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0015 BRETWOOD LANE
F Y ^+fi 1l c -.� - � -' � .:-. d'k .. � ,. _ _ _ - _ _ Y. ..,. � � y ':� ri 44 '� � �. �. � tl r � .., n., G a ^ ;'� � •,T � -. � ..i. r i _ � r � � � .. C 4 � � � , .. Y a .. � � w e .. o i �� a x TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 92 Application # Health Division Date Issued r Conservation Division Application Fe Planning Dept. Permit Fee 10 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address IS �z� CX� _ y1. ' Village CM tT1`CJ t 11 L y_ Y7 Vb -t � G✓� 17Ct1, Owner Nn � ��v t�T��{�Address �� Telephone `- Permit Request T� Ct 0 Yh Lf- Square feet: 1 st floor: existind&(o proposed '"C,7" 2nd floor: existing��� proposed9L Total new 3.S Zoning District IL Flood Plain Groundwater Overlay Project Valuation Construction Type V''e - Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) , Age of Existing Str�uctt e a� Historic House: ❑Yes N(o On Old King's Highway: ❑ Y Yes No Basement Type: 7 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) — C> Basement Unfinished Area (sq.ft) , Number of Baths: Full: existing 0? new U Half: existing — — new �— Number of Bedrooms: 3 existing?new .Total Room Count (noZas ding baths): existing new ( First Floor Room Count -7 Heat Type and Fuel: ❑ Oil ❑ Electric ❑ Other Central Air: i9 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes rYNo Detached garage: ❑ e ' ting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: � Zoning Board of Appeal!�No t rization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# Current Use �1 1� � � 1 Proposed Use APPLICANT INFORMATION . _(BUILDER OR HOMEOWNER) __ _ - Name / �'�x''� y �`� Telephone Number �y-U�3 '7 Address ��`1 �d• C&1► -��icense # C�Sr�L Hqceon% �, Home Improvement Contractor# Email "1 1 W L fn C. V1G-'�- Worker's Compensation #0-'5-3 S-314G-7;t-C-,4� ALL CONSTRUCTION DOFIS RESULTING FROM TH R�,JECT I L BE TAKEN TO Imo' U"v SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ?� FRAME r7 INSULATION(` s 1p FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH Q FINAL .FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` C�lra d//tC!(/.�I cficx'Gi/,/ ' Office of Consumer Affairs and Business Regulation . ' ' 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 100871 Type: Private Corporation Expiration: 6/24/2016 Tr# 250303 MARKWOOD CORP TIMOTHY PEARSON 110 BREED'S HILL ROAD UNIT 10 HYANNIS, MA 02601 Update Address and return card.Mark reason for change. Address Renewal ,U Employment L Lost Card SCA T Ei 20M-05111 (�>!e�z�u�ird�ucerillf r�C✓�`rat::ra/rtded:; - `, Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR' before the expiration date. If found return to: --' - Office of Consumer Affairs and Business Regulation f,,'V13egistration: -.1.60871 Type: a �?� 10 Park.Plaza-Suite 5f70 . xpiration:;-:;6/24l2016 Private Corporatio,= Boston,MA 02116 MARKWOOD CORP -. TIMOTHY PEARSON 110 BREED'S HILL ROAD'UNIT 10 HYANNIS,MA 02601 Undersecretary Not valid withouYsignature r De pa of Public Safety 1 y Nlassach65etts - P, 3oard c5 3utld'Ing.Rlgula.ions and. to-naaros ' . �i>nStructio7 Sub t'n-icor cease: CS-0051—s ViO M PEARSON P.O.BOX#Sig 02632 ' Centevffle MA r on 91►1212015 G�n�issioner AOAPEngineering& RODERT M. DE5RO51ER5, P.E. D,esign Co., inc. Consulting Engineer 508-946-3561 155 East Grove Street • f bot Offloe Box 649 Fax 508-946-1653 Middleborough, MA 02546 April 30, 2015 Project No. 2015-150 Mr. Dave Matthews 24 Cahoon Rd..RFD#3 Buzzards Bay, MA 02532 Re: Design of Support Beams for the Garage Located at 15 Brentwood Ln. Centerville,MA Mr. Matthews, You asked me to design a steel beam that will support a portion of the second floor in a garage at the referenced location. You have provided a five (5)page set of plans from "Bruce Devlin Design". The garage has a footprint of approximately 22'x23' and has office space above. The beam will be located along the approximate centerline in the garage ceiling.level and will support a portion of the tributary loads from the second floor framing. The maximum unsupported span of the beam will be approximately 22'-0" and the appropriate beam for this application is a W8x48 or W10x30 or W12x26 steel beam manufactured from ASTM A992 Structural Steel. The beams must be rigidly attached to the wood framing; this can be accomplished by under framing or flush framing the beams. If you decide to flush frame the steel beam into the framing you may use side or top mounted steel joist hangers. The side mount joist hangers shall be attach to continuous wood blocking located on each side of the. beams web. The wood blocking shall be attached to the web of the beam with %2"bolts at 16"on center, staggered top and bottom. The side mount steel joist hangers shall be attached to the wood blocking in the web of the beams. For the installation of top mount joist hangers, it will require the installation of a continuous 2x wood nailer that is attached to the top flange of the beams. The wood nailer shall be attached to the top of the beams with %2"bolts at 24" on center, staggered side to side, and the top mount hangers can be secured to the nailer on the top of the beams. If flush framing is desired then the framing members that the beam is being flushed with shall be secured together with Simpson CS14 coil strapping. dr i� The beam shall be attached to and supported at each end by a 4x6 wood post integrated with the existing wall framing. The steel beam to post connection shall be made by using (2) %2"lag bolts secured through the bottom flange of the steel beam and into the post. The posts shall bear on the foundation wall at each end. If installed as specified herein, and according to good construction practice, this beam will meet the structural requirements of the 8th Edition of the Massachusetts State Building Code. If you have any questions regarding this report, or if you require additional information,please do not hesitate to call. Regards, .? V- �flQERT M. Justin Kordas d.JESROSIER, ` i� f7 mr 6770 r.. i ' Department oflndur6*dfi ,cb Ofike oflnvestigadonr ~� 600 Washb%,ton Street ,. Bestnzy HA 02111 . www.mass g"Aga °. 'Porkers' Compensati_ onInsuanceAffdavit:Btulders/Coat-acEorsMectricians/Plmnbers Applicant Information c Please Prima Legibly' Name _ Address: `(� ��- • � �,� . �,. ���' fl , City/Statt;Izip:J44CAY\*AN_>, �`��,' U � Phone#:_ -73�—(�72 [2. re u an employer?Check the appropriate bow Type of project I an a employer wifli 3 4. []I a general cofactor�d I P .T ( : * have hoed 6. ❑ t W construction taaployees(fnII and/or part tone). a �e"sob-co�actsus ❑ I an a sole proprietor or partner- on the attached sheet 7. YReanodeling' ship and have no m3ployees These sub- havd' 8 ❑Danolition woricing for me in any capacity employees and have wodcets' [I�'o workers'comp.insorance Mop-inmTranr•_� 9• El Building addition . req�ed] 5. ❑ We are a corpatatton and its ID.❑Electricalrepans or additions 3.❑ I am a homeowner doing all work offieecs have exercised their 11.[]Phmibing repairs or additions myself [No wofras'OOmp• right of exemption per MGL insur ace rmlaired,]t . c.152,'§1(4),and we have no ;1Z.❑Roof repaizs i =Ployem[No wins' 13.❑offer ' ConT• *Auy applicant that checks box#1 mast also fM outtdw section below showing thdrwarkea'.campaasat=policy Mfonndtm t Eomeow.who submit this affidavit indiea 9 they are doing all wmk and thin bite outside cant<aetoa amst submit anew a-Mdayk k ir.�g snciL :Coatiacho�s that ehockthis box most ekchcd en wmitioaaI shed sbow:ff a mane vfthe and start whctha or notthosc its hays h employers.If the sob-�rs havt cmployees.they mast pmyide their woiia 'camp.PAY smmber. I am an employer that is propOng workem.9 compensation&=m%ce far my emplayem Below it the po&cy and job site Insnaance Company Name: Policy#or Self-ins.Lic.#: S= S— �(��7 L( -(>,- Exp a-ationDate: ^to—,5� rob Sit:Address:- S Ir� �C• f Attach a copy of the workers'compensation policy declaration page(shownag the poliry,nmmber and exph-Ation date). . Failure to secure coverage as requited reader Stxrtim 25A of MGL c.152 can lead to the imposition of criminal penalties of a tine tzp to$1,50-0.00 and/or one-year imprisomnent as weIl as civil penali=in the furor of a STOP WORK ORDER and a fore of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe�rwardcd to the Office of Investigations of the DIA for insnrance coveoige vetcation. Ida ' pests aadPercaities ofPerjury that the ircfonrurfian providrd above it tfzce and carrerl. Phone# �lJ- 7 7�07 9c( .G - 7 Offuld use only. Do not write in this are,to be con pleted by city or town ofjrriaL CIty,or ToWII: Permiilf.irr+t�ce# Issanag Anthoritp(cYr• one): L Board of Health 2 Bn1 ' De artment 3. _._.. ._. 5.....Pl.._.. bing. ..._.. � p (hiy/Tnwn Clerk 4. Inspector' nspeetor Electrical . umbing Inspector 6 Other Contact Persons Phone# Information and Instructions Massar roseffs General Laws chapter 152 regaes all employers to provide workers'compensation for their employees. pmsnar to this sue,an mpleyee is defined as`:..every person in lute service of another under say contract ofhu-e, express or iarplied,oral or wry." An eTtpkyer is defined as"an mdividael,partnership,association,corporation or other legal entity,or any two or more of f e,Eregoing engaged in a joint eniapais%and including the legal n presmrWives 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 occapant 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 thereto shall not because of such employment be deemed to be an employer." MGM chapter 152,§25C(6)also states that"every state or local licensing agency,shall wMoId 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 cdmpliance with the insurance.coverage required." Additiommally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliagnce with the insurancd. requirements of this clmapter have been presented to the contracting ammihadty." Applicants Please fill out the workers'compensation affidavit completely,by chwldng the boxes that apply to yopr sitoaiioa and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their=tficate(s)of insurance. Limited Liability Companies(TLC)or Limited Liability Partnerships p2)withno employees other than the members or partner insurance. If are not requaed to carry workers'compensation insuran If an LLC or UP does have employees,apolicy is required. Be advised that this affidayitmaybe submitted to the Department of Industrial Accidents for confhrmation 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 regaircd to obtam a workers' compensation policy,please call the Department at the number listed below. Self-fi sm ed companies should enter their self insurance license nmmmber an the appropriate lime City or Town Officials r Please be sure that the affidavit is complete and prhftd legIly. .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 peamn$'/Iicense number which will be,used as a reference mnmmber. In addition,an applicant that must submit multiple pennMicense,applitafiomms in any,given year,need only submit one affidavit indicating cm=t 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 stmmmped or marked by-the city or town may be provided to the " applicant as proof that a valid affidavit is on file for fmrtme permits or licenses. A new affidavit must be filled oirt each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial veutmmre (Le. a dog license or permit to burn leaves etc.)said person is NOT xega red to complete this affidavit The Office of Investigations would MOM 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: Tho commonwealth of Massachuset(s ` Dep�aztnaent cif Ind�a1 Accidents Offl=of.bavew9atio= 600-Wash VG1,Sires �os�an,ll�fA E1�I 11 , Ta#617 727-4900 mt 4€16 or I--M MA.SSAFE Fax#617-727 7749 Revised 4-24-D7 v -gag/dia �-TQ: 1508778�770 Pale: 2 of 7/14/2014 6:-2:06 AY .PST (GMT-3)' FROM: -0000 2 A CERTIFICATE OF LIABILITY INSURANCE F °A��""u°°"ffM -� 7114/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER SULLIVAN GARRITY&DONNELLY INSURANCE NABCT 10 INSTITUTE ROAD PHONE Fax WORCESTER, MA 01609 WL E : A'C ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 9 NSURERA: LM Insurance Corporation 33600 INSURED - NSURER B: MARKWOOD CORP 110 BREEDS HILL RD UNIT 10 NSURERC: HYANNIS MA 02601 NSURERD: NSURER E: NSURERF: _ COVERAGES CERTIFICATE NUMBER: 20876087 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED-ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF,ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUER POLICY EFF POLICY EXP , LTR IN SD WdD POLICY NUM13ER 1 (MM.DD MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTEU CLAMS-MACE . OCCUR�- - � � � .- �PREMISES Me occurrence $ MED EXP.(Any one person) $ PERSONAL&ACV INJURY $ GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PERa LOC PRCDUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILnY COMBINED SINGLE LIMIT $ ;Ea accident AN'AUTO BOCILYINJURYiParperson) $ ALLOWNED SCHEDULED AUTCS AUTOS BOCILY INJURY.Paraccident) $ - HIRED AUTOS NON-OWNED PRCPERTY DAMAGE $ AUTOS P raccident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAMS-MACE AGGREGATE $ DIED I I RETENTION $ A WORKERS COMPENSATION WC5-31 S-319674-W 6i6/2014 • 6/6i2015 ISSTATUTE I I ER AND EMPLOYERS'LIABIIJTY ANY PROPRIETOR/PARTNERIEXECUTrdE YEN] N/A E.L.EACH ACCIDENT $ 100000 OFFICEP/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMFLOYE $ 100000 If yyes,describe under DESCRIPTION OF OPERATIONS habv E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Wor<ers compensation insurance coverage applies only to the workers compensation laws of the state of MA. Th s certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION TOWN OF SANDWICH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 16 SW SEBASART WAY. ACCORDANCE WITH THE POLICY PROVISIONS. SANDWICH MA 2563 AUTHORIZED REPRESENTATIVE LM Insurance Corporaton : ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CEIT NO.: 20876087 CL:EVT CODS: 1319574 Lucy Ga=field 7/14/2014 9:09:46 AM (EJT) Page 1 of 1 ToWn of Barnstable Regulatory Services a �'$ Richard V.Sca%Director 163¢ ♦� Building uildiII Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete.and Sign This Section If Using A Builder I.Porn IZ.4�n I V�kiV. tau S irt,,�as Owner of the subject property hereby authorize t 1 Cc,Q SPA Jqc- -C� 6-V, to act on my behalf, in all matters relative to work auth d bythis building permit application for. I zi (Address of Job) - " "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 r. .. Signature of Applicant t Print Name Print Name Date Q:FORMs:owNMERN MSMIQ00LS -i own oizarnstabie Regulatory Services �oF rOiy,L Richard V.Scali,Director Balding Division AiANCI'A�RTR Tom Perry,Building Commissioner , %6.19. L�� 200 Main Street, Hyannis,MA 02601 www town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 r HOME_OWI R LICEM EREIV MON --- Please Print DATE: JOB LOCATIOAL• number street village "HOMEOWNER": ' name home phone# work phone# CURRENT MAMING ADDRESS: 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,of 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. Signatum of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: 'Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor," Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person is 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 caret amend and adopt such a form/certification for use in your community. Q.\WFIL WORMS1bugdmgpermitfoaa MTRESS.doc Revised 061313 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �1712 Parcel - Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 5a Historic - OKH — Preservation / Hyannis Project Street Address rG CtY Village Gn 1.J_01 !�v Owner 0-MY) J �hr_ Address Gr J n, tf� Telephone Permit Request d Crc[.� C,ii�' �x St s - �'�G►�'` CL�L, t 1t �v1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation C1 Construction Type(.) �J Zxr7G— Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Fam ily units) s Age of Existing Struct re Historic House: ❑Yes On Old Kin 's Highway: ❑Y UN g g � ges o Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) I01 0 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing tom&Lo new Half: existing P 114 new Number of Bedrooms: _ �`� _ existing —new Total Room Count (not including baths): existing new _First Floor Room ount Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric . '❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal"'s tove:-Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existiriP ❑ffw s ze_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size - Other: _ 'r C Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes VAu No If yes, site plan review# Current Use �) L Proposed Use S L ICC,i�rr„ (_1 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1 I 1 YO1.&'> lt'/� (.C19.T elephone Number A -9f ddress License# v`�t Home Improvement Contractor# 11�1C.i1'�h�, 1�I U J• �� Worker's Compensation # -3OS 31Cr(,�-&3A ALL CONSTRUCTION DEBRIS RE LTIN FROM THIS RO CT WILL BE TAKEN TO l , - 7, SIGNATURE DATE /� FOR OFFICIAL USE ONLY r APPLICATION# r - 4 _ DATE ISSUED MAP/PARCEL NO.: ,F ADDRESS VILLAGE r OWNER DATE OF INSPECTION: r I _FOUNDATION ' ;5S 3(snszs ' FRAME r --_`INSULATION)' - FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL GAS- ROUGH . ' FINAL FINAL BUILDING !:� �r��i'S DATE CLOSED OUT- ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidertr Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/die Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers A licant Information Please Print Legibly Name (Business/Organizzefion/Individnao: ` Address: Ito City/State/Zip: LW 01 Phone Au an employer? Check the appropriate box:, 4. I am a en Type of project(required):. 117,am a employer with � ❑ g eral contractor and I have hired the sub--contractors [70 • w construction employees(fun and/or part-time).* ❑ 2.T] I am a sole proprietor or partner- listed on the attached sheet. . [�modelmg ship and have no employees These sub-contractors have 8. [�Dcmolition working for me.in any capacity. employees and have workers' [No workers'comp. mcu�nce co#..in.sur&„ce.t . ❑Building additionrerntimri] 5. ❑ We are a corporation and its 0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their1.❑Plumbing reparrs or additions mmyself[No workers' comp. right of exemption per.MGL 12 ❑Roof repay s=nce required]t c. 152,.§1(4), and we have no Maployees. [No workers 13.[].Other comp.iasrura,ce required] *Any applicant that checks box#I must also fill out the section bclow showing their workers'compensation policy infnimation: t Homeowners who submit this affidavit indicating they=doing an work and thm hire outside contractors was submit a new affidavit indicating such.'$Contactors that check this box mast attached an additional sheet showing the name of the sub contractors and state whether or not those ontities'bave employers. If tht sub-contactors have employees,they must provide their work ,comp.policy mmmbcr. I am an employer that is providing workers'compensation insurance for my employees. Below is the poFicy and job site information. Insurance Company Name: Policy#or Self-ins.Uc.# d' ���'��1 IY�'?�-U3� Expiration Date: ' 1 Job Site Address: ! 1`k' h, City/Sta#e/Zip6 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 m]Frmonmertt, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for Mi SE MM coverage verification. I do her c u e airzs and penalties of perjury that the information provided ab ve is "ue and correct Date: Phone# C�1V /' 7 7/ Offdd use only. Do not write in tfds area,to be completed by city or town o,ffcciaL City or Town: PermitUcense# Issuing Authority(circle one): I.Board of Health 2.$uildingDegartment:3. City/ToWn Clerk 4.Electrical In 5:Plumbing In 6. Other Contact Person: Phone#: 211/2012 7:40:14: P.M EST (GMT-8) FROM: insurancevisions: com-TO: 15087;8077'0 Page: 2 of 2 , �c D MMIDDI CERTIFICATE OF-LIABILITY INSURANCE °A'� 11203n"Y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY.THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s. PRODUCER FREDERICKS INSURANCE AGENCY ING CONTACT NAME: 1046 MAIN STREET k OSTERVILLE. MA 026550427 PHONE No,E o 'a s-899 we No: 0-1 E-MAIL ADDRESS- INSURER(S)AFFORDING COVERAGE NAIC A . NSURERA: Libedy Mutual Insurance INSURED INSURER B MARKWOOD CORPORATION 110 BREEDS HILL RD UNIT 10 - INSURERC: HYANNIS MA 02601' NSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 12310557 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED,BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY.REQUIREIVENT,TERM OR'CONDrrioN OF ANY CONTRACT OR OTHER DOCUMENT WTIH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE D SUBR - POUCY EFF POUCY EXP .LINKS LTR INSR WVD POLICY NUMBER W&TIDIYYY MMIDDIYYYY GENERALLUIBIUTY EACH OCCURRENCE $ ED COMMERCIAL GENERAL LIABILITY r PRREMISES Ea occccurrrrence £ CLANS-MACE OCCUR - • MED EXP(Any one person) $ PERSONAL&ACV INJURY $ .. • GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRCDUCTS•COMP/OP ACG £ POLICY I I PRO• LOC � $ AUTOMOBILE LIABILITY .. - rEa aalNd DISINGLE LIM1 $. A(,Iv AUTO " ' BOMLY INJURY(Par person) $ ALL OWNED SCHEDULED -AUTCS. AUTOS BOCILYINJURY.Paraccident) $., NON-OWNED rRCP pd YIDAMAGE HIRED AUTOS B AUTOS $ UMBRELLA LIAB .00CUR _ EACH OCCURRENCE $ _ EXCESS UAB CLAMS-MACE } AGGREGATE $ ' DED RETENTION$ $ $ A WORKERS COMPENSATION WC2 11 S 319674=032• ^• 2i112012 211 i2013 +ac sTAn1• Q i AND EMPLOYERS'LIABILITY YIN - J TORY LIMITS Crt _ ANY PROPRIETORIPARTNERIEXEC TWE - - E.L-EACH ACCIDENT $ 100000 OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,de scribe under DESCRIPTION OF OPERATIONS hew E.L.DISEASE•POLICYLMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Workers compensation insurance coverage applies only to the mrorkers compensation lams of the state of MA. , CERTIFICATE HOLDER CANCELLATION = SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF SANDWICH MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE MTH THE POLICY PROVISIONS 16 SAN SEBASTIAN WAY - SANDWICH MA 02563 AUTHORIZED REPRESENTATIVE. . Jeff Eldridge- ©1988-2010 ACORD CORPORATION.;All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD CE3T DO.: L2310557 CL=EAT CODE: 1319574 Deb Corby 21LI2012 7:39:51. AM Page I.of 1 , This certificate cancels and supersedes ALL previously issued certificates. - - ? F Massachusetts-,Department of Public Safety Board of Building Regulations and.Standards C'onstruction•Supervisor License: CS-005867. TIMOTHY PE4kSON PO BOX 519, CENTERVE jLE MA 02632 Expiration Commissioner 11/12/2013 /ie �arrv»u»uriea, z o aacu ruaella ` Offce of consume Affairs&Business Regulation License or registration valid for individul.use only ' before the expiration date. if found return to: HOME IMPROVEMENT CONTRACTOR. Type Office of.Consumer Affairs and Business.Regulation, Registration '100871 10 Park Plaza-Suite 5170 . Expiration 6/2412012 Private Corporation Boston,MA 02116 MARKWOOD i4 i TIMOTHY PEARSON i'; -_.. d% 110 BREED'S HILL ROAD UNIT 1:0 — HYANN15,MA 02601 v r Undersecrcta y. Not valid without signature mot , Town of Barnstable . Regulatory Services sexrtsrnsus. MASS. g Thomas F.Geiler,Director 019. 10 Building Division Tom Percy,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us R . Office: 508-862-4038 - ... _..... _..Fax:_:508-7.9M230.... . __.... Property Owner Must, Complete and Sign This Section s If Using A.Builder I; Y1 Ur� as Owner of the subject l t property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit IL (Address of job) Pool fences. and alarms are the responsibility of the applicant. Pools are not to be filled before fence is:installed and pools are not to be utilized until all final inspections are performed and accepted.' Signature of Owner Signature of Applicant on Print Name Print.Name Date Q:FORMS:OWNERPERMSIONP00LS . 1 k �1HE Town of Barnstable Regulatory Services • snxxsr.�ar E Thomas F.Geiler,Director amass. o 5% �.� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION. number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip,code i• Y~�A 1p . I , , . . . f The current exemption for"homeowners".was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided'that the owner acts as supervisor. »` DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered.a homeowner. Such "homeowner"shall submit to the Building Official'on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction.Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming p ey 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 pnlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt a i I . .. -� _ _: � I :I :::_�. I I I -� - � � � I I :,;. , . .�SS :6,4�. . .'': ,�,�,� ,�,. 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Of 7 J 2 92.aii the lout tots ham arrea wtit �n•eectrve daze - of ° S E .�,...,�,�: .�',.� tha:.diV4l g d o e s �m rto the local goniitig 611!u uve ctJ - at. e tw o constrLicrivn, vwrh;'res ec to hori`�or�trzl duriet't�sforiup .scare 1" ' �:..I. ,_,.-�..�.,.',4.."..!.i,.'1��,:,�,.�:,,�.--1�:.t,:... �.-2--�.t;-..-.I-, ..i i�' ;'...,�.,A I:_.l:;: �.,._,,.: -�,-�.�,:I._,,,'.,.V--1�.l-:_,.�;-�.,:-;-� -�,..,,.i.- �I.-.I,,. ,.�1�. '.,1-�I�'-.:-I__�,�.-.���-I 1 ;-_'.�.�_�I.--- .�,,,�-1�.i,�,�_,_.._-',,-�RI:-_.--IF 1,., �.�.-,,,."_,:: ., -,:-.-�"-�I_:_�._- ��, _-.i _:..I. _� _:-.',,�_ _..,.1-: 1.- ;.�.:;,,..-,.. ,��.�,�-I,,.��,� �I�;�I_�-.�.�.,� :.i .�.. setbac>z re or is'ex m pr{om,""vtolact on.err or ertieiv�''"` � 3 t' . y 3 -,,�-.I�. ..,�-�.I -1:;� I,�-.,:�-,,�.'I-.1 dcta<on,=: eider°1Kass CerLeralr�;uws:, 40� =SVZLOtti 7 "... File Ko '1 993 -',,.,_I rt �' ,,: I_� r.:.�__ .�-' I 7�.,�,_:�,. ,�-'-`'.I.: PLEASE: NOTE .The structures"as:shown' on this plot ;plan on .approximate only. An actual survey is necessary for a ;precise : determination of,tt a bui;lding;.location>and.encroachments, it any exist; either: way across property lines. This plan must'not be 1.-1viI used for recording;-purposes or for use in preparing deed descriptions and must not be used ;for variance or building plan... purposes ,T.hts plan must- not-be,.used;to locate :property tines:'Verification of building locations, property line dimensions:'fences. or got configuration can only be'accomplished_ by`.an accurate_:instrument survey which may reflect different"information than what is shown"hereon, ";Please°note".that this,is',"NOT A' BOUNDARY SURVEY" and is "FOR MORTGAGE"PURPOSES ONLY COLONIAL :LAND SURVEYING COMPANY INC �' 9 �. _..p d - ' 269 Hanover Street M Hanover, :Mass 02339 Phone 617-826-7186 ;Fax 617 826-'.! 3 �, ,.; ..� �• TOWN OF BARNSTABLE •��°°" BUILDING DEPARTMENT 2 asaaar TOWN OFFICE BUILDING rb 9• �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE:, An Occupancy Permit has/been issued for the building authorized by `7' Y f BuildingPermit $�.............................�........._..»..�....�...;:.,..../............................................................»......................»......._......»»......................»»». issuedto .......................... �j l/}. ........ ,�Y�........1/ .............._.......................................».»»... » ....»» ......»..»»..»»»1. Please release the performance bond. t BUILDING PEMUT NO. 3 � DA- 3=C t� ASSESSORS PARCEL NO. CONTIlTUATION OF ROAD BOND The undersigned owner/contractor hereby agree to maintain their road bond in force until the following work, it=__'s are completed to the satisfaction of the En gineeri:.g Section of the Depar=ent of Public works: y loan and seed shoulders as soon as weather pe=its: !/ other (e_--_mlain) 1i.� 77tik_ y LO �UT :O" n I .� 1 S.GNc,:) w►Z- O.,iZAC 0R) (print name ) 10 t. GLYL ' G AUis 3R:ZAT_ON BU�ILDIiVG QWIv-OF BARNSTABLE, MASSACHUSETTS PERMIT_ _ Ai-168-118 DATE July 19 19 91 PERMIT NO. APPLICANT Bayside Building Co. ADDRESS P.O. Box 95 Centerville, MA 005645 - 11 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelling (11 STORY Single family dwelling NUMDWEBERN OF G UNITS l (TYPE OF IMPROVEMENT) NO. - (PROPOSED USE; AT (LOCATION) lot #15A 15 Bretwood Lane, Centerville ZONING DISTRICT— (NO.) (STREET) BETWEEN AND - (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP_- BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #91-288 BOND .AREA OR 1300 sq. ft. 83,000 PERMIT 104.00 VOLUME ESTIMATED COST FEE (CUBICISQUARE FEET) owNER. Anw Hibbard BUILDING DEPT. ADDRESS 32 Crystal Lake Road, Osterville, MA BY (yr WetONUIT IONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE I nSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 HEATING INSPECTION APPROVALS I ENGINEERING DEPARTMENT03 BDARD OF H ALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC 'PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD C✓v 9c TOR HAS APPROVED THE VARIODUS=%,:ES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF GATE THE ARRANGED FOR BY TELEPHONE OR NaI TTEN CONSTRUCTION I PERMIT ;S ISSUED AS NOTED ABOVE. 'NOTIFICATION cy-050l y . Town of Barnstable *Permit#06 i 6 3 so o Expires 6 months front issue date -PRESSfT Regulatory Services , Fee JUL 2 9 2 Q Q 9 Thomas F.Geiler,Director �_ Building Division OF BARNSTAB , Zq fog Q,I� �' Perry,CPO; Building Commissioner ®.- ! p 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY f Not Valid without Red X-Press Imprint Map/parcel Number Property Address �� �O p�X �A ih-� / s-1 t`g- 63 Residential Value of Work (9 3 0 D Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addressr Contractor's Name F-A lA'-'tom Telephone Number 50 N ')-k 9 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable). 9 [0Workman's Compensation Insurance Ched one: ❑ I am a sole proprietor ❑ lam the Homeowner 0,I have Worker's Compensation Insurance.. Insurance Company Name T i QV uto Workman's Comp.Policy# LL f� q i rn 5S e _d 6 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 0-Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Fj Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: - Q:Fonns:expmtrg Revise061306 . The Commonwealth of Massachusetts -- _--------. Department of Industrial Accidents " Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): FA a4� b - L LG Address: City/State/Zip: Phone#: 56 9—Y O-9 — ,42,9 9,9\ Are you an employer?Check the appropriate box: Type of project(required): l;,TI am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' insurance. 9. ❑ Building addition comp.[No workers' comp. insurance p• required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: (,(. 13 — b 3 q I M 55 6 Expiration Date: Job Site Address: 15 &4tw O oaL- A City/State/Zip: 01,jQ ryl 19-o 6 3 3 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 cerd the d pe Ities of perjury that the information provided above is true and correct Si ature: CC Date: Phone#: Yoe 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#: RightFax C2-2 10/1/2008 1 :00:56 PM PAGE 2/002 Fax Server •..,::{;.:,:: ... . .�.{: '•., ti.f:; ••:::.iiv:ti ti{i•::vi{:: +:i: ISSUE DATE :y,;i •:rr,':..}}.:.;rlvi:•:?r{:��{•.v{{r.{.;. - •r. -�.�' �}:ti{•::.. n•. •'•::•'i i•:ti��::�•:r 'i.::.::}•.t x,•{u �n• s ;rr• •L ..::•::•.•::i:�•:frt:•.v.•.}:•�::.•r:n-r }':•'r-.?'is L 'r• yi q¢ ..kir.. r.. . •: .. p •L. it iaisti{{}r::`:•}}: ^.r•.........s..-•.•.�.... ��NA��Y�r��::�:{}':};{.;:}. {.:.•Rti•:r•: :::.•:h 10/Ol/00 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WISE&QUINN INSURANCE AGENCY COMP'ANM AFFORDING COVERAGE 449 PLEASANT ST BROCKTON MA 02301 BARN'` A HARTFORD UNDERWRITERSCO,INSURANCE C INSURED COMPANY B FRASER CONSTRUCTION LLC LETM PO BOX 1845 COMP C COTUTT MA 02635 BARN'` D :..:...__:.. r.. � .L•J L•:Y.•:n:�•n•::ntLL1•f::i•:•:LLti•:•:tiL�r:1•l:❖:Y:,J��tiiiLWr.V CObIPANY ..::r.:•5+.s'{'isrf{iilA;..,ti11,.-.•Lu-�;rir.:{L'�r:titfi::{{G::}{{}{•;?•};ti L6l7GR THIS IS TO CERT67Y THAT THE POLICIES OPINSURANCE EIS M BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWHHSTANDINO ANY REQUIRIM4EPT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BB ISSUED OR MAY PERTAIN,THE INSURANCE AEIURDED BY THE POLICIES DESCRIBED HERHIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EFFECT EVE DATE EXPIRATION DATE (MMIDD M/DDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ ❑COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPA00. $ ❑ CLAIMS MADE ❑ OCCUR PERSONAL&ADV.INJURY $ EACH OCCURRENCE $ ❑OWNERS&CONTRACTOR'S PROT. TIRE DAMAGE(Any One Fire) $ MED.EXPENSE(Any one person $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ ANY AUTO BODILY INJURY $ ❑ ALL OWNED AUTOS (Per Persolo ❑ SCHEDULED AUTOS BODILY INJURY ❑ HIRED AUTOS $ (Per Accident) ❑ NON-OWNED AUTOS ' ❑ GARAGE LIABILITY PROPERTY DAMAGE $ ❑ EXCESS LIABILITY ❑ UMBRELLA FORM RACH OCCURRENCE $ AGGREGATE $ ❑ OTHER THAN UMBRELLA FORM STATUTORY LETS X A WORIER'SCOMPENSATION EACH ACCIDENT $500,000 AM UB- 09/26/08 09/26/09 DISEASE.POLICY>IMir $500,000 0341M55"8 EMPLOYER'S LIABILITY DISEAS&EACHORLOYEE $500,000 OTHERTHE PROPRIETORIPARTNFAS/EXECUTIVE OFRCERS ARE INCLUDED. DESCRIPTION OF OPRRATIONWLOCATIONWYB ICLFS/SPECIALI7II418 THE D49URRD'S MA WORKERS COMPENSATION POLICY AND ITS LBUTFD OTHER STATES t MOMCE ENDOB9ID4ffiNNT AUMORIZES Tits PAYMBNP OF BEVE M FOR CLAMS MADE BY THB INSURED'S MA EMA WYERS IVSTMES OTHER THAN MA.NO AUMORIZATION 15 GIVENTO PAY CLAIMS FOR BENEFITS IN ANY STATE OM=THAN MA IF Tm INSURED HEIRS,OR HAS REM MATTES OUIBmE OF MA.TITS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA• TII11 REPLACES ANY PRIOR C=tTIFICATB JBSOKDTO TEIN CRRTIFICATK tT01MR AFEWnNG WORIKRB COMP COVERAGE r.Y�{LLiLY;,R'11��Y.5M1:1:iiiyyYt.• L: -•n{L::-rrn:-:LK'.��ti :.ti11•:JYJr:r.•:'r.t.i{ -•.ti}J.tiiLL•:.tiLY.•.•l.V'iY:JLyyiiV l.Y ti{Y':: ................ •:lLLli••••••••.••:i{•:•:i•:i:i{iA•: :•i i::❖::'::1:1:V::::•::t J: _Yrrr::•r.LL•n1____.__LLLi111•n:11•rJ nW Y Y F9RASER EN7 ERTERPRLMES UC BAOUID ANY OFTM ABOVE DESCRIBED POLICWS BB CANCUDM BKFDRBTM PO BOX 1845 CATION DATE THERSOF,TUR ISSUING COMPANY WILL MWEAVORTO MAIL COTUI'I lYHA 02635 ID DAYS WJ<PIIWV NOTICE TO TIE cBRTIrICATKH 1m owmt NAToimimT, BUTWAILUKKTOMAILSUCHNOTICESHALL MOSEWOBLIGATIONOR LFABI M OFANY EaND UPON THK C NWANY nNI AGENIS OR BBMSIVPPAIR29 A ATPoB MINIMA G07M-MLEN v: r •r:} •• ':•• '•• •'7C• v.1.1 v�•.�.•�� ';Jy't h y�-t-{�{{iri}r.;� h; : .:�;�:.�;;;.;.t;.actf�k�:�.��??';s.':�:Zw'�.•a�4 ;;�;L....r�+.SY�L�:.:l- ...Ji,r- . h{..•.,Yrh•.• .•l..L.�'•,•'�:: Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration, 112536 Board of Building Regulations and Standards EXpirMtion--z_3/23/2011 Tr# 281021 One Ashburton Place Rm 1301 Type: DBA Boston,Ma.02108 FRASER CONSTRUCTION,Co. DEAN FRASER ' 104 TWINN VIEW LANE E FALMOUTH,MA 02536 Administrator Not re Board o uilningYegulaions an tan �rs One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Dome Improvement Contractor Registration Registration: 112536 Type: DBA Expiration: 3/23/2011 Tr# 281021 FRASER CONSTRUCTION CO. DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card CA1 is 40M-08/OB-DBSL�FORMCA108212008 go - C_ A S%MndVmds man 11• Tip 9..708 EAST F AL MOL. T4,1%ame 5�sio r y1 J� Fraser Construction, LLC CONSTRUCTION ROOFING & SIDING" P.O. Box 1845, Cotuit MA. 02635 SPECIALISTS Email: fraser construction a verizon.net www.fraserroofin .com FAX 1-508-428-0123 508-428-2292 HICL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: June 25, 2009 PHONE: 502-428-7420 NAME: Ann Hibbard MAIL ADDRESS: same JOB ADDRESS: 15 Bretwood Lane Centerville, MA 02632 EMAIL: ahibbard@comcast.n.et FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 -Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. 5 year 110 mph wind- resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. by a1v zgo- SOY77e shy� lPS o ruv so :t ��� c�1�c,C Color: Colonial Slate ��- PRICE- $6,300 Initial XZ° /,ke you 5q9 fL a Supply & Install- CertainTeed Winter- Guard: (ice & water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Supply & Install- Roofer's Select Underlayment Paper (as recommended by CertainTeed) Supply & Install - Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge Supply & Install-Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Air Vent Ridge Vent (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. y "4 Star Warranty Upgrade will be applied pphed if proposal is signed and returned within 10 days. (see enclosed brochure) 2% Discount if Paid by check immediately upon completion NO MONEY DOWN- NO Payment at the start or CASH- CHECK- Payments accepted are; p t way thrti MASTERCARD - VISA_AMERICAN EXPRESS PAY payments not made within 30 days of completion will be 1 charged o g .5 /o for every 30 days the Payment is late. Possible E�ctra -After the shingles are removed from the plywood to make sure that the insulation is not u roof, we preventing ventilation from p against the will lift one sheet of installed b the eaves to the ride plywood sheathing y; from the plywood sheathing, g If it is, ventilation panels will be plywood over and then re-installing installing the panels, turning the as an exta'a at the rate of$6.00 e the plywood. If needed, this would be char Panels per sheet of plywood, per Panel including Materials & Labor, red for p There are 6 Possible Extra _Any rotted or oche deteriorated trim boards lead flashing, a other carpentry otherwise le extra at the rate needing replacement will be done plywood sheathing, $60.Op per hour, plus 15% mark_ and charged for as up materials FRASER CONSTRUCTION Warranties the labor for 12 years ERASER CONSTRUCTION Warranties the shingles against Blow- CERTAINTEED W Offs for 10 years. Warranty durationanties the shingles and labor 100% through the Sure St art CERTAINTEED Warranties the shingles to be Sure Start Warranty depending on the shingle that was Purchased. for the duration of the Any deviation or alteration from above specification p hased. orders and will become an extra charge over n will be executed upon written contingent upon strikes, accidents or delays and above the estimate. carry fire, tornado and other necessaryy are beyond our control. �1 agreements accepted within thirty days ma insurance upon the above work.wner should y withdraw this proposal. We, if not ERASER CONSTRUCTION, LLC: Carries W'or , Liability Insurance on the above work, certificate available cation and Public DATE OF ACCEpTANCE: 9 Pon request. 0� � TL- HomeOWUer � S avrlc' pss1d�° C1xG� Iw�D Fraser Co>tistructgon, LLC !u U ��/7 . 'iU>li l� o, vDu su X vtW J:1 O$THE TOWN OF BARNSTABLE 34472 - � Permit No. . BUILDING DEPARTMENT I TOWN OFFICE BUILDING Cash . i6)9• X feu+` HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Ann Hibbard Address Lot #15A, 15 Bretwood Lane Centerville, Mass, USE GROUP FIRE GRADING- OCCUPANCY LOAD THIS PERMIT WILL NOT BE.VALID".AND.THE:BUILDING SHALL,,N.OT.BE.00CUPIED •UNTIL` SIGNED BY THE BUILDING INSPECTOR- UPON SATISFACT.ORY.'COMPLIANCE WITH-TOWN:,. REQUIREMENTS AND IN ACCORDANCE`WITH.SECTION.10.0 OF THE'MASSACHUSETTS'STATE BUILDING CODE. , September 5, I9 ........ / • Building Inspector THE FOLLOWING IS/ARE THE BEST IMAGES FROM � POOR QUALITY ORIGINALS) I M �C(: ,E DATA !! �� t�F BARNSTABLE, MASSACHUSE I L y - r �.}], : �;� � 3f__fyy�LL•• , DING f "r'4' •'t x,��y�S 4'G±f 1N \' .T111�7, 19 19 ,APPLICANT•• $8 sii3e 'Buildin 'CO• ?ET. No ` � � fu.v ADDRESS ��. Box 95 :Centerville )i• (N0. (STR T F. EE )1 Y�} .r ! -'•- 7 0.( �' ' . K w: (CONTR S LICE NSEI ;P_ERMIT,TO ' Buil$ :dwelling r l} Sin le 'famil ' '�;,.:,•,<.", 1_1 STORY }� dW@Ming NUMBER..Ok 1 f: AYpE Oi iMPR OVEME NT). ' •.'NO O WELLING.UNJ TS4 ' ♦ � �^ -� OPOSED USE) �►T;(LOCATION] :i k xot- 15A r 15 ,Bretwood Lane, Centervil a zoNING A. M� ,f•�,7.$i<.#r Fs rr7}'r�(NO ..11 YSTREET) �. �•.GaN.{,:.a•t �;:iY.d:• { ' rf{L `•y k, }l+ r t• '�;.. 6ETWEE�i .._ ;t: '' " Pr .y •d" >r. 'K '"`' dc„ :r :..+•..++-t.:.,+: _ STREET) AND (CROSS > _ EET Y gSUBDIVISION '(Tsl S <� _ T (CROSS iTR ) 'LOT BLOCK S ZE ''`F 3"'y r°Y 4l . St� r t ... o tAeqq f f r �� BUILDING ISO < FT fW IDE'BY > r F T LONG BY q IN LpNSTRUCLION , FT IN HEIGHT AND 54JALl CaNFO M 70 TYPE t USE GROUP r - ' M WALLS OR F BASEMENT, OUNDATION y (TYPE) Sewage ,REMARKS ref 41 288 44cf t /.,,,g .R iAREA�OR- '' r.� t. .l3bU •�ft� S/.r�'Ly $4ND IN;'K�`A { VOLUME r> s.c a a i Kla«rrot r t� + i. + ESTIMATED COST.-�s ` 83,OVO stt ` }: PERMIT lO4�OO, ' {a "R'flLi .Jk �tr<ryi i.: t(C(7BIC/.50UARE FEET) tF'EE $ ,yiG,.w. s OWNER r. ra"�+ SAIU�aJ Y = y F z ::; 32,�C sCeL l ake :Read, :0�terYille, + ADDRESS 'BUILDING OEPT.: f .r•( lu,` + y= .ly \r ar By o"• r t .�4. t V t..�L )'nry�f��i ; { �'�..i7 t ? t f .;•'� ➢ y r� � I, � OF ANY APp LICABLE S UB DIVISION RESTRICTIONS. MINIMUt.HUM M OF -THREE .DALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE.'APPLICA•8LE SEPARgT`E INSPECTIONS REQUIRED FOR or ALL,'CONSTRUCTION WORK: y CARD KEPT.POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS: ARE REQUIRED ..FOR ).'FOUNDATIONSOR.FOOTfNGS MADE. WHERE A, CERTIFICATE OF OCCUPANCY 'IS'RE MECHANICAL INSTALLATIONS ." , 2. PRIOR TO COVERING STRUCTURAL TUR AL ELECTRICAL PLUMBING AND MEMBERS(READr TO LATH) QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL ` rT 3• FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. '•? " i OCCUPANCY. pOST11-11S CAR® SO" IT IS VISIBLE FR®M STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS� c } C - 2 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT - �a/7�S G` •� t C ` `B ARD ALTH / OTHER SITE PLAN REVIEW APPROVAL_ WORK SHALL NOT PROCEED UNTIL THE INSPEC• PERMIT 'W!LL BECOME NULL AND VOID !F CO TOR HAS APPROVED THE VARIODUS STA.c NSTRUCTION INSPECTIONS INDICATED ON THIS CARP ray Sr S OF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF QATE THE PERMIT IS ISSUED AS NOTED ABOVE. ARRANGE.) FOR BY TELEPHONc 09 AR)TTEN "' NOTIFICATION - "4. t Iaa *- N� �I 1 tn� a 7 ^� au I . { ; t �� _ - ' -- t R� �J AR _ 1 I-AA/ L0C,4T/Oit/ SCA L 7-71 SETBA .�EQU/.2E/�lE�/TS OE' T�/�c' Tol�tiit%arc •�•L.4it/ r _ �T 4-4 OATS; T /7" f=l�n Y O�,r,SETS Sh�a/,tij/S/�ovL� ,VO7 g7 i + -` -4. i. 6-4 i. to `F 6- I y i - - - ---- ' I I - � , i �, ti 1IIFY 2 o rJ -T- J r E. .J . „. APPRO . 0 NOTE H s TOM F BMMSTRBLE Building Inspection Deparbnent y f i i i f f I III _ M o Due f' - r SO y e ... - —_� - '._. •_........ ....._ I �•G•'SH 1 NCi Lis '• r ` _L.E..FT �j i E- GA[LbCGtIE ` ' _ / I �' � A- • • • . _ •.tip - ' t r El a r zo x 1 L' ♦vJa) m pFr L 17J�1� t Ell � k • i I {C C-O C".._ �I flt►J I� GTCZ.!/� V - GA2AG�� VIN I T x -• n. 1 � ot�l VINYL . . h `t` C a Co :.>o -: v i o Y aI �.Zq•. T.1(I 1 I to-L--FL`T�.a PL624r.,:i N ---AFITC, CEILIN G CAM-PET- 1 g` V-I\ o.K. Doo1Z7- it Gm )C.rL. AP 2orJ ; -��• b - - - q'- c" EQuPt- � 3•-0' I �'-d I 8'-. �' g/_.ZIP ----• '�'..�.�.. _._ . .. J. !eL r 49 3okH1 6;2 X49. V1NjL ' $-2!1 • _ d I , j N �Z -PJ6DQocv� 1 .. USN �QRcoi� 2 � ! ! i TTtG STOR.A.CrE C���' 2-111 z ChR�GT col u I o CNI a 11 All I I , i z/� 1 I _1 �• I ----- --_ 3 4 -- --- 49 E G o 1J n ra l..Oc� rL ►/4» - I o` 4' 14' I "cP --- Ails - - -- - _-- - _-- I �-- .-_ �- -- - - --- - - -- --- - - - - -�. + - - r r : N mm Gvw)1.►EGT�o►JS 8 y 4, Co'•GoNC.\Vnl_LS/ 1 m�sTh` h .Lou Y 4-1160"llf to- Foot'LN s / I >, F 10 t-c.oe.ro-. Mnai,.I o o I I Xi c1 I I I I co ;, A 'I i x Co/^PGGf GMAUC . f1LL. I I I Co'-1' Co'.G' Ie-'-6 j -' J _ 1T j -GLtiorm. iI �. PO C1t T h 9f�2 L&LLY COL'U/ANS I I F�cK r-No _ N 2.4"V 24" X I W FOO TIIJG15 i I N _ Y, OS6R S 8"EAG La \VA>{ - I 10 I I i � � - � � /'a'�2"GON GRETE• SLAB' 1 N " I co WALLS � !G"'A FoOTI N I _ m L91. " 11 54'- Cin E►.� - F o u.N Assessor's office(1st.Floor): Assessor's map and lot number lEPT TEM' M BE Qf TMf TOE, Board of Health(3rd floor): ^,� ` INSTALLED IN COMPLIANCE Sewage Permit number 7j �'j�—� W DmITfYH TITLE 5 Z DA839TdDLL i Engineering Department(3rd floor): _ ENVIRONMENTAL CODE AND wo rb 9• ,� House number. b� Definitive Plan Approved by Planning Board 19 TOWN REG,ULA `QNS APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only AY P R 0 V E D TOWNOF B A R N S Ta servation Comm' sion 6 9 ` BUILDING INSPEC S e Date APPLICATION FOR PERMIT TO 10, TYPE OF CONSTRUCTION (/(/(�T/7/! ✓sZ� Q 19 �L— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location A:f� 1511 da*tee Proposed Use -� ��i►�� Zoning District Fire District v Name of Owner 1/fi' W Address ya,&t O Name of Builder w Address i t::K Q S Name of Architect Address Number of Rooms Foundation Exterior /Y"j SA'�A Roofing Floors Q V Interior Heating d ILI �" � Plumbing /_ V� � � 2 rJ� 9 Fireplace Y �L!/dl/1'�Q �►�G� I:J % Approximate Cost .3 0V- Area Diagram of Lot and Building with Dimensions Fee �8 2 2,6" � d6 �ql OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. i a Name Construction Supervisor's License Dr�sG ys HIBBARD, ANN No 3 4 4 7 2 Permit For 121 Story t '' Single Family .dwelling ; ' 'Location Lot #15A, - 15 Bretwood Lane Centerville Y _ rville h -Owner"--? Ann Hibbard Type of Construction 'Frame �= - =` Plot Lot x Permit Granted' 'J'uly 19 19 91 Date of Inspection - 19I �D eted � a s 19 - l �r tr > - �. ?'S S •, t- •� •..r+ft`+�'y a.r...Y h rs+s'._...A"u`",^-/1'�',i.•*e--jv._.,"+. x '�/ kf," -n,- `,r,rw.� ,�F y d. . 'r""rY.. � is••4i.t_.-.- • o � �,/�I`. GC.ui— a Assessor's office(1st Floor): Assessor's map and lot number u*.�wt ro Board of Health 3rd floor), •P� `e Sewage Permit number ) Engineering Department(3rd floor):, t ti�aNi"L t �o r ua House number /S` ,� o +639 Definitive Plan Approved by Planning Board 19 �cyY�r APPLICATIONS PROCESSED 8:30-9'30"A.M.and 1:00-2:00 P.M.only. € . TOWN OF BARNST ABLE BUILDING INSPECT APPLICATION FOR PERMIT TO j TYPE OF CONSTRUCTION (/ /1`Y ✓ ! . 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit acccorrdinng.Ito/the following information: Location Proposed Use r // n� Zoning District l f Fire Districts d w'!'r Name of Owner h l/V'1'Y�1 Address � c!M Name of Builder W Address / SV Name of Architect /- • f Address (, 1t Number of Rooms [O Foundation /Iou d r Exterior / c�i Roofing Floors a Interior Heating /�1';c/J2U Plumbing Fireplace ,E� � �� _ �� Approximate Cost Area Diagram of Lot and Building with Dimensions Fee { OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1-hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name r Construction Supervisor's License HIBBARD, ANN A=168-118 _ No-3 4 4 7 2 Permit For 112 Story Single Family Dwelling Location Lot #15A, 15 Bretwood Lane Centerville Owner Ann Hibbard Type of Construction Frame Plot Lot f Permit Granted July 19, - 19 91 Date of Inspection 19 Date Completed 19 PLETED 1111 � PERMIT CON ._ i Lnc- eWo5lO1S5_71To T CU-e..JCJ15[j' - F _ p"• 1 .. alp-Vi✓(LCrL_IS.�l•SC.CK7 _ �'•�/ � , .. • !.A. ... 4!eS?' — y'•'/ :. - _. _ • • k .- ——mpwt-T¢131I a • ,r . —Soto s�e�-.Ic. - _IIVI' r- gg , , I .: 4 , e i � 1 n ' � dur nuataeq� r T w. angyt�lL a I • t• SMOKE DE T CTORS REVIEWED:XYgn-Cr•vaq_e::n.�.�Jo1. f - 4 YL'• {• --- ---- _ 4 1 , — ——— LE BUILDING DEPT. DATE FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING- . :.. � • I t — —CZ�.te2 Ec�yi�-TL�V - — —— ---- --- Ct-�__Cl_Eu1.ST1Or1-- --- .. • _f�faR79�X0f1 CT1_0N_ - - - �R.D S 7 7 xrmt 7 S 4Z CC'lVTsRyX L r .AAA. `— At ort I AWC Guide t0 Wood Construction in J41gh WbdArew;.110 mph Wind Zone , •,%•. nPFUCANT TO COMPLETE SVBHTT gTTtt PERMT APTLLCATION AWCGnddro WQoACjDiiFr?'Rpn{rM$h rYhirl Ar44s:/!g/I jeh Wind Zn.. , Massachusetts Checklist flat Compliance(78o C6II2s3aLZt1)1.. - AWC Guide to Wood Cowhwcdon in High WindArem:110,Vh Mad Zone IElist for;Coui thrice 784CMn630L2.1.1' Co p is ) " LVC Guiricu Wonrl C'WnnV tin/r,,ln High µurd Arcr a/lU u�/.f47 AZnne • (V[aSS84:h t13CtL4., T¢C., ..,. (?, (,• .,.... _ d �( _ ... ..,... f achusetts Chegklist'for Cohl.gL ance(�gnr, 1;cjpt2s.V' wwnapnngwagcw�•wWn.7 + (.�CLdt' 'Lelewl(r10.'4f tqd aaW.nonl (T?b!ea 7).._..._-_.tu01__h!51kEla....__.:L : e. from TOW 10 and 11 and)option ofwall eheathmg Rd Building ArpeN ROG.deteirnim Percent Fu Woht Massachusetts Ch Checklist for m Hance oee cA�zto is t ivtass TTSn f1("61J'\ C..Plk- Nonlosdb s(ng WN Con + / 6Mdtmg and NW Spacing pi amarda L I(nb: I49A ex' ()atjN E}-�__.-._-__....____.� h. Wood SWcWm Penela slid he wnk,-thickness of T it W be Instilled as fae- n Laud ewA94YW�W^hQ <�e00Wd 8 byt7Qiipenings rV eampQev.•/n TeNa e) -- L.Penile aSaN'W hWeded MM ebeflpin als DaraNN to aWN. '_ . : ._....._....10,my ;. , __ _ -(Te .gj;,: .•+t h.s 11• .g: All nod dlon.tlM9 becuf-and he ndedlo:hasdro. 1.1 SCOPE ...._.......... ..:.:.8 Hesdar3peks - - Wad Sp•ad C3em.gusq....................�. ....._.. -Y S0 Pam�N. ._(Tabip 9j_ (l r In.s 11' S. On single -mn�truWon,penamehd be'ati¢c11e0 b bolmmpyW sd top nmmbar olttmdauhb ........_ W ' - .._. .__._.-.._ .WindExposar-Category.........._. • Full"046kj tho /Wda)-. -.. (TahNa ._: ..,... _. top mte. , 1/ 1 _._ .. Z b . Ich s,ceods am l2 slape,anaN tro adn.uuadas .:....lmYfi`Ls ry do 5 51d2f2 Na H erBs�ykYall OOanhp.(nrMdlaryeat openl pout d,edk--ell ppenl/,pa far aoTa^,noe'+Tome e) M. plow, ata*=,*runhrbmy upper po!t41t_ - 1.2 APPUCABILIIY 1 --° .,...-_.._.._.�-_........._.__. (Thie9).__....-_.._.__-. _In.512" pllMandtoeNdamidbdtla/n sU.Pmda(lunord(d"perolNdbelrndebbWd)txlK Numbcrotelenas(erodwn ..::..........(FTg 21.._.L13o ,• R.s33' S%Pfab.Sp. ......_........_�'......_..__......_.._.__[Table 9l._.__.._..,._._.-_ t< In s.12• ;� Bnd lowNeRedlmem made b... 'plate at Mtdoorfnmtt0. R..(Ptdh.......:................... ....................._....,•IF7g2)-.._.._....LrL'01S4 a>LS..•'fAJ'A h S so'. Full`HelphtBWda (Table "he", ,� 'r. Horhmlel nag ryednp st dGutila� baud Mara.Arid iprdela inWltiaadollb)e roWof ad f4ean Roo/Hdi9M.........,..-......... ......(Fig 3)......:.._... -#} _ - ' ................._.._......._. (Fig 3} -.....-.... se0 -✓ EdeRPrWall 9hmif!kgbRe.lat WpgP and 6M1wr91smdmnaoud>/' elepgeredd3Ychu on'aentergb gum hebw:VaBril and HodzonW'NSIMg IorPanel Afteahna/n Building Width ............ _ �R .. �5G- _ ,l,/. .. .... .............. ,tJA S a:• . Zia-Building OMenslnn, _ .........:I:. I).._...... 9`tiCB' �]( NomWd Ndgbtof Tdbat OP•^!g Bul n'ng Aspect Rotia(LW)..._..................... ......IFig d).....: 4i+ Sheathing Type.._.._.- - NomlmdlNeightcr Tallest OPenr`gt.......^"•"'• - Eggs Nag SPecfnp. (Yebla ig wnale'41fmp)-•-----...7_m. - C 1 t.]F.RAM,NG CONNECTIONS I �.F : Fl.IOl/aP10F....-..._.._._.--,_,.____�-iIM1 moos......'...._,.CT.bm 2)....__...... _..___..._. Sipaf Cannmao0ess(Pa,o118d m.n/non ne4J(T.bM 10}._�_�___..__._...�._.._._ �,.//i •` y Ganenl wmPnaw vrlth Inmirtg cassn _ _ -'-- Perwnt FuiH6lglst6h4edJsq - (yaEia 10)-__ 3%A'ddoonal BhgetWng rW WsU Was OP•d�q>6'6'(Ms7pt,Caneopml-.- yy s _: .. r MaWn a IMrleridM C ............_. •g.s • EaHa Ny 3padng '__-'.._(ITabb 1,b4lfen) - FINa:Nen Sp6bb g T (Table 11)-.-._..._..... ..__ '_lit. , 'ShWrt:o rlo d 1iWaommonitW.)(Teabbleleii)•`�'-.-- -".''• �/ I -- - I� * Pasant FuN-Halpin[&ssaedng-_...__.._(T )-_._.-..�_ „Zt_ so. - + 9%AddiS WISheWmkg.for W.g Wth OPenba>8'g'(Design ConeePW}_...._ {. I , i' - , 9 : .. ; WeRCbddme .) - lI{ :ras/.em emwarsimusNlv/aaava a : -Rama far Wind SPs d't _.._--.._..__. .' _- _� Iti a. 8 • 9.1 RCQRauf Rambo memba.pau CMdreJL---,-.--(Fw Renew r.a AWC R k n Took' a BRRB WabcQa) 1 V - ( Roar oyerheng._-__..�.. _..._..+....(Flgue 19)..._....... ..ameltera2'ortf3 ! t - Dew L ertictl and Homoraw Nailing \ _ � rot am;d Afmahnwn « I Trim al7aNrCmrMWPnQ 4laedbeulrry Wall. . '. Pn>pAem/y CNnlidCfdra'. • S , - r_ ._...._.._-___(TaNa t2)._._._-..___+..._U. pQ• i - Limrd (T.Als .-... pQ '�17 H Podps , s 911 -,_...r (Tebm 121---•••--.�.-.._..__-S. df • -s T Podge no Cal!pacgma tf aagar tied nnru.ed Par page 21,Creole 13). •_^,. Ga -RaReOaaooker _ _ .._(FTgure 20) - ,.`v-f6scmdmr ofToaLn J __. saner Cdrwprlanr.st NonlweCeey/q warm' ... , -'rm°aa mtRempe .r •r _ , „ - t Propdetery .. CfeM>'1- ... y2Q •. �G i'•" wI w.vala _pa J0Q a d .. - .. 4 "a"'1 d ieq mmnadriNs): T}-, J6 q�........ ... m. r _ t - -- - .. Sh aIMro Thi __ CNR Gapiq.. JB Wld 9n..�.__, I: 'see Oetdm Ned t a.t WAILS. .. it 810' � _ - . WeII Hei9hd (F,g t1 end Tama 5j. "_ �'}....; Roof tpwoaJnp Th4datW.eV` - , .Lwel>e�nIIwalh'......................_.:- _...(Fry In ow Tema rtszo' tmacstaafpkw r+amapa--.•__._ R° - ° - - ' .x7ne'wsP � _-.^.... _ 2` -T Vertical eM HwlmnWl NaLn • NoiPU+eaNbmhng:s�Us--_.__..:,.__._ (Aa 10 and Table S)_._.,.._. 'Lin!t24'.o.a Nome I ` (ofPMd . _ - e .We113tudspedn9 .__...._.......-_-' (FrpsT89)....... fta•C .. 1. Thr.dsetlPlsttluQGmWN 4MWetY.d'dumng'.tM apadlla}+Wlbn �2.Oo do utll,da wV�d/ameM of .. - Wan st.ry.®naat 1'°n - ..__......_. I n .---.. ,`. s T�652pfz1.t Lain 1.Iritls mliddiWt m jnet6i Im angred/ the lei metal a and Inkf downs kw.of . 1 4.2 EXTERIOR WALLS' ._ s / a P•f me WFDM 70 m6n Guw _ .. • - a Stool Slwp.P.Flguw'$ - ��// wood sludb- L. of s) .... .... -Tn: T .�.2D GPge 6taa0s W Ffgprs l 1. - / , t .. a. .Loadbe.nh9 v211s..... ..Table S)....• .. <1t; h,. __ e. art Dbewbaaglueya t Non-Loa dbeaMg .1 - .. .. _ y wall ...._.._.:....._..._ ��.4 d_ All Stops pe{'Figure Y7 - a . ^ Gable End-W all Bmdn9 • a_ Cartee law HoldD art{Qs aid Piguri tab . (FI9 t4). v - n. ay.m,pr pig ,. Full Height EndvaN ........__,-.......�....._..._.. ...._... . 'perdM ... (Rg ll).._._. .. R21Nl3 Ermpgan;Cyening hdgtnm of uPru art.aF1a0 W-pertNRad whin aX beddedmtlnW M1A-hdgnlsheagdrig. . . WSP Attic Floor Un9th ..�R2QWN _ hTWbmst......._. - PWuis.menm vtdwn 0•a(Id-ri.. GYPeum CellW9 LangN(If WSP nil Add) ...,(Rgtt4bM.Id„ ... - -f I, Tine.balmm'sm Ia:eileMrVralis shed beemh4mdm2hmrd/reFlh4kroaepreswra,lre.mdit2greda and2 X4 Contlnuous lalaal BrseP aodrt.erry( 2x4 bmddny,gg4R spoil)In endtoiStb Was Baysa - .. _ or,as]tinting Nrnng auto•Q 16'spadn9m 1 l r , ..... ' - Double TOP Plate {Flg 13 old Table e)._._... 4, SPIice Lengm .......-_.__-_.__.__._.___ bl '.._..._.:..__..__..:.w.. • I' .._._.. ' Sprice ConnesTon(6..afladmrtunon nails] _...(Ta e6j_. '. , DOUBLE TOP PLATE JJOWPH EXPC,BURE BWINDZONE - . - Table 2 Gonere(Neffing Schedule. - ,; JOINT DESCRIPTION - Number oT N1uTther of Natl'St]acinii rlelled 2.8d 310d isechwd. Roof Framiltg DOt)BLE HEADER w . Slockglgtn'Rafler CT RM Board to It. (¢nd )-. 2-18d 3.16d each ettd Top atIntamaotl�(Face-nalled) 4-18d _ 5-16d 24oin(a .. R6GIlg¢p•I6NT!AT EACH END OF.FIP,ADBi : . FW L Bhsd 2.16d 2Nad. -o.c. g�T.. - HE•ADER.SPAN MHISAp� NuMB9Ja.QF' 1fid -:lad 18'o.e.a long edgq. R1l. ®rl1T UPLIFT LATERAL `Hntatlet to Headet(FewnaMd).. G.7, Sim -dLB.I (USJ . Flooi Fnming 1 _ TUp6 tt Wall .. Jew tq.8N•Top Pleti or Giraw(Tos•Nglmd)(FIg,14) T4-ad v � ..,.4-10d ..perklet �JAGKB .2' �?-2X4 a .1 .h®fhiag •,,. _ r ��,. , TO KING STUD , 8lockinp foJol.l(To"atied) 2.8d _ 2.10d such and WNDOW OILL PLATE -2-R. I32 . or'M1Tp Pmb(8'ce+tplled) 104 - 4-1ad' .' each bldek' - 2.2X4 �3 - 416 '•I mid-nand - - hPover - ..t BbcWnp.to$W J--18d c 4-tad eachlae?'' --10d - '4' .9.AX4 2 - 554 . eadx .r J: '.t�id wStrly tteem.or Gkdyr(Flig-,died) _ Pa lcmt .to - •,'tM t ` Band Joist JWWlo Jo4( 3.18d AL18d -perjomt y g „ Jigs. Stil orTo6 Plate(Toa•nsgetl)(F1p:14) 2=18d.. ; 3'-18d 'par foot - _ Z '.. Berl ttd 30 Root Sheathing r _ ?2X8 3 9l© 462.1 '� 26 31 3 - NgIL:rop IaLA'f6 'Wood SVucturai Panels •. ,:t-..:': Relies or hues sspeced up tc 1(rp.c. ad 10d' 6'edge/6'geld' - .. - _ 2-2X12 `3 1108 528 �� .;...; bHaAOBt uRrH Rlnitero to trussasaparsd.over l6'be...' eIt lad A edgel4 field /. ::__,. .__,, __ __ __. . - acalnoN .. 1W0 ROOM oFire Gehl.sndwetl raka'w lake(lams w/o gable ov181tltrlg' 'ad. toil' 8'adg./9'fleW ' --- �'-- 9' - 3.27[IO 8 1.24'1 AT a o.c ttAlLa AT Y o.e. •Galjb endwag take of roketruee w!etnrehlla1 out Id rs ad 10d .e"..dora/e'.goM v r...4 • •.. •.e "10�. a�?XI? 4 1.385 dr able endwall mka'or,akeinle9,ta/lookout blocks ad tod' 4'edgd 4•field d•a d d a A d d e d ro d -d y' , OR .. Nail uhedul• ., caging Sheathing D 1.adaa•�0•a•�da d,•aA. .. .e IY 2k10 .4 ib24. l26 ad roman Gypsumwaaboerd 5daoolew` Tedge,orrea _ a,.. ado q r T,4$L�,*` 9.. llJf411 O' ! NIIVGS I-�EAI� p(TEI80R _ or 3'o. - e� •a.!a s, •o..,e sat "X,a'kl/iJCNOR lbOLTB ANp a i•.a _ IDS e P`^ gA$k(E1B.1 a IN LOAp5EARING WALLS VIFN_--. aU Bhaatltl0 4 0 ood"SBuctursl Panels' 'a a.ed•a 0•a a,ad•n'..d•a•.-d•a A.. d'A . da Aa d•• F _ Std.Voted W to 24'o.aBd 10tl 8dge!12'geld �. e: � e. . �. sn� w antl ZS/32'Ftberboald Panel. ad el) -3•edge/8'iteki e ! i a:a °.: e.; 11'Gypsum wellboaN 8d ooalere a • •_ Flb rSheldhing�NIWd SW(Allla)Pengls • - d ' 1 2• ad ' d•6 1e ';a,orleas a od` 6•adger 1 field:Greaterthan r. tod �' tad 6-edg•/(r*ld Noll tchadum C.1),Catmslon resistant 1.1 gage nails and 16 gaga araplee aro permiReq ch4/=k IBC for eddlaonal requirements.ad mmman Wall:Unless othwWce stated,.1tes gWen for nail.are opinmgn Wire ak�ma Box and pheumeacnellaol equiwalaht -- diameter end equal or greater length to the speoified oommon nails may be wbagtuted unless olhalvAsa'', i 77473� ffa tivLu,E. 2.af.2. " i �'. .,.� �..__ _ ...-` ♦ gip+..•...+.. � • P •�rwrwr'+.�wn"+1• r"v J..:.. .nrw - �.�, .y.:...r. _ ...a.A - • " • j - I � - ;;S'C��6uN�a.6(•LIPS _ . -_ = _ _' - ' • ems- . OS101•(5-Drb F Cit-.x]•u _ � � .''i'� � — _±SNSIS�6Al+l-S>rVR�1.•�.) '-_ � �' ItSPYhLT 1¢—a1wlGxcS' � - __ - -�� i Ii 1�.s Slgi..ac+li,c��'�'`-Su<•'t��---- ! _ _ - Y[i.Ci:COtIER--" __ I .. w YECT'«M_Sti�v L_ � �t'o' @.sumc:.t-c.Lto-tra•��•'• .. 4iOF1`ZT f7L-T.CcL .'oi.l"o'� ! t �r SMOKE DETECTORS REVIEWED Y. . ALE BUILDING DEPT " DATE b/z �. 73 • FIRE DEPARTMENT _ DATE BOTH SIGNATURES ARc' Ui4ED FOR PERMITTING � L " . � t 1J6R� F411tTioN - x BnM:rD*V" 77+238-0773 lct�l1t12V 1�LL�M1 X L'�2 a AWC Guide to woad Construction in Hkh"dAreaa:110 mph wind zone AWC Gu ft"10 W D,d CQpu(a;Cirfm�,fflgA Whir%Areas:/!s>:ap1 6r?ud Zoae t AWC Gnida to Wood Construedon in High)imdArear:lid mph WL,d Zone p21?UCANT TO COr42L1'TE a suaHTT uz'rtr'eesrar AriLuATioS P Massachusetts Checklist for Compliancef7B0cbnms3BLa)_3). A Ll L'CfuirlcU Wrmd C'ufauactinrr.inHgl Kvld Arcf //P rr,lnNdznNn _ - _ _ 14fessachusetts Checklist for Compliance hso cmR ssaiaa.))t .I_ MassazhusetttZC�hec)Flst forConipllance(te9cNrRs3Pf.zLr)I' VlassachoSettS Cheeklist'for CvmgUance(TanrnlT; P,.a.s V' L�f�W k eGg _. 4 R.uo.ae yB. .. 'Ismral(-of too camnondyp. •- T �aea T). ..__...t11p.._F!'SLLE@....-_..L a. Fran a rm NW lip-ding11 end lawtlon of un o chaining and 130dNp HDmt termine Percent FLWaf . , can'Pm Non,Lwdoaedce.4Yau canrf�p sn.mn Ba ' I!amdms 1�tLF)Q tlpq}� _ - - Lateral(Ip 19d mrfapenf:ddmT°yq,,, N m B}i _ �__� b. Wad 5.Panel alvise Matl ha d imam OddefMt Pf 7Hel to s ba IneWmd u faBowa: . f.l SCOPE ...._....._..110,nigh Load Bearing �'Mo (iroPord,e'BeeLPM'd 9 64t W}9tpen lge Iota pear,.-In Takla Bl NL'.Panel iha m with atren9lh� b i foi W douhb ' ............................._...-.. - Header SPe11a _ _- (T} - T In.511' `/ .9. Al n lards cover war and be to. Wind 8 sari(3 rn.g- t)....................*'-_._. B l P ...._._......._. ............... sgi Plam gp9na'_...__._�....- _ (Toots 9)_. In.511' On 61n81e_ mnaWctlm,pen :asecllee hrtfmmpl@taa end by mamba . .wine Expo are Gregory............... - mD pmm- h ! _ Nedkal a nl On'Pq canaafuDon -Is etWi be etteard b W mamuerd W double top ' 1.2 APPUCABILIN arod welch axceada Bin 12s1aPe anal becan=Idvad �.. m'rly'sIX12 Nan4aa4s aM9Y•(ea OPenmOa(famrd largeat mein g(Ta .Pa Igo -1...1J N. story tipper perl . IW, oppar ' - ` - Numh<roastedes( ..IFg 2J..: s12,2 i N BPana....:.-_.._,-.--.-.._..._...__. (r ba e) _ In.s 12' y Plam coda bandlalll al6otlama, YnY:Upper odadunmt MloWNPaM chap bo modem Dane goat ft,533' SgLBr;b-Spalla... .-._:_._..._._.._.-.. __(Teas 9)._. .7[ In.a i2' � ndlw•er+rodlmed maGm' - pram al(bd 0oarfnminp. ,'-� 01 lb�S Roar Piton.. .................-_...._......._.....,_.. _ 1 __ .Table 9 - - . - e ._.... /.3 31 R s 80" '�I. ( 1----._._....---.-'-'--._.._$_ l r. Horlrmtal nall spe�deang at dos bafm v�erB rx!�fi re"I a double raved Mean RoofHaignt..:.........._..............._..._...:.._._._...,Flg3),... •-. )aj4LS7.... Wnbnum BuLdmg.Dt Rujitsa, - - W onm gu below. .. Bulld'Pg Wldtn,W .......................__....._._.... .. f/A f 90 FJdeddTYLlI f3hpalhkg m Roams Updfl ar,d Shear Irlaibrt4 _ FuIPHapht6mda fro tetuM) ad 9 Duey (Fig 3):........_._....."...... /JA f2� W' ' Bwleing AaPea Retla(L/A')' ._..._.......(Elp 0)..:....... {i.y••/s 6a' �� Nomad Haphtaf Tdbat OPedn9 ..---- ♦f v .._......_,.....-(Fig aJ.....: _.._Ororo dl..-.__-..._.:..._._.._ _C24,i `/ cis Bred et 3 'Nominal Haight oITeneat Opening •••--^'•"-'-'-'- �,.-,._._._._.._......_Tebfs 10 or are� r ra 'NaINg f°r Panel r, z - �a NI'igA SPaaanB'. ( n . ' .. I ... - 1.3 FRAMING CONNECTIONS „(rabic 2l....__...... .•. ....... Sneer- _ acdaee_.. S)raU(.arenoc0arr(no.M 18d opmrnan ne4X1dbm fa General cpmOnan4e wain lnmiap F)a-Haled SneaWn9-._...._:__. f(pp9%Addllonel8ngatNM mrweo Wilk opantrg>Bre•(CWpn6onaePm).._._...:......_: wdm 'PmmH� d4¢,.fpht T�aB`to 's wi r}°'u•ialw�0la°M s ea perin9-....-..................................._. 9• / ♦Tea .t i k �' • 6tlwNa9Spacing paci lia.41�_.-...-.____l/L°gs 'F%9?Nan 9P:Jn9-r•---_._-^-_...__:._1T10re 1,ar note{lilacs)-._.-__-.Z_m. - FBfd,Nag Specmp (table it)._-�__.-•----�-)a �I - § S i $a i Shaer Connw*oll(riold tom -Reap)(Teas - Varcadt FeA11e1ghtalMalhinp . - s%AddlBpiel Shaadlagkr Waq will opa^inB'e'B•.f0eelTn CPlmePm>-_:__ - I � � . Was Raledaer Wad Sprlodl .._._-..._..._..v.__..._ _...._ _ - aMtnasTAa . .. ., - ) . _ • at kOOrbMrn ag rnelnbareaerta Nfa'a'n (Fw ReRela tma AWC Rnnn Tool BBRS Wabc0.e). / )' j II .. . .. emeltwof 2'or L r3 I : IA16La® t - Poorpymheng'_ -. ...•(F'i9we 1f3)........... g® - _ r n TIv.or Refler Cb ract�;nS.sP WdbearlRO Was. •' a d 0.W '. - - PmpriaWy CPndeCrala. - ' .. _u= y�h�Al Waiting .-....__.-......_....._L= Pa v I� m. I . Shea ___-(reef,12)._-.__.-_._.._-_S• pil 9bep Cq-nPaaaMa I( ,murBeenal'us, Pur P8W21..,(rabm13)• .-._-_T•J(2, ._ ka am a �R. am W7ar - T1laaer Raft"Ca^nwlmne.aSNorAa doaaftw (FTa - u 4 � 1).._ � _ s I 4.1 WA41-S �• .� Roof seeivog C, Gap1aa39 fp - ea Well Meighd - _ it 570' -�-t snaaQdng TllmWrece:..._..-.=. .-..- - _-.:_�f�ln-ST/1(•WSP S Oaogm Ned Pag _ . Ilb'. - ..(F.p 11 dT da 5) -R 520' Roof .x••' .......:................� - --� e m2 VaNcel and Hodmnb(NaLn. ,. I . ._... -rloaf:ShaeWinp Fedma4g-•-'^_-_.-_..__.._.._.. }.._-_....__.�-...- g P.S. -padbpenP9w^ (Flit 0and Tvi. ) S24.o:p: for PenelA - Nam(�lheeting:vrHUs.._.__.......... (Fl1I t0 and 1§LIe 5). � Nobs :. WaII.Sbd SPeang _R td." .. _.._ -. _(Fps7aa).......:......... - yi. .780e°eplpmi Z1.1 ialatin a6aMaalyaxdum(an sepaoab fxanthe no�p$m UY wolf hold aWmm enot� �I Wall 9lory�sKs ._.-....._ ...._. �. t�telnf metal a cad Ina daulls Yra.nol ry _ � '- .7e0 CMR sq'tslat.timm LlriM r3eedlaetbmaGgiro entlrety _ the far . tmNmem, 4.2 EX.TERIORWALLS' `�/ IeRt4ed Smei SU"Per.IFWret atria- y Woad Study' - - 'tn: ^Y "x 20'Grgrsbepa Perlirpin'a_11.. - • - . Ixtadbeenag walls - T hl S r9+ :IR -_ o. - - e• d 9adP�Aax7t pm•flp - GaolsEndWalleradn9l R3i'n3 joetand W91aa lab - FullXaBhlEnewalSn,ds:..._.-_,_._ _(Fl911)-..._._... �-/fin L'Fsceplon:Coerkt,hWghm ofiLp.d'Sf4 anan be pnmddedwhenslL to ddo to W,PamerltfflHafghtsheaWnB - WSPAttm Floor tsegth........._.....__; H 71_r.._... a 0- ^ job atlwn In Taema 10■ - - . .Gypsum Ceiling Langan JO WSP no weal ._( 9 �,•, -f - _ - M ti7 _ _ .__ _--. 1. Tro.bclbnf aril pram irt:e.oarlorwalb shed W a rI141b1,Itm 2 h mINIm(dlmkroac PrwSure.beeted a29� ,. ,.. a nd2x4Gnanuou%Were1Bm mad j il-(�2.444oakingilll4Rspaeing in d)el5f or;Wea Deyc�✓ ) .. .• - - .. art z3 Wlingfur goUjp 9l(rspad 9 - OoubleTopPlata .. it (Flg/3 and Table 6l - :. " Spl'oe Latnoth .........__. - .. Splice Connecfon( .. .: a .. - - DOUBLE TOP PLATE .. 710 JNPH EXPOSURE B WIND ZONE - - • Table Z General Schedule. • i - .JOINT'DESCRIPTION Numbarof Numher of Nall'Saggina - - - - - - Com�n'Naila BOX':Nails _ RObf framlrlg [MU6LE.HEADER BloeMnptD'ReRer(Too,nalled) .2.8d + 2-10d' Gann and .Rbn Board to Raf,*(End,milled)'. 2-i8d, 3 Ilewell f each end- Top eR lhlpripadonB(Para-pallid) 2)8d 5;18d .��)oinlo _ ._ _ _ RE,nUJREF18NTe AT l=AAOCW EMD OF.HEADER . FULL _ INIM ' H ' -18d 2.18d. '..c tiUn'1 - .- sate 9bN(FePt71eae0) aTUD T HFilDi9¢.SPAN E,IpR,QF' eedar to Header(F�e.nlined)._ 'al rtg.adgr±s FUL4HEfGHT LATERAL .. Flooi Fnminp 1 6a .. eTUDb fie '- 18°o.e. r7sFIEEIQ UPLIFT woll _: - ' a)✓MADER JoINtp BIU;Tap Plato or[cruder(T,1�e4•lelled)(FIg:14) ' 4-ad 1 '4-10d 'Per)olst` 1F JAOK�BTIID (Le.) ;tFT.J rL.B d,..adre d_ - .. IBbddng m Jolat RaeTlalbtly 2-811 ) 2-10d each eabl'dc" wMDow o LL PLAT, g' .?,p(4 '3 _ 4� 13? •• Steddng.toSB arTbp.Plate(Toaa,plled) m n anon .i Filipm 3.18d, 14;•ied sash real. 4' .9.p[4 .. uP o.er Iheader : r:•+7 �` .. �.ar LLeft.taaeam(TPP•NWI I� 3:etl A:18tl per)Pat Band JaabJa}i(E+A.aegerry(F17.,_) 3.1ed d Par•)o1W '.:.b' 2 3 :BeM Jolitte SN aToP Plels(rosne8ed)(FIB.14) 2=16d a 118tl parfoot J; 831 �86 darer Pan* - . -1b IeBAGtgt.IBfnl; raortrua,lesspaeedupm W,o.e. 8d lad 8°edge 8.0a1d / _.. .. IIGB .., 538.. . r . b' 2-7X@ 3. NAIL NAu.roP F1,A Raflere ar Wanes epaced.oUx 10'as ad 4 10d .4'@dgd 4'fleld... ___ - _____ __ 'I 1lJ0 ROaq uG Gable endwell mks'or lake tn)eew/o gable olriRlerlg' ed. tOd' B'atlgal B'1Lid .1 - -- ,l:: 3.2)ril0 s 1,24'i 594'.. r- gl. }d VOHnoq op: .� - _ 10' �?J41? 4' ' 1.388 66p' u s•o.c .. Naas AT v o a . N 3' 'GeWe andwag rake a t btasa w!ealxiut8l Dirt Icoiiero 'ad f 10d (r e/8°.9BItl r' . ,Gable enrhva11 rt1ka'orrak6'Wea,W/bokaut hlorJo id too {•edge{'flare °O• d .�G d •°d d .°d d'4 d d•y IY n - i _ $ ° .2XI0, .4 L5,24. T16 a I• O, .sy a=° P=�.O ° ,A.( I1',1I1 /�� �1�1 III. ,y r� j OR dilanr-na Gyps Wa�Pard 5d coom- 7'ett8d 10'fiGW' °O'el�.°d•n'.°d•n .'d•n•.°n•. °nv •••`4.: °.: `A.. ;" tf!r� - B. WML7. yT l`(IIY - 1'4i:.M✓ C ' ° . , •, , TYP.ANCHOR moLre AND pfr�a}�:�;{ RS fVil ..a a,3'o.° lNipahmihlnp .. .'a•.°de4.°Oo°.°rib•°d•n•.46•nl �e4°PL'Ai26WA0N�t °�.:° IN LorA1�B AR!NG WALLS wEw.;- ((fr�Jr structural 8' r .. j _ - o9d stru Panels Stude apaaid upla 24'me. so '10d adgel 1 fleM .e ° r, , is T' 14 an ZCs3Y Flberboerd Penela Bd ri) 3'etlpd e°Raid � a. ° e e, o a, Wa11 -. Bid aoolam '7'ed- 10'dldd Thaahina 14 Gypsum SNWlboaril 9d •n d� d• °d•4•.°d•a•.°d•4•°d A%•.°d'a A.. .°/• pa.0 and 'Floor Sheathing f.,. r? I. \...° .to ° •t° • a ° . ° _. heads " '1N9gd 4Wdural Panels d `d•A 14 O.4 d'a d'n D a p•n - 1'or lam Bd 10d frsdga(i2'fleld�. ' ,Greater thin 1'. 10d 16d 8''edgel 8°fluW Shooth 3 -PP at _ - , rtpprox. ` - Nail schdule � t'1).Car a"rasistent 1.1 gage nails and 16 gaga Waplm'are parmiltad;chock for additional requlramenf"s.' . d height Ed mmmon � _ Nall:Unlme oManNca eteted,alzea glvin fIN naim are cgmmgn wire ajue,box and ph'eumeticnage of eolum4ant .- _ - _-' diamitar.end aqua)or greeter IGnpth tD B,e spedfied'oommon nails may be eubf all led unless othalw4ce' . .. P(ohltilte ( f3C7RNtb1�../1F�Lnf3LI.�+r31�{Jk1 1101 %'tclzo o A'O - - _ wouo oso"u4`nr°nan i - _ _ WWOVIN va'�• .� . .. i '/>✓T/LR�hVCXS17 CCs`0.yC�"a/ctl0`LJ.. �. 774i3. F73.'.: fs`1b9�1.eGc3� tacNE _ _ _ _ e I It l e r fEK Ss3:v{ - j 7, :p• ' —___ _—_'—___�'%j .. • , I 1 r 5O1.t0 ZUBE,L1L4rOUT r:; .. �4c a S �:�- .... �F-L��3II46 Rbt-3-CAR E4ri.�V ... DECK_ - .. .. A 0 MPH EXPOSURES WIND ZONE ... Table 2. Genera/Nalling Schedule. JOINT DESCRIPTION Number of• .Number o Nalt S aci .Commtiri.Nafls' Box-___Nails Roof Framing - .. 8lockingto Rafter(Too-nailed) - - • - Rim Board to Rafter(End nailed) `2-8d '2-1 Otl ' _ - -' 2-18d - each end 3-18d each end Wall Framing . .. Top plates at Intsreecdona(Faceenaild). --4-16d Stud to Stud(Face-nalled) 5-,ed .at joints - HeadertoHeader(Fece-nalled) 2-16d - 2-t6d 24joint - - 18d' 16d 16"o.c.-along d9Bs ' Floor FraminB � -f Joist to 5111,Top Plate or Girder(Toe-Nailed)(Fig.14) 4-8tl Blocking to Joist(Toe-nalled) — I' 4-10d parjoist - - -- v 8locking.to Sill or Top Plate(Toe-nalled) 2-ed 3 18d 2-10tl each and Ledger Strip to Beam or Girder(Face-nailed) 3-16tl 4-18d each block i .. Joist on Ledger.taeeam(Toe-Nalled) 4-16d each joist Band Joist to Joist(End.nalled)(Flg.14)- 3pI 3-10d- - - ..BandJoisttoSillorTo Plate 3,18d - 4.16d perJoist - a P (foe-nalled)(Fig.14). 2-18d - 3-16tl - parJolst Roof sheathing - per foot - - Wood Structural Panels Rafters or or trusses spaced up to 18"o.c. 9d - t - _ - _ -- Rafters or trusseb spaced over 16'a;c... „9d -10d 6'dgeF,B°field ( --- - --- _ — - ' Gable eildwall rake or rake truss.o gable averheng -'Bd 10d 4'edge(4'field — r tOd •Gable end well rake or rake.truss wl structural out lookers 'Bd e'etlgel'8'field - --- - F6L°W.11-T gu 4NG�,C:ES t Gable endwell rake or rake truss W/lookout blocks 1Y_C SSi n14LL5 CN T'�Vl}('C,ci. Bd lOd 6'edge/8'field n.a._c+l€T.LK_�oart �tiU); 0d 4'edge/4'field F, Ceiling sheathing 1 'I Gypsum Wallboard . - 5d coolers / 1 . 7'edge/10'field I 1jrj,e si:GsA2.E..ULtle��) Wall sheathing trctural -�=. Wood Structural Panels Studs spaced up to 24'o.c. - K'end 25/32'Fiberboard Panels Bd 10d 6'dge/12'.field K'GYPsum Wallboard -. 8d(•1} 3'etlge/6•field - ` 6d coolers 1EX14TLh15 R2 V e,iS ) Floor Sheathing 7"etlge/10'fieltl - ;i Wood Structural Panels - _ • 1°or less � � � Greater than 1 ad 10tl 10d B edge/12,field- - 16d 6 edge/6 fiad I i{:1}Corrosion resistant 11 gage nails an 16 gage.taples are permitted;ch@ck IBC for additional requirements.. G,l-1T .. i--�-. -. _.- __.._..•. Nafl:Unless othenvlse stated sizes g ���0.0 v��SE17 ... _. ....... I diameter end equal or greater length to the is eolfi d commonre common no Box and Pneumatic nails o1 equivalent Prohibited, ce Is may be subsiltuted unless otof equivalent ,] • - •- f r uce ievlin' ad�a tra.:(:a sore a�� �� .__dap.ek+sYR.nwc�ael+�cE.w�nz) LiDesigner - aerlaae R 774-23"773 is I�tie�rnvoc�r> Ltt It APPLICANT TO COMPLETE f: SUBMIT WITH PERMIT APPLICATION - - AWC'(;"irle Yn Wond G'ore.raucrinn in f/igh F(:nd Areax:110 rn�d.V�nil Znnc m nsa .IchliSetts cfi6e((IISt for Con]�tl aft l'f`(7Rn Ch1R S.2P.1,z,1.41� - - • - Q Check AFY.0 Crrirle le'Nrpod Cc,111 6 in Nigh IYh,d Arens:Fl0 alph 1Vind Znai, Camvuv,ee - Massachusetts.Cheelclist'for:Co III[l is n ce(780 CNi R5301.2.1.q' 1.1 SCOPE -...._..... . ...... ... Wind Speed(3-soc.gust)............ .. ........................................................................110 mph %/F - Loa ftos d g Wall Connections ' Wind Exposure Category.. ............................... ........... .B ; Lateral( f 16d common nags)............:...........:.(Tables 7) Lt31'.:..C.K\4Ef.?.....'�...L """ Nan-Loadbearing Wail Connections """" 1.2 APPLICABILITY Let..I(no.of 16d common nall9)..............._... (Table 8)...................,............... Number of Stories(a root which excaetls 81n 12 slope,ahall ba considered a story).41, strays S 2 stories Load Bearing Wall Openings(retold largest opening but check all openings for compl.-to Ta I g) -� Roo!P'tCh.. ... . .. .. ...........................(Fig 2)............. 5 1212 Headier Spans .. (Table 9)..............;..:...... R ` Mean Roof Ha ght ......................... .....'......(Fig 2).............. R.5 33' Plate Spa (Table 9).............................(no. ..........'.. Buldng.Lang in,L..........................................................{Fig 3)...................................... ft s80 -�[y� d gW Openings(record largest op gb[U k II e_ninpa for comp"Inca Table-I" uolld6 Opa Bu'Iding Aspect Retie(MAN)..... ................:. ..(FI 4 .. SS ............. .............. (Tab 9) Oi Ins 12' V/ S F Non-L ...: g )...... sar sm Fl I q .................................................. (rag %r p Nominal Helghl of Tallest Openin :......... `gs ... ........(Fig 4)...." �..::' ..a.vS 6.g. �_y )• k�in.syl�2' _xL (` do,W Iglu St tl g to R.-sllft Uplift .:..... .(Table 9) 1.3 FRAMING CONNECTIONS � Extedo W I18h Sheathing to Resist Uplift and Shea[Simullaneoualys General c.mpIl,n o Vth framing can nections................(Table 2 ....................... ............•. ',/ Mmil 6 lading Dimension,W - '"'"'' ' ---v- N minal Height of Tallest Openings _.. 2.1.FOUNDATION Sheathing Type...............................:�....(note b.............. _568 Z/ Foundation Walls meetingYemenis e1^7B0 Ch: 1041 \ Edge Nail Spacing.......:.................................(Table 10 or note 4 if lose)..!. - r ....feQV................... . Conttele............. ........ .... ........... ....... .. .N S'pa ng.._....f(6d... able 101..........................._...-:..:..........:_�In, - ' Concrete Mason . .o common a ) ) ry......................................... Se nne aniSh Ills 'hlal0..:..............`................._...............«._ ✓/ .. Pettefnt Fue-Heigh oathing....._..........__ aEla fO)....._.............._...:.................... 2.2 ANCHORAGE TO FOUNDATION"' � � � � �'5%Additional Sheathing(or Wall with Opening'6'8'(Design Concepts)...._....:::........ 5/8'Anchor Bdlts imbedded or 5/8'Proprietary'M-lonieal,Anehon ea an alternative in conerela onlyKr m Building Olme I.N L . Bolt Spacing-geaerat.........................................(fable 4).............................. '.......- �irt! mu Nominal HeIghtof Tallest Opening'....._.............._............. : 1 �6'8-. ... AJD ea un Type ..................................-....:note . .. Bolt SPadng from eedlointofplate..............:..._......(Fig 5)...................:.............. _I-.S 8'-12' - - 9 Y ( 4)............................ .... - Bolt Embedment-coFarete.......................................(Fig 5)....................................:.... Irt 2 7• �- Spaciq .............. ....(fable i t or note 4 if too.) ...................3-1.. Ed9a Nail g.................. ..:: Bolt Embedment-masonry.......:....:.........................(Fig 5)....................................... : Reid Nall Spadn9...::....:..........,..............: (Table 11 ..._• In.215' ...(Ta ).........:.:..............................._.... Plate Washar........................... .(Fig 5)...:............... ...............-k 3'x 3- Y" Shear0...ction(no.or l6d common nails)(Table/l).:_........... .........:........:.......:.._._�,r--in. Percent FLII-Haight Sheathing............. (i bl 11)..........._......... 3.1 FLOORS - 51/6 Addal...I Sheathing far Wall ith Opening 88(O sign Concepts)...... Floor reaming member,spans check d. ...........(par 780 CMR Chapter55), Wall Cladding Maximum Floor Opening Oimansio .........(Fig B)..................... ft S 12' Rated for Wind.Speed?................................ ........................._ ....... Full Height Wait Studs at Floor Op n n9e less than 2'from Exlorier Wall(Fig 6).. ..........._....... ..... ....... �G' Maximum Floor Jalst Setback 5A ROOFSs : Suppartng Loadbeadng Wails Sh ll... .. (Fig 7)..... ........ ft Rooff 9 b, P h ked7........._ (For AWC Sn T I ae BBRS Wabsita) .Max)mum Cantilevered Fred,Jalsts - ^^ - Roof Overhang ...................... Supporting Loadbearing Walls of Sheanvall.............(Fig 8)................................................. ft�/ Truss or Raker Con ectlons al(.oatlbearing Walls .Figure l9) ..... mallerol2'or U3 s Floor Brac'n at Endwells - g .... ............................(Fig 9)..................... ... .......... Propnatary Connectors : Floor Sheathing Type.....-...............................................{Per 780 CMR Chapter 55)...'....._........................ [ l/pfiR................................................(Table 12)................_.......................... n Floor'Sheathing Thickness.............::...............................(par 7BO CMR Chapter 55)............._.. in. �( Laibral..................L............._..........(Table l2)............ L= -plf Floor.Sheathing Fastening...:............:......._................:.,....(Teb(a2)..�d nails at_.._m-edge/.._Infield Sha.........................................:...._(Table l2)............................................$= 0 PIf - Ridge Strap Can nections„if collar des not usell per page 21...(Table 13). '. .:..............T=_L6L pit ' 4.1 WALLS Ra ke ke Oudpoker.........................................(Figure 20).. wall Heightt _ _ _ Truss al Raker Connections at Non-Loadbearing Walls smallero(2,or }.oadbvarin9 walls'...........:.........................................(Fig 1O end Tables 5)..........:........ 6t 5 t0' v/ ProPdetary Connecors. .. Nand.®Elhnaim9,h9Js... ........ .....:. .....(Fig 10 and Table S)..... ......... ft 520' - U'Car......_............. (Tab! f4f_.............._--rt._.........0 'LAfgpID. Well Stud Spacing .. - .. (FIR 10 end Table 5). �l - p t o �'. . eeeeee,,,,,, _ ................ .... ............. u..S24't sp Calr.'ml n.of l6tl rnmmon (Taq t4). I WaII SloryA:FLsefs _..... ............................... ....(Figs 7li 8)..... R 94' Roof Sheathing Type-..................,............ (per 80 CMR ChaPlers 56•.....59).....L=.tLL1.ib. 1 .Hoof Sheathing Thick :....._........... .....1....._------_..........._... V 1 2 7/16,WSP 4.2 EXTERIOR WALL-S Roof.Sheathing Fast 1 g (T�Ie 2)......................_. ........................... _dQ.0+L/43:..AM1D.•{SS.rr.S.4�:[iV' - - Wood Slurds' .. - tholes: _ L db .g Its.... .............. ... ..........(Table a).:f.'. .,2, in: 1. This the ld 1 hall b etln Fth dots-y,excluding the spedfi.exception noted 1.2.'to comply with therequl--is of _�ay.CC AiCiP fah 4- -- Nan-Loadbeanng walls.....:........ ...........................(Table$). .,. ,2>. g: :In. __ 780.CMR 5301.21.1 Item 1.Vital checklist is met in its enfrey�en the(allbwing racial slurps and hold downsere not _ _ $OLIn RAIjc_1ss.N��' Gable End Wall 8m ing' required per the WFCM/to mph Guide:^ - Full Height Endwall Studs.... .......................(Fig 10)............... ... - /........... a ara, Steel S s par Figure WSP AIIic Floor Length......... .........(F1g 11)................. Lft2W/3 b. 20Ga,Straps per Figure ll' - 9 } Gypsum Ceiling Len9th(it WSP-not used) .....(Fig 11). ............ ft 20.9W C. U I,t Straps - - - W .f.. .•.......... .. P P Per Flgure l4 T2f:6E.J16R'tiMlNl'n and 2x 4 Continuous Lateral B2ce.Q 61L o.c..(Fig 11j ....... .... ......... ............ _� :d..All Strap p .Flgure 17 or 1 x 3 Ceiling furring strips @ 16'specing thin.with 2x 4 plocking(§4 ft.spacing In end)olst ortrussbays. V e. C r.Stud Hold.Oovms par Figure 18a and Rgure,l8b' - Double Top Plata • 2. E _ption.Opening heights of,.p l0 8 ft.shod be permitter)when 5%is added to the percent.Splice Length ............. full-helgfR snealhing _ ,,11 - - th ..........(Fig 13 and Table 6).:... - - NE R rLD)ii6 c\/4y•'plY.:-CC T. ........................ .. Nl -eq --menu shown In Tables t0 and 11. _ .1'l✓_:i,4N<.YH-HCnr�Sg,. SPIIce Conne4l'on ... .._ ...................................... ... , (no,o!16d rammon nails] (table 6) ............ �':''3. The twllom sill plate In exterior walls shall De.,minimum naminal'Ihickness prosaura treated fF2y�rade: It l L..guT M¢4 � . � i r SVGlV..6kJ 11:.IbCG::p]g[GnP - . II R I FC'nEtiti_�'ol{_t3A.(JL(6:.: I j :::. .2�.4(FIJGE4 NGEGbf_ff611*C>r,'\oc'tNC1E4 i - I t S�or:;yrr~ Z.V_4q ho-vr- RFi6wf.?'� r i I J ` SEC-Thoth C�._ - --- ._. ( _ tkN PORCN,6in T . 1 r7J Il�rl__ a.�.cl>v-. BruCe'Devlin ,BAP. - AO-chad. : Design® pA1a: slzol -' 77423"773 15. gME"Tvot:o L.r w-r--