Loading...
HomeMy WebLinkAbout0384 STRAWBERRY HILL ROAD 3F4 S,`r�w6e� Fh' r ,� Z/2- 0f Town of Barnstable •Permit Expires 6 montJis e Regulatory Services Fee ,#' Richard V.Scali,Director ' NU►�a Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number Not Valid without Red X-Press Imprint 11 �/ Property Address ' \`1, ! +s -NA❑Residential Value of Work$� c) imum fee of$35.00 for work under$6000.00 Owner's Name&Address • CA(-J �r Contractor's Name ^ Telephone Number( 3 3 Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) C (� l� Z �rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I awhe Homeowner B'Thave Worker's Compensation Insurance Insurance Company Name a E DEC U 9 2015 Workman'sComp.Policy# :!S�00S®c)!S a a -[OWN OF BARNSTABLE Copy of Insurance Compliance Certificate must accompany each permit. Permit Request eck box) CS - e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to S� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "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 SIGNATURE: �,��req� ` C:\Users\Decolhk\AppDataU.ocaDMerosoft\Windows\Tein InternetF' \Content.Outlook\2PIOIDHR\F"RESS.doc Revised 040215 = enarsrneu, KAM Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division. Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 i Property Owner Must Complete and Sign This Section If Using A Builder + as Owner of the subject property hereby authorize A 2 to act on my behalf,., in all matters relative to work authorized by this building permit application for: i ,(� \ �` (Address of Job) Signature of Owner' Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\WindowsUemporary InteinetFiles\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 . 771e Coreirrrorlweadtlr of Massachuseffs Deparhneut of Industrial Accidents ' Office ofluvestigations 600 Washington.Street Boston,MA 02111 tiww anass gov/din Workers' Compensation Insurance Affidavit: Bugders/Conti-acto lectricians/P[umbers Applicant Information Please Print Le sib Name(Busmez/Orga inah - dual): Address: CitylStatelap: Phone AVI u an employer?Check the appropriate box: T of project 4_ I am a general contractor and I Type P 3 (required): 1_ am a employer with 9 ❑ g employs(full and/or part-time)a have hired the sub-contractors 6- ❑New construction 2_❑ I am a sole proprietor or partner listed on die attached sheet_ 7- ❑Remodeling ship and have no employees These sub-contractors have g- ❑Demolition woddug for me in an capacity- employees and have wodcers' Y � h'- 9_ ❑Building.addition (No workers'comp_insurance COmp-insurance-' required-) 5-❑ We are a corporation and its 10_0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have esetrised their 11_Q Plumbing repairs or additions myself[No wm&ers'comp, right of exemption per MGL 12_❑Proof repairs ice requited_]g c..152,§1(4),and we have no employees_[No workers' 13_0 Other comp.insurance required.) •Amy applicmn that checks bog r1 must also fill oat the section below showing their wo*ers'cotmpensation policy information 7 Homem mes who submit this affdatu adiamag they ue doing all wo*and than hm outside contractors mast submit a new affidxm indicating such. +'Contractors that check this bar mast attached an additional sheet showing,the name of die sub-contoicmrs and state whethu at not those entities huge employees-If the sub-cnamoors hwe employees,fey must provide dwir workers'comp•policy nmmber_ I am are employer that is trrorkers'cougreresadorr insurance for my earpCoy.ee,L Below is the parity wid job site information. Insurance Company Name:. Policy#or Self-ins-Iic.#: A iration Date: L / d Job Site Address: �� 5 City/State/Zip Attach a copy of the workers'compensation policy declare ' n 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 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 ce fy under the paints u ea it that the information prot+ided above' true nd correct Si tune: Date: Phone#: R8icial rise only. Do not write in this area,to be completed by city or town gjje'etal City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health ?Budding Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Client#:9580 2KPRE LIS oRD. CERTIFICATE OF LIABILITY INSURANCE VA I t(MM/l)U/YYYY) 12/09/2015 ERTIFICATE 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 INSURERS).AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 endorsement(s). PKODUCk:H CONTACT NAMt: Dowling&O'Neil Insurance Ag PHONE 508 775-1620 `"X 1 JC. 5087781218 IA/C,Nu,EAO: Nu): 973 lyannough Rd, PO Box 1990 L-MAIL ADDRESS: Hyannis,MA 02601 INSUREMS►AFFORDING COVERAGE NAIC a 50s 775-1620 INSURER A:Associated Employers Insurance INSURED INSURER B: Kenneth Perry D/B/A INSUKtK C K.P. Remodeling&Construction INSURER D 19 Guildford Road INSUKtK t: I Centerville, MA 02632 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 CONTRACTOR 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. INSK TYPE OF INSURANCE Auu SUER POLICY 6FF POLICY'!XP LIMITS LIK INSR WVD POLICY NUMBER (MM/UU/YYYY) (MM/uu/YYYY) GENERAL LIAMILI I Y EACH OCCI IKKFN(:F $ DAMAGE 7^RENTED COMMERCIAL GENERAL LIABILITY NHFMI;iF;i Fn nrrnrrrnrr. $ Cl AIMS-MAI)F n OCC:IIK MHI)F%N(Any mr.rinmon) $ PF K SCINAI R Al l V IN.II IKY $ GENERALAGGREGATE $ Lit-N'14CiCiKFI'iAIFIIMII AVNI IF;i VFK: PKOI11 k:l;i-riOMN/IJV AGG $ POLICY PKO LOC $ AU1OMOtlILk UA131LI I _ COMHINHJ S1NGI F I IMI I (Et,ec6Jel11) $ ANY AUTO BODILY INJURY Mtn pwuun) $ ALL OWNED SCHEDULED HblJll Y IN.II IKY(Prr vr.Ir,cnl) $ Atli J AI I I O'S NON-OWNFII F+KC)F'FK IY IIAMAC*- HIRED AUTOS AU I On I'w auudenl $ UMtl KLLLA LIAR OCCUR - _ EACH CJCL`IIKKFNC:F $ EXCESS LIAO CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ A WORKERS COMPENSATION WCC50050054502015A 6/13/2015 06/13/201 X ,c H An�;, I-H" AND tMVLOY6KS'LIAtlILI IY ANY PROPHIF 10HMAKINF14/F%F(':1111VF Y/N E.L.EACH ACCIDENT $100000 OFFICER/MEMBER EXCLUDED? N/A (Manaaory In NH) F.I.I1R4-ARF-FA FMNI OYFF $100000 If vet;,dewJlibe unUt" UF;iI:KIPI ON OF 0101-HAI IONS hr.Inw E.L.DISEASE-POLICY LIMIT $500,060 UtSCKIPI ION OF OVLKAI IONS/LOCA I IONS/VtHICL6S(AMIch ACOKD 101,Additional Kamarks Schadula,If mora space Is raqulrad) . RE: 384 Strawberry Hill Rd.,Centerville, MA 02632 Voluntary Compensation Proprietors/Partners/Executive Officers/Members Excluded:Kenneth Perry, Sole Proprietor Insurance coverage is limited to the terms, conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION t Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bldg. Dept. ACCORDANCE WITH THE POLICY PROVISIONS. -200 Main Street .Hyannis, MA 02601 AUIHOKILI=UKhPKhStNIAIWE @ 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD OS162145IM161229 CBD Office of Consumer Affairs&Business Regulation:. License or registration valid for mdividul use only, ; OME IMPROVEMENT CONTRACTOR "before the expiration date. If found return to: egistraton 181216 Type I Office of Consumer Affairs and Business Regulation O:Park Plaza-Suite 5170 =Expiration 3/13/2017 DBA - �z e� 4 Boston,MA 02116 . K.P. REMODELING KENNETH PER ` J9s UI-DFORDRD 'ENT,ERVILLE,MA 02632 Undersecretarye - Not valid withou e R �= Massachusetts Department of Public Safety lug Board of Building Regulations and Standards - License: CS-076820 Construction Supervisor KENNETH O PERR- it 19 GUILDFORD Rb CENTERVILLE NJA ?. Expiration: Commissioner 08/28/2017 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -;: pplicatbn 06 0 Map- Parcel. AL-SP .7- A 77 7Date Issued Health ivision Oro! 0 Conservation Division oo ,7 OV APO,ication F Planning.Dept. Per it"'it Fee 7 Date Definitive Plan Approved by Planning Board Historic _' OKH Preservation Hyanhis Project Street Address Village MA P�Mi Owner "Uq Address OR Telephone Permit Request 60LO A RX -r-5 V65-D M- 10 U"J-b tVD W-raaXL�- KW UW) 5U Square feet: 1s:t floor: existinToi4 Po.losed 't�l?n'd floor: existing MLW(okd*S Total new 6helff 'o oeIC90 I Zoning District' SO 'in water Overlay Ground R o3cl Nk 'Project Valuatio glqT. CM Construction Type Cp _J OD aoo 7 oo Lot"Size Grandfathered: 0Yes rol'f yes, attach supporting documentation. Dwelling Type: Single Family Two Family Ll Multi-Family units) Age of Existing Structure Historic House: Ll Yes On Old King's Highway: Ll Yes Q No Basement Type: OV/Full Ll Crawl U Walkout LJ Other Basement Finished Area(sqft)� Basement Unfinished Area(sq.ft) U01 311t Number of Baths: Full: existing new 2 Half: existing new Number of Bedrooms: existing new Total Room Count (not VIncl din baths): existing new First Floor Room Count I Heat Type and Fuel: G w LJ Oil Ll Electric U Other Central Air: 0 Yes 7N o Fireplaces: Existing J_New Existing wood/coal stove: Ll Yes U4101" Detached garage: ist ing 0 new size—Pool: ❑ existing LJ new size Barn: L11 existing LJ new size Attached garage: ��existing Ll LJ new size —Shed: Ll existing Ll new size Other: i. Zoning Board of Appeals horization Ll Appeal # Recorded Q Commercial Ll YE 7N c6 If yes, site plan review# , Current Use Proposed Use ZZ 00 rn APPLICANT INFORMATION (BUILDER OR HOMEOWNE �Mt� 5K d 'k (a ?01 Name C10 ozimaw Telephone Number Address License# C5 -7(o2b MAM Ce Home Improvement Contractor# �0(k Worker's Compensation # Mr.q 5C0 490 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Q655QLA U t SIGNATURE Li DATE V FOR OFFICIAL USE ONLY APPLICATION# - R DATE ISSUED J1 MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: / g'40 FOUNDATION 22 PA �Z y'C ,•�h - • FRAME INSULATION `. FIREPLACE ELECTRICAL: ' ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Let-ibly Name (Business/Organization/Individual): c Address: City/State/Zip: Are ifou an employer? Che k th appropriate box: Type of project(required): 4. I am a general contractor and I 1. I am a employer with ❑ 6. ❑N construction employees(full and/or part-time).* have hired the slab-contractors 2. rier-' listed on the attached sheet. ❑ I am a sole proprietor or'part T. emodeling ship and have no employees These sub-contractors have g_ '❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ 9. ❑Building addition [No workers'-comp.-insurance comp. insurance. required.] S. [] We are a corporation and its '10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required-) *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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. Iam an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: A-55o_cv__�m� P U' Policy#or Self-ins.Lie.#: 1� c� ! _ Expiration Date: Job Site Address• M CT�W f�V�IV City/State/Zip: " L 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 crimiri4l penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine- of up to$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 c rti under the pains and of perjury that the information provided ab ve is rue and correct Signature: Date: Phone#: oJ�� z" Official use only. Do not write in this area, to be completed by city or town offcciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector" 6. Other Contact Person: Phone#: t c Information and Ins'tf uctions 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 tiustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another_who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance vsZth 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-con&actor(s)naine(s),-address(es)and.phone number(s) along with their certificates)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Towp 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 permittlicense number which will be used as a reference number. In addition, an applicant e that must submit multiple permit/license applications i submit any given year,need only subt one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit.that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo 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 Deputment of Industrial Accidents Office of lavestlgadQns. 600 Washington Street Boston, MA 02111 Tel. #617-727-490.0 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia ENERGY CONSERVATION.APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE; AND TWO-FAINTLY DETACHED RESIDENTIAL'CONSTRUCTION (780 CMR 61.00) 17?Applicant Name: Site Address: CUI prin! Town: �r Applicant Phone: ' i' Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the followin two*o Lions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVEL -WE'COMPONEr:T CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS 1vtA�tJlvr[nvt MINIMUM . Ceiling or Slab Option 1: Basement Q Fenestration exposed Wall Floor Perimeter Wall AFUE f-ISPF SEEI U-factor floors R Value R-Value R-Value R-Value R-Value and Depth National Appliance Energy 3 5 R-3 8 R-19 R=19 R-10 R-10, Conservation Act(NAECA)of 4 ft.• 1987 as amended,minimums of cater as a b ble Note: This form is not required if you choose either of the two versions of REScheck as listed below. Option 2: REScheck Version 4.1.2 or later variant so are analysis must be completed '180 CMR 6107.3.2 REScheck—Web which can be accessed at http•//www.energyCDdes.Roy/rescheck/ :ADDX`��O1VS:ORA:L'I'ER.A`�XONS.'I'O �XZS'TING�LTI'LDXNGS.O:VEI25 YEARS OLb* : . *auildings under S years old must use option#1 or#2 in New Construction section above, Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b- a) SF 100 x — _ % of glazing (b) Glazing area equals SF 6 a If&zfiag 6<-;40%.use the chart beloW. • . If glazipg is > 40 %prQcc6d,to "SUNROOM" section 780 CMR TABLE 6101.3 - PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM II�IIM Ceiling and Slab Perimeter ❑ Fenestration •Wall Floor Basement Wall R-Value U-factor Exposed floors R_yalue R-value R-Value R-Value and Depth .3� R-37 a R-13 • R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and including any access o enin s). ' SUNROOM—An addition or alteration to an existing building/dwelling unit where the total 0 glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consurner Information Form found in A endix 120T ,4 r - * sF►srrsrnsts�, MAM Town of Barnstable O MP'I A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize V�ak}i F'��K � to act on my behalf, in all matters relative to work authorized by this building permit application for: - (Address of Job) , t 01'A fi Signature of Owner Date F Print Name .If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\LocM\Microsoft\Windows\Temporary Internet.Files\ContcntOutlook\MY7NB4II.\FXPRFSS.doc Revised 100608 S87 °59 ' 16"E CB H 100'.88 CB H t*1 -N- 11802.60 SO FT N y� 0.271 ACRES 35,2 0. ZE w cil P R w EXISTING `�► :13 m RESIDENCE BH cn N _ CO O ) Q1 r :13 39.51` O EXISTING FOUNDATION HED o ' cp A--9 24 ' 110 .40, R=440. 00 ' S�7 °55' 19'W 1-67 CBDH ZH OF MICHAEL CERTIFIED PLOT PLAN l'POF�SS��'` LOCUS:. 384 STRAWBERRY HILL ROAD, CENTERVILLE, MA 9NOsuRVE�°� PREPARED FOR VIVIANE & MALCON PINHEIRO DATE: : 3/29/07 LADUE LAND SURVEYING SCALE: 1"=20 ' MICHAEL S. LADUE, P. L. S.'' I HEREBY C TIFY THAT THE STRUCTURES SHOWN ON 51 CAPTAIN'S VILLAGE LANE THIS PLA EX S 0 THE GROUND AS SHOWN HEREON. 508-896- MA 02631 08-896-67Q7 2 sori`ItGN�ft 'I o`C :d i 4 HOME IMPROVEMENT CONTRACTOR l P { Registrali 132282 piratio"S�t".'1:2/21/2010 Tr# 27884 Ex 0 _ F 1 "K.P.REMODELING ' 'KENNETH PERRY - k` ji 19 GUILDFORD R f i p Centerv'ille,I(AA02632" j Administrator LIce�S be fore th r P'gistr Ooard orB eRA fat ont°n valid for Oe Bo ton sa rton pRegul ttponf found Inde d ul use on •Ol14 a Rm 13�1 and Standards ly ; j NOt valid '\ With 64tsignatu�e / ' ( ✓fL6 VdIYv//'L6'!Z/.I/6pGLf� ��!''�'-�^'^^"1LlOGG[a 1 � - - Board of Building Regulations and Standards Gonstruc4ion Supervisor License 4 _ I - Y. Li n's: CS 76820 j �, Birthdate 8/28/1965 ' i I „Expirat on 812$u2009 : ,Ti*-2373.. ! Restr�ctkon�0; k f KENNETH O PERRYt_u am`/ 19 GI 10F'ORD ROAD $ i . CENTERVILLE,MA 02632 Commissioners -- --- ' I te: 6/25/2009 Time: 9:50 AM To: @ 9,15067906230 Page: 002 Client#: 9580 2KPRE ACORD. CERTIFICATE OF LIABILITY INSURANCE /25/2M,DD/YYYY> 6/25/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:-Western World Kenneth Perry D/B/A NSURERB: Associated Employers Insurance K.P. Remodeling &Construction INSURER C: - 19 Guildford Road INSURER D: Centerville, MA 02632 INSURER E: - COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/OD/YY LIMITS A GENERAL LIABILITY NPP1203292 03/04/09 03/04/10 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE PRE SE To R oNTFD nce $50 000 CLAIMS MADE M OCCUR - MED EXP(Any one person) $5 000 X BUPD Ded:500 - - PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'LA GREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG. $1 000 000 POLICY PRO-JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS - BODILY INJURY $ II SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ I NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ e (Per accident) - GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ - - - OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY - EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION . $ - $ B WORKERS COMPENSATION AND WCC5005450012009 06/13/09 06/13/10 X WC ORY I IMIT, OTH- EMPLOYERS'LIABILITY- E.L.EACH ACCIDENT $1 OO OOO ANY PROPRIETORIPARTNER/EXECUTIVE - OFFICER/MEMBER EXCLUDED? YES - - E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE:682 South Main Street, Centerville Operations performed by the named insured subject to policy conditions and exclusions. Kenneth Perry is excluded from the workers compensation policy. y;. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCe D BEFOREM EXPIi&TION Town of Barnstable Bldg Div. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO n aR �_ DAYS WRR�N Attn:'Tom Perry-Commissioner. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT [LURE TO 00 SO Sq4- 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS RER,ITS A TS OlIr Hyannis, MA .02601 REPRESENTATIVES. AUTHORIZED R PRESENTATIVE ACORD 25(2001/08)1 of 2 #S59065/M59064 LS1 © ACORD CORPORATION 1988 IL REScheck Software Version 4.2.2 Compliance Certificate Project Title: RENOVATION Energy Code: 2006 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Building Orientation: Bldg.faces 0 deg.from North, Conditioned Floor Area: 1298 ft2 Glazing Area Percentage: 17% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 384 STRAWBERRY HILL ROAD KIP REMODELING CENTERVILLE,MA 02632 FINE LINE DESIGN Compliance:0.1%Better Than Code r v a TOTAL CEILING:.Flat Ceiling or Scissor Truss 1928 38.0 1.0 56 Skylight 1:Wood Frame:Double Pane with Low-E 10 0.310 3 SHGC:0.31 FRONT WALL:Wood Frame,16"o.c. 509 13.0 1.0 30 Orientation:Front Window 1:Wood Frame:Double Pane with Low-E 90 0.310 28 SHGC:0.31 Orientation:Front Door 1:Solid 54 0.280 15 Orientation:Front REAR WALL:Wood Frame,16"o.c. 1698 19.0 1.0 50 Orientation:Bads_ Window 2:Wood Frame:Double Pane with Low-E 56 0.310 17 SHGC:0.31 Orientation:Bads Door 2:Glass 210 0.310 65 SHGC:0.31 Orientation:Bads RIGHT SIDE WALL:Wood Frame,16"o.c. 450 13.0 1.0 33 Orientation:Right Side Window 3:Wood Frame:Double Pane with Low-E 20 0.310 6 SHGC:0.31 Orientation:Right Side Door 3:Solid 21 0.280 6 Orientation:Right Side LEFT SIDE WALL:Wood Frame,16"o.c. 453 13.0 1.0 33 Orientation:Left Side Window 4:Wood Frame:Double Pane with Low-E 40 0.310 12 SHGC:0.31 Orientation:Left Side t Floor 1:All-Wood JoistlTruss:Over Unconditioned Space 1928 19.0 1.0 87 Boiler 1:Other(Except Gas-Fired Steam)92 AFUE Air Conditioner 1:Electric Central Air 15 SEER Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has.been designed to meet the 2006 IECC requirements in REScheck Version 4.2.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Project Title: RENOVATION Report date: 07/22/09 Data filename: Untitled.rck Page 1 of 2 a Name-Title Signature Date Project Title: RENOVATION Report date: 07/22/09 Data filename: Untitled.rck Page 2 of 2 At— JOB wJ " N TAYLOR DESIGN ASSOC., INC. SHEET NO. OF - ;` P.O. Box 1313 _ Forestdale, MA 02644 CALCULATED BY Tel./Fax: (508) 790-4686 �H � QQ CHECKED BY DAT J C3lr ��iL.t.. SCALE �f<il�." .. € .......... . ; ... arrro _. { .... ............ ..... ... . . 1— -ter. 1. . t ._ �"lA . c Coto tt ............. z o . ti '1...4 i..►o l..o -.a . . .c. .P c. :,r�. .......L`�c`top Scr± .. .. ..... . . ...: ... .. ...:... .. .... nou.� t- c .._:.. . 3 P ... .. ........ 164 - ©!.... ... ?i. ci 4 Lt........ ... - 14 .. .. It�j ......... 4� i ..t / ........ L..... , i 14 .t t C ZtZ� - z.�9 ... t cl R 3_q _ p s .8 o �/ ....... ;�.' C7.z_� .. .. .... ....... .. . . .... t .._.. .... ............... t _. .. .. ..... ;... ........ .. .. 0-0 ... ...: .... :.. . _ _..... ..... G- 2 �a� S 0 .. S": .. .... . .Z- S�' . = l o fir... ....... .... fvb . S.ArO .' r JOB 1?A� „1�- TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 n Forestdale, MA 02644 CALCULATED BY V DATE "�� Tel./Fax: (508) 790-4686 CHECKED BY DATE ^.� �• RID SCALE - .. ..... ... ... .._ _.. ;...... . -� . ........... 61..�.)� � 1 ..............:..._....._.:..... ._.:_..... _..__._.;.......,.. ...... ._.. _ ...... . ... . lt,�T t 5" �. ..i 444'54°Pc�. ). = " 1$ 4............. D: ........ .. i .... ...... �.. . _._... �. z�� . . _ . .............. ..... __ . �.4. . ...... r t ---- ..._. ...... ..._. ........ .__ __.. ..... ....- .... —�—� t.tZr . . : .... .. .. ..... 17 _._ . co Dc , :. `� C �l�to t7Oo .: .. l 87U' .. 7-7 A- P s F .. ... .. . .. . . ...... r JOB sC w E L t.v Y Y��tG TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 ' Forestdale, MA 02644 CALCULATED BY CZ e DATE d" 7— Tel./Fax: 508 790-4686 i CHECKED BY DATE 3 [3C --" 41 w . SCALE .. ...... �a. 3z ... t�_ .- . . .... lit zooeb ....................... ...................... ............ ........ ... iy t� ._�fE�........................ . .... ca._C.. ..... :. ... .. . .............. _ -r . x .lz: ... .. v �.� .r.... . ri' . . 3..C�z z�. . $ ....?sue.....: __ . S-ct.S.......... !v . .: . .... ............. . ...... ....... .._. ocnniu�r vnn.,�c�mc��,nc�rowwn S87 "59 ' 16"E CB H 100.88' CB H v m -N- 11802.60 SO FT N 0.271 ACRES 35.20 N >, m w P R V 33 _ EXISTING m 37 :� 0 RESIDENCE BH m to -< cV m 0 to cp 01 H Q N r ch 33 39.51' O EXISTING FOUNDATION HED rn 0 w A=9. .0024' R=440 gg�'40' ' S7' e CBDH V OFMgSs9c MICHAEL O S. fi LADUE No. 37;560 CERTIFIED PLOT PLAN _ _ LOCUS: 384, STRAWBERRY HILE. ROAD,,_,rCENTERVILLE, MA NO SUR\J PREPARED FOR:- �VIVIANE-&. MALCOW PINHEIRO DATE: 3/29/07 �---` LADUE LAND SURVEYING SCALE: 1"=20 ' MICHAEL S. LADUE, P.L.S. I HEREBY C TIFY THAT THE STRUCTURES SHOWN ON BREWSTER51 CAPTAIN'S VILLAGE LANE THIS PLA E ST 0 THE GROUND AS SHOWN HEREON. 508-896- MA 02631 08-896-6707 MAR-15-2007 10:02 From:MIDCAPE 5083984559 To:508 790 2307 P.2/9 I , '.`■ � BEAM'A* !A Rub" MASTER BEDROOM CEILING BEAM user nrrd90 46 eerlel Number.70UE11196g 3 Pcs of 1 3/4" x 16" 1.9E MlcrollamS LVL Ueer:1 ]I1a/200710�56;10AM Page Engine Version.6.25.71 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED C' i Product Dlapram Is Conceptual. Analysis Is for a Header(Flush Beam)Member. Tributary Load Width:13'1 1/2" Primary Load Group-Residential-Living Areas(pef):40.0 Live at 100%duration,10.0 Dead Vertical Loads: Typo Close Live . Goad Location Application Comment Uniform(plf) Floor(1.00) 528.0 132.0 0 To 18'4" Replaces SUPPORTS: _. Input Bearing Vertical Reactions(IAt3) Detail Other Width . Length LlvelDead/Upllft/Total 1 Stud wall 3,60" 2.81" 4840/1423/0 1 6263 Al:Blocking 1 Ply 1 3/4"x 16"1.9E MicrollemS LVL 2 Stud wall 3.60" 2,81" 4840 11423/0 16263 A1:Blocking 1 Ply 1 3/4"x 16"1.8E Mlcrollam0 WL -See TJ SPECIFIER'S I BUILDERS GUIDE for detall(s);Al:Blocking DESIGN_CONTROLS: Maximum Doalpn ,Control Control Location i Sheer(Ibs) 0149 -5152 15980 Passed(32%) RI,end Span 1 under Floor loading Moment(Ft-Lbs) 27870 27070 46671 Passed(59%) MID Span 1 under Floor loading Live Load Deft(in) 0,397 0,450 Passed(U544) MID Span 1 under Floor loading Total Load Defl(In) 0.514 0,900 Passed(U420) MID Span 1 under Floor loading -Deflection Criteria:STANDARD(LUL/480,TI.V240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 13'6"o/c unless dot-ailed otherwise. Proper attachment and positioning of lateral bracing Is required to achieve member stability. ADDITIONAL NOTE3: IMPORTANTI The analysis presented Is output from software dovolopsd by True Joist(TJ). TJ warrants the slzing of Ile products by this software will be accomplished In accordance with TJ product design criteria and code accepted design values. The apeciflc product application,input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily avalleble. Check with your supplier or TJ technical representative for product ovallablllly. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the TJ Distribution product listed above,' . -Note:See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. PROJECT INFORMATION: OPERATOR INFORMATION., FRED BIONE Bill Rubel BARNSTABLE MA Mid-Cape Home Centers PO Box 1418 465 RTE 134 South Dennis,MA 02660 Phone 500-398-6071 Fox :508-398.4558 brubel®midcape.net comyr1Ul16 0 3nnb 17y 'I'ma •Io.lo L, 4 W4yar'114*oPar Imp InaaP xicrollame la a rapletared trademark of. 'Prue Jo.laC MAR-15-2007 10:02 From:MIDCAPE 1 5083984559 To:508 790 2307 P.3/9 i BEAM A• MASTER BEDROOM CEILING BEAM T,I-gonms g 26 serial NURIDer'70ua1115du ueer:1 3n01200710,66120AM 3 PCs of 1 3/4" x 16" 1.9E Mlcrollam® LVL Page 2 EngIne Version:6.25.71 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Operator Notes; 'VARIFYBEAM LENGTH ON JOB SITE PRIOR TO ORDERING -DRAWINGS NOT TO SCALE AND DIMENSIONS NOT COMPLETE. , I 1 } I i I PROJECT_INFORMATION: OPERATOR INFORMATION: FRED SIONE Bill Rubel BARNSTABLE MA Mid-Cape Home Centers PO Box 1418 466 RTE 134 Soulh Dennis,MA 02660 Phone,608.308-6071 Fox :808-398-4669 brubelamidcope.nat Couyc.laht O M6 by TEAw Ju1.Ut, a W.y:ow"oor uurinreM M.Lcrollamm .tp'a reelxterad trademark or Tan Joint - MAR-15-2007 10:02 From:MIDCAPE 5083984559 To:508 790 2307 P.4/9 BEAM A' . MASTER BEDROOM CEILING BEAM U-Bearn®6.23 Beria Number.7006111359 Ueer.1 3115/2007 10.85:20 AM 3 Pcs o16 1 3/4" x.16" 1.9E Microllam' O LVL Page 3 Engine Vervion:N 25.71 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Toad Group: Primary Load Group lei 0.00; Max. Vortical Reaction Total (1'be) 6263 6263. Max. Voxr-i.cal. Roaction Livo (lba) 4840 4840 Required Bearing 4ength in 2.01.(W) 2.01,(W) Max. Unbracod Lonath (in) 1.61. I:,oafl4n9 on PATI, apano, LOP = 0.90 1..0 Dcad Shear at Support (1be) 1170 -1170 Max Shear. al: Support (.lba) 1397 -1397 Member Reaction (lba) 1.397 1,397 Support Reaction (lbo) 1423 1423 Moment (rt-Lba) 6286 Loading on all apano, LDF = 1.00 1.0 Doad * 1.0 Floor Shear at Support (lbe) 5152 -51.52 Max Shear. at Suriport (lba) 6.149 -6149. Member Reaction (-lb®) 6149 6:IA9 Support Reaction (lba) 6263 6263 Moment (Et-Lba) 27670 Live Defloction. (in) 0,397 Total Dafl.oction (in) 0.514 E , .0PE8�R IINFQRM T� ION; FRED BIONE BIII Rubel BARNSTABLE MA Mid-Cape Home Centers PO Box 1418 465 RTE 134 South Dennis,MA 02ee0 Phone;508-398.6071 Fox :508-398-4559 brubol®mldoapo.net copyr.laht o 2008 by Trop noJac, o Woy*F%aeu"er DkI0ir1e66 M.1crollane is p reeiatered trademark or. Tru■ 1 i'a . - MAR-15-2007 10:02 From:MIDCAPE 5083984559 To:508 790 2307 P.5/9 BEAM B' KITCHEN CEILING BEAM TJ-B11 Usere7n�9/1&l. r 20071"7'40AM005111368 2 Pcs of 1 3/4" X 9 1/2" 1.9E MlcrollamS LVL Page 1 engine Veraloo:6.26.71 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED �r r 2❑ Product ploprom Is Conceptuel. LPADS: Analysis Is for a Header(Flush Beam)Member. Tributary Load Width:1'4" Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration,10.0 Dodd Vertical Loads: Typo Class Live Dead Location Application Comment Uniform(plf) Floor(1.00) 64.0 104,0 0 To 13' Replaces SUP_P_ORT_S: Input Bearing Vertical Reactions(lbo) Dotoll Other Width Length Live/Dead/UpIIM7otal 1 Stud wall 3,50" 1,50" 351/736/0/1087 A3:Rim Board 1 Ply 1 114"x 91/2"0.8E TJ-Strand Rim Board® 2 Stud wall 3.50" 1.50" 351/736 1 0/1087 A3:Rim Board 1 Ply 1 114"x 91/2"0.8E TJ•Strand Rim BoardS -See TJ SPECIFIER'S/BUILDERS GUIDE for datall(s):A3:Rim Board f?ES GN OONTRQL$: Maximum Design 'Control Control Location Shear(lbs) 1069 -906 6318 Passed(14%) Rt,and Span 1 under Floor loading Moment(Ft Lbs) 3353 3353 11775 Passed(28%) MID Span 1 under Floor loading Live Load Defi(in) 0.070 0.317 Passed(U999+) MID Span 1 under Floor loading Total Load Defl(In) 0.216 0.633 . Passed(U704) MID Span 1 under Floor loading -Deflection Criteria:STANDARD(LL:U480JUL/240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 13'o/c unless detailed otherwise, Proper attachment and positioning of lateral bracing Is required to achieve member stability. &DDIT14N96 NQTES: -IMPORTANTI The analysis presented is output from software developed by True Joist(Ti). TJ warrants the sizing of Its products by this software will be accomplished in accordance with TJ product design criterla and code accepted design values. The specific product application,Input design loode, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate, -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUE JOIST PRODUCTS ONLYI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the TJ Distribution product listed above, -Note:See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. esojgcT Ij1JEMN16TION: OPERATOR INFQRMATION: FRED BIONE 13111 Rubel BARNSTABLE MA Mid-Cape Home Centers PO Box 1418 466 RTE 134 South Donnie,MA 02660 Phone:608-398.6071 Fax :506-398.4669 brubol®midcope.net copyr•1•01: 0 2006 by Trip Jolat., a Woyer•haauoer 1111i1nepP Mlarollem® ie a realeterod trademark of True Joist. MAR-15-2007 10:02 From:MIDCAPE 5063984559 To:508 790 2307 P.6/9 f �A � BEAM 8•tLda� KITCHEN CEILING BEAM Uaar:1n311612007 0:57:40AM oofi111]ti8 2 Pcs of 1 3/ " x 9 1/2" 1.9E Mlcrollam® LVL Papa 2 C?'ngino Vanion:9.28.71 J N . THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN , CONTROLS FOR THE APPLICATION AND LOADS LISTED Onorator_Notes: -VARIFYBEAM LENGTH ON JOB SITE PRIOR TO ORDERING -DRAWINGS NOT TO SCALE AND DIMENSIONS NOT COMPLETE: i i PROJECT INFORMATION: OPERATO INFORMATION: FRED BIONE BIII Rubel BARNSTABLE MA Mid-Cape Homo ConterB PO Box 1410 486 RTE 134 South Donnie,MA 02880 Phone:608-308-8071 Fox :508-398-4669 brubel®midcope.net coeyrioht u 200E by True 'lout, a Wayerha■u(jev Pulliplo g M1oro'llamm in a rag imterad tradamark of True Joiat. MAR-15-2007 10:02 From:MIDCAPE 5083984559 To:508 790 2307 P.7/9 66AM 8' Ywvu &BID. KITCHEN CEILING BEAM TJ-OaarnlV 9.25 Oarial Numhar:7006111359 Uoor:1 3/16/200710:57.40AM 2 Pcs of 1 3l4" x 9 1l2" 1.9E Mlcrollam® LVL Pze 3 En01no Version:0,20,71 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 12' 0.00' ^ Max, Vertical 11aaction Total l.lbo) 1087 10B7 Max. vortical Roaction Livo (lba) 351 351 Required Ijeari•ng Longth in 1.50(W) 1,50(W) Max, Unbraced Length (in) 1.56 Loading on all ®pane, LDF a 0.90 , 1,0 Dead Shear at Support (lbu) 61.3 -613 Max Shear. at Support (lbo) 71.7 -717 Momber Roaction (lba) 717, 717 Support Iteacri.on (lber) 736 736 Moment (Ft-Lbo) 2270 Loading on all upano, LDF = 1.00 , 1.0 Doad * 1.0 rl,00r Shaa.r of Support (lb®) 906 -906 Max Shear at 6upport (lbs) 1059 -1059 member Reaction (lba) 1059 1059 Support Reaction (1.bo) 1.087 1087 t Moment (Ft-Lbe) 3353 Live Defl.oction (;,n) 0.070 Total Deflection (in) 0,216 4 PROJEGT_INFORMATION: OPERATOR INFORM TIONt FRED BIONE Bill Rubel 13ARNSTABLE MA Mld-Cope Home Cenlere PO Box 1418 465 RTE 134 South Dennis,MA 02660 Phone:508.308.6071 Fox ;608-398-4559 brubel®midcope.nal i:o0yc.101ic O 2006 by True Jalel; n Weyerhaoriaor l4ro.111096 m1crollaios la a raglatere8 trademark of True 7o1.et MAR-15-2007 10:02 From:MIDCAPE 5083984559 To:508 790 2307 P.8/9 BEAM C' TJ-Be9 n1QD 26 aerial N@166MVONMMITW 4 PCs of 1 3/4" x 20" 1.9E Microllam® LVL Page+ Enen2eVa:on:'BiaM THIS PRODUCT MEETS OR EXCEEDS-THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 24 4" —: Product Diagram Is Conceptual. LOADS: Analysis Is for a Header(Flush Beam)Member. Tributary Load Width: 14' Primary Load Group-Residential-Living Areas(pal):40.0 Live at 100%duration, 10.0 Dead Vertical Loads: Type Close Live Dead Location Application Comment Uniform(plf) Floor(1.00) 560.0 140.0 0 To 2414" Replaces SUPS 9: } Input Bearing Vertical Reactions(Ibe) Detall Other Width Length Live/Dead/Uplift/Total 1 Stud wall 3.50". 3.02" 6813/2174/0/8987 A9:Blocking 1 Ply 1 1/4"x 20"7,3E TlmberStrond®LSL 2 Stud wall 3.50" 3.02" 6813 1 2174/0 1 8987 A9;Blocking 1 Ply! 114"x 20"1.3E Tlmber9trondO LSL -See TJ SPECIFIER'S/BUILDERS GUIDE for detall(a):A1:Blocking DESIGf_CONTROL9: , Maximum Design Control Control Location Shear(lbs) 6664 -7641 26800 Passed(20%) Rt.and Span 1 under Floor loading Moment(Ft.Lbs) 53184 63184 94326 Passed(56%) MID Span 1 under Floor loading Live Load Defl(In) 01506 0,600 Passed(L/569) MID Span 1 under Floor loading Total Load Defl(In). 0,668 1,200 Passed(L/431) MID Span 1 under Floor loading -Deflection Criteria;STANDARD(LL:L/460,TL:LI240). -Bracing(Lu):All compression edges(top and bottom)must be tiraced at 13'7"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing Is required to achieve member stability. ADDITIONAL NOTES: i -IMPORTANTI The analysis presented Is output from software developed by True Jolat(TJ), TJ warrants the slzing of Its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application.Input design loads, and stated dimensions have been provided by the software user, This output hoe not been reviewed by a TJ Assoclate. -Not all products are readily available. Chock with your supplier or TJ technical representative for product availability, -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY] PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology woe used for Building Code UBC analyzing the TJ Distribution product listed above. -Note:See TJ SPECIFIER'$/BUILDER'S GUIDES for multiple ply connection. Q toratlTE Notos; VARIFYBEAM LENGTH ON JOS SITE PRIOR TO ORDERING -DRAWINGS NOT TO SCALE AND DIMENSIONS NOT COMPLETE, PROJECT INFORMATION: OPERATOR INF0RM91I0N: FRED BIONE 8111 Rubel BARNSTABLE MA Mid-Cape Home Centers PO Box 1418 466 RTE 134 South Dennis,MA 02660 Phone:508-398.8071 Fax :608-398.4559 brubel®mldcape.not copyricht c auoo try rrue JOlet, is Meyerheeueer Duableea Mloro1..1."no IN 41 [QQd1iI;er*4 1;1'04e11ark of mru■ Jo.l.vt. MAR-15-2007 10:02 From:MIDCAPE . 5083984559 To:508 790 2307 P.9/9 � BEAM C' RITJ-Bean08.26SerlulNb!rkl V31151dunw 4 Pcs of 1 3/4" x 20" 1.9E MlcrollemS LVL Paget engine Version. THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 2 Englne Verelon.B.2B.71 CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group; Primary Load Group 241 O,OOa Max. Vertical Reaction Total llbe) 8987 898'1 Max, Vertical Reaction Live (lba) 601,3 681.3 Required Deering Length In 3.02(W) 3,021W) Max. ❑nbraced Length (in) 163 Loading on all rapana, LDF = 0.90 , 1..0 Dead Shear at Support .(lb®) • i624 -1824 Max Shear at Support (lbla) 21.44 -23,44 Member Reaction (l.ber) 2144 - 2144 Support Reaction (lb6) 2174 2:1.74 Moment (Ft-Lbol :1.2864 Loading on all opana, LDF a 1.00 1.0 Load + 1..0 Floor Sheer. ac Support (lb®) 7541 -7541 Max Shear at Support (lbo) 6864 -8864 Member Reaction (lbo) 8864 8064 Support Reaction (lbs) 0987 8987 Moment (Ft-Lbo) 5318d Live Deflection (in) 0.506 Total Deflection (in) 0,668 PROJECT INFORMATION: OPER,AAM INFORMATION: FRED BIONE 0111 Rubel BARNSTABLE MA Mld-Cope Home Comore PO Box 1418 466 RTE 134 South Dennle,MA 02660 Phone;608-398-6071 Fur ;508-398.4569 brubel®m1dcape.net copyright 6 2006 by 'Prue J0,19t, a Weyerhaagpar nupl.nemm M.lorol.la� .[a a ra0.lptered trademark of True Joist TOWN OF BARNSTABLE BUILDING PERMIT APPLIC ION Map Parcel (fj(-J Application# C;OD7D 1 Health Division 00 V_6CRI Conservation Division Permit# Tax Collector Date Issuedlot d� Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �3S Lj 'C�-��✓��-1 ��- `��+ Village -i a_y1.VL1-� Owner _ al<I,c e�� fkl1CL_ 1 hul-o'do e- sv C4Y" ) )Q:e" t,` Telephone Cho S S D Permit Request- re /L Square feet: 1 st floor:existing 10 9S proposed Up,�_ 2nd floor:existing proposed Total new A Zoning District Flood Plain Groundwater Overlay c's Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation. � J Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) c�? Age of Existing Structure Historic House: ❑Yes A(No On Old King's Highway: ❑Yes-, No Basement Type: Cull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 10�1 Number of Baths: Full:existing I new i Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new S First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes t111 No Fireplaces: Existing i New Existing wood/coal stove: ❑Yes $No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing. ❑new size Attached garage:❑existing new size 9 7 a- Shed:;2(existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use _ Proposed Use � qq I BUILDER INFORMATION Name t, �P_G,� Telephone Number (7�' Address LA L•< I K.,�_License# U4gkc )1,It P U0, D,11503 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO hL SIGNATURE f L�f�Q� ��6 � DATE 3 -0 FOR OFFICIAL USE ONLY ` PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE i I OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations 600 Washington Street Boston,MA 02111 t a W.- www.mass.goy%dia 4 Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization4ndividual): (�(,(� eknh y -Address: 3$q i�s1�/Gl �'J�►'Y`� I iP,—J V City/State/Zip: 0 1'J-Wr0 L�(- M Phone.#: DR- -1co ' ASS C.) Are you an employer?Check the appropriate.box: -Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I * have hired the sib-contractors 6. ❑New construction . ' employees (full and/or part-time). • 2.❑ I am a'sole proprietor or partner- listed on the•aitached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have . g, Demolition workingfor me in an capacity. employees and have workers' Y P tY $. 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. Fj We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions 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. lContractors 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 far my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address33'-t AT" em rill Ll .tJ City/State/Zip: (egkA I tl e �' -Oa-63,�, 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 lip 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 under the pains•and penalties of perjury that the information provided above is true and correct Si ature VA-0; Q�' ""';�� Date; Phone#: Official use only. Do not write in this area,to be completed:by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. p=suant 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 rPC:P.1vpr nr tivsee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling.house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until-acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or.if you are required to obtain a workers.' ccmpensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriateline. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city:or town)."A copy of the affidavit that has been officially stamped or markdd by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would 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 Deparment of lndustdal Accidents Me of Investigations 600 Washinatori Street Boston,MA 02111 TeL#617-727-490.0 ext406 or 1-977-MASSAFE Fax##617-727-7744 Revised 11-22-06 vAvw.mass.gov/dia oFtHE Ta,, Town of Barnstable ~°^ Regulatory Services * BARNSTABLE• " Thomas F.Geiler,Director 9 MASS. 1639. .�A�O Building Division Tom Perry,Building Commissioner 200 Main Street,.Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: l Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR J_ Date Owner's Name Q:forms:homeaffidav oFt r Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F.Geiler,Director MASS. i639. Building Division ArFp�,�p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ? JOB LOCATION: .31q _...L10 uu beynj W-ta r<c' en epol I1 number \ ��""'/�n //�� +,,�` street village ` r ( ( l "HOMEOWNER": U 10�lXI LC� 1"^Yl V i' f60 5 /�O `�� C� �-)q name CC 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 su ervisor. 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:forms:homeexempt %THE TOWN OF. BARNSTABLE iice . MUST" E, opYae�° BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... ........ 4 7..... .. . .................................. ........ TYPE OF CONSTRUCTION ........................ ... . ......... ................................. 19. TO THE INSPECTOR OF BUILDINGS: The. undersigned hereby applies for a permit according to the following informati Location . ......... ... ............. ....(1AW /0_. ..... . .................................... . .. . ....... ..................................... ProposedUse ......... ................................... . . .... ...................................................................................................................... rma .. .......... ........ Zoning District ..... ...... Firg District Name of Owner . . ..................................... ....... .. ...... .Address' . . . ........ Nameof Builder .........................................................:..........Address .................................................................................... Nameof Architect ...................................................................Address ......................................................... Number of Rooms ........ ....................................................Foundation .. ....................... ....... ............ . . ....................... Exlerior .......... ... ...................Roofing ............. . ........................... .................................. Floors ........6 .... ......................................Interior ... ... .. .............................. Heating . . .... ...... ...............................Plumbing ................. .... .......................................................... Fireplace ............. .................................................Approximate Cost ......Z .................................................... Difinitive Pldn Approved by Planning Board --------------------------------19-------- - 9 Diagram of Lot and Building with Dimensions ,,ce7 e- 17 02 / 7V` 4y Dx, ly e I S— V 10 , 112X A�69 I hereby agree to conform to all the Rules and Regulations "ofe Town f a nstable 'garding e abovq construction. No ... . . ......... ..................... ................................... Cape Cod Building Supplies, Inc. II340 one story, No ................. Permit for .................................... ' single family faop'lyrow*llzog ^' ' .............. -------..---. . I�]�� I�»�� ' Koc0n ------rabb---rry------------. . \ ^ _______.a��roz�o_____________.. � Cape Cod Building Supplies, Inc. Owner '---------------------'' �ra�m Type of Construction -------------- / ) -----.---.-----------------. #74 ' Plot --------- Lot ................................ 1 26 �� Permit Granted —.������9��-----]V -' Date of Inspection ------------lp ` Date Completed ----]V4 8 ' PERMIT REFUSED ----------.---------.. lV ' ' -------.--.----------------. � —_------------.------.—.—~— � � , —'^---^^—'-----^~—^^----^'----'' ` _---.--.---.-----~----.—.--.—. ` ~ Approved .......................................... lA ~ ----------'----^^^^'-----^—^'—' -------.---.---------.....~..- ' .. 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued l Treasurer Application Fee Planning Dept. Permit Fee /_ Date Definitive Plan Approved by Planning Board ��— Historic-OKH Preservation/Hyannis Project Street Address 3 e4- ':-A-W OUL4 44 U, U Village j\JNtS Owner H AtOOM i Ut V I AN b PI Nei f--0 Address 3 6 4- STP BOW4. Hi U., Eck, Telephone __ 50' �55 tQ Permit Request G010 ft G 6k; CAL fr,I nC� :?==_0 DORM 9WT--4 - Rh(l DECk - 9:6U0 UQW S Square feet: 1st floor:existing proposed M 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting d'oc entation. Dwelling Type: Single Family > Two Family ❑ Multi-Family(#units) c > Age of Existing Structure Historic House: ❑Yes XrNo On Old King's Hgfiway: .` .e o Basement Type: XFull ❑Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 09 a Number of Baths: Full:existing new l Half:existing new Number of Bedrooms: existing 01 new t _ Total Room Count(not including baths):existing new 6 First Floor Room Count µLLB to Heat Type and Fuel: Gas O Oil ❑Electric ❑Other Central Air: ❑Yes *No Fireplaces: Existing New _ Existing wood/coal stove:="O Yes -L)No r� .r Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑ ew size_; Attached garage:❑existing Anew size 0-)- Shed:Aexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ANo If yes, site plan review# Current Use Proposed Use UILDER INFORMATION - Name Telephone Number 50i3 110 6S7Z Address 3 � lh� -`1 �l(,lam COG License# 4`4ANNI Home Improvement Contractor# Worker's Compensation# ' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN T6k AtL CAS C�79114i Nr SIGNATURE WW DATE 100 r" FOR OFFICIAL USE ONLY PERMIT NO. 1 ' 1 DATE ISSUED MAP/PARCEL NO. - i 1 . ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ;.- ASSOCIATION PLAN NO. ; I The Commonwealth of Massachusetts Department of Industrial Accidents Office"of Investigations , 600 Washington Street '} Boston,MA 02111' www.maiss.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers,-• Applicant hformation Please Print Legibly ` Name'(Business/Organization/Individual): . kMA)JnN' !9. Address: s114&0 K 141 U_ .4 LGity/St�atel p:_Wf AVNI S I�� - -- -�----�Phon# 5,0 6 `1cJQ. 855.0 Are you an employer? Check the appropriate bog: :Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I ..employees(full and/or part-time).* • have hired the sub-contractors 6. ❑New construction . 2.ElI 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' [No workers' comp.insurance comp.insurance.$ 9• []Building addition required.] 5• ❑ We are a corporation and its 10.❑tlectrical repairs or additions 3.❑ q ] officers have exercised their I am a homeowner doing all-work . l l.❑Plumbing repairs or additions ' myself.[No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance.required.]t c. 152, §1(4),and we have no . employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors mutt submit anew affidavit indicating such. :contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide theil•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: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as.required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a . fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that.a copy of this statement maybe forwarded to the Office of' Invest'imflons of the MA for insurance coverage verification. I do hereby certify under the pains•and pen ' s of verjury that the information provided above is true and correct hyd Si -yDate:° QI 02- ©/y Phone#: Official use only. Do not write in this area,tb be completed by city or town of•facial. City or Town: ' kermit/Llcense# Issuing Authority(circle one): A.Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 brie, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a-deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." . Additionally,MGL ehapter.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•compliauz. withtlie insurance requirements of this chapter have been presented•to the contracting authority." Applicants t Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members*or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of d you have an questions regarding the law or if you are re wired to obtain a workers! Industrial Accidents. Shout y y q g g Y q compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-End. City or Towp Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the-affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information ifnecessaty)and under"Job Site Address"the applicant should write"all-locations in (city-or P Y ( town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please'do not hesitate to give us a call. The Department's address,telephone-and fax number:. .4 CQmMcnwWth of Massac&setts Dtputmwt of Industdal A.ccideats Of"Of luvestiptions Boston;CIA 02111 - . TO. 9 617-727 4 00 ext 406 or 1-977-MASSAFF Fax#617- 7-7749 Revised 11-22-06 www.ma;mg6vfdia Lv• Stab C,�9d�ve-��- RE-ROOFING/RESIDING ❑ If located in OKH or Hyannis Historic Distric required unless same color/same materials spe ❑ Map/parcel number Approval Sign-offs from: ❑ Tax Collector *. ❑ Treasurer . �_ r ❑ # of squares of shingles or square footage of roof ❑ Specify stripping old shingles or going over old r If going over ❑how many roof layers existing now ❑what size are rafters? What is spa . 4 . ❑ Owner's name & address ❑ Project valuation must be entered ❑ Builders Information r„y k ❑ Signature /�yE ' L V TV u V a J'P Mf Jk-& 4J Regulatory Services K Thomas F,Geller,Director E p.19- ���� Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.towA.barnstable,ma.us Fice: 508-862-4038 Fax: 508-790-6230 Permit no. AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c, 142A requires that the"reconstruction, alterations,renovation,repair,modernization, conversion, improvement;removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which"are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: �E "4) C � ��°��Estimated Cost 5t Address of Work: 4 STD { 1 tU � S , Owners Name: �� Date of Application: 01 f 01101 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OVNERS 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 Signature Registration No. &i6ff Q ®� Date Owner's Watuie Q,WPMes.f0r=:homeaf5 dxv Rey: 060606 Ih Town of Barnstable Regulatory Services sAMSTABM : Thomas F.Geiler,Director 9 MASS. 1639• ♦0 Building Division ArED�,l p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION (� Please Print DATE: r JOB LOCATION: 3 q 4 c �vyw b'EQ" }+(u_ pd, }�"1It{lJs R> number street village �/�n�n� n —7 p�y "HOMEOWNER": kkt W►y S• f) P,0 %y6 19, �S�ro 6�4 4? l 1 4,5 3 name q home phone# work phone# CURRENT MAILING ADDRESS:_ 3 9 Y S"P%W U. Rd. 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 requ' a ts. Signature of Homed4ner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. , HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1,1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt LOT 71 LOT 72 W p331 ` s78 °49'45„E I • PLAN. N74°10,37 N CALC 35� N CB , c.� w LOT ,73 QN LOT 74 LOT 75 1p? gl N�c N 64°q.2 55 LOT 76 NOTES. (1) RECOMMEND INSTRUMENT SURVEY TO BE RECORDED, LOT 74 AND SURROUNDING LOTS DO NOT CLOSE (2) SHED APPEARS VERY CLOSE TO AND MA Y CROSS LOT LINE RES. ZONE.• 'RE" This MORTGAGE INSPECTION Plan is For Bank Use only FLOOD ZONE.' "C" THE DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY. TOWN: _ REGISTRY OWNER: ESTELLE L.—MACCARO_ - ------------ DATE: _ DEED REF: _�393�458 ______ .BUYER: 9AL-CQN_-&—�V-[AAT,-B1HEIEQ__________1��02________ PLAN REF: 16V41_______ _SCALE:I"= I HEREBY CERTIFY TO SALEM FIVE MORTGAGE COR_P___ YANKEE SURVEY THE GROUND AS THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON ' � �� SHOWN AND THAT ITS POSITION DOES ____ CONFORM CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE �. 40B (SUITE 1) TOWN OF ___BA_RNSTA_B_L_E______________AND THAT CA INDUSTRY ROAD IT DOES_NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD MARSTONS MILLS, MA. 02648 ETaAnUU-'A'4ffR%-ff EA AS SHOWN ON THE H.U.D. MAP DATED_2 2 92 '�f nit —Panel 250001 0008 DTEL: 428-0055 FAX: 420-5553 THIS E PLS - NOT TOL BE UAN OSED OR FET MADE ONCSN BUILDING PERITS, ETC. 32413 DAF .� Town of Barnstable Regulatory Services 4TAi XAM Thomas F.Geller,Director �� �TEpµ0..►tee Building Division Thomas Perry, CBO,Building Commissioner C C)v 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: 144 LCoq.1 V I VtAo E7- • tip e57i jeo Map/Parcel: Project Address -S 57R04W&6*y Builder: W tfE2 The following items were noted on reviewing: FISTS ��- (,-/-( TegeN e VL 0 A L--- vt- SPEC lZ EQ L) I P-tF-b A 6 ro k IF F �¢ EZV u tqb C/4 ► m- P 57k C. obi ® Yr✓ SIN (� cogC, Cry-iZ, FL-"P- P I `rc14 Cob Reviewed by: Date: — _`0 7 Q:Forms:Plnrvw • REScheck Software Version 4.3.6 ,��Vf Compliance certificate Energy Code: 20091ECC Location: Hyannis,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Building Orientation: Bldg.orientation unspecified Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 384 Strawberry Hill Road r K.P Remodeling Centerville,MA 02632 19 Guildford Rd Centerville,MA 02632 (508)-360-6339 Compliance: Maximum UA:181 Your UA:151 QUM (am . QM =m 09= W= . .. Maw womw Basement Ceiling:All-Wood JoistlTruss:Over Unconditioned Space --- --- --- --- --- Exemption:Framing cavity filled with insulation. Basement Ceiling:All-Wood Joist/Truss:Over Unconditioned Space - --- --- Exemption:Framing cavity filled with insulation. :. Wall 1:Wood Frame,16"o.c. —. - Exemption:Framing cavity filled with insulation_. Door 1:Glass 53 0.290 15 SHGC:0.27 Orientation:Back Door 2:Glass 53 0.290 15 SHGC:0.27 Orientation:Back Door 3:Glass 53 0.290 15 SHGC:0.27 Orientation:Back Door 4:Glass 53 0.290. 15 SHGC:0.27 Orientation:Back Wall 2:Wood Frame, 16"o.c. - -- Y Exemption:Framing cavity filled with insulation. Window 1:Wood Frame:Double Pane with Low-E- �' _ 10 0.340 3 SHGC:0.30 Orientation:Left Side " Window 2:Wood Frame:Double Pane with Low=E 10 0.340 3 SHGC:0.30 Orientation:Left Side u Window 3:Wood Frame:Double Pane with Low-E• 10 0.340 " .3 SHGC:0.30 Orientation:Left Side Wall 3:Wood Frame,16"o.c. :: -- --- --- Exemption:Framing cavity filled with insulation. Door 5:Solid 20 0.340 7 Orientation:Right Side Wall 4'.Wood Frame;.16"o.c.. - - - Exemption:Framing cavity filled with insulation: Window 4:Wood Frame:Double Pane with Low-E- 10 0.340 3 SHGC:0.30 Orientation:Front w. r Window 5:Wood Frame:Double Pane with Low-E 10 0.340 3 SHGC:0.30 Orientation:Front Project Title: Report date: 01/13/10 Data filename: F:\ResCheck\384 Strawberry.rck Page 1 of 9 Window 6:Wood Frame:Double Pane with Low-E 10 0.346 3 SHGC:0.30 Orientation:Front Window 7:Wood Frame:Double Pane with Low-E 10 0.340• 3 SHGC:0.30 Orientation:Front Door 6:Solid • 30 0.340 10 Orientation:Front 1st Floor Slope Ceiling:Flat Ceiling or Scissor Truss --- --- Exemption:Framing cavity filled with insulation. Wall 5:Wood Frame,16"o.c. --- Exemption:Framing cavity filled with insulation. Window 8:Wood Frame:Double Pane with Low-E 9 0.340 3 SHGC:0.30 Orientation:Back Window 9:Wood Frame:Double Pane with Low-E 9 0.340 3 SHGC:0.30 Orientation:Back Window 10:Wood Frame:Double Pane with Low-E, 9 0.340 3 SHGC:0.30 Orientation:Back Window 11:Wood Frame:Double Pane with Low-E 9 0.340 3 SHGC:0.30 : Orientation:Back Window 12:Wood Frame:Double Pane with Low-E 9 0.340 3 SHGC:0.30 Orientation:Back Window 13:Wood Frame:Double Pane with Low-E '9 0.340 3 , SHGC:0.30 Orientation:Back Door 7:Glass , 53 '0.290 15 SHGC:0.27 Orientation:Back Wall 6:Wood Frame,16"o.c. — - - — -- — — Exemption:Framing cavity filled with insulation. s Window 14:Wood Frame:Double Pane with Low-E 10 0.340 3 SHGC:0.30 Orientation:Left Side Window 15:Wood Frame:Double Pane with Low-E 10 0.340 3 SHGC:0.30 Orientation:Left Side Wall 7:Wood Frame,16"o.c. -- — -- — — Exemption:Framing cavity filled with,insulation.. Window 16:Wood Frame:Double Pane with Low-E 7 0.340 2 SHGC:0.30 ' Orientation:Right Side Window 17:Wood Frame:Double Pane with Low-E 7 0.340 2 SHGC:0.30 Orientation:Right Side Window 18:Wood Frame:Double Pane with Low-E 7 0.340 2 SHGC:0.30 Orientation:Right Side Window 19:Wood Frame:Double Pane with Low-E .. 7 0.340 2 SHGC:0.30 Orientation:Right Side Window 20:Wood Frame:Double Pane with Low-E 7 0.340 2 SHGC:0.30 Orientation:Right Side Wall 8:Wood Frame-16"o.c: Exemption:Framing cavity filled with insulation, 4: { Window 21:Wood Frame:Double Pane with Low-E 5 ': 0.340 2 SHGC:0.30 Orientation:Back Window 22:Wood Frame:Double Pane with Low-E 5 0.340 2 SHGC:0.30 - Project Title: Report date:01/12/10 Data filename: F:1ResCheck1384 Strawberry.rck Page 2 of 9 - Orientation:Back 2nd Floor Slope to Flat:Flat Ceiling or Scissor Truss - - :- - — Exemption:Framing cavity filled with insulation. 2nd Floor Flat Ceiling:Flat Ceiling or Scissor Truss - - -- Exemption:Framing cavity filled with insulation. Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.3.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Report date: 01/12/10 - Data filename: FAResCheck1384 Strawberry.rck` Page 3 of 9 REScheck Software Version 4.3.0 Inspection Checklist Ceilings: ❑ 1st Floor Slope Ceiling:Flat Ceiling or Scissor Truss Exemption:Framing cavity filled with insulation. Comments: ❑ 2nd Floor Slope to Flat:Flat Ceiling or Scissor Truss . Exemption:Framing cavity filled with insulation. Comments: ❑ 2nd Floor Flat Ceiling:Flat Ceiling or Scissor Truss Exemption:Framing cavity filled with insulation. Comments: w, Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 2:Wood Frame, 16"o.c: Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 3:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 4:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 5:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 6:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 7:Wood Frame,16"o.c. Exemption:Framing cavity filled with insulation. s ; Comments: ❑ Wall 8:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation:' A- Comments: Windows: ❑'Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: • #Panes 'Frame Type Thermal Break? Yes No,:. Comments: ❑ Window 2:Wood Frame:Double Pane with`Low-E,U-factor:0:340 Project Title: Report date: 01/12/10 Data filename: F:\ResCheck\384 Strawberry.rck Page 4 of 9. , For windows without labeled U-factors,describe features , #Panes Frame Type Thermal Break? ' Yes No Comments: ❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 4:Wood Frame:Double Pane with Low-E,U-factor:0.340 r. For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor:0.340; For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Cl Window 6:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 7:Wood Frame:Double Pane with Low-E,U-factor.0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 8:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 9:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type ' Thermal Break? Yes No Comments: ❑ Window 10:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors;describe features: Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 11:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: Vanes—Frame Type Thermal Break? Yes No Comments: ❑ Window 12:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors;describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 13:Wood Frame:Double Pane with Low-E;U-factor.0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 14:Wood Frame:Double Pane.with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: Vanes—Frame Type Thermal Break? Yes No Project Title: Report date: 01/12/10 Data filename: F:\ResCheck\384 Strawberry.rck Page 5 of 9 Comments: ❑ Window 15:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: „ Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 16:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: Vanes_Frame Type Thermal Break? Yes No Comments: ❑ Window 17:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes—Frame Type Thermal Break? Yes No ' Comments: ❑ Window 18:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 19:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors;describe features: Vanes Frame Type Thermal Break? Yes No Comments: Cl Window 20:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 21:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 22:Wood Frame:Double Pane with Low-E,U-factor:0.340 P For windows without labeled U-factors,describe features: #Panes Frame Type ` Thermal Break? Yes No Comments: Doors: ; ❑ Door 1:Glass,U-factor:0.290 Comments: ` ❑ Door 2:Glass,U-factor:0.290 Comments: ❑ Door 3:Glass,U-factor:0.290 Comments: ❑ Door 4:Glass,U-factor:0.290 Comments: ❑ Door 5:Solid,U-factor:0.340 Comments: ❑ Door 6:Solid,U-factor:0.340 Comments: ❑ Door 7:Glass,U-factor:0.290 Comments: : Floors: Project Title: Report date: 01/12/10 ` Data filename: FAResCheck1384 Strawberry.rck Page 6 of 9 ❑ Basement Ceiling:All-Wood Joist/Truss:Over Unconditioned Space Exemption:Framing cavity filled with insulation. Comments: ❑ Basement Ceiling:All-Wood Joist/fruss:Over Unconditioned Space Exemption:Framing cavity filled with insulation. Comments: Air Leakage: ❑ Joints(including rim joist junctions);attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. i ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either.1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: Cl Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: ❑ Vapor retarder is installed on the warm in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification and Installation: ❑ Materials and equipment are installed in accordance�with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ❑ Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6: Duct Construction and Testing: ❑ Building framing cavities are not used as supply ducts.. - All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically Project Title: Report date:01/12/10 Data filename: F:1ResCheck1384 Strawberry.rck Page 7 of 9 fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: A Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 98.6 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 147.8 cfm(12 cfm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 73.9 cfm(6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 49.3 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Ij Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the . system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: ❑ Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. ' Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following. (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<_15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40. Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting. off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window ' 4 U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building"Department Use Only)' Project Title: Report date:01/12/10 Data filename: F:\ResCheck\384 Strawberry.rck ' _..Page 8 of 9 # o-. Project Title: Report date: 01/12/10 Data filename: F:\ResCheck\384 Strawberry.rck Page 9 of 9 2009 IECC Energy Efficiency Certificate FW-2MMOOa . Ceiling/Roof 0.00 Wall 0.00 Floor 1 Foundation 0.00 Ductwork(unconditioned spaces): Window 0.34 0.30 Door 0.29 0.27 Heating System: Cooling System: Water Heater: Name: Date: F Comments: IMPORTANT- UPGRADE REQUIRED SMOKE ®El'ECTORS'REVIEWEO STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN BARNSTABLE BUILDING DEPT. ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. DATE`- NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE v INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL FIRE DEPARTMENT DATE PERMIT DOES NOT SATISFY THIS REQUIREMENT. BOTH SIGNATURES ARE REQUIRED FOR PERMITTING I ® CARBON MONOXIDE A MUSTBEINSTALLEDPER S MASSACHUSFTTS BUILDING CODE _- FaofJT E1�Vftt10N 7 f �J ram. ELroJAt!as ISl A-SFHAIr�HaNEst�S 5 VS.* ASPh►ALT Pftmp- y�PLy . SHW14,NG - vE►JtED DitiP 6p6E AWM• 6QrrM ix89eiA If I r - - -If - 1 x 0 SpFFtt BED ma. F�1zF - r .,..�� " _ Tom- " f • ' -1-71 T 7-1 Ti- -- - r 9i of l l6'- 0'' a4,_,f 11 ,-0 I I I;y L� L'fM{),sown► I�I-011 -- I �� J-{N A IT k i I - I I - I I r ci CWT I , uvlN� a.aaM - \ j 5-fl il 9'-0" Oil ID - RFST FLOM- 3 i pFFicE 6EDP-M F o T ca m Tm - - sl ,c pN c) tap¢ f um� I c1M= 11—o m � II y r - 1 tG 1 i COWL SptcF- Tl 3d,,X X1011 i c,G i I C.ONC. —14lFsC) 1 I f d I ` n F X n � r : .i -• - ax a E - _ 1 RIDGE "&JT ! I °� ! 0 FL OIaSUL• tiiR1N660itD = ii ! ��( Ix3 5r+ueOPIN 1 X�' }T•L1C I '6' 3 tp f2 0 Iftjw k4hoN 1 6FT I/y'! PL7 cnn►c i t `� rb TYVE*- LUW Off. FOKML ODIN6 .� a aXl0. 16' --- ' !- - - - - - - - �,• _ i , I s! LOLA4 c.OWUN �, I i NT-PK _ 4"i NICK - caNc. Li IV CROSS " Nsr1G QLP�r,1 _- i -- — ` � — � • —. � � Ii i� i it • - i I �� I � I - 4 X i I r oa _ y i VE- - - - - - I • I �f ROOF Fc-&► i 0(7 Q I,P.n! �� Us6 . Me • � I R Ib zxa i3gWStT�M ctea�B01gIJ i »i `3%axf, PT ._ LJn?'J�f1 —3 i !"e4b to 11 ax i � ix D6(.KtNb a tx;8 ere ia" c. to �—I RwuthT 6Mk 101T w/A-4/k" fx e� 7,11wi: mtv1. I I �� !q / 01, _ I ,.�% fhJDEesOrJ WINDOWSJOp crdAu aa4b f ' M/CAI H w batk � G IaA a.A GE i) - F 1 - I y YI • _ x I ,I,,IINO Ea�''Nti "` i � `-` � �. l i. , _ aE VV .-.4:..-.,...,..__...—..��....—ems_•—.------.. .—._.'T-� !_ � - .. �.. FIEST F rm,.L. ..J l� = a � � `� ��Q � - F � ` - .Y R ., . ` I to _.• ✓. 4 •1 .1 . .. - -.. -.- .. ,•• I 1 I - 1 I axro, o Ibtiv.c.—, ExIStINb FOU14D4t10N !1 _I_.F- X . r • �4 - o 9D, 011 77 I t:OUNCAt ION MIN) _. + • 'EXtCSMb0. DECJC. .. - 30 o' 1 _ 4e\;6% L U J C - G DINt 6 R4ER .;m 00 NMI RMI L`I ROOM J� a tvt 17/6 j 1 V32 I i I, 'gift 1 4a'- 411 o" -79' M FIEST FLOM PLOP) { i _T"-- ----- i 1 � \ '-�U. �I � � St P,r•c oanr.' of i M/(RtH _ I W g`x i f wgttom • � • l � O O j 0 �d�t�19l SVWb Kerr f VW I i O - s - - • - I SticoNt, FLoo Cr o Ln Lo Ci Q � Y FRONT ELEVATION Q 0 1 \ SCALE: 1/4° - 1'-0°- O CN 1 — .lim � TO AVOID AVOIDKAWr N+ +EU O ruse supem rzT , 1313 co ®® • Q N934 DECK 1 KEN SCREEN tea+ L o tY REAR ELEVATION J SCALE, 1/4° - 1'—O° _J Q LU - - - Q w a Z J — I LLEI I U to _-- _—---------- - = -=- - --— -- ap SWEET I OF 3 NEW aCPJMN POW-M 1 LEFT ELEVATION VESTIMILE RIGHT ELEVATION SCALE. 1/4° - I'—O° SCALE: 1/41 JOB: 0904 DRAWN BY: KW DATE: 7/22/O9 (P - - - CA FEITI - 00 0 w -- �® ®® v N EXISTING FRONT ELEVATION Q SCALE, 1/4' • V-0' - 1r`hhI O -- _ w Lai w z ®® ®®®0 �, ILLLJI ®®' < REAR ELEVATION a N SCALE, 1/4' - V-0° .J Z i � J W tu IQ > w Q W H Z - U m mu c Q m SWEET 1 OF 2 ,AB1 LEFT ELEVATION RIGHT ELEVATION SCALE, i/4' • V-0' SCALE, 1/4' . V-0'. JOB, 0904 DRAWN BY: KW DATE: 7/8/09 T'-10• - Tom' b'-e' T-10' p�_4. 19'-II• i'_IO' r� Ln Ln CA 12'-2 3/4' 9'-3 V2' Id-3 V2' Y BAT41 it1 - - - BATI1 f!3 � OFFICE OO BEDROOM x1 m n O --j W 2E 2� w 22 22 29 2a V o 01; ; 2 26 BEDROOM tt cg h O W 22 to a BATH SITTING TL o tit {{ b O O 15'-3 V4• - 2'-9 t 4'-0' 20'-3` g 14'-7 16'-10 3/4' 2a 2a cl O g C C SECOND FLOOR PLAN .. SCALE: 1/4' -i'-Oo. _ j j n'-lo' W z 34'-0'- 23'-t0' B'-o' 6'-i' - -- IJ-, coit d i - __ --- .... _. .::. ...... .... _...------ --� --- ---- 2 A -- -- 2' q LIP J m --------0 G __---- - yTV FAMILYtu ID' KITCAJEN�All RATED r o IQ 80"Oc=cur Q� Q 00 49 UJ U_ _ _ _-_-_-(4)!''LVLs D06TN4 sa GARAGE co e- co - - - (. DINING LIVING { b - - - SWEET 2 OF 3- o' ea 21 22, j as 212 V �� 14'-i V2' 12'-0' 18'-1 W 30'-2' . .JOB: CAN F FIRST FLOOR PLAN DRAWN BY: KW SCALE- 1/4' - 1'-O' - DATE: 7/22/ u'-o• ,,p-O• Lfl Ln TTP. �txypO WIT JDISTCA COOPPuae V 1 Pr maws s V P ' •IiblC. iv - ` marAL wN mams lA am a W J 00�FA3TBim IIIAY 6 CV®tY 01119d JpBT d1 rav;wa I I W 1 I W D AVAJCMA ROAD GE I I 59 m DOi�srna = O .�.VON Q O BASEMENT GRAG (y Q � ; m O F-�-•i (s) W 30 70'mrm p _ 8 m-°O-ml I ------ - I I J �� L-- — �y Y7ALL . SW ANCHOR WLTS - Q - EML'lEDDED T Q i��CORNERS O WASWERS SLAB'xI/4' (K _JQ Z z O tL V J W 290R.•W O.o. W40- (n r 204 O.C. OM ASPHALT SHINGLES lL ' I/Z'FLTYM COO mNCATNwG/ - SfflPSFADT9 9 AT ALL ZR6•Ili a Tl�'n.ASPHALT PAFi9t B A ALL e•I Om FAYJA/k4 SOaM MEMMOR w FA6TB�tm AT ALL (Q/ N .M lI T�YPPLATO .. 'EC!@/ �wIA D91G JUNCTMMS T7P: Wr�, 61 :W L7FD r�IAAAIIW ,!� z z .% EXT.STUDm O*-O.G./ 20 lxT.OTV06•W O.C./ LAI U I Y FLY►COD JC,OW N�Gl I�FG BiOUtATION (A TTvec NItAP/M,e.ONuriEa evala+muaaeoR � Vr PLTI+oao miswn+o+rr (n NAILED•GLUED TO.wlmT TrAK WRAP/N.C.mNwGm 1'fC'AL.MAMOM FA HmCONCRETE PlOpt . I I I I I I I I m nu i mL vArae eA�ame7 Norm�ANOM BMTS SHEET 3 OF EDDED 3 U U 051w'Fooiwc SPACED 32' O.C. 12' FROM CORNERS N�-C KA914ERS 353'xV4' - SECTION "A" SECTION, "B" SCALE: 1/4' . V-O' sCAL.E. 114' 1'-0' JOB: 0904 DRAWN BY: KW DATE: 7/22/O � i e Ln 1n i O g'-5• g'-9 1/2' J 17'-1 V2' FfT-, . U w to b U 61 Q c6 Imo EXISTING SECOND FLOOR PLAN W SCALE. 1/4' - 1'-0° - 42'-4;' " c , Q 00 a0 00 e �� � KITC1dEN' Q/ rr-10 1/2- - Z V t O 17'-0 I/2' 20'-0' I ---(4)w'LVL�Da6T1g6------- 1iJ- 1 3W rae- J e �c [! rr-41/2' j�� .. ' LIVING ❑ GARAGE Z O "• U Q 9 11 co 1 m f -0, SHEET 2 OF 2 EXISTING FIRST FLOOR PLAN f g2 SCALE: 1/4' - 1'-0' JOB: DRAWN BY: KW DATE: 7/3/09 14'-0" 34'-0" Ln -_1 44 P.T. POST u GALV. METAL POST ANCHOR SIMPSON CBQ OR GBSQ A - _ - - 5 _0 10" "SONO TUBE PIER W/ DOUBLE RIM JOIST J c4 A3 TYP. 28" "BIG FOOT" FOOTING TYP. IozIN � 10" CONCRETE PIER 48 DEEP -�� PT 2x1O's @ - i I PT 2XIO's @ 16"O.C. o METAL HANGERS EA END LEDGER BD FASTENED TO EXISTING FRAME IW/ (2) 5/8" GALV LAG BOLTS — — — — EA JOIST BAY 8"CMU WALL I V w 16"x10" FOOTING CID loo OPEN BULKHEAD W/ DRAINAGE O 30 3068 DOOR CUT INTO EXISTING U FOUNDATION (2) #5 DOWEL 1 TOP SOT. O EXISTING EXISTING O BASEMENT GARAGE Cv 1 co O co w w Z ACCESS CUT O INTO EXISTING l>i FOUNDATION ,� a o � N ` D b- (2) ¢5 BOWELS —I L T m - 8"CMU WALL 45" DEEP - - - - - - - - - - - 16"x10" FOOTING 12'-0" NOTE: 5/8"..ANCHOR BOLTS Q EMBEDDED 7" SPACED 32" O.C. O 12" FROM CORNERS nn,, WASHERS 3"x31"x1/4" 1 0 A U A W TYP. ROOF ® /g„ 2x8's @ 16" O.G. Lu — v, R30 FG INSULATION 4 L 2 c. k TYP, R D.C. +� P° 1/2" PLYWOOD SHEATHING/ 0 8 ASPHALT SHINGLES L 1/2" PLYWOOD SHEATHING/ 2xe s @ 16' o.c. x c ASPHALT SHINGLES SIMPSON H2.5 TYP. EAVES r n SIMPSON H2.5 _ 2x8's ® 16" o.c. TYP EAVES FASTENERS AT ALL V/ FASTENERS AT ALL RAFTER / TOP PLATE 1x3 STRAPPING 1x8 FASCIA / E NG SO MEMBER 1x3 STRAPPING ix8 FASCIA / ix4 SECOND MEMBER JUNCTIONS TYP. CONTINUOUS VENTING SOFFIT z RAFTER / TOP PLATE CONTINUOUS VENTING SOFFIT 1/2" GYP. BOARD lx8 FRIEZE BD. W/ BED MOULDING 4 JUNCTIONS TYP, Ix8 FRIEZE BD. W/ BED MOULDING H L ` A X v 11-- % % % % N TYP, EXTERIOR WALL _ TYP. EXTERIOR WALL ct SCREEN PORCH r 2x4 EXT. STUDS @ 16" O.C./ U 2x4 EXT. STUDS @ ib" O.G./ V CID 1/2" PLYWOOD SHEATHING/ < R13 FG INSULATION TYVEK WRAP/W.C. SHINGLES MATCH SUBFLOOR 1/2" PLYWOOD SHEATHING/ (� L 4 NAILED GLUED TO JOIST TYVEK WRAP/W.C. SHINGLES Hi PT 2x10's @ 16"O.C. METAL HANGERS EA END 77/1 =1111T_I�I j 11 l u l l i I l l�l l l�l f l 10" CONCRETE PIER l I=I I II I-I �" NOTE: 48" DEEP typ. " 1=111i b MIL VAPOR BARRIER III III'" 5/8" ANCHOR BOLTS SNE,ET 3 OF 3 8 CMU WALL - 48" DEEP EMBEDDED 7" 16"x1o" FOOTING, SPACED 32" O.G. 12" FROM CORNERS 14'-0" WASHERS 3"x3"x1/4" 12'-0" SECTION II A II SECTION II S 11 SCALE: 114" = V-0" SCALE: 1/4" = 1'-0" JOB: 0904 �- � DRAWN BY: KN REVISED: 8/10/09 DATE: 7/22/09