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HomeMy WebLinkAbout0075 FIFTH AVENUE (HYANNIS) f5 F��Ya �_�� l � - - —� Engineering Dept.(3rd floor) Map Parcel o7s Do Permit# 49 House# - 7 ' [3 Date Issued /0 —2,2 — 9 Board of Health(3rd floor)(8:15=9:30/1:00-4:30) C? 7-511 / is, Fee jZ9" So- Conservation Office(4th floor)(8:30-9:30/1:00-2:00) - &J,"` -092 Pf-,••.._ _ n �.THE Tq;- rd 19 _ { BARNSTABU. MASS" En� TOWN OF-BARNSTABLE, Building Permit Application Pro t S et Address t/ J nF//%%/4z�" �- C . Village , �Gf 5 �v/1/l S � vb 0, 9 h 11>S Owner MC--1 I,E L 4 - Address 9 Telephone r,9r ' -77C -Permit Request © �G (/ .S%}//L ,S T�'�✓�.;,��'L�' �/�s�/r�/ 4W91 v y % e[/e First Floor ��� square feet Second Floor D. square feet Construction Type Estimated Project Cost $ �� 'V&V /^4el Zoning District "Flood Plain Water Protection, Lot Size x/®!7 Grandfathered ❑Yes ❑No r Dwelling Type: Single Family,,& Two Family ❑ Multi-Family(#units) Age of Existing Structure 040 *L15 Historic House ❑Yes �W No On Old King's Highway ❑Yes )R4No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) --t!530 _ Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New�_ Half: Existing D New No.of Bedrooms: Existing_ `Z New 7' / Total Room Count(not including baths): Existing S New 7 First Floor Room Count J Heat Type and Fuel: Aas ❑Oil ❑Electric ❑Other Central Air ❑Yes "KNo Fireplaces: Existing /New Existing wood/coal stove ❑Yes 1'�U:No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes �fNo If yes, site plan review# Current Use / �j/t'* Proposed Uses/Di/� Builder Information Name it'0u'�Pe 9- /14!'o G CoO0 Telephone Number 77J � Address �� 0/Jl� License# ��S Ayll Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS R ING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE II DING PER IEI�.#OR THE FOLLOWING REASON(S) . . FOR OFFICIAL USE ONLY _ .N ti '--,,PERMIT NO. � I �+ � 1 y � - DATE ISSUED MAP/PARCEL NO. ' a r ♦ ADDRESS VILLAGE OWNER - DATE OF INSPECTION: • .: FOUNDATION FRAMEY' I2�/Z��7 nt� INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT, ASSOCIATION PLAN NO. TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY _ I PARCEL ID 246 125 GEOBASE ID 15055 I ADDRESS 75 FIFTH AVENUE PHONE W HYANNISPORT ZIP - I I LOT 390 & 3 BLOCK LOT. SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 28407 DESCRIPTION CERTIFICATE OF OCCUPANCY(PERMIT 026494 } PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY .CONTRACTORS:_PROPERTY-OWNER- Department of Health Safety ARCHITECTS: grid Environmental-Services i TOTAL FEES: TME BOND $.00 CONSTRUCTION COSTS $.00". 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE ,P AG STABLE. ; MASS. 1639. ♦�� ED Mlr'►l 6-, BUILDf'NG DIVAS O BY I I DATE ISSUED 01/20/1998 EXPIRATION DATE TOWN OF BAH$LE BUILDING P IT PARCEL ID 246 125 GEOBASE ID 15055 r ADDRESS 75 FIFTH AVENUE PHONE W HYANNISPORT ZIP - LOT 390 & 33 BLOCK LOT SIZE 1 DBA DEVELOPMENT DISTRICT HY j PERMIT --26494 DESCRIPTION DORMER/EXT.PRCH/ENCL.DECK/REPLACE WINDOWS PERMIT TYPE $REMOD TITLE RESIDENTIAL ALT/CONV CONTRACTORS: -PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: . $117.80 �1ME BOND $.00 CONSTRUCTION COSTS $38,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE P+;":3Eba .._. , * BARNSTABLE, • MASS. 1 • ED MIS BUILDING D CIS 1 , N DATE ISSUED 10/22/1997 EXPIRATION DATE .,Al TOE STABLE' BUILDING PERMIT}. ti PARCEL ID 246 125 GIMA:ESE 1 ADDRESS 75 .FI FT14 AVENUE 1 � PHO W HYAN N I;SPORT Z I P LOT 330 3 ,, BLOCK f LOT SIZE DBA -.0 DtVELOPMEN= r ICI S° RI CT-_ °: PERMIT 28484 DE SCRI P`PION .DORMER,/EXT-PR H/ENCL.DEC. %R9PLACE WIIdDOWfi P IT TYPE BREMOD TITLE RE.SIDEWPIAL ALT/CONV , K Co��RACTORS PROPERTY OWNER Department of Health, Safety ARCHITECTS: 'and Environmental Services TOTAL FEE€3: $117.80 BOND $.00 ... THE cbRSTRUC-TION -COSTg. $38 s 000.At? � . "�•� 434 RESID ADD/ALT/C,M—TV 1. PRIVATE P�,�*� ,En * BARMABM + MASS. - �039. A� FD MI�►I BUILDING DIV INN BY . • ' ,. DATE ISSUED 10/22/1997 EXPIRATION, DATE. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE gNICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTIOWBEFORE OCCUPANCY. , 0 layji BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS '42 . gj j kAy 3 V d 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT �LW 2 BOARD OF HEALTH . OTHER: c SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN.BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. �7 PFJT- t {. # tp 4 t BARNSTABLE. ` The Town of Barnstable BRAE. Department of Health Safety and Environmental Services r o39. � Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection2- Location .�-�- v �_ Permit Number J Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: `^� �; -t �o•--L t�_P�4�.Pao — A -T-r, C_ AC cl_0 C N P co ,� �'- r•.,�� � c � --- 4 ..-- .Po4 a �l o+�t�� �v'L .--i/a rz��.�i CCfl� �r � � �dcJc �2�� J (O P704-- ���Z _S��1"1 S Cc N�-P.2 f-✓ v �1 f� 5 7-5 jV-eeJ 7-0 —P-,e AA44 7Z 'O,,.,l 3 A-Il Y -1 s-a� rz /�I—P Please call: 508-790-6227 -for re-inspection. _ Inspected b P Y -� Date r d z.r 7 7 r , D MORTGAGE INSPECTION PLAN JOB # 0?-289 ADDRESS 75 FIFTH AVENUE ZII' 0267 VILLAGE WEST HYANNISPORT TOWN BARNSTABLE APPLICANT KAREN KELLEY _ DEED REF. DB 8651 PG 1 390 & ASSESSORS MAP 246 PARCEL 125 PLANT PB 34 PG 23 _ LOT# ,391 LOT 394 LOT 461 100.00 l 28't TO TA AREA o 8.000 s.f. o , LOT 463 �11146-t- 'm3 1 STY/ 7 / W/F #75 0 06 LOT 392 -- o � , o LOT 390 War. Ak,� De�IZ7 0 y//Y o LOT 465 100.00 LOT 467 LOT 388 SCAM: I INCH _ ` 20 f t. THIS IS NOT AN INSTRUMENT SURVEY THE BUILDING AS SHOWN COMPLIED WITH THE FOR BANK USE ONLY BARNSTABLF ZONING BY-LAW BUILDING NOT FOR CONSTRUCTION, FENCING*, DEED SETBACK REQUIREMENTS WHEN CONSTRUCTED DESCRIPTIONS*, RECORDING*, PROPERTY LINE (UNLESS NOTED ABOVE) /AND THERE ARE NO DEFINITION*. LOT OR LOT COVERAGE AREAS*, VISIBLE EASEMENTS OR "ENCROACHMENTS OTHER OR BUILDING OFFSETS* THAN UTILITIES OR AS NOTED ON THE PLAN. *requires INSTRUMENT survey THE DWELLING DOES NOT LIE IN A FLOOD HAZARD ZONE AS SPECIFIED ON COMMUNITY PNL. # 250001.0008 D DATE 7 PREPARED EXCLUSIVELY FOR F.H.B. FUNDING CORP. ��p REGISTERED LAND 511RVEYOF off 508-362-45 fax 508 362-981 down cape engineering inc. CIVIL ENGINEERS LAND SURVEYORS ti y 919 main gL Iarmouth, mm. W675 FRONT e!!EZ� s LY H J 4V3 ic, k M i V2 ye 22 67 3*11 9'2 4-1 AMD 20U 2034 2840. 2540 -7 D\A/ 14' 0 DECK T o BEDROOM 00 ( �! DESK 0 ® I ` oro C CLJ�E:T A TLS E T] Ali, —L%� - -- --C�-4 ---- cla 4069 14 fume IWPLE 2 X 10 1 0 INING - TRIPLE 2 X 10 !R� ' rs p — --.,.----s]KYLIGfff UP BEDROOM of SKYLIGHT ---------- L 1, 284D 2840 2440 2340 2540 21040 306 1 GE/4eL�$e,/Jl 51 1 I 41 a' 7'8 3 4-1 315 ye L�l I N G AREA 21 ft 493 R 11 INSULATION IN WALLS EXISTING R 19 INSLTLA77ON IN CEELnNG- f NEW DORMER -Z 30'3 11'2 2'4 57 - I � 6'4 4'10 4' :i 2 4' �---�--------�k---� i----'tom---`!. ---'� I R 19 INSULATION IN CEILING i I N I r I N -- -------- - - ------ - -- 0 1 U, �j ! 1 NEW SKYLIGIff �( �I MASTER BDRM BEDROOM I � ' n (V r CLfls I I CLOSET R 11 INffTLATION IN WALLS I r I i toI I ' 13V I 2' I 3'9 11' I• ------ LIVI AREA �`` ------ -----_----- ...� 1'5 II .. .I II II 11 :1 II I II .I it II 1 II II� II II I 11 i I! II I, II 11 )I 11 Ii I' 11 ,1 1 /•�//%--..aaa II II 11 I ! II I ,, I, it 1 11 it �I �I iI I I �.`I1 II II II I fl It II II ,I �II J�y 1 II 11 it is I I: II !I II I i - �• � y-'-""' � �- T- II !I 11 I !I i I II II 11 1 II 11 ��I 4 '1 !1 11 1 i I I 11 II .!I II it 1 1' 1 1141i --�I / II ,' � I' ,1 ,I .l 9 4 1 II II II �1 II. ;I II II 11 :II �`411 I�>�i i' 1; '; 1'41 '; 1'41; li III_ P• /�� 1°411 11 / 1 41 Z : Pr-L-Li 1'4 i li .I j ii ti '1 II ii ll 11 II I II I' I' i :' ,1 ]' I �I II fl 11 IL__JL_ J1, _JL__J' 11 ,I ,I p' '' I I I I I I I I I I `_.I I I. I i l I I I! ' ---- __-_ I 1 1 •, i I' I' I, I, i� 11 II it 11 li II II 11 II 11 1 !1 I ,I i ® it .I �♦N II I II ,I ' I TRIPLE 2X10 I I I TRIPLE 2 X 10' I RIGHT 9DE DORMER. R 19 INSULATION IN CEILING u ., R 11 INSULATIO N IN,WALLS 2 X 10 ON HANGERS j ,?S�3 �J O✓�r:r�- : w LEST swE DORM= �R�SS SP�7i 'I'ItUSS �� TRUSS TIEDINTO EXISTING ROOF R 19 INSULATION IN CEILING 4/ ° - - 4 w��S I NEW SKYLIGHT r��rnr+q NEW DORMER R 11 INSULATION IN WALLS ao EXISTING r 14 2 X 10 ON HANGERS F_ R 11 MuLATION IN WALLS / EXISTING I i l r / 19 VM- TV ATION IN CEILING TRUSS TIED INTO EXISTING ROOF AW DORMER NEW DORMER R 11 INSULATION IN WALLS I R 19 INSULATION IN CEILING 2 X 10 ON MANGERS -� ®o R 11 INSULATION IN WALLS kIALL ' - a.K io --- rC r V c� s� TIl e Conmzon ll'ealtlf of.4 fassac h usctty Department of Lirdirstrial.4ccidurts 011=Of 1nveSff9JI/otts 6110 It asfiin�tun Street Bttstoti. Ma.u. 02111 Workers' Compensation Insurance Aftdavit Anriiic.intinftirtnatitin• Please PRINTIebjj�'•'• name* c.,*Aole / �s' il�'sl/iS,� ��lO� D cati n� c/,7 Cg� Gil / /�✓,s .0- ®0�4/ ho . sOd� 7,� '0J am a homeowner performing all work myself. ' -I am'a sole proprietor and have no one working in any capacity [l I am an empI ver providing workers' compensation for my employees working on this job. comnam' name: aticlress• city- nhnnc#- incurnoce cn. nolicv to [I I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who ha%e the following workers compensation polices: comwiny name* addrCS�' nhnnc#• insorancr ro. nnlicv# commmnv name: addresc- nhnnc#• insurance co. policy# Attach additional sheet if neccS-'-y •= G -_ + - +� :- __ :' 'r;':•. -" " -"' —w Failure to secure coverage as required under Section 2SA of 111GL 152 can lead to the imposition of criminal penalties of a lineup to 51.500.00 andiur unc,cars' imprisonment ac well as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a dap against me. I understand that a copy of this statement may be f -arded to the Office of Investigations of the DIA for coverage verification. 1 do herehr cerri •unr r punts and penalties of perjun•drat the information provided above is true and correct Signature Datc � _Print name Phone ' o(licial use unly do not write in this area to be completed by city or town oRcial city or town: permit/liccnse# ritluilding Department Licensing hoard G I]check irimtnedime response is required oSeleetmen's Office l C1lc2lth Department contact person: phone#; r'901her : information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for di., employees. As quoted from the "law'% an emphtree is defined as every person in the service of another under ar.\• contract of hire, express or implied, oral or written. An empli,rer is defined as an individual, partnership, association. corporation or other legal entity. or any two or me: the foreuoing enaaued in a joint enterprise, and including the le al representatives of a deceased emplover. or the receiver or tnistee of an individual , partnership. association or other legal entity, employing; employees. However -l: owner of a dwelling house haying 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 Lc or on the urounds or building appurtenant thereto shall not because of such employment be deemed to be an empioye MGL chapter 152 section 25 also states that even- state or local licensing nbency shall withhold the issuance of- renewal of a license or permit to operate a business or to construct buiidings 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 pc: ormance of public work until acceptable evidence of compliance with the insurance requirements of this chapter bean presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplyin`L company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial ,accidents for confirmation of insurance coverage. Also be sure to sign and date tite affidavit. Tile 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 req:uirec 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 tite bottom o:' the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ple: be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned -lie 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 questior please do not hesitate to Live 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 3 7 The Town of Barnstable 81RM,IM , Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission For office use only 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: /J27 �b�� Est.Cost 3J, Rd" ly— Address of Work: Gr0 alweKl< fA Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded bylaw Job under S1,00L Building not owner-occupied Owner puffing 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 G 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of th er: Date Con r Name Registration No. OR i b • TOWN OF BARNSTABLE • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE- 04e JOB LOCATIONQS iS � � ��• Number Street address Section of town "HOMEOWNER" ���� �l LL��'_�/2i Cv -��- �s?��7�r�'�� v•D�'�7.�c�2� Name Home phone Work phone . - D0 Ll - PRESENT MAILING ADDRESS • City town State Zip code The current exemption for "homeowners" was extended to include owner-occuniec dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, 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 . i 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 Offic_ on a form acceptable to the Building Official, that he/she shall be resnonsih for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the St Building Code and other applicable codes, by-laws, rules and regulations. The under*signed "homeowner" certifie he/she understands . the Town of Barnstable Building Department mi nspection procedures and requireiaentsl and that he/she will comply yfth procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35 , 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. i HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109.1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home Owne: shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction' Supervisors, Section 2. 15) . This lack of awarene: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home " wner* acti: as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. cl?vjS S.eeTi��, A;eAi lax 77-e X axn C�/c HIV C��n�� 02 'C/.O v ii 2' /may yq,/v k- ----- 24'11- = Ribs I10/18/97 12:06 FAX 5088888792 AUBUCHON'' HDWE 202 DCT-17 97 16:45 FRON:TRUSSCO. INC. 14012955760 T0:5088t388798 PAGE:02 OCT-17-1997 ISZ32 7813413522 P.02.03 BOISE CASCADE DE5IG14 RZPORT - VER. 4.1 Windows Fri Oct 11 16-10.56 1991 filename Job Name ORrON DEV. CORP. PROJECT Customer AUBUCHON HARDWARE Address 75 FIFTH AVE. Specifiert Cityr Ste: WEST HYANNISPORT, MA Designer : blARX LEAcm Misc LVL OVER LIMO PM. Code NER 442/446 --------�---------'" ----_ .---- --_-�.,--�.....-mow- +r --------+-------- -SINGLE - 5.25 x 14 Versa-Lam,-2000----/ --------------------- =--------= OV ----------------------- ------ --- System - FLR 1 SlOpta(in/Pti) - N/A ) Dead Load{psgl - 10 0 Spans - 1 I OC3pacing(ins) - 8t.0 I Partitionlpef) - 0 .0 Left Cant - NO I Duration(%) - 100 1 Repetitive - NO Ric3ht C&At - NO I Live Load(put) - 30.0 1 Construction - MEMBER ------------------------------------------------------------------------- - 3) uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuvuuuuuuuuuuuuuuUJUUUUUUuAuuuuuuuu 2) auuuuuuuuuuuuuuwuuuuuuuuuuuuuuuuuuuuuuuuu.auuuuuuuuuuuUUUUUuuuuuuuuuuuuuuu 1) uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu S) UUUUUUUUUl1UUUUUUUUUUU1ll,1uuuuuuuuuuuuuuuuuulau luuuuuuuuuu{ uuuuuuuuuuuuu'luuuu 6sa4r ls.a.o 6884& Total Length d 15.8.0 Load Distribution Summary O/C I LOAD I REF I BEGIN I E19D 1 LIVE I DEAD I OCSP I OUR I DEAD 1 100% S) u pef It 0.0 15.7 30 10 04.0 100 89 299 11 u plf It 0.0 13.7 0 60 N/A 100 60 60 2) u Oaf It 0.0 15..7 0 10 84.0 100 10 70 3) u psf It 0.0 15_7 30 18 12d.0 lis 150 ISO ----------- ---- ------ CONTROLS ----------------- -------- --Control-type --Value---_ ------�-Allowable---DurationLoad-$pan --- -- Moment 26965 ft-lbs SH.6t 9 list 3 - LINT End shear 6985 1bs 36.51 0 list 3 - iLT Totl De£1 L/378.9- 0.496 in 63.31 3 - 1 Live Defl L/653.D- 0.288 in 55.18 3 - 1 Span/Depth L/D 13.4 NOTES AND CAUTIONS: NOTE; - Minimum ENO bearing length is 1.50 inches. NOTE The completeness and accuracy of the input must be vertfisd by anyone who would rely on the output as evidence of suitability for a particular Application. The output above is based upon building code-accepted design propexties sad ant lyais methods. Installation of Boise 'Cascade engineered wood products mint be in ACCordance with the current installation Guide and the APglicable building Codes. To obtain an Installation Guide or if you have any queati6A*P p1*490 cell (900)232-0780 before starting product installation. .did•' �' ��" :!";G to II 10/18/97 12:06 FAX 5088888792 AUBUCHON HDWE Z O1 _ICT-i7 97 16:46 FROM,TRUSSCO, INC. 140129KS760 TO:50888E8792 PAGE:01 uA.1-1•11-2rsr 151.11 7813413522 P.03/03 30ISE CASCADE DESICH REPORT - VER_ 4.1 Windows Fri Oct 17 16:13:16 199) !'filename lob Name ORION DEV. CORP. PROJECT Customer : AVSUCKON HARDWARE Address 75 FIFTH AVM. Specifier: city, Ste: (PEST HYANNISPORT, MA Designer MARK LEACH disc LVL OVER 399) AN- Cede Nth 442/446 - -..�--.rrr-------- ----- --'f-r.--.-.-----i- - -- ---------Yt-------- -_-- _- ` -SINGLZ-_ S.Z_5-x_9.5yVersa-Lam _-_----..__-- ---- - ------ ----wawa..- =- ----- ---------------- System - FLOOR I Slop*(ia/it) - NIA t Dead Load(pst) 10.0 sp■ns - 1 I OCSpaoing(ine) - 14.0 1 partition(pat) 0.0 Left Cant -- NO I Duration(%) 100 1 Repetitive - ee Right Cant - NO I Live Load(psf) - 30.D I ConatrUetion - MEMBER ---------- ------.waft---------------- 3)uUUUUuuuuuuuuuuuuuuuuuuuuuuutyuuu1u111%Iuuuuuuuut4ululuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu 2)uuuuuuuuuuuu4uuuuuuuuuuuuuuuuuuuu.uuuuuluuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuQuuuuuuuuuuuuuuuuuu 1)uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuauuu14u';4uuuuuuuuu S)uuuuuuuuuuuuuuuuuu.uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu%luuuuuuuuuuuuuuuuuuuuu }ft--s�C-JP�oCcaaoseiw-�O�l-Q'2=OS-�i...ass� Sm�T�gm�m R�i�����7Caa.r sscaae Gf�i i1-s.} 49731k 40734 Total Length w 21.2.0 Load Distribution Summary U/C I LOAD I REF I BEGIN I END I LIVE I DLAD I OCSP I DUR I DYAD 1100% S) u pot it 0.0 11.2 30 10 84.0 100 83 253 1) u plf It 0.0 25.7 0 60 N/A 100 60 60 2) u psf It 0.0 23.7 0 .10 $4.0 100 70 70 3) u psf It O.D 13.7 30 15 120.0 115 15D i50 --- ------------------- CONTPLOLS ---------------------------------- Control type Value 9 Allowable Duration Load-spin ---------------------------------------r-------------------------r-rr Moment 13604 ft-lba 66.30 a 115% 3'- LINT Lnd Shear 4873 lbs 36.44 a list 3 - iLT Totl Defl L/329.2e 0.407 in 12.94 3 - 1 Live Deft L/563.4= 0.238 in 63.9% . 3 - 1 Span/Depth L/D = 14.1 NOTES AND CAUTIONS: NOTE Minimum KNO bearing length is 1.50 inches. NOTE The completenesa :and accuracy. of the input must bin vesified by anyone who would rely vn the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analy8is methods. installation of Boise Cascade engineered wood products mutt b4 in accordance with the current Installation Guide bnd the applicable building codes. To obtain an Installation Guide or if you have any gveettons, please call (800)232-0788 before starting product installation. 0, at L, TOTAL P,03 1'S i ii ii c M ii 1-4' 1'4 141-4 �4 1'4 i; o 1-4 i 1'4 4 1'4j�� k1 ? il�-4! ii 1-4 1'4 ii N N to .. N __ _ ... ....... 51/4"by•14".Versa lam with 2 x 51/4" by 9.1/2"Versa Lam 10 joists on hangers with 2x 10 joists on hangers UP i Cathedral this area 2 X 8 Ceiling joists below area LIVING AREA 774 sq.ft . �-e✓496 40-3 1d 13'6 57 „-2 2'8 3'3 4'3 4'9,. 2'2 87 5'4 5'10 2034 2034 2034 MDW 13'6 OD BATH 11 z DECK OOI N N O BEDR06 / DEN 3068 2668 M stack wash/dryer under 136 3168 Water c� N Heater CLOSET CLOSET N is T yg �+ 3068 15'8 0 furnace (�� 14_ a LINING 1 S�Cy ( U1Ge�S 1V2 SkA0gver. skyllahtOver uP BEDROOM 10 2835 2835 2835 2835 3068 2835 28 33 .45 3'1 2'11 T8 53 55 59 10'2 �. 18'11 LIVING AREA I 11 z 40'3 k ALL DIMENSIONS ARE APPROXIMATE AND SUBJECT TO FIELD MEASUREMENTS 301 1 V2 2'4 6'4 57 57 4' 8 4'10 SL 6vo ......................... ............................................ N Oo �� .; �x�u9�✓ 51- -BATH to 0MASTER BDRM 50 BEDROOM CLOSET Jn ?7CLOSET so Xts 4 co v L 13'6 =. 2' 3'9 LIVINQ AREA 30'3. ALL DIMENSIONS ARE APPROXIMATE AND SUBJECT TO FIELD MEASUREMENTS J/ O �99 Se�s7✓/�-e- i I _. �._.�-_�__ �-t I S 1 +J 1 L The Cuninrunlrcalth of.1fassachusctty �. y' MI, . ►� . _:_ ,,�_ Department of Irrdrrstrial.9ccidelrts �. Office afiayestlgatfons .. .. ht7t7 !f irslrirr„rurr Street .Flo Bmweni.Max-Y. lIZIII Workers' Compensation Insurance Affiddivit ••�llililirint inforniatinn• Plc�se PR(NT les'•ily'�"—'—�' ^��—� —___ __ m e—I Inc tion• •tt• W *✓1S fltf— t6lA 0,;�6 71," him•if 7 7 b [I I am a homeo •ner performing all work myself. Q 1 am a sole proprietor and have no one working in any capacity . _ ._ - r�_._.r..«..-_r���lM�•/.'l.�tR Tw.w.wT.17/��.••� _ .�wr.w._..hww�.�..�-�. , F-F I am an employer providing workers' compensation for my employees working on this job. cnntnnriv n tme atldrecr cirt•• nitnnc it• incnrince cn. nnficvt/ am a soic proprietor. general contract mcowner circle otrej and have hired the contractors listed below who nay.: the following woor�rkers co ensation polices: i c/rim any nimc' AA cmmn.inv nnmc• 9t)circcc• rity nhnne fly in!mr-tnce cn nniie�•sY Attach additional sheet if necessary ^r- fi--�� ' ....... _.. .. .•,....._...-...... •......,:.,._.r.r.. ti _ -- vr..��JW . `ir�J�` ..._ - - _ . __..__ -_-_.� _•___^�iti�••r . ....Mi�wrlL Failu-- to secure cntcr-tec as required under iiectton:SA of AIGL in can lead to the imposition of criminal penalties at•a tine up to 51500.00 andiur one s cars' imprisonment a.Tell:ts cit•il penalties in the form 0172 STOP WORK ORDER and a fine ofS100.00 a day against me. I understand that a cope of this statement mat be furw-irdcd to the()free of Investigations of the DIA for coverage verification. i do herchr ccrt' ruts! tin�pains and penalties of perjury that the information prodded above is true and correct. Date t", z� Print name 'e — ____phone ± 'I tfrcial use only do not write in this area to be completed by gin•or town oMcial cin or tntyn: permitilicense i3 ritlitUding Department ❑Licensing Board (: chccl;if imtnediatc response is required ❑ Selectmen•-Oftlt:r l t. 011c2lth Department phone f!• r•tUthcr contact person: i. Information and Instructions • V Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for emnlovecs. As quoted from the "laW . an enrplt{ree is defined as every person in the service of anotlicr under any contract of hire, express or implied. oral or written. An einplorcr is defined as an individual. partnership. association. corporation or other legal entity. or an)' tn%,u or ,n; the foregoing enua_ed in a joint enterprise. and including the legal representatives of a deceased employer. or the rccciver or trustee of an individual , partnership. association or other her-al entity, employing employees. Howe%,cr mvner 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 dwelIin�g or out tite __rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio" 'MGL chapter 152 section z5 also states that every state or local licensing agency shall withhold the issuance or 11,2 •a1 of a license or permit to operate a business or to construct buildings in the commonwealth for any icant who has not produced acceptable evidence of compliance with the insurance coverage required. ,Adc::ionall\•. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performznce of public work until acceptable evidence of compliance with the insurance requirements of this chapter beer prese,ited to the contracting authority. 'Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and suppiving company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial .accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The ia� it should be returned to the gin or town that flue application for the permit or license is being requested. r :he Department of Industrial ,Accidents. Should you have any questions regarding the "law" or if you are require 0 obtain a «orkers' compensation policy. please call the Department at the number listed below. City or ,towns Pleere he sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom ttte cf"-davit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plc be _ _ to fill in the permit/license number which will be used as a reference number. The affidavits may be returnee -ae Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questic 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 ": (61-7) 727-7749 nhone 1: (6I'1 "27-4900 ext. 406. 409 or .�­5 iUi2bivi lU:zu 817 77773 99201 ®®® TONRY CO INC [�001/001 zl 07P I '. .. �IrI _... PRODUCER THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Albed J. Tom&CO., Ina HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OA ALTER THE COVERAG FADED BY THE POLICIES BELOW. Croxm Colony � p 300 corigrm St"t COMPANIES AFFORDING COVERAGE Qulncy MA 02109V107 COMPANY A Tr even INSURED COMPANY Mlllbtone Construction Company, inc, B ----- P.O. Box$70 COMPANY Norton MA 02788 0 COMPANY D COVEM. 03E.S THIS IS(0 CERTIFY THAT THE 11 UCIES OF•1NSURANCE LfrED 4[ W HAVE BEEN i9SUcb fi0 rkE INSUAED NAA1€D ABOVE FOR 7HE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES:LIMITS SHOWN MAY MAVE BEEN REDUCED BY PAID CLAIMS. 00 TYPE OF INSURANCE POLICY NUMBER POLICY AFFECTIVE POLICY WIRATION UMIITS 11A DATE (MM100r)(Y) DATE (MM1DOrYY) GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY PFODUCTS•COMPIOP AGG 5 CLAIMS MADE1D OCCUR PERSONAL&ADV INJURY S OWNER'S 6 CONTRACYOR'S PROT EACH OCCURRENCE S FIRE DAMAGE(Any one Oro) 8 ! MID EXP(Arty ono Person) S ! AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Four) 8 MIRED AUTOS BODILY 1�JUuRY NOW NED AUTOS (Per a0cida t S PROPERTY DAMAGE 8 GARAGE LIA50.N r AUTO ONLY•EA ACCIDENT $ ^�• ANY AUTO OTME4 THAN AUTO ONLY; EACH ACCIDENT $ AGGREGATE S _ EXCESS LIABILITY EACH OCCURRENCO S UMBRELLA FORM. A09FINATE OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND X71A EMPLOYERS'LIABILITY 7PU0253X412197 02).21/97 02/21198 EL EACH ACCIDENT 8 100,000 A THE PROPRIETOR! µCL EL DISEASE•POLICY LIMIT S 500.000 F ERS TIVE OFFICERS ARE ARI' EL DISEASE•EA EMPLOYEE $ 100,000 OF : _XCL OTHER D SCRIPTION OF OPERATIONSILOCATIONSIVEHICLBS(SPECIAL ITEMS PROJECT: GENERAL OPERATIONS :CERTIl1CATE:.HQLbER IGICCEITlCTliw77 SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE NEIL CAMERA EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 75 FIFTH AVE. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, W. HYANNISPORT 02&t7 BUT FAILURE TO MAIL SUOM NOTICE SHAL:IMPOSE NO OPUGAT10N OR LIABILITY OF ANY KING UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHOIIDrD REPRISE VE Carl Trruni � ACORD�26;S{9Y9b�:...• ... ....,.: ...' :4'�ORbK��trQt:,�h I,Of��;1,8