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HomeMy WebLinkAbout0395 OCEAN STREET 39S C9c�„d sr- - � - �� ��� � �v� ,�- �� _....ter N ! A TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map -3� Parcel Oil Application # Health Division 0.31 Date Issued �'Z Conservation Division . :Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address / Village Owner Address Telephone 4- c3 7 16 J Permit Request 411AI&Ie /lv X / �� ,�� ..-r6 Square feet: 1 st floor: existing�aL roposed 2nd floor: existing proposed f Total riew Zoning District Flood Plain Groundwater Overlay Project Valuation 32 Construction Type ° Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 43 Two Family ❑ Multi-Family (# units) Age of Existing Structure 0 Historic House: ❑Yes &No On Old King's Highway: ❑Yes &No Basement Type: i!d'Full ❑ Crawl ❑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: existingo new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: &,';a_s ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Uff 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 O No If yes, site plan review# Current Use �� ��posed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number f 7. 8 2 � -- Address ��(�� �-�-eQ1c License# (0 (4 .A 4 jg.4�" 06a C /676 Home Improvement Contractor# 5� / 3 Worker's Compensation # A - R Y �2 / ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE d ty r FOR OFFICIAL USE ONLY (APPLICATION# DATE ISSUED U MAP,/PARCEL-NO.:. r ; ' F ADDRESS. VILLAGE ' OWNER r DATE OF INSPECTION: FOUNDATION; -I m_ FRAME 3l�l 3 .. Y INSULATII.ON_j FIREPLACE 1 ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL -GAS-,-a (4,AS` ROUGH t i'` _ FINAL ;'•:+FSINALBUILDIN.G}1_� '��� r= -�;• DATEjCLOS:ED OUT ... ASSOCIATION PLAN NO. i .3 .1 •.S r� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations E;tis 600 Washington Street Boston, MA 02111 ' 4 z www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): No Address: 40 City/State/Zip:V, O/S-7,( Phone #: 417 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 working for me in any capacity. workers' comp, insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4), and we have no 12.❑ Roof repairs insurance required.] t 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:. - /dw Policy #or Self-ins. Lic. #: A(� 0 yZ 6 Expiration Date: 3 .2 r Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy eclaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to,the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, 1 do hereby certify under the pains atj#penaldes of per' ry that the information provided above is f e and correct. Si nature: Date: 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): L.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other. M Contact Person: Phone#: y. 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 clot 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 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 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 5-26-05 www.mass.gov/dia Board of Building Regulatiohs and Stand,ards I, /nzccaelGf i HOME IMPROVEMENT CON CT Registration; 113513 r, ' Expiration: I 612412011 Tr# 28539�i " a Type: Private Corporation :f` !� WEITZ CONSTRUCTION INC '` GERALD WEITZ � " 1605 ANDOVER ST N TEWKSBURY, MA 01876 w. Administrator ;til:isx�u'husetts- p�Irrr•tment rrf Puhlic Sa1'et� Briard of Building Rc�ulutivnti;rnd Stand<trds`'� . Construction Supervisor LicensL License: CS. 12649 Restricted to: 00 GERALD L:WEITZ 1605 ANDOVER ST TEWKSBURY, MA 01876• f' nuttissiiaic Expiration: 9/8/2011 Trig 1876- I rfpi. i " �oFTHETa,� Town of Barnstable Regulatory Services 9sn MASS. E$ Thomas F.Geiler,Director �p 1639. TFDMA'IA 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 I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work aut orized by this b ding permit application for: L& (Address of Job) Signature of Owner Dfate j Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERM ISS ION c , Town of Barnstable �OF1HE T ti Regulatory Services BARNSfABLE, Thomas F.Geiler,Director 9 MASS. 1639 Building Division lfD �a 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: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 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 l -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 6 deed dare zsu �. IQ S4A -®---------, L�W'iP,�slo� log-to Our measurements indicated this onset to be less than the minimum t required by the Zoning By-Laws. t4ge.5sors 325 &&r s lies 0) fie,fie,4W. c ib that t&5pPau ruo IWn. rcjj4Irv(;rf-orPAUL tile dwelling t T.E r�l� � � a Ica.�� � ��fd���ca ��1 � f� i ';" ' � ��o���R �.9 does N Am lu au sir "Y-4w 6 gy�.sct-c£ %ofT6tndl���� Q 0 SuFv- tv*f6 t tO fplilo w abbe: yion of a sla � � �x °�a�� �t 'fie ,mom n � vlsta�� r-or building foiitm!4&mpery Afin, dtiai�emMA5 9�,m�or toe .€1 _ { si � FILe tics: I my re d� � a s�� ms f 1 rt�is Sho. gi-- 9g2.: i i i 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS /, I THE MASSACHUSETTS STATE BUILDING CODE c-L AbDg , 11 5 AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone �, �E� �� Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)` �Y MICKELE '�- I or CUD1L0 \: l No.34774 j=: ;> ©Check STRUCTURAL � �� Compliance .1 SCOPE RPrfmF ,a Wind Speed(3-sec.gust) .. ........... .... .. .......... . . .. . .. ... ........... 110 mph Wind Exposure Category . . ... .............. ... . . .. ........ .. . .. .. ............... B .......... ... . . .. ........ 11 APPLICABILITY Number of Stones(a roof which exceeds 8 in 12 slope shall be considered a story) stories s 2 stories _ Roof Pitch . .... . .. .. ........ ...... ... ... (Fig 2) . ... ............, ..��Z. 12:12 _ Mean Roof Height ... . ... ... ... .. . (Fig 2) . ... ... . . . . .. ...... ft s 33' — Building Width,W .... . . .. ....... .. ...... (Fig 3) ... ........ ... ..... ft s 80- Building Length,L .. . ..... . .. ...... ..... . (Fig 3) _41.—ft s 80' — Building Aspect Ratio(UW) .... . .... ... ... (Fig 4 % — Nominal Height of Tallest Opening' . ... .. .. .. (Fig 4) . .. .. . ..... .. ... .... fp'$"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 n alternative in concrete only Bolt Spacing-general.................. (Table 4) �Zol./� .:FIEP—in. _ Bolt Spacing from end/joint of plate ..... .. (Fig 5) ........... .... -A&in.s 6"-12" _ Bolt Embedment-concrete.... .......... (Fig 5)...... ... ... .. ......... . in. a T' — Bolt Embedment-masonry......... ..... (Fig 5) ................... in.2 15" Plate Washer ......................... (Fig 5) ........... ........ i 3"x 3"x,/" — 3.1 FLOORS Floor framing member spans checked ......... (per 780 CMR 55.00) ................ Maximum Floor Opening Dimension:......... (Fig 6) ..................... =ft s 12' — Full.Height;WallStuds at Floor Openings less than 2'frorn Exterior Wall(Fig 6) ..... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall (Fig 7) ....................... ft s 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) .... ... 3 in. _ Floor Sheathing Fastening:................. (Table 2)-ad nails at�in edge/ j2 i'n field 4.1 WALLS — Wall Height:;; Loadbearing walls .............. (Fig 10 and Table 5) ..... 8 ft s 10' Non-Loadbearing walls.................. (Fig 10 and Table 5) ...l...... ft s 20' Wall Stud Spacing ................ ....... (Fig 10 and Table 5) ....... ,J in. s 24"o.c. Wall Story Offsets ...... (Figs 1&8) ...............:. . =fC s d 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls ................. (Table 5) ..2xi ft C)in. Non-Loadbeging walls ................. (Table 5) ........ 4 .2x ft o in. Gable End Wall Bracing' FUH Height Endwell Studs:.............. (Fig 10) ............... WSP Attic Floor Length`.. . .......... (Fig 11) .......... . ...toa =ft a W/.3 Gypsum CoWns L: nath Of WSP."u_d5(Vis>I) .l.. =n z o.vw and 2 x 4 Continuous Lateral Brace®6 ft.o.c...(Fig 11).............................. _ or 1 x 3 ceiling furring strips 0 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays .......... ...... ................ .. .... Double Top Plate 1� 1 rL s — Splice Length... .... . . . . ... .. ........ . (Fig 13 and Table 6) .... . ........... 2 ft _ Splice Connection(no.of 16d common nails)(Table 6). . ..... . ... . . ........ .. ..... 1054 780 CMR-Seventh Edition 12/28/07 (Effective 1/l/08) 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS S APPEC+E 5 HA W a , _za j id Q ' FRAMING MEMBERS a l EDGE INTERMEDIATE ,1 , 1 Z 3/8" ' 3/8 1 3"MIN. STAGGERED 3-MM. NAIt PATTERN Z PANEL PANEL EDGE DOUBLE NAIL EDGE SPACING DETAIL j Detail Vertical and Horizontal Nailing i for Panel Attachment 12/28/07 (Effective 1/1/08) 780 CMR-Seventh Edition 1057 : r �� .• �`,;, :�� '� �.� It r..v•;- 110 MPH EXPOSURE R WIND ZONE Table 2. General Nailing Schedule i Roof Flkt EK raming w _. .. Blocking to Rafter(Toe-nailed) _#__ 2- 8d Rim Board to Rafter(End-nailed) I 2-10d each end m _ each end Z - 3-16d Wall Framing ;.. _............. Top. Plates at.Intersections (Face-natled) 4 16d - ----� Stud to Stud (Face-natled) 2_1 at Joints i- Header to Header (Face-natled) ( 2-16d ( 24";o c r; �arrRt r, wi ,K u 16 o c along edges , •,,..s c.r:J ,. aS7�Jd :.a .a. �fe,a w + �av ' rr 7{ u y s'.G' J'} a +L t;? ti.-4'ti"'af t �ii k °. V va Joist to Sill, Top Plate or Girder(Toe-nailed) (Fig. 1.4) 4- 8d Blocking to Joist (Toe-nailed) 4-10tl- per joist (1) 2-8d 2-1 Od each end Blocking to Sill or Top Plate (Toe-nailed) 3-16d 4-16d each block Z Ledger Strip to Beam or Girder(Face-nailed) 3-16d Y} Joist on Ledger to Beam(Toe-nailed) 416.d each joist 3 8d` 3-1 Od per joist Band Joist to Joist (End-nailed) (Fig: 14) 3-16d 4-:1 Band Joist to Sill or To Plate 6d per joist P -zg-- ---- P (Toe natled) (Fig. 14) 2 16d 3-16d ^ Roof`Sheathing r E yE .tin J l, per foot Wood Structural Panels -- rafters or trusses spaced up.to 16" o:c. 8d t Od 6" edge/6" field (rafters or trusses spaced over.16" o.c: 8d 1 Od 4" edge/4" field gable endwall rake or rake.truss W/o gable overhang 8d 1 Od gable endwall rake or rake truss w/structural 6 �9e outlookers 8d i 1 Od Q` .6" edge/6"field gable endwall rake or rake truss w/lookout blocks r 8d 1 Od 4" edge/4"field Ceiling Sheathing Gypsum Wallboard 5d coolers 7" edge/ T0" field i ' s xa F i � x.. tttk+. ro veSc Ma z F p .fix r4 e. e'l'h t Wood Structural Panels N t � ,.r _.,bs .r .. :.;• studs spaced up to 24"6c ---� 8d . 104 6"edge/.12" field; 1/2"and 25/32" Fiberboard Panels 3° edge/6' Held ' - - G—ypsum Wallboartl FI boor Sheathing 5d coolers 7" edge/ 10" field 4 Wood`Structural Panels •u� --'`---�- 1„ or less 8d _._ greater than 1" 1 d _ed 2 field _ 1.0d 1 " _ 1 Od 6.. edge/6"field . .... ........: orrosion resistant 11 gage roofing nails and 16 gage staples are permitted,check IBC for additional requirements. Nails. Unless otherwise stated,sizes given for nails are common wire sizes.Box and pneumatic nails of equivalent diameter and equal or greater leng th to the specified common nails may be substituted unless otherwise prohibited. J ... ........ . I �a w vv l I r i,v. l P%JrL.%,I MpAi w %J.3r- r vv I I n %AJIV I IIV UVUJ VVVVU J I KU%..I UKAL f NIVCL 3"U411•'IINU OUTSIDE 4EVATION SIDE ELEVATION •- - - -- Extent of header (two braced wolf segments) --- --- ----- •----- Extent of header (one braced wall segment) --� y 1 I Min. 1,000lb Pon I Braced wall segment i wall 1 �• ± r s �.,• t tension strap., per IRC Table R602.10.4 !! 1 ;• height"�. j 1 S',: i Strap shall be k centered at bottom of . : �: -M� � k�1� Kk sx` "•{,, f to k ,1� t t ;• , ,.. ,. I 4j • • ' 7 qlr r1 � q i r k�ti, q � a� Lh„HltU t iAh �1 jai i • e • • ;• ; header. Iy • • - �,.�r'I ..t°. t T."�a.t Xa'�',.;ay. .h:. "'i. ,1 ." 4:9 i l i '• • • •q�• ` •» :.H 5.— -- 2 to 18 (finished opening width) I 16d sinker �•;• Fasten sheathing to header with 8d common „� ,,; �; . ;«• nails (0.148' Ix. '" nails 0.131"x 2-1/2" in 3' rid pattern as shown x 3-1/4 '; n .�• ( ) 9 p 1•/ 1, ; •� ��• 2 rows of and 3" o.c. in all framing (studs and sills) yp. 1��.: ..:, .:;•;.. � ;�; ),' ;'•t' Header shall be fastened to the king stud ; ;; @ 3" o.c. lht :. :I with 6-16d sinker nails (0.148" x 3-1/4") / <<I1 ;,Y .;.) ~. Wood struc- 7•'•' � ttlLir ,1., tural panel Minimum 1,000 lb strop shall be - y 10' j•;•, centered at bottom of header and installed E ;{ `k; `? i�.a> :yy must be 1 //kbllrl 1 1•,•R< •4 continuous max. 1� on backside as shown on side elevation'' . ;1r= ;�r ,�•;t� height ;.;. .\ � Y ;�, _ �<ss ��K ----' from top of 1.- '.I;= -------- wall to bottom For a panel splice if needed), --- --- +•,a� tik ; ;; .1,;; •1 of wall, or •f ;•h panel edges shall be blocked and ti; i•I•; 1•.i %,, occur within middle 24 of wall height from top of �h•,_ .'�'•, _ 4' > .i i,�•i, a ,•,�: wall to i•�• Wood structural panel strength axis �' F1 K i P. permitted splice area '•'•` Ih! Min. number Of studs shown" k"�y �f'sK ' 1•':' i•'• ••,•r .4 'kph a i i r•r• .. :a;•,r 1 1 rl 1 Min. length based on 6:1 aspect ratio. r;k.rti ,�_,:.; 7/ 6" min. 1, 1 , t r t �1, thickness ;�•• ��•: For example:l6' min. for 8 height. F.1.� .�, � : ��r.l �•�- _s.._..___- WOOd i \ f [ t `II StfUCiUra) panel sheathin — Anchor bolt per IRC Table R403.1.6 yp. —` 9 Min. 2"x2"x3/16" plate washer No. of jack studs per te: IRC Table R502.5(l&2) See Table 1 Not to scale OVER CONCRETE OR MASONRY BLOCK FOUNDATION Form No. J740 • C 2008 APA-The Engineered Wood Association • www.c MICHELE CUDILO, P.E. Consulting Structural Engineer `1 otton am. Celle le. Maaeachu t2 M- UOraven By: MC Date: /o z o Drawing cale: AS NOTED Rev. 0 C is File Name: a� Project No.:�v/ GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced'o/c.gr in concrete piers w/ Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage). tl FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads: Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load: Criteria used for 110 MPH Exposure B 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307. 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively, field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per750 psi, Fc_par=-2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,U360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 48"o/c; Rafter to Ridge Plate: Collar ties min. Ix6@ 48"o/c at top or Simpson Straps over top of plywood spaced 48"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c 6. olts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.B ockin : 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 this blocking for the first 48"of these building comers. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 240d toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges; of MASS plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. o M uptl p J,� Multiple Studs 16d @ 12"staggered o 1A0.C 1-14 a.All nails shall be common wire nails. b.Sub-bore where;nails tend to split wood. _ STFZ tD' 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1)and(2). MICHELE CUDILO, P.E. Consulting Structural Engineer -T1C 123 Cottonwood Lane, Centerville, Massachusetts 02632 3 oc Drawn By: MC Date: ljovis, Drawing ANN!5) Scale. AS NOTED Rev. 0 C j� File Name: Q i Proje��l�_1 F5 ►J 11► I 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE HA b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: 3 t i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment —WHIN Tws EDGE RMIS oN': USE ea r wts i I1T8'oa -- ------— --T----- --- it II ' 1 11 11 11 I 0 1 � 11 11 t11 11 11 1 1�1 11 Il rl tu 1 � 11 11 all ILK 11 11 t 11 11 S d V V It I 11 11 11 11 11 11 1 it 11 M 1 11 11 1 t41----- , I ,,- NnA.sPACM 1 See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment III * 1056 780 CMR-Seventh Edition 12/28/07 (Effective 1/l/08) 113 10 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS S45 Qom, AV151 jVkof A4,1 ^ , APPENDICES MICHLoadbearing Wall Connections Z � �o CUDI LE Lateral(no.of 16d common nails) ....... Tables 7 0 Non-Loadbearing Wall Connections No.34774 �;; ;: STRUCTURAL. f.s Lateral(no.of told common nails)........, (Table 8) �i Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)- 4Ec:SrEF�' Header Spans......................... (Table 9) .............L 1 ft--in.s 11' c�N.nU Sill Plate Spans ..................... (Table 9) ............ .4ra ft_in.s I V — Full Height Studs(no.of studs) ........... (Table 9) —_ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance toTable 9) Header Spans...... ............ ....... (Table 9) .......... ....4 3 ft in.s lT Sill Plate Spans.... ..................... (Table 9) ......... . .....it-3 ft=in.s 12" — Full Height Studs(no.of studs) ........... Table 9 Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously' Minimum Building Dimension.W t 4 Nominal Height of Tallest Opening'...... .., Sheathing Type...................... (note 4).. ......... .......... .... 2 _. Edge Nail Spacing ................... (Table 10 or note 4 if less) .. ....... in. _ Field Nail Spacing .... ............... (Table 10)...... ... ..... . ... .... 4min Shear Connection(no.of 16d common nails)(Table 10) .......... _............ Percent Full-Height Sheathing .......... (Table 10)........................Z_1._ _�(L= 3,3( ).i��FT 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)........ .. p Maximum Building Dimension,L 1 V Nominal Height of Tallest Opening=..................... 61s 6'8" .... ...... ..... Sheathing Type .... ... ...•............ (note 4)....................... _)bL!XP — Edge Nail Spacing .... .. ............. (Table I I or note 4 if less) ......... '�_in. Field Nail Spacing ................... (Table 11).......... ............ -Min. Shear Connection(no.of 16d common nails)(Table 11) ......... ....... _ ..... . Percent Full-Height Sheathing .......... (Table 11)................. 5%Additional Sheathing for Wall with Opening6'8"(Design Concepts Wall Cladding > ( onee P ).... ..••••• _ 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) ...... _ft s smaller of 2'or L/3 Truss or Rafter Conttections at Loadbearing Walls — Proprietary Connectors lip I r Uplift ............................. (Table 12).................... U=iO thllp Lateral ............................ (Table 12).................... L= _ Shear.. ............................ (Table 12).. ... S=m - 2i5 Ridge Strap Connections,if collar ties not used per page 21(Table 13)......r-4/A- T= _ Gable Rake Outlooke r ..................... (Figure 20) ..1.1�_ft s smaller of 2'or Truss or Rafter Connections at Non-Loadbearing Walls — Proprietary Connectors Uplift ............................. (Table 14)...... U=._lb. Lateral(no.of 16d common nails) ....... (Table 14)....... .. L==1b. _ Roof Sheathing Type ................ (per 780 CMR 58.00 and 59. ) _ Roof Sheathing Thickness ......................... in.2 7/16"WSP _ Roof Sheathing Fastening .................. (Table 2) ..Qj. &.t .ale— Notes: 6 e� f VZj� 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 1.1f the checklist is met in its entirety then the following naval straps and hold downs ate not required per the WFCM 110 mph Guide: L Steel Strata per Figure;5 b. 20 Gaga Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure I Se and Figure 18b 2. Exception:Opening Fights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing - m*ui>.ernoam.Ifo. is Tau)&.7 o--a>>. '- 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. 4, a From Tables 10 and]1 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 r. - . , ��� �� {I■■■{�I lip' .. ��� III 1 {�■■ 1 ■ ■ate_- IUlan i► _ WWR �Il I 1 II I _iww••-_ ...: ���■ ��i Moir MEN ■■■■■■■■ ■■ ■ w ' q)eo VMS -bi'f � �(P—t�i� P.r14 GW' pow �, 5, -- all . 4LAL , �L u�',I I - Ala 4r,i I ' r 4 i ry I y- � .- [ -- ` . ,��ST {Zee - 1� -' -- -� - ' ---� `�- ' � -;_! •_ ' .-�--- ------, ;-- -'-- 40 I MICHELE -CUDIL•0- No.34T74` - ;�Ct2 - , 'STRUCTURAL-- fpt JJ�f i • 1ff - f r i 5 tt�ascau9 �Dru ' —;—, r x_ '_.. .1 rI !i- Zt Aiv MA 'Lv -fit 1 �� CU jiLot —' tto-3aZt�t�L I r' 1 I _ 7 5 S�UN.r14 ( 1 1 j } k •1 t� -7- 7— --------------- ®r 0XI A - Al jL 7T- Aa FTI- t F- �1- (74- FR -0%9 Pb Lj L -r-LI, I -1— -- ��,- �.--� n �-I- -I - --- I -- - Mr, LN 0 -1 fe AL 131 MICH---LEI OF ne. N6.347741 1 c- ZZ _7L- �o 1 - ?L4P 'IL r/ Tloo Cyr Q Val Z,/—Wv ■ i f lb endbm perp by Weyerhaeuser 31/2" x 11 1/4" 1.6E Solid Sawn Southern Pine #2 TJ-Bean*6.36 Serial Number:7005107030 UserPagel "igine rsion:,2AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version:6.35.0 ;,;tea .�;;=CONTROLS FOR THE APPLICATION AND LOADS LISTED .? Overall Dimension:16' i Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width:8' Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plo Floor(1.00) 0.0 85.0 0 To 16' Adds To wall Uniform(psf) Snow(1.15) 30.0-)15.0 0 To 16' Adds To I SUPPORTS: �.+.�,��P, [S/fti"L' cl� 1 �.P Input Bearing Vertical Reactions(Ibs) Detail O her II Width Length Live/Dead/Uplift/Total 1' Stud wall 3.50" 2.39" 2350/1201 /0/3551 By Others None 2 Stud wall 3.50" 4.93" 4763/2577/0/7340 By Others None 3 Stud wall 3.50" 2.39" 2350/1201/0/3551 By Others None -.See iLevel®Specifier's/Builder's Guide for detail(s): By Others -Bearing length requirement exceeds input at support(s)2.Supplemental hardware is required to satisfy bearing requirements. DESIGN.CONTROLS: Maximum Design Control Result Location Shear(Ibs) 3670 2726 5283 Passe0(669% Lt.end Span 2 under Snow ADJACENT span loading Moment(Ft-1bs) -4975 -4975 7585 Passe Bearing 2 under Snow ADJACENT span loading Live Load Defl(in) 027 0,171 Passed(U999+) MID Span 1 under Snow ALTERNATE span loading Total Load Defl(in) 0.03E 0.343 Passed(U999+) MID Span 1 under Snow ALTERNATE span loading -Deflection Criteria:HIGH(LL:U480,TL:U240).Additional checks follow. -Left Overhang;(LL:0.200',TL:0:200"j: -Right Overhang:(LL0200",TL:0.200"). ' Bracing(Lu):All compression edges(top and bottom)must be braced at 16'o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability -The allowable.shear stress(Fv)has not.been increased due to the potential of splits,checks and shakes. See NDS for applicability,of increase. -Analysis assumes continuous member..Lap joints,splices and finger joints significantly reduce member performance and have not been considered. -The load conditions considered in this design analysis in alternate and adjacent member pattern loading. PROJECT INFORMATION: OPERATOR INFORMATION: Weitz Michele Cudilo Michele Cudilo, P.E. 123 Cottonwood Lane �.\` o II4iCNEt.E Centerville,MA 02632-0263 CUt-DILO _A Phone:5087717601 j N® 34774 n I Fax :5087717163 STFWCT1J4+fit mcudilo@comcast.net Copyright O 2009 by iLevel®, Federal Way, WA. „;`�'.;,-"?�"- .;j� C;\Program Files\Trus Joist\Job Files\2010-138weitzlendperp.sms 6 ��/�- Q SyIS F P- . ac- o✓�Z ?7z� ✓,. TRH� �F c..1� � sue• - -��•f p%X�l� ;, ;_a Lai 1�►�E a F Rnec _ --- - - -- 2,�<r-2- . L Z , o`Z )2 ` S RA 1 �z Tb ©sue , aG �ct�_oN y-5 7 1 — X PtS 2.5C 2 rS a . y Ella ora-�-�rZ �-- - r�. r - - - 6 3 8!!3 FGb`Ts .' 1! , 4x4 ZX 1-2— RcC>K. -F- n � i� t :1 i s 4,4 _,:�, t — — — — -NW ,_Zad .. �=� ►Z.� 5t car4 `� s�� c� r GENERAL NOTES AND MATERIAL SPECIFICATIONS: a FOUNDATIONS 1. All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min. 5/8"diameter, 12" long,w/2-1/2"hook spaced 4'o/c, r in concrete piers w/ Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage). V•o. �. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Desinn 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, 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Altematively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_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. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 48"o/c; Rafter to Ridge Plate: Collar ties min. Ix6@ 48"o/c at top or Simpson Straps over top of plywood spaced 48"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32" larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b. Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building comers. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-I0d toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges; of MASS plywood edges to this blocking � ��G a- 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. o MtCN 1�0 `` m Multiple Studs 16d @ 12"staggered CV 34114 a.All nails shall be common wire nails. o JAo'CTV�A` b.Sub-bore where;'nails tend to split wood. sit 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(l)and(2). MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 Drown By: MC Date: / v ® D r awi n g f 4NuJI S> Scale: AS NOTED Rev. p 000 SK- File Name: � Project Q, 110 MPH�EXP�OSU�RE�BWIIND ZONE _. Table 2. General Nailing Schedule ' Roof Framing , Blocking to Rafter(Toe-nailed) 2- 8 1_ -_•._ _ r� xr Rim Board to Rafter(End-nailed) 2-16d 2-10d each end m ..... .Wall Framing each end Top Plates at Intersections (Face-nailed) 4-16d - ^�� �----- -�� Stud to Stud (Face-nailed) 5-16d I at joints r Header to Header Face.nailed ! 216d 2 16d 24"o.c. i T ( 16d 16d � $ 116"O.C.along edges Joist to Sill, Top Plate or Girder(Toe-nailed) (Fig, 14) 4-8d � 'l 4-10d per joist Blocking to Joist (Toe-nailed) 2- 8d 2-10d '® Blocking to Sill or Top Plate(Toe-nailed) 3-16d 4-16d end 416d each block Z Ledger Strip to Beam or Girder(Face-nailed) 3-16d 4-16d M Joist on Ledger to Beam (Toe-nailed each joist ) 3-� 3-10d per joist Band Joist to Joist (End-nailed) (Fig. 14) 3-16d 4-16d Band Joist to Sill or To Plate per joist p (Toe-nailed) (Fig 14) 2 16d 3-16d per foot Sheathing Y a � x vas r 3 f 1 r t Wood Structural Panels rafters or trusses spaced up to 16"o.c. 8d - 10d 6" edge/6"field rafters or trusses spaced over 16"o.c. 8d 10d 4" edge/4"field ) gable endwall rake or rake truss w/o gable overhang 8d gable endwall rake or rake truss w/structural 10d 6"edge'/6"tief�! outlookers 8d 10d 6" edge/6" field gable endwall rake or rake truss w/lookout block d Ceiling eat d 4" edge 4 field [� s 10 / GYPsum Wallboard ad coolers 7°edge Wood Structural Panels studs spaced up to 24"o.c. 8d 10d 6" edge/12"field 1/2"and 25/32" Fiberboard Panels 8d' 3"edge/6"field 1/2"Gypsum Wallboard Sd coolers " x 7 edge/ 10"field �r , Wood Structural Panels 'i 7. 1" or less -�-- 8d 10d "ge!_12' field greater thant" i1.0d 16d 6" edge/6"field Corrosion resistant 11 gage roofing nails and 16 gage staples are permitted,check IBC for additional requirements.a i Nails. Unless otherwise stated,sines given for nails are common wire sizes.Box and pneumatic nails of equivalent I diameter and equal or greater length to the specified common nails may be substituted unless otherwise prohibited. Y t 1 I L.l-J VVIIV] V. 1 MJrLVI RMI IV vow Vulln �.vry IIIMU%JUa VVVVU a KUt.,,IUKML t'MIVCL arICMI r1I IVta OUTSIDE ELEVATION SIDE ELEVATION r- ------ --- - --- Extent of header two braced wall segments) - - Extent of header (one braced wall segment) — : y �;a : Pon Min. 1,000 lb Braced wall segment �t '} _ wall I j ? •' tension strap. height .1f per IRC Table R602.10.4 —� ;:`t' ' ;.; Strop shall be a, I 1, P -- +, centered at l,.• • ! ♦ , �z\,ktiQ a ti, d1�fiY _Y ".`,y' `N., `#Ax ,' x'i � gm g }l r I r.,• ! • . ,.. bottom of • • •,, c +"�.�} `}S>m _ "lit _•, `FkL .+cc T' N sI,M e 1 Y t �t.� !' • y i �� �{1 * z + raYx< z�yy ay 1:.`i i ": , ;• a • header. •, • • Y.- , _-.' ,x.��t.Y::Y k^��+.`.ti":�..,.i�: � �k'�..`' Fx•��4h�'A r����'�}rk���hia � ,.. l� .I �'• e • • Ir, ------ 2' to 18' (finished opening width) 16d sinker 2 ��• +c Fasten sheathing to header with 8d common 1 1 IS + nails (0.148" �sl , 1 �•N u �£zf "-tf 1 �� -`•w' x 3-1/4' In ,x. nails (0.131 x 2-1/2 )u in 3u grid pattern as shown �;i� "1 1 •; ;�; ) 2 rows .and 3 o.c. in all framing (studs and sills) typ. �f III k•;•, .5 @ 3 o.c. Header shall be fastened to the kin stud €; ht „ .+ 3 •;• with b-1 bd sinker nails (0.148 x 3-1/4 ) / f1�A it f .; Wood struc- --- Minimum 1,000 lb strop shall be --� `;F; r'1}y i;; +" !;; ), tural panel 1 J a4;1,.-• C 2 }h �F x x I.nl l y ,,1 / 10' {•;•1 �,� centered at bottom of header and installed � � Y+ `T ;.;.fix ,.;. must be +. ! �y iaxk t �Yf "4ti z �1•r` �,• continuous max. `r ���" on backside as shown on side elevation ���t� � �. 1 � ,+ ++ _� ` •+' 9�Y • 4ki } F� d�a r ft +•+� _ .from t0 of height .V+ (•;" �_ t = CSC l,h� ��; P ,.f, ------ For a panel splice (if needed), wall to bottom l �' .•1 ,��h; panel edges shall be blocked and of wall, or' r�.i ;�l•e�` �� occur within middle 24 of wall height from top of �•i� i•i•I�j. 26�� �,i� v,��'il � h1•.R Z {' ,i:1•Ir s r wall to i: -.., .µ Y 1.�� 'zl _' ,1,+ Wood structural panel strength axis botsx ttg Y { hla 1 h permitted , 5 1, splice area ,i., Min. number of studs shown' $0k M1n. length based on b:l aspect ratio. �"> ' Y 7/16" min. thickness 4• For example:16 min. for 8 height. IF1 :� ti I•,•r o structural panel Anchor bolt per IRC Table R403.1 .6 typ. —' sheathing Min. 2"x2"x3/l 6" plate washer No. of jack studs per te: IRC Table R502.5(18,2) See Table 1 Not to scale OVER CONCRETE OR MASONRY BLOCK FOUNDATION Form No. J740 ■ C 2008 APA - The Engineered Wood Association ■ www.c MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane. Centerville. Moeeochueetts 02632 �c e i Drawn By: MC Dote: 1 /D'Z. 0 Drawing Ave �° Scaler AS NOT Rev. 0 S K_ File Name: I-i;` Project No.:�� f I .3f l 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS I THE MASSACHUSETTS STATE BUILDING CODE �(, , ADD AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone MIChELE Massachusetts Checklist for Compliance('780 CMR 5301.2.1.1)t tT( `� `•�� '. MA CUDILO or � ° No.34774 1<; Check STRUCTURAL/ Compliance l SCOPE gFc srF `�L Wind Speed(3-sec.gust) .. ............................... ................. 110 mph 's+ f: Wind Exposure Category ............... .. B 12 APPLICABILITY — Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 4-stories s 2 stories Roof Pitch ............ ...... ............ (Fig 2) ...................� Zs 12:12 Mean Roof Height .... ........ ............ (Fig 2) . .................. 4 ft s 33' — Building Width,W ... .............. ...... (Fig 3) ................ ... ft s 80' Building Length.L ... ..... ....... ..... ... (Fig 3) ........... ........ �ja_ ft s 80' — Building Aspect Ratio(L/W) .... .. ....... .. (Fig 4) . .... .... .. ......... 'I.�dl s 3:1 Nominal Height of Tallest Opening' . ... ...... (Fig 4) -Tl"s 6'8" 1.3 FRAMING CONNECTIONS TT�� General compliance with framing connections... (Table 2) .... . .. ........... .......... . 2.1 FOUNDATION — Foundation Walls rneeting requirements of 780 CMR 5404.1 Concrete ........... ...... ............................... .................. Concrete Masonry .... . ........ ..... .............. ........................... — 22 ANCHORAGE TO FOUNDATION" %"Anchor Bolts imbedded or%"Proprietary Mechanical Anchors as alternative in concrete only Bolt Spacing—general.................. (Table 4) ��L.1./EY?Ej>,.F1�a--in. _ Bolt Spacing from end/joint of plate ....... (Fig 5) ............... in.s 6"—12" _ Bolt Embedment—concrete.............. (Fig 5)...... ........ ......... .�in.a 7" _ Bolt Embedment—masonry.............. (Fig 5) ................... — in. i 15" — Plate Washer ......................... (Fig 5) ................... a 3"x 3"x t/." _ 3.1 FLOORS Floor framing number spans checked ......... (per 780 CMR 55.00) .................... Maximum Floor Opening Dimension.......... (Fig 6) .....................=ft s 12' — Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) ............. Maximum Floor Joist Setbacks — Supporting Loadbearing Walla or Shearwall . (Fig 7) ....................... ft s d — Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall . (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) ............. Floor Sheathing Fastening .................. (Table 2)$d nails at min edge/_J 2 in field _ 4.1 WALLS Wall Height Loadbearing walls ..................... (Fig 10 and Table 5) ........... 8 ft s 10, Non-Loadbearing walls ................. (Fig 10 and Table 5) ...t......4S ft s 20' —_ Wall Stud Spacing ........................ (Fig 10 and Table 5)....... ,LI&in.s 24"o.c. _ Wau Story Offsets ........................ (Figs 7&8) .................. _ft s d — 42 EXTERIOR WALLS' Wood Studs Loadbearing walls ..................... (Table 5) 2x ft 0 in. Non-Loadbearing walls ................. (Table 5) ........G.2x ft a in. Gable End Was Bracing' —` Full Height Endwall Studs............... (Fig 10) .............................. _ WSP Attic Floor Length ................ (Fig 11) ........... ...AlA =ft a W/3 C,rRrwn Ceiling r+ena►h(if WSp n f—d)aP z))) ...................1. =ft a o.9w and 2 x 4 Continuous Lateral Brace®6 ft.o.c...(Fig 11)............... _........... . or 1 x 3 ceiling furring strips Q 16"spacing min.with 2 x 4 blocking 4 ft.spacing in end Joist or truss bays ................ ... ..... .......... _ Double Top Plate I� 6ow-VL5 Splice Length... ....... ......... .. .... (Fig 13 and Table 6) ................ 2 ft _ Splice Connection(no.of 16d common nails)(Table 6). . . ....... ............. ..... 1054 780 CMR-Seventh Edition 12/28/07 (Effective 1/1/08) f 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS 3q5 �t Aft, APPENDICES. tf►5,MA f a 1', ` MAMfNOMEMBEM EDGE WTEAMEDIATE , I 7 3MJ". L 7 MIN. ` STAGGERED NAIL PATTERN Z I � PANEL ! PANEL EDGE DOUBLE NAIL EDGE SPACING DE-AIL Detail Vertical and Horizontal Nailing for Panel Attachment 12/28/07 (Effective 1/1/08j 780 CMR-Seventh Edition 1057 r 1113 10 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS 3q5 M R of ', APPENDICES Hkws,HA Loadbearing Wall Connections 2 � MICHELE -. Lateral(no.of 16d common nails) ......... (Tables 7 ?i o CUDILO `; ) . ........ . ............... U '"; '' Non-Loadbeating Wall Connections No.34' Lateral(no.of 16d common nails) ........ STRUCTURAL. �_ (Table 8) .............. ........... _2 _ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.. ....................... (Table 9) ...... . <:3 ft_in.s I V 7r�rv.at.ti�'c' Sill Plate Spans ....................... (Table 9) ......... 4 ft _in.s 11 Full Height Studs(no.of studs) ........... (Table 9) —_ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance toTable 9) Header Spans...... ................... (Table 9) ..............4 3 ft=in. s 12' Sill Plate Spans.... ...... . ••....... (Table 9) ..... ...... .:b�ft_in. s 12" ._ . Full Height Studs(no.of studs) ........... (Table 9) Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously' Minimum Building Dimension,W t 4 Nominal Height of Tallest Opening'..................... .......... .. ... 4s 6.8., _ Sheathing Type ........... ... ... ..... (note 4)............ ......... .. .. �A��p .. .. �`fi`"t Edge Nail Spacing . .. .... . ..... ...... (Table 10 or note 4 if less Field Nail Spacing ) � in. _ . . ............... . (Table 10)......... ...... ... .... 0--in Shear Connection(no.of 16d common nails)(Table 10) _— Percent Full-Height Sheathing .......... (Table 10)........................ = 3,3(o L14l T 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).. ......... p IL- Maximum Building Dimension,L I V Nominal Height of Tallest Opening ................... �s 6'8" ...... ........... Sheathing Type .... ... ....... ........ (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 Concepts).......... Wall Cladding 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) ..... —ft s smaller of 2'or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors i t$ 1pf Uplift ............................. ('fable l a). u_ ►1't Shear . .............LaterW ............... (Table 12).................... L— S .............. (Table 12)................... . S=M Ridge Strap Connections,if collar ties not used per page 21(Table 13)......r.—A./& T=_ _ Gable Rake Oudooker ..................... (Figure 20) ..rl./+ft s smaller of 2'or Truss or Rafter Connections at Non-Loadbearing Walls Proptietary Connectors Uplift ............................. (Table 14)..... U=_lb. _ Lateral(no.of 16d common nails) ....... (Table 14 L=`lb. _ Roof Sheathing Type ...................... (per 780 CMR 58.00 and 59. ). m.2 7/16"WSP ....... (Table 2) Roof Sheathing Thickness ..................... ........ '— Roof Sheathing Fastening .................. Notes: )�6� ''��".•��'l,,lTj 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 1.1f the checklist is met in its entirety theft the following metal straps and hold downs are not requited per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Strap per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Coma Stud Hold Downs per Figure l8a 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 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated M2-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 � t f • AIL t IA j - -- -- ..—:���-� �Z-air= --' -- � F't_A,a• - - ' ^- -- ���G--:G_�Lr,.-��._��►�s�..st�_ `a6c-, - i -1iS7 ' t 0 MA gL JALO CUO pl Ll STIRUC U -36 kw, t . ( t ( I ! u •., E j 1 I 4-1 1 1 1 Z i ialk-I cat! Z ,axca . Oa �£GK , _ If_ yyam�,,� �}c�4•.CdkST._ ! � , -�511JSut CHELE u No.34774" C12 ' - sY. Vs IMA II mi STRUCTURAL - - r — — --- —--- r t � iv RIO 23 i VMPY 45-bVr sr 4 p , t2a�rrrs tAp?criG GW� i . t � � • ate;' ��®•�. f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel '., Gll 'A lication # pp _ Health Division - 'Date Issued Conservation Divisiony Application Fee Planning.Dept: Permit Fee:. Date Definitive Plan Approved by Planning Board Historic OKH _Preservation/ Hyannis (� S ' Project Street Address 3 qS Clca A i1/ Al 14AVYLS Village YV F} Owner �.P�_ Address Telephone r9- 3 16 Permit Request 'fio 'T!4 i.L! f) NJ L�4f 5-1- 1 lb Square feet: 1 st floor: existing 3,5 6-proposed 2nd floor: existing -proposed -metal newer_ Zoning District Flood Plain Groundwater Overlay roject Valuation , Construction Type_ Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes & o On Old King's Highway: ❑Yes ZMo Basement Type: ❑ Full ❑ Crawl ❑W/alkout ❑ Other /�� (7/�/ Basement Finished Area (sq.ft.) A O 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 2_�_new First Floor Room Count Heat Type and Fuel: ❑ Gases ❑ Oil ❑ Electric ❑ Otheratpj��4aqCL_o Central Air: ❑Yes WNo Fireplaces: Existing JWNew Existing wood/coal stove: ❑Yes dl o 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 Ur% If yes, site plan review# Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number (0 Addresses License# Home Improvement Contractor# / / 3 •� /3 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO D V Val P hl s p , /w 30yi) JUwii� few SIGNATURE DATE FOR OFFICIAL USE ONLY ,`APPLICATION# 4 -DATE ISSUED MAP/PARCEL NO. F Y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 4 4 DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts r - .Department of Industrial Accidents 1 _ Office of Investigations „600 Washington Street t� Boston, MA 02111 yy www,mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organizatiorvindividual)'. Address: -V�fj-a City/State/Zip: p Phone #: 7 — F S Are you an employer?Check the appropria box: Type of project(required): 1.❑ I am a employer with 4• ❑ 1 am a general contractor and 1 6. ❑New construction * listed on the attached sheet. 7. ❑ Remodeling have hired the sub-contractors.. employees(fW1 and/or part-time). _ ._._.-.....__.....__.... ......... . . 2_ ain a sole proprietor.or partner- . ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp. insurance. required.] S. ❑ We are a corporation and its 10.0 Electrical repairs of additions 3.❑ I am a homeowner,doing all work officers have exercised their 11.0 Phimbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. f am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information- Insurance Company Name: �{ (� q 48 Policy#or Self-ins, Lic.#:f} g /"� Expiration Date: c3 Job Site Address: 0 25 QQ4 4 n S 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 Investigations of the DIA for insurance coverage verification. Ldo hereby certify it de the pains and penalties of perjury that the information provided above is true and correct. signature: Date• �,�� 3 In 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#: i E; 74 Board ofBuilding Begutatiobs and Standards , HOME IMPROVEMENT CONTRgCTO Registra�tton; 113513 R "' �: Exptradon -,6124120 'tT' Private Corporation 28539� ; i. WEITZ CO f NSTRUCTION INC r t GERALD WEITZ 1605ANDOVER ST;, ' TEWKSBURY,MA 01876 ^sr., • Administrator Dcpar-t.mcnt of Fi Board of Buildin, uf,lic St. C'onstruction'SRpervisa St,tnd.ir ds Li prvisor LI nd CenSL tcense: CS 12649 Restricted to: 00 GERALD L.WEITZ 1605 ANDOVER ST _:. TEWKSBURY MA 01876• f'utnntissiuner Expiration: 9/8/2011 Tr#: 1876 .' • 1 F No. THE COMMONWEALTH OF MASSACHUSETT Fee PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS i� og�r *p.9teM Cou.9truction permit / R. Permission is hereby ted to Const ct ( ) Repair System located at (' ) Up e ( ) Abandon and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her dut to comply with Title S and the following local provisions or special conditions. y Provided: Construction must/be completed within three years of the date of this permit. Date Approved by d"' t6i: .+�bC[.6rays Wlc.d.e_w ��_ sib.:una.swia.t�r fNs6�7wGs cy : Z•�JA7'Z�"L:(J i I v i. • ' 1 deco_ 27 TZ lot>0 Bur measurements indicated this onset to be less than the minimum B i required by the Zen ing By-Laws. 6iy bd�sessors �a,� 32� 44 ¢ g 4 - � T "to duviling dmi fietwa fvu in a� ;al E � Iv-%fi . OgOVER , 'date: 8-19.85 mgj, Hv l ition r lhlg � f S FIV ,11.1e .....h •!. 03 �Yd u:v in 11 de r i of t►+�toy, s s + HARNSTAHLE, 1639.Ass. Town of Barnstable prfD MA'S A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.mi.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 Molding permit application for: (Address of Job) Signature of Owner Date .� Sot ol/ / Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. Q:\WPFILESIF0KMSIbuilding permit formsTXPRESS.doc Revised 072110 Pool r ti Town of Barnstable ' Regulatory Services [ASS. Thomas F. Geiler, Director y tnss. $, $Aro;9,. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office. 518-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER" name home phone N work phone k CURRENT MAILNG ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one cr two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109,1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures.and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.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.I.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/cerlification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 /y� � //38� ,0,9/24/.2010 09:44 19786407986 TEWKSBURY HOUSING PAGE 81/01 September 24, 2010 To Whom It May Concern: I Jeremiah Delaney disconnected the service power to 395 Ocean Street Back, If you should have any questions, please feel free to contact me at 978-888-4388 Sincerely, Jeremiah Delaney Master License#523MR Journeymen License#E18649 %/a;/ 6 y �� r�� � S,[�f �i �tl�- �r� c J fce ,�`� ,�Yl� P��"�`- MA ii3 � � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel 0 j Permit# 91�/ Health Division 6 /U 0)- Date Issued / Conservation Division <�� D l'� D 0�-03� Application Fee Tax Collector o Permit Fee Treasurer Planning Dept. APPLICANT MUST OBTAIN A SEWER Date Definitive Plan Approved by Planning Board CONNECTION PIM FROM THE ENGINEERING,DIVISION PRIOR TO Historic-OKH Preservation/Hyannis CONSTRUCTION., Project Street Address ��,J� 0C C 6/V J? Village g (' Owner O r G Address �A l T r C S ? Telephone 7" [or-3 7 6 Permit Request f02 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new �a'"' 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 [rflo On Old King's Highway: ❑Yes W40 Basement Type: bull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ' v, c's c Number of Baths: Full: existing < new Half:existing -- — new =` Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Co int ' r y Heat Type and Fuel: CfGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes Flo Fireplaces: Existing - New Existing wood/coal stove: ❑Yes o 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 f 7- Id-," dl7-64 Name )Telephone Number 44 7- '7,4 71 6 3 ` Address /6�` �o�' License# -t 4Q Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE & I DATE v 49 e,o FOR OFFICIAL USE ONLY" M b' Y 4 PERMIT NO. — DATE ISSUED `' MAP/PARCEL-NO. �x . ADDRESS VILLAGE ' OWNER I -c � •'' � ' r ` ~. t� s ' DATE OF INSPECTION: ry- FOUNDATION FRAME r `` INSULATION j i FIREPLACE T ELECTRICAL: ROUGH FINAL4 l !� PLUMBING: ROUGH FINAL `! GAS: ROUGH = �� FINAL ' I l W Cl r FINAL BUILDING = ' I'I4 DATE CLOSED OUT `'-r.� ASSOCIATION PLAN NO. ! J r " , Town of Barnstable Regulatory Services " Mass.MASS. " Thomas F.Geiler,Director y � - , �A i63q. �0 re1639. Building Division DM 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. ii Type of Work: 1 Estimated Cost �T D ry Address of Work: Owner's Name: Date of Application: �o 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 Powner 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 4i1 „ 0 j Date Owner's Name Q:forms:homeaffidav ( `B�` The Commonwealth of Massachusetts ._ ---_ „ �` :_ :.... n :==�4'111 IN- .r' Department of Industrial Accidents Office ofinsestiffations . . . 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit N W&COffa���������� //�► ,� __ n n name 1LQ�tiYt.a.l7 XW�B yx. location 2 5- 0 C e gK_J s-t N / A C d 1`4 S�„, , _—, S,�j�j S 1Le N' hone# (, 7- 92 9 - ci •/i4- 1 N i S � i4 9. OEr I am a ho 'eowner performing all work myself. . ❑ I am a sole r rietor and have no one workiu in an ca achy ❑ I am an employer providing workers' compensatioI.n for my employees working on this job. ;:::;:: c(ImnanY name `: ::::..::::::::.:.::::•::::•.... ...:::...:..:. . ..... ..... . ...................... ..... ... .............. :.:. .. ...:.:::::::.:::.:.::....: :::::.:: :.:::: ... .;:>;;;:: ::;•::;;;;;:•::;;: .:.....1:...::..... . phone#: ;: oli itistiranee:co.. ::.;:..:.:...:::... ..::::::::•:: :.::.:::::.::::::.::•::. 11 . . ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have . .. the following workers'compensation polices: comnanv n i fY 7SC557:` >i:%%j C2 ii�i i> ) j s:3<`::'>s> ii ;2 i F 3 : :2:.x:::`::i:::?i? :?: j r! 3!: 3i 2i!i�j j:i`'+.i::ii>::i<:" �>:>3S%i 3;:ki•` i::is:'i i 2 ri% 'i:i :% 1f�:?'i E 3<:+r !i'i ::: i[,,, .: ir`'G!S iC`: i'�'2 i' i:' ':'R:cj 'i'i i y< 2#z: ... %:: ::>:ii:r:::`:::::>::::>::'»::»>::>::: :.:.,.s>::»:<::'»:<%:»:::.-::>:...:.::<:....>:::,%: :6,.:6:.:.-.-::<:»::i:;::::.1...:::><:»:::::»>:>::::»::>:::<:>:::«:i<::>:::<::>::>:>::::»::>::<:f:<:>::>i<:;_:<!«::Y:1::>:?s::>:>::>;:»>: ::»::::>:<:»::>:::i«:::>::;>::>::<:> :a•r•;:•;:>:a>;::<.;: ;::<>;;:<;:;;.,:. ;:;:;:;:;::;:;<:;i:>::is:::i`::;ii::s:;:: ;;:;::;;;;:::; i::;;;;::;�; s:: = :':: ::::'2 iii:::G:::.'::.�..:::::: :;:::<:;::;:�:<:;::;: 4::::4;:: ;;;:i:::::::::is;:::::::::::;::::r:::::: ranee:ca:::::...:..:;:<::>s.:::,6:':<::<::;>;:;<::>::::«::<::,> >::::>:: ::>:::;:::<:>::a:i»::<:><;:»;<>>:::::;: ..I......;:.- n$11 c an :.name:;.>: >:::%:::::::>::::>::;:;::;::::: :•>;:>.::;. ::t:':: :'::::: >'';;;`:::'.:�:::: ,6`: :`:::t<: `:<': ?2t : ? ::_ 5 t>+':> ` :>'€ri '>>s address c hop 1 :::. ::::::::::::::::::::...:::::.:.. .................... Bran �/ Failure to secure coverage as required under Section 25A of mdi 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 may be forwarded to the OtHce of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is truo and correct. Signature d2la� Date 'o o - Print name �J_ CA N/0� Sd i -10/L L D Phone# l f 7 —J/E �- 3 7/ 6 official use only do not write in this area to be completed by city or town official . city or town: permit/license# • ❑Building Department ❑Licensing Board 7. ❑checkif immediate response is required ❑Selectmen's Otnce ❑Health Department . contact person: phone#; ❑Other Onised 9195 PJA) 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 permit/license number which will be used as a reference number. The affidavits may be returned 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 Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 �oF the r�� Town of Barnstable Regulatory Services sAxtvsTASLs Thomas F.Geiler,Director MASS. 9�A i639. 6. Building Division rEn � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: — �g 1 1 JOB LOCATION: 3 9 5- 0 e.!L s�lu J T' �7 `f a�'J"V S number / street village "HOMEOWNER": 1.2 Cg, lV,o/L C J 0 r tl,//6 1p/7-oZ(�$= 371 G Ce 1- `f ��-�� b aG name Ihome phone# work phone# CURRENT MAILING ADDRESS: l�o s�o A-) M w o'. f a 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 minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Hqr6eowner 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_C3 CA F0 ®No o 1F IP RC) E RYv Es v N cap STANDARD LEGEND FNOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY �•YV EDGE OF DECIDUOUS TREES tl O r r r EDGE OF BRUSH ' ORCHARD OR NURSERY V-V-V-v EDGE OF CONIFEROUS TREES MARSH AREA EDGE OF WATER MAP 32 - ---- .-- ..... DIRT ROAD _ DRIVEWAY �—PARKING LOT PAVED ROAD 1 . ... ' I DRAINAGE DITCH PATH/TRAIL ' PARCEL LINE P o� / MAPtto -- -----MAP# MAP 325 / O 21 E PARCEL NUMBER #le4o —HOUSE NUMBER 1 1 2 FOOT CONTOUR LINE 9 —tom 10 FOOT CONTOUR LINE # 3 9 5 / Elevation based on NGV029 /� `•�4.9 SPOT ELEVATION �o STONE WALL / -X—X- FENCE RETAINING WALL RAIL ROAD TRACK STONE JETTY MAP 325 SWIMMING POOL PORCH/DECK / 10 [�J 0 BUILDING/STRUCTURE # 401 � �• �-y'- - DOCK/PIER i ` Q HYDRANT 8 VALVE OO MANHOLE J 0 POST p" FLAG POLE T O W N O F B A R N S T A B L E O E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T a SIGN ® STORM DRAIN r PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James ❑ TOWER L"=I DO'scule map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILfIY POLE w E 0 20 40 ational Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimehics,topography,and vegetation were mapped to meet National Map Accuracy Standards p LIGHT POLE o ELECTRIC BOX : 1 IN01=40 FEET* nlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2002 Town of Barnstable Assessors tax maps. #353 AP 325 57 A/ i ❑ #360 MAP 325 \� ,-14 < MAP�2 361 I 325 � X 0 OFP MAP,325 ❑ MAP 325 I, 1 � , MAP 325 136 #370 135-1 t MAP 325. #16 #381 EB 0 O H MAP 25 MA MAP32 -- --- `M 25 1 1 1 12 _X MA 325 " ' #1 #.389------- • � U 3 5 ' #ll \ MAPI3I 5 #395 ---- --, MAP 325 AV- 10 _ _ #401 VI MAP 324 138 #480 �/ - - - - - - - " J ¢MAP3325 #427. I I MAP 325 4 I #21 MAP 325 X Ln N MAP 3 2 5 PARCE L 011 W E 1001 AB UTTERS . s SCALE: 1"=100' , *NOTE: Planimetrics topography,and **NOTE: The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The lames vegetation were mapped to meet National of property boundaries. They are not true locations,and W.Sewall Company. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD Map Accuracy Standards at a scale of do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards, - 1"=100'. \. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2002 Town of Barnstable Assessor's tax maps. nn p Y, I�- d I C �r et— r` 174 ,1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel. `Application # �U Health'Division b 3 3- Date Issued 61 Conservation Division L _ Application F' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board P� Historic - OKH _ Preservation/Hyannis Project Street Address J� ' G (? lV &_-w W-t_3 Village j Owner �C� -/V�� 9 5'f�A.d E ! / n Address �-7 PaC d tc 5-±- � �nViJ<1i Telephone _7 3 7 Permit Request e Square feet: 1 st floor: existing S&propo d D 2nd floor: existing U0 proposed ! Total new . Zoning District Flood Plain Groundwater Overlay Project Valuation'..�oe,-eb _Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family . 6 Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: 0 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 y Heat Type and Fuel: W Gas ❑ Oil ❑ Electric ❑ Other__,__ Central Air: ❑Yes 2 No Fireplaces: Existing_fNew Existing wood/coal stove: ❑Yes 0-No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: C ZE Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ C-71 o Commercial ❑Yes ®No If yes, site plan review # Current Use Proposed Use r APPLICANT INFORMATION rn �Oe_.J� (BUILDER OR HOMEOWNER) rName Z C04 Telephone Number �7 & tJ�73 Address & 05 4iYDoVtR License # -5 ,e_C4.2 Home Improvement Contractor# if JL5 3 6F 7 6 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P/ A/A D ,S SIGNATURE l DATE 2- l4) ;L 1 s FOR OFFICIAL USE ONLY f APPLICATION# -DATE ISSUED - + MAR/PARCEL N0._ f; r-4 -ADDRESS- VILLAGE OWNER I - DATE OF INSPECTION: 'F.OUNDATION - - - FRAME INSULATION)' t FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GASH ROUGH :U­­ FINAL u, FINAL BUILDING 1U=, k l ._:DATE.CLOSED-OUT _ ._• ASSOCIATION PLAN NO. t F } r Town of Barnstable : Regulatory Services k g`� Thomas F. Geiler, Director Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 L7t— www.town.barnstable.ma.us u Office( 508-862-4038 Fax: 508-790-623( PLA.N RE VIE W Owner: (- , So4Zb/ LLB Map/Parcel. Project Address Builder: J, The following.items were noted on reviewing: W FC aLj Reviewed by Date: _ �-`� JQ . t did de�.sio� deck n 1393 o � �v esaiao deed_c b _ r lot to I *Cut measurements indieatetl this 1 offset to be less than the minimum f required by the Zoning By-Laws. v4sse5soa 325 l -&a lies in )O&,6, x 9 IiQlft W#d,& tfi4t; tifllSja"t ,��r' o� Pn :'T.�_.. e duviling Ammlr ndm fvu inn dal F.uajImij Q �Fiov�a ct dot -l9•f35, �mul Hv l tm, c Ili 6 LIOP,s CAd eln to ' lv`Yal. ii� t -lt t�9 Q wok t t0 i��ot9tal droll dCBtAI t , a g t 5 t cog s.g ,, ngade j g�cvafgt lsa�a � 'g ka, �aa-gag CkM tdOCreP Veli b a of wat", WN dlsg dc� Bays o� Cog ia�attora ta�u�lAeaus!> �� aria ��g i�aslax�at'� M Salmemylma, compAnvt II)CO • . ' '• ' � The Corrx>nonwedlllt of ri'Iccssdcftusefls .Deparfinertl of Iixduslrtrrl,�ccidenls Office of rrivesligoltons 600 Flcr'A ,-tgtan Slr'eel Eoslorl, M� 02I�1 �r www,�rtcsss'.gou/d[ct Workers' Compensation Insurance �da�it; Bu ilders/Contractors/El ectricians/�Iunzbt Please PriutLe 'I A Iscant Inf'ormatiol - Name (BustncssJOrganzation/Lodiv dual)::,' (�/�2 �1� � Address: --. (�, ®/�17�. Phone.#; �,7 �� -� •��'` City/S tatc/Z1p: Arc you an employer? Check the appropriate box: Type of project (required): 4. 0 I'am a general contractor and) 6. 1.❑. T am a employer with ❑New construction cmployccs (full and/or part.timc)•* hate hired the sub-contractors Remodeling i 2.�T am a'sole proprietor or partner- listed on the attached sheet 7 ❑ Thcsc sub-contractors have g, ❑ Dcmoliiion skip and bavc no employees cmployccs and have cvorkci s' worling for mo in any capacity. 9. ❑ Building addition comp. insura [No nce. workers' comp.insurance l0.[l•Elcctriedl repairs or ad( 5, � Wc are a corporation and its rCgwred] officcrg bayc exercised their 1I-[]Plumbing repairs or adt 3,❑'I am a homcowncr doing all work t of exam tZon er MGL • myself♦ [No workers' comp. 152, P p l2.❑ Roofrcp�irs c, 152, §1(4), and we bavt no 13.[] 0.thcr . insrrrancc required]t trnp]oyccs. No workers' comp, insurance rcgtYired.] tiny zpplicant that chcci?box tF]rnurtako fill out the rcelion below rhowing their workers'eomp�n�lon policy infarraation. t 9Om4--Owntrf who rvbroit this e$davit indicting tficy art doing alJ work and thrs oft outside contractors must submit anew nDt thaitindiezt:;b yr tConlr elors lint ehcck this boX must attached m additional;beet droving the name of the sub�ontrr?and whether or not those cntit}cs have cmployccs. lfthc sub-conhaetorc have rn�ploycct,they muri pro-Yidb their workers'comp. policy numbcT. Xam art empfoycr lltrd is provfdbtgWorkers' compensaliorl insurancefor my ernpfoyees .Befotp fr the pofrcy and job .si inforrnat[or[. 0 Insurance CompanyNamc: � � �' S ' 6 Expira6onDatc: 31��' �f policy# or Self--ins. Lic. N LS City/Statcfzip: e) ? r � Job Sitc A-ddress: 3 Attach a cope of the workers' compensation POLICY declara>Son.page (showing the policy number and expiration d Failure to secure covcrago as rogt*cA under Seetiou 25A of MGL c, 152 can Icad to'the icuposition of criminal penalties 5no dp to St,500•DO ind/or one-year irnprisonrnent as weIl as civil penalties in the fora of a STOP WORK ORDER and nt may bo forwarded to the Office of of up to S250.00 a day a ogainst th Yiol3tDr. )3c advised that a copy of this stateme Invcsti ations of the MA for lncitranGt(oYGra c vcrif cation. X do hereby certify under the prcins•and penolties of p erjury that the irrforntGEon provided acbove fs erue and correct. Date: Si a-turc. p ' G7 2 .L Phone #: Official use only Do not write in MLr arco, fo be co T0,d by cht or town offieiaC City or Town; PernUf%License# i Issuing Authority (circle one): 1, B oard of E(ealth ,2, Building Department 3, Citp/Town Cleric 4. Electric Inspector S. Plumbing Inspector �Rf0r tts Gcncral Laws chaptcf )52 rcquires all employers to provide wockofsanoom p ndtroa y Contract oof]hirocs: use scrva Massach � ..cvc crson in[hc , tatutc an ern loyee is dcfincd as rY P ursu ant cr to this s ,. P • P l express or implied, oral or written co oration or other legal eotity, or any two or more e�,cP�oyer i9 &hued as "an indiridual, partnership, association rp r . y oint et rise, and.including the legal rcpres a tahvmes to i g empl yces.1H wcvezhthe of the forcgoing.ongagcd in aj rP rcceivez oz trusteo of m indrvndu4 partricrsl>1P, association or other Jegal en fy, P Ym a dv c)lin house haying not more than three apartrncnts and who resides therein, or the occupant of tha houso owner of g , rat be dccmcd to be an cmploycr-" dwellin house of another who employs persons to do rnaintcnan c'of sL h ecm loyzn cpau work on such dwc� g g or on the gro'-LO6 or bvi]ding appurtenant thcrcLo shall not bccau -ca uaar MCsL chapter 152, §25�� also states that "eYery state or local licensing agency Sha1110 tnmh.oomvc'althsS r�Y r cerise or erzait �o operate a business or to construct bui]dings In c ove,-age required." reneW21 of;a is P ce v th the ins com liars a llcamtW.hD kas n0tproduced•acceptabIc evidence of p o its ohdcal�dyyisions steal PP ' onwcalth nor any f P Additionel7y, MGL ohaptcr 152 §ZSC{7)states '7leiwor khc until ac Emac a2th the aocc cntcr•into any contzact for,rho perfoz�nancc of public work un�acccPiablc evidence of coropJi raquuezncnts of this chapter haYebccn presented to the contracting authority. Applicants Please fill out the workers' compensation adaYit completely, by chcc�ng the c boxes that apply to your situation and, naGC35 supply sub-contractors) namc(s), address(cs) and phone numbcr(s) along with then c)MPjo atc s th �' >�P anics' LLC oz Limited Liability paztncrships (X.Z.P)with no employees other than the imura.nco, -imitcd Liability Comp ( - casa.tion insu:r ncc. 7.f an LLC or LLP dons have mombars orpartnera, arc notroquirod to carry workers' comp a to ces, a policy is requirod. lac advised that this affidaviitmay be sub rid date thcpffldaa)dL Tho�daytshould L0P Y Accidents fox cop�ation of insurance coverage. Also be sure to sign bo otumcd to the city or town that the application'for.the permit or J ccnsc is bo mgc rqucs to obLan acwo�rnt of r cstions rc arding the law or if y Cludr rd Indvi trial.A' dents, Should you lraY c any qu g cs should enter their corrzpensationpakcy,please ca]I thepepaztment rtthe nurrib�rlistcdbelow: Self insured coznpani Self-insur4up license number on the a ropoa-to lino. Clty or ToWP OfIlc(als DM a.tions bas to contact you regarding t6c applicant Please be sure that the affidaYit is complete and printed lcgibly.sh e DcPartment has provided a space at the o Dt of tho af3�daYit for you to El out in the cvcnt the Offico of lave g c need. onl submit MOP affidavit indicating current Df tho ba sure to fill in the permit/liccnsc number which will be used a a refere nce number. In addition an apphc�t that must submitmultip)c permit/liccnsc applications is any nvcn y cd b the city or town may be PCO�d�to ° policy infomtiou( pcccssary) and under"Job Sitc Address" tho applicant sho11 uld writo"all locations in__ .cr or town)."A cbpy of the af�davrt that has been bfficially stamped or mark Y y a 1]Cant as roof that a valid affidavit is on fDc for f1±=Pcrm�ts It li��atcd to an inns Or�cobrnmrEcialoYcnturc PP aliccnsc or crmitnotr Y yeaz.'Whcro a Jiomc owner or citizen is obtaining P (i e. a dog license or•permit to bum loaves etc,) said persbA is NO f rcquirod to complete this a�dant c an ucstions, l'ha Office oflnvcstigabons would lac to thank you in advance for your cooperation and should you hBl Y 9 plcasc do not hcsitato to giyc us a call I7ic Department's address, tclephonc.and fax number. The COmmonWe-aJ.th of M��saG u��tts D,-,putmc4pt of Izldust O A.Gcidtrnis Office of i)yestipti•aas 600 WasHn�t on Street , $Qs�Qn, MA 02111 Tc,]; # 6 17-72 7-490.0 ext 406 Qr 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.ma5s-goY/eta f pFYHer� Town of Barnstable Regulatory Services w BARN=A13LE, Thomas F, Geiler, Director v he jea c67q. - Building Division Tom Perry',' Building Commissioner 200 Main Street, Hyannis, MA 02601 wWW.torvn.barnstabie.mFl.us Office: S08-862-4038- Fax: SOS-79t Prop etty Ownef Dust Complete anci Sign This Section If Using A Builds t� net of the sub)ect propetty hereby autbofize to act on my behalf, in all matters relative to work authorized by this budding permit application for: (Addtess of Job) Sigtzatute of Owner Date C If Property 0Wn? E is applying for permit please complete the Home own ets Liccnse Exemption Form on th'e reverse side. ,r a - f T0'S'4rzl of Barustable pFYNE roe Regulatory Services Thomas F. Geiler Director Btixxs-rtiar�, - Mtiss Building D vision �P�Fo6 ,� Tom Perry,Building Commissioner' 200 Main Strcct, 'Hyannis, MA 02601 ,�,W y.town,b2rnstnble.ma.us Fax; 508-790-6230. Office, 508-862-4038 Hoh4E0Wi\`ER LICENSE EXEMPTION Plcasc Print DATE: village J013'LOCATION: strcct nu mbcr work phonc# "I-IOMEOWNGR": homc phonc N �- namo CURRENT MAR-UNO ADDRESS; zip code sLatc ' city/town css and tsorl 'fie cui-rent exemption.for"homc_owners,"was extlreid Ito°do's unot possess a JiGrE1 cCuRird e}�pro lnded tha tbegS Of lowner acts as to allow homeowners to cngagc an indrvldual for sup_ eryisor• DEMITION OF HOhfEOWh`ER owch th a +axcel of land on'Which he/she resides or intends to r to duck use oil and/o efaiTn structures,ro Is, Or js dA to Pcrson(s) who F be, a one of two-fauulY dwelling, attached or datf6-y arerodsshall not be considered a homeowner. Ruch shall be person who constructs more than one homc m Y p "homeowner" shall submit.to tlio 13uilding Official on.aformca�tp(blc to the 9 lil � g Official, that he s res onsible•for all suchwbrk crformcd under the build i ncd "homeowner" assumes zcsponsibility for compliance with the State)3uilding Code and other Tho umdcrs g applicable codes, bylaws, rules.and xegulations \ . "' tands the Town of Barnstable Building Dcp�ent '' tifics tbai he/she enders cdur-s and c ccf roc Th'c understgncd homcown r . rninixnum inspeclion procedures and rcquircments and�thst he/she Sill comply,with said p requirements. Sig-naturc of Homcowncr Approval of Building Official • ore; Three-fEmily dwellings containing 35,000 cubic reef or larger will be regtured.to comply with the N . coon Control. , din Codc Scctiou 127.0 Constru S Exr,9F 1DN om the revisions State $url g Ho�OY{NER crforming work For which a building pr ol- is required Shall be cXcmpt fr P ')fie Code;state{LhaC "Any homeownerp a cs a ason(s)for•hirc to do such of this section (Section 1 D9.1.I -I-ieensing of eonstzvetion Supervisors);provided that if the homeowner eng g • GTidix work, Thal such Hom�owyIcrsha)l Act As supercmpt"' the res onsibtlities of a supemsor(see APParticul�-Hy sorr'Scction 2.1 S) This lack of awarcncss often results in serious problems,p Many homco�ers Who use this exemption ate unawAre That they arc assuming P Rules &Regulations forLiccrring Construction supervi wh c.n the hotulatio r hires un±ieensed persons.. In this c ate]our rcBoonsible.nol proceed ag`insl the unlicensed person as it would N th s license, Supervisor. The homeowner acting as super\'isor is ulhm Y P re c of this issue is a form currently used n, To cnsurc that the homcowncr is fully awuo of his/her ices of a 8u1L1cry sor.y0n thml sllupag of this as parts the permit applieihon, that the homeowner ceritf� that hrJshe under lands the r^s�strt.lficalion for I-in your community. - f t - 02� _ Board of( Building a�� g Regulatiohs and Standards HOME IMPROVEMENT CONTRACTOR Registrat►on; I 113513fop ` d� Exprrahon 6/24/2011 Tr# l; 28539 1! .Ype: Private Corporation ' �'i WEITZ CONSTRUCTION ING: a i h WEITZ GERALD i 1605 ANDOVER ST':, N TEWKSBURY,MA 01$76` " "..- Administrator iti'la.c,eachu•tietk- Department of Bo Puhlic Satet� Board of Bi u Refit - .� cj ul .�tiun Construction Su 'tnd Standard `' pervisor. License '... License: CS 12649 Restricted to: 00 GERALD L.WEITZ 1605 ANDOVER ST TEWKSBURY, MA 01876� (bmnrissionefr Expiration: 9/8l2011 Tr#: 1876 _-R O vv s (E c c n n_1��_�of f_ I �I -2 CL D 4,6 (R 8 . � - ' xf ® x e 4- Cc)Cel 3,5 w S .�Q �. < �l2 c� c� ?OPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTAT LASS I PCS I NBHD KEY No. 0395 OCEAN STREET 07 RB 400 07HY 07/09/95 10 1 : 00 69 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT 'ADJ'D.UNIT Lana By/Dale S,:e Dmen<,on LOC./V R.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS I VALUE Deschp,i— SORDILLOP ELEANOR M MAP— CD. FF"De th/Acres E #LAND 1 33.300 CARDS IN ACCOUNT — 10 18LDG.SIT 1 X .27C=13C 237 39999.95 123239.9 .27 33300 #BLDG(S)—CARD-1 1 50.000 01 OF 02 #3LDG(S)-CARD-2. 1 12,800 COST 96100 t BATHS 1 .0 U x C= 100 3500.0 3500 00 1.00 3500 B #PL 395 OCEAN ST HYANNIS MARKET 70900 FIREPLACE U x C= 100 31 COAC 3100:00 1.00 3100 B #RR 1133 0050 INCOME USE A APPRAISED V*c � J I A 96.100. ARCEL SUMMARY' SI - AND 333CO sm I IILDGS 62800 i j TOTALS 96100 E I IpN CNST N I �DE ED REFERENCE Type DATE Rapora.] RIOR YEAR VALUE oots Page "'s'' MD. Vr.D salsa P6.. �L A N D 33300 S 6701/042' I�04/89 176000 OLDGS 62800 6082/024UT1:12187 161000 OTAL 96100 3 i 2342/201: 00/00 F BUILDING PERMIT Number Dere T pe Arronnl ' I I y I LAND LAND-ADJ INCOME SE I SP-BLDS FEATURES BLD-ADJS UNITS 33300 6600 ' Consl. Total Vear Built Norm. Obsv. Class Un,ls Un�ls Base Rate Atll R.I. A 1 Age Depr. Contl. CND I -oc I-R G Repl Cosl New Ad, Repl Rms Baths 1 a Fir,. I Parlywall Fa 01C— 000 100 100 57.85 57.85 27 70 24 74 100 74 67513 50000 2_0 6 3 1.0 4.0 Descr,pl,on Rate Square Feel Re l_Cosl MKT.INDEX 1_00 IMP.BY/DATE. ME 6/88 SCALE: 1/00.59 ELEMENTS CODE CONSTRUCTION DETAIL • BAS 100 57.85 624 36098 GROSS AREA 1248 SINGLE FAMILY .DWELLING CNST GP:00 FOP 35 20.25 48 972 N *-8-* . STYLE IDOL D STYLE 0.0 FEP 65 37.60 40 1504 1FWD10 DESIGN ADJMT 00 0.0 FWD 85 8.50 80 680 ! ! EXTER.WALLS 11 WOO6 SHINGLES 0.0 820 60 34.71 624 21659 *-8—* HEAT%AC TYPE 11 AS—WARM AIR 0 -6 - ----- ------ *------24-*-8** INTcR.FINISH _05 LASTER 0.0 ! 820 FEP IINTER.LAYOUT 12 VER./NORMAL 0.0 ! ! IINTER.tiUALTT 02SAME AS EXTER.___ 0.0 ! ! F_LOUR_STRUC_T 02 D JOIST/BEAM 0.0 p W ! c" L40R COVER_ 01 AR6M006 _ 0.0 E Ttl1alA, s Aoe. 68 Base = 624 26 BASE 26 _0_OF _TYPE_ _U_1nA_B_L_E_-_A_S_P_H___S_H___ 0_._0_ T BUILDING DIMENSIONS ! ! L E C T R I C A L UU 0.0 BAS W10 FOP S06 E08 N06 W08 __ ! OUiV6AfiI6N O1 OURED tONC 99_9 A -------------- - - - ----- ------- - - - AS W14 N26 E24 FEP NOS WO8 FWD ! ! N10 E08 SID W08 .. FEP S05 E08 ! ! NEIGH90RHOOD 69AC HYANNIS L BAS S26 .. 820 N26 W24 S26 *--- *— 14-24 10 X LAND TOTAL MARKET E24 .. 6FOP6 PARCEL 33300 96100 *-8—* AREA 17499 VARIANCE +0 +449 STANDARD 25 { J IROPERTY ADDRESS I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I CSTATE LASS I PCS I NBHD RCEL IDENTIFICATION NUMBERKEY NO. 0395 OCEAN STREET 07 RB 400 07HY 07/09/95. 1091 00 69AC ' R325 011_ 238040 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS y UNIT ADJ'D.UNIT L—d By/Date S,=e D�mens�on LOC./Y R.SPE C.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description SORDILLO. ELEANOR M MAP- / eo. FF.De m,Ac,es E CARDS IN ACCOUNT — BATHS 1.0 u X D= 100 2700.0C 2700.00 1.00 27OU B 02 of 02 -:NO: BSMT S X D= 100 7-85 6.12 344 . 2100-B OST � - J -.NO HEAT S X D= 100 2.35 344 00073 I ARKET 70900 iARCEL NCOME SE D A PPRAISED V E � a SUMMARY T SI AND 33300 LDGS 6280C T I -IMPS M I OTAL' 9610C N CNST DEED REFERENCE Type DATE Reoor 1-1 R I O R':YEA R VALUE T I I Boots Page Inat. MO. Vr.D s'P"' _AND 33300 f S LDGS 628CO J rOTAL 96100 3 BUILDING PERMIT B L D G UNOCCUPIED Numbs, Dale Type Amount IN POOR C O N D.... LAND LAND-ADJ INCOME SE i SP-BLDS FEATURES BLD-ADJSI UVITS Class Con st. Tot.'+I Base Rate Al, ate Year 6uill A e Norm. Obsv. epl Goss New AO Rept Value Stones HHt 1 Rooms Rrns Ba1ne a Pir<. PM fl F.c. I Unes Unns I A I g Depr. Contl. CND Loc %R.G R I gn y_, 01D 000 100 100 49.05 49.05 50 70 24 74 100 74 17285 12800 1.0 2 1 1_0 4_0 Descnps�on Rate Squa,e Feet Reps Cost MKT.INDEX: 1.Op IMP.BY/DATE: ME 6/88 SCALE: 1/00.90 ELEMENTS CODE CONSTRUCTION DETAIL • BAS 100 49.05 344 16873 GROSS AREA 344 SINGLEFAMILY, DWELLING CNST GP:00 FOP 35 17.17 24 412 - � N 3-*-6--* . STYLE _ _ _____________ U9 0TTA6E0.0 FOP! ! G _ESIN ADJ MT 00 _______ __S___ 0.0 ? 8 8 8 X TER.WALL S 11 OOD_SHINGLE 0.0 J EAT/AC TYPE _ _ _01 ONE _______ 0.0 ! ! ! i *3-* *-* . NTER.FINISH 01 ALLBOARD 0.0 ! I NTE-9 LAYOUT 12 VERB%NORMAL 0.0 1 8 1 NTER QUALTY 02 AME AS EXTER. 0.0 ! ! F L00R STRUCT 02 D JOIST%BEAM 0.0 W *---9---* BASE ! E F LOUR COVER W 1NYC FL00RANG_ U.O --- ---- rptalA,eas Aua . 24 BdSe , 344 ! ! OO-F-TYPE -01 -A$LE=ASPH 94---- �.0 E BUILDING DIMENSIONS ! 23 LtCTR2CAL 01 UERA6E__ _-_ _0.0 T BAS W16 N15 E09 N08 E03 N08 FOP ! ! OUMDATION- U6 I-ERS _------9�=9 A W03 S08 E03 N08 .. BAS E06 S08 15 -------------- --- ---------------------- r W02S23 __ r i - -- - ------ --- ---------------------- L ! ! LAND ! � TOTAL MARKET PARCEL *------16-----X AREA VARIANCE +0 +0 STANDARD J' ♦ 4 RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET 395 Ocean St. Hyannis SUMMARY 325 11 H 73 LAND I y o s / J BLDGS. It "c r.�e ,...,...R._...u,/ cam, c G'�.w� OWNER TOTAL 0 LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: BLDGS. 01 w,;.V....---.Leclerc R. Myrt3a- .- h/17/40.... 564...... 02......... g TOTAL •27a LAND — �� 5.-24-76• 2342---29- D, BLDGS. Chatterjee,..Lata & T.R: Lakshmanan . ,� 8/1/79 2960 123 ($509 0 J3 a Sb TOTAL .Z_ 3 FJSD LAND pR'• TR. 1,A!(Shm14rjAro IDtI, iG goo a) BLDGS. e o1 C e w-7o N M o- S 9 � TOTAL. r LAND O1 BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. 01 TOTAL LAND INTERIOR INSPECTED: t' �{�% /' 0) BLDGS. TOTAL DATE: 3 � � ,/ '��/S/'---_-�M� � � -� ... LAND CREAGE COMPUTATIONS C ,v L�J BLDGS. ND TYPE OF ACRES PRICE TOTAL DEPR. VALUE TOTAL q 9 LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT. DEPTH STREET PRICE DEPTH % FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND Q ROUGH TOWN WATER rn BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. rn. ..nc. Blk.Walls Bsmt.Rec.Room St. Shower Bath Bsmt. ' _ PURCH. DATE ;91/O ur.. Slab Bsmt.Garage St. Shower Ex t. Walls PURCH. PRICE. Ck Walls Attic Fl.&Stairs Toilet Room Roof RENT '4. I.ne Walls Fin.Attic Two Fixt. Bath Floors INTERIOR FINISH Lavatory Extra ' Al 10 .Int. F `1 1 2 1 3 Sink — L Attic L 'h t/ Plaster Water Clo. Extra / t:XTERIOR WALLS Knotty Pine Water Only able Siding Plywood No Plumbing Bsmt. Fin. ,,,I;Ic Siding Plasterboard Int.Fin. ,Shingles t/ TILING LGiZ ' .,..tc.`131k. G F P Bath Fl. Heat -�- Bi k.On Int.Layout L� Bath OftWains. Auto Ht.Unit -a'-' Veneer Int.Cond.— �::] Bath Fl. &Walls Fireplace 4- O C/40y ' nI. Brk.On HEATING Toilet Rm.Fl. plumbing :_._ ,IId Com. Brk. Hot Air Toilet Rm.Fl.&Wains. Tiling Steam Toilet Rm.Fl. &Walls ienket Ins. Hot Water St. Shower 4 .o Tub Area Total uf /�-(��/' • , Ins. Air Cond. ' Floor Furn. y� ROOFING COMPUTATIONS sph. Shingle Pipeless Furn. 76 S.F. :und Shingle No Heat • S.F. _ 3 0 3 Q- . :hs_Shingle Oil Burner S.F. /^ -1/0 y,C . .late Coal Stoker S.F. ,ae Gas S F OUTBUILDINGS ROOF/TYPE Electric S.F. 1 2 3 4 5 6 7 8 9 1 10 1 2131415 6 7 819110 MEASURED ;able Flat „p Mansard FIREPLACES S.F. Pier Found. Floor Ls/ �'—abrel Fireplace Stack Well Found. 0.H.Door LISTED - FLO RS Fireplace Sills.Sdg. Roll Roofing LIGHTING Dble.Sdg. Shingle Roof ..uth No Elect. DATE +- Aph Shingle Walls Plumbingt ROOMSCementBlk. Electrici. Bsmt. 1st TOTAL 3 Of Brick Iht.Finish P ICED2nd 3rd FACTOR REPLACEMENT oZ 0 0 / - wrE OCCUPANCY CONSTRUCTION SIZE AREA CLASS FAGEREMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL.VAL.'��V LG. l I� 3t ' SK G - a a Q 71 i3 �5� 13 o s o �dt. TOTAL ,:rs . RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY • STREET 395 Ocean St. Hyannis [73 LAND 325 11 H BLDGS. OWNER TOTAL LAND RECORD OF TRANSFER % DATE BK PG I.R.S. REMARKS: BLDGS. rn TOTAL LeGler_ yrtle G( -----:--, 4 .7 10-- ..-.564.... ..__502 =21= oba_e" r� LAND � - /- BLDGS. -Chatter an j ee,.,Lata & T. R. Lakshman 48A/'79 29 60 �1.23 ($50, 0 TOTAL LAND 1 R• h }CSC rv�ANA YJ w-ry pl BLDGS. ctqe LrL rJ F. _ A TOTAL �D16. �C?FlCb1V S � 1\��.�t7\ eta MCL LAND o a5q BLDGS. TOTAL LAND 0) BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: ` JY•<� BLDGS. 3/, / TOTAL DATE: ND / / Lr LA ACREAGE COMPUTATIONS BLDGS. AgftLAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HO• OT LAND CLEARED FRONT BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT:PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. ! --- BLDG. COST Cone Blk.Walls Bsmt. Rec. Room St. Shower Bath Bsmt. -- 7 i PURCH. DATE Cu uc. Slab Bsmt.Garage St. Shower Ext. •. Walls PURCH. PRICE. Brick Walls Attic Ff. &Stairs Toilet Room _ Roof RENT _ Stone Walls iFin.Attic Two Fixt. Bath Floors Piers INTERIOR FINISH Lavatory Extra Bsmt- F `1' 2 3 Sink Attie 1/i yx r/4 Plaster Water Cie. Extra . EXTERIOR WALLS Knotty Pine Water Only $ Double Siding ?lyweed` �.�s % No Plumbing Bsmt. Fin. �� 8 Single Siding Plasterboard Int.Fin. 610 ( '! hingles �� ' ' TILING ,Conc. Blk. G F P Bath Ff. Heat face Brk.On Int.Layout l/ Bath Ff.&Wains. Auto Ht.Unit •� Veneer Int.Cond. Bath Ff.&Walls Fireplace Com. Brk.On HEATING Toilet Rm. FI. _ .__ Plumbing Solid Com. Brk. Hot Air Toilet Rm.Fl.&Wains. ----_--. ---- Tiling Steam Toilet Rm.FI.&Walls Blanket Ins. r Hot Water St. Shower Roof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS ' Asph. Shingle V7 Pipeless Furn. 3 t S. F. U Wood Shingle No Heat t S.F. Asbs. Shingle Oil Burner S.F. ' Slate Coal Stoker S F Tile Gas S F OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED Gable flat Hip Mansard FIREPLACES S.F. Pier Found. Floor Gambrel Fireplace Stack Wall Found. 0.H. Door LISTED- FLOORS Fireplace rRySgle.Sdg. Roll Roofing Conc. LIGHTING G Dble-$dg. Shingle Roof Earth No Elect. DATE ..__ ;hingle Walls Plumbing Pine 0� Hardwood ROOMS Cement.Bik. Electric U - P ICED Asph.Tile Bsmt. 1st �'r fp, TOTAL (o a U Brick Int.Finish Single 2nd 3rd FACTOR 33D E T L �REPLACEMENT �,�f �7 f-. OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. W DLG. e Y' G. S 5K F L� 7n Sj� yoZ4, � 3 Sv . 1 . 2 - 3 4 —5 6 8 _ 9 10 — - TOTAL FrL [ ] [R325 011 . ALOC10395 OCEAN SI' CTY] 07 TDS] 400 Y KEY] 238040 ----MAILING ADDRESS------- PCA11091 PCS100 YR100 PARENT] 0 SORDILLO, ELEANOR M MAP] AREA169AC JV1314074 MTG10000 14 PACIFIC ST SPl] SP21 SP31 UT11 UT21 . 27 SQ FT] 1248 S BOSTON MA 02127 AYB] 1927 EYB] 1970 OBS] CONST] 0000 LAND 33300 IMP 62800 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 96100 REA CLASSIFIED #LAND 1 33 , 300 ASD LND 33300 ASD IMP 62800 ASD OTH #BLDG(S) -CARD-1 1 50, 000 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #BLDG (S) -CARD-2 1 12, 800 TAX EXEMPT #PL 395 OCEAN ST HYANNIS RESIDENT' L 96100 96100 96100 #RR 1133 0050 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE104/89 PRICE] 176000 ORB16701/042 AFD] I LAST ACTIVITY106/13/90 PCR] Y R325 011 . • P P R A I S A L D A T KEY 238040 SORDILLO, ELEANOR M LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 33 , 300 62, 800 2 A-COST 96, 100 B-MKT 70, 900 BY 00/ BY ME 6/88 C-INCOME PCA=1091 PCS=00 SIZE= 1248 JUST-VAL 96, 100 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 69AC -- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 69AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 333001 LAND-MEAN +0% 961001 139993 IMPROVED-MEAN -550 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 13001 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP] ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] 1 R325 011 . , P E R M I T [PMT] ACT*[R] CARD [000] KEY 238040 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT TOWN OF BARNSTABLE REPORT #VLEWENTARY/OONTl;;;7A2w REPORT NAME (LAST, FIRST, MIDDLE) DIVISION /DSPI NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL tS ETC. Ay- 161-d. az �G7- zzzlz J SUBMITTED BY /�_i PAGE TOWN OF BARN STA 3LE g,�t- ceoa; REPORT PLDMDNTABY/CONTINIIA REPORT NAME (LAST, FIRST, MIDDLE) �/ �� , Q DIVISIO /U v V���J�.CJ��'�--ram NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL 1S ETC- U - tiV 241 b Ls SUBMITTED BY PAGE (I MNG SE :::2 21 9A M1325•M1•0.1.1.., . low fix.. .:..:......:..........:.:..... ..:...::::: ...... ...... ..... ............ ........ ....... .... ...: : : . : milli :::.: :SRDI LLO E. 911.9 E 1-11,1111,:' : < �...• •OCEAN�.STREETM1M1M1..fix:.. IN ZONIN G ......... .:...::::::::.... c ..:: .......... ::... :.:........ ....:::..::. .....:......BE 0111111 ..................................................... ........................................ .....................:::::::::::::::::::::::::. LEGAL?????????? Rom 11 OWN low HE EAR H Irk OfIKEz Town of Barnstable *Permit# Expires 6 months from issue date M �-(V BARN5rABLF Regulatory Services Fee 63� 1$4; Thomas F. Geiler, Director �`lfonw�a Building Division /U33 Tom Perry, CBO, Building Commissioner D / 260 Main Street, Hyannis, MA 02601 www.town.barnstab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address , - t,1 h%3 . O ❑ Residential Value of Work v Minimum fee of$25.00 for work under$6000.100 Owner's Name&Address C 7)95 (9eca 4. 14 IgCz inL,S 07-6 e.5 Contractor's Name_�C; 'fly1 (',faj&:rL Telephone Number'7'7-/-Z53-1 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) C:5 J 'r— ❑Work Compensation Insurance Check y . I Check one: PiERMIT � ~K P�—I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance `OWN OF BARNS Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) �6—Re-roof(stripping old shingles) All construction debris will be taken to _feLV4ja,,1 ,tip ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Ywner must sign IProperty Owner Letter of Permission, Home I rove n ontractors License& Construct Supervisors License is required. SIGNATURE; Q:\WPFILES\FORM press\EXPRESS PERMIT.DOC Revise06O4O9 1 Invoice 05/17/2009 JG Construction Jason Goulart 7 Anaconda.Dr Lakeville,MA 02347 (508)923-9247 395 Ocean St Hyannis, MA Strip and reroof 13 sq $ 3,900.00 30yr arch. Shingles-. New white drip edge Complete ice and water under layment . Chimney repair $ 150.00 Flashing only Replace 1.5 sq red cedar shingles $ 750.00 Left rear check wall Disposal of debris $ 400.00 Total $ 5,200.00 All material and disposals are guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for work above, and completed in a substantial workmanlike manner for the sum of five thousand two hundred dollars (5,200.00) with payments as follows: 50% down $2,600.00 50% final $21600.00 X 1'lomeowrw X Con tMet" All and arty extra cost due to unseen problem will be brought to the homeowner's attention and agreed by both parties before any repairs are made.X Y Board of Building Regulations and Standards I iCcj,;a or registratiop valid for individul use only j bc+ atia expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR If ug f I3+,.,r+,•gf Building Regulations and Standards Registration: 163254 / One Ais burt0n I'lace Rm 1301 Expiration:..5/27/2011'// Tr# 284601 13os+�t If a.l 02108 F Type: DBA 1: JG CONSTRUCTION JASON GOULART., i-� `�' 7 ANN' ONDA DR )It valid witlu::4(s �atiurc - -- — LAKEViLLE,MA 02347 Administrator ..1 sue.. Massachusetts- Department of Public Sufet� NIIISSBoarit of Buildin�o Re�oulations and Standards Construction Supervisor License License: CS 91358 Restricted to: 00 JASON D GOULART 7 ANACONDA DRIVE ILLE, MA 0234. LAKEV Expiration: 2J1/2011 Tr#; 12685 (74 issiuner s &A-L The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + d 600 Washington Street Boston, MA 02111 . :�•�`y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le>;ibly Name(Business/Organization/Individual): G— C,-Cn!AfOJIt/Vt Address: 7 &r?aeend r City/State/Zip: / A !"e u', jet 1-114 C2-Z��. 2 Phone.#:5 49� "�2 3-9 Z ��7 Are you an employer? Check the appropriate bog: Type of project(required): 1.6I am a employer with. 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-tim.e).* have hired the sub-contractors 2.0 I am a sole proprietor or partner-' listed on the attached sheet. T. ❑Remodeling g ship and have no employees These sub-contractors have g, '0 Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers'comp. insurance comp. insurance.t required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions 3.El am a homeowner doing all work officers have exercised their 11.0 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. IContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: /fl't' Job Site Address: 3 QS (�C4 e0.�1 City/State/Zip: 1/ CA A 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification l'do her y ertify under pains an penalties of perjury that t/:e information provided above is true and correct Si afore. 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): L Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 1S2 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee as "...eve person in.the service of another under any contract of hire, is defined ry 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." e or local licensi ng agency shall withhold the issuance or MGL chapter 152, §25C(6)also states that every state g g Y 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 confrruation 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 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 Lzvestigations 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 Iuvestigations } 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-NlASSAFE Fax# 617-72777749 Revised 11-22-06 www.mass.gov/dia :� r � n �' � �; u r # .F ,'1 i - .- �..ram ;..�1 �� it _� q w^'�kf- -`.mil-S�i _ 1 r •d-. c'.r t-' � ..� �.✓' t� �-�•` � � ��w-,.. �+ �, rJ� 1 � S\ � C �) s � 1!. +n :ZT �. ��,��tcasg i� _ __ ;fir. ,�, '�4 .As _1��'� ' .-. y^ d� ` % ' �^ ry,� i �� �� � �h J � � � v_ ����� G���k�s�� T� �� �� s� ✓ 1 !' '^ y✓ �I� .� • �,�a ,��,,J �i 'C� T ,�f �� 'yJ � / 4ti, rI � �fY :ti i ��' !�{ •A 'd r C� , '���, � , ., �, �� �� � _S I^ •�� i J j� l c � h C " , err J �� , "'�, �. :. � fi� t ; /`"�`` '1 1 F - wx 0114, I I I r1 5 777 A ` 1'41A I ltk t� k I _ ,:1 I zi -- I c I I Ar --f I I I1. I i _,_ _ �_ , -•_-- ... _ _ _..�_._ ! --�- --�_-- ;--!- -�--.__ I ' 1 � - ! - - I- - -- -?- 3 i 1 " i I i f ! 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