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1257 BUMPS RIVER ROAD
� F i �. . . a" ( � - iy ,. (4 i� �' ,c W a .� ,.. �r aj ,� s ,.,,:. t" � T N� ���'��� ^ � i y5 a � r ' 1 r. F is � �., IJ fly l> - e � � - �.y h �� � ~! L .fix'� � '�• �r i S f n �' { .. .x ;:. O Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 DATE 11t ill iq Thomas Perry CBO Town of Barnstable Building Division } 200 Main St. Hyannis,MA 02601 RE: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for 1257 Bumps River Road (#201403588) has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, R William McCluskey NOISIATQ 40 N11,0.1. . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION T4` oror- AR��^� ��'(, Map Parcel 7 , Application �` �< Health Division Date Issued (0, K Conservation Division Application Fee t0u Planning Dept. Permit Fee If!2<�' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 12 5.7 13cJM P.S !,(Ve > Village repwl LL e Owner P_40i3EAT--b- E-_Lt_etJ LA &fAG,,C_ Address 1 '2 S I AVC-2 As Telephone Permit RequestAtPSEAL rjtff Mc-- &A,�G E1OWN,)G 64"s Ah6 913 C:EILy4©SE `T> ATrIC 5hb 7,)SuLA r 1C0 T_t> CAAWL WALLS Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay *roject Valuation 0 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure (`NG Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No. Fireplaces: Existing New Existing wood/coal stove: ❑Yes D No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use f APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) CAPES Name d e..Lt AK c-- C Lv54:-,F Y S,kyE Telephone Number Address`J h ai1,3G(v�TAj/C- License # �- YAAtAt:,ca lT(4 C>2Q5Z>4 Home Improvement Contractor# —I i '3 SCD Email Worker's Compensation # WL..-) C 3o�S33 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE c FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE s OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL } GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO: Building Permit Authorization I, Robert La Berge.: as owner hereby give my permission to Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 office:508-398-0398 to take all necessary steps to obtain a building permit to perform work at my property located at 1257 Bumps River Rd Centerville, MA 02632 Signed r _ �— Date ACoR& CERTIFICATE OF LIABILITY INSURANCE DATE A E(Zo14) i � 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(iss)must be.endorsed,. If SUBROGATION IS WAIVED,subject 10 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 , NAME: Colleen Crowley - - --- - Risk. Strategies Comnpany PHONE (781)986-4:400 I(AA cNo:1 81)963-4420 15 Pacella Park Drive A ccrowley@risk'-strategies.com -Suite 240 INSUR ER(S)AFFORDING:COYERAGIE ... NAIC.t Randolph 1� 02368 P INsuRER A:Selective: Ins-, OrL America. INSURED_ - - INSUkEkii:safety Insurance Campahy ,... 3618 ... Cape Save", .Inc _ INSURERC-:Wesco Insurances Compapx 7 D Huntington.Ave INSURER O: .. ..-. _. INSUREREr: - South Yarmouth MA 02664 COVERAGES CERTIFICATE NUMBER:CL1441.475243 .REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED'ABOVE:FOR THEPOLICY PERIOD INDICATED. NOTWITHSTANDING ANY'REQUIREMENT,.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEb:HEREIN1 IS SUBJECT TO ALL THE"TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR POLICY-EFF "POLICY X P - TYPE OF INSURANCE POLICY-NUMBER MMIDD .. MMIDD " . . _.... .. . . . .LIMITS GENERAL LIABILITY EACH.OCCURRENCE -$ 1",000,000 X COMMERCiAI REMISES GENERAL LIABILITY P Rene $_ 100,000 °9, D/15/2013 0/1612014 A" CLAIMS MADE X�OCCUR 19944'80 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATEr 210001000 GENt AGGREGATE LIMIT APPLIES PER'.' PRODUCTS-COMP/OP AGG '$ 2',000,000 POLICY FXJ PRO- CT X.; LOG AUTOMOBILE LIABILITY - - - -" -- - - - :COMBINED SINGLE LI 1 _- . _1 .00IO OOO Ea-accident BIx ANYAUTO - "' . .� ,f BODILY INJURY(Per parson) '$ " ALL OWNED X SCHEDULED 208200 1/6/2013 1/i/2014 BODILY INJURY Peraccident AUTOS AUTOS - ( ) NON*OMED PROPERTY DAMAGE .HIRED AUTOS X AUTOS" Peracadent X UMBRELLA LW3 X OCCUR: EACH OCCURRENCE $ 1,:000,0:00. .EXCESS LIAB : .. ... .. p� `CLAIMS-MADE. AGGREGRTE' $ 1,00.0,000 QED RLTENTION$:. . S1994480 D/i:6/2O19 0/161/2014. $. C WORKERS - _ X _W STATUffce s I:ncluded For TH- "-" ANDEMPLOYERS`LIABILITY O YIN _ ANY PROM.ETORIPARTNERIENECUTIVE overage ELL EACH ACCIDENT $ 500 000 OFFICERIMEMBER EXCLUDED? N N!A (Mandatory In NH) _ 3085633 ./9/2014 l912015 E.L.DISEASE- " -500. If s,describe under , -EA EMPLOYE $ .000- : DESCRIPTION"OF"OPERATIONS below :E1.DISEASE-P6LICY LIMIT $ 500 000 DESCRIPTION"OF OPERATIONS I LOCATIONS)VEHICLES,(Attach ACORD`M,Additional,Remarks Schedule,if more spate is required), Issued as evidence :of insurance. Issued as, evidence of insurance, F Th elsch Engineering:; Inc:•is listed as additional insured as,respects General Liability as required: by written contract.,, _ CERTIFICATE HOLDER CANCELLATION _ .. p g COmpdCt.iOrg SHOULD ANY OF THE-ABOVE DESCRIBED POLICIES SE CANGELLEO BEFORE THE EXPIRATION DATE THEREOF;" NOTICE; WILL "BE DELIVERED IN Cape Light Compact ACCORDANCE wiTH'THE POLICY PROVISIONS." Attn': Margaret song. P.O Box 42:7'/SCR `" AUTHORIZEDREPRESENrAT1VE 3195 Main Street Barnstable, MA 02630' .` chael. Christian/CIiC ..: .. -. ... ./'1 A.AAA:�A1'n A.!'iI�1'f 1�'.wAAww w"a.w��• ....... .... ..... .. The Commonwealth of Massachusetts .� Department of Industrial Accidents ' Office of Investigations I Congress Street, Suite 100 - = Boston,MA; 02114-2017 www.mass.govldia Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lepibv Name,(.Business/Organ.ization/[ridividua): Cape Save Inc. Address: 70.Huntington Ave City/State/Zip: South Yarmouth, MA 02664 Phone#: 508-398-0398 . Are you.an employer?.Check the appropriate box: Type of project(required): l..[ d am a em Ioyer with 1 -7 4.. ❑ I am a general contractor-and I p 6:: ❑Nev construction employees(full and/or pat t-time). have hired the sub-contractors ?..❑ I am a sole,proprietor or p a1 M. er- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑.Demolition working, for me itl:anv ca acit employees and have workers' P Y 9. ❑ Building addition [No workers'comp.insurance: comp.insurance.- 5.❑ We are a corporation and its IQ_❑ Electrical repairs-or additions required.] K0 1 am a homeowner doin't work officers have exercised their I1:❑Phtmbing repairs or additions myself. [No workers'comp. right of exemption per iVIGl. i2.❑ Roof repairs insurance.required.]t c. 152, §.IM., and we have no employees. [No workers' 13,❑✓ Other insulation comp. insurance.required.]' *Any applicant that checks boa 91,must also fill out die section below showing their workers'compensation policy information. t Homeowners who submit this attidavit indicating,they are doing all work and then hire outside contractors must submit a new affidavit indicating such. aContractorsahat check this box must attached an additional_sheet sho o-in,the name of sub-co»tractors and state whether oe i-,oRhose entities have ettipioyees.: If the sub contractors have employees,they,must provide theirorkets'comp.policy ntnnber: 1 ant an employer that is providing wtirkers'compensation insurance for my employees. Below-is thepoliey and job site information. Insurance Company Name: Wesco Insurance Company Policy#or Self-ins.Lic.#: ..WWC3085633 ExpiratiowDate: 04/09/20151 Job Site Address; 12 �y BPS �t✓E iQ �� Gity/State/Zp;�ErJfct2y,L�E�/1'I/� �2 632 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date):: Failure to securecoverage as.required under.Section 25A of.MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500'.00 a tdJor one-year imprisonment,as well,as civil penalties:in the form of a STOP WORK ORDER and a fine of up to:$250.00 a day against the violator. Be advised that:a copy of this statement may be forwarded to the Office of lntrestigabons of the DIA for insurance coverage ver tication. I do hereb cert under the Gins and enald&o `er' ,that the°in ormation provided above is true and correct Si--nature: Date Phone#: 50$-39$-039$ Ociad 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:Cityfown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other_ Office of A,f�s a�td Regulation 1O irk Ply• Suite 51% Bo9Wu,,MwswUsefts02II6 - = Ra 4?9 TVW n En 3RS tl CAP 7-D HUNT INGT _ SOUTH YA AM SCA 1 0 2D M-W11 0 ,_ (AIM a a�C?�aaoctc�uraetld on L Airs&ll TOM it�aCer A 8 Comixetion 1� =SuiEe 31� i== —..=n MA$2116 CAPE SAVE INC. _; SOUTH YARMOU`l`K MA 4 Not 'som Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty Licenser CSSL-W2M 37 NAUSIM R<}IA6 W1s t Yammouth 1 %2.� ,�`` ,rfa�' .Expiration Col>nnissioner g6122A15 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 14`3 Parcel 0 / Application # 6 Health Division Date Issued 20tRAt Conservation Division .Application Fee � a Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project St et Address Village Owner �p 0 H'oyxi Address Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor:;existing proposed Total new ing District Flood Plain Groundwater Overlay Project tio ' e Construction Type c Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: tingle Fa ❑ Two Family ❑ Multi-Family(# units) Age of Ex"ojing Structure 'k, Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No C) S2 Basemen Type `•❑ Full Ql Crawl alkout ❑ Other Basemenginished Area (k ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existi wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑existing U new size _ Barn. existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �-L [A-A) `�-,;Ad Telephone Number Address fo r3 License # r— h' /L," I/- Home Improvement Contractor# Worker's Compensation # km 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE '�'�� FOR OFFICIAL USE ONLY 4 1 l r f APPLICATION# DATE ISSUED 6 , 1 L 1 r MAP/PARCEL N0. ADDRESS - VILLAGE I OWNER' r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL " GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f The'Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations, 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers AyWicant Information y/ Please Print Legibly Name(Business/OrgaaizationRndividual): Yl) / 7X4e4 . ,ZW i Address. 13 44 ' City/StatelZip: 1446 5GPA)S one.#: Ar en employer?Check tine appropriate box: Type of project(required): 1. a employer with _ 4. 0 I am a general contractor and I � Y 6. New construction employees(full:and/or partme).* have hired the sub-contractors 2. I am a'sole proprietor of patoer listed on the'attached sheet.. 7.. Q Remodeling ship and have no employees; These sub-contractors have 8.'Q Demolition working for me.in any capacity, employees and have workers 9 Building in addition co[No workers'• mp. cnralce insurance-15. ,Warea corporation and its � .10:� rElectrical repairs or additions required.] 3.❑ I am a homeowner doing all jwork officers.have exercised their' 11.0 Plumbing repairs or additions myself[No workers'comp.; right of exemption per MGL 12.❑Roof repairs t I a 152,§1(4),and we have no [Other insurance required-] i _ employees,[No workers' 13 S comp.insurance required-] ired-] 'Any applicant•thatchedm box#1 must also fill out the section below showing flair workers'compa:sition policy inforaation. t Homcawnes who submit this affidavit indicating they are doing all work and then hire outside contractors nnist submit a new affidavit indicating such =Comadtors that dbeck this box must atlaehed an additional sheet showing the name of the subcontractors and state whether or not those entities have 'enployea. if the subcontractors have anpl ogees,they must Fvvidt:their workem'comp.policy number. I am an employer that 1s providingjworkers'compensation insurance for my employees Below is the policy and job site information. + n Insurance Company Narml: Policy#or Self-ins.Lie.# r Expiration Date: I Job Site Address: z s tac. 1_-+_ City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a One rip to$1,500.00 and/or one-yea>j 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 vtplator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for i m anw RMLenge verification. I do hereby Gerd under t p • s.6d p of perjury that the information provided aboveis true and correct Date: , Phone Ojj`rcial use only. Do not write 0 this area,tb be completed by city or town offuial ' 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 Phone#: Contact Person: meow gong ACORIX CERTIFICATE OF LIABILITY INSURANCE THIS CERTFICATE fS ISSUED AS A OUT=Cr womaTION ONLY AND COIEFfNiS NO I==UPON THE tEBiE"m HOLDER.THIS =nRCATE DOES NOT AFWIw1ATIYMYAOR MUMMY AEt M,EXTEND OR ALTER THE COVERAGE AFFORO[D W TEE POCKS ME W.THIS CMnRCATE CF BIUXWJW DOES NOT COAST MM A CONTRACT BETA THE OSUENC M M AUTHOfi M f TATIVE OR PRODUCER,AM TIE CE MM:ICATE HOLDER IMPORTANT-H the is sn NSUEEDN ,ir jajRQmust be erborsed.9NUBROtaAT10 IVED,N IS WA subject to the im -am , , an 'of the poi-,o----p--des mW require an ends m p p A Stalenwi t cn this does Dot Darter rights to the P.m rii a ENolder in seu et such en lam reemaNt(s). tO R o -- Sperm 800 864 291i P.O.Box 53310 bvute,CA SM9 - ADolleaec AFPolmerecorFslA�E Mac: Ls� AIINericarl Tent d:Tahle IIIC. _ NNII RA:St Paul Fine&Marine gtstsranw 24M P O Box 1348 esaNLLse s:Phosift Insllranim fir!► 25M Almstom 11INs,NA 02OU elslNaslc: o: - e13 XMF: COVE RAGES CERTIFICATE MtEI REWam THIS IS TO CERTIFY THAT THE POLJCIES OF INSIA ANCE LWSTW BELOW HAVE tEE:EII ISSIIED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOEW l IHSTAN DM ANY REQU tT,TERM OR CONDRION OF ANY CONTRACTOR OTFER OOCLIMENT WITH RESPECT TO WHICH THIS CETVICATE MAY BE ISSUED OR MAY MWAIK THE 00AUNCE AFFORDED BY THE POLICES D HEREIN IS SLOJECTTO ALJ-THE TERMS, EXCLUSIONS AND CONDITIONS OF 8UCH POLICIES.LJMiTB SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS ?MPEOFe1t11RAlICE. POL1CYIf�FR umm A eB6IALLIABLJNY /21/2M101�2iJX01 tJ10CCURiAAG10E s1 X Cmwo 1AL6Brw UABLny - SES a S10 00 CLARIS#IAOE Q 00CUR' ' MLDEQ' aueveeeon) i, 00 _ PERSONAL&ADVOANY SIADUM GEM Ra.AGOFAMIE GBA.AQGAEGATEtiLTAPPL�B;P@t w PROOAIGTS-COMFIMPAGG i1 X Fmw ioc i s AflrOrOBLEIJASKI'Y ecaeL+Eosaa ulff � {6ao6asiq f . ANYAVrO *' BOOL.YR&ARIYVerOe� i ALLOWILWAVfOS r 4 DOMYNLIFAYIPbraoeideiq i SCI�E�A IDS ' NriEOAVrOS f NDN40VMWAVFC6 a i n _ s un EXOESSAJAB HCLAIMS41WOM F AGGREGATE i DEDLAC7181.E . f* a g ■OLI031BCOIil9ILA71oN 70�6819Y97511 J'2011 Ot%2 rAM X =ATAF - oTtA AM�LOYEW UASILIrY r M I h E.LEACNACMWAM mc� i1 u I `� G c ELOISF SE-EAE�i` st f aeeeAbsunear E1.o15FJ1SE-P+oucYuw NOW A Egtkmmtt Foster 1111002("M i J31/2D11 01/21/201 $450,00 Limit fooM Form Deductible oeearPlloNlOF0P9RXn /L0rAlWMll9ll= awmieLAaa�ae�+n..r.esseuse+�lLeoe..P.e.B This m0ftate is bound as a amtleF of oof cedy. v , �I�IIEFiCATE HOLDER �. �, CAI�IJLAT10rI POIJX:ES BE CAIICa e rn BEFORE f SHOIRD ANY OF THE ABOVE DE !* f THE EaPIPATI ON DATE THEREOF,NOTICE WILL BE DELIVERED M a ACC ORDANLE WHIN THE POI.IDY PROVISIONS.'. AUnI0111= —� f �'�•v . OI NS-O N AC W CORPORAUK Ai Iig1Ns�esened ACM 25( 1 of 1 TbB ACt IlD 81NRe alld logo are neglslonod 1r-mill of ACORD CXA�s 01.1HE ros, Town of Barnstable . Regulatory ServicesBAR 9MABS.' � Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 i Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �-( T—j i� to act on my behalf, in all matters relative to work authorized by'this building permit application for. J -� (Address of ob) Signature of Owner Date Print Name If Property Owner is applying for permit please complete-the : Homeowners License Exemption Form on the reverse side. x- Q:FORMS:O WNERPERMISSION Town of Barnstable OF SHE Tp� "o Regulatory Services Thomas F. Geiler,Director 9�A ' Building Division TED MA't f 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 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 the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. QAWPFILES\FORMS\homeexempt.DOC Of flameREMMM i TORRANCE,CA 90M CAL COUB F419.01 0412= This is b C"*dwt the desr ffwbdow herebfh9w been fume 16&Fftg beabd(orFM are ir►Irerurntly rranfianu AMERICAN TENT& TABLE INC. 391.OLD FALMOUTH ROAD UNIT 41 MARSTONS MILLS, MA 02MO Cerbficatlon Is her made that: (check "a"or 81b17 ` (a) The articles described below this certificate have been treated with a flame netardant cynical approved and neg'sh ed by the Slate Fine Marshal and that the applicaaonof said chemical was nuance with the laws of the State of done inrrfor- Cafifornia and the Rules and Regulations of the State Fine Marshal. Marshal. Name of chemical used.....................».............:.......Chem.Reg.No.....».................. Mealhodof q*rwadon............ _............-».. ......_ _. (b) The articles described below hereof are made from a flame-resisbrrt fabric or material registered and approved be the Stabs Erne Marshal for such use;Fabric has been tested and passes NFPA7("-ft Trade name of flame-resisbnt fabric or mabericl used.. Fawo The Flame Retardant Process Used .!'.11 BeaoT....... Removed by Washing b (wMorwNmQ David Bradley Chuck Miller- President - Kane Aopffo*w-or rmoo wan supwkvFw� CUSTOMER ORDER NO. R169643' ITEMS MANUFACTURED: _ 2 30X302PC STD TOP ULTRA WHITE ATC STYLE CLASP 3 30X10 STD M/DLLE TOP ULTRA WHITE ATC STYLE CLASP / 2 Jf2l72PE SM SOP Utz WHIT£ATC STYLE-CLASP 3 20X10 STD MIDDLE TOP ULTRA WHITE ATC STYLE CLASP 215X15 2PC STD TOP ULTRA WIM ATC STYLE CLASP 1 15X10 STD MIDDLE TOP ULTRA WHITE ATC STYLE CLASP,, 1 15X15 STD MIDDLE TOP ULTRA WHITE ATC STYLE CLASP j(� �� w cc3�5(0 Dw rr+f r �' F own of Barnstable Permit# Regulatory Services Expires 6 17101.E rat r issue dale Fee B d►RvsrtiHLE, � anss. 6gy. ���� A. Thomas F. Gciler, Director,`rEv►na't Building Division Tom Perry, CI30, $uildirig Commissioner . , 2.00 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid wiIthout Red X-Press Intprint Map/parcel Number O� Property Address (��� C � r Residential Value of Woro '4""Je6)' w ` Minimum fee of$35,00 for work under$6000.00 Owner's Name & Address At- CC Contractor's Narne JZAV" h", � Tele hone Numbe Home Improvement Contractor-License #(if applicable) 1 J� Construction Supervisor's License#I(if applicable) �� ❑Workman's Compensation Insurance Check one:' ,- .R PERMIT I am a sole proprietor � y ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance 0C Insurance Company Narne OWN OF BARNSTABLE Workman's Comp, Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) ❑ Re-roof(hurricanenailed) (stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof) ❑ Re-side #of doors �. Replacement Windows/doors/sliders. U-Value *` _(maximum .35) # of windows - *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. w ***Note: Property' Owner must sign Property Owner Letter of Permission. A copy of the Home Improvenient'Contractors License & Construction Supervisors License is. required. SIGNATURE: 2:\WPPILES\F01ZMS\bui1ding permit forms\EXPRGSS.doc Zevised 072110 The Camniolrweallly ofMassachusetls ,... _......_... Department of1rrdustrinl 4cciden& 1" t Oflice of Investigafions 600 Washington Bostwi, JU4 02111 .-�' tb'J!'YV.rrlt7..itiS g01'J�(lrfr NVorkerst Campensation Insurance Aff1.{lavrt: BullClf'rs/CoTItractorsMecOicians/Plumbers Applicant Information Please hint'Legibh iVarne (Btisines-,'Orgauizatiou.'Iudividtual): �'�/�-�,�� 6C-1!1 Address: 7i5r T. A4q_JGbget-Le [ City`State/Zip: rv:.1/ 1'Y1a. Phone #: F ire you an employyer?Check the appropriate boa.: T}pe of project(required): 1..❑ I am a employer with 4. ❑ I am a general contractor and I e;�ployees(full and/or part-time). * have hired the sub-contractors 6 ❑New construction 2.,K I am a sole proprietor orp:artner- listed ou.the attached sheet. i- ❑Remodeling shipand have no employees These sub-contractors have H. ❑.Deuwlition working :for me in any capacity. employees and have.Zuorkers' [No workers' comp,ins-urance comp.insurance.:? 9. ❑ Building addition retluired J 5. ❑ We are.a corporation.and its 10.❑Electrical repairs or additions 3.❑ I am a.homeowner doing all work officers have exercised their 1 I..❑Plumbing repairs or additions myself. [No workers' comp, right of e�remptiou per NfGL 1 ❑Roof repairs insurance required.]t c- 152, §1(4)„and we have no employees.[No workers' 13.11 Other comp. insurance:required.] •Any appticaur that chec}:s box#1.msst also fill out the section below'sbovitg their wwleen'.compensa:tion policy infornrafiao- Y Homeowners who submit this.affidwit indicating they are doing all work and then Mire outside contractors trust submit.a uew.sffidaeit indicating sucliI ' tConGractors that chkk this boas inust sttacbed an sdditional:sh.e.et showing the:natne of the sub-contractors su.d stare whether or not those entities have employees. Ifthe sub-c.ontractomhas'e employees,they.must provide their workers'comp.policy number. I am rrn eNtployr�r tltnt is prauidirig rtro leers'co rpertsation iatsarmrtce for rrty't?�t'rplay ees. Below is thepodicy and jo.b site information, t. Insurance Company Nate:. Policy#or Self-ins.Lie. Expirntio.n Date.- Job Site Address: City/State/zip: Attach a copy of.thee workers'compensation policy declaration page(shooing the policy number and expiration date). Failure to secure coverage as required under Section 2.5A 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$250M a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D.IA far insurance coverage verification. I do hem-ky certinfy rritder tftepains autil peiurtties of perjrtry thct the it fforrrtatiarr prmrideda�,botr�is trera ctftrl Carr-ect. Signature: `^ C-- — Date-. Oe- Phone#: `7� LX.U Offl-c al nse vn v. Do not write in this area,to be couipleted by city or totvit:officiaZ City or To-"m: Permit/License Issuing Authority(circle one): 1.Board of Health 3.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#:: 6 f September 6, 2010 CC Chapman Construction General Contracting 78 Whistleberry Dr Marstons Mills, MA 02648 (508)420-1938 Office/fax (508) 237-5573 CP sailing2@comcast.net Owners: Arnie lz ram Johnson Address: 1257 Bumps River Rd. Centerville, MA 02632 Phone#: (508) 775-2090 Job Location: Same as above Description of Job: Demolition bye owner. 1)New Bilco Basement Door, flashing and siding around door. 2) Three new�Andersen windows.New trim inside and exterior, flashing and, siding around windows where needed. 3) Fill in removed window. New plywood, siding and Drywall. Project Contract 1) Item Contract Doors,Basement $ 840.00 Material $ 270.00 Labor $ 455.00 _Su fi Total $1,565.00 2) Windows $1,646.00 Material $ 250.00 Labor $ 500.00 Sub Total ; $2,396.00 3) Material $ 140.00 Labor $ 200.00 Sub Total $ 340.00 Permits $ 150.00 Waste Removal $ 50.00 Total $4,301.00 .Contract Particulars Custom Homes—Remodeling—Fi4ish Carpentry—Additions—Decks License#066395 Registration #121080 #r September 6, 2010 C V Chapman Construction General Contracting 78 Whistleberry Dr Marstons Mills, MA 02648 (508) 420-1938 Office/fax (508)237-5573 CP sailing2@comcast.net 1. Work will be performed in an efficient and professional manner. Job will be completed' by Dec 1, 2010 unles&circumstances beyond Contractor's control prevent meeting this date from happening such as fire, adverse weather, storm damage or sickness or death of the Contractor. 2. Contractor will maintain insurance liability of$2,000,000 and Workmen's Compensation coverage during the course of the-project.-Contractor will require that all sub-contractors submit certificates of insurance including Workmen's Compensation before proceeding to work. 3. All work performed or overseen by the contractor shall be warranted for one year from the issuance of the occupancy permit. Contractor guarantees satisfaction of the job but makes no express or implied warranties on the materials. All warranties on the materials are the sole responsibility of the manufacturer. All appliances are warranted for one year, or the applicable manufacturer's warranty, from the date of purchase. All materials to execute the project including rental of any specialized tools or equipment, will be invoiced to the Homeowner. 4. Homeowner will provide and pay, for electricity as needed and provide a bathroom facility 5. Payment Schedule a. Deposit $ 430.00 Delivery of door $ 1,000.00 Delivery of Windows $ 2,000.00 Balance upon completion $ 871.00 6. Homeowner reserves the right to rescind this contract anytime within three days from the date of signing this contract. Signing of this contract by the Homeowner and Contractor constitutes a legal and binding contract. 'Homeowners .Q '� Date: ►� y )D l 0 Contractors: 11_- , _ Date: ` - 6 6(b John M. Chapman Custom Homes—Remodeling—Fi$ish Carpentry—Additions—Decks License 9 066395 Registration #121080 ��ie �amirreooxcuec� a�✓UCad6aefu�6el�6, -- - - — -----^-.,, f _ Office of Consumer Affairs&Business Regulation License or registration'vand for individul use-only,,, HOME IMPROVEMENT CONTRACTOR. before the expiration date: If found return to: Registration: 149912 Office of Consumer Affairs and Business.Regulation w Expiration 2/21/2012 Tr# 292291 10 Park Plaza-Suite 5170. Type c Indivitlual ; , Boston,MA 02116 CHAPMAN CONSTRUCTION j JOHN CHAPMAN 78 WHISTLEBURY DRIVE MARSTONS MILLS MA 02648 ----- Undersecretary Not valid without signatu Massachusetts- Department of Public Sufetv Board of Building Regulations and Standard~ Construction Supervisor License License: CS 66395 Restricted to:,,_1 G, 'tJOHN M CHAPMAN• ; 78 WHISTLEBERRY:DR MARSTONSWILLS:4MA 02648- Expiration: 1/13/2012 Tr#: 14063 Commissionerunissioner r 4 00/15/2'009 09:16 #1586 P.001 /012 H . F. JOHNSON TREE FARM 195 Bumps River Rd_ , Osterville, Ma (508) 428-2234 Send to: From: Attention C Date: Office Location_ Office Location: Fax Number: Z3 Phone Number. 0 Urgent C] Reply ASAP 0 Please comment ❑ Please Review O For-your Information Total pages,including cover:' CQrnmenh: 124 le r_r "T 10/15/2,009 09:16 #1586 P.002 /012 10/14/2009 13:22 6172828401 BOSTON H04:E IMPROVE PAGE 01 Glass Products, Inc. nc.jr IV `TheQe;ekestNamein!e f PO 80X 313/Clid Dr ive.rive.Carbondale.PeAftytvania 1&107/Phpne:(57a)2a2:6711/FAX_(570)282-1362 l I� ' WARBANIXES Glass Products, Inc., an AFG company, wa ants all laminated annealed glass against manufacturing def;ts resulting in edge separation or obstruction of vision through the glass for a period Of (5) five years, (1)'one year'for laminated mirrors, heat 1�r strengthened,-and tempered. Glass Products, Inc. laminated la l g ss falling Ito meet warranty will be replaced without charge F.O.B. the sipping point nearest the installation. The warranty shall not aPIY to the F� replacement of glass beyond the five (5j year (laminated mirrors, heat strengthened, and tempered 1 year) period of the � original life or to glass used outside the Continental United States. It shall be void if theJglass"is damaged in h�ndling'or if the method,of materials used in glazing do not comply with published glazing instructions. Glass Products, Inc. reserves the right to inspect in the=field any glass which !is allegedly . defective. i 4 No distributor or, Glass Products, Inc. representative has the ' authority to alter or change this warranty either orally or in writing. l; 10/15/2,009 09:16 #1586 P.003 /012 li 10/14/2009 13:22 6172828401 BOSTON HOPE IMPROVE PAGE 02 j o7/17/2008,16:52 FAX $70 282 1582 GLASS PRODUCTS INC. ®oo7 i I !s i AGC ip .I ' 1 i c CER CAT'y4-F MANIUP'ACMOB AGC FW Glass North America,Inc.cerdffes that lamiDAUd safety glass maunfactured act our Ca•bondsle,Pe>nnsyivalria plant empty with. ANS-Z97�1 Z004; ANSI.Z:26.1.1"6; I . ASTM C1172; C.S.A.5t mdard D-263; the Consumer Prod Safety Glass Standard for A,rrchiteetaral Glazing Msteriab CPSGX6-CM �Zei Categotq� and H- All materials used to maaufactare our lemiaaW safety glass : produced in the United States of America. .i i AGC Flat Glass North 4mar192 Knaeth JwMea Opers0oe8 MAaager ;I AEG Rat t+lass North America,IRc Cadsonedale Plant f D Oew Drlr� Carbonda�e.PA 1*07 •I Ta157y2�21►�11 b7bE93�a�7o (ex S9tY)82.130t i G �+vr.aac•narglass.o�m ' Ili .� 1011512,009 09:16 #1586 P.004 /012 In/lwi 22 6172828401 . BOSTON HOkE IMPROVE PAGE 03 lv. rrr rvv• r•v� .i +r Jrcy JJ. u }r •� I.n.r4.l/lr n •I. Y''J`/•I•.I I . I I i I i �P YYM i P , 1 i1 i I I ,F FAx 'Mo g DAZE. W2107 FRom: GROG BATHERS II To: CATHY SHSARER FAx#: 617.269-0536 #OF PAM; (INCLUDHRO T141S ONE) ? II NM: IF YOU DID NOT RECEIVE ALL PAGES OEIN4 FAXED, F�EASE CALL,423-229.7348. .IF 1 14 UV TR3tI'iSHVIITTANCE DATA YOU REQUESTED„,To IS ONE OF T BEST'ARTICLES I HAVE FOUND THAT DUCRISES V FADI AND THE DIFFERENT WAYS OF CALdULATING UV TRANSMI TANCE. I I II } I HOPE THIS HELPS.PLEW SQtMACT ME IF YOU HAVE OTHER S3gE=N$, ' c l jl r ,I F :I . it 10/15/2,009 09:16 #1586 P.005 /012 10/14/2009 13:22 6172828401 BOSTON HOME IMPROVE PAGE 04 � I VI(G4/CVV, IO.VJ IAA TLJL4JIJeJ n, u lll_'11111A1 aV,�n� hush u"� .. Welcome t0 Wiad owwWDoor,netl Page 2 of 2'I :! ' Tr8rlgmlttiBCe cd Transmittance Gass Type (300.180 rim tight poa7ov flirt fight vAge rare&) 1 6 mm Clear 0192 0.50 i Monoliths i a mm,►8 mm Clear 0 AM IG unit 0'� i , I 5 mm Clear I Lanllneted, 3 76 -0.01 o.9Z mm PV9 i e rnm Clear i 1 i t_aminateG +6 mm Clear. `0'0t D 56 1 i Unit i a 6 mm Orden 0.30 0.63 6 rnm C,rpen+6 0.24 0.55 G rnm Clear R 14 6 mm Clear Low-E (2) 0.31 0:53 i ..6 mrn Clear 6 mm Ctaar LC W-E +a mm Clear �o,v� o,aa i l ! I Laminated �f I li Table t—vatue5 etermined using Window 5.2 softwme with 7dw•ISO function tis@d to olfcWate Damage-weighted Trar*miltance. N Lowe glass aaw 4hown is For AFG s Comfort r-AC 36. k As Table 1 Illustrates,trio difrerenoe In fading potential can be dram-etio when tits.traditionip UV light transmitanco measure Is Compareol ,I n to the more comprisneneWe dGhnsS -w9aghtod transmidar=momure.8a3cd on UV light onwitte"9tons,a laminated glass lite ma4: 'I ' r SOM the Dg4%oWoo to minimize interior fading.But when dam��veighted trar>ptrtl!lRnc�13 Wee to compare glass cttQioes.it 9 , p evident that low-6 end tinted gleues can be lust as effetit�e In preventlng seeing,when rhp full 300 700 rim light range is cnnsidered. �f with an excellent daw49g nelghted trynsminaince of 0.44,the data twtier shows tfrot the binaUan of a higtrpertorrasnce tow•E" ; oeet)ag whir a laminated interior lite results in an a*eCtive glass option for many applit'all fs.This Wass option will not only pmlect against fading.but reduce intmire0 energy to a very raw laver-minimizing solar treat gain Write stRI slowing high ie�+els of nattual fight l d into a b(tifding`s intcrlor. `I Best Glass choice :1 fiG Cet>A"assOaWed with a h0rrre of etohittleture)project—whether�tey candor on energy efficiency.sppearance..j Whatever th@ sped •.° fading or ail of these issues-t i4 imperative tted architects and Window manufacturers vyl.*faith the bat and most comprehensive ;I performance maaeuras evailaole_ .l i' Wteite an lncreSsing number of wirldowa,l stable ftsDriC dyne 8n4 inteflor finishes and Ppgher levets of UV light have made tdatng a i growing concern,the good nows is that the glass industry has responded with new teehr7gfagiss mat aroteei against fading.white also ..� Al t Maxtrttiyng otnar performnce eiementa, I cretin s lost feai and' leo offer excellent reecKouna e�erw e tow-e an6$nted gtasseii are often eutstaoding choices for Fr n9 ®a f19. ! eftictency.Yet,these option may lea overlooked If only the UV transmittance level i5 00r4dfir6d, i working wltrt damage-weighted tr2nsmitt9n0--whist,provites a look at the over811 solar dietlon:proteclivn'piovided tN s given gtzesij t rgnnguration—*indaw tnenufacttuet5 can help architect,builder ids and h3meowrims ma an informed civice that will protcd faorics, tumitvro and Other btterfor 4e61911 elements.whse 9150 meeting the entire Spectrum of tn#C!)Cnts'performance needs. :i Per Wedhwiain is feMnk2f m•ns9erforAFG GfaM Founded fn 1978 and headQva in W iVapatf,TN,ArG is the second-targesf tier giasa mantffacturer In North An a*O.Its 91056 products arc foakoW in Doffs prr'vste realInc"and eornmen:ial buildings.A fury A k integrated 8trpp"r to ootn the re9ldentfsf and commefttiof manta(; t►fv menuloeturer a rangy dryness produets as-&reAas!echni:gar °1. e swvicai Mora raformathn 4 wadable at www.•&W)ess,com. • i i ' I I t. t . J http://www_windowanddoor.net/pi igterftiendlyphp?Vjpc-PA&id=-$04 1/22/207. #h - - 10/15/2,009 09: 16 #1586 P.006 /012 10/14/20es 13:22 6172826401 BOSTON HOME IMPROVE PAGE 05 of/Z2/2007 18:05 fRX 4232237313 Al-b 1NItXKAliUNAI_ Rt,1A L_J'JUG/' Iv, Welcome to WindowandUloor.netF Pagt 1 of Sheddiing Nehw light an UV and Fading Darnege-weighted o ensmlmarim Is emerging as me accrrate measureto asses®fade j=istance offerea oy various grazing apOons r sy Per Wearthwein,APG Glass SaDr�rrDc►Z005 ; j. Fading of;ntprior building components and fum;shings IS a growing concem In tDday`it too cWn industry,more and more architect3 j 1I are looking at the issue wren they set out to choose the most appropriate glow for both r Idenbat and Commercial pro)eors.wlndaw i m4nyfacturem also want to provide greater assurance to nomeowne m that forge window ew will not lead to problems with tading. I l In assessing bha pot6nost facog rise associatw with the glass they are sWffying,moat dlEhltacts look aI a single measure on the performance Beta sheet:ultrevioiet IVV)tight e2rismittance,While usalui,this measure"to present a comprehensive view of solar radiation risk"ince tight outatde tt1@ UV range can also cauee esignilcant f7dino.As a re:fult,many cxpernT are turning 10 a teaser- Known measur0--Qam2ge-weighftd rransmlttance—as a fa•more ratlabte Indicator or polWrai fading,becaura it wnsiders both UV and visible light. Contributing Factors There ere three koy fpctas contributing to iodays growing concerns about the potential faping OT fabrics,finithes,carpeting and artwork! II in hpmey. Supported oy ht outstanding energy 3fidancY ievels of too ass tow-arnWslvMy gla&eeS.04rren►6rohttacturit designs tavor>i barge number of windowe—a(d feature clearer glass than ever before.Homrabuyms nave aiso driven this trend,with their increaair-g damanv ; for large.open inte.•igr spaces flooded With natural light. While Ihls trw)d teas bmgnl more and more 13ght into homes,another trend has simuttariebusly made interior Mwics and bnie"s much mWe fragile:the emergence of new envirortrmeneally(hendiy rnalertats_ Urtven Dy new pollution laws,the fabric dyes,wood stains,paints Eno other Watings k,,a in modern homes Crave been`,ornwtaied to have a more benign impact on our environment.Many may be less stable then their predecessor materials,however,whloh warn typiaaly solvent 1�aged.Toddy's water-b3bt>a products have a numEsQr of obvious envtnort rental benefit3,tut their primary drawback is ; I that sprho are mows au3coobto to fading over tine- ' I i to addition,bwame of ozone depletion,higher levels of UV tight now reach the surface entire cosh,This nas the etfeal of Increasing th i rate cf lading. I, I ' These three trani:13—mors natural light ttterlsmittance.mere fragile interior cornpontn13 arli a higner Corteentmtion of UV tight--nave resulted in a much greater awareness of fading tsauCJ_both among arcn!teds and nom9ownsm- a UV Light TYan5mttfance i { When cohsldaiittg the potentiel for facing,most arcltlt cis(gala on just one meaasurte on Oass manufg�re",performan' del' aheets the UV iignt transmitUnce level.IN light,however.represents only 3 p trowl of the sun's 1 radiation.And this measure is an a:ve cnely itrnited one casida►N that light in the vislble spectrum.which 9ee0Unis for 47 permt Of t=1 oWer radiation,also causes I fading,The remaining 50 peercAnt of total radiation i.5 in IN infrared spectrum,which is espociated with hapt gain,not fading. Sinca UV tight is only ante of several components that ouee rad rp nt1 it is not weighted--assessing a 912sit based only on its UV i I transmittance lovol dogs not provide a true indication of its ability to protect agairmt fadingi The 20as ealbon of rho t,amiteateSd Glazing I { Reference Wnuai,vublished by the Glass Associadon of Nonh Amema,retoogrtlzeas that UV light transry tdnce is an inevfttClent measure and advises architecls to look beyond rns UV apedrum: 1 I Secause CENS Algh eneangy kwl.vlrraylblet Aq&atlorr- adtstwn babes 380 nanometem(no)wavelength--is a very signlf cant eonrrroU r ;1 to mafeodal ddterioraU*6 and Colo/fbd1w.Hawcvor,damage can also M oausad by vistbleligM_[am those spacifying glass srioufdj i pCerolrnt for Qamago!n U16 vivbfe spectrum,as wel►as that caused by UV. Despite its limitation,erchitocts have traditionally relied on UV light transmittance to assdss tfte ti3k Of damage to interior oompane-nI9 i� ;I That Is slo Ay changing.howeyer,as the architectural viasb And window intdustriw are 64mvering that there is a muUl more Te:albk assessment tool readily avagabic. :l IDaRmagtNUelghted Transmittance I I To account for tho fodtn9 damage Iliac can result from radiation In both the UV range and Iota much larger viaib►e.spectrum.1=urDPeSM, eosoamhw Jurgen Krocrimann oraated a more acwrata measure wllt:d aamege wetpMa}f(renarnittance,Krochmann's original Maas i Tdw•K,cover&lire UV and visible parts of tho spee:lnum from 300 WIN to 500 nm.Howeve$a more accurate assessment of damage- i weighted transmittance can be OajoulaUad wing Tdw-180,13 function recommended by the Corrimiselon Intsmationale de LI_cdslra9e. i I ! (titE).Tdw-)SO Covers the solar specrum from 300 rim to 700 nm. I While not yet standard Information on glass pefformeece data sheets,the darnage.weigir4%nflwnitrancc rating for a given S1032 I ' j product can be roqugsmd from the manufacturer,or easily xk„sated using Window 62 termal analysis software,provided Free of i Charge by lawrance Berkeley Ngtional Laboratories.Window 5.2 allows u3er�s to ratcula�damage welghtedd lranamlttance using Dottt• � e Tdw-4C and Tdw-ISO functions.Tdw-ISO is generally con,kiered to have greater vaudiky,sine It Covers the visible range all the way 10 t I I 700 nth. Fading Potential: I Two Very Diff nt Views t l t W i light t l I . i - h //www.windowotddoor.ne rinterfriondl . e"PA&id 04 i122/2 b?E r i gyp: tip � Y PhP�YP � .1 I .i 10/15/2009 09:17 #1586 P.007 /012 10/14/2009 13:22 617282840/ BOSTON HOME IMPROVE PAGE 06 i , • IfMm •o '•I'. Glass Products. Inc. laminated glass provides +: superlor sound control as compared to normal lass or ordinary sealed insulated lass_ In „ areas such as airports, hotels, offices, and control rooms_ noise control is essential. l Laminated glass Offers an opportunity to provide a noise barrier without sacrificing visibility and the overall beauty of the construction, Flie optimum design for noise t,eduction is 4 laminated glass used in an insulated Unit_ The ; vinyl interlayer of each lite works with the unit's air space to maximize sound control,. I: W gCoflAul Per udoce fG.i Gins 4DflstfucNS _ Ovarmll '. 6onstructioe (SY� Thickness '. I.nside.Glass.' $Pace Outside Glass j/ N, s .. Single Laminated Glass' �� . . -' .0&3• m.015'P•v(�.• • ,065. - � 1:3 �•'�'. �- Viz" 065 m-Ox'PVB 065• !33, r 147(7.24'mm) i35 { "0.53 mm)" Ya Q.030'PVB slar 36 .•. .i '>. �. �s'(t0-5min)• 1/4 0.060-Pv6 i1a 1!37. 'k'(12.1-mm) p.030'PVB ' 3a;�� ' V(t2.9 mm), Ya 6-060'PVB ' sk `39 `•le`(162•mmj. 0.030'P'VB' 9a :40 i !: `(19,9mm) •060'PV7341 1. Laminated4risulating Glass' 1`(26,1 mm) t(a'laminar i'k'.air '�i6(24.6 mm) th'laminate '2'.air. 11 "(29:3 mm) ?$'Laminate >Fi',air. 'la . 401 ' 17/15(37.3 mm) Ua'1bminate :1',air 421------------ . i — j 77he(62.7 mm). 'k'laminate 2'.air 41k'(113.5 mm) W larnirsate ;4',air a" 4t} � ,l S. 4W(119-1 mm) lk'laminate '4',air 1"(27.9 mm) 1k"laminate i th',air '.4`Idm�nate as r I s tie"laminate 57. I: 4�1a" (120'7 mm) k laminate 4',air 10/15/Z00.9 09:17 #1586 P.008 /012 10/14/2009 13:22 6172628401 BOSTON HOME IMPROVE PAGE 07 07/17/2008 19:31 FAX $70 282 1382 GLASS PRODUCTS INC. 0002 I ;E AGC Carbondale makes various make s of�/"nominal thic up iCness 1- minaied Glass 4 The most common is a make up of 2.7mm Glass- .030 PvB'--i .7mm Glass_ ; i This is whet AGC Carbondale eonsidw standard 1/"Laminated glass. !� We can offer a i/8" (3.0MM)- .030 PvB 1!8"(3.0mm)prod et for an addadonal cost if the customer requires the thicker pmduct, This is important to understand when the job specifications come out. For most 'I onstomers that regularly purchase 1/."Nominal thickness lamirjated glass from AGC the 2,7mm is an understood glass thickness. f Attachcd arc 1) an Acoustical Pcrfotmancc Shcct,2)a Heat aqd Light Control Characteristic Sheet,and 3)the Certifications that AGC Cart,4*dale produces to On same ' � or similar products, 10/15/Z009 09:17 #1586 P.009 /012 10/14/2009 13:22 6172828401 BOSTON HOOF IMPROVE PAGE gg vritrlcoua 18:31 r'aa sou LEY 1382 GLASS PRODUCTS INC. 4001 I t ; I F AfAGC ,Acoustical Perforrnanoe Data Data Cnurteey of smezeD oboriktoi j; TL85-169 1/4" a1 29 32 L !.I i tF OTLS 8 1/2' 37 31 37 0,97 1,03 ' i ' 8• 1/4'-(t,.1ml-0,030'-Lamt) �5: 31 35- 0 i/a^-(l/8"-0,030'-1/8") 35 32 35 0.99 i.05 I ,I TL:85;224- 1Y4'_.;(YJB- 0:p6o"-i/s') Ii? TL 85-234 1/41-(1j8^-0.045"- 1/e') 3s .. 32_ 35 0.98 1.09 TL 85-260. 3/84.-(3(f6"-;0 030• 3/1B")' TL 85-229 3/8'-(2/4"-0.630"- 1/8') 36 33 36 0.97 1.03 :f TL 85-229 37~ 33 37 0.95 _•1;00 TL 8$-;25 1/2'-(1/4'-0-030'-1/4`) 38 34 38 0.95 n9S.Z37 112'-(1/4�'-'0:045'•1/4") �e -.:34 38 0:94• : :•C.99 I. (1/4"-0-060 1/4) 33 39 0.93 0.48 , :j i, 7L 85.222' 5/8' :.(3/8'-'0:030"- 1/41 -AO . 86 ' 40`. 0.9.3 0.99: i TL 35-230 3/4'•(t/2"-o-os0'•1/4') 41 36 41 0.90 a,9s TL 85-21Z 1JZ^ .(1/6'-1/.4_AS-11V)(SEALEO) 28 26 30 0:52 0.57. j' TL 85-213 5/8'-(1/8`-3/8"AS-1/8-) (SEALED) 31 26 32 0157 0.52 i T1.85-294 1'-(1/0 1ir2"AS-:1/4`)-(SEALW) TL 65-215 1.3 8 /16 )(SEALED) 35 28 35 0.54 0,d6/ "-(3/1fi"•it A5.3 ' (A. TL 85-293 1-1/2".(1/4'- 1'AS 1/4')(UNSEALED) 37 30:.' `37�.` 0,52; O:aB ,..� dTL 65-216 4-3/8"-(3116' 4"AS-3116")(UNSEALED) 44 i 35 .44 0.52 0,48 s. i I, Ado ft GIM Wh A We=.11176 Citafe Dfh*SLAt 400,Alv*ft GA 30022 i W.90a251-m4i h:404.448A221 wwwjm, .corm 4 10/15/�009 09:17 #1586 P.010 /012 10/14/2009 13:22 6172828401 BOSTON HOIE IMPROVE PAGE 69 01/17/%008 16:31 M 570 282. 1382 (;US$ PRODUCTS INC I9004 i Acoustical Performance Data 080 Courtesy of SMhxo i II I 7l S5-296 S/8'.-(1/8"-0.030'-V8•-1/4"AS-1/8')(SEALtb):- 33.`: ::31 35. %85-189 13/16'-(1/e--0,030'• 1/6"-3/9'AS•3/16")(senLED) 37 31 37 0-55 0,50 H I J TL.85.238 , uf16'-(1/$"-0,030'--1/8'- 1/2•�+5:'=3/t5').(sEn1ED): 39.: O;S3 :':_-::O.sB;.•_ 1j } I I I TL 95-235 1'•(1/9'-a-030'-1/S--1/2'AS•1/4')(SEALED) 39 31 39 0.53 0.48 TL-45-192 '1-1/a".(1/8'-0.030'-1/.4'-1/20 AS.-1/4')( LM): 40,.. 81 ,40 ' 0..: • -_:.oa7 ' TL 95-239 1^7/16'-(1/8•-0.030°-1/8•'•1"AS-3/16')(UNSEALED) 42 33 a2 0.51 CB _ i } :.R;85-173 2-7.16':'=:('119`.•.0.030•-i 8' �::. •. .;• •;. -.. ,.• _ .- .. . • .. .. ..•:.,; - , } f / -2'•AS.-3/ls).(VNSEa1:ED).-.. A);.=' • '35 a5•.:� •.,0:51 '"0-i48:; '• i; ! 2-11/16°-(1/4'-O.D30°- 1/41-2"AS-3116') } ' I ; T.SS-194 (UNSEALED) 46 1 42 47 0.50 0.47 TL,85--196.'. $-7/3"-(1/41=0.030:''1/4°-2 .A$.-3/8')(UNSEALED) ;66' i 38. i 1-11/16- •(1/4- 0.0301-1/4".- 1'AS-3/16') } TL 95-298 (UNSEALED) 47 i 36 47 0.52 0.47 i TL BS-174• 4-7/16"-(1/9'-0,030'-W-4'AS 3/16-)NN$6ALED}. .••48 38* ' '.48: =.0.:51 it TL 85-195 (UNSg4I1D)1/4'-0.030-- 1/4'-4"AS-3/161) 49 41 49 0.50 0.47 I. '3L 85�i97.`.': 4-7/8' 'L4"'-O.d3Q• 4'-4'AS-.3 a" UNSEALt�O 0:49 TL 8S•240 4-7/8'• (L/2'-0,030'-1/4"-4'AS-1/8-)(UNSEALED) 49 39 4g 0.49 0.46 If I 'TL s5472 .. 1.1/16- --6/e"'-0:030' 1!8" i } , 2/2'AS-1/8"-0.030'-1/8')(SEAL80) 42 I 33,,:' 42. :9.52' 0.q7 ,:. , I i ! 295.299 1-9/16' 1'AS-1/8'-0.030'-118")(UNSEALED) 46 37 46 0.52 0,47 i Tti 65'•236 143l16 -: d r(1! 0A3a'=•114"- ::•. 1%8"._0.060'-IA") (UNSEALED) -. •::'4b•`._�: 34 '46 •:'0.49• �:Osa6;'.:' ' �� � . _ _ ;..i _: .,:. it it 5-1/16' -(1/4"-0.050'- 1/4" . 50 42 n 83-2Z1 4'AS - 1/4'-0.030`- LE 1/4-)(UNSEAD) 50 0-48 0.45 IP -5110 TL 85-220 38•: 4•.AS- 1J4 0.030' !} :..a3' 50:' 0:47 i H 114')••GUNSEAL�) - I TL 65.237 4-13/16'-(1/4--:0.030"- 1/4' a•AS-2/a"-0.060'•L8')(uNSFJ+�.EO 51 43 51 0.49) I , i, r 2 f ( ACC Flat Gas*Nam Aenufea,11175 Cicero Omre Stnte.300,A*AFW a,GA 30M ph;800-2SI-0444 f%:404da6.4221 www.ne.apc!fla Vy =.com 1 10/15/z009 09:17 #1586 P.011 /012 10/14/2009 13,22 6172828401 BOSTON HOO:E IMPROVE PAGE 10 u'ri17/Yuvu Jd:jx VAX 570 xUX 138Y ` GLAS3 PRODUCTS INC. Quu5 I AGC I Acoustical Perforrnan0e Data Data Courtesy of S06ex0 I' V IMP I 74!AS 7114') .37•. 5-i a,51 0.47 1/B'-0.030SPA1_ED3 TL 95-302 '-(i/8'-O ; 53 45 53 0-490.461/4'•e.060sEl11.F1a) { 1-3/4"-(1/4'-1/2'AS-1/4•- 7L 95-294 39 ' 3' :39' 0:37:....:'. 0.31 1/2'AS-1/•4')(SEALED) i T,95-295 1-0/16"• (1/4•LAM.- 1/2"AS-1/4'LAM• 44 33 44 0.36 0.3a7 I'I i 1/2'AS-1/4'LAM.)(UNSFAIED) f 2-1/4'-(1/4'•1'A5_1/4"- 1 TL 0-297 1!2'AS-llsr)(UNSEaAi�0) 415: :: 37 .• 46. 0.36..: i I TL 95-s00 2-5/16- •(1/4'LAM.-I'AS-1/4"LAM. • 4� ! 99 49 0.35 oso !? I 1R'AS-1/4 LAM.) (UNSEALW) ram: i ! 311111telo is a f"l4pr4d trademark of.WU02,Md. T to am set zm we besea on sarpieu tabled et R)vwr Aeotmital tib�and are nat gugMnbmd for ad=W les or aW[Mdo to i Tte iesults are veto for glass 9*end-era naE tested as tan of a wroor`wt51em i An intertayer w4kneese5 ind csft safmIxe PuB knerteyer ' RAI.TL 85 and TL is sound irearnm6m,loss tests aft in Aaoafft=wo ASTM E90.STG r4n5p have be0n 4Ctemtlneo from TL,mtri using AVMC413. I ; 2 F_z* efed Co-wAetion bawd on a on -&nM od4ve bond 7l at 80 he(Which was not nwuAmd in fhb laboratory)8Qt is eqm to , tna wo►tz one-thud eetsve bend TL retinue 2di3. Center of glass vetoes cwWatod using W&L wfndaw5.2 for makeups using cis&glass• The ever4 heat transfer coOkiera in S TU4Wsa NI F AS-Alt space s SeeW ca Aqum4om am maJaled sass unite having a 3ecmdmy stet. I ! a UnitW10d CGtbigsaff Z are jndMdtea18tbss peneia separated by wood stola9 Ard CaUK d into tfte*watosy tat gWing using The second 200 M 24"oflnels of the triple 91mm confiptitet ra tested are seated in&ng�unft.After seeded k3 urns wens ' installed into tt+c btormory tat opening,the fleet glass PM41 areoo wood Xocem was used to the alple*as cont+grations- i ! i i II 1 3 .! AGC FM Gbu Neith Amrica.11175 Ciom Demo Suiae 400, GA 30022 i ph:WO.261-0441 fx:40444QAZ21 Wtnw.tti3 I i 10/15/7009 09:17 #1586 P.012 /012 20/14/2009 13:22 _ 6172828401 BOSTON HOME IMPROVE PAGE " 11 07/17/2009 16:32 PAR $70 282 1392 GLASS PRODUCTS INC. uvn i, �i i ' Meat andL>igbt�ontrot Cbaraeeriit+ts of Glass Lammed Scy7.eac"InWla er i v�tskZ>f press e yid. Z'�oiob- ' , :a�pcP ssMoa Go- , � seas< sr % �fi saiO �sf` B? t/Sq. gaped Gbs&SCOLOrs' '. i `_9 2 1CA Cle�c -5 1S6 I 81ue Green 377300 v 73 $ Lglit fj�€s200 VIC 52 54 .72 . 1596. � Modinm 642800 p �' 1 �1i '.28 4 - 6 �. 2 M 6 Yi" 44 f7 .69 . 147 ; L�;�ate�GFasS-Costoo�,a C.oLo�s` �. mm*jc=v)Rc 216500 �/s" 6,5 5s -.76 166 N� n 365500 ��s' SS .SS 73 161 Mtd9Lm 362800 ve 28 34 .56 126 Da�c 36mo :1G 41 95 �4 9 ; 62 0.79 166 Blue ce em 377300 1" 66 S6 0.74; 156 ; Srvoat i43 0.63 134t J 645z00 1" 4fr j Med 642SW r 2S 27 0.50 108 ' Dark 640606 1". 5 11 i 0.37 8A 36 124Grap 140Iransluc=W ite 216500 58 :46 0.66 39 I� j 'NOMLmt COW viSible UZW eaasmimLixe mamred as diumiemoK C.Actvat vwl+xa mY'a'up pp y96. i ! bv3 b%=i on specbaptwtvmcKk uxasmcaneats sad 4mcrgy d6wibuboa of soesr.m&sA +t; I�. !. `mxW tg cocMdents detmmdncd under coodmom pv=bftAMW.i9al F'cmo9asenInis rmamwic mzpcer 27.-Mble 28. I + I 'baagrt conmaocts trcC Solar lira uafa rictor—zao aruhls Sq.Ff•s,ca n-r=t4 EU rsloes hoc�am�ted gtuS ac de8nca in note e►s):UO Blvll�, !1 iF I Sq_FG°Faod�k E's 0.5 S BTWHr.Sq.FL'F � � rNomlaal�A'lvminaced Qiap. i Ouvtda ace mKrMuL Ve 12uLk bcfi&m.W zk rp .kwide Life nominal Y1 dc=r grass_ �f 0 930/16/2009 09:52 ##1589 P.001 /002 H . F. JOHNSON TREE FARM 195 Bumps River'Rd. Osterville. Mo 508) 428-2234 Send to: /j '�(�[ �C�1 From: Attention Date: r-n0 Z SAII Office Location: Office Location: Fax Number: Q a Z�U Phone Number: 0 Urgent ❑ Reply ASAP E3 Please comment ❑ Please Review ❑ For your information Total pages, including cover: Comments: (�� s �z PV 10/16/2009 09:52 #1589 P.002 /002 10/16/2009 08:41 617282$401' BOSTON HOME IMPROVE PAGE 01 CONTRACT GLASS SERVICE, INC. ' 225 ANDOVER STREET 1001 . WILMINGTON,MA 01887 Invoice Number; '92850 Invoice Date. Jul 31. 2C ►9 Page: 1 Voice: 978-988-1144 Fax: 978-988-1155 GLASS INSTALLATIONS, INC. SAME 39 NORWOOD STREET 617-293-4337 JIM DOYLE DORCHESTER,MA D2122 SO65775'. GLASS INSTALLATIONS „�-ry _—••-�••, 3, Nat 30 Days r k N:.;ca:'+ - - wAi- -!1 —�: v.r-. :..., " ..r•, I l F' WEC DELIVERY xa.- i � •24 00M I � ��� ,�" 1/8"-CLiL-�M�AI��INISE ... dG:Er. SA��' �� ��� 12.00 2811 00 7314X93/a 1.00 ESC 4% ENERGY SURCHARGE 11.52 1-1 52 Subtotal 294 52 Sales Tax Total Invoice Amount 29:3 52 Check/Credit Memo No. Payment/Credit Applied TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , t Map 18�4 Parcel cxu`D 77 _-Application.# s�n Health Division t`Z vv Z- ��N C- "Date Issued Conservation Division '~ App[ication Fee Planning Dept Permit Fee bZ Date Definitive Plan Approved by Planning Board " i Historic _ OKH -Preservation/ Hyannis f Project Street Address I a 57 a h to os 4".I; r YN Village Co,n�_tr v 11e ' Owner J a` s b r ro l7` L Amy_ g ,M� , �cl 1 A Address ___12 S 7 fall,r�s t c rcr C •,1-c,rut�l p /r,� Telephone 470 ?S= a 0 g 0 Permit Request O—On fe,4on a �� 7 bOrDan► �a �e '� ��Y9� rbya� . ►✓1 �, ddiBr - • { Square feet: 1 st floor: existing 13 Gproposed 19 6 b '2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size a. Sr$ Ac.reti5 j Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family , Two Family ❑ Multi-Family(# units) Age of Existing Structure (40 a Historic House: ❑Yes 3 No On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existingi new Half: existing j new N Number of Bedrooms: existing _new r Total Room Count (not including baths): existing new First Floor Roam-jCount Heat Type and Fuel: ❑ Gas X Oil ❑ Electric ❑ Other ' c > Central Air: ❑Yes ;A No Fireplaces: Existing New Existing woods al stove 1�(Xes ❑ No Detached garage:l�existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ e sting gnewbsize_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Di No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ' Name =�� '� �4N�-(s s s Telephone Number �Z� l� Address<SZ License # O S I(A b-A Oro Y5 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURES DATE OS-T 23 4,a A t' FOR OFFICIAL USE ONLY 't APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION f FRAME 7 r INSULATION t I` 68- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED.OUT t r ASSOCIATION PLAN NO. a a ti the Colnmotlwo,lLuh of MQssacn reserrs ,Department of Endustrial X ccidents- Office of Investigations 600 Washington Street Boston, Al E4 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/El ectricians/PlumbcrS A licant Information Please Print Le "bl Name (BusinessiQrriTatlonllndividuaI Address: ° A rk,>��`�'�, City/Sta dZipaDop 5-ta^, atA, �_Z2--z- Phone:#: [3.[E::] u art employer? Check th appropriate box: Type of project(required}: am a employer with 4. ❑ I am`a general contractor and I 6 ❑Kew constraetion mployees (full and/or p .Utnc).* have hired the Mub-contractors 7. Rcmodcling am a'solc proprietor or partacr- ��-°n the attached sheet ❑ hip and have nD employees These sub contractors have g. D cmolition. employees and have workers' Building' addition working for me in any capacity. 9• ❑ . . • ' o workers' in rrrancc comp.uisurance.t N conxp... l0_ Electrical re ai[s or additions S. ❑ We arc a corporation and its ❑ p officers have cxezcised thcil' Il.❑Plumbing repairs or ad itions am a homeowner doing all workmyself [No workers' comp_ right of exemption per MGL 12 Raofrepairs nsnrancc rcquird_] t c. 152, §1(4), and wehavt noemployees..[No workers, 13.❑ Other c cd.comp.insurance r ginr ] . *Any applicant that chcckc box#1 must also fjU out the section blow showing their workraa'corrrpczrsation policy infornratian_ t Homeownat who subrmt thin afdavit indicating tbcy arc doingall work and then I iTr outride contractors must rubrmt e.new affidavitindicating rueh- tCtmtzactars onal rbmt gbowing the name of the-sub.c tiar-W, and rtatn wbcthcT nr not thosd cntitics have that cbeckthis box roust atfaLhcd an additi anployecs. If the sub-contractors bavc MTIPIDyees,they must.pro-vidb their workers'comp,policy ntmrbcr. lam an employer thal is providing workers'compensation insurance for my employees. Ru[ow Ls the pofiry and jab vile ' inforrrx¢tion_ , Insurance Company Nam c: 4� C,� " Policy#or Sclf-ins. Lic. #: Lf 3 ExpIIationDate: �f 07 Job Sitc Address:/7- 0 06A_��I 1&0- 0 _City/State/Zip:!� Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can Icad to the imposition of criminal penalties of a 5nz lip to S 1,500.D0 and/or one-year impnsonmEat, as•well as civ-il penalties in the, form of a STDP WORK ORDER and a fine of trp to 5250.DD a day against the violator. Bo advised that a copy-of this statement may be forwarded to the Office of Iavcsti ations of the DIA for ing,nzncc covcra c Yerificalion. I do hereby cerli n the pa sand penaLdas of perjury drat the information provided a:ove Is true and correct. Si atrzte: Phone Offzclal use only. Do riot write in thLs area, to be conyLetad by city or lotsTrt offtrLaL City or Town: Perout/Liceasa# Issuing Authority (circle one); I. Board of Health 2.Building Department 3, City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone.#: Mass aclusetts General Laws chapter 1S2 requires all employers to provide workers' compensation for their cmployecs: pursuant to this statute, an employee is defined as ".-.every person in the service of another under any contract of hire, express or implied, oral or writttn_" An employer is drfined as "an individual, partnership, association, corporation or other Iegal entity, or any two or more of the foregoing engaged in a joint cntcrprisc, and including the legal rcprescntativcs of a dcccascd 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 thrcc apartments and who resides therein, or the occupant of the swelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house )r on the grounds or building appurtenant thereto shall not be-cause of such employment be deemed to be an employer." YfGL chapter 152, §25C(6) also states that"every stage or IocaI licensing agency shall withholdthe issuance or a business or to construct buildings in the commonwealth for any a license or permit tooperate enewal of p rppl a.at who has not produced.acceptable evidence of.compliance with the insurance coverage required." Ldditionally,MGL ohapter 152, §25C(7) states 'Neither the commonwealth nor any of its political subdivisions shall nter into any contract for the performance of public worm until acceptable cvidcacc of complianec-with.the inLe cquircmcnis of this ebaptsr have bccn presented to the contracting authority. ,pplicants Icase fill out the workers' compensation affidavit completely, by checking the boxes that apply to.your situation and, it ccessary,supply sub-canfractor(s)name(s), address(cs) and phone,numbers) along with their ccrtificatc(s) of nit-ance. Limited Liability Companies(LLC) or Limited Liability Partricrships(LI-Y)with no cmployccs other than the mmbers or partncts, arc not required c to carry workers' compensation inauanc. If an LLC or LLP does have rployees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial ccidcats for confirmation of insurance coverage. Also be sure to sign.and date the affidavit The affidavit should returned to the city or town that the application for e permit or license is bring requested, not tho Department of th Ldustrial Aecidents. Should you have any questions regarding the law or if you are rcq irr-d to obtain a workers' )mpcnsation policy,please call the Department at the number listed below. Sclf-insured companies should mtcr their insur-a=o license number on the appropriate line. ity or Town Officials case be sure that the affidavit is complete and printed Icgibly. The Department has provided a space at the bottom O)D affidavit for you to fill out in the cvcnt the Office of Investigations has to contact you regarding the applicant case be sure to fill in the permitr1iccmc number which will be used as a reference number. Jm addition, an applicant it must submit multiple pormitnicense applications in any given year, need only submit onp affidavit indicating c=r—nt licy information(ifnecessary) and under"Job Site Address" the applicaat should write"all locations i-a (city or •� officiallycd or marked b vn). A copy of the af�idavrt that has been s t� Y the city or town may be provided to the plicant as proof that a valid affidavit is on file for future pezmits or licenses. A new affidavit,must be filled out each ar.Where a home owner or citizen is obtaining a license or permit not rclatrd to any business or commercial venture EL dog license or pctmit to bum IeaYcs etc.) said pc required rsor!is NOT requir to complete this affidavit e Office of Investigations would ILkL to thank you in advanec for your cooperation and should you have any questions, s.se do not hesitate to give us a call Depa#ment's address, tr-lcphonc•and fax number. Tha Cammanwcalth of Massachusetts DcpaitmDnt of Industrial Accidents Office of I.nvestipt Ms Goo WashingtGn Street Boston, MA 02111 Tcl. # 617-727-49-0.0 ext 4.06 or 1-M-MASSAFB Fax# 617-727-7749' l 1-22-06 WWW.ma.s,-,.gov/dia r �0F rros, Town of Batt' stable 0 ` Regula to ry Services 4 $�Hsr�uti R QA MAS& Thomas F. Geiler, Director. �l7 ib3p. �4 . ATFo �a - Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstfible-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This'Section Zf Using A Builder as Owner of the'subjectproperty (; J hereby authorize ` r y /,7)er5 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Addtess of Job) D /a --ZB-�� Signature of Owner(/ Date d i . a hob Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on th:e reverse side. Town of Barnstable Regulatory Services Y Thomas F. Geiler,Director M" xbs¢ Building Division ti� PTFn �a Tom Perry,Building Commissioner 200 Main Street; Hyannis, MA 02601 w m.town.6arnstable.ma.us lice: S08-862-4038 Fax: 508-790-6230 HOMEOWNER I..ICFNSE EXEMPTION Please Print DATE: JOB LOCATION: number sticet village .. "HOMEOWNER": name home phone# -work phone# CURRENT MAILING ADDRESS: city/town state ap code The current exemption for"homcd,9mers"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an irdividuaI for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEO�rrNER 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 constructsm more than one home in a two-year period shall not be considered a hoeowner. 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 performc4 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. N The undersigned"homeowner"certifies that he/sbe understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that be/she will comply with said procedures and requirements. ;ignature of Homeowner .pproval of Building Official 7 Note: •Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the tate Building Code Section 127.0 Construction Control. IiOMEOWNER'S EXEMPTION The code states that ."Any homeowner performing work for which a building permit is required shall be exempt from thc provisions this section(Section lo9.1,1 -Lansing of construction Supervisors);provided that if thc homeowner engagrs a person(s)for hire to do such Drk,that such Homeowner shall act as supervisor:" Many homeowners who use this exemption arc unaware that they arc assuming the responsibi)itics of a*supervisor(sec Appendix Q. t)cs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly icn the homeowner hires unlicensed persona. In this ease,our Board cannot proceed against the unlicensed personas it would Huth a licensed pervisor. The homeowner acting as Superviso-is ultimately responsible. To ensure that the homeowner is fully aware ofhis/hcr responsibilitics,many communities require,as part of the permit application, i 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 crest towns. You may care t amend and,adopt such a fomr/ccrtification for use in your community. r l at/// Board of Building Regulations'and S�taKddard�s Construction: r Supenirnsor License ' LicenseCS ai845g a �;_ i:..a s y, Birthdate �1r'2% i E f1} 21/1964 Expration ` - i jrt 12/2t1%2008 Tr# 7185i Restriction.=OA,_. PETER D STREET z _HULL, MA.02045G Conirn• usi on_ er , e Board of Building Re ul a� EE °zzzza�iofis and Stan [ .. - .. .. . ( HOME IMPROVEMENT COXTRA-6 I icense or registration valid for mdwidui use on` i� Registration: f. before the expiration date. If 129818 rd of f t i` Boa Buildin ound'return to Expiration: 11/8/2009,..., i g Regulations and Standards.*,, }� T, _— Tr# 260597 One Ashburton Place Rm 1301 Ype, Ihdi�idu81 Boston I ,Ma.02108 PETER SOMERSr ' K' i f PETER SOMERS��ffllmllvitki,,' c 62 FST. HULL;MA 02045 ' Administrator �� Not valid with i nafure �_- f OCT-23-2008 (THU) 11 : 39 MALCOLM & PARSONS INSURANCE (FAX) 17813441425 P. 001/002 CERTIFICATE OF LIABILITY INSURANCE DATE(23/DD009 09/23/2008 PRODUCER (781)344-3200 FAX (781)344-1425 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Malcolm & Parsons Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 527 Stoughton, MA 02072 INSURERS AFFORDING COVERAGE NAIC# INSURED Boston Hone Improvement, Inc INSURER A: Essex Insurance Co 39 Norwood Street INsuRERB: American Home Insurance Co Dorchester, MA 02122`, _ INSURERQ INSURER D: INSURER E COVERAGES THE POLICES 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 CERTIRCATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DIYL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MMinn;YY) LIMITS GENERAL LIABILITY 3CZ5319 06/17/2008 06/17/2009 EACH OCCURRENCE S 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S 50,000 CLAIMS MADE ril OCCUR MED EXP(Any one person) S 5 OO A PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE PLI I APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,000 POLICY JECT COC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea accident) „ ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS - (Per accident) PROPERTY DAMAGE S - (Per accident) - GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S P OCCUR ❑CLAIMS MADE AGGREGATE S DEDUCTIBLE S RETENTION $ S WORKERS COMPENSATION AND WC6413529 05/19/2008 05/19/2009 aTATu• OTH• EMPLOYERS'LIABILITY - T B ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S 500,000 OFFICERIMEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE S 500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 500,00 OTHER DESCSRIPTION QF OPERATIONS I LOCATIONS i VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - Residential contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Arnold Johnson BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY - 1257 Bumps River Road OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Centerville, MA AUTHORIZED REPRESENTATIVE Irving Parsons ACORD 25(2001108) FAX: (508)428-3187 ©ACORD CORPORATION 1988 l �Zt r �To8 OF lA.t` r, 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS Y� THEMASSACHUSE17SSTATEBUILDINGCODE ZS7 '�MSS tie� o? MIC)I !!, - LLG o No.3477 a '} AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone gTRUCTURAL Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Check 1.1 SCOPE Compliance Wind Speed(3-sec.gust) .............................. ...... .. 110 mph — Wind Exposure Category 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) Roof Pitch .... . . ... stories s 2 stories _ (Fig 2) �Z s 12:12 _ Mean Roof Height ... ......... . ........... (Fig 2) . .... .. .. .. .. . .... .t2ft s 33' Building Width,W (Fig 3) — Building Length.L . .. ...... ��.. ... ft s 80' — ........... (Fig 3) ... . ... .. ... Building Aspect Ratio(L/W) (Fig 4) ft s 80'' _ Nominal Height of Tallest Openine ... . • ..... (Fig 4) . . .. . ........... .... 6 8 " 1.3 FRAMING CONNECTIONS General compliance with framing connections. .. (Table 2) ..., ... . ... . .... .. ..... 2.1 FOUNDATION — Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete .., ......... . ......... Concrete Masonry ... ...... 2.2 ANCHORAGE TO FOUNDATION'•' 2%"Anchor Bolts imbedded or%"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..............:.... (Table 4) 1 S.T. Bolt Spacing from end/joint of plate ..... .. C 5 •(J. in. (Fib ) ........... ..,. in. s 6"—12" Bolt Embedment—concrete.............. (Fig 5)...... . ............... ' Bolt Embedment—mason • —in. Z 7 masonry.............. (Fig 5) ........ ......... in. i 15'. Plate Washer ...... . ..... . ............ (Fig 5 ( g ) ..........1 �...... .e3"x3"xt/4" — 3.1 FLOORS — Floor framing member spans checked ......... Maximum Floor Opening Dimension... (Fig(per 6) CMR 5. ... (Fi 6) ''•'_ft s 12' .1.`{1/ .� (GiT G( Full Height Wall Studs at Floor Openings less than 2'from Exterior Wa _ ll _ Maximum Floor Joist Setbacks '' ''''''' Supporting Loadbearing Walls or Shearwall (Fig 7) ......... .. Maximum Cantilevered Floor Joists ••.• •.. _ft s d _ Supporting Loadbearing Walls or Shearwall . (Fig 8) .......... .. Floor Bracing at Endwalls ft s d (Fig 9) . ...:........... .. ...... — Floor Sheathing Type ' •'• '' (per 780 CMR 55.00) .... — Floor SheathingThickness '' .•'• ''''' . ................ (per 780 CMR 55.00) ... in. — Floor Sheathing Fastening .. .............. . (Table 2)_d nails at to edge in field 4.1 WALLS Wall Height Loadbearing walls ........ (Fig10 Non-Loadbearing walls ................. and Table 5) '''''''••••�'�-ft s 10' — ••• (Fig 10 and Table 5) ...........`�2 ft s 20' Wall Stud Spacing ••.• _ •••••• ••••••• •••.... (Fig10andTable5) l'lTi in. Wall Story Offsets ..... ..... (Figs 7&8) ..... ... — �•' sd 4.2 EXTERIOR WALLS' — Wood Studs Loadbearing walls .. . ........... ....... (Table 5) 2x/�, —7 ` Non-Loadbearing walls . . ..... q .f '—1 ft in. — (Table 5)��I��-r j 1...2x_ _ft_in. Gable End Wall Bracing' t — Full Height Endwall Studs ............... (Fig 10) WSP Attic Floor Length ..g ............... . (Fig l]) ft a W/3 -Gypsum Ceiling Lengtb(Jf WSP noe.sod)<F: >> ''''' ''' and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11).... —tt z 0.9W or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 411lockin. ..•• •• •.� �� ••• joist or truss bays g @ 4 ft.spacing in end Double Top Plate ... ..... Splice Length.... .. ... . ....... .. ...... (Fig 13 and Tab e 6 — Splice Connection(no.of 16d common nails Table 6 ) ft • 1054 780 CMR-Seventh Edition 12/28/07 (Effective 1/1/08) r o� of MASS. n� 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARD 1 Z5` UM a R 7 P a� M1CHE O �•;; APPENDICESCz�'I(L`-o/N Loadbearing Wall Connections 3477 o SN�yOTURa� Lateral(no.of 16d common nails) ......... (Tables 7 El t�►FoK c j SR X Non-Loadbearing Wall Connections ...,, • 1 h� 2 REc Lateral(no.of 16d common nails) ..... ... (Table 8) .....•.... . . .. .1`A. _ � Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.. .. •....... . .......•. (Table 9) .. . ..... .. .... l'Sill Plate Spans ....................... (Table 9) ft D in. s I —' Full Height Studs(no.of studs •••• ••..... (Table 9) ' Z ft�,0 in.s I v —' Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans...... .. ...... ..... (Table 9) . .. .. •"""' gf ft—in. 12, Sill Plate Spans.... :.. ... .. ....... .... .. (Table 9) .. . ..... —' Full Height Studs(no.of studs) .. . ' •••—ft—in.s 12" _ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously' Minimum Building Dimension,W Nominal Height of Tallest Opening 2......... . .. . Sheathing Type . .... .. . (note ' ' Edge Nail Spacing ... ... . . , •••••.... (Table 10 or note 4 if less) .. ... —in. _ Field Nail Spacing .. , . ,,,.,. Shear Connection(no.of 16d common nails)(Table 10) .. ....... — Percent Full-Height Sheathing (Table 10 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) . _ Maximum Building Dimension,L Nominal Height of Tallest Opening t' Sheathing Type ...... . ....... ....: .. note 4 �_�.4.... — Edge Nail Spacing ( )•. ..•....... .. �' 'T - _ ••••• •..... (Table I I or note 4 if less) . , �R , in. Field Nail Spacing Table 11( )...... ..... . .. . . L Shear Connection(no.of 16d common nails)(Table 1 I) . ....... ..... ..�t1?D• . — Percent Full-Height Sheathing .........• (Table I 1 — 5%Additional Sheathing for Wall with Opening>6'8"(Design Conce is N�� % Wall Cladding F ) Rated for Wind Speed? ....., 5.1 ROOFS — Roof framing member spans checked? (For Rafters use AWC Span Tool,see BBRS Website)Roof Overhang.. ....... ...... ............ (Figure 19) ...... —ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls — Proprietary Connectors Uplift (Table 12 ....... )................ . ... U— if Lateral :............ (Table 12 — p — ).......... ..... . ... . L= plf _ Shear.. ...... .. .. .. (Table 12)............... .... . S= •3 pIf Ridge Strap Connections,i collar t� tt4 super page 21 (Table 13 - Gable Rake Outlooker .. )..••••NIA•• T=--_plf _ Truss or Rafter Connections'at Non-Loadbearing Watlgure 20) ... f!]_ft s smaller of 2'or U2 — Proprietary Connectors Uplift ... .... ... ... ................ (Table 14 Lateral(no.of 16d common nails) ....... ) . •... U lb, _ Roof SheathingT (Table 14)......... ....... ... . L— lb. Type ";••••••• ••••.• ••••.. (per 780 CMR 58. and59.00 Roof Sheathing Thickness .... ..... •• •• Roof Sheathing Fastening • ''''' .... .•_in. i 7/16'WSP (Table 2) .. ...... _ Notes: i I. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure I 1 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 1I- i. me ooaom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements 12/28/07 (Effect'ive 1/1/08) 780 CMR-Seventh Edition 1055 r 2008 GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code, latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min. 5/8"diameter, 12" long,w/2-1/2"hook spaced 4'o/c,or in concrete piers w/ Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage). FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads: Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load: Criteria used for I 10 MPH Exposure B,unless noted otherwise 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framine: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c. Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,F'v=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par-2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Dkection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5. Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 48"o/c; Rafter to Ridge Plate: Collar ties min. I x6@ 48"o/c at top or Simpson Straps over top of plywood spaced 48"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48'°o/c 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise. Bolt holes in wood shall be 1/32" larger than bolt diameter. Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blockine: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b. Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End d. New Framine:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120:Q,unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. b. Sub-bore where:nails tend to split wood. 9. Headers less than T-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1)and(2). how MICHELE ti<\, o CUDILO L) No.34774 STRUCTURAL 11 9FGISTEF`� ��a -411 — i zi4i N � 1 Un N \ x -- -� MICHELE o cut),Lp u U STNO 34774 CTUIR4, gFO,STEQ . A 2,�EM�L� • 2�3ux 1 b4NT� P�5r�1T`;�'/�►JD��X/ ..J A`�D S/S"�!� -�.���r��l_`�.�r�-c��_,_. _ cotft�lvov5- fL�Sk2..s6F'lr..�CTAIU PROPOSED MODIFICATIONS INTERIOR WALL REMOVAL MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Mossochusetts 02632 Drawn By: MC Date: 09/29/08 Drawing 1257 BUMPS RIVER ROAD Scale: AS NOTED Rev. 0 CENTERVILLE, MA S K_ File Name:Johnson Project No.:2008-126 a. 2x4 TOP PLATE 7D � 15' WIN, �orli IrlJUusNEADER 'P LH4, — •_EI1�• c'�vi-r or4S •i•I r�• WAX. PANEL NNL SHEATHING TO- 't'I t•I• HEIGHT HEADER AT 3'o.c. 8.w. j'j ��• .Lj I•I• 2-2x4 STUDS I•I I i� "L SHEATHNC APA RATED SHEATHING 'I' I'I' TO EACH STUD 7Af(; MIN. 24/0 EXP. 1 �l'� 1'I• O2. txf s-T 3�� TAG I•I �I. NAtUn/y � rt�v�/ •I,. I•I• �;j1Jh$ i•I LI. O II i I.I rI. m NO FASTENERS 2-2x4 BLOCKNC AT _. . I'I I' O BLOCKING ANY PLYWOOD JOINT I•L �•I. )r ) 1.1: 3'0.c. ALL PUTES, I'I ri' HEADERS & STUDS o�T1o�f�L; S(r-1P500 •i'I MI• wry �> . a�/�-►nit -�DS-A I L- 3 11 -� I•( APP OVED.HOOKED-END •f•I I.1. WOOD CONCRETE CONNECTORS WTTH •I 3500 lb CAPACITY (WIN.) 1 f I 'it 111 41 3-2x PLATES 1 L��� NVIL SHEATHItJC —i u u —• TO EACH PLATE u 1/2'e A.B. 7' -IWBEDWENT II CONTINUOUS FOOTING OR SLAB EDGE h. ESN OF lt.: .; pMICHELE .` IdINIWUM LATERAL RESTRA1t,1T PANEL DETAIL jIt CUDILC No.3�774 C FROrAT \X/AL-L STRUCTURAL —(� off z��o� PROPOSED MODIFICATIONS INTERIOR WALL REMOVAL MICHELE CUDILO, P.E•' Consulting Structural Engineer 123 Cottonwood Lane, Centerville, mOssOcriusetts. 02632 Drawn By: MC Date:, 09/29/08 Drawing 1257 BUMPS RIVER ROAD CENTERVILLE, MA Scale: AS NOTED Rev. p K File Name:JOhnson Project No.: S y 1— I 2008 126 know Y ® 7 o G lit CIO .tea In S1. 04 14 .t3)1 A01 ver �I �RETEpoetry,4 orative ConcreteDesign un rertops,floor staining,custom furniture and more Peter Somers 39 Norwood Street 617-282-8400 office Boston, MA 02122 617-282-8401 fax coneretePoetry, @eomcast.net 617-513-7191 cell Boston.-Home I - pravement.,lie.. Peter Somers. 39,Norwood Street. Dorchester;MA 02122 617-282-8400 office: 617-282-8401 fax Genera! Contacting 617-513-7191 cell Licensed&.Insured BM@comcast.net. 1 o j 17�bb Town of Barnstable ermit: of THE T i Regulatory Services op&lyoZ/ ate: Thomas F.Geiler,Director _ * BARN STABLE, + eea5,DO MASS. Building Division y i639 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us , o ` --r Office: 508-862-4038 ' 508--M-62 TOWN OF BARNSTABLE �. SOLID FUEL STOVE PERMITFd Owner: jd D, JOh11,f 0!� Phone: SOS ,7J'� 9d Install at: /.Z57 �uwt,o� �jyele- )&4 W Village: aI45" /e Map/Parcel: N�- Date: Id-"/p-D6 Stove A. New Used B. Type: Radiant/ Circulating lc--r. Vol C. Manufacturer: rno� �'Q r nQ r Lab. No. 041157 D. Model No.: ; Chimney A. New Existing (If existing,please note date of last cleaning) B. Flue Size 16 D C. Are other appliances attached to Flue? p D. Pre-fab Type and cturer E. Masonry: Line nlined Hearth A. Materials: lylarp�,r� B. Sub Floor Construction: 6 Installer Name: JWAe Address: See Phone: sa$-. /75--- z0 9 0 Location of Installation: ti,ij, *a 2"')1' APPROVED BY: Please make checks payab e to the Town of Barnstable *This constitutes an official stove permit after inspection,'photographed, and approved by the Building Inspector Q:forxns:stove Rev 122801 .F -xev r n� .tia�FK Kt v, "A'A r i } fc t B '2 t 1257 Bumps River Road, Centerville 11/6/06 is FF40M FAX .NO. 5084283187 Nov. 01 2006 04:31PIl F1 �p d HEARTH ORIGINALS 2006 NOV 2 i July 5,2006 To our valued customers: Dace to the various bottom t perstwes of wend shoves,nmy building inspeaurs will want the"r fMOr far floor protmors being used under swves being inst Uad A.J.Hearth(k%inAs retested our hearth boards in Fdbruary 2006, B40w ate the rep b of the"W, fictor tests. we have also enclosed a copy of the test multsdomm=saflon for your records, As you can see,our test results meet or ends the"r 5aetor needed for all wood stoves on the ssm ke today. Swdud Board-1.44"W Factor Standard Board with 3 W Fed+esW--2.41"R"Factor Newt keep these resuh oo file as y* abay be asked to prat�dm to a bOding an tor_ if you have any questions,please feel fiw to coated me. 5i ely, nos Bellavmm Own" PO Box 435;9"t do?'awn harm Rd.,Tkanrt w,CT 06271 e, " FROM FAX NO. 5084283187 Nov. 01 2006 04:31PM P2 lose 19L Rep OFt on lbe APPARM TRERMAL CONDUCMI'I`Y and IWR7MIAL RUISTANCE of a BHT$PAD WITR AM GAn Pmpued for. AJ turi" "9 Quaddick Town Farms Royal Mmmpstao Comatk ct 062" Pr by: NETUCH In Inc, Testtg&rvias - Rsps N3=zber- 621OW936 used Ry: y Ting Servim Febrmy 2 1 0 3 �I z V J Tom! #40M C Ing -tONDUCTOW fWT 'M Tom TMdkomft ._ ... .__ _- .`..... ..�... � D X 1 Z 0 NNW*pop OM7 %A4 �adbl9fnfibioiy4lir61�p a2g '� - as 4$ CAW 1.66 3�t! w.. yr gam#Ls�h balms dt !Q3 FAO kA a:rQ =Co aw T10m"Good"Offt a Ufm m CA �mAj �u� e� �IR9l�AMIIAH M 0 Ulm* �•i� z IUMIedRMIANWO UPANL tr11F 1Bgl 41 I � rn CD w a�py m ip�. 37Io[16 At�t. Btslit�aa+ 1*, =5353 Past:?81292 52't5 OMEA: .w LA v RB Boston Home Improvement, Inc.' TOWN Of B` NSTA LE November10, 2009 39 Norwood Street Dorchester, MA 02122 ' ' ` ? 12 FM ' 6 Phone-617-282-8400 Fax-617-282-8401 Cell-611-513-7191 -- - F ��� z I N Town of Barnstable Building Department Jeffrey Lauzon 367 Main Street Hyannis,MA 02601 Re:Glazing of windows at 1257 Bumps River Road Centerville. -This is for ttie reco d that the glazing of the wind ws a`djacent to the riewly installed Fr n h doors was replaced with clear laminated glass. This was done to be in compliance with Mass State building code 780. CMR 2406.3.6 Hazardous Locations.I Peter Somers take full responsibility for this work.,any questions regarding it can be addressed to me. Thank y eter Somers 617-513-7191 pl�rpm VIRGINIA M. FKAN � AL H !' Notary Public Commonwealth of Massachusetts My Commission Expires May 16,2014