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0083 OLD CRAIGVILLE ROAD
a i �I �n 1 ; G Woo✓l l a_lw r-e-5 g 3 Dt r, ELS 4 - Certificate of Appropriateness it State form must be completed and a copy of mitted. license is required for residential only. [ter of Permission. Commonwealth ..:. of Massachusetts l J Sheet Metal Permit Map rcel ! i 1i r r i '� l Date: 7l �� / t Permi #fie `` f wUI V' R ea (�0` •'� ' Estimated Job Cost: $ 7 ��� Permit Fee: $ pw ..� Plans Submitted: YES NO Plans Reviewed: YE��i NO Business License# SO 3 Applicant License# l Business Information: Property O er/Jo p nY b L anon Info a anon: 0�cvr�/ i Name: S`7 Wr @;j- (e.u� C• Name: Vv9� a r Street: wl�S if r"n�O h St Street: 6(c� >; City/Town: 1�>k 6D r o ` !1t 14. City/Town: 14iS Telephone: SD 8' SY 3 3;e b Telephone: 2 V- 7 69- 3 a 9 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family. Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed:. New Work: )C Renovation: HVAC-Nt/, Metal Watershed-Roofmg Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: ..G�s�4ill �av+ Ole Co k at;-i`oii �h �syswl 1 INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112. Yes E�No ❑ If you have checked Xp&, indicate the type of coverage by checking the appropriate box below: A liability insurance policy [(� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement.. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this box0,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO . Progress Inspections Date Comments Final Inspection Date Comments Type of License: iy i Master Itle ❑ Master-Restricted :ityrrown ❑Journeyperson Signature of Licensee 'ermit# ❑Joumeyperson-Restricted 6-7 t,7License Number: 'ee$ ❑ Check at www.mass.govldnl ispector Signature of Permit Approval W ' 73ie Commonwealth of Massachusetts Department of Industrial Accidents Office'of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ledbly Name(Business/Organization andividua): SV O it �i?-`1/ o f e c, C Address: S' vi% �tifikcoL� S City/State/Zip: . 0�o�a !!yl t�} D�0 3� Phone.#: S� _5 3 ��►0 Are you an employer? Check the appropriate bog: -Type.of pioject(required):; 1. 1 am a employer with 0 -4• ❑ I am a general contractor and I employees(full and/or part-tirae). have hired the gab:-contractors 6. El New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling s and have no employees These sub-contractors have ship �P Y E. ❑Demolition working for mein any capacity, employees.and have workers' 9. ❑Buildmg addition [No workers'comp.insurance comp..insurance.$ required.] 5. ❑ We area corporation and its 10.❑ Electrical repairs or additions 3.ElI am a homeownerofficers have exercised their doing aIl work 11.❑Phimbmg repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance req�d,]t c. 152, §1(4), and we have no employees. [No workers' .❑ Other comp.insurance required.] *Any applicant that checks bax#1 must also M out the section below showing thdi workers'compensation policy information. t},H.,omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'l.ontractors that check this box must attached an additional sheet showing the name of the sub-coutraetous and state whether ornot those entities have employees. If the sub-contractors have employees,they mustprovide their workers'comp,policynumber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and joh site in Insurance Company Name: Policy#or Self ins.Lic.# Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). a Faihue,to.seeure coverage as regaaed 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 statainadt may be forwarded to the Office of Inyestiaations of the DIA for insurance coverage verification. 1-do hereby cep under the pains•and enalti s of perjury that the information provided above is true and correct. Si tare: Datc:__2h Zb z Phone#: b /3 S®2OD L. ard al use only. Do not write in this area, to be completed by city or.town official or Town: Permit/License# g Authority(circle one): of Health 2.Building Department 3.City/To�en Clerk 4.Electrical Inspector 5.Plumbing Inspector her act Person: Phone#• i THE Town of Barnstable _ Regulatory Services • ae�r�srnsrs. • MASS Thomas F.Geiler,Director 1679. o � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner'of the ro subject p l P .PAY hereby authorize [!l� P� o wtCo to act on my behalf, _ in all matters relative to work authorized by this building permit Y3 D/ . CiryA`�va��le wQ (Address of Job) "Pool fences and alarms are the responsibility of the applicant. Pools 6 are not to be filled-before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signs e of Owner ignature of Applicant 1 X4 Y" � Print Name Print Na me �6S�/� w� 6 /� el CZ Z Date QTORMS:OWNERPERMISSIONPOOLS 'THE Town of Barnstable Regulatory Services wttvsr.�ars, # Thomas F.Geiler,Director MASS. 039. �•'� 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 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 a+ i 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 foma/certification for use in your community. Q:forms:homeexempt 07/10/2012 22:17 5085436898 STAR PETROLEUM PAGE 02/04 M-M(NMroDNYyy) ACORD, CERTIFICATE OF LIABILITY INSURANCE 07/12/201& THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.T141S CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE.A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE_HOLDER. IMPORTANT: If the certificatD holder Is an ADDfflONAL INSURED,the pollcy(lii)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certfficate does not confer rights to the, certificate holder In lieu of such e+ndomamarlt(s). PRWUCER NAME-1 PAR 6reley A Wellington Joilinraoce Agency Carp, PHONE SOS)754-73551 _(Arc Not:(508)797=3507 Nck 44 Park Avetme ADDRESS: r.' P.U. BM 15127 INSURERS AFFORDING COVERAGE NAIC III Worcester, MA 61615-007 INsuRERA; Harleyoville 1,RR.CO. . INSURED Star Petrale1m1 Co. Inc. IN9UR£R0: TecltrrolOgy xnkenrance Colnpsatny 98 Waslsh irtptem Street INSURER C; P. O. Rox 107 INSURER D FoxAame, MA 02035-0107 INSURERS: INSUR>?R F: - COVERAGES CERTIFICATE NUMBER: 3011 - 2013 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE TOLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INS galkPOLICY NUMaER MMro Mro LIMnS GENERAL LIABILITY 1MPA042 11/01/2011 1110,12012 EACH OCCURRENCE $ 2,000,00 X COMMERCIAL GENERAL LIABILITY PREMISES(EA occueems) _.,$ 10020001 CLAIMS MADE OCCUR MED EXP(Any one pemon) S 5 00 PERSONAL 9 ADV INJURY Z OOO 0 A - GENERAL AGGREGATE $ 4,000,000 PRODUCTS-COMPIOPAGG S 4,000 00 GEN'L AGGRI:GA18 LIMIT APPLIES PER; S POLICY JEC LOC AUTOMOBILE LIABILITY _ ]RA$M420 11/01/2011, 1110112012 Ea seddenfI $ PA 000,00 BODILY INJURY(Pdr Pelson) R JANY AUTO BODILY INJURI(Per necidanq S ALL OWNED SCHEDULED _ . UTOS AUTOS NON-OWNED CA"4s BROA1110M AM - - (Per ncCldk*h1) AUTOS X AUTOSoo App R. 94R APp )POL><.UTION >LIYCLFiE EACH OCCURRENCE _ S RELLA LIAB OCCUR EW UAB CLAIMS-MADE AGGR@GATE RETEN710N 3 WORFER9COMPENSATION TW�C329780 11/01/2011 111011Z012 TORYLIMrIs �MJ5 AND EMPLOYERS'LIABILITY YIN E.L EACH ACCIDENT A 1 OLIO,O ANY PROPRIETORlPAMWERIE)E� NIA R OFrIf M.d mibp uER ExCLUD£D4 LL.DISEASE•En EMPLOYE S - 1,UUO,OO (Mandatory In NH) El DISEASE-POLICY LIMIT S 1 000 0 Ryyeeas oee�alhn,mder DESCRIPTION OF OPERATIONS bolaw DESCRIFMON OF OPERAT10NO I WCATIONB!VEHICLES(AtMrh ACORD 40.I Addldonal RmnMRe 9clrecl�an,M area space Is drrtd) CERTIF ATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIa@D.POLICIF9 9-CANCEII.ED BEFORE THE EXPIRATION DATE THEREOF,NOtICF WILL BE DELNER£D IN ACOORDANCE W"M THE POLICY PROVISION-a. AUTHORIxED REPRESENTATIVE Town of Bwasstable A M MY ardi/A table MA 03630 c�1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) TIT®ACORD name and logo are registered marks Of ACORD I r COMMONWEALTH OF MASSACHUSETTS qS q MASTER UNRESTRICTED l. { _ ISSUES THABQUE LICENSE TQ�, I ROBERT W KURKER a t 48 PINNACLE DR n MA`;02032 0M01 � 4JALPOCE `�. 5787 08%28/12 964633 • o C. NIONWEALTH OF MASSACHUSE t M TTS • . SHEET METAL WORKERS AS;A BUSINESS :ISSUES THE ABOVE LICENSE TO R'OBERT W 'KURKER ' l� P -ROLEUM CO ET INC STAR ST 95 WASHINGTON. MA 020:.35 O�c� t FOXBORO:. I4;8520� 503 03/OS/14 ..' - All Perforations • Fold,Then Detach Along _ _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Z`+?" Parcel. '10 5 " A Iication # Z07" p pP Health Division Date Issued50 Conservation Division Application Fee c Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address 253 Oio CeAt&ojiL&,r�, Tz�b Village NA MQ i S Owner qAnL 4D5 I'Lon�1JI Address 14 Cgra_"wooZ> b�. , do-Cw-DD � 1144 Telephone 7_61 -70 53 Z9 Permit Request 00105r"e-'r 'A 13/X'R Abb&10„) v./ k.rrLobv ro &Kis-r'�?n 0w�c�tnrGe �N PLAct Of- t,_�D b6cy— , jb, 6 /*Ju6�6 Square feet: 1 st floor: existing 13C9 proposed 14(7- 2nd floor: existing proposed Total new 104 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 1. 07 Grandfathered: ❑Yes �, kNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure r Historic House: ❑Yes X No On Old King's Highway: ❑Yes No Basement Type: 'g Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I1S 20 Number of Baths: Full: existing 2 new Half: existing new Number of Bedrooms: 3 existing k new Total Room Count (not including baths): existing (v new First Floor Room Count 4- Heat Type and Fuel:. 4 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes A No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing 0 new size Pool: ❑ existing ❑ new size _ Barn: isti Mz ng anew sizeZE Attached garage:)(existing ❑ new size _Shed: ❑ existing ❑ new size _ Other Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes V No If yes, site plan review# Current Use 1010 Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4,ta bYZ.1. &?&,j Telephone Number S_De Address License# 0?9 7-7 3 eo-rL) lT M OZb3S' Home Improvement Contractor# �433s� Worker's Compensation # oos 4 37 o4 t( ti. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 0"re?_N SIGNATURE DATE 4-IS6I1', 1, l FOR OFFICIAL USE ONLY APPLICATION# � t DATE ISSUED � MAP/PARCEL N0. E3 ADDRESS VILLAGE t OWNER r i I 1 DATE OF INSPECTION: i FOUNDATION: i1 FRAME 6 L E INSULATION 4 FIREPLACE . ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f GAS G 1 ROUGH F-7,c4� +: . FINAL y. -;FINAL BUIL-DIN:G:t l js i rt r. y DATE CLOSED OUT ASSOCIATION PLAN NO: I i I t y i 1 The Commonwealth of Massachusetts Deportment of lndr$&W Accidents Offled of Invesdgadons 600 Washington Street Boston,MA 02111 wwoRmangov/dlia Workers' Compensadon Insurance Affldavit: BuilderWContractorwllecMclanw?lumbers Anolicant Iuhrmadon Please Print Leidbiv Name MaWat,/organizadoWMvidual)• ,4pr?wipG Address:-6-3 00V,0MQZCtnL, city/state/zip: Aril ,P" . MO Phone t _5DF 4-P n?q Are you as employer?Check the appropriate box: 12..0 I am a employer with 2—�1L 4. 0 I am a general contractor and IType of pro jest(required): employees(M and/or parvtime).e have hired the sub-contractors 6. ❑New construction ❑ 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. employees and have workers' (No workers'comp. insurance comp.insurancat 9. 0 Building addition required:] S. We are a corporation and its 10.C3 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.❑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 3a.❑ 1 am a homeowner acting as a employees.[No workers' 13.0 Other general contractor(refer to#4) com p.insurance required.] ;Any applicant that checks ban[lit MM also fill out the section below showing their workers'companaadodoowy Homeownen who submit this a@[devit indicating they are doing all work and then hue outaide cmftcton must submit a new afltdavit indicating such. tConua lm that check this boa must utached an additional shoat showing the name of the and stater whether or not those have entities employees. It the sab�oontractM have employees,they uma t provide their workers'comp policy number Ian an employer that is providlna workers'compensadon humu res jog nary employ Below It the Injonrtadora emt poNry and Job site Insurance Company Name: 44s&_- A Policy#or Self-ins. Lie.#: 00,S_g37 0-'+( ( Expiration Dahr �11 Job Site Address: 9 3 01-6 CA4)1,,rV ia,,G �ij City/StaWzip:_P 1vN(S M,4 0�0 Attach a copy of the workers'compensation policy declaration page(showing the T-t ' Faihn�e to secure coverage as P aT ( ! Polley number and expiration date). g required under Section 2SA of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 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. I do hereby ca*under the Pahl*and pemMin ojperimy that the brjoneadow PMV&W above ir dare=0rrect P 4W n4i Offlelal use on&% Do not writs In this area,to be completed by city or town o aL J�I City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health L Building Department 3.Cityfrows Clerk 4. Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: t N". Information and Instructions s Maaaachnwttt c1anorul Laws chapeer 132 MquiM ad empbyiei 0 peovida wMim w°°pedad°r far aww"o. o P,r,nad to this stand%as�a�w is Mod as*.--e ey price ie"twnrice of another under any cOdtrid f bk% or hw&4 oral or wdu es" wiciad*%caspadios Or olhK kw eidty.army tiro or ne n A•AWPhPw�/dsdlyd as w/Of i dsaassd a to of�i�Opt��b d !Ir h:pl teptilNd tt7ceir'er�traalai Of p Ys0elads��other Ilpl emdn nd meek thr t�M apae�eada asd whi ttmaides Ihaeetab of the oocmapad of the Owdr Olt• b0�0s ll to do a tip of npk wak as Mh dwetdns b0A" of O dw the u k or bandies M g O� shed was because of mch ext pioymaat be deemed a be we surbW or b MUL dapW 132,)23qd)an sdtes that"every OWN w Isal deaeatas seessY"whUdd tie lawmen art reaswd dl a desase car permit to epma i buds car to CMwvd bvi§& n 1•t!s ter aw ,ppiheaat ohs br not pn Idesei atieempttsaei wilt the Irewsaera erTreM regabr+ad�" Addidoie1 ► "922.chapter 132.1�(�M w aooepe+bir aide a O(oomplit "wMIhm 68' ofthlechepeor howpeeseatad tel the aootreedes avaharlll►•" pppYessta , Please in ant the wmrloaM, a8ld"00 by ahocift the bans that apply to your siu'MW=4 if aseeraeyo sa—a--s mb-oodracaoe(a)aama(a).addteaa(es)ad phoes oimbee(a)alone with thatr eadAcale(s)o[ inn vM& Limiaad Llablltlp Congo"(LL.C)er Limitmd Ldebntty PaemMahips(Lul)wig other theta the n Wva -car peeaM %as ant Mpksd td cwg wasfsss'aOQpunsdaa t0asae I if as LL.0 car LLlp dm ba" empfoyeaa►a polby b eegokedr on adwhoil tilt thin e®davtt may be sebmitaad to the Depaetmad Of [adttstri■l Aaidaeta � -ad famaaa covemss Alai be sire ft sip and daft the MURAL The at>ldavit dwid be naraad tr the day or lows that the appdeadis mr the pwmit or hook la baits ng- -- k ost tho Dspaetmaet of fndaaMd AAoeidada ASOM)a hew WW g°esdOOe the hm or Dyes M MgvkW r abdia a wo1MW coatpsaaedos pollen pease end the Depaetmid at the somber Haled below. SeiVb W compsa w ShOOM eeler their saighmomme cheat maember Os the aoiaeQater lies CW or Two 090" Please be am that the addevit 1e sad pvbaad 125bly. 'U Depwwwaa hea peo idad a specs d the botaos urthi atlldarit for yam beds od bathe ewd the oft*ottards dow boon coated yes raDomitae the applicna Please be are is tls b the pwMWNesaae aambar witch will be wed ore a tetiseeae- smbm v ad ildom as oppNead that mode ambmk o ddple pasmird -M-applicade0a is any Owes yeA seed aey►submit ass-®darer iadicades emend pow WhMWM({ram►)sod udw-Tob Site Addewe the applicant dw-M wile"ell beedow bs (dy Or ��"A copy aldms agkkwit that has bore odWady stasmpsd car atebd by the csy car arras any 6e proridsd to the appdtmtea w proof them a void aglhwk is 00 mils IN tbtaos paedto at Hamm A new at>ldertt snit be tided art start yes Wbo s hams owsar ar cidas V Obt bft a lianas car passer sat m b tad is eery buabaa-a eaoana9W VIWW@ (Lea a dog Ham or porrok to boas leaves sore.)said pessoi is'LNW regained to complete this a®dtvit 'elms Ot36s of Iamreadplios wamW limos d thdt yvs is drasoe the yamr eooparallos ad dMald yore haw any gaaadoa4 please ds act haunts is give w a eaL fie Depot wWo sddtM to! Ph and tits atrabart JU Conuno ewealt5 of Musecbunds Mpo bmd of Iadna d Accidents O[Qa of ilnresdP&M 600 Wtht9toe sacs Bodo%MA 021 If Tel. 0 61I-M-4900 wd 406 Of 1-Sn-MASSAFB fax 0 611-M-7749 Revised 11.224)6 www.nwaVv/dls Client#:51439 CAPEENT ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 04/16/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:if the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endomement(s). PRODUCER Linda Taddla Rogers&Gray Ins. Kingston PH ICE. ;508-T46-3311FAX 63 Smiths Lane E-MAILAI ac No): 877-816-2156 ADDRESS: ltaddla@rogorsgray.com Kingston,MA 02364-3700 INSURERS AFFORDING COVERAGE • NAIC III 508 746-0055 INSURER A:Arbella Protection Co 17000 INSURED INSURER B Capewide Enterprises LLC J.P.Macomber&Sons INSURER C: PO Box 763 INSURERD: Centerville,MA 02632 INSURER E:INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L,R TYPE OF INSURANCE M OL UB POLICY NUMBER MPOLICY EFF M�CY EXP DIYYM LIMITS A GENERAL LIABILITY CPPOSOOO50813 4/30/2012 04130/2013 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LABILITY PREM S ERENTEaoocur re D LE3 nce E250 000 CLAIMS-MADE a OCCUR MED EXP(Any oneperson) $5 000 PERSONAL&ADV INJURY E 1 000 000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO-JECT LOC $ A AUTOMOBILE LABILITY 58944400004 4/20/2012 04/20/201 E°adEerOiISINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) § AAILLL OWNED X �OEDULED BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accdent E A X UMBRELLA LIAR - OCCUR 4600050814 4/30/2012 0413012013 EACH OCCURRENCE $5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 DEO I X RETENTION 10000 b A WORKERS COMPENSATION 0054370411 4h4/2012 04/14/201 we sTATu- orH- AND EMPLOYERS'LABILITY Y f N mRs911— OFFICERO/PMEMBER EXCLUDED?ECG a N/A E.L.EACH ACCIDENT $SOO OOO (Mandatory In NMI NO EXCLUSIONS E.L.DISEASE-EA EMPLOYEE $500 OOO It yea describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S80369/M80368 CJF F Massachusetts - Department of Public Safet•/ Board of Building Regulations and Standards „ a? (nn�I rUCtl�ln SU plt1 I���Y �t*'; License: CS-089273 RICHARD M C-APEN ' 122 WHITMdIt COTUIT M*02635r,1 �,•G..—� 1SX �'� Expiration Commissioner 11/27/2013 Office of('onnimcr affairs l Busine,, Rcl-'11186 ) HOME IMPROVEMENT CONTRACTOR Registration: !43358 Type: Expiration: 7/8/2012 Ltd Liability Corpo CAPEWIDE ENTERPRISES L L C RICHARD CAPEN 4507 R RTE 28 COTUIT, MA 02635 t ndcrsccretan Restricted to: 00 00- Unrestricted 1G - 1 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation r 10 Park Plaza-Suite 5170 Boston,MA 02116 tt valid with t signature Job No, 12-025 LeNwis 227 Exchange St.. Sheet No. Summary of 3 Millis,MA 02054 Computation By: .M Walsh Date: 5-May-12 &Walsh. (508).376-1124 Checked By: bate: Scale! N/A Iq 15 td 1? 19 IR :M 21 22 21 22 21 =t. _') xN2936 I Chent: Peter Bissonette Property: Randonelli Residence,82 Old.Craigville Rd.,Centerville,Ma Scope: Size two roof beams for'modifications to breezeway of existing house. 1 References: 1. 780 CMR.Mass State Building Code-8th Ed'.&IRC 2009 2. NDS National Design Specification For Wood Construction 3. Engineered.Lumber Manufacturer's Design Data- Versa-Lam by Boise EWP 16 _.. Summary: 3 1. Ridge Beam: (13'-0"span) Use..Double 9'/4"'Versa-Lam 2.0 3.100 S.P. Support on;(2)2Y4 columns at each end. 2. Ridge Support Beam: (15'-0"span) U'se Double 7'/4" Versa-tam 2.0 3100 SP. Support on(2)2A columns at each end. ' I zi= O PAtCWAEL E. m WALSH �. v STRUcTURAL ch No.4D83 is Q' SSI. se Notes: 1. 1.,VT.. Bending Stress,Fh=3,100.psi:Min. 2. .LVL,Shear Stress,F,,=290 psi.Min. 3. LVL Modulus of Elasticity,E=2.OE6 Psi:Min. 4. Dressed Lumber shall be SPF N0.2 or better 227.Exchange.St. Sheet.No !. of IV q Millis, MA 02054 Computation By: / dot/.f/ Date: (508)376-1124 Checked By: Date: ENGINEERING Scaie: 9 to 11 12 13 14 IS 16 12 ` Ix '19 20 21 22 23 24 23 -26 27 a 29 34 lT'.trf,lkewl tA6 .td„_ -7 o! /'P, �"r1 A 1ti�'a�., �ts'I� '�i9p'�Pl,a=e�!ic�/!f � <✓/ E��4r�4� . .. .. r d .'... _.._... ..... .. _ __ .... __ .._ , w 1 . IG .. _.. .. .. .. ._.. 17 20 f f 13 A 25 26 - "✓f+"".. ::_G✓ £✓' 4-,. / _ /. ; Yc --:' a1 ' .Ae$w� .,:�'o`�f�^"&,.k 3 "i L! ... .. 27 31 ;, 14 .49 BC CALCO 3.0 Design Report-US 1 span No cantilevers 0/12.slope Saturday, May 05,2612 Build 440 File Name: BC CALC Project Job Name: 12-025 Description: RB01 Address: 82 Old Craigville Rd. Specifier: City, State; Zip:Centerville, MA Designer Mike Walsh Customer: Peter Bissonette Company: Lewis&Walsh Engineering Code reports: ESR-1040: Misc: 13-00-00 Total Horizontal Product Length 13-00-00 Live Dead Snow Wind Roof Live Trib.(in.) Load Summary Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 91912 ft-lbs 64.9% 115% 3 1 -Internal Completeness.and accuracy of input must End Shear 2741 lbs 218.7% 115% 3 1 -Left be,Verified by anyone who would rely on Total Load Defl. L1248(Q.608") 721% 3 output as evidence of suitability for Live Load Defl. U378 (0.39.8:' 63.5% 3 1 particular application.Output hi.m bated Span/Depth 16.3 n1a on building code-accepted design propertiesand analysis methods. Installation of BOISE engineered wood %Allow %Allow products must bei in accordance with BearingSupportS Dim.(LxW) Value Support Member Material current Installation Guide and applicable building codes.To obtain Installation Guide B1 Post 3-1/2"x 3-1/T ,31277 lbs n/a 353% Unspecified or ask questions,please call (860)232-0788 before installation. Cautions BC CALCO,BC FRAMERS,AJS-, For roof members with slope(1/4)/12 or less final design must ensure that ponding instability BOISE GLULAM-,SIMPLE FRAMING will not occur. SYSTEMS,VERSA-LAM8,VERSA-RIM For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow PLUSO,VER I SA-RIM0, surcharge load. VERSA-STRAND@,VERSA-STUDS are trademarks of Boise Cascade,L,L.C. Notes Design meets Code minimum (L/180)Total load deflection criteria. Design meets Code minimum(U240) Live load deflection criteria. Connection Diagram o minimum=2" c=544" b minimum = 3" d= 12" Member has no side loads. Connectors are: 16d Sinker Nails � Page 1 of | BC`CALCO 3.0 Design Report- US 1 span No cantilevers i 0/12 slope Saturday, May 05, 2012 Build 440 _ File Name: Job 12-025 Job Name 12.025 Description: RB02 Address: 82 Old Craigville Rd. Specifier: City, State, Zip: Centerville, MA Designer: Mike Walsh Customer: Peter Bissonette Company: Lewis&Walsh Engineering Code reports: ESR-1040 Misc: 2_.....: I• Z a y ,i '& ' ry : 3 w h L - - i B0,3-1t2" B1,3-1/2" DL 1,048 Ibs DL 191 lbs SL 1,884 Ibs SL 261 Ibs Total Horizontal Product Length=15-00-00 Live Dead Snow Wind Roof Live Trlb.(in.) Load Summary_ Tag Description Load Type. Ref. Start End 100% 90% 1-15% 1.33% 125% 1 Reaction From Ridge Beam... Cone: Pt. (Ibs) L 02-0.0;00 02-00-00 1,132 2,.145 n/a Controls Summa Value . %Allowable Duration case San Disclosure Pos. Moment 5,177 ft-Ibs 53.7% 115% 3 1-Internal Completeness and accuracy of input must End Shear 2,925 Ibs 52.8% 115% 3 1 Left be verified by anyone who would.rely on Total Load Defl. L/277 (0.63") 65.0% 3 1 output as evidence of suitability for Live Load Defl. U446 (0.392") 53.9%0 3 1 particular application.Output here based on building code-accepted design Span/Depth 24.1 n/a 1 properties and analysis methods. Installation of BOISE engineered wood %Allow %Allow products must be in accordance with Bearing Sup o is_Dim.(L x W) Value Support Member Material current Installation Guide and applicable B0 Post 3-1/2"x 3-1/2" 2,932 Ibs n/a 31,9% Unspecified building codes.To obtain installation Guide B1 Post 3-112"x 3-1/2" 453 Ibs n/a 4.9% Unspecified or ask questions,please call p (800)232-0788 before installation, Cautions BC CALC ,BC FRAMER@,AJS'm, ALLJOISI?ig,BC RIM BOARD-.BGid, For roof members with slope(1/4)112 or less final design must ensure that ponding instability BOISE GLULAMTIA,SIMPLE FRAMING will not occur. SYSTEMO.VERSA-LAM0,VERSA-RIM For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow PLUS@,VERSA-RIMO, surcharge load. VERSA-STRAND@,VERSA-STUDS are trademarks of Boise Cascade,L.L.C. Notes Design meets Code minimum(U180)Total load deflection criteria. Design meets Code minimum(U240)Live load deflection criteria. Connection Diagram • b :.... ... d _..... a minimum =2" c= 3-1/4" b minimum = 3" d = 12" Connection design assumes point load is 'top-loaded'. For connection design of`side-loaded' point loads, please consult a technical representative or professional of Record. Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are: 16d Sinker Nails Page 1 of 1 ro Town:of B arnstable" Regulatory services ' f Ll A7K[T'j AT.P E - �. TEznmas F..Geiler,Director BiTildli g bIYISI�Il Tom Per*,* BuiIriiag CoMMLSjaner 200 Mai 5trcct,Hyammis,MA'0260I. . .ta�n.barnstable.rria.us . . • Office: 508-862-403 8 Fax: 508-790-6230. Property w erMust Complete and Sign This. Section if Usiag ABuilder as Ovrner of the subJect proPettY hereby authorize P�,(,e)!5 C -t F;2.IP cU SAS to act on ray behalf, ry is MLH- 'e to work au±o&_.ed by,this bw1diag permit applic HM for. %-3 b F�ILL� (Addis5 of Job)M 1 S] of Owner Date k i"��G`i�c� • Printa�e. if Property Winer is app�iag for p ermit pleas e, coraplel e.the 'Homeowners License Egcrlptioa.Eorm on the reVerse side. Tm N90 � ,u w \ c SIr n � s IRA di � ..._�— ..•. Am- �xi 2g,NNhiv" rowY WE rc T f ,, l0 k ilkhE .np D,3D✓d�"1t 4 i ¢ MWM-1.1 lry y E EE �? e Ol �i° f rmzti q \ � \ y ads x �tt"Wl s t 1 s i �> r-a a N � � r Ix � r pp "I wi N.a � t .r� ��p •• .roc ""� � _ ' .�.x �r� c,�aa�. � c� �S ram ... >dD ..- ........ m a 110 MPH EXPOSURE B WIND ZONE Checklist 1.1 SCOPE Wind Speed (3-second gust).........................................................................................................110 mph WindExposure Category.......................................................................................................................... B 1.2 APPLICABILITY Number of Stories .............................................................. (Figure 2)............... /•7 stories <_2 stories Roof Pitch ........................................................................... (Figure 19 <_ 12:12 Mean Roof Height .............................................................. (Figure 2)..................................._ft. S 33' �► Building Width, W ............................................................... (Figure 4).................................. Z0l ft. <80' 7 Building Length, L .............................................................. (Figure 4)...................................3k ft. <80, Building Aspect Ratio (L/W) ............................................... (Figure 4)................................lai j <_ 3.0:1 1.3 FRAMING CONNECTIONS / General compliance with framing connections?.................. (Table 2)........................................................ V 2.1 ANCHORAGE TO FOUNDATION Type of Foundation............................................................. (Figure 5)................................. " Foundation Anchorage Proprietary Connectors IS-4 Uplift. ...................................................................... (Table 3) U =90 plf ..................................... Lateral..................................................................... (Table 3)......................................L= 137. plf Shear...................................................................... (Table 3) .....................................S= 639 plf 5/8"Anchor Bolts "'N'*":::<� .v,,,,»,xk., \,x»vvv:»v .xvvvvvvx•.x,• Bolt Spacing .......................... Table 4 —q in. Bolt Embedment.......................... (Figure 5) Washer Size (Figure 5) 3 in, x 3 in. x in. thick.......................................................... ............ 3.1 FLOORS :a Floor framing member spans checked?.............................. (IRC or WFCM).............................................. Maximum Floor Opening Dimension................................... (Figure 6)...................................-k ft. < 12' ✓ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................. (Figure 7)..:................................... ft. <_d ";K Maximum Cantilevered Floor Joists ✓ <::: Supporting Loadbearing Walls or Shearwall................. (Figure 8)...................................... ft. <d u` »,g Floor Bracing at Endwalls.................................................... (Figure 9)....................................................... Floor Sheathing Type.......................................................... (IRC or WFCM).......................... Floor Sheathing Thickness.................................................. (IRC or WFCM)...................................A in. Floor Sheathing Fastening Table 2 .................................................. 4.1 WALLS Wall Height i Loadbearing Walls........................................................ (Figure 10)................................7 I0 ft. <_ 10' 2�4 Non-Loadbearing Walls ................................................ (Figure 10)........................... .....7'10 ft. <_20' Wall Stud Spacing............................................................... (Figure 10).......................... A, in. <_°24" o.c. Wall Story Offsets ............................................................... (Figures 7-8)....................... ........ in. <d 4.2 EXTERIOR WALLS Wood Studs J Loadbearing Walls........................................................ (Table 5).....................2x - ft. i0 in. Non-Loadbearing Walls ................................................ (Table 5).....................2x__(, - ft. i in. ...... ................. _ ............AMERICAN FOREST&PAPER ASSOCIATION 110 MPH EXPOSURE B WIND ZONE Bracing Gable End Walls WSP Attic Floor Length................................................. (Figure 11)..............................._ft. >_W/3 Gypsum Ceiling Length................................................. (Figure 11)............................._ft. >_ 0.9W � Double Top Plate Splice Length................................................................ (Figure 13)............................................ ft. 7 Splice Connection (no. of 16d common nails) .............. (Table 6).................................................. G Loadbearing Wall Connections Uplift. (proprietary connectors)...................................... (Table 7).....................................U =i23 lb. Lateral (no. of 16d common nails) ................................ (Table 7)................................................ Non-Loadbearing Wall Connections Uplift. (proprietary connectors)...................................... (Table 8).....................................U lb. Lateral (no. of 16d common nails) ................................ (Table 8)................................................_I Wall Openings Header Spans............................................................... (Table 9)......................... ...Lft. © in. <_ 11' e/ Sill Plate Spans............................................................. (Table 9)......................... I ft. (9 in. < 12' Full Height Studs(no. of studs)..................................... (Table 9)................................................ Connections at each end of header or sill Uplift. (proprietary connectors)............................... (Table 9).............................................MI lb. Lateral (proprietary connectors) ............................. (Table 9)..............................................M lb. Wall Sheathing Minimum Building Dimension, W Sheathing Type ...................................................... (Table 10)....................................... WSP Edge Nail Spacing.................................................. (Table 10).......................................� in. Field Nail Spacing................................................... (Table 10).....................I................ ..1�' Shear Connection (no. of 16d common nails)........ (Table 10)................................................ Hold Down Capacity Table 10 ............I................43..0. Ib. _ Percent Full-Height Sheathing................................ (Table 10)................................��... % Maximum Building Dimension, L Sheathing Type ...................................................... (Table 11).......................................... wSF' Edge Nail Spacing Table 11 ` in. Field Nail Spacing................................................... (Table 11)......................................... 92 in. Shear Connection (no. of 16d common nails) ........ (Table 11) ...............................................3� Hold Down Capacity Table 11 4340 lb. Percent Full-Height Sheathing................................ (Table 11) ............................................R21. Wall Cladding / Ratedfor Wind Speed?......................................................................................................................... V 5.1 ROOFS Roof framing member spans checked?............................... (/RC or WFCM).............................................. Roof Overhang.................................................................... (Figure 19).......................... 1 ft. <_2' or U3 �✓ Truss, I-Joist, or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift. ...................................................................... (Table 12) ...................................U M03 lb. Lateral..................................................................... (Table 12) ....................................L=174 lb. Shear...................................................................... (Table 12) ................................... S= P lb. Ridge Strap Connections—Tension ................................... (Table 13) ......................... ..........T=�plf IT Gable Rafter Outlooker....................................................... (Figure 20).................... ft, ft. <_2' or V2 Outlooker Connections at Non-Loadbearing Walls Proprietary Connectors .J Uplift. ...................................................................... (Table 14)...................................U= M� Ib. Lateral..................................................................... (Table 14)....................................L= N 4 lb. / Roof Sheathing Type .......................................................... (IRC or WFCM)...................... &' 5 a/ Roof Sheathing Thickness.............................................................................................4in. >3/8"wsp Roof Sheathing Fastening................................................... (Table 2)...............,..............................6�6 ...... ......... AMERICAN WOOO COUNCIL tv THE r Town of Barnstable �� �pP Oyu Permit# Expires 6 months from issue d�hX�. * Regulatory Services Fee w O * anaxsTAac,e, 9 "'ASS'� i63q. m� Thomas F.Geiler,Director p � rFD MA'S A Building Division Tom Perry,CBO,_ Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.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 O 1 U Property Address fE ®fA Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Z thC-,Q Telephone Number Cf-74 6KZ 92 I k, Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) GJ �/ I .(� -P E S PERMIT ❑Workman's Compensation Insurance OCT - t 2009 Check one: ❑ I am a sole proprietor TOWN OF BARNSTABLE ❑ I am the Homeowner [ I have Worker's Compensation Insurance Insurance Company Name u1,,,,- zA fft.,1/A ��J 6Lt- /) 1 ? i-4V Workman's Comp. Policy# LAI C If - �'LC-)`q Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ® Re-roof(stripping old shingles) All construction debris will be taken tot?any++ ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side f #of doors ElReplacement Windows/doors/sliders.U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 090809 The Commonwealth ofMassachitsetts Department of Industrial Accidents Office of Investigations 600 Washington Street w. ti Boston, MA 02111 4 S � www.mass. ov/dia g Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Iva,- :,1/ yz-�a'-'e Address: S 7'ri ZV ld U/60+_ 6.JkA t S+ City/State/Zip: 1VW,_1v t 14'A 02,296' Phone #: 6'�,74 Z Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. [!SI am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp, insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t. c. 152, §1(4), and we have no 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 state whether or not'those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: !3 O�� Ctd�Cx�3i L2 ( City/State/Zip: wmcw_Nl�.!& A_O 260 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. I do hereby certify tinder the pains and penalties of perjury that the information provided above is trite and correct. Signature: Date: / Phone#: � �f,) CAT -72-4f, 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#: u 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,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.", Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple pen-nit/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 fiiture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.tnass.gov/dia 024eb. 11. 20091 9: 15AMG McDONAID INSURANCE +e7a 331 9590 T-74N0. 7971 P . 1.Ise t•�a. A\+ •,,; ar,.w: r „�. ;,+tiA7'.•�t�V••�•.rr:a�::,Y. :.N v+.._h y: .- �.::: ..• . . • '�,"'c�.•_ n��..•!;. -'•� ;,�'?L;• +r� 'f[1�.�r.-� �� �k.h'L�-.,a. :a..�.?'••�:: •. :,,��;-�•.•� ... ._... '•21l0t2009. jpl': atr � ! r 4 ,,. sr, P+'Mrt �+. Y��!"„" rr- �•'4:;•!. , -ff: •.. .7•f: ni:-' '�'l ,�• t.' fit 111.. •u [+-.. M'";'• ���•s �:?�:•••� 1.r.�ly ...ra � f V,� �t t �F4.��-+�.'v"'�t h r �+fl'.'�'•��� ..'"'r} �•� . pROn��cER THIS CERTIFICATE IS IS8UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THI CERTIFICATE Thomas P McDonald In Agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 82,klillatd 5t ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Quincy,MA 02159-1204 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Ka"One Home improvement LLC 94 Bkknell St Dulnay,MA 02169-0000 COVERAGF-$ V ;6, r� ti-, Y:Ct..',•.r LaA'•ijpT • .r•' .:�.,•r•�."r..,ll'��f.t _V•,'•".' '. ... '�I�1+. �•� r:'a.�,.f: _•4��.� I:C:�icIlSk�'1 r•N�: :L t�. rj�� _;.; •:,� . '.. 'i;�� �•.,.,,•Ir ••, t,.. YNtiS IS T®Gt=RTIPY'f1�4T THE POLICISS OF INSUR ANCE LIS`CED BELOW 14A���t��iSSL�?i 0 i�+#�{��UaEy�A"fl:0'SO��E FOR 1 [1 HE[,=*au%-,i'PERIOD lN0111,- ED,,NOT IT!IS?AN�DIN O A9I•�ISfSREOVIRpP��lRmK T,,-,VR i OR CO" t ICrt.Ot �t.. .,r.. p QCUm 'CtT YYt11 t i(laC.mP vS: T�7Y HIC t tits CER t FICAl-CfA[ 5E I�,314-0 OR MAY PERTAIN,Td•?r�E INls�?RANCErAa-�f'.OjRDEyD nCp.`pr 0 t THE t C t[t��3 F N� N [C-014t-31TIO S yF SUCI,�PVI_ICIdS ,—I i S S1 '•`` POLICIES n6@l'�.�.;a�I°It�Ea?vl iS SUBJECT Tt.,ALL (I'r�T€e4v�nrc5,•.��`.btra W�,� AND` MAY HAVE SEEN R7r-DUCED BY PAID CLAIM"& CD LIP I PE OFIPdSUiZANC15 I Rvu"Psi/ftBfia tb {C 7 E-r-'V�a'r1�€3A P'QLr-Y P.:IF3RnY!+?gt�AT�I I r, M RM-RE CUMIFEH6ATlCN - jy' A ykwD EINAN Oyt-R4.l LN�tlt t 7 t I LIMITS S «.1 ��s s^a�„Y Y•� j{{ I I I ARYNER$✓AXEGtfi'(Vg I � {I• I t FFICMRS AAr: NCL t3 EXCL a 4879775 11125/2009 11121 l201�9 rA. oar S. aaifapa AApiee ri FAA OpatilIMS Q#y- CFi AQCI[]EN7 100'00 lOUSE POLICY LiMtr S 600,00 irASE 8 DgSCPJPTION OF OPERA ONS7VEHICL CIAL ITEPA6 RE:No PARTNERS ARF.GOV€RF-0 BY Tit WORKERS COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION MARTIN HOME IMPROVEMENT 6►OVO ANY OFTMEABOVOOEsealsEDPOLCgggaCar40ELjgaBEFOfMT4 599 OLD WEST CENTRAL ST � EnelsLa7lD�t DRT> 7N�simF.TyE ESsulnfi s�gsu rev�lLL easc�voa Ta:.;a APT I37 4 DAYStNRtFIEP ff071�6T� hLGEKt7rnRicri^v�6iani:AiiEC OF1Eia4T.8t+T f C FRANKL.I N,MA 02038 � F xu.Us%To teAlL SUCH NO T ICF GRAIL a POU NO 031!ST!ON OR LCA$ILl l 9> 4 f widY t>.nu V,0r4 1-1i3"w,,,€A%:Y.?&A--tVT$4�4 RfFuF �hryprN� 1 t UTHORIZED RPPRESENTATNE I I C _ _�-_—____ Irv•. . �:. t.. rf f� �THE � Town of Barnstable Regulatory Services ♦ r HMMTAB MAS& Thomas F. Geiler,Director v� i639 ,0� ''TFD MAI 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, Q6W Qoan i U ;as Owner of the subject property hereby authorize Q11YXAL X4pLnJ,ill- c le to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of J ) 0 Signature of Owner lbate Print Name If Property_Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RMS:OWNERPERMISSION Town of Barnstable ,4 OF THE r o Regulatory Services SrAB Thomas F. Geiler,Director 9q, 1639.` Building Division PIED IrIA't 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 "HOMEOWWNER": name home phone 4 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 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORM S\homeex empt.DOC sr a�Iassacl�itscft� :i�z 6i�trtn�ct 6t'Put�lt� 5iticta • )gourd ot:Buildrn�:Rc ulartionti,.Qo�ii St tnt.=ftli�.t Construction Supervisor Specialty License. -License- 'CS SL 99176 Restricted to ,,RF,WS: s. F RUBEN MIGUEL 599 OLD WEST CENTRAL ST ; FRANKLIN, MA 02038 , Expiration: 1/14/2012' ('uinniissioncr: Tr#: 99176 e License or registration valid for md►vdul use only /2aaaz I Lice l �am�Affairsusiness Regulation .; before the expiration date. If found return to' I Office of Cons & fl HOME IMPROVEMENT COP?TRACTOR,: Office of Consumer Affairs and Business Reg 10 Park Plaza-Suite 5170 Registration:,\147993 Tr# '2871 11 261 Boston,MA 02116 Exp - a12011 iration MARTIN HOME!IMPROVEMENT l RUBEN MIGUE Undersecretary Not valid without signature 599 OLD WEST CENTRALS #B7 FKANKLIN,MA 02038l :/_: ;" Bk 15303 P9284 �55932 MASSACHUSETTS QUITCLAIM DEED 46-26-2002- & 43 a 25P I/We,Mauro Rivera and Aida Rivera of 83 Old Craigville Road,Hyannis,Massachusetts 02601, for consideration paid,and in full consideration of TWO HUNDRED NINETY-SIX THOUSAND AND 00/100 Dollars(U.S. $296,000.00) Grant to Frank Rondinelli and Rose Rondinelli,husband and wife,Tenants by the Entirety,of 14 Cherrywood Drive,Norwood,Massachusetts 02062 with quitclaim covenants The land, together with the buildings and improvements thereon, situated in the Town of Barnstable (Hyannis-West)),County of Barnstable and Commonwealth of Massachusetts,being LOT 88 as shown on a plan entitled "Craig-port a Residential Subdivision in West Hyannis, Mass. Property of Rolkin Realty Trust. (Frank L Elkin, Trustee)", dated September 1961, E.D. Kellogg, Engineer, which plan is recorded in Barnstable County Registry of Deeds in Plan Book 165,page 41. Subject to restrictions,reservations,easements and covenants of record,insofar as the same are in force and applicable. Being the same premises conveyed to the herein named grantor(s) by deed recorded with Barnstable County Registry of Deeds in Book 13269,Page 050. PROPERTY ADDRESS: 83 Old Craigville Road Hyannis, Massachusetts 02601 1 �J 1 i B,k 15303 P9285 ;55932 Witness my/our hand(s)and seal(s)this 26th day of June,2002. v �auro Rivera Aida Rivera Commonwealth of Massachusetts Barnstable,ss: June 26,2002 Then personally appeared the above-named Mauro Rivera dVdaera and acknowledged the foregoing instrument to be his/her/their free act and deed before e. Notary ublic: chard S. Dubin,Esquire My Commissi Expires: 94#W- DARN TADLE^COUNTY JOHN CLARKL<TEPHENSON Notary Public Commorv:Z lih o;Y?assachusetis REGISTRY OF DEEDS My Commission expires COUNTY EXCISE TAX Novembe 29.2007 4� DATE 06.26.'02 ��[ os DEEDS 01 TA $�574.8A Fs Ti�09_E TOTAL $04.88 CASH $674.80 06/26/02 ::30FIf 01 CLERK 1 NO.030957 0000oo t479U TIM£ 15:13 1111 FEE $1012.32 32 BARNSTABLE REGISTRY OF DEEDS 2 �Val Town of Barnstable *Permit# 7 Y .� Expires 6 months om issue a M : Regulatory Services Fee n . 1m� Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 A- Fax-, 508 790-6230 S Pt "M1t° EXPRESS PERMIT APPLICATION - RESIDENTIAL ONEW 2 2 2Dp4 Not Valid without Red X-Press Imprint �.0WN iplparcel Number a?, a /0 S OF 8�41�/��7A8Q >perty Address Residential Value of Work Minimum fee of$25.00 for work under$6000.00 vner's Name&Address CD intractor's Name_ 'f c)—0A Telephone Number �-o — 1[-(6 q V l )me Improvement Contractor License#(if applicable) . instruction Supervisor's License#(if applicable) lWorkman's.Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance .urance Company Name orkman's Comp.Policy# ipy of Insurance Compliance Certificate'must be on file. rmit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side 12Repl4aement 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. ***N Property Owner must sign Property Owner Letter of Permission. me Improv t Contra r icense is required. nature �orms:expmtrg dse063004 5 DN TO BSMT. 9-6 REFER TO 2009 IRC a'-s a'-s i LANDING ON PATIO F8TH EDITION MASSACHUSETTS C235 ___ ____ _DW ° ° ; 2X6 WALL GENERAL NOTES: ----- A. 1. Before final Drawings and Specifications are issued for construction,they shall be submitted to all governing building agencies to insure their comptiance with all applicable local and KITCHEN ; nationalfic codes. If code discrepancies in Drawings and/or � Specifications appear,the Designer shall be notified of such REAKFAS discrepancies in writing by Builder or building official,and allowed to after Drawings and Specifications so as to comply OFF ®° with governing codes before construction begins. 8x3' IS r 2. Upon written receipt of approval from the governing official, ISLAND / approved final Drawings and Specifications shall be submitted a , --------- ------- --- ------ -------- to the Builder by the Designer. 3. it code discrepancies are discovered during the construction ' �, process,Designer shall be notified and allowed ample time to REM�vE remedy said discrepancies. WAl�g G 4.All work performed shall comply with all applicable local,state and national building codes,ordinances and regulations,and BEAM all other authorities having jurisdiction. - ABOVE—�' - B. All contractors,subcontractors,suppliers,and fabricators,shall be responsible for thecontent of Drawings and Specifications and for Z _ the supply and design of appropriate materials and work .(�1 performance. C. All manufactured articles,materials and equipment shall be applied, � �r JF ENTRY installed,erected,used,cleaned and conditioned in strict Z Q M accordance with manufacturers recommendations. Z Z < COD. All alternates are at the option of the Builder and shall be at the . ,1 _� J r Z 00 © Builder's request,constructed in addition to or in lieu of the QUI Cn � X DD CL typical construction,as indicated on Drawings. � Z m 0 N CL E. SPB Designs is not responsible for any plan discrepancies. J O O Q oD Builder&Homeowner to review plans before start of construction. Q 0 W to W LIVING ROOM w z 0- NEW WALLS= ® r m EXISTING WALLS=- O FIRST FLOOR PROPOSED z z O Q 1 0 Il NEW SHED ROOF OFF OF EXISTING RIDGE W () `Z 0 Z W IY O p W 1— in J Q W 0 1.111 LU Cr • O Uir - a0 Z O Z O CCDD U —- -— I SCALE 23/1'-0' DATE 4l23I72 1111 1111 Jill III I L 11 It 11 it 11 11 11 IliTI I I 11 11 11 11 11 11 11 11 FT11 1 11 11 11 11 il 11 11 11 1 DRAWN BY PAB .... REVISIONS: REAR ELEVATION DRAWING NUMBER COPYRIGHT SPB DESIGNS 2012 Al / a� is qm 5 z azi N - �; �g y ° '> 2 °� z aF O n M- s S O z D O Z r = m o �mooMINg cOx� FO c Z sz . o ZOO G) o� y�`a v -T7 g m Q m O S � 2 3 czi 2 6m S u�i o m m Gt x 4 v z m m x z G7 y y m ti X G> N 71 DQ O -n ^ T m O z o m Z zG) o m y �N N O � z //�� T N m N O fJ l/ PA T. p 9G m r [Il C Ty` z �m(n m = T g uo y V. O 2 07 y F 0 I �O m 0 p 9 z y N O O T y yN = F�c mx °v mnm m n=cD y l I I n m 4�.0• ��,1=� MATCH TO EXIST.WALL HT. I I I I ' I EXISTING FOUNDATION `----------------------- - - ----------------------------------------------------------' 1 ' 1 D 1 1 ---------------------------I----• •----------------------0 D - T m K I 1 I C ZODx . •----f - -r---------------------=- r-I- - ' 1 I 1 z� mfT -I-------------------I- -- ' o 'm jxZ K a'i •e 1iIi G) Z m« iZ =j PD' I ' nI y ° oOp G) m Z A q OG [ si El m d' n �N ' I mr I I 1 D` m I I I 1 I O EXISTING FOUNDATION I ° I , ---------------- I ° I I -- - .FOUNDATION CONNECTION BETWEEN EXISTING& I NEW TO HAVE 345 REBAR SPACED VERTICALLY EXTENDING i i z I S EACH WAY /HIGH STRENGTH GROUT I ; 1 i i I I I i i i i 1 1 0 x =1 y C, O N O N °g a PROPOSED ADDITION/RENOVATIONS Z N RONDONELLI RESIDENCE RESIDENTIAL DESIGN,DRAFTING, &CONSULTING D m 83 OLD RD. P.O.BOX 1441 N CENTERVILLEVILLE,MA.A. EASTON,MA. sB (508)238-8338 ;I a f .f' a A f. 2X10 FLOOR JOISTS @ 16"O.C. 2X8 P.T.DECK 1 JOISTS @ 16"O.C. rQ �a m y �a mF �0a a , ------- --- --- --- --- --- --- --- --- --- --- ; , , 2X8 RAFTERS/ CEILING JOISTS @ 16"O.C. ; MATCH NEW FLOOR JOIST � ELEVATION W/EXISTING ; FLOOR JOIST ELEVATION ; o z I-O ;' i z 1 Qfr ' z Z Cc Do � ' '� z H CM9 LL LII Z _ � cj ---------- W uwcn 00 c'> = z ; 0 z inF— cV Lo i;' :F- i J O O C'oQ 3 -------------------- --- --- g U w i W m , ------ cf) u , Z i NOTE:BUILDER TO V.I.F.EXACT PITCH OF THE NEW SHED ROOF --------- ------------ AND ----`-_ -- ANDTHENEWREAFlWALLHT. FLOOR FRAMING PLAN cf, z 0 H I II Q NOTE:REFER TO AMERICAN � 1 I i WOOD&PAPER ASSOC. 0 PRESCRIPTIVE RESIDENTIAL z WOOD DECK CONSTRUCTION GUIDE WEt W U W � z ' W i (2)1/2"DIAMETER HURRICANE H !1) Q THRU-BOLTS W/WASHERS. TIES H2.SA UJ 0 Gr BEAM MUST BEAR FULLY 0 _ - - - ON,G'X6'NOTCH WITH O W - A MNN.6°X6"P.T.POST. P.T.LEDGER BOARD W/ 0 I j � J ROOF FRAMING PLAN BPXS P.T.BEAM W GALVANIZED ALUMINUM U) z (� FLASHING&5°(2) 0 DGE.L."@24°O.C. d 0 0 z 0z X 0 M W n. aC m U SIMPSON ABU66 W/ 5/8"ANCHOR BOLT SCALE 1/4•=1'-Ir , @ EACH SONOTUBE DATE 4/23/12 .I DRAWN BY PAB I 2PLY BEAM DECK SECTION DETAIL REVISIONS: ' SCALE:1/4"=V-01 DRAWING NUMBER A3 COPYRIGHT SPB DESIGNS 2012 d