HomeMy WebLinkAbout0074 STUDLEY ROAD AUTIVE
.� ,. Town of Barnstable _ M _ Building
)Post This Card So That it is Visible From the Street Approved Plans Must be Retained on'Job and this Card Must be Kept
: .:ks
Posted Until Final Inspection Has Been;Made;z
g p � , Permit
s •, Wher`e a Certificate of Occupancy is Required such Buildm shall Not be Occuieil°until a Final Inspection ha"s'been madey;
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Permit NO. B-18-2349 Applicant Name: Carl Rebello Approvals
Date Issued: 07/24/2018 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 01/24/2019 Foundation:
Location: 74 STUDLEY ROAD, HYANNIS Map/Lot 306 012 Zoning District: RB Sheathing:
Owner on Record: KARWIC, RICHARD A& KATHLEEN B
°� 'Contractor Name Carl J Rebello Framing: 1
Address: 100 LANTERN LANE Contractor License C5.084358 2
d Y
WETHERSFIELD, CT 06109 4 Est Project Cost: $4,397.00 Chimney:
Description: Insulation,Air sealing& Door weatherstrips TPermit-Fee: $85.00
insulation:
Project Review Req: Fee Paid; $85.00
Final:
-Date: 7/24/2018
Orr " l �- Plumbing/Gas
s s o Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six"m*o" hsefte,,issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structure`s shall be in compliance with the local zoning codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the
work until the completion of the same.
-�- — Electrical
A,
The Certificate of Occupancy will not be issued until all applicable sign atures'by the Building and Fire Officials are provided on this'permit. Service:
Minimum of Five Call Inspections Required for All Construction Work
1.Foundation or Footing ti r Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation ,<
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Health
Work shall not proceed until the Inspector has approved the various stages of construction. 1,y Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
• - s
.
Town of Barnstable �EcE�Pr
` , 200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-18-2349 Date Recieved: 7/20/2018
Job Location: . 74 STUDLEY ROAD,HYANNIS
Permit For: Building-Insulation-Residential
Contractor's Name: Carl J Rebello State Lic. No: CS-084358
Address: Swansea, MA 02777 Applicant Phone: (508) 567-4109
(Home)Owner's Name: KARWIC,RICHARD A& KATHLEEN B Phone: (860)966-4811
(Home)Owner's Address: 100 LANTERN LANE, WETHERSFIELD, CT 06109
Work Description: Insulation,Air sealing& Door weatherstrips
ZE
0
Total Value Of Work To Be Performed: $4,397.00 s -"
v
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Structure Size: 0.00 0.00 0.00":_1_ can
Width Depth Total Aria C=
n
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand-that when a permit is issued, it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Carl Rebello 7/20/2018 (508)567-4109
Applicant Date Telephone No.
i
Estimated Construction Costs/Permit Fees
Total Project Cost : $4,397.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $85.00 7/20/2018 $35.00 - .Paypal Paypal W u
Total Permit Fee Paid: $85.00 7/20/2018 $50.00 Paypal Paypal
3� IN! T I �IvN
T' �. PEE ITS
.,=. ., ,.. �s �3- „a '�; � E ��1 ,3�,;�„ cus..,. , _V_ -
r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application f r
`i
Health Division Date Issued
Conservation Division , Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address 7 `f-V
Village
Owner Address
Telephone +
Permit Request
Square feet: 1 st floor: existing 2kproposed 2nd floor: existing proposed Total new
Zoning District Flood Plain [?:2 Groundwater Overlay t-0
A`Prcject Valuatio �O Construction Type
Lot Size A 4C. Grandfathered: kYes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family la Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes 0•No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other iaas 4
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Q Half: existing 0 new
Number of Bedrooms: existing —new CJ
Total Room Count (not including baths): existing new First Flco corn Cent o~ F
Heat Type and Fuel: W as ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes *No Fireplaces: Existing New Existin w 'od/coal S13ove�]Yes'kNo
p 9 9"' 4 �.
Detached garage: ❑ exi ng ❑ new size Pool: ❑ existing ❑ new size _ Barn ❑ existing �ew 'size
Attached garage: ' existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
cup
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ~
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
f't APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name '•- Telephone Number
Address License
.�G Home Improvement Contractor#
✓ ILA +
o �Ll_ Worker's Compensation #
IIIIAal-11—
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATUR DATE ��� �
FOR OFFICIAL USE ONLYAk
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ail ' j
I • 3 �
i
i
ADDRESS VILLAGE
OWNER `
DATE OF INSPECTION:
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL '
GAS: ROUGH FINAL
FINAL BUILDING'-
DATE CLOSED OUT
ASSOCIATION PLAN NO.
• 4 '
i
The Commonwealth of Massachusetts
90
Department of Indus&WAccidenls
Office of Investigations
' 600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual):
Address: 1 Gam/
a
City/State/Zip: G ��/�i Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.0 I am a employer with 4. 0 I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. 0.Remodeling
ship and have no employees These sub-contractors have g, 0 Demolition
working for me in any capacity. employees and have workers'
comp. incnran�e# 9. ❑Building addition
[No workers comp.insurance P•
required.] 5.;Xt We are a corporation and its 10.0 Electrical.repairs or additions
3.0:I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself [No workers' comp: right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.�t?dier
employees. [No workers'
comp.insurance required.] ze
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
#Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy d claration page(showing the policy numbe and expiry on 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$1,50.0.00 and/or one-year imprisonment,asmell 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 unde its and pen o erjury that the information provided above is true and corracL
Signature. Date: V
Phone#: AAR-- 91t�.
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.PIumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employes.
Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as."an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the -
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment_be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance.coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes fiat apply to your situation and,if
necessary,supply sub-contractors)name(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. AIso be sure to sign and date the affidavit. The affidavit should
be retumed to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple pennit(license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may.be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston.,MA 02111
Tel.#617-727-4900 ext 406 or 1-977-MASWE
Fax#617-727-7749 ,
Revised 4-24-07
www.mass_gov/dia
C%1eo,���zo�zcoecrCG/Z o�' eacluae,'Gla. Massachusetts -Department of Public Safety
Offfce of Con.sum, Affairs Fi Eusmess i2egn'ali,gh.
Board of Building Regulations and Standards
=' OME IMPROVEMENT CONTRACTOR ` Construction Supern isor
0
0 scration: 136972 TYP+
xpirot+on _-9/23L2014, DBA { License: CS-070029
RAkl? :CROSSEN i _= r = RALPH.CROSSEN` ---
r 18 WOODRIDGE
RALPH.CROSSEN �L _ E SANDWICH IYFA 0253
18 WOODRIDGE RD
E.SANDWICH,MA 02537 Undersecretary
Expiration
`
Commissioner 11/15/2014 I
I
a3assr
ON
• - .. meµ..-. _
82
bo
LOT I
o' DECK
h �V6'
,ail, � xj— �;;'; 1�7�:;;;'�`. S �` LOT 2
,.
Alt
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MORTGAGE INSPECTION Plan is For FLOOD ZONE.- 'B"
RES. ZONE.- Ry This ' Bank Use Only
THE DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY.
TOWN: _HYALV�VIS—_- __—__—__— REGISTRY OWNER: _STEV�iV FAUGI�T & ROBIN HUNTER'FAUGh'T _
DEED REF: _Vs2LQZ257-------- BUYER: _I,_A_UPk- Y_E� �HFLA—H._ffQ$IIY-----------
DATE: 3�201 PLAN REF- _1161111_ - ____SCALE:l' _ o___FT.
I HEREBY CERTIFY T0. SUIV7RUST MORTGAGE!NC_____., ;%�M flf Ott_ YANKEE SURVEY
THAT THE BUILDING_
____ _ __________ _____ _
�� PAUL CONSULTANTS
SHOWN ON THIS PLAN IS LOCATED ON, THE GROUND AS 4, : .
SHOWN AND THAT ITS POSITION DOES ____ CONFORM A' ``_ 4OB (SUITE 1)
TO THE ZONING LAW SETBACK REQUIREMENTS OF THEii�^T"! c.
'� �� ",4C,II3 ,►�'-'"'``• INDUSTRY ROAD
tea�L .
TOWN OF RARNSTABLE-___-___ AND THAT ,;; ,� fi� j MARSTONS MILLS, MA. 02848
IT DOES_NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD '. (1S?t -' >
AREA AS SHOWN ON THE H.U.D. MAP DATED_ 292`__ �"�N rl�g` TEL: 428-0055
Co unit - anel 250001 0006 D
�;�:�. I'�`� FAX: 420-5553
� it _ ____ ___ THIS PLAN NOT MADE FROM AN INSTRUMENT SURVEY 30509 CB
P L A. MERITHh'W PLS NOT TO BE USED FOR FENCES BUILDING PFRMITS ETC.
Town of Barnstable
o�
Regulatory Services
asass. Thomas F.Geiler,Director
Building Division .
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 509-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
J � �I, —, as Owner of the subject property
hereby authorize ( i V(J� i /� to act on my behalf,
in.all matters relative to work authorized by this building pemut
(Address of J )
**Pool
fences and alarms are the responsibility of the applicant. Pools
are not.to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner ' Signature of Applicant
G
Print Name Print Name
Date
QTORMS.OWNERPERIMSIONPOOL•S 62012
1
Town of Barnstable
Regulatory Services
&AMtMrABM Thomas F.Geiler,Director
MAB&
� ..19. �``� Building Division
Tom Perry,Building Commissioner t
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 _ Fax: 508-790-6230
HOMEOWNER LICENSE EXEhUMON
Please Print
DATE:
r
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-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 thai they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.1S) This Iack 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.
C:\Users\decoUik\AppData\LocaA crosoft\Wmdows\Temporary Intcrnet Files\ContentOutlook\QRE6ZUBN\.-x-rK SS.doc v
Revised 053012
i
Ai '
OGOO' _____ 1580,
fU�3 46 00,IY
LOT 1
\��, O• DECK. _ ,
h `�`9e •' �II5E.�
All � xi, � �7�� �'';' - LOT 2
— -- — - — Plan is For
REs ZONE RB" This MORTGAGE INSPECT`i0N Bank Use Only FLOOD ZONE.
THE DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY.
TOWN: _HYAIVNIS_ REGISTRY OWNER: 5TEKEIV EAUGhFT & ROBIN ffUNTER FAUGHT
DEED REF: _11310�257 _ _ - BUYER: t,%IUPLNSE_P_. HEIILH-�lQ811Y_- - _---
DATE: 3�2 01 __----____- PLAN REI�': _1IVIII_ - ---_SCALE:1"= IQ----FT.
I HEREBY CERTIFY TO SUNTRUST �LIORTG�IGE!NC__ i ��{ OF gF.{Rp`A YANKEE SURVEY
_______ON__T____ ___ _____ _ _THAT THE BUILDING �? p "
SHOWN . HIS: PLAN IS LOCATED ON THE GROUND AS AlUi. J -. CONSULTANTS
SHOWN AND THAT ITS POSITION DOES -_- CONFORM ?I �� 4 4013 (SUITE 1)
TO THE ZONING LAW SETBACK REQUIREMENTS OF THE � "� �*
,..� �,�3:L°LB3 ��f;;:t; INDUSTRY ROAD
TOWN OF __BARNSTABLE____-__ -_AND THAT E- � MARSTONS MILLS, MA. 02648
IT DOES_ NOT LIE WITHIN THE SPECIAL FLOOD HAZARD �rS?G;::% •g>
,. " TEL: 428-0055
AREA AS SHOWN ON THE H.U.D. MAP DATED_ 29�'__ `�'�4 t�kltt
Co unit - anel 250001 0006 D 3~� -"` FAX: 420-5553
____ ___ THIS PLAN NOT MADE FROM AN INSTRUMENT SURVEY 30509 CB
P L A. MI RITHEW'PLS N07 TO BE USED FOR FENCES BUILDING PERMITS ETC. t
Town of Barnstable Perm►t44
Eypires 6 tttott rota issue dote
Regulatory Services Fee
.•RMABL%
KAM& Thomas F. Geiler,Director
rwAld
Building Division
Tom Perry,CBO, Buildin-Commissioner
200 Main Street, Hyannis,MA 02601
«-�«t.to«n.b11•nStable.ma.us
Office: 508-862-4068 Fal: S08-"90-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
O( Vor Valid mithour Red_1�-Press Imprint
\lap:'parcel\umbeerr— ;f,— 1
Propeity.address T LA Q ��� LC---- 0 AS Y)`M&
Residential Value of Work S�DW� Minimum fee of S35.00 for Nvork under S6000.00
O«nei`s Nanie S,Address z(i,"Afzcp ult,
'g\4 & 1,C&x�e an W rAmi,,"A
Contractor's Name -q Telephone N inibe��•� .�
Home Improvement Contractor License= (if applicable)� � Q—IZ :) Em I ail:_ W� S
�
ConstnictionSupellisor'sLicenSe=(ifapplicable) ��ja �(Q 1 X® ESS M IND'
❑\Vorknian's Compensation Insurance
Check one: AUG - 9 2013
�Q I am a sole proprietor
❑ I am the Hoineoti-tier
❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE
t_
Insurance Conipany Name
R'orkinan's Comp. Police = nta —
--
CopyofIusurauceCompliance tertificate must accompau' each perm it.
Perinit Request(check box)
Re roof(hurricane nailed)(Stripping old shingles) .all constriction debris will be taken to��
f ❑Re-roof(hurricaue nailed)(not stripping. Going over emsting layer..'
of roof)
❑ Re-side
❑ Replacement« indo«s:'dool 'sliders.U-Value (uta.tinniiu . �)=of ti7ndolt'j
of doom:
❑ Smoke'Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Sep arate Electrical S Fire Perm its required.
-Where required: Issuance of this permit does not exempt compliance.with odier town depanment re^_uladons,i.e.Historic Cons nation.etc.
*`Note: Propeity ov, -nlust Sign Prop ern Oarner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
required.
SIGN ATURE:
2-4C)e
C:Usersdecollik AppData Local\Microsoft Windows Temporar•Internet File>Content.Clutlook SR-63- Di A E ZPRESS.doc
Revised 061 1
Ir ��
I
I
a
77te Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
ivrvn:mass.got/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(&Ldoe /Organirdtion/Individoal): -�J:041A-)
Address:`�' i� � ( I
—f —.— ®4�
City/State/Zip: Phone 4-
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a with 4. ❑ I am a general contractor and I
employer6. ❑New construction
employees(full and/or part-time).: have hired the sub-contractors
12�.XI am a sole proprietor or partner- listed on the attached sheet_ 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
w for me in an capacity- employees and have worms'
o�� Y � tY- I 9. ❑Building addition
[No workers'comp.insurance comp.insurance
required.] 5. ❑ We area corporation and its 10.❑Electrical repairs or additions
3.❑ 1 am a homeowner doing all-work officers have exercised their I LE]Plumbing repairs or additions
myself[No workers'comp. right:of exemption per MGL 12.RRoofrepaus
insurance required.]I c. 152,§1(4),and we have no
employees.[No workers' 13.0 Other
comp_insurance required.]
'Amy appticau tin;checks box=1 must also fill out the secdon below showing their workers'compensation policy informniou.
I Homeowners who submit this affidavit indicating they are doing all work and then hue outside coutructors must submit a new affidwit indicating such.
Contractor that check this box must attacted an additional sheet showing the name of the sub-contractors and suite whether or not those entities hate
employees.If the sub-contractors have employees,they must protide their wotkers'camp,policy number.
I au[an employer that is pro►fding trorkers'compensation insurance for utt'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 polio-declaration page(shoeing 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 S1,500.00 and/or one-year.irnprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up[o S'_50 00 a day-against the v iolator Be advised that a copy of this statement matt=be forwarded to the Office of
Investigations of the DU for insurance coverage verification.
I do hereb,certifir under thepai►r nrl penarnes of perjnry that the information protatled above is tare nrrd correct
Stenature Date.
Phone t:
Official rise only. Do not+rrite in this area,to be completed bt'cin•or to+rrr official.
City or Town: PermitiLicense 9
Issuing Authority(circle one):
1.Board of Health ?Building Department 3.Cin;rlown Clerk a.Electrical Inspector .Plumbing Inspector
6.Other-
Contact Person: Phone :
6
. I
s WABM '
KAM
Town of Barnstable
Regulato>«- Services
Thomas F.Geller,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street. Hyanni-s.\•LA, 02601
NvNv .to-,vn.barnstable.mams
Office: 508-86'-40 S Fax: i0S-
Property Owner Must
Complete and Sign This Section
If Using A Builder
I Zc"wo A. 6tzoy- as aviier of the Subject propern-
hereby- authorize �f� to act on my belialf,
ui all matters relative to«-orll authorized by tlus buildula permit application for:
(Address of job)
Jignature of Owner Late
vICRAVO L n i c,
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 Windo-ws T:mporar:.Int:rnet Fit:;Content-Outlook SR-63D\-A=lPRF SS.do:
Revised 06131
Massachusetts - Department of Public Safety
Board of Building Regulations ulations and Standards c—
��e �poozz�zwozcoea��o'��nrtaac�uaell� ..
Construction Supcn isor Office of Consumer Affairs&Business Regulation j
License: CS-106188 Uegistration:
ME IMPROVEMENT CONTRACTOR1'72220 TYPe:
ROBERT SNOW iration: 6/1/ 014 Individual
29 HEATHER LANE4�61,
P `- -
Yarmouth Port NfA ROBERT M.SNOW
•,� ROBERT SNOW ; F
Expiration 29 HEATHER LN. g 1
Commissioner 10/24/2015
YARMOUTH,MA 02675 ''" Undersecretary
License or registration valid for individul use only
before the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
10 Park Plaza-Suite 5170
Boston,MA 02116
i
Not valid without signature
Assessor's ma" and lot number .`.. .W.:':!�. .�.. ' ar an IP Q
i P s 'ti KS ? :SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
Sewage Permit number .......��� r lTI-I A,:TICLE IISTATE
h
SANITARY CODS Ai\1® TOWN
Y Cf IN E TOWN O F �B A R N`STWR L E
89HH9TAIILS i "� `'"� r' � tiw
9 " ` B G INSPECTOR
�p t6gq:�\0 U 171 D 'rN•t
APPLICATION:FOR PERMIT TO .........� .�ot. { ' ' *......4 ,.• •... .. .• :
l
4: TYPE OF CONSTRUCTION .......... ................ ........,... .....:.....::...... ........:..........................................
............... ./ /.......19. 1i.
'
TO THE INSPECTOR OF BUILDINGS: „
The undersigned hereby applies for a permit according to the following information:
Location .......�.V. f �.._........ � "........ ......` ................ ...........
ProposedUse ......2....................................... ..." ............................. ................................ ..............................
Zoning District ........................................................................Fire District
Name of Owner .........Address
Name of Builder t' .....Address
Name of Architect .................Address ...................:...........................................
Numberof Rooms ...... .......................................................Foundation ... ...............................................
Exterior ....... ...............................................:.........Roofing .......®...
Floors .Interior.... ..... .... ....
Heating ...._................................Plumbing ...........,.......................................................................
Fireplace `� ...........Approximate Cost . .-S D
....................................
ri0"
Definitive Plan Approved by Planning Board ___________________-_________._19________• Area ��....................... ...... ..
Diagram of Lot and Building with Dimensions Fee ............. ............ . ...............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
-- Sv`N
r
xo A17-
lip
10
I hereby-agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
ti F6r��Name
........................................................
Bourque, Raymond H. °F
19579 _ enclose 1porcb
No ................. Permit for ...................................
........................ ....................
74�`Studley Road • f
Location ...................................................... .........
Hyannis
........... .......... ............
Owner ... Raymond H. Bourque,,............. ....................... ..........
frame -
Type of Construction .......................................... -
................ .f. .................................... .......... f .
Plot ............................ Lot ................................ a
Permit Granted .......September 12......19 77
.... r
T
Date of Inspection ...........: ......................19 !;
Date Completed ...... ......:.......19 -77
x
-PERMIT REFUSED ;5
.... ................. ...... .-- ............. .. 19 t ,
..........................................................
.......... ....................................................
....................... .........................
........................................................................... r
'Approved f`
.........................................` .................. ..l f -
1639- BUILDING INSPECTOR
The undersigned hereby applies for a permit according to the following information:
Zoning District -----.--...-----,--..-----.RvaDbtrict -----------_______,_______.
/ I ,/ � ^ r�
,° ^��
Name uf Owner �--,�..�z'��—��--��----.. ...................Address ....................................................................................
'
| ^ '
| Name of Builder --.''-----------.--------'A66reu ---------------.------------.
Name of Architect ...................... ...................f..........................Address ----------------------------
-�.
-` / ' ^ c/
Number of Rooms ----------------------Foundation —'.—�.'��.�.�..�--------.------_---
^ �
Exierior --'�---..-------------------.—Roofing ---�--...--.--------~--_------,—
Floors -------..---------------------|nterior --------_,—_________________.
� Heating ---------.�—.�.�---------------F1um6ing ----------~_________._______
� ---------------------------.Approximo�eCos — ..........................................................
Fireplace "-,,___________,_
Definitive Plan Approved by Planning Board l9--------. Area — ' //��r
° ��
Diagram of Lot and Building with Dimensions Fee ____. / ` __/
SUBJECT TO APPROVAL OF BOARD OF HEALTH `
\
/
— "
^ /
/ 0�, �
. .
�
^ '
/
^
(
- _ -
. '
�
. �
\
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
Name �����.. .. ~...................................................... . .. .. .—^.
-
Bourque, Raymond H. A=306-12
j
19579 en'loid porch
No ................. Permit for ......... .................. .,. .
...............................................................................
74 Studley Road
Location ................................................................
Hyannis
...............................................................................
Raymond H. Bourqud `
Owner .................................................................. ,
frame
Type of Constructio ..........................................
Plot ............................ at ................................
Permit Granted Sept ber 12 19 77
Date of Inspection
Date Completed .... .................................19
PERMIT FUSED
.......................................... . 19
............... ... .
.............. .... . ... .�l. .. .......
...................................................... .........................
................................................................................
Approved ............................................... 19
...............................................................................
...............................................................................
Assessor's -'map, and:lot number ..`t..l:�...�®.�......k— I �, ✓ � ` �•
ki Sewage Permit`Inumber ......... t - AA.I
�Qy�FTMEt ' TORN OFF BARNSTABLE
i�j i.` . '� � - Z ` fit. •
1 S BAflHSTA➢LE; i c,
1639•a,00 r, RUItDING '1 INSPECTOR
i
7T APPIL TION 'FOR PERMIT T o.�!J ...... �/..SJ..
„.
TYPE OF CONSTRUCTION ............ ........ /'�17rl� td �� ..................:.
..........
.... .r�.......19 .
m
-TO`THEIINSPECTOR OF-BUILDINGS:
The undersigned hereby applies for a ermit according to the following information:
Location .......U... ... ... ................1?1..... St.....".c(!ESL.S'4 ..............................................................
ProposedUse ......:r�... ...... . ......................................................................................................................................
U
Zoning District ............................. .......................................Fire District .....................................
Name of Owner ...... . . . . . . .6..� ....... ...Address 7,y-:.. .. ...
Nameof Builder ..................................`.`............:....................Address ............... 5..............................:.-1�....`'.`....................
Nameof Architect. ..................................................................Address ....................................................................................
Number of Rooms ter_
....................Foundation ............................,...
Exterior :.............Roofing............ .......... ...................... ...................
l� n
Floors !° '..,.. . ... ... ...... .............................................Interior ........................... ......
... ...................................
Heating G�/.. ................................Plumbing /Y
ap
Fireplace4.. .....................................................Approximate Cost ........:.... .....................................................
PP Y 9 � � -��. Area ....................................Definitive Plan Approved b Planning Board _______________ zt _ 19-
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to,all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name y�: `...�...........
Bourque, Raymond H.
18353 ">enclo-se porch
No .................. Permit for.......................................
•...............................................................................
Location .........14..4.t.0 d 1 c�v...Road....................
. ......... ...... ...
Hyann........................ ............................ .............
.......... .......Owner .... MPIRO
Type of Construction .......frame...........'..........
.....................
Plot ............................ Lot .......... ...................
April 29 76
Permit Granted ........................................19
Date of Inspection ...........................:�.......19
—Date Completed ......... ..... 19x
2.
PERMIT REFUSED
......................................................... ;19
........................................... ......... ..........................
................... ..........................................
. ........................ ..................................................
........................ .............................. ...................
Approved ................................................. 19
................................................................................
................. ........................................................
Assessor's map' and lot number
P� _
I�-Ir �Gu-,. l`. /ti G1.t.•-e�-�.0 C a th�(..�+!/
Sewage Permit number
°`T"Er°�° TOWN OF BARNSTABLE
2
i BAEMMULL i
"6 9• BUILDING • INSPECTOR
O 0 MAI a'
1 APPLICATION FOR PERMIT TO- ' '?r'. rr ��'' �y t -� ' �C
..........................................................................................................
TYPEOF CONSTRUCTION .................. .......??..... �. .....`.'.....................................................................................
.......... .... '.j........19 .
. ,r
- .TO THE INSPECTOR OF BUILDINGS: .
The undersigned hereby applies for a permit according to the following information:
Location -,"^-r 'w n �^ 'o-/I
` ...................... �a: ............. �.. : ...............................................................................
ProposedUse ..... -''^!�- /U , .....................................................................................................................................
ZoningDistrict ........................................................................Fire District .....................................................................
Name of Owner Y� I^?�.. ;.j..)� .t..( ?.,�. f9,._-� Address � f �t t^'^/'��r y�?e�% �-•�?•
�.....,..... ,,.. ;...... .... ..
Name of Builder ..............`..`...................`....... ` ' .............Address ..............f! 4.
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms
............`......................................................Foundation ..............................................................................
�.... t `
. Exterior ...:. .,......�.1. ..........................................Roofing ..........::........�...%��,�..,... ....................
Floors '!` .........................................................................Interior .........................:............. 'a.................................:._.....
Heating ...................�l/.........................................................Plumbing ...............:....:.........
.....................................................
CAP, L�
Fireplace ................:..................................................................Approximate Cost :...off....................................................
............
Definitive Plan Approved by Planning Board ______________ � !___19_ _ Area .....i....................................
Diagram of Lot and Building with Dimensions Fee ......... .......................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Bourque, Raymond H. &=306-12,
' ~
---- ------- roe
No Permit for
'
74 Studley Road
Location ............................................. ........... '
'
Bymon1a
---------------------.�----.
`
-
Raymond H. Bourque
Owner ---' '
frame '
.,,- of Construction_ . '
, . . '
' Plot Lot
'
. . '
`
' -
Permit Granted
. .
uo/e or Inspection
` Date Completed ............... `
�
� . PERMIT R FUSED
. .
/
.
----._'------ .
—_—. . . .. .
'
................. ............................ ............ '
' '----^—'' ----''—^'--':---^^
'. Approved —' .-------------. lA '
` .
' ---------- ----------------
.
' ------------------------'^—'
. '
. � .
'
b�Py ,*THE
TOWN OF BARNSTABLE
DARNSTAILL
MAS L
1639- BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .............. .......
f (Y.,�,q......
TYPE OF CONSTRUCTION
........................
........... ..........................................................................
. ............. .:�............19... .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
7 Location ......................................
...... .... ...........A
ja...... .......................
............................................
. .y..............
Proposed Use .......... ��AL/?..........
........................ . ......... ..................................I.........................
ZoningDistrict ........................................................................Fire District .............................................................;.................
Name of Owner
.............5..z�........
Name of Builder ......CO.N.S.1.7.........Address ..... ........ /A.01.1
Nameof Architect ....la-��- .............................................Address ..............................................................................
Numberof Rooms ...,1Z.......................................................Foundation ......I..........................................................................
Exterio
r ...... ........ .Y ........Roofing ......... ..............................
-
Floors ......../Q 7...... ................................Interior ............................
Heating ..... ......................................................Plumbing ...... /;:.r........................................................
Fireplace .....N-0...ff��.....................................................Approximate Cost ...................9... z... d
Definitive Plan Approved by Planning Board -------------------------------
Diagram of Lot and Building with Dimensions
SUBJECT-TO'-APPROVAL OF_ BOARD OF HEALTH
a E PROPOSED"Erpj
SANrrA
Ry WATER SUJ-2R' Lr(
'M9 DMNAGE 114z HER S,-�WA
;2z
Y°J
TOWN
RNA BOARD 0
F 'HEAL TH
-e
A
MULLER MUST, o8k1
Pfq"-SEWAG8
ER". T."AND INSTALL SYSIEM.
I hereby agree to conform to all the Rules and Regulations of the Town of-Barnstable regarding the above
construction.
Nam�t .......................... .......... ..... .....
Bourque, Raymond '�/2�'� 2—
/--
y�/72—
•14969 enclose open COC O,,
No ................. Permit for ....................................
P9
E.. -w
.......Porch............................................................ O Aj Ca 40J
Location ......74..Studley Road � �� � O l�s i
......................................... o404 E2
Hyannis.......................................... j am 1,Qa«'44.r dA,/
' Raymond Bourque Owner ........ .... ........ .............:............... 6 7-eel � Dsue' �d c
Type of Construction frame
........................ f
...............................................................................
Plot ............................ Lot ................................ , i °� ✓V
Permit Granted .....APr?A..;A................19 72 Q
0� 7�
Date of Inspection
- 1 -
`�...Z.. ....7�--.....�.`i�s E
Date Completed .............19
PERMIT REFUSED
................................................................ 19
................................ .......................................... .
................................................................................
f}
...............................................................................
............................................................................... 'i f
Approved ................................................ 19
............................................................................... t
i
I
..................... ......................................................... f
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 306 Parcel 012 Permit# 2
Health Division _ JUL 2001 Date Issued 0 t
p � 1
Conservation Division ' e �� 7+� D� /e�! �1_�.,'��Attw;p1A��>��f�„ ;:Fee 00
la
Tax Collector . P
SEPTIC SYSTEM RAC ST BE
Treasurer r W61ZOLINSTALLED IN COe qFI ANCE
Planning Dept. WITH TITLE 5
ENVIRONMENTAL C0022 AND
Date Definitive Plan Approved by Planning Board TOWN REGULATiCKS
Historic-OKH Preservation/Hyannis
Project Street Address 74 Studley Road
Village Hyannis
Owner MORIN, Laurence P./Sheila H. Address 74 Studley Road, Hyannis, MA 02601
Telephone 508-775-4848
Permit Request reconfigure bedroom closets, gut and remodel master bath, replacement of
windows and doors
lower ievei upper ievei
Square feet: 1 st floor: existing 1,426 proposed n/c 2nd floor: existing 1,472 proposed n/c Total new n/c
Valuation $10,000) Zoning District RB Flood Plain zone B Groundwater Overlay AP
Construction Type wood frame
Lot Size 0.19 acres Grandfathered: ❑Yes �No If yes, attach supporting documentation.
Dwelling Type: Single Family 1 Two Family ❑ Multi-Family(#units)
Age of Existing Structure 35 Historic House: ❑Yes 'No On Old King's Highway: ❑Yes ANO
Basement Type: ❑ Full ❑Crawl ❑Walkout YQther raised ranch, walkout
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing 3 new n/c Half: existing none new none
Number of Bedrooms: existing 4 new n/c
Total Room Count(not including baths): existing 9 new n/c First Floor Room Count
Heat Type and Fuel:-,Gas ❑Oil �❑ Electric ❑Other
Central Air: ❑Yes �lo Fireplaces: Existing 2 New Existing wood/coal stove: ❑Yes �No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:kex/existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes No If yes, site plan review#
Current Use -Proposed Use
C
Q BUILDER INFORMATION n ��
Name
a Laurence P. (Larry) Morin . Telephone Number ���
Address 74 Studley Road License#
HVanni c, MA 09601 Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 7` �a
� 4
FOR OFFICIAL USE ONLY
f
PERMIT NO. `
s
"DATE ISSUEDf
MAP/PARCEL NO Y 3
• , - � �.� , ' •,� Y�vat- .
g._ ADDRESS .� fr VILLAGE, f VJ
1
OWNER , R
y; DATE OF INSPECTION '
FOUNDATION
FRAME-;i
INSULATION x • ' aa
FIREPLACE
ELECTRICAL: ROUGH- tom` + ; FINAL %?
' PLUMBING: ROUGH- *- ; Z FINAL
f
GAS: ROUGH . FINAL
FINAL BUILDING
- f!
DATE CLOSED OUT y'
ASSOCIATION PLAN NO.
5'!� 06 0O
i N�3¢6OO
LOT 1
k
LOT 2
n :w
c
00
RES. ZONE- 'RE" This MORTGAGE INSPECTION Bank �UseoOnly FLOOD ZONE.- 'B"
THE DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY.
TOWN: _HYANNIS-----------_ REGISTRY OWNER: STEFEN FAUGHT & ROBIN HUNTER FAUGHT
DEED REF: _113101257____--_-- BUYER: _.I,_iIUCLNSE_P_. _� HFIL�LH M0 �FY_____.=__--
DATE: __-----_--_ PLAN REP': _1160�_111- -S
CALE:
I HEREBY CERTIFY 'I'0 SUNTRUST MORTGAGE I/VC____ YANKEE SURVEY
____ ___________ __ ____ _THAT THE BUILDING
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAUL J CONSULTANTS
SHOWN AND THAT ITS POSITION DOES _ CONFORM _ x A,
,f�a ; t I 140B SUITE 1
TO THE ZONING LAW SETBACK REQUIREMENTS OF THE ` = ' :
TOWN OF _ BARNSTABLE_ _ _ Na3:2,03 , '""`L INDUSTRY ROAD
_ _ AND `I'I-IAT - ;
IT DOES_ NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD y
,.- s, Fes,.;: N�� MARSTONS MILLS, MA. 02648
AREA AS SHOWN ON THE H.U.D. MAP DATED_12192-__ <��,` "•k4 jda TEL: 428-0055
'?~� «`�Co unit — anel 250001 0006 D �3
FAX: 420-5553
THIS PLAN NOT MADE FROM AN INSTRUMENT SURVEY
________
P L A. MERITHL'�P'PLS NOT' TO BE USED FOR FENCES, BUILDING PERMITS ETC. 30509 CB
9 g Regulatory Services
E619.
c ��� Thomas F. Geller, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 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: Home remodeling, renovations & repairs Estimated Cost
Address of Work: 74 Studley Road, Hyannis, MA 02601
Owner's Name: Laurence P: Morin and Sheila H. Morin
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
MWork excluded by law
[]Job der$1,000 '
❑B tiding not owner-occupied
wner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMITCONTRA OR DEALING WITH UNREGISTERED
ACCESS O THE OR APPLICABLE HOMEARBITRATION PROGRAM IMPROVEMENT GUARANTY WORK DO NOT FUND UNDER M�142A.
ACCESS TO
SIGNEDUNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor Name Registration No.
OR
6 Laurence P. Larr o in
Date Owner's Name
q:forms:Affidav
I*k „�,� , f The Town of Barnstable
16 139. Regulatory Services
�e�'
Thomas F. Geller, Director
Building Division
Elbert Ulshoeffer, Building Commissioner
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-7 90-6==0
HOMEOWNER LICENSE EXEMPTION
Please Print .
DATE:
JOB LOCATION: 74 Studley Road Hyannis, MA
number. street
village
"HOMEOWNER..: MORIN, Laurence P. 508-775-4848 508-771-6400
name Sheila H. home phone# work phone#
• CURRENTMAUNG ADDRESS: P• 0. Box 835, Hyannisport, MA 02647
city/town state rip 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 B uilding Code,and
other applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building
Department minimum inspecti?a4Zrocedures and requirements and that he/she will comply with said
procedures and requiremen
Laurence P. Morin a H. Morin:
Signature of Homeowner
J
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 EXENII'TION
The Code states that: "Any homeowner perforating work for which a building permit is requited 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." a
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 communides require,as pan 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:EXEMM N
i
I I I ! vanity
1 - =- -
I
qbo
!�T linen closet
i I I Irl
r
eLLi oom:closet- I
shower
stall. � I ( -i-- - ----- �-- -
4. i -- -� -- - ----'- -- ---------- ' '-
--MASTER BEDROOM---
GUEST
Bedroom - % ^'bedroom closets
f i
--- ------ --- - - - - - - -- --.-- -_...._ -- - -
74_Studley _Road scale:, 1 square = 1 f of
f ----- -Hyannis, MA - - ---
i
F7
000�A
current configuration of master and guest bedrooms
-- -- -_ -- ----- -and- two upper: -level-bathrooms --�-
I
_7E�� -
i
i ,Studleyr ad
- Hyannis;--MA -- --
---- — square-scales 1 ' 6" - ----
--- --linen-' °----- 3'v - - ---
-- ----- ----Closet --- --- ----— -- — -----
— - b
closet edroom — -- - - - ---
master bathroom s
--- - -'- i_
__ - -- -- - — - :current"configuration of - --_
- - --- master-bedroom= closets ,and bathroom:- - ----
,
s
____ __—__ — _
• shower__.st—all
f - -(closetsi"to lie removed to enable
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hall linen
closet
,
hallway.
47
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(closets :in both rooms. to be removed
and reconfigured,as -shown on
-- -separate sketch)
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j ue (,ommonweauli of massachusi=s
Department of rndusrrial Accidents
600 Washington Street
Boston,Mass. 02111
Workers' Compensation Iasmrance Afridavit
MORIN, Laurence P./Sheila H.
fl3.T.c:
location-
Hyannis,
Studley Road, Hyannis, MA 02601 ( Map No. 306-012) '
Hyannis, MA 02601 508-775-4848.
I am a hmn=w= hone
gerzatming all warlC myself -
Q I am a sole ur=ctcr pad have no 0=motion::is aav caaacitr
I am as ea:PIover ?
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Failm�e to seeo2e ec.ee:;eae a4�dmsderSta:dmZSAofMQ.1S2 rmleedttrtbettttp�feaofafzideaipenai@se ofat;laenp to SL'�O.a
one tears,imprtsommMens as VMR as fdra pemi@ea in the form of a 6'rw qvVC=OHDffieed a fte"nC0 00 a&y npt=me. I uadersvr
Copy of this 2"t.-m27 be forwarded to the Oma om estipd ms ofUwwAhrwvaaPvedfiad=
I do herrhy cm t(y under and p=a&=of perlurp that the infornrwion pnvvided abow is truce wtd carrrtt '
Sl
Prjr,P t: Laurence P. (Larry) Morin P ne> 508-775-4848
F
iT do not write in this area to be completed by cky or town omcbd
dry pnmit!llcrose0 CB�din=Dept
DLicratog Board
mediue response it required �S,1,=ea's Oln.
(]Health Deparamcn,
comet person: Phone
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I% No.- 79N---
F TH;£ T
OFFICE OF THE BOARD OF HEALTH
OF THE
13ABA9TABLE, TOWN OF BARNSTABLE, MASS.
yo MASS. �� /
Op 1 39• ��,
--- --- ------
---- ----- ---- 19fd
'U MAY *• S AGE DISPOSAL PERMIT ' c
Permission is granted to ___________ ____________ _ _--____-_ to construct 000 __ __ ��
Upoiyt�e remises of 4 Sketch �
-- -------- --- -------------------------
In the villa a of
..........4
2�475 or more feet from any source of'water supply
20 feet from building
0<feet from property line
------ -------------------------------_------- -------------------
Health Officer.
i
�-Ilvl-rllrz2
77�51
Ir
j
TNETo�° TOWN OF BARNSTABL ■
• r
Z 33MMIT" E, i
"6 9
Q MPya' BUILDING INSPECTOR
•�`
r. .
Ulf � .
APPLICATION FOR PERMIT TO
............ .............. .................. ..... . . ..................
< r,
ll `� `�.Q-0. ........ .:./n Jr ..... ..... -
TYPE OF CONSTRUCTION ...1/1.1 >� �,,,,,,,,,,5'Tt1.2 .......J. Al
............. .....: ../.. ........19..�c �
J"
TO THE INSPECTOR ,OF BUILDINGS: +
The undersigned hereby applies for a permit according to the fo wing information:
Location '�......#./ r�?.. .�`?' .A'R,let�/.,�i�...P7... ..
ProposedUse .......�e?:).�.� .......... ...........................................................................................
J
Zoning District .......................................&'0ortV0-Ac1c1ress
......................Fire District ..............................................................................
Name of Owner ... .. .Gf!l�,�..... ..........�?.�,(.. .%....�:r• ..... ..Name of Builder ........... .. /
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ................... $ ........................................Foundation .........../..�.......... ..e� .............................
Exterior ..........�is2�.........!�1��%y ............Roofing ........ /f
O x.I A/ .......................................
J/
Floors .......... ���. ....�� ..........................Interior ................... .. 7........... .. ...... (� %�%.C.............
Heating*
eatin ..... - ....................Plumbing . y/ %.!1
- _ Fireplace ............
............................ApproximatP Cost .
..............r.........................`...�
Difinitive Plan Approved by Planning Board ________________________________19________. ✓3q�
Diagram of Lot and Building with Dimensions ��
~k
4-0 �2z
f a as ,
< 3
20� I
7s '
I hereby agree to conform to all the Rules and Regulations of the
4Townof... rnst.able ardin a above
construction. Name ..... ... ....d...... ....................................
. �
> �
Bourque, Raymond
9964,
II/2 �
Permit for --..��.�..�...�T:b--
�
single family dwe
--------------- .....................
Studl
Location --- .Boo�l............................ \
'
________.B��oo�o_____________ �� |
-^ (
Owner ........^�r""^����p�^z,��s--------. <
frameTypa of Cons�uction -------------- '
'|
--------------------------.
Plot ............................ Lot ........ \
. �
�
Permit Granted ---.�AY.�3..............lV6q \
�����
Dote of |nxpecion —.x����4-' --]Q
nte -------,.����--]g
_��=--
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PERMIT REFUSED '
......................................................... lV
-
..
—'---'--'-----^-------------''
�
.-----.-----------..—...—~,---.. '
|
.---------------.--..—..----.,
. �
Approved
/
---------------- lg '
�
-------------'----^--^—'^'---'
-----------.---------~....~—. .
! �
/
N
x
N � _ ^
y -
.
T"ET°�. TOWN OF BAR.NSTABLE
Z BARNSTABLE, i
"6 9 BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .':". +Uj.4�r...........Z)VV. L��rs.14..c�...................................................
TYPE OF CONSTRUCTION o !:./�!Y).J.�T.........W.ocC -.o.......F./'S.AM ...................................
TO THE INSPECTOR OF BUILDINGS:
The undersig —h'eTrpb h s for a permit according to the following information:
1 ^�/
Location .. .....LA.�:......
..�� :. ..!.... .�Fl�� '. .........1. .p.................................................................................
ProposedUse,,,...... � � .. ................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
F � v
Name of Owner . �V .G1��..... .............Address ...Syl���.. .r.. jr®... `.I,,�<.*�✓./..j
Name of Builder /-!9AA kM.... `.... '��I.a... .......Address
Name of Architect ......Address '�".....................................9!4WjA-1)z)
................. ....................................................................................
Number of Rooms ... ... ..t.A!Yal.L� ...Foundation /,e0 :.-
Exterior� O!�- ' p.. � `..Roofing .....�/a�/ T........................ .. ................................................
Floors l�sq/ ............. l.trit�.l d, ..........interior .... ..2....... '6��1441...................................
Heating ./lo ... �G...Plumbing ....cpo.�.p6W.7:r.......
Z 2,... .f..�'7. .........
Fireplace Cost . A
p .....�.Uel .f .V ���/./ ......................Approximate Cost ....... 4?, .e..4v .........................
Difinitive Plan Approved by Planning Board ________________________________19--------.
Diagram of Lot and Building with Dimensions
11�Gb Fr, k --- ----
15
6 S"
�-�—tom
I hereby agree to conform to aril the Rules Regulations of the Tow of Barnsta le regard' g e above
construction.
Name .... . ..eh. . ..!..... .......
�
`
�w '
Location ................................................................
...............................................................................
'
� Owner ..................................................................
Type of Construction --------------
'
. �
--------------------------'
Plot ............................ Lot ................................
Permit G,on*»6 -------------]g
Date of Inspection ------------.l9
`
`
Date Completed ......................................
,
~'
PERMIT REFUSED
-----,---------------.. 19
-----^--~^^'^--------`—'---^^—'
-
—'--~-------''`--^—^^'~^'--~^—^—'
'—~~^---~---^^^^^^---'--'~---~—'
'
-------------'—'~^^—'^—^^~—^^^~'
Approved ---------------- lA '
-------------'—~^—'-----''—'--
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'
-------`---'~—~^-----^''~^'^^~—
�
TO711 0 R TV:-)7J'3 i E
� LY
GENERAL NOTES: LLJ z o ,
W L'J N
1. GENERAL CONTRACTOR TO CONFORM TO ALL LOCAL AND MASSACHUSETTS STATE BUILDING CODE OLi O vI
REQUIREMENTS. Lo
J L_ Oo0o
0Q D N 1
2. GENERAL CONTRACTOR TO VERIFY ALL DIMENSIONS AND EXISTING CONDITIONS AS SHOWN ON THE Z V) O
DRAWINGS AND NOTIFY THE ENGINEER OF ANY DISCREPANCIES. O
COW < o
3. STRUCTURES ENGINEERING IS RESPONSIBLE ONLY FOR INFORMATION SHOWN ON OUR DRAWINGS. THE W L
DESIGN AND LAYOUT OF ALL OTHER INFORMATION IS THE RESPONSIBILITY OF OTHERS AND MUST CONFORM TO LIJ
THE MASSACHUSETTS BUILDING CODE REQUIREMENTS. O 1--
Of J 00
4. ALL EXISTING STRUCTURAL CONDITIONS AND HEATING, PIPING, INSULATION, ELECTRICAL, FIREPROOFING AND LL� d z W o
OTHER REQUIREMENTS ARE THE RESPONSIBILITIES OF OTHERS. RELOCATE ANY EXISTING UTILITIES OR N Q _ E I
OBSTRUCTIONS AS REQUIRED TO COMPLETE THE REPAIRS AS SHOWN. L1_ g
LLLJ C 00
5. NOTIFY THE ENGINEER OF ANY ARCHITECTURAL MODIFICATION OR DIMENSIONAL CHANGES THAT MAY = O � 00
AFFECT THE STRUCTURAL DESIGN.
'1 N
7. ALL FOUNDATIONS AND FRAMING IN THE WORK AREA TO BE UPGRADED AND/OR REPLACED IF REQUIRED -BLOCK �••/ (n N
TO MEET BUILDING CODE REQUIREMENTS. RETAINING WALL _____ 23'-1" _ _ Q
8. USE HIGH STRENGTH GROUT UNDER ALL SILLS WHERE SETTLEMENTS HAVE OCCURED TO PROVIDE VERTICAL
SUPPORT. DRY PACK FOR THE FULL WIDTH OF THE SILLS. �-
9. EPDXY INJECT ALL CRACKS IN FOUNDATION WALL FULL DEPTH AND FULL WIDTH AFTER THE LIFTING HAS
BEEN COMPLETED, WIDE CRACKS MAY BE EXTENDED WITH SAND. REMOVE ALL EPDXY GELS AND PORTS AFTER
INJECTION WORK HAS BEEN COMPLETED. EPDXY ALL CRACKS IN BRICK. SUBMIT MATERIAL AND PROCEDURE TO
THE ENGINEER PRIOR TO COMMENCING THE WORK.
W
BLOCK WALLS ----_�� BLOCK
FOUNDATION-�
SECOND FLOOR
RECOMMENDED CONSTRUCTION SEQUENCE: OVERHANG- iv
1. EXCAVATE ALONG THE INTERIOR AND EXTERIOR OF THE FOUNDATIONS DOWN TO THE BOTTOM OF THE - ---
EXISTING FOUNDATION WALL AND A 45o MAXIMUM SLOPE AS REQUIRED TO ALLOW FOUNDATION WALL 23'-l"
RESISTANCE PIERS TO BE INSTALLED.
2. INSTALL THE RESISTANCE PIERS UNDER THE EXTERIOR FOUNDATION WALL BY ATLAS SYSTEMS OF NEW
ENGLAND. LATERALLY BRACE AT THE TOP OF ALL PIERS IN A MINIMUM OF TWO DIRECTIONS TO THE EXISTING CONCRETE SLAB
SLAB OR OTHER STRUCTURES, AS EXCAVATION PROGRESSES. - -
3. INSTALL HELICAL PIERS UNDER THE FOOTINGS AS SHOWN. ExlsTl G
4 x 4 POSTLARGE CRACK
SEE REPAIR DETAIL
SLLAB RETE NEW 12" x 16" UTILITY
B B CONCRETE BEAM-�i R00 o CONCRETE z W SUPPORT PIER NOTES:
FOUNDATION V) 0
1. INSTALL RESISTANCE PIERS UNDER THE EXTERIOR FOUNDATION WALL, AND RESISTANCE PIERS UNDER THE �/ A BLOCK O } Z
LALLY COLUMN FOUNDATIONS AS SHOWN. LATERALLY BRACE AT TOP OF ALL PIERS AS NECESSARY. AFNEW L OREBOAM E---NEw 2 x 8 PT ® 76"o.c.�i GARAGE W U�
LATERALLY BRACE THE PIERS AS NECESSARY AT MID-DEPTH IF REQUIRED. FLOOR FRAMING Q
2. PIERS TO BE INSTALLED VERTICALLY AND TO HAVE ADEQUATE VERTICAL AND LATERAL SUPPORT CAPCITY
SLAB
TO SUPPORT THE EXISTING STRUCTURE. THE MINIMUM WORKING LOAD CAPACITY IS 6 TONS WITH AN ULTIMATE FAMILY N 0 'Z
LOAD CAPACITY OF 12 TONS. --- -t0-0--- ROOM -L.C.s HALLWAY L.C.s- r>
N = D ]L Q
3. THE RESPONSIBILITY FOR THE DESIGN, CAPACITY AND INSTALLATION IS BY THE INSTALLER. THE INSTALLER co
-+ _ Q-.
IS TO HAVE A MINIMUM OF FIVE (5) YEARS EXPERIENCE OF SIMILAR INSTALLATIONS. SUBMIT TO THE ;n -J
ENGINEER QUALIFICATIONS OF THE COMPANY AND ON-SITE PERSONEL AND PROOF OF INSURANCE. ALL OVERHEAD BEAM -L.C.s Q >_ Z
QUALIFIED PERSONEL TO BE ON-SITE DURING INSTALLATION. NOTIFY THE ENGINEER 2 DAYS PRIOR TO ANY
CONSTRUCTION WORK FOR ON-SITE INSPECTIONS AND REVIEW OF THE WORK. SUBMIT THE SHOP DRAWINGS TO _
THE ENGINEER FOR REVIEW PRIOR TO THE PERFORMANCE OF ANY WORK. RAISED BEDROOM
CONCRETE EXISTING SLAB a,
4. THE SHOP DRAWINGS ARE TO INCLUDE: DESIGN CAPACITY DETAILS OF THE PIERS AND METHOD OF SLAB - TO BE REMOVED BEDR00
INSTALLATION. INCLUDE DETAILS AND METHOD OF LATERAL SUPPORTS.
0
-NEW 10" FOUNDATION WALL i REPAIR POTENTIAL CRACK IN
5. THE PURPOSE OF THE PIER SUPPORT SYSTEM IS TO PROVIDE PERMANENT VERTICAL SUPPORT TO THE TO CONNECT EXISTING CONCEALED FOUNDATION WITH
EXISTING STRUCTURE. FOUNDATION AT REMOVED V FLAT PLATES SIMILAR TO
CHIMNEY LOCATION (SEE DETAIL) CORNER CRACK DETAIL
6. THE PIER LOCATIONS AND QUANTITIES SHOWN ARE THE SUGGESTED MINIMUM ONLY. FINAL QUANTITY AND N,
LOCATIONS MAY BE REQUIRED TO ACHIEVE THE INTENDED RESULTS PIERS TO INSTALLED AT ALL LOCATIONS
WHERE THE FOUNDATION HAS SETTLED. THE INSTALLER IS TO PROVIDE AN INSTALLATION REPORT SHOWING V
ULTIMATE AND WORKING LOAD CAPACITY FOR EACH INSTALLED PIER, INCLUDING PILE DEPTH, FINAL BRICK CHIMNEY o
INSTALLATION TORQUE AND FORCE REQUIRED FOR A 10 TON WORKING CAPACITY, UPON COMPLETION OF THE TO BE REMOVED - revisions
PIER INSTALLATION WORK THE INSTALLER MUST SUBMIT TO THE ENGINEER A REPORT BY THE COMPANY THAT
ALL WORK HAS BEEN COMPLETED IN ACCORDANCE WITH THE DRAWINGS AND THE MASSACHUSETTS STATE �� date dr by
--.__—____.�3-3 - -6 ------- 14'-O" 11'-5" description
BUILDING CODE 8th EDITION. 7
FRONT __....------
7. ATLAS SHALL STABILIZE THE FOUNDATIONS BUT DO NOT RAISE IF DAMAGE MIGHT OCCUR TO THE ENTRY -
STRUCTURE. THE MAIN PURPOSE IS TO PROVIDE VERTICAL SUPPORT TO THE FOUNDATIONS 2'-0" - - 46'-2"
`\ -ENTRY PATIO PAD -�
- --- �- --- -- ------ /�---- - -- ___��- --- ® NEW RESISTANCE PIER
FOUNDATION REPAIR NOTES: (2) NEW HHELICAL PIER
1. THE PURPOSE FOR THE REPAIR DRAWINGS IS TO STABILIZE THE FOUNDATIONS FROM FURTHER SETTLEMENT PROPOSED PIER SUPPORT PLAN �N OF
AND REPAIR FOUNDATION DAMAGE. y
2 JOHN W. N
2. HE PRIMARY SETTLEMENT HAS OCCURRED IN THE FAMILY ROOM WHICH IS THE PORTION OF THE HOUSE s�rzQUEEN ucTUR,aL
CLOSEST TO THE MARSH WITH THE UNDERLYING SOIL PRESUMED TO CONSIST OF SOME ORGANIC MATERIAL. P z601 o
HOWEVER, THE ENTIRE HOUSE HAS SETTLED TO SOME DEGREE BUT LESSER TOWARDS THE GARAGE END. IT IS ``o
RECOMMENDED THAT THE ENTIRE HOUSE BE STABILIZED WITH SUPPORT PIERS AS SHOWN TO MAINTAIN Fss
UNIFORM SUPPORT AND LESSEN THE POTENTIAL OF DIFFERENTIAL SETTLEMENT (MORE SETTLEMENT AND
STRUCTURAL DAMAGE IN ONE AREA THAN ANOTHER). OF
drw by chk by
3. IF THE PIER INSTALLATION IS INTENDED TO BE PHASED BY INSTALLING AND REPAIRING FOUNDATIONS ONLY
IN AND AROUND THE FAMILY ROOM AREA AND AT A LATER DATE IN THE REMAINING PORTIONS OF THE o �p PFM JQ
HOUSE3, THEN OTHER SETTLEMENTS AND DAMAGE MAY RESULT. Q� job number
s uCTui a 1 2013101
4. THE FIRM OF STRUCTURES ENGINEERING RECOMMENDS THAT ALL THE PIERS BE INSTALLED AS SHOWN AND v Cl*)
WILL NOT BE RESPONSIBLE FOR ANY DAMAGE THAT MAY RESULT FROM A PHASED INSTALLATION. ?toll
$ issue date
�NST �° 9-1
�A S'04A scale
NOTED
drawing number
S - 1
SCALE BASED ON D (24 x 36) SIZE DRAWING Sheet 1 of 2
I
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7,
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EXISTING FRAMING °° d �___.� �_ Q �I
EXTERIOR EXISTING SETTLED 10" x 4'
FOUNDATION WALL SUPPORTED i1 � 0
CLEAN OUT AND FILL CRACK L 8 x 6 x Y2" (GALV, OR PAINTED CODITION ON NEW RESISTANCE PIERS U r O
SOLLD WITH HYDRAULIC CEMENT [WITH 2 COATS OF RUST INHIBITIVE VARIES
GALV. SIMPSON H2.5 � (� O
OR HIGH STRENGTH GROUT PAINT) x 4'-0"t LONG FULL HEIGHT HURRICAN CUP °d "-•�J Q `"
AT CORNER CRACK /\//�/�/\�"Q�� -
NEW 3 - 2x10
PT BEAM
NEW S" T & G
d. V /
MARINE PLYWOOD
NEW 6 x 6 PT POST GALV JOIST HANGER
d ° WITH GALV. METAL
8„ )�"O S.S. EXPANSION BOLTS OR CAP AND BASE °
THREADED ROD EPDXIED 6"t 2 x 8 PT 16"o.c. • •° W
INTO EXISTING CONCRETE 12"to.c. ° e -H 2 - #5s CONTIN
d CHIP OUT EXISTING SLAB, INSTALL _0 TOP & BOTTOM
NEW PIER AND FOOTING THEN
b REPLACE CONCRETE \\,6 MIL VAPOR BARRIER\/�\�\�\ �d °•
ON EXISTING GRADE \i\\j\\�f\\//\\� \ NEW CONCRETE
2" EXISTING SLAB 2 x 8 PT LEDGER EXPANSION BEAM POUR 6"
NEW HELICAL Mil UNDER SLAB
OR EPDXY BOLTED TO EXISTING a FOUNDATIONWALL WITH
CRACK REPAIR DETAIL
PIER
GALV. S.S..5. BOLTS 016"o.c.
3 4 a 1 -0 NEW 2'-0" SQUARE -NEW #5 x 12"LONG EPDXIED
x 12" DEEP MIN. PINS ALL AROUND
FOOTING 4' NOTES:
1. DRILL AND EPDXY 4 - #5s x 24" LONG
6" INTO EXISTING FOUNDATION WALLS EACH
HELICAL PIER END SIMILAR TO NEW WALL DETAIL
2. POUR NEW FOOTING ALONG WITH BEAM Q _J
SECTION B AT LALLY COLUMN LOCATION `l
3/4" - 1'-O" - Uj O W
SECTION A A �, o
3/4" = V-0" O
TAKEN THRU FAMILY ROOM EXISTING CY_ W
SLAB HAS BEEN REMOVED U C) Q
�
Z V)
SECOND FLOOR
SHORE EXISTING FRAMING ABOVE AND r
REPLACE STUD FRAMING AFTER NEW 0
CONCRETE SEGMENT IS INSTALLED W
EXISTING SETTLED 10" x 4'
FOUNDATION WALL
v41
o�
\ EXTERIOR
EXISTING 10" x 4'f REMOVE EXISTING CHIMNEY o SHORE SECOND FLOOR CODITION CHIP OUT EXISTING P.C. SLAB
CONCRETE FOUNDATION o JOISTS AND BEAM FRAMING VARIES ONLY AS REQUIRED TO INSATLL
WALL U-o N Y WHERE PIERS ARE
'EONLANATCH
REQUIRED TO BE INSTALLED
FROM THE INTERIOR
revisions
d
2 =.,#5s
NEW 10" ° °. a. ° °> no. date dr by
9 descri tion
CONCRETE WALL AN OF
A ° a° OUT OUT EXISTING
d SLAB AND FOOTING f 1
s- a., $..4 UNDER LALLY COLUMN 2" FIRST FLOOR SLAB °°.d ° a JOHN W.
CONTINUOUS QUEEN
L8 x 6 (SLH) x Y2" "' ---PIER BRACKET U STRUCTURAL
6' 2 NEW #5s x 24" LONG d STEEL ANGLE 28011
a 2 °#5s°d EXIOSTING CONCRETE XIED 6" MIN. TO A�� G/STER
a (OR"APPROVED EQUAL)OR �Fs
NEW 2'-0" SQUARE
x 12" DEEP MIN. -+. °.-- ��N OF MgSs
FOOTING --/ d - RESISTANCE PIER 1 i aP
/ JOHN W.
15 QUEEN 1*l
/ STRUCTURAL �
U 26011 N
NEW RESISTANCE NEW HELICAL NEW RESISTANCE REMOVE EXISTING LALLY RESISTANCE PIER ECP MODEL-350 �� F �a
COLUMN, INSTALL OR EQUAL SUPPORT UNDER EXISTING c R
PIER PIER PIER HELICAL PIER THEN NEW
FOOTING (IF PRESENT) OR UNDER � i E
NEW CONCRETE FOOTING EXISTING FOUNDATION WALL (EACH
AND RESET LALLY COLUMN SIDE OF CHIMNEY FOOTING NOT SHOWN)
DRIVE TO AND EMBED INTO SOLID drw by Chk by
BEARING MATERIAL WHICH WILL PROVIDE �jFM J Q
DETAIL AT RECONNECTED FOUNDATION THE MINIMUM L°"° CAPACITIES AS
TYPICAL INTERIOR PIER SPECIFIED IN THE SUPPORT PIER NOTES
ON SHEET 2, BRACE A5 REQUIRED. job number
WALL AT REMOVED CHIMNEY LOCATION Zo»�o�
INSTALLATION AT LALLY COLUMN issue date
3/4" _ ,'-D" TYPICAL EXTERIOR FOUNDATI N 9-16-13
O
3/4" WALL PIER INSTALLATION NOTED
3/4" = 1>-0" drawing number
S - 2
SCALE BASED ON D (24 x 36) SIZE DRAWING Sheet 2 of 2