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0069 GREENBRIER LANE
1 ^ �� II V J'�.�...... 0 � � �d � � � � o � a� ��y i F� � � i i `i r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION II � � Map 2(D� Parce08-01 Q Application #_ V J 07 `p 3 r rHea`Ith Division Date Issued Conservation Division Application F �y Planning Dept. Permit Fee � Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address bq Len[ h Village U 6,2DiD S i Owner 1 Go (TC2 n Address Telephone Soz ^s ar) ^ 1 Permit Request -T—® G• O Square feet: 1 st floor: existing ffiAo proposed 33A 2nd floor: existing proposed Taal nam �o ZoningDistrict Flood Plain Groundwater Overla - cn Project Valuation 06 Vv, Construction Type Vxap Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family \A Two Family ❑ Multi-Family (# units) Age of Existing Structure 35,X"5 . Historic House: ❑Yes "VNo On Old King's Highway: ❑Yes No Basement Type: ❑ Full ,Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) i 05lo Number of Baths: Full: existing new Half: existing new r.Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing J5 new _First Floor Room Count S YHeat Type and Fuel: '�&Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing WLA New Existing wood/coal stove: ❑Yes No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: VJ Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use �i���-t e,12,GS , 5, �lca, VProposed Use Jae APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (�C)X Telephone Number 56 Address License for N 11` �� a 6a 33� Home Improvement Contractor# Email C y Worker's Compensation # ALL CONSTRUCTION DEBRIS RES G FROM THIS PROJECT WILL BETAKEN TO NewG�� SIGNATURE DATE '? r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL Y GAS: ROUGH FINAL 1 FINAL BUILDING y DATE CLOSED OUT ASSOCIATION PLAN NO. �Jfj-'C'Guide to W7,00dConstridetion in Hag Wind Areas: 110mph inn Zone Massachusetts Checklist for Co-raphance (780 C 7VII R 530 L2A.1 Check Compliance 1.1 SCOPE WindSpeed(3-sec. gust).........;............................. ...................... ... *.... ............ *........*..................110-mph WindExposure Category.................................................................. ..............................................................B 1.2 APPLICABILITY Number of Stories ............................... (Fig 2)............................. stories 5 2 stories Roof Pitch ................................................................... ......(Fig 2) .......... 1Z 4 1 15 12:12 MeanRoof Height ..................................... ....... .................(Fig 2).............................. ......... Buildind Width, W................................................I...............(Fig 33-)......... ....... ...... ............... ....�41-163 L ft :5 33'....................... :11 ft :5 802 BuildihgLength, L .-..........................................................(Fig 3)..................................................W ft 15 80, Building Aspect Ratio(LAN) .............................................-(Fig 4)..................................: .........1W<3:1 Nominal Height of Tallest Opening2 ............. ...... .........(Fig 4)............*................................... & -S!5 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................-........................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete........... .............................................................* ConcreteMasonry ...................... .................................... .... ........ ......... ............. ........................... 2.2 ANCHORAGE TO FOUNDATION"3 5/8"Anchor.Bolts imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ..........................................(Table 4)................................ ..i............ -f?, in. Bolt Spacing from end/joint of plate ............................(Fig 5)-.................... ...............��?-in. :5 6"-12" Bolt Embedment-concrete...............................:.........(Fig 5)...... ... ................... .. ............ -7 in. >7" Bolt*Embedment-masonry.,....,....................................(Fig 5)............................................ . - in. >_ 15" Plate Washer................................................................(Fig 5)........ ......................... ............>_3"x 3"x 1/4" 3.1 FLOORS Floor framing member spans checked .............. ....... ........(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension....!...............................(Fig 6)............................. - ft:5 12'or L/2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6)...... ................... ............. Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig.7).................................................... - ft :5 d M.axirfum Cantilevered Floor Joists Supporting pporting Loadbearing Walls or Shearwall................(Fig 8)......................................:............. - ft :5 d Floor Bracina at Endwalls ....................................... ............(Fig 9)............................. ................................... Floor Sheathing Type ................................... .............. .....(per 780 CMR Chapter 55)....................... . . ... Floor Sheathing Thickness ............................ ........... ........(per 7180 CMR Chapter 55).......................�_Mln. Floor Sheathing Fastening..................................................(Table 2).. d nails at ( min field in edoe I 4.1 WALLS Wall Height Loadbearing walls............................... ............I...........(Fig 10 and Table 5)........... ..........A Rift :5 10' walls.... ....................... ...................(Fig 10 and Table 5)..........................lUft s 20' Wall Stud Spacing .....................................(Fig 10 and Table 5)..............-41--fin. :5 24"o.c. Wall Story Offsets ........................................................(Figs 7&8)...............w............................—ft :sd 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls...................................... .................(Table 5)..............................2x U ft in. Non-Loadbearing walls........:.......................................(Table 5)..................... ........2x:E-:T-b ft in. Gable End Wall Bracing' Full Height Endwall Studs.......................--.......... .....(Fig 10)................................ ............. WSP Attic Floor Length................................................(Fig 11)....... ............. ........................ - ft>W/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................ ft-Lt >0.9W .41N,of MAss 2 x 4 Continuous Lateral Brace @ 6-11it. o.c. .. (Fig 1'11)........... ................... ............................... able Top Plate Splice Length ................... . ...................................(Fig 13 and Table 6)AF D mir'VASUE I....... ... .. . . ...... CULTURAL z L - Splice Connection no. of 16d common nails)..............(Table 6).................... IV C-TkJVk cn 0 ST 0 0 t4o.34174 .09 I eslt IQ OSIONPA- (��pd ► i� DRY► @ lD� b � Lr�F, Nr�{S�:�A 2 o•F ¢ AWC Guide to Wood Construction in H- ggle Wind Areas: 110 lnph Wind Zone Massachusetts Checklist. for Compliance (780 C10R 5301.2.1.1)' Loadbearing Wall Connections Lateral no. of endnailed 16d common nails ►.' ( )..............(Table 7)............................./�/�� -- Non-Loadbearing Wall Connections Lateral (no. of endnailed 16d common nails)......4........(Table 8).......................................4................ --• Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ................ ........ ........................(Table 9).........4........................ ft in. s 11' . ....... Sill Plate Spans ...............................................4........(Table 9)..............4.........4......... ft in. <_ 111 Full Height Studs (no. of studs)...................................(Table 9)........4.... .. . . . ... . . . . ............................... Non-Load Bearing Wail Openings (record largest opening but check all openings for compliance to Table ) Header Spans......................:...............I...............I......(Table 9)............ ..................d ft—in. <_ 12' Sill Plate Spans...........................................4...............(Table 9)............................... ft--ln. < 12„ Full Height Studs(no. of studs)....................................(Table 9)............................... ....................... � Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously' Minimum Building Dimension, W t I¢1 Nominal Height of Tallest Opening ..........................:......................................4........... _<6,8" SheathingType............4.........4.......................(note 4)............................................4......... uJ Sf Edge Nail Spacing.......... .........4......................(Table 10 or note 4 if less)........................ 3 in. Field Nail Spacing...................................4......(Table 10)................................................._,�L in Shear Connection(no. of 16d common nails)(Table 10)........................................4............... d Percent Full-Height Sheathing.......................(Table 10)....................4.............................. 5%Additional Sheathing for Wall with Opening >6'8"(Design Concepts)..................... Maximum Building Dimension, L = e Nominal Height of Tallest Opening`........................ ........... ...................... ...............(�<_6'8" SheathingType.................................4............(note 4)...................................................... Edge Nail Spacing.............:............................(Table 11 or note 4 if less)........................ .a in. Field Nail Spacing..........................................(Table 11)............................................4....�Z in. Shear Connection(no. of 16d common nails)(Table 11)........ ............................................... Percent Full-Height Sheathing.......................(Table 11)...................................4................ , /o p� 5%Additional Sheathing for Wall with Opening >6'8"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?.............................................................. .:.............................................................. 5.1 ROOFS Roof framing member spans checked? ........4..............(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang .....................4.4........................... (Figure 19)........:... ft<_smalier of 2'or U3 Truss or Rafter Connections at Loadbearing Walls 1 Proprietary Connectors 5�- �� q Uplift........:.......................................(Table 12).............................4...... .....:..U= 87 1/� f'q4'V e Lateral....................4........................(Table 12).............................................L= Shear................................................(Table 12)................................4...........S=� Ridge Strap Connections, i'collar tie no' used er page 21..... (Table 13)...............4..............T= — Gable Rake Outlooker......................................... (Figure 20)........... ft<_smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)................. .......................U= — lb. Lateral(no. of 16d common nails)...(Table 14).........4.............4...............L= — lb. Roof Sheathing Type......................4...4...4.....4..............(per 780 CMR Chapters 58 and 59).................. Roof Sheathing Thickness........................................... ...................4....... .................7&in. >7116"WSP Roof Sheathing Fastening ..:.......4................................(Table 2).... Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety 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 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathi ��p�T oFr.;�ss requirements shown in Tables 10 and 11. o v 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. �� '�tICHELE oG o CUDfLO cn rn 0U34 74AL vz �/1l l-71h oF�ssONAIEENG�N��Q. s u►Sp �3blATtNG777 1 7 1NS P ATTAC H Nl1;E,N T No'f •T0: 60 A �.,, .I:G L FOR(ZGt�.T�►.1.. oF4 W6.P EDGE. .---5-�} �. � • �, .iM'�WN4'�.blkT�. .i jj 'FI�1bNCs �. I ii ftft.tlp- T'g ' E 1/ 14 _ 1 • 1. dfers P - - W. .- ATTACHMENT" . �O'R.,.V�RT ��1SU ��1�1�. �?T�G�I-�►/1E:NT _ __ 6 • Iow Wood Stn:ctutal Panels shall be minimum thickness of 7116"and be installed as.fo 1 .s: Panels shall be installed with strength axis parallel to:studs. ii. All honzoutal joints shall:occur over and be bailed to framing ii.. On singIestory construction,panels shall be attaehed i0 bottom plates and top member of tbe'doubie top*te: iv. On.two story construction,upper panels shall be attached to rile top member of Gte upper,doubte: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 y. Horizontal.•nail spacing,at double;top plates,band.joists and guders shall be a.double ro►v of 8d: staggered at 3 etches on center per'fgnres.below:.vertical;and Horiontal Nailutg for Panel,Attachment ; i GENERAL NOTES AND MATERIAL SPECIFICATIONS: (Residential IRC Construction) SK-1 FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. t 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced per Code Checklist,or in concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement,etc.). b.) All walls to have min.2#4 top horizontal,2"clear,to prevent shrinkage c.) All walls longer than 25' shall have vertical control joint with waterstopping between wall joint. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads: Snow Load=30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=40 psf Wind Load: Criteria used for 110 MPH Exposure B or C as noted per plans 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_pa►=-2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Rafter to Ridge Plate: Collar ties min. Ix6@ 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 4'o/c: CS-14R-48"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with the WFCM Table 3.1 unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. b. Sub-bore where;nails tend to split wood. 9. Headers less than T-0",use 2-2x6;all others per MA State Building Code. Client#:279016 COXCONSTRU ACORD. CERTIFICATE Of° LIABILITY INSURANCE FDATE(MMDNYYY) 6/23/2016 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 pollcy(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 CO HUB Inrl New England NE LLC t PHONAE 8 657-5100 F 8-0038 600 Longwater Drive A c No E>n:97 _ ac114 978-98-- Norwell,MA 02061 i aDDREss: INSURERS)AFFORDING COVERAGE NAIL it 781 792�200 INSURER A:Essex Insurance Company INSURED I INSURER e:Liberty Mutual Insurance Co 123043 Cox Construction I INSURER C: Cox Corp dba i 6 Winnie,s Way i INSURER D: INSURER E:_ i East Sandwich,MA 02537 � — --- - ----- i I INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LTRR D UB POLICY EFF POLICY EXP TYPE OF INSURANCE S D POLICY NUMBER MIDD i MM/D I LIMITS A GENERAL LIABILITY 3DM9683 011071201510110712016,EgACM�HHq�O,CCURRENCE s500 000 X1 COMMERCIAL GENERAL LIABILITY 'PREMISES�Ea ocaarertce) S SO,000 _ CLAIMS-MADE a OCCUR MED EXP(Any one person) S 1 000 PERSONAL&ADV INJURY S500 000 GENERAL AGGREGATE S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-CAMP/OP AGG $1,000,000 t POLICY PRO- LOC ! S AUTOMOBILE LIABILITY j COMBINED B SINGLE LIMIT E accident) S ANY AUTO ( BODILY INJURY(Perperson) S ALL OWNED SCHEDULED ; !i AUTOS AUTOS BODILY iruuRr(Per ecdamt) 3 I PROPERTY DAMAGE NON-0WNED I POPERY S HIRED AUTOS AUTOS $ f UMBRELLA LU1B HI OCCUR j ( ;EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE I 1 i AGGREGATE s i i DED RETENTIONS i S B WORKERS COMPENSATION I WC531S487580085 6/14/2015�06174I2016 X wC STATU- orH AND EMPLOYERS'LIABILITY 1 YIN OFFIPCREWMEMBOERPEXCLUDNEERD C� " NIA( E.L.EACH ACCIDENT $100000 (Mandatory In NH) i E.L.DISEASE-EA EMPLOYEE S100 000 If yes,describe under DESCRIPTION OF OPERATIONS blow E.L DISEASE-POLICY LIMIT 5500 000 t I DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1404268IM1404244 MWO04 massacnuseiTs-veparimeni or ruouC aareEy Board of Building Regulations and Standards Construction Superr-is6t - License: CS-044872 ' THOMAS P COX { `6 WINNIES WAY s E.SANDWICH ha U7 ) Expiration. _s Commissioner 11/28/2016 s V/te�poo�vntartraea��a��icva�ttae� ,..�: 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: gistration: 105doo Type: Office of Consumer Affairs and Business Regulation xpiration: ._7t17/201'6: DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 COX CONSTRUCTION COMPANY# Thomas Cox i% 6 WINNIES WAY i�_� �=; ;,-, ��� ✓, East Sandwich,MA 02537l Undersecretary Not valid without sig ture t.4: ; ?die Commorrivea th of Mussadiusetts Deparamart qfrndas-iial ACddeFdS �` - - f}�ce a,flrcfgations' { 600 Washiugtoxt Street _ Boston,fA 02111 ttwinmamgovfdia NFOFkers' Compensation Insmmuce Affidavit:B.EdlderslCuntrac ursMerfricians/Plumhers Applicant Infarm,aisog 1 Please Frint Leg xib N3ussineesslYanizati+�,IG^ j�Ralu\�l' C ty/Statef C_- 1 kx j "I'liane Are you an employer?Checkthe appropriate box: ' Type of project(required)._ am a general confractor and I I.�•I avt a employer with. �` El 6_ El covsfidicfiion employees(full andlor part-time)-* have hired the sub-contractors . 2.❑ I am a sole propnetar orpartner listed on the attached sheet 7. ❑Reuuodelin.g These:soh confractars have ship and have no$mpla��ess. $..❑I7emalitiort WofEng for me-iu any capacity employees andhm-hue woflcera' C rI1Stlrani�+ g- ❑B'II1Fdtng B�.Lt1�DSI INa tti'oricers' comp.insurance comp- 10 Eleefdcal r required-] 5. ❑ We are a corporation and its � epairs or a dditions officers have�es,erdsed their 3_❑ 1 am a fiameou*ner doing all work 1L❑Plumbingrepairs or additions II n tysel€[No vua es'comp_ t of esemgfiou per Ii�IGI. 1�Ell 0ofr ix�m=carequired-]I' c.152,§lM andwre have no employees.[No workers' 13 Qther camp_insurance required_] 'day appEicsat�at r3er�s�os.`I tffist also fiIloutthe settiaabeiows�siag iheirwodces'campessatiaupo7�cyirrFo�sa� &ameownerswho submit this idaeu insEtitiag _ axe <s1E end hse outsides toatrsctarsnmct�Y submit a nem dads&i ' <sack_ FCa ct*+R Yhst chPc3cthrs boa x4ast attached additiansl street - the'nu of the sub-coat=tar snd state urheher ar not those eadties showing ham e=p3opRes.Ifthesnb-caatrsctamhive employees,theynntrtpmtidetheir umrkess'•comp.patio number- I am an emplopr that is praj�2dirrg workers'cough- in an insurance for my encplafTes. $etoav is ffwpotiry and job;i*R irtformalwiL (� Imsurance Company Nam: Policy�ar self-ins.lic-_TYL_ cam[ 3) oq 5'F-kpiratiou Date: —I i o�of(p Job Sifx--Address Attach a copy of the workers'coa.zpensatianpolicvdecl-aration page(showing the policy number and expiration ante). FaYhue to serum coverage as req*ed.uuder Se-ctian 25A of hfGL m 1572 can lead to the imposifiion of criminal penalg s of a fim up to$1,50D:00 and:'a ome yearimprismin-it,as well as civil penalfies.ih the fo=of a STOP WORK ORDERaud a Time of up to 0_00 a day against the violator- Be adsased that a copy of this statement maybe fxwarded fo the Office of ImresEigations oftiie DIA for il:5 coverage •er cati T dLhere by c ' � s ed r:att�s afFsrjur� fhatf�Tis irz;�arwxafzmr prm rled al�iar�is bzrg a�irIcorrect i = bate_ �, J phone g t,►,�aL uss a�a£p: i?a not avrtta in tF�:s area,frt be rv�nplcete�d by�'ot•tnn�n Offrcial . City or T'onu: f PermftU ease# Issuing kufhardy(=Clete one).: L Board.of Health 1 Building Department 3.CftTlTown,Clerk 4.Electrical Inspector S.Ph aEnbmg Lmpector 6.Other Contact P'ersaa• Phone#� • Taformation and Instructions r r' �• .• ii ease ion fort ea ees. Massacltaseffs Cre�eaal Laws 'I52 req�res aIl empIoyers'�provide woes'camp �o3' . pnrs¢ant-6o this sib,an emTIay=is defned as M=ypers6n irL Ifie se,[vim of another ceder airy corltra ofhae, express or m plied,oral or wzitb=f Ai im pInyEr is defined as"aa indxvidaal,par6ie�,ass c i ad on,corporation or other Iegal entity,or any two or more ofthe,foregoing engaged ina joint enterprise,andinchuUngthe legal.=presenfaiives ofa deceased employer,or the receiver or trastee m of an dividnal,partaexship,association or other legal entity,employing employees. However the ec owner of EL dweIImg house having not more than tbr=apartments and who resides therein,or the occapant ofthe- dwelImg house of another who employs persons to do maintenance,conshmrdon or repair work on such dwelling house: or on.tho grounds orbrnD�appurEena�thereto shallnotbecanse of such.employment be dsemedto be an.Mirpployer." MI CTL chapter 152,§25C(6),also states that"every state or local Iicen shag agency shall withhold fe issuance or renewal of a Ticrose or permit to operate a business or to const act bmTdiags in the commonwealth for any applicant-who has not produced acceptable evidence of compIiancf-Witlt the ins-axa ce.coveragereq=ed.' Additionally,MGL chapter 152, §25C(7)states Neither the c1,m onweaM nor any ifs political subdivisions shall fnter into any contract for the perfarmanet ofpnblio work ants.acceptable evidence of compliance with fhe m cirran ce. recp=ments of this chapter have been preseni�--d to the contract mg aofhoiity.» Appiicaats ' Please fill o:C± the workers'compensation affidavit completely,by checI ng fhe boxes that apply to your sitnation and,if necessary,supply sub-cont=toi(s)name(s), addresses)and phonenumber(s) along wia their celdFacat*)of ' „cr„-a,ce. Limzted Liability Companies(LLC) or Limited Liabl7itY'Parfneasbips(LLP)withno employees other than the members or partners,are not requmed to carry wormers' compensation insurance. Y an LLC or LLP does have emplOy=s,a.policy is required- Be advised that this afda maybe sabmf�d to the Depa-(went of lndvstrial Acc tsiden for confirmation of insnraace coverage: Also be sure to sign and date the affidavit The affidavit should be-retmmed to the city or_to-wnthat the application for the peonit or license is being request:A not the Departmeaf of Tnffi2sftiLl Accidents- Should you have aay question fin g the law or ifyou are required to obtam a workers' compsationpoIiey,pleasecalltheDepartmentatthennmberlis-� �dbeIow. Self-ios companiesshouldentertheir en self-m surMce license number on the zppmpriate Ime. City or Town Officials Please be sure that the affidavit is complete and primed legibly. The Depa tnentt has provided a space at the both of the affidavit for you to fill out in.-far event the Office ofluvestig Ons has to co�actyonregmdingthe applicant Please be sure to f M in the permit/Rcense number which wZI be used as a reference number. Tn addition,an applicant that must snbmt m-ultiplepemitHcrosenpplications is any g. cayyear,need only submit one affidavit indicating r-.rn-c policy in�romation('if necessary)and under`lob Site Ad mss"th e applicant should 1:rite"all lacation s in (cTtY 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 or file for fute'PMMi S or licenses_"A ndw affidavitmvst be fDlca out each year.Where a home owner or citizen is obtaining a license or permit not elatecl to any business or commercial vest (ie_ a dog license orpennit to bum leaves etc.)said pmson is NOT reginzetito complete this affidavit The Of of Investigations would at to thank you in.advaace for your cooperation and should you have any questions, please do not hesitate to give us a call The I?eparimeat's address,telephone and fax number_ The CiaMMQnWeaJft of Massachnsi--tts I3egazim�nt e�f 1ad�irzal Aociden� . • E�4l�ashin�tan Sizes . Boston,YA MI 11 T(,-L 4 617- -490Q cxt 4-06 or 1-a77-MAJSSAFE Fax 0 617"27 7M Revised 4-24-07 .masVgPVIdid ARIC Guide to Wood Construction in Higli H ind'Areas: 110 nipir Kind Zone Massachusetts CheclElisffor Compiiance(780 Ch1R5301.2.1.I)t Loadtisaring Wall Connections ' Lateral(no.of 15d common nails)._..... `........:........(fables;)....... ._..._.__......_..:..._... Non-Imadbearing Wall Connections Lateral(no.of 16d common Waits).._....---.----...-.----.(Table 8)._.....__..._._........_......... .._....__. r Load Bearing Wall Openings(record largest opening but check all openings for compfiance to Table 9) Header Spans -.. _ ...-_ :...---.... .(fable 9)............___.._.:.... _$ in. 11' Silt Plate Spans ._. ...._....-...__.... .._.—_....----.(fab[e 9) ................._ft_in.5I Full Height Studs no. of studs able S Non4-md Bearing Wall Openings(record largest opening btrt check all openings for compliance bo Table 9) Header Spans............................. ..........................(Table 9)......._........._._............ ft—in.512' Sill Plate Spans-•:.•-------._.-..__,-_........................_.....(Table 9)........_...._._............... _ Full Height Studs(no.of studs)... _..----.---..-•_..........(Table 9).................._.............__................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneousfy4. Minimum Bulding Dimension,W Nominal Height of Tallest Opening2 ...... ................................................................... 5 6'B' Sheathing Type...........................................(note 4):e,.._..................... Edge Nail Spacing (Table 10 or note 4 if less) ' in. Field Nail Spacing............... : :..__._._...(Table 10)......_...................-.........-_--------- Shear Connection(no.of 16d common nails)(fable 10)...._.......--_..._......................:.........._ Percent Full-Height Sheathing....................._(Table 10)..................... % 5%Additional Sheathing for Wali with Opening>6'8"(Design Concepts)_-_............... Maximum Building Dimension,L Nominal Height of Tallest 0 enin ._..,._ _<6'8" Sheathing Type„.-•----.....—.........--•-•••--......(note 4)._.......-..........-..............----••------- Edge Nail Spacing.._......._..._._......---•-•-_-(Table 11 or note 4 if less ..... irk Field Nail ...........(Table 11).. ._ .__.. _. - :. in. Shear Connection(no.of 15d common nails)(fable 11) . PercentFul-Height Sheathing...__;_.._..•_-..(fable 11)..._.____..._..__.._ 5%Additional Sheathing for Wall with-Opening>6'8'(Design Concepts)_..:...-. .. Wall Cladding Rated for Wind Speed?____ ...... _....._._-.............. ._..._._..--- •- - __. ' 5.1 (ZOOFS Roof framing member suns checked?...._.._._...__.....(For Rafters use AWC Span Tool,see BBRS Website) . Roof Overhang ................ ...........(Figure 19) ft s smaller of 2.or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors `.Upfrft::......... . ...(fable 12).......................... .-..U= plf Lateral .... able 1Z pff Shear................._. -..__...... (Table 12)..- -- - -......... --- ---S' p�. Ridge Strap Connections,If collar ties-not used per page 21... (fable 13)..____.....................T= Of Gable Rake Oudooker................:..:....._.. ---------(Figure 20)............. ft 5 smaller of 2'or L12 Truss or Rafter Connections at Non-t.oadbearing Walls' Proprietary Connectors Upli ft_....._..:............- ....__. ......(Table 14)------------------------,._.._.—_U= lb. Lateral(no.of 16d common nails)_.(fable 14)......................................L= . .Ib. ;. Roof Sheathing Type................. -----....___..(per T80 CMR Chapters 58 and 59)............ , Roof Sheathing Thickness.............. ..._....—.__..-___:....._.._._ in.>_7/16'WSP_ Roof Sheathing Fastening__-.-..-....—_--------_..---- (Table 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 CMRM01.21.1 Item 1.If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Mgnne 5 b. 2b Gage Straps per Figure 11 - m Uprdt Straps per Figure 14 . d. All Straps per Figure 17 . e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. 'E=eption:Opening heights of up io 8 ft shall be permitted when 5%is added to the percent full-height sheathing - requireff% s shrnm in Tables 10 and 11: 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. A FCC Guide fo Wood Construction in High WZnd Areas.110 uzpL Kind Zone Massachusetts Checklist for ComPance(7so C64R53oi--I.i)' - E�1 chi . Compliance 1.1 SCOPE Wind Speed(3-sem gust).._...._._._..._.:......._._....._......._......_...___..._._..._._.........._,._._.._._.110 mph WindExposure Category.---_............._._....._.....-__.....__.....................................................................B Wind Exposure Category................Engineering,Requirsd For Entire Project.........................................0 12 APPLICABILITY Number of Stories(a roof which exceeds B In 12 slope shall be considered a story) stories 5 2 stories RoofPitch •--(rig 2) c _......_..__.._..__......._......_.__...........__.......... _._...._. --... ................... _1212 Mean Roof Height-__:.....-.._........_...:.............._..._._.:____(Fig2)-.....................-....._.......___.. ft <_'33' Building Width,W........-------..._..._......:.......---- ..._._-:- (Fig 3)-.................:..-----•-____.__----=--. ft 980, Binding Length.L' _-_ ..(Fig 3).................:. Building Aspect Ratio(L/W) ......................-............._...-...(Fig 4)--------------------------------:-•---• 15 3:1 Nominal Height of Tallest Opening .................... __..(Fg 4).._._.......__. " ... .- _.........- - -6 B 1.3 FRAMING CONNECTIONS General compliance with frarnirig c6nnedions.....__...........(Table 2).........._..............................._........_.:-•---• 2.1 FOUNDATION , Foundation Walls meeting requirements of 780 CMR 54D4.1 Concrat�...................................................:........................................................................... i3oncrefeMasonry..._____--------------------------------------------------------------------------- ............... 22 ANCHORAGE TO FOUNDATION"3 5lB'Anchor Bobvimbedded or WB'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general................ .... .........._--__(fable 4).........._.. • ..._......_.__..._._ in. Bolt Spacing from endromt of plate.—._...._...____._(Fi9 5).____..._.__•-=----------------- Bolt Embedment-concrete._......-__.__...._..._... .......(Fig 5).....:.............. in. r Bolt Embedment-masonry..........................._...:.......(Fig 5) ..................... _... in.z 15" Plate Washer-:..• _......_..._...._.�....___.__.._.__.(Fg 5)..__.....___�..._._._.............5-,3"x 3'x VA" 3.1 FLOORS • FIDorfrarning member spans checked ...____..........-...._.(per T8D CMR Chapter 55)........_.......-.... � Maximum Floor Opening�'imension._:._._....__._..__.._.._...(Fig 6).....--•-•-:----------------•------------------- ft512 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:........................ ......... Maximum Floor Joist Setbacks Suppoiting Loadbearing Walls or Shearwall...._.........rig 7).................._...._._..____-____...._..._.. ft 5 d Maximum Cantilevered Floor Joists T Supporting Loadbearing Wans'or Shearwall............._(Fig 8)_.........._............._...._..._............ ft 5 d FloorBracing at Endwafls.........._..........__:.._..._....._....._.(Fig 9)-----------.._..-•------_......__._........ ......_. Floor Sheathing Type .......__.......................................(pef 7BD CMR Chapter 55).................._:........... _. Floor Sheathing Thickness .......__._...._.._.._._...._..__:.._(per 78D CMR Chapter 55).................__.. in. Floor Sheathing Fasb--&g_...........__._....._-._........_.:...:..(fable 2)_—d nails at . in edge l—in field 4.1 WALLS Wall Height • Loadbearing walls....._...,_......_.__..__._.............._.. .(Fig 10 and Table 5)......... _ft :5 10' Non-L.oadbearing orals.._ • ..__..:__..___.._�..—. .(Fg 10 and Table 5)._..._..._.........�_ft'S 20' Wall Stud Spacing (Fig 10 and Table 5)._._......_...—In.:5 24 mm Wall Sbry Offsets ....._.^_..._.... •..(Figs 71£8)_....._................ .... ft 5 d 4-2 E7Ci'ERI OR IAfALLS3 Wood Studs . Loadbearing Wails..-._.__.._......._...---__........_--.._._...(fabled}-._..._........._..___.2,c -_ft M. Non--mcibearing wads.—.__._.._......__........_...._.: Gable End Wall Bracing� — — — Full Heig'htEndwallStuds _......--(Fg 10)....___...._...,....__......_�..;_:..:_ WSP•Aft Floor Length ftzWl3 - '.Gypsum CDFmg Length(rf WSP not used)_..:._._......(Fig 11)...___..__...:.._.........._:_.._ft>_0.9W • . and 2 x4 Continuous Literal Brace @ 5 fL mm_(Fig I) .......................... . or 1 x 3 ceiling furring strips tD 16'spacing min.with 2 x 4 bloddng @ 4•ft.spacing in end joist or truss bays Double Top Plate Splice Length ..___._.:..:^...._..._.._-_--_--_-___(Fg 13 and Table 6)..._._........__..__._._._ft - Splice Connection no.of 15d common nails able 6 _._.—.........___........—._....__.._= f} ,A ram.i. ,• ;_•. _ , _. - • AWC Guide to Wood Construction ui High Hind Areas: 110 mptr !•Yard Zone • Massachusetts Checklist for-Compliance pso crfR 53011.!_1)t 4. a. From Tables 10 and 11 and location of wall shbathing and Building Aspect Ratio,determine Percerit Full-Height Sheathing and Nail 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. I All horizontal joints shall occur over and be nailed to framing. fil. 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 fiat t96orframing. ' V. Horizontal nal spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Hoftntal 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-tioor c)replacement windows—needs energy conservatlon 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. 1Mf A3[MM IDGEFESTS oN F RAPJ=r1SEEd r A S AT6b c Cl if IJ • if If . 1 d 1 ' o ii J1 o Ir'a ' - . t , i a ;7 1I ri !i a . i I CY oa .i fr 1 1 1 FRARAFiG6 �� li W u , I 1 EDGEMEFW@LCTF ll LI 1 Qp 1 • u ar pl 1 1 ., �-3/St '; - 1.1if ; 1 t Z 1 11 I! 4l 1 1 ;E If • 1 r 1 _ Gfld16Q.E�G� � STRGarc D --f--q-' 3`M14. • IJA+E�SP�CkJG P _ i NFL Pi477:W P�tNH - i' - , 1-� PW1Ey IDLE A0LrIDE1JAlLIDGES?AC7HG DETTAL - See Detail on Next Page Vertical and Horizontal NmTrng Detail • for Panel Attachment Vertical and Hot=tatl Nailing for Panel Attachment ti•.. s — •_ Y� , ,� f q.. 1 F o�TT . Town of Barnstable 0 Regulatory Services t , BARN F Meac 'g Richard V.scali,Director �'��►a'~� Building Division Tom Perry,Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town:barnstablema.us - Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder` I, -A.1 a)i ©.d i f) n , as Owner of the subject property- hereby authorize to act on my behalf, in all matters relative to work authorized bythis binding pemoit application for. G 0141 b�lp� (Address of Job) '`Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installs d all final inspections. performed and accepted. r Sigmture of Owner Signatdre of Applicant ti Print Name R Print Name ID4 - R Dare . Q:FORMS-OWNERFERMISSIOJeooLS r Town of Barnstable Regulatory Services Richard V.Sca%Director Building Division Tom Perry,Buffding Commissioner r MA SS a� 200 Main Street Hyannis,MA 02601 16 z639 � www.town.barustahle.—us Office_ 508-862-4038 Fax: 508-790-6230 HONMOWNM LICENSE E%F IMON Plmse Print DATE: , JOB LOCATIOI�L mm�bar shut "�i0I.�1FAW11ER"' name - bomr phone# worjc phone# 7 CURREATr NfAI-INGT ADDRESS: —— — - city/town Stec rip cod- The current exemption for"homeowners"was extended to include owner-occupied dwelIi n.0 of six units or less and to allow homeowners to engage an individual for hirewho does notpossess a license,provided that the owner acts as supervisor. DEFINITION OFHOMF.OWNER 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 constricts more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Budding Official on a form acceptable to the Bu ildmg Official,that he/she shall be responsible for all such.work performed ender the building permit (Section 109.1.1) The undersigned`.`homeowner"as=es responsibility fur compliance wbhthe Stale Building Cods;and other applicable codes, bylaws,rules and regulations. , The undersigned"homeowner"ceatifies 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 regtm'emesds. Signabure ofAomeovmcr Approval ofBuDdingOfficial Note. Three-family dwellings containing 35,000 cubic feet or larger will.be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEZti MON The Code states that: 'Any homeowner performing work for which a building permit is regrdred shall be exempt from the provisions of this section(Section 109.11-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 responsibr7ities,many communities require,as part of the permit application,that the homeowner certify that helshe 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/certffication for use in your community. Q.\wPFIIES\FORMSVnadmg pmmitfr;slEXPRFSS.doc Revised 111313 I ik 'yO�YYY .e -TOWN OF BARNSTABLE -Permit No? RW`'2 I Building Inspector cash• __-- 3. OCCUPANCY- , PERMIT. Bona No building nor structure shall. be'erected, and no-land;building or structure shall be used for a'new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector" No building shall be occupied until a - certificate of occupancy has been issued by the Building Inspector." Issued to Greenbrier Development COrPAddress Box $10, Centerv".1l;e I ni :417. AO rrPp.rbri_ar Wo-c-,V Rvanntinort . ""` Wiring Inspector � � .�f=+/� Inspection date Plum m bing. sp�cto r � ( _`,�.�..� Inspection date Gas Inspector (� � � � ��i Inspection date VEngineering Department f ir,, /f �r�l^-,1 Inspection date ] / 7_ , THTS`rEB,MIT`WILL'NOT BE.VALID, AND THE BUILDING SHALL •NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE wITH TOWN REQUIREMENTS. A .............. * ..�.......�............., 19._._... ..............................Building`Inspector ...�..._. .+ `^-:: } 4 <t r. r t s° t .^�n•s,. zS"r r t j. a -n ,rL y a�r +l+y'?�". s r.a _ t :¢ i:.ay� i P ,w 33 4 i .,t aaSv a r"f• G vit,5' 5 3 "� t.t r } rF ,g T: t:i, t r .1 1 a'+ .,"a'r s >" w A „r ��'. :3 .` :;' Y s'w„ f : ha. 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VYs 1. } A®d1lE'ii' 'I`OVV POINT OF ADJACENT �, ����+�, ,�, ', � ij #�111 ; RO,�D YIL. ' , ' f SCALE "==40 / OATS t /Z//�t�j,9, ; tc1 __ ,Zt*' EL'DMOGE E NGIN ,`NG C® / ' : y�f rh✓� k'' CERTIFY THAT :THE K�uN�s TI o`�✓ §� : ,f,K _ -:_ 5� . CLIENT ..---- 1 . I &M01dIN ON . THIS PLAK,:M 3��OCATE® ,'I a"rig _' k� 1 EGISTE�ED ;` G S EKED ` J0� NO ,{7 9®.Z 6 ( tab ?ME CRIllOURID AS I ®ICAO -6,AND 1 I � Y tCkYIL ,u' I � �'�, ANt) ,�, ,,� CONF TO TF4E:; ZOMIPdO LA�� ?r r t ° i�?> NdI:RIEER �L ° � t,VEYOR , ,.t � � OF G` f; E t . `` � z�y - 1..r" ; r ,f C a:,.- € fji14.. t+ -:'+>4 �)y��� �j /"�� ",,�, � a}gaar ,�.Vi ,t- - e c �i 'r - r`.'T r'"' � Y !' _ ./ _ d_-12._ d„ 4 �.n xy 4a. : a�°; '. 3?�l+l0PAAIN �ST' . ° 't'a a '<�'125 MAIM ST`::. �� /fit /'n � x ��fi SO.18,RAI�Ot3THI MASS. HY74 . : .:MASS.$HEE�T Z•OF / �..: REG. LAN® SUNVE�lOI R x AiAss°c:.s map and lot number ...:... ........:..... — you TNe Toy Sewage Permit numbe ... ...: ' ....... SEPTIC SYSTEM MUS I N cj!�A I!..1,.C D'I I� CO IMI('� STA LE, i House number .......................:.. .... '' _E EA AG& 2639. 5 ''°�to yar a`e TOWN OF BARNSTABLK a BUILDING INSPECTOR APPLICATION FOR PERMIT TOl.F....... ... TYPE OF CONSTRUCTION ............/N ' 'r1 ...............................:................................... � 9 ..... :. .............19�.! TO THE-INSPECTOR-OF—BUILDINGS:-- The undersigned hereby applies for a permit according to the following information: Location .....Lf....ed 1 �`...G.J.IC4`/ G..r��/➢/1�/1j � ...................... ProposedUse ....... .. /. .. ...........................................................................1.. ............................................. Zoning District .........Fire District �1/✓ /„„ y ` - Name of Owner W.`.. Address ... ��C� "^'' /l/)/Jl� ............... Name of Builder .......... Address A� ��,r ........ ,� �-................... ..................s........�--............................................ Nameof Architect ..................................................................Address ............................ ....................................................... Number of Rooms .............�..............................................Foundation ��� f�fi�it��! Exlerior .....(_ ......................................................Roofing f ........................................................ --7� �/7 Floors ��'���.. ....f.,.�.!a/��/................................Interior .............�i�%r..).,,................................................... - Heatin111 .�1.` ...........................................Plumbin Y... .1�.. / .. Fireplace ................�......................................................Approximate Cost ....... ........................................ Defiriitive Plan Approved by Planning Board__- -- ______________19� _. Area � � ................. . Diagram of Lot and Building with Dimensions Fee ........................ ... SUBJECT TO APPROVAL OF BOARD OF HEALTH N� I hereby agree to conform to all the Rules and Regulations of the Tow/of Barnstable regarding the above construction. Name . .. . ........................... 'Greenbrier Development Corp. )j�' - ,.219 2 or ...... .......... c. ....... ....... Permit f single familv dwelling................... ..................single Location ..........69..jq,reen.b.rier...Lane............... .........................W6 ..H nipp.qrt................... Owner ........... .&.nbri.e.r..De.velqpMept........ Type of Construction ............fr.=Q................... ................................................................................ #12 Plot ............................ Lot .......... ..................... January 7 80 Permit Granted ........................................19 Date of Inspection ....................................19 -2 .. . 'Date Completed ..../I . .... 19 f PERMIT REFUSED .......... .......... ........... ... ........................ 19 ........... .............................................................. > ...... ...........r ....................................................... M........... 4r........................................... ................ ............................................................ Approved ....... 19 ............................................................................... ................1.............................................................. p Assessor's map and lot .number ...... +!t%f�%� ...°:72.`.r T1 n THE Smewage Permit number 8i�....U../`,..•.........../ ./ (/�-�/�y-""��'l\/ .. ll� ,� - l 1 F` t MAB6 • Z BABHSTADLEI, • House number .........................:.. ..:.................... ...... .....� ro po,1639. \0� 'FO MpI a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ........;...:.....:.........................�........................:...................................................... .............:. -t w/ r'� .....` • TYPE OF CONSTRUCTION �:::i:::.:.........:......:........................................................................................... ................%/............................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...../% .r :✓°.'`..• ( a .1...Q!1;../,. `{ ....,w Jfi:� ..f'. ... ? ` i>L?)r': °�� 9✓i ..................................... x Proposed Use ......._� ...!.......................................................................... ........................................................... r.. ........ Zoning District ....., .......................................................Fire District /�!�4�N"? .... ._ ............................................. r. Name of Owner f !!h::�,, �1�: .... !.....�-�!!?!�'ry.......Address .. ": :� ......�..K............................................• � 6 Name of Builder ............. .. .. .. ........ ..Address .................. ..�...--:......... ....... .. .. ... .. ........ ........ Nameof Architect ..................................................................Address ........................�............................................................ Numberof Rooms ...............,::.................................................Foundation ...........................�................ �............................. Exterior .....# � Roofing-�..�/!.. .... ` ................................`......................... ...... .� ....�............................. .................... r / Floors ...............................Interior ....:.�s./�� � 7 ;✓ .......................................................................... Ae- Heating : .............. .............................................. g ..................� Fireplace ..................................................................................Approximate Cost //�,..•� Definitive Plan Approved by Planning Board ___f C' `___________________19 _. Area .t ...................._ Diagram of Lot and Building with Dimensions Fee � � . .......:..... .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �J(�1 I hereby agree to conform to all the Rules and Regulations of the Tov✓n/of Barnstable regarding the above construction. Name ............ r t Greenbrier Development Corp. A=268-708 No 21922..... Permit for ......one story sinple„family„dwelling Location ..........69..Greenbrier„Lane West.. iysnni sport.................. Owner .Cxe .p)?)ier„Development„Corp.,,,, Type of Construction ......Er Q......................... ............................................. .................................. Plot #12 .......................... Lot ................................ s Permit GrantedKJ�a:n-ua.r.y..7...............19 80 ........... .... . .. .. Date of Inspection ..... ..............................19 'Date Completed ... ..................................9 s , PERMIT REFUSED ................... 19 ...... ... ! .... ..... ............ ............................................................................... ............................................................................... Approved .......:........................................ 19 ............................................................................... ............................................................................... TOWN.OF BARNSTABLE BUILDING PERMIT APPLICATION Map E 8` Parcel /S' 0/4 Permit# 0 Ld Health Division Date Issued Conservation Division Fee ,�o Tax Collect ` � •�- ��' Treasurer Planning Dept. ��✓" Date Definitive Yan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address l ; oc!e A-Z VillageT��a������r� Owner Address Telephone Permit Request d e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation /. 3UU Zoning District Flood Plain Groundwater Overlay oy Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use /BUI DER INFORMATION Name w Zdc� � Telephone Number �7�—7o d� Address /"� � r�.i�� ��� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY s _ PERMIT NO. . t DATE ISSUED - MAP/PARCEL NO. ADDRESS e4,. ' VILLAGE S OWNER : DATE OF INSPECTION: t FOUNDATION f Y FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ` DATE CLOSED OUT, ASSOCIATION-PLAN NO. '" The CornmvnwealtJs of Massachusetts Department of Industrial Accidents '-_- Office otlaaestJgadoAs 600 Washington Street >� Boston,Mass. 02111 Workers' Compensation Insurance Affidavit :ut'iinat-matimtst �������������i; WRIT . . . .������ name: d7N location: • cin .aGphone# -7�— 7®� a omeowner performing all work ms'seif am a sole proprietor and have no one working in any ca achy I am an employer providing workers' compensation for.my employees working on this job. comninV name: address .::::....::...:. citv- insvrncc cn. oiicv 92 92 I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below whc have r the :011olczng workers' compensation polices: comnanv na m e- address- : .. ..:::,. hone#'.:;::;>;.;::>`:<>: city: - iti: •:(:{"';:;:;fin;:i'i{'i.':; ......................:::::•:.gin::.�:.�.�...:.:... .. �a - Insurnnce cn. o.• comnanv name: ::::.:•::::;..: ... address: cit"7 :.: ,:;::.:;.::.:........ ::..:..... . ... Faiiare to secure coverage as required under section 2'...A' of MGL 152 can lad to the imposition of etiminal penaitia oia Bute up to 51,500.00 and/or one veacs'imprisonment as well civil penalties in the form of a sTOP WORK ORDER and a Bae of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the OMCe of Investigations of the'DU for coverage verification. I do hereby certify under he and penalties of er'ury than th in ormadon provided above is truce and correct Date Sienature �k/ — Phone_# Print rinme �•�J �r.' ; ''/ use„rdy do not write in this area to be compieted by city or town oincial r, petmit/iicense M ❑Building Department city or town: ❑Licensing Board ol ❑Sdecanen's Office rl check if immediate response is required ❑Health Department contact person: phone#; Other ,,i Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",an emPioyee is defined as every person in the service of another under any come- of hire, express or implied, oral or written. An employer is defined as an individual,p artaership, 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 re�-ive: trustee of an individual,parmership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments�d who resides therein' or the occupant of the dwelling house of another who employs persons to do maintenance, consttnction or repair work on such dwelling house or on the grounds thereto shall not because of such employment be deemed to be an employer. building appurtenant . . .. ..._ .. _... . . . . MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renes of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h: not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall into any co=aat for the performance of public work until acceptable evidence of compliance with the insuua=requirements of this chapter have been presented to the contract _ authority. Applicants f affidavit completely,by checlang the box that applies to your situation and Please fill in the workers' compensation an names,address and phone numbers along with a certificate of insurance as all affidavits may be k r o; supplying comp Y ��� �of insurance coverage. Also be sure to sign and .e � submitted to the Department of Industrial date the affidavit. The affidavit should be returned to the city or town that the application for the permit or lic=se is not the Department of Industrial Accidents. Sbould you bane�Y questions regarding the "law??or if yc being requested,are required to obtain a,workers' ==M policY,please call the Department at the number listed below. ' City or Towns printed legibly. The Department has provided a space at the bottom of t Please be sure that the affidavit is complete and affidavit for you to fill out in the event the Office of has to ca>=act you regarding the applicant. Please be sure to fill in the pemut/Iicease m=ber which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call.. r prim The Department's address,telephone and fax Cr. - The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Iuvesduatlolis 600 Washington Street _ Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext..406, 409 or 375 The Town of Barnstable + BAMSTABLL • 9�A "& .•� Regulatory Services rFo r w+° Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW. SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, - improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four-dwelling-units-or to structures which are adjacent to such residence or building be done.by registered contractors,with certain-exceptions,along with other requirements. Type of Work: P Estimated Cost�L o0 Address of Work: ,/ Owner's Name: Date of Application: ��,�� I hereby certify that: Registration is not required for the following reason(s): -- - - ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE- ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of t e owner: as o "/nz / �9 Date Contracto Nam Registration No. OR Date Owner's Name q:fonns:Affidav f� E CT WN 'Al i y t•. HYANNIS sT LOCUS 254� 140' `s rn / / �= N <�� LOCUS MAP N rM ^�' OJ - PLAN REF: 337/29 TITLE REF: 27671/154 111 PARCEL ID: MAP 268 LOT 78/012 L' ZONING: "RB" SETBACKS: 20'F-10 S-10'R rT1 FLOOD ZONE: "X WIND EXPOS: "B" Uof COMMUNITY PANEL: 25001C0564J DATED:07/16/14 / / / #69 / ~ FOUNDATION 'CERTIFICATION (AS—BUILT) I LOCATED AT: // �w W I -T 69 GREENBRIER 'LANE . HYANNIS, MA. 2 / LOT 12 � AREA=10,539:� S.F. z PREPARED FOR / N11•Ao�56 E ALAN D. 8c RONDA i - _ GODIN H OF ygSS' �� oy SCALE: 1"=20' 0 EDWARD g 6� M o A JANUARY 5, 2016. LOT 11 �' STONE N N�s i o 0 MacDougall Surveying �c Associates P. O. Box. 2428 GRAPHIC -SCALE 1 { Mashpee, Ma. 02649 20 0 10 20 40 f 80 PH. �508�419-1086 fax 508419-1087 email: ( IN FEET macdougal1survey©com cost.net i inch = 20 ft. 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PLAN DRAWN BY: TPC PAGE 508-888-3838 SCALE: 1/4" = 1'0" GOXCOP�MSN:COM • DATE: 11-10-2015 3 R .51 I I I I I I 1 I 1 I I n N (/) 0) N N • • I I- I I I I 1 I I I l m 00 .P v I 1 .I •. I I I I- I I I I X N T N • I I 1 1 i 1 t - I I 1� I O m z m (A) e N m w x Z m o m Z r Z Z m Z I- N C O O O O Z 0 (o .ww J to = cn can Z x x O oo rn oo H N X x ? A N O > m x = z 0 o 0 z cn rn o 5 �n o < m 1�1 �- < v V N tP N w r r m Xa` m O O m m Q3 v O v A X 07 W W - m m m x = O O (n C) Q Z O v v o O A m � N O � W ` m m m O it -J kN -n N O v n N ► Z A c A 4. < 3 O v Z - Z N F' O D N O T tD m 1_ - N W ri tD J J J x _ } CTl Ul CT1 Ul m O 3 2x& GEILIN& JOISTS ABOVE g lfo" O.C. m 0 _ v 0 m o O a Z w w �- o o m . 0 _ - - -. - pOMMOp� O GGn' On o i (?,;-A � n y �p0m 31,-6. ` ,10�-6�� 14-oil D PROPOSED GODIN RESIDENCE, ARCHITECTURAL DESIGN SOFTWARE FLOOR PLA 69 CsREENSRIAR LANE HYANNIS, MA. 02601 COX CONSTRUCTION COMPANY 6 WINNIES .WAY EAST SANDWICH, MA. OPENING DRAWN BY: TPC PAGE: 508-888-3838 SG DUB r SCALE: 1/4 _:1'0„ . 0 COXCORPOMSN.COM DATE: 11-10-2015 - O FRAME ROOF: w C!3 0225 ASPHALT SHINGLES u1 a 1/2" CDX- PLYWOOD .4"� EXISTING HOUSE GABLE END -2xIO' RIDGE BOARD �► -1 •, - CONTINUOS'RIDGE VENT � Z 2x8 RAFTERS i 16" o,c. jy O ul _ (W/HURRICANE CLIPS k 2x6 COLLAR. TIES 16 o.c.. m 2x8 'CEILG JOISTS s 16" o.c, w _ r Y 0- -T HURRICANE TIES At ALL (p. RR PLATE CONNECTIONS VENTED DRIP,EDGE TYPICAL CEILING ASSEMBLY: I/2"'51-11JE-50ARD W./SKIMCOAT PLASTERIII _� Q 6 mil POLY V.B. If 2x8 CEILING JOISTS ® 16" o.c; - " III IIII fill fill IIH fill I I R49 BATT OR CELLULOSE INSULATION TYPICAL 2X6'SIDING EXTERIOR WALL: , „ WHITE WHI CEDAR SHINGLES • - a fill fill III , l/16" PLYWOOD SHEATHING (VERTICAL) 4¢ tl� Z , 2x6 STUDS a `24" o,c, TYPICAL FLOOR,: RZ FIBERGLASS GATT INSULATION W/VAPOR BARRIER NISN FLOOR ON 34 T4G PLYWOOD SUBFLOOR V k ' 2 4 GLUED 4-FASTENED 2x10 FLOOR JOISTS 16" AND .1/2" BLUE-BOARD W/SKIMCOAT. 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PREPARED FOR ALAN D. & RONDA GODIN OF MAS SCALE: 1"=20' EDWARD STANE NOVEMBER 12, 2015 / LOT 11 No.289 --- / MacDougall Surveying Associates P. O. Box 2428 GRAPHIC SCALE Mashpee, Ma. 02649 r 20 0 10 20 40 80 PH. �508�419-1086 fax 508419-1087 a email: IN FEET ) macdougallsurvey©com,,cast.net 1 inch = 20 ft. . SHEET 1 OF 1 J 1791