Loading...
HomeMy WebLinkAbout0033 MAYWOOD AVENUE (2) .33 1)2� wood =� y -------------- „z C® t� i� ���-2.-- S, � �— CHIC-- ��. ��� I i i � '� a �,, .. _ �.� A.s, woOdd y i I I i i j I { i I I 0� N/F p� ZONE: OgIFNp ' Peter B Lisa B Stepanek CC Og� RF-1 140. Area min. 87,120 RPOD S 63 04'00" E (min.) ( ) 140.36' Fronts e (min) 20' 1 � Width min) 125' � ' '--- �a Setbacks: o ' hed he I Fron t 30' a Side 15` c N N ASSESSORS REF._: Rear 15' Map 287, Parcel 129 00 �a FLOOD ZONE: . a Zones A10(el=15), Parcel 129 V10(el.=15),& C Community Panel No. Gg'pr� 1.43 Acres #250001 0006 D f July 2, 1992 . OVERLAY DISTRICT: AP — Aquifer_Protection District = N I certify that the new00 ZQ 2 foundation shown hereon My � b conforms to the setback mU o requirements of the Zoning M N Bylaws of the town of N C, Barnstable. 3 - NOFr �ti New Concrete o RICHAR Foundation IHEUREUX d' N #34312 �• 0 ►iR 09 w Gg�pN 17.1' d"r 1 Gg�ON/ fN M vo / �o a N 38.5' , 20'ROW TO NEWTON AVE `� _ N 6475'30" W 25,00 � G005 NO Pool 00) � \Q (01 Y O / n � / ` O PLOT PLAN -At 3� 3 Maywood_`Ave �5 BARNSTABLE, (Hyannisport) NOTES:. MASS. DATE: 25/MAR108 SCALE: 1"=40' 1.) The structures shown were located on the ground 0 10 20 30 40 60 80 FEET by conventional survey methods. on ,(or between) and 25/MAR/08: PREPARED FOR: Joseph F & Susan G Fallon 2.) The property line information shown hereon . was 124 Wellesley Road compiled from ,available record information. Belmont, MA 02478 3.) This plan is not -for recording and is not to be PREPARED BY: �� ^C �`v, used for construction layout or deed description 7 Parker Road purposes: Osterville MA 02655 DWG #: C268_2gl FIELD BY. MLL/DWB (508) 420-3994 / 420-3995fox 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map •3 Parcel / y Application ff Health Division Date Issued Conservation Division' Application Fee U GLJ Tax Collector Permit FeeFir.? Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board +, Historic-OKH Preservation/Hyannis Project Street Address 3 3 Vy1 Ay woo r Ave Village W�v G% ►1 n i S p o irk Owner ;T�� SCP H F CU A Address 1 :25 > Wt L-ltJLCV 6Zc?4-b Telephone P)m0)o 1T O2-y�� Permit Request By, Id a �2 S x /6 Pool iYOUS 6 ( PE-7-4--MOED) Square feet: 1 st floor:existing proposed 2nd floor:existing proposed _ Total new Zoning District Flood Plain Groundwater Overlay Project Valuation— '5 oup Construction Type W"L�) '47- -4 M Lot Size Grandfdthered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ;W Two Family. ❑. Multi-Family(#units) Age of Existing Structure Historic House: DbYes ❑No On Old King's Highway: ❑Yes ANo Basement Type: ❑ Full ❑Crawl ❑Walkout 3<ther 5&A-6 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 0 Number of Baths: Full;existing new Half:existing f new', . Number of Bedrooms: existing new_ J 1 c= Total Room Count(not including baths):existing Z0 new 9 First Floor Room CWJ t J : 'Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other ? a Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal sto e: ❑YW Lbo r Detached garage:❑,,existing ❑new size Pool:rYexisting ❑new size Barn:❑existing ❑new-*ze ' Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Pao L„ Hy uie— Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes AINo If yes, site plan review# Current Use Proposed Use L_ o vs .._ 3 c.. .^?c,.-.r...-. BUILDER INFORMATIQ:.�-�V?_`.Scup- S�8- (o - S30 Name Telephone Nu Address I a5 we (k5(� ', License# � fi • Home Improvement Contractor# Worker's Compensation#` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO_P'/Yi eA %71.h_5 H ' SIGNATURE DATE D "s - v r t, FOR OFFICIAL USE ONLY 1 APPLICATION# DATEdSSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: p FOUNDATION FRAME INSULATION ®� fo �`a' —b CLI c FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. x, t ,per The Commonwealth of Massachusetts Department of Industrial Accidents a Office of Investigations 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers'Compensation Insurance Affiddvit: Builders/Contractors/Eleetricians/Plumbe.rs _Applicant Information Please Print Legibly Name(Business/Organization/Tndividual): 1-0 Se p- Mdress: j 2- City/State/Zip: ' � l�Y�ri►-� Phone.#: ` 6 13 Are you an employer?Check the appropriate bog: :Type of project(required):, 4. [] I am a general contractor and I 1,❑ I am a employer with 6 ❑New construction . ..employees(full and/or part-time).* have hired the sub-contractors , 2,❑ Tama'sole proprietor or partner- listed on the-attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have g, Demolition employee a and have workers' *orking for me in any capacity. t. 9, ❑Building addition t [No workers' comp,insurance comp,insurance. 10.❑Electrical repairs or additions required.] 5. E] We are a corporation and its 3 I am a homeowner doing ill-work . officers have exercised their 11.[]Plumbing repairs or additions myself. [No workers'comp right bf exemption per MGL 12.o Roof repairs insurance,required.]t c. 152, §1(4),and we have no ] employees.[Na workers'. 13.❑Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating'such. Contractors that check this box mutt attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. I ani an employer that isproviding workers'compensation insurance for my employees. Below is.thepolicy and job site' . information. Insurance Company Name: Policy#or Self-ins.Lic.#• . Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the Porkers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK•ORDER and a fine of up.to$150.00 a day against the violator. Be advised that,a copy of this statement maybe forwarded to the-Office of" Investi ations of the CIA for insurance coves e verification, I do hereby r�i under th ins isd penalties of perjury that the information provided above is true and correct. Si afore Date: Phone#: Offtcial use only. Do not write in this area, to be completed by,city or town offcciaL City or Town: ' Permit/License# Issuing Authority(circle one): 1.Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other f r Town of Barnstable OF THE tp� Regulatory Services w BARNSTABLE, = Thomas F.Geiler,Director ,PQ MASS. vA 1639. A,0 Building Division rED MAy Tom Perry,Building Commissioner 20.0 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number j /per a street i village "HOMEOWNER": f e/�i� �t �``"" 7 6` - ;IV- name home phone# work phone# CURRENT MAILING ADDRESS: ©� 7 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s).who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109,1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department mini inspection procedures and requirements and that he/she:will comply with said procedures and reoi ents. Si ure of meowner 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 t amend and adopt such a form/certification for use in your community. °F1HET�,ti Town of Barnstable Regulatory Services va"MASSBi E ; Thomas F.Geiler,Director `bArFo;.,.& Building Division Tom Perry,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 Se ion If UsingA Builde j , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work autho ' d by this building permit application for: Address of job) Signature of Owner Date f Print Name i If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Sullivan Engineering Inc. 7 Parker Road, Box 659,Osterville MA 02655 �2 `7 508-428-3344 fax 508-428-3115 APPROVED PLAN March 4, 2008 Conservation Commission Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: DA-07035/Fallon/33 Maywood Avenue,Hyannisport Dear Commission, Please find attached copies of a revised plan for the above referenced project,which show a Proposed Pool House located just within the 100' buffer to the coastal bank. Footings have been poured for a Proposed Pool House located beyond the 100' buffer, g P p Y , but the owner has stopped construction due to an abutter's concern over views. The owner is willing to relocate the Proposed Pool House as shown in an effort to improve the situation if the Commission is agreeable. The owner has reviewed the revised location with the abutter, and received a verbal approval on March 3,2008. We have attached the the $25.00 fee associated with this request. I trust this meets your present needs. If you have any questions,please feel free to call. r Very truly yo Uk Uhn U a, Sullivan Engineering Inc. MAR - 4 2008 BARNSTABLE CONSERVATION Members of The American Society of Civil Engineers and The Boston Society of Civil Engineers TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I� r / 00 Map I Parcel ,A�t o# Health Division Date Issued 7�� Conservation Division G �� Application Fee Planning Dept. Permit Fee " 1 n Z Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village tlMNNt�) iP 5R T" Owner ,I-MePH A N D ` IW 03 E&LLO N Address t 7­4 LEy Xb F bELH 0 NT Telephone(Lot I)i6blo j 1A I 'U, PermitRequest DVAL-D f(,t-1��1 � NE13" 1;M 0E- /-A1/C— 'Ak 0� Tklb�2n V1zW- 1h00E WD I-ADl D V tkIN a6MtSG �y Square feet: 1 st floor: existing o0k�roposed I ` �'2nd floor: existing 1500�` t proposed .0 Total new 1 �-Z Zoning District Flood Plain Groundwater Overlay Project Valuation J2 `oc.W Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family d Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: dYes ❑ No On Old King's Highway: ❑Yes GVNo Basement Type: ❑ Full ❑ Crawl ❑Walkout YOther _TMA 644vd � O-A t l Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing L new Half: existing new Number of Bedrooms: lP existing 10new Total Room Count not including baths): existingnew - � First Floor Room Count a Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other Central Air: a/Yes ❑ No. Fireplaces: Existing Ii New _� Existing wood/coal stove: ❑Yes &-N* o Detached garage: Listing ❑ new. size_Pool: existing ❑ new size _ Barn: ❑ efsting ❑mew©ize_ Attached garage: ❑ existing ❑ new size _Shed: existing ❑ new size _ Other: " z— ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes VN o If yes, site plan review# " Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) \Name ����� (; �A IITI 1�� Telephone Number �� ) ZJ 4 3q�b Address 1,)K lT�j 5T pJEE:V License# C 5 — 10 3o l MMN N t5 p K A 0 2.1P O I Home Improvement Contractor# 2 b02 Email GLI M i3 5 t2 5 (D Y&h00 • CO M Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Y&PN WII Ur H SIGNATURE k DATE FOR OFFICIAL USE ONLY APPLICATION# •� fAITE ISSUED MAP/PARCEL NO. l ADDRESS VILLAGE OWNER DATE OF INSPECTION: y , 'FOUNDATION FRAME " INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t ' ASSOCIATION PLAN NO. 27te Comvromwi*h ofMassachuse fs Deparhuent nfhtr srstruaI Acddents - - t�`,�ce of�t�vesfigatiorts . N. 600 Wwhingtoa&reet Boston,,MA 02111 YVF4 m ynasmgoWdttt Workers' CampensatianInmm—ace-4-ffidavit:Builders/ContractorsMectricianMumbers Appllicant Infarmation Please Print Iep-ibly Name(1 smeasra nizationflndividnal7: j"11b �, N� TI��.� address: 4� `7 Pti tiTl-1 �7� T ri ( tyf5#atrizip: ,ACtJ?�"7 O`L�oO PhoneJW ptb A Are you an employer?Check Me appropriate bG= a Typeofproject 'o I ect(r��4: Li El Ima,employerwih A. I ama contractor and I 6_ New oans4txtcliou ioyees{full anV rpartAime}* have hired the sub-contractors. -mp2_ I am a sole proprietor or partner- listed on the attached sheet 7_ ❑Remodeling ship and have,no employees These sub-oontractors have ii_ Demolition e o and workers' r _ wenking for rne in any cagacriyr �td h 4_ [+wilding addition [Nd work s'comp_fiLsu anre comp_lnsuraum regnired.I 5. ❑ We area corporationand its lt3_❑electrical repairs oradditions ° I❑ I am a homeowner doing all work officers hav-e exercised their 1I,0 Plumbing repairs or additions .myself [No wcrk='comp- rig �fitof exemption per lVECL 12El Roofrepairs ins,xanre repaired_]I c_152,§l(4),and we hn a no employees_[Noworkoers' 13_�Other comp-insurance rsquired.j, *Any applicim that checks box 91 inns#also fin out the section belowshavria5 their vmIea'compensation policy inR=zdan- Hnmeowness who Snbaut this affidavit jl ttirCtm o they arT doing gII wo�c sad Bien h11E amslile couttacm[s most submit a new afdseit ink mdL =Cuntracmrs that check this box avast at�ffi additional sheet show the name of the and state whether ornot fisnse a affms have employees. Ifthe sob-conitactuts have employees,they must provide their warkers'comp.policy number. lam arz employer ihatis prm idurg workers'corrpousntiun insuramce for ray emp£nyeu. BeZaty is thepaUg im.d,job site infof ma-twIL Itrs rance Company Name: A I M P-W k'V1 a VV 17A, lM�'V, Policy 4 or Self-ins-Lim (0 0 l p 0 0 I'L 0 l 2 ExphmtionDate: (6 'Jo ' ? ` 1 t � Z t�►rob Site Aades Attach a copy of the workers'compensation policy dedaratiou page(showing the policy number and expiration date). Failure to se cure coverage as requireduuder Se ati=25A of MGL r 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year impriS nine nt,as well as ci ril penalties in the form of a STOP WORK ORDIR and a fine of up to$250-00 a day against the violator_ Be advised that a copy of this statement maybe forwarded to the office of Investigations of fhe DIA for insurancz coverage verification- I do£z erg by fy t tkapains and penalties ofpedw y Sratthe irzformation prmzdRd abase is truce and.correct Si lure: - Date: Pf Phone 007cia£use ore£}: Ike not Write in this area,far be completed by city or town o,f fZ'cial City or Town• Permitf Acense# Issuing Authority(curls one): 1.Board of Health 2.Building Department 3.Cityji own Clerk 4.EIectrical Inspector 5.Plumbing bnsgector 6.Other Contact Person: Phone#: 6 Information and Instfuetions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuautto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(t7 also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a Incense or permit to operate a business or to construct buildings in the commonwealth,for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their ceri_ficalc(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.- Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office.of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/licease number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be.provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address;telephone and fax number. The Commonwalth of M&-3sachu5iotks Degattmeat of Industrial Aacidezt office of kvestipti us �U(1�ashzngtan Stt�c� Bn,5ton=MA 02111 Tel.#617-727-490O Qxt 4Q6 or 1-R77-hIASSAFE Revised 4-24-07 Fax# 617-727-7749 WWW mas,,�,govjdia dF • swnr�rwm.a. jab, Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building-Division Thomas Perry,CBO -Building Commissioner 200 Main Street, Hyannis,MA_02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: .508-79.."230 Property Owner Must Complete and Sign This Section If Using A Builder I s Owner of the subject property hereby authorize A��vtKex to act on my behalf, in all matters--relative to work authorized by this building permit application for: 3 Ma Aix, ddress of Job) l •� S� l� Si e O r (,Gt Date k b IA rint ame If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN Muilding Changes\EXPRESS PERMMEXPRESS.doc Revised 061313 Mass. Corporations, external master page Page 1 of 2 w S C William Francis Galvin Secretary K i � b ryY b of A of Massachusetts m� {pry4 0� m HOME DIRECTIONS CONTACT US Search sec"State"ma us i SearOh Corporations Division Business Entity Summary ID Number: 262159789 Request certificate I New search Summary for: 33 MAYWOOD AVENUE LLC The exact name of the Domestic Limited Liability Company(LLC): 33 MAYWOOD AVENUE LLC Entity type: Domestic Limited Liability Company(LLC) Identification Number: 262159789 Old ID Number:000953950 Date of Organization in Massachusetts: 06-15-2007 Last date certain: The location or address where the records are maintained(A PO box Is not a valid location or address): Address: ONE MARINA PARK DRIVE C/O THE FALLON COMPANY LLC City or town, State, Zip code,Country: BOSTON, MA 02210 USA The name and address of the Resident Agent: Name: MYMA PUTZIGER, ESQ. Address: ONE MARINA PARK DRIVE C/O THE FALLON COMPANY LLC City or town,State,Zip code,Country: BOSTON, MA 02210 USA The name and business address of each Manager: Title Individual name Address In addition to the manager(s),the name and business address of the person(s)authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY JOSEPH F. FALLON ONE MARINA PARK DRIVE BOSTON, MA 02210 USA SOC SIGNATORY SUSAN G. FALLON ONE MARINA PARK DRIVE BOSTON, MA 02210 USA SOC SIGNATORY MYRNA PUTZIGER ONE MARINA PARK DRIVE BOSTON, MA 02210 USA The name and business address of the person(s)authorized to execute,acknowledge,deliver,and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY JOSEPH F. FALLON ONE MARINA PARK DRIVE BOSTON, MA 02210 USA REAL PROPERTY SUSAN G. FALLON ONE MARINA PARK DRIVE BOSTON, MA 02210 USA r Consent r Confidential Data r Merger Allowed D Manufacturing View filings for this business entity: ALL FILINGS Annual Report I'- Annual Report-Professional Articles of Entity Conversion Certificate of Amendment [View filings Comments or notes associated with this business entity: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=262159789&... 1/17/2014 Mass. Corporations, external master page Page 2 of 2 4w' New search William Francis Galvin,Secretary of the Commonwealth of Massachusetts Terms and Conditions http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=262159789&... 1/17/2014 r J Board of building Regulations ar,d Standards j Construction Supervisor a Ise:-6403617 PABLO C MARTNEZ 49 SMITH ST © t. HYANNIS MA 0260l J �/ � XiS2tOC Comznissiones W1712015 ✓fae TJf I)7//920�I�E2L�}y o�/�aaoac�u..aelta":Office of Consumer Affairs&B.-iness Idegn4anon 1✓ecense or registratiorp v Pik for indrvedrfP use only. HOME IMPROVEMENT.CONTRACTOR before the expiration.date. if found return to Registration-r-tazso2 type: Office of Con,sLmer Affairs and Business Regulation z•, Expiration 512012014 DBA 10 Park Plaza-Suite:5170 a CUERVO BUILDING+`REMODELING Boston;MA 02116 r e lit� .� - r PABLO MARTINEZ•, 49 SMITH ST YANNIS,MA02601a Undersecretary --- - -- ' — --... a , Not valid with q s,gnatm e y n ®Boise Cascade ; Triple 1-3/4" x 16" VERSA-LAM® 2.0 3100 SP Roof Beam\RB03 Dry 11 span No cantilevers 1 0/12 slope Thursday, January 16, 2014 BC CALCO Design Report- US Build 2627 File Name: P Martinze_Fallon Job Name: Fallon Description: Designs\RB03 Address: 33 Maywood Avenue Specifier: J Madera City, State, Zip: Hyannisport, MA Designer: Customer: Pablo Martinez Company: Shepley Wood Products Code reports: ESR-1040 Misc: �o 12 A, `fl' , 16-06-00 BO B1 Total Horizontal Product Length=16-06-00 Reaction Summary(Down/ Uplift) (Ibs) Bearing.- Live. Dead Snow Wind Roof Live 130, 3-1/2" 4,161 /0 7,858/0 61, 3-1/2" 4,161 /0 7,858/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description- , Load Type Ref. Start End 100% 00% 115% 160% 125% 1 Standard Load . Unf.Area (Ib/ft^2) L 00-00-00 16-06-00 15 40 06-00-00 2 Unf. Area (lb/ft"2) L 00-00-00 16-06-00 15 30 15-00-00 3 Unf. Area (lb/ft"2) L 00-00-00 16-06-00 10 25 10-06-00 4 Unf. Lin. (lb/ft) L 00-00-00 16-06-00 60 n/a Controls Disclosure..Summary Value %Allowable Duration Case Location Completeness and accuracy of input must Pos. Moment 46,862 ft-Ibs- 72.7% 115% 4 08-03-00 be verified by anyone who would rely on End Shear 9;651 Ibs 52.6% 115% 4 01-07-08 output as evidence of suitability for Total Load Defl. U318 (0.606") 56.6% n/a 4 08-03-00 particular application.Output here based Live Load Defl. U486 0.396" 49.4%• n/a on building code-accepted design ( ) 5 08-03-00 properties and analysis methods. Max Defl. 0.606" 60.6% n/a 4 08-03-00 Installation of BOISE engineered wood Span/Depth 12 6/a . n/a 0 00-00-00 products must be in accordance with current Installation Guide and applicable Allow %Allow building codes.To obtain Installation Guide %Bearing Supports Dim.(L x W)_ Value.. Support Member Material or ask questions,please call (800)232-0788 before installation.\n\nBC BO Post 3-1/2"x 5-1/4", 12,019 Ibs n/a 87.2% Unspecified CALCO,BC FRAMER@,AJST"/, B1 Post 3-1/2"z 5-1/4" .12,019 Ibs n/a 87.2% Unspecified ALLJOISTO,BC RIM BOARD TM BCI@,. z BOISE GLULAMTM,SIMPLE FRAMING Cautions. SYSTEM@,VERSA-L4MO,VERSA-RIM PLUSO,VERSA-RIM@, For roof members with slope(1/4)/12 or less final design must ensure that ponding instability VERSA-STRAND@,VERSA-STUD@ are will not occur. trademarks of Boise Cascade Wood For roof inemliers with'slope(1/2)/12 or less final design must account for Rain-on-Snow Products L.L.C. surcharge load.. Page,1 of 2 �Boisecascade Triple 1-3/4" x 16" VERSA-LAW 2.0 3100 SP Roof Beam\RB03 Dry 1 span No cantilevers 0/12 slope Thursday, January 16, 2014 BC,CALCO Design Report- US Build 2627 File Name: P Martinze_Fallon Job Name: Fallon Description: Designs\RB03 Address: 33 Maywood Avenue Specifier: J Madera City, State, Zip: Hyannisport, MA Designer: Customer: Pablo Martinez Company: Shepley Wood Products Code reports: ESR=1040 Misc: Notes Design meets Code minimum (L/180)Total load deflection criteria. Design meets Code minimum (L/240) Live load deflection criteria. Design meets arbitrary(1') Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results: Fastener Manufacturer: TrussLok(tm) Connection Diagram LI b d a e a minimum =2" c= 12" b minimum =4" - d =24" e minimum = 1" Calculated Side Load = 367.5 Ili/ft All Tru'ssLok screws may be installed from one side'of multiple ply VERSA-LAM beams. All TrussLok screws may be'installed from one side of multiply Versa-Lam beams. Connectors are: FMTSL005 Page 2 of 2' ®Boise cascade Double 1-3/4" x 11-1/4" VERSA-LAM® 2.0 3100 SP Roof Beam\RB02 Dry 1 span No cantilevers 1 1.2/12 slope Friday, December 06, 2013 BC CALCO Design Report- US Build 2565 File Name: P Martinze_Fallon Job Name: Fallon Description: Designs\RB02 Address: 33 Maywood Avenue Specifier: J Madera City, State, Zip: H'yannisport, MA Designer: Customer: Pablo Martinez Company: Shepley Wood Products Code reports: ESR-1040 Misc: 12 BO 13-04-00 61 Total Horizontal Product Length=13-04-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live. Dead Snow Wind Roof Live BO, 3-1/2" 1,341 /0 2,899/0 B1, 3-1/2" 1,029/0 2,175/0 Live Dead Snow Wind Roof Live Trib: Load Summary Tag.Description Load.Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area (lb/ft^2) L 00-00-00 13-04=00 15 30 01-00-00 2 Trapezoidal (lb/ft) R -00-00-00 83 193 n/a 13-04-00 129 298 n/a 3 Trapezoidal (lb/ft) R. 00-00-00 0 0 n/a 13-04-00 90 210 n/a Controls Summary., Value %Allowable Duration Case Location Disclosure Pos. Moment 11,616 ft-Ibs 52.6% 115% 4 06-03-01 Completeness and accuracy of input must End Shear 4,012 Ibs 46.6% 115% 4 00-03-08 be verified by anyone who would rely on Total Load Defl. U370 (0.42") 48.7% n/a 4 06-06-12 output as evidence of suitability for Live Load Defl. L/543 (0.286") . 44.2% n/a 5 06-06-12 particular application.Output here based on building code-accepted design Max Defl. 0.42" 42% n/a 4 06-06-12 properties and analysis methods. Span/Depth 13.7 n/a n/a 0 00-00-00 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(Lk W).. Value' Support Member. Material building codes.To obtain Installation Guide or ask questions,please call BO Post 3-1/2"x 11/2" 4,240 Ibs n/a 46.2% Unspecified (800)232-0788 before installation. B1 Posh 3-1/2"x 3-1/2" 3,204 Ibs n/a 34.9% Unspecified' BC CALCO,BC FRAMER@,AJSTM, Slope;and Cut Length slope Fascia Depth Horiz.Length Product Length ALLJOISTO,BC RIM BOARDTM,BCI@, Plumb Cut with Hanger to dbl. top plate 1.2/12 11-1/4" 13-04-00 13-05-15 BOISE GLULAM SIMPLE FRAMING - SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, Notes VERSA-STRAND@,VERSA-STUD@ are Design meets Code minimum (U180)Total load deflection criteria. trademarks of Boise Cascade wood Products L.L.C. Design meets Code minimum (U240) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition; Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: TrussLok(tm) Page 1 of 2 IASNBoiseCascade Double 1-3/4" x 11-1/4" VERSA-LAM® 2.0 3100 SP Roof Beam\RB02 Dry 1 1 span I No cantilevers 1 1.2/12 slope Friday, December 06, 2013 BC CALCO Design Report- US Build 2565 File Name: P Martinze_Fallon Job Name: Fallon Description: Designs\RB02 Address: 33 Maywood Avenue Specifier: J Madera City, State, Zip: Hyannisport, MA Designer: Customer: Pablo Martinez Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure z�I b d — Completeness and accuracy of input must L be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based c on building code-accepted design properties and analysis methods. • �—• • Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable e building codes.To obtain Installation Guide a minimum =2" c=7-1/4" or ask questions,please call (800)232-0788 before installation. b minimum =4" d =24" e minimum — 1" BC CALCO,BC FRAMER@,AJSTM ALLJOISTO,BC RIM BOARD-,BCIO, All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. BOISE GLULAM1m SIMPLE FRAMING All TrussLok screws may be installed from one side of multiply Versa-Lam beams. SYSTEM@,VERSA-LAM@,VERSA-RIM Member has no side loads. PLUS@,VERSA-RIM@,VERSA-STRAND@,VERSA-STUDS are Connectors are: FMTSL338 trademarks of Boise Cascade Wood Products L.L.C. l Page 2 of 2 PROJECT NAME: 0 ADDRESS: PERMIT# p'L�`� O ylP PERMIT DATE: I (7 M/P: LARGE ROLLED PLANS ARE IN: BOX SLOT C �— Data entered in MAPS program on: c( DILI BY: q/wpfiles/forms/archive T I i i ;CB�EjlD m� =Lal 0;INN rfllj[ Du wN I W v4 14.I'LI ZALAY TO r I 52e SY'•I I 1 I I I Sc 5!c• I I i3 uf 2 �r INC. F4c 1n V--Lw ire/ . I I LEF T�ELEVA IIO�,I I. UlJ NOTE: 4LL_ WINDOW-'- TO I1WV< S/iil j�Ly vt/ou r> �>:l-^✓cL5 N�};y- TO 5� J--N>'TN LLCb (�L N_I niC I-lv,�IC✓r�VS° n< Si`ta,H-/j SirU/-'/hS FR1Uhl t- 6LEy/IlloI,I - {o MPH �/. wueNeac �, c MR. M2S 'SUCl.9H� Fq�clocl cumw Via;. s aao�a rs ---%�c"•11'oc1 oAo�Roo.. o. 5�.0 - ��4, '^�'cs�"/il,'•*.e- ^s• 12 i�� _ sco(LCY�I 1•l, Alt/ G1bV1\TuI.1S ��^I OFM3p RE6-R_.L L E VI4 P_�(7MI �77 FE-T] FFI# El - V ilk .......... � -Tz.- -4H R, £ VM LS, 7v 5�Pn �-iA-LLON Yq"+,fool 33 "A Al voop 11-11e' riyv�.N���sPowr, rnv� EtL'V IFTI J6.15 _ onetwtn�F M� r „ . -u- �i FIDH ER . 56,E � �, � �n ✓,� - - - �' .. Lip (� F LooR 1'a1LCn I FLN� FtRCF zr.'(o x ZS 598� 3A. F•Rr -� Y 393 54 Fr C,6�%) i•I r 1'61 3G I� of `ixsr rLOOR. I J I w 2u6" .g a cAS FIRHTLACC 5 7 -� - s^� �6NCrl � L Y411 —' FInsT Tt_oor..--- SCCOND FLcaiL - f� hnlc aRtn � N MICHELC N 'c CUUIL0 $3 No.JA))/ STHUC')UNAL ec,,.. �`?ylr M{t � MRS• 7vSEP rI r'�4llvM hl•i,11 '�i', / �L c. /y.,,.I f-T novc anewN or Sw3 Gd C7LC OTIJAt UFfly c,53 any wouD AVE. liy WNN 15 7uRT, Iv'1 Yt �� FLOOR. Pt-vYNS cnewiec numocn Llx(c floss ro fO'�N DAilef.l — --� io I /,JC W4 13 DL'a 2 U•C. %" I�dD•M ENC' _ ( -. I_ z � � I ,r —. — __ —.— _ — — .—. — �e. 20 I\tJC�•luZ 2'I,� — IA'I-ii1 ? jvJ20f�hU-V<1 vIW` P.T.a0VM we J I DECK I416" sn� 9v I C- SLna II I 3�zzw 'I Poo:.�c cor.ur�ic ^_nom° 2,1yxli JAILS ,q_w7,1. 2�lYy°x9/iYfG 1 � j •i ' I I , S �_-_.—___..—lo'• r, (rl j'�C. '--n:•IC f ST f; i 9,6 w�Ir 2IDb" 1 Ih C�argh�HCnuCTU � ,5 � .. ' .✓MIN G� t3CG } I yIL" I,�4YG TOSTS Tv f-JJN D/Alai-i 0 `I/ f�YSf I-LOJM1 f-+�M�C �•I w„,nEti c� l 1-oU1�17.nT0,7� f ln,-hl 1\O d' MICHELE a4 CuMO ND.34774 { s,nuCTUNnI� MR £ nn!-'.5• 705c('YI ��1-t_LUU 4 '�y°' Ifur ogewn ar 5w c 12 2 'evice ur I ntv a eo 12 it. 05 7�jtlC� LGc�1/<, PC e.33 mA�/Wcob H�/Jlr mih j>orl I Vv�pr . _ hoJfjDA-Rom PLIA-N eP•.4Ned,FQIS ' � •. - C^r M2.4C-a G� FL'M A-Cl/'''1�L I A'v,XE . - N07ES;UHVY{C. £lxo��r»eNf k H•11-,^c kTCL Hr�t?sz C� ar Hlah ocP CEILING 'oe PlAce'D UW PT• �IXT Fu rm rt$0ve- Bf��15 Ito G/ ep" Ved 7"".11 nee2 3 23 Z 3 -..LIya s La.46.�.,) SrIG>=T r,e.I�L NO oPENINGf INr-Tl W/,Llf 1=L/,-i✓IL7� vv/ 7.T Zx b J IF li V¢C EWE,p. Is I CILJ-,CS Sq/S. 1 LAEL� IJ Cf�,rN. - S nn K' ReKg W '7L JiJ 1"LL I)s'hen LlL ww d du. }, ar,r c AEG B f ?LA-n_ 1 f-r/r,LA-6C W� -S y (5509 t 5-2,23.1.7) ��urtacr_"IP Al0ov5 l�-PF: - I— �CL.o5L-D GCLL a"./JSULr¢TUhI 1„I- l�•, � r.ar: : IS' / I Tv DCV5&rb -2eIrJEr MJD 3 qn-r 5'fUea c e-, 53tx,5� .. Fuasr,Ep j-^3 HCLF Fog Sro fa vo'J M5- , L✓r? EL• IZ 8 - .. `�eJ � 53Fr.� v;c.LrM/LorlP/Fcaho s77=,�c,NRA�L �e� _ or TO? i JJJ U n toI I ,3� I' x"4 FDM4 T,ohrp i--'- _ -- "---._ _ xu x x 3 3 —♦— � GRADC to l:X15TIlVG G5o 3'to" 53z31,9 r LIMV# C.L'P_T. G`I SU'-LIY%rN -NG, FRoI•IT V,dIN� f:,L.SJLveN/oe 'SD MA-/U_ A"L- w }LL S To DLfmoTL- fSFE of ,s' o'✓`, I MIGNEIE - . a cuouo - .S05t"V ri r-5p>/fw P o.crane\\I H�LLrJla �fn:.rtiac?/K�.?�' � �11`1'I(•,u? n Iov[o or. ISrl'1•IR CASE of CN IA C, - .. . I la' �TV \ 1� RooF (xlr*,a - - GrrRRCE NEYtDEItS� I _ I I V I I •DECK 3EN';� FLOOD 3.F.E. = I5.D -Fop F - FI r.117H eD SL✓'3 ° 12'6� P Vopmm w kLL N I _ wN cv FLno� 2E(DUMCMENITS UsE T`�1 iCAL Srl qlT N/'ALL sec oND FL��_ 2-/ Iln• x 16� �/h 11"f� YEl�ITS -CC�u STT[•�c norl ._�.._�.FR'F}t�'IE I =r1C�; k'N 3LUCKI NLi 4Y .Whlev� CD �NI�iLED ShILl1TH1Nd 3 ALL /rR0JN7 _ NO WIJRE T"rrrl 1' M3JVe ANISFIED CRhDE — TDT11L t=LOOP, AP,Y W S.M(H DF REI-TEF YOl IL PT 9„ II t. �t tJICNEI- �; N•�RtT4 UGTUFI�,I�' V, " sTn //:• Yh � Mtzs .7vsI.��I•r r-huo�.� o•Tc: 12 Flr I U9 ��C�i(;�De 33 ,M>1,�,�Tau Il,fC • =�W�o� HyirnlralSPor_-, rnn• i.,I. S'MUC-ru(L L w oaS�cOFMfla . IIY �J xIB.LVL R,'�61= BCY: SvT'I-tE'r Vt`N75 ~ �IL IL ' gjx(, ,�l.�o p„er•�ti�Lr - � P�C•.�17 n�R �Itrnl6lF.5 .. � - �B {> !>.mop 12 3/axis 2�10 IailtVis 5lornl isl W/6d 6�oC. c1X E/G.,� o.a (r,LD. I L tB YL° i LywuoU SNLI9.trntic, to f jTr -a I im�.5ol.l 7y 9Tenii . __- .—J_ .._� /- I �I C'TLIfh �,I>II IC 0.G z5K-L LPl/-30 3I1'o -- 3/i — — ,SIm�Sonl h125�ncv _ 76 h u E0.0 1"SS _ yz,1 CUv FL-/.SIICd'TIi — 6 BG LI uu�• FIr m4 C°C RELEpAD � - � F 311, 7 rdl .4wm.,lcc I. 19,Z 3 *W'lZ Pr f�5L. - - - 'P-T�hfsrhC Lrr55 ' rD12. F 3 L Y 11/ L_-,S J56 _y I3, x II/r," VL - — x'S( p.T TL�.L-RM� - • .. Y ,%i-�":':I If �,)_. .4.—_. ?_.._L — Z S/ 73oI 0.M(7 7 5 1. 1 � � �� .;I� F/PL1•%do�r v"/nu COWST. �� LS i'si ZY 2•F lu Tu,�iT , LSTa 2�1 �- Oal '7 ns rDl r1F I� �! T�,c+sL ��II arm..-.C• - I' Y "'__ Fi Its r r-L�v lL Fti✓l�+'If n-T 2.x6 t.T w•(F( S��" ?.7 SH M}(InI61 T113E al'ti / rl?I'SILLS / 2t5 31c,Foo-" �IA16 I /I 23' - FR+1•ME �2�s' S�=n G+.s n�'� � r CU°I o g no]67]0 MR Q M9-> TOSEP l fsiLLoU ��i!((2 C C -4+hr I_". n 33 ✓ n JwooD nvE N1 up),s I'D:'iI It D . - ���____._ h\tiff'• SEE 'Pg6G !a u(=b. COLLW-/ -T(CS MIN. IX(o e" It.a O.C. CTl('•) 1- l So e ro rI •.j.' UD 'I)( p ests 1';J 7 3,tLLuM fn2'AME _ I% I:i L 1311 5c2aoJA FC�L 5rtk4 r"HJ44 YILL I' S GpX x s}-n.l2cn-sF j i� zxla K.D• /' ._.L. . _• ', - � ",Sr+L,D ?Lcu..IGVoa1DO2 ,I>or Ts. - _. - — B L �- i 1 {�i25r FLw1L FIC-'1-f7.'1E mqT 2-x& p,r. vv sr+r+o-r". J f 7, -L I I LL CfL✓i�12� 1�— .._— ��-IL l'-IT�I�I,I.1 E, WµLL - � - �r I I i By I I _��Jr lil'c zoss 5r'cn nl.l II MICNpLC -- � cuaw �\'• MR mrs. y-o-,cvlt F✓lua.t STRUCTUR.0. �� Y,I�+ IFasr - /l�l�_g0 Ilyl;;aulsp�,c.- rn;_ STYUCTua A-L, oaiv„of"� O lJ U !——_—_ZL a_1•_:.C—-�i ICI 5 CC NOTE•1)F ,p I 3/2xlo'N' Ixt. etDIHR 51GiNLT ° JEr 3LOU<g - GxL i T •�uG rs N -- - -- tK, II it I � II NoTR IA; LI I ��at-SZ coI•I^,,rra�.rla�� ..--�e I —1� . pol3n Fn:^-^^� 2x to 1 y" T-ImOTZLuLIC SCae I }-�� � I I r.0 tX'M VJ✓ltl 6ND5 I - SIm15ob1 I _I— �-1 n•N(ER � o � R�A•�"12 P$ �' iMICNEIE -e' CUUILo MR A MR9 To SE n �—.tuoly T No,]4)iJ Le1�C,eR L L�� {'Aa { Y L Gnt WIC u STgUCiuRnL ''y , enoveoor. SW u %Y�• I fvul ww or I&II oq I E o FVu IZr1cic� Zuof ca.FME - .wI �� ae,oq�Ncufw 8 Generated by REScheck Web Software Compliance Certificate Project Title: Joseph Fallon Energy Code: 2007 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Conditioned Floor Area: 600 ft2 Glazing Area Percentage: 5% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 33 Maywood Ave. Hyannisport,Massachusetts Compliance: Maximum UA:262 Your UA:242 fS ` yy� � � s �&4 5 N - S�' � t4 N 4' • Ceiling:Cathedral 600 30.0 0.0 20 Wall:Wood Frame, 16in.o.c. 2109 19.0 0.0 118 Window:Wood Frame,2 Pane w/Low-E 102 0.300 31 SHGC:0.31 Door:Solid 38 0.070 3 Floor:Heated Slab-On-Grade 98 7.0 70 Insulation depth:4.0' Furnace 1: 90 AFUE Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2007 IECC requirements in REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title:Joseph Fallon Report date: 12/24/09 Data filename: Page 1 of 3 Generated by REScheck--Web Software Inspection Checklist Ceilings: ❑ Ceiling:Cathedral,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall:Wood Frame,16in.o.c.,R-19.0 cavity insulation Comments: Windows: ❑Window:Wood Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No ' Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling,is exempt from U-factor and SHGC requirements.. Doors: ❑ Door:Solid, U-factor:0.070 Comments: Floors ❑ Floor:Heated Slab-On-Grade,4.0'insulation depth,R-7.0 continuous insulation Comments: Slab insulation extends down from the top of the slab to at least 4.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 4.0 ft. Heating and Cooling Equipment: ❑ Furnace 1::90 AFUE or higher Make and Model Number. Air Leakage: ❑ Joints,attic access openings,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering.. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Sunrooms: T t ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: ❑ A minimum of Class II(1.0 perm)vapor retarder is installed on the interior side of above-grade framed walls or it has been determined that moisture_or its freezing will not damage the materials, Exceptions: Class 111(10 perm or less)vapor retarder is permitted for vented cladding over OSB,plywood,fiberboard,gypsum,or for sheathing over 2x4 framing having insulation of R-5 or better,or for sheathing over 2x6 framing having insulation of R-7.5 or better. Materials Identification and Installation: Project Title:Joseph Fallon , Report date: 12/24/09 Data filename: Page•2 of 3 Materials and equipment are installed in accordance with the manufacturer's installation instructions. 0 Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Ll Materials and equipment are identified so that compliance can be determined. 0 Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. 0 Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: Ll Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction: Ll Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. Ll All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181B. Building framing cavities are not used as supply ducts. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. 0 Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Ll Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: 0 Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. Lj For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2006 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. 0 Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Ll HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-2. Certificate: © A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title:Joseph Fallon Report date: 12/24/09 Data filename: Page 3 of 3 . O2007 IECC [energy N/�' Efficiency Certificate Ceiling/Roof 30.00 Wall 19.00 Floor/Foundation 7.00 Ductwork(unconditioned spaces): 8 .. Oftmw Window 0.30 0.31 Door 0.07 NA { r Furnace 90 AFUE Water Heater: Name: Date: Comments: F Out- -N OF MqS m1CHELE ti��Xgv 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS33 hltt Y(f000*Vke, - Z CUDILO MASSACHUSETTS STATE BUILDING CODE O No.34774 N�( r�ts�oej- STRUCTURAL AWC GsWr to Wood Construction in High Wind Areas;110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' Ji on N Q Check 1.1 SCOPE Compliance Wind Speed 3-sec.gust .. ....... 110 mph i ( ) .............................. ... ... ... Wind Exposure Category . .. .......................... ..... . 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories s 2 stories Roof Pitch ...... ......... ... ...... ...... (Fig 2) Tu. :IZs 12:12 Mean Roof Height ................. .... - 2 _ gh ....._.. (Fig 2) . :............. 1: —S°t ft s 33 Building Width,W ... ....... ...... ... (Fig 3) ................... ft s 80' _ Building Length,L .... ....... ... ..... ... (Fig 3) ... ... • . . ... . . . ft s 80' _ Building Aspect Ratio(L/W) .... .... .. (Fig 4) . .. .... . .. .. . ... s 3:1 Nominal Height of Tallest Opening' . ... .. (Fig 4)... . �=s 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 ... .... .... . ........ .... ...... . Concrete Masonry . .. ....... ... ... -- 2.2 ANCHORAGE TO FOUNDATION'' %"Anchor Bolts imbedded or%"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general... .. ............. (Table 4)5kke..c:#�.•(a,Rk At. in. Bolt Spacing from end/joint of plate ....... (Fig 5) ........... . . o1Z in' 6"-12" _ Bolt Embedment-concrete. ........... .. (Fig 5)...... . ... .. in. x 7" Bolt Embedment-masonry........... (Fig 5) in. a 15" _ Plate Washer . .. ...... ... . .. ..:..... .. (Fig 5) ...... ...... ... , . x 3"x 3"x t/:' 3.1 FLOORS Floor framing member spans checked ......... (per 780 CMR 55.00) . . _ Maximum Floor Opening Dimension.......... (Fig 6) .................... L�� ft s 12'„ . Full Height Will Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) ........ ... _ Maximum Floor Joist Setbacks C Supporting Loadbearing Walls or Shearwall . (Fig 7) ft "d Maximum Cantilevered Floor Joists " Supporting Loadbearing Walls or ShearwalI . (Fig 8) .: .,:..... ... =ft s d Floor Bracing at Endwalls .................. (Fig 9) ......... ... .. . ... .... . . ... .... Floor Sheathing Type . ......... (per 780 CMR 55.00) _ Floor Sheathing Thickness ... .... (per 780 CMR 55.00),. .... . . ... . in. Floor Sheathing Fastening .. (Table 2)-&d nails at -J2-Jn edge/1.1 in field _ 4.1 WALLS Wall Height t 1 F Loadbearing walls .. :. ... (Fig 10 and Table 5) ....:. .0 ft s 10' Non-Loadbearing walls. ............... (Fig 10 and Table 5) ... .........G�kt s 20' _ Wall Stud Spacing ..... .... .. (Fig 10 and Table 5) .. -&in, s 24"o.c. _ Wall Story Offsets. ... ......... (Figs 7&8) lift s d 4.2 EXTERIOR:WALIV Wood Studs' . Loadbearing walls .:: .. (Table 5) 2x-14--L ft_2 in. Non-Loadbearing walls . .... ...."(Table 5) ...2x--L!�Lg ft�in. ' Gable End Wall Bracing' " A Full Height Endwall Studs.. .......... (Fig 10) ........... ... WSP Attic Floor Length :: (Fig H) .......... �ft i W/3 - Gypsum COM"a Lnget,(:C Sp.,ve.. Cf''6 �) ...•: ' �!n 2 U.9w and 2 x 4 Continuous Lateral race 6 ft.o.c..,(Fig 11) ..,..... or I x 3 ceiling furring strips® 16"spacing min.with 2 x 4 blocking @ 4 f'.spacing in end joist or truss bays .. . . ....... ...... ........... . ..... ... ..... ... ... .. ... ... .. Double Top Plate 'Splice Length ... . ....... . (Fig 13 and Table 6) . . .. ft Splice Connection(no,of 16d common nails)(Table 6). ...... . ... . . . . . ..... . . ..... 1054 780 CMR-Seventh Edition 12/28/07 (Effective I/1/08) .jH14 F MASSQ 1�1�o$ D C�t�JSo o MICHELE 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARD 3 I`l CUDILO No.34774 APPENDICES + STRUCTURAL �`jA��✓ISP(w � M' Loadbearing Wall Connections 2 firt;rFA' _�� Lateral(no.of 16d common nails) . .. :.. . . (Tables 7) . .. . . . . . . . . . . . _L _ IS; Alu F�'V 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 Q in. i I I' — Sill Plate Spans . ...... .... .... . . ... ... (Table 9) Full Height Studs(no.of studs) .. . .... . . . . (Table 9) ..... _ Non-Load Bearing Wall Openings(record largest opening but check all openings for co Iiance to Table 9) Header Spans...... .... . .. . .... ......... ('fable 9) . .... .. . . . .(:)-2--ft in. s 12' — Sill Plate Spans.... .. . .. . . . . .. .... . . . . . . (Table 9) .. . .. . .. . . .. . . Zft in. s 12" Full Height Studs(no.of studs) .. ...... ... (Table 9) . . . . .. .. . . . . . . . .. . ... . . . . Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously' Minimum Building Dimension,W z 3 t/ l Nominal Height of Tallest Opening' . .. ... . ... .... . . . . . . . . . . . . . . . . . . . . . . �s 6'8"Sheathing Type T Edge Nail Spacing .. . . . . . . . . : . . . . . . .. (Table 10 or note 4 if less) . . . ... . . . 3 in. _ Field Nail Spacing . . .. .. .. . . .. . . .. . .. (Table 10). . . .... . . . . . . . . . .. . . . . 'J;- in. Shear Connection(no.of 16d common nails)(Table 1 IGr Percent Full-Height Sheathing ... . . . .. . . (Tab1e�P0 5%Additional Sheathing for Wall with Opening> 8"(Design Concepts).. . . . . .. _ Maximum Building Dimension,L (4.5') + Nominal Height of Tallest Opening' ... . ...... ..... . . . ... ... . .. . ... .. . .. A s 6'8" Sheathing Type . .. :.. . .. . .... . . . . .... . . (note 4). . . . .. . — Edge Nail Spacing . .. . .. . . . . . . . . .. . .. (Table 11 or notc 4 if less) . . . . . . . .. __ in. ' Field Nail Spacing . .. . . . . . .. . . . . . . .. . (Table 11). . . . .. . . . . . . . . . . .. . . . . ?in. _ Shear Connection(no.of 16d common nails)LTable 11 Percent Full-Height SheathineLZ L}�✓(�able o .i 2 ya�S�3,,a.��5.�._. .�Z.t.t.�. .l .' '�446C'U 1` --,FT-, 5%Additional Sheathing for Wall with Opening>6'8' IDesign Concepts). . .. . .. .. .. Wall Cladding &AV-Iukr� k—, Rated for Wind Speed? . ... . .. .... . ... ..... _ 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang... ............ ...... ....... (Figure 19) .......!�4 ft s smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift ..... ......................... (Table 12)......... . .. .. ...... Lateral ........ . ... . . .......... .... (Table 12). ... . .... . .. . ... .shear.............. ......... ....... (Table 12).. .... .. . . ... .. . ... . S= — Ridge Strap Connections,if ar es page 21(Table 13)... ... . . . .... T==plf &LDC I Gable Rake a►tlooker .........• . (Figure 20) 1 f lt. _ft s smaller of 2'or L/2 _ Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Contactors Uplift .......... ... . ........ . ...... (Table 14).... ..... . . .. .. ... . U=—lb. Lateral(no.of 16d common nails) ....... (Table 14).... .... . . .. ...... . L=_lb. Roof Sheathing Type ...... ........:....... (per 780 CMR 5 .00 and 9.00) .. ....... Roof SbemMng'Ihickrim .... ............. .........../!� in. x 7/16"WSP _ Roof Sheathing Fastening .................. (Table 2) Notes: — — I. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirenat is of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety then the following meal straps and hold downs are not required per the WFCM 110 mph Guide: L Steel Strops per Figure 5 b. 20 Gage Straps per Figure I 1 C. Uplift Straps per Figtne 14 d. All Suaps per Figure 17 e. Comer Stud Hold Downs per Figure I$a and Fipm 18b 2. Exception:Opening heights of up to aft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. !. —nen _sill P--in­ ,. '*matt tm a nuntmum 2 in.nominal thickness pressure treated#2-grade. 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 12/28/07 (Effective 1/1/08) 780 CMR-Seventh Edition 1055 i , y 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE 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. ii. All horizontal joints shall occur over and be nailed to fmniag. 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 V*QN DO EDW Mrs our _ �rr— i' _OUSBadtWlS -_ i ii 11 i 11 rl 1 Y U 44 11 ' 11 11 11 l M 1,,aqO A P o� 11 11 O 11 1 11 " 1 11 d n 11 ii 11 u II n u „ u „ M I11 1, 11 1 1 OP ACMKi 11i I See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment �2. J ti 1056 780 CMR -Seventh Edition 12/28/07 (Effective 1/1/08) y A bl'C Guirle to Wood Co►Lslruction hi High ff"ind Areas: /10 ►►►ph f1411 l Zo►le Massenchusetts Checklist for Compliance (780 CAI R 5301.2.1.1)' 1 o , / 1 , , 1 i FPAA4M MEMBERS EDM RM 1 1 1 1 1 , 1 STAGGERED Y K NML PATTERN PANEL PAWL EDGE DOUBLE NAIL EDGE SPAC*IG DETAL Detall Vertical and Horizontal Nailing for Panel Attachment 4 f CONSTRUCTION DETAILS FOR THE APA MARROW WALL RRACIW`41� METHOD rifles ap, c_ FIGURE 1 NARROW WALL OVER CONCRETE OR MASONRY BLOCK FOUNDATION Outside Elevation Extent of header(two braced wall segments) -- Side Elevation i--- —— Extent of header(one braced wall segment) ---_—_ /Top plate continuity is required per R602.3.2 . . Sheathing filler y i.-r'� S,r. ; •'r if needed y. " - T to 18'(finished width) n ��=`•f•��� Fasten sheathing to header with 8d common I „ 16d sinker nails nails(0.131"x 2-1/2")in 3"grid pattern as shown II and 3"o.c.in all framin an g(studs d sills)typ. ";- n 2 rows @ ". I` 1st 3"o.c.• " 1,000 lb. header-to-ack-stud strop j p II on both sides of opening ,+ '_ " � `1,000 lb. header (install on backside as shown on to-jack-stud strap Max. ; height "• Side Elevation,Ref. No.,�TA2 1 ; +• on both sides 10' Min. (2)2x4 typ. J��� �" of opening(Ref. "' yq No. LSTA24) If panel splice is needed it shale Braced wall ; occur within 24"of mid-height. segment per 4. Blocking is not required. R602.10.5 3/8"min. Min.width based on 6:1 thickness wood No.of *, structural panel height-to-width ratio: For M jack studs I sheathing example:1 b"min.for 8'height, per table I '• We ".I 20"for 10'height,etc. R502.5(18 2) " •• �I !' •+ el• - Min. 2"x2"x3/16"plate washer z" -- Anchor bolt per R403.1.6 Typ. Foundation per code 'Or other code-recognized fasteners providing lateral resistance equal to or better than the prescribed nails. Not to scale IVpte. This narrow wall bracing segment meets the minimum requirements for wall bracing (racking loads in the plane of ti t wall) The FIGURE 2 building dears ne shoule-ary determine what late EXAMPLE OF REQUIRED OUTSIDE CORNER DETAIL(IRC R602.10.5) pe- cdte ties ail.are neiescary I provide a complete - load path for a,tng this bracing in the structure. At corners,connect the two walls together as -- --- 16d noil at 12"o.c. outlined in this detail to provide overturning OF Mgss4 ti restraint. Orientation of stud may vary � ���1�0 � �--- Gypsum,when required, i' i installed inmccordorice 34774 ( with IRC Chapter 7 -(UI RAL e Wood structural panel , I MICHELE CUDILO, P.E. � �S TCIoCo o wt000 O ne Centerville. Massachusetts 02632 J 6l„�t njC/ - 3 f i,b A4.1 Drown By: MC Dote: /z /01 Drawing Scale: AS NOTED Rev• 0 } 1�! 1.1 Mfg' s K- File Name: Project No.: _ oK I GENERAL NOTES AND MATERIAL SPECIFICATIONS FOUNDATIONS I. 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. +. Assumed net allowable soil bearing capacity,q=3000 psf, for a medium sand/gravel composition. Other soils encountered. contact the Engineer of Record. 4. Concrete: Minimum 28 day strength, fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code. latest issue.maximum slump a.) Anchor bolts ASTM A307 galvanized, min. 5/8"diameter, 12" long,w/2-1/2"hook spaced 'Z'�L o/c,or in concrete piers Simpson ABU-series base: SPACED 2' o/c for slab-on-grade construction(i.e.Garage,Basement,etc.). FRAMING I. 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=60 psf Wind Load : Criteria used for 110 MPH Exposure B.unless noted otherwise 3. Structural.Stee1: (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. Altematively, field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. ber Fram 4.Timing . a. All new timber framing: Spruce-Pine-Fir No. 2 with Fb=I000psi, E=1,300,000 psi,or better. h. 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_par=-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.- �. 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. 1 x6@ 48"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 48"o/c: CS-14R-50.5"centered at band joist 6. Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise. Bolt holes in wood shall he 1/32"larger than. bolt dlanctcr.Bolt heads anti nuts shall bear on standard malleable iron washers,or square plate washers. All nuts shall be retightened at completion of job. 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. Comers to be blocked at 48"o/c with plywood edge nailing to:his 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 Fromine:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edge of;�•A' plywood edges to this blocking 8.Nailing:Schedule qe All nailing shall be in accordance with Appendix 120. MICHELE tic pp Q,unless noted herein.specifically. � Multiple Studs 16d @ 12"staggered Y' N '� CUM1.O � a.All nails shall be common wire nails. U No.34-, ; b. Sub-bore where;nails tend to split wood. STR0CTLFS iL 9. Headers less than 4'-0",use 2-20;all others per MA State Building Code Table 5502. I')k. GIST LMICHEE UDILO, P.E. fz t� an.. M rvnN. atosweit w32— Drawn BY: M� Dots: D 33 Nli4-YVU r� D r a w i n tole: g p,�`� Aw AS NOTED Rev. p I �INL.�jpQ�Yf .. ... �/ t File Nome: (1 C 0.. Project N SK_ 1 � 1 U.S.DEPjjRTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National,Fpood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION Forsurance��ompany U �� .Al. Building Owner's Name Joseph F.&Susan G.Fallon �Pol y umber A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Comp nana y NAtC�yrpger 33 Maywood Avenue(carriage house) City Barnstable(Hyannisport) State MA ZIP Code 02647 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Barnstable Assessors map 287,Parcel 129 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.41-38-03.57 Long.070-17-48.71 Horizontal Datum: ® NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 7 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) na sq ft a) Square footage of attached garage na sq ft b) No,of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade na c) Total net area of flood openings in A8.b 112.3 sq in c) Total net area of flood openings in A9.b na sq in d) Engineered flood openings? ® Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bl. NFIP Community Name&Community Number B2.County Name B3.State Barnstable - 250001 Barnstable MA B4. Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 0006 D Date Effective/Revised Date Zone(s) AO, use base flood depth) July 2, 1992 July 2, 1992 A10 15' B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized Mass DPW Disk"l13C"Vertical Datum NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)12.8 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor 23.0 ®feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) __ ®feet_ ❑meters(Puerto Rico only) d) Attached garage(top of slab) __ ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 15.2 ®feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 10.7 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 13.7 ®feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 12.4 ®feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.) understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code,Section 1001.❑ 06 04S Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No p'tC a 4r R. +� Certifier's Name Richard R.L'Heureux PLS License Number LS 34312 u Rf tEU>1. Title Professional Land Surveyor Company Name CapeSury o NO, 34V2 �O Address 7 Parker Road City Osterville State MA ZIP Code 02655 Signat D4te Telephone 508-420-3994 t r Gl 0 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORT4NT: In these spaces,copy the corresponding information from Section A. For,InsurancCompanyse Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. �Pof�cy Nunn e`: 33 Mayv;t bd Avenue(carriage house) City'Barnstable(Hyannisport)State MA ZIP Code 02647 Company NAI�CNurnW SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments The lowest mechanical in this building is a zero clearance fireplace in the west wall.(bottom elevation is 152) Si ature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B. and C. For Items E1-E4,use natural grade, if available. Check the measurement.used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) he local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), ind G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. 31.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) 32.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. 33. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued 37. This permit has been issued for: ❑ New Construction ❑Substantial Improvement 38. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum 39. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum 310.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments =EMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs Photo r a hs See Instructions for Item A6. For Insurance Company Use Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and.Box No. Policy Number 77 33 Maywood Avenue(carriage house) City Barnstable(Hyannisport) State MA ZIP Code 02647 Company NAIL Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with:date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. 0,11Yi ��V� sy a 5, '7' Sri m Y "�. .j a y•:Pi' s y c ,n fry 11111 Ij ..�, AWU .. T r ,^t tq 6`��..-:rf. .`?E".C?:-�d����'�`' 4ta "�v.Fk%' '�. ��..A:+. '`" "g� Y 'k��� .._ .ww-.r,r u .• ....v.. � .s-:s_ East Side South Side 45 �-p h' r ;w` West Side North & East Side PROJE QT NAME: 1 i — P2eA � ra-a—'r- ADDRESS: V1 vt�S PERMIT# PERMIT DATE: ti I—) t t O M/P: C=—;) LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS' program on: o BY: q/wpfiles/archive 2x TOP PUTE ` tf� HERDER 1 °16• WIN. I• • J —_CI3ry� MAX, PANEL ; NAIL SHEATHING TO ;j� HEIGHT HEADER AT 3•o.o. BAq1 t'I' 2-2a STUDS NAIL SHEATHING AP�JRATED SHEATHING ;HH TO EACH STUD , MIN. 24/0 DCP. 1 .�.I - MI• NO FASTENERS , 2-2r SLOCKNG AT O BLOCKING 'ANY PLYWOOD JOINT •I• ••�'� J•I• 8d NAILS.AT .I _ •I. 3•ox. ALL PL(,TES. I•I I I HEADERS STUDS 'j11 MI' y 'I•j j j' 02 is rI• MI APPROVED HOOKED—END WOOD CONCRETE ..I .I. CONNECTORS WITH OA11EACE11N 3-2x PLATES P � $ MIL.SHEATHING _ J l:• _ TO EACH PLATE i - ramp . P_x so.s or Y ow MICHELE x\�, 4 s CUDIL.O - N0.34774 y STfT'JC-TUFtA_ �,�- ' '0_P A, /C MICHELE CUDILO, P.E. ]: lw Consulting Structurel;. Engineer 123 Cottonwood lane,-Centerville, Massachusetts 02632 °?, ` �?' 'T° , � _• Drawn By: MC Date: D r ayVi n Scole': AS NOTED Rev. p SK- T File.Name: ) s Project No.: ` Town. of Barnstable Regulatory Services Thomas F. Geiler, Director ;bAr 6y¢ in$tfd gDi-vision Thomas Perry, CBO,Building Commissioner 200.Madn Street, Hyannis,MA 02601 www.town.barnsfa ble.ma.us Office( 508-862--4038 Fax: 508-790-6230 PLAN REVEEW Owner:--X • fA —LAN Map/Parcel: �` f Project Address U-t 4 Y kJ Oaf Builder: Q " The following items were noted on reviewing: s <f 'e7 C-/c, o > S ��1 Fl d�-`7'?_4C.O rk6- V L-EPT 6-174 S Reviewed by: Date: Q:Fmns:PlarirW ON N ZONE. �BIFNo Peter B & N/FLisa B Stepanek aI� RF-1 LCC 118491 CFNO Area (min.) 87,120 (RPOD) S 6304'00" E 140.36' Frontage (min) 20' �1 Width (min) 125' Y Setbacks: ° Fron t 30' a _ Side 15' N I ASSESSORS REF., Rear 15' Q N N I sned 1 Map 287, Parcel 129 CO FLOOD ZONE: a ;----- Zones A10(el=15), U Parcel 129 V10(el.=15),& C I Community Panel n 1 N ----- 1.43 + Acres o. #250001 0006 D GgION July 2, 1992 FN� OVERLAY DISTRICT. TOF EI=13.5' (NGVD'29) AP — Aquifer Protection District I certify that the new ao 16.2" foundation shown hereon conforms to the setback o requirements of the Zoning (0 Bylaws of ,the town of N �, Barnstable. 3 N N New Concrete Foundation RICHARD R. 1 00 L'HEUREUX N c NO. 34312 6 , E -Z!�/�AN 1 Sty w1f o F Cabana M01 �O U) O N� LLI—j / 2 N CS o p / 20'ROW TO NEWTON AVE `�'��'� / N 64'15'30" W 25.00' ! �001/ N fNp Pool " / / 0 P 0E . 09101 zv� / mU � .c U OJ / O 0 /O N / N / N / O/_J _ VV O +I PLOT PLAN At 33 Maywood Ave BA RA IS OTA LOU.AEj- (Hyannisport) NOTES: 7 MASS. DATE: 261JAN110 SCALE: 1"=40' 1.) The structures shown were located on the ground 0 10 20 30 40 60 80 FEET by conventional survey methods on (or between) and 28/JAN/2010. PREPARED FOR: Joseph F & Susan G Fallon 2.) The property line information shown hereon was 124 Wellesley Road compiled from available record information. Belmont, MA 02478 3,) This plan is not for. recording and is not to be PREPARED BY: CapeSury used for construction layout or deed description purposes. 7 Parker Road Osterville MA 02655 DWG #. C268_2gl FIELD BY. RRL/MLL/DWB (508) 420-3994 / 420-3995fox Ipp Page IofI Louisiana-Pacific Corporation/LP Solutions LP Job: Design 3 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:23 PM w Project:BUCKLEY=FALLON Job ID: Level: -st Floor__.Deck Member",f-,C 1 Address : HYANNISPORT Company: Builder State: Code: IBC 2006 Designer:DAVID GREENLAW 11-7/8" LPI 56 at 16.0 oc Design Is Adequate Provide restraint at supports to ensure lateral stability. Results Summ ry Deflection Reaction(lbs) Shear(lbs) Moment lb-ft Live Load in Total Load(64 Actual 761 742 4126 L/547(0.49) L/438(0.61) Allowable 1400 1940 10170 _ (0.56) L/24q 0.01)) . Indices 0.54 0.38 0.41 / 0.88 0.55 1.876 3.500 AL 22 Spans(ft-in-o Span 22-9-12 Bearings Min. Size(in) 4.37 4.12 Max.Reaction(lbs) 761 760 -Max-.Uplift(lbs) 0 0 Loads Start End Type LDF App. Location* Live Dead Location* Live Dead Uniform( lf) 1.00 To 0-0-0 53.33 13.33 22-9-12 53.33 13.33 *(ft-in-sx) Floor Assembly: Sheathing: None,Attachment:None Ceiling: None,Attachment:None Bridging/Blocking: Type:None,Location: 0 Concrete: Thickness(in):2,Strength(psi): 3000 0.0 psf Live Load,0.0 psf Dead Load,0.0 lb Concentrated Load,0.0 psf Partition Load This component analysis is based on the loads,geometry and other conditions as entered by the user and listed in this report The user is responsible to ensure the accuracy of the input and the applicability to the actual conditions of the structure for which this component is intended. This analysis is valid only for the product listed. Copyright 2009 All rights reserved by Louisiana Pacific Corp.414 Union St Suite 2000,Nashville,TN 37219 i Page 1 of 2 Louisiana-Pacific Corporation/LP Solutions LP Job: Design 2 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:26:51 PM Project: BUS CKL=EY FALLON Job ID: Level:2nd_Floor Deck Member ID Jld Address : HYANNISPORT Company: Builder State: Code: IBC 2006�Designer:DAVID GREENLAW 11-7/8" LPI 56 a 12.0 oc esign Is Adequate Provide restraint at supports to ensure lateral stability. Results Summary Deflection Reaction Qbs) Shear(lbs) Moment(lb-ft) Live Load(in) Total Load .'n) Actual 924 909 3341 L/733 (0.36) L/574(0. Allowable 1400 1940 10170 L/480(0.56) L/240 .11 Indices 0.66 0.47 0.33 '0.66 A.42 1.875 .151 3.500 22-9-12 ' Spans ft-in-sx Span 22-9-12 Bearings Min. Size(in) 4.37 4.37 Max.Reaction(lbs) 593 924 Max.Uplift(lbs) 0 0 Loads Start End Type LDF A . Location*141ve Dead Location* Live _Dead Concentrated(lb) 1.00 Top 21-2-2 225.63 150. - 0.00 0.00 Uniform(pig 1.00 To 0-0-0 0-.00—" 10.00 22-9-12 40.00 10.00 *(ft-in-sx) Floor Assembly: Sheathing: 19/32 APA Rated Sheathing(32/16),Attachment: Glued and Nailed Ceiling: Gypsum board 1/2,Attachment: lx4 Strapping Bridging/Blocking: Type:None,Location:0 Concrete: Thickness(in):2, Strength(psi): 3000 40.0 psf Live Load, 10.0 psf Dead Load,0.0 lb Concentrated Load,0.0 psf Partition Load This component analysis is based on the loads,geometry and other conditions as entered by the user and listed in this report The user is responsible to ensure the accuracy of the input and the applicability to the actual conditions of the structure for which this component is intended. This analysis is valid only for the product listed. Page 1 of 6 Louisiana-Pacific Corporation/LP Solutions LP Job: Design 7 of 12' Version _2�0.4-�Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PM Project: BI UCKLEY\FALLON Job I1EXr."Level:1st`F1oor-Deck Member ID: MI Address : HYAN ISPORT Company: Builder: State: Code:IBC 2006 Designer:DAVID GREENLAW 2ply 1-3/4x11-7/8 LP-LVL 2950Fb-2.OE Design Is Adequate Provide restraint at supports to ensure lateral stability. ***ATTACH"THE TWO PLIES WITH 2 ROWS OF Nail 16d AT 12.0 OC.STAGGER_ ROWS NAILS CAN BE DRIVEN FROM ONE FACE OR HALF FROM EACH FACE. NAILS CAN BE COMMON OR BOX NAILS WITH MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS(3-1/4")MAY BE USED,BUT HALF MUST BE DRIVEN FROM EACH FACE. Results Summary Deflection Reaction lbs Shear lbs Moment(lb-ft_Live Load(in) Total Load in Actual 1844 1786 5826 L/706(0.38) L/491 (0.54) Allowable 6508 8035 20246 L/360(0.74) L/240(1.11) Indices 0.28 0.22 0.29 0.51 0.49 :aid r, ..��,> 3.500 22-9-12 . Spans ft-in-sx Span 22-9-12 Bearings Min. Size(in) 4.38 4.1.3 Max.Reaction(lbs) 1844 979 Max.Uplift(lbs) 0 0 Loads Start End Type LDF App. Location* Live Dead Location* Live Dead Concentrated(lb) 1.00 To 2-0-10 846.50 241.62 - 0.00 0.00 Uniform(plf) 1.00 To 2-2-6 53.33 13.33 22-9-12 53.33 13.33 Uniform(plf) 1.00 Top 0-0-0 32.50 8.13 2-2-6 32.50 8.13 Wei t( If) 0.90 To 0-0-0 0.00 11.90 22-9-12 0.00 11.90 *(ft-in-sx) Floor Assembly: Sheathing: None,Attachment:None Ceiling: None,Attachment:None Bridging/Blocking: Type:None,Location: 0 Page 3 of 6 Page Break>>Louisiana-Pacific Corporation/LP Solutions LP Job: Design 9 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PM Project:BUCKLEY'FALLON Job:I�D._Level Lst.Eloor Deck Member ID: M2c Address : HYANNISPORT Company: Builder: State: Code: IBC 2006 Designer: DAVID GREENLAW 3ply 1-3/4x11-7/8 LP-LVL 2950Fb-2.OE Design Is Adequate Provide restraint at supports to ensure lateral stability. ***ATTACH THE THREE PLIES WITH 2 ROWS OF Nail 16d AT 12.0 OC.STAGGER ROWS NAILS CAN BE DRIVEN FROM ONE FACE OR HALF FROM EACH FACE. NAILS CAN BE COMMON OR BOX NAILS WITH MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS(3-1/4")MAY BE USED,BUT HALF MUST BE DRIVEN FROM EACH FACE. Results Summary Deflection Reaction(lbs) Shear lbs Moment lb-ft Live Load(in) Total Load in Actual 0 3937 9159 L/4174(0.02) L/2400(0.04) Allowable 0 12053 30368 L/360(0.27) L/240(0.40) Indices 0.00 0.33 0.30 0.08 0.10 0 T f .1` 5:250 15-0-0 - Spans ft-in-sx Span 15-0-0 Bearings Min. Size(in) . 42.00 42.00 Max.Reaction(lbs) 0 0 Max.Uplift(lbs) 0 0 " Loads Start End Tye LDF App. Location* Live Dead Location* Live Dead Concentrated(lb) 1.00 To 7-6-0 4005.17 3147.78 - 0.00 0.00 Uniform(plf) 1.00 Top 7-9-8 20.70 13..80 14-10-14 '20.70 13.80. Page 1 of 2 Louisiana-Pacific Corporation/LP Solutions LP Job: Design 11 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03;2.Z:03 PM Project:BUCKLEY_)ALLON Job ID: Level:2nd Floor Deck Member ID: Mla J Address : HYANNISPORT Company: Builder: State: Code: IBC 2006 Designer: DAVID GREENLAW 2ply 1-3/4x11-7/8 LP-LVL 2950Fb-2.OE at 0.0 oc Design Is Adequate Provide restraint at supports to ensure lateral stability. ***ATTACH THE TWO PLIES WITH 0 ROWS OF AT 0.0 OC.STAGGER ROWS NAILS CAN BE DRIVEN FROM ONE FACE OR HALF FROM EACH FACE. NAILS CAN BE COMMON OR BOX NAILS WITH MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS(3-1/4")MAY BE USED,BUT HALF MUST BE DRIVEN FROM EACH FACE. CONCENTRATED LOADS MUST BE EQUALLY DISTRIBUTED TO ALL PLIES. ADDITIONAL FASTENERS MAY BE REQUIRED Results Summary Deflection Reaction Ibs Shear lbs Moment lb-ft Live Load in Total Load(in) Actual 815 747 5486 L/755(0.35) L/603 (0.44) Allowable 6508 8035 20246 L/360(0.74) L/240(1.11) Indices 0.13 0.09 0.27 0.48 0.40 2-1 0-3 �4 3.500 22-9-12 Spans ft-in-sx Span 22-9-12 Bearin s Min. Size(in) 4.38 4.38 Max.Reaction(lbs) 815 719 Max.Uplift(lbs) 0 0 Loads Start End Type_ LDF App. Location* Live Dead Location* Live Dead Concentrated(lb) 1.00 Side 10-3-2 456.41 110.32 - 0.00 0.00 Concentrated(lb) 1.00 To 21-2-2 58.70 39.13 - 0.00 0.00 Uniform(plf) 1.00 Top YO- -6 22.92 5.73 22-9-12 22.92 5.73 Uniform( lf) 1.00 To 0-0-0 40.00 10.00 10-1-6 40.00 10.00 *(ft-in-sx) Floor Assembly: Page 5 of 6 Page Break>>Louisiana-Pacific Corporation/LP Solutions LP Job: Design 12 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PM Project:-BUCKLEY_FALLON Job ID: Level: 1st.-- or Deck Member ID: M4f 6 �. - fft12- - Address: HYANNISPORT Company : Builder: State: Code:IBC 2006 Designer:DAVID GREENLAW 3ply 1-3/4x9-1/2.LP-LVL 2950 -2 OE esign Is Adequate `4 Provide restraint at supports to ensure lateral stability. ***ATTACH THE THREE PLIES WITH 2 ROWS OF Nail 16d AT 12.0 OC.STAGGER ROWS NAILS CAN BE DRIVEN FROM ONE FACE OR HALF FROM EACH FACE. NAILS CAN BE COMMON OR BOX NAILS WITH MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS(3-1/4")MAY BE USED,BUT HALF MUST BE DRIVEN FROM EACH FACE. Results Summary Deflection Reaction(lbs) Shear Ibs) Moment(lb-ft Live Load in Total Load,(i Actual 8075 6277 18039 L/394(0.29) L/287(0.40) Allowable 13388 9643 19924 L/366(0.32) - '(0:48) Indices 0.60 0.65 0.91 0.91 0.84 i i 500 l 5.250 10-6-0 Spans(ft-in-sx Span 10-6-0 Bearings Min.Size(in) a 6:00 _6:00 Max.Reaction(lbs) 8675 7797, Max.Uplift(lbs) 0 0 Project;BUCKLEY_FALLON,Member ID:M491 st Floor Deck Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PMO m'age 6 of 6 Loads Start End Type LDF App. Location* Live Dead Location* Live Dead Uniform( to 1.00 To 0-4-0 455.83 113.96 1-8-0 455.83 113.96 Uniform(plf) 1.00 Top 3-0-0 416.04 104.01 7-0-0 416.04 104.01 Uniform(plf) 1.00 Top 8-4-0 455.83 113.96 9-8-0 455.83 113.96 Concentrated(lb) 1.00 Top 7-8-0 672.74 306.16 - 0.00 0.00 Concentrated(lb) 1.00 To 2-4-0 672.74 306.16 - 0.00 0.00 Uniform(plf) 1.00 Top 1-10-4 218.83 145.88 2-6-0 218.83 145.88 Uniform(plf) 1.00 To 0-4-0 262.50 175.00 1-6-0 262.50 175.00 Uniform(plf) 1.00 To 0-0-0 456.25 114.07 10-6-0 456.25 114.07 Uniform(plf) 1.00 Top 2-6-0 211.99 141.32 10-6-0 211.99 141.32 Uniform(plf) 1.00 To 0-0-0 234.11 156.07 0-4-0 , 234.11 156.07 Uniform(plf) 1.00 Top 1-4-4 70.66 47.11 1-10-4 70.66 47.11 Uniform(plf) 1.00 To 1-8-0 26.56 17.71 10-6-0 26.56 17.71 Uniform(plf) 1.00 Top 0-2-0 1.88 0.47 10-4-2 1.88 0.47 Weight(pID 0.90 To 0-0-0 0.00 14.27 10-6-0 0.00 14.27 *(ft-in-sx) Floor Assembly: Sheathing: ,Attachment: Ceiling: None,Attachment:None Bridging/Blocking: Type:None,Location: 0 Concrete: Thickness(in):2,Strength(psi): 3000 This component analysis is based on the loads,geometry and other conditions as entered by the user and listed in this report . The user is responsible to ensure the accuracy of the input and the applicability to the a actual conditions of the structure for which this component is intended. This analysis is valid only for the product listed. Copyright 2009 All rights reserved by Louisiana Pacific Corp.414 Union St Suite 2000,Nashville,TN 37219 I Proje BUCKLEY_FALLON Member ID:M2c/1st Floor Deck Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PME[Page 4 of 6 Uniform(plf) 1.00 To 0-1-2 20.94 5.23 14-10-14 20.94 5.23 Uniform(plf) 1.00 To 0-1-2 20.70 13.80 7-2-8 20.70 13.80 Uniform(plf) 1.00 To 0-0-9 31.04 7.76 14-11-7 31.04 7.76 Wei t(plf) 0.90 op 0-0-0 0.00 17.84 . 15-0-0 0.00 17.84 *(ft-in-sx) Floor Assembly: Sheathing: None,Attachment:None Ceiling: None,Attachment:None Bridging/Blocking: Type:None,Location: 0 Concrete: Thickness(in):2, Strength(psi): 3000 This component analysis is based on the loads,geometry and other conditions as entered by the user and listed in this report The user is responsible to ensure the accuracy of the input and the applicability to the actual conditions of the structure for which this component is intended. This analysis is valid only for the product listed. Copyright 2009 All rights reserved by Louisiana Pacific Corp.414 Union St Suite 2000,Nashville,TN 37219 <<page Break>>Louisiana-Pacific Corporation/LP Solutions LP Job: Design 12 of 12 v- r` ` 33 MAYWOOD AVENUE LLC LIMITED LIABILITY COMPANY AGREEMENT This Limited Liability Company Agreement is entered into as of June 15, 2007, by and among the persons or entities identified as Members in Exhibit A annexed hereto,made a part hereof and hereby incorporated herein, each (for such period of time as it shall remain a Member hereunder)referred to individually as a"Member"and collectively as the"Members". Background A. The Company was formed as a limited liability company by filing a Certificate of Organization(the"Certificate')with the Secretary of Commonwealth of Massachusetts on or about June 15,2007; B. All of the membership interests in the Company as of the date hereof are held by the Members;and C. The Members wish to fully set forth their rights and obligations in connection with the Company; NOW,THEREFORE,for valuable consideration,the receipt and sufficiency of which are hereby acknowledged,the parties agree as follows: Article 1. Definitions. The following terms shall have meanings set forth below: "Act"means the Massachusetts Limited Liability Company Act, as the same may be amended from time to time. "Agreement"means this Limited Liability Company Agreement, as it may be amended, supplemented or restated from time to time,including all Exhibits and Schedules attached hereto. "Comaany"means the limited liability company established in accordance with the Certificate and this Agreement, as such limited liability company may from time to time be reconstituted and amended. "Indemnified Parties"means the Members and any manager or officer of the Company. "Liquidating Transaction means any transaction involving the sale or other disposition of all or substantially all of the assets of the Company. "Person shall mean any individual or entity,and the heirs,executors,administrators, legal representatives,successors and assigns of such Person where the context so admits. BosTIW78827.2 Article 2. Formation,Name.Office,Agent,Purpose,Powers and Term 2.1 Formation. The Company has been formed as a limited liability company pursuant to the provisions of the Act by the filing of the Certificate with the Secretary of Commonwealth of Massachusetts. 2.2 Name: Office: Agent. The name of the Company shall be 33 Maywood Avenue LLC. The principal place of business of the Company shall be c/o The Fallon Company LLC, Two Seaport Lane, Suite 1100,Boston,Massachusetts,62210,or such other place as the Members may from time to time decide. The registered office of the Company in Massachusetts is c/o The Fallon Company LLC,Two Seaport Lane, Suite 1100, Boston, Massachusetts 02210, or such other office as the Members may from time to time decide. The registered agent of the Company in Massachusetts is Myrna Putziger,Esq.,c/o The Fallon Company LLC,Two Seaport Lane,Suite 1100, Boston,Massachusetts 02210 or such other agent as the Members may from time to time decide. 2.3 Purpose and Powers. Subject to the restrictions set forth in Section 4.1,the sole business of Company shall be,directly or indirectly,to invest in,own,manage,operate,acquire, develop, improve, sell and otherwise deal with real estate and interests therein, including buying, acquiring,owning,operating,selling,financing,refinancing,disposing of and otherwise dealing with interests in real estate,directly or indirectly through joint ventures,partnerships or other entities;and to engage in any activities directly or indirectly related or incidental thereto,and any other activities in which a limited liability may be properly engaged. Subject to the restrictions set forth in Section 4.1 and in furtherance of such purpose,the Company shall have all of the power,privilege and authority that can be conferred upon a limited liability company pursuant to the Act,including the power and authority: (a) to sue and be sued in all courts and participate,as a party or otherwise,in any judicial,administrative,arbitration or other proceeding,in its name; (b) to purchase,receive,take by grant, gift, devise,bequest or otherwise, lease,or otherwise acquire, own,hold,vote, improve,employ,use and otherwise deal in and with real or personal property,or any interest therein,wherever situated,and to sell,convey, lease,exchange,transfer or otherwise dispose of,or mortgage,pledge,encumber or create a security interest in,all or any of its property and assets,or any interest therein,wherever situated; (c) to hire or appoint such officers,employees and agents as the business of the Company requires and to define their duties and fix their compensation; (d) to cease its activities,wind up and dissolve itself in accordance with Article 7 and cancel its Certificate; (e) to conduct its business,carry on its operations and have offices and exercise its powers within or without the Commonwealth of Massachusetts; BOST114789271 �r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r 15/Map 2. � � Parcel-, i Z.q Application # X �. Health Division Date Issued t h I Conservation Division _ / oq o _ Application Fee Az a Planning Dept. Permit Feet' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address :3 5 M AV (A)0JT::) A-Ve Village H` a h ✓1 is ,tea 9-77 Owner ( 5 H F� 1 I sD in Address Telephone Permit Request 8v) Id c, '2 3 k Z(o if=r e 5 �� d-► �+� W L-1Y1 -5 P s+eC 6­60YE re&-+ tfvur" 3g_.. aub4i si`+11,1 t4,Eect Square feet: 1 st floor: existing proposed Jr'10 2nd floor: existing proposed 59 Total new 1 l�f Zoning District Flood Plain Groundwater Overlay Project Valuation 003 00O Construction Type W ud D Pr&eK e Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. Two Family ❑ , Multi-Family (# units) Age of Existing Structure N QN Historic House: ❑Yes XNo On Old King's Highway: ❑Yes X No Basement Type: ❑ Full , ❑ Crawl 0 Walkout 90ther s qe. Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) `5 q8 Number of Baths: Full: existing_ > new Half: existing new Number of Bedrooms: 0 existing Lnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: )'Gas ❑ Oil ❑ Electric ❑Other Ventral Air: A,Yes ❑ No Fireplaces: Existing New iCGS xisting wood/coal stove: ❑Yes )'No Detached garage: ❑ existing Xnew 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 QC4 M e 1,Jq o-s"r $u o 77c- #*Ye �C'isb Scoff cJ� �, Sv�s,3(B�ro2S APPLICANT INFORMA 1�--r -- tVy Qom_ j� '. 14, (BUILDER OR HOMEOWNER) -- Name FG 11 c3 d Telephone Number Q2 Address WtAe S ley License# Ile_L (nw n-r,, MA- . 02.9 7b Home Improvement Contractor# Worker's Compensation# 21 -.i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a Co SIGNATURE C�-CX � n 2l » DATE O M rn t s FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ,p FOUNDATION �(C O D �- FRAME a /O INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL p FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Windows Live Hotmail 10/23/09 4:42 PM 93 Windows Live" Home Profile People Mail Photos More v MSN v Search the web Scott v sign out - Hotmail New i Delete Junk I Mark as v Move to v I Options v scott.wb@live.com r Reply Reply all Forward i Mortgage Rates at Inbox(19) 3.5% Junk Re: Maywood Avenue LLC Fed cuts rate below 0.25%. Refinance& Drafts From: Joseph Fallon(jfallon@falloncompany.com) Lower your mortgage Sent Sent: Fri 10/23/09 4:07 PM payment. To: Graceann Cirame(gcirame@falloncompany.com); MortgagesBestRates/Refs Deleted scott.wb@live.com Manage folders Antibody Directory Scott, Over 400,000 listings of Add an e-mail Please advise the building dept that you have full authorization to n the building permit for me and susan. specific antibodies, account sign 9 P assays, antigens&more Related places Joe www.Iinscottsdirectory.cc This message was sent from my Blackberry Today ----Original Message----- Front Row Contact list Tickets.com From: Graceann Cirame Calendar To: scott.wb@live.com <scott.wb@live.com> Secure- Easy -Trusted Cc: Joseph Fallon - National Concert, 7 Sports and Theatre Sent: Fri Oct 23 16:05:00 2009 °MOT Subject: Maywood Avenue LLC Events. FrontRowTickets.com Mortgage Rate 4.00% Fixed Scott, $300,000 at $1063/month. No SSN Rqd. See New Payment - Save Now! Joe asked that I send you a copy of the attached signed copy of MortgageRates.Refinance Maywood Avenue LLC. Best life Insurance Quote Compare Quotes from Various Agents& Thank you. Carriers. Find the Best Rate Now! Life.InsureMe.co m Graceann Cirame ++++++CONFIDENTIALITY NOTICE+++++ The information in this email may be confidential and/or privileged. This email is intended to be reviewed only by the individual or organization named above. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, use,dissemination or copying of this email and its attachments,if any,or the information contained herein,is prohibited. If you have received this email in error,please immediately notify the sender by return email or phone(617-737- ©2009 Microsoft Privacy I Terms of use Account Feedback Reply Reply all Forward I Delete http://mail.live.com/defauIt.aspx?wa=wsignin1.0 Page 1 of 1 f x 3 3 Maywood Avenue; LLC December 11, 2009 - .y 33 Maywood Avenue LLC hereby gives Scott Buckley authority to obtain the building permit for any and all work done on the property located at,33 Maywood Avenue, Hyannis port, MA. ose F. Fa on 1V1 ag r Susan G. Fallo Manager On this 11 day of December, 2009,-before me,the undersigned notary public, personally appeared Joseph F. Fallon and Susan G. Fallon,proved to me through satisfactory evidence of identification, which was ID based on personal knowledge,to be the person whose name is singed on the preceding or attached document in my presence. of GRACEANNI`CiRAME NOWN, Public Commonwealth of Massachusetts My Commission Explrpg AUGUS Y c, The Commonwealth of Massachusetts Department of Industrial Accidents �' Office of Investigations I' 600 Washington Street �. Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeIZibly Name (Business/OrganizatiorAndividual): 7T05e_:p per( _T-�LLC>IJ Address: I2q We_�IeSICV .TA City/State/Zip: L_Mcryl I Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3) I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions v myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.]. *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. - I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lie.#: Expiration Date: Job Site Address: :3 3 moLy LiyaD 4ve-. City/State/Zip: kh1 ®YT 4 Attach a copy of the workers' compensation policy declaration page(showing the policy nu er and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. .1 do hereby e ify tin r th pains penalties fpe�jury that the information provided above,is true and correct. Signature: Date: 1.2-1O Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies (LLC)or.Limited Liability Partnerships(LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to ill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit,must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call, The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia // L I � - IM MI � � C� �0 Li feI I -''LJ_—. yi ' ' I I I I I I � I I Fu�•z.T....agpnc � � - - - - - - - - - - - - - -- LEFT GLE4hT*')nl 5ce C Y� ���,OF ^ASS RON 7 CaLCWl1 VM pAICHELE CUDILQ 0 No.34774 STSUCTUSAL ) MR. £ MRS SUS P V hlo 1 y��"•�rocl Sv,O A R P��/�� Iz sly •..,o..o .. T �ION?�!p;g� Ilyn-neli7WaT, .N,h ........P>ERa .L Le VA T'.�_V r!... P�orlt EL V_V}^. LL" -__ V L-- DIE 0 ..-- ..— � i �0.• E �'`�ZS. 7�sEnti F�nl�oN o- 12. 4 09 33 IH 4`woot) I.1 Y N'li\)IiMP7, (lA* y. 617 594=6736 Nextel Phone jkellar@cybertours.com D E S I G N TECHNIQUE I N C O R P O R A T E D C o n s t r u c t i o n P r o j e c t Managements" 'JOHN W. KELLAR,III 44 Merrimac Street Senior Project Manager Newburyport,MA 01950 Telephone: (978)462-2094 Facsimile: (978)462-052 ����� E-mail: cpm@deztek.com I ....I 3t�..t: __— Do•n/nth � � , 9' •ouwco0. 12� I _ I + —1— Loo MRCA I FLcoR e< F 0. C]•L(o 25) 3IN3 Scl Pr 5'1B�a' eo. peec r •� y OF Flner r-Cook �. t 2Hr," t Yof o ` dL t7 ° ,I - GnS FIRCTLncE Jq 5 0 ACCE"D I nCCEvO •� J' e—J � 9EMCN. —��L'I —7�e' � I'I¢ 8' --_..�. �•i�%'�-_�I�c�_�'_�e—''�'—`iL —�--'I'�-4,�uih1 .. �-Is' s'-'---- ---e' SCCOND FLg71_ - F1R9T .P LDoR„__ N MICHILU C UDILO 3 CTURnt j MIL, $ MR9• 7109 CPH '"������ p w�u. k`+ I f4uT ^°Pnovto.rl owwNo• Sw3 t411�GA CA'LC��71 ter Ugly e,33 M, ,/wo.o nve V-11ANNI57uRT, I'1V4 . Ft.nviZ PLVYNS cR3�opMB 14Ixv ro-ns ro Frr�n io — I —.. _..—._. ..-..........__ _,J ,. �s I --_— I Io,F i"I n=1iL'D �2i,>1 '11%•.:.Ja I C Sln-� II ( r,z C Nt:'naE%Z, 5 I I I I M�Tc LIB 1'JV>`I UATpw1 `•4 N4.li ,.1r��tC� r L_ _I( �I �r r�.�,\t_ G°,r:v,.0 'r�, - �� /nionl•o� I I i I �ON ASH OF?14A 9 �fIIChIELE cy oCUI?ILO N O.34774 1-5, U MC was. 704C(H ;: rLLO i STRUCTURRL ;� gFGtSfEp�O �i� •'12: 09 33 MN./v.lwn� r1.rC' �. S_ONAl rlyvrrinuSpo2T, rn,h WIN NUM L rOJ.'-IDA"T7OM 7L,ArI' ou`I a0Fey"r3 5 T"`'IM1 Ln5E JPnI InI L, I71 - - `� r I ll—1L"�454 � C R-Rr1C C HE7�DE0.5-� I I ,y,.� oP 4rt S' L D I FLOOD 5.F,E. ° t5.0 I, -- ...._..._. ' ' 5PkN IL L� /'I ��� IN - F,rIISHE•D 17 '� DohMc� 9 • _ T - N _ i I I� F l:oJi: '77),ST ��lo F LDoa-LZIRM. —. �xhntR `/TNTS USC TyPICA" $NeIZTNALI. _..__._.... .._—. —._. conlsMienorl y0.RME j,I AILED S1IMTNIN6 3 O C• J ALL /rRDJr1D pIo V�JhE T IM1J I' n3�v6 Y�` jNOF,., • F,rIIaIIE-p Cn��E c �p.�- Sq9 9q MICHELE �R'DE IL'I IL"I f CUDILO ° No.34774 STRUCTURAL qE_ RLO���� W1a� MRS �sL��I I rnuo�t Gf$TF s ..,7 a r,9 g; v'n n+I1nIND 01 �I rAn r, 81 151 LVL R'n6L 3Ly N 5.Pfl E r vt1,115 1 I-cI 30 n60z.f:.L✓5 10 er z w/Ed �` 6' >: r.,,rf..•31:nq 1 5' IL �g %t` p�ywuuD SHCI'hnnlo!D 2'k to Rn-unes Ir,.'nC \ s' l I�lll ITL r i"U:f-R. �n711.1 r,-I An I L PI/-3t. ...� tt Z.5 zu,•,rs � I,. 2-19 1-h Ii CAC:Lh SS _ 2,tL f'rMME 16'o-C Jf 65CI'{i 3�Bc LL uuN Gln..,E @ OhALE61D �L—j — — — I 1 '1. 3 yl_Y 111� L9'$Jg7 i.'✓::' 3) 17/y"k 11 __.._ k ➢.T C LUL N'/L't r _ /k5/g,I o (,-5 TA L`I 'h MA-1.0w WILL W.$T. �II w�SD41 �,I,it 'I�rJ'•LRI. It I' it 11 i �n,(>S a,til Pn.r llol.DtR5 413U419-77 _n . -"(_ '/u" ✓.hY_ei�2 Y�r IL' So Nq -ru?,E w 2/1x& Pt- $iLLr 215 'r 1')16 FDot'° jyJT,16 I 1 I — I N OF Ma o 09cy � MICHELE u, (=K hMC 4r.�os sc.-c:rlo+i N� � z CUDILID No.34774 ul STRUCTURAL y1..� ONAL.,/pWC o.a`r, IL,IInq D IL �-� /' C.U'-�✓.-/.. r;CS - MIN, I'�� e ir." L.C. ��P) • e � ...-..'-_..'��Jl.�p 71.ocu;Id(, �/r.d,C'�2 i".':':S K '- i I L B4LLON rit&Mv i ;�I I �-'-•— 2x1. '?LrVTS SM iRGh'S5 I t •'i !'II y "ID v h hl E-C- 9.'R JL�`/Qnl 7%!i FShMt .i li '� � ..___•'-�' 2 9 L l 1 L... J ' I I I 3/ o••aeY.S. FLuoa TL "HILL 'TD ST'S. 1 I M 5 � TUEstrA N4774 c U 1>, gTR ¢ A REGIS(EF�,:yj`a.,a MR � rnv c. yvrr.-vst F-,r•.l.�.ol.l ' ;.ipN^, c.u• Yq^. sF+Sr ...o.�oe.. SW w l777 ///// / �� !/� e••33.rn n.`•I�n/uJ'ta�A.ili:� n . 5 T P U C'r U t q.` �4 E} 0 I 7.n10 IC-D&L9, /ri rN-M 4N J I ING etDAA SIUI PIG i S LbLI<s N zero Dceu r,sr L� 4Cv►e�S �j ��c,�'R c�nl�rtivc.n,••\ -->s I ,� —pQR4r._Fl.-.�iT1�._- . ,I•' TI mOCz l.�c t� 9CRLN/S ��'C 1-t QF T-Hp,nH V,/IKL ^.,NUSn I JQ I C�- s,mMICMELE CUDILO STRUCTURAL A � MR � MR9 TV SGpH '-hu.o nl ' LemGrsit __— R�GISTEP��./r��� .�... r.l,., Irs ..o°•oa ,o.s�.,g Ac:",•"�-- �..1i.;:�'.,,� our\t . pq • .m %x/�� �•I.�J-N nr\i 4��hT,'Mh� y •�////VV 1] Roof Ga,\-ME \ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z 6 7 Parcel ` 2� Application# C�(7 b��(10 Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee- Treasurer R— Planning Dept. ` Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address me i )�ye-- Village in V,I f 7u&(— Owner �x Fl�UeAJ Address Telephone ( 4 _ _ I .0 ,.I.4 .e i/lnnv Permit Request"A a Li x I T W t t1-i JX I �- t7 e C� h2 t k q cl711/l. i6 12n. Square feet: 1 st floor:existing Z0 proposed 5 y 2nd floor:existing proposed Total new .. Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 44.1?b CID, Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting ocumentation. Dwelling Type: Single Family Nr Two Family ❑ Multi-Family(#units) Age of Existing Structure T9 Historic House: ffi 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) r Number of Baths: Full:existing 3 new / Half:existing 1 new-=' Y Number of Bedrooms: existing new Total Room Count(not including baths):existing; 10 new _ First Floor Room Count •�`�' Heat Type and Fuel:,VGas ❑Oil ❑ Electric ❑Other r 'Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stov': ❑Yd�s �Nro Detached garage:❑existing ❑new size Pool:❑existing, ❑new size Barn:❑existing ❑new size Attached garage;Mexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial, ❑Yes �Ao If yes, site plan review# Current Use /e4 I le"'n-6-:e Proposed Use ' ', DER INFORMATION 5'D 9- 3�p .253o 5eAtr Name "J dl k, Telephone Number (1�' y �'� /�13(v ���� 1 �, .ice r Address �JlP License# l rrz,: MA • Home Improvement Contractor# Worker's Compensation# 22 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE O \ . . } . . FOR OFFICIAL USE ONLY i { APPLICATION# ƒ . DATE ISSUED . . M P/PARCELNO. ^ ' . • . « ` ADDRESS - VILLAGE ƒ OWNER . . 7 DATE OF INSPEC20\ . f FOUNDATION FRAME . INSULATION � k . . . . \ FIREPLACE ELECTRICAL: ROUGH FINAL • PLUMBING: ROUGH FINAL $ GAS: ROUGH FINAL / FINAL BUILDING b . DATE CLOSED OUT / ASSOCIATION PLAN NO. i ' The Commonwealth ofMassachusetfs Department of Industrial accidents Office of Investigations _ d 600 Washington Street i Boston, M14 02111 www.m ass.gov/dia Workers"Compensation Insurance.Affidavit;.Builders/Contr.actors/Electricians/Plumbers Applicant Information Please Print Leebly Name(Business/Organization/Individual):. To 3gj- •Address: /;,t/ ��l'eS lei City/State/Zip: BMA- Phone.#: Are you an employer? Check the appropriate box: -Type of project(required):• 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction . employees(full and/or part time).* have hired the sub-contractors 2.❑ I am a•sole proprietor or partner- 'listed on the'attached sheet. 7. ORemodeling ship and have no employees These sub-contractors have g, ❑Demolition worlds for me in an capacity. employees and have workers' g Y P tY• $ . 9. E]Building addition comp.insurance. [No workers' comp. insurance required.] 5. ❑ we are a corporation and its 10.0 Electrical repairs or additions 3.[ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions anysel£ [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance zequired.] t c: 152, §1(4), and we have no employees. [No workers' 13.❑Other comp.insurance required] ' 'Any applicant that checks box M.must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tC6ntractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or notthose entities have employees. rf the sub-contractors(have employees,they must providb their workers'comp.policy number. , I am an employer that is providing workers'compensation insurance for my employees Below islhe policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiratfon date),• Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as WeI1as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 116 hereby certi :ender thepains• ndpe alties ofperjur),that the information provided above is true and correct Sitmattire; Date: // (e-;6 Phone #: L' o - - Official use only. Da not write in this area,'to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: i �oF1HE,� Town of Barnstable Regulatory Services DAMST"8 �` Thomas F.Geiler,Director q'prEp 39. 6. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. ff �/ Type of Work: @ i Agin l y Sit&4 1�(d,;A_ 22C'rar,, Estimated Cost4t- r Address of Work: 3 3 M&V LJ"' D Owner's Name: Lro e ll?Al Date of Application: I/ 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 IZOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO.THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR ' Date7v Owner's Name Q:foims:homeaf day Y � MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I I Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 11-6-2007 DATE OF PLANS: 11/04/07 PROJECT INFORMATION: Joseph Fallen 33 Maywood Ave. Hyanisport, Ma. NOTES: Second floor addition to existing bedroom COMPLIANCE: PASSES Required UA = 84 Your Home = 44 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 357 31.0 31.0 6 WALLS: Wood Frame, 16" O.C. 532 19.0 19.0 18 GLAZING: Windows or Doors 58 0.340 20 HVAC EQUIPMENT: Furnace, 80.0 AFUE ------------------------------------------------------------------------------ COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 37JI04NZ 1310 a - J4.4. avo Builde /Designe / Date �El MASche�k INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 11-6-2007 Bldg. 1 Dept. 1 Use I I i CEILINGS: [ ) I 1. R-31 + R-31 I Comments/Location { I WALLS: [ l I 1. Wood Frame, 16" O.C., R-19 + R-19 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ) t 1. U-value: 0.34 { For windows without labeled U-valves, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ } No I Comments/Location 1 I HVAC EQUIPMENT: [ } I 1. Furnace, 80.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: E ) I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures ( shall meet one of the following requirements: I 1, Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: E ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating { equipment efficiency must be clearly marked on the building plans I or specifications. I { DUCT INSULATION: E ) I Ducts shall be insulated per Table J4.4.7.1. I I;DUCT CONSTaUCTION,: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing i air and water systems. 1 I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ l I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) ( HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 i Low temperature 1201-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: 1 Chilled water or 40-55 0.5 0.5 0.75 1.0 ( refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-l" i 0-1.25" 1.5-2.0" 2.0+" I 110-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 i 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- t� Town of Barnstable OF SHE 1p� Regulatory Services * BARNSTABLE, Thomas F.Geiler,Director 9 MASS. 1639• p,0 Building Division rEn � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I i/&/U7- JOB LOCATION: 3 3 U YL�/1•�(�T�� '1�� !7 1/G dl nl S%7axz num—berer' / / street / p. �/ village //� ,HOMEOWNER": T Sel��i tlew 16 �/ C'?� 6// —��� —5f�t� name / ho fine phone# j work phone# CURRENT MAILING ADDRESS: :1/�%Sf 1i77,/j%,7- 1444, Y -7g city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess 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 minim inspection procedures and requirements and that he/she will comply with said procedures and requ' a ents. Signs o o eowner • 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.L I -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it.would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. i Q:forms:homeexempt pfr1HErOk, Town of Barnstable Regulatory Services ` BARN B Thomas F.Geiler,Director 039. ,oTFn ,ra Building Division Tom Perry, 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 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map s3 Parcel /J 9 ,Application# Health Division ,. Date Issued Conservation Division Application Fee au Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ` Project Street Address_ 3 3 t1l4 `e— Village H\4 P7 n r S ;X/-,r— Owner _ Address /,2 V LIJ ' ,� � 90E- Telephone Ll e q r q/1 6 Permit Request Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ' s Construction Type 1,,voor>. frli-7oe - Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 7T Historic House: Yes ❑No On Old King's Highway: ❑Yes O No Basement Type: �P Full 5PCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing .S new Half:existing / new Number of Bedrooms: existing new Total Room Count(not including baths):existing /1 new First Floor Room Count Heat Type and Fuel:�g Gas ❑Oil ❑Electric ❑Other Central Air: �J Yes ❑No Fireplaces: Existing 2 New �X Existing wood/coal stove: W(es �, Mo C� Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑ v size Attached garage:Aexisting ❑new size Shed:❑existing ❑new size Other: C" �. Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial='❑Yes-- �%o If yes;site plan review#" Current Use Proposed Use 0 � �o. p r BUILDER INFORMATION f� Name 00 h e2 'V_D Sep11 r­r,LLvI�J Telephone Number Address /02�/ LJe �(e2 'Poe, License# L yr T— dL'►/� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �i vtt_ �f /rrYl SIGNATURE �-- DATE ;2 GCS o FOR OFFICIAL USE ONLY ip , APPLICATION# DATE ISSUED MAP/PARCEL NO. r . r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ®�- -$7- . ��v�t D IL INSULATION J ^-0 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t' C10A OF MA WEI.E s o d`NO. 4774 z 5 cn E't AWC Guide to Wood Coustritetiou hi High 641ind Areas: 110 »iph PHIld Zo U sTRuli c URAt' Massacll>i>setts Checklist for Compliance (780.0,11R 5301.2.1.1) -Loadbearing Wall Connections �"�� Lateral (no. of 16d common nails)...............................:(Tables 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)-6-4gtAzz� Header Spans ..............................(Table 9) ........ ft_in.15•11 SillPlate Spans .....................................::.................(Table 9)......:..................I........—ft—in. s 11' \ Full Height Studs (no. of studs).............".......................(Table 9).....................:......................... .... Non-Load BearingWall Openings(record largest opening but check all openings for compliance to Table 9) -Reader Spans.............................................................(Table 9)................N./A........_ft—in.5 12' 9, late Spans.......................................................... (Table ).................................. ft in. s 12" Full Height Studs (no.of studs)....................................(Table 9)........................................................ Exterior Wall Sheathing to Resist-Uplift and Shear Simultaneously4 _ Minimum Building Dimension, W N /A Nominal Height of Tallest Opening Z ............... / SheathingType..............................................(note 4)....... ............:................,.:......... _t Edge Nail Spacing ..........(Table 10 or note 4'if less) - .. in. ............................... ............ ......... Field Nail Spacing (Table 10)..................................... ' Shear Connection(no. of 16d common nails)(Table 10).............:........ Percent Full-Height Sheathing .. Table 10 ° g g...................:. ( )......::.,..................... 5%Additional Sheathing for Wall with Opening>6'8"(Design Co ncep ).....:.............. i. Maximum Building Dimension, L Nominal Height of Tallest Opening2.......... ...:....:......... s 6'8" SheathingType...............................................(note 4)....... ......... .... .............. ...:.....:.. Edge Nail Spacing........................:................(Table 11 or note 4 if less)........... ..:......... in. Field Nail Spacing Table 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 Concep .:......... Wall Cladding Ratedfor Wind Speed?....... ...... ........ ........ .....t ... ..... ....................... � ............ . ...... 5.1 ROOFS t Roof framing member spans checked?......:.::..............(For Rafters use:AWC_Span Tool, see BBRS Website) Roof Overhang ................ :'smaller of 2'or L/3 .....................................(Figure 19) .............�:ft Truss or Rafter Connections,at Loadbearing Walls Proprietary Connectors Uplift ....(Table 12).... Lateral......:...................... ......(Table 12).. L= -76 plf Shear... .........:.(Table 12).....:.......... ... ...S=_ZZ Of . Ridge Strap Connectionsf collar ties not used per page 21... (Table 13).LTV Z ..;.:...T=1 plf Gable Rake Outlooker.............:... .......:::(Figure 20) .�I,/,e9-.:.._ft 5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls / Proprietary Connectors Uplift..................... ......... .........(Table 14) ............ �.................. .U= lb.` Lateral(no. of.16d common hails)...(Table 14)"..,........... .......................L= lb. Roof Sheathing Type.................. ...................:..:`..... (per 780 CMR Chapters 58 and 59) Roof Sheathing Thickness...., ....... u in. >7/16 WSP. ... ..... Roof Sheathing Fastening.... .. Table 2 ....... b 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 rStraps per Figure 11' #' c. Uplift Straps per Figure 14 . d. All Straps per_Fig re_1"7:... P✓'/.. ,_ "e: Corner Sfud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing 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. t MICH k tie Y 0I spbw j /- C ILO U No:34774. f 6VC Guide to Wood Consti•crctiou hi Hi h Whid flreas: .110 rjcph WhId Zoe e STRUCTURAL Massachusetts Checklist for Compliance (780 CINIRs;n1:2.1.1)' �s+ANAL c N Check Compliance 1.1 SCOPE / WindSpeed (3-sec. gust).................................................................. ................................................ 110 mph / WindExposure Category.................................................................. .............................................................B Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)---L-stories s 2 stories (Fig ) ...........................................3 54-5 12:12 Roof Pitch ....................:.........:..............'............................ Fi 2 ,� MeanRoof Height ..............................................................(Fig 2)............................................... lft 5 33' BuildingWidth, W ...............................................................(Fig 3)................................................ ft 5 80, BuildingLength, L ..............................................................(Fig 3)................................................. ft <_80, Building Aspect Ratio (UW) ...............................................(Fig 4)................ .. . ..................,..... 5 3:1 Nominal Height of Tallest Opening ( g )..J .........' ! " 1.3 FRAMING CONNECTIONS General compliance with framirig connections....................(Table 1.0k_eX .......... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete............................................................................................................................. ConcreteMasonry .................................................................... ............................................................... 2.2 ANCHORAGE TO FOUNDATION'''. I�lten 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 end/joint of plate .............................(Fig 5)..................:................. in. :5 6"- 12" Bolt Embedment-concrete.........................................(Fig 5).................................................._in. > 7" Bolt Embedment-masonry..............................:..........(Fig 5)......... ............................... in. >_ 15" PlateWasher................................................................(Fig 5)..............................................>3"x 3"x'/<" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)2X .. ._ ..'....X.U:3 � Maximum Floor Opening Dimension...................................(Fig 6).............................................. ... ft 5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6)................. /j�... ........... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7).........................................0/...._ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).........................................�IA...._ft s d Floor Bracing at Endwalls.................... ........................(Fig 9)................................../. ..u. .. . 5. ......... . . Floor Sheathing Type .......k% -1:N...y.. ....................(per 180 CMR Chapter Floor Sheathing Thickness ................................................,(per 780 CMR Chapter 55 ...1. in. Floor Sheathing Fastening..................................................(Table 2).._d nails at in edge/—in field 4.1 WALLS 2` �� �Ip a.�/G ' - 4-6g.ews Wall Height 1 Loadbearing walls.......... .............................................(Fig 10 and Table 5).............. ............ ft. 5 10, Non-Loadbearing walls.........................:..::.....:............(Fig 10 and Table 5)........ _ft 5 20' Wall Stud Spacing Fi 10 and Table 5 �_in. 5 24"o.c. (Fig )......... : .. ... Wall Story Offsets , ........................................................(Figs 7&8).......................{l�./}............. ft 5 d 4.2 EXTERIOR WALLS' _ pSr' -3r, Wood Studs Loadbearing walls........................................................(Table 5)....,. ..... ... x_-_ft_in. Non-Loadbearing walls...........:....................................(Table 5)..............................2x_-_ft_in. T Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10)................................................................. WSP Attic Floor Length..........:......:..............................(Fig 11)............................................. ft zW/3 Gypsum Ceiling Length (if WSP not used)...................(Fig 11)............................................_ft z 0.9W i 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 ........................................................(Fig 13 and Table 6).............N*............./ _ft Splice Connection (no. of 16d common nails)..............(Table 6)......................................................... The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): $e 12 h Address: /�2 V t ye // City/State/Zip: Phone.#: / 6 0- /f Fcl Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I � yer w 6. 0 New construction employees(full and/or part-tim.e).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY $ 9. ❑Building addition [No workers'comp.insurance comp. insurance. required.] 5. ❑ 10.We area corporation and its ❑ Electrical repairs or additions 3ZO I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: p t'`' �'-• w Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address:_3 3 141+:X t A1Z66p "e- City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investiizations of the DIA for insurance coverage verification. I do hereby c ti under thq pains and penalties of perjury that the information provided above is true and correct Sip-nature: 1 G��/�L� Date: Phone#: /'(o l _ q Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions - - 1 Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees': Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual;partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for-the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that.this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. . Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on,fi.le for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-72.7-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR. ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780,CMR 61.00) Applicant Name: foe— r-z,I/c/>j Site Address: 3 3 BUD *ye . print Town: H�ti Applicant Phone: Ce /� L'$% f V36 Applicant Signature: Date of Application: /5 Ua' _ NEW CONSTRUCTION: choose ONE of 4he.following two options) 780 CMR TABLE 6107.1. PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Option 1: Slab f—I O Basement LJ P Fenestration exposed Wall Floor Perimeter Wall AFUE HSPF SEER U-factor floors R-Value -R-Value R-Value R-Value R-Value and Depth National Appliance Energy .35 R-3 8 R-19 R-19 R-10 R-10, Conservation Act'(NAECA)of 4 ft. 1987 as amended,minimums or greater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. - i ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck—Web which can be accessed at http://w".energ cy odes•gov/rescheek/ 'ADDITIONS.O-R ALTERATIONS TO`EXISTING BUILDINGS OVER 5 YEARS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %-of glazing: (a) Gross Wall & Ceiling Area equals - Formula: (100 x b= a) SF 100 x — _ % of glazing (b) Glazing area equals SF b a If glazing is<40%o use.the chart below. If:glazm is:> 40 /o.proceed to "SUNROOIVI' section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter' ❑ Fenestration R-Value R-value R-Value Wall Floor ..Basement Wall Exposed floor's R-Value U-factor R-Value and Depth .39 R-3 7 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling E area(i.e.not com ressed over exterior walls and including-an access.o enin s). SUNROOM—An addition or alteration to an existing building/dwelling unit where the totalEl �I glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note:. Owner to fill out Consumer Information Form (found in Appendix 120.P) �oFSHE r Town of Barnstable Regulatory Services + BARNS TABLE, : Thomas F.Geiler,Director 9 MASS. 4,,, i659• Building Division lFn �p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 33 may wcol-) t�-(/2'_ AIyC h n.-T--' number street village "HOMEOWNER": 47& At/ /6?— '/gZ V.36 name home phone# work phone# CURRENT MAILING ADDRESS: /g yl•t1Q u—�cS�ecj /2c city/town state zip code The current exemption for"homeovmers"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 But Department minimum inspection procedures and requirements and that he/she will comply with said procedures and r u' ements. i re of meowner 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 t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt L v °F1HE lo,,, Town of Barnstable Regulatory Services » BARNSTABLE, « v MASS. �, Thomas F.Geiler,Director rFDPAA'IA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-86.2 038 Fax: 508-790-6230 Property Owner Mus Complete and Sign This ection If Usin A Buil er as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work autho t' this uilding permit application for: ( ddress of Job) Signature of Owner D\comple Print YeIrUty If PrOwner is applying for permit plehe Ho eowners License Exemption Form on Q:FORM&O"ERPERMISSION Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program W050757 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent,Nonwater-Dependent,Amendment LI G. Municipal Zoning Certificate Matthew&Victoria Kennedy Name of Applicant 33 Maywood AVe. Hyannis Harbor Barnstable Project street address Waterway (Hyannisport) Description of use or change in use: To construct and maintain a timber pier, ramp&float in Hyannis Harbor. To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." 2&r 0 Printed of unici I cial //�� / Date „' (10�rir ` NST64'r ignature of Municipal Official dle City/Town CH91App.doc-Rev.10/02 Page 6 of 17 _ . J SULLIVAN ENGINEERING INC. 7 PARKER ROAD/P O BOX 659 OSTERVILLE, MA 02655 , Peter Sullivan P. E. Mass Registration No. 29733 psullpe@aol.com phone 508-428-3344 fax 508-428-3115 April 22, 2 004- Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Waterways License Permit Application Kennedy/33 Maywood Avenue, Hyannisport Dear Building Commissioner, Please find enclosed a Municipal Zoning Certificate along with the Department of Environmental Protection Waterways License application and plan. We have received an Order of Conditions from the Conservation Commission,,file number SE3-4216. Would you please review and sign the Municipal Zoning Certificate and return it to me in the enclosed self addressed stamped,envelope. Thank you for your assistance in this matter. If you have any questions, please contact the office. Very truly yours, Peter Sullivan, P. E. Sullivan Engineering Inc. Enclosures Members of American Society of Civil Engineers, Boston Society of Civil Engineers i fr Massachusetts Department of Environmental Protection LlBureau of.Resource Protection - Waterways Regulation Program W0507tta No. Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent,Nonwater-Dependent,Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: Matthew&VctonaKennedy, V ,k,.,. Name E-mail Address 4 Maywood�_Avenue Mailing Address Note:Please refer � =m -� i to the"Instructions" Hyannlsport MA 02647 City/Town State Zip Code Telephone Number Fax Number 2. Authorized Agent(if any): Sullivan Eng neerng�lnc/Peter Sullivan P E!, psullpe.@aol com Name E-mail Address POO F Road Mailing Address Ostervilfe MA 02655 City/Town State Zip Code 508-428-3344 508428=31,15 Telephone Number Fax Number C. Proposed Project/Use Information 1. Property Information (all information must be provided): rt same Owner Name(if different from applicant) Map'287 Parcel 1:29 41 38'00" 70 17'50" Tax Assessor's Map and Parcel Numbers Latitude 33 Maywood'Avenue, Ba'rikglile(Hyanr isportj MA 02647 Street Address and City/Town State Zip Code 2. Registered Land ®Yes ❑ No 3. Name of the water body where the project site is located: Hyannis Harbor 4. Description of the water body in which the project site is located (check all that apply): Type Nature - Designation ❑.Nontidal river/stream ® Natural ❑ Area of Critical Environmental Concern ®flowed tidelands a ❑ Enlarged/dammed ❑ Designated Port Area ❑ Filled tidelands ❑ Uncertain ❑ Ocean Sanctuary ❑ Great Pond ❑ Uncertain ❑ Uncertain CH91App.doc-Rev.10/02 Page 2 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program W050757 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Simplified,Water-Dependent,Nonwater-Dependent,Amendment C. Proposed Project/Use Information (cont.) Select use(s)from Project Type Table 5. Proposed Use/Activity description on pg.2 of the To access navigable waters for recreational boating. "Instructions" 9 9• 6. Is the project a pre-1984 existing structure AND less than 600 square feet? ❑ Yes ® No 7. Is the project a post-1984 existing or new structure, less than 300 square feet AND water dependent? ❑ Yes ® No 8. What is the estimated total cost of proposed work(including materials&labor)? $25,000.00 9. List the name&complete mailing address of each abutter(attach additional sheets, if necessary).An abutter is defined as the owner of land that shares a common boundary with the project site, as well as the owner of land that lies within 50' across a waterbody from the project. See Attachment Name Address Name Address Name Address D. Project Plans 1. 1 have attached plans for my project in accordance with the instructions contained in(check one): ® Appendix A(License plan) ❑ Appendix B (Simplified License plan) ❑ Appendix C(Permit plan) 2. Other State and Local Approvals/Certifications ❑ 401 Water Quality Certificate Date of Issuance ® Wetlands SE3-4216 File Number ❑ Jurisdictional Determination JD- File Number ❑.MEPA File Number ❑ EOEA Secretary Certificate Date ❑ 21 E Waste Site Cleanup RTN Number CH91App.doc-Rev.10/02 Page 3 of 17 i Massachusetts Department of Environmental Protection L7 Bureau of Resource Protection - Waterways Regulation Program W050757 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Simplified,Water-Dependent,Nonwater-De endent Amendment P P � p , E. Certification All applicants, property owners and authorized agents must sign this page.All future application correspondence may be signed by the authorized agent alone. "I hereby make application for a permit or license to authorize the activities I have described herein. Upon my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection." "I hereby certify that the information submitted in this application is true and accurate to the best of my knowledge." Applicant's signature Date erty Owners signature(if different than applicant) Date Agent's signature(if applicable) Date APPLICANTS FILING A SIMPLIFIED APPLICATION STOP HERE CH91App.doc-Rev. 10/02 Page 4 of 17 Massachusetts Department of Environmental Protection �- Bureau of Resource Protection - Waterways Regulation Program W050757 (}�`\ Chapter 91 Waterways License Application -310 cMR 9.00 Transmittal No. Simplified,Water-Dependent,Nonwater-Dependent,Amendment F. Waterways Dredging Addendum N . 1. Provide a description of the dredging project ❑ Maintenance Dredging (include last dredge date&permit no.) El Improvement Dredging Purpose of Dredging 2. What is the volume(cubic yards)of material to be dredged? 3. What method will be used to dredge? ❑ Hydraulic ❑ Mechanical ❑ Other 4. Describe disposal method and provide disposal location (include separate disposal site location map) 5. Provide copy of grain size analysis. If grain size is compatible for beach nourishment purposes, the Department recommends that the dredged material be used as beach nourishment for public beaches. Note: In the event beach nourishment is proposed for private property, pursuant to 310 CMR 9.40(4)(a)1, public access easements below the existing high water mark shall be secured by applicant and submitted to the Department. CH91App.doc•Rev. 10/02 Page 5 of 17 i Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program T Transmittal Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent,Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Matthew&Victoria Kennedy Name of Applicant 33 Maywood AVe. Hyannis Harbor Barnstable Project street address Waterway (Hyannisport) Description of use or change in use: To construct and maintain a timber pier, ramp&float in Hyannis Harbor. To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." Printed Name of Municipal Official Date Signature of Municipal Official Title City/Town CH91App.doc-Rev.10/02, Page 6 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program T W050757No. Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent,Nonwater-Dependent,Amendment H. Municipal Planning. Board Notification Notice to Matthew&Victoria Kennedy Applicant: Name of Applicant Section H should 33 Maywood Ave. Hyannis Harbor Barnstable be completed and Project street address Waterway (Hyannisport) submitted along with the original Description of use or change in use: application material. To construct and maintain a timber pier, ramp&float in Hyannis Harabor. To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans have been submitted by the applicant to the municipal planning board." Printed Name of Municipal Official Date Signature of Municipal Official Title C41rown Note:Any comments, including but not limited to written comments, by the general public, applicant, municipality, and/or an interested party submitted after the close of the public comment period pertaining to this Application shall not be considered, and shall not constitute a basis for standing in any further appeal pursuant to 310 CMR 9.13(4)and/or 310 CMR 9.17. CH91App.doc•Rev.10/02 Page 7 of 17 Abutter List to Accompany Waterways License Application for Matthew & Victoria Kennedy 33 Maywood Ave. Hyannisport, Mass. Kathleen A H Graff, Tr. Maywood Ave. Nominee Trust 2905 N Street NW Washington DC 20007 Joseph & Jo-Anne Polak P0 Box 363 Hyannisport, MA 02647 Peter B & Lissa L Stepanek c/o Hampshire Paper Corp. 24 Powers Street Milford, NH 03031 Willis E & Angela Bye, Trs. Newton Ave. Real Estate Trust 5 2 Round Hill Road Lincoln, MA 01773 - ovu,L t-e rgo +rO+ 1` Cupp c i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A4J Map 7Z `Parcel /.�9 �,,�t,. «x 0_f�SL� Permit# V • Health Division Date Issued 3 Conservation Division Z vn��. S�� -3�Z _ Application Fee Tax Collector k — — 00 01- Permit Fee 00 Treasurer D S/ , M I'p`Isi( SEPTIC SYSTEM M T Planning Dept. INSTALLED IN C pP Y 9 Date Definitive Plan Approved b Planning Board M IM'r ENWRONMENTAL C Historic-OKH Preservation/Hyannis TOWN REGULA 710tTS Project Street Address Village Owner "'F' �L ems^ Address Telephone Permit Request cns vr_ (o Square feet: 1 st floor: existing '___,�roposed�_ 2n . s mg proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation43,"' 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 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) z� 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( 9 ) 9 o Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other j Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal t4 A_s O No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exi` ', ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: cn r- � rn Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use r/J BUILDER INFORMATION Name Telephone Number .Address License# �i �7_ �1 Home Improvement Contractor# Worker's Compensation#ALL CONSTRUCTIO DEBR S RESULTING FROM THIS PROJECT WILL BE TAKEN TO ` SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED s MA..PJ PARCEL NO. ` ADDRESS VILLAGE K OWNER'' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH- FINAL. �a PLUMBING: ROUGI t+ FINAL ' � 4 GAS: ROUGH:: {9 "' .I FINAL FINAL BUILDING ' L DATE CLOSED OUT ASSOCIATION PLAN NO. i • ..... . 4 ` �__ I . The Commonwealth of Massachusetts 0- . ._.-._ =- — I . i Department of Industrial Accidents :::: . -- - Office of/Hest1120ns . - 600 Washington Street _ �— � Boston,Mass. 02111 Workers' Compensation Insurance Affidavit . name: location: --4 f�city ��v` � �� ` ,' ` hone# as T"�—r te am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workinn in ca achy /% % ❑ I am an employer providing workers',compensation for my employees working.on this job. :....::::::::...:: xonx an n m ::;:.:;:.;:.;:.;:.;:.;:.: .:::.:::.. ........ .::.:...::..:.:...:.... >::::.:::.....:.:.:..:::.:.:::...:.::. :,... . ;.::::: ...:...... ....:.....:...::.::.::.......:..:::::::::.:.:.::.::.:::.: ::.:.. ;:s.:;:.;:;;.;.:::::;..::;:::::;:;'.::.:':'......:::.. .,:.. .... . ........................ city ...... phone#. xgo la lnsiii`ance:ca.><.:..:'.;.:.::..:... :':::>::::':::::...-.•>;.;:::::::..: .:.`.....-;>':;...-w.. :::.::'.:. .:< ... ........ ... ....... /i. ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have . . . .. thefollowing workers'..compensation polices:::::::::::::::::::::::::::::::::::::::::::::::::.::::::::::::.: .::.:.:::.:::.::::::.:.,:::::::::::::::::::::::.:::.::::::::::::::::.:::::::.::::;:::::.:::;:::.: name::... .::;:::»:<:::;:':>:::::::>::::>::::::>:::.. <<': :<:: >> >':> . ... .comaany ..... .... . aidr s :.::.;:,:.;:.;:.;.,:..:.;:;.:..;.......... >t> ::.::.—.-.::.:;:.;.:::>:.:;.:.;;:.::.;:: ........... ::.:..:: xis >d :..:: :'s`:<: ` :i::..i:,-....... .+::::: F::'.1..;;ii::?ir?:C::ii:t: ii'rii:ii?:f::is isi ii::':?f::i::i::Ji:`vi}iiJi:%:i`i'J�:f{:::i��i:i`'•'i::ii'::`iii......i ji is..........i..,...::::....�:{+i%:i::iiii? :'::e::i%i:i::F::;ii: :::..::::::.::.�::v:•i.::::::::::.::...... ..i:;:: ..:.:.:.............i...... ..:.............................:..:.......... ..::.�::}t:::j::i:::::ii:i i �,•::::::::::: 011'.a#!<;;::;:: :::::;::':? ?<:: T:;;S:i:i::::S:::::: :::::;:;:::';:;::;::::;:;i::•'::':SS::`+":.:>:;•;:;:::;;o-t:r>: %Ii. ... .. ess .:.::..::::.::. ............ ":::.:.; :adt€r ::::::.::.::::.:................ ': :......:::.::.............................. ......... ............ . :,..::.....% h ::::<: . urancexa;::>;::>::::::::::«:::::::>:::::::>:::;::::>:::::: ...... ,:.. ..... �% Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement nay be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify airs and penalti o erjury that the information provided above is truo and correct Signature Date ��� Print name - ��� Phone# v G official use only do not write in this area to be completed by city or town official . City or town: permit/license# * ❑Building Department 'i"� ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#; ❑Other (revised 9195 PJI) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the'law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law'or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office-of Investigations has-to contact-you regarding the applicant. Please be sure to fill in the se permit/licen number which will be used as a reference number. The affidavits may be returned t'n the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Inllesllgadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 F °FZHE,g,f, Town of Barnstable ti Regulatory Services BARKSTABLE ' Thomas F.Geiler,Director M 9�pTF03.�A � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 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. eo�J> Type.of Work: C Estimated Cost Address of Work: v 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 ZBudding not owner=occupied' wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME UYIPROVEMENT WORK DO NOT HAVE ACCESS TO TEE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ti Date Contractor Name Registration No. OR Ac V�4 Date _ Owner's Name t� a� -IJ 3N rrHr the above rectangular gazebo will be covered with chicken wire, and be sixteen feet on either side, 8 feet long on the ends. The posts will be 12 feet high, and the roof will be 18 feet high. It will be located under the Oak Tree on the North side of the property, approximately two feet off of the property line at the location marked "A" on the included plot plan. ` f , } y f`Mrrv:.. p S b 52j / r.o The above image of an octagonal gazebo will be covered with chicken wire, and be made of 2x4s. The roof will be ten feet high at its base, and 16 feet high at its apex. The sides will be made of 8 2x4s each 8 feet long...Each structure will have a door. It will be located at the�North East corner of the property, approximately 2 feet off of the property line, at the spot labeled "B" on the plot plan included. Thank you. M. Kennedy 1 � Map 2 712 g # 8 � � e \ , i 19. y \\ F ll Well `fir.<'�,.. d r :i.'.� -..w.. ":�: r�.0 � \c«.,: .:;w• �, \\, is W n .o. ry a r VF ' .. F:\dgn\conservation.dgn 05/20/03 08:20:03 AM �f x: �S• 1<S:' F 5'i x S • � f�.)� l �, 4yE • � �� �;' �kti. '<' xg1 S{:,�� �� qua - � • � • i r rr �sXr try, '� • .p��� 2z}��`�r�`�k ,sue r r"::,�' J • •• 4 - i✓�T.k�h 4 ��(,3ni's r� `1+9,."ty� '�,c Yn 3' �j'r'�•-e�`-r* r� g� �. ���}t }� 1"�"''A-i����' l'�-a��'�rat ���4r' �;�.. 1. Kr f '„e5• "" 4, S£' L•�`5' 4 � t ray - aG 4� t' a-,s F "i : ,e,- ..��F,^„• ; s 1•s �. �- ar`ksF '•- PCs t'c•'`w t E xy �. R s, ,�;- � '';.a..a. ^ "°`*e. 7"`.y3 ,w �X�i xU�-.�ti��� f., f�y,�,+t; stx"�:"ya�, � x ,su'�•r'!� a� f`r'� r�`r °s�'S 4�ASS`'3 4:.4 � C"`7+# 'Y' $'�� ���° . a -Ht-� �_��4 n :' �s� 'n' i r i E»• �(��'`..-� "41 -2 i �+,'"e�"�t•�` A S.k,Ei'a'Y¢�i, -.K tip.k� ,,y <Wi S:,_ � 7 -'�.:� �.. z "�y-} ^�' a e �"� 4`n•"C°'•� ".";.�*�" v,��'� t��q'S` ``a �.mm s c�,Ex �. ����"�Eawf���x� �`+���� � � ^�«ki;.•" a �,�` 'Ecc'.� �F`� z�'" xt>�z,�� �i a:�`�K�,� �t�Et -���^s3� "'�" � '�"`a�"�a��}��a"��� 1. -1 ZI`4� i'-.,�9 a t ?' F .'A`=4 i.�y� ya"'? t ,r, • E, "�" e} ,sxx"'- „ a7, ' �,�st ��.+4.*'x 4r�, '�C"S' x•(�T.,sy s-'�a��%G.7�ts9����f"2 �:�n L�''y.�-tLsaw S,�s�' rY a.wi S?`wh �, R,..s��"`�'�x..ys Wig.. '� q a x i r.ys �t Saz �s1'se, �� �& � yn �yc a ��� ���r y�- f: k��. r z •• 7. ay+X. K ^�"�'` '`za�'F a'rx.'�i�° "s an 2.;:.,�' �'�"•�r'''"k'�ye,`�•`.`� t� rR`�` "�,.,M,�r�.,�' `a' '� '' 'k�,w�'a'�"��� �y��,�'r s }xx 5`' v' 'S r � 4�a�•�'e ,` '�,C `�`� �,r �•Y3.a'N` ER�yY,,���}V��� �``S�.b\1�� � • ny.:� f}��P+i�+ ���K�.2�}j-44P 3g "t' x }� g a r _ The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 1 � ��� Please Print DATE: \f�.�• �� C S -,A 1 , JOB LOCATION: I number eet village `2IO name ` home phone# •work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occuied 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 work12erformed 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 undersi ed" omeowner"certifies that he/she understands the Town of Barnstable Building Department i inspection proce ores and requirements and that he/she will comply with said procedures d req ' ents. Signature of H eown 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 farm currently used by several towns. You may care t amend and adont such a form/certification for use in your community. :< the above rectangular gazebo will be covered with chicken wire, and be sixteen feet on either side, 8 feet long on the ends. The posts will be 12 feet high, and the roof will be 18 feet high. It will be located under the Oak Tree on the North side of the property, approximately two feet off of the property . line at the location marked "A" on the included plot plan. tl f n4: 4 _ { 3 i >;c The above image of an octagonal gazebo will be covered with chicken wire, and be made of 2x4s. . The roof will be ten feet high at its base, and 16 feet high at its apex. The sides will be made of 8 2x4s each 8 feet long...Each structure will have a door. It will be located at the North East corner of the property, approximately 2 feet off of the property line, at the spot labeled "B" on the plot plan included. Thank you. M. Kennedy L I is#% »#>. the above rectangular gazebo will be covered with chicken wire, and be sixteen feet on either side, 8 feet long on the ends. The posts will be 12 feet high, and the roof will be 18 feet high. It will be located under the Oak Tree on the North side of the property, approximately two feet off of the property line at the location marked "A" on the included plot plan. qq t S v. ✓f� C �$ n,,.i t 1, n� tf � 2 f!f 'y ......... r � b The above image of an octagonal gazebo will be covered with chicken wire, and be made of 2x4s. The roof will be ten feet high at its base, and 16 feet high at its apex. The sides will be made of 8 2x4s each 8 feet long...Each structure will have a door. It will be located at the North East corner of the property, approximately 2 feet off of the property line, at the spot labeled "B" on the plot plan included. Thank you. M. Kennedy :> .............. the above rectangular gazebo will be covered with chicken wire, and be sixteen feet on either side, 8 feet long on the ends. The posts will be 12 feet high, and the roof will be 18 feet high. It will be located under the Oak Tree on the North side of the property, approximately two feet off of the property line at the location marked "A" on the included plot plan. f 3 Y Y .. h � The above image of an octagonal gazebo will be covered with chicken wire, and be made of 2x4s. The roof will be ten feet high at its base, and 16 feet high at its apex. The sides will be made of 8 2x4s each 8 feet long...Each structure will have a door. It will be located at the North East corner of the i I property, approximately 2 feet off of the property line, at the spot labeled "B" on the plot plan included. Thank you. M. Kennedy duo- 1'a mom soon .:::> the above rectangular gazebo will be covered with chicken wire, and be sixteen feet on either side, 8 feet long on the ends. The posts will be 12 feet high, and the roof will be 18 feet high. It will be located under the Oak Tree on the North side of the property, approximately two feet off of the property line at the location marked "A" on the included plot plan. fit N 4, 0 ^.6 The above image of an octagonal gazebo will be covered with chicken wire, and be made of 2x4s. The roof will be ten feet high at its base, and 16 feet high at its apex. The sides will be made of 8 2x4s each 8 feet long...Each structure will have a door. It will be located of the North East corner of the property, approximately 2 feet off of the property line, at the spot labeled "B" on the plot plan included. Thank you. M. Kennedy f 70' - 100' addition (<300 sq.ft-r i fp0� RDA w/sketch Wig^ 70' - 100' addition (>300 sq. ft.) NOI w/eng(poss.accel) 70'— 100' pool NOI w/eng(poss.accel) (in-ground pools cannot be added as revised plans) Flood plain projects,away from buffer zone single family dwelling,addition NOI w/eng. (accel) sheds and decks RDA w/sketch clearing NOI w/eng.(accel) close in screen porch no filing required JV° pool NOI w/eng.(accel) b"} 11JO n1 2nd floor addition no filing required demolition no filing required Projects under River Protection Act-200'jurisdiction (� �00/ o fad fib} L ���iJ� i$ �>J 2n� %/► 5 �� OFF r �Ck RpA. single family dwelling NOI w/eng plans - - NOI w/eng.plans e� Alk r,� tidc�'hws i"' 401!° additions clearing NOI w/eng.plans S_P- NU� shed apply usual wetland guidelines Flagpole ok if beyond 50'buffer or in previously disturbed 50'buffer 1 Fen , ��=•� �� �� G ce In resource area NOI 0'—60' , RDA�� J1 � IN /91 r 60'—100' te�Prrs�sct Form Flood plain Riverfront Potable garden fencing(for geese control,max. 18"height,landward of edge of water,no tight mesh eg. chicken wire) no filing required Septic system upgrade usually RDA unless problematic Beach nourishment on existing freshwater,beach staking of spring high water level(SHWL) required Above SHWL RDA Below SHWL NOI Demolish house(no rebuild) ` Sign off building permit.Attach plan showing 1)work hniivhay bale/silt fence,2)note:backfill to surrounding grade and 3)note: disturbed areas to be loamed and seeded Demolish&Rebuild(same foundation) . NOI w/eng.plans Q:/ConservvWPFiles/Forms/SIGNOFFS.doc Rev:6/17/2002 page 3 e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# / l TU�1�� OF U�;i='�I�TABLE Health Division l 32b 5 T7(®� Date Issued a =� Conservation Division `f Z 3 =°3' 2 Application Fee b 0 Tax Collector a0 0A 0 k - IQ L, — iV163 Permit Fee — 6-0 Treasurer C7 �-- a 30 `y57 ; _1S i Ctf 4 SEPTIC SYSTEM`NIUSTE Planning Dept. 4 INSTA: 0 IN COMPLWM of V=TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE NJO Historic-OKH Preservation/Hyannis • TOWN REGUL TION3 Project Street Address Village Owner - �G `'� Address _� Y Telephone Ife e Permit Request C ` c V)- ��-��-5 sal, Pr'GGc t Square feet: 1 st floor: existin 105 roposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio 7� _ �O_ �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 Cl 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:O existing 0 new size Barn:O existing ❑new size Attached garage:O 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 U"ILDER INFORMATION Name �C� 1 Telephone Number Address ���.��'-���� �' License# Home Improvement Contractor'# Worker's Compensation#. ALL CONSTRUCTION D BRIS SULTING FR HIS ROJECT WILL BE TAKEN TO SIGNATURE DATE �' FOR OFFICIAL USE ONLY , a PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION " FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH' F' FINAL i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �� The Commonwealth of Massachusetts .f Department oart De Industrial Accidents ' P _ ! Office ol/noest/gations . . 600 Washington Street E, Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: S. location city hone# 0 G ]!—A�� ❑ I am a homeowner performing work myself. ❑ I am a sol ca acity I am an em Toyer providing workers' compensation for my employees worl.dng•on this job. dress....:.: .. ::::•:::.:.::.:.:::•:..::::.:::•::>: ::::::;.;:•:::::::::::.::::::::::::::::s:.::•:;.;t;.....•:::::::::•.::. .....:::.:.::::... . ........::::.:.::........ C1tV ::::.:.:.::::..:,..:.. •::::::.;:.;;;:.;;:: .:;�.;:;::.:.:;:.:.. ...............:.,;. .:.; ton #. '::?Ct<iClT� ii%�'i' '�:::::'%'`+i<:'::?::'':i�ii:i'i?i;<; ';"'.�'• i�%�"i':i2;i:' :,;>r:;'.1;'; . IL . �fisirari ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' co ensation polices:.......................::..::::::::. ::,::::.::::::::::::.:: .:.;:.;:.;:.;:.;:t;.;:.;:t.;;:;.;:;;::.;;;;;:.;::.:.:;>:;.;::•;;:.;:.::.::.;>;:.;::.>:;t.::: .::::t«.;:.>: ......... ..........................? .::::::::.:::.:.::..:.........:::::.:::::::. ::.:...........................:..:.::.::::::::.:::::::::::.:::..............:.::.:::.:::.::::::::.::::.:::::::::.:::::::.:::.:.:.::.::::::: cori"an°"nam :.:...... ...::t.;:.;:;.....::........:......:.....t.:.::.....:.::.::................... :•:::::: ri :; : >i:iii ' �i:;i:;:C'f:i:j;:j}+:iJi:6i::):::F: > :;:•.: �d xi ?i) nn .5.......:.h. ;::;::::;: : �1t�3u'an , tiiuiurnc . Faflwe to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may forwarde to the Office of Investigations o e DIA for coverage verification. I do hereby certify under pains d penalties of perjury that t ormation provided above is tr�and correct Signature Date Print name Phone# �� official use only do not write in this area to be completed by city or town official city or town: permitllicense# ❑Buflding Department ❑Licensing Board ❑check if Inunediate response is required ❑Selectmen's Office . OHealthDepartment contact person: phone#; ❑Other (wised 9195 PJA) 1f Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or*renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has evidence of compliance with the insurance coverage required. Additionally,neither the not produced acceptable vi p g q commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of-lie affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernutllicense number which will be used as a reference number. The affidavits may be retuzned'tr the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. ' The Department's address,telephone and fax number: The Commonwealth Of Massachusetts ,Department of Industrial Accidents Me 01 investigations 600 Washington Street Boston, Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 P�oFIKE�p�y Town of Barnstable Regulatory Services BARNSMBLr. ' Thomas F.Geiler,Director MASS. 16 119. 01 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type.of Work: j J Estimated Cost Address of Work: -1 �%C9 tvN IS P0e_7— OZk tf,-T Owner's Name: W(fq-X 00Z1( Date of Application:lYlov-✓ I hereby certify that: Registration is not required for the following reason(s): OWork 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 MIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contr for Name Registration No. Date Owner's Name The Town of Barnstable Regulatory Services Thomas F. Geiler, Director f Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION _ Please Print DATE: JOB LOCATION: number ff' treet village "HOMEOWNER": name , horn hone#� •work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellin¢s of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of•land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"'shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work-performed under the building permit: (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable.codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building.0fficial, 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 personas it would with a licensed-Sup ervisor. 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 A Few More Cages: ------------- t :tk>. x.. ?•1•. Y h... v:P ................ v%`: ::J:Y.« :i..:.i«iui::,...:................ CL 4.vii..........................:.............. ..... .......?......:'. ?: 4 t}} ........ ........... ::......... ...; .t.....;. ... i:i}}}...•i:}:4:;,v. .::::::::::::::v:::... vx .:::::: :::.f` .....v.J•'tvv{•tvi:kkk}:•}}. x4...'i::i�i$}:} :iTj}y J(;:.{•}:•}}' v{h}h, n::•::::. v.... ..,...+ +':i'r}}{ii'r}:•}}:::}Y'. .P...vw`::n.v......, ....,v..... yk n .....:::::::::7:%S::i:ti:iii:ii77}}}}7i+i.+.::::•:':777:::}7•::.:. ....... ....v:::.y :.,..,. n........ ,4�....J..:::n./.R•:•. :...::::;•i:??P}%F•}:;•i•qx::::P:v:::•}%Y•:•}:•}'r '+'ii{{{tinY?: tt;., ..v. .:. ::::::.ti::t+\•:.;;+Qo-.... ... %::•n:w:::Y:•}}:P77Y�%•i}}:%•}}:•}}y;%P;.}\}7'rri v:w•:}77Y'^•: :"{ti\•: :{{�v4`.kk .} n................... .:::::• ',vvv..v ::v.. .... .....n.::: ::::::::v:.:::::. ....... ........Y.•}}}Y.:i:P:•:}}'�.:{�:..... ...x::�:�w::::v:i:::...,......,...... ...;fi•:4•:`v+":vx:::::.. ::::::...... .::.,n ..:nv:::::.,....•::v::'v:::::::::.}}i'•}:%v'•;?:w:!w;;:... .::::::..••w::? ::+.w::t:>}:::• ::::::........ ..........{,,...v{.,%vt :•:•••�•� .kt\+.'{;:':ti•77r:: '..y;.......:is••{•:{•:{t \ :%kkiii}:•:{ "v,:y iSi7:iN.•i'?�iii:k^:•7i: ',:t::iii} Y+J \•v ii'i%}rC{ •Q:{.4,,;4f••::.w:n '•}:i'+::\• "} +,x''.:n}. ..{;k;}}}{}}: +kk{�}:{;,{:{+:Q: ��yy,, ,. iriAk:Tjii:......... :•:%{::v,..v,....{.......... n :}: ..�\k.�C...., .1444} .kv\`P. \4 .:{..i �4,.�,+p{�� .}i•r.?r.}v}ri:ii::i}:•>... :::� ::::::.. ::::: ::..x•w::::�::•::w:::•}}:•:•: n\. ':n..• vti>'•: 4t 4••:::�•::::::. ........ ....v:.}A,.v: :::::. +.;, 'k'%",+,...:: vn}144 4.+tt4 v v.v.. ;.... +4 .:. ::+ }:..'_11'...X ...v::::::.FF.';•}}Y: •}}:P7:::::? :m:•: •%;•i.... ::: w: ....x.:$�...::: +++vn•:::: :w:;;•\{•%•}:;` \.. .:. ...... v..q;. v,...;nv... ,........ w.. 4i:Pi... £�' v' .v}iT$., �:\�::k• x�.. ;:S...ar.....:%•....axr'..:}} .x�S:%•.,�?�?t:tr+a'c, ..,,. ..... '7rt::•}}:nkx++ii:77...nP.....•7}�' :a������. _ xC?2kt; '�l�P$ck,'dx'"-`• This is an application for two bird cages to be located within 50 feet of the flood zone at 33 Maywood Avenue, Hyannis Port MA. 02647 508 775 1588. There will be two gazebos placed alongside the northern property line.---C They will be six feet wide, and eight feet long, and ten feet high at the J corners with the roof rising to fourteen feet, and a small ornamental cupola O approximately two feet tall with space for bird's nests. Unlike the image c� above, the roofs and sides will be made of chicken or other small gauge wire. The cages will not have solid roofs or walls-merely wire, and some structural wood. The addition of these two houses should still bring the total new construction of bird cages within the range authorized last year by the conservation commission. . I am also applying for two additional cages, (four additional cages in total) similar to the above, fight feet by eight feet, to be located f �� beyond 3 feet from the top of the coastal bank, and along the western edge v` of the property. One will be located approximately EW feet from the coastal bank, .rwation ow� • , on the western edge of the property, by the swimming pool. Thank you very much for your help. �1YWGO v n 7 � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION k 107 Map 71s Parcel 171 Permit# Health Division Date Issued C. Conservation Division 1C?� �,pvlCyv 615103 kep- -t Application Fee Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address q �33 &V L)Lla®.L�? kk � Village ^ Owner lmv kfewlz Address Telephone 61-1 30a" S0`70 Permit Request Bego 9,� /L9n 57 Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ 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_- BUILDER INFORMATION Name lf Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� , .S t- . •F r FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED MAP/PARCEL NO. ; ADDRESS VILLAGE OWNER, DATE OF INSPECTION: " FOUNDATION FRAME `s INSULATION ` FIREPLACE •s ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL •- FINAL BUILDING • ,�� eta r DATE-CLOSED OUM 3 p rp ASSOCIATION PLAN NO. r i i. + r The Commonwealth of Massachusetts -- - =-= Department of Industrial Accidents i 01ffce afJIIygS fgatians 600 Washington Street Boston,Mass• 02111 Workers' Com ensation Insurance Affidavit / FMII / gxzx J nan'1e' -'•�� ooation: �- hone (] I am a homeowner peforming all work myself [] /11 :..,a!{r.:.v.a.e::,::nn•:r:,I.�..::i.4{r..y•..:y w+..Y:.::.�....+•:�.......,:.�•:...:..,:..::.%::{.:l...t..:..{.}..en..•::.}.•..i...:r.;n.:..•.:r:!..:.i.::}{.•r.•{..5,.:r..v..:••.nn..F,{•.•:.n•.}rxd+F?v..°.`{"r;•{'...•r4�,f;..C.4 n•.'.Y't.•�.rf�.r.:.•7..:.d.r•...A•rt.:.y{.}rG.r'+.:•t::r•.•...4•:•.}{-.•,n..r:,L w,:..{•.,.{•r:r.•.?,y:...f:,rt}.:n:.+•..i..n!.•5:...�:a::..r.{+5•r}...:.1./.n rJ../.:..•:•r,%:•:3.::.F..r:/n:.z:.}/..?,/r.r.•.:{/;4:,./+N..•../r,•w.•.:•.<,rN:•}�...•v:..r.s..tY..ti.r.:....;;.,,...,.:•..::r./..a•}:.:..u:..2.Y:.•.7<•.;.r#.:•.,::.:..n:.n.,:.•.}}•.•.:;LfF..n:.:%.i•.'.:•{:..:.:.,>•`:.:F?n?;'•.+S•'?.:;fr.r:.'c':::}.::.•#n.,?%:.}F)+C`a }•.r`'f}.:.:";.:s.,?)r•a:..:`::':.{#•T;�F?{..i.:}F.?;:;.:5#.•r:f:.:.:Y}a: !t.•.4:a,.••e.•/...>.;}r.%a.:::F n?•.Y...Y}:/:•::•:}/{:'<,•v,:./,}.;,:ti/{.•,::i a/z./}:,•i..}./•.•..::?.'x f:.•n;;.:/:•{•.•`••.,..,/:.::?:,i./..::r•4z:/.;•:�/+dz.•:nw:/:{?•,.a.•%rr:ry}:/:r:Lff.:/bt,y:•/G..•a/nF:,./•r }:.>w/'a:/.•Y;vC.•Gn+n:+)!,n^:"•n}}v+:.y•;.^x.},:.:'}/t..�L}/.i:.8.�}...rr{.::/,.xay,...,;r++zi.;:r.•M.Y.:v:fG.•�'?4,..)�kx;.+.{..C.}Tn...•:,;{!•..:.%L}JCtf•::..:,..ti,:a:•r{nw•..•q:...•.Sy';:}•vl•+Ff}}{:{+:yt:r}....:r.G.{:k.{'.5.>.?....,r:.•FY.5S6'tA•..k5 Y;:#�•`.o'�i5k,:Y,�•� {!•rar'���w%%}F,%: �!%%r c"},•,>!,{.{.{z fiX/�'z•J^F,/f'Y /;FRi,C%<•"{.,• / Iamaso /%% % % rietor and have no one wo/ % %///e ° wga this o / /%% % for am an emplD e ID 'd'ngwDIkeIS CQ } 3 :5 >.:# ensationyk r ,:?.f.......t +£::,v'':}'f?•::i{.;•5::,`' ..fin;{.z;f.r.:{n•,c,1,}•rY'?.}' f'yYit`�,ty 4T�.'•.'i +v..�,:a ./.•.n:•+,'.•r:.:•.,.F:::.:.;..:n•r, .;h. .r s.;}..:•.: ....b:n'?, .::.y..t}•�F?•i'F?' ,•rw::,':sA?.�J,::: '�gr�:;},+•z:. .•h{,!.y L}•,, +,+@•:.Rv nn::... ..........x.•w:'!! �,+F rr. ,, r.,n.n,.. ,; ...,w:.n..n. .:•n:vf{?r{•fi: {:}}}.•.' ,`:i;:n :iJ.f. 4:•5'�.. ,�C YC. '..:r{x•}:f•.:....... n.•:•r:...�?:Yv::..•. ?,.1.fra}:n:•:,fi`.4•.., SY`.h ..... n,{•.v.... n,iyr••}..fr•.•y L�F:•fYYY:>.}}?G:,..y:••...v,..,y;.y:• fQ•'r•?' p. h .�.ry�`a:•v-;:,r+•� : •,..}�: ...)•;,•,;•1... n::u4}:•:4:•}•..+4r:�^!•.f;::`! r?:+}:•1,,.F;}}{n,•w+ r?•:k'^�,f„2^G'.•.'•+<:'r:•R'y4,'Y�,'S•r•.}}f;F:�2.•??ys.�^.� 4,ti.•1�?}:•}}:'•:`. n�rrtame.•:n,.v...... .... .:,.:.}::r:.{:r•:N)i�:•:: ";: .}:;::::::F•:.}sFx.,::•.r:k ,..r) tOIfI $ v:.y } } ..r...... s?�i}}i••.4:•::.W::�:.:hfyY:.,4• „#5;i•:• }�{.;:yS<• •k:.s,.{}�L;+�.:+•.`�t•'\-`'.S�YExbiz:;5'';�?:: ...:r:::.,{:wGu+••,.Jl.••:ff!•S:•:{, g•::..a,;•.v,G•:•:•>;;^.LE•.:xn+x,:{.}}:•rt+:{:;{.y:'4'?•S}}•sr.?G:y.v:::.f:y..n,^.}.y 4.j:• ,.y:::•.'F'if!!:•iaG 4'r4•o{n pJv,} • ..... .. ...:{:4:.,::.Q:::r:r.n.+,{/:}..v:.• :,yN- ..y, .vim.'{G.i v. rr..:::x::n•...n,Y••:. r..::.:!:•..,f.,:.:r4 :.:::?•.?..,v,;:4{�r}:1}•n,,• •J{ .4•'•F'){`}]{+'.i:'i fiS: ;C�Y.a,:•:•4Y,a'}.',f v'.R :rxGr:}:..^..::,,,..z..?.•:::+tam f .A:,.ti.:•.�:•.).r..,:{)y ,,{x,r :nk•F:::.,?:.},:#{v:..g.:4: x. 5e:rwv v::},#:.•: :.,},xF{F?^•FJ• .,ni.•.•w.,�>............ .:•.G:?,:•},tr.•:•:••...... •.+:•.r.... ,�+ r.•}..y r. rrr :r..:i.:J•:,}�$:nr. .:::::'.:;:.xi:::••.r:�:•}:•.,.;..},•::o-:::::{.:.;y}{Y,•,:F•{}•r•::rn 3,';`sr.{...n.};a:a...:.. ••i;A,ky;;�•�:;Y•,zY: +:r.}..;•.,.,•{}:::.r.n:•:f{r..;n•;...• n•.: :{{.>.r.:•:}.•}:•:}::•:•nr:}ag....{,{:{.t;„.?:..:;;}.:;.,,.n....;}n•.;•.;.:•:•},,•.;{.:r:•.•::.. -a,� 3.£•.11:SJ•.4:rat':•:f•.:•.•.».f.{.if} ,. ) ;.h:.a•.,,,.:•h•::, ., ?.tn•:... a tr.4{,t xFrtfr{2:,: 4' 5.. .:.Y`.'ti.;A:. .:rh`;7: .?<� ,Y+.::Y.W.f4'i:}}••5>,Xi{{•5r• ..: Wv,•.,r'' :1Y•,+';r.F•':}+,?'?;,Ji,•?+•�:<• ,: , fLK^.}., Y'•C;r .r{nr::•.n. .. r.:.r.:..r• : •:.{•n.{,•}i7.:a:,tII;-.IRI•,••:S;yF}:rrrG'v f..{•.+w,+.:••!•.t{+�,}5 .:. .f{ ,:,:,{yv: {t?r:;5:;}}}:•}z MEN ;'{,{• �t}?:•L`v.�#• .z•:- '#;�!•�#:Y ; :} rn,I, F:: :fx2} 'z}::.S::z z: ::,rb:{r•:.:.�` .. . .rr. ;y.xxttw:o:5::y.;i:;af!.v.;.y;i:::.}:;}•T: r...:y:r.•::�,..2fF;%t�^,•''i�}'),•`:? j: i;..,:,�J'•:i'o,•:., . �Si•.?F};?:;?r r, •}'}::',+Y}r4};c't••.::.:••5.�:::.:•.:..:n:.::r•.!•.::::::::::.+y`}:?{., afar:••:i k•. y:.,.a'5..:: ,,}'• ,.'!•:::'• •:L:r..:. 4. .........,;;:;<::,}•?•Ya;:•:...,.:•wi ,4.;�:.. ,.,{..;, .$•+}k• .:iL: k?:j�': y2}wlyrG;•'•`G`;;•' ;' k:-•'�>�`' {!{x,:a'"•�Y i .•..... ..:v:•...:.:: ••:,' 'v..424v`.S,..F!:y{:'+a`.•r•:•:4•,}.,.;w4t.::},::,•.r?G}:v..... ,,.<•{.}'•5:•.:•'• ,:,..,;:{:...,:{ :4{,..G:,;. %,�+r,..•a: .. ,.:...;.: 8:, r,Jr..M .4?}!Y. :. ..,;Jr:....v •.}:wn.:5}:••::r .:;•y:•:!.. :..}::::}}Y?a;•i:•}}::. } n. : a.:.,,S rryt u r >.F., :farF ;: ;. ,z}r}5n.r:Y4 g,,iEF t }:•}:�!•'.}•3.'Sc+:nri.+•:{....•r{.): ..r:.}.. : ;ti.SL.:ram•:?.•.rf u'•::J.Y•F•.::x+ :. ...:... ;f+•% .: tr .!{4: ., ! rr`.. :'..rn .:••:fl. {.:•:::.,,..:;:}....;;„.r:::•::..•., •r.}•{}};..}•:,+•t•::. .S.• ...;:':n• ,r..r..GYQY{.,,){: v .,r...S.i.,.. ..;.:;;•'•:;:•4•;L::?,:•.`•?:%:F#'•;,• �]'oIIE; :4"�.'•.•?''%;;�: ..:F:r :n+t;!F�}xt>}+r::i•.tf::}.. .:•}:r:• x.L^`:{;{{}•`•vGY}r•h. .:4x.r .FFRr?.}..{.:;?}:x•:• �....)`.•ri:::Y. ..{., :..:•F+...;�`,c,!Y•}}. ....,}:•}.r). a,...: r. n•,}.•f... ::•+.•.,•.;}:::r•. r:.,:,nv•.v.•v.. :....A....Y... .{, ,t:++'},..:' .. :..::•:•:::. J,: ,. .{� }:.•..,f.L, ...,..:a::•:::• .).. ...r..... ..::. ..,..... .. +r }.r, ,: •.:},+:•F:.,.,•:ri:+r<•}:•}}:t}i:;4.'":'::'t5:;:;i..;.:..},; ... .:..... :,�:•.}r�:.:.:;tf,•r:;;{;;'+r y}'•:{'!L'FF•f^.,, ::#if::z ,.: ',"+?}•, ?.X,.. •.::+.,•;,yr.;:¢.:.•:.,.,»:.�:::::.•+.w"•::•J..,.:.JGu4.r,.,r,.Y.:y.,Y,:6 Yi.,:i•;+{:.......::r •n,::.4ra.•n:!,,.., x•:},. •...,`k;.E;•..if?!'aY.2•..+ n G:.w .J..:: ,•5,•••Y#}F^x,:.`+f..£.•'`n�'+•' 3. •!}.> ;3a:,x:3fr4:Ya:,t4+.•5:..bn...... :•: ... '.+.-;y{}:S:;:f:n:.. n:•:.v t:..:.;, ,Jy''iG• �,i� :y:. •s. ..n:n•:::{.}r.•.,v.r:r. Lt:.,+.:.:c:??:cfk:•:::r ,'?`:`fFc'k•:,. •; .:.•%`;`{f•+¢a :•.:J{{.'a,�+�•T .' „,:.ta k' :. :.:;t?:?•:.!•........n. ..:: .;n�».aura:.,+rz<•<}z>}.:}•{}:a}••}:•. n+»::•}.i•::.;zf»;��:a••:kn.,� .;,F>Wn:yc �a'f;:fi.•::,FY•4.ua ,�y, •Q :w}n r J!':. ..}.�,. ..,}i:f:;u:•::... ..n�..L..+...Y+?Y•.'F;.....i..t•,:+. {X` ;h,'t;-.;•.r G,{a}:+•},:a�•. •i.l.}: .-f::.},^.,r•u:• .v} Fj�9r� ak`vtC, Y.: .'zt?' na:F fS:jty.'•F??:5>�:<�+: i.:!�4;.}:v:.}...t......♦.i:<;:•}r•}•}•ra} :. .;Ylr: o�: :•}C. : r.:;?f'r�n: ::.':n}:}:;. ::.. ::nr}:wv:}:f?r:{�}f:{Nyt::nt?:J.:v'•;r.++//+?fi}r.3•`'�''•''Fs:<r.,yy:;{.„Jr`::birx..!..:•::n {E'+?:::n.:r•J v:..:::::x: •.xr::'•:.••.. ,,,r:;:?Y,��}. ,�b}S.� {, :FJi:•r: .,V,+•}Yn• {:.}}:•`+';•:n�}x,•.-'�i+./fT•Y{Y++.v.�{;4•f::a;'v:r:�:.' Y•.h4r::$.>i!:�•?�'•:•i:? :Jfiy�:{n;. {:E:✓...v.:,nn ntn.. .}�, •:��. .'�.,,•.¢r•f.. wiY:•:}.;.r..}::..{:{,f. ,.,L..,}}z..,E�} . nn}r.,..:..:.Ysf�• •)yl{:.;•{r.}: .}:•),;•:.��:::;�#FS'#.f;.r:} b'lli'�:�` �/ +-t},'•Sf•:.'.,ya;'+.{<'z:FiJ=:'c�i•••''!i+�;%°vf'c}i:.'}t,•}';SF,:}f•:�w.r::`,'zk�F}•+.°:; r!Gaf•)4'{.<::$;•:{.:•xrw;;.:..:r'.,. Y'f;{?:#-.'.•:::.F'.,:.,::......?::•.....v>.n..}.<+'f.F.{of'?f:k!'t/,{n{:;•yr.vrfi......x .. .....,..::?•T}}'•i•{}.::t•n•:::.v t 3tlratt'c Ca::;Fffff?s:s{!a:,:r/.` ! eneral contractor, or homeowner(circle one) and have hired the contractors listedbelaW who I am a sole propnetar,g • ' . ban r. compensation ! KYf{^vny" ,?. vVL,}xk t' "y.•. �ky, p� cD '•u4:iF:}z;M1:•;;};F?•x,+.{;Y.R':F':Q•,•.`•5v!:,•t.^.'•i?.'t;Y?r)•`2.r:?2 :}'?:y:�T 'q.: •FY:F::f�r.,,f: ;;' }q:Y�'o-��.,} yr� t�• wDrkers .::• nxh+}}�x.}•1.•{Hi :f'r,'•?ri:{?yJ a.:•':::::••}f,•:{.:} y:},:::':F}i':}: r.Y•{}.. bT:rrlti. .F. ,y. •n}: :. .:v k#Y iF '.'}•Y v •,+} the following }Ws:: :;«f:. :,rs:::t•;r :a,.:r t}:i44.;+ . JC• {¢:.. 9t?t } 'n of uv{.Y..:f:i u....,..`f.,,r :,:rfTS:•}::::},::T::{•.: :•}` ••'};.;�'.{Y.•.'Y•:,.Y`t?i .v{a.f F^.z'•F .r: r .:YY}:„•:::;??:::::•:::r,•::}r::%:F:F: ,..k,.k•.t,t}:}•.} :3 fn,.}:yy, "•#..�2'xx,•i'`• ru�'r'.', L;/...#%.:a ,F:+•'•:J.y;::;.;. ,,;:;r.y{...} v{ri`.. .;.. 4 •:L•:. .fin,+:.n+:.i;:v .n,. .::•Yrr.•.T::•::• v:•n..:.i'•:•'+;}{::� •.,,y ..a......r:•:.:r....::::••.f.rr .S�r:;,., J.+. ..:. L3,fti:?.;.}.<;y:.x{.fc•:;:Fw•.:•{,.;.:;;f;:•::::.,:.?•;:..?F:•i}:<r{•.}••.:••}x•:.::•.44:.;rr:}•y,...:di'•}`t,.}� .�:..r.:.nr:: {.::n•.•.• v:•n.,:,.,$. r•.. .G,... F ..•:.•:.:n.: 4.,4.}, .Fv^ ..{,�4::Y•}}••5`•}`:a:}FFr n,.f. ::•.,tv:f/n.:::•:• t{. ; iiFr:�:!F n: ,. 1. .. }..}:•,... .x. `:}f:, 4..:.n :i..)..v. .....r}r...La:;!•W.v;>:::•:}:'}iF::::vn•:. x..::•{•v:v,.;.ST:{{v}+.'>:}/.•.,;•X•iva... '.'`!' fi�h�,4'#:k%?t v:+n'•:G:•r++n+.T:•f:•Jv:S:;?n;}.•,•`••YCvrF 3Lf?Jr?4/• ,}., .; {iw;;ri,.f,.•t ::.v::Y::'.v:::..:.rn .rfr .. .}. ....:tr.}.55.:T.;#r•',...:.{r,• •:n•FSS!'•5}:•}:,FF:?z:{y;.;G.::Gx• .. r, }+?_rri%•t'ff{{h`. ••'#•Y.{5>.yd,;:Y!`} Y:L'k;N:; •:):. •.)i.•Fw,•xrre•:4}:;.,?..;4f:•::f£;..,C;;O.;y.;+:3.$:fy,,.rnt;;;{.;;.,r,.n'•:.•{a::•x:...x.... .t:.• ':r;`ir;:�: y,;.r fE`.c'4;Y4•r,.,'•'a.}i r {:a4j, {'Jiv",k` f,� ':;v`xx`,'•{',G,'##' ••.a,�:r/fa....,n.... ..}.••{.,.}.:...rf4:{t •xr.:t...,:i: r:.:•.:;:,vy.}x{+,ar.:+•:•}:,}Y ........Y..... .,.. :.r:.;{:•;••af5xa;:x irz+.`Ff:?;:}y%.•;,£;.;:•:}}:^}:f :•f:/a'':0 <g?:aL,f,.4. ••',.,• •;,Y,• !.y{`. n :. £J.a,;!,}.,•E e. s .. a: III Si] ..II8n1 :,N•,3,.q•;{{;:ys;;5:r••.••9:'..;h?.:: }:,b:•}:•wf:;• +•:T?•}:?;}••!Gr:Y< ' 4i% VIM ;a: y'?r: t4•`�;..;;4 •'�"+'�Y�; �}`:S. .,'•.�,t`x•?;{tr:a:•'., Et0 :f;•.ay'!rff>%'$�:�J<::•^t¢i..+f..... ..t;ofj.n..:.;;:::}:}}F?i!'<�}5if:::.; i:•�`..:fi.t•::d.3,} ,,':zxr.. ,{.r� 5.~f.J:•rrr.t �.,v,. aiyf4�rif+�'�Ya•. a. f,..,,n ..J;`hr•n,.::JG•Fr::n.,.. .;.?!,•. .::x::..x•}:`:;?:`!F...+: :a• .,{%• ••r,. e, +: r•}•..•}::f}i:�r:•... �. d:t+• �c,lG,n>gp;•.,:}{lY"a:'}{:: •.. :+z .J•}f•.. i;•Fy}.;,,b,. ,?u,. :. r: va�''�5.+{{:..n))?.'',a....{.. .if ;:f,::c•'n� 571fi:•:.rnr,+:fi:,.fF.rF.Yv.,v.h.:{•?h:u•.'•if;:f,'}:•:}}F`F•Y;J;;;v.};...n. :'.:{•.';::-;:5».:.: EE} }. ... +y�.•�. n.. d n+.. .'?r:•.}..,.::•. .L,:4}+.S ... .:•• ../.4:}'.:.{Y}a!+vla:G.:..vr•.t.,•v. •f+.. . 4$.v .a.,. r..r..,• ..r..,.:l.: rni u}1,. k .:...,.. .:..,4:. .S,{{ac:•i•'L•}}?.:::<,J{•}i F: r:.:.;.n+ 't:...}nXa.tr,.,•:4',;.•.....:..{. 5 ...4: hh•:•..4., n•:.., ;{}•:v,+,1�. :rr:;^,M•.; f',.v.,;r .A......}.:m::,,•.•y.,.::;.4..}.•.•:•.v:::r.:..},}}:... ..,.. .: .f:,...T,y.:Y:tiYr:J4,y':`•}'+•{:?b {:`„?.:^}r'O•Lf4'+• ?'a''Yn'{�'"f: ;}c.?c4}.aY;fc4;;{:x''.tyay,vt:t•.:i:•..rp• #r'eFY•YyrfyyJkv9•.$G.r,.y:,,,... +.l};Yrf,SY'Yr. `4` k:.. •,?:.?•.....,•k a:•f.-.4.,�r? .rY.:!`s+:?.L:¢:}i:'...{. ,a•.:i{Lb:;+:;;}z.;r;:;•F:<nf<%?" s.•. .+x, ? `•f' :%. v'f'y''W r}i`..£ r #t '"•:{t;:}t.}�..q� .;:........�'+ von ads#rS. x'4'•Yry%+. ♦+.•.4. f!r:r•:Lrkrf{,vi+,t.;r,�; ?FFx.,vS,...,.,r.F:'t<r?#x•#!iY•::; 43}%v °E . Y�{ f F ......:•:•: '.{.,•;:,;xt+:'v. •: :u fr.:'•:E. y.W :;•.}.r,•?.:xiG`}AC'•;:!i..;.,{.n:{{.;rna:•:•:v.};:}.:{:•: rQih,.Cyb• 34+ ..Era' 'i•} r/.r} ,x}Lk.$ 53.. '?;';g{•i'ib;}'{ ,.•;} f i..,s}F... �•'`:.,. c .:f'r:`F::.?:. . '..{:. •r:+::.:raG;}u:::{.,r.}y}:?T+{:?!;?#v`t`:Y`•r'':,.. ..if .+••..J4.2• {6.'/•`+'+#:+J;^na;..r..;:..:.}.n....:.:... .:.:..}:•;a.o-FfF:+;Fr,. ;� dn!..:.r5.. .:•y::.+<.,f.+ :?..:: r ;'+. ro :rLr`.{! ....::, r4::..{i•-6`.<•S!::F:r Ytt•it:Sfi{:S:'t4y..,•,•.»..Y...•. fIRC: ♦w tH.4;:4;f? FYp':::,.!, rc;;..•`yJ4.,:::t•.<,.::.z{•: .r `:.yr w.�a^n :: ,•i+: :..,!!r•..x.,`•F:.r, :.:Fn:v.::,f}:S•::<•.;r,:a:zy:F}:G:.n.{... fi •,•r .}.4}•:}•:;..., •-J.•6'r•S'.'.:'•'} •Yr'•r rtt}••• :4}f'{4,y...${•{/,.:+r •}'4:Vf•+y+r.•Yk'F+.;y „{,`{; f i , rr. yv .rS... r.:...,.G,.: .}• ;.,.:n.. .}S,i n•F:'J.:L.!,^lr7iY.,• .t;:r:}}••j.:J}}•}?{5::5}::}Tr::r:,:}.::�......y. �.. . fi .R,S.nr •:}ra:xr r+ -,�)rarrF ,,;t++ ..h:v•4..G.•r:..�rr. ,;:ffL!�<:•,'f}rr.i%�v F••y' .,,�iy{.,{{!'.tfC;t�h:+ '$Y;:� v::?�."�•.��+.`,'• i) ?R{}•.g,��'r .t2?F �•; nbixt. v.d•:?FS•:>}'r�,.+r:r:{{,. £.:.,,• •{:}f}n`•!:f>F�!,.. _ :.}u+•:+}:}Y:a;i,;.y::j;£;f{}.;..<. Z•fr#::•Y,', �?'•` .,flJ:F� .�. e, MEMO a �at�•. {a t••?/'JMIR-.;:,?;:?�?}}:?v''+{:Y`t....y4,::•.:4n.ar,`yv{::J^:}a:• }i c:{^Y+.Y:!+f� ,4}i: Y" a'+r• M:`•}� a•)•}? .i?;.:F:.f.:.:,.t.... 'n•:.r•r:...4.. ueJ`"6f•^:?a:>r.'.''+$:af+#•, .}!}•`>'. ``t•.r..'•f: ,:t.;•?Yrr_••##'•?f'r;fy:i, s•{.?Fi,}F:;.,i?•L:y...,; , },F•%". 5; ,;`# F"J4 .v....•., GrJf:``.•a,+.yE.. .a•^•x.}5..:... R:::.;ar:-}.., !-::4.::?c :;a..::•}...!;•FR:a,;hle y4}` h�k}.}..�r�C.n Jd ° t:. r':..c):}n'• •�i} {•}frY::?:;n}:Y}+•tr),•Y}i>,};J;;,:•. .;. }h .br'�yL•.?:?:.v.Y+kf...n,..:?l:t•.••�`k''ax.Y•.un'•t.:} ?L;Y:.:^;ri..... r.;�ii{:: ,:::, "St}#'y'!•'.,,•r':'+i•!i,:fr r'r.,5•G,.:;;•..L;• }+'4:.:Y,;,,:.yh.t,:}ix•}:•f}:f••}:{:`F:u�:o." #54......: ?a •}•• }ii£.?ti%: ;?:'t}:f:,;^,���`#"` : ''.t'+l%r'•.:y'y.n:.t Y.yy+? r..,.,Yrf..'•:::dYa OC �� �/.:F).n}a!,{ }F:inf;;v;F.S:Y.:. .ry ;N'S',,:,+'7;.. •.,. nr t C,,.• `::zf:. , }¢'f.%Ft,..:•rrii}. ...}:}t:<:yx : r.•`'`;,,••;nfy'v.+:.jr+F•:a-J'/,..4,?.^,{{!!.{S•.::.::.:}::Y•:#:?y,:f,:::`.. r::..•r5:!d+t,v%r}:'rc.4:...#•Y,r.!,: ..?. r• :}...r ) +{; hx<}n;.^Si,• C'$ i;:ff•q:!rf.?,F?••Fti;;:?}:max}{l {3 ate{;{ •'G:uf yhh> + !f 4•#F}% WI/I }x;: •,••?•Y:wiY:Y:':{:: .5•id`:Z•.{,;rur,R. }:•};{.:Kr„} ••f.••}Ya,!,t,,,•f�4: „• '' £�a.4 'yr {#'�•y"'1r:'<::'< y::}fr•F'r:y6'uF:?F };tisR: .:`..•4.?#:';5::^),f<r.+}•:.,ice.:::::•.t't:::`.n r.p., 7Yy:;C` :^c..£:is rr ` .•sww ?L'f"'? 'T}:::}ri;}Y•:.;{.:.•:4Y4?,.:fb::.:-.F}:.:L,•::.4•?y .;}?:.z`: .:t;$.`F,> :.!.R, ,{j; a -YrEli rffr:`•+,iyY,y+ rd+ ,1'.PT?;a4./r.•F>^4:t ::.5:{:.x:. ,:?'KN:':fvr•.v 2'ev) ,(<h?� rn•?.:rnv r:{•r..{{:,:.,c::•:::. : r..Fr;:.`;f �:f.?•t.i:r,»:n. :.'£�}`n 4i's Y#•,a'€+ {4. '.':i',t• h• +.}�5:`x '.5:y Or d4 ....,•:.•r•::•:.yfJJfiTr'?'.:•. .}: a:{..;5} .,nJ.. :<+` ...:,.+• •,:rr: qc ?}� r.. 4 !Gifi,y}}}-::r:,!.,}:•.::n,•::::{. . .{} :'•?;}::,•io:•z•:.y.ry:.}:.,.}},!,..,x,,.n,iyawT•r,n• hfJff} } frfu?.,...Zfi.ea. .4.T::,..z•:Y••r;;e+,:iLGf:L;:•`.•F:+f.%..s.4:•?.?:...,u4}}•,,<;.tv`•,.+u•},::.r# f,..:•:}r.v:.::}•.:-::x. ••. .r.•.'r...� :..r...........:... VlJ.•r.. ..:.:.,•.r.�.,:!,.{rf.:.L•r.......r;y:.:,.....r..k f;•:i:.;f;. ,..r,. :.:•::.:.:;•.:••.. >•:,:F•n ' ..f.., ::.......r}.:..,.{.,. vr..J. .. .r....r..r. ..n .:.... ...... :n.F•:F:•xt•;•;$Si•:}•••'..^::Y#.,f}}r.•:..:..:�i,r}.o.•nn,........,. :.n:t:!{.,.....::.....:•n:..H:•:.r., r`{:r}f.u......,,;••.r}5...t:: r: ..:.::•::•::+,.:.;;}+:r•:t,•:•.:...,r.' ... .... ,......r,.....n.i...n: :,.'YLr:. .. f r..:. ....rr..,4.:F: ........ :.»r.t,•..... :......:.::'.. .v:•n•.•:y. d •. ::•% ,f?::•;.,•h}:u��Fp,Lr! �'`'^':ru :::y:`•'as .... .:r.v. ..: •...r:•r......::•fi:..,'•:}.J-. ?.. :},.{. xT.::fi.. .,•.:::,4r....}.;,:r.:. .....R. .....r.... .:r. , :.v'.,..:.r.:....r.:. .,... ., ....... ,F..c.•}.n:.:..rrs... :.,n•.......:... ,,.,y;�•{n•Kb:;,;L.<,.}S.•;54.. •,•r•atfyz `'z'';x,•.l{y�#}`k��t>z;L�k:i! i , ,+�'' !.#$r•,�}r•,,,:`.:t f..::.n...... :{.,. k.t;r.......... . .r{:•!{•5»5}z:ii':::{•::L'av?:x:?r.,yy},.;,f'::?'<., }..': ��qy,?Y'' .t+':•u-. L f•:J{.> +��''G::y w�4• a: r..:... .},,...,•5}'4fv.an..,,...+ ... .,....r•,v::::':;av:•}T'::.}'F?';}nl+.n•.,v;...,{:„.:} r:v... S.n, :.s-^''} r,J,.^}N{akr,F.,. ..�F'.11% Y:; �nje.•...:, {.f f:•:,;?:{.:n•:.;.v::t!•:r:r+.F:�f ........ n.,:t?}?uG;. bu .r:;'`•�Y t F. } g$'•`- HIISY .;Tun;x::uf.'•if4' .:,:.r}..f::::..;;,+,'4Y`??{{:FJ• 1•:!.;rtw+rr�•� i "Yi�:xY•i?N:�:•:.dJ.,;y.•.+f.r+,.a.:•,,J.F,:•• 'n':Y)'�y '+�F'{f 4:.' '¢ tC {.•y•,,ar.•rr+b3n,,..:SYYa:{r;;t;z;.,rf:f.{,,.:.;:.;;•}.}i}•.,, {:{y:r.}Y4,r2,.n{.},, :ref ):�}{+^',:';z. 'G +-r•f�Yr'.�•'Y'4;a,:.fi3}r^•.• 'i rare•.:�.H?r\•..}3e';'}.,e:'•`t:f♦h:..:,•}, 2e? {drw�?r;' '.%?•: n:`t•v rr{{+{•:i%..}:•}..?..}.¢;tb; n{{•','yip;}}r�•r,:, , .,}+.� +,}.}„J 4..4:`.'•�.:\ 'M :W.}Ft• •>:^2Y:• #'•}:•':'•y:n., .:{?v%FFF:u;`•f`.:. i.;+..c:...:5: .. :::•F ,.%.r,:•r5:;n:;:K%+Yir:FF:u.';`:•:::... �7,•.Jv.t )'r}: , t#.6.:,•.Y..,rr:..S.r.::::rrr:.},•+,!.r•{,.r:}.t;. r:,:z+•}},:Y•dR^,rt�.•?,r..,'':G f�:,.,..r:x}.:::::::••.:•r: :; .,•.•.r..t•r..+.,a.•.,•fa.• .:,•:%n.»G•:.....:+::.:.�}.... ....#....,;;....; :..t:::tyr. »-�.`!.. �.S.n:.:..} ..v:::� : ••,;y:?r:i{}{:•.>}:•}':•}?:<v:G•: .v h•..r......,.. y,}» '+'+'fff:/.... f••:}J +/ J rr!}r .W:. : }: a.?x...rr:••4}•4;\.::::r'•:J:.$ivti•:i:w...:. f:4hv:E'•'4r»'•, #ft•,.3 iF' 'ti;'i,.:;:.::•.:• .C+{.:i}:?.•'fa'r,:•>.a}:...::.:..... {tr:::f f.:n}'i .:..{...n,n..:..r..{.vxk:r.r...::•.:: ..r:;..,A:n..r..v.:.. ..n•• ' 4fire?,$f...{,rn+:•.:,.n•}}}...::.:�:rx..r:•�{x•.u:n!•: .,.:r:.F.r. .;;G..:,..::... ,• ;:{:,.;..: J}•• r:s,; fi;#'f�"�:'rt•:?s.f•,•;Ji•?,,;,' �}'...,�a..�;9't.:. •:: .rr?..{•:._..:..�:• ....::.......,.:.....,r,+n:t, .r.,,.. ::.;f••:aF:•u.,•+.{..., •... ..,.......... .:.•:::•::.ua:+;T}y:{z. `•..,.;•J.i;,;;o:: ;Yr#r'i`;��;�:`f{f. ,`,'.:;{}:r +;�G •>:?E � . ..n{.:•; n,!gg,:.';.•.z,•:Y..a .::;{:+.;t:+..;,}.::rxJY.•;yf f•:.. .b`.'i',s',5r•.r:'•e}•:•.vA{•}Yr%•`5;..•n:;Ji:?`• +'•;}.+:'<'iC"• +�,{.'S••.i?:::3:': :;•i'': }• >r.5,v.o:,•:,:.{. {?...,...§3.a•r34 .6r:• n F.::. y� p. ors..}. :.'•�F:?{::f;:?ii?;5�<:f'u'•k:`:::::`;E%: }n.;.b....:..n..r+.r. .:�Y•. ': ti. Rig YFYFr`.Y .. � ....r : :r..,.,•r. .ff...n•. .................. r-:...:..r...::...:•r r..n.:n•....,::;{••::;:•::;,:.:;::+f ............:. ........ ..........:n•r .r n, :. Si<•......:o}:., .. .r....... :•...r:...•::..n.....v^:,:,......•.v,.,..n•.. ::.i:-:.}:2?a:{;.'`t�••:.t;n+•i• ;:'.b:{}.}�+:5/t• .. r. v l.:... ...r. .C.:.t .n..... .... ,,LL)...•:.::...... .n.:. ..,...:.�::::;{::•::::: .,.. ,,.:•>'d••'G?Fip:iFi?{;:`-•i.:. ..v:n•>.v {: {•f.•.•.n,.rF:•?a}'.:.'G:nFYYfr`.•yf•:>.."i::;F:...1Y.a. �J+}•+Sf :. :•+i+!fir••..v:v:+•h,•A:;n•..;y..+n:vx,v•+:::;h•fL..:........r:brr•.a::?•:::::.•:x•:»:::•...h•:.•.v::.vn•na}::!•f::?•:v..... e :/,n:;.•.::x..:..rr.::. .:...4 ra.. }.r: ,x. Fr r v.,• r.. ...../....,..r.....A:•::.�}.... ............. r..:}:;::•}. •..:....r ... .... v•v•.w•:{:'{f,.;Y:;:�v:Y`:e{r.•'q`,:}JrGK!f;*'4+ r''':.. r...:...n..:::.::..r,. ,..:5:r•.t;i....r.•z.. .;.,},..,,••:.,...,.;,.:+•::::...., .:•:::.... h�fY .:.•rr}:::fs. 4{:.4}::.. v..4 C•n;%;:�:r.:•.+{r v. .v..r........:, +'.i4a+,::v:+i' ,. r.ye:,.. i;.;•.v:::Y}:h• �) {.;7.:•}:tiw. F J•.:G,4,{{{#:,%,4:•'}i:i t`;:Fh f:.•:4};;S}..M4.,}:.4.;vrr r}. .`•`.vn•.v::•}x•}:S{....::.v,.h.,.;.n r. :.. 5.::.a. LL rtiF.n+'L{r�f7:r{:�GGv...... `v:.v::n ...;,....- :: r..r .....:.•..... :......:.x. n.£�•}}r<:at;:.....n.,+........::..{,....... r... ... ...;;t,}. fy;}'t:,.r:•:•'•::,•3•}n:.;E:. •:4}:•.t•:Y., .,::?a:.}u4..F;;: ;z•• , ;c'syr:¢h;.• !a.rf:.:,.:•:.:r...::^,:..,........ .%,.::,....;J• ....,5,.,.:........ :r:}}o-ff+{•T.w,tr•r• a:•.:t+ .r.yw`.t'.•}L;.'i�!-.v:•:.?•'{'. n, •f f•. �> f}rk,;;5. .r. .•:; ..:.•:::.:..:..,;.:f••-fr:.b,.•..t.r:•...wn... ....:,�:•:::•• ...tr•:•}{?•:......r.:::•., :.'+:'`fi'•:•:'�rn.v+�•. ,z. }} Ne: .r).. .fi...r•.J......rr..n..i,:•.r.......:.. ...... } , n:: Ji-i}}!va4f},.,:tnYi•.,}r ni,:yy,.,••{fG ;{... tt Z• ,•{f"nerd�r'; •:iiF ' :}.....x....... ...... .... ......,•:v;,•.}}}}}:}:4?'ii•ixni•:n?•>?.{•;i:,:}:•F'!'•%-:::v:•:fv:?•:t?�':{'::•}i4- .�y.yy'' r...v:............• ...;.;....:v:;Lv :f. .....:n••.•.........r:rv.r..n:O:.,.{n•:.+.••.. ..:.N•...ia'\;{•:{, .?..ia::n ih.,• .,f}r y<G".{;;•y,,. •i:•f?^:.'}. {� ^•,tvy`',: ,;v i:•.rj}:'S#:G:!} ,LL •r... v:v:,•LN•. rn•n!:a:n' /•`:.{ .r,':.y{x:!:i:4::t•:Y•:/.•. n....,... ,..: ;.f n,{{:;}.,: .:•::r• {:. ..�..!{:,.:x..., t:^:.af..f;...:,.•:.};{..•rf`�y:;:. °r#' ;f,:�.•• .,�••Ya.;#�•>.;.'+}.� .... ::::r:n.. ,: '+ ..:.:..., r.Yv: .:v r:,r.. , 4 4..v'..A.v:n}:?•:•:{•}• nx x•:Yty, `� FFZ\VFr}514.4hW,:{....n...;S. .•v. .H•.}+,r..i..:4.::r.,•,.!,ff?}:..:x5??:Eprr,y ;:v:•:?•a: ..:,:.:.i•;.4Fft L4 !,G.:S.r••.!d}f?£f•:}?f:+{••.f>:{a,.,.:.:.,•:: ..,r,:+b:xi•,•{. 4.:t• ,v#&k #n•,e..t: •}., }r....?..,.n„. ,:};7i5}?F:}:5{.;;:•}•^x:::ti•>:�:i•}+':/fi:fiv'F::,.:::....�.::•,.•#F}:'�':z.'Y?vY:+x.4rL.+'":.:r,.y;.}?i:{{:.!.:.:,.r:ifi:..•.s{.}•Gv:..y:•54.,:,r,.y •.rr!r .;{., .n:• ...:.....;f.,:f.f, r,.,::ay.. .pi•:,,{%•:fr:?r•:.f.•:::y:::::. p.'?'::'J{.:; i'y' �% .:'.rk,+.}f•.,.}:r+4.;.•k.,2:e}C{r:. }:f'.•},�;`:`.:b:r'r'4 tiz�`:�f:4:'ri}`•i}:{i,v:: .:}.•:}:•.J•f. (Inc r/n,•!{�?�•+ic:%.�r?•:Y:Ff•}: s;`.•;a}`r�r.�H.}.;.;Yin,., �:y�.;,,{?r %f,} .+SffrxF}:z} :zY'{:`.;.:,{:. +.:x•}.•. ..:5 .. }t•.�:.; ..55✓..<:Y ..1.... j oo and/or ERE!naaraEce!corsiSS A':n osition of penalties of a$nenP to S1,5oo. overage required,under Section 25A of of TO W R to the 1mP a Sue of Sloo.00 a day against me. Iunder that a one years'imprisonment as xeII as a penalties in the form of a STOP WOE ORDER attd a veriiication. ent may be n as c ded to the Office of Investigations o f the DIA for coverage copy of this statem _ d enaIties of p ' that the information provided above is truce correct 1 do hereby certify under the P t . Date Sigma - phone Print name do not write in this area to be completed by city or town official. oiHcialuse only CBuiing Department r peradt/license# UI,icens3ng Board city or town: - (3Shcectnien0s Office ediaie response is required ❑Health Departsaent ChE'ClCif iJilm 4 Other phone#; contact person: (rAmd 9195 P7P t Information and Instructions Massachusetts General Laws chapter" section 25 requires all employers to provide workers' compensation for their employees. As quoted from the `law , an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written.' An employer is defined as an individual, pp,artnershi association corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box flint applies to your situationand supplying company names,'address and phone numbers along with a certificate-of lnsu�ce as all affidavits may be rance coverage. Also be sure to sign and submitted to the Department of Industrial Accidents for confirnmation of irc„ date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law"or if you are required to obtairi a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure fill pertnit/]icens0 number which will be used as a reference number. The affidavits may be reb� tn ed' the Department by mail or FAX unless other arrangements have been made. ,,he Office of Investigations would like to thank you in advance for you cooperation and should you have any guestions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of fnvesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I ,�- s J To: Barnstable Building Inspector. From: Maxwell Kennedy, 4 Maywood Avenue, Hyannis Port, MA 02647 Re: Request for Cages Date: August 25, 2003 I have requested permits for additional cages at my property at 4 Maywood Avenue in Hyannis Port. The purpose of these cages is to house, care, and feed for species allowed under local, state and federal regulations. Thank you very much. Sincerely, 4axllKennedy �oFZHE,° Town of Barnstable Regulatory Services _ s�xsres . ' Thomas F.Geiler,Director YAM 9�pl 1659.�A � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-962-4038 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: Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): f7Work excluded by law ❑Job Under$1,000 ElBuilding not ownei-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. . ,.� OR Dat Owner's Name Town of Barnstable CF tHE T� •�, ' o� Regulatory Services IAMSTABM ; Thomas F.Geiler,Director MASS. 9Q, 1639. s Building Division QED MA'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Noc 13��6 Please Print DATE: � V � ���:, JOB LOCATION:. 3 --,' numb r sTreet ( village 2 . "HOMEOWNER": SA 6 Jg S l name ` -- ^�r home phone## p work phone# CURRENT MAILING ADDRESS: w city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,niles'and regulations. The ut ned omeowner"ce that he/she understands the Town of Barnstable Building Department minim n procedures and equireme is and that he/she will comply with said procedures and requir Signature o oml,wn - 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 t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Page 5 of 6 Page Break>>Louisiana-Pacific Corporation/LP Solutions LP Job: Design 12 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PM Project: BUCKLEY_FALLON Job ID Level 1st,F.loor Deck Member ID: M4f -Address : HYANNISPORT Company: Builder State: Code: IBC 2006 Designer: DAVID GREENLAW 3ply 1-3/4x9-1/2 LP-LVL 2950Fb-2.OE Design Is Adequate Provide restraint at supports to ensure lateral stability. ***ATTACH THE THREE PLIES WITH 2 ROWS OF Nail 16d AT 12.0 OC.STAGGER ROWS NAILS CAN BE DRIVEN FROM ONE FACE OR HALF FROM EACH FACE. NAILS CAN BE COMMON OR BOX NAILS WITH MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS(3-1/4")MAY BE USED,BUT HALF MUST BE DRIVEN FROM EACH FACE. Results Summary Deflection Reaction Ibs) Shear Ibs Moment(lb-ft Live Load in Total Load in Actual 8075 6277 18039 L/394(0.29) L/287(0.40) Allowable 13388 9643 19924 L/366(0.32) L/240(0.48) Indices 0.60 0.65 0.91 0.91 0.84 5250 10-670 - : + Spans ft-in-sx 10-6-0 � Bearm s 1vltn. Size(in) 000 i 600 Max.Reaction(lbs) 8075� 7797 Max. Uplift Ibs) 0 0 1 1 Project:BUCKLEY_FALLON Member ID:M4f/lst Floor Deck Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PM❑CPage 6 of 6 Loads Start End Type LDF App. Location* Live Dead Location* Live Dead Uniform( If) 1.00 Top 04-0 455.83 113.96 1-8-0 455.83 113.96 Uniform lf) 1.00 To 3-0-0 416.04 104.01 7-0-0 416.04 104.01 Uniform( lf) 1.00 To 8-4-0 455.83 113.96 9-8-0 455.83 113.96 Concentrated(lb) 1.00 To 7-8-0 672.74 306.16 - 0.00 0.00 Concentrated(lb) 1.00 Top 24-0 672.74 306.16 - 0.00 0.00 Uniform( If) 1.00 To 1-104 218.83 145.88 2-6-0 218.83 145.88 Uniform( lf) 1.00 Top 04-0 262.50 175.00 1-6-0 262.50 175.00 Uniform( lf) 1.00 To 0-0-0 456.25 114.07 10-6-0 456.25 114.07 Uniform( lf) 1.00 To 2-6-0 211.99 141.32 10-6-0 211.99 141.32 Uniform( lf) 1.00 To 0-0-0 234.11 156.07 0-4-0 234.11 156.07 Uniform( lf) 1.00 Top 144 70.66 47.11 1-10-4 70.66 47.11 Uniform( lf) 1.00 To 1-8-0 26.56 17.71 10-6-0 26.56 17.71 Uniform( lf) 1.00 To 0-2-0 1.88 0.47 104-2 1.88 0.47 Weight( lf) 0.90 To 0-0-0 0.00 14.27 10-6-0 0.00 14.27 *(ft-in-sx) Floor Assembly: Sheathing: ,Attachment: Ceiling: None,Attachment:None Bridging/Blocking: Type:None,Location:0 Concrete: Thickness(in):2,Strength(psi): 3000 This component analysis is based on the loads,geometry and other conditions as entered by the user and listed in this report The user is responsible to ensure the accuracy of the input and the applicability to the actual conditions of the structure for which this component is intended. This analysis is valid only for the product listed. Copyright 2009 All rights reserved by Louisiana Pacific Corp.414 Union St Suite 2000,Nashville,TN 37219 Page 3 of 6 Page Break>>Louisiana-Pacific Corporation/LP Solutions LP Job: Design 9 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PM Project: BUCKLEY_FALLON Job,=fDLevel 1st FlooiDe Member ID: M2c rA}.. Address: HYANNISPORT Company: Builder: State: Code: IBC 2006 Designer: DAVID GREENLAW 3ply 1-3/4x11-7/8 LP-LVL 2950Fb-2.OE Design Is Adequate Provide restraint at supports to ensure lateral stability. ***ATTACH THE THREE PLIES WITH 2 ROWS OF Nail 16d AT 12.0 OC.STAGGER ROWS NAILS CAN BE DRIVEN FROM ONE FACE OR HALF FROM EACH FACE. NAILS CAN BE COMMON OR BOX NAILS WITH MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS(3-1/4")MAY BE USED,BUT HALF MUST BE DRIVEN FROM EACH FACE. Results Summary Deflection Reaction Ibs) Shear Ibs Moment(lb-ft Live Load in Total Load in Actual 0 3937 9159 L/4174(0.02) L/2400(0.04) Allowable 0 12053 30368 L/360(0.27) L/240(0.40) Indices 0.00 0.33 0.30 0.08 0.10 r _ y 75 I' I' .X�t'.5.250 15-.0-D Spans ft-in-sx Span 15-0-0 Bearings Min. Size(in) 42.00 42.00 Max.Reaction(Ibs) 0 0 Max. Uplift Ibs) 0 0 Loads Start End Type LDF App. Location* Live J Dead Location* Live Dead Concentrated(lb) 1.00 To 7-6-0 4005.17 1 3147.78 - 0.00 0.00 Uniform(plf) 1.00 Top 7-9-8 20.70 1 13.80 14-10-141 20.70 13.80 Project:BUCKLEY_FALLON Member ID:M2c/ist Floor Deck Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PMO[Page 4 of 6 Uniform lf) 1.00 To 0-1-2 20.94 5.23 14-10-14 20.94 5.23 Uniform lf) 1.00 To 0-1-2 20.70 13.80 7-2-8 20.70 13.80 Uniform lf) 1.00 To 0-0-9 31.04 7.76 14-11-7 31.04 7.76 Weight 1 0.90 To 0-0-0 0.00 17.84 15-0-0 0.00 17.84 *(ft-in-sx) Floor Assembly: Sheathing: None,Attachment:None Ceiling: None,Attachment:None Bridging/Blocking: Type:None,Location:0 Concrete: Thickness(in): 2,Strength(psi): 3000 This component analysis is based on the loads,geometry and other conditions as entered by the user and listed in this report The user is responsible to ensure the accuracy of the input and the applicability to the actual conditions of the structure for which this component is intended. This analysis is valid only for the product listed. Copyright 2009 All rights reserved by Louisiana Pacific Corp.414 Union St Suite 2000,Nashville,TN 37219 <<Page Break>>Louisiana-Pacific Corporation/LP Solutions LP Job: Design 12 of 12 i Page 1 of 6 Louisiana-Pacific Corporation/LP Solutions LP Job: Design 7 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:57 PM Project: BUCKLEY_FALLON Job ID' vel '1st Floor Deck Member ID: Mla Address: HYANNISPORT Company: Builder: State: Code: IBC 2006 Designer:DAVID GREENLAW 2ply 1-3/4x11-7/8 LP-LVL 2950Fb-2.OE Design Is Adequate Provide restraint at supports to ensure lateral stability. ***ATTACH THE TWO PLIES WITH 2 ROWS OF Nail 16d AT 12.0 OC.STAGGER ROWS NAILS CAN BE DRIVEN FROM ONE FACE OR HALF FROM EACH FACE. NAILS CAN BE COMMON OR BOX NAILS WITH MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS(3-1/4")MAY BE USED,BUT HALF MUST BE DRIVEN FROM EACH FACE. Results Summary Deflection Reaction lbs Shear(lbs) Moment lb-ft Live Load in Total Load in Actual 1844 1786 5826 L/706(038) L/491 (0.54) Allowable 6508 8035 20246 L/360(0.74) L/240(1.11) Indices 0.28 0.22 0.29 0.51 0.49 5 1500, 22-9-12 Spans ft-in-sx Span 22-9-12 Bearings Min. Size(in) 4.38 4.13 Max.Reaction(lbs) 1844 979 Max. Uplift(lbs) 0 0 Loads Start End Type LDF App. Location* Live Dead Location* Live Dead Concentrated(lb) 1.00 Top 2-0-10 846.50 241.62 - 0.00 0.00 Uniform(plf) 1.00 Top 2-2-6 53.33 13.33 22-9-12 53.33 13 Uniform( lf) 1.00 To 0-0-0 32.50 8.13 2-2-6 32.50 8.13 Weight( lf) 0.90 To 0-0-0 0.00 11.90 22-9-12 0.00 11.90 *(ft-in-sx) Floor Assembly: Sheathing: None,Attachment:None Ceiling: None,Attachment: None Bridging/Blocking: Type:None, Location:0 i Page 1 of 1 Louisiana-Pacific Corporation/LP Solutions LP Job: Design 3 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:23 PM l:�l ; " " Project: BUCKLEY_FALLON Job ID: Levest-FioorwDeck Member ID:Me Address : HYANNISPORT Company: Builder: State: Code: IBC 2006 Designer: DAVID GREENLAW 11-7/8" LPI 56 at 16.0 oc Design Is Adequate Provide restraint at supports to ensure lateral stability. Results Summary Deflection Reaction Ibs Shear Ibs) Moment Ib-ft) Live Load in Total Load in Actual 761 742 4126 L/547(0.49) L/438(0.61) Allowable 1400 1940 10170 L/480(0.56) L/240(1.11) Indices 0.54 0.38 0.41 0.88 0.55 A 2279712 Spans ft-in-sx Span 22-9-12 Bearings Min. Size(in) 4.37 4.12 Max.Reaction(lbs) 761 760 Max.Uplift lbs 0 0 Loads Start End Type LDF App. Location* Live Dead Location* Live Dead Uniform lf) 1.00 F To 0-0-0 53.33 13.33 22-9-12 53.33 13.33 *(ft-in-sx) Floor Assembly: Sheathing: None,Attachment: None Ceiling: None,Attachment: None Bridging/Blocking: Type:None,Location:0 Concrete: Thickness(in):2,Strength(psi): 3000 0.0 psf Live Load,0.0 psf Dead Load,0.0 1b Concentrated Load,0.0 psf Partition Load This component analysis is based on the loads,geometry and other conditions as entered by the user and listed in this report The user is responsible to ensure the accuracy of the input and the applicability to the actual conditions of the structure for which this component is intended. This analysis is valid only for the product listed. Copyright 2009 All rights reserved by Louisiana Pacific Corp.414 Union St-Suite 2000,Nashville,TN 37219 Page t of 2 Louisiana-Pacific Corporation/LP Solutions LP Job: Design 2 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:26:51 PM Project: BUCKLEY_FALLON Job ID: Level 2nd Floor Dech, Member ID: Jld Address: HYANNISPORT ` Company: Builder: State: Code: IBC 2006 Designer:DAVID GREENLAW 11-7/8" LPI 56 at 12.0 oc Design Is Adequate Provide restraint at supports to ensure lateral stability. Results Summary Deflection Reaction(lbs) Shear(lbs) Moment lb-ft Live Load in Total Load in Actual 924 909 3341 L/733(0.36) L/574(0.47) Allowable 1400 1940 10170 L/480(0.56) L/240(1.11) Indices 0.66 0.47 0.33 0.66 0.42 . . 1 875 22-9-12 Spans ft-in-sx Span 22-9-12 Bearings Min. Size(in) 4.37 4.37 Max.Reaction(lbs) 593 924 Max.Uplift(lbs) 0 0 Loads Start End _ Type LDF App. Location* Live Dead Location* Live Dead Concentrated(lb) 1.00 Top 21-2-2 225.63 150.42 - FO-.001 0.00 Uniform( lf) 1.00 Top_ 0-0-0 40.00 10.00 22-9-12 40.00 10.00 *(ft-in-sx) Floor Assembly: Sheathing: 19/32 APA Rated Sheathing(32/16),Attachment:Glued and Nailed Ceiling: Gypsum board 1/2,Attachment: lx4 Strapping Bridging/Blocking: Type:None,Location:0 Concrete:" - Thickness(in): 2, Strength(psi): 3000 40.0 psf Live Load, 10.0 psf Dead Load,0.0 lb Concentrated Load,0.0 psf Partition Load This component analysis is based on the loads,'geometry and other conditions as entered by the user and listed in this report The user is responsible to ensure the accuracy of the input and the applicability to the actual conditions of the structure for which this component is intended. This analysis is valid only for the product listed. Page 1 of 2 x . Louisiana-Pacific Corporation/LP Solutions LP Job: Design 11 of 12 Version 2.0.4 Expires on 12/31/2009 Printed on 12/07/2009 at 03:27:03 PM Project: BUCKLEY_FALLON Job ID: Level 2nd`F(oor Decks Member ID: Mla Address: HYANNISPORT Company: Builder: State: Code: IBC 2006 Designer: DAVID GREENLAW 2ply 1-3/4xll-7/8 LP-LVL 2950Fb-2.OE at 0.0 oc Design Is Adequate Provide restraint at supports to ensure lateral stability. ***ATTACH THE TWO PLIES WITH 0 ROWS OF AT 0.0 OC.STAGGER ROWS NAILS CAN BE DRIVEN FROM ONE FACE OR HALF FROM EACH FACE. NAILS CAN BE COMMON OR BOX NAILS WITH MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS(3-1/4")MAY BE USED,BUT HALF MUST BE DRIVEN FROM EACH FACE. CONCENTRATED LOADS MUST BE EQUALLY DISTRIBUTED TO ALL PLIES. ADDITIONAL FASTENERS MAY BE REQUIRED Results Summary Deflection Reaction lbs Shear Ibs Moment(lb-ft Live Load in Total Load in Actual 815 747 5486 L/755(0.35) L/603 (0.44) Allowable 6508 8035 20246 L/360(0.74) L/240(1.11) Indices 0.13 0.09 0.27 0.48 0.40 3.500 . 22-9-12 Spans ft-in-sx Span 22-9-12 Bearings Min. Size(in) 4.38 4.38 Max. Reaction(Ibs) 815 719 Max. U lift(Ibs) 0 0 Loads Start End Type LDF A . Location* Live Dead Location* Live Dead Concentrated(lb) 1.00 Side _ 10-3-2 456.41 110.32 - 0.00 0.0.0 . Concentrated(lb) 1.00 To 21-2-2 58.70 39.13 - 0.00 0.00 Uniform(plf) 1.00 To' 10-1-6 22.92 5.73 22-9-12 22.92 5.73 Uniform( lf) 1.00 To 0-0-0 40.00 10.00 10-1-6 40.00 10.00 *(ft-in-sx) Floor Assembly: T ' {f} to make donations for the public welfare or for charitable,scientific or educational purposes,and in time of war or other national emergency in aid thereof; (g) to be an incorporator,promoter,or manager of other business organizations of any type or kind; (h) to participate with others in any entity or other association of any kind, or in any transaction,undertaking or arrangement which the Company would have power to conduct by itself,whether or not such participation involves sharing or delegation of control with or to others; (i) to purchase,take,receive, subscribe for,or otherwise acquire,own,hold, vote,employ,sell,lend,lease,exchange,transfer,or otherwise dispose of,mortgage,pledge, use and otherwise deal in and with,bonds and other obligations,shares,or other securities or interests issued by others,whether engaged in similar or different business,governmental,or other activities;and in general to make contracts, including,without limitation,contracts of guaranty and suretyship and contracts with any Member or any affiliate of any Member or any agent of the Company,incur liabilities,borrow money at such rates of interest as it may determine and-issue its notes,bonds and other obligations and secure any of its obligations by mortgage,pledge or other encumbrance of all or any of its property,franchises and income necessary,convenient,desirable or incidental to or for the furtherance of the purpose of the Company; 0) to lend money,to invest and reinvest Company funds,and to take,hold and deal with real and personal property as security for the payment of funds so loaned; (k) to discharge and compromise all debts and obligations of the Company; (1) to pay pensions and establish any carry out pension,profit-sharing, retirement,benefit, incentive and compensation plans,trusts and provisions for any or all of its officers and employees; (m) to indemnify any person in accordance with the Act;and (n) to execute,acknowledge and deliver on its behalf any document or instrument to effectuate the foregoing or as may be necessary,convenient, desirable or incidental to or for the furtherance of the purpose of the Company. 2.4 Term. There is no dissolution date. The term of the Company shall continue until the Company is dissolved in accordance with this Agreement or by operation of law. 2.5 Limited Liability. Except as otherwise expressly provided by the Act,the Members shall not be obligated personally for any debt,obligation or liability of the Company whatsoever,whether such liability arises in contract,tort,statute or otherwise,solely by reason of being a Member of the Company. Without limiting the foregoing,the failure of the Company to observe any formalities or requirements relating to the exercise of its powers or the. BosT11478827.2 management of its business or affairs under this Agreement or the Act shall not be grounds for making any Member responsible for the liabilities of the Company. The exercise by any Member of any or all of its rights under this Agreement shall not in any event effect its status or limited liability. 2.6 Title to Company Property-, Nature of Company Interests (a) All property owned by the Company,whether real or personal,tangible or intangible,shall be owned by the Company as an entity and the Members, individually,shall not own any such property or hold any undivided interest therein. (b) The interests of the Members in the Company are personal property and not real property. Article 3. Capital and Financing. 3.1 Capital 3.1.1 Initial Capitalization. The Members or their predecessors or affiliates have caused cash or other property described on Exhibit A hereto to be contributed to the Company. 3.1.2 No Additional Capital Contributions or Loans. The Members shall not be required to make any additional capital contributions or loans to the Company. Without limiting the generality of the foregoing,no implied obligation to make capital contributions to the Company shall arise by reason of the fact that the Members may: (a)from time to time elect, in its absolute discretion,to make such capital contributions;or(b)approve any operating plan or budget for the Company that anticipates operating or capital deficits. Article 4. Management and Operation of the Comp. ` 4.1 Management Generally. All management of the Company shall be vested solely in the Members. Each Member acting singly shall have the authority(i)to exercise all the powers and privileges granted by the Act or any other law or this Agreement including,without limitation, Section 2.3 hereof,together with any powers incidental thereto, so far as such powers are necessary or convenient to the conduct,promotion or attainment of the business,trade, purposes and/or activities of the Company,all at the expense of the Company, and(ii)to take any other action not prohibited under the Act or other applicable law or under this Agreement. 4.2 Reliance by Third Parties. Notwithstanding any other provision of this Agreement,any contract, instrument or act of any of the Members acting individually on behalf of the Company shall be conclusive evidence in favor of any third party dealing with the Company in a good faith arms length transaction that such Member has the authority,power and right to execute and deliver such contract or instrument and to take such act on behalf of the Company. Any Person dealing with the Company or any of the Members in a good faith arms length transaction may rely on a certificate signed by any of the Members as to the following: BOST11478827.2 (a) The identity of the Members; (b) The existence or nonexistence of any fact or facts which constitute conditions precedent to acts by the Members or which otherwise are germane to the affairs of the Company; (c) Who is authorized to execute and deliver any instrument or document on behalf of Company or the Members; (d) The authenticity of any copy of this Agreement or the Certificate; and (e) Any act or failure to act by the Company or as to any other matter whatsoever involving the Company. 4.3 Duties and Obtieations. The Members' duty of care in the discharge of their duties to the Company is limited to refraining from engaging in grossly negligent or reckless conduct,willful misconduct,an intentional and material violation of law,or breach of this Agreement. Without limiting the foregoing,the Members shall have no fiduciary obligation to the Company or any other Member. In discharging its duties hereunder,the Members shall be fully protected in relying in good faith upon the books and records of the Company and upon such information,opinions,reports or statements by any of the Company's agents,or by any other Person,as the Members reasonably believe are within such other person's professional or expert competence and who has been selected with reasonable care by or on behalf of the Company,including information,opinions,reports or statements as to the value and amount of the assets,liabilities,profits or losses of the Company or any other facts pertinent to the existence and amount of assets from which distributions to the Members might properly be paid. 4.4 Indemnification. 4.4.1 Exculpatory Provisions. No Member shall be obligated personally for any debt,obligation or liability of the Company whatsoever,whether such liability arises in contract,tort,statute or otherwise,solely by reason of being a Member of the Company. Without limiting the foregoing,the failure of the Company to observe any formalities or requirements relating to the exercise of its powers of the management of its business or affairs under this Agreement or the Act shall not be grounds for making a Member responsible for the liabilities of the Company. Neither the Members,nor any of the Members' agents or affiliates, shall be liable in damages or otherwise to the Company for: (a)any act performed in good faith and reasonably believed to be within the scope of authority conferred by this Agreement;(b)any failure or refusal to perform any acts except those expressly required by the terms of this Agreement;or(c)any performance or omission to perform any acts in reliance upon the advice of accountants or legal counsel for the Company. .4.4.2 Indemnification. To the fullest extent permitted by Massachusetts law, the Company shall indemnify,defend and hold harmless each Indemnified Party from and BOST11478827.2 against any and all losses,claims,damages, including punitive damages,liabilities,joint or several,expenses(including attorneys fees and other legal fees and expenses),judgments, fines, settlements,and other amounts arising from any and all claims,demands,actions,suits or proceedings,civil,criminal,administrative or investigative,that relate to the operations of the Company as set forth in this Agreement,in which such Indemnified Party may be involved,or is threatened to be involved,as a party or otherwise. 4.4.3 Insurance. The Company shall have power to purchase and maintain insurance on behalf of any Indemnified Party,whether or not the Company would have power to indemnify against such liability or cost. 4.4.4 Heirs and Personal Representatives. The indemnification provided by this Section shall inure to the benefit of the heirs and personal representatives of each Indemnified Party. 4.4.5 Trustee. The provisions of this Section providing for indemnification shall also apply to a liquidating trustee appointed pursuant to the Act,as if such liquidating trustee were a Member,and to each former Member to the extent that an actual or alleged cause of action relates to the business of the Company during the period such former Member was a Member or to the performance or status of such former Member as Member. 4.5.6 Non-Exclusivity. The provisions of this Section shall not be construed to limit the power of the Company to indemnify the Indemnified Parties to the full extent permitted by law or to enter into specific agreements,commitments or arrangements for indemnification permitted by law. The absence of any express provision for indemnification herein shall not limit any right of indemnification existing independently of this Section, subject to the limiting proviso in the immediately preceding sentence. Article 5. Distributions. 5.1 Distributions. The Company shall make distributions to the Members at such times as may be determined by the Members. 5.2 Distributions in Liquidation. The proceeds derived from any Liquidating Transaction,together with any cash available for distribution to the Members during period of winding up of the Company,shall be applied and distributed in the following order of priority: (a) First,to the payment of any debts and liabilities of the Company to Third Parties; (b) Second,to the establishment of reasonable reserves to provide for any contingent,conditional or unmatured liabilities or obligations of the Company;and (c) The balance,if any,to the Members. BOSTIW789272 All payments made under this Section 5.2 shall be made as soon as reasonably practical,and, in any event,by the end of the fiscal year in which such liquidation or winding up occurs or,if later,within ninety(90)days after the date of such liquidation or winding up. Article 6. Accounting. 6.1 Books and Records. The Company shall maintain full and accurate books of the Company at the Company's principal place of business,and all other records necessary for recording the Company's business and affairs. Such books and records shall be open to the inspection and copying by the Members in person or by its duly authorized representative during business hours. 6.2 Fiscal Year. The fiscal year of the Company shall be the calendar year,or such other period as the Members may elect. Article 7. Dissolution. 7.1 Dissolution. The Company shall be dissolved upon the happening of any of the following events: (a) the dissolution of the Company under any provisions of this Agreement that specifically provide for dissolution upon the occurrence of certain events;or (b) the entry of a decree of judicial dissolution under the Act;or (c) an election to dissolve made by the Members;or (d) ninety days after the date on which the Company no longer has at least one member,unless at least one new member is admitted within such ninety-day period. 7.2 Distribution on Dissolution. Upon dissolution of the Company,the Members shall wind up the Company's affairs,liquidate the Company and cancel the Company's Certificate. A reasonable time shall be allowed for the orderly liquidation of the assets of the Company and the discharge of liabilities to creditors so as to minimize normal losses attendant upon a liquidation. The proceeds shall be applied and distributed in the order of priority set forth in Section 5.2. 7.3 Records and Liability. Any liquidating agent shall furnish the Members with a statement setting forth the assets and liabilities of the Company as of the date of dissolution and of complete liquidation. Except to the extent attributable to bad faith acts,gross negligence or willful misconduct,the liquidating agent shall not be personally liable for any Article 7 distributions to the Members or any portion of such distributions,including a return of any invested capital,all such distributions to be made solely from Company assets. BosTIvAIU272 Article S. Miscellaneous 8.1 Applicable Law: This Agreement shall be construed and enforced in accordance with the laws of the Commonwealth of Massachusetts. The Company shall be governed by the Act and,except as otherwise provided for or modified herein,the rights and obligations of the Members and the operation,termination and dissolution of the Company shall be governed by the Act. In the event of a conflict between any provision of this Agreement and any non-mandatory provision of the Act,the provision of this Agreement shall control and take precedence. 8.2 Separability of Provisions. Each provision of this Agreement shall be considered separable and if for any reason any provision or provisions herein are determined to be invalid,unenforceable or illegal under any existing or future law,such invalidity,unenforceability or illegality shall not impair the operation" of or affect those portions of this Agreement which are valid,enforceable and legal. 8.3 Entire Agreement; Amendments. This Agreement constitutes the full and complete agreement of the parties hereto with respect to the subject matter hereof and supersedes all prior agreements, undertakings,and representations of the parties in connection herewith. No change,modification or amendment of this Agreement shall be valid or binding unless such change,modification or amendment shall be in writing and duly executed by the Members. 8.4 No Third-Party Beneficiaries. This Agreement is solely for the benefit of the parties hereto,and their permitted successors and assigns,and nothing herein shall be deemed to confer upon any one other than such parties any right to insist upon or enforce the performance or observance of any of the rights and obligations contained herein,any and all of which may be freely waived by the parties hereto. BOSTIW78827.2 8.5 Exculpation. Notwithstanding anything to the contrary in this Agreement,no Member,nor any manager,shareholder,trustee,beneficiary,partner,officer,director,investment advisor, manager,agent or principal (whether disclosed or undisclosed)of the Company or the Members (collectively,the"Indemnified Parties")shall have any personal liability to any third party whatsoever under or with respect to this Agreement or the business of the Company,and the sole recourse of any person,entity or party having a claim against the Company shall be to the property of the-Company and no person,entity or party shall seek or obtain any deficiency, money or other judgment against any other person,entity or parry hereinabove named or referred to.as being exculpated from personal liability. 8.6 Taxation. It is the intent of the Company and the Members that the Company be treated as a partnership for income tax purposes. The terms of this Agreement shall be construed in a manner consistent with such intent. 8.7 Counterparts, This Agreement may be executed in several counterparts,which taken together shall constitute one agreement binding on all parties hereto,notwithstanding that all the parties shall not have signed the same counterpart. [balance of page intentionally left blank) BOST1478827.2 Executed as a sealed instrument on the day and year first written above.. Joeph F ALL Susan G. Fallon aosTiw78827.2 Exhibit A Name and Address Initial Ownership of Members Capital Percentage As J;osepli F Fallon reflected in 50% the books c/o The Fallon Company LLC,Two Seaport Lane, and Suite 1100,Boston,Massachusetts 02210 records of the Company As Susan G:Fa11a6 reflected in 50% " the books c/o The Fallon Company LLC,Two Seaport Lane, and Suite 1100,Boston,Massachusetts 02210 records of the Company BOSTtM78827.2 Town of Barnstable " o Regulatory Services r Thomas F.Geiler,Director BARNSTABLE, 9� MASS. ,�� Building Division PIED Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �02-,1 1 Oq JOB LOCATION: (Y lay iaoo� r� ki Ne,h his ep aT number 1 street village "HOMEOWNER": name home phon`e�# work phone# CURRENT MAILING ADDRESS: T - ?e,L vnonT �►n� ��y 3 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the.State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department mini inspection procedures and requirements and that he/she will comply with said procedures and req r ents. Sign- re of Homeo er 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 t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Town of Barnstable Regulatory Services HARNSrABMAS& Thomas F. Geiler,Director v� 1M9 ,0� �E019.� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 5 -862-4038 Fax: 508-790-6230 Property Owner St Complete and Sign T s Section If Usina A B lder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work a orized b building permit application for. (Address of Job) Signature o Owner Dat P ' t Name If Property Owner is applying for permit please complete th Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION 4 OVERLAY DISTRICT: DIRECTIONS: : °. s AP Aquifer.Protection District a a, From Hyannis Follow Main Street to West r T60N s End Rotary, and then take Scudder Avenue a off of the.Rotary, Take a left onto Greenwood ZONE: j Avenue, and then a left onto Maywood Avenue; Site is at the end, #33. RF-1 - Area (min.) 43,560 + ✓ Fronts a (min) 20' � Width (min) 125' Setbacks: IFron t 30' Side 15' geaen ' Rear 15' ) r ��*� US z FLOOD ZONE: I t Zones A10(e1=15), HYANNf. V10(el.=15),& C" tz . Community Panel No. ''� " • 11250001 0006 0 LOCATION.MAP: Cl) July 2, 1992 « Scale: 1" ='2000'f ASSESSORS REF.: Parcel 126 + o° Map 287, Parcel 129 ea ryry� ,'� 7s3bo, Prime ' • 7s? lr' _�°�oro � i� vg�9jSr� e / S y CB7DH tiF rND ) x O M10 Ao�cyry " Parcel 129. Parcel 127 Q i S cCFp 1.43 f Acres OP TBM EI 24 90 MSL o p� Stone Wall Top of Concrete Bound =�Pcpbt x',A V ' ,., e° 1 O Q / Iv Hedge , ,SHELL 20. cs�H i N 7 DRIVEWAY i 't r mD N 892t'S4'E 90.26 00 y�P Parcel 120 o° / e O i O ON ----- -- -- A -- utter ........, F ; a / � -- sy / . Parcel.156 o Ao WALK / ti ++N + pROpO�N �lptiF9' / o z t AD / + O�ATEO ++ ' x .. I ° p a REULKNEpO �710NAL / ++ ++ FND H 00 / \o PROPORED GFMENTt) l • � / /i 0- AREA IBM E1=15.82' MSL Top at roan Top of Concrete Bound State Defined. / Flogt) Coastal Dank _ r G// \e / .. .Pale ion t/10 (t3/ > til. /i/ i LQS{."Tidal WfDck" /98 AL Llne. SIN OF MgS 0" Nor o JOHN C. -'EA ML �.48168 an. o �FG/STER��`�yk``� S/ONAL 1 REVISION: Relocate Bulkhead" 01 27 14 - - - D11Y:. PREPARED BY., PREPARED FOR: NOTES Site Plan 1.) The property line information shown was Proposed Addition Sullivan Engineering,Inc. CapeSury Joseph F & Susan G Fallon compiled from available record information s PO Box 659 7 Pnrker Road o At Osterville, MA 02655 Oste-ille MA 02655 124 Wellesley Road 2.) The topographic information was obtained (508)418-JJ44(5a8)426-J05 1- (508)420-J994(508)420-J995 faz Belmont MA 02478 from on on the ground survey performed on v 33 Maywood Avenue C0zB5°�apeCOtl"°I r or between 02/FEB/07 and 21/FEB/07 & field edits on DEC/08 & JAN/12 to approx reflect o Barnstable, (Hyvnnisport) Mass. Draft: 1100 Feld: wHx/Dw8 40 0 20 40 work performed under DA-07035 & 09008. DATE: SCALE:' Review: p5 Comp.: RRL 3.) The datum used is based on Mean Sea Level V February 17, 2012 1" = 40' Pro'ct y 2i0o1 Drowing# C26a2x1 63'04 00 E _ flog je n e f 1W � � 1 . �26 I Qdtce1 PGtes tL 0 an • I ' The intent of this plan is to delineate proposed a fence verses existing fence. The Existing conditions qq—y , shown hereon are based on.a Feb. 1998 Geld survey. �+ N For all site improvements see Conservation Commission ,, , , .• i. File Nos. SE3-3351, 5E3-3424 & SE3-3511. Q It 1 abb el 120 rq Legend Existing Fence N N u Proposed Fence (Ge112 �- \ z •� s se 130 006 Ca cv � � _t5/j• ,.: E�-Go g•2 � o t G ti\ C 5 ti c)LLJ W O g 14 1°t( z N o ti� o \ j/r0- 211 WTON AVE 25.00' 1 , x � s/ N 64'15'30" W 3 a / I y pij / /%i 5 0 •R (eel p N o20 f z / 1Zi y� .10 Site Plan,' Proposed Fence DIRECTIONS To SITE At 33 Maywood AVe.. HyannlSpOrt MA Sullivan Engineering Inc Osterville MA Prom Ityannis: South on Sea Street to Occaq Avenue, At cnd of Occaii Avenue left onto Hyannis Avcnuc. First left onto Maywood. Project is April 03,Z003-, located at the end of Maywood. ' =3�' cgi�FNo S 63'04'00" E 140.36' N° Existing Fence I I e1 �295 i e, 126 I Pd(� Pete c The intent of this plan is to delineate proposed fence verses existing fence. The Existing conditions pic"' shown hereon are based on a Feb. 1998 field survey. FN° For all site improvements see Conservation Commission File Nos. SE3-3351, SE3-3424 & SE3-3511. b (c Legend Existing Fence N Proposed Fence —-—-—--- N v \ w S 5�1 d ca / �1VI end E rso2 ��6 cce�e �� e 1 0 1 - °n° w` g'2 F �o o •t oP O oN ,�0/ —109 14 ce 15 i �n o —»_- / 0 0 PI ' IEWTON AVEI 25.00' N 64'15'30" W a / 5pi/'/, /�/ - �:•, / o ce O G� d N G>/ I / / /,4 "o o � � ���do/%�, / /•.::;•� / / / ' rn 10 Site Plan 'h/ - Proposed Fence llIRLC'I'IONS TO SIT L ' At 33 Maywood Ave. Hyannisport MA Sullivan Engineering Inc. Osterville MA I�ronr Hyannis: soyth Oil Sea sty-eel to Ocean Avenucy At end of ocea,l April 03,�003 Avenue left onto Hyannis Avenue. First left onto Maywood. Project is located at the end of Maywood. Scale: 1"=30' _ - ce1 FNo S 63'04'00" E cs0 o� L � o Existing Fence I e1 �295 �26 I P°rc Pcre I P°fGet � 1•�3 � I ' The intent of this plan is to delineate proposed fence verses existing fence. The Existing conditions iel°" shown hereon are based on a Feb. 1998 Geld survey. 00 For all site improvements see Conservation Commission I� File Nos. SE3-3351, SE3 3424 & SE3-3511. �bb �20 b Pofce` l � 3 Legend z Existing Fence Proposed Fence .-.-.-.- • 1 of1 PGe I C ^ � W +1 i Sy et d 00 80°o N of 26 fete of G coo 59 2 F� Lpo oP� i /�/ r0 of W 26 , 110 xt�� F'/ J —14/' O cel —15 fVAlo rEWTON AVE " �' // KAO 25.00' , o� N 64'15'30" W 3 .9 / I o 5�2o�i/ e\ O rn Ld F� <1 n — —21— — f 0 0 / / / / / , 00 N 151-k / y / j. / 20 i ` \ L 0 10 i Site Plan / Proposed Fence DIRECTIONS TO S11'L •1 At 33 May y pwood Ave. H annis ort MA Sullivan Engineering Inc. Osterville MA l rom Ilyannis: South on Sea Street to Oscan Avenue, At end of Ocean April 03 2�03 Avenue left onto Hyannis Avenue. First left onto Maywood. Project is located at the end of Maywood. Scale: 1"=30' w • �. .ram,,� ,.:. - =rui �G - v ZONE: ASSESSORS REF: Area (min.) 87,120 (RPOD) Map 267, Parcel 129 �` :,;,M _ •. Fronts e (min) 20' .r Width min) 125' Setbacks: 4ra Fron t 30' k G ° Side 15' - • ,: �;: . Rear 15 OVERLAY DISTRICT. wip � ::• •}. dry.'v ,iGJ. AP — Aquifer Protection District > fx FLOOD ZONE: ones A10(e1=15) '�`x. r '.. „. �,,,..N;.� . I 'P..y,"S3^ 1'�i�Te`ry�4��G�v � � yi�b��•'t�+Xy l�.. W � ':N` V10(el.=15),& C W Community Panel No. M #250001 0006 D LOCATION MAP: = July 2, 1992 Scale: 1 " = 2000'± � ceIDH Parcel 121 Qj z lND J � • a / Parcel 126 OHO ry0 ,/ S \ \1g�bR00. f 162 '0 SreOonek FND DOH t FND i r'o' Parcel 129 A S°, 2.9 \, 1.43 t Acres Parcel 127 0Ve \�/A prox Sep is TBM E1-24.90' MSL Stone wall ` / \Loco�fon Top of Concrete Bound \ % As-B" <v ied9e O \ ....................... . ••%p y CB/DH O, ...... Parcel 120A FND N 892154 E 90.26 ` ' 01114 NF�rF dry• .- � l �'� \ ` �•:-' \ \ ` 1 � � �� o \ � � ---y-ew p---_--_- -------\- -- •.t..-.. \ \ \ \\\ & T revs . 7o Parcel 156 \FHD/4 oy- °�Oo�o i ��N. L / 0 w� 80.59\ mr \ / Oo 5D. Buffer....... '•.� Z—'� 1 °oar — •—..�.......... �0 1t , cB�H — 7 ?� ah• i - � Top of Town & io i TBM E1=15.82' MSL tote Defined p �! �� To of Concrete Bound S _J , Coastal Bank I `= Pole\ MP Zone Vt 0 Fla _ ...g8-AM) Le end: _ -- ine MI, rpck r� . -•t T!dd1 Wecv Deciduous Tree Coniferous Tree I 0 n Qs Sewer Manhole t)orz Light Post ® Water Gate round CB/DH — Concrete Bound 0 = -CD Guy n -& Utility Pole E ___- Underground Utility Line ohw Overhead Wires 25 Elevation Contour V� Title: PREPARED BY. PREPARED FOR: Notes/Revision: Existing Conditions CapeSury Joseph F & Susan G Fallon 1. The ro ert line information• ) property y shown was rn Plan of Land �n 7 Parker Road 124 Wellesley Road compiled from available record information C Osterville MA 02655 (508),420-3994/420-3995fox Belmont, MA 02478 2.) me topographic information was obtained �•► from an on the ground survey performed on Barnstable, (Hyannisport) Mass 30 0 15 30 60 or between 02IFEB107 and 21IFEB107 Field: MKIM Review: RRL Date' February 26, 2007 comp.: wHK Proj # c26E-2 3.) The datum used is based on Mean Sea Level �y Draft: WHK Drawing # C268-201 i I i i i i NOTES:FOR PROPERY LI NE INFORMATION SEE LAND COURT CERTIFICATE MARSTON 147155AT THE BARNSTABLE COUNTY REGISTRY OF DEEDS. AVE. I FOR PROPOSED PIER SEE SE3-4216. HYANNIS OCEAN SOUNDINGS BASED ON MLW DATUM. AVE. L 0c/ iRWOOD VING ACE. AVE JI' NJANNINA890R I BREAKWATER PROPOSED o LOCUS PLAN STAIRS 15' 11- BENTS W SCALE 1 25000 HYANNIS QUAD EL.7.5 2"x4°HANDRAIL °D BOTH SIDES w 0 5 IOft. IF f— cn EXIST. _ ------_ --- ------ _- -- w TONE ENT EXIST. ~. .- .� 0 20 40ft. GRADE ACCESS STAIRS _ 63' BEACH BOTH SIDES a NO SALT MARSH 152' TOTAL w 12' = 132' 10' Ip' a 25 WATT' 3xi4� IO'x 20' (MAX.) LIGHTS EL.6.5 RAMP W FLOAT W _HTL 4.1 W MLW.0.0 10-12"PILES 4 FLO 89�FROM MLW- LAND UNDER WATER STOPS REQ'D(a)FLOAT a SECTION A-A SCALE= I "= 20, 4-0 2"x4°HANDRAIL BOTH SIDES :O EL, ' 2% 6"DECKING.NON 1' I VARIES CCA MATERIAL.I/2" M MIN.SPACING DATUM WATER ELECTRICITY RELATIONSHIP AT MHW H_T 'L 4.1 -- - 10 12"f8 MHW3.1 PILINGS 2.0' O 3.1 NGVD 3"x 8"CROSS 1.0 BRACING MLW MLW 0.0 PER U.S.ARMY CORPS. of ' • ' ' • •• • • • • q ENGINEERS TIDAL FLOOD 0. :_ �•:.:: PROFILE No.9, 1988. 7'7 SECTION B-B SCALE: I"= 5' PLAN ACCOMPANYING PETITION OF SHEET I of 3 MATTHEW & VICTORIA KENNEDY 33 MAYWOOD AVENUE HYANNISPORT,MASS. FOR CONSTRUCTING 81 MAINTAININGA TIMBER PIER, RAMP 81 FLOAT IN HYANNIS HARBOR APRIL 22 , 2004 SULLIVAN ENGINEERING INC. :y OSTERVILLE, MASS. F ' i i COAST ev yc # ! A - EXISTING STAIRS MARSH .� EXISTING M __ I8 . — STAIRS — — — — ---= -/ 6 PROPOSED STAIRS / 5-- EXISTING—REVETMEN BEACH —1 `5 B E A C H _ _ _ _ _ CAL — = ACCESS STAIRS MLW O.0 • -Ox7 -Ox7 -OxB -Ox7 -Ox8 -OxB PROPOSED 4'x i32' -Ox TIMBER PIER -Ox7 -Ox7 -Ox9 / c -/x2 -/x2 -/x3 -/x/ -/x/ ; B B — — -/x4 -/x3 -/x2 -/x/ -/x2 PROPOSED 3'x14' -/x2 -/x2 RAMP 0 w>=7K U -/x/ �rr-mym= rnr- -/x/ o -/x3 OF <<rvzm-I PROPOSED r-z 102 ± -/x FLOAT mmN-0 o -/x4 2O . zoO -� PLAN VIEW HYANNIS HARBOR N0.29Mcift SCALE: 1 30' �---�A A FLOOD EBB m 7 / Zcn 0 30 60ft. -/x6 Q G) to � Z -/x6 -/x5 c� y f F r N/F✓OS£PH d JO-ANNE POL AK N/F PETER Q L/SSA STEPANEI( RO. BOX 361 24 POWERS ST. HYANN/SPORT, MASS. MILFORD N.H. S 63004'00°E 140.36' i� N/F W/LL/S Q ANSELA BYE,TR. "! 52 ROUND HILL RD. L INCOLN,MASS. W O O N cli 0 +I N O Z O N 3 90' 0 M N 25043'00°E 0 EXISTING c00 40.00' 9o2\6 DWELLING - r1e DRIVEWAY TO MAYWOOD AVE. ip N 64015'30°W POOL 0P�'1'\����a� 25.00 i.3 3 F 01 ` O Q� OF OVERALL SITE PLANawvnm ,ow 1. SCALE: I =50' y SHEET 3 of 3 0 50 looft. KENNEDY HYANN(SPORT,MASS. APRIL 2.2,2004 SULLIVAN ENGINEERING INC. OSTERVILLE,MASS. f ZONE: ASSESSORS REF.: RF-1 dal ,4 Area (min.) 43.560 r ' Map 287, Parcel 129 ; Fron ts a (min) 20' Width min) 125' , .. Setbac s: Fron t 30' Side 15' , • r E OVERLAY DISTRICT: Rear 15' AP — Aquifer Protection District FLOOD ZONE: , Zones A10(el=15), iz y x V10(el.=15),& C ..,,w Community Panel No. 03 #250001 0006 D LOCATION MAP: July 2. 1992 Scale: 1" = 2000'f Parcel 126 • / Q , e�oryy s �0F 2� oti� a �� ,Qj \ \ et a 4�° r \ c8/DN fvFND ACIV / Parcel 129 Parcel 127 2.9 \ 1.43 f Acres O MSL e� Stone wall 0.3' tic�' / \ \ r \ E1=24.90' Ove L tim pPetr TBM e l A. at \ \ \ Top of Concrete Bound ,/ \ \ \ \ \ \ 2 F 8 N p.aae y \ \ . \.. 1,/ 8 p�� ' 897f$4•E. 9Q26 O / \ \\ \ , \ .. ............ • \ \ f,r Parcel 120 Shel DO" �----\ ---- ---- -------- - o \ A, 40 \ i o 0 .Sob Ooop \ k I I � ( •_ ..�.... •\/ �' Parcel 156 FN / %000 OS D ... RCREEEO 1a eg •-20 •°j i Tov or Town& TBM EI=15.82'MSL State upon Top of Concrete Bound O 0ooetd Bank / Flag O r / J ov , .AL �13�FEg/98 Lost idol Wrack 611- Legend.. ----'`' a Deciduous Tree / f Coniferous Tree Sewer Manhole O� 'r A?' ss�� # Light Post a�� ® Water Gate (round) ' i o ,9 CB DH Concrete Bound fit Guys C V 0 cuy �n 2 733 -a Utility Pole •-•---.E ........ Underground Utility Line Overhead Wires —25— Elevation Contour PREPARED BrPREPARm FOR N07M, Site Plan Proposed Screened Porch Sullivan Engineering,Inc. CapeSury Joseph F & Susan G Fallon 1.) The Property line Information shown was At Pa Box 659 7 Parker Road 124 Wellesley Road q Osterv9l%MA 02655 Oste ville MA 02655 compiled from available record information 33 Maywood Avenue (W"2e-'uu(sae)'ze-.nis R" (aae)•tea 4t'„,, Belmont, MA 02478 2•) The topographic information was obtained Barnstable, (H,-nl,Party Mass. from w on the ground survey performed an Draft: JOD Field: MHK/bN8 �o 0 20 +o or between D2/FEB/07 and 21/FE8/07 0 DATE: SCALE: Review: PS Comp.:. RRL 3.) The datum Used Is based on Mean Sea Level V January 29, 2008 1" = 40, Project 27001 Drawing! C266 xt - y FRI EB l I( I t L-'x�sn SsxT'S I { 2---r-"9—W ; t� ExioT. HcusE i J--1- 3VSc'vH ; S��f;-nt cl:�_iON I' i xeu:y4•� ` 1rv:,T AMOVEDn: w.wnn D11iE:���.i O pJ PFNSfD 33 1MA-1wow fn�?- cP•wmD r+uMffe '. Sc�v~rt L2Ev��ot�t i o.t Z ' ------- -------------- ------- 4 i i I i FF ED I r-- AIL �.;�s .�� � �� �. tip•: I �� f . \.�\ I,-- URR L1 fr hl E1h! `JCREE7Y ISJ'!C C"�:IC- I's T: tiou5 E - Ja St:v�t i �VSY:i�i i-r}LLU;�I star:y1t n. t r-coT •.r.o•co sc o..vm v ,.' ose LJa�o4j .ev�sto 33 rn wooD rgyE. OF MICHELE yGN CUDILO . S~ o No.34774 in I U STRUCTURAL i3t'S7 t2oo rat � i vi a EARa.>M ---._...._.... .._....__._.._.__._ 2141 - Zi\-Rt ICY= : y l$'t"tlV ff. I i 2G c most }a'= t roar pp !n! Vt —FAN �'2.t Yto PT• 1 i jZo-JP -1;"DEN L ra?-o —y- 1r,win N6c5i-,�•4j 13 U ` i I _ P U T l 3LDCV—S � 1 �: t I ; �� f` 54 t?✓i �rvtHG xG @r -POSE' w�5 �,5oH tR0�4o j •--On. i t_ '3Uvrt'� � Pas*S _ice LI y� ice+• yy" - 1pooT i w _ ! 1 .1b - i �15t+n'Sbnl 68tJG6 t-z �^�>�i�t5 wJ3.r�P5ont LSSJ t0 L : i-..l ��� �2'<ot,� :✓3_ c.:,r�-rtY r So�.p wo�7 I Jlrt�. SlJ1'� --- Fro xc�: •,v�•-ram Z I, i ! f 1 \\ ,1 L.SS� 2l 0 Lr/ !_t� � l' 2%Zxi2 tt p R,�:prCR ....I— i.. c R� ZJ t4r p.<,,,. - t 17 t 1 vc� '$LuC uric. 4' v?Tl _ ` ZxC6-PT LE,:,M To SoL.D w. Drk!en i i Yy:t nJ s:�'r't i;+)JpN�, Si r<:•'.Xi n:cr. t _ .at � t ; T"i. - -t-�h _I _ � _ .-- Z/Zx t o G..�.A-t:c �'a•'rfn ?,i. � i � �.-__-..__.—�!-_�i ' � �i 501-.::� •rv3_ ocv .�\f� ,-•�> ,F.1'.rU\ 24' I. 1 t sort. �vnrorto n. or.wa tr WE �ENSEb c M�MwC tNMQ11 '. - - ANDC5 Gq 443%0 5 ��� M.IfM'KHNv w�sl�ace-23hRS hNveCRl lo'ox i�B f l �5 t_�t Rr rFtrfiTut w� 3��1cc� 3MZS. I RFNGY� WWD E—ST. tiaXC ' Nrw SECoPJID FLOOD. Lt FT FI rV�F'F10N - . FFRFIM I EM I LM I MT 2' ISL° i rRoncT FLEyhlotJ '.. MR L MRS 7ASEPH FWLL01 xuE:Yfy^= I I'�rl. .nwvm n: Daum n I owR:Z 5, 2 iawsto 33 v✓,47 wx>D QuG,J o�ewmc rnHne[� I,,. �Lcv>lT Ioµ'S .Z —�o DOP,MM TOP PLATM_— NE4Y�O Rry ER 2NP FIOoL _ —_ --J l�m"sr TRt N FRI.- WE ,. F1R5T FLDo0._ _ h1EN 5Eeor4b FL.. A DManl� EJ�16T INL+' SFCor.1D FIAgZ 'DORyv.ER RIGHT EL-EVATioN i ll_it �3 t+c l5TrN0 H-nF fdEW SECOAlD F—tttpR /�pDITON �£144. ELEv/tT Orl Vl1Z �' ys.2S 3o5ei-H F,r,tt�N xuE: y� ,� � wmiov[u ar: Daum sr - ` owre�Jov'i zcc,� R[vnEo 33 wAywouD ad -. . Hyc,�n.,�sporLr ter, DRwWkG NUMR[R £..LCvf,rORS COX rYwooD sey�ytlx w(rcS�nrLr tZmF s<zrnaia / Y TDLLLV 'P_L11.6E vtrntr vvvryryry /�--� ZX Io ZNf ERS i4°O.C. SPhr� lo' 9`9-31 F+36RCILkSS 1-145�11'no14 w� {�\2oPER vt>✓n 2xt2 R�o4E - 3/2x6 HevYPEM5 7.1P mAL !. y - --�2x6 w 4u 5 Z RE1MoVG GktSTl Ncj 7HED DO'L,WI£'(L RexaT' S -� .._- i Cx EiZ 4 Mtn 4E •3"D R+✓1. A-Z) fi rST f 1wk _ \YEN T't D 3mp l-"AbE t �(LLUw15 J kZ" CDh Pl.�. SItwFTrt n�Er. -- SKLD DoCw�R -2xto RAFTLs � -�ti15T34tL 2i.47 7Ut7E" aN E1C+ST WJ4tL (Ir NECC) ti wA+cE' ��,�p i �x4 frt+t+nE VI 2Xtto�FuwZ 5b\ST-S N ZJsB�'-R {Mtn+• NnGY�B!'L.e1� I) f Z" O.C. S�'1'N I S � t � 7t{ C-L)X }{f] SJ3 Ftno� '1�.3/1-1 la t+ "D� VNDt'R. f?cl S'r »t-7tTtTON SoL+l] t aLOC1�LW6. SU SV$FLaD2 y ----�2xzxt� eomcktTr TVOTINos IN cr_A-,.xL --?Ace- vmbeR Oc\ST T-?A 'ME CROSS SGCTIO;4 S , k ® A-oo FvotlNs 1P�st�BLsxx,nia. Ye" IrooT I I to C✓edtc •324rwyy "JALL- 6t:7- IE,J 1 t t �A-TH2Ponn + 1 �rtbo+v+ oN r.esrr Ex.ST- C++2RCC Ct_ft.L. tQn C t7 FRMv,E cicoSS SEcrlaN Si tZooF C—��E I - O LD ziDe e- w/a New RIDGE LLostT � L�yovtR SKEt> DoP.ME(Z, f�R4AWE -2 io- > P RfiPTel2S �Sh q'DE� SnL`� aPaw,� _ .. i7v�noi�s£ G�rtsL.E 2�2x10 L�A�eTL�s 2xt.o RA-FTeR-S SLh�soN KrrnlE,bZS$ __ tt✓1'�-47w hRE� '. 1 �p Lxts7• �EtX All: WIF" NEW FL_coe_ Vod vvbpv lo>� U5E Z?ct0 oa ZX tz :� use [woT 1� -PtSN�'B e7x,sT '?LAt STL-2 C.k\L_lm& Ek1 }c-- B' -vL _�6•—�Z•I VAR. ✓v\25 �SLT-�H FflLter{ I wte: yam. 1 f wsc �rntwen�r: auwn ar I ATE Now.y,ztk� ��o 33 vnwy wtx>a ua t� CIAA\S1P-Q2T HAS STf t Tvrc�l S`PLOD R PL qN SEDC�M ', FtP,5 F4 ooR uosrr C N-tcA�F ' - yiq-, (f 1 ` {I 11 y /. LIV lh6 BOOM '.. 11 II 1I •Fllj• 0r-7 n tTttJ (A iv arez 135�ra,�n W1'S `�jR-•t'�-t I aDR�+ " Bb2� ct_aSFS' _ 3 k-WDvD �l,00 R •. ',''.. L>lST IeVC ', jl Mes' IMLS iDS�li =WLIDN 'I XAM ♦M OVED SY: DMNRI 6Y o�rt: it{y{O} a[va[u j Y'nh ywOJD .i-VG _ HYc�nn�s(�orT' , Mh o..wu1e e Ex\5TIh4G FU>OP— Pt.hNS. Li Of L( DIRECTIONS: OVERLAY DISTRICT. i From Hyannis - Foflow.Main Street to West AP - Aquifer Protection District End Rotary, and then take. Scudder Avenue ~ off of the Rotary, Take a left onto Greenwood ZONE: k x" Avenue; and then a left onto Maywood Avenue; Site is at the end, #33. RF_1 b Area (min.) 43,560 Frontage (min) 20' , Width (min) 125' Setbacks: T.W" S. of FA Front 30' a.rae° Side 15' h z Rear 75' T. FLOOD ZONE: ° 6 N 1�YANNI r er..mwu»•eaw�.r�u.. _, =:�'s; Zones A10(e1=15), � r 0..e.re. V10(e1.=15),& C Community Panel No. m #250001 000s D LOCATION MAP: July 2, 1992 Developed Profile of Proposed Septic Tank Scale: 1' = 2000'± Norco scale V Pare, 126 , ASSESSORS REF.: Map 287, Parcel 129 /x 44 \ \ \ CQIDN nYD 2h d� \ \ / \ \ Parcel 129 \ / Parcel 127 \�s ' ecos� 1.43 f Acres \�""o? PROPOSED / ` SEP71C TANK O \ \\ \ wP�� ' \ �O TBM EI=24.90' MSL g st"Wall Top of Concrete Bound ��u6ro y� h To G \ /\ QPdSED 1 20 CB/p1+ ........... ; rD Vt'jNAY , l \ /Qp*T .g FN N 892154'E 9Q28 O y,. \ Parcel 120 1 1---- Jill) .... ...... ti r,°�.:>, . �, SF tDF.2Do — �• ti�. \ ./ IID{ _ \ Parcel 156 FND • 4 .�; t ,.j.• 0— .L : \/ ..1....... / . ......... . -- - rn \ \ _ _.. _ FND 20_ _ ^� 7BM E1=15.82'MSL / �"''� /i rep et row°� Top of Concrete Bound Stale Defined i• ' , Poole 'too (°� t5) p /\•, / \ J fEMA Permit History: AUL 8/g8 AM) 07114198 — DA-98060 — Kennedy — Shower, Sheds, Landscape /, _L St lidoi Wr0 09123198 — DA-98078 — Kennedy — Landscaping V101998051 — Kennedy — Activ. Beyond RDA 02101199 — SE3-3351 — Kennedy — Pool, Patio, Porch, Stairs 11107197 — DA97082 — Gulliver — 2nd Storey Deck, Enlarge Kitchen / 08/18/92 — SE3-2442 — Gulliver — Revetment Returns ' 03127187 — SE3-1123 — Gulliver — Stone Wall 1011.1189 — SE3-2007 — Gulliver — AsBuit Stairs V101998021 — Kennedy - Clearing Flood Zone ��pL(F10FNjgssq Or 01/12/99 — SE3-3424 — Kennedy — Accessory Dwelling 09107199 — SE3-3511 - Kennedy — Addition, Remodel, Porch � t• 06111103 — DA03024 — Kennedy — Fence o C �� 04121104 - DA03024 — Kennedy — Sheds 03117104 — SE3-4216 — Kennedy — Pier FGIs T 0'- ��Q a' " V102005022 — Kennedy — Cutting Fs �\� N SION AI E� 1 '� V102005050 — Kennedy — Mitigation V102005051 — Kennedy — Violation of Order 05123107 — DA-07035 — Fallon — Landscaping 01/11/08 — DA-08005 — Fallon — Pier Modifications nne Site Plan PREPARED BY., PREPARED Fae. N01ES: Ca eSuN 1.) The property lime information shown was Proposed Accessory Structure Sullivan Engineering,Inc. p Joseph F & Susan G Fallon compiled from available record information 0 BO� At osta- /e.UA 02655 Oste�re MA 02655 124 Wellesley Road 2.) The topographic information was obtained 2, (eae)+x-ar.s(soe)sze-rrs�. (WO).zo-ses4(5W)420-Je95�"` Belmont MA 02478 from an on the ground survey performed on �y 33 Maywood Avenue ��t ► or between 02IFEB107 and 27/FEB/07& Bamstabie (N�onnbport) Mass. field edited 301DEC108 to approx. reflect a f Dmft: ,pD Field: WK/DW8 a 20 4a work performed under DA-07035. DATE' January 7, 2009 SCALE. I" = 40, Review. PS Comp.: 1 3.) The datum used is based on Mean Sea Level v' Project A27001 Growing I C2681x1 t � �lduey.&I�ealr�`efif o� q� t { 1 / wsac � a Jill 1111 Him Jobf. Dow 9awl3 scak Dfxwn. XM per. i{67a b I ht 1 On 12 a �12 a 1 • • / • • 1 • • • • �r; 1 t A A 1 1 • I 1 • • 1 • , 1 1 � 1 • • • • • • PJIi S*uthEkva*s <04 Job#. Daw 91160 sue. Iraq-r-v Drxwn. Kt ci, IRm 1PJ[6il A Vl9 5N 274-3M -19'1" 15'7 3f4" 7'6" $edeoom l we'd p01r 17'11314" O W4 New Kitchen Extension hCload 40'1 1J2" "" 1 34'2 3J4" f-5 3" 10'10 1(2" n 5 9" 4X6 post i 3 Family ........ ' ... ...... ROOM In BA *✓ 16'13(4" 06 post ti s+ Kibchea 5'9116. 2 7116" 5' 6'9" � 18'3" Q�J 18'2° Din-mg ROM ® °�... ® wood poet up and down x A*up hbt Fail*and ismw to be noxwed lam. 9/10/13 Scala 1xv-r-O* DMWI. lU Rev. Rev 43'S" 8'1J2" a 3 L 3Of:9 fill mtol �a DO&OOm 4 P sealroom�3 LL—L ® D*W '9ii /10113 } py Dnmm rU ftv, fir+ A = v ShL b of 8 18'2 112" -------------------------------- I .�.J. 1 1 1 1 , 1 f • 17'11 3/4" CrawlPex : 12"Sono the on big foot anchor 36" 1 ! I 1 1 I ' 16'6 1/4" f7'3 1/4" t I I 1 t 1 I 1 / $- -f I 1 1 _ r� I . I + � : • ! 1 1 1 :10'73f............. • ; ; 1 ; I 1 5'9- sm 1 I 1 t I I t I ; : ! I I 1 • • ! 1 ..__. .. ----- . • � ! 1 I 1 1 I ; t 1 i 1 1 , . ' . Y . 7X�yY/)•y 1[1p���Vl�/1?p�/�9 1 1 : X p I --------------------.--.....--.-.! , ; • ; 1 t ,CmwIqwm cmwbpwe f 18'3" w 6 4„ LWAY 1 18 z' I 1 , , �✓ 8"Loncrer Block BA --------------------------------------- ; Km footing;8"X24" So*, ASNOQed DIM& PCM s 43'S" I 8'1/2" RM .,d`ok 114"-1,4r Scek: -=1=0r Rev. A - 51 Sht 3 of 8 �1 low o� (2)1314 X 9 114 L im- (2)2X10 KD (5)2X8 KD (3)1314 X 7 114 LVL o� (2)2X8 KD ram^ 5 1/2 X 7 314 PTA (5)2X8 KD ?yam DOL 9/10v13 3+�k »"-1`4r DrowiL PM Rev. Rev; - 1 1 Sht. 6 of 3 f L�lq•&den ._ o� 2 X 8 0 16"o.C. Exist.2 X 8 0 16"O.C. 42)2X12 IrTf Exist (2)LVL (2)1314-X 7 114"LVL qq� 2 X 4 P.T.0 16'O.C. Exist.2 X 8 0 17 1(2"O.C. �A 0 Exist.2 X 8 0 12"O.C. Jab . Dale. 9/10/13 sale. Drawn. P+CM Rev. Ur-110 PhatFlootJbrfasts �' 2 fit. 7 aaf 8 Exist.2 X 6 Rafter 0 16"o.c. Exist 2 X 6 Ceiling joist (3}1.75"X 16"L6'L 5'8 3j4" 5(8 CDX.Plywood p�, 2 X 10 Rafts O WhKe Cedar Shingles Q'f 2 X 6 Wall Frame �! Q 16"o.c. 7'8 1 1(2 CDX Plywood / '► 4X6 PT SYP A Simps LCon LCE4 (e✓� (2)1,75"X 11.65"LVL Cement hoard 2 X 10 Rafters 7'it 112" ABU46 wj a wrap 16"O.C. Of ice&orate 2 X 10 Rafters 23— 16"o.c. 13'4"Rt#'t 11'10 7/8"Run (+yyyyyR �A 1ICA ® ptrl scaiG. ilk'-1'-0" ShL 8 of 8 t � �e- ZONE: - r ASSESSORS REF.: RF-1 Area (min.) 43,560 Map 287, Parcel 129 Frontage (min) 20' Width (min) 125' ( Yi Setbacks: c� Front 30' Side 15' I ti OVERLAY DISTRICT: Rear 15' g , AP - Aquifer Protection District FLOOD ZONE: Zones A10(el=15), 1 ` VIO(el.=15),& C Community Panel No. #250001 0006 D LOCATION MAP: July 2, 1992 Scale: 1" = 2000'f Parcel 126 / S d3 6 d• A� F MD ND�H I � i \i\ \ J Parcel 129 2.9 \i 1.43 t Acres Parcel 127 O $Ql 0. Ove ppr-\Snept ia T M E=24.90'MSL LAft Per / Stan.wail 1.` Top of Concrete Bound e °� CB/DH Fledge / \ ...... ...�...�....,......v� �V' C� FND N 8921'54"E 90.28 O / \ \ `i (T 2� \F i r' \ \ i i ,.....�... \ � Parcel 120 TO N��F Al?cP 24_i - - �N q i - i1 Fes• '� - P�2 P�--o----� ...\.... I \ \ \ ( I � :hi° P\ �.. � .. 1 4 s 2. ° tip a. ..........� 200, 1yCOAH TOF Parcel 156 \FND/4 °Oo 0 0° RO ON�D (� 0 °o a A pORC� o� \ .....1..... o - a- I 41, \ �� ,�.�- J 88.05' ro 63' FND ILI -20— Town x TBM E1=15.82' MSL / Top of Concrete Bound State 0e(e,ed 1..-- �� / j 01 Cooatal bank Zane' O Flag / 'o / 8 J' -- / 27 h. (t3�FEB�98 AM) E i Lqgend: a` Deciduous Tree Coniferous Tree MAR _ 4 j O Sewer Manhole 2008 s _ � � Light Post B ®r Water Gate (round) AR�STA19LE Co, h(�� o CB/DH - Concrete Bound �SERVATi as ° Guy �ry , O Utility Pole APPROVES PL ��� — E - Underground Utility Line [� r L �n —ahw— Overhead Wires Y -25— Elevation Contour Shi Pod House oca ion 03104106 Modil Pod House Location -02 27 08 Add Screened Porch 01 29 08 Modif Pod House Foot riot&Location Of 29 08 N If P h 071,16106 RILE: Site Plan PREPARED BY PREPARED FOR: NOTES.• Proposed Improvements Sullivan Engineering,Inc. CapeSury Joseph F & Susan G Fallon PO Box 659 7 Parker Road 1.) The property line Information shown was } At 124 Wellesley Road p " Osterville, MA 02655 Ostervil/e MA 02655 compiled from available record information . 33 Maywood Avenue I Nza sv'fsosNzs-ans m. (soe)'zo-3�c rs�" 'g�5 a' Belmont, MA 02478 2.) The topographic information was obtained Barnstab a (H�annlsport) Mass. from an on the ground survey performed on 40 0 20 40 or between 02IFEB107 and 21IFE8107 °f Draft: JOD Field.•� WHK/OWH " GATE: SCALE. Review: PS Comp.: RRL 3. The datum used is based on Mean Sea Level November 15, 2007 1" = 40' project j 27001 Drawing. czs6�x1