: FALCON,JOSEPH F&SUSAN G TRS Contractor Name PABLO G MARTINEZ = 2 Address: C/O CBDCPA,231 BUTTON ST .... ContractorLicenseCS 103617 M r NORTH ANDOVER, MA 01845 ,> x Est Projeict Cost: Chimney: $70,000.00 Description: 1ST FLR: REMOVE SELECTED PARTITION WALLS RELOCATE KITCHENPerrn�t Fee: LIZ Insulation: $407.00 d �� 0 2vAt REMODEL BATHROOMS,AND REPLACE BACK WALL SLIDER 2ND FLR: RAISE DORMER ROOF, FRAME LAUNDRY,AND REMODEL Fee Paid $407.00 Final: BATHROOM ALL ALTERATIONS TO BE COMPLETED PERSUANTTO Date " 3/9/2020 ENGINEER'S PLANS update smoke and codetctors �s � 005 ��. e Plumbing/Gas Rough Plumbing: Project Review Req: Stamped As-Built plan Stating Compliance " '' Final Plumbing: AJ104.1required before framing final inspection Building Official q, This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved applGtion and theapproved construction documentsfor wh ch-this permit has been granted. ,. Final Gas: All construction,alterations and changes of use of any building and structures be.in compliance with the local zoning,by laws and codes. This permit shall be displayed in a location clearly visible from access streeCdrroad and shall be maintained open for public`mspection for the entire duration of the work until the completion of the same. ' Electrical The Certificate of Occupancy will not be issued until all applicable signa ures by the Building and Fire Officials are provided o�nanis permit. Service: Minimum of Five Call Inspections Required for All Construction Work: � s 1.Foundation or Footing 5 Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT BUILDING D EPT � ��® � Application Numbe - --------------- ---------------------------- FEB 18 20p D� s�txsreste, T Permit Fee-- - - �_-_ Other Fee------------------- OWN OF BARNSTABLE ------ En na'� Total Fee Paid TOWN OF BARNSTABLE Permit Approval by...' - ------------On---- {---- -��1 _ BUILDING PERMIT r;� (/� 7 Map `e Parcel -�U---- APPLICATION Section 1 —Owner's Information and Project Location SCANNrO MAR 0 9 Z010 Project Address 39 BAYSHORE ROAD Village HYANNIS Owner's Name s a n 6 • -Fa 1l o- Owner's Legal Address 124 We-lle5/e'_�I �20a City 3 e;(/n vz-, .t State MA Zip b Q Y- Owner's Cell# !v 7 S !o!a 5 Email 5.1-&iicm 13 / Vc-h yo . CCJYY1 Section 2 —Use of Structured Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet 0 Single/Two Family Dwelling Section 3 —Type of Permit 4❑*New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining Wall ❑ Solar Renovation ❑ Pool ❑ Insulation ,w s Other—Specify Section 4—Work Description 1ST FLOOR:REMOVE SELECTED PARTITION WALLS,RELOCATE KITCHEN REMODEL BATHROOMS AND REPLACE BACK WALL SLIDER. 2ND FLOOR:RAISE DORMER ROOF,FRAME LAUNDRY,AND REMODEL BATHROOM.ALL ALTERATIONS TO BE COMPLETED PURSUANT TOENGINEER'S PLANS I1lDG4ir: S►��0 Arnlof a ��'jF ( ?�►2.S Last updated: 11/15/2018 Application Number ........................................................ Section 5—Detail Cost of Proposed Construction $70,000 Square Footage of Project 2,000 Age of Structure Dig Safe Number Number of Bedrooms Existing 5 Total#of Bedrooms (proposed) 4 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage 0 Smoke Detectors ❑X Plumbing 0 Gas ❑ Fire Suppression 0 Heating System ❑ Masonry Chimney ❑ Add/Relocate Bedroom Water Supply [R]Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: YARMOUTH TOWN LANDFILL I am using a crane ❑ Yes O No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? ❑ Yes 0 No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required- Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated:11/15/2018 Application Number ........................................................ Section 9 —Construction Supervisor Name: PABLO C. MARTINEZ Telephone Number: (508)274-3983 Address:49 SMITH STREET City HYANNIS State MA Zip.02601 License Number: CS-1 . 103(,Q- License Type CS Expiration Date 11/17/2021. Contractor's Email CLIMB512SCaYAHOO.COM Cell Number: .(508) 274-3983 I understand my responsibilities under the rules and regulations for License Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code.I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and1he Town of Barnstable.Attach a copy of your license. Signature Date 2/17/2020 Y Section 10-Home Improvement Contractor Name: PABLO C. MARTINEZ Telephone Number: (508)274-3983 Address:49 SMITH STREET City HYANNIS State MA Zip.02601 Registration Number: 142802 Expiration Date 5/19/2020 1 understand my responsibilities under the rules and regulations for License Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code.I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR(and`the Town of Barnstable.Attach a copy of your H.LC. Signature -~ Date 2/17/2020 a Section 11 —Homeowner's License Exemption Home Owner's Name: Telephone Number: Cell or Work Number: I understand my responsibilities under the rules and regulations for License Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code.I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the town of Barnstable. Signature Date AIPPI.,ICATIN'T SIGNATURE Si ature _ a] Date 2/17/2020 ?m Print Name PABLO C. MARTINEZ Telephone Number (508)274-3983 Email permit to: CLIMB512SkYAHOO.COM Last updated: 11/15/2018 f Application Number ........................................................ Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review (if required) ❑ Fire Department ❑ For commercial work,please take your plans directly to the fire department for approval. Section 13 —Owner's Authorization I, v S R }y r a L L o N , as Owner of the subject property,hereby authorize PABLO C. MARTINEZ to act on my behalf, in all matters relative to work authorized by this building permit application for: 39 BAYSHORE ROAD—HYANNIS—MA—02601 (Address of Job) s� �a • / � • 1;? 0 Sidnature of Own Date � ofC 0.5C, n Cr . f'CL //y Print Name Last updated: 11/15/2018 PHILBROOK ENGINEERING 107 BEACH STREET Project: 39 BAY SHORE DRIVE DENNIS, MA 02638 Project No: P20-03 1-508-385-8682 Date: 13 February 2020 LAYOUT DESIGN SIZING AND NOTES 9th e_d. General Use Notes _ Cs110 ------- --------- ---------- ---------- --------- ----------- ---------- ----------- 1. Use Group: R-3 (1 Family Residence) F 2. Construction Type: VB (Unprotected) Fire Data: Separation between garage & residence IAW Tbl. R302.6 MA Amend 3. 1st Floor Live Loads: 40 lb/sq ft - Living Space 2nd Floor Live Loads: 40 lb/sq ft - Bedroom Space, Upgrade Floor Loads OFMgSSq oy 4. Snow Loads: 30 lb/sq ft - Tbl. R301.2(5) (MA) , �O T VARNUM GN Wind Loads: 23 lb/sq ft for 110 MPH, Exp B - Tbl. R301.2(4) (MA) � PHILBROOK MECHANICAL Detailed Framing/Work Requirement Notes �No.30690 ------- --------- ---------- ---------- --------- ----------- ---------- ---------- 4, E Description; the existing property has had several build-outs and is somewhat NW-7 cut-up inside. Foundations are mixed; full height area, slab on-grade in the front left and on block piers w/ curtain walls on the right. The exact load paths will be determined once the initial non-structural demo- lition has occurred. The initial sizing, listed below and shown on the plan assume directions of rafters and floor joists. Obviously these will also be verified once the finishes are removed. Once determined a more accurate framing upgrade plan will be designed, prepared and presented. Sht 6 Ni These alterations/removals are essentially non-load bearing work Sht 7 #1 10' Slider Header (Rear Wall) ; 2 ea 1.7511x 11.25" Micro-Lam LVL. V-3 Provide 3 King & 2 Jack Studs #2 616" Side Header (@ Stair) ; 3 ea 1.7511x 7.25" Micro-Lam LVL This is flush framed. Provide minimum 411x 4" solid stick post or comparable connector to entryway Ceiling Beam y #3 1919" Living Room Beam; W8x28 Steel Beam w/ 211x solid web packing. Q This is flush framed. Provide minimum 411x 6" solid stick post or comparable bearing header at suite entryway. Follow this -j E load path to basement or bearing wall by suite CD #4 11'8" Suite Ceiling Beam; May already be there. .if not. . 10 2 ea 1.7511x 7.25" Micro-Lam LVL flush framed into 211x 8" joists 0 it #5 Standard 211x 4" @ 16" o/c bearing wall. Provide single shoe and double top plate. At opening (for beam) provide dropped' 2 ea 1.7511x 7.25" Micro-Lam LVL w/ 3 Jack Studs. Solid block Q. through box to foundation below ¢ :3- #6 ll' Gable Header(@ Kitchen) ; 2 ea 1.7511x 9.25" Micro-Lam LVL This is flush framed. Provide minimum 2/2"x 4" wall posts or SCANNED comparable connector to entryway Ceiling Beam #7 1913" Living Room Beam; W8x21 Steel Beam w/ 211x solid web packing. This is dropped framed. Provide minimum 4"x 6" solid stick post MAR 0 J 2010 supports. Account for point load on slab on-grade at entryway Sht 8 N1 These alterations/removals are essentially non-load bearing work {' N2'�fThese alterations/removals ARE structural load bearing work Sht 13 N3 Remove the old roof exposing the dormer walls: a. Sister longer studs and add a new double plate OR rebuild the wa b. Rafters; New 211x 8" KD SPF @ 16" o/c using spray foam insulation c. Ceiling Joists; New 211x 8" @ 16" o/c w/ 8-16d Lap Splices EE d. Ridge; New 1.75"x 9.5" Continuous non-bearing LVL e. New 211x 4" high rafter tie or Simpson LSTA15, strap tie over roof #3 1919" Living Room Beam; W8x28 Steel Beam w/ 211x solid web packing. This is flush framed. Provide minimum 411x 6" solid stick post or comparable bearing header at suite entryway Sht 14 N4 This is partial account of gable bearing and needs to be verified. _#7 1913" Living Room Beam; W8x21 Steel Beam w/ 211x solid web packing. This is dropped framed. Provide minimum 411x 6" solid stick post supports. Account for point load on slab on-grade at entryway The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers TO BE FILED WITH THE PERMITTING AUTHORITY Applicant Information Please Print Legibly Name(Business/Organization/Individual): PABLO C.MARTINEZ Address: 49 SMITH STREET City/State/Zip: HYANNIS,MA 02601 Phone#: (508)274.3983 Are you an employer?Check the appropriate.box: Type of Project(required): 1. ❑ I am an employer with employees(full and/or part-time)* 7. ❑ New Construction 2. I]I am a sole proprietor or partnership and have no employees working for me in any capacity. g. © Remodeling (No workers'comp.insurance required.) 9. ❑ Demolition 3. ❑ I am a homeowner doing all work myself(No workers'comp.insurance required.)t 10. ❑ Building Addition 4. ❑ 1 am a homeowner and will be hiring contractors to conduct all work on my property.I will ensure that all contractors either have workers'compensation insurance or are sole proprietors 11. ❑ Electrical repairs or additions with no employees. 12. ❑ Plumbing repairs or additions 5. ❑ I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. ❑ Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 14. ❑ Other 6. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c.152, §1(4),and we have no employees.(No workers'comp.insurance required.) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name:A.I.M. Policy#or Self-ins.Lic.#:VWC10060160852019 Expiration Date:08/30/2020 Job Site Address:39 BAYSHORE ROAD City/State/Zip:HYANNIS,MA 02601 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby under the penalties bf perjury that the information provided above is true and correct. Silntature. Date:2/17/2020 Phone#:(508)274.3983 Ojf cial use only.Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Regulatory Services "RNWA` S. ' Richard V. Scali,Director At 1639. ►�� g Buildin Division Brian Florence,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 BUILDING DEPARTMENT DEMOLITION I)F.BRI DISPOSAL AFFIDAVIT Pursuant to M.G.L. Chapter 140, Section 54 and 780 CMR, Chapter 1, Section 111.5, I hereby certify that the debris resulting from the proposed work/demolition to be conducted at 39 BAYSHORE ROAD, HYANNIS, MA 02601 Work Address Is to be disposed of at the following location: TOWN OF YARMOUTH LANDFILL Sid disposal site shall be a licensed solid waste facility as defines by M.G.L. Chapter 111, Section 150A. 2/17/2020 Signature of Applicant Date Permit No. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Conskr�t' 4%, rvisor CS-10361.7 `' f. PABLO C M/ tTIN'Z Tres: 11/17/2021 49 SMITH ST. . HYANNIS MA'42601' t Commissioner / 1/ Office of Consumer �~ a, HOME IMP '4Hairs&BusineENT ss _: ... r ROV.EM _.. 1 R sE�`.,individuaOINTRACTOgtion. fio Ex i_ Ir Registration DPg q0 MARTfAIt" OS/19/2020 valid f s before or in CUERVO,( �� Office. the expiration date�Vidual use only • of CIf REMODELING One,gShburto�Pler Affairs and found return toc PABLO Boston,Mq ace-Suite 130tusiness Regulation. 49 S C.MARTS _` 02108 HYAN ITH ST NIS, s.,a/ - MA 02601 LindersEcre� ..._..... — ,! �V0 Valid thout signature i Town of Barnstable *Permit#0?60( rExpires 6 months from issue date X-PR MIT Regulatory Services Fee ° M � �� Thomas F.Geiler,(Director ArBuilding Division TOWN 0 STABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barmstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3 R(Q 0009 Property Address AY ) F+ll F gj__4�a ®Residential Value of Work •Z .goo Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address S 0 SA 0 F:�'A, kA 93 Contractor's Name G ��1�-. Telephone Number 7 �'y 3� Home Improvement Contractor License#(if applicable) << ZBID Construction Supervisor's License#(if applicable) ElWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner (� I have Worker's Compensation Insurance Insurance Company Name Co "xVA-F.7r—Z Su R-A. tj C-e- Workman's Comp.Policy# X? czq 3 3 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ORe-side F I ❑ Replacement Windows. U-Value (maximum.44) *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. Home Improvement Contractors License is required. SIGNATURE- Q:Forms:expmtrg Revise071405 r BoardofBuildin Regulations g Regulati ns and Sty HOME IMPROVEME Registration NT CONTRACTOR License or re 142802 before registration valid for individul us Exp�ratronc 5/20/2008 the expiration T} _ Board Of Building date. If found return YPe. DBA One gshbu g Regulations and Standard, j PAI3 RVO BUILDING+RElfAprpEING i Boston,Ma.p2108ace Ran 1301 d, LO MARTINEZ 49 SMITH S7. XV NYANNIS,MA 02601 Deputy Administrator - - Not v ---- alid with t si *,. - ... gnatu rr The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 rvrvw mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organ ization/Individual): CUER-Up 2 o i6 i.tjG f gg�-tobe Ll N c:s Address: 5 jk trt la _101- City/State/Zip: -Aj,k j rj is RA- va Ga l Phone t i�b--B Are you an employer? Check the-appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6 ❑ New construction employees (fall and/or part-time).* have hired the sub-contractors 2.[3 I am a sole proprietor or partner- listed on the attached sheet # ❑ Remodeling ship and have no e=ployees These sub-contractors bane 8. ❑ Demolition working for mein any capacity. workers' comp.insurance. 9. ❑ Binding addition [No workers' Comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repaizs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12.[:1 Roof repairs insurance required.] t , employees. (No workers' 13,aOther ize S 11> E comp.insurance required.] *Airy applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinformation: t Homeowners who subrdt this affidavit indicating they are doing all work andthen hire outside contractors must submit anew affidavit indicating such %Contractors that check this box must attached an additional sheet showing the name ofthe subcontractors and their workers'can*,policy infonmix6on. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: F NS0P�,nJCf, Policy#or Self-ins..Lic. #: 2S_Yr�_43?> Expiration Date: // Z 3 jok Job Site Address: 3121 'b&y Rb City/State/Zip: 4411A Nn)/S k A 0 VOA- Attach a copy of the workers' compensation policy declaratfon 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$1,50000 and/or one-year imprisonment; as well as civil penalties in the form oi'a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sim Q Date: o��3D f/,D Phone#: SVB 2 4 4 311 ;Oa Off cial use only. Do not write in this area,to be completed by city or town oyffieiax City or Town: PermitUcense# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City��owrn Clerk e.Electrical inspector 5.Plumbing luspe&Lor 6. Other Contact Person: Phone#: -u.i®rmata®n ana mstructiuns Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the Bernice of another under any contract oT-hire,.,, express or implied,.offal 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 bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." MGL chapter 152 25C 7 states"Neither the commonwealth nor an of its political subdivisions shall Additionally, ap , § ( ) Y enter into any contract for the performance ofpublic 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),addresses) and phone numbers) along with their certificate(s) of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure.to sign and date the affidavit. The-affidavit should be returned to the city or town t1f2t 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' compensationpolicy,please call the Department at the number listed below. Self-insured compaaies Miou-id ewer 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 nmst submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job.Site Address"the applicant should write"all locations in ' (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this of idavit. 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. 4# 617-727-4900 ext 406 or 1-877-MASSAFE Fay 61 617-727-7749 Revised 5-26-05 vrVY-W.1aass.gov/m-a 1 vafT„E'o'�ti Town of Barnstable ]regulatory Services HAS& Thomas F.Geiler,Director 1639. �p�FDMp�0. Building]Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable..ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner bust Complete and Sign This Section. If Using A Builder as Owner of the subject property hereby authorize r�' to act on my behalf, in all matters relative to work authorized by this building permit application for. (Addr.7eyfiJM63 I � E UU Sigfiatureof OwnerDate r6-llcf� Print Name Q TORMS:OwNERPERMIS SIGN + Town of Barnstable *Permit# Z Erplres 6 tttontdts frronns Issue date Regulatory Services _ Fe MASS p Thomas F.Geller,Director Building]Division X-PRIT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601' J U N 1 2005 6XI Office: 508-862-4038 Fax: Sob-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 4 ba ` �a Value of Wo %Residential rl�, owner's Name&Addre.:2,( � 1! Contractor's Name_,' ,,,�;, ,�. _am_ _Telephone NumbP-� 6CecSSS . r Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable Workman's Compensation Insurance Check one: [] I am a sole proprietor • [] I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name �5� c J'. : ;'►-('. L Workman's Comp.Policy# W,U � -- Copy of insurance Compliance Certificate must be on file. "' c_ ' C� Permit Request(check box) < ' t - ' co Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over existing layers of roof) . c:� . D Re-side _ do 0 Replacement Windows. U-Value (maximum.44) :. *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. Home Improv"ent Qmtractors License is required. („ GtJV Signature _ - go%p ow { Q:Forms:expmtrg Ny� ✓fie �a�rvnzovuuea�c o�.,/�ctutaelldT . Board of Building Regulations and Standards Lieense or registration valid for individul use oat), HOME INtI'�OVEMENT CONTRACTOR i before the expiration date. If found return to.- `� i Board of Building Regulations.and Standards , Re istr~at�csn. 45504 One Ashburton Place Rm 1301 r — 007 Boston,Ma.02108 ate Corporation B.L.MOSHER CT BERT_MOSHER -- j 74 SEARSVILLE S.DENNIS,MA 02660 Administrator l Not valid without signature _ a Town of Barnstable Regulatory Seryice� Thomas y,Geiler,Director •�A x639�a+a tCLildb7.Q'DIviST.OII TAD * "Tom,'Ferry, Building Conudssioner 200 I'Idu Street, Hyannis,Ivk 02601 . ,�e�n°t�arnstabie.rnans ° 508-790-6230 8fices S03p862-4039 Property der Must �.d sign Section . Complete � �if using A Builder 9 der of the subject property �d .,to act or.,rnybehalf,- hereby'Su&()ae to�rork a%I&orized bytivs bung pelt aPplicatiori fors rmtters relative Address ISAC Date xgnatdre o rCyer pit Name • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map U(e4AM Parcel Permit# 0 Health Division Date Issued S Conservation Division S' Application Fee Tax Collector � Permit Fee 3 3 3 Treasurer Planning Dept CONNECTED SEWER ACCOUNT Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3 &L!G1 ok l Village Owner 50s2nG, �' �'vt,sa � Fzz- (Oil Address /a 012djt,/,e Rd'belmctt 3 �7�vIV Telephone & 17 �� 14�3 l - �m 8--7,0- .2<.7 's Permit Request L10s oi- �WG'l9OP" Square feet: 1st floor: existing proposed�2nd floor:existing proposed Total new ../04 a Zoning District Flood Plain Groundwater Overlay Project Valuation J o,,Coo Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family A Two Family O Multi-Family(#units) Age of Existing Structure go qe4_VC,, Historic House: ❑Yes 'XNo On Old King's Highway: ❑Yes )4No Basement Type: XFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 1)0 5 F: Basement Unfinished Area(sq.ft) f PQ'O S i- Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing S new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: 0 Gas Oil ❑ Electric ❑Other Central Air:AYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ,ANo Detached garage:0 existing O new size Pool:0 existing ❑new size Barn:O existing O new size Attached garage:O existing ❑new size Shed:0 existing ❑new size Other: . z Zoning Board of Appeals Authorization LJ Appeal# ' Recorded❑ Commercial O Yes ❑No If yes, site plan review# Current Use Proposed Use r r( BUILLDER INFORMATION Name oseph r f a I lON (��t�P� ) Telephone Number 13— Address 1 WILT;PS 1,e License# ��wtOr7 r 1�/l D a 4 ' Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 4 1 a, FOR OFFICIAL USE ONLY o PERMIT NO. r DATE ISSUED :1 ? MAP/PARCEL NO. t ADDRESS VILLAGE OWNER y DATE OF INSPECTION: FOUNDATION FRAME ti INSULATION FIREPLACE L ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL - ' 0 GAS: ROUGH FINAL- N FINAL BUILDING 6m ' i rn uz DATE CLOSED OUT (r'i ASSOCIATION PLAN NO. s s RESIDENTIAL BUILDING PERNIIT FEES AF ACATION FEE , New Buildings $100.00 Residential Addition $50.00 AlterationsMenovations $50.00 gy t-O d Building Permit Amendment $25.00 FEE VALUE WORKSEEET NEW LW ING SPACE square feet x$96/sq.foot= plus frombelow(if applicable) ALTERATIONS/RENOVATIONS OF EMS'TING SPACE _ square feet x$64/sq.foot= x.0041= plus frombelow(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft._ x.0041= ACCESSORY$TRVCTURF,>120.sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf- 1500 sf 100.00 - >1500 sf-Same as new building permit: square feet x$96/sq.foot= x,0041= STAND ALONE PERK S Open Porch - x$30.00= (n Deck x$30.00,= (number) . Fireplace/Chimney • .. t- _x$25.00= . . R (number) Inground Swimming Pool $60.00 u Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) P ermit Fee c15 33 Proicost Rev:063004 The Commonwealth of Massachusetts - Department of Industrial Accidents' 60 Washington Street Boston,Mass. .02111 V� Workers',, Com ensation.Insurance Affidavit-General Businesses �i;Ys�C:' '�'"�+�.,'•'F:d'•sp•�''¢q+"s'. •• ;'.•+a er=^�4t,.•'�•+a• • .n •`': .r ,.`� -; ,:ix�,�'�� '. .. •- des address: Ld city�Xi�ll�SQ( I state: zip: •(9d!47 U• flhone# `- Syr wo site loeatio>7 full address : 6lo� I 4 1 � /� �� I am•a sole proprietor and have no one I Business Type: Retaif❑Restaurant(Bai/Eatiug•Establisbmmt working m any capacity. ElOffice[,] Sales(including Real Estate,Autos etc.)' ❑I am an emplo er with em 10 ees full& art time., ❑Other 1101*6- �I am an employer providing workers cam ens4on for my employees worlang on this job. ':ir -- ' :.,,:.'• • :rl•; '.i': 4: ..•i+ ). n`'?�:i•h i•5t. ,1:�••' A'+ : j1.:t� •, i irisuarice.cfJ: �r .'o;..t•^. �L:.!.t ;y. •i:•,��.F;'F.,.c:... OliC, .Tf :•K`" '�:.�'• . . I am a sole proprietor and'have hired the independent contractors listed below who have the following workers' compensation polices: :.:w,:.r: i.l: v :;fir,? .,�•.t- •at:' _ r;�,.•.. -t ti: :}i S�t:�ua.1,: .4n}:'te?r�:'ra.: %L; '•'••n',: - coinpanv'asrire• •�. - -- —-- addle"sa:. �• ?:;;.:z;{� :•>:,.,. - ::f�`t ,-7 •<t:r.� .!ri�.,y�t ;1 „�L.;al t.'.•. :i.,f.•.i,•,; .i_;irr„•'•::.r' i� ;l, �f.,ii..;y'ft •'V:r' F. +• `r': .I•• '�," _ �:Z. •,i;• •,{ fit. J�'. ..}.' ty�:l:' 'J.; +�'.' Si.�"• F 1' •,?• folic # fta•':l•t .`.x• f..:;. msurence'eo. { ;... _ '.I' ;�{4a:1 'i•. it: a a?:,ti:i s •:: t9r ;;� ? :4:�n:r:��''+ `,i' comp9>i tia>$e• : %''�:;t: ',: rx:• _ +• r.. N r C.N. .� i•ty• _st - q'..-. .,I.t .:�.: :fat: ••i. f.St �. .,.. .u ,�.. '•T• cdy•:•.t: .1r, adlic•. P#•>: Failure to secvre coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of allne up to$1,500.00 and/or + well as civil penalties in the form of a STOP WORK ORDER and a line of$100.00 a day against me. I understand.that one years imprisonment as p Y 8 P f his copy 0 t 9 utemeut maY be forwarded to the Office of Investigations of the DIA for coverage verification. . . I do hereby c ify under the i and penalties of perjury that the information prbvided above is true and correct Signature Date d .720 , O ' Frint name 5 e t Phone# -Y official use only . do not write in this area to be completed by city or town official Lcontactper3on: town: permit/license# []Building Department ❑Licensing Board _ ck if immediate response is required ❑Selectmen's OfficeEIHealth Department. ,phone#; ❑Other Sept 2003) ` Information and Instructions• cha ter 152 section 25-r. wires all loyers.to provide workers:compensation for their.. eneral L'aws• . p . �1 �. , Massachusetts G f` employee is.defined as every person in the service of another under any contract employees:- As quoted from the law', an e p yee �'p 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 mare of the foregoing engaged in ajoint 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. 'Howeverr 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.employspersons to do.maintenance, construction or repair work on such dwelling house or on the grounds or bidingurtenant thereto shall not because of such,employment.be deemed to bean eVP — mployer. MGL chapter 152 section 25 also'staies thaf every state*or iacal licensing agency.shall withhold the issuance or renewal of a license or permit,to Operate a business or to construct buildings in the.commonwealth fo'r 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 untR compliance wi acceptable evidence ofth 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 dtdation..-Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department Of Industrial Accidents-for confirmation of insurance coverage. - lso: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 ofIndustrial Accidents'. Should you have any questions regarding the"law"or if you are required to obtain a.workers.'-compensaticnpolicy,please call the-Department at the number listedbelow. ; City or Towns . Please be sure that the affidavit is complete andprinted legibly. .The Department has provided a space at the bottom of the affidavit for you to fill out in the event'the Of 5ce of Investigations has to contact you regarding the applicant Please i a it/licens.e number.which will be used as a reference number, The.affidavits.may.be.returned to be sure to fill. n the errn : p . ...: • . . the Department by mail or FAX unless othei'ariangements 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.: . The Department's:address,telephone and:fax number: The Commonwealth Of 1Vlassachnsetts- Department.of Industrial Accidents WIN of wesupans 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext:406 of r Town of Barnstable Regulatory Services aSrABLE, Thomas F.Geller,Director 1679. A•�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME EV2ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or contraction of an addition to any pre-existing owner-occupied budding containing at least one but not more than four dwelling units or to structures which are adjacent to ed contractors,with certain exceptions,along with other such residence or building be done by register requiiements. r .� Type of Work: ��! O 4 t Estimated Cos Address of Work: lLO`�' Owner's Name Date of Application: I hereby certify that: Registration is not required for the following reason(s); []Work excluded by law [Job Under$1,000 (]Building not owner-occupied J?20wner pulling own permit Notice is hereby given that; 019MRS PUl`,L NG THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IIYIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND XJNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: , Contractor Name Registration No. Date ��o 05 , Date er Name Q:form -homeaffidav 780 CMR Appmdis J Table J32.1b(continued) prescriptive Packages for One and Two-Family Residential Buildings Heated with Foisil Fueb MINIMUM MAXIMUM Glazing Glazing Ceiling Wall Floor 7R-vatfud' ent 5wo Heating/Cooling e perimeter Equipment Efficiency' Am'(�6) U-value R-value' R-value R-value° � R value Pacicar3e 5701 to 6500 Hating Degree Days' 6 Normal 12% 0.40 38, 13 19 10 6 Normal R 12% 0.52 30, 19 19 IO 6 85 AFUE 5 12% 0.50 38 13 19 10 NIA Normal --38 13 25 NIA U 15% 0.46 38 19 19 10 I' NIA 85 AFUE V IS% 0.44 38 13 25 N/A ti 83 AFUE W 15% 0.52 30 19 19 10 Normal X 18% 0.32 38 13 25 N/A NIA N/A Normal Y 18% 0.42 38 19 25 N/A 6 gp AFUE Z 18% 0.42 38 13 19 10 90 AFUE AA 18% 0.50 30 19 19 10 6 1. ADDRESS OF PROPERTY: 1 -5 2. SQUARE FOOTAGE OF ALL EXTERIOR'WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY 92): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303 a 780 CMR Appendix J Footnotes to Table J4.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fe of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. 3 The ceiling.R-values do not assume a raised or oversized truss constriction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R 38 . -._ insulation. .a and R-38 insulation may be substitutedfor-R-49 insulation: Ceiling R-values-represent the sum of cavtty.--- .-- insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R.-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. S The floor requirements apply to floors over unconditioned spaces(such as unconditioned cr'awlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. f The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package.. s For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and.U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in.accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Town of Barnstable yP�OF1NE 1p��o.� ' Regulatory Services Thomas F.Geiler,Director BARNSTABM 9� 0 9. �� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE. MQ VLIq Cot Loo 5 JOB LOCATION:. 3 4 a nub er street village . "HOMEOWNER": -To Se-jo k r, E o vt Ce 17 V N-1 5(n 617-7 37-54/0o name home phone# work phone# CURRENT MAILING ADDRESS: lrnm� t PA- 0. �7Y 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"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Si tore m o Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger.will be required to comply with they 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 persons)for hire to do such 1 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 ladk 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 fora/certification for use in your community. Q:forms:homeexempt BC CALCO 2003 DESIGN REPORT - US Wednesday,March 30,2005 16:08 Double.1 3/4" x 9 1/2" VERSA-LAM(E) 3100 SP File Name: BC CALC Project: FB01 Job Name: Joe Fallon Description: Address: 39 Bayshore Road Specifier: City,State,Zip:Hyannis, MA Designer: Joe Madera Customer: Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: Standard Load-40 psf 110 psf Tributary 02-00-00 AL BO B1 373 Ibs LL 373 Ibs LL 137 Ibs DL 137 Ibs DL Total'Horizontal Length-09-04-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 09-04-00 Live 40 psf 02-00-00 100% Member Type: Floor Beam Dead 10 psf 02-00-00 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 1191 ft-Ibs 8.5% 100% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-Ibs n/a 100% Tributary: 02-00-00 End Shear 424 Ibs 6.6% 100% 2 1 -Left Total Load Defl. U3000(0.037") 8.0% 2 1 Live Load Deft U4101 (0.027") 8.8% 2 1 Live Load: 40 psf Max Defl. 0.037" 3.7% 2 1 Dead Load: 10 psf Notes Partition Load: 0 psf Design meets Code minimum(U240)Total load deflection criteria. Duration: 100 Design meets Code minimum(U360)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". The completeness and accuracy of Minimum bearing length for B1 is 1-1/2". the input must be verified by anyone Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing who would rely on the output as evidence of suitability for a Connection Diagram particular application. The output Consult project design professional of record or BOISE technical representative for connection design above is based upon building Member has no side loads. code-accepted design properties and analysis methods. Installation Connectors are: 16d Sinker Nails of BOISE engineered wood products must be in accordance a=2„ d with the current Installation Guide b=3,� and the applicable building codes. c=2-3/4" a To obtain an Installation Guide or if d=12" — -- • • you have any questions,please call (800)232-0788 before beginning product installation. C / BC CALCO, BC FRAMER®, BCIO, BC RIM BOARD-, BC OSB RIM • _�• BOARDTm BOISE GLULAMTM VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND M VERSA-STUD®,ALLJOISTO and AJST4 are trademarks of Boise Cascade Corporation. Page 1 of 1 1SE, BC CALC®2003 DESIGN REPORT - US Wednesday, March 30,2005 16:08 Double 1 3/4" x 9 1/2" VERSA-LAM® 3100 SP File Name: BC CALC Project: F1302 Job Name: Joe Fallon Description: Address: 39 Bayshore Road Specifier: City,State,Zip: Hyannis,MA Designer: Joe Madera Customer: Company: Shepley Wood Products Codereports: ICBO 5512, NER 629 Misc: '�27 1_ Standard Load-40 psf l 10 psf Tributary 05-00-00 BO B1 955 Ibs LL 1218 Ibs LL 328 Ibs DL 372 Ibs DL Total Horizontal Length-12-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 12-00-00 Live 40 psf 05-00-00 100% Member Type: Floor Beam Dead 10 psf 05-00-00 90% Number of Spans: 1 1 Unf.Area Left 00-00-00 03-00-00 Live -40 psf 05-00-00 100% Left Cantilever: No Dead -10 psf 05-00-00 90% Right Cantilever: No 2 Conc. Pt. Left 03-00-00 . 03-00-00 Live 373 Ibs n/a 100% Dead 137lbs n/a 90% Slope: 0/12 Tributary: 05-00-00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 4873 ft-Ibs 34.9% 100% 2 1 -Internal Neg.Moment 0 ft-Ibs n/a 100% Live Load: 40 psf End Shear 1385 Ibs 21.5% 100% 2 1 -Right Dead Load: 10 psf Total Load Defl. U571 (0.252") 42.0% 2 1 Partition Load: 0 psf Live Load Deft U751 (0.192") 47.9% 2 .1 Duration: 100 Max Defl. 0.252" 25.2% 2 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(U240)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(U360)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-1/2". particular application. The output Minimum bearing length for 131 is 1-1/2". above is based upon building Entered/Displayed Horizontal Span Length(s)=Clear Span+112 min.end bearing+1/2 intermediate bearing code-accepted design properties and analysis methods. Installation Connection Diagram of BOISE engineered wood Consult project design professional of record or BOISE technical representative for connection design products must be in accordance Member has no side loads. with the current Installation Guide Concentrated loads are not considered in side load analysis. and the applicable building codes. To obtain an Installation Guide or if Connectors are: 16d Sinker Nails you have any questions,please call (800)232-0788 before beginning a=2„ ' d product installation. b=3„ b BC CALC®, BC FRAMERS, BCIS, c=2-3/4" a \ BC RIM BOARD rm BC OSB RIM d-12 J BOARDTM', BOISE GLULAMM, VERSA-LAMS,VERSA-RIMS, C ,\ VERSA-RiM PLUS®, VERSA-STRANDM VERSA-STUDS,ALLJOISTS and _ \ AJSTm are trademarks of i Boise Cascade Corporation. Page 1 of 1 /a BC CALC® 2003 DESIGN REPORT - US y �$SEn Wednesday, March 30,2005 16:08 Double 1 3/4" x 9 1/2" VERSA-LAM® 3100 SP File Name: BC CALC Project: FB01 Job Name: Joe Fallon Description: Address: 39 Bayshore Road Specifier: City,State,Zip: Hyannis,MA Designer: Joe Madera Customer: Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: Standard Load-40 psf 11.0 psf Tributary 02-00-00 BO B1 373 Ibs LL 373 Ibs LL 137 Ibs DL 137 Ibs DL Total Horizontal Length-09-04-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 09-04-00 Live 40 psf 02-00-00 100% Member Type: Floor Beam Dead 10 psf 02-00-00 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 1191 ft-Ibs 8.5% 100% 2 1 -Internal Slope: 0/12 Neg. Moment 0 ft-Ibs n/a 100% Tributary: 02-00-00 End Shear 424 Ibs 6.6% 100% 2 1 -Left Total Load Defl. U3000(0.037") 8.0% 2 1 Live Load Defl. U4101 (0.027") 8.8% 2 1 Live Load: 40 psf Max Defl. 0.037" 3.7% 2 1 Dead Load: 10 psf Notes Partition Load: 0 psf Design meets Code minimum(U240)Total load deflection criteria. Duration: 100 Design meets Code minimum(L/360)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". The completeness and accuracy of Minimum bearing length for B1 is 1-1/2". the input must be verified by anyone Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+112 intermediate bearing who would rely on the output as evidence of suitability for a Connection Diagram particular application. The output Consult project design professional of record or BOISE technical representative for connection design above is based upon building Member has no side loads. code-accepted design properties and analysis methods. Installation Connectors are: 16d Sinker Nails of BOISE engineered wood products must be in accordance a=2„ _d with the current Installation Guide b=3„ b and the applicable building codes. ' To obtain an Installation Guide or if d=12/4 _11111 40 you have any questions,please call T (800)232-0788 before beginning product installation. C BC CALC®, BC FRAMER®, BCI®, BC RIM BOARD- BC OSB RIM BOARD TM, BOISE GLULAM-, \ VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND'rm, VERSA-STUD®,ALLJOIST®and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 BOISE- BC CALCO 2003 DESIGN REPORT - US Wednesday, March 30,2005 16:08 Double 1 3/4" X 9 1/2" VERSA-LAM@ 3100 SP File Name: BC CALC Project: FB02 Job Name: Joe Fallon Description: Address: 39 Bayshore Road Specifier: City,State,Zip: Hyannis,MA Designer: Joe Madera Customer: Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: '27 1 Standard Load-40 psf 110 psf Tributary 05-00-00 � O BO B1 955 Ibs LL r 1218 Ibs LL 328 Ibs DL 372 Ibs DL Total Horizontal Length-12-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 12-00-00 Live 40 psf 05-00-00 100% Member Type: Floor Beam Dead 10 psf 05-00-00 90% Number of Spans: 1 1 Unf.Area Left 00-00-00 03-00-00 Live -40 psf 05-00-00 100% Left Cantilever: No Dead -10 psf 05-00-00 90% Right Cantilever: No 2 Conc. Pt. Left 03-00-00 03-00-00 Live 373 Ibs n/a 100% Dead 137lbs n/a 90% Slope: 0/12 Tributary: 05-00-00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 4873 ft-Ibs 34.9% 100% 2 1 -Internal Neg.Moment 0 ft-Ibs n/a 100% Live Load: 40 psf End Shear 1385 Ibs 21.5% 100% 2 1 -Right Dead Load: 10 psf Total Load Defl. U571 (0.252") 42.0% 2 1 Partition Load: 0 psf Live Load Defl. U751 (0.192") 47.9% 2 1 Duration: 100 Max Defl. 0.252" 25.2% 2 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(U240)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(U360)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-1/2". particular application. The output Minimum bearing length for B1 is 1=1/2". above is based upon building Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing code-accepted design properties and analysis methods. Installation Connection Diagram of BOISE engineered wood Consult project design professional of record or BOISE technical representative for connection design products must be in accordance Member has no side loads. with the current Installation Guide Concentrated loads are not considered in side load analysis. and the applicable building codes. To obtain an Installation Guide or if Connectors are: 16d Sinker Nails you have any questions,please call (800)232-0788 before beginning a=2„ d product installation. b=3,, b BC CALCO, BC FRAMER®,BCIO, d= - /4 a • --• • / BC RIM BOARD- BC OSB RIM I � BOARD TM, BOISE GLULAM-, VERSA-LAM@,VERSA-RIM@, C VERSA-RIM PLUS@, —� VERSA-STRAND-, VERSA-STUDO,ALLJOISTO and ' 7/1 • • AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 ab ea —.L m1 y e TO y i D t14 LU ' zi �� . 71 ! ... r�� , Privil f rlr 1a S All / J'6 PALO;, RISC 71 i ✓''*`may'"_— `�,,1- R i n ... �o'__ i a4 r / - l�fiGh �evras P!w�) ', 1 " t t u . .-,+.- � 6Si -.-_:.,......s ..- - ; Y _-larva.=.._r...\� � ..a--.• el i 4 .a ul i AS MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 I L Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-3-1999 TITLE: Fallon Residence F OJECT ON: 39 Bayshore Rd. COMPANY INFORMATION: Greg Cauley COMPLIANCE: PASSES Required UA = 106 Your Home = 102 Area or Cavity Coiit. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- , CEILINGS 310 30.0 0.0 11` WALLS: Wood Frame, 16" O.C. 4 568 11.0' 0.0 51 GLAZING: Windows or Doors 83 0.350 29 FLOORS: Over Unconditioned Space 1 300 30.0 0.0 10 FLOORS: Over Unconditioned ,Space 50 30.0 0.0 2 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, ..specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 12.5% of the design load as specified in ' Sections 780CMR 1310 and J4.4. Builder/Designer Date { MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Fallon Residence DATE: 2-1-1999 Bldg. Dept. 1 Use CEILINGS: ( l 1. R-30 Comments/Location "WALLS: [ ] 1. Wood Frame, 16" O.C. , R-11 Comments/Location WINDOWS AND GLASS DOORS: [ J 1. U-value: 0.35 For windows without labeled U-values, describe features: # Panes Frame Type Thermal "Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-30 Comments/Location ( ] 2. Over Unconditioned Space, R-30 Comments/Location AIR LEAKAGE: ( ] Joints, penetrations, and all other such openings in the building envelope that are sources cf air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the, inside of the recessed fixture and ceiling cavity 'and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0..944-L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture_ , shall have been tested at 75 PA or 1.57 lbs/ft2 -pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented .framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: • [ ] Materials and equipment must' be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly, marked on the building,plans or specifications. DUCT INSULATION: r v [ ] Ducts shall be insulated per Table J4.4.7.1: ' DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. w TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: - Rated output capacity of the heating/cooling system is Y not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1 25-2" 2.5-4" Low pressure/temp. . 201•.-250 1.0 1.5 1.5 .2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 ' 1.0 1.5 1.5 m [ ] I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.) : PIPE. SIZES (in.) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) `RUNOUTS 0-1", I 0-1,25" 1.5-2.0" 2.0+." 170-180 0.5 • 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 0.5 0.5 •1.0 ----NOTES TO FIELD (Building Department Use Only) ------------------------- a - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map -3D_t7 Parcel —� J Permit# 550 DPl--)Se-C&Yt, ' Health-Bivfsion -93-3 1 (50-1 Date Issued 12 ` 7 ' 8 Conservation Divisiork�ec 2 D41C .A1'4 t Q }� Q"�NNECTION pE OBTgrn A 82 jER Tax Collect �� RU 7I"DIV1S1oV pOMHE b0NTreasurer ' Planning Dept , Date Definitive Plan'Approved by Planning Board t Historic-OKH Preservation/Hyannis f ' • t . Project Street Address s9 ySAolope- aa !"j,', •Village /Ulf. , 'Owner Address t —yam Telephone ' 6- t Permit Request• A a0_ee— 177.ve, Square feet: 1 st floor:existing proposed 2nd floor: existing proposed F Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type 4Z006• ' Lot Size ` Grandfathered: ,❑Yes I/No If yes,'attach supporting documentation. Dwelling Type: Single Family Ga' Two Family ❑ Multi-Family(#units) Age of Existing Structure s Historic House: 0 Yes ❑No On 0ld King's Highway: ❑Yes ❑No I Basement Type: Wull ❑Crawl ❑Walkout ❑Other " Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new x Number of Bedrooms: existing_ new ' Total Room Count(not including baths):existing �2 new First Floor Room Count' Ap Heat Type and Fuel ❑Gas Wil ❑Electric r ❑Other Central Air:• ❑Yes [�,vu Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No °d Detached garage:❑'existing ❑new size _ Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# - Recorded❑ Commercial ❑Yes WI(No If yes,site plan review#" Current Use a Proposed Use c J BUILDER INFORMATION Name _ ft�Q 4!51�O Z g Telephone Number Address Q� ,�6 3( l License# �f Y A/4) f S Home Improvement Contractor Worker's Compensation#._ � � _ w ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ C. FOR OFFICIAL USE ONLY P PERMIT NO. DATE ISSUED ' MAP/PARCEL NO ADDRESS! ,. w VILLAGE OWNER , . _. { '� t L: ., r- - • +�f DATE OF INSPECTION-', FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t + PLUMBING: ROUGH FINAL GAS: ROUGH FINAL- FINAL BUILDING xtr -tO . Y DATE CLOSED OUT ASSOCIATION PLAN NO. "' PFThe Town of Barnstable � KAM Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038' Ralph Crossen Fax: 508-790-6230: Building'Commissione: Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ' OA/)1 ZZ O Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$19000 . , Building not,owner occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. y Date Con ctor Name Registration No. OR Date Owner's Name q:fornu:Affidav The Commonwealth of Massachusetts _- Department of Industrial Accidents ' � - ONCe of ittlyestigatioos Zed—r 600 Washington Street Boston Mass. 02111 'ye nsation Insurance Affidavit ��Y��///��///��%/��///��%��//%�////��,,,<,.... name: location: city Phone# ❑ I am a homeowner performing all work mvself. ❑ I am a sole proprietor and have no one working in anv capacity ❑ I am an employer providing workers compensation for my employees working on this job. company name: address: , phone#• n insurance m. olicv# ❑ 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#: insurnnce co. ..... olirv# . comnanv name: address: City: phone#' iroPrance co. _:: olicv# 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 S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do herebv certify under the pains pen of Per7*ury that the information provided above is true and correct Signature �J� Date ,Gt` Print name t�/�`��'��Y Phone# 2 2� 50� otIIcial use only do not write in this area to be completed by city or town official city or town: permit/license q ❑Building Department ❑Ucensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone M, ❑Other (revaeo 9,95 PJAI Information and Instructions,, Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the.r employees. As quoted from the "law", an employee is defined as every person is the.service of another under any contra -. 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 receive: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renews: 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 Departmenrt 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 redaned io 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. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imlestleatlons 600 Washington Street Boston;Ma. 02111 fax#: (617) 7274749 phone#: (617) 727-4900 ext 406, 409 or 375 f MORTGAGE I-NSPEC71ON PLAN ORR OWN�R _BOWER: JOSEPH F. & SUSAN G. FALLON - - BUYER: SAME _• _•. -• -- BTEPMHN P. ADDRESS: 39 BAY SHORE ROAD Nog6 HYANNIS. MA, DEED REFERENCt=: LAND COURT CERTIFICATE 87691- �Ea�sre*k° PLAN_REFERENCE: _ LAND.COURT PLAN 7615-9 ASSESSOR REFERENCE: CLIENT FILE NO. NICHOLA_S M_FORLIZZI,-JR, ATTORNEY AT LAW 64FERRUARY 13, 199ri OFFICE FIL N NF 0196-07 C1„ ---_....._ .. SO.22' SHED 7 . LOT 122 n 1 IDecK SCREEN ;I �rz I PORCH I 1 11:1 1 1 16t CARPORT f r I ..SE 139 Qn I DECK I A K DECK a _J t • so.oo' d 4 N 46'56'00" E BAY, - SHORE ROAD THE LOCATION -`c T-:E ORIGINAL DWELLING SHOWN HEREON, EITHER WAS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZJNING BYLAWS IN EFFECT WHEN CONSTRUCTED (WITH RESPECT TO HORIZONTAL OEMENSIONAL REQUIREMENTS ONLn. Or1 . MAY BE EXrMF f FROM VIOLATION ENFORCEMENT ACTION UNDER M.C.L. TITLE VA, CHAPTER 40A, SECTION 7, UNLESS CIHERWISE \^TEO OR SHOWN HEREON. A REVIEW OF FLOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER_.._^_ 250001 0006D DATED__—ZY 2_O322—_---- -- HAS BEEN CONDUCTED AND TO THE BEST Of MY INTERPRETATION THIS DWELLING IS IN FLOOD ZONE---Q__,,,' AND IS___l90j_ LOCATED WITHIN A SPECIAL FLOOD HAZARD ZONE. I STEPKN P. 4FSSvMS. P L S; HERE9Y CERTIFY IHAT IHE ABOVE MORTGAGE INSPECTION PLAN WAS PRILPAREU I UP CO$TA� MQRT¢AC l�QRp�c�LTCIRNEY PHC�NOJ�5 M f�F�(ZV AJN CONNECTON WITH A NEW MORtCAC6 AND I$ NOT INIENOID 10 REPRESENT A PROPERTY LINE SURVIFY. IT CANNOT BE USED FOR ESTARLISHINC FENCF CO BUILDING LINES IIIF LAND AS SHOWN HEREON IS BASED ON CLIENT FURNISHED INFORMATION AND MAY BE SURJEI' 1,+7 FURIHER OUT-�ALES. TAKINGS, EASEMENTS AND RIGHTS OF WAY. NO RESPONS181LITY IS EXTENDED It(RVN TO -, IHE LAND OWNER OR OCCUPANT. THIS INSPECTION PLAN WAS PREPARED BY USING CURRENT DEED INFORMATION, A�;;E;SOR PLANF, h RECORDED PLANS %HERE AVAILABLE. FIELD DATA WAS COMPILED BY USING EXISIINC' MONUMEN•- TATICN rOUNO, LINOS OF OCCUPATION k EXISTING STREET LINES. IT IS NOT THE RESULT OF AN INSTRUMENT SURv0 SESSOMS LAND SURVEYING 118 LONG POND RD., SUITE 1. PL`MMITH, MA 02360 TEL 508 746-33M — FAX 506) 746-2904 TO 39Vd 00 NO11d3 3Hl SVTVSBVL19T 6V :OZ, 866T/9T/TT I . � II i I c I; I r� i `7 , N � ' Y 9L L r 9y i _ of Z =iiP o' dd i Ndb j m � F Q, ll N � 2 � O • z J f h. f ......... . . 7,7777- triP 1+I ' I 4 T " 70 ° rw p.r tj P N � E � J w , � y i ia� O i z t4 e r- s b - Qoa�6 A " a Q � L 6 • m rry O 3 � w � - } . . �� . . * _ E � ° ■ | ® � v ® ! ■ ƒ ¢J ��^ � _ , � . 2`� \ �1 0721- J/O'IJi/IILO'ILCl/ 4�7l/GCI.LJCLCRCIJCCC DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number u;_. _`,._. Expires. Restrcied To 00 OR ky M CAUL"EY 33A BA%TER:A' } I 7f N YARMOUTH, MA 02673 .� ; t ^�,q.�-�t14 ✓AB T0007fO/t00�f/ .O� L7f�L .;HOME IMPROVEMENT„CONTRACTOR Registrationi06395 =Type f` INDIVIDUAL a i �� Expiration `07/23/00 { ? 7 , 8RE60RY M. CAULEY �-33 Baxter Avenue �GD7"�O Yarmouth MA 02601 ADMINISTRATOR a ao.l-CmNs Gka CE bantel E.Braman,P.E. 189 garbor Point Rd. Cummaquid,MA 02637-0361 • `�2o��c.�[: 1�ogS Gce C'a,uke Lt 4$3 - 0-148 a Qar< t2 3_g 8 c'� l c�\ �l O C1 5 100�-: 'Z �` - ooC' �o 0 -�o�qmk 4a x 3/4 , 20 ( G0 x .'��= 1r5 , tzCD �{ A bn52. 6e'. = iC �C .. o o 71t �o.` i C.a;. o.Gtl y '� X � , OO O X k 9 - 0` 0 ,� �. v o DAIdIEI E. yG � cx locy" wz ® `STRUCBRAN 4-mmURALun NO.36595 -%s e h 1, -., . ----.-_ �; h� ��`�^ � � M � . �. , � , -_ - �, �-' � Y � ! � 111 �. �� M � � --- � � .� . � P \1 r � - �M ✓. ` (\1 ��f,J � \, O {� � y �M) :,y � t a � ' f � ,A'e�rV\, /.. V �..,: 1 d �J R321'0 088 . - P P R A I S A L D A T 0 KEY 240590 FALLON, JOSEPH 'F 0 LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 36, 500 600 103 , 700 1 A-COST 140, 800 B-MKT 75, 500 BY 00/ BY ME 1/89 C-INCOME PCA=1011 PCS=00 SIZE= 1836 JUST-VAL 140, 800 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 69AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 69AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 365001 LAND-MEAN +Oo 1408001 139993 IMPROVED-MEAN -260-. 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 15001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP].ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT I R326 088 . P E R M I T [PMT] ACTIO [R] CARD [000] KEY 240590 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT N�[B31987] [06] [88] [AD] A 50001 [JM] [01] [89] [100] [NEW ] [HY ALTER ] I ' [B33512] [02] [90] [AD] - 300001 [LK] [04] [91] [100] [NEW ] [HY REPAIR ] RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY - STREET �9 Bay Shore Rd. Hyannis , 73 LAND /�. 4- 3,26 88 0 �_ H 01 BLDGS. a OWNER . -t j i � fL..d.•1_r. (.• TOTAL y3 SU rn --- .. ...__.. /. - LAND RECORD OF TRANSFER DATE BK I PG. I.R.S. REMARKS: / ,�•' /�1 BLDGS. TOTAL etf •2].R LAND - - 1690 ! BLDGS. Fallon Joseph .F. & Susan G. 12-31-81 Ctf. 87691 ($67, 0a-h TOTAL LAND 02 �. L/fr'pti/ R p M&-i-QL C, BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: 0BLDGS. TOTAL DATE: s ,L LAND ACREAGE COMPUTATIONS BLDGS. D TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE LOT �j r / --- ��'i�/d_ LAND CLEARED FRONT BLDGS. 01 REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. rn WASTE FRONT TOTAL REAR LAND Gl BLDGS. TOTAL LAND 0) BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH 96 FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND FOUNUAT UN b5M 1. tk A I"I'IC t• I-UMBING PRICING LAND COST ' Conc.Walla . Fin. Bsmt.Area Bath Room Base /: �/ (O BLDG. COST Co.:.Blk.Wells Bsmt. Rec. Room St. Shower Bath Bsmt. " PURCH. DATE Cone.Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE. Brick Walls Attic Fl. &Stairs Toilet Room Roof �- /0-0 RENT Stone Walls Fin.Attic (/ Two Fixt. Bath Floors Piers INTERIOR FINISH Lavatory Extra Bsmt. F ✓ f 2 3 Sink ✓ s� r/2 ys Plaster Water Clo. Extra Attic -1. 02 0 0 P o EXTERIOR WALLS Knotty Pine Water Only / /Ofl s /7 6 Double Siding Plywood No,Plumbing Bsmt.Fin. Single Siding Plasterboard i Int.Fin. e7/ 6 Y /, W Shingles TILING S7G Cone.Blk. G' F P Bath Fl. Heat {- / 20,E v SyO �y :7�/ /-7 Face Brk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit �- 3a O S Veneer Int.Cond. Bath Fl. &Walls Fireplace S ya 9 ' Com.Brk.On HEATING Toilet Rm.Fl. y Plumbing 4- 7.:? Solid Com.Brk. Hot Air tea Toilet Rm.Fl.&Wains. C� Tiling 4- 3 A'r7 /S CAn'Pon,T / Steam Toilet Rm. Fl.&Walls Blanket Ins. Hot Water St.Shower Roof Ins. Air Cond: Tub Area Total , Floor Furn. ROOFING COMPUTATIONS ' Asph.Shingle Pipeless Furn. S76 S.F. G ,2 Wood Shingle No Heat /a/Ll S. F. /6, 3 a 3 Al 7 Asbs.Shingle Oil Burner S S.F. /J%, 0 8,57 ' Slate Coal Stoker / S.F. a O Tile Gas aft S•F. 3.30 OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 7 6 9 10 1 2 3 4 5 6 7 819 10 MEAS RED Gable Flat Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack / Wall Found. 0.H.Door LISTED F LOX)RS Fireplace / Sgle.Sdg. Roll Roofing Cone. LIGHTING DDIe.Sdg. Shingle Roof Earth No Elect. DATE Shingle Walls Plumbing Pine Hardwood ROOMS Cement Blk. Electric Asph.Tile Bsmt. 1st TOTAL 3 O G Brick Int. Finish I CED Single 2nd 3rd FACTOR 3 REPLACEMENT 23 6 6 OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. I 2 3 4 5 6 7 B 9 10 TOTAL PROPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS�I NBHD KEY NO. 0039 BAY SHORE ROAD 07 RB 40.0 . 07HY" 07/09/95 10 1 ".00 6 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT 'ADJD.UNIT Lend By/Date Sae D,mens�on LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description F ALL 0 N. J OS EP H' F MAP- CD. FFDe th/AUes E #LAND 1 36,,500 CARDS IN ACCOUNT -- L 10.1BLDG.SIT .1 . X .2 A=15 290 39999.9 .173999.9 .21 36500 #8LDG(S)-CARD-1 1 103:700 01 of 01 A #OTHER FEATURE 1 -600 COST 140800 N BATHS 2.0 U X C= 100 7000.0 7000.0 1.00 7000 B #PL BAY 'SHORE RD MARKET 75500 D FIREPLACE U X`. C= 100 3100-0 3100.0 1.00 3100 B #DL L07 :122 INCOME A SHED S 8 X 8 197 C= 84 11.7 9.8 64 6UO F #RR 0090 0080 USE D APPRAISED VALUE D eJ A 140P80C A u PARCEL SUMMARY T S AND 36500 A T BLDGS 103700 0-IMPS 60C M TOTAL 140800 F E N CNST E .N DEED REFERENCE Tye DATE R-ded PRIOR YEAR VALUE A T I Book Page ""' MO. Yr.ID Sales P,I- LAND 36500 T S I C376910 00/00 BLDGS 104300 U TOTAL 140800 R E WTER PROX...... DUILDING PERMIT SNumber Date Type Amount ....at.a........s: LAND LAND-ADJ : INC ME SE SP-BLDS FEATURES BLD-ADJS ' UNITS 36500 60 10100 833512 2/90 AD 30000 Const. Total e r BullN,.',-,. v. Glass Uni15 I Unns ©ase Rafe Atlj.Rale A I '49e. . ConObstl. CND I Loc 4b R G Ropl Gosl New Atll Repl Vxlue $tones Height Rooms �atl Rms Bathe •fic. Pmrtywall FAc. f '01C+- 000 . 110" 110., 62.75- 6.9.03 20 75. 19 ,80 100 80 129674 103700:2.0 8 4 2-0 7-0 Description Rate Square Feel Repl Cost MKT.INDEX: 1.00 IMP.BY/DATE: ME 1/89 SCALE: 1/00.57 ELEMENTS CODE CONSTRUCTION DETAIL BAS100 69.03 576 39761 'GROSS AREV 1836 5lNbLk: , f;ANILY, DWELLINGLNST GP: FWD 85 8.50 ; 160 1360- *- - 6-*---16-m-* . STYLE OS OLONIAL`OLD O.OI T ISB:100. 69.03 540 37276 ' A FWD! FOP' A ESIGN ADJ MT 02DESIGN'AUJUST 1000 R FWD' 85 8.50 90 765 15 :15- 15 EXTER.WALLS TT W 000 SHINGLES a.-: D FOP: 35- 24.16 240 5798 *--12-* .. ! ! -EAT/AC TYPE 04 IL,------------- -0_0 C 1SB-100 69.03 144- 9940 + *-6-*---16-24* *--12- INTEf1 FINISH 04DRYWALL 0=0I T FWD 85- 8.50 96 816 + ` + + 1 SB INTER.LAYOUT -12 AVER-7)[ORMA-- --U:O U 820 60 41.42 576' 2-3858 21 ; + " :12 12" 1NTER:ZIUALTY -02 AME-AS EXTER. 0=0 R LOOR-STRUET 02aD JOIST/9EAM--- O 0I A W 24: BASE' 24 : + £ L06R`C-OVEV- 06 AWPET 'VINYL--0-.0 D 586.e85e_ 1260 . ! ! " 12-*. ODF=TYPrE --- 01 ABLE-A_SP_H_ _S_H 0.0 E Teal Areas 'Aux= *�- BUILDINGDIMENSIONS - "*4-* : ! "" '.8: FWD,8 ELECTRICAL - _01 VERAGE S W20. FWD S10 El N10 W16 9 1SB ! + ' + FOUPfOATI6fl - -t7i OUREb--CONE 93i.9 AS W04.:N24,1S8 W06 -.FWD :N15 E06' ! !. *--12-* :_ --_ i.-:. -- -- -- --- -- -- - 5�75 W06: .. 1SB:N06 W12 S21 'W04:: *-----22-----*-*-----20 *;-X NEI�HSOR 666:64AC-RYA NNIs.,------ L SOt9.E22 N24:.. FOP N15=E16:S15 10 10, LAND -TOTAL' 'MARKET W16 BAS E24:1SB E12' S12 FWD ! FWD PARCEL: 36500 ' 140800 S08 .W12,"N08 E12 .. 1SB W12 N.12 * -16-=-*; AREA 17499 .. BAS. S24 .. VARIANC'E +0 +705 ' STANDARD 25 I Assessor's office Ust floor): ` � *THE tO Assessor's map and lot number .. ....//........... ............... Board of Health (3rd floor): �� d� o"Sewage Permit number .......... '.... .................:........ ............. r Z H6H39TOHLE, i Engineering'Department (3rd floor): . o rasa' House number Definitive Plan Approvedi639 , YP by Planning Board ___________:___________________19__-_____ . APPLICATIONS PROCESSED 8:30-9:30 1 A.M. and •1:00-2:00 P.M. only TOWN OF BARN-STABLE BUILDING INSPEC�T�OR s r APPLICATION FOR PERMIT<TO ... ... .. !z(" F.`':. ...q .. (sS. FII TYPE OF CONSTRUCTION ...:l Q..:.. ..... !. ..��.............................................................................. - r .............•-•---....,..---............,•-----19.......E TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........��...........,i..r .��'..A..q........V s...., Proposed Use .... ... Zoning District .............C Fire District .. .�........................................... ........... Name of Owner ... :J.CLZ�5 ....%••••1 O/•c7//.!�...............Address ,✓ .�f...... /. � .-5!�a/L.. r.............. . f ` Name of .....Address 11 • Name of Architect ..........� :`�....................... ........Address .................:. , Number of Rooms ............. ................... . .Foundation .. �/./ �...d .•./,,�J/`l�.,�C Exlerior ...............................................:..Roofing �S...................... Floors (C {.(';yam.... ,. .y:.. r ��. ...:interior ... �. � /, W".. ..:..................... Heating ...............yD. ..........:..............................................Plumbing................................................................................. Fireplace p ?.................................................................Approximate Cost . ,/.... .. ................... ............. 'Area ............. .............. . Diagram of Lot and Building with Dimensions Fee `. ........................... OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - C Name ..... c+.> ....s -,� .....its.................... Construction Supervisor's License .................................... y FALLON, 'JOSEPH x; 1 31987 Screen On Deck No ................. Permit for .............. . , Y Single,,,Family... w,.e.11ixag............ Location .... ... :�.y....&k�Qxe..R�.ad....'..... , .......................H.ysnnz.. ......................... ............ Owner :s7Q.�iap l.!�'a1.]..on.. r Type of Construction Frame.`.................... f i .:. .....................................::........................................ T - Plot ...................... -LotY................ ......... Jun -18 8 ` 1 Permit Gran ed ... .........E... ..4.............19 Date of Inspection .....: ..............J........19 4., Date Completed .... fqv, .9 .,,. r:n -s .,... .,. r, ..-• -... . ;..,. '`....; :.�,1 e�.-3. :,�: h-t+ .;� +n `,p _ s t � t � � . e -ey f �.:y _, _ .. ♦irk . _ i �Y yaa'..e. :-F J..-^%;�..i.'x6. �Ya" .. .� .'a' Assessor's office .(1st floor): /O � � O*THETO Assessor's map and lot number ... .........�............. ............... �Q.. . Board of Health (3rd floor): Sewage Permit number ...............9.0:�.......... Z EAE.d9TAXE Engineering Department (3rd floor): rasa House number 1e39 0� "�a�aY a` Definitive Plan Approved by Planning Board _______________________________19________ . '�+�tPPUCIATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR l APPLICATION FOR PERMIT TO ...f...(.�: ... rnt r � t`U..c�N �✓ ! U�U �v/5/lily% �.............. ........ .............. .... TYPE OF CONSTRUCTION .�2a,12 ;� �' 'e .f f ................................................19......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ ....... /.. ...... f�lf�. ..�........ t......,1 '!��>1� �.` .... ��...................................... ,..,., �. ProposedUse > .............. ... .................................................................... Zoning District .............. ..Fire District ........................................................... Name of Owner ....... ' /},....,/ �-�: r ?J11..............Address .. �..... �ir.J:. '... 5`f.. �.:.. �` JJ y Name of Builder .:... / Z:. �?'/ /..............Address� ....... � t"�.........��.�.�.!..�' �f r ; Jai Name of Architect .......... <.. .;.:*!L....................................Address ......�.. .....`..I:�'J`}.;.•;�� .-......... ....................... Number of Rooms .............,1..................................................Foundation .462 .................... Exie for .. ...:' ::..1`........... .................�.....................Roofng �f/�...... ...::......................... Floors .... e;' /K" /f,/ `'J'f!fi'.... �T i'` � .'�'....Interiord, Heating .... ......../Z�!� ...............Plumbing .........r.. G { . Fireplace /J ........................................Approximate Cost ... ;...`�'`.Jao ........................ ............. ............... Area ..... `..b...... Diagram of Lot and Building witF Dimensions Fee r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and ,Regulations of the Town of Barnstable regarding the above construction. ` Name .................c A,,.........,.a..... .:. .._.,,.�t.:�........................ Construction Supervisor's License ..................................... FALLON, JOSEPH A=326-088 No ...3.198.7. Permit-for ...Screened In Porch .. .. ..... .. ......................... on D.... .... . ...Single Family Dwelling ........ ......I....................... Location ..39 Bay...ShoreRoad ..... .. .............................. .......................Hyannis...................................... Owner ....Joseph F.a.1.1.on................................ .. .. . .. Type of Construction ..........Frame. .... ................................................................... ........... Plot ............................ Lot ................................ Permit Granted .........June .............19 88 Date of Inspection ....................................19 Date Completed .......................................19 ;,v.,irSyr ? r , :`� ��• r•a' K Y sC � 'tF. ar 3� d r Asoessor's office(1st Floor): Ge Aslsessor's map and lot number 4 f dbard of Health(3rd floor): 'Sewage,Permit number �'i }✓, .r - l f' �! ` ;i saaygsnLL Engineering Department(3rd floor): House number �3q F 4 1639. Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9`.30 A.M.and 1:00-2:00 P.M.only TOWN - OF BA•R.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTIONifz 49 �J 19 < z , TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit according to the following information: Location l fI/ -�< �t� C �V Y%iY�/fs ( L o7 Proposed Use Si.✓G!_ �i9i <� �i ✓� c <</J;' t Zoning District LO A Fire District % � �, a1 AJ Name of OwnerL~.lf4LG s�/~- Address ./3l y�/f iC Tvi✓, ��7i,� . G2��G y Name of Builder 1% L .,.7Z cZ<✓I,- -S y yir f Address iS�x ?�i�' �y. L.�1,' 1iYrT> .,�"i Name of Architect Address . Number of Rooms Foundation Exterior k,//>/i<5 Roofing Floors Interior _5K/L2 �`' ' /la llils ZA c< 7 Heating r� " �'/ Plumbing lob%�-r OZ� Fireplace <lL212I 41�11;wir Approximate Cost Area �df�e c 4 S'f Diagram of Lot and Building with Dimensions Fee F I t F OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License- FBI Csr? 0S a 1P 6 �x�l Ti F. 1`� -.a2a--08�; O92F No 33512 Permit For Remodel. WaLe..r Damaged Singl-e Family Dwe1l[_in.g Location 39 Bay Shore Road I3yannJ.s Owner Joseph F. Fallon Type of Construction Frame Plot Lot #12 2 Permit Granted February 16 , 19 90 Date of Inspection 19 Date Completed 19 1, 'F PERMIT COMPLETED 1/1/� r' Asnessor's office(1 st Floor): As$essor's map and lot number Board of Health(3rd floor) � � 4* •�ewage Permit number Engineering Department(3rd floor): 9 vra rNs La House number umber �, 1639. Definitive Plan Approved by Planning Board 19 ® C MAI a� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BAR.NSTABLE _ BUILDING , INSPECTOR APPLICATION FOR PERMIT TO ��<S _ /9 d' 6'/q• TYPE OF CONSTRUCTION 4.,1, 19 � TO THE INSPECTOR OF BUILDINGS: - The undersigned hereby applies for a permit according to the following information: Location Proposed Use ��✓.te-e-ml ' Q � Zoning District- Fire District Name of Owner _laid f/ f, /7136G 6 i✓ Address /��/�iG 7oiv j /-0'!4 , ap/,C Name of Builder AaI nG J-za wa f Address Ass.22k' sa_ ��LiYill<r,/wit � 26�o Name of Architect Address Number of Rooms Foundation C ONC-IZ Z7c Exterior �/ � ��2 Roofing � �G 7 Floors DA-!C Interior Heating f`� �� l�y G��- Plumbing ZT111,7fff Fireplace xGS' f i - Approximate Cost Area A�b •t y-C-4- e- 1, pose _p", Diagram of'Lot and Building with Dimensions Fee 0*_'6 .00CUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name f Construction Supervisor's License 4a0 FALLON, JOSEPH F. 33512 Remodel Water Damaged }' ' ti No Permit For Single Family Dwelling 4 Location Lot #122, 39 Bay Shore .Road L Hyannis Owner Joseph F. Fallon - { 4 Type of Construction Frame r ; Plot ' '`= Lot r n ' Permit Granted February 16 , .� 19 0 i t w Date of Inspection 19 Imo/zc�� Date Completed 19 _t s • `i / im� . l 1 r 1 I �If,7 74,7 A i . . � , ` \ . § i� . . $ . . � . J j � \ . . \ } ƒ }. . \i 4 . � _ ._ TL- Fallon Residence 1 f s� o t7 .I Front Elevation]mil Hy�flffi 39 Bay Shore 1 �' 9 bbumchusetts ri��Qep�o E: r IEIII ---- FT FallonResidence Rear Elevation a n m o 39 Bay Shy Rd Hyannis,Mmachusetts r Q y�R�odeG»g� 1 1 1 - I, F13 W > III Not' FzU®ffi Residence Right Elevation —T n 39 Bay Shore Rd � Hy , h aa�M e; � m a 0 e 4 39 Bay Shy RdHyannis,Massachuw is ��sR ,M Philbrook Engineering 107 Beach Street ' «) Dennis, MA 62638 • 1r s 1/4 508=385-8682 fv 7 4 1/8" 3'7 1/2 Deck, 9otamH'otch • B6dtouen'4' 12°10'3/4"" Belb3 71/4" i 176 1/8" 2.: s®a 0.0 00 . 00 Kbchen 19'21/z,. 11:9 s/er Dock CK ., __ � •li ¢!^ � i Dt a .. � ,.. � a a Rout Dxk, aora &*L W-r-W an+. aw, .. see . .. r MOKE DETECTORS REVIEWED SMOKE BUILDING DEPT. DATE E 1{ FIRE DE RTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING Barnstable Bldg. Dept Approved by:, .-.�.�. Permit #: w v A N 4 V W ° :,. O N f+ � m 3 � - D r � Mon Residence Basmcnt f 39 Bay Shore lid Hyannis,Musachusefts Gl , lJ � a , v O O y W I OK I J :I W W f 't I� ID _ N Ll ^' Faflon Residence 39 Bay Shore-Rd � Hyannis,Manwhusetts l�sR�w Philbrook Engineering 1,07 Beach Street _ Wiwi Dennis; MA 02638; tog-385-86821. - DO& Bawer Ponh o \ ,y q�•� Ee�oom �� \ .-_ ' O J �A` - A�dLsJROOm P"M ta - � r As'ILid19 . FkantDa Hells.tIV�REr'. - - -'--- Wells amlItaoetobedte�tiuve��lRitkreated _ - - ' � •ew., w 8 Philbro'ok Engineering 1;07'8each''Street ` Nnms, MA 02638 i 's spa . 50$-385 8682 o (� MosWBodmm x 21 3aj8, - 24dErI00S''T r r __ 4kW y - ` aa��gq w8b6 YCEYIBm�1@ Y - : - !Dec mun9 u Philbrook Engineering: . 10 107 Beach Street` ff Dennis, MA_ 02638' 508-385-8.682143 5 new rafters Zx7 W o.c. 2x6 collar:ties s xist 2u6 rafters 12'1' 7.B's/B? 5,6... 2 8 Wo.c. new beam 1. • 2 2x8.f1.joist 16'o:c: 2xB ib'.'o.c;. - A Sx10 Beam: la z D "A&" RK 1 .._ .,....+... .. ., �....,..,...`-... .»....--__.....�... ....._...w.+..--,+..........._.�,.......... _.».+... . ........-.-�...,....__. ......�....... ..._.._._�...�.,.�.._........ ..... :.....tea,.....,-,..s—.. - _..._�.._ ....�..... _ ....»__..„.._........_...-.......�-- _ ....:.. _ .., .. . ... ._._,�.._......---.-...._,...�....a.- _.._.,. ,.--`"--,- ...... ,- ....... - ,..._� ..,..,., . . ......,.._...... ._._.-.A....---.-._..._.,.... _ _ + I Philbrook Engineering • 107 Beach,Street. Dennis, MA °026.3.8- i New Ceiling Joists,—�_, ~ 1 'New Beam 2? _ y, 1�-- - II rid IA0. Oto. 0mgam. me-nw K"-