HomeMy WebLinkAbout0034 HAMPSHIRE AVENUE 3� -Narn�h,ivy2 -Ave-,
� T Town ®f BarnstableRd
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1= 1 Post This Card So.That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
�ttt,�y �,bs4. Posted Until Final Inspection Has Been Made. .
\goo-/0 Where a-Certificate:of Occupancy is.Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit
Permit No, B-17-3779 Applicant Name: LEBLANC, KERRY D& LAURA A Approvals
Date Issued: 11/27/2017 Current Use: Structure
Permit Type: Building-Addition/Alteration - Residential Expiration Date: 05/27/2018 Foundation:
Location: 34 HAMPSHIRE AVENUE,HYANNIS Map/Lot: 309-028 Zoning District: RB Sheathing:
Owner on Record: LEBLANC, KERRY D& LAURA A Contractor Name: Framing: 1
Address: 333 OLD STRAWBERRY HILL ROAD' Contractor License: 2
HYANNIS, MA 02601 Est. Project Cost: $500.00
Chimney:
Description: replace garage door with wail Permit Fee: $85.00
Insulation:
Fee Paid $85.00
Project Review Req: WALL WITH WINDOW ONLY. USE TO BE FOR STORAGE ONLY. Date: 11/27/2017 Final:
SPACE TO REMAIN UNHEATED.
y - Plumbing/Gas
V Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration-of the
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the.Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
_ Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
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' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
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Map Parcel O� ®C� Application #
Health Division p� c� Date Issued 2"�
i
Conservation Division �Y4 �>-' Application Fee
Planning Dept. �d'� Permit Fee
Date Definitive Plan Approved by Planning Board �,�
Historic - OKH — Preservation/ Hyannis
Project Street Address Jb1- Q� ✓✓� as
Village �`�i a ri r\,1 S m R rO ZA D O
Owner M Q rU Q r► ►1 Address 3 LI J Y C U 0 h nT S MA
Telephone S 0 -,z>7- " �t�� Ox too/
Permit Re uest �CiCL C-Q, 010, w Lt Q� LAJ Oil
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Val.iation S, s 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
APPLICANT INFORMATION -
(BUILDER OR HOMEOWNER)
Name ✓�, (� n W n �t q �( 9 3+X
Telephone Number j
Address 3 0-Ovel ),05koc cl y License#
�l Ch n V�`�S Yh A O Z(�o ( Home Improvement Contractor#
Email VV � g L i DL Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I� l7, ✓S r u �' 1
f rye ( s Tr q n.C4 c / S-1 0,4 4 IN-1 of re(_t, r Q %S i dy-)
SIGNATURE ZZW DATE 10 _Z� — Z 0 f� .
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
i
s
ADDRESS VILLAGE
t
OWNER
�R DATE OF INSPECTION:
FOUNDATION
r FRAME
f-
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
I>
GAS: ROUGH FINAL
FINAL BUILDING
}
DATE CLOSED OUT
ASSOCIATION PLAN NO.
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.77m Cornmomrea.Wt of -M sadtrmetts
Deparkffent r�' r r trialAccic errts
. . _ 600 Washirzgtou y�txEet
Bast,on M4 02111
}nnu Tarr g#ry ia=in
Warlmrs' Canrpenszff=Inmrance c Lwit:Buitders/Ciaairactors/Eectdcians/Plunhers
AppEcaut. CGWMX .a Please print
Cifylstlat 'UL YA r \S MA ono
Are}eau an employer?Cfie the appropriate by T of project r
L❑ I any a em 1 � 4 ❑I atn a general emtmctor and I YI}e e J ( ���=
P° 6. ❑New consfmctiog
employees(full andfor part-time).* Have lvred.flie suer-conbactors
2.❑' I am a sole propziietoff argartuer Tested oathe attached sheet 'I. ❑RemodeHug
ship and bave no employees yeses sub-contractors hake, $., Demnlifioa
w forte in employees andh re wo&ers"
ar3ong � $ 9. �S•uilding addition
IN¢vypd rs! Camp_inset e, COMP.ksuran
required-I 5- ❑ We are a corporation and its 10❑Electrical repairs or additions
I[�I aura homeovm-er doing agwork officers have exercised fheir 1L❑Plumbingregaisc ar additions
Myself[No WMkers' rigfi£of ememption per&IGI. 7 El Roof epairs
iac
c.152 §lt4kandwehaerena 11rn=erequied]E , .
employees.[No workers' l3.❑Other
comp.imsurwma require3.Ji
•Azry app fsc cbedmbaa fl a�Rho snaartffie secfioab9awsfi=inc die umtk a CmpBnM60sporCpiU5==ffoa.
#So-meoavaerstcho sa5�t rlris tdfida[ iaecating tiwy ue dais alFwa�add tfiea haeautm@e�aa +*��st sohmit a nem�da�t mdicaIIno sacs..
fCantactos�zCebectidsFsbmcmvstatlarhed�mtaddiGcmalsbQetsSouingtBen�eofihesnls-comdisc�rxssndst�eevrheRhetarnot8�oseentitiQsha��
smplueas wthesab-can:tactueshave empIafets;they pz=de dLw=d,,W gip.J,,HU aM bM
I arrr art erspr ifrrrf isprmirtg tvarkers'sanresrritart iasrirarces�'or rrr�*elr>pla}�ees Sefo�v isYitepoficp arei jofie
Fn,,,�armcrttan - •
Insurance Company.Naffie:
•Paficy,or Self-sn&UC.; piFatiauDate: ,
Job Tite Address City/5lafel a: ,.
Attach a•coPy of the workers'c0r3pensati0dp0Hcy,dec?ar•afion page(showing the policy nwinber dad espu-Aon date). .
Failwe to secure coverage as r equirednuder 5ec(iaa 25A of MC L c-152 can lead to the imposition of criminal penalties of a
fine up to$1,54a 4a andlor one-year imprisgn-1 as well as civil penalties is i e fo=pf a STOP STORK ORDER and a time
of up to$230-00 a dap again fine violator. Be advised that a copy of this statement.maybe forwarded to the Office of
IaresEgations ofihe DIA,for iiasl—ce-coveaage yzriff tiou-
T do hereby
carfiffy as tTTsp ra r 1� 'flmf t7re uc;ar vrrprm rbsd abw�e is Lars aril/correct
t},f kid tcse milt' Do not wrke in tfds area,ter be.campfeted by c4 artown official
City or Towa: Permitll;cease#
I'ssmng kuthmrity(circleone).:
L Board of Health I Dn3Tffibg Department 3.City1Town Clerk 4.Electrical Fnspector S.Plumbing hapector
&Other
Caifact Person.' Ph,&ne#:
army afian and Tusft uefious
MR�c ]ra�etfs cehcai LELws chapfm-M regal a1I�°Y P ae ' i°n forfbea�ploye�s-
Pms fn this sty,an employee is defined as¢;eve;ry peason iniho service of another u ad=any cmffract ofhire,
express or iErIplit-A oral or wrabmf
arfn associ�i5an,cozpor�iOn or other IegaI eazbiy,or any t�vo or mare
&y�-ys d��e��fined�,j�ar-an meal,p � of a deceased employer,or•Hie
of the foregoing=jg �m-Joint e�alniSe,and mclndmg he legal repres However the
rcc-cl r or traste�Df an fig&i&ML per,asoeiafim or othcrIegal�.tY,cmPly�PIDy '
owner of a dwell house having not more than three ap�tn=ts and who resides therein,or fhe occrr�t of the-
dY,*eiIing house of another who employs pe$saus to dD mai�ce,+o=L—adicyn cr repair wDric on such dwelling house
or on the gro5n09 or bmIft apP=[h=anfihiercb shallnotbcm=D ofsnrha employmedbe deemed to be m emPloy="
M(3L d apinr 152,§25C(6)also sides that-every state nr local Hemming agency shall witTihold ffie issuance ur
renewal of a Ticease or permit to operate a Taudness or to construct buffd aV in the commonwealth for say
mcirra n ce.CDYerage reQna'ed-"
applicant•WTio has notprDilaced accpptable evidence of cdmpraamwn the ofits oIifical subdivisions shaI1
Adaionally.MM:.chapt m I52,§25C(�sWts-NMffier the nor a'ny P ;,,�,�,haIL
enter Mto any=tract for the p W ofpnblio wmk uotl acceptable eYideace of campliancewifh the
in the MIDI dy_-"
. reams of flois chagtra bare bra =e� —� _ .
A.ppli=rfs
PIe ase fih oil file was'compensation affidav¢compldnty,by ehe- S �boxes$at apply to your sifaaiion and,if
nmessarn YOPPIy sab- r s)name(s). addresses)andphonenumber(s)aIongwit}i their Ica,-Cs)of
ias=mce_ Lirnited Liability Cameanies(LLG)or Limited.Liability,Parta=aips(LIP)wrthno emaployee$ofher than the
members or partners,ff e not rued to cagy wadcm-e=mpmsaf ion insurance. If an LLC or LLP dDes have
employees,a.policy is required. Be advisedfntthis a:E&-Vkmaybe snhmitted tD the Depaitment of rndustrial
Accid�mr c)nEmmatim of insmmce coverage- Also ho sure to sign amd dateaxe affidavit. The affidavit should
be•reizsmed to-.e city or town that fhe application for the Permit or license is being requested,not the Dr-partmmf of
LIAO cd,i aT AC idMis. gwuayou have any gaesdans regardmg th o Iaw or if You are rcgaimd to obtain a woricers'
compensafionpoliey,Please can thoDepartmextatffienumberlisfadbelov! Self-ms�sed�mnzes sTionlde�rtheir
self-i ==e Iic=se number on the appropuafE Ime:
City or Town Of@c7ak .
Please be sore that the affidavit is complete&d.Pri3ted Iegiihly. Thm Deparfmmthas provided a space at fhe bottom
of the affidavit for you to fill out in ills event the of oflnvestigat-i=has to coMfactyouregardmg the applicant
Please be sure to fill in the permit Ucrose M=ber which wM be used as a reference abet: In addition,an applicant
ffiat must submit atuldple permi Hcen se gPIjt:Eh s in say given ycar,neei only submit one affidavit buH sung coa eat
p oIicy in,'hzroation(ff n=C&`-ary)and under"Tob�y+��ress�°the appIica�should vie:-aII locations in (may�
has been officially sfampe�or m�dced bythe city or town may be providedth to e
town).-A copy of the affidavitfhat
applicant as groofthat a valid affidavit is on file for fufine'pe=nits or Iice�ses A new affidavit�sst be fiIled out catch
year.-Where a home owuec or citizen.is obtaining a license or permit not related io any business or commercial v �
(ie_a dog license ojp.=itto bumIeaves eft.)Saidpegson.isNOTr�ed���this affidavit
The office of Ind would hike to thank you m a dvance for your cooperation and sbauId you have aIIy gn��,
please do nothessifatr to givens a call_
Zhe gepartmeut's a d&-me,tnlephone and fax numbev .
C�a=Im- Stb�of chi
• �afalAc��nts •
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AWC Guide to Wood Construction in High Wind Areas:110 in-ph Wind Zone
Massachusetts Checklist for Compliance(7s0 CMR 5301.2.1.1)1
Q Check
1.1 SCOPE Compliance
WindSpeed(3-sec.gust).........................::............................................................................1.............110 mph
WindExposure Category.....................................................:............ ...............................................:.............B
1.2.APPLICABI LITY
Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories
RoofPitch ..........................................................................(Fig 2)........................................... 512:12
Mean Roof Height (Fig )................................. _ ,
BuildingWidth,W...............................................................(Fig 3).....:.......................................... _ft 5 80,
BuildingLength,L ..............................................................(Fig 3)................................................._ft 5 80,
Building Aspect Ratio(LNV) ...............................................(Fig 4)................................................. 5 3:1
Nominal Height of Tallest Opening2 ...................................(Fig 4).........:...................................... 5 6 8
1.3 FRAMING CONNECTIONS `
General compliance with framing connections......................(Table 2). ................................ ........... ....
2.1 FOUNDATION
Foundation Walls7 meeting requirements of 780 CMR 5404.1
Concrete........................................................................................
.......................................
ConcreteMasonry................................................................... ................................................................
2.2 ANCHORAGE TO FOUNDATION 1,3
5/8'Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only
Bolt Spacing-general................................. ........(Table 4)............................................... in.
Bolt Spacing from endrjoint of plate ............................(Fig 5)..................................... . in.5 6"-12"
Bolt Embedment-concrete........................................(Fig 5).................................................. in.z 7"
Bolt Embedment-masonry.........................................(Fig 5):........................................... in.>-15"
PlateWasher................................................................(Fig 5)...:..........................................z 3"x 3"x Y4"
3.1 FLOORS
Floor framing member spans checked ...............................(per 780 CMR Chapter 55)................ .........
P 9 (Fig )........:............ ...-ft512'
Maximum Floor 0 enin Dimension....:.............................. Fi 6 .............................
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 .
Maximum Cantilevered Floor Joists
Supporting Loadbearing Walls or Shearwall................(Fig 8)...................................................._ft s d
FloorBracing at 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
Loadbearing walls........................................................(Fig 10 and Table 5)........................... ft 510, ,
Non-Loadbearing walls...................... .............(Fig 10 and Table 5).................... , _ft 5 20'
............. .......
Wall Stud Spacing ........................................................(Fig 10 and Table 5)..................._in.5 24"o.c.
WallStory Offsets .........................................................(Figs 7&8)........................................... ft s d
4.2 :EXTERIOR WALLSs
Wood Studs
Loadbearing walls................. (Table 5) 2-x---ft—in.
Non-Loadbearing walls................................................(Table 5). .............................2x ft_in.
Gable End Wall Bracing'
FullHeight Endwall Studs............................................(Fig 10)..........................:.......................................
WSP Attic Floor Length........................:......................(Fig 11)............................................... ft 2:W/3
Gypsum Ceiling Length(if WSP not used)..................(Fig 11). ......................................... _ft 2:0.9W
and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11).............................. ............ .....
or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays
Double Top Plate
Splice Length ................................I.......................(Fig 13 and Table 6)...................................... ft
Splice Connection(no.of 16d common nails).....:.......(Table 6)..........................................................
A WC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone
Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)t
Loadbearing Wall Connections
Lateral(no.of 16d common nails)...............................(fables 7)......................................................
Non-Loadbearing Wall Connections
Lateral(no.of 16d common nails)...............................(Table 8).......................................................
Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans ...:..................................................(Table 9)............................... _ft_in.511,
Sill Plate Spans ........................................................(Table 9)..........................;.. _ft_in.511'
Full Height Studs (no.of studs)...................................(Table 9).................................:......................
Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
HeaderSpans.............................................................(Table 9).................................._ft_in.512'
SillPlate Spans..........................:................................(Table 9).................................._ft_in.:5
FullHeight Studs(no.of studs)....................................(Table 9)..........,.............................................
Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4
Minimum Building Dimension,W
Nominal Height of Tallest Opening2 ..............................................................................._5 6'8°
SheathingType.............................................(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)(Table 10)...................................................... _
Percent Full-Height Sheathing.......................(Table 10)....................................................._%
5%Additional Sheathing for Wall with Opening>6'8°(Design Concepts).....................
Maximum Building Dimension,L
Nominal Height of Tallest OpeningZ......................................................................... 5 6'8'
SheathingType....... ..................................(note 4),...................................................
Edge Nail Spacing............:.............................(Table 11 or note 4 if less)....................... in.
Field Nail Spacing.........................................(fable 11)................................................. in.
Shear Connection(no.of 16d common nails)(Table 11). .................................................... _
Percent Full-Height Sheathing. ... .................(Table 11).................................................. _%
5%Additional Sheathing for Wall with Opening>6'8°(Design Concepts).....................
Wall Cladding
Ratedfor Wind Speed?.................................................................................... ....................................
5.1 ROOFS
Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website)
Roof Overhang ...................................................(Figure 19)............._ft s smaller of 2'or U3
Truss or Rafter Connections at Loadbearing Walls
Proprietary Connectors
Uplift................................................(Table 12).......................................,....U= pif
Lateral.............................................(Table 12). ................................. .. .....L= pif
Shear..............................................(fable 12)..............................................S= plf
Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T= pif
Gable Rake Outlooker.........................................(Figure 20).............._ft 5 smaller of 2'or Ll2
Truss or Rafter Connections at Non-Loadbearing Walls
Proprietary Connectors
Uplift................................................(Table 14)..........,.................................U= lb.
Lateral(no.of 16d common nails). .(Table 14).......................................L= lb.
Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............
Roof Sheathing Thickness.................. in.a 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 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 and Figure 18b
2. Exception:Opening heights of tip to 8 ft.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 pressure treated#2-grade.
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• AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone
Massachusetts Checklist for Compliance(790 CMR5301.2.1.1)1
4.
a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height
Sheathing and Nail Spacing requirements
b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows:
L Panels shall be installed with strength axis parallel to studs.
ii. All horizontal joints shall occur over and be nailed to framing.
iii. 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 nail 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 Horizontal Nailing for Panel Attachment
-WHEN THIS EDGE RESM ON
FRAh11NG USESd NAiI.S
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1 11 I 1
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1 I 11 1
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DOUMEED E `-------
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See Detail on Next Page
Vertical and Horizontal Nailing
for Panel Attachment .
AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone
Massachusetts Checklist for ComP fiance(7sa Cmx 5301.2.1.1)t
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i I FRAMING MEMBER s
EDGE MFAMEDIATE I
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MAIL PATTERN PANEL
PAf r�CaE DOUBLE NAIL EDGESPAGWGDErAL
Detail
Vertical and Horizontal Nailing
for Panel Attachment
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AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone
Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)1
FAQ*: WFCM Checklist
Question: I understand if a new home is built in a town in a 110 mph wind zone
then the American Forest and Paper Association (AF&PA) Wood Frame
Construction Manual can be used to prescriptively design it. I also understand
that in some cases the home can be framed per the WFCM 1 oo mph Guide, if it
meets certain requirements including but not limited to aspect ratio,roof height,
number of stories, and exposure category (B). I have heard that Massachusetts
has a "modified" checklist that can be used instead of the checklist at the end of
the Guide. Is this true and what can you tell me about this "modified" checklist?
Answer: You-are correct on the items that you have noted. MA has modified the
checklist in several important ways.The MA version allows a roof with a pitch up
to and including 8 in 12 to not be "counted" as a story. Further it does not require
steel hold downs and straps in many locations if full height sheathing is used as
defined in the MA checklist. Further, if the building will have furring strips
installed in the ceiling abutting the gable wall then 2 x 4s installed on top of the
ceiling joists are not required. There are other changes as well that were not
noted here.
The MA version of the checklist was formulated in recognition of the highly
regarded framing methods used in MA for many years and wood framing that has
been used in North Carolina over the past 10 to 15 years which has performed
well in severe hurricane weather in that state.
Answers to FAQs are opinions of the BBRS Staff and do not reflect official positions or code interpretations of
the BBRS.
r .
OFTHE r Town of Barnstable
ti
Building Department
• snxivsr,►sre
Brian Florence,CBO
E p 39. a 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
as Owner of the subject property
hereby authorize t to act on my behalf,
in all matters relative to work authorized by this 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 Signature of Applicant '
Print Name Print Name
Date
QTORMS:OWNERPERMISSIONPOOLS
Rev:10/17
Town of Barnstable
pF'THE rok• _ Building Department
Brian Florence CBO '
Building Commissioner
sextvsTABIX
M'S 200 Main Street, Hyannis,MA 02601
iDlEo 39. ° www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEQWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: 3 '� w► a S I li y -
number street village
"HOMEOWNER": d r 'inr(,( Q►i ✓1 G 12,q IV T�►.J k V,(b
name home phond# work phone#
t.C�ll
CURRENT MAILING ADDRESS: S Lir , '� ✓�i4 S 1✓
VYI rk �Z
cityltown 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.
kC, vtj- !R-�
Signature of Hom owner
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 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required
shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);
provided that if the homeowner engages a 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 to amend
and adopt such a form/certification for use in your community.
9800 Fredericksburg Road
V 64
San Antonio,TX 78288
USAA®
01771 . 3SY2B. JSS1422489283 . 01 . 01 .221
PAUL ROMA, April 21, 2017
200 MAIN STREET
HYANNIS, MD 02601
Reference: Notification of Property Damage to Structures
Dear Building Commissioner,
This correspondence serves as notice to the Building Commissioner that the following claim has
been reported:
USAA policyholder: Kerry Leblanc
USAA reference #: 035406143-3
Date of loss: April 20, 2017
Address: 34 HAMPSHIRE AVE
Loss location: Hyannis, Massachusetts
You may direct any notice of intent to perfect a lien against the insurance proceeds within 10 days
of the date on this letter using the contact information listed below. Please include the USAA
reference number above on all correspondence.
Address: USAA Claims Department
P.O. Box 33490
San Antonio, TX 78265
Fax: 1-800-531-8669
Sincerely, CO
co
�! co
Daniel L Czarnecki
19537 - PROPERTY - COS Unit 4
USAA General Indemnity Company
035406143 - DM-01771 - 3 - 3752 - 46 130872-0716
Page 1 of 1
S.03SY2 B.000221.0001.0001.1.100000.Z.
CAPE CO®TOWN OF BARNSTA���
INSULATION 57:
[j7
TIATA GLASS STAMLLSS SPRAT FOAM SUSPSNDTD
BATTS DUTTTAS INSULATION COLINOS
1-800-696-6611 DI V
Town of Barnstable
Regulatory Services
Building Division
200 Main St
Hyannis, MA 02601
Date: 1-,}D—/z-
Dear Building Inspector
Please accept this Affidavit-as documentation that Cape Cod Insulation, Inc. performed &
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or„exceeds Federal & State Requirements.
Property Owner Property Address Village
Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings
Slopes ( ) ) ( ) ( ) ( )
Floors ( ) f ) ( ) ( ) ( )
Walls
�iVe►^�� (.u0r.k l��✓Jrarnzed .
Sincerely
H y E ssration,
sident
pe C Insc.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map__-' Parcel�OVv1 "' ` 'LC Application #a
Health Division ` r , v=.: Date Issued
w . ta 2'
Conservation Division Application, Fe `
Planning Dept. r ;,,.� Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address
Village
Owner r `e,&1Vf6,, Address 3IYA4, �tv!eXe_-'
Telephone hOp — 77h- 276
Permit Request ' �ti' ti �t/0� �112 v ° 9-�I h(�►�SS l CX!!w �j®Cd
; " C� Celt low 8® �e�ror� ouey qj
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation �d 00, Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
C_h /
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
APPLICANT INFORMATION
/, (i BUILDER OR HOMEOWNER)
Name ` r 551 Telephone Number 7
Address S -1 61 4��� f. '`�`'' License# �� m g
Home Improvement Contractor# 15 3�5_6/
Worker's Compensation # �Q 5 2
ALL CONSTRUCTION DEBRIS RES LTING FROM THI PROJECT WILL BETAKEN TO
SIGNATURE DATE ` ah Z
FOR OFFICIAL USE ONLY
` APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH .. FINAL
�t
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
6771
10 Park Plaza-, Suite 5170
Boston, Massachusetts 02116
Home Improvement Cgptractor Registration
Registration:. 153567
Type: Private Corporation
Expiration: 12/15/2012 Tr# 206433 ,
CAPE COD INSULATION, INC ''G
HENRY CASSIDY
455 YARMOUTH RD. f - nf e
HYANNIS, MA 02601
,'xUpdate Address and return card.Mark reason for change.
Address L] Renewal E Employment 0 Lost.Card
DPS-CAI a 5OM-04/04-G10I216
y
Office o-�r mer Affairs us ne. Regut tion License or registration valid for is u:v ida!use ^!,
H, 6W ` I �LCdP before the expiration date. If found return to:
Registration: 153567 Type: Office of Consumer Affairs and Business Regulation
Expiration: 1,2115/2012 Private Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116 -
OD INSULATION` INC
Ti
HENRY CASSIDY r.=p i _
455 YARMOUTH RD:_ t = 51f_—
HYANNIS,MA 02611=1 Undersecretary s Y t alid ith t si ture
Massachusetts- Department of Public Safch
Board of Building Re;,ulations and Standards
Construction Supervisor License
License:-CS 100988
HENRY CASSIDY
8 SHED ROW N.
WEST YARMOUTH, MA 02673
Expiration: 11/11/2013
Conunissioner' Tr#:. 7620
aoucars..4, c;ra
_._.....-._.__• - ,. - y .L Lea
Client#: 4597 CCINSUI
AC ?RD,M , CERTIFICATE OF LIABILITY INSURANCE ❑A I t.(NIIYUDpfYYYY
THIS CERTIFICATE IS IS2011
SUED AS A MATTER OF IN
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER/THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OF ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AU fHOR4?EO
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTAN :If the certificate holder is ce ADDITIONAL INSURED,the policy(ies)must�e endatsed,If SUBROGATION IS WAIVED,subject to
the cermi and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer--bjac to the
el'WlC le 1101der In lieu Of Such endorselrlent(s).
rlltiuUCCR
CONTACT
Rugurs a Gray Ins. su. Qttinnis NANIE: MargdretYDung.
.. PHONE;s1 -FAX __........_.........._--............_.:.._E ou(c 1"s i uc.No Ext(:508-760 4602 A/c Nu: 50f3 258 210-2
P U 'tSOx ItiOl ADDRESS: youngmaC0rogersgray,conl
PRODTJCER
SuUIR Dennis, NIA 02660-1 GD-I CUSTOMER IUA T ____
li•;�UncU ___-...__—..__..._._.___._.__...__—._—�_^ - INSUR6R(S)AFFORpING COVCRAGG __ NAIC_R_
CzipJ- Cod Insulation Ir1c_ INSURERA:Peerless Insurance �� 18333
,155 Yarmouth Road INSURER Q:Ohio Casualty Insurance Company
HY Innis, NIA 02601 INSURER C:Atlantic Charter I nsurance -
INSURER 0,Commerce Insurance company - 3:1754. ,
• '" INSURER E: - .._ ---•.,-._ __�—...—.—
INSURER F:
CERTIFICATE NUMBER:
ReVISI
:L` I I Y TrI q1 T I-IE POLICIES OF INSUNANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED AEIOv OFOR THENUMBER:
f'CILICY PkRli)u
d,L I ILt! I`i01y'I'TH6'I N,4DING AIVY REOUIREA4ENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WIT I-I RESPECT TO WHICH THIS
C'N I Ire(;ATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED QY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL.THE TERMS,
'r:.�(1USi0Nsl+.NL)CONUII'IC�N Fi QF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
fSR
ry IYrt QF OLICYEFf POLICY LXP
SIZ r) POLICY NUMBER rylMlpp/YYYY NwDOIYYYY L1111rI S F q akNEiuL rw tlurr CBP8263063 . Og14112011 Qg1011201 t Acre QL;CUKKl NCI-x .
11 DU�DDO
- tNAIR
-al ) a OOP, ,ODO mcu exr(rv)y meta pul-'jo(j) J'5•000
a AUY INJufiY 0.000,000
tn
GENERAL AGGRECAT .�12,QQQ QQO
---
PRoOuC'rs Cana IQ1 Ace y,2 000 000
T Auromou tI K) tlunY 11MMBCKVMK 4101)2011 04101)201 COMBINED S INGLE LIMIT
V �AUIc, - (Ea aca4.nf)
BODILY INJURY(I'ar
A -.I n•Gtlf tU r10 r�5 BODILY INJURY(PnI ua.�Wdnl) $
X
U I�U) PROPC-RTY bAMAC6 _ --------
i nU0 �• I�
x f-lVr1.;.1Y41vk-I1 rjlll'US -
B ff-111
L A LIAa X o(.C4M UUOU545114645 410112011 04101)201 EACI-I OCC:URI"&ENCE 0,000,000
LIAti ..—__..._ .—_
CIAi V15 tvWDF
AGGRE dAIE L i 0004000
I.ilh li Ig1lL .•
--.._ .--- - --i --.._...
7.
10000 ,. -
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C v DR LKSNlr( yewvNSAll n- WCA00525902 " 06/3012011 061301201 X (��YIAlu-, OTII i AND anlrLorERy'uAalLn'Y
�I rh(a'h[ILItuPAR rNktil t-XtCUTIV'I;' - - v.
�rFn EFLINF MBtR EXL'LUQL:D° I IV I NIA - - E L.EACH ACL;OENl f�DD,ADQ
II i> lo,::idro unuer " - - E.L.DISEASE to EhIPl.OYEE Ii500,040
III,"I.RIPII(tIV(:}-OhFH;1TIONS 06lnw - E.L.DISEASE•POL ICY LIMIT t$QO,000
uCJGnIYIION ur UI'tIW1YUNS1 LQCAIIQN$1VEHICLES(Attach ACORD 101,A44dional RpfnerK*$4nCdwW,cavre apacew rcquircci)<
Workers Comp Information Included Offic„rs or Proprietors .
(Sea Attactwd Descriptions)
CERTIFICATE HOLDER ' CANCELLATION 10 Days for Non-Payment
$HOULE)ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN'
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORI:Fo REPRESENTATIVk - -
(51988-2009 ACORO CORPORATION.All rights ieseiv�d.
1(.D(tD«'S(?009I09) 1 of 2. .-The.ACORD name:and logo are registered marks of ACORD
1i568575iN168179. .
MEY
• _ The Cornrnonli)ealtll;ofMassaclzusetts
.Department of Industrial Accide77.ts.
Office oflnvesti&ions
- 600 Washington Street
Boston, MA 02111
wwiv,rnass.govIdia
Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians[plumbers
Applicant information Please Print Legibl_y
Name (Business/Organization/Individual): CA U 1'►d Tr U c
Address: YArrvrar� :-E
City/State/Zip: CC Phone #; r0 7
Are you an employer? Check th appropriate box: Type of project (required):,.
1.X I am a employer with —Z Q— 4• ❑ 1 am a general contractor and 1 6. ❑ New construction
ciriployees(full and/ofpatt-time).* have hired the sub-contractors'. .
listed on the attached sheet. ` 7. ❑ Remod'eling
2.❑ I aan a sole proprietor or partner-
ship and have no employees These sub-contractors have g, '❑ Demolition—
a " •
employees and have workers'
working for me in any capacity. 9. ❑ Building addition,
[No workers' comp. insurance comp. insurance.$
5..❑ We are a corporation and its 10.❑ Electrical repairs or additions
required.] - , .
officers have exercised their 11.❑ Plumbing repairs or additions
3.El am a bomeowner.doing all work _
myself. [No workers' comp._ right of exemption per MGL 12.E] Roof repair"s
insurance required.] t c. 152, §1(4), and we have no
13:❑ Other(,1,0g4k 't1Attr�3c
employees. [No workers. � .. �--- rn
- � ---�
comp. insurance required.]
*Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homcowncrs who submit this affidavit indicating they arc 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
cmployccs, lf.thc sub-contractors havo employees,they must provide their workers'comp.policy number.
1 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
inforrnatiort
Insurance Company Name:_ .14�-Q '('t P �CoAts
Policy# or Self-ins. Lic. #: ZS Expiration Date: �D 3G
Job Site Address:
{/ 2U CitylState/tip: � 0�6
Attach a copy of the workers' compensation policy declaration page.(showing the policyy•n,ut ber and expiration date).
Failure to secure coverage as required under Section 25A of.MGI a 152 can lead to the imposition of.criminal penalties of,a
ent as well as civil penalties' the form of a STOP:WORK ORDER and a fine
fine up to $1,500.00 and/or one-year irrlprisonm
of up to $250.00'a day against the violator. Be,advised that a copy of this.statement may be forwarded to the Office of,
Investigations of the DIA for insurance coverage verification.
1 do hereby certify u e pa' and penalties of perjury that the information_provlded above is true and correct.
4: 119
Dat
Sit?nature: - _
. Phone#:
o 7 ?s � /
Offei.a(,use only. Do not write in this a'rea., to completed by city or tonn of
fc(aL
f
City or Town; PerrnitJLicense#
Issuing Authority (circle one),,
I. Board of Health 2. Building Department 3, City/Town Clerk 4. Electrical Inspector:5. Plumbing Inspector.
6.-Other
Contact Person:T� Phone fi:
•
2-3 Y3
OWNER AUTHORIZATION FORM
A +
I, [�Eviv,24 Le t-ANG - t
(Owner'sName)
owner of the property located at
w ,
a
3 4 1-1 AAX d��►-t c reE Ale-
(Property Address)
(Property Address) V
hereby authorize f
. . v ,
(Subco r ctor)
an authorized subcontractor for RISE Engineering,to act onsmy behalf to obtain a building m
permit and to perform work on my property."
:Owner's S n
Mo v 2.0 !
Date , k