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0085 DUNN'S POND ROAD
'85 d TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel o1q opI ''` . . �°'�� 'I � "�� Application # 2U 1 61gft 7 Health Division ni_ • ".' Date Issued �-26—r S7 P� Conservation Division Application Fee Planning Dept. .�, .�.,.M. .•, A Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address buys ✓1 S Pub Village 1 f Owner Y _u zAA n e `till "Address_ �� DUV`rLg P" _ Telephone (D 'O Permit Request o , •2 d' S \N i^d 0 P Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation fib'© Construction Type Lot Size 21 A- y y' Grandfathered: ❑Yes ❑ No If es attach supporting documentation. yes, pP 9 Dwelling Type: Single Family P1 Two Family ❑ Multi-Family (# units) Age of Existing Structure 6. Historic House: ❑Yes 81 o On Old King's Highway: ❑Yes UK% Basement Type: ❑ Full brtrawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing__ new Half: existing new _ Number of Bedrooms: existing _new Total Room Count (not including.baths): existing new First Floor Room Count Heat Type and Fuel: Er Gas ❑ Oil ❑Electric ❑ Other Central Air: ❑Yes O�No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes a9"No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name LA 2AA"VCk A,fee, Telephone Number Address gM Nkr,ft Pond- R License # J+1,q <S ®Z(o® If Home Improvement Contractor# Email S cd aV a-�[-ems-`"'i OtMO-6_ Uw'\Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2,b l S FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL NO. w„- S 4 t 7 ' ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE L ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i' 27 a Comrnorrivealth of Massachusetts r ., Department ofIndrtstrial Acciderrtr Offrre of Investigations 600 Washington Streety.. Boston,M4 02111 n,,FPiv ma-,goP/dui . NlTarkers' Campensatian Insurance Affidavit:BtdldersiContractarslElectri,cians/Phimbers Applicant Infarmat Gn Please Print 1,eQibIV Name(BusmesstMlim ionadiviinal)- Address- -0� . Are you an employer?C&ckAe appropriate bas: ' Type of project{required}_ 1.❑ I am a employer with 4. ❑I ant a general contractor and I 6 ❑New comsiiuctioa employees(full andfor part-time)-* have]sired the sab-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees. 'These sub-contractors have 8.,❑Demolition working fcw me in any capacity- employees and have workers' 9. ❑Building addition [No workers, comp.insurance ? comp.msurance.� r d_] 5. ❑ Weare a corporation and its 10_❑Electrical repairs,or additions 3. am..a homeomm-er doing all work, officers haveexercised their 11.❑Plumbiag repairs or additions mysel€[No workers'camp- right of exemption per MGI. 12.❑Rnofrepairs ins+�nceregm red.]T c.152,§1(41 and we have no ,. employees.[No workers' 13.❑Other camp.insurance mquired_l *Any appBcant dwt checks box 1%1 must also fill outthe sectioubelow showing flieir wotdieW campexisationpolicy in5rinzdoo- Homeowners who submit d us afi5d2eu i Akirt n:g tb--y are doing all vat attd Then hie outside contractors diner submit a new affidavit indicating such fCan=ctoas that ehect This boat must attached sn additional sheet showing the name of the sub-coxitzzcto-a and state whether at not those e cities have employees.Ifthesub contxsctoeshave employees;they mustprinide ih%r workers'camp.policy number. I ant an enepLgvr tliat,isprottzding workers'cotrgmwatioti iimzrance for my*enrplaj,ees Belaty is diepo8c-yT and job site information. Insurance Company Name: Policy#or Self-ins.Lic.# Expi>at on Date: Job Site Addrew: CityfStateEZip:' ; 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 1572 can lead to the imsp8sition of criminal penalties of a fine up to$1,500 00 anj far one-year imprisonment,as well as civil penalties.in the form of a STOP F dRK 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 imsurancu coverage-verification. I d'o Hereby cerfi-&under the pains andpenalties ofpet fury thatthe informatool>prmided abm a is true and correct Sitmature.. Date: -Phone P�- .. Of icial use only. Do not write in this area,to be Completed by kitty or town a;/j`iezat City or Town: PertuitUcense# Issuing Authority(circle one): 1.Board of Realth 2.Building Department 3.Cityffown Clerk 4.Electrical Inspector rs.Plumbing inspector 6.Other C'UFLtACt Person: Phone#: Information and Instructions Massachuse#ts Geam-A Laws chapter 152 requires all employers to provide wormers'compensation for their employees. ' ne is defined as."_. ersonin t3�e service of another under any contract ofhire, Pursr�to this sty,an�Iay ��y P oppress or implied,oral or written." Arz eznprayer is defined as"an individual,par(nership,association,corporation or other legal enmity,or any two or mare inch the le representatives of a deceased employer,or the of the for ra a Joint e�erpiise,and dug girl repr mp 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 penms to do maiab=ce,construction or repair work on such dwelling house O or on the grotmds or building appzn-Eena�thereto shall not because of such employment be deemed to be an empl yer.n 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 commonwealth for rate a business or to construct buildings any applicantwho has notprodnced acceptable evidence of complianm with the hLT -arice.coverage required_" Additionally,MCI.chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for theperfonaance ofpublic wo&until acceptable evidence of complian.cewith the insurance.. requiremeats of this chapter have been presented to the contracting a lhozity_' Applicants , I to our situation an if Please fill oil the workers compensation affidavit completely,by checlong&e boxes thatapply y a, necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their cerfificate(s)Of „crn-an ce. Lmmitfd Liability Companies(LLC)or Limited Liability Partnerships(LLP)-with no employees other than the members or pa taers,are not rmq d to carry workers' compensation film nce. If an.LLC or l-LP does have employees,a policy is required. Be advised that this a$davit may be submitted to the Deparrtment of Industrial Accidents for confrmation of ins i-ance coverage- Also be sure to sign and date-he affidavit- The affidavit should be retuuaed to the city or town that the application for the pennit or license is being requester not the Department of lnrhi str;al A ccidmts. Should you have any questions regarding the law or if you are required to.obtain a workers' compemsation policy,please call the Department at the numbed listed below. Self-insuz companies should enter their self-himTrmce license number on the appropriate line. City or Town Officials f _ 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 regmTling the applicant_ Please be sure to fill in the peunit/license number which will be used as a reference number. In.addition, an applicant that must submit multiple pemait/license applications m any given year,need only submit one affidavit indicating current policy inhumation(if necessary)and under"Job Site Address"the applicant should write"all locations i a (cry 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 futm-e 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 (ie. a dog license or permit to bum leaves etc.)said person is NOT required.to complete this affidavit The Office of Investigefions would like to thank you is advance for your cooperation and should you have any questions, -please-do not=ht&hate#n-$ve The Department's address,telephone and fax number_ Tie C-a=n�anth of Massachusetts ' Degarbne nt of lidustdal AocWenft woe of�.��g�fio� �Q4-�ashingtan Sit B MA 02111 ` fl 4 617-727-4900 cxt 06 or i-977-MASSAFE Fax 9 617 727 7M Revised 4 24--07 AtVC Guide to Wood Constructiou iic Higlr Hrind Areas: 110 fnph Wirld Zone Massadiusetts Checklist for Compliance(780 CiWR5301.2.1.I)r Loadbearing Wall Connections Lateral(no.of 16d common nails)............................ :(rabies 7)...... ::....... .... Non-L'oadbearing Wall Connections Lateral(no.of 16d common nails}. _(Table 8)._.....__...................................._: Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ...................... :.............(Table 9).................---------......_it_in.511' _(Table!)) i Sid Plate Spans ....:......._......................._.�.............('f ) ._................._ft_m.S 11 , Full Height Studs (no.of studs)..........._...._................(Table 9).............................................._ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.:..................... 9)........ ......................_i _in.512 , . SillPlate Spans.........................._...:............»...:......(Table 9)..........�:..._.................._ft_in.512' _. Full Height Studs(no.of studs)..._..... ......_..__........(Table 9). Exterior Wall Sheathing to Resist Upfift and Shear Simultaneously+ T Minimum BuOdng'Dkmension,W - Nominal Height of Tallest Openin? ......................................................................._5 6'B' SheathingType.................._......................(note 4):_,_............_............._...._....._... • . ' Edge Nail Spacing. --•..-_• .„--:._.(Table 10 or note 4 if less)....................... in. Feld Nail Spacing. .(1-able 1D)................................... .. in. Shear Connection(no.of 16d common nails)(fable i 0) ................................................ _ Percent Full-Height Sheathing............_.'...-(Table 10)......_...... 5%Additional Sheathing for Wall with Opening>6'B'(Design Concepts). .._..... % ' Maximum Building Dimension,L s Nominal Height of Tallest Opening2......................................................................_... 5 6'9' SheathingType..._._-._.. ......... .............(note 4)..................._.._............. Edge Nail Spacing......... .............:....._._.:..(fable i 1 or note 4 U less). ................ in.. Feld Nail Sparing....._...:...._........_.;..:_...:...(fable 11).................._............._. *....... in. Shear Connection(no.of 16d common nails)(Table 11)..... ............._..._ _.• . .......... Percent Full-Height Sheathing..._..____(Table 11)..._.._._...._..._.�..._..... ... .... _Yo 5%Additional Sheathing for Wall with Opening>BY(Design Concepts)........... Wall Cladding Rated for Wind Speed?z_--- .. ....__......_.._ __--.---. :. ...__ .. ._ 5.1 JZOOFS Roof ftaming member spans checked?..............._.....(For Rafters use AWC Span Tool,see BBRS Webslte) . Roof Overhang ............................ ._.......... ........(Figure 19)............._$5 smaller of 2'-or L13 , Truss or Rafter Connections at Loadbearing Walls. Proprietary Connectors, Upfrft..........._........... _. :.(fable 12)......................................... ..U= plf Lateral................_._.:.._:_.---.........(Table 12)...._._..._..__...... .---._..__..L= Of Shear............................ (Table 12)....................... — p lf Ridge Strap Connections,if collar ties not used per page 21... (fable 13). ._......................._T= pff Gable Rake Oudooker.. ..... :.. ... ..... . ....(Figure 20) .. , ft 5 smaller of 2'or L12 .. ..... Truss or Rafter Connections at Non-Loadbearing Walls' Proprietary Connectors Uplift......._.......... ......_.._..__.....(Table 14).........._......_.......___..:..__l1= lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= . lb. Roof Sheathing Type ........ .. ..__...(per 780 CMR Chapters 58 and 59)•........... Roof Sheathing Thickness. ._..........._._.. ........... —in. z 7/16'W5P Roof Sheathing Fastening........... .... .......:_.... (Table 2)............... ..... , ... ............ _ Notes: -1. This dum* st shall be met in its entirety,excluding the specific exception noted In 2,to comply with the requirements of 780 CMR•5301a1.1 Item 1.If the checklist is met In Its entirely then the following metal straps and hold downs are not,;- required per the WFCM 110 mph Guide: a. Steel Straps per Figure -. b. 20 Gage Straps per Figure 11 c. Uprdt Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2 'Exception:Opening heights of up to 8 ft.shall be permitted when 5`6 Is added to the percent full-height sheathing ' requirerawits shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressun:treated 92-grade. ' AWC-Guide to food Consfrucdoit irr High Wind Areas:II D ttcph Emend Zone Massachusetts Checklist for Compliance(780 CKR 5301:2.Ll)' E�1 Chaalk Complian= 1.1 SCOPE WindSpeed(3-sec.c,�st).._..........».......».........».....---.»..».._.............»....»......»..-.........._.......»....110 mph WindExposure Category...._......._._..._...........__..._._....................................................................B Wind Exposure Category................Engineering Required For Entire Project.......................................0 . 12 APPWCA.BILITY - Number of Stories(a roof which exceeds 8 In 12 slope shall be considered a story) stories s 2 stories Roof P'rtctt ...... .12 .....»_......._.........»..__........... (Fig 2) .._..._..............................». 512. MeanRoof Height_..»...»...........»._............_..».. ...... (Fig 2)_....». .....-..._.............._.... ft 5 33' Building Width,W_......_....._..»..._._.......»..._.._..._.._»,..(Fig 3)_.._._..a.._..:._».....---....__:._.._ft SMY BuildingLen ...:__ ft 9th,L' .:...---._-._.-....»..........».......»__.».....»(Fig 3)......................................... s 80' Building Aspect Ratio(UW) ....................._............_..._..(Fig 4). ..__._......._....._............... _<3:1 Nominal Height of Tallest Opening .............. (Fig 4)....................................._ s BIB" 1.3 FRAMING CONNECTIONS General compliance with framing connections......._._...._.(fable 2).........._..........................».»................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Com ex ttL.............................................................................................................................................................. ConcreteMasonry........ ......................__»..........».:....................................... 22 ANCHORAGE TO FOUNDATiON1,3 5/8'Anchor Bolts4mbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general...................................—:.(i'able 4)....................................._.__. in. Bolt Spacing from endroint of plate............_....»..._...(Fig ....................... in.5 6"-12'. Bolt Embedment-concrete.»......._.....-...__.-».--..-._...(Flg 5)......»...._......__......:_...:...._...._in.z 7' Bolt Embedment-masonry...._.....»._..:-....»._.»._...».(Fig 5) .......................__... in.2:15' Plate 5)....... 5)._....-----........---•--------•--z 3"x 3'x'/' 3.1 FLOORS Floorframing member spans checked ...__..._._... _.... .(per 780 CMR Chapter 55).........._......._.... ..-._ Maximum Floor Opening Dimension...:.»_»...._». Fl 6 ft s 12 Full Height Wail Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:.............:......... ......... Mtxdrntim Floor Joist Setbacks Suppoiting Loadbearing Waifs or Shearwall...._........»(Fig 7)..................._.................,....._.._.. ft s d Maximum Cantilevered Floor Joists T Supporting Loadbearing Walls'or Shearwal...........(Fig a).._....................................... ft Id FloorBracingat Endwals_..._.._.........._.._._................._(Fig 9)__.__.._......_....._._.........__...�. ......_. Floor Sheathing Type ..........................._.................(per 780 CMR Chapter 55). Floor Sheathing Thickness....................._.._.._.____(par 780 CMR Chapter 55)....................... In. Floor Sheathing Fastening»..»........»......._....................:..(Table 2)»—d nails at in edge 1—in field _ 4.i_-WALLS-- - -- - - -_ -- --_-- -=--_ --- ---- ----- ------ - Wall Height - -- Loadbearing wails.._._...�........_:.».._..»_............._._.».(Fig 10 and Table 5)..........._-.........__ft s 10' Non-Loadbearing walls»»...»...:......_. .........(Fig 10 and Table 5).............:........».. ft':;2(r . Wall Stud Spacing .....-»..»............:........................_._(Fig 10 and Table 5)......_...........—in,:;24'o.c. Wad Story Offsets •..(Figs 7 8:8)_....._..........._.............. 4.2 OCTERIOR•WAL& Wood Studs Load _beanag wall$....». .........»....».»........».».._.....»(Table�}....._._........._.........�k $ in. Non• madbearing walls :(fable 5)._..._.............._._..2x Gable End Wall Bracing' Full Height Endwall Studs..._..._ 10)_._....._...._.._.:..............»....-. WSP•AttbFloorLength.____._..::......»»:...»............_(Fig 11)__..._............_._...»..»_.... ft?W/3 'Gypsum Calling Length(If WSP not used)....:.».....»».:(Flg 11)»._.._.._.....»..»............:...—ft z 0.9W - and 2 x 4 Cbnfinuous Lateral Brace @ 6 fL o.G_(Fig 11).............................._......___w....._.._ . or 1 x 3 celing furring strips @ 16'spacing min.with 2 x 4 blocldng @ 4 ft.spacing In end joist or truss bays Double Top Piatie Splice Length ...»»_.._...:......»......»_...._._..__..(Fig 13 and Table 6)................. _ft Splce Connection(no.of 16d common nalls).._..._....(Tabie 6)_..,..___........__»........._..�._._».... . ` AWC Grcide to Wood Canstructio' in High 1Yind Areas: IIO mph jrrsd Zone Massachusetts Checklist for Compliance(7so CIAR 5301.2.1:1)' 4. a. From Tables 10 and 11 and location of wall sheathlhg and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows:. 1• . Panels shall be installed with strength axis parallel to studs. K 1. All horizontal joints shall occur over and be nailed to framing. lil. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. Iv. On two story construction, upper panels shall be attached to the top'member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first fiDDr framing. v. Horizontal nag spacing at double top plates,band joists,and girders shall be a double row of Bd staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel'Attachment S. Glazing protection:a)new house or horizontal addition—required If project Is 1 mile or closer to shore(generally,'south of Rte.28 or north of Rte.6) b)vertical addition—not required unless there Is extensive renovation to the first•floor c)replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(INFCM)for 110 MPH,Exposure B may be obtained from the American Wood Council (AWC)website. %HNTM EDGER MTS DN FRAUAIG MEW NAILS . •AT6�o.c l l 1.1 I I l l• 1 , o,t ` ;; la I• � Ir . r{ r t •t i • rl 1 L m A 1(�'711 l4 z t I 1II 1• al I1 I d 1 1 �� ► 11. Itt u u 1 i LNG drFJJ� � ••�I I 1 . ` 1 IEIr•{rT� 11 LI .� , 12 ► 1 {l CL 1 r` 1 S li It kj 1 � :r: j i 'rX 1 l J4 1 a•1 � � 3'WQ1 i . i 11 11 _ rl � DDl19LE�GE STAGGERM3'MMd • tJAI�SPAt�IJG ��. — � � Tv.G.PATiHaN � Pltrdg • I Fr" RAHL E= Lt AOu9l E NA1L®GE S?AG7YG M-AL See Detail on Next Page Vertical and Hortzflnlal Nailing Detail • Ve far Panel Attachment rfirral and Notizantal Nailing for Panel Attachment Town of Barnstable °F Regulatory Services ♦ R LF04START� s - � Richard V.Scab,Director 16596 � ''` Building Division 1°r6n tom Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 rr www.towmbarnstableana.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner.Must , Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, 3 . , y in all matters relative to work authorized by this building permit'application for. ' (Address of Job) ""Pool fences and'alums are the"responsibility of the applicant. Pools. are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner ^` Signature of Applicant' Print Name Print Name r Date . x Q:FORMS:OWNERPERMISSIOIQPOOLS 1 Town of Barnstable Regulatory Services ova ro Richard V.ScaIi Director Building Division RAA77�RARTR Tom Perry,Budding Commissioner MA CM 200 Main Street; Hyannis,MA 02601 CEO www town.barnstable.mn us Office: 508-862-4038 Fax: 508-790-6230 v� HOMEOWNER r ICE&EXEMPTION Please Print DATE:. JOB LOCATION.- number street I village "HOMEOWNER": lA 2.�i I'1 N name rXA vl`d Q I to �h 0./ home phone# work phone fr CURRENT MAILRdG ADDRFSS: �� b d-A VLSI P � j o-� /\4 A 0" cityhnwn sffie up 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. DEFINTITON OR 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 ofBarnsfable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signat=a omeowner Approval ofBt ldingOfficial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of tTiis section(Sermon I09=1 r—Licensing of construcfdr Supervisors);pro—ded that if fe homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.". Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that helshe understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a forrn/certification for use in your community. Q:\wPFII.ESIFOR vt%uildmgpermitform X=RESS.doc Revised 061313 Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division 'axr'nrxs , i y Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: v� Permit#: HOME OCCUPATION REGISTRATION Date: Name l�A Z Qi.M 1A.P' A _ La V A l l e•Z Phone#•_ '�-o Address: i 5 P 12 V 6� Village: _ Name of Business: TI CJk S _ Type of Business: 0. Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4.1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use,no increase in traffic-above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be.permitted as of right subject to the following conditions: 0. The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. r a Such use occupies-no-more-th-an 400-square feet of space. - ® There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. ® No tra$c.will be generated in excess of normal residential volumes, ® The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. ® There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. ® There is no exterior storage or display of materials or equipment. ® There is no commercial vehicles related to the Customary Home Occupation,other than one van or one. pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. ® No sign shall be displayed indicating the Customary Home Occupation. ® If the Customary Home Occupation is listed or advertised as a business,the street address shall not be . included. ® No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant le Date: - b Homeoc.doc Rev.5130103 YOU WISH TO OPEN A BUSINESS? =Yourrmation: Business certificates (cost$3.0.00 for 4 years). A business certificate.ONL.Y REGISTERS YOUR.NAME in town (which by.M.G.L.-it doesnat give you permis�on to operate. . usiness Certificates are available at the Town Clerk's Office, 1' FL., 367 Hyannis, MA..02601 [Town Hall) C)-7 i; .mr t chv n wRu41ttW�`�wuC&.�.. OATE' Fill in pleass: „a % W IM e�:. APPLICANT'S YOUR NAME: A L Yt Vt f_ La Ved tee, _4)eT1'cKS YOUR HOME ADDRES °s DJv,h's � � TELEPHONE # Home Telephone.Number NAME OF NEW BUS]NESS ' e .. s . TYPE OF BUSINESS: 1S THIS A HOME OCCUPATION? No .. Have you been given approval divisio '� p, G ADDRESS OF BUSINESS U ovl �Z�°�MAP/PARCEL NUMBER When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you(nay need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street). to make sure you have the appropriate permits and licenses-required to leg Ilag y.operate your usine his town. 1. BUILDING COM 10 . ER'S OFFICE - /' This individu I ha n in#or d of typMMT LY ` H HOME OCCUPATION �---� permit requirements-t t pertain..to,this. t ize sign re** RULES AND REGULATIONS. FAILURE TO COMMENTS: COMPLY MAY RESULT IN FINES. 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: . 3: CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature.* COMMENTS: +„ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map `f Parcel 6ci 9 - C6 1 Permit# e ri Health Division Ab(t j Date Issued �— a 8—03 Conservation Division a'l 0 Q' Application Fee Tax Collector Permit Fee vim' 00 Treasurer S'p- f': ^'� d MUST BE INS m ALLCD IN COLIpLIANiCE Planning Dept. MTH TITLE$ Date Definitive Plan Approved by Planning Board ENVIrZONTAENTAL CODE AM Historic-OKH Preservation/Hyannis TOMI REGULA,*IONS Project Street Address 155 D Uiln's PnYl A. Rca Village n►'}1:5 Owner Address !?5 unrn "5 P6r i r_J mod. Telephone 5 0&< -77 4127 Permit Request Square feet: 1st floor: existing proposed 302— 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 'W�,o A Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family I7 Two Family ❑ Multi-Family(#units) Age of Existing Structure loll yr s Historic House: ❑Yes No On Old King's Highway: ❑Yes o Basement Type: ❑Full &Krawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing Z new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Q'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes &Ao Fireplaces: Existing New Existing wood/coal stove: des ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 2lo If yes,site plan review# Current Use Rol tv, Proposed Use Ke54e A (A BUILDER INFORMATION Name �rr��� ,� J 70��h�nli�`s Telephone Number _ —,ba-- 7?s - `12 7 Address gS D v n n'S Pond d2d License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE z1Zs/(3 ;r r FOR OFFICIAL USE ONLY �A :MIT NO. DATE ISSUED MAP/PARCEL NO. �' l ADDRESS VILLAGE OWNER DATE OF INSPECTION: zJ f FOUNDATION FRAME S M V ° y INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL rt PLUMBING: ROUGH- . FINAL GAS: ROUGH _± i ' FINAL FINAL BUILDING t ^`w � f 3 g�-$ ice„-�.�. '+•� r� I', M Q DATE CLOSED OUT i 'ASSOCIATION PLAN NO.;x f, The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 iffice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: jZk I n J' p l JOB LOCATION: S b u n ri S i� b r G d H 1/of rrn S number street village "HOMEOWNER": Lourl'(_ )GQJQ 1i�nL11S 509- 77s q( 27 -7q0- z37s name home phone# work phone# CURRENT MAILING ADDRESS: S u,rn t, city/town state zip code E 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 proc ores and req ' ements. J S'gnature of o eowner Approval of Building Official y p . Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127,0 Construction Control. _ HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner Performing work for which a building permit is required shall be exempt from the provisions of this section(Section iog.1.1 Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work;that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed personi. 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. k 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 LOT 121 s LOT `s 12 LOT b oX 122 R = 1 0.00 L = 15 71 6 _-HSE. s �. - -_--_-_ LOT �s- ,�� N') 14 �y 0 RES. ZONE.• "RB" This MORTGAGE, INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: _ NLS------------- REGISTRY OWNER: �OSEPHIIVE DQRV _____- ________ DEED REF: -fy �,95Z5 _------BUYER: _, ALV118A_YALLADJ11S_-----_---- DATE: _3.124/93 ___________ PLAN REF: _10614 S -------- SCALE:1"= I HEREBY CERTIFY TO 0LY9QS_Z:Y A JUTS ___THAT THE BUILDING `'N Of M YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES ___- CONFORM o� PAUL s� TO THE ZONING LAW SETBACK REQUIREMENTS OF THE c A. 40B (SUITE 5) TOWN OF B�RS�ABI�E_____________AND THAT " MERITHE'N INDUSTRY ROAD No. 32058 a• IT DOES_NOT - LIE WITHIN THE SPECIAL FLOOD HAZARD '* �,�V �` MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED 8��S��2__ �� rslE- ,�, TEL: 428-0055 Co unit -Panel 250001 0005 C si2 -Kn�": FAX 420-5553 THIS PLAN NOT MADE FROM UMENT PACJL A. MERITH PLS SURVEY, NOT TO BE USED FOR FENCES, ETC. 10870 DPG i _ f 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office offnvesaffatfoas ti _ t 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit / Li—am e: i r IQCSt10IL' � � hone#14 ci I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in ca acI am an itp din workers co ensation for mp employees working on this job. y$.,`v::.{."r,::?i....,.:.,:: 1 er rove mP ...... .... ... .. .......:..:...yr}-:n7::F•i::.:;•}:;:.:K:: ........................r....0 .n,..}...... .............. ......................... ..........v:::::n...... .:,v:.v:.}:Y:..... 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'r= paI to secure coverage as required under Section 25A of MGL 152 can Iead to the imposition of ci�tinal penalties of a fine up to S1,500.00 and/or one yem,Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against ma I understand that a copy of this statement may be forwarded to the Office of Inve3dgations of the DIA for coverage verification 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and tarred M1 S ature - ��-•. u. -�o Date ��1 f7 . Phone# 77 S `%4 2 7 Print nam f i of acial use only do not write in this area to be completed by city or town official pekmit/license# ❑Building Department city or town: ❑Lice sing Board Hired ❑5electmcn'sS Office ❑checkifimmedlaterespome q []Health Department contact person: phone#; _ ❑Other UrYised 9/95 PtA) y Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the `law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or , association or other legal entity, employing employees. However the owner of a trustee of an individual,partnership and who resides therein, or the occupant of the dwelling house of dwelling house having not more than three apartments 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants a Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplyingcom any names, address and phone numbers along with a certificate of insurance as all affidavits may be P submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign an �;_ date the affidavit. The affidavit should be returned to the city or town that the application for the pemait or license is being requested, not the Department of Industrial Accidents. Should ygu have any questions regarding the `law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the.Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the Pezmitlhcense number which will be used as a reference number. The affidavits maybe retumed'to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. .The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InvestlDatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 oFzVE,of, Town of Barnstable Regulatory Services t BAMSTABLE, ' Thomas F.Geiler,Director �ArFD MA'S A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 3)@Ck Estimated CostA i o o .a o o Address of Work: F)5 Dunn'-, {b n a ?U 14�J Ck hn,_�5 Owner's Name: LID%)r J*g. _C V D n Date of Application: 6 I a 3 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. )'D, Z A � Date wner's Name .. > ,..:..t' � R->-.:>x „..:w.s,. x:-.,r.M _.- ,m.. .aar:. .,. ,.,�s< .'. .xw: -. �+sr.,.v,:. ... _ .�,.-..:.,;, - :.-�.. a..�c„'x•3'. .-�§+ t'fr=5. "'�'r� z�:= ""'-�3°-' - .. Triple' a"x10 Box a i rvrvr�_ roam oc 0a� /a. PT P1y�eo� Kea�r FQcer.� �r; 65 S F C T, ,�X� P1� I --- � a TAG l°lYh/oa�• - ®B L PT ![,[o d!Box - _ r V rE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map w _Parcel I) O/ Permit# & 3 4-1 ?D A, 7•U"r'�ti '�'• Fay Health Division A10 a, ( ate Issued Conservation Division ' �c ®fl "' 1 rt?"I 7: 4 1 Application Fee Tax Collector (Z1 C7 fc= AJL" y 1_003 Permit Fee E7, SEPTIC SYST1 Treasurer INSTALLED4"9 C 7 kE, . Planning Dept. - 100Tr:T'iT1E 5 Date Definitive Plan Approved by Planning Board TOerb61G;J�r.-�60G Historic-OKH Preservation/Hyannis Project Street Address Du S Pot Village A-ON � S r , Owner kdoR F— D&) S Address SL5'-Z)1/049/ S Telephone S-©8" 74/5 VY Z-7 Permit Request S 0 IOU A(9 U k / �O Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total newZ— w. Zoning District Flood Plain Groundwater Overlay Project Valuation ! 3 50 0 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family ❑ Multi-Family(#units) �) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other _ Basement Finished Area(sq.ft.) ` Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new 'Q� Total Room Count(not including baths): existing new First Floor Room Count -� Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric .° ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stover ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: - Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use - Proposed Use S BUILDER INFORMATION Name /S U 100 eb K Telephone Number Address 47 l Mr yppl / License# d��i 3 v? �0 6 � �1Z_p �i •�.S Home Improvement Contractor# Worker's Compensation#fsAwe,v�Z U ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 12ZUZ urn iID O/)f35%�A_ Io f� L- /✓DQ Z1 SIGNATURE ��� ���D DATE _4��lS—O3 FOR OFFICIAL USE ONLY iC PERMIT NO. F T DATE ISSUED `1 MAP/PARCEL NO. ADDRESS ) VILLAGE - OWNER. _ .. �,.._. If ' f DATE OF;INSPECTION: FOUNDATION ,1 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH t _ .FINAL PLUMBING: ROUGH. -FINAL GAS: ROUGH) FINAL t ' - ' FINAL BUILDING u F DATE CLOSED OUT s a ASSOCIATION PLAN NO... f � iCF ACORD-, -CERTIFICATE OF LIABILITY INSURANCE 12/13/2002 PRODUCER (508)761-7 37-1 FAX (508)761-4817 THIS CERTIFICATE 1S ISS TIER OF INFORMATION Har y ]. Boardman Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 679 Washington Street ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW._ P. 0. Box 3269 INSURERS AFFORDING COVERAGE South Attleboro, MA 02703-0925 INSURED BrU n Corp of At a Oro NsVRERA: Penn-America Insurance Co. 479 Mt Hope Street Commerce Ins. Co, North Attleboro, MA 02760 INSURERC: Norguard I',nsurance Company INSURER D: IT15'URER re COVERAGES THE POUCIE$OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING / ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPL'CT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THL'POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMi,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGRCGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY FHF-UffnVF POLICY EXPIRA ,O LIMITS NSR'LTA TYPE OF INSURANCE POLICY NUMBER PATE YY DATE MM GENERALLIABILITY AC6216388 ],2 04 2002 12/04/2003 EACH OCCURRENCE S 1,000,000 COh1ME"'L GENERAL LIA51LJTY FIRE DAMAGE(Any onn file) S 100,000 CLAIM8 MADE F—x1 OCCUR MP-0 EXP(Any one Pereon) S 5,000 A rX PERSONAL 0 ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AO0RGGAT6 LIM7 APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,OOO X POLICY JFGT LOG AUTOMOBILE LIABILITY 2MMKW8029 03/29/2002 03 29 20U3 COM91NWD SINGLE LIMIT Mai socidonl) s ANY AUTO ALL OWNED AUTOS 50DILY INJURY S X SCHEOUL60 AUTOS (Per person) 500,000 B X HIRED A1.705 BODILY INJURY S X NCN-OWNED AUTOS (Per accfden� 5()0,000 PROPERTY DAMAGE S (Pet accw.nq Z50,000 GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO QTIIER THAN EA ACC $ AUTO ONLY: AOO S EXCESS LIADILITY f I I GACH OCCURRENCE S OCCUR a CLAIMSMADE AGGREGATE S S DEDUCTIBLE S RETENTION S _ $ IMRKERSCOMPENSATIONAND RWC320505 06/11/2002 06/11/2003 X TORYLIMlT3 ER EMPLOYERS LIABILITY E.1-EACH ACCIDENT S 500 000 C E.L DISSACG•FA EMPLOYEt $ 500,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHEP. DESCRIPTION OF OPE RAT IONS/LOCATICN 5NEHICLRS1EXCLV SIONO ADDED BY ENOORSHMENT/SPECIAL PROVISIONS axed: 509-699-5452 Original Mailed CERTIFICATE HOLDER ADDITIONAL INSURED:INsurteR LETT:R: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA!'lC1LCD DBPORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTCE TO THE CERTIFICATE HOLOOS NAMCD TO THE LEFT, BUT F URE TO MAIL SUCH NOTICE SHALL IMPDGt NO OBLICATION OR UAD14ITY OF Y IND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AVYH RI R PRESS TATIV& ACORD 25.5(7107) ACORD CORPORATION 1988 °pI HiE T° Town of Barnstable ti Regulatory Services BAMSTABLE, ' Thomas F.Geiler,Director ass.MAM EnMy. a � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: S u x) I�_b Ug )Z- X / Estimated Cost 3 S D 1 n ' Address of Work: /EOX.),n Owner's Name: 4?--? 0 A 1 E 2908#I PI PS Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded bylaw [—]Job Under$1,000 OBuilding 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: Date Contractor Name Registration No. OR Date Owner's Name r ;✓lie ���ar��naruuea�Cl v�.��iasac/uveCls � BOA RD OF BUILDING REGULATIONS t License: CONSTRUCTION SUPERVISOR Number: CS 066339 Birthdate; 06/15/1955 H, Expires: 06/15/2003 Tr. no: 11052 Restricted To: 00 BRIAN K OLSEN 479 MT HOPE ST N ATTLEBORO, MA 02760 Administrator Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 104439 Expiration: 7/14/2004 ' ;. Type: Private Corporation BRUIN CORPORATION:O�F JATTLE OLSEN 479 Mount Hope Street ,�„ � N. Attleboro, MA 02760 Administrator f -- _ The Commonwealth of Massachusetts - _ Department of Industrial Accidents office o/Iasestl 89oos 600 Washington Street cs Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: 1/2 L �� location: 2 city phone I ❑ I am a homeowner performing all work myself. ❑ I am a sole Proprietor and have no one worldng in any ca achy I am an e 1 roviding workers'compensation for my employees working•on this job. :::::::::::: mp Dyer.p.................::...:.:::::..::::...:...............................:::..:.::,:::.::............................: .. :.:.::: .............::...:::::::::::::::.::.::.::. .....:..::::::.::.:::.:..:.......:.:...:....::::.:::::::..::....................::.:.::::::::::::::.:: :.::::.:..:...............:...........::.: :..............:...::.......::::::..:.:.................:...::::.::::::.:.:............................ ?`e? ' COnIp8oY � `BtlCt!3 t WE T ...:-:-..: ... .. .. ..:..::............ ..............:::::..:.::::.................................. ..... ............. .....:..../; 2::: "" 5%':'. `.'' .r::::::+:;:ii':.••;i..`: ::i'`:':•.;;:.;: ::•::':%`:;:.:..:.`. :;:>: :i' X. :::::>::::::-is5::;%::::>:''``%`:: >.....:.:.::i+:..:. . .-'.'-;...:,: :. .::.:�::.�:. :::::: ..��..�.v .�' ..�,�.y. ...� :::. .. ...:......... .................:..:.::....: ...phone.#}Z .... . .... ........... . .' `' .� N. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the foHomwin workers' compensation polices; g :.::::..:,.:::�..,:•..:::::::..: XX _ ... ;::;;:;.. .;:.;; d tlress 6. n .::•. .. - .... ....... :.i::.i.:::ii:i.................... in i vd::•..v%........:.......:.......:;.....:�::::::._:•:••:.::•:::::.�::::::::::•::::::::•::::::::;::::.>:•:'.::::+:::o::�:a:�i:�iis�iiii>;:;•i::�:ii:'$�:�?:2:�:�::�i>::i::�i:�: t`• .................... ..................................v... Y :....... v::::.:::.:�.::�.�:::.i:•:::ivknMvxv>:: •n•n•::::::: hlttrance:ca::z:<>;:';:::;<•;:;:;-:::•;::;:.:;;•,,.:�:.,::,::.:::: __.................... . .........:.:..... oli c sa .n m address; XI :. ...................... «''jit7tl -— n :..t:.:.......:.::.::::: .'`:i;?:i............................ .... ; :;;`.. ?i<:;:;i'.:<:i;i; :o •esnraa Fafimre to seem a coverage as required mtder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to si,wo.0o and/or one years'hnptisonmemt as weII a,dvfi penalties in the form of a 'WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify undthe pains and penalties of perjury that the information provided above is ow and correct Date �l s 0 Signature Print name lCJ Phone `/�v ���� (c:ontact use only do not write in this area to be completed by city or town official own: permit/license# ❑Building Department ❑Licensing Board kif immediate response is required ❑Selectmen's Office❑Health Department person: phone#; ❑Other�� (fmwd 9/95 PW Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe = submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and 1. date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be ret=fiR to mail or FAX unless other arrangements have been made. the Department by 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 Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I ,•1M a 5 ICBO Evaluation Service, Inc. • a n 5360 WORKMAN MILL ROAD • WHITTIER,CALIFORNIA 90601-2299 n A subsidiary corporation of the International Conference of Building Officials EVALUATION REPORT ER-4590P Copyright©2000 ICBO Evaluation Service,Inc. Reissued March 1, 2000 Filing Category:MISCELLANEOUS STRUCTURES (156) SERIES 230 PATIO ENCLOSURE 2.3 Identification: FOUR SEASONS SOLAR PRODUCTS CORP. An identification tag attached to each Series 230 Patio Enclo- VETERANS MEMORIAL HIGHWAY HOL sure bears the name and address of the manufacturer,design HOLBROOK,NEW YORK 11741 loads and evaluation report number(ICBO ES ER-4590P). 1.0 SUBJECT Weatherlock II panels are labeled with the manufacturer's Series 230 Patio Enclosure. name and address,the evaluation report number(ICBO ES ER-4590P) and the name of the quality control agency 2.0 DESCRIPTION (Southwest Research Institute). 2.1 General: 3.0 EVIDENCE SUBMITTED The Series 230 Patio Enclosure is a bearing wall system en- Calculations,plans and data complying with the ICBO ES Ac- closing the area under attached patio covers complying with ceptance Criteria for Sandwich Panels (AC04), dated July Division III of Appendix Chapter 31 of the Uniform Building 1996;the ICBO a f Acceptance Criteria for Foam Plastic In- Code- (UBC). Patio covers utilizing the enclosure system 1996;t (ACBO dated July Acceptance manufacturing standards; In- must r e capable of resisting lateral loads imposed on the en- sulatia quality control manual; and installation instructions. closure system. Enclosure walls are constructed in accordance with Sheets 4.0 FINDINGS No. 1 and 2,and roof panels are constructed in accordance That the Series 230 Patio Enclosure complies with Divi- with Sheet No.3 of the attached plans,identified as Drawing sion III of Appendix Chapter 31 of the 1997 Uniform Build- No. 230 ICBO, dated February 14, 2000. The patio covers ing Code"',subject to the following conditions: may be partially enclosed as specified in Division I I I of Appen- dix Chapter 31 of the UBC. Required openings must remain 4.1 Installation is in accordance with the attached open,be covered with insect screen,or be glazed with readily plans dated February 14,2000,and the manufactur- removable translucent or transparent plastic not exceeding er's instructions. 0.125 inch(3.2 mm)in thickness.Wall panels completing the 4.2 Roof live or snow loads area maximum 38 psf enclosure must be recognized under a current evaluation re- (1820.2 Pa)as noted in the attached plans. port. 2.2 Weatherlock II Roof Panels: 4.3 Installation is limited to areas subject to maximum basic wind speeds of 70,80 and 85 mph,as noted Weatherlock II panels are structural roof panels of varied in the attached plans. lengths, 48 inches (1220 mm)wide and 3 inches (76 mm) 4.4 The Weatherlock II panels are produced at 5005 thick. The panels have 0.024-inch-thick(0.610 mm) alumi- Veterans Memorial Highway, in Holbrook, New num facings and a nominal 1.5 pcf polystyrene foam plastic York,with inspections by Southwest Research In- core, and are manufactured in accordance with the quality stitute(AA-665). control manual.Sheet No.3 provides panel details and allow- able spans. This report is subject to re-examination in two years. Evaluation reports ofICBO Evaluation Service,Inc.,are issued solely to provide information to Class A members ofICBO,utilizing the code upon which the report is based Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or recommen- dation for use of the subject report This report is based upon independent tests or other technical data submitted by the applicant The ICBO Evaluation Service,Inc,technical staff has reviewed the test results and/or other data,but does not possess test facilities to make an independent verification.There is no warranty by ICBO Evaluation Service,Inc.,express or implied,as to any"Finding"or other matter in the report or as to any product covered by the report This disclaimer includes,but is not limited to,merchantability. Page 1 of 1 1-1 NOTE:EASE HEADER SHALL EXTEND A MMU M Or scaa R awGN.EEo REV I S I ON B PATIO COVER ROOF PER ())&K.SPLICES x OCCUR AT SUPPORT s[J4 REmoeNo PATIO CUR slow(ROR n IOCAT06 PIECE 10.16 A N SPLICE IcAA.IS RECOGNIZED N1RRN PR(I RECOGNIZED ICBO ES.REPORT LOCATIONS SWLI OCCUR AT ALTERNATE 1 rt.MI9nAI ROOT PMIZ mAa aoor port Y) (RARE B PAND cwa am Part 1) UPDATED (SEE 1107E 7) SLAW tOCATV1S SUCH THAT A UeMUM OKR HIND rRO A ORE:AREA NOTES 5,6.7 PC 1•-O 1/I W a THE UnIREKI SECTIONS fi1NlE Exos port k) Ill OCCUR.MORE POSS6tE.EAVE HEADER MEMBERS SHALL BE FULL LENGTH. J 1aNsa1 ti� r-111 n, e'-)1/4' IRN6a6 C• ROri lu Nvow KOO UI kW-PRO --+r-o in-aG F— —�'-7 3/eDt}— ,. I .n > S-1 1/1'at _I SELF DRILLING azr)n coos 5•cools —I 501�W. - OP[a 1c01 PM[l SRO Ntl PMBS P(1anrt$N Iaa1A f•-1 I/1.OL 1 PER H-CHA NEI 41ASS �—IM l[NGbr I port k f e) LOB e(Aa.1G RNl poll POW &6) Ir-0•MAz PRORC1 OR f 000R(URN w) AT EAVE/Sll• 14 16 FRONT ELEVATION FRONT ELEVATION (WITH OUT TRANSOMS) (WITH TRANSOMS OR GABLE END ELEVATION p, « _ 8 PANELS ABOVE WINDOWS TMN PLASTIC - ) GENERALNOTES AMO SPECIFICATIONS O C FILM OR INSECT - 16 N METRIC CONVERSIONS I. IT*"sto.eora pan show members,ca.rclans,ord allo.ob4 U z SCREEN 1/4-20 K"PRO SLU 6 MAX'MAPl. bode 1«IM poducl.and osswre IM IM connections d IM 41 I1Rt1A1G scR[NS AT)•QG EX6tPX;RE90ENCE (OPtBr1J1 rat Ilb-4.45 Ne dOnt bose Wd.aP we secured to adequate structural cw pwwds d to sl2 FACE CARE 10 WAD. K*4 Vll IQo.25 6.69 MPa the eusMnq slruclwc os w acde0 n IM details- EACH SOLID KKK PANELS) 1 .1 mm SUBJECT TO OPEN 2. b«d«1«on sdst+lq sb0 to be W.A shoe be in good U y NOTE Sc!/ ARE� = 8 con6Tion ah no erid. of Isnsrc c—k:4..0c, .'� i Zo 1'-1 1 Y — — seepage a unlade lou+dol'on chaoct«islics. IG`m«n Q R ^ tlicNnss char be 3-1/2 kbts. Ic •P rest ORO14 INSECT ONE a THESE Will-KA Nrr WAILS MAY BE ENCLOSEO 3. Yscbaicd fasteners: W S y � IEMPEwO SAf11' Nnx f1AL NE1P11 Vll PANELS(SEE IIZI(k) a SMN Metal s«e.s to be Mi-K.3 pro-sell drie:q X a Ys. stainless sites p a < 0 A T TO VASS TO my K L Sc. b.Arch«bolls into concrete slab 04 be 1/4'd-n Iv.2-1/1' a p uo• IWi K.i Bolt z.Ro.dc Y min Qslonce. 2' 15'-D•MAX. edge W. o HILTI KMOf IZKT 15 prCR • paoltClXN I OR EOIIAL PER - LOAD BEING(IMONT)VAl 1. N alrwlwd members incprC+g Modern. a F pRj CO 1.C.B.O.ES.REPORT 11627 2'-3- AgrAA 1 6 .erlbd mdFons and comer posh shown m IMu plans shoo O y 2 r 1. i--1 AT 16'O.C.K50 KICK-PNL. �dwrwm a"one temp«6005-T5.—tali m noted E) Z - a (1)ANCHOR ON 2'_3' I _ 1 - 1 8' 0 2'-- O EACH HEIGHT SIDE a o m N ., < KICI(-PNL. 1 S aMn aced os o IQ coHH os ordM a urMer . RT .1 P1 apple 6 a vE QAL •. e T _MULLION ME 4. 1 K utts/7 !C-... «31 dIM 1997 IIBC code. ail H Chap p EIWR Y � .. 15 ,. (/OuNN�EL WII1IIt 11' —————— a B mar M supported m o new p e.iriinq non-e°¢ne 1 rZ > p Y A .•;1..: r . —————— 7.-/•�IIdIN dXHN IhRn IM ofo.ebk bed n 4ri1M wc�ilObq h S < : r 2•IDN r SAY WALL EXIENSgN o (�L)---- es irdcaltd in boot lodes. EXISTING CONCRETE / EMBEDMENT Y (RmY/S'C01P[R) b. The use of such patio rooms as Well to 1—ational W ua SLAB W G000 CONORION {•. NOR:"0 ROOF O RHAK and oul0op f""9 purposes;only and we not to be used 3 1/2'MINIMUM :r.• �`, ..;:�"`•:?.:L,`.;.•: `:. UNIT ti"OH IRON Orals) ALLOWED wcRE 80 a talon.gaa)e.flotoge«loblode roans. OV) SECTION I SECTION I PLAN VIEW vd 'ND01° `'�°"'be i orta, of lM'of 6 goo and ont 0belo-a1 hheo �+ i 112 PAN HEAD WOOD (WITH OPTIONAL(LAZED 1 e.1/r SEir DARLING 6`'--a i«suchRod. Open wro pa arose as«eo d a LO NC e.1/0 S(U OrataG KICK PANELS&iRANS01d$) SpKK u 11 O.C. .Ah insed weenilq«reo�r r&.w bk plastic SCREWS I t/2•MIN.INTO Stli4 Are ac (11PC11 P6BC a 011p gbeiq not to—Red I/e i Uiclu"s. ob P rot.er O � SOLID WOOD OF 17 (TYPICAL OM Ar OU) 1 O.C.— O.C.—) 7 1 ) anA be seEe p glazed wlh pass G4 sTRtICi11RE d. N o er requiesents pl oppen&.Chapter 31'Poti°cor s (16-D.C.) 1 8 - 1 18 —Ica wei of IM 1"7 UBC shoo be odiwed to. ,M 4 g JI}C��A SHEETTMETAL INSl1EATED 8 6. Jcurlirwm amconnec6ons must be steel&born died contocl SCREWS 3• Qlith 6ssirni«0 Se Go.SuC201 6.Nft a U.crelf.thifo b occ«do ct PANEL I .RA Dopler 20 section 7011.6.2 d IM Be IA:1am IAi6rq Coa. O.C. TV. on SEC ION D J 7. This polio srdm e mq be installed viler 0 row Seanss on S[tr tXRIPIG ._` ::.a. It,eiebown per Chavl`ple.31(Appee6.j d the w9T� woes M e o.c SECTION F SECTION H SECTION K Urd«m cede. DRAWN B. RC INSULATED SECTION B l fKaE a OUT) - STANDARD 11• 8 6 B. Saw.w poneh shown on"shot c".ah on p1EC1(Eo dY CM WALL 1 17 LC.B.O.replan cwreMy r"09-nd by the Lebo. PANEL .. ... 2 - 3 11 18 g E.hkhh d��'eci o.a«'+�Yllrvaen«elf0for of solid `Liner c�„A`Lee. DATE I/1I/00 i SECTION A 8 1 4 B EVALUATION 9. Corh polio arstem shot tote o permoneMy off ed anl 0c ti lap ral.4 the Idb.iy: REPORT o. None ad oddrsp d--doclar. b. Deign beds 4S90P e.I/r SELF DRUNC C. Cwrenl I.C.B.a Evaluation SRrrice Rep«t Rumbe WITH r10 thwSCA AT ID O.C. 10. A 6'-0'Enos faith tempered glass«plastic I"do«may FILLER OPTIONAL HEAVY li' - Duo SECTION C SECTION E r .mDl a Oe"`ow" cry ron-Deer" .M,plaided Ihol IM..1 is DNG 1 2301C8097 SECTION G SECTION J SECTION L nnote°x?used to`°'�'r'M OPE""a" r`a"`"H""" PACE I Or 3 f S(a[S 220 PAW sU81001b TABL(OF 11AWMW INLOW&C R00F tK LOAOS FM wLs - OOR n - 4 WmD°W REVISION 13 RDOF WE LOW WX LOAD FOR WALL EXTRUSIONS 4 HEADER R00r OVER WO Lora sr 010TE IA A C IUR-EROe[ER(0 9A s KW ( A) 1rF sro N v NPsir(ROTE C.O a E) (FOR MATERIAL SEE NOTE 4) 7 WINDOW 1PN 1W.A 1rd wee.emm[epow.c JAMB EXISTING SELF 8• 1' -_ 33 Ibl.@ A.o.aak polio a rod woe,we baud o 14 8 a I/2� a0so yq aaal... Li a.a ur raa poMt mop FACTORY ASSEMBLED 11 O.C. SUPPORTING ROOF 70 1PI1 1 ___ ddermwed par woom LCAD.ES.Eb.dan Repa6 FIELD INSTALLED (NOiE 7 NO. 12 PANHEAD WOOD SCREWS --- 27 Wet A7o.tew a.W waft are bead ee V-0 1/2':rdo.s (2)18 a 1 SUS OPEN AREA_Vq ) 1 1/2'MIN INTO SOLID WOOD a.ab sd.a Ie. .F-Ca-b-tae ae..*q CONNECTING 7 TO 15 h 15 3'-10' OF EXISTING STRUCTURE. 70 LPN -_- 11ia 1m1-At b.gwe.ed bF a W.Ia i. 12• 1. 23 ,,,b;4 . (2 AT EACH VERTICAL MULLION) Na.0: Mee bamerrr deaf.4 MWed a o raid pad.16e 1r I. 70 MPH -w A-110"b. .OX d aF.ew FASTENING DETAIL OF WINDOW 20 Ra.E: Mee bat.i,N «..ad,N.ear Irenaom k*. WINDOW TO VERTICAL H MULLION slu 7o 1PN 20 --- ua(:..mm]nm Ram de.ao.1N9a a 6•-11 1/21 3.314 16• 1' ___ 18 M b.-d A"IM.iee boo rq,&.M.a.50 m TAN TO TAN 85-0.Evowe[N W.G...A.w 85 mph E.pow.C ded Don t IN am..N.F.wad dal b.6MW to Ibo,. 4 Q .662 375 .662 .375 1a o fee•^4^F••4 doe a d taw a mo:mue koa se9M �3.030�( 500 190 o -�.742A4S� ` z y ALTERNATE EAVE DETAIL v� 17� .175 �0 3s10 -T 170 \1 � FOR PORCH ENCLOSURES v y 2.900 3.000 2.894 3.054 2.900 500 .175 2.00 i z L I I 000 2.890 I N0. 8 X CHA SELF R o IL DRIILING SCREWS I/4-20 SELF O 4 PER H-CHANNEL DRILLING SCREWS {]y S 699� II I 530 J'O.C. BETWEEN p r f. 1.699 If T�3.942--1 I~J.510 I OR© H-CHANNELS a o r� 1 'N'CHANNEL 2 HEAVY'N' J DEEP ELECTRIC 'H'CHANNEL 90 CORNER 1.038 (INSIDE 6 OUT) a+ c r r` 1 Q TYP.WALL = .050 TYP. WALL _ .080 TYP. WALL = .070 OIYP. WALL = .065 6 4Y CORNER ' o W . WALL .050 s 438 -j r-3.14t 4 Ozz4.383 zJ I 8 d� o 812(�- , � f Cn ° J.004 3.104 3.031 I 7 2.184 .625 I FFP5 �5 '1 .938L[---.220 496 I.375 -i� 7 I M O c m g 2.884 Cn T .514 9 7 2.585 ROLN voES d v�i c 250 I-.82s 1.�T67 J93 L 1.96 L NO 8 X 1/2-SELF W a .438- (- �1625I I� 810CC70WINDOWT Cn 3'SILL - THERMAL .710 p 1 JAMB AND HEAD Al CAVE. P i z 7WINDOW JAMB.LEFT QTYP.WALL = .055 y F^ ""�I I�-.227 (INSIDE 8 OUT) �nP, WALL .062 WINDOW JAMB•RIGHT 3.03 3.318 --I TYPICAL 230 WINDOW ®TYP.WALL = .Osz 10 M. WALL .055 11 TYP.CAVE (ALTERNATE) ALLER .060 FASTENING DETAIL N0.8 s I'SCREWS FROM ITEMS 7 d 8 ATTACH HERE 438 NOTE:HERO It SILL ITEMS 14 AND 15 ATTACH i0 JAMBS ITEMS ]AND 8 WITH (SEE NOTE) t TWO NO. 8■ I'SHEET METAL SCREWS AT EACH CORNER OF WINDOW.JAMBS 2.89 1.313 .248 ARE THEN FASTENED TO VERTICAL MULLIONS. I I- I 2.890 .488 � 1010 .835 1- 1- .156 ...500E .SOD L- 56 2.880 3.995 T f.075 r I'� I 3.000 5� 3.885 �"R• K 1. I .500 1.000 4_S05 .879 1.875 - f 1.313 2.713 2. 13 2. 13 I CHECKED BY CM J.� �, .868 t. , .625 -r 1 .1 L .fi9D 384 soo 156- 3.000 7426 DALE 2/u/02 T_ � 406 I- I EVALUATION 14 WINDOW HEADER 2.890- TRANSOM HEAD 17 SJAMB ADAPTER _26145 CENTER6BAR L-A .813I--- REPORT ty GLE IYP. WALL = .065 3' 16 TYP. WALL = .055 TYP.WALL = .050 3 FT SWING DOOR 19 TYP. WALL = .050 @TYP WALL = .050 4590P IS WINDOW SILL MATERIAL 18 JAMB/HEAD WTERIAL TYP. WALL = .065 6063-T5 TYP. WALL = .060 6063-15 6063-fUTERTS M/23WW02 ii III GENERAL NOTES d SPECIFICATIONS SECTION M REVISION BY 1.Tnee.a.ebro aees aw.1.0 wNb.•,..w«.,so-wsl:w•. FOUR SEASONS WEATHER LOCK 11 ROOF PANEL-INSTALLATION RIDGE DETAIL FOUR SEASONS WEATHERLOCK 11 ROOF PANEL INSTALLATION 11w c«wlne•n-.'.See«.I»w»`cl w io Sawa - � - UPDATED PC d-lera co xwwel.e.l4cetoe.•1N qw T$. WITH ROOF 1/1'RX Au ravwc�spR�s W Fe. 1/Y xv TAPPING suRNs LOAD CHART 7.Ibene.•sa roaerw..: 3 2 lOP A 2 BOTTOM INTO H-BEAMS !1/:'O.C. UPDATED Ce61.0 (NOTE"1 19 PER PATI[L TOP A 90170M) PC e.Swl waa.fn..to W NMI;-K.A Pro W.IN" STRUCTURE ste+•Yw Aw«epw. rA 1l[RSe I--23 7/la'-) I SUPPORT ROf[7eI H-BEAN b.A I-boNo a re{e awe M 1/4•.2•rrabnar.Iwg1n ro9 PER gab,.4- {wwrae eria:q.epp«t.1r.liw. NOTE 2b ar o N.e+1..N aFASCIA rffS I I I.SI.INW I.oa N-BewN.area b eNr.r.wn e{q ee. - MO RUG[ i i 1 ) 1 t.rNv..aom-Ta.IeMerleA ro.oa paNN,w tN..e«• ,1 e. - b l I ].Y aM' tewxl.en a4•r•.n•a•o.e.nq APPROX.R0°r N-DEWS 1 1 9a•«•'ts0«elwNoplge..AMOX"w s«Nxl�ne.eea. _ _ O FASCIA[KIRI/SOH I 1 I I cerwrae«Nw.e^o a1a{a coaw+•«c«ba.:ln ON[NOS 01 I d wtf:prl 2D11.0. I I i I ..Tnls Pow tewr 71-7 to o.1e46 w.op Pao ooR ' BOLT O.C. .,0--Wited br IN 1"1 UN«m Bii6.q Ceb. LID! fASICWRS AS PER NOTE 2e. E°_,r2• P1 14 e.11w ew a Polo roar•. r.raee 1. t to IN, 1Y O.C.W ENDS EACH PAWL erd aulaeer rwrg 0«pow.. AN w nol le M wM FASTENERS A.5 PO.N T 28. n. WE 2e) I I I y w cwp«I.9«e{e..l«ope«nPbAoOM roaq. x[BOII O.0 AT UF1. ( O O 0.A qnw rpu+.NMeI.a Ppp.,4.cwgw.11 W;.C~. a IN.1991 UBC aw.IN,ImX-"to. SECTION N MALL STRUCTURE 1 1 I I U x I.I:«.pqo sra.m awe now a p.rw«Nnly a6.e. FOUR SEASONS WEATHER LOCH II EAVE DETAIL KtoR(NOTE.) 1 Id i.erKRwaon bq 60np IW too 1 1 1 Z) No *A*-a wawlwtve. fASTCNCITS As aoor 5CR[TIS/17.)1/4' 1 I L C(IAL tAIAK[p 1 I i.TERIOR SEAMS to SELF TAPPM'RATH b Oesgn leeb. S Lv(R NOTE 2e. STAINLESS STEEL RA.WERS 1 I (NOTE 5) 1 1 - z c No..1 LCS-0 ewA»to..w..e repot aNNbw. ` N-BTAM Burrs 1/2.O.D. 3 ROOF SCREWS♦ P1 1V C> zo 5.AN Mw:«..erns wAjecl le.alw eAr.e�on.Nee M IA, TO GMTT[R MASERS 17'0.C. I 1 I 1 `� t 1n <ea.e6. ON CND RALLS ALLOWABLE DESIGN LOADS FOR FOUR SEASONS 1n WEATHERLOCK 11 ROOF PANELS WITH ROOF H-BEANS `,I ----------- - --------- I 1 0 = r 7 O[rLCCnON ualslmlm rNRL SAKN 2 AUOR.eLE LOID tI•y) -°.---°--- --- (.lass) I-rITS It l/MO N 21 1e 1{ 15 1] 17 It 10 ,;I CIO GUTTER a O y O LR.o n v n 2. 22 to 1e n Is .. L/Ie0 SD .1 M M A 21 2. ?? M `.-'1: :. .'-..•�.:"-' {'TO 12'ROOF OL[RNAMG ROOT LENGTH Do,""'CAL INSTAL.IKIN 18 O N Z O ~I lOP A/BOTTOM Of pRTCR(5 MR PNICI) IRS p.C.ONSCREa fR01f1 NAIL Z t; cowl[ r1 fA!'10R5 FASTENERS AS GVTI(R[iRRV510N ON En Y U lro-...5 N..len. PER NOTE 2e. FROM SIDE Of ROOF (NOTE 20) 1.PER PANEL) p ham, �?t'] INTO CAC. !�wkpo N-BEAM. NAl NOTE 4.IRE AS 0 z PER NOTE.. y s z > TYPICAL CROSS SECTION I O ` RTATHERLOCK R RDOT PANELS ROO(OCTAL. O � _ � W.ROOF N-BEAUS EXISTING SUPPORT N11 E/] Z EASE" STRUCTURE SECTION 0 W y` DETAR UNSUPPORTED FOUR SEASONS WEATHER LOCK 11 ROOF PANELS H-BEAM DETAIL OG PAWL SPAN ____*____ 11 II [ II { 11 r----� II 11 Z e ALL STRUCTURE. OVMMTOIr I-46 7/e'O.0_ .6 7/e'O.0_ 1 I 11 { 11 { I I 11 1 1 1 V AS PER NOTE. IRl PART f1Al PANEL I S 1 1 11 a 11 a 11 I 1 �I 1 1 1 A a .5 3/0'_ IS]/a'_ [ a W TO- row I I I 11. 11 11 1 1 11 1 1 I q �.6 I/e• I'ASTIMERS AS PER NOTE 20 - 1 1 I. 11 II 1 1 11 I I 1 (L O y]/e row I a'O.C.STAOG[RED SIDE 10 SIDE 1 11 a 11 a 11 I I 11 1 I 1 /SEALANT(EXTERIOR ONLY) I I I I e I I [ II I I II 1 1 1 11 It I I NAl PER N07UN[ 11' II ---A--_-I 1--- II 11 I I ; JICYLSt `6'CSv! AS PCR IOI[. I I I _ 7C_________71 11 I --AS PE SPEC 2 � 11 � _ 11 - I 11 II 11 1 1 .` I I 1 II 11 1 II 1 1 J • 1 I I II 11 L Ell , SIDES w AL 4"05TM uB ro Bc SOLID FRONT ELEYATION ��� � AS PER SPEC 1 AS RR SPEC.1 -I 1.lO7 1.173 I ]16 QI Row PANNEL J.000 I r I.000.2e5 CHECKED BY CM r - I-. _ SgfSlGigBS: .691 1,60 - .570 -p DATE 2/14/00 1)AUN1W.Aloe J S H 7S. EVALUATION .ON CMK TIO NESS. Ir .022!BUAC THptNES3. � e97 I 3.635 p ].720 7.900 3.030 REPORT R »EXPA 5l 0[NST17'EPS 3.956 2.900 J.Oeo ].0.0 (E%PA000 PanTYR[NC)1NSUATON. 2.9e5 H[pyA�BARpI[ S I 4590P J)0.1R.wow AoKshcLUATI RR 1Nm STRUCTURAL I I I I'-.669 Styr TD BE DEBRRgCEO L IMPORT N xERMANUFACTURED -4 1,AS COMMITTEE L -III. L AWMN TO BC SOLID I-J.IJ8-.-I REPORT N0.NCR-.51,AS INTERNATIONAL INC.CNICACO O WITON ROGE O N-BUY O fASCN O Q111CR DWG 230ICB097 RLNpS TTP.XI LL�.055 m HALL-.060 1\P.RALL .05! T7P..IALL.055 wIERML 6063-15 MAICRIAL 6005-16 MATERIAL{Oe3-15 MAIERaI 6063-TS PAGE J OF } O ` 230 SUN & SHADE: STRAIGHT EAVE / O K- M ROOF PANELS WITHOUT H-BEAMS • ENGINEERING & STRUCTURAL LOADING INFORMATION 5005 VETERANS MEMORIAL HWY. EFFECTIVE DATE:6-02 LD 7 FOOT EAVE HEIGHT 8 FOOT EAVE HEIGHT 9 FOOT EAVE HEIGHT MAXIMUM FRONT WALL WINDOW SIZE MAXIMUM FRONT WALL WINDOW SIZE MAXIMUM FRONT WALL WINDOW SIZE UNIT ROOF MAXIMUM 4'WINDOW W WINDOW 6'WINDOW 41 WINDOW 5'WINDOW 6'WINDOW 4'WINDOWMEXPI, 6'WINOOW SPAN LIVE LOAD ROOF WIND SPEED WIND SPEED WINO SPEED WIND SPEED WIND SPEED WIND SPEED WIND SPEEDD WINO SPEED GOVERNED BY LIVE LOAD EXPOSURE EXPOSURE EXPOSURE EXPOSURE EXPOSURE EXPOSURE EXPOSUREE EXPOSURE wn B C D B C D B C D B C D B C D B C D B C DD 8 C D (mph) (mph) (mph) (mph) (mph) (mph) Imph) (mph) (mph Imph) (mph) (mph) Imph) (mph) (mph) (mph) (mph) (mph) (mph) (mph) (mph) (mph)Imoh) Imph) (mph) r ALumALUN 69 170 130 115 160 125 110 145 110 100 140 105 95 130 100 90 125 95 85 115 90 8080 100 80 70 7 4ALuuALUN 101: 170 130 ':115 360';125 110.;"145 '110:ADO `140: 105 '95'`5130:. 100; <90'. .125". .'95. :85: :115 '90;: a80, . 80 100' ft �osuALUN 88 170 130 115 160 125 110 145 110 100 140 105 95 130 100 90 125 95 85 115 90 80 115 90 80 100 BO 70 r ALwALUN 52>. ':'160 125;:,110 160,1125]125' .110 145 .110i ADO, 130 *:100 90,'.:la 100 ;!90• '125.-:.95 :85,4 115' 90`.'.'80 110: :185 75:`:100 :80:: �70, 8 �ALwrALUN 75 160 125 110 160 125 110 145 110 100 130 100 90 130 100 90 125 95 85 115 90 80 110 85 75 100 80 70 ft rosfJALw 79= -=; 160:-t125i +110:16WI.125 110'r -145 .1:101 900 1301:1D0 :90 '430 100 `903 '125';'95 85: 115'-'%90- T80 :110' z85' 75• 100. `80� `70' WALUM 40 160 125 110 160 125 110 145 110 100 130 100 90 130 100 90 125 95 85 115 90 80 110 85 75 100 80 70 9 ^u u ruuN 58' a:160 125 '.110 1601„125 110' '145� 110.AGO 130,'100 90`; ";130 '100 "'90 '125 ";95 85 ']15 '90 -:80 ':110' .85' •75- 100, 80' '70 ft os6ALuu 72 160 125 110 160 125 110 145 110 100 130 100 90 130 100 90 125 95 85 115 90 80 110 85 75 100 80 70 x"•�^'� - _ 32 .,...^155 .120;;105 �155,;•:120':s105 '145;.110. 100 125, <95' :85.,:125:.:95:: '85., 125:'::95, :85, .110':..85, 75 '110 r85: 75 100� 80- `:70 10 46 155 120 105 155 120 105 445 110 100 125 95 85 125 95 85 125 95 85 110 85 75 110 85 75 100 80 70 ft 4•osfu•ww - 66' 1'S5"•120. `:105 155- T20 '105':145 '110 'f100 125 195 Z5•: 125 +95': '86'+ 125'� '95 c 85 i I:110 85;. ;75 •110'-`85 =:75 -100 -80' 70 3'AL-ALUY 26 145 110 100 145 110 100 145 110 100 115 90 80 115 90 80 115 90 80 100 80 70 100 80 70 100 80 70 11 rALtn+N,wu_. 38 145 1'.10-;100 -145; ::110 100i. 145_d1101 t:100, 115;='90 BD' 115 ,.90°:''SD. 1'45! >90 _80 :10D •80' .'70 10p 80i. .70., 100 80 70: ft .-os6ALu11 61 145 110 100 145 110 100 145 110 100 115 90 80 115 90 80 115 90 80 100 80 70 100 80 70 100 BO 70 ruleu.Luu. ,21 140 105: G,95 140,:i;1D5, ;95 '140 :105�-;;95' 110:',85 •-75%r:110• 85 .75 .110: �85 :175; -:95; 70 !::'.65 :951'..�70;±65 ::95 -•70 -"65 ,. ._ ,. .. 12 .•ALUNruu� 31 ,� 140 105 95 140 105 95 140 105 95 110 85 75 110 85 75 110 85 75 95 70 65 95 70 65 95 70 65 (ft _T 52 .4•:paluAEu '1 140 105 `:95.::140''105 96 ::140 105�- 5 '110: ''85 75?t'A10 .85 '-75 it'.10 .85 -ZS:. :95' .70: ::65. 95. 70- ::"65.r •95 70 65 r ALulfALUN 18 130 100 90 130 100 90 130 100 90 100 80 70 100 80 70 100 80 70 95 70 65 95 70 65 95 70 65 13 lALUWALUM 26°i', '430 100';90', 130; ;100 ,90 .%130 100:-'90 100.:r80 :70 700 ,80-> ';'70 100 -:80 ,70 `95, 70;';65 .95,;'70 '65 ':'.95 70 ::65 ({ 4 os6ALUN 44 130 100 90 130 100 90 130 100 90 10O 80 70 100 80 70 100 80 70 95 70 65 95 70 65 95 70 65 :r.a1sALVu 15 125--:95,.a85, 125 f 95 85?-F.125 95: F:;85 ,115 ;90 80 115, 90, 011 '80:�100 80";s�70 �100' :BO; .-:70 100: BO-;70 . 14 4•ALwuwN 22 140 105 95 140 105 95 140 105 95 115 90 80 115 90 80 115 90 80 100 80 70 100 80 70 100 80 70 ft 4•oseuwN :4-'37 :: 130 100: ::90 130 !.100 :90 i 2130:t100 .I90, ``115;1d90 'BOi 115' •90 ",80 ::115+ >90 '80' 100: '±80' '70..r 1D0 .80 :70. .:100 80: .90'. x•ALu11ALuu 13 110 85 75 110 85 75 110 85 75 110 85E,70 110 85 75 110 85 75 100 80 70 100 80 70 100 80 70 15 4•AEawru.u : '.', 19. ...,.:;140 105:~.,95 140°,1N05 95;':140' 105; .95, '1151.151 '90.';'80„ 1.15 -;90. "80 700 ;80..'',70. .100 •�80 ::70 900 i80' -.70 ft �os6rALu� 32 125 95 85 125 95 85 125 95 85 115 90 115 90 80 115 90 80 100 80 70 100 80 70 100 80 70 11 , ..':tOD 80;?';70 '100' ":80 70 1DO;.,80- -70 °100 '80 ;100; 80x ":70 1D0:.-80 70 :95 70 �6570 65 95 70:-6516 r'ALUNrALUN 16 125 95 85 125 95 85 125 95 85 110 85 110 85 75 110 85 75 95 70 65 95 70 65 95 70 65 ft 4 u ` 26 z115- 90,"80 115 E 90 80_'::115 90 r 80. 116 '."85. :170 8575 :i1:10' 85 75' .'95 '70 :65 .95 70 65`':95 `70' :65 r ALUYAWY 10 95 70 65 95 70 65 95 70 65 95 70 95 70 65 95 70 65 95 70 65 95 70 65 95 70 65 17 4•ALurrALull =14' :...125 '.95'�0 85 125 •:;95 85' 125 ,.,95: 185� 110:i'85 :75 ':].10. ,85' .75 110:>::85 75; .95. `70 .65 '95':' ;70 :65: .95 .70- 65 ft ossrALur 21 1 1101 85 1 75 110 85 1'75 11 110 I 85 75 110 85 1 75 110 85 75 110 1 85 75 1 95 70 65 95 1 70 1 65 95 70 65 NOTE; EXPOSURE B-RESIDENTIAL AREAS,EXPOSURE C -OPEN TERRAIN AREAS,EXPOSURE D -AREAS WITHIN 1500'OF OCEAN (,.• � sa A 1 �' �:./� ��+'r ou aCc%�w� io• a f� .�"�ir�"� 0 R r If ClF1111 ! i .p.PC Slx J r. �. ", 2-c. CAP r�,� �J.`�`''•ra9 / r f �-�' RIIAIIMFIR IL k AMP MO �", a -M.nl/Mu172�1 i= § g21-^^�I '/nn o� \� '+y•_!b '�::,-' 4y!"ntoe r. `8.!r u '�'°lse°}y '11\.[m�..k::.l: 4` oalvP:' 'jA r...,.5`�1• '4�s.•y \\o` ' f x*cE �r�rp u�no°c y„ejuwi�lM `�iab--"�+c� '¢^i ocq•� '��N�E ftb� ��y'� � , 1 ALABAMA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA IDAHO ILLINOIS 'n 191 .nrLc sY, • —•! '.- `i+„ �� + 4y� 36 or. `.,rn;;:`•. ��,i•..cr w�\ ;r1� '" - t ur .o",':, . :.S �1 Na �•` k.nn. r Wi-�..r•�""`[*� .....spa,�"•`" ����.- ..,,Y... .;'`,+ Y +� .tea�.,,,,r°�k`.: .,,a.:, $•r•.m+` ^.,r�l•,;;• ,.n<.i. r° 1,., r `^,•.•.v ,.+ rr4rrimnot0`` r•+w.n„'`' `'•c... ire ,`� (.rw, � '>C�or"��!''O°-, ry, s �• '+ •,ice 4�ro °.._Ar.�...•.+,•, or uiic��A KENTUCKY LOUISIANA MAINE MAFIYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI IOWA LS �Ow x4l. 1.C•ltLar y�`�'� . ds+�'"�'vu.. FENCE FPS - �� �OUR CNCC iIl as°�°'•°u _WnE.cr •� r g UWXCNCE" -�`•` �r...�c :;l^ t Zr Ilct��� ��• °t +°` Ti o�,'fi se \ 4� .;L,o! fr s \ wle.ce�: J WBlS p ' Fs�rlssw.• *.�C7�L•- .+nr•' Aa ltSt "•'wnmm�+'A Moert9rA°' rycf 115e� MONTANA NEBR,+A-S••K•�A NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO`+ OKLAHOMA 1 ..d. (//pEN flip wc, er a661 ;+t• d'. NOTES: N V� yG•uxy� 11 Y 1 �� v+�0 1.@71�'� �i k, 8 L,.eny C r!+ -r--• .rP a9� ( 1)ALUMINUM ALLOY IS6D05-T5 � 2) DEAD LOAD OF ROOF SYSTEM IS 2.37 PSF OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA •it`P.1%i`y ;;:e-�"' t "�. r• ;6••' 3)ALL UNITS SHOWN ON THIS PAGE ARE ACCEPTABLE FOR CONSTRUCTION IN :�A c �,�•--,� t` � v,� Lnw�eNc, � '�;• _ >�;,....,,�, SEISMIC ZONE 4. } Ii lJ,u'iIF.n Cl 5 { tAnro,rr.44 C xoxu Fsa : 1t00 4)A LOCAL PROFESSIONAL ENGINEER SHOULD DETERMINE THE SITE SPECIFIC LOADING AND PERFORM ANY ADDITIONAL NECESSARY CALCULATIONS.WHICH TENNESSEE TEXAS UTAH VERMONT vIRGINIA MAY INCLUDE:MINIMUM DESIGN LOADS REQUIRED BY LOCAL MUNICIPALITIES, wASHINGTON OR ANY DRIFTING OR UNBALANCED SNOW LOADS PRODUCED BY ADJACENT 4r tN lky+ r f, y,wro.. STRUCTURES. i JiSSSY��oi �'`rn. �l¢1•u poi s'� aJ•_4F. 5)THIS SUMMARY PERTAINS TO THE STRUCTURAL INTEGRITY OF OUR UNIT UP TO THE CONNECTIONS TO THE EXISTING STRUCTURE AND/OR ANY NEW NEST VIRGINIA ae KTOYMo CONSTRUCTION, THE CONNECTIONS TO THE EXISTING AND/OR ANY NEW WISC�ONSSIN WYOMING D.C. CONSTRUCTION MUST BE ANALYZED ACCORDING TO CONDITIONS SPECIFIC TO EACH JOB,BY LOCAL PROFESSIONAL ENGINEER. 6)ENGINEERS CERTIFICATION:I LAWRENCE FISCHER CERTIFY THAT THESE ENGINEERING SPECIFICATIONS HAVE BEEN PREPARED UNDER MY DIRECT SUPERVISION AND THAT I AM A REGISTERED PROFESSIONAL ENGINEER IN THE STATES SHOWN. FILE:ROFENG36.CDR 56 600 Washington Street Workers Compensation Insurance i4f davit PLEASE PRIM'LEGIBLY Applicant name: P�h/,oncn�Cg$ Location of work site: �/V JS Pool ,`_/�IJ _ I am homeowner performing all work myself. I am sole proprietor and have no one working in any capacity. I am an employer providing workers' compensation for my employees working on 0us job. Company name: �� Phone Company address: �� f?ZT���� Ci --------- Insurance Company: aQ4 Policy:&MC32-0,5_6 L _ I am sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listed below who have the following workers'compensation policy: Company name: Phone Company address: City; State: IRMIartce Company: . . Policy: Company name: Phone Company address: City: State: Insurance Company: Policy: Attach additional sheets if necessary. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the implementation o criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form a "STOP WORK ORDER" and a fine of s100,00 a day against me. I understand that a copy of Us statement may be forwarded to the OMce of Investigation of the DIA for coverage verification_ I do hereby certify under the pains and penalties Signature of application: atate:' s —,o 3 / �� � I Print name: PIiOne: �j�����-- "For Official Use Only, (do not write in this area - to be completed by city or town official City or Town: Permit q: Dept: AGREEMENT Job Number ❑ in-Home Sale Customer's Initials 1 Showroom Sale Customer's Initials L)L'L/ 479 MOUNT HOPE ST a NORTH ATTLEBORO,MA 02760 08ruk S u n ro o m s IAA 508)REG a 5 8222 (BR l�C a 627 P 46 PRO OSAL SUBMITTED OVE Alp ,I CONS ANTS IGNATUREWE HEPEBY"MIT-ECF— , PLY CHECK PURC/NSE ITEMS) Afp E911M4E5 FOR YEAR HOME PLEASE MARK p/{TT IZE BUILT ALL SIZES PR WIDTH HGT. COLORS ERMIT hAN+ /1 U ❑ OD&Aa o l— ROOF: WHITE 1 DaSTING NAB ❑ Tac R OO" MOVES FOOTINGFASCwrRIM: 7E DRYER VENT U (� Q�a. ❑ WOooDECK ❑BRONZE El I�—ro ❑ FRAME OR: ME sPlGar j'1 U ❑ Bic O I.I. ❑OR wAus G Z ❑BRONZE pSANDSiONE ❑ ROOF 3 ExTERaR SoA Q KICK BREAK THRu ❑ 0008 , /', PLAT (f�• !�] PRICING ❑ FINISH BACK WALL /, ❑ T DOOR C: MICROBLINOS(color) ❑ /� STANDARD ELECTRIC O I STEPS—rn ❑ WRITING1,7o SKYLITES—no. V ❑ SAY WINDOW ADDITIONAL ELECTRIC AYN RAC /J,� u. ❑ ROOF STYLE ❑ VENETIAN BLIND$ n O 2'WALL ❑ SCREENS ONLY❑GLASS a SCREENS❑ TRANSOMS ❑TOP 3'WALL.� p BOTTOM `�� ❑ OASS 8 vll j CUSTOM TRANSOMS / 1 U ❑ OTHER WORK: ESTIMATED PRICE rTOTALPRICE: WE PROPOSE hereby to furnish material and labor—complete in accordance with above specifications for the sum of: s 1-3, ^PAYMENT �j33%DOWN %UPON JOB START ui UPON JOB ERECTION %UPON JOB COMPLETION INITIAL AMOUNT d U BUYER AGREES TO PAY FOR JOB IN FULL A7 TIME OF CONSTRUCTION COMPLEaO� 'REJECTION OF PROPOSAL Bruin reserves the right to cancel this order if engineers decide the job as sold will not afford proper installation. I i Auhcni w Sipnume Dal. 'ACCEPTANCE OF PROPOSAL ❑ Showroom Not Applicable (The Above prices,specifications and conditions are You,the buyer,may cancel this transaction at any time prior to midnight of the third business day after the �satisfactory and are hereby accepted.You are authorized tom date of this transaction.See attached notice of cancellation form for an explanation of this right. ,do the work a specified,Payment will be made as outlinetio " a Dove. I Authorized Signature Date of Acceptance / `� O 3 Authorized Signature NO VERBAL AGREEMENTS RECOGNIZED THE FOLLOWING WORK SHALL BE DgqNE BY PARTIES OTHER THAN BRUIN AND IS N�A PART OF THIS CONTRACT (Each Square Represents 1 Square Ft.) INDICATE TYPE Of INDICATE TYPE OF SIDING ON HOUSE y^l 0 BASEMENT i1�CRAWL p StAg HOUSE ❑FRAME O ALUMINUM n BRICK O STONE D i If STONE LJ ROUGH SMOOTH _ V L I ,J" �- i� T I-- - j_ INDICATE TYPE Of �X OVERHANG TOP rT kP Sv • � I � I 1 - - TOP Of 7— DOCKS WINDOWS i GLASS I 1 -' {{ f� IMISTING ...... I .. I ...I — f100R STEPDOWN T — CEMENT OR W000 f100R _ ..". _ tB BOTTOM BO .. K.P GRAD( - - � PART 1 -ORIGINAL/OFFICE COPY PART 2-WORK ORDER PART 3-CUSTOMER COPY TVtOOA I , PtioPo�� S4►lQooM ON �fonE_�_P�KoVEv D�,�c - LO T' 61 12 L0 7' �~ y 12257 �' _ - - L HSAI- - o L 0 7' � 14 RES. ZONE 'RB" K, This MORTGAGE, INSPECTION Plan is For FLOOD ZONE. "'C" Bank Use Only DEED REF: _ CZF ���5_ __ _ - REGISTRY OWNER: sIO EPHINE -OQRAN _ _ _ _ _ - - DATE. L 3 21193 - -BUYER: -,V2VD8L -VA LLADdRES- - - - - - - -- -- - - PLAN REF _1061-4- 5- -- - - - - - - - - SCALE: 1„_ 30 - --F„!' IHEREBY CERTIFY TO __-THAT THE BUILDING O� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS � kUr�� YANI{EE f SURVEY SHOWN AND THAT ITS POSITION DOES -_-- CONFORM o PAUL CONSULTANT'S TO THE ZONING LAW SETBACK REQUIREMENT'S OF THE. c A. 40B (SUITE 5) TOWN OF ___�gI�LUSTA&Z----__ ---AND 'THAT MFRITHF/V IT DOES- NOT - LIE WITHIN THE SPECIAL FLOOD HAZARD No. 32C/d6 q• INDUSTRY ROAD r r i ,��"`` _ w`.n MART�L:S MIL428L-SUOi�S 02f l AREA AS SHOWN ON THE H.U.D. MAP DA'I'EU_Q,J��.. �_ rsff�,� Co �unll Panol 250001 000,E C w� a� TELFAX 420-5553 (TIIS PLAN NOT MAUI-: 1-'ROM R' 'ZUMEN'I' PAUL A MF:1�1'1'!I W. PI'S SURVEY, NOT TO 131: USED F'OR FENCES, ETC 1081, DPC o a � c� o = = o L � +> C) � C ¢ 4' Window 4' Window 3' Door I L/ 6' Sliding Door 5' Wlndow Al 6 o o � 5' Window 5' Window 5' Window LA Ull S � � � cs Deva -tion- SH ° _ SHEET N0. 1/4" = 1 ' Legend S Light Switch c ® tight 0 Q o p. Receptacle U O a = o CD o� SON ¢ (� z Existing Hone A 3 7 O 0 C 3 6 60, 12'—Q" c Existing Deck 12'—Q' 3 AlO ...- A CD C ® a ti ey 00 5' Window 5' Window 5' Window O 16'-0" � 0 0 ' Ln d E- C _� S :3 C d Ln >, Poor Phan Q °° = SHEET N0. 1 /4" = 1 ' 2- �G wl� �f L� C S �U f�{�-- �` .�CL4.J C,�✓1 J ��'UQ vLL _ AGREEMENT Job Numbers ❑ In-Home Sale Customer's Initials Showroom Sale Customer's Initials R V I� IJ✓I ' Ff��'�'�� 479 MOUNT HOPE ST •NORTH ATTLEBORO:MA 02710 �ru3n S u n ro o m s (SOB)695-8222 (800)442.7646 MA REG a 1_38• RI LTC a 1827 PRO OSAL SUBMITTED T WE / PHONE r -tea 3 G CONS ANTS IGNATURE WE HEREBY SLOW SPECFrgK)NS AND ES{W rM ROR: ICILY CHECK PVRC AW rTE* YEAR EiDME PLEASE MARK PATI IZE BIAJ ALL SIZES PR WIDTH HGT COLORS ERMIT TEAAooIAM U ❑ DID SLAB o{maw ROOF: WHITE MOVES ❑ �M sLAs � roA0�0°R WTRIM: fTE FOonNO .t ElFASC DRYER VENT 6 U ❑ WOOD DECK ❑BRONZE [IE P'�—nb ❑ FRAME COLOR: ITE sPloDr j'l ❑ 8LLOCK�WOPoK ✓� I.I. ❑ WALLS G Z ❑BRONZE ❑SANDSTONE ❑ SPA 40 [1ROCF ? KICK E7(TERIOR ❑ PLATE ��1� , I.I' �TM� ❑ �t� �' L(f PRICING FUSil Bal.TC wlyl'/ /,J ❑ DOOR 3� - MICROBUNOS(cola) ❑ C �{�I STANDARD ELECTRIC STEPS no ❑ � '- SKYLITES—no ❑ 1 ADDITIONAL ELECTRIC V RAILING U. ❑ Z SfY 14Y WINDOW 1E S 4 /� C.,/ ❑ D ❑TOP VENETIAN BLINDS - 2-WA ❑ SCAm CRY❑GASS& miEm TRANSOMS ❑BOTTOM 3'WALL �'�3v ❑ 6C3 G 6 � CUSTOM TRANSOMIS /1 O ❑ f OTHER WORK: ESTIMATED PRICE TOTAL PRICE: WE PROPOSE hereby to furnish material and labor—complete in accordance with above specifications for the sum of: s 1_3y ", v s PAYMENT 33%DOWN %UPON JOB SE��L �,T ��TION %UPON JOB COMPLETION INITIAL I AMOUNT � a U — � Q BUYER AGREES TO PAY FOR JOB IN FUCOMPLETION. REJECTION OF PROPOSAL Bruin reserves the right to cancel this order if engineers decide the job as sold will not afford proper installation. i. Authorized Signature Date ACCEPTANCE OF PROPOSAL ❑ Showroom Not Applicable The above Price',apecllTKxDone and conlil onsare *u,the buyer,may cancel this transaction at any time prior to m tier the idnight of the third business day a alisfactorY and are hereby accepted.You are authorized to date of this transaction.See attached notice of cancellation form for an aplanatlon of this right. •do the work a sspecified.Payment will be made as outlined above. 1 // Authorized Signature ZG61r Date of Acceptance / b xJ Authorized Signature NO VERBAL AGREEMENTS RECOGNIZED - THE FOLLOWING WORK SHALL BED NE BY PARTIES OTHER THAN BRUIN AND IS N�A PART F THIS CONTRACT (Each Square Represents 1 Square Ft.) HOUSE ' I DNfO INDICATE uIDENAATTIONOHUSEOUN n FRAMEQ ALUMINUM BRICK o sravER0 SLAB If$1pNf D ROUGH $M0018 .1" INDICATE TYPE 0{ OVERHANG rl RHANG TOP fop of .... ! ! I ; EXISTING DOORS 6 WINDOWS .. GLA55 I Y_ _ I I I I _ i 1 TT, � I I I I ' �� .�._ .A_ T I -EXISTING . .I .. �.. I .... {LOOK STEPOOWN .. �.. I- . EMENI OR WOW FLOOR ... ... -.._. �- 18 BOTTOM KP. .. GRAD( LAP I I PART 1•ORIGINAUOFFICE COPY PART 2-WORK ORDER PART 3 CUSTOMER COPY TV004 I Ptiopmo S4�JQooN ON CoaE ArP7"r0 DEM LOT 12 L O T .122 10. 00, 6s, L = 15. 71 - o) s 57. IQ, XY 1 00 LO T 14 v RES ZONE 'RB" w This MORTGAGE, INSPECTION Plan is For Bank Use Onl FLOOD ZONE.. "C" TO REGISTRY OWNER: ✓O.SEPHPNE -DQRAN _ ; _ -_- _ - DEEDED REF: _ �'TF_��9,� 5 __ _ _ _- -BUYER: -,S�1N_ QQi� _�jL�.9p��REdS'-- - - - - - - - - DATE: _3f24/93 - - - - - - - - ... - - PLAN REf, _10�1 5- - - - - -- - - - - - - - _ . I HEREBY CERTIFY TO L'LYMQ�III_ 127CJ-C!E fQ__ __.. ___THAT 'I'HE NC ��„ Of b YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUNDUND A AS .�,�' 'U�y„ SHOWN AND THAT ITS POSITION DOES -_-- CONFORM o`' PAUL CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENT'S OF THE 2 A. 40B (SUITE 5) TOWN OF ___aAL?NSaZ�Lj -------------AND TlIAT' AFRITHE'N IT DOES_ NOT — LIE WITHIN THE SPECIAL FLOOD FIAlARD ko 31('/d8 Q, INDUSTRY ROAD AREA AS SHOWN ON THE H.U.D. MAP AT'ED_Q�J9�.:8 ...... rsrt���� �� MARSTONS MILLS, MA. 026I D Co �unil r- Panel 250001 0005 C �s`�� ��Q,� TEL: 428-0055 FAX: 120-5553 ___ THIS PLAN NOT MAIA: PROM R' �UMEN'f PAUL A NiF;}Rl'I'HR PI'S SURVEY, NOT TO 131-.; USED FOR FENCES, ETC 10870 DPC a� � o U o= S o L C) n� Wiz 4' Window 4' Window 3' Door 6' Sliding Door 5' Window Al 7 _ L/ IL // � O CD CD 5' Window 5' Window 5' Window 1 S :5 c aQ � d • d Lf� Elevation- - Q CID = SHEET NO. 1 /4" = 1' Legend S Light Switch i C"i ® Light o rZ o B Receptacle U p x = o n� z Existing Hone A 7 O 0 c 3 N 8 60, 12'—0" c Existing Deck 12'—0' 3 Al � 1 o 0 A ® a N �o ey , 0 73 5' Window 5' Window 5' Window --q O 16 Ri oCD — Ln d Ln S � � :5 d d n >, Poor Phan Q °° = SHEET N0. 1/4" = 1 ' 2 O Q O U o s SJ'INSLEf, O,✓ER 50* rELT- VVIIIGII = o EXTENV5 12" DEYOND INSIDE + �o rAGC Or EXTIERIOR ^ALL - n r` MIN. :24' SNOY'! [ IGE_ - 5HIELD 4" NETA- FLA.5EHN6 -- ONTO AND E`-ISTING SOFFIT E2':PCSEC b" Ot4TC HOUSE ROOF EXiSTING- �� ROOF METAL FLASHING (5EE DETAIL AT LEFT) �\ E>(I�jTING q. 1). T. O.. HOUSE_ J 1000 � ~ 0 7:5 � CLJ 00 ►noO!7 VESIc Ln (I- d ul C: Ln n (� � d Sec ton � � dco = SHEET NO. �' No Scale .� L1 O n a o U 0 x y 1INGLES OVER SO* F"EL1 "InC 11 S o EXTENDS 12" E3EYOND INSIDE t �o r'AGC OF [XT[RIUR VXALL MIN. 24- 5NpW t ICE - SHIELD 4" NETAL FLA5FHN6 --- ONTO AND E.`-iSTING SOFFIT E::FP05Ec 6" ONTC NGU! E ROOF EXiSTING ROCF METAL FLASHIN6 --� (SEE DETAIL P.T LEFI) �\ lL 9 a Y_p^ HOV5E l 75 1001, o 75 Cu 00 V'IJOD DESK d Ln - - - -- Ln :3 C: Qr::) C :5 d r d U7 >, Section / A / 00z SHEET NO. No Scale i O 1 alms ?State' UlydlII CO Qrt .r en edi0 wn The Massachusetts State Building Code(780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental .CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructinglinstalling a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to,an existing house (780 CMR, Appendix J, Section J1.123.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation,form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructinglinstalling a"sunroom".It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential-energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat in • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.123.1,..requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. llA.f Signature of Actual Building Owner Date Print Name Address of Permitted Project Owner Address(if different than project location) Owner's telephone number i RESIDENTIAL BUILDING PERNHT FEES APPLICATION FEE New Buildings,Additions $50.00 o- Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE C1 °at ��� x.0031= 5� square feet x$96/sq.foot= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= x.0031= ACCESSORY STRUCTURE>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.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee �'�