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Home My WebLink About0060 FRANKLIN AVENUE lot a b 4 TOWN OF BARNSTAB UILDING PERMIT APPLICATION Map 16- Parcel Application # 1 b Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address OU F P_PQY-L1 rJ RVE Village k�4 A�)A)ls, mA . 026,0 Owner A e,%-f �e>le.bed Address r Telephone -- �ff ! n Permit Request � i �O lid, 7'1 O c cz. I � -2-Pbo c trp��- att-� Q,Q + Szde C)-P- e hOCtSe- QC(; ote de. ckcS --for Square feet: 1 st floor: existing 'T,20proposed BCD 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ® � Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family II Two Family ❑ Multi-Family(# units) Age of Existing Structure ) 6 Historic House: ❑Yes 11 No On Old King's Highway: ❑Yes bI No Basement Type: ® Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 0 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing ® new Number of Bedrooms: existing Onew Total Room Count (not including baths): existing new First Floor Room Count W 2 Heat Type and Fuel: ❑ Gas /Oil ❑ Electric ❑ Other Central Air: ❑Yes 2 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes �2 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 ❑ Is its Commercial ❑Yes UINo If yes, site plan review# 4- Current Use Proposed Use ' APPLICANT INFORMATION ,.o Co (BUILDER OR HOMEOWNER) 00 �'ra Name— _ x _ _ _ Le,6ede.v _. _ Telephone Number Address 60 rR_191L)kL IV P-VE License # ��-2 Q -CAti,u� Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RES ING FROM THIS PROJECT WILL BE TAKEN TO YAi�/n�Ge1�`'/ TR/aS'FEP i P- SIGNATURE DATE 15 // 4 4 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. AD16RESS VILLAGE OWNER 'DATE OF INSPECTION: J FOUNDATION G�13�1 Cb�) PE FRAME S�- �JZ�I fj't INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL J PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING OA DATE CLOSED OUT ASSOCIATION PLAN NO: V l N 15°40'45"E. 90.00' APN 292-44 14,000±517 ZON�: RB ^^ EXIST. COVERAGE = 5.4% PROPOSED PROP. COVERAGE = 7. 1 ADDITION 51,r4 z s� �p I+ S1 L 0 z CQ O o O 7 O No. 60 O — 51,r I STY. WD. FR. 51.56 2 1 .5' — x55 x PROPOSED Ox6' o ADDITIO 51x1 � STONE PROP.-\ o> DRIVE GAS w ERVICE O So 90.00 S 1 040'45'W F RAN,KLIN (PUBLIC - 401 WIDE). AVENUE wv BENCHMARK: MAG NAIL SET ELEV. = 50.00 (ASSUMED) I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, AND IN MY PROFE55IONAL:OPINION, THE LOCATION OF THE PROPOSED ADDITION, AS SHOWN HEREON, CONFORMS WITH THE HORIZONTAL SETBACK REQUIREMENTS OF THE ZONING BY-LAW OF THE TOWN OF BARNSTABLE SITE PLAN JOB No.: 151 1 G IN DATE: 21 MAY 15 BARN STABLE (NYAN N 15) MA SCALE: 1 = 30' PREPARED FOR ALEXEY LE13EDEV rlchard j. hood, P15 land surveyors - en6jineer5 35 timberlane drive - ma5hpee - ma 02649 � w Ph / Fax: 508.633.7100 71M CMR:-STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSE7TS STATE BUILDING CODE i !` AWC.Guidt to Wood Cons&uetion.fn High Wind Areas;JJO mph hind Zone �) I Massachusetts Checklist for Compliance(780 CMR 5301.211)' 1—max Ld2A P-�f MCP f'»t rt�-+i _�I�-�/t ilk ®Check Compliance 1.1 SCOPE Wind Speed(3-sec.gust) ................................................... 110 mph _ WindExposm Caoegory ........................................................B ;4 itjqlr r 12 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered s story) 0,5 i G p—ZLst s 2 stories � ? j 1 Roof Pitch ............................(Fig 2) .......... ....:1 7-s 12:12 n„y Mean Roof height ........................(Fig 2) .......... ft s 33' Building Width,W .......................(frig 3) .................. Building Length.L .......................(Fg 3) .................. fits SO' Building Aspect Rntio(UW) ..........(Fig 4) ................... s 3el Nominal Height of Tallest Opening' ..........(Fig 4) ....................(j�` $6'8" 13 FRAMING CONNECTIONS a�ko : Z,op General compriiarree with framing connections... (Table 2) 2.1 FOUNDATION n Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete ............................................................ .... ConcreteMasonry ........................................................... _ 22 ANCHORAGE TO FOUNDATION'S 4fi Anchor Bolts imbedded or%"Proprietary Mechanical Anchors as an alternative in co ty / Bolt Spacing-general...................(leble 4).............. ... in. e/ Bolt Spacing from endooiet of plate ...... (Fig 5) .............. 4, in.s 6"-12" Bolt Embedment-.concrete............. (Fig 5).. .. ......... .....tL4 kn.a 7" Bolt Bmbadment-masonry..............(Fig5) .................. ln.a 15" Plate Washer .........................(Fg 5) ................... x 3"x 3"x W 3.1 FLOORS , Floor frea>ing member spans checked ........ (per 780 CMR 55.00)........ ...... • Maximum Floor operongDimension. .. .(MSG) .. ... ... Full Haight Wall Studs at Floor Openings less than 21.from Exterior Wall(Fig 6) ............. Maxi nnin Floor Joist Setbacks Su Loadbesting Walls or.Shwrwall (Fig 7) ....................... � ft s d Pp�MB _ Maximum Cantilevered Floor Joists t Supporting Lodabeering Wells or Shearwall .(Fig 8) ....................... ft s d kpe Floor Bracing at Eadwalls ..................(Fig 9) ............................... Floor Sheathing Type .....................(per 780 CMR 55.OD)............. . F►oorShaediingTh;clmess .......... (per780�.R 55.00).............. � in. Floor Shead rlg Fawning ..................(Table 2)�d raps st � ed / rn field ...... -;n III �' 4.1 WALLS Wall Height Loadbeaft walla . (Fig 10 and Table S) ' Non-Loadbearing walls .................(Fig 10 andTable 5)....... ...ATft s 2D' ✓ Wall Stud Spacing ........................(Rg 10 and Table 5)........��in.s 24"oz. Wall Story Offsets ........................(Figs 7&8) ....................0 ft s d " ` 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walla ... ('fable 5) ... 2x(�- �ft�in Non-loadbeering walls .................(Table 5) ........... 2x -j�2 ft 2 in. GAIe End Wall Bracing' Full Height FSdwall Studs...............(Fig 10) .............................. WSP Attic boor Length .:..............(Fig 11) ...................�-ft;W13. Gypsum t�alingd.engdr(if WSP not used)(Fig 11) .................... �ft:0.9W �Omdmous Lateral Brace 0 6 ft.o e.. (Fig l 1).............................. ....... . culing furring strips Q 16"spacing min.with 2 x 4 blocking 0 4 Ft.spacing in and joistor am bays .......................................................... ' Double Top Plate Splice ....... 13 and Table 6 Z ft ' .. ., Sp' Length.................. (Fig )................— Splice Connection(no.of 16d common nails)(Table 6)........................ 1054 780 CUR Seventh Edition 12/28M7 (Effective 1/l/08) i 780 STATE BOARD OF BUII.DING REGULATIONS AND STANDARDS �� i j ep f4 A�e i APPENDICES , Loadbodng Wall C nnections Lateral(no.of 16d common nails).........(Tables 7)......................... �- < Non-Loadbearing Wall Connections a Lateral(no.of l6d common nails).........(Table 8) ......................... Z ✓ Load Bearing Walt Openings(record largest opening but check all openings for co name to Table 9) Header Spans.........................Mble 9) ..............eft E in.s I I Sill Plate Spans ........................(Table 9) .............. .ft-On.s�' " i Full Height Studs(no.of studs) ......... (Table 9) ......................... Non•Losd Beating Wall Openings(rtxord WWK opening but check all openings for compliance to Table 9 Sill Piece Spans.........................(Table 9) ... Header Spans........................... (Table 9) .............. '17; ft L7 hL s.12' . ..............t7,7.ft !7 in.s 12"' Full Height Studs(not of studs)...........(Table 9) ......................... Z Exterior Wall Sheathing to Resist Uplift and Shear Simmltaneo uly4 MnimnmBttil sDlmension.W ` t.g Nominal Height of Tallest Opening'..................................49 6. _// Sheathing Type..................... (note 4)........................ ze Edge Nail Spacing ...................(Table 10 or note 4 ifless) ........ M. Field Nail Spiking ...................(Table 10)...................... 06, Shear Connection(no.pf 16d common nails)(Table 10) ..................... Percent Fall-Height Sheathing ..........(fable 10)........................y 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)........... a/ Maximum Building Dimension,L t Nominal Height of Tallest Openitte................................. Sheathing Type.......... ....... .(note 4)......................... Edge Mill Spacing ...................(Table 11 or note 4 if[us) ......... -4L in. -LZ Field Nail Spacing ...................(1'elile 11)...................... -Lk' tL Shear Connection(no.of 16d common awls)Crable 11) ...................... Percent Fall-Height Sbeedmhg ..........(11oble 11).........................2,,.�,% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)........... Wall Cladding �. Rated for Wind Speed? ....................................................... 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Too), BBRS Website) Roof Overhang...........................(Figure 19) ....rah ft s smaller of Tor L/3 Taus or Rafter connections at Loadbearing walls Ptopriaary Connetxors Uplift ............................(Table 12).................... U.- 1f iAt. ............................('fable 12).................... 1'4 wpIf Shear.................. ............(Table12)....... ............ S `7I plf Ridge Strap Connections,if collar ties not used per page 21(Table 13). .........T= pif Liable Rabe Outloolaot ......................(Fsgure 20) ....A ft s smaller of 2':or IJ2 V Taus or Rafter Connections at Non-1milbearing Walls Ppn Coitnectors Uplift ..........................(Table 14)................ � lateral(not of l6d common nails) .......(Table 14).................... L b. Roof Sheathing Type ......................(per 780 CMR 58.00 and 59,00)............ Roof Shtutthirhg This Ness ................. ..... .............../-in.t 7/16-WSV Roof Sheathing Fastening ..................(Table 2) ........................ Noter. 1. This checklist shall be met in its entirety,excluding the specific exception.noted in 2,to comply with the requimnents of 780 CMR 5301.2.1.1 Itern L Ir the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: L Steel Straps per Figure 5 b. 20 Oage Straps per Figure 1 I c. Uplift Straps per Figure 14 d, All Straps per Figure 17 L Caner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing nWiremerne shown in Tables 10 and 1,1. 3. The bottom sill plate in exterior walls shall be a ndnirnum 2 in.nominal thickness pressure treated 6ZVBn 4. a FtomTablesl0and11 and 1=tioaofWWlsheathingandBuildingAspect Ratio.demninePerceniFnll-Height Sheathing and Nail Spacing requirements 1_ Allen B. 09000 32 Jarves Street PO Box 735 12/28/07 (Effective 1/1/08) 780 CMR-Seventh Edition Sandwich,M 025�33--0-07WS5 t REScheck Software Version 4.6.0 Compliance Certificate Project New Entry, 24'x8' 1st fir.addition and Full 2nd Floor Addition Energy Code: 2012 IECC i Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 60 Franklin Avenue Alex Lebdev Allen B. Osgood., Hyannis, MA 02601 60 Franklin Your Plan Store' Hyannis, MA 02601 PO Box 735 774-208-3589 32 Jarves Street dreamhillc@maiLcom Sandwich, MA 02563 508-364-5369 yourplanstore@verizon.net Compliance: 0.0%Better Than Code Maximum UA: 136 Your UA: 136 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies F ' - Ceiling 1: Flat Ceiling or Scissor Truss 1,102 44.0 '0.0 0.027 30 Wall 1:Wood Frame, 16"D.C. 1,288 21.0 0.0 0.057 68 Window 1:Vinyl Frame:Double Pane with Low-E' 94 0.310 29 Floor 1:All-Wood Joist/Truss Ovel. side Air 260 30.0 0.0 0.033, 9 Compliance Statement: The proposed building,l�sign described here is consistent with the building plans,specifications, and other calculations submitted with thepermit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.6.0 and to comply with K mandatory requirements listed in the Scheck Inspection Checklist. r Name-Titl Ti6hature Date Project Notes: Only the NEW first fir. addition 8'x24' and the FULL second fir.addition is being used to compute this envelope. - Project Title: New Entry, 24'x8' 1st flr.addition and dull 2nd Floor Addition Report.'date: 06/01/15 Data filename: C:\Users\Allen\Documents\REScheck\Lebdev.rck Pagel of 8 r REScheck Software Version 4.6.0 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.1. ;Construction drawings and ❑Complies 103.2 :documentation demonstrate ❑Does Not [PRJ]1 ;energy code compliance for the (� ;building envelope. ❑Not Observable ❑Not Applicable ; 103.1, ,Construction drawings and . ❑Complies 103.2, 1 documentation demonstrate ❑Does Not 403.7 ;energy code compliance for [PR3]1 ',lighting and mechanical systems. ❑Not Observable , Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate ;compliance with the IECC Icommercial Provisions. 302.1, Heating and cooling equipment is: Heating: Heating: ❑Complies 403.6 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA e Manual] or other methods Cooling: r Cooling: ;❑Not Observable ; approved by the code official. Btu/hr Btu/hr :❑Not Applicable ; , Additional Comments/Assumptions: t 1 'High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Entry, 24'x8' 1st flr.addition and Full 2nd Floor Addition Report date: 06/01/15 Data filename: C:\Users\Allen\Documents\REScheck\Lebdev:rck Page 2 of 8 -T 2012 IECC Foundation Inspection Complies? Commeints/Assumptions 303.2.1 A protective covering is installed to ❑Complies [FO11]2 protect exposed exterior insulation Tboes Not and extends a minimum of 6 in.'below jo grade. i❑NotObservable ❑Not Applicable 403.8 Snow-and,ice-melting system controls;❑Complies, [FO12]2 installed. ❑Does Not d ' 'J ,❑Not Observable ❑Not'Applicable.. Additional Comments/Assumptions: '. a , 1 High lmpact,(Tier 1) 2 Medium Impact(Tier 2) 3 Low.Impact(Tier 3) .. Project Title: New.Entry;24'x8' 1st fir.addition and Full 2nd Floor,Addition Report date: 06/01/15 Data filename: C:\Users\Allen\Documents\R'EScheck\Lebdev'.rck Page 3 of 8 I Section Plans Verified Field Verified # Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions &Req.ID 402.1.1, ;Glazing U-factor(area-weighted U- U- ;OComplies ;See the Envelope assemblies 402.3.1, !average). :❑Does Not table for values. 402.3.3, ; 402.3.6, :❑Not Observable 402.5 :❑Not Applicable [FR2]1 ; ; 303.1.3 i U-factors of fenestration products' ❑Complies [FR4]1 !are determined in accordance ❑Does Not ko ;with the NFRC test procedure or ❑Not Observable ; ;taken from the default table. ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies [FR23]1 installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable 402.4.3 'Fenestration that is not site built ❑Complies [FR20]1 ;is listed and labeled as meeting ❑Does Not ,AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC ❑Not Observable i400 that do not exceed code ❑Not Applicable ;limits. 402.4.4 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate<_2.0 cfm ❑Not Observable leakage at 75 Pa. ❑Not Applicable ; 403.2.1 ;Supply ducts in attics are R- R- ❑Complies [FR12]1 • insulated to>_R-B.All other ducts R_ R_ ❑Does Not l in unconditioned spaces or ❑Not Observable ;outside the building envelope are; insulated to>_R-6. ;E]Not Applicable 403.2.2 All joints and seams of air ducts, ❑Complies [FR13]1 air handlers,and filter boxes are ❑Does Not (sealed. ❑Not Observable ❑Not Applicable 403.2.3 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums.: ❑Does Not ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R- i R- ❑Complies [FR17]2 above 105°F or chilled fluids ;❑Does Not below 55°F are insulated to>_R- 3 ❑Not Observable ❑Not Applicable 403.3.1 ;Protection of insulation on HVAC ❑Complies ; [FR24]1 piping. ❑Does Not ° ❑Not Observable ❑Not Applicable 403.4.2 Hot water pipes are insulated to R- ; R- ;❑Complies ; [FR18]2 >R-3. ; ;❑Does Not J ;❑Not Observable ❑Not Applicable 403.5 Automatic or gravity dampers are ❑Complies ; [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Entry, 24'x8' 1st flr.addition and Full 2nd Floor Addition Report date: 06/01/15 Data filename: C:\Users\Allen\Documents\REScheck\Lebdev.rck Page 4 of 8 1 High Impact(Tier 1) 2 Medium1rnpact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Entry, 24'x8' 1st flr.addition and full 2nd Floor Addition Report date: 06/01/15 Data filename::C:\Users\Allen\Documents\REScheck\Lebdev.rck Page 5 of 8 Section Plans Verified Field Verified # Insulation Inspection' value Value Complies? Comments/Assumptions & Req.ID 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values provided. ❑Does Not J ❑Not Observable , ❑Not Applicable 402.1.1, ;Floor insulation R-value. ; R- ; R- ;❑Complies ;see the Envelope assemblies 402.2.6 ❑ Wood ;❑ Wood " ;❑Does Not table for values. [IN1]1 ❑ Steel - ❑ Steel ;❑Not Observable ; ❑Not Applicable i 303.2, :Floor insulation installed per ❑Complies 402.2.7 :manufacturer's instructions,and ❑Does Not [IN2]1 in substantial contact with the ® ;underside of the subfloor. ❑Not Observable ❑Not Applicable 402.1.1, ;Wall insulation R-value. If this is a: R- R- ❑Complies ;See the Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the El Wood ❑ Wood ;❑Does Not table for values. 402.2.6 ;wall insulation on the wall [IN3]1 ;exterior,the exterior insulation El ❑ Mass :[]Not Observable requirement applies(FR10). ;❑ Steel ❑ Steel I❑Not Applicable ; I ; 303.2 ;Wall insulation is installed per ❑Complies [IN4]1 'manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 TLow Impact(Tier 3) Project Title: New Entry, 24'x8' 1st flr.addition and Full 2nd Floor Addition Report date: 06/01/15 Data filename: C:\Users\Allen\Ddcumehts\REScheck\Lebdev.rck Page 6 of 8 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions &Req.ID 402.1.1, :Ceiling insulation R-value. ' ; R- R- ;❑Complies :see the Envelope Assemblies 402.2.1, ❑ Wood ;,❑ Wood' ;❑Does Not table for values. 402.2.2, ; 1❑ Steel ❑ Steel ❑Not Observable ; 402.2.E :❑Not Applicable [FI1] � � APP• ; 303.1.1.1,:Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ❑Does Not [F12]1 Blown insulation marked every 300 ftz. ❑Not Observable ❑Not Applicable 402.2.3 Vented attics with air permeable ❑complies [F122]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. ❑Not Observable ❑Not Applicable i 402.2.4 ;Attic access hatch and door R- R- ;❑Complies ; [FI3]1 'insulation>_R-value of the ' '❑Does Not I adjacent assembly. ® ; ;❑Not Observable ; ❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50 1 ACH 50= ;❑Complies ; [FI17]1 lath in Climate Zones 1-2,and i ' ❑Does Not I<=3 ach in Climate Zones 3-8. '❑Not Observable ' '❑Not Applicable 403.2.2 ;,Duct tightness test result of<=4 cfm/100 '; cfm/100 ;❑Complies ; [F14]1 cfm/100 ft2 across the system or ftz ' ftz ❑Does Not l<=3 cfm/100 ft2 without air ' ® i handler @ 25 Pa. For rough-in UNot Observable ; ;tests,verification may need to '. ;❑Not Applicable ;occur during Framing Inspection.'; 403.2.2.1 ;Air handler leakage designated ❑Complies [FI24]1 '.by manufacturer at<=2%of ❑Does Not design air flow. ❑Not Observable ; []Not Applicable 403.1.1 Programmable thermostats ❑Complies [Flg]z installed on forced air furnaces. ❑Does Not 0 ❑Not Observable []Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies (FI10]z on heat pumps. ❑Does Not ❑Not Observable ❑Not Applicable 403.4.1 Circulating service hot water ❑Complies [FI11]2 systems have automatic or ❑Does Not. accessible manual controls:' ❑Not Observable ' []Not Applicable 403.5.1 All mechanical ventilation system ❑Complies [F125]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable ❑Not Applicable 404.1 75%of lamps in permanent ❑Complies [F16]1 !fixtures or 75%of permanent ❑Does Not - ifixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable ; .'lighting. []Not Applicable ; 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Entry, 24'x8' 1st flr.addition and Full 2nd Floor Addition Report date: 06/0145 Data filename: C:\Users\Allen\Documents\REScheck\Lebdev.rck Page 7 of 8 H Section . . Plans e e Verified Fie Verified Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 404.1.1 Fuel gas lighting systems have ❑Complies [FI23]3 no continuous pilot light";,. _ ❑Does'Not ° ❑Not Observable . . ❑Not Applicable ' 401.3 Compliance certificate posted. :', ❑Complies' [FI7]2 ❑Does Not V ❑Not Observable''; ❑Not Applicable 303.3 Manufacturer manuals for ❑JComplies [FI18]3 mechanical and water heating ❑Does Not systems have been provided: ❑Not Observable' ❑Not Applicable Additional Comments/Assumptions: " r - , a `� ..d e • s r. ''fit . s. P , • .. T High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Entry,24'x8' 1st flr.addition and Full 2nd Floor Addition' x Report date: 06/0'1/15 ' Data filename: C:\Users\Alleh\Documents\REScheck\Lebdibv.rck Page 8 of 8 2012 i E 0 CC Energy, Efficiency -Certificate ANM Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor .,30.00 Ceiling /Roof 44.00 Ductwork(unconditioned spaces): Window 0.31 Door Heating System: Cooling System: Water Heater: n�<,. . Name: Date: Comments ' E j Page 1 of 1 Allen Osgood From: "Allen Osgood"<yourplanstore@verizon.net> Date: Friday,May 29,2015 12:50 PM To: "Alexey Lebedev <dreamhillc@rnail.coM> Subject: Re:Prints. ` -Alex, Engineer has the revised plans stamped and is sending them Express mail today, Friday. You can please forward the check for$1450.,Thank you.The only final expense will be for additional printed plans. From: Alexey Lebedev Sent: Thursday, May 28, 2015 9:35 AM To: Allen Osgood Subject: Re: Re: Prints. Ok tell me when and I'll send the check. Sent from my Android phone with mail.com Mail. Please excuse my brevity. Allen Osgood<yourplanstore@verizon.net>wrote: Yes Alex. $600. for me$850. for engineer, plus prints Thanks Allen From: Alexey Lebedev Sent: Wednesday, May 27, 2015 7:48 PM To: Allen Osgood Subject: Re: Prints. Allen, I have a question, is it remaining balance 1450$ for you and engineer? Alexey Lebedev Owner Dream Home Improvement LLC (508)332-8119 s � dreamhillc@mail.com dreamhomeimprovement.com Sent: Wednesday, May 27, 2015 at 2:39 PM From: "Allen Osgood" <yourplanstore@verizon.net> To: "Alexey Lebedev" <dreamhillc@mail.com> Subject: Prints. , Alex Two things, One-I have sent the PDF file to New England Repro for print by YOUR request, you will be responsible to pay them for the number of plans you request. Contact Bob or Bobby @ 508-790-1114 Ext 15 or wlmailhtml:production@newenglandrepro.com. They are @ 80 Mid Tech Drive West Yarmouth 02674( Off Willow Street). Two- I have received the marked up plans back from engineer and will work on those to send for stamped plans, when they are ready l will need $1450.00 payment plus cost of prints. Allen IL 6/1/2015 I �T � O* • MUMFrAHL& • 163q. ,•� Town of Barnstable ATFD I�AA't� • Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section_ If Using A Builder I, J�P�Y.P�+-I ��C��J , as Owner of the subject property hereby authorize lit, LSE.e q to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) �4 40�' 4Signae Owner Date J&W J,'e"jej Prmt Name If Property Owner is applying for.permit,please complete the Homeowners.License Exemption Form on the reverse side. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 DEBRIS FORM In accordance with the provisions of MGL c.40,s.54,a condition of Building Permit Number is that the debris resulting from this.work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c.111,s. 150A. This Debris will be disposed of in: COP 'FOPIF_ rPD. 13142DmtOuTH; m[4 . FIF-tz �TPYT`IID (LOCATION OF FACILITY) Signa ure of Permit Applicant Date `i IF DUMPSTER IS USED IN EXCESS OF SIX (6) CUBIC YARDS A PERMIT FROM THE 1 FIRE DEPARTMENT IS REQUIRED FOR COMMERCIAL, INDUSTRIAL, INSTITUTIONAL AND MULTI-FAMILY RESIDENTIAL OVER 20`UNITS DEMO., 1 RENOVATIONS OR ALTERATIONS OF THE EXISTING BUILDING: CIRCLE ONE ** HAVE YOU SUBMITTED THE AQ06 NOTIFICATION TO THE MASSACHUSETTS DEP? YES NO I The Commonwealth of Massachusetts Department of IndustrialAccidents d I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia «'arkers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. ApWicant Information Please Print Le ibl Name (Business/Organization/Individual): t.Q.aC PUl Qe9M VCME Address:60 Franklin ave City/State/Zip: Hyannis, MA, 02601 Phone#:774-208-3589 Are you an employer?Check the appropriate box: Type Of project(required): 1.q am a employer with employees(full and/or part-time).* 7. ❑New construction 2E. I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance? (� DD6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other t � �/L) 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy n statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pa s nd penalties of perjury that the information provided above is true and correct. Signature: I Date: �1 k Phone#:774-208- 9 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS-108208 .ALEXEY LEBEDEV 60 FRANKLIN AVENUE I Hyannis MA 02661 _j � x . Expiration Commissioner 11/27/2018 Office of Consumer Affairs and Business Regulation 90" 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cont ar ctor Registration r �Y Registration: 176777 ".F Type: LLC sW ,R Expiration: 9/25/2017 Tr# 270447 DREAM HOME IMPROVEMENT LLCj ALEXEY LEBEDEV 60 FRANKLIN AVE. - HYANNIS, MA 02601 N ;'Update Address and return card.Mark reason for change. scA 0 20M-05/11 —1 Address ❑ Renewal C Employment Lost Card .�.,.�...___..._s. CJ771 (G'�J�//I1147CCC1Cftl��,Il l %-LC:lJ3Cli'�CL3�;r M �: z� �--� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: t Office of Consumer Affairs and Business Regulation U Registration j76777 Type: g Expiration 9/25/2017 LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 DREAM HOME IMPROVEMENT LLC`:" ALEXEY LEBEDEV { 60 FRANKLIN AVE. HYANNIS,MA 02601 Undersecretary Not valid without signature ' Town of Barnstable REcEPi� 200 Main Street, Hyannis MA 02601 508-862-4038 63 Application for Building Permit Application No: TB-16-822 Date Recieved: 4/5/2016 Job Location: 60 FRANKLIN AVENUE,HYANNIS Permit For: Addition/Alteration-Residential Contractor's Name: DREAM HOME IMPROVEMENT LLC. State'Lic. No: 176777 Address: 60 FRANKLIN AVE., HYANNIS, MA 02601 Applicant Phone: (Home)Owner's Name: LEBEDEV,ALEXEY V&BABKOVA, Phone: ALINA (Home)Owner's Address: 60 FRANKLIN AVENUE, HYANNIS,MA 02601 Work Description: Building two additions first floor front and left side of the house Total Value Of Work To Be Performed: $10,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a.waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: DREAM HOME IMPROVEMENT 4/5/2016 LLC. Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $10,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $101.00 4/27/2016ro ) $101.00� 2034 Check Total Permit Fee Paid: $101.00 THIS IS 0T A PE ��M111T,, ® , , DATE(MM/DD/YYYY) AC��o CERTIFICATE OF LIABILITY INSURANCEF4/5/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Samantha Severson NAME: Hollis Insurance Agency Inc PHONE (508)209-0400 �� Noc(508)209-0944 The Pinehills E-MAIL @h v sseersonollisa enc ADDRESS:aseverson@hollisagency.com 1 Village Green North STE 121 INSURERS AFFORDING COVERAGE NAIC# Plymouth MA 02360 INSURERAMaXUm Indemnity Company INSURED JNSURER B:Saf ety Ins Company 39454 Falcone Roofing Cc Inc INSURERC:Continental Indemnity Company 126 Long Pond Rd INSURER D: Unit 7 INSURER E: Plymouth MA 02360 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1631504513 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A CLAIMS-MADE ❑X OCCUR DAMAGEf RENTED 100,000 PREMISESS Ea occurrence $ BDG006643404 7/23/2015 7/23/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY E PRO ❑ JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY C Ea aOMBIccident NED SINGLE LIMIT $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED 1xx SCHEDULED 6220316 10/12/2015 10/12/2016 BODILYINJURY(Peraccident) $ AUTOS AUTOS X HIRED AUTOSNON-OWNED PROPERTY DAMAGE Per $ AUTOS acc dent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X PER GTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 100,000 C OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) 46-857473-01-02 7/12/2015 7/12/2016 E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Falcone Roofing Co.,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 126 Long Pond Rd ACCORDANCE WITH THE POLICY PROVISIONS. Plymouth, NLN. 0236o AUTHORIZED REPRESENTATIVE R Hollis Jr./HOLCSI �cit ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS0251201401� PROJECT. ADDRESS: (06-FninHi,r) At mv PERMIT# �'5 D 3`1 q I i PERMIT DATE:- LARGE ROLLED PLANS ARE M: BOX' SLOT Data entered in MAPS rogram On. �ICQ ir S p By: � far ► •� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION'-" Map Parcel v-1 A pp lication # Health Division `t_ Date Issued �w 4S Conservation Division Application Fee Planning Dept. Permit Fee J SS V Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street �Address � From V-1 i Vx &ue- Village t (4OJ IVI- &0 Owner [ Address �FrA.u.0% Clue-, kWh hi 4 rC%01 Telephone �J_ / Permit Request Avo fir�b t —aper ac1g6V;'0tis CLetd seewncl -t-iedw r 014 -irS� Aloor Qh e;L742GcCY',° <Lv/17�t 0-0oll"7fiazz- adcl/ e_n �ed. NfWild -� Square feet: 1 st floor: existing 42aroposed {CO2 2nd floor: existing _proposed E��Total new Zoning District Flood Plain Groundwater Overlay Project Valuation-50 000 Construction Type Lot Size 0,JrJ aM Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ca/ Two Family ❑ Multi-Family (# units) Age of Existing Structure )A ro Historic House: ❑Yes YNo On Old King's Highway: ❑Yes ❑°No N Basement Type: i Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) n tf Number of Baths: Full: existing new G l Z Half: existing r® new i Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas 1(OII ❑ Electric ❑ Other w ' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woodcdal stove:' Ye" Ig No 9 g •- 1, l� •_• 4 Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑"exssting ❑whew --size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: _ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes VNo If yes, site plan review# Current Use Proposed Use APPLIC ANT INFORMATION (BUILDER OR HOMEOWNER) - Name-Telephone Number_ 77�Y �2 �3JCS�� Address CD c. l,'/t Q-ve ��/�� License# C,-S - lDS2©S- R; D 2 � Home Improvement Contractor# Email d► e4iQ 14;/C lmap/, O-CV" Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'Yar>m LXt SIGNATURE DATE �'IS116 f + . FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. s ADDRESS VILLAGE OWNER M DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r Depthfll eyd of Imdmt id Acddex& Office oflmeshgations _ 600 W kshbVan Street Boston,HA 02M . www.m=govldra `. Workers' Compensation Insmrance Alddav&BmIdmdContractors/EIeciriclians/pltimabers_ Applicant Information 'Please Print Legib1Y' Name(Busmas/org fiom/lndiFidual): J&ev 42b ev . Address: .`--,m-tf G o t jp— - City/StatelZip: M &O f Ph6m#: -y 7J4 PQf--556Iq 5 Are you an employer?Check the appropriate bay - 1.El am 8 employrr wiSi 4. ❑I am a general cmAractcr and I Type of project( : employees(hH and/or part time):* have hired the sob-coaha zs ,6. []New constroclinn 2. I am a sole proptietor or parhier- listed an the affeched shed 7. ❑Rtmodch2g II I ship and have no employees These sab-coniracbms have g, El DeuioIitim . worldrig forme in.anj►capacity employxs and h rm w'M:rers' • [No workers'comp.msurance _ comp.inermmnrr.t, 9. El BmI ing addition �) 5. We are a cmporation and its 10.0 Elwtricalrepaus or additions I[]I am a homeowner doing all work officers have eserciscd their 11.❑pInmbingrepa or additions myself [No workets'comp. right of exemption per MGL instaamce regtr¢ed-]t '. e.1A§1(4),and we have no 12-El Roof reps mvioytm[No workers- I3.0 Outer cmup-insurance ] !Avy appHcanttbat eheelm box#1 mast also Im otttthe section below showing tlu rwarimW cormpe�policy inimmmtio L t Hnmcownets who mAmitfliis zIrd vh mdimtmg they arz doing all wow and then Litz outsido=ftachm miut sabmit anew afadavit iadicicting barb_ $Contm rlr ffiAcheokfih box mmtattscbed tm edditinnal sheotsbowingthe name oftbr sub-eovhaetms and star whcfficroraottLose cutwcs Lanz emPloyecs.If the soh-cantmc mra b vc cropmYoc,dLc9 mand Imo&flicir wmdoea•comp-PAY m®bc I am art anplayer that is prmyidmg workae cojrT=advn baurance for eery employees. Below it the parry and f ob site uiformation; ,. . h mmmce Company Name: Policy#or Self-ins.Lic.# Eira#ionDatz:{ rob Site Address: r x ( fY/St�elZtP: a Attach a copy of the workers'cmnpensaflotn policy declaration page(showing the policy number and expiration date)_ Fmh=to sedan coverage as requitedunder Sectim25A ofMGL c,152 can lead to the imposition,of coalpenalties of a frm up to$1,500.00 and/or am-year imprisonment as well as civil penalties in the Enna of a STOP WORK ORDER and a fine of up to$250.00 a day against the vioIator. Be advised that a copy of this sta=mt may be forwarded to the Office o f Investigations of the DIA for insurance coverage vm ifrcaiim ` I do hereby cfft&IWzder - andp=alties a.fPe7mY dud dw hTformafiax proviAd above is&ue and coirerl r Date: Phone#: 00117dl use only. Do notwrite in this ar A b be completed by chy or Any ofjTrl,.r City or Town: Penn tlLicense,# Issuing A trthorhy(circle L Board of Health 2.BuildingDeparbnent 3.City/Town.Clerk 4.Elec fdmIlnspeetor S.Plmmbing Inspector 6 Other Contact Person• Phona#i: ' t . Information and Instrudions Mac wimetfS Getreral Laws chaptw 152 mgmres all=Ploy=to provide workers'compensation for flze:h employees. Pursuant to this statute,an emplace is deed as=.every person in ffie service of another under any contract ofhi r., express or implied,oral or wxfttcn." An.elnpikyer is defined as"an individual,partnership,association,corporation or other legal eurtify,or any two or more Of the f=going engaged in a joint=ft pdse,and including the legal represeataf m of a deceased employer,or the receiver or trustee of an individual,partnership,association or other Iegal entity,employing employees. However the owner of a dweIIing house having not more than three apartments and who resides therm,or the occapant of the . dwalImg house of another who employs persons to do maintenance,construction or repair work on sash dwelling house or on the grounds or bunking appur[Enamt thereto shall not because of such employment be deemed to be an eanployer." MGL chapter 152,§25C(6)also states that"every state or Ioca1 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 applicautwho has not produced acceptable evidence of edmpliance with the hurry aace.coverage required_" Additionally,MGL chapter 152,§25C( )states"Nefther the commonwealth nor any of its political subdivisions shall _•... toter into any contract for the pe Emmance ofpuubho w ink uuE acceptable evidence of compliance v n the insurance.. requirements of this rhapterhave beenpresentedto the contracting authoiity." Applicants Please fill ouut the workers'compensation affidavit completely,by chechomg the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of fimmanca. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)withno employees othmr than the members or partners,are not rbgoired to carry workers'compensaton insorance. If an LLC or LLP does have employees,&policy is regnaed. Be advisedthatthis affidayitmaybe submitfmd to the Department of Indtustrial Accidents for confirmation offimurmce coverage Also be sure to sign and date the affidavit The affidavit should be re(xuned to ffie city or town that the application for the permit or license is being requested not the Department of Ind astul Accideits. Should you have any questions regarding the law or if you are required tin obtain a workers' compeasationpolicy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate Tune City or Town Officials Please be sure that the affidavit is complete and priubed legibly. The Department has provided a space at the bottom of thu affidavit for you to fill out in the event thne Office of Investigations has to contact you regarding the applicant: Please be sore to fill in the pen]a t cease number which will be used as a reference number. In addition,an applicant that must submit mtultiple peuuMicense applitafions in any given yam,need only submit one affidavit indicating cmr mt policy information Cif necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the•affidavit that has beer officially stamped or maudced by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for fulmre pemmits or licenses. A new affidavit must be filled oa each year.Where a home owner or citizen is obtaining a license or permit not reed to any business or commercial veat= (Le. a dog license or peomit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hke to thank you in advance for yam cooperation and should you have any questions, please do not hesitate to give us a call. The Department's,address,telephone and Ax number. - -The cou7mmwed&of Massa&Metts , Depmfmmt of libstdd Aomidmits mice of l vesugatio= E�U4�i�'ashingtun Sired ' l�os�,MA��111 Tel.#617 727-4900 at 4€16 or 1-M-MASSAFR Fax#617-W 7744 Revised 4-24-07 .masS,E�g�dia f- �. . �—�-- --,---------- ----- ---- = ------- - -------- AWC Grride to IVood Construction in H1911 Wined Areas:110 f tph FYind Zone Massachusetts Cheddist for Compliance,Vsocil'[R53011.1-i)r Loadhearing Wall Connections Lateral(no.of 16d common nails)..... ..........(Tables 7)...... ........ .............. ........... Non-boadbearing Wall Connections . Lateral(no.of 16d common nails)................................(fable 8).......:...'............................................ Load Bearing Wall openings(record largest opening but check all openings for corripliance to Table 9) Header Spans (fable 9) ... ft in._511' Sip Plate Spans ................. .... .............. (Table 9) _... ...................=11_fn-511' ... Full Height Studs (no. 0f"studs)...........-•.............:.........(Table 9)......................... ..............:..:..*..........._....._....-•-...... Non-Load Bearing Wall Openings(record largest opening but check all openings.for compliance to Table 9) Header Spans.:..................... (fable 9) ft—in.512' Sill Plate Spans .................... (fable 9) ft_ln.512' Full Haight Studs(no.of studs) (Table 9) .. ... ......... . ............... ... .. ..... ...... . Exterior Wall Sheathing to Resist Uplift and Shear Slmultaneously4 . Minimum Building Dimension,W Nominal Height of Tallest OpeningZ ............................................. , > 5 6`8' Sheathing Type ... ......... (note 4).......... ...........: Edge Nail Spacing......... (Table 10 or note 4 if less)........ ._. in. ... . . . Field Nail Spacing...........................................(Table 10)..................... ', in. Shear Connection(no.of 16d common nails)(fable 10)......... ...--._..--•- Percent Full-height Sheathing...................:...(fable 10)......._..........- ................................ 5%Additional Sheathing for Wall with Opening>6'8 (Design Concepts).:..... ... ... Maximum Building Dimension,L . Nominal Height of Tallest Opening2................. ......... ..... ... ........ ..... . ............ ...—s 6'B' Sheathing Type....................... ..........(note 4).. ....... Edge Nail Spacing ................ ..........(Table 11 or note 4 if less) in. s Feld Nap Spacing................... ....................(Table 11)......................................... in. Shear Connection(no,of 16d common nails)(Table 11) ........................................ Percent Full-Height Sheathing (fable 11) 5%Additional Sheathing for Wall with'Opening>6'8'(Design Concepts)-,.................. Wall Cladding _ r Rated for Wind Speed?. ....... . ................... ......... .......... ................. ......._ , 5.1 P.00FS •, Roof framing member spans checked?.. ....... .......(For Rafters use AWC Span Tool,see MRS Website) Roof Overhang ............... ... ... ......... .. .(Figure 19)... ......... ti 5 smaller of 2-or L/3 Truss or Rafter Connection at Loadbearing Walls Proprietary Connectors Uppft..................................>.............(fable 12).... ......... ..... ,....:. ..U= plf Lateral.....................:.......................(fable 12)............ ......... .................L= pif Shear.............................................(Table 12).................................... S- Of Ridge Strap Connections,if collar ties not used per page 21... (Table 13)..............................T= Of Gable Rake Oudooker. ... ....:.........(Figure 20)............. _tt s.smaller of z'or L/2 '.Truss or Rafter Connections at Non-Loadbearing Walls - Proprietary Connectors „ .., U lift._. ....... .....(Table 14)... . U= lb. P - Lateral(no of 16d common nails)...(fable 14). ....... L Ib Roof Sheathing Type...... (per 780 CMR Chapters 58 and 59) ........:._ Roof Sheathing Thlckness ' ., in. 7/16'WSP Roof Sheathing Fastening............................................(fable 2)........................ .:.. ........... Notes: 1. This checklist shall be met In its entirety, excluding the specific exception noted In 2,to comply with the requirements of 780 CMR•5301.21.1 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 5- b. 20 Gdge Straps per Figure'11 ' c. Uplift Straps per Figure 14 > d. All Straps per figure 17 , e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2 'Exception:Opening heights of up 6 8 fL shall be permitted when 5%.is added to the percent full-height sheathing ' requirements shown In Tables 10 and 11. ' 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressun`treated 92-grade. le I AWC-Grdde to Wood Construction ur High Wind Areas:110 triph f hid Zorie Alassachusefts Checklist for Compliance (780 ChIRS301:2.1.1)' Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................................................. .....110 mph Wind Exposure Category........................................ Wind Exposure Category................Engineering Required For Entire Project._•.••..•................ ... - .0 • 12 APP"CABILiTY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories s 2 stories RoofPitch....................:..........................................................(Fig 2) s 12:12 .......................................... MeanRoof Height•.............................................................(Fig 2)................................................._ft s'33' BuildingWidth,W.......................................................... ..(Fig 3)...................•............................ ft s 80' Building Length, (Fig 3)............................ ft s BO Building Aspect Ratio(L/W)•..............................................(Fig 4)............................_................... 5 3:1 Nominal Height of Tallest O enin z • .. P 9 ..................:�M...........(Fig 4)................................................ s68 1.3 FRAMING CONNECTIONS General compliance with framing connections..... .........(rable 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...............................•.....................:........................:................................................. ConcreteMasonry..............................................................................:............................:................ 22 ANCHORAGE TO FOUNDATION,' 5/8"Anchor Bolts�imbedded or 5/8"Proprietary Mechanlcal Anchors as an alternative in concrete only Bolt Spgcinp-general...................................-...:.(1 able 4).................•............................. In. Bolt Spacing from endroint of plate.................•........•••(Fig 5).......••.........:................. in.s 6'-12 Bolt Embedment-concrete....................... .....(Fig 5)...... ' " Bolt Embedment-masonry.........................................(Fig 5)............t............................... In.Z 15" PlateWasher..:...........................................................(Fig 5)..............................................k 3"x 3"x,�■ 3.1 FLOORS iFloor•framing member spans checked ...............................(per 780 CMR Chapter 55).................................. Maximum Floor Opening Dimension.............:......._..___.._...(Fig 6).................................................. ft512' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:....................... ......... MhAmtim Floor Joist Setbacks Supporfing Loadbeadng Wallb or Shearwall...............(Fig 7). ....... , ................................. ft s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls"or Shearwall................(Fig 8)......................... •..... ft s d FloorBracingat Endwalls....................................................(Fig 9)................................-................................. Floor Sheathing Type ................................._.....................(per 780 CMR Chapter 55).......... Floor Sheathing Thickness.........................._...............:.....(per 780 CMR Chapter 55)....................... in. Floor Sheathing Fastening_...............................................(Table 2)..•---d nails at In edge/ in field 4.1 WALLS ' Wall Height Loadbeadng walls...... .........................(Fig 10 and Table 5)............_............._It s 10' Non-Loadbearing walls......................... ..(Fig 10 and Table 5)........................... ft Wall Stud Spacing ...........................*............................(Fig 10 and Table 5)......_............—In.s 24"o.c. WallStory Offsets .......................................................(Figs 7&a).........................................._ft s d 4.2 OCTERIOR•WALLS . Wood Sftids Loadbearing Ovalle.........................................................(Table r7)..............................mac _ft_in. Non-Loadbearing walls...............................................:(Table 5)............:.................2x - ft in. Gable End Wall Bracing Full Height Endwall Studs...................... ............... .(Fig 10)_........ WSP•Attic Floor Length-....--*.:.................... ...(Fig 11)........................................ ft kW/3 'Gypsum Ceiling Length(If WSP not used)................•.(Fig 11)..•........................................_ft Z 0.9W and 2 x 4 Cbntinuous Lateral Brace @ 6 fL o.m..•(Fi911)....: ................................... .. or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 f L spacing In end Jolst or truss bays Double Top Plate ` SpliceLength ................:........................... .....(Fig 13 and Table 6).................................... ft . . Splice Connection(no.of 15d common nails)..............(Table 6)........................................................ I 4fFC Guide to Wood Cor,.ctruction in Hi,;h N+indAr•eas: 110 ntplr lVind Zone Massachusetts Chec.1dist for Compliance (780 DAR 5301.2j.'1)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nall Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be Installed as follows: I. Panels shall be Installed with strength axis parallel to studs. H. All horizontal joints shall occur over and be nailed to framing. I'll. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. Iv. .On two story construction, upper panels shall be attached to the top•member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nall spacing afdouble top plates,band joists,and girders shall be a double row of 8d staggered at 3 Inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. 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'fioor c)replacement Voidows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction.Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. W-M-N7 E :Fd NON FKAXI G t15Esd NAlI S 'ATE r u ►1 ' it it y9 d r 'l • i ' ii it t ' t �. � ► It ;;o t B i I �M EDGE fl li +' 1 6[�fTERWEDKTE 1 t A.)!! 9L U 1 tl t! Q t ► • .� tr tF p� 1 I ,, - � 1 t 1 1 It t ►1 Ali r � ^—i' --__ � � DOU9IEPDGE �- STAL�Ca 3a NAR,SPACkJG } WA4 PATIEW PAN& �- RANL EDGE D0LUU NAIL8=ESPACM DML See Detail on Nex1 Page ' • Detail Vertical and Horkorilal Nailing Ver0oal end Horizontal Nailing for Panel Attachment for Panel Attachment .;�. �Ps 1 ,' - ofTME Town of Barnstable ' Regulatory Services Richard V.Scab,Director &639- Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must. Complete and Sign This Section , If Usine A Builder I, ek2e� �2�2y ,as Owner of the subject property hereby authorize � to act on my behalf, in all matters relative to work authorized bythis building permit application for. (Address of Job) " "'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted Signature of Owner 4of�AZppt ' J/e&4 .!ZA.a(e v . 4-&L 4��hLI/. Print Nime Print Name Date Q:F0RMS:0wNMERMISSmrtr00LS -town oritsarnstabie Regulatory Services . �oF r�yr Richard Y.Scab,Director: Building bivision - S 1ULIM AI Tom Perry,Building Commissioner NAM �� 200 Main Street, Hyannis,MA.02601 wwwtown.barnsiable.maus Office: 568-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE E7ETTON --- -- ^PleasePrint DATE: JOB LOCATIOR- number shsct village 'HOMEOWNER": name home phone# woxc phone# CURRENT MAILING ADDRESS: city/umn state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor_ DEFINITION OF HOMEOWNER t ' w y. I , d' 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 buildine permit. (Section 109.1.1) The undersigned`.`homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, z bylaws,rules and regulations. t The undersigned"homeownee'certifies that he/she understands the Town ofBamstable Building Department minimnm inspection procedures and requirements and that he/she will comply with said procedures and.requirements. Signamm of Homeowner Approval of BtWding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Cods: Section 127.0 Construction Control HOMEOWNER'S EXE1Vl MON The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109-1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed.against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands.the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:IWPFILESMRMS1bddmg permit fmmslEXPRESS.doc Revised 061313 r Nlassacfiusett's-Department bf Public Safety 13oarol of Svilding.Regulateons anif Stairdarris_ copslruOmn Supert isor •Liceinse CS-108208 ALEXEY LEBEDEV [= 60 FRANKLIN AVEATUE. s Hyannis MA 02601 r r 11127/2016 comtmssoner Office of Consumer Affairs and Business Regulation 10 Park Plaza.- Suite 5170 Boston, Massachusetts.02116 A ' Home Improvement 05ntractor Registration Registration: 176777 Type: LLC kl t Expiration: 9/25/2015 Tr* 245160 DREAM HOME IMPROVEMENT LLC: ¢, ALEXEY LEBEDEV 27 ANCHORAGE.LN WEST YARMOUTH, MA 02673 Update Address and return card.Mark reason for change. a sca i 020ne-05n1 Address F Renewal ❑ Employment jJ.Lost Card Cf�e�a»zitcvsu[e�[�/�a�C�l✓�r[JJa['/er[;�1�; _Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistratiow. '.f76777 Type: Office of Consumer.Affairs and Business Regulation Expiration: 912 512 0 1 5" LLC 1O Park Plaza-Suite 5170 '— Boston,MA 02116 DREAM HOME-IMPROVEMENT.LL-CI- i. `,, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V Application # T�.� Health Division Date Issued -7 < Conservation Division Application Fee ' R Planning Dept. Permit Fee -C Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis I Project Street Address o fi?Z k�dy.LA" Village " S Owner Address '?o o)� Telephone Permit Request C_1621 of Au , wl►m_-OAS T-0 T1 �� c�L� [E �XtF2�02 �CY�25 �v¢r�o� t,1L�ltx�u�s 7-0 "fie 05 ET Square feet: 1 st floor: existing'?d proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �bC� ° Construction Type fay ` ZE o Lot Size b 3 RG�u=� Grandfathered: ❑Yes ❑ No If yes, attach supporting cugntation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) is Age of Existing Structure `( 125 Historic House: ❑Yes ❑ No On Old King's Highway lj Yd4 ❑ No Basement Type: U Full ❑ Crawl ❑Walkout . ❑ Other Basement Finished Area(sq.ft.) � Basement Unfinished Area(sq.ft) o�8 Number of Baths: Full: existing I new �- Half: existing KI k new Number of Bedrooms: existing Total Room Count (not including baths): existing L4 new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑/Other Central Air: ❑Yes ❑ No Fireplaces: Existing ✓ New -- Existing wood/coal stove: ❑Yes 5eklo 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 e (BUILDER OR HOMEOWNER) Name l_..' 'Wo Telephone Number 606 c94 l9 5q 60 Address?0 ?M9, HL0(� License # (�oDCuLlS Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �MP`��FEZ SIGNATURE DATE t } FOR OFFICIAL USE ONLY APPLICATION# r i DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: t s r FOUNDATION ! 4 ' rf FRAME a t INSULATION fi FIREPLACE ELECTRICAL: ROUGH FINAL tt. PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f ry k DATE CLOSED-OUT F r ASSOCIATION PLAN NO. f, ' The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street �+ Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information „ ' Please Print Legibly Name (Business/Organization/In �1 dividualy pmk �K7�T_ d Address: X. �• L05 City/State/Zip: 2 `C t' MR OaVi� 'Phone #: Soo = OH Lo SWg O Are you an employer? Check the appro rate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2. I am a sole proprietor or partner- Misted on the attached sheet 7. Zemodehng ship and have no employees. These sub-contractors have g./❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp..insurance comp. insurance.I 9 ❑ Building addition required.] S.❑ We are a corporation and its' 10.❑ Electrical repairs or additions. 3.❑ Tam a homeowner doing alLwork officers have exercised their. 11.0 Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required:] t C. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp.insurance required.]. *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such: tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.- C am an employer that is providing-workers'compensation insurance for my employees. Below is the policy and job site information . Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip:,._ Attach a copy of the workers' compensatian policy declaration page-(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00`and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coveragt<;ymification. 1 do hereby cer ' der the pains a pen ies ofperjury that the information provided,above is true-and correct_ Si ature: Date: Phone#: �� 99 to 'C�HQ J " Official use only. Do not write in this area, to be completed hy'city or town official City or Town: Permit/License.#• Issuing Authority (circle one): " 1. Board of Health 2. Building Department 3 City/Town Clerk 4. Electrical Inspect&r S.Plumbing Inspector 6. Other n :... . Contact Person: w• Phone#: ' Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any app[icant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are.not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation.of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for thc'pemvt or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in'the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifmiecessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the.city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a_home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do'n.ot 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 TA.-#.617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 Www.mass.gov/dia t7F THE r i < RARNSPARLF- M` Town of Barnstable Regulatory Services Thomas F. Geiler,Director' Building Division Thomas Perry, CBO Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038. Fax: 508-790-6230 . Property Owner Must Complete and Sign This'Section If Using,A Builder: R 1, � as Owner of the subject ro er yl P P tY hereby authorize to act on my behalf; in all matters relative to work authorized by this building permit application for: 0o 1"2r11�y_1 a►mil �y E (Address of Job) - l Signature.of Ow Dat Print Name If Property Owner is applying for permit,please complete the Homeowners LicenseExemption Form on the reverse side.' CAUsers\decoI Ili k\AppData\Local\Microsoft\Windcws\Tempoiary Internet Files\Content.OuCIODk\DDV87AAZ\EXPRESS.doc .Revised 0721a0 Town of Barnstab-Ie OF THE Regulatory Services S Thomas F. Geiler,Director nAMszasr e, MASS. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79076230 HOMEOWNER LICENSE EXEMPTION , Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work.phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of'Six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner.,Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations- The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with-said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section I27.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimatcly responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt 9/t � Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration _ �`a _ Registration: 159632 Type: DBA Expiration: 5/15/2012 Tr# 296734 NATHAN W. CANTO BUILDING AND REMO t r� NATHAN CANTO 18 L.R. MURPHY'S WAY .::t - .� SO. CHATHAM, MA 02659f ' , r Update Address and return card.Mark reason for change. IS-cA1 ii 50M 04/o4-G101216 Address Renewal Employment Lost Card ✓le Tammercaraule i✓ aaeac�uc Office of Consumer Affairs&B siness Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: = Registration: �159632 Type: Office of Consumer Affairs and Business Regulation Expiration: /,4/2012 DBA 10 Park Plaza-Suite 5170 NA AN W.CANTO BUILDING AND REMODELING Boston,MA 02116 NATHAN CANTO" V" !>> 18 L.R.MURPHY SWAY i _ Y SO.CHATHAM,MA 02659 � � c _ : ' Undersecretary Not valid without signature tVid4lIClIUSCitS`-tDcpartmeiit crt`Puhiit Silo Bf�.tttl tit 8uitding 12Cpl:ttt, nfi at tl tatnal,ltdd ,��nstctJctton sglxr�risor Lt�ense License: CS,. 83500 ' , NATHAN W'CANTO" »'i8 L.R MURPHYS WAY SO CHATHAM MA 02659' EXpI(at10n `7124 2 (ttnar�� ifyii.i a Try#: 2068 III , G tiT"n -, i5-k:'.- V 3 I f a b ' i !{I 4.0�}�,?'�.`s:C'1•'t�.s \.V�i�"*i°'!'"� �1..r,.'i..t�iC i«r ["�.V..V<�sv`t SW F v<".. ;4 V.1�•i\! i Jls &°i..`�;..r.3'a 4,iJE-5#`j - f - _ �fLAot i 1-1 Ctr i 30 GuT' .F Tp .C.Q Er-tSE 14s -tl'F f✓'"' Art D NIF-t&) WOOD (?-f)tAXS- Cq rt � 1 Rw! 9t4C7- �b-1'I'ro�CrG �02 �e41e7oW �-� 711 a14 ic - t' Pli1> RID P!rEvJ 5a tt! r t Cam?ems L- \a.1Oot, PZr wee. ! t I • i A M c t W C l k(�(V Cs� FOR- � wl v o,,j 1` ell 57 � / A P� 5 of SOL►t WOOr-I To tfxtSktoto V\E kC,"I ,` ►o RNO ►wcrteS7 vllp-r ttt. MoT' 3'OVCa42t.lCr E-Kvs- 'e vocs fAevR6]ejz . I Window and Door Schedule DOORS A. 2/8x6/8 LHIS Therma Tru Smooth Star Fiberglass S-296 2LT/4PNL, 4916"PFJ JMB TD ADJ HDWD MILL SILL,DB U-VALUE= .2-1 B. 2/6x6/8 RHIS Therma Tru.Smooth Star Fiberglass S-262 9LT/2PNL, 4916 PFJ JMB TD ADJ HDWD MILL SILL,DB U-VALUE= .26 WINDOWS All windows are being replaced with WindGate Double Hungs for New Construction U-V--ALUE= .31 C. Unit size= 231/2" x 341/2" R.O. 24" x 35" Existing R.O. = 24" x 35" D. Unit size= 23 x 38" R.O 23112" x 381/2„ Existing R.O. = 24",x 41" E. Unit size= 291/2,, x 511/2" R.O. = 30" x 52" Existing R.O. _ 42" x 24" F. Unit size= 291/2" x`511/2" R.O. _ 30" x 52" Existing R.O. = 64" x24" G. Unit size= 3@ 27" x 511/2" ,R.O. = 3@ 271/2" x 521, Existing R.O. = 85112i x 571/4 ***ADD SINGLE 2X4 TO SILL TO DECREASE OPENING HEIGHT. -Y :QUOTE�# 00204998 Hyannis Shepley 216 Thornton Drive Account#: WILBRU 0065 Hyannis,MA 02601- Branch: HYA USA Phone:(508)-862-620o Phone#: ( )- - Fax#: (508)-888-1544 BILL TO: SHIP TO: Bruce W Wilcox Sr Cantos Nate , Bruce W Wilcox Inc 60 Franklin Ave 2 Stonefield Dr MP 18 GRID J1 2 East Sandwich MA 02537 Hyannis Ma TYPE:WH Page 1 of 1 _ PO#: REF#:Exrpoor cote Page , EXP DELV DATE:. 06/16/11 SALES Team Romkey QUOTED FOR ACTIVATION DATE: 06/07/11 AGENTSL Thorns SHIP VIA: Gust Pick U FRT TERM: Thompson p P CLOSE DATE: 07/07/11 Trim Taylor QUOTED BY: Pthompson A TH CHG: QUANTRY UOM' ITEM/DESCRIPTION r un Fps 87 PRICE/U OM ,� EXTENDED:': Therma Tru Smooth Star Fiberglass 4-9/16"Primed Finger g Jamb No Casing Tru Defense Adjustable Hardwood Mill Sill Double Bore *«2-3 day lead time** 1 EA 2/6x6/8 RHIS Therma Tru Smooth Star 268.82/EA 268.82 S-262 9LT/2PNL,4916 PFJ JMB, NO CSG,TD ADJ HDWD MILL SILL, DB. 1 EA 2/8x6/8 LHIS Therma Tru Smooth Star 260.86/EA 260.86 S-296 2LT/4PNL,4916 PFJ JMB,,NO,CSG;TD ADJ.HDWD MILL SILL, DB. 2 EA SC F51 PLY 605 KIK LockseCgrass 37.92/EA 75.84 Schlage Plymouth Knob 2 EA SC B60N 605 Deadbolt Key One Side`Brass 33.64/EA Sc hla e 67.28 9 >«««««SUB-TOTAL•"«y.« 672.80 Keying in Ch ar e 14.00 A , fi.25% ,.: 42.05 This is an•estimate only and.not a guarantee of total job cost,Ttis estimate based on the information provided to us and its accuracy is dependent on the accuracy and depth of that information.We ask that you review quantities and specifications contained herein with us prior to ordering so that we may supply you with complete correct materials.This estimate is good for 30 days from the date of activation shown on the quote.Any special order items are non returnable without prior approval and may be subject to handling charges if return is allowed. Accepted under the conditions outlined above. by. Date TERMS: Total =728.85 5% 10th%Net 25th Contractor Charge Order#101652 Quotation Page 1 From SHEPLEY WOOD PRODUCTS 216 THORNTON DRIVE HYANNIS, MA 02601 Telephone: 800-227-7969 Customer Factory will Ship To Bruce Wilcox SHEPLEY WOOD PRODUCTS Order# 101,652 60 Franklin Ave 216 THORNTON DRIVE Hyannis ***MAIL ALL INVOICES*** Date 6/07/2011 HYANNIS, MA 02601 Ord Type STERGIS6 Comment PO# Special ordered, once ordered no changes All sizes and quanties to be verified Products Manufactured by Stergis Windows and Doors Attleboro, MA 02703 Line Mdl Qty Description Color Width Height List Unit Cost Net 1 6000 4 Windgate Double Hung New Construction White TTT 29 1/2 51 1/2 170.52 170.52 682.08 RO 30 52 Low E Top SS/DS 4.35 4.35 17.40 Low E Bot SS/DS 4.35 4.35 17.40 Double Lock Stergis Full Screen Fiberglass Line Item Total 179.22 716.88 2 6000 1 Windgate Double Hung New Construction White TTT 23 112 341/2 170.52 170.52 170.52 RO 24 35 } Low E Top SS/DS 4.35 4.35 4.35 Low E Bot SS/DS 4.35 4.35 4.35 Single Lock Stergis Full Screen Fiberglass Kitchen i Line Item Total 179.22 1]9.22 3 6000 1 Windgate Double Hung New Construction White TTT 23 38 170.52 170.52 170.52 RO 231/2 381/2 Low E Top SS/DS 4.35 4.35 4.35 Low E Bot SS/DS 4.35 4.35 4.35 Single Lock Stergis Full Screen Fiberglass Bath I Line Item Total 179.22 179.22 4 6000 3 Windgate Double Hung New Construction White TTT 27 51,112 170.52 170.52 511.56 RO 271/2 52 Low E Top. SS/DS ' 4.35 4.35 13.05 Low E Bot SS/DS - 4.35 4.35 13.05 Double Lock Stergis, Full Screen Fiberglass 10072 -R11 v � Order#101652 Quotation From Page 2 SHEPLEY WOOD PRODUCTS 216 THORNTON DRIVE HYANNIS, MA 02601 Telephone: 800-227-7969 - Customer — Factory will Ship To Bruce Wilcox SHEPLEY WOOD PRODUCTS Order# 101,652 60 Franklin Ave Hyannis 216 THORNTON DRIVE Date 6/07/2011***MAIL ALL INVOICES*** HYANNIS, MA 02601 Ord Type STERGIS6 PO# Comment Special ordered, once ordered no changes All sizes and quanties to be verified Products Manufactured by Stergis Windows and Doors Attleboro, MA 02703 Line Mdl Qty Description Color Width Height List Unit Cost Net replace picture window with 3 double hungs f Line Item Total 179.22 537 666 L s 1,612.98 a@ 6.25% 100.81 l 1,713.79 10072 -R11 iJ Value Page 1 of 1 From: Derek Partridge<dpartridge@ShepleyWood.com> To: nwcbuilder@aol.com<'nwcbuilder@aol.com'> Subject: U Value Date: Thu,Jun 9,2011 8:25 am' Nate, U-Value on the windows = .31 U-Value on the 2light/4 panel = .21 U Value on the Slight/2 panel = .26 Thanks! Derek Partridge Shepley Wood Products,Inc: Inside Sales 508-862-6280 Phone Ext 328 508-862-6028 Fax Save the date for the 16th Annual Shepley Wide Open Charity Golf Event! Friday, Septeinber 30th at The Hyannis Golf Club!. This event is always a total sell out - so sign up today! This e-mail and any attachments, is intended only for use by addressee(s)and may contain confidential and privileged information.If you are not the intended recipient of this e-mail(or the person responsible for delivering this document to the intended recipient),you are hereby notified that any dissemination, distribution,printing or coping of this e-mail, and any attachment, is strictly prohibited.If you have received this email in error,please notify the sender immediately by return e- mail, delete this e-mail and destroy any copies.Any dissemination or use of this information by a person other than the intended recipient is unauthorized and may be illegal. 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For more information on a proactive anti-virus service working around the clock, around the globe, visit http://www.paetee.com. http://mail.aol.com/33867-111/aol-6/en-us/mail/PrintMessage.aspx 6/18/2011 - 4 15/16" 4 15/16" 1 3/16"'1/8" 4 15/16" 4 15/16 —30'-2 13/16" EXISTING T-4" 415/16" 415/16" 2-29/16" 415/16 415/16" o 3'-11/2" 1'-10'°' = 14'-1" 1VA1/2" —o�911/16" 2'-11" b'-45/8" ROPOSED - _- "/ 1/2"I/21'-10 1/4"1 '01 1'-3" 2'-5 1/2"/2"8 1/2"1/2"8 1/2"1' 3'-3 12N I D 4'-21/2" 2,_11„ 4,_8„ ADDITIOP� ENTRY 1'-4"7C 1'-11, ' m 1 _U _ BEDROOM Z LIVING �� _ o 14'-l"X 11'-b" 11'-9"X 11'-6" Q. 2,_��16„ u1 �,rui r m u o w _ 10B ROC1M \ i� m v m "X1- o - �-- -- O n LIVIN6 1ROOM n r+ r m 14-1"X 11'-b" — i HALL n i = a � i m KITCHEN BEDROOM n N n 2'-1"X 1 1'-b" 9'-l"X 1 1'-6" 3 m d n BATH HALL ° b,5„X1.11� o Fn "-'3' -- - - _ — .� - =- - r._ „ r KITCHEN B � DRO 12'-T'X 11'-6" ' 1�'2'X „ BATH B DR j s b'-10 1/4" 2'-5" 3'-4" 1 2'-5" 2'-11"T 13/16" 2, ., 2'-b" Co n w 8,_T X 1'_11 2 X 1,_1 1„ n Co 4 15/16" 4 15/16" 4'1'-114 15/16" 4 15/16" ~ 12'-1 1/4"— b'-5'— - l 1 _ - T-2 13/16" ? m v w x m b'-10 1/4" 2'-5" 1 3-4" 3'-2" 2'-1 9/16"� 6'-5 3/16" 2'-11" 2'-10 3/16" 4 15/16" 4 15l16"cl 4 15/2'-?1/8" 4 15/16" 4 15I16" 12'-1 1/4" 12'-2 3/8"— r-I 38'-211/16" 38'-211/16" � O 38'-0 13116" 4 1511b" 415 1 3/16"'1/8" 4 15116" 4 15/1b" �Q -10-5 3l8" T-4" i� 16'-1 5/16" � 10 10" 8' 10" ,o 1'-3 2-51/2'/2-"81/2"/2-1'-101/4-'- - - f° 10'-05/16" 9'-61/2" 1 b-45/8 4 D o PROPOSED fu Ln PROPOSED o LL 'c DI IO oce c m Rsm c� to > r I ry r EN RY `" 0 2 r r I_i b o _ m, DETEC REuIFWED Ir o N = fill 1'` N 00 I BARNSTABLE BUILDING E; DATL IVI G 1 D O FIRE DEPARTMENT DATE uw r 1 l"X 1'b' 11'-b _ BOTH SIGNATURES ARE REQUIRED FOR PERMI TING m -9 o p--q o v b m Ln Lu ry I I , 0 o N ry' a o o. I I n KI H B R M 12'-1 X 11 6" 12' "X 1 '-6" ti DATE: B TH D Ot2� o I I n n 3'9, 1 1 X -1 o-1�- U.-1--M -4.- L,1_41 E L _. ,..101. 2T-b 13/16" 1 5" L 2'-19/16" �,_ „„ � b'-101/4" 2'-5" 3'-4" 3'-2" I •--6'-53/16" 2'-11", 415/16" 415116" 41512'-11/5' 415/16" 415/16" 12'-1 1/4"— 8'-9 1/4" 12'-2 318" LIVING AREA 91950FT FLOOR FREAMING 38'-211/16" SHEET: ROOF AND CEILING FRAMING ADDITION ], w H Q 0 m R15 Z a 3/ " D w Z I 5/5"PT PLYWOOD 2x8 PT TOP PLATB N w w 6 MILL.POLYETHYLENE FILM = W O > tD Q N O 4' MAX. BAGKFILL z BAGKF I LL Y z � za AIR SPAGELL ° z z O Q G = w 0 a W Lu m m J MIN. 3 1/2" GONGRETE 5LAB 6 MILL.POLYETHYLENE FILM ON GRAVEL BACKFILL o } w MAX 5/4" GRAVEL a w 9 1/4" z Q a.. 2X8 BOTTOM PLATE 0 16" 2X10 51LL PLATE DATE: FOUNDATION AND CROSS SECTION DETAIL SCALE: 1"=1' SHEET: A-2