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0043 SUNNY KNOLL DRIVE
� , � t . Town of Barnstable Building Post;Th's Card�So That rt is Visible From the Street Approved.Plans Must be;Retamed on Job andFth�s Gard Must be Kept v s ` Posted Until Final,lnspectlon Has Been Made g, � m ° he e,a:-6391 Certificate:of Occ anc. +isRe aired such Buld�n�=shall Nobe°O cu red '' ` ' Permit p y q g c p until a Fin 1 Inspection has been ache Kew.. xw�, x,„�.��:,.::. Permit No. B-19-1359 Applicant Name: Paul Eaton Approvals Date Issued: 05/21/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 11/21/2019 Foundation: Location: 43 SUNNY KNOLL DRIVE,HYANNIS Map/Lot: 307-116 Zoning District: RB Sheathing: Owner on Record: DIGEORGE,CHERYL&JOSEPH Contractor Nama`' PAUL A EATON Framing: 1 Address: 43 SUNNY KNOLL DRIVE Contracto�kLicenseq CS 088720 2 HYANNIS, MA 02601 Est Project Cost: $16,000.00 Chimney: Description: Install 3.96kw solar panels on roof.Will not exceed roof panel,but Permit Fee: $131.60 tg will add 6"to roof height. 12 total panels Insulation: Fee Paid? $ 131.60 Project Review Req: Da to 5/21/2019 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced wi hm°six nionihs after issuan icia � �4 � Final Plumbing: All work authorized by this permit shall conform to the approved application and therapproved construction document for whic144his permit has been granted. All construction,alterations and changes of use of any building and structures-shall be in compliance with the local zonmgjby laws'ancl codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public hspeetion for the entire duration of the work until the completion of the same. Final Gas: 1 The Certificate of Occupancy will not be issued until all applicable signatures by-the Bwlding and Fire,Officials areprovided,on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work,,' P q ter•• 1.Foundation or Footing Service: 2.Sheathing Inspection s �� 3.All Fireplaces must be inspected at the throat level before firest flue,lin!' is"installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Per rrs-eora. acting with unregistered contractors do not have access to the guaranty fund" (as set forth in MG c.142A). Final: <� Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable Building .� s Post This Card So;Shat rt ips',Visible_From the Stre`,et-Approved Plans Mus obtxbeaRetamed;on J and_this Card Must be Kept M Posted Until Final�lns faction Has Been Made x ' ° Where�aCertificafeiofOecu anc is Re uired,-such Build�n shall Not'be Occupied,until a€Final Inspec#ion has been made Perllt - ✓^>� p Y q g Permit No. B-19-571 _ Applicant Name: DIGEORGE,CHERYL&JOSEPH - Approvals Current Use: Structure Date Issued: 02/26/2019 Foundation: Permit Type: Building-Shed—Residential-200 sf`and under Expiration Date: 08/26/2019 Location:, 43 SUNNY KNOLL DRIVE, HYANNIS Map/Lot 307-116 Zoning District: RB Sheathing: Owner on Record:' .DIGEORGE,GHERYi&JOSEPH = Contractor'Name;_�_ Framing: 1 , Address: 43 SUNNY KNOLL DRIVE ' ;l ";- CobtractorUcense - 2 HYANNIS, MA 02601 f = Est Project Cost: $0.00 Chimney: Permit Fee: $35.00 Description: ' 10x20 Shed Insulation: ' Fee Paid .` $35.00 Project Review Re': 10'x20'shedaocated as located on submitted•plot plan. £' Date. 2/26/2019 final: _ Plumbing/Gas Rough Plumbing: a Building Official-_ Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this perm it is commenced within siz months e'nissuance. All work authorized by this permit shall conform to the approved application-and:theapproved construction documents'for which this permit has been granted., Rough Gas: All construction,alterations and changes of use of any building and structures'shall"be incompliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street c�road and shall be maintained open for public inspection for the entire duration ofxhe Final Gas: work until the completion of the same. - Electrical r Fir `b ffici Is are rovided on this= emit. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and e O a p perm - Minimum of Five Call Inspections Required for All Construction Work: _ Service: 1.Foundation or Footing * s 2.Sheathing Inspection ectionM' "` Rough: I 3. l 4.Wiring Fireplaces must Plumbing be inspected onsto the throat level bfoe prior tor firest flue lining Frame Inspection installed Final 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation low Voltage Rough: 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:, �, Town of Barnstable 'MET Building.Department Serv-ices Brian Florence,PO xxsrascE. BuEdmg Commissioner MA3-9. • 200 Mai.Street, Hyamais,MA 02601 _ www.town.harastable.ma.us Office; S08-862-4038 Fag: 508-73��6230 PERAUT# ' I � FEE: $35.00 STED REGISTRATION .N ��, RESIDENTIAL[.QNLY � 2(10 square feet or Iess �3 0LL ' Location of shed.(address) Village GI Property owner's name Telephone number �D � - ► 1 (0 , Size of Shed Map/Parcel# Signatur Date Hyamzis mam Street Waterfront Historic District? Old King's Highway Edstoric District Commission jurisdiction? You must file with Old King's Highway Conseruat<on Commission(s' a is required) Sign off ho''qrs.for-Conservatio ;8 00-4:30.&3 30=4:30- PLEASE NOTE: IF YOU ARE W1=TBE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEB. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. 'I`I3IS FORM MUST BF ACCONRANIEIa BY A PLOT PLAN Q forms-sbrdreg r) I n /` REV:08/6/17 o ra e�.. `' `� • 1 . 0 Kk�� � v tg 3 45 Z0 F 1, ,— C4 I LOT #� Q + `4 lb L ar p jLl -- aa h .. 4 i h i - F $i -y S V - 1 i k :. CERTIFIED PLOT J y Rr3wam pq NEW CONSTRUCTION ONLY : ' � �'��'hjy TOP OF FOUNDATION IS 19 FEET IN 11' ABOVE LOW POINT OF: ADJACENTo �~�°', � ��1� ���s . RA AD. SCALE: .I a.0 DATE� h..� �r rL® GF ENGINEERING CO.IN CLIENT, �^+��.a 1 CERTIFY THAT THE E8ISTERED REGISTERED SHOWN ON THIS PLAN t L ' CIVIL I LAND JOB N0. "ON THE GROUND A9 ENGINEER _ - Sl9RVEY0-R_ ONFORMS-_T_0_TyF-�_z��i �-� . Town of Barnstable Regulatory Services Approved g y Fee Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: 6 W O 3 C Name: �„�,�S�rs,-"ie - V �. Sy UZ4hone#: ,-09• 7 3 7• I Address: `� S��"��'Lf 14N0 Z /� Village: Name of Business: J ✓y`'�/l�` S �''��� Type of Business: ����'�� `'C`�'�yv Map/Lot: -3()r7 I 1 lU Zoning District _Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the following conditions: . The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. . Such use occupies no more than 400 square feet of space. . There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. . No traffic will be generated in excess of normal residential volumes. . The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. . There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. . Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. . There is no exterior storage or display of materials or equipment. . There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. . No sign shall be displayed indicating the Customary Home Occupation. . If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. . No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,.have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: L-C Homeoc.doc TO ALL NEW BUSINESS OWNERS DATE: 3 (0 all Fill in please:APPLICANT'S r 6r YOUR NAME: C?A U Lu I'p L S 0 y Z q BUSINESS YOUR HOME ADDRESS: 41 3_ Syeyr2y Kl,,& )-4,Ll-4/'NiS TELEPHONE a�- `J''" ' Telephone Number Home 50 P,7 '7cl 0 • 2 �6 NAME OF NEWBUSINESS S ry `S 1V TYPE OF BUSINESS G �i✓��Zq ( C �'✓ Al � IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? YES NO L ADDRESS OF BUSINESS 41 3 ZPAP/PARCEL NUMBER `y 1 e I 1 to When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall) or if you get the business certificate first you MUST go to the following office to make sure yo!! have G,l the required permits and licenses.. GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSI NER'S FICE This individual has be rmed f ny permit requirements that pertain to this type of business. Authorized Signature" COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature"`* . COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: Business certificates (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR.NAME in the town (which you must do by M.G.L. - It does not give you permission to operate - you must get that'through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A SUSINESS CERTIFICATE ONLY. = i } } p • ..--_" .,._.. ..r � Fes:. •_ f2 T �� �.._ ` "` :3 '• ��y. \ p/1 - °` 'ee �� TOWPi OF BARIVSTABLE gpermit 69 ' Bwl&ng Inspector i�nan Y L Cash �+"°°•° OCCUPp►NCY PERiV11T- Bond : x s s� _.. e "No-building:nor structure-shall be erected, and no land,`building-or structure_.sliall be ` used.for-a new-, differeni, changed, or. enlarg@d.:use without a -,Building-Permit.,therefor '' first-having,been-obtained from the.Buildingjnspector.,No building shall be occupied until a certificate of 'oecupaiicy has been is sued•- 6e.by. Building Inspector. Issued to Sasan' MCGui.re' „-.Address..>.. W:L2'dW00d. St ..Dennis' Lot 1, _,.43. SuhnyKnoTl D'r.o Hyanrai.s' Wiring Inspector Inspection date Plumbing Easpecto � `�.- ,-' Inspection date Inspector . 4 / li' --Inspection date Engineering.Departments �f A ' Inspection'date r+ 7" ir /� /1 - ;✓ - THI5 PERMIT WILL NOT BE VALID; AND'THE>BUILDING SHALL NOT"BE OCCUPIED--UNTIL r SIGNED BY:THE _BUILDING-'INSPECTOR. UPON SATISFACTORY COMPLIANCE WITH TOW1V REQUIREMENTS C - `1l^1 ...'.� ....... 1J�....rww �.Nkw -- ..,,.. `.. 71 Building;Inspector'� Vi So �l t r ( i it } ,1 y',• in r ' r P b I 4 ° rjrt� a 41 r Lor #I ,. l t y F 82. }'.'; ... a a. mr Y ' 41 it 71 71 f 3 V T t pA ice- � u. I J x it t -I ..,.++I.,c..,r.�. I:. ..�.�..• �r ��' �/ �,�1� 4 N . f � + P 7 I 1.t 4 I 1 T 4 CERTIFIED PLOT �L ` ROMRTP. NEW . CONSTRUCTION ONLYIN = u TOP OF FOUNDATION 'IS FEET ABOVE _LOW POINT. OF. ADJACENT o� � AAlA5VAS11, ROAO SCALE I r I `r E' ENGINEERING 00.IN y I CERTIFY THAT �THE .F� '' t t CLIENT/,�A da SHOWN ON THIS PLAN .Ir E6ISTERED REGISTERED t ! CIVIL : LAND JOB NO. ON THE ;GROUND A9 r'lI OCR!' � � Y I DR.Bit �'��' CONFORMS TO ,,THE :EON�NB , i ENGINEER SURVEYORk OF BARNST ® ; � t I` CH.BY: �.. p t' 712 MAIN ST. MYANNIS, MASS. 3HE_ET.a-Of Z i "� A'sse"s ors map and lot number .. 0. .' `6.. K `...... . 9F-THE t0 SEPTIC SYSTEM MUST Sewage Permit number ..C '�. ...�'�'. .................................. INSTALLS® IN COMF3LIa . C Z BAHB9TABLE, i House number ..7" ../ c:.......................... WITH TITLE 5 9 Mnea ENVIRONMENTAL CODE :` ^�639. ThttLATIONS, yAY Ar x TOWN 'OF BARN'Srf BUILDING,, INSPECTOR APPLICATION FOR.PERMIT TO .. � ....... . ............... ................. TYPE OF CONSTRUCTION ........... .. ......... ............................................................... " /...................19...Q.� TO THE INSPECTOR OF BUILDINGS: The undersig edreby appli s for a p rmit acc ding to the f lowing information: !� Location ` K ProposedUse �..... .! ....... .. .. .. ... ..................................................................................................................... Zoning District ...... ...........................Fire District .. ............... Name of Owner ..... . .............................................................Address .1dla/u. 9B ....( .: Name of Builder .......... .. . ... 1`�I"''. Address .. d. �� �.. �I/'.�1pC..t... J� Name of Architect ....... `... ........ .................'......... ...........Address .....l�� .................... Number of Rooms .......... ...................... ....................... ........Foundation l!.vL��� ........................ ..... ............................... Exterior /../..� ..J!! $ `�`''...�:'..:!'/.........................Roofing Floors/?i//.�..... ........ .......... �.. . Interior .................................................................... y .............................. - - Plumbing. ................................. .... .... �j r �n� g .. Fireplace .a� ... 1 ........�.............../....Approximate Cost < .......... ... . ... ............................. G� Definitive Plan Approved by Planning Board ________________________________19________, A a .... .......... ............ Diagram of Lot and Building with Dimensions Fee 04 SUBJECT 7V, APPROVAL OF BOARD OF HEALTH CO n I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - Name ................... .............. ...... ~~ . ->One 1/2 Story �' �,4 Single Family Dwelling Drive ` .~ . . - ' .~ . ` ' ' . ~ . / . . � / Owner ...Sasan McGuire PERMIT REFUSED lV ................... ................................................... \ , .................... . - ........................... . ' . . . lg -----.-..~----..-~-. .. ~ ......... ^ - . . Assessor's map and lot number ..:���J. ..`.�! f .. c!..!t'........ oFT Ero Sewage Permit number (...�� .. .. .................................. Z BARNSTABLE. i House number ...:...:?...t..r.::..................................................... 90 rasa � p 039 00 NAY a� TOWN OF BARNSTABLE BUILDING INSPECTOR �1 APPLICATION FOR PERMIT TO .... �..:r G�-�.... .!✓/!/.;. ...4-S,I A/l :Z�......................................... TYPE OF CONSTRUCTION I 113 1r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...:f"� .Y�/�......: .'.� ;%i !� „ � .1 ..t ...... ./,�/-c7G�!✓�..�.....................:........:... ProposedUse ...-.:..... l........ ,........................................................................................ Zoning District ! . �'.-'�'... ..........................................Fire District ... v"� 5 ... ` f Name of Owner G, !nr. 1 ' �7l,i /�,/ ,.„ ./ V 41 �:' jf ................................. .................Address .........................; .... .................... .... . Name of Builder rf ...:�:".41 .:..... (;?..:: ...........Address f �" �-�...................................'f/. � �- /�/!;� ...................................... VName of Architect ��.. L/..........Address .......4,2...'�G./1.t?-f'.:.:......................................................... .........................r Foundation y' G'7/r'2. ..... I/C��� F' Number of Rooms ........................................................ 1...............................,.....•.................................... / ......................................................................... Exterior /rl y�oJ�S fi .Roofing :..... 'Floors/ ..... „ !i..... /,..`.................... ...........Interior .................................................................................... Heating ' -2'..'z-K- ...........................�Plumbin .............. ................................... ......................... 4................. g g Fireplace 1/!l/1/. .. ;�i cam. }�.!..� ................ '�` A proximate Cost .(.. ( ............................... r r "' j' Definitive Plan Approved by Planning Board --------------------------------19--------. Area l � - -'.t!.......! :�. Diagram of Lot and Building with Dimensions Fee .') s '............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH - �� �• �, t .� -------------, - IJ � r I i 1 r r 1 7 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....................�>... ..1 ............ ............................... McGUIRE, SUSAN c'��A=307-116 No permit for „One 1/2 Story ................ S ingle.,Familx..Dwelling................ Location ...Lot...#1,16.. 4 3„Sunnykrioll,_Dr. ..................BYaZIAi.s.......................................... Owner ...Susan McGuire. . .......... .... .. ................................. Frame Type of Construction .......................................... ................................................................................ Plot ........... ............ Lot ................................ Permit Granted March 30 , 81 .......................................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ... ......................... 19 W4. ............................. ............................................................ �7���J....f ..� .... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... 'R. i TGWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map '30 Parcel 7L f Permit# 3 Health Division Date Issued _ 2 c7_Z1 Conservation Division zwz -owl Application Fee Tax Collector o��b p� �k A) L g '(Q/j�p2 Permit Fee Treasurer — a APPLICANT MIDST OBTAIN A SEWER Planning Dept. CONNECTION PERMIT FROM THE ENGINEERING DIVISION MQW o Date Definitive Plan Approved by Planning Board CONSTRUCTION. . Cr Historic-OKH Preservation/Hyannis ' Project Street Address �3 ei *1 k y 6 Village Owner 4 1 ls�ILG C.� �� /t Address Telephone Permit Request I'-K 4- Square feet: 1 st floor: existing proposed 2nd floor: existing-` proposed,0 Total new e/"fG Zoning District Flood Plain Groundwater Overlay Project Valuationld -00 -G 0' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Sin Familyl O Two Family ❑ Multi-Family(#units) t Ll C l?yye4c� � Age of Existing Structure / �� Historic House: ❑Yes @'No On Old Kings Highway: ❑Yes ®'No Basement Type: dFull ❑Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) `-7 6 Number of Baths: Full: existing �_ new Half: existing new Number of Bedrooms: existing_ new o r, Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: la Gas O Oil ❑Electric ❑Other Central Air: 0 Yes I'Vo Fireplaces: Existing New Existing wood/coal stove: O Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ (;ommercial 0 Yes dNo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name -C �� S o Telephone Number / Address -E'dl e to -r License# C v�O Home Improvement Contractor# Worker's Compensation# W6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO o 0`2 l SIGNATURE _ DATE i FOR OFFICIAL USE ONLY a J PEWIT NO. - } DATE ISSUED ; MAP IPAS -NO. ADDW. -$S,r A ,� ��VILLAGE .. 9DATE`® I�NSEC°TION. FO.UNDATION FRAME a U "6� c 01C INSULATION AltvS V /pi"t syo', oft FIREPLACE L ELECTRICAL: ROUGH -' FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING e �x•{ r - s DATE CLOSED,OUT r. - z ,/,j ASSOCIATION PLAN NO. E �.r - RESIDENTIAL BUILDING PERMIT FEES ' APPLICATION FEE New Buildings,Additions , $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SP CE , square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTE TIONS/RENOVATIONS OF EXISTING SPACE C �square feet x$64/sq.foot= ( x.0031= pM from below(if applicable) ACCESSORY STRUCTURE>120 sq.fL >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 ' >150 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Sane as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= - (number) Inground Swimming Pool . S60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost ^� RE "44 ,e - ',,. w.wu�.wu'+fuQ+ � :rx.o6,>n.+: ,mt/,.v:war,wav�/ a.''�.ii/✓.`a.1f,.A'::. _ y^ 1 �� -V0777/jYt�Y�2fl�P.dGI.iL O�a/I�LQFMCLGIZUJ� � BOARD OF BU,ILDtNG REGULATIONS y License C�ONSTAM, N$0PERVISOt2 Numb' 062830• Birthtlate9$/29/154 F 4 -1j tllrs> Tr.no: 15802 z.: -.4 7 Rtlb(ctti; 00 PETER E JOHNSOiV F HYANNIS, -MA 02601 w"Wir <�.nn,�^mx -wr±.W ^+"m 'T"•�s^ {a�� _. '�""w� F'e`n� +v'n><: ,m.r s�^am^"*�*,�nv r ^7':m �...:r- - p�irte TOO�p9/IYIa?���^�^•"' ��-. LCFd0C.t6 Board of Building Regulations and Standards /PIOME IMP)2/OVEMENT CONTRACTOR Re,glstra ' _1.02785 f xprai;}on yT/2/2004 �,� Type .Individual '"'� PETER ED RD JOHNSON:.` Peter J nson 7 PENELOPE LANE' COTUtT,MA 02635 Administrator �I,.-.I"��I,�"i-�'."'.-l!,,�l'I'l_LI�.11.:--'��1::L:.�L;,l;":I�;�,�,..I-I'1.,-_..�;�I'."�,;'����'?-'',�,oI m-��".�.,��.,:i.���j.,�-..:.��....�""I.n�I.f',,;'�';��...!..�1.'i.�-Ii-,."�'_�.:-`i'�-1;fir',,��.'",,".',4,"�1�.'.1-.,"I�_-.1���",'L���.,�:.-;�.,'�.�I..�"----���'-'..1",�,I-I,_--.�%_�'1"-�,-:"�'-'.�1%1.'..:�":�.,'_�I,.,�..'.:�"'--,1�-:�.,..-;;i,:_.I1,�1;._��.'�'"'�("'"��L.'.��,:..,-.;..1.":;�-1,,.,�'��,:,','',.I.':.';.�,"��,1""1t".,I,.�;�':4'.�1:'��-.,_..1�'1,.�'..�,L:I.;�."_.:,�:';..---"�'�'."'��",'.:,',I;',.:.;_'I.�,--II':,%'':i,'.�:�"I'';:.,;.,:..�.I'��'_-"���I!�_',-I�,.`,:�.-�."'�.'-L��I"-'':�%I,:'',":"",'...;'1_.�r L."�-�;,1-,"�"i-�:,''1'',.�;.-."-_I1,1."�';:'-��"--�,.',',"-,.�'1-�-_��I,:,,`�"''L Y 1 a { i :! .f 5� r £ �1%I�'-:'�.,7-I.._I..'".:..I.,�'.�L7"'.�.I.'.:.�,I:,,..1.�.1,-L.,.1I..�:'1I-'...,I,Z�1,._.,.z�:.::�'.'.`,"-".",.��.�I.-.�..�i;'"�,.':,.I-I.,.L_.....I 1.:,�-r.I,I I:--A1-I'1%�,�:�":IIL.r-,:,;1.-.-t,,I;.�.�I:"._I4-,I''�'.:II,..:i,,�-��I-'';.':.-"-.,.-,.,,�.,",.;��-1._,�,':�:.,I-1,...:1-...1.,1_,..'LL.,.��'.�-,..1�'�"-I-_:L,I..I.I--��.,.,","'-.,�I:.'1'-�1:.,.:"�''LI.'I:.1�.,;L-'I.:,L.I,,LI.,-—I.'.:.�,��.-.�.,.,4iL,'..I--I..;-...�,,.......:�:�'-.,_-�,�..�;'':..:._-!�'-;;�.�1,�'.1-q'.,,.i'.'-'!�-;�."...I:,I.L�."�:.,L !,,.:�_;%.I"�,�-.-,..,-'��.-....-.'.;'-I:..�".I"..�-�.I.'',':I L::,L1-,,�.'-L;'v 0 L I:�L.,,'..,.'�...7L,.-�..�,�"�;..;,"_.'�'L�,�.I'',.'..::�;..L,.I��I,.-.'--'L.,.'L I.L�'',-,'.w-,L'I...;.L'-��,",,.,��:'.-'L....'I.,.'..�'::"....:,�.,1',.._.�,.�'''',.'.,�-.,,�'"-�I.,.,.L�:r:.�I.�..I:�-.m.-:�:":,�..,-:L'I�.-.:1:,L;._-'.'."',,�.;.:I�-.ib,I I'I:1..,.:-�',".�'...:.....�''...��'I�.I._;L�,"�i..:.-.1.-..,LI I..�.:,,�,...:"��;...�I.L"�,�!IL 7I!1�,,!,I���,.:.r�.L L.'�-..I.LtL'r,L,.�:..�I,"-L'I...'...'�.]"-'1.,'..;.-J L���I L:'I,:%.,L-:,'�-:.L,...',.,''.,�.L L,Io:�:I.":::,,.,.,,.I._,.-_,o�.��.�..I...,�'..-.'L'-.'-�-L--,I t_L-I.I':,.'L'--.L._.L I I-`�:;-.I�,.IL,;-.:,;.."F,1_:,:.,1�.'.._.-.,..�:].:L�,,I p,L..�j_�..,.,�:I.1...._I.'�L�..�,j:.I,.,,*_.I.,:.'.-L�I.,:..I-1''III:.,,.���,...,-I I�.1"1I-��tI.-I:.,�'..I I..L'1a''�..,:;L,.III,-.-,,,.,:�.I1...",:I.I'::II�.I.-..1o,�I II1:-.�,L.'�:..�.�—.I 1�:1:.IL,...--'_L I.�I-;,�"',.L.1-!,�-I�1.�.L..I 1iI:I..I.1��-...,.,'.I I-'."_1.1;I.1�.��.-...:..".,1,�.!1_',I Ia-.L-,..,��.'.',Iq I,,�'.,I,-".',-%..,,:,-,,I,1� '.,-�.-��',,L.I�I;I.-,i.:.I,.:�...9'L L.l.'"_.'I..,I:.,-I,.I.L�.,.,:..-.I'.,,L.::L',I..�:�L,�I1_—.-.',�IL L:--,.�L I I.-1�-l'"-I 1 I�I II I..I'.L,'�..%.?,..:.-I:..I�,�..I..-.I�..��.iI�I,.Ii...-,.�.)�';;..:.'.:,,',I,�I,!�.�.o..I��,-1,-II�.,F.LI.':�-�. - r ,-t iN.x } a s .•� E , ( {� s we 7� E .tad: 4�+eA `�l J+i 7., a �I' 'I t; _t'," Ir 5� r�'�1 s4. eyy�;i'✓♦- �� 1 Z•r 5 e!` v ! I� +� L/V ;�•1 • -� S f r vN ll- T.'.41j V yJ 4. !;_{}Llp� si'i: .,Jtp'j�,:i�!.n��' '. Fq. 1 :b''r? 1 + -t 'WA` ''1.i,,y t-f jSl��7t 5'� ! - - f i i:: k� lrw c FF-.fIRY,,i a"s�17 E H i�l��slj Cy ,i1i S,r2 Ih>y byp ✓r i• x r r� I t �y ,•.! y 1 .Y.' 11�i lead 4kd t..<a l,5' . .; 4.c e1 O l l Silu ?{"� `'W e 2t r r i i :J}.���-_ r` �- he i?},v ,�! p� e �Ic r k d ,.e& b y CC�/ ;,1 OT w i; M 'y. �j� J^ I � FJ `6' 1- - — „ 54. $ ....o-.,:.--- 1 ! r+' }L1 Qx�"' tCr +'mo w S //jjjlllrrt rp fi I �1i 5~ X:4'.'� . i"`. :, _..rr e .;fit.,jt //gyp. V ^�' } 4 i fi b+ V, I `4 ;1l�G� a0 ' ti+. r.'z''':w - . $ W ` `pb" ��,� ! r lty ! 'f ✓d {tip 4t q1 'Fy L R �b� I.' 1 ci ?;' sr ' +s K S Y .. e * l C Y e. V , tom hrt ,t.: },.. 7 F .r is rMV]I - L r xIj p� ` .. - - � ! CERTIFIED PLOT - ; . jr `I ' t �s; 1 , p , R04WR T \r�s " r' /w :_' k_ u IN . ' 1, c :>s y T 7 NEW CONSTRUCTION ON— ►amaa= -1N a - _ To.P of �oUNDATI®� ISM FEET SAs �+� �1}1 Y A:90VE "Low POINT OF A®JACEPdY ° `" p ROAO SC { , _� ,t ALE, {„ =<20 PATE Tlifi f .CERTIFY THAT THE r{ � t, E ENGINEE'R/NG C®. lAl CLIEWT�Rv3�a SHOWN :OW THIS ` PLAN ` '' , I,V i,. ?�>, E6fST•ERED REGISTERED ON THE :.faROUND } � { JOB MIO. i13 .5 80: � .' CLVIL I LARfD C6�IFORMS.-TO T:HE :_ SURVEY®f DR.®Y� ,v� OF 6ARNST ® `, M "A �k ENGINEER s I f j , 7121•MAIN ST �; --,' ® 1 �'� ", Y� r`�-, :L HYANPIIS,;NAASS S.HEE !: OF:.. nAT�. R I€ i. .1.'.x,.,.i,.,�t.S. .�ner't_ - �. ,a '{T : l i. r, l�'4 ;.uy�.1 W.r r H_ �Y..� J ..._ J-.'..I+1 ,�rh• I ,.. _ti_. •, ... �.'Ai..l.11Y/�.'',o. .- - -.i"1 6.N.119�I�1 I P�OEVE ro Town of Barnstable y Regulatory Services '* eaxx5znaLE . ' Thomas F.Geiler,Director 9`bATE�;�a 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. G�t/ �/O Estimated Cost �� 4 Type of Work: G'� Address of Work: C." Al Owner's Name: v C,, S 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 PEN TIES OF PERJURY 4hheby pply for a permit as the agent of the owne Contractor N Registration No. OR Date Owner's Name O:forms:homeaffidav The Commonwealth of Massachusetts Department of Industrial Accidents affee oflnsestiyomoffs 600 Washington Street , Boston,Mass. 02111 Workers Com ensation Insurance Affidavit name: rd N so location: c `� N ` city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workin in/any capacity Iam an em 1 er rovi ' workers' compensation fo my employees working on this job. : :: : :: :: :::: :::: :::::::::: :: P oy P........... ..............::.:.::.:.::.:.:::::::::.::.::..:.:.,::, : ::::::: ::::::.: :.:.::::::.:.::........:::.::.::.:::::::............:.:::::::::.::::::.:::: .:::::..........:. ::..:::: ::::..,.:.........::::::::.:.. ...:........... .:.::::.::.::::::._:..............................::.:.::::x-*.::::::.:::.:::::::.:::::.:...........:::.::::::: :...............:..::::::::: .::.........::::::::::::::............:::::::::::.... ...... ....:.::.::::::::::....... :::::::::::.:.................:::.::::::::.::.......... coat an .. ............... � .;;;;::<.;:.;>:•;:::;.;»•::�;;;;;:;>: Aid ::.:::.::<.,;.:;::;::::::.:::::::..::.:.::;::::. ....................... hone.#::;;;>:<.:.;......._............._ _.......... :.':i'';.:i::::.;:;•i ;... ::::::<i�i'::y;:i °..::`.".�ir�g:* %`mot ... . insurance co.;::. : {!� ..: .,..... oli .:#:...,. #..,. ..: :...__.. . MIER D/ ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have thefollowing workers'com ensation polices: g P.........:..:.:::::::::::::::.:::::.:.:..:::::..:::::. :::::::::::.:::::::::....:.::.:.:.:..::..::::.:::::.::.::::::.:::::::::::.::.:: :.::: ::::::.::::. com an ;name: adi€te 2•:. ?:M ^::i:!•lid:^:::'!;: is :3';}:is�2::;`.::;:j•:f::$ '::ti:<�:isii`.>? :::: r$v'.� '.iµ.� ``ll»rit :..x.: o.. ........::.:::::::::.............. xx- .............. .... .....................ixx ............ .:.....:::::::is N ess, ...............Now .. sdtlr cl.... hdII :^:,vi;T: ;:?.ii `i:i::?::::i:iiin}r ??>:^iiii{: ;:>+::}:: i::;?::::i:::;i;•:.:':'':v:::: :::isi'riii:isiii: iij'•iih':ii:::::'::::h:::::i:L::::L:Ssir:::is +:::::::::iii%:;ii:4iii}+ii'Viiii:'yii�:!.+'::.'' :;.: ... .: oli /F i%• : v. 11411 lmuranre so�.:< Fafiure to secure coverage as required under section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine np to SI,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t e and pe aL:i perjury that the information provided above is true and c r Signature Date Print name Phone# d '� ? 3 3 G S official use only do not write in this area to be completed by city or town official city or town: permitilicense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; L ❑Other Omued 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the P . . work until of public contract for the performance p of its optical subdivisions shall enter into any p commonwealth nor any p acceptable evidence of compliance withthe insurance requirements of this chapter have been presented to the contracting q . � authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you �8 r� . .... number listed below. com ensation policy, lease call the Department at the are required to obtain a workers p P Y P City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/hcense number which will be used as a reference number. The affidavits may be returhR tr the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 Table jS b(oostfssad) F . � prsscripih'eParkaset for dn+aadTws•%Fam+'1)' RsW"dal su adlaia Bcs�*hk I?",I • 113A7C111'1II141 11�.BY1MlJM Slab •1.ir�iineil'nrtlirtg' Glazing . clmdnB Cullag wall Floor 13saesae� Paaa� F�d�7' Arcz'(%) U-valU l R-values R•valus Rrvsiu� R VLh3o RAILDS, pack lag 5701 to 6300 Hntf De�re�J7s7� 6 Nc� 13 19 10 . Nar>asl Q 1Z!'. 0.40 3d ly 10 6 g 12Y: 03Z 30 19 ES AfVE 3d 1J 19 10 • Norma! g tZ:'. . OS0 19 IJ WA Wt 7' 15'/. 0 7 6. 31 10 6 Normal 19. Is Af17E U 1s'/. 0.46 3d WA WA y 1S'/0 0.44 ]d 13 . 6 !S AM 30 19 19 10 Normal p► 75'!. 03Z 13 23 WA ti/A R IE'/. 03Z 31 WA WA � 0.42 31t 19 90 ARM 13 19 10 6 y IE'/. OAX 32 6 90 AF JE lE•/. O30 30 l9 19 ID ADDRESS OF PROPERTY: 00. . SQUARE FOOTAGE OF ALL EXTERIOR R(AT-I 3. SQUARE FOOTAGE OF ALL GLAZING: a 4. %GLAZING AREA(#3 DIVIDED BY#2): S: SELECT PACKAGE(Q AA'See chart move):---64�. OLVED G ENERGY'REQUIREMENrS NOTE: OTHEAR ORE I E ASK US FOR;THIS INFOODS OF RMA IN ARE BCnLDING INSPECTOR APPROVAL: ,ES• NO: q.farms-0803031 e , Footnote's to TableJ5.2-Ib: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned ipace,but exeludirig opaque doors)to the gross Fvall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-valuaz requirement. For example;3 fil of decorative glass may be excluded from a building design with.300 fl of glazing = in accordance with After January 1, 1999, glazing U-values must be tested and documented by the manufacturer the National Fenestration Rating Council (NFRC) test procedure, or taken'from Table 11.5.3a. U-values are for re whole units:center-of-glass U-vaIues cannot be used. The ceiling R-values do not assume a raised or oversized truss construction- If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-=8 insulation and R-38 insulation may be substituted for R�49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For,ventilated ceilings,.instlzdag sheathing-must be placed between the conditioned space and-the ventilated portion of the roof. used). t Do not include Wall R-values represent the sum of the wall cavity-km latioa plus Insulating Sheathing (• )• exterior siding, structural sheathing, and interior*drywalL For example,an R-19 tequiremeat could be met EITHER by R-19 cavity insulation*OR*R-13'cavity iasuMon plus R-b insulating sheathing- Wall requirements apply to wood=frame or mass(concrete*masonry,log)wall constructions.,but do not apply to metal-frame construction. The floor requirements apply to floors•over unconditioned spaces(such as unconditioned erawispaces,basements, or garages).. arages).Floors over outside air must meet the ceiling requirements. Tl:e entire opaque portion of any individual basement wail with an average depth less than 50%below grade must mc_t the same R-value requirement as above-grade walls. Windows and sliding glass.dcors of conditioned bc,eme with the must be included w the other glazing. Basement doors must meet the door U-value requirement d-scribed in Note b. The R-value requirements are for unheated slabs,Add an additional R 2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or S. if you plan to install more than one piece.of heating equipment or.mord than one piece of cooling equipment, the equipment with the lowest' efficiency must.meet or exceed the efficiency required by the selected package, For•Heating Degree Day requirements of the closest city ortown see Table J5.2.1a. NOTES: a) Glazing areas and U-values are maximum acceptable-levels.Insulation R-values are minimum acceptable levels. F.-value requirements are for insulation only and do not include structural components b) Opaque doors is the building envelope must have a U-value no greater than 035. Door U-vaIues must be tested and docu=rtewed by the manufacturer in.accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the d use the opaque door U-value to determine compliance of the door. glas s area of the door with your windows an pa4 . g 5 One door may be excluded from this requirement•(i.e.,may have a U-value greaser than 03 ). . c) if a ceiling, wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas'with c •lies if the area-weighted average R value is greater than or equal to insulation levels the tom onent comp different insul P. comply if the area value U- the R-value requirement for that component Glazing or door components p y • value of all windows or doors is less than or equal to the U-value requirement(0,35 for doors). ,' - 43 t6 y I Avy f � ` JA co rG y i -T T- -� FY i T F Ear Rit Nf a sip J LEFT ELEV—) D 'TECTORSO.K. - - _ `ii' SLE UI py Ll D02M tQ.. 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Gf•A. uTE nn¢,,,zo nN PA6E Aa oia TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel LIP Application# ;W- 35(�o Health Division Conservation Division y Permit# ly Tax Collector Date Issued Treasurer 4 ; Application Fee "� Planning Dept. - - Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 43 :500 K)"'( Village Owner Address ow W 5 LAA Telephone Permit Request Square feet: 1 st floor:existing proposed 2nd floor:existing proposed y Total new t _ Zoning District Flood Plain Groundwater Overlay } Project Valuation q6� Construction Type # ' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. C) ' Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highw,y: ❑Y§�,' Lpo Basement Type:)4Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) , Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count 4 Heat Type and Fuel:XGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes Vo Fireplaces: Existing 151 New Existing wood/coal stove: ❑Yes Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use ~�`�J, [� Jed,�/�� f BUILDER INFORMATION "a� Name Yu�N fTi f) �`C�e f i Telephone Number® � ' �0\ Address ��� NO LDW OAD License#. ��`) � �.0 � y 0 MA QV 'D _ Home Improvement Coon(trractor# �d%'PAVe AiRn Q VQJ�40,� ftQ&e ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE ZZ///0 i FOR OFFICIAL USE ONLY s ' PERMIT NO. DATE ISSUED r i MAP/PARCEL NO. } r r y ADDRESS VILLAGE OWNER ' �� DATE OF INSPECTION: S��® Yj —G p 1 FOUNDATION FRAME *7^ O —7 INSULATION 7 FIREPLACE ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL t 'r. f • GAS: ROUGH FINAL FINAL BUILDING r • DATE CLOSED OUT ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111 M s�`' www.mass.gov/dia Workers' Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibly Dame(Business/Organization/Individual): . i ' INJO .I MidAddress: r City/State/Zip: �t / � .#: 56- 40 v 0��, V��2 Are you an employer? Check the appropriate box: 'Type of project(required):. 1. I am a employer with 4. am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction . 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Q Demolition working for me in any capacity. employees and have workers' . 9. Building addition [No workers' comp.insurance comp. insurance. $� ❑ required.] 5. Q We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ oof re airs 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. $Contractors that check this-box must attached an additional sheet showing the name of the sub-contractors"a`nd`state WE ether or nofthose en titi es-WV& employ_eess f the sub-contractors have empioyse§,they_must_provide-their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is_thepolicy and job site information. Insurance Company Name: ( . '► t. Policy#or Self-ins.Lic.#: C MM�5MI Ebb Expiration Date:0t2i Job Site Address: 49 ( 0 4' 4 leL.. City/State/Zip: ("15 , Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify,under the pains and p ury that the information provided above is true and correct Si mature: Date: 7 16- , . Phone#: _ LJ 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#: an Inst�ructi®ns �: r Info rmation d Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced4acceptable 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' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or'Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, . please do not hesitate to give us a call. The Department's address,telephone-and fax number:. ` `lie Commonwealth of Massachusetts Departrnent of Industrial Accidents Office of Investigations 600 Washington' Street Boston,MA 02111 Tel. 617-727-4900 ext 406 or 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 tvwwrnass.govldia i °FTMEto Town of Barnstable Regulatory Services '* sAarisr�►ei�, Thomas F.Geller,Director . 1619' p`� Building Division QED MPS b Tom Perry,Building Commissioner 200 Main Street, Hyaanis,MA 02601 Office: 509-862-4038 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, r cType_of Woik:� ► ► '�t�� ��1 S ��( l`s4n�Esmated Cost Estimated �� � ddressf6fWoik: Q?5 S(O-f VOOLL _ 0- mer'sNam �C Date=of Application f�� I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law b Under$1,000 uilding 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 fora emit as the agent of the o .er: ate Contractor Ngn Registration No. OR Date Owner's Name Quo=-.homeafndav RESIDENTIAL BUILDING PER FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 ' Alterations/Renovations $50.00 Building Pennit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq,foot— x.0041= 3 plus from below(if applicable) . ALTERATIONSIRENOVATIONS.OF EXISTING SPACE square feet x$64/.sq,foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq,ft-= x,0041= ACCESSORY STRUCTURE>120 sq,ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 . . >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building perrmt: square feet x$96/sq,foot= x.0041= STAND ALONE PERMITS Open Porch x$30,00= (number) Deck x$30.00= ' (number) Fireplace/Chimney x$25.00=' (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Projaost Permit Fee Rev;O63004 ' =>tAig ass]tr(coerotane� . . Pttmviptive Paekagd for flag and T o-F'amc'lt• wilt'Fo24'FPels E4AXfMUM MUM— Glaxirrg Glazing Galling Wall Floor Baserarat Slab 'I3eailaglGoaQ Area'('la) U-valuct R-value' ' R-value' 8•valuc° wall �pairadas Fq�lrmenc Efficieary9 Parnge R value° R-valuer 574I to 6344 Aerating be Daye �f' 1Z°la • 0.40 i -38 I3 19 14 d tlarmsl 12Ja 0.52 �'`?. 34 19 - 19 10. S NormA g 1218 0.54 33 I3 19 10 6 837�ftlE Ii 036 38 13 29 -NIA NIA. °� ° 15% 0,46 31 >19 19 10 S •Now 15% 0.44 !,38 13 23 NIA NIA �AFUfi p� 15% 0M °..3i0 19 19 ' 10 8 U AFUE �g 1S% 0.32 38 • 13 2 N/� ?41A Normal Y 13%. IL42 38 -19 23 NIA NIX Normal 18°l° 0,4x 31. 13 19 i 4 90 AFM AA I>tY® G34 + 30 19 75 10 d 90 AFUE I. ADDRESS OF PROPERTY: SQUARE FOOTAGE OF ALL EXTERIOR'WALLS: D49 3, SQUARE FOOTAGE OF ALL GLAZING; 3 GLAZING AREA 03 DIVIDED BY•*2), 5. SELECT PACKAGE AA m sea chart above): OTTHER MORE Z-VOLVED MOT'HODS OF DE i NIl-G ENTERGY REQUMEMENTS ARE AVAILABLE. ASK LTS FOR THIS MFORMATION, , BMD1TG-I2KSPECTDR APFROYAL: YES;, NO: q-guru-flQ43Q3a . 1 , Client#'9580 2KPRE AOR& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYY1I) 03/07/07 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. 222 West Main St.PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Associated Employers Insurance Compa Kenneth Perry D/B/A e K.P.Remodeling&Construction INSURER INSURER : 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. _ - - - — -- - LTR INSRE TYPE OF INSURANCE 'POLICY NUMBER I'OLICYEFFECTiVE POLICY EXPIRATION DATE MM/DD ATE IMMIDOWn LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE PREMIS STO RENT $ _ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN•L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY M PRO-JECTLOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALLOYVNED-AUTOS BODILY INJURY - SCHEDULED AUTOS (Perperson) HIRED AUTOS r... . ... BODILY INJURY NON-OWNED AUTOS. (Per accident) $ PROPERTY DAMAGEI F1 $.. (Per accident) GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ ANY AUTO EA ACC $ OTHER.THAN. — AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $0 ' DEDUCTIBLE S RETENTION $ $ A WORKERS COMPENSATIONAND WCC5OO5450012006 06/13/06 06/13/07 1 WC STATU OTH- EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE E.L.EACH ACCID.ENT._ .._.._., $.LO0 000.. ... OFFICER/MEMBER EXCLUDED? YES E.I-D(SEASE-EA EMPLOYEE $100 000 If yes.describe under" SPECIAL PROVISIONS below.," *OTHER E.L.DISEASE c.POLICY LIMIT. $500,000..__ ...." DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ' Operations performed by the named insured subject to policy conditions and exclusions. rv� The Workers Compensation policy does not provide coverage for Kenneth Perry,sole ` � + proprietor. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI( Town of Barnstable Bldg Div. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL I_ DAYS WRITTEp Attn:Tom Perry-Commissioner NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis,MA 02601 REPRESENTATIVES. AUTHORUED REPRESENTATIVE ACORD 25(2001108)1 of 2 #S46692/M46691 LS1 0 ACORD CORPORATION 1' 5 1 i I cAk i F,G - a I { 1 II { .sj V _ SS, 7 I) I� 43 5uv JN,{. VGJO C�u�Q tNi: iS 1 BEb V--OdMS 1N-vv. wV6, 3 . Pray ��3���`W i w���o�'S � L.s f�i,�� v�-c" �•n-S��l� Ste- -��.�5' �_ ��v€ Lc<rC;�^cJ f�a-�p Q i�� T� Lt�) tr.�G. '�'^� C���S �V•L) 12 Y-ZA E�JV l �LtfiCCrS S(MCCI(� � ^ c _ r. I °FTHE 71 Town of Barnstable. a • ]regulatory Services NAM '$ Thomas F.Geller,Director $'°TfD Mt•'�°',� Building Division Tom Berry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town,barnstable.ma.us Office: 508-862-403 8 Fax: 5 08-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder I W— C , as Owner of the subject property hereby authorize Lk-�M K ,V_C 96_kja to act on my behalf, in all matters relative to work authorizeFVESwilding permit application for; , Sys 00y V-�Y6tL (Address of Job) Ce Signa er Date Print Name Q FORM S:O"v1NERP ERMIS S ION BOARD OF BUILDING CONSTRUCTION REGULATIONS i License: RUCTION S Numbed _ SUPERVISOR i 076820 Birthdate08/ i z - 281t1965 I J ' - ! i �Pires 08/28/2007 E ij I Tr.-no: 1360.0 !a II R es tri�ed KENNETH 0 PE R ` '00 19 GUILDFORD ROAD l I CENTERVILLE, E. Commissioner -- _ be: 6/11/2007 Time: 10:24 AM Tc: @ 9,15087906230 Page: 002.003 ®® �pp�y@ Client#:211418 p��e LIABILITY p �pq�,, 4qp pp��p pp��2HIN��CgyKLEYEL ACORD1. CERTIFICATE ®1 Y. IABILIT INSURANCE r_ O611 QAID 7 DfYYYY) 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 BYTHE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIL INSUREC INSURERA: The Hartford Hinckley Electric Company,Inc. INSURER — 108 Parker Road ---- OstervMe,MA 02655 INSURER C NSURER C: INSJRERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE.BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REOUIRENENT,TERM OR CONDITION 0=ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO'NHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRISEG HEREIN IS SUBJECT TO ALL THE TERUS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY iAVE BEEN REDUCED BY PAID CLAINS. NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR _ DATE IMWDD."YY OaT�MM1DDmL -- LIMITS GENERAL LIABILTY I( EACH OCCURRENCE $ _ C0IAMERC.iAL GENERAL LIABIUT" { DAMAGE T'0 RENTED � EMISES Ea lmrco $ CLAIMS PA.ACE OCCUR• i HIED EXP(Amon person) $ FERSONA.L&ACV INJURY $ GENERAL AGCP,EGATE $ GEN1 AGGREGATE LIPAIT.APFLiES PER: PRODUCTS-COMPICP AGG $ P^,LICV PRO- LUG - AUTOMOBILE LIABILITY CCI,98IIJED SINGLE LIMIT $ ANY AUTO I (Ea acnhoni)- ----- ALLOWNEDA.UTO'o I EODiLY INJUR'/ SCHFDU,.FD AUT^S I (Par peraonl . HIREDAUTOS ECDiLY INJURY NON-OLVNED AUTOS - (Per accident) $ PPCPERTY OHMAGE $ j (Par accident) GARAGE LIABILITY rV AU IC ONLY-EA ACCIDENT_ $ ANY ALI 10 OTHER THAN EA ACC $ -- ! — AUTO ONLY: - AGG $ — EXCESSAJMBRELLA LIABILITY EACH OCCURRENCE $ XCUR CLAIMS MADE AGGREGATE_ $ DEDUCTI6LE $ RETENTICN S --------� g - . A WORKERS COMPENSATION AND OBWECTJO977 05/19/07 05!19/08 �( JVC�TATU� CTH- 1 ER EMPLOYERS'LIABILITY ANY PROPRIETORWA TNE.RiEXECU I''✓c - E.L.EACH ACCIDENT $500,000 OFFICERIMENIBER EXCLUDED? I E.L.DISEASE-EA FMPLOYEf $500,000 f yes describe unc er SPECIAL PROVISIONSbelovr E.L QiSEASE-POUCY'L!MrT $SOOOOO —s OTHER I � , DESCRIP71ON OF OPERATIONS 1 LOCATIONS I VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS insurance coverage is limited to the terms,conditions,exclusions,other limitEtions and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extend the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL —J.0_ DAYS 1VRrrTEN Building Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SOS HALL 200 Main Street IMPOSE NO OBLIGATION OR LIAE1LrrY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis,MA 02601 REPRESENTATIVES. _ AUTHORIPRESENTATIVE M — ACORD 25!2001108)1 of 2 #47950 LS1 0 ACORD CORPORATION 1988 BUYER: T ric Debra TTu lar r � 110f' 1 DECK K 1% STORY WOOD #43 t r 100, SUNNY ' KNOLL. DRIVE TO THE ( FomPcominps F;nanni a1 T.T ) MORTGAGE INSPECTION PLAN AND ITS TITLE INSURERS. UOCATED IN I CERTIFY THAT THE BUILDINGS SHOWN DO ( ) CONFORM TO SETBACK REWIREMENTS- TT Y A IT IT 1 S I.E. (FRONT, SIDE, At REAR SETBACK ONLY) OF u Ja nn°is Bn nisi (' "4EA CWWWOTEU. OR ARE EXEMIPT FROM =AhON ENFORCEMENT A6 UNDER MASS QL �IA$SACH�SETTS TIRE ML CHAPTER 40A. SECTION 7, UNLESS OTHERWISE NOTED. I FURTHER CERTIFY THAT THIS PROPERTY IS NO$ . LOCATED IN THE ESTABUSHED FLOOD DEED HAZARD ` ''OOMMUNITY PANEL NO.: 2150001 (A'?06C, DATE- P-1Q-85 THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED DATE OF THE LATEST DEED OF RECORD. PAGE WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE.IT IS ADVISED. CERT. NO. THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENT . WIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY MARKERS I.W NOT PLAN SK. PAGE 1T A PROPERTY 6WRVEY. VEIOFICATION OF.SURVEY MARKERS Q p DATED MAY BE ACxOMPL{5FIfiD ONLY BY AN AC OMATE, INSTRUMENT SURV6Y r CTED ON T%19 R-nnCATI0N To BE USED FOR MORTG P OFFSETS AS SHOWN ARE NOT TO USED FOR THE ESTABLISHMENT OF PROP ! IarIOUKAq • ERA®FORD l . i. IGINEERING CO. moo? r :$q � , P.O. BOX 13A4 '`•-,. `,�. HAVERHILL MA. 01831 SA4MES W. BOUGIOUKAS R.L:S. 09529 TE. ( ) 373-230 From:Staff 608-862-6007 To:Ken Perry Date,6f/Q007 Time:2:00 42 PM Page 2 of 2 'Uniform Iv Loaded Floor Beam(AISC 9th Ed ASD i Ver.7.01.10 By:Joe Madera,Shepley Wood Products on:06-07-2007:2:00:06 PM Proiect:K Perry-Location:43 Sunny Knoll Rd.Hyannis Summary: A992-50 W8x24 x 15.0 FT Section Adequate By: 119.4% Controlling Factor: Moment of Inertia Defiections: Dead Load: DLD= 0.10 IN Live Load: LLD= 0.23 IN=L/790 Total Load: TLD= 0.32 IN=L/554 Reactions Zzach End): Live Load: LL-Rxn= 3600 LB Dead Load: OL-Rxn= 1530 LB Total Load: TL-Rxn= 5130 LB Bearing Length Required(Beam only,support capacity not checked): BL= 0.79 IN Beam Data: Span: L= 15.0 FT Unbraced Lenqth-Top of Beam: Lu= 0.0 FT Live Load Deflect Criteria: U 360 Total Load Deflect.Criteria: U 240 Floor Loading: Floor Live Load-Side One: LL1= 40.0 PSF Floor Dead Load-Side One: DL1= 15.0 PSF Tributary Width-Side One: TW1= 6.0 FT Floor Live Load-Side Two: LL2= 40.0 PSF Floor Dead Load-Side Two: DL2= 15.0 PSF Tributary Width-Side Two: TW2= 6.0 FT Wall Load: WALL= 0 PLF Beam Loading: Beam Total Live Load: wL= 480 PLF Beam Self Weiqht: SSW= 24 PLF Beam Total Dead Load: wD= 204 PLF Total Maximum Load: wT= 684 PLF Properties for:W8x24/A992-50 Yield Stress: Fv= 50 KSI Modulus of Elasticity: E= 29000 KSI Depth: d= 7.93 IN Web Thickness: tw= _ 0.25 IN Flange Width: bf= 6.50 IN Flange Thickness: tf= 0.40 IN Distance to Web Toe of Fillet: k= 0.79 IN Moment of Inertia About X-X Axis: Ix= 82.70 IN4 Section Modulus About X-X Axis: Sx= 20.90 IN3 Radius of Gyration of Compression Flange+1/3 of Web: rt= 1.76 IN Design Properties per AISC Steel Construction Manual: Flange Buckling Ratio: FBR= 8.13 Allowable Flange Buckling Ratio: l AFBR= 9.19 ti Web Buckling Ratio: WBR= 32.37 Allowable Web Buckling Ratio: AWBR= 90.51 Controlling Unbraced Length: Lb= 0.0 FT Limitino Unbraced Length for Fb=.66'Fy: Lc= 5.82 FT Allowable Bending Stress: Fb= 33.0 KSI Web Heiqht to Thickness Ratio: h/tw= 29,1 Limitinq Web Height to Thickness Ratio for Fv=.4`Fy: h/tw-Limit= 53.74 Allowable Shear Stress: Fv= 20.0 KSI Design Requirements Comparison: Controlling Moment: M= 19238 FT-LB Nominal Moment Strength: Mr= 57475 FT-LB Controlling Shear: V= 5130 LB Nominal Shear Strength: Vr= 36857 LB Moment of Inertia(Deflection): Ireq= 37.70 IN4 1= 82.70 IN4 l ::-,,7�,.:__,_I,",0�:,:.,�--�'_I.-I-,-,._T:�—1:l�_:l;-1-_,�_�,7-�f,"I�-",,—�,�I:,,:Z-�-�1_:1,1;,,.,-".�,�_1 J-_",,,�I1��1,�:Al__1,:-�II--'1,�,,,,-,�'-I,___,,,,,'I�I__�-_—,-,—-,:-Ij�,_1 1,,_1,1�1,,, .'. 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