HomeMy WebLinkAbout0141 SOUTHGATE DRIVE e
fIV
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ala � d 0' Parcel L O �" �� � s� -Permit#
p ,
�a ,6 r Date Issued I Q_i c-O S
Health`Division .
Conservation Division `" �` S,.° Fee 1
E 'T
Tax Collector CQNNECTED SEWER ACCOUNT .7 v
=Treasurer
Checked in B
Planning Dept. Y
Date Definitive Plan Approved by Planning Board Approved By
Historic-OKH Preservation/Hyannis „
Project Street Address 1 S®u+1A �je-
Village k4 *Ps— \r\ i
Owner ��'\Q �.s� dress
Telephone C1
Permit Request .
Square feet: 1 st floor: existing ® proposed 2nd floor: existing proposed Total new `1 ~
Valuation ! Zoning District - Flood Plain Groundwater Overlay
t r
Construction Type
Lot Size Grandfathered: ❑Yes qNo 1f yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes No`
Basement Type: Xull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) ` Basement Unfinished Area(sq.ft) 0
Number of Baths: Full: existing 2— new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: )Gas ❑Oil, ❑ Electric« 0 Other
Central Air: ❑Yes )dNo . Fireplaces: Existing New _. Existing wood/coal stove: M Yes: )I(No
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn ❑existing 0-new size
Attached garage:❑existing ❑new,. size Shed:❑existing Cl new size Other
Zoning Board of Appeals Authorization U Appeal# Recorded❑ '
Commercial ❑Yes ❑No If yes, site plan review# 4 "CD
Current Use Proposed Use x
M
, 1• , B�UjILDER INFORMATIONName \V►'1ou � 1Alkyl Telephone Number
Address bU-A . Q- License#
` Home Improvement Contractor# r i
•
, a Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS'PROJECT WILL BE TAKEN TO
_
SIGNATURE �� DATE .
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED }
.. f,_ y
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER ' - -,
DATE OF INSPECTION:
S
w,
FOUNDATION
p
FRAME ORZ
INSULATION _®_ CL
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO. =
I
The Commonwealth of Massachusetts
Department of h dast al Accidents
Office.of Investigations '
600 Washington Street
Boston,MA 02111'
w W mas&gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluxjibers
A licant Information Please Print Le alb
Name(Business/organizatiowlndividuaD.
i t�.
. Address: � \ "`' C'— v� • .
Phone#: •.� '"—`� ��--.
City/State/Zip:: : �►
Are you an employer? Check the appropriate box:. ;Type of project(required):
1,M Z am a employer with 4. ElI am a general contractor and I 6 ❑New construction
employees(full'and/or part-time).* have hired the subcontractors employees ❑ Remodeling
listed on the attached sheet. #
2.❑ I am a sole proprietor or partner- .
and have no employees � These sub-contractors have ,S. � • Demolition
ship workers' comp.insurance. g• NtBuildinj addition
working for me in any'capacity.
o workers, comp•insurance 5• ❑ We are a corporation and its 10.7 Electrical repairs or.additions
i • required.] officers have exercised their
3. I am a homeowner doit<g all work
. right of exemption per MGL
1'1.❑ Plumbing repairs or additions
.� elf.(No workers comp.
c. 152,§1(4), and we have no.. 12.❑ Roof repairs
insurance required.].t employees.(No workers 13:❑ Other.
co=p.insurance required]
*Any applicant that checks box#1 must also 611 out the section below showing their workers'compensation policy information '"`
t Homeowners who submitthis affidavit indicating they are doing all-work and then hire outside contractors must submit a new affidavit indicating such.
;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workere.,co rp::poUcy`inba matt°°'
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: City/Stategip: ,
Attach a copy of the workers' compensation policy declaration page(showing the policy number and•expiratioat date).
Fame to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminalpenalties of a
fine up to$1,100,.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$250.00 a day against the violator. Be advised that a copy of this statement may lie forwarded to.the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby c rtify and the painaTV
afties f perjury that the information prov a above Is true and correct.
Si ate:
? �
ar
Phone#:
Lonly. Do not write in this area,to be completed by city or town official.
yn: Permit/License#
hority(circle one):
Health 2.Building(Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
r, Phone#:
Y
dI Instructions.
anon a .
Inform •
ter 152 t uires all employers to provide workers' compensation for their employees.
Massachusetts General Laws chap person in the servile of another under any contract of hire,
Pursuant to this statute, an employee>s defined as"...every
e4iress or implied,oral or written." two or more
artpership association, Mporation or other legal entity, Y , .
An employer is defined as."�W4p�.,p Io�er,or the
of he foregoing engaged in a joint enterprise, and inchidmg the legal representatives of a deceased emp Y
artn , association or other legal entity,employing employ' es. Hov�teyer: e
receiver or trastee of an individual,p ership and
who resides therein,or.the ant of the
owner of a dwelling house havi ag not more
apartments
dwelling house of another who
empoY$persons
th othree maintenance,canstruction o rep wo ti such dwelling house
urtenant thereto,shall not because of such employment be deemed to be an employer."
or on the grounds or building app
MGL chapter 152, §25 C(G)also states that"every state or local licensing agency shall withhold the issuaace or
ewal of a license or permit to operate.a business or to construct buildings in the commonwealth for any
ren produced acceptable evi.dence•of compliance with the insurance coverage required."
applicant who*has not
ter 152, 25C states"Neither the commonwealth nor any of its-political subdivisions shall
A3ditionally,MGL chap .. § (�
of public work until acceptable evidence of compliance with the insurance
eater into any contract for the performance�req •
#emcnts of-this chapter have been presented to the contracting authority.
Applicants •: • .. .
Ple
ase fill out the workers' corr.�ensation affidavit`completely,by checking the boxes that apply to ygnr situation and,if
necessary,supply sub-contractors)name(s),addresses) and phone number(s) along with.their cerdfieate(s)of
ante. Limited Liability Companies(LLC)or Limited Liability Partnerships(UP)with no employees other thinsuran-the
members or partners; are not required vi workers'this affidavivit maybe submitted to the DepCartment of Industrial
or LLP does have
I
er iployees,a policy is required. B.e advisedThe affidavit
Accidents for confirnnation of insurance coverage.. ebe or licens sure tosign aend date the�s being requested, the Depaztmeat of should.
b e returned to the city or t°�that the application f permit
b e Titu n Accidents. Should you have any questions regarding the law or if you are required to dbtain;avo�es'
er listed below.. Self-insured companies shouid enter their.,
compeusatioupolicy,please callthe Department at the numb
self-insurance license number on the appropriate line.
City or Town Officials .
Please be sere that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fin out in the event the Office of Investigations has to contact you regarding the applicant
tense number which willbe used as a reference number. In addition, an applicant
Please be sure'to fill in the perpaut/h need only submit one affidavit indicating current
thatrmist submit multiple permit/hcense applications in any giv year,
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
es. Anew
e filled out-each
applicant as proof that.a.valid affidavit is•on file for;faturs Qom? t not�related to any �ln business or scob��al v tare
year,Where a home owner or citizen is obtaining a hcen p
(i e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would lile 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.faxmunber:
The Commonwealth of Massachusetts
dustrial.Accidents
_ ent of In
Ike axtm .
. . .. .. ..Office of Itavest�gataons
;. 400'Washingfon•Street
R ��7j }� '��d(� //� V .
.•1,..{,j .Bosti% lV X 02.111.•
Tel. #617-727-4900 ext 4G6 or-1-877-MASSAFE
Fax#617-727-7749
Revised 5-26-05 www.mass.gov/ilia
oFE Town of Barnstable
A Regulatory Services
' Baxiaslill. . Thomas F.Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolitions or construction of an addition to-any-pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. -
Type of Work: t Estimated Cost
Address of Work: "� e
s O
' Owner's Name:
— AUZ—)C7\L�NA PSAA, ,
Date of Application: OLAA
I hereby certify that:
A
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
OBuilding not owner-occupied
`'Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
fi
Date Owner's Name �46a_e
�
Q:forms:homeaffidav
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition $50.00 a -
Alterations/Renovations $50.00
Change of Contractor/Builder $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot= x.0041=
plus from below(if applicable)
t
ALTERATIONSMENOVATIONS OF EXISTING SPACE - - --
• square feet x$64/sq.foot= x.0041
.:
plus from below if applicable)'. - -
GARAGES(attached&detached)
square feet x$32/sq.ft.= x.0041=
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf' 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq,foot= x.0041=
STAND ALONE PERMITS
Open Porch - x$30.00=
(number)
Deck x$30.00
(number)
Fireplace/Chimney x$25.00=
(number) -
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
pto -
,�wwww....��1 Y
Rev:063004
TableJ33.1b(eoatinoed)
prneriptire paekagea for One and Two-F=4y Residential Buildings Heated Vdih Fosaii Fuck
. HAtmumi MINIMUM
Etlid.(M ing G132ing Ceiling Wall Floor $axaseni Slab HeatinglEM ing.
Wall pesimetet F,quipraeat mcy'
Area' R v
'(�•) U-valuct alue; R value+ R-valuO R-ems R vatue�
package '
5701 to 6500 Heating Degise Days'
12/• 0.4o 33 13 19 10 6 Normal
Q' • _
6. Normal
R 12•/. 0.52 30 19 19 10 BS E
3 12'/.' 0.50 31 13 19 10 6
NIA Narmsl
_--T_----1311,_..:�36_--•-- 38 13 25 MA —Honrcal-
'::'1SYe 0.46 31 19 1. 19 10
7 6 - ---
V..;...:.,. :.--15% OA. 31 13 •. 23 NIA 15 AFUE
W 15•!. 0.52, 30 19 19 10 6
X 18% 032-• 38 13 25 NIA
N/A Normal.
Y I1Y. ' 0.42 38 19 25 NIA N/A Now
Z . - 18% 0.4Z 38 13 19 10 6 90 AFiJE
AA 18'/. 0.30 30 19 19 l0 a 90 AFUE
1.-ADDRESS OF PROPERTY:
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:.
3. SQUARE FOOTAGE OF ALL'OtAZING: - ••
4. %GLAZING AREA(#3 DIVIDED BY#2):
5. SELECT PACKAGE(Q--AA-see above):
Lei✓ e �/
NOTE: 0 MORE IzmwVOL THODS O+F DETERMINING ENERGY QUIRE1,MNTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES. NO:
g•fcmms-580303a
I J V
780 CMR-Appendix J
Footnotes to Table J5.2.1b: assemblies (including sliding-glass doors, skylights, and
4 Glazing area is the ratio of the area of the glazing (i g
basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall
area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement.
For example,3 of decorative glass maybe excluded from a building design with 300 8=of glazing area.
3 After January 1, logy, glazing U-values must be tested and documented by the manufacturer in accordance with
the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3.a. U-values are for
whole units: center-of-glass U=values cannot be used.
The.ceiling.R values do not assume a raised or oversized truss constriction. If the insulation achieves the full
_ insulation thickness over the-exterior walls without compression, R 30 Insulation may:be substituted for R 38
insulation and'R=3B nsu7a�ion may be'stibitittifed'for R=49'insulation: Ceiling R-xalues-represent•the-sum••of cavity-.••__•
insulation plus insulating sheathing (if.used):For ventilated ceilings, insulating sheathing must..bq.placed between .
the conditioned space and the ventilated portion of the roof. if used Do not include
'wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing used u )•
exterior siding, structural sheathing, interior drywall.For example,an R 19.requ' reul'be rnts aet lT E
kR
by R-19 cavity insulation OR R 13 cavity insulation plus R 6 insulating asheathing qu
to
wood-frame or mass(concrete,masonry,log)w p
all constructions,but do not l to metal-frame construction.
The floor requirements apply to floors over unconditioned spaces(such as unconditioned cmwlspaces;basements,
or garages).Floors over outside air must meet the ceiling requirements. jpo/,below de must
tr than gm
'The entire opaque portion of any individual basement wall with an average depth less lass ,doors.of conditioned.
meet the same RRvalue requirement as above-grade walls, windows and sliding g..
basements must be included with the other glazing. Basement doors must meet.the door U-value requirement
described in Note b.
The R value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
If the building utilizes elettric resistance heating use compliance approach 3;4,'or 5.•'If you plan to install more
e than one piece of cooling equipment, the equipment with the lowest
than one piece of heating equipment or mor
efficiency mvstmeet.or exceed the efficiency required by the selected package...
For Heating Degree Day requirements of the closest city or town see Table J5.2:1a
MOTES:
a)Glazing areas and•U-values are maximum acceptable,levels.Insulation - e m um acceptable•levels.
R value requirements are for insulation only and do not include components.
b)Opaque doors in the building envelope must have a U-value no greater than 035.Door
from the must
be tested '
and documented by the manufacturer in accordance wimva the FluRC test e ratio pfor that door is not available, include the
in Table J1.5.3b. If a door contains glass and an aggregate U- g
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(Le„may have a U-value greater than 0.35).
c)If a ceiling,wall,floor,basement wall,siab-edge,of crawl space wall component includes two or more areas with
different-insulation levels,the component complies if the area-weighted average R value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
yalue of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
43
04/07/2000 12:55 17813415098 PAGE 02
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SURVEY
I.
MFUEANI
I k
A PROFCeBIONAL LAND"URVEt^O�►, Q,MERICAM Sl1RYEYING COMPANY
I 00 HER Ce ATIFY THAT 7ME
ABOVE MORTGAGE IN�PECT10i1 1264 Maln Street Wa1ttN8m,MA 02461 (781)893-"77
1 112 22y ' m- ,N
CONNE0NOT INTtyANEWOR RE Ad- Mort age Inspection Plan
AN0 ($ NOT INTENDED OR REFRE
394TWTO SEA tANOCAPIROPERZY THE LOCATION of 7NE OAIOINAL ASOORDEDAT NTYAECUBTRYOFDEEM
LINE SURVEY. NO COi1NER8 WERff DWGUJNI2 SHOWN FiERlON lTTNER 9001( >. ��--
SET. I ING FT BE , liE FOR OR WAS IN COMPLIANCE WITH THE LOCAL PLAN REF@PENCe:
TAHLl3MIN0 FENCE-, M8DG6 OR S ZONING BYLAWS IN•f^QR�+WNFGATO. OF .. .. A?�>=>sGOA•s
BUILCIN1i16 BASE�IELAN�AB T FUW FECT WKN cONSTAUCTEO WITH Ra-MAP 0 P C TED
HEREON l5 BASED ON ANT ftliF
� NI®HlaD 1NPOAbCAT10N AND MAY BE �DT�HOA=NTAL Ot1AENtIONAL AMPEYE'
j 81ITLIEOT TO FURTHER UT-SALES, AffaufmMENTS ONLYI,OR 1B EXEIIM'T
rA1aNGS,WEMENTSAN RIeHTSOF FROM VIOLATION ENFORCEMENT AC NRROMPE M.
WAY. KQ RESPONSIBI ITV 19 Ek- TiONLINDCALM8,0A•TrrtEALCNAP,
TFN00146PONTOTHE ONYMER COA, SEC. 7, UNLESS OTHERWISE SUSJ[CTOWELUNGLIES IN FLOOD20NE
OR OCCUPANT.IT IS N INTlNDBD NOTED OR SHOWN HEREON.A CONr AS&NO"ON NATIONAL FLOOD I LIRANCE Pj10ORAM FLOOD
St7 s•RfGCNOeD. FIAMATORY)NSTRUMENT SURVEY IlMRANCE RATE MAP DATEQ �1[.
!S ADVIalD WHEN STRUCTURES ARE COMMUNITY—PANEL* — --
DATE ( SHOWN TO BE 1' OR LESS FROM D D
�. CLIENT PROPERTY OR REOUIRED ZON,NO 8Y
rwbo
CUBNT REF. SET9ACK UNE4. r%A �n , e•
» '��I• �131Z1 ?13�ttt3W woaa' �hh:00 eeea—b%a�w
tl/t0'd >6Stt�Etet,t 0-
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i
Town of Barnstable
Regulatory Services
_ �• ; Thomas F.Geiler,Director
%639. � Building Division
Tom Perry,Building Commissioner
200 Mafia Street, Hyannis,MA 02601
www.town.barnstable.ma.us
'dice: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: OcA
JOB LOCATION' 6 �"-' �' village
number� street
• "HOMEOWNER":
name
home phone# work phone#
CURRENT MAIL NGADDRESS: 10W
zip code
city/town X state
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
-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
be,a one or two
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 Stich work performed under the building vermit (Section I09.1.1)
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
ts
Pe 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.
HON EOWNER'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 persons)for hire to do such
work,that such Homeowner shall act as supervisor:'
Many homeowners who use this exemption are unaware that they an 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 can t amend and adopt such a form/certification for use in your cormnunity.
RESIDENTIAL
ADDITIONS OR ALTERATIONS
If located*
North of Route 6- any work visible from outside- needs approval from OKH
In Hyannis -If work visible from outside- Check to see if it's included in the
Hyannis Historic Waterfront District-if so it needs approval from them
If ZBA relief(Special Permit or Variance is required for project:
❑Copy of ZBA Decision
❑Documentation proving that decision was recorded at the Registry of Deeds w/in one year of
ZBA decision date.
AP ICATION PACKAGE MUST INCLUDE:
Map/parcel number
Approval ign-offs from:
Health
[]/ Conservation(if exterior work)
Tax Collector
Treasurer
treet address
wner's name& address
Permit request- full description of proposed project)
Square footage -proposed project
Estimated project cost
Complete Dwelling information for Assessor's Office
Builder's information
Signature
Plot plan(shows location& setbacks of house)
Plans—5 sets measuring 11"x 17"fully dimensionlized with foundation, floor plan, cross
section, framing schedule & smokes, with a Red.S (SB or SH) '
Home Improvement Contractor's Affidavit
Worker's Comp form must include: Insurance Company's name &Worker's Comp.policy
number. Copy of Insurance Compliance Certificate must be on file.
Energy Compliance Form
Copy of Construction Supervisor's License &Home Improvement Specialist's License
OR
Homeowner's License Exemption Form.
❑ Application Fee,4,,�l ❑ Permit Fee
Property Owner must sign Property Owner Letter of Permission.
.wx
CHIMNEYS
{] . Need Home Improvement License
❑ No plot plan required
PIERS & DOCKS
❑ Need Construction Super license AND Home Improvement License
Owner cannot pull own permit
q-forrmpermits 1
rev.100804
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BOISE- BC CALC® 2003 DESIGN REPORT - US Tuesday, December 06,2005 08:23
Double 1 3/4" x 7 1/4" VERSA-LAM(E) 3100 SP File Name: BC CALC Project: FB01
Job Name: Description:
Address: Specifier:
City,State,Zip: , Designer: Joe Madera
Customer: Company: Shepley Wood Products
Code reports: ICBO 5512, NER 629 Misc:
1 2
4
3
Standard Load-40 psf 110 psf Tributary 01-oo-00
if
VAZ
AL
BO 131
843 Ibs LL 843 Ibs LL
853 Ibs DL 853 Ibs DL
Total Horizontal Length-09-06-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur.
S Standard Load Unf.Area Left 00-00-00 09-06-00 Live 40 psf 01-00-00 100%
Member Type: Floor Beam Dead 10 psf 01-00-00 90%
Number of Spans: 1 1 Trapezoidal Left 00-00-00 Live 0 plf n/a 90%
Left Cantilever: No 04-09-00 Live 0 plf n/a 90%
Right Cantilever: No 00-00-00. Dead 80 plf n/a 90%
04-09-00 Dead 120 plf n/a 90%
Slope: 0/12 2 Trapezoidal Right 00-00-00 Live 0 plf n/a 90%
Tributary: 01-00-00 04-09-00 Live 0 plf n/a 90%
00-00-00 Dead 80 plf n/a 90%
04-09-00 Dead 120 plf n/a 90%
3 Unf.Area Left 00-00-00 09-06-00 Live 35 psf 02-06-00 115%
Live Load: 40 psf Dead 15 psf 02-06-00 90%
Dead Load: 10 psf 4 Unf.Area Left 00-00-00 09-06-00 Live 20 psf 02-06-00 100%
Partition Load: 0 psf Dead 10 psf 02-06-00 90%
Duration: 100
Controls Summary
Disclosure Control Type Value %Allowable Duration Load Case Span Location
The completeness and accuracy of Moment 4104 ft-Ibs 42.6% 115% 3 1 -Internal
the input must be verified by anyone Neg. Moment 0 ft-Ibs n/a 100%
who would rely on the output as End.Shear 1489 Ibs 26.4% 115% 3 1 -Right
evidence of suitability for a Total Load Defl. U381 (0.299") 63.0% 3 1
particular application. The output Live Load Defl. U779(0.146") 46.2% 3 1
above is based upon building Max Defl. 0.299" 29.9% 3 1
code-accepted design properties
and analysis methods. Installation Notes
of BOISE engineered wood Design meets Code minimum(U240)Total load deflection criteria.
products must be in accordance Design meets Code minimum(U360)Live load deflection criteria.
with the current Installation Guide Design meets arbitrary(1")Maximum load deflection criteria.
and the applicable building codes. Minimum bearing length for BO is 1-1/2".
To obtain an Installation Guide or if Minimum bearing length for 131 is 1-1/2".
you have any questions,please call Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing
(800)232-0788 before beginning
product installation.
BC CALC®, BC FRAMER®, BCI8, 2 '5 o
BC RIM BOARD TMI BC OSB RIM
BOARD-, BOISE GLULAMTM
VERSA-LAM®,VERSA-RIM®,
VERSA-RIM PLUS®,
VERSA-STRAND'rm,
VERSA-STUD®,ALLJOISTO and
AJSTm are trademarks of
Boise Cascade Corporation.
Page 1 of 2
�oFt rq�, Town of Barnstable *Permit#
'Y Expires 6 months from issue date
• Regulatory Services Fee '��
HARNSTABLE, �
r
+' r
v KASS. •°
i639. Thomas F.Geiler,Director.
♦0
Building Division Tom Perry, Building Commissioner . X-PRESS PERMIT
200 Main Street, Hyannis,MA 02601 q P R 14 2003
Office: 508-862-4038
Fax: 508-790-6230 T OE BAI�NSI-i4BLE
EXPRESS PEMT APPLICATION - RESIDENTIAL
Not Valid without Red X-Press Imprint
Map/parcel Number ?o 62 70
Property Address_t_q L u� C a ,e Or'�y t f i4w s S � � �0 l
El Residential Value of Work
Owner's Name&Address 1 s c 1 �� C�1�►J i��
1q1 LA
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
[� I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Permit 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
[ Replacement Windows. U-Value,.2�, (maximum.44)
❑ Other(specify)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Prope O er must sign Property Owner Letter of Permission.
Signature
Q:Forms:expmtrg J� a y ?
Revised121901 ��' Q J
;TOWN OF BARNST-ABLE . -
" t. :Permit No _
ew Building Inspector
Cash ---- �.�.
- • nun - ., '. �._.
a URI
OCCUPANCY PERMIT , Bond
No building nor structure .shall-be erected, and no'land, building or'structure shall be
used for a new,'different, changed, or. enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No -building-shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Greenbrier C.,Qrp, Address Box 510.,' Centers i11e.
14t #18 141 Southptp,Drive, Hyamin "
Wiring Inspector j � Inspection date ,
Plumbing Inspector / � �Ma Inspection date
Gas Inspector V%J y. n Inspection date. =...
i f __- 4
t Inspectiondate
V
Engineering Departmen �' �� f"""'�
THIS PERMIT WILL NOT,,BE VALID, AND THE BUILDING SHALL NOT- BE OCCUPIED UNTIL
SIGNED BY THE•BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN s. 1
REQUIREMENTS..
....
�Buildmg_Ins`pector
t/
L-►/F A K-E-:[-,5 Q/F DIt-4e
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�tH OF
M
�N N CERTIFIED PLOTPLAN j
4 H 1, 07 1
NEW CONSTRUCTION ONLY j \ Mra�o �—,/ � IA
'/ f
TOP OF FOUNDATION IS ' FEE N hsuz��,+°Q IN
'ABOVE LOW POINT OF ADJACENT ..•�''' AS +
ROAD.
SCALE / : ,j ,� DATE : 6
L DREDGE ENGINEERING CO.INC)
CLIENTI CERTIFY THAT THE
EGISTERED ISEUR'
GSTERED SHOWN ON THIS PLAN IS LOCATED
JOB NO. �� ON THE GROUND AS .INDICATED AND
CIVIL LAND CONFORMS .TO THE ZONING LAWS
ENGINEER VEYOR DR.BY,
J �� OF BARNSTABL , M . SS.
712 MAIN .STREET CH.BY= �a z
H YA N N IS, MASS. SHEET OF 1 DATE. E�3. LAND SURVEYOR
A _�s r
ssessor's map and lot number ...............................;....... E
to
UST
Sewage Permit number ......................................................... FALLED IN COMPLI BE
ANCE
t MARNSTABLE,
WITH TITLE 5 AS
House number .................... ............... x &
C 2639-
'A.(C..................... .&NVIRONMENTAL CODE AND '
Tot
TOWN OF BARNA Ts S
BUILDING 1-NS,PECTOR
L
APPLICATION FOR PERMIT TO .............. .. ........................D u.1.6....................
TYPE OF CONSTRUCTION ... .74:�o.........................................................................................
.................. .. ..... .... .. ......
19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
......... .....
Location ............ ......... . ...................... ........ ..t..
Proposed Use .............................. . ....... ............................ ..
. .......................................... .........................
Fire District ................ .......Zoning District ....................... .................................. .............. .&.,/
Name of Owner ... T. . ......6/2
................ ......Address ............ ...... .. ........ .. ...............
Nameof Builder. ....................5 ..................................Address ....................................................................................
Name of Architect ..................................................................Address ................
Number of Rooms ......................... ............. .................Foundation ........... ...... .......................
Exterior ..............:1 ..........�41*.,� :.................Foundation
�V.................Roofing ...... .......... ... ... ...... 5...................
Floors ................... .......40.11!W.................Interior .......................�;.4-:t.tze..6 C 1,0i
..........C........................
Heating ......................F Y.....G/f.5................Plumbing ............... ........7. ........
Fireplace ....................... Ae!�"X...................Approximate Cost ........ 9............ ... ....
Definitive Plan Approved by Planning Board ----------- Area ......... ...........
Diagram of Lot and Building with Dimensions
Fee ......... .........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH 0
X.)
ie
OCCUPANCY PERMITS,REQUIRED FOR',NEW:DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Bqrnstq)A fregardZithe ab.ov
construction.
Name ...... . . .... ........................
^ BIER CORP
v�
°
` 24094 Oo� l /2 Story
' \a. —,_—.-. Permit for ----�.��------
' _.
[ Si-'=-_ Family Dwelling ^
' --------.-----------------.- `
� Lot #18 I41 Southgate Dr. �
� Location --..—.-_.----~----�---.'
.______B�auoio
� ---.~---------------.
� Greenbrier Corp. -
Owner --.--_—_—______--_____..
Frame
Type of Construction ..........................................
. ....................................... -----.--------
'
} '
plot ............................ Lot -------�--..
' )
If
'' 1
.
� ' ^ �
Permit Granted Juu�— 2 8��ron*a6 -- --�--'--..lV
°
Date of | ------------lg
. .
` Da_ Completed_ —'
. ' .
^ ^ .
�` ur *�
-x �v t'
�
�
L
Assessor's 'map and lot number ,.... ....................... THE
Sewage'Permit number .........................................................
EAR3STABLE,
House number ............................ ........................................... 90 XAG&
2639'MPkR,*-
TOWN OF BARNSTABLE
BUILDING INSPECTOR
Dw (,
.............................. ............
APPLICATION FOR PERMIT TO ..............C.1 ...........
TYPE OF CONSTRUCTION ... o f .......................................................................................
.....................................r. r....
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....................................� Ky 01.4 4-4--4 .......
...1.k
............................. ...............................'a .! ......... ........ . .. ;.........1 ....G
A__
Proposed Use .............................. ..........!i... ..... .............................4.1..........................................I.........................
r..<
....................
Zoning Distri&`�..................... 3!�2...................................Fire District ................I/ , ............. ...
Name of Owner ......... ... ...... . .Address ............le?.& ......
Name 'a'
f Builder' ....................................................................Address ....................................................................................
Name,of Architect ..................................................................Address .................................................................................
Number of Rooms 61./ ....................................Foundation ....... . .........
........................... ......................................
Exterior ............................................. ......... ..........................Roofing ................. K-Z......
.....................
Floors ................... ...... .................Interior. ........................�;4 L)c
.............................. ........................
...
Heating ...................... r...... ................Plumbing ......................... ................ ......... ........
,4-�4-7-51 C-(n) 0
Fireplace .......................................................... `.........Approximate Cost ....:-Z-....?...............................................
Definitive Plan Approved by Planning Board- /19, `-'Area ..........................................
Diagram of Lot and Building with Dimensions
Fe'e .............................
j
SUBJECT TO APPROVAL OF BOARD OF HEALTH
& 'tiff
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. A, -X/
Name ...... ...... ..................
GREENBRIER CORP. A=306-270
No .2.4094... Permit for Pne.;/.1/.2....S.to.ry
.. ..... . .. .... .....
gjg�..gamijy ................
... ........ ...qWZ......
Location Lot #18......141f.Southgate Dr.'
.. .. Southgate..............
............... ......... .................................
Owner .....Greenbridi Corp.
.......................
Type of Construction jf��4p!�..........................
....................................... ...................I..................
Plot .... ...................... ,ot t ........... ....................
-'t
e 2, 82
un.�
Permit Granted ..........L............................19
Date of Inspection ..... ... .........................19
Date C mpleted ....... ...... ......................19
/-V