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( tl�"� "' `� 'tr : . .., +-,.", ,4`1.. i r ..L'r ;f- ! .. z A,'..._ _ ., .s•. r!,_'. a A, ..R.. nk ,.�1,. rtr;lri T°:r,i'i r [, .1 -I,a -;_+ , ,Mail `m UNITED STATES POSTAL SERVICE -M 4 , C G ----- elasss Postage&Fees Paid" kl ua f uSPs N U Permit No.G-10 r, �,. • Print your name;address, and ZIP Code in this box• Town of Barnstable Building Division 367 Main St. Hyannis, MA 02601 tls Il1111 ill 111111 fill filllIll ill tlllltll.11lllllAil1lIll I I Ulf ill d SENDER: 'a ■Complete'items 1 and/or 2 for additional services. I also wish to receive the ■Complete items 3,4a,and 4b. following services(for an H ■Print your name and address on the reverse of this form so that we can}etum this extra fee): .. card to you. . ■Attach this form to the front of the mailpieos,or on the back if space does not 1. ❑ Addressee's Address permit. d ■Write'Retum Receipt Requested'on the mailpiece below the.article number. 2. ❑ Restricted Delivery 0 -C ■The Return Receipt will show to whom the article was delivered and the date_ 0I C delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Number C O Ile -� — 4b.Service Type ' a (�/ ❑ Registered ❑ Certified Im� OW �a ❑ Express Mail ❑ Insured S I ¢ ❑ Retum Receipt for Merchandise ❑ C G l� 7.Date of Delive w z 5.Receive By:(Print Name) 8.Addresseers Address( my if requested e ✓ � and fee is paid) F 6.Signature:(AddresgWe or Agent) X PS Form 3811, December 1994 102595-97-B-o179' Domestic Return Receipt 2/5/2021 pp 1HE-}o Town of Barnstable Building Y/:4 j i Post This,Card So That It Is Visible From the Street Approved Plans Must be Retained an Job andhls Card�Mu !be Kept a�s .� Posted Until Final Iflspect n Has Bean Mader � � # a p�,' 11t CFO MP�� WheaCertificate of Occupancy"�s•Regtiired;such;Buildingi N��o b �caupi tl until a Finat Inspection fias bean made��, Permit No. BLDR-21.61 Applicant Name: Thomas Nastasia Date Issued: February 1,2021 Current Use Single Family Dwelling Permit Type: Family or Affordable Accessory Apartment §x Expir tion Date August 1 2021� Approvals Location: 62 DUNASKIN ROAD Centerville MaplLot 229 004k Structure Owner of Record:NASTASIA,THOMAS V Zoningx AD 1 s Foundation: dux F Address: Contractor Name: rx Sheathing: CENTERVILLE,MA 02632 Framing 1: Family Apartment w/construction.Break through to-,�Contractor Framing 2: enable internal access for Family Apartment License: construct inlet for fridge and cabinet,construct 2 Chimney Description: Insulation doorways for internal access,Main house will owner Thomas Nastasia and Family Apartment Final Chaneile Nastasla daughter. F i Project Review Request: Est Project Cost $1400 00 e?' Plumbing/Gas q ' �� s Rough Plumbing: Date Februaryl 2021, Final Plumbing: e Rough Gas: w Final Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sVx months after issuance.All Electrical work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been Service: granted.All construction,alterations and changes of use of any buildirig;ana structures shall be in compliance with theJocal Toning by-laws and Rough: codes.This permit shall be displayed in a location clearly visible from access street or road and shall be maintained"open for public inspection for Final: the entire duration of the work until the completion of the same.The Certificate of Occupancy will not be Issued until"all applicable signatures by the Building and Fire Officials are provided on this permit.Minimum offjv'Call Inspections Required for All ConsteuctionOcitk Low Voltage Rough: The Certificate of Occupancy will not be issued until all applicable;signaiures by the Building and Fire Officials are'provided on this permit. Low Voltage Final Minimum of Five Call Inspections Required for All Construction Work� F r W.: .. 1.Foundation or Footing nr Health 2.Sheathing Inspection Final: 3.All Fireplaces must be Inspected at the throat level before fires t flus lining£is installed � 4.Wiring&Plumbing Inspections to be completed prior to Frame,inspecbon y ;�` 5.Prior to Covering Structural Members(Frame Inspection) ' Fire Department 6.Insulation � ..;: Final: 7.Final Inspection before Occupancy Electrical,Plumbing,and Mechanical Installations. Where applicable,separate permits are required for Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Building plans are to be available on site: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT c 1/1 r 47 s w� I� _ - ��-- V6 N• i I a• �� j oFtHEr Town of Barnstable o� Inspectional Services • lARNSTABLE. + B r Mass. m° Brian Florence,C O s639• .m Building Commissioner AlEo MA'S a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us #" INSPECTION REPORT Address : 62 DUNASKIN ROAD, CENTERVILLE Case# C-19-706 Inspection Type : Violation Inspector' lauzonj Description IDate Unit Status Comment i Violation '03/03/2020 FAIL 3/2/20 MEETING HELD WITH PROPERTY OWNER, ROBIN ANDERSON AND JEFF I LAUZON AT 200 MAIN ST. TO DISCUSS THE g i VIOLATIONS ON.THE PROPERTY. THE PROPERTY OWNER HAD DRAWINGS OF.A STAIRWAY WITH NO REFERENCE TO LOCATION OR HOW IT RESOLVED THE I VIOLATION OF INTERNAL ACCESS FOR THE FAMILY APARTMENT. DOWNSTAIRS BEDROOM NOT DISCUSSED. 7 i i iy i IF JI �I li i Ii JI1 V� I �i i 1 A 4 I, �1k jl �oFz"E Town of Barnstable • do , Inspectional Services } ` '&ARNSTABLL a Brian Florence,CB0 vA i639 `am Building Commissioner rfD MA'S a r .°200 Main Street Hyannis,MA 02601 www.towncb arnstable.mama INSPECTION REPORT Address : 62 DUNASKIN,ROAD, CENTERVILLE Case# C-19-706 Inspection Type : Violation Inspector.: " ladzonj .... Description -IDate IUnit Status ;Comment ' Violation 01/24/2020 € a FAIL 11/23/20 PROPERTY OWNER WAS.IN TOµ 3 INQUIRE ABOUT BRINGING THE y '_ PROPERTY INTO COMPLIANCE. OWNER I IWAS GIVEN A BUILDING PERMIT. . N _ I !APPLICATION AND GIVEN INSTRUCTIONS I 1 !ON HOW TO COMPLETE APPLICATION AND ` I .TIMES TO SUBMIT FOR OTHER DEPARTMENTS TO SIGN OFF. PROPERTY I + 1 1 iIS THE SUBJECT OF,A FAMILY 1. IAPARTMENT`PERMIT (B-20102132).WITH x I' NO INSPECTIONS. BUILDING PERMIT B- I201000585 ALSO HAD NO FINAL - INSPECTION AND THE CONSTRUCTION Y. DOCUMENTS DO NOT INDI'CATEA I 1BEDROOM DOWNSTAIRS Inspection Type : r Violation' Inspector: lauzonj Description Date iUnit jStatus IComment _.m. .. _._... . .. ..ter. ��.w_.._ _ ._#...... .m _m__ .�_-.ww.. . �. ,.:..... � ----.-- -- -�-..�... ..w. ... _.......... __��.......... :Violation 02/27/2020 i FAIL 12/26/20 Robin Anderson spoke with property I iowner and potential contractor:Will submit } plans and contact next week per property' owner. Inspection Type : Violation Inspector: lauzonj Description. IDate Unit . ' ` IStatus EComment Violation I09/05/20„19 I 'FAIL lApartment above garage Bedroom in basement no emergency escape. Instructed °. Towner no sleeping in basement bedroom. I §Three bedrooms in-home total. .,_. .__..__..._ - Inspection Type Violation Inspector lauzonj ... ............. .... ......... ........... Description f wDate Unit ;Status ;Comment .... Violation 01/14/2020 �FAIL 'No response from property owners. Notice of 1 I i iviolation sent via certified mail - r , R Y aqr` t+e •.' r i v�-,+.; � �:/:r:; /� x", l+ : Cyiy� °a sz� E s 14, rA -,---J-i To 42, _ ' I •F werwrwat�vxr-uaa�es'ass� P o - fi;, L :d : :. v �.., � .- ..V}. �;r+.;. } .�r �' a v h•.,4 +�y`L:r ii t ,� .�. x 3 �: �{' ysv- ry-� "'} ,w^' � :- lk t: Ax y A }r y ,�y Sc ,'s 4't` ' • '_ ",.'' ,n' fa b k; x+�rc '��A 77777777 - d h•,-�` s_,�. 7'r:. ! S .��..• ':' �-.r Pw4k't. _ ct` ,x• - t{, f „i'." } �•R h as �yv. '� 4r il ,- t ,: z y t � � ,� : � �..:� ,�� a• � �' �. �d.. �& y v g.; y'4 i { ai•� t m,�` ,�� � ° t � ��. f aw` .'``'� or. " b• u t E{ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application f Health Division Date Issued /0'17 01= Conservation Division Application Feed Planning Dept. Permit Fee 7 R5` Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 1 O MA 0)- Se3 Z Village Owner -040^,Pf- Address Telephone Cho V) 7 7 3— — ?3 7 CZ AACC , I MA 6 L r.2 Z- Permit RequestL) /Y,r 5��,�1 n� Z�� or Ic I�r �'� (3> 2 " (c%�►\� — f�c� T f ae=`A Q- S o A C'Q 1 02 " nn Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation SConstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full 0 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 ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:._U existing Q new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other P, 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 d CZA-A�, Telephone NumberC A0 Address 1S c7 sc C7 �� License # O I k Home Improvement Contractor# l a-1 j Email 1 C� «�b1 ti ��� q M ( , C a - Worker's Compensation # �(S'a D 1 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z)iaC '�4(f RrtZC SIGNATURE DATE l l FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP 7 PARCEL NO. r ADDRESS VILLAGE OWNER .I DATE OF INSPECTION: FOUNDATION I i r FRAME ; ,P � rl INSULATION z 4 I FIREPLACE �= ELECTRICAL: ROUGH FINAL .! 4 PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL f FINAL BUILDING I r J DATE CLOSED OUT I . T, ASSOCIATION PLAN NO. r . w R:egulaayy Sex�vies s �, T{zchhrd Y.ScdG,,D�r4CLar° ' 10,39• I am errp, tiilding(ij�gner 2�0'I�T3nz S#ree#; )�drnuS,MA-0.26.01 tir5viv.tow`�►.barns�able.rz►a::us ')14as E3 ez�:c the'siib -cL.,Pr.d T j }}G�* �} 4' QI CO ACC 311271 e l i. in-!t tmn elauv(.to wo&autfiorir_ed'b tfii.s 6Aft peimut appl±ca c, #Qr (Mress-ro "`Ibci . zz :arid are th _rpriblty't� tie�pcaxt.I' os al e lie f Il r`pr h 6 e orc fence.i `: ec3 zci a ' s ee c���s perEc�ra e az� *Copttid. Siparm-e of'':. e Si at kof X (/ n, Mir Qa StOr,KX T I The Commonwealth of Massachusetts Department oflndustrialAccidents 1 Congress Street,Suite 100 Boston, MA 02114--2017 www.mass.gov/dia Y• Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aoolicant Information Please Print Letribly Name (Business/Organization/lndividual):_ SJ &Q Address: City/State/Zip: S OA-A--, Phone#: f / 1 2 `( � o o Are you an employer?Check the appropriate box: v J,77 0 Type of project(required): 1 a employer with employees(full and/or part-time).' 7. ❑New construction 2.®1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling arty capacity.[No workers'comp.insurance required.) 9. ❑Demolition 3.❑I am a homeowner doing all work myself.(No workers'comp.insurance required.)t 4.❑I am a homeownerand will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees, 12.Q Plumbing repairs or additions 5.a I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13. Roof repairs These sub-contractors have employees and have workers'comp.insuranoe.t 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.R*tberWZ:;n1e4', Z �J 152,§1(4),and we have no employees.[No workers'comp:insurance required-) if Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. - ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and stale whether or not those entities have employers. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: j --)Of 2 T�%) Policy#or Self-ins.Lic.#:�,�J C d Y s�o< O y Expiation Date: Job Site Address: AS <</ n� 12-D Ce A_ City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiratiod date). failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be'forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under in p an penalties of pe_rjury that the information provided above is true and correct Signature: ate: 0 Phone#: Z5 4-S — b (f Official use only. Do not w 'e in this area,to be completed by city or town offuxaL City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health— .Building Department artment 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: or Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 ` Boston,Mas � 02116 Re tmonHomelnpro v=ent .� . Region, low, Type: NOW Co"WOM •-ff i-��---••- �? " EXplI811on: 7/Z�1018 Tr# 2W84 RETROFIT INSULATION, INC. +w; JOSEPH REILLY � ' ' P.O. BOX 105 SEEKONK, MA 02771 � 61 Addy=and rMare card.IWk rwa for a 09L 6CR t 4 2owas++� -- �Ite�asresxoMtusclD%�! ue/„oaslld utma or rqp&a&a valid for havMW=e oaly one afCMMa AIItim&Xxibm Regukdw' . Won So no dat& fffomd retara to . CONTRACT�Q, Rom; o�ec of�Ate*Wd BasMM XM911Mou _ 18 ParkPbM 1 soft 51" � Prime Co�porNion �4 MA 02I16 r �7, 'MS" WiLLY FAUAVM MA 02T2 i U66MI Not mM whboat ftffsftm Mas.eRu Oft•DepWtMWd of pubfk Sahli, i Beard of BadkDay RepufsOm and Standards ('no�rructir►a SLpenixr-s;.ecialR uoenss:CS8L'1W1. PON=in i MA RMI fspfratlon i Canindaaionor OSAS/'617 RETRINS-01 RBLACK1 ,4c®Ro° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/27/2016 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). CONTACT PRODUCER License#1780862 NAME: HUB International New England PHONE 508 676-1971 FAX No: 508 678-2750 222 Milliken Boulevard A/ IL Ell:( ) ( ) Fall River,MA 02722-9946 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL p :INSURER A:Star Insurance Company 18023 INSURED ,� INSURER B: RetroFit Insulation,Inc. INSURER C: PO BOX 105 INSURER D: Seekonk,MA 02771 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. INSRADOLSUOR POU Y EF PO OMITS N TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MMID , COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMCLAJMS-MADE OCCUR X PREMISESw Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECTT1-1 LOC PRODUCTS-COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE OMIT $ Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS PROPERTY DAMAGE HIRED AUTOS NON-OWNED Per accident $ $_ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ ER WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY YIN C0845201 08/02/2016 08/02/2017 E.L.EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA A OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory In NH) "yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Grid ACCORDANCE WITH THE POLICY PROVISIONS. 50 Washington Street Westborough,MA 01581 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 31Z�i® �o Q° o � LOT 6- CONC. FNDN. R Off, 0� 0 EXIST. DWELL. 0 4 �. 0� N y J 0 FOUNDATION PLOT PLAN DCE #09-257 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 62 DUNASKIN ROAD CENTERVILLE, MASS. PREPARED FOR: SCALE : 1" = 30' DATE : MARCH 19, 2010 M/1VI THOMAS NASTASIA REFERENCE MAP 229 PARCEL 4 LCP 17678G ESN OF Mqs I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE o`' DANIEL tiG GROUND AS SHOWN HEREON. o� A. N� OJALA off 5W—M-4541 fox 508 382-88D MM o0 No,40980 v down cape engineering, inc. ( ���Es� �`�� C/V/L ENGINEERS LAND SURVEYORS DATE REG. LAND SURVEYOR 939 Main Street — YARMOUTHPORT, MASS. %. ' Map Page 1 of 3 Town of Barnstable Geographic Information System New search Parcel Viewer Custom Map Abutters Map Size ❑ ❑ zoom out rU ®In K ICU wit ��M�Sy. M m 14 �" J �' N !ram_ I"b - ]PG y � J . 229006 ' " 084 ; '229005 Loiv Pwid q 72 9 229013 J 0 83 i 229004 i y N 62 f Map: 229 Parcel: 004 Ii ` Location: 62 DUNASKIN ROAD 229012 Owner: NASTASIA,THOMAS V&KATHLEEN S ,r k 17 a Location Information 229003 Map&Parcel 229004 N52 f Location 62 DUNASKIN ROAD Acreage 0.34 acres � ,4 V�72 Feet 228018 Current owner N 46 Mailing Address NASTASIA,THOMAS V&KATHLEEN S 62 DUNASKIN RD CENTERVILLE,MA 02632 Set Scale 1" = 72 I Aerial Photos I MAP DISCLAIMER Appraised Value (FY 2010) Extra Features — --- Out Buildingqs $0 Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questionso^dcomments Co GIS BarnstableMA v1.2.3685 [Production] $346,700 Buildings $209,100 http-//66.203.95.236/arcims/appgeoapp/map.aspx?propertylD=229004&mapparback= 2/8/2010 . .� .;Map e Page 2 of 3 Total Appraised $582,100 Assessed Value (FY 2010) Extra Features $26,300 Out Buildings $0 Land $346,700 Buildings $209,100 Total Assessed $582,100 Construction Detail Style Cape Cod Model Residential Grade Average Plus Stories 1 1/2 Stories Exterior Wall Wood Shingle Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Interior Wall Drywall Interior Floor Hardwood Heat Fuel Gas Heat Type Hot Water AC Type None Number of Bedrooms 3 Bedrooms Number of Bathrooms 2 Full Total Rooms 7 Rooms Living Area 2233 Replacement Cost $254,953 Year Built 1955 Depreciation 18 Building Sketches • 14 14 FAT gpUAT OASOMT 2 BOAS 8 M5 GAR 28 BHT 4 10 22 .. - __.30 RO, MAP DISCLAIMER http://66.203-95.236/arcims/appgeoapp/map.aspx?propertylD=229004&mapparback= 2/8/2010 } t�` UING OFFICE 181 t workers Co FORMATION PAGE impe>�hon a13£l ,ACCOUNT NO. . SUB ACCT NO. A411oy � ` F° 1-359271 . �� e Group/Boston 0000 LIBERTF E CO 15�g k POLICY NO. TD/CD SALES OFFICE wCl-31S-359271-039 XX X wESTON Sy�kLI.ES CODE N/R i REPRIISENTATIVE 3000. 2 YE Alvk Item 1_Name of ROBERT WELCH Insured Address PO BOX 351 FEIN O1-7387843 C RISK ID 202154 UMMA U].D MA 42ti3 Q 7 Status 01 -INDIVIDUAL Other workplaces not shown above: SEE ITE1414 Mo.Day Year Item 2.Policy Period:From M"2009 to g 12:01 AM standard time at of the insured as stated herein. Item 3.Coverage A. Workers Compensation Insurance: part One of, applies the Workers Compensation Law of ttie here: MA R B. Employers Liability Insurance: Part Two of the es to work in each state listed in item 3A liability under Part Two are: Bodily Injury by Accident 100`0 each accident Bodily Injury by Disease 500,0f� policy limit Bodily Injury by Disease 100,0t each employee C. Other States Insurance:Part Three of the pohcy . the states,if any,listed here: SEE END WC 20 03 06A ' D. This policy includes these endorsements and sdledtll SEE EXTENSION OF Il�TFORMATION'P�GE Item 4.Premium The premium for this policy will be deter> nllav our Manuals of Rules Classifications Rates tmg Plans All information required below is subject to verification and cey audit. Premium Basis Rates LfNE1tD Per$100 E ClassificattOIIs COS Estimated of RE_ No is i�l Annual Premiums muneradon SEE EXTENSION OF INFORMATION PAGE Minimum Premium $ 500 (MA ) Total Estimated Annual Premium $ 506 Interim adjustment of premium shall be made: ANNUAI, ,. This policy,including all endorsements issued therewith,is hereby countersigned by Aelt�ired Re Date 10- 7777777777 22-04 ' a - Loc Code Perm Oper. Audit Basis Periodic Payme� Rating Basis Pol.H.G_ $ome.State Dividend RENEW ' 10-22-09 NR MA V Cl-31S-359�71-1138 GPO 4030 RI Copyright 1987 National Council on Compensation Insurance WC 0000.. A insured Copy US PS TRACKNG# = First-Class Mail Postage&Fees Paid USPS Permit No.G-10 i 9590 9402 3630 7305 3404 91 i i United States •Sender:Please print your name,address,and ZIP+4®in this box* i Postal Service I I TOWN OF BAR STABLE BUILDING DIVISION 200 MAIN STo HYANNIS, IAA 02601 jib►i;iiij1:11r liNWiltl11libilbir,,li ill! -II!{1111hIW f ■ Complete'i ep s l',;2,and 3. A Signature ■ Print your ngme and address on the reverse 0 Agent so th1?iie"c�;'return the card to you. X,_ If ❑Addressee " B. Re, ived by(Pnn ed F C. Date of Delivery me) ■ Attach this caKd,�o the back of the mailpiece, �, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different fro .%7 If YES,enter delivery address ❑No o I i191a�cc 5 !��1/c�,5��$I� w � I II I IIIIII I!I II I III I III I II I I I I II I I I III I II III ❑du3. ltSignatureSignature El ice e Restricted Delivery ❑Registered Registered Mai 13 Priority Mail lRestricted 9590 9402 3630 7305 3404 91 Certified Mail® Delivery ❑Certified Mail Restricted.Delivery �Retum Receipt for ❑Collect on Delivery Merchandise �2._ArtiCle_Number__LTransfer_f[om_service./a6.1) ❑Collect on Delivery`Restricted Delivery ❑Signature ConfirmationTM i Mail ❑Signature Confirmation _ 7 017 1000 0000 6757 2393 t Mail Restricted Delivery Restricted Delivery Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I m .. Er BMW N F, I . ^ Certified Mail Fee Extra Services&Fees(check box,add ree as eppropdate) ❑Return Receipt(hardcopy) $ qOa `r ` ❑Return Receipt(electronic). $ * .dy"Post k O ❑Certified Mail Restricted Delivery $ CV ^ ❑AduR Signature Required $ ❑Adult Signature Restricted Delivery$ O Postage r-I Total Postage and Fees ,l r $ IL � r�� Imo- Sent To \ OZ;L lb� 1 E3 J11�� s-c�� O Street and t. or PO Box No. I ----��_-l�iisFrl- 1C1_n Kd city,sra ,zrP+ s --------------------------------------------- Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this. delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,whi ■Certified Mail service is not available for requires the signee to be at least 21 years of Intematlonal hecei and provides delivery to the addressee specifi ■Insurance covnot available for purchase by name,or to the addressee's authorized agent i However,thepuchase (not available at retail). aof change the ■To ensure that your Certified Mail receipt is insurance coverage auto included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature), of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt,attach PS Form 3811 to your mailpiece; iMPORTAmr.Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 J cam L" L, w -ss w p►2..oPos� bw t�L-�,-� r� PCL XL error Error: ItLegaLOperatorSequence Operator: Oxe3 Position: 11239 t �r i Town of Barnstable o Regulatory Services * BARNSTABLE, Thomas F.Geiler,Director MA 9: ��� 11�1 M:ly Building Division A 'DrFc N►v+°' G!�'(�-cam Tom Perry,Building Commissioner. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 62 DUNASKIN ROAD, CENTERVILLE, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book , Page , or as Document No. being shown on Assessors' Map 229 as Parcel 004, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment,for year-round occupancy. The intended and authorized use is for KATHLEEN S. NASTASIA, WIFE, OF OWNER, THOMAS NASTASIA, associated with the residential use on the same premises. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day of 20_ TOWN OF BARNSTABLE OWNER(S) By: _. Building Commissioner THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner), and made oath as to the truth of the foregoing instrument,before me. Notary Public My Commission Expires: DunaskinRdK I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION v� C Map Parcel 00'L Application # Health Division Date Issued 3 ZZ 1 O Conservation Division Application Fe' Planning Dept. Permit Fee ozo `mod Date Definitive Plan Approved by Planning Board r V Historic - OKH Preservation / Hyannis Project Street Address (oa ®QA)A-'z4c/IV ROA� Village I-CRVILLE Owner_THOMAS V �-jk " 14LE-E" 5 ,45'M #9 Address (9.2, bVAJAS'IVAJ /fib Telephone i �1 Permit Request See I&TLO-(' ddemoldtov) % rec.®n§7►�vc-iot0 Of ,nl KZZ/ Car gojro�& tvl-N bPelroom mod hd74tp0" 47baye Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District R D -I Flood Plain Groundwater Overlay Project Valuation dt)oi 000 Construction Type W004b FRA4 -%G Lot Size o 3�LA c Grandfathered: ❑Yes ❑ No If yes, attach:�pportingdocum ntation. c.Dwelling Type: Single Family .V Two Family ❑ Multi-Family (# units) 0 ZE Age of Existing Structure 16 s, Historic House: ❑Yes ❑ No On Old Kings'Highwa'rm ❑YZ ❑ No Basement Type: IrFull ❑ Crawl ❑Walkout ❑ Other rF P -= Basement Finished Area(sq.ft.) Basement Unfinished Area (sq ft) Number of Baths: Full: existing , >.7.)- new c �� Half: existing i�reew Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing 1_)7new First Floor Room Count �- _r Heat Type and Fuel: I Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes S No Fireplaces: Existing New Existing wood/coal stove: ❑Yes WNo Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 0 existing 2' 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 bovild Alt'e Telephone Number �Oov Address �� l��O�f S"I' License# Poo-S"t/4° 4 l"r� 0.20y-O Home Improvement Contractor# 9S60 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS 0rTHIS PROJECT WILL BE TAKEN TO beef f7/�d S /O 1 )- SIGNATURE 9� DATE 2/ 8/� O I FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED y MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 3I T �� �3�SQ s o-0 0 t ` t 6 FRAME � � INSULATION Z FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t" GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT - ASSOCIATION PLAN NO. i F The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + 600 Washingtoii Street Boston,,M4 021I1 =v'y lvww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ! Please Print Legibly Name(Business/Organization/Individual): Address: L KD N ! 5T City/State/Zip: MAV-0� 0,2Oc(P Phone:#: zfa Cp Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I 6. ❑ New construction employees(full and/or part-.time).* have hired the sab-contractors 2.[ I am a sole proprietor ofpartr7er-' listed on the'attached sheet. 7.. Remodeling ship and have no employees These sub-contractors have g."M Demolition workingfor me in an ca aci employees and have workers' Y P tY• 9. Building addition [No workers' comp.•insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11_❑Plumbing repairs or additions myself. [No workers' comp. right of exemption.per MGL 12.❑ Roof repairs insurance required_] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required_] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who subntit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address:(�z �Uh crS +h (, [r�✓!(e�tl�6(� City/State/Zip: Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). Failure to secuve 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 statemmit may be forwarded to the Office of Investigations of the DIA for'Msurmce Aoverage verification. I do hereb ce under t Aad nalties of perjury that the information provided abov is true and correct. Si Dater / vafore: � — Phone# ? �'" 2 6�a > a S �- 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 AHealth 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector 6. Other C'nntart Percnnr Phone#: Inf®r atx® and In t�-uction� Massachusetts General Laws chapter 1S2 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,' express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the tru owner of a dwelling house having not more than three.apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or.permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter-152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance or public work until acceptable evidence of compliance k6th the insurance requirements of this chapter have been presented to the contracting authority." - Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)naine(s),-addiess(es)and phone number(s) along with their certificates)of insurance. Limited Liability Companies.(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be.sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernut/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and.under`Job Site Address" (he applicant should write"all locations in (city or town);".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year:Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any question$, please do not hesitate to give us a call. The Department's address,telephone•and fax number: Teo Commonwealth of Massachusetts Department of Industrial Accidents Office of lavestiptions'- 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1=877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass•gov/dia -\ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizatiorAndividual): ��UJ��� ► /� Address: . City/State/Zip: ��tilJ/ `e , ��� ' Phone #: 'mod ? 7(0 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I a employer with 4. ❑ I am a general contractor and I have hired the sub-contractors 6. ❑New construction (full-and/or-part-time).-* - .._.�_.�. I am a sole proprietor listed on the attached sheet. 7. Refi odeling_._ .or partner- - ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y P h' 9. '❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M r Expiration Date: l Job Site Address: LO e� /" ' �� - City/State/Zip: l�� 1��� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify er . p ins and pe alties of perjury that the information provided above isJ ue and correct Signature: Date: Phone#: 776 . 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#: The Commonwealth of Massachusetts Department of.lndttstrialAccidents Office of Investigations 600 Washington Street c Boston, MA 02111 y% www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Bust.Hess/Organizatiotl/Individual): Dal f j Address: 2 removt City/State/Zip: Mac1 S-AC' Ci —7 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ l am a general contractor and I 6. [] New construction employees (full and/or part-time).* have hired the sub-contractors 2. .I am a sole proprietor or partner listed on the attached sheet. . 7. [ 'Remodeling These sub-contractors have g• ❑ Demolition ship and have no employees working for me in any capacity. employees and have workers'comp. ❑ Building addition [No workers' comp. insurance comp. insurance. required•] S. ❑ We are a corporation and its 10.❑ Electrical repairs or additic 3.El I am a homeowner doing all work officers have exercised their. 11.❑ Plumbing repairs or additic myself. [No workers' comp. right of exemption per MOL 12:❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additio.nal sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for nay employees. Below is the policy and job site information. Insurance Company Name: Policy# or Self-,ins.Lie.#: Expiration Date:Job Site Address:_&;Z, N 45 ON City/State/Zip: `Oe'n�'�y 4 162 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 MOL c. 152 can lead to the imposition of criminal penalties of 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 of up to$250.00 a day against the violator. Beadvised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the in nd penalties of perjury that the information provided above is true and correct. Si nature: Date: Phone# (� .� Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority(circle one): i 1. Board of Health 2. Building Department 3. City/Town Clerk 4• Electrical Inspector S. Plumbing Inspector 6. Other Phone#: Contact Person: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another Linder any contract of hire, express or implied, oral or written," An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,-employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed_to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." .. .Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of.this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if. e address es and hone numbers along with their certificates) of necessary, supply sub contractors)main (s), address(es) p O g insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit., The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. -Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy'please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia VVtLGH NAJ I AGIA NUHL;H 13tAM MA Botello Lumber Company 2010.1 Allowable Stress Design - MSI: 0_17 NOTE: LOAD TABLE 4 PLIES,1.750 X 9.500 LP LVL295OFb-2.OE DESIGN CRITERIA VSI: 0.13 1. THIS COMPONENT IS DESIGNED TO SUPPORT ONLY DESIGN CONSISTS.OF 4 - PLIES FASTENED RSI: 0.08 THE VERTICAL LOADS SHOWN VERIFICATION OF NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1). OTHER LOAD CASES TOGETHER (REFER TO NOTES) LOADING,DEFLECTION LIMITATIONS,FRAMING FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. LIVE' LOAD_ = 40' PSF METHODS,WIND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) DEAD LOAD = 10 PSF LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD LDF TOTAL LOAD = 50 PSF THE RESPONSIBILITY OF THE PROJECT ENGINEER FT-IN-SX FT-IN-SX OR ARCHITECT. UNIFORM ROOF LIVE TOP 210 PLF 02-00-00 07-04-00 •1.15 2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM ROOF LIVE TOP 206 PLF 00-08-00 02-00-00 1.15 FLR LEFT SPAN CARR. 0.00 FT LATERAL STABILITY. UNIFORM - ROOF DEAD TOP 136 PLF 02-00-00 07-04-00 0.90 FLR RIGHT SPAN CARR. 0.00 FT 3.DO NOT CUT,NOTCH OR DRILL LP LVL.. UNIFORM ROOF DEAD TOP 134 PLF 00-08-00 02-00-00 0.90 4.SHIM ALL BEARINGS FOR FULL CONTACT, UNIFORM ROOF LIVE TOP 100 PLF 07-,04-00 08-08-12 1.15 DEFLECTION CRITERIA 5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL UNIFORM FLOOR LIVE TOP 83 PLF 00-08-00 07-04-00 1.00 LIVE LOAD DEFL: L / 360 TO SIZE. UNIFORM FLOOR LIVE TOP 83 PLF 07-04-00 08-08-12 1.00 TOTAL LOAD DEFL: L / 240 6.THIS LP LVL IS TO BE USED AS A FLOOR BEAM ONLY. UNIFORM FLOOR DEAD TOP 65 PLF 07-04-00 08-08-12 0.90 7.COMPRESSION EDGE BRACING REQUIRED AT UNIFORM ROOF LIVE TOP 60 PLF 00-00-00 09-06-00 1.15 CODE COMPLIANCES EACH END OF COMPONENT. UNIFORM FLOOR LIVE TOP -43 PLF 00-08-00 08-08-12 1.00 REPORT # UNIFORM ROOF .DEAD TOP 36 PLF 00-00-00 09-06-00 0.90 _ ICC-ES y ESR-1254 DESIGN ASSUMES COMPONENTS CARRIED ARE UNIFORM FLOOR DEAD TOP 36 PLF 00-00-00 09-06-00 `0.90 L.A. City RR-25167 APPLIED TO TOP EDGE OF LP LVL,SUCH THAT UNIFORM FLOOR LIVE TOP 23 PLF 00-00-00 09-06-00" 1.00 HUD 1214f LOAD IS DISTRIBUTED EQUALLY TO EACH PLY. .�UNIFORM FLOOR LIVE TOP 23 PLF 00-00-00 09-06-00 1.00 CCMC 11518-R ATTACH ALL FOUR PLIES WITH 2 ROWS OF 1/2" UNIFORM FLOOR DEAD, TOP 22 -PLF.00-08-00 08-08-12 0.90 DIAMETER,ASTM.GRADE A307 OR BETTER,BOLTS AT UNIFORM WALL DEAD TOP 19 PLF 00-00-00 09-06-00 0.90 24"OC.STAGGER ROWS.USE FLAT WASHERS- UNIFORM BEAM WEIGHT 19 PLF 00-00-00 09-06-00 0.90 UNDER BOLT HEAD AND NUT. UNIFORM FLOOR DEAD TOP -11 PLF 00-08-00 08-08-12 0.90 OPTIONAL TO AID IN FABRICATION:ATTACH TWO UNIFORM FLOOR LIVE TOP 3 PLF 00-08-00 08-08-12 1.00 PLIES WITH 2 ROWS OF 16d(3-1/2")NAILS AT 24"OC.STAGGER ROWS.NAILS,CAN BE DRIVEN WARNING NOTES: f FROM ONE FACE OR HALF FROM EACH FACE. ATTACH THE THIRD PLY TO ONE SIDE OF THE THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS. DOUBLE WITH 2 ROWS OF 16d(3-1/2")NAILS USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP WOISTS IS AT 24"OC.STAGGER ROWS.ATTACH THE FOURTH STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW PLY TO OTHER SIDE WITH 2 ROWS OF 16d(3-1/2") BY A DESIGN PROFESSIONAL. - NAILS AT 24"OC.STAGGER ROWS.NAILS MAY BE COMMON OR BOX NAILS WITH A MINIMUM SHANK MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL - DIAMETER OF 0.131".16d SINKERS(3-1/4") BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, MAY BE USED,BUT HALF MUST BE DRIVEN FROM ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS EACH FACE WHEN ATTACHING THE FIRST TWOBEAM IS CAPABLE OF SUPPORTING THE REACTIONS. PLIES ANCHOR LP LVL FLOOR BEAM SECURELY TO BEARINGS OR HANGERS. 206 . 2f0 134 136 - - 630 1 10 60 J � SUPPORT REACTIONS (LBS): 9.500 - MAXIMUM B E A R I N G NUMBER •- 1 2 1.750 . DOWN 2234 2061 3.500 UPLIFT --- --- J 5.250 - 7.000 MIN BEARING SIZES (IN-SX) CROSS SECTION 5- 8 5- 8 MAXIMUM DEFLECTIONS ' CALCULATED ALLOWABLE - LIVE LOAD 0.04" 0.30" - *DEAD LOAD 0.06" 9- 6- 0 TOTAL LOAD 0.081, 0.4511 - '•'THIS DRAWING IS NOT TO SCALE"•• Handling&Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP I-Joist Specifications Software Provided By: 03/04/10 IBC Temporary and permanent bracing for holding component The use of this component shall be specified by the designer of the 'Supports and connections for LP LVL,LP LSL,CTR and LPI to be specific applications. LP Engineered Wood Products plumb and for resisting lateral forces shall be designed and complete structure.Obtain all the necessary code compliance approval 'Common nails driven parallel to glue lines shall be spaced a minimum of 4"for 10d Suite 2000 Su Street,installed by others.No loads are to be applied to the and instructions from the designers of the complete structure before using and 3"for ad. Nashville,414 Union St St 37219Su component until after all the framing and fastening are this component. If the design criteria listed above does not meet local •Do not cut,notch,drill or alter LP LVL,LP LSL and CTR,LP[-Joists except as shown completed.At no time shall loads greater than design loads be building code requirements,do not use this design.When this drawing is in published material from LP any use of LP LVL,LSL and CTR,LP I-Joists contrary Phone 800.515.7570 applied to the component. signed and sealed,the structural design is approved as shown in this to the limits set forth hereon,negates any express warranty of the product and LP Fax , 866.753.4369 Design Criteria drawing based on data provided by the customer. LP LVL,LP LSL and disclaims all implied warranties Including the Implied warranties of merchantability g CTR,LP Hoists are made without camber and will deflect under load. and fitness for a particular use. The design and material specified are in substantial Wood in direct contact with concrete must be protected as required by DWG # - conformity with the latest revisions of Nos.*Dead load code.Continuous lateral support is assumed(wall,floor beam,etc.).LP deflection includes adjustment factor for creep.Total load does not provide on-site inspection.This drawing must have an •A COPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET # deflection is Instantaneous. Architect's or Engineer's seat affixed to be considered an Engineering document. LP is a registered trademark of Louisiana-Pacific Corporation. File:CAProgram Files\LP\Wood-E Design\2010.1\WOODE.SPX VVLLUM NAJ I ALIA I-LUUK t$LAM MA Botello Lumber Company �i 2010.1 Allowable.Stress Design MSI: 0.38 NOTE: LOAD TABLE 4 PLIES 1.760 X 9.500 LP LVL295OFb-2.OE DESIGN CRITERIA VSI: 0.29 1. THIS COMPONENT IS DESIGNED TO SUPPORT ONLY DESIGN CONSISTS OF 4 - PLIES FASTENED RSI: 0.15 THE VERTICAL LOADS SHOWN VERIFICATION OF NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1). OTHER LOAD CASES TOGETHER (REFER TO'NOTES) LOADING,DEFLECTION LIMITATIONS,FRAMING FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. LIVE LOAD = 40 PSF METHODS,WIND AND SEISMIC BRACING;AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) DEAD LOAD = 10 PSF LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD LDF TOTAL LOAD 50 PSF THE RESPONSIBILITY OF THE PROJECT ENGINEER FT-IN-SX FT-IN-SX OR ARCHITECT. UNIFORM FLOOR LIVE TOP 387 PLF 07-04-00 08-08-12 1.00 - 2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM FLOOR LIVE TOP 387 PLF 00-08-00 07-04-00 1.00 FLR LEFT SPAN CARR. 0.00 FT LATERAL STABILITY. UNIFORM FLOOR LIVE TOP 243 PLF 00-00-00 09=06-00 1.00- FLR RIGHT SPAN CARR. 0.00 FT 3.DO NOT CUT,NOTCH OR DRILL LP LVL UNIFORM FLOOR DEAD TOP 196 PLF 00-00-00 09-06-00 0.90 4.SHIM ALL BEARINGS FOR FULL CONTACT. UNIFORM - FLOOR DEAD TOP 64 PLF 00-08-00 07-04-00 0.90 DEFLECTION CRITERIA 5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL UNIFORM FLOOR DEAD TOP. 64 PLF 07-04-00 08-08-12 0.90 LIVE LOAD DEFL:. L / 360 - TO SIZE. - UNIFORM ROOF LIVE TOP 63 PLF 02-00-00 08-08-12 1.15 TOTAL LOAD DEFL: L / 240 6.THIS LP LVL IS TO BE USED AS A FLOOR BEAM ONLY. UNIFORM ROOF LIVE TOP 62 PLF 00-08-00 02-00-00 1.15 7.COMPRESSION EDGE BRACING REQUIRED AT UNIFORM ROOF DEAD TOP 'F41 PLF 02-00-00 08-08-12 0.90 - CODE COMPLIANCES EACH END OF COMPONENT. UNIFORM ROOF DEAD TOP 40 PLF 00-08-00 02-00-00 0.90 REPORT # UNIFORM FLOOR DEAD TOP 35 PLF 00'08-00 08-08-12 0.90 - - ICC-ES ,ESR-1254 DESIGN ASSUMES COMPONENTS CARRIED ARE UNIFORM ROOF LIVE TOP -20 PLF 02-00-00 07-04-00 1.15 L.A. City RR-25167 APPLIED TO TOP EDGE OF LP LVL,SUCH THAT UNIFORM ROOF LIVE TOP -20 PLF 00-08-00 02-00-00 i.15 HUD 1214f LOAD IS DISTRIBUTED EQUALLY TO EACH PLY. UNIFORM WALL DEAD TOP 119 PLF 00-00-00 09-06-00 -0.90 CCMC 11518-R ATTACH ALL FOUR PLIES WITH 2 ROWS OF 1/2" UNIFORM BEAM WEIGHT 19 PLF 00-00-00 09-06-00 0.90 DIAMETER,ASTM GRADE A307 OR BETTER,BOLTS AT UNIFORM ROOF DEAD TOP - -13 PLF 02-00-00 07-04-00 0.90 24"OC.STAGGER ROWS.USE FLAT WASHERS UNIFORM ROOF DEAD TOP -13 PLF 00-08-00 02-00-00 0.90 UNDER BOLT HEAD AND NUT. UNIFORM ROOF LIVE TOP -10 PLF 07-04-00 08-08-12 1.15 - OPTIONAL TO AID IN FABRICATION:ATTACH TWO UNIFORM FLOOR LIVE TOP 7 PLF 00-08-00 08-08-12 1.00 PLIES WITH 2 ROWS OF 16d(3-1/2")NAILS AT UNIFORM ROOF DEAD TOP -6 PLF 07-04-00 08-08-12 0.90 24"OC.STAGGER ROWS.NAILS CAN BE DRIVEN UNIFORM FLOOR LIVE TOP -5 PLF 00-08-00 08-08-12 1.00 FROM ONE FACE OR HALF FROM EACH FACE. UNIFORM FLOOR DEAD TOP -1 PLF 00-08-00 08-08-12 0.90 ATTACH THE THIRD PLY TO ONE SIDE OF THE - DOUBLE WITH 2 ROWS OF 16d(3-1/2")NAILS WARNING NOTES: AT 24"OC.STAGGER ROWS.ATTACH THE FOURTH PLY TO OTHER SIDE WITH 2 ROWS OF 16d(3-112") THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS. NAILS AT 24"OC,STAGGER ROWS.NAILS MAY BE USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP I-JOISTS IS COMMON OR BOX NAILS WITH A MINIMUM SHANK STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW DIAMETER OF 0.131".16d SINKERS(3-1/4") BY A DESIGN PROFESSIONAL. MAY BE USED,BUT HALF MUST BE DRIVEN FROM EACH FACE WHEN ATTACHING THE FIRST TWO MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL PLIES BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, - ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS BEAM IS CAPABLE OF SUPPORTING THE REACTIONS. ANCHOR LP LVL FLOOR BEAM SECURELY TO BEARINGS OR HANGERS. ppq 387 �3 367 .196 lee Al- 6✓f. _ SUPPORT REACTIONS (LBS): 9.500 MAXIMUM BEAR I NG NUMBER- - 1 2 1.750 DOWN 4364 4326 3.500 UPLIFT --- --- .5.250 - 7.000 r MIN BEARING SIZES (IN-SX) CROSS SECTION 5- 8 5- 8 MAXIMUM DEFLECTIONS - CALCULATED ALLOWABLE LIVE LOAD 0.091, 0.30" *DEAD LOAD 0.081, " 8- 6- 0 TOTAL LOAD 0.15" 0.4511 - ,. ••'THIS DRAWING IS NOT TO SCALE•'• Handling&Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP I-Joist Specifications Software Provided By: 03iO4A0 IBC -Temporary and permanent bracing for holding component The use of this component shall be specified by the designer of the •Supports and connections for LP LVL,LP LSL,CTR and LPI to be specific applications. LP Engineered Wood ProduCYS plumb and for resisting lateral forces shall be designed and complete structure.Obtain all the necessary rode compliance approval •Common nails driven parallel to glue lines shall be spaced a minimum of 4"for 10d installed by others.No loads are to be applied to the and instructions from the designers of the complete structure before using and 3"for ad. Nashville,414 Union Street,Suite 2000 eet component until after all the framing and fastening are this component. If the design criteria listed above does not meet local •Do not cut,notch,drill or alter LP LVL,LP LSL and CTR,LP 1-Joists except as shown 37219 completed.At no time shall loads greater than design loads be building code requirements,do not use this design.When this drawing Is in published material from LP any use of LP LVL,LSL and CTR,LP I-Joists contrary Phone 800.515.7570 -applied to the component. signed and sealed,the structural design is approved as shown in this to the limits set forth hereon,negates any express warranty of the product and LP Fax 866.753.4369 drawing based on data provided by the customer. LP LVL,LP LSL and disclaims all implied warranties including the implied warranties of merchantability Design Criteria CTR,LP Hoists are made without camber and will deflect under load. and fitness for a particular use. r The design and material specified are in substantial Wood in direct contact with concrete must be protected as required by DWG # conformity with the latest revisions of NDS.•Dead load code.Continuous lateral support Is assumed(wall,Floor beam,etc.).LP deflection includes adjustment factor for creep.Total load does not provide on-site inspection.This drawing must have an •A COPY OF_THIS DRAWING IS TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET # deflection is instantaneous. Architect's or Engineer's seal afixetl to be considered an Engineering - document. LP is a registered trademark of Louisiana-Pacific Corporation. File:C:\Program Files\LP\Wood-E Design\2010.1\WOODE.SPX WELCH NASTAZIA GARAGE HEADER MA Botello Lumber Company 2010.1 Allowable Stress Design - MSI: 0.41 NOTE: LOAD TABLE 2 PLIES 1.750 X 14.000 LP LVL2950Fb-2.OE DESIGN CRITERIA VSI: 0.80 1. THIS COMPONENT IS DESIGNED TO SUPPORT ONLY NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE 1 OTHER LOAD CASES DESIGN CONSISTS OF 2 - PLIES FASTENED RSI: 0.32 THE VERTICAL LOADS SHOWN VERIFICATION OF (1) TOGETHER (REFER TO NOTES). LOADING,DEFLECTION LIMITATIONS,FRAMING FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. LIVE LOAD 90. PSF METHODS,WIND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) DEAD LOAD = 10 PSF LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD LDF - TOTAL LOAD _ 50 PSF THE RESPONSIBILITY OF THE PROJECT ENGINEER FT-IN-Sx FT-IN-SX - - OR ARCHITECT. - UNIFORM FLOOR LIVE TOP 300 PLF 00-00-00 21-06-00 1.00 - - 2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM- WALL DEAD TOP 80 PLF 00-00-00 21-06700 0.90 FLR LEFT SPAN CARR. 15.00 FT LATERAL STABILITY. UNIFORM FLOOR DEAD TOP 75 PLF 00-00-00 21-06-00 0.90 FLR RIGHT SPAN,CARR.` : '0.00 FT 3.DO NOT CUT,NOTCH OR DRILL LP LVL.- ,UNIFORM BEAM WEIGHT 14 PLF 00-00-00 21-06-00 0.90 - ' 4.SHIM ALL BEARINGS FOR FULL CONTACT. DEFLECTION CRITERIA.': 5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL WARNING NOTES: LIVE LOAD DEFL: L / 360 r TO SIZE. TOTAL LOAD DEFL: L / 240 6.THIS LP LVL IS TO BE USED AS A FLOOR BEAM ONLY. THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS. 7.COMPRESSION EDGE BRACING REQUIRED AT USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP I-JOISTS IS CODE COMPLIANCES EACH END OF COMPONENT. STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW REPORT >! BY A DESIGN PROFESSIONAL. I ICC-Es ESR-12541 DESIGN ASSUMES COMPONENTS CARRIED ARE L:A. City RR-25167. . APPLIED TO TOP EDGE OF LP LVL,SUCH THAT MINIMUM BEARING SIZES ARE SUFFICIENT TO.PREVENT CRUSHING OF THE LP LVL HUD 1214f LOAD IS DISTRIBUTED EQUALLY TO EACH PLY. BEAM AS DESIGNED.IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, CCMC 11518-R ATTACH THE TWO PLIES WITH 3 ROWS OF.16d ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS (3-1/2")NAILS AT 12"OC.STAGGER ROWS. BEAM IS CAPABLE OF SUPPORTING THE REACTIONS. NAILS CAN BE DRIVEN FROM ONE FACE OR HALF FROM EACH FACE. NAILS MAY BE COMMON OR PROVIDE ANCHORAGE FOR UPLIFT AT SUPPORTS.ANCHORAGE DETAIL TO BE BOX NAILS WITH A MINIMUM SHANK DIAMETER PROVIDED BY PROJECT DESIGNER. OF 0.131". 16d SINKERS(3-1/4")MAY BE USED,BUT HALF MUST BE DRIVEN FROM ANCHOR LP LVL FLOOR BEAM SECURELY TO BEARINGS OR HANGERS. EACH FACE. r 300 300 - ae ee SUPPORT REACTIONS (LBS) 19.000 MAXIMUM B E A R I N G N U M B E R - 1 2 3 4 1.750 - -- DOWN 0 10148 ' 10148 0 3.500, - UPLIFT 5395 --- --- 5395 CROSS SECTION MIN BEARING SIZES (IN -SX) . . 12- 0 12- 0 12- 0 12- 0 MAXIMUM DEFLECTIONS - - CALCULATED ALLOWABLE - - LIVE LOAD 0.101, 0.58.1 ' 2- 0- t *DEAD LOAD 0.08" 17- 6- 0 1IF 2- 0- 21- 6- 0 TOTAL LOAD 0.15 0.88" ""•THIS DRAWING IS NOT TO SCALE"•' Handling&Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP I-Joist Specifications Software Provided By: 03/04/10_ IBC Temporary and permanent bracing for holding component The use of this component shall be c specified o the designer of the •Supports and connections for LP LVL,LP LSL,CTR and LPl to be specific applications. LP Engineered Wood Products i plumb and for resisting lateral forces shall be designed and complete structure.Obtain all the necessary code compliance approval •Common nails driven parallel to glue lines shall be spaced a minimum of 4"for 1.Od 414 Union Street,Suite 2000 installed by others.No loads are to be applied to the and instructions from the designers of the complete structure before.using and 3"for ad.component until after all the framing and fastening are this component. If the tlesign criteria listed above does not meet local •Do not cut,notch,drill or alter LP LVL,LP LSL and CTR,LP WOWS except as shown Nashville.TN 37219 completed.At no time shall loads greater than design loads be building code requirements,dd not use this design.When this drawing is in published material from LP any use of LP LVL,LSL and CTR,LP I-Joists contrary Phone 800.515.7570 applied to the component. signed and sealed,the structural design is approved as shown in this to the limits set forth hereon,negales any express warranty of the product and LP Fax 866.753.4369 drawing based on data provided by the customer. LP LVL,LP LSL and disclaims all implied warranties including the implied warranties of merchantability i Design Criteria CTR,LP I-joists are made without camber and will deflect under load. and fitness for a particular use. The design and material specified are in substantial Wood in direct contact with concrete must be protected as required by DWG # conformity with the latest revisions of NDS.'Dead load code.Continuous lateral support Is assumed(wall,floor beam,etc.).LP deflection includes adjustment factor for creep.Total load does not provide on-site Inspection.This drawing must have an •A COPY OF THIS DRAWING Is TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET # deflection is instantaneous. Architect's or Engineer's seal afixed to be considered an Engineering document. LP is a registered trademark of Louisiana-Pacific Corporation. File:CAProgram Files\LP\Wood-E Design\2010.1\WOODE.SPX a SIMPSON STRONG-TIE' COMPANY, INC. www.strongtie.com The World's "No Equal"Structural Connector Company f ° (800)999-5099 n+ 5956 W.Las Positas Blvd., Pleasanton,CA 94588. Job Name: WELCH NASTAZIA Wall Name: Wall Line 1 Application: Garage Front - Design Criteria: *2006 International Bldg Code f *Wind \ *3000 psi concrete *Alternate Basic or Basic Load combinatioh 4 *ASD Design-Shear=6930 Ibs Selected Wall Solution: ....._...................._......._.....__....................... ......_............ .........._....._..._.._............._._....._..._.._..._._.;....._.._.__.__.._._.........._._...........-.._-._..-._.........................._.._......._.......................................... ........ ..... _.... _ End""" """I""" Total Axial """ """Actual Model Type i W" H T sill Anchor Load Uplift (in) (in) j (in) Anchor i Bolts i (Ibs) (Ibs) I' SSW21x9 Steel 21 105.25 i 3.5 ! N/A 2-V i 100 24880 lb ....................... "" ".....................$SW21x9 Steel `' 21 105.25 3.5 i N/A 2-1" 100 24880 lb ................................................_.............................:._. _......................................:.... ....._..._........._.........._..._._........__._._.................. i Actual Shear& Drift Distribution: l _ __.._.._..._.._._...-- ..._:_.._._.__...........__.._ .._:..:_......._.-_ _:_..: RR . i Actual Allowable Actual/ I Actual , Drift Model. Relative ! Shear Shear Allow Drift Limit Rigidity { (Ibs) (Ibs) Shear i (in) (in) _......................_._._.. -..._...__._..-" ....--......._......__..._................................._..._........................_........ .......__............_..........,......_<...................................!...........................................................:.................. . SSUV21x9 0.50 3465 < 3590 OK) i 0.9T i 0.50 1 0.60 SSW21x9 i 0.50 I 3465 < 3590 OK 0.97 0.50 0.60 ._............._-....._..........__ _._....__. 2-SSW2lx9 are OK along the same wall line. Notes: -Check that wall height"H"plus curb height(above slab)will attain overall rough header opening height(top of driveway slab to bottom of header). Disclaimer: It is the designees-responsibility to verify product suitability under applicable building codes. In order to verify code listed applications please refer to the appropriate product code reports at www.strongtie.com or contact Simpson Strong-Tie Co., Inc.at 1-800-999-5099. -- �, PAGE: OF: sK BRADFORD STEEL CO., INC.` PROJECT.' W& V= PROJECTNO; Economically Meeting Your Steel Needs . SUBJECT CALCULATED BY �DATE: ,1 ALL c { 1 CHECKED BY: DATE: : i I I : ; . : t _....7. ! _ _! - ° i ! ._..,.......!.._....I.._._i......._......_:...._. --- -- --- ——---- -_ 1 i _�...> - - i _ . 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Mr. Perry, This letter is in regards to the jobsitc located at 62 minaskin Rd.,Centerville,MA, The electrical wiring has heem secured in the;garage area so that the demo can proceed forward. Thank you, Steve Tullock abt?d 05LLZ9E80S TUIELO IS )IDO'I'I(ls SASZS V90:80 010Z'60 993 Tygue Reed 2/9/2010 Reed Plumbing&Heating Masbpee,MA 02649 508-477-3559 , RE:62 Dunaskin Rd.Demolition To:Thomas Perry,Town of Barnstable Building Commissioner, 1,Tygue Reed,owner of Reed Plumbing&Heating have inspected the premises at 62 Dunaskin Rd. Centerville,MA,in and around the garage and attic for gas piping.Having found no gas lines present in or around the garage,it is safe for demolition to commence with out worry of harming any gas lines. Tygue Reed Massachusetts- Depal Public Safct% 1 `� � Board ut'Buildin�� Rc'_ulatiuit. :uul Standards C;,nervjsof License: CS 83898 -Restricted to: 00 c DAVID C WHITE a 88 TREMONT ST MANSFIELD,MA 02048 ' a__ Expiration: 711=0 I r: 29M ( , mui•<i,mcr ✓fte �omv�„a u�rea�!/a "��"'u'�"` areg ou valid for indh idal use only Board of Building Regniaho4 and Standards License orSt! before the expiration date. if found return to: HOME IMPROVEMENT CONTRACTOR Board of Building Regulations and Standards Regqsti-a{ion: 142956 one Ashburton Place Rm 1301 oclAraflon—W712010 Tt# 269819 + Boston,ma.02108 -Type.Individual DAVID WHITE `` r DAVID WHITE __ — 88 TREMONT ST — Not valid without signature Admioish ator MANSFIELD,MA 02M• i T T � Town of Barnstable Regulatory Services f f BARN M� Thomas F Geiler,Director 1639. Faa 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 Property Owner Must Complete and Sign This Section If Using A Builder I, ��,{ • �q f��! cam;' , as Owner of the subject property hereby authorize DaWd &A I"le 1.7o b l el G h to act on my behalf, in all matters relative to work authorized by this building permit application for. !0 2 � v n�c 5�i v► � , C�en��w �� ('P (Address of Job) Signatur of Owner a A-) Print Name'. if Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. .1—11 c.n II rITC 0 DCD k4 ICCIn1.I Town of Barnstable o Regulatory Services Thomas F. Geiler,Director,- 16S9. `�� Building Division Tom Perry, Building Commissioner 200 Maiu Str6et; Hyannis,MA.02601 %-ww.town.b arnstable.rna.us Office: 508-862-403 8 Fax: 508-790-6230 HOM:E0RWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village ""HOMBOWNER": name home phone# workcpbone# CURRENT MAILING ADDRESS: city/town state ap 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 Supemsor. ! 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/sbe 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"(Scctian 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a pc sons)for hire to do such work,that such Homeowner shall act as supervisor." Many homcowncrs who use this exemption are unaware that they arc 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/hc.r responsibilities,many communities require,as part of the pamit application, that the homcowncr certify that hdshe understands the responsibilities of a Supmisor. 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:homccxcmpt TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Act;.. zol-,.'Application #Map 21 J, Parcel.'. AgioX,Health-Division Date Issued Conservation Division Application Fee ""Per�'Planning:Dept. `Permit FeeloZDate Definitive,Plan Approved by Planning Board Hist6ric - OKH Preservation Hyannis Project Street Address Village C-CA) EEOVIUC Owner IHOHA'5 V 15,47ACEM 5, NASTAS11 A Address &I bo'&)AsKiN R b Telephone Permit Request K M-'H E.0 F0 A PA RT hEO"( PER Fs P_ k4TH LEE 5, 45 TP$1 A W R P-1 Ok QAX Q MF6 OF OW ME: Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District� Rb Flood Plain Groundwater Overlay P(9ject Valuation000 Construction Type Lot Size 3;+Ac- Grandfathered: 0 Yes �No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family Ll Multi-Family(# units) Age of Existing Structure Historic House: Ll Yes N No On Old King's Highway: LJ Yes LJ No Basement Type: N Full Ll Crawl LJ Walkout D Other Basement Finished Area(sq.ft.), Basement Unfinished Area(sq.ft) 14o 2 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: W'Gas L3 Oil LJ Electric LJ Other Central Air: LJ Yes JrNo Fireplaces: Existing New Existing wood/coal stove: 0 Yes Iff No Detached garage: Ll existing Unew size—Pool: LJ existing Unew size Barn: Ll existing L3 new size Attached garage: a existing new size —Shed: LJ existing Ll new size Other: CD) Zoning Board of Appeals Authorization L1 Appeal # Recorded LJ C) Commercial LJ Yes No If yes, site plan review# _n e., Current Use Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) N66 Daill"d 4V41'fle Telephone Number .50 97 77& 2 44 3 4- Ae, ress :09 T rem owt Sf License # maos-f!� Id, HA Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO bed C4;/J-s I Inc- SIGNATURE DATE r t� f 1 " FOR OFFICIAL USE ONLY f APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER — t J DATE OF INSPECTION: a FOUNDATION FRAME INSULATION 'Z FIREPLACE ELECTRICAL: ROUGH FINAL - �-- PLUMBING: ROUGH FINAL P GAS: ROUGH °— FINAL s FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ,r 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 Lelyibl Name (Business/Organization/Individbal): DQ yr �'li Address: g %tywt©K`t City/State/Zip: Mgns el,00 Vw0phone.#: 502 776 2_q-q-:2j Are you an employer? Check the appropriate box: Type of project(required): L❑ I am a employer with 4. 0 I am a general`contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2:( I am a sole proprietor or partner listed on the attached sheet. T. XRemodeling ship and have no employees These sub-contractors have g. E] Demolition workingfor me in an capacity. employees and have workers' Y P t5'• 9. E]Building addition [No workers' comp. insurance comp. insurance.$ required.] S. 0 We are a corporation and its 101-1 Electrical repairs or additions . 3.❑ I'am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 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 outthe section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'.compensation policy 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 tip to$1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of.a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c rk under the p ins d penalties of perjury that the information provided above'is true and correct. A Si nature: Date: 2 / O Phone#: 502 77 1A,:- T4'3 Official use only. Do not write in this area, to be completed by city or town official. City or Town: PermitlLicense# Issuing Authority(circle one): L Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide(workers' compensation for their.employees. Pursuant to this statute,an employee is defined as "...every person in.the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than threeyapartments`and who-e'sides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152. §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license orpermit to operate a business or to construct buildings'in the commonwealth for any applicant who has not produced acceptable evidence of compliance with,the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance Nvith the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contcactor(s)name(s),.address(es) and phone.number(s) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confn ation of insurance.coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given.year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" i.he applicant should write"all locations in__(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner.or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, Please do not hesitate to give us a call. The Department's address,,telephone and fax number: . 5 t The Commonwealth of Massachusetts Department of lndustri.al Accidents ' Office of Investigations 600 Washington Street Boston, MA 02 111 Tel. # 617--727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 www.mass.gov/dia r Doc= 1s142P590 06-22-2010 9:53 BARNSTABLE LAND COURT REGISTRY Town of Barnstable Regulatory Services NRNSTABLE, Thomas F.Geiler,Director . �b = .•� Building Division QED MP'�e Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 62 DUNASKIN ROAD, CENTERVILLE, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in-Book , Page I ,or as Document No. , being shown on Assessors' Map 229 as Parcel 004, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment,which contains living quarters, is intended for use as a family apartment, for year-round occupancy. THE INTENDED AND AUTHORIZED USE OF THE APARTMENT IS FOR KATHLEEN S. NASTASIA, WIFE, AND THE INTENDED AND AUTHORIZED USE OF THE MAIN HOUSE IS FOR THOMAS NASTASIA. THE PROPERTY,OWNERS ARE KATHLEEN S. NASTASIA AND THOMAS NASTASIA. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would. require compliance with the Family Apartment Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or tiled at the Barnstable County Registry of Deeds/Land 0 `9 Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. ''ff WITNESS our hands and seals this �� day of 20 �v �Q TOWN OF BARNSTABLE ' . OWNER(S) Q By: dui ing Commissioner THE COMMONWEALTH OF MA ACHUSETT BARNSTABLE COUNTY, SS Date ' �'!d Then personally appeared the above-named (owner), . J ` and made oath as to the truth of the foregoing instrument,be e. otary Public/ev&? /1 ooWe j My Commission Expires UMSTABLE COUNTY REGISTRY OF DEEDS A TRUE COPY,ATTEST DunaskinRdQ dOHN F.MEADE REGI87�n BARNSTABLE REGISTRY OF DEEDS f: �p�HETo Town of Barnstable yT } Regulatory Services �'" '- Thomas F. Geiler,Director 1639. ) A,0 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 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property herebyauthonze Nod W thtlp a 9>0 bjC(L� to act on mybehalf, in all matters relative to work authorized by this building permit application for. 611 1JL)V\t.sKI'VI �� , Cte7\AIetjA" (Address of Job) Signature of Owner D to - �v►�VV�Q`3 � Cep �. Print Name if Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable Regulatory Services * anz3rtsrnst_,E, Thomas F. Geiler,Director * * "�"S . Building on i6 v ��� 4'ArFo r�t*+a 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: e villa number street g "HOMEOWNER": work hone 9 name home phone# P 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 orie 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 ,f 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 dQ 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, or. On the last page of this issue is a form currently used by homeowner certify that he/she understands the responsibilities of a Supervu p g that the ho fY several towns. You may care t amend and adopt such a form/certification for use inyour community. Q:\WPFILES\FORMS\homeexempt.DOC a� 1 Massachusetts- Department of Public Safeti Board of Building Regulations and Standards -� Construction Supervisor License License: CS 83898 Restricted to: 00 DAVID C WHITE 88 TREMONT ST MANSFIELD, MA 02048 �� ---� Expiration: 7/1/2010 ('Douai si ncr Ti#: 29228 ✓lze -F'am�na-;zcileal�i \ B(Iard.o;kMldingRegulatio[Is d na — - HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to:. Registration:_ 142956 Board of BuildingR ' Expiration,', egudations and Standards 6/7/2010 Tr# 269819 One Ashburton Place Rio 1301 Type: Individual Boston,Ma.02108 DAVID WHITE DAVID WHITE 88 TREMONT ST MANSFIELD,MA.02048 — ---�_ Administrator __ Not valid without signature Heritage Custom Building Co. Inc. P.O. Box 170 West Hyannisport, MA 02672 Tel. 508-776-3600 February 5, 2010 Town of Barnstable 367 Main Street Hyannis, MA 02601 Attention Tom Perry Re: Master bedroom addition over garage located at 62 Dunskin Road, Centerville Dear Tom, am planning to renovate the above referenced home which renovation will include combining two bedrooms into one bedroom, installation of a new kitchen and first floor bathroom, new roofing and siding, flooring and installation of a new boiler. In addition to the above, I plan to demolish the existing two-car garage and construct a new garage with a new living room, bedroom, and bathroom above the new garage. I need to do this work in two phases so that Dr. Nastasia can live in the finished suite above the garage while we renovate the existing home. Obviously he could not live in the main house while the kitchen, bathrooms, and plumbing are being reconfigured to connect to the new septic system in the front of the home. Enclosed is an application for the first phase of the building permit which consists of demolishing the existing garage and construction of a new two-car garage with a sitting room, full bathroom, and a master bedroom above the new garage. All of the old wooden structure will be removed as part of the demolition permit, but the existing block foundation will remain. We checked and there is a footing under the block foundation wall. I'm assuming I can drill and install foundation bolts to meet the current code. I don't want to remove the existing foundation, as that could have forced me to do a full filing with Conservation. There are currently two cesspools located behind the house, which will eventually be removed, with a new Title Five System being installed in front of the house as approved by the board of Health. My plan is to let Dr. Nastasia live in the existing home using the existing cesspools while I construct the garage and new rooms above the garage. When I'm building the new garage and rooms above I will also install the new three-bedroom Title'five Septic System in the front yard which will handle not only the discharge from the new garage, but will also handle the total discharge of the entire home's three bedrooms when everything is finished. I tell you this because I need to leave the existing cesspools in place for a short period of time even after the new system is installed because I cannot remove the cesspools until Dr. Nastasia is out of the main house and settled into the room above the garage. Once that happens, Heritage can remove the cesspools. If there are any questions or comments please call me at 508-776-3600. Very truly yours, ---------------------------------- Douglas W. Lebel . 1 r UNITEb'STAT & t�MsI E Wo • Sender: Please print your name, address, and ZIP+4 in this box' TOWN OF Bj�RSTABLB MMDING DIVISION MAIN Sr. IIYANNIS,MAO?r�p ��ili!lII3�iJIDl11llllil��ll!li�Ikll�!!i!!ill��1lilfll3liitil� SENDER: COMPLETE THIS SECTION MR1 COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A 'Sig to item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B R v by(P' Name) C. Date qf eli ■ Attach this card to the back of the mailpiece, ✓ V or on the,1ront if space permits. D. de very address different 'em 1? ❑Yes 1. Article Addressed to: If E ,enter delivery address below: ❑TNo 3. TYPe rtifled Mall ❑ Mail { ❑Registered Retum Receipt for Merchandise ❑Insured Mall C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number s f!7 O 11'•$ !a i (Transfer from service�atieq ' .a r i y 0 4 7 0 r 0 901 4 5 281105 i5105 - PS Form 3811,February 2004 Domestic Return Receipt ) 102595-02-M-1540 U.S. Postal Service CERTIFIED MAILT�.:, RECEIPT (DomestickMa`illOnly;No Insurance Cover. a rovided) I.6r delive,information visit our website_at,www.usps.E,-) ; s F���03800..,,_,rAugust 2006 See Reverse for Instructions Certified Mail Provides: to A mailing receipt ® A unique identifier for your mailpiece • A record of delivery kept by the Postal Service for two years Important Reinlnders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE1COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ©,For an additional fee,a Return Receipt maybe requested to provide proof ,of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee:Endorse mailpiece'Return Receipt Requested'.To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, deliveryemay be'restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement°Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,',detach and affix label with postage and mail. IMPORTANT.Save this reseiptand presenttit wherl,.making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-o2-0o0-go47 , THE FOLLOWING IS/ARE THE BEST IMAGES FROMPOOR , . - QUALITY ORIGINALS) IM G(�� L DATA TOW *�'�' ' U.S.POSTAGE>>PITNEY BOWES 200 a a Hyai +� ' ZIP 02601 $ 005.59 02 IV 11111 OOO i 361475 AUG. 03. 2(7•'1 1. a 7011 0470 0001 4525 5105 7011 0470 0001 4525 5105 ql o cn' cn map m R c o� �m N: Z2: � �o �� m • Oc> Thomas and Kathleen Natasia w �m am m m • 62 Dunaskin Rd. Centerville, MA Z-( 32 Z , m 3 1 ' m m y Town of Barnstable Regulatory Services + 9.MST"sLE, Mnsa �$ Thomas F. Geiler,.Director, i639 rEc► ' Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 8/3/11 Thomas and Kathleen Natasia 62 Dunaskin Rd. Centerville, MA Re: 69 Conners Road, Centerville,MA Dear Mr. or Mrs.Nastasia, - It has come to our attention that you have not responded to the letter sent to your property at 69 Conners Rd., Centerville. Enclosed you will find a copy. Please contact this department immediately and obtain all required permits and inspections to correct this matter. By order. A.J. Pulley Deputy Inspector of Wires CC. Health Department Thomas Perry Martin MacNeelly QAWPFILMA J.PULLEY\69connerspart28201 Ldoc THE FOLLOWING. IS/ARE THE BEST' ., IMAGES FROM POOR QUALITY ORIGINALS) I m Axc&,���v F. DATA J Ln n ft.l OF . ICI m Postage $ � d IHE may, Town. of RED Q Certified Fee SZ. PostmatR1 Regulatory c RetumReceiptFee ,=�. ti j awtexarwe11. l (Endorsement Required) \��\, • Thomas F. Geil i659 o RestrictedDeliveryFee rEn► '` Building D � (Endo cement Regwred) Thomas Perry,Buildir O Total Postage&Fees 200 Main Street, Hy& - - 3 Sent To www.town.barnss r3 LL, - - ---- ---- N Street,ApL No.. Office- 508-862-4038 or PO Box _. Z� ��/ ----- -- City State,ZI r Tomas and Kathleen Nastasia 62 Dunaskin Rd Centerville, MA 02632 Re: 69 Conners Road, Centerville,MA Dear Mr. or Mrs. Nastasia; On Saturday,May 29, 2011,the Centerville-Osterville-Marstons Mills Fire Department (COMM FD) called me over concerns they had after responding to a small kitchen fire at the above referenced address. I have made multiple attempts to reach you at the telephone number provided to me by COMM FD without avail. Pursuant to 527'CMR 12.0, I am sending you this letter. After visiting the tenants at the above address, and the facts given to me by the fire department, I have found that the range oven cord was incorrectly ran through the floor, and no electrical outlet exists behind the range for it to correctly plug into. This must be completed by a licensed electrician, and permitted by the Town of Barnstable in accordance with Massachusetts General Law. Additionally, I found the following:; 1. An abandoned electric range cable located in the ceiling of the basement was left improperly terminated and found to be energized by COMM FD at the time. This is an VWMENANT DANGER to persons residing within the dwelling, some of which are children. 2. An over-use of electrical sputters in the basement exists,which is a fire hazard. Electrical extension cords and multi-outlet spltters pose a risk of fire when their respective maximum wattage ratings are exceeded. Pg: 1 of 2- 3. An electrical receptacle located at the electric panel, and a light switch located at the top of the basement stairs has no cover plate. Cover plates are intended to create a limited fire barrier between the electrical components and surrounding . combustible materials,as well as reduce the risk of electrical shock. 4. There is a dryer receptacle with a supply cable entering a hole with no protection from its sharp edges. This poses a risk of fire. In the interest of public safety,please address these issues without delay. i can be reached at the above addres s if you have an . y questions. Sincerely, AJ Pulley, Deputy Wiring inspector C: COMM FD Health Dept. Wiring Inspector Residents of residence Q;\WPMLES\A.J.PULLEY\69conners2011AJElectrtcal.doc Pg. 2 of 2 . . REScheck Software Version 4.3.0 Compliance Certificate Project Title: HERITAGE GROUP, INC. Energy Code: 2006 IECC Location: Centerville(Barnstable), Massachusetts Construction Type: Single Family Conditioned Floor Area: 850 ft2 Glazing Area Percentage: 12% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: DUNSKIN RD CENTERVILLE,MA o t • � � '�� `yam "*� �`• � x�^< �s� .',' �,�` Compliance: Maximum UA:159 Your UA:154 Aft y."+ Ceiling 1:Flat Ceiling or Scissor Truss 610 38.0 0.0 18 Ceiling 2:Cathedral Ceiling(no attic) 120 30.0 0.0 4 Wall 1:Wood Frame, 16"o.c. 1150 19.0 0.0 61 Window 1:Wood Frame:Double Pane 118 0.320 38 SHGC:0.32 Door 1:Glass 21 0.250 5 SHGC:0.25 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 8.50 30.0 0.0 28 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permitplication.The proposed building has been designed to meet the 2006 IECC requirements in REScheck Version 4.3.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. N Signature Date r Project Title: HERITAGE GROUP, INC. Report date: 02/01/10 Data filename: Untitled.rck Page 1 of 3 Y , REScheck Software Version 4.3.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation. . Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Doors: ❑ Door 1:Glass,U-factor:0.250 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor.decking. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. E Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Project Title: HERITAGE GROUP, INC. Report date: 02/01/10 Data filename: Untitled.rck Page 2 of 3 i 0 Ducts in unconditioned spaces or outside the building are insulated to at least R-8. Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181 B. Cj Building framing cavities are not used as supply ducts. Cj Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Ej Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Circulating Service Hot Water Systems: O Circulating service hot water pipes are insulated to R-2. O Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Certificate: Cj A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) Project Title: HERITAGE GROUP, INC. Report date: 02/01/10 Data filename: Untitled.rck Page 3 of 3 2006 -I CC Energy Efficiency Certificate ot Ceiling/Roof 38.00 Wall 19.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.32 0.32 Door 0.25 0.25 Water Heater: Name: Date: Comments: 4/27/10 62 Dunaskin Road, Centerville Owner will apply for family apartment with construction for wet bar on second floor per Tom Perry. Was given application. Massachusetts Department of Environmental Protection OFTHEt Bureau of Resource Protection - WetlandsP` WPA Form 2 ® Determination of Applicability ' BARNSTABLE, p MAR& Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 �,Api639.a�0 FD PAA� and Chapter 237 of the Code of the Town of Barnstable DA- 10006 A. General Information Important: When filling out From: forms on the Barnstable computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Thomas Nastasia return key. Name Name 62 Dunaskin Road r� Mailing Address Mailing Address Cetnerville MA 02632 City/Town State Zip Code City/Town State Zip Code refum i 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents: Title 5 Site Plan, by 1 Daniel A. ala P.E. 11/30/09 O' Title Date Title Date Title Date 2. Date Request Filed: January 4, 2010 B. Determination Pursuant to the authority of M.G.L. c. 131, §40,the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation,and made the following . Determination. Project Description (if applicable): New garage with bedroom above to replace existing garage; Deck and 2nd-floor deck; Title-V septic system upgrade. Project Location: 62 Dunaskin Road Centerville Street Address Village 229 004 Assessors Map Number Assessors Parcel Number wpaform2.doc•Determination of Applicability •rev.10/5105 Page 1 of 5 Massachusetts Department of Environmental Protection WE P, Ll Bureau of Resource Protection - WetlandsP ®„ WPA r - Determination of Applicability HARNSCABLE � n1Ass. �w Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 $p>i6�9' FD M and Chapter 237 of the Code of the Town of Barnstable DA- 10006 B. Determination (cont.) The following Determinations)is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation(issued following submittal of Simplified Review ANRAD)has been received from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling,dredging,or altering of the area requires the filing of a Notice of Intent. ❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate.Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b.The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. i ❑ 3. The work described on referenced plan(s)and document(s)ent(s)is within an area subject to protection under the Act and will remove,fill, dredge,or alter that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s)and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act.Therefore,said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 5. The area and/or work described on referenced plan(s)and document(s)is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation wpaform2.doc-Determination of Applicability -rev.10/5/05 Page 2 of 5 it Massachusetts Department of Environmental Protection L Bureau of Resource Protection Wetlands� Form ® Determination o Applicability 9RARNgrA BLE,$ Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 �'p'EDM and Chapter 237 of the Code of the Town of Barnstable DA- 10006 De Determination (coot.) ❑ 6.The following area and/or work, if.any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s),which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c.for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located,the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability,work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department.Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1.The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2.The work described in the Request is within an area subject to protection under the Act, but will not remove,fill, dredge, or alter that area.Therefore,said work does not require the filing of a Notice of Intent. ® 3.The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act.Therefore,said work does not require the filing of.a Notice of Intent, subject to the following conditions (if any). }c_o,t -Is- --.a)-Sedimento shall be deployed along the work limit line prior to start-up; b) Roof runoff from nevv garage shall be directed to drywells or French drains; c) Prompt loaming/seeding of disturbed.-lawniis--r_equired,at the conclusion of the work. ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore,said work does not require the filing of a Notice of Intent, . unless and until said work alters an Area subject to protection under the Act. wpaform2.doc•Determination of Applicability•rev.10/5/05 Page 3 of 5 Massachusetts Department of Environmental Protection oFzw�, Bureau of Resource Protection - Wetlands FormWPA Ll ® Determination of Applicability ' _ UL MBLE. 9�A 16 9 �0 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 pEDtAPf 0. and Chapter 237 of the Code of the Town of Barnstable DA- 10006 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality I Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on Date: ® by certified mail, return receipt requested on f FEB ® 1 2010 Print Name Signature Date j This Determination is valid for three years from the date of issuance(except Determinations for C Vegetation Management Plans which are valid for the duration of the Plan).This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, i bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commission.A copy must be sent to the appropriate DEP Regional Office (see Attachment)and the property owner(if different from the applicant). Signatures: i On this 1 day of ti 20!©,before me r d 7ifiC�2. Personally Z,��e known to be the person described in and who executed the foregoing I � instrument and acknowledged that he/she executed the same as his/her e'a t and deed e%l ary e�:L/' 1E TE&�t�t;Jfb69�6 w v My co VA tCtCl: i OF Ps �,S�CI¢ SEf P5 U1YC01,44 1SSION EXPIRES 1K9.201S i Page 4 of 5 wpaforrn2.doc•Determination of Applicability •rev.10/5105 :r.i. i - I L71Massachusetts Department of Environmental Protection op 114Ep Bureau of Resource Protection - Wetlands WPA FormDetermination ®f Applicability BARNSTABLL Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 �'ppfDM���`� and Chapter 237 of the Code of the Town of Barnstable DA- 10006 D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done,or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see Attachment)to issue a Superseding Determination of Applicability.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and Fee Transmittal Form(see Request for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant.The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations,the Department of Environmental Protection has no appellate jurisdiction. I wpaform2.doc•Determination of Applicability •rev.10/5/05 Page 5 of 5 � a t j Y i e � f i F I r Do•=='1 s 142 y 59uu 06-22-2 0 10 9 e 5,3 -— BARNSTABLE LAND COURT REGISTRY THE Town of Barnstable ti - Regulatory Se`rvices MUMSTABLE, : Thomas F. Geiler,Director MASS. A %639. Building Division lfD MP'�s Tom Perry,Building Commissioner; 200 Main Street, Hyannis; MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 62 DUNASKIN ROAD, CENTERVILLE, MA, holding title'under a deed recorded with the Barnstable.County Registry of Deeds or ' Barnstable County District Registry of the Land Court in Book , Page , or as Document.No. being shown on Assessors' Map 229 as Parcel 004, hereby agree,. certify, warrant and represent to the Town of Barnstable that the accessoryattached apartment,which contains living quarters, is intended for use as a family apartment, for year-round occupancy. ' THE INTENDED AND AUTHORIZED USE OF THE APARTMENT IS FOR KATHLEEN S. NASTASIA, WIFE, AND THE INTENDED AND AUTHORIZED USE OF THE MAIN HOUSE. IS. FOR THOMAS NASTASIA. THE PROPERTY OWNERS ARE KATHLEEN S. NASTASIA AND THOMAS NASTASIA. This unit shall be used for a "Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations., This unit shall not be rented as an apartment or as a single room, or in any fashioni which rental ,would be a violation of the Town of Barnstable's rules, n regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of.occupants are to be recorded with the building department. This agreement shall.be updated whenever a,change occurs or every calendar year. i;. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land fl "3 Court for the'purpose of alerting future owners of thCproperty of this binding Agreement concerning the use . r F— of the property as herein stated. 6d The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this day.of 20 g. \j TOWN OF BARNSTABLE OWNER(S) By. ` vv Il� dui ing Commissioner THE COMMONWEALTH OF MA ACHUSETT BARNSTABLE COUNTY, SS Date' / .Z! Then=personally appeared the above-named (owner); J, / and. made oath as to the truth of the foregoing instrument, be e. Y otary Public l/tvxle. i7,,Weig. My Commission Expires: BARNSTABLE COUNTY REGISTRY OF DEEDS A��TRRU�UE"COPY,ATTEST DunaskinRA2 JOHN F.MEADE REG L: cp ST. BARNSTABLE REGISTRY OF DEEDS} d 2,0 0 I SMOKE DETECTORS REVIEWED EX�6T1^Ir fX1R/+.EK • DATE 1T pxR7.t)StON t MT#6U ILDING DE P • I � --- — t , FIRE DEPARTMENT. DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING ' I o IMPORTANT o UPGRADE REQUIRED :. � i t, _... ... - .. - __ _ ..�..��-.._..-...-...�..__..—.�..—.f........_-...-...—....._......._..._.. ... .. ..:..:. I _..,.,.. .. � �,., __—ate._ _...,. _ STATE BUILDING CODE REQUIRES THE UPGRADING OF . �. SMOKE DETECTORS FOR THE ENTIRE DIA1El.UNG WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR GATED. REQUIRED FOR THE Ill I NOTE: A SEPARATE-PERMrr IS t _ INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT DOES NOT SATISFY THIS REQUIREMENT. - _ I' III n.5bla/, T Stl„aCI.ES - Ii� TU n.nicH gx cl - - .. I;,. �� I !1 I '\:`� I,I ��-- - `.yla\iE cEnnrt -- _ -1-- I•. . , / \ I I I SV1441t5 I- `j .I 'III: Tv\gaiO�tw zone/�"1031u ��C I -- __--T••21new-____-__-_ O n,tu t - -- - - -- - I ismsr LJ ry ' I III I f I yl4N<�•.a".TQ.INso I-c I LI1 I-! .. �.. 1 I 1 Wc;.lPle6w - � FF'-OL-.T LlS`\/:T(0lV r—.—- -- --_.—. — _ -- _ _ - - --— I t _ R 14 L-IT.a-Ev/'J1 U N i tit_L��A I-\IXNV S:ANOL.12:,LN <K-O=aS21�5 Y.\v. ..ovco ev Bruce Devlin ,e:14-'-,b•. r Designe) ..Td:oer.zn� f —` 774-23"773 �r�nlTo�lds gRL7tR/.ZIpIJS CCP_ TE 2�CllJ nxX. C�1 oP een w8.Q7.FFP.l $ � Rnrrti45{'.SINE dJ 2.10 L4. - -ip' - I � yL.B GCq..U1ST5♦�'� !n35TR/.P111.15 .�' _ .. „'�`` -_�-_-_-� � - I 3STIL.FV 4{ ---� -�--_ R'J61NM.tFT!UN _'li.$u6EjROCK � if ��2"S4cpT CUCK '` I � - Ij ( 2+b 3rU175 w/R-151J3�1.._- F Is �2 d S1v05 V/4- 5 U�svl. - rn I N kGttc PlT�li t° _ .W!cUs EXIGiIuS Y Iv 1 .i/S"TsAS lug ct[yJR. }}11 3/4^TRS $Ug-F'IDUR __ � 2+10 JOlStS � 2F�0 JOTStS.{2"O.r- - li _ - - - c*L�abnt_ i I12"SWEETRUC.t< T_�• y - 5 6WSU c{ ' V le, T_G.60 SIJttT E('jcK • - _ Vi UD _ - a/a•TE ti Son.r- s FIS - F 1 �..�- :_ _ __ I_ -7 -_ _ - - _._... 2cb O.C.61LL♦v!6c.tI..E 1Z R IR lUsulnT{UN - - . L. --_.--- " i. L>`v 2'•T_H(S.eoWc.'selnrhu4� � r. � - EIRST_C-__LQQAp Yt)I­/Utl :-_ _ 5ECTI0N A A- Tl6rV_.70:6 - - . - ..�IZ EC3U.i'll//46"Mllal ISEiD..V - �. _--. vwtsw L J _:- _ _ A 2a CT —_f_ I Co . to1 O IIJI 1 - II / -C.IVN{7ni1UIJ PLAN a �•.THK.\NAIL ON !V. iiS"TIS✓,� •t9"Ms.l.hSe l.U"/Cnrt')l= �F°7>-� 2b 2` - O 2 _L_____ II ICI Vt LI.. ` w • ; �,tUtS -�w-y n�c nlnet�s1o45._ 'C SIB,.F.0 bU SHE@TV_UL'C\.♦ S Q I► tt S �I i _ .. .. —�J_-____.- � I 'O � ' NI4 s:E1 S7'I.gEM1•K\../;•.i..� HE.JI�\ I ��/ it .I - _ - - _--._.__ _. i I ' ke�wE oIJL F5il6TItIS 6E17ncn nn � � ..So .� G/Ti2/.CI.E O I CI=�cwL-.SPI.c'=- 1 ��- - ZBSt� 4"TU K.cUNt.slti3 Sv/ O NOTE:. 101. OC NL,KUUIJ„/`T'U:J.'tp gg IP!2N S�/e+c's Ttuc, Rt<Aall.F @x�sT I� 41 n �il 1 :I \ PREVIOUS FUUFu'l r.Trory U4e O ,t Y Vff i e4 ♦ i s1 (� W 1 .... `2secc Inh ov lo K " E o1-11L1I P" 7— � f 3'2 r-0 5 O_ � _b-4" 10-4•'J IO�q` .. `2.�. ty_6..10'IJEOI� __—' � 2m"F l� ER IStINS _....-.__—._._...._.._._...-_. .__ Imo--ne�rrwsT€vc't'/� NXST�'1/♦ {?ESIr`EtdCl_ Bruce Devlin eu.e:yq••-1o' ....aveoar: o w�ev 1'IO!E_GU4T¢/�cTUv,.Tb Ne¢IrY hIL°(n�Ela'�I WJ s Ou SILL... .. - DesignB ♦e'17l Cap09 �. 774-23"773 AnOITlG1U It A LJE R^7116N5 y.. I io''O.rs Ife.o4 SW.-.Eq O rmrm, 12 .; IIdLRv I I `v W!FIC - -I L .. v IbTS_lb;C3.t. _ _ Qom Ctcrv{.i:, All Ih yi I - - - - - � � 0 MT C3194��R,cz..�� N 1.&" 4.F" S-O- 1.6' 2.te' 26' :(•is 6.O' 4.9- QWR • - 6ECCJIIr� 1- P��l IJ _.... ---S.tCGLufjt C1C1R .� -- .. t . � � w•rl W.r.o2 10 v�n;.v nu n.nn ctln�o.;g o•.e.t5 - ' lJ/.STICZ�� ,�.�o511j�i�J« Bruce Devlin 14~.1-> Design® 77423"773 r — - i �i` ! R�! P�1 10 COHCLETE F SUg MIl'NI'III PERMIT APPLICATION i �_ a •:o's o 1 • AIVL C fr./n'. IYr rsn trc finis in 1-figh ff7nrl Arcas'I10 Nr/f)r IN-1 7-it, �I WC GuNe rn IYnoACnrrllrucrinn in High Ilinr1/1-as'1/Onyr)r WinAZoue '1 z'110 eMPH EXPOSURE B WIND'ZONE WRSS.1 L'1111SL[tS(_Ilccl(hs1101'Lnril fll lit llL'L'(7Fn(.nIR Massa ch usetts Ch ec Idis( foI,Corn 1)l Tan cc(780 CAI it a3n1:,1,1)1 (�Chs ._. .._... _. ..... .... Loadbearing WaU Conneclions 1.1 SCOPE - :. Complial Lateral(no.al IGd-Ton nails)..............................Tables 1 0 L\l R g le 2. neraf Nalgn Sclredufe ' Winds tl 3-sec. 1 Nun-Loadbearing1led Conneclions Speed( 9us)............................................................................................................110 mph `vL/. lateral(no.pf iGd common nails)-.............................(Table e).................................... / Number of Numberof Wind Exposure CategorY...................................................................................... 6 Y Load Bearing Wall Openings(record largest a .........-..._...'.�_ -v s ................................ pening but check all openings for..amp.... :o Ta 9 hie r .1 felt il Common Nails 130,Nalls I Nall spacing .............................. .....I.........Table 9 Flwder*vans �- ...,.... ... ( L............................... n b in s n' \/ 1.2 AP9LICABIIITY Sill Plate Spans ........................................................(Table 9)............................. � - Number of Stories(a raaf which exceeds B In 12 slope shall ba considered a slow) *tortes 5 2 stories ✓ Full Hei hl Studs(no.of studs) ............(Table 9).......... ' b In 5�11 - �___ _ _ -__ _ ____ Roof Pitch.......................................................................(Fig 21..................................... f). 512;12 Non-oad Bearin Wall Openin s(record largest opening but check elf Il _ J l L B 9 B 9 openings for como''ance'�Table 9 Blockin to Rafter - [ .(Fig 2 :.....................'{hS rt s 33' .( Header$pans...........,.............................................._(Tama 96...':•n.rzA...E...........4..I. L_m.s Ii' _✓ _[ Rim Board to Refler Entleniaidied - end Mean Pool Haight.......................................................... g )....................... 2-Bd 2 tOd each I 55 2-16d 3 t6d BuilJing W dth.W........... ................................(Fig 31..... .................�0 500 Sill Plate Spans r _ ( J each ' ..._ _............................frame s6_IJCK1;s..... 2 �In.s lz- _ Building LengtM1 L........................................... .(Flg 3)..............................................I R 5 80, .. Full Ide'gh(Sluds(no.1 studs)....... .....:...........(Table 91..:........:. ....:. Extend heoder to king stud - Building Aspect Ratio(LAM)... a.....................{Fig 4) ... ................ t 5 3:1 si Exterior W all Shealmn to Resist V lift and Shear SlmultaneouSl' - ""''-'�'- Nail top plate - aB Flallllll[I•• 1'k? ( _ -_- 'M4 '•t?'On, . Nominal Height of Tallest Opening ............................(Fig 4).....:Z.o.:.^R/iiE.L!W➢..4.-5 S(re, �/ Minimum But ding Dins-r-,.W y 1 to header TOP Pletee of Intersections Face-palled) 4-1 Ed I 5.16d `at Imo 1 Nominal Haight of Ta,lesl Openings �I.S " vncl 6d cols [ ••- - ._... s6'9' V i nos Stud to Stud(Face,nailed) 2.16d 2-16d 24'o.c. 1.3 FRAMING CONNECTlON9 ... Sheathing Type.............................................(note dl......... ..... ... I[i"O.F!.i .13•o c Header to Header(Face-nailed) 16d 16d I W o.c.a"edges 'General compliance wllh framing connecllens............ (Table 2)--..................................._...............,. Edge Nad Spaang.........................................(Tame 10 or note..if less):.............. ........_inin. Fieldr Co Spacing(no.....-::--d_,.,._..............(Table tO)................................................�_In. �L l 2.1 FOUNDATION Shear Connection(no.of 16tl common nails)(Table 10)...::..... .................... ......' ✓ - �• s Foundation Walls meting regUlrem¢ni9 or T80 CMR 1904/ Percent Foll Heigld$healhing .....:...........(Table 10) ..._...... t- y \/ � Joist to Sill,Top Plate or Girder(Toe-nailed)(Fig.14) j 4-8d • 4-10d per Jaisr Concrete ........................... .................................................................. ✓ 5%Addluoual Sheathing for Wa0 with Opening>6'8-(Design Cowepls).... Concre(e Masonry..........................._............................................_.................................................. ,N3 Maxlrnam 0wlding Dimension,L - ............. �� Blocking to Joist(Toe-nailed) 2-8d 2-1 Od each end Nominal Heigld or T.tI s Opening'...................................................................G,8--6'8- �[ i Blocking to Sill or Top Plate(Toe-nailed) 3-16d 4-1 Ed each block 2.2 ANCHORAGE TO FOUNDATION•'' - Sliealhin I. 1 5/B'Anchor Bolls Imbedded or 5/e'Proprietary Mechanical Anchors as en alternaltva In concrete only g ype......_......._........_..................(note 4)............._.....- f�Ld45 all ) , Edge Nan Spacing................:........................(Tame I I or note 4 if less).,,.__,.---_....,.._In.- v I Ledger Strip to Beam or err(Fa 4-t6d - each Joist Bolt Spacing-general.........................................(Table 4)............................................. .-i 0 In: -,� Field Nan Spacing.........................................(Table l l)........-.:..........-_......_.-...-_........:.�.in. Z Joist on Letlger to Beem(Toe-nailed)n 3'8d 3-1 Od Per Joist Boll Spacing from endr,.iot of plate.....:....................(Fla 5)....................,,........_._Ci In.s6--.1£_. V c ed Percent Connection(no,of hin common......(Table t 1)............_................_.._...... ✓ _ Bait Embedment-concrete.......................................(Fig 5).............................._.............. In.a s' )[ Percent Full-Hei Ill Sheathing -g g...................._(fable I t)......................._... • r Band Joist to Joist(End-nailed)(Fig.14) 3•t6d 4-t 6d per Joist Bolt Embedment-masonry...................................._(Fig 5).......................................... 1 In.z 15 Y 5%Additional Sheathing for Wall wills O mc,pI,).. S s" �. Plate Washer............... ............................(Fig 5).................... ...........-23"z 3'x'/.' ,�( 9 Opening>6'B'Oesl Carsce Is..................... }J INTERIOR Top Plate(roe-nailed)(Fit.14) 2-16d 3-t Fir( per foot - -- -- ----r Wan Cladding Band Joist to Sill or( 9^ P ) VIEW OF 3.1 FLOORS - _ Paled Ier Wmtl Speed?.., .... ...................... OPENING Floor framing member spans checketl.......................(per 780 CMR Chapter 55)............,... ...... 5.1 ROOFS - n _ -, �Wood od St u trusses Panels --- Maximum Floor Opening'Dimension......... :.......... ..(Ran) .,,,, - .................. L R S 12' ,[ f - GARAGE Full Hclghl Wall Souls at Floor Openings less than 2'from Exterior Wall(Fig 6).....:.. ....... Root tram ng member spans checked?...._.. ......(For Ravers use AWr'S'/n Tool,see BBRS Website) Insloll spaced W t0 led 6•eege/,6 Held 9 e8 6 BC 18'O.C..r """"""" ,`' Roof Overhang ...(Figure 191... 7 7 0 Maxi Hum Floor Joist Sefbacks - - +smaller ol2'or L/3 �/ 6upporlmg Loadbear ng Walls or Shearwall..............lFlg 7)..................................................-Il 5 d �( Tress or Raiser Conneclions al Loadbearing Wells - _ 1000-Ib shop -' I - - patters ondwall trusses spaced truss s /o g 8d tOd 8 etlge/6•Held Maximum Cantilevered Floor Joists PropnalaU Cannectvrs r , - Supporting Loodbeann Walls or SM1earwall............(Fig 8....................... ..:.... a 5d f� upon........:. - .............(ramp 121............. ..V=n1��If p g g ) - sts_rP gable endwell rake or rake truss w/atruqurel erheng fid 10d 6'edge/6'field .... Lateral..... (Table 12) l= pis ....................... .............. ....................... Floor Bracing al Endwalls......................................:..........(Fig 9)................................................................ .y +1.�a�- Floor Sheathing Type_........_....:.....................................(Per 700 CMR Chapter 55)....................�._........ -� Shear......._.....__............................(Table 121......_....-... 5=J1INf oullwkere ------••-• - 2 anchor twits wish Fbor Sheathing Thickness ...............................per 780 CMR Chapter 65 ..::: -i .�/ (Table -1fZ ag min.2•x 2•x 3/I b• gable endweli rake or rake trusts w/lookout blocks Bd 1 Dd 4'edge/4'Held g ............._ ( P )................ Infield Gable Ra a Outloolker,if wear ties not used Per... 2f... ble 1J ._. ... T- 1/. .��..� -_..-�_.._. Page 1. .. ...... -�/ Fbor Sheathing Fastening--- - -ITable.21.,�.d nailsat�-In.edge/� ._ (figure 20J _rftsmaller ol2'or Ll2 Pieter washers ,((; r;. �_;,-., yT.T".o;'f �`J)_...;.•; Trusser Rafter Conneclions at NonL.adbeadng Walls Neil corner studs together ( •'�'�•'� 1t "�t• '' I' ;�' 4.1 WALLS - Proprietary Co c(ors - Gypsum Wallboard - Well Heigl,tt UPTin'-: _ ,..........._._.......(Tame f 4)..........._.._ _.,,.._.,U= ..?Ib 2 rows of 16d a1 24•o.c. 7'edge/ Loedb ,mg w'ills:............................................(Fig R 510' Colonel- ( o116d 000;m^n nalls)..ITob 1d)......... ......................l=l( _Ib. -V Non-Lamnbeem,Ig;wails.. ..... ................................(Fig l O and Table S)....._.......I Z+-R 5 20' -/ Rwf SheaMing Type_.........._.................................(per yfIO CMR Chapters Sa�0d 591--------: Stod an", I to - Wall Stud spacing ....................................................(Fig lO and Table 5)..................U;In,S24'... y Raol She:Uhirg Thickness:..__.._..__.__............._.._........I............_-._.._._____Yi in.27/I6'WSP - support interior finish Wood Structural Panels Set coolare 1fY field Wall St.ry,01affct, ...........................:..(Fla.768)_........_....................._.......�R S.d V Nol¢s: Rwf SheaUhing Fastening-..__..............................,_._(Ta�e 2)...__........_... D ,4 Studs a o24 led edge el .. _._...._. ._.-.- Gypsum * to a spaced up t 'o.c. Bd 8' 2'field 4-2 EXTERIOR WALLS* 1. This checklist shall be met in Its entirety,excluding the Specific'xceplion noted in 2,to comply Wilt the requirements of ed el optional *Pt r as2 1/2'and 25/32'Fiberboard Panels 8d1 - 3'edge/6'field TOO CMR 5301.2.1-/H 1 1f the cheddhA Is met in Its entkel ,en the fellbwi ' Woad adb.. Y� rg metal straps and hold dawns am not - $ .• _ r l.oatlbwring wolfs......... ..............................(Table 5l:-:--------:...2z�-ZRIn. �- required per the WFCM 110 Ph Guido- b'o.c. -- r 1 _ field Nan-Loadbearing walls.............. .(Tame S)............ ....2�-1R 1^. V - e. Srea161raps per Figure 5 ;•'.7 Gable End Wall Bracing / b. 20 Gage Straps per Fg-11 - • n. Fell Height Endwall Studs......................:............IFig 10)............................................ ........... c. UpaR Oman.per Rgore ld u --'-'Ypsum _ ... ., _._..-.. ._ _.WSP_Mile Floor Length............ ._:..............._(FI9 111...._............... .....:....._R iW/3 � d, All Straps Per Fl9ure 17. r 6d b13'o.c. 4J Wood Structural Panels - Gypsum Coll lug Length(it WSP not used). .........._(Rg 11)..............:...:............_R z 0.9W a Corner Stud Hold Downs Per Figure 1Ba and Figure tBb ER DETAIL) - - Sd coo era e Brace Q 6 R o.O„(Fig Ili.. i 2. Exception:Opening heights or op to 8 R.shall be gumnilled when 5%is added lu the percent fuad,elghl sheathing �I 'PLAN VIEW OF CORN AIL). � � 1•or less Bit led 6'edge/12'field Ulf r , and 2 x 4 Continuous Lateral B / - y requirements shown M Tables 10 and 11. or/ 3 ceiling furdng strips®16'spacing min.wile 2 z 4 blaekinp®4 R.s➢aelrg In smdjoisl or truss bays - greater men 1' 10d I 16d 8•edge/8'Held Double Top Platte - i 3. The bottom sill plate N eide4or waXs5ha0 be a minimum 21n.nominal Thickness pressure treated g2ymde. S ace Length .......... ..............................(Fi 13 and Table 6) .............................8-it V .._ _ - ---. - - ---- -- - --- ... 1 Corrosion resistant 1 I gage mean nails and 18 n staples a permitted,check IBC for eddllonal requirements. P 9 .- _ , g ate re ems eck C-_ 9 9 9a9 D p Spllca ConnMlan(w.af lFid common nails(-�•••---(Tame el.......................: �..............(j„ y -................. Nal Is.Unless othorwlse stated,slue given for netts:am common whole slue.Box and Pneumatic nails of equWel at lie meter and equal or greater length to Use specaled common ne0s may be eub.11hr ed unless otheans m pmhlbltM kTY RMFA t'rTCNtc$IOV _ - i if c 10 F I '2-`8h nyn'R fUtn l2Rs _ - 5 V -=�61 fxY75Ly F:I H:B_Cllr15. f7RIP EO4E . •• J I 1 �i Ik _17X6C Si A- \v.r,5R1 CA it Ll:5 O"t '.J, ,•'"..._ -j.<e SOhFrt',w/vEUT 2-.:B = flz Cis.reR �~ N -Z,A',T'.5111<�✓cl-A�lr\ � � t - \ �T TrS FttISYE 6,rY•Qr3 ON - t I510"A A,4c HUR AULTS HEn r3ER CCOcs T.) it; LA 107 I �Ir Z 10 hnnr_R5 -IL Rri TILL t7E1'•Ci�Cir,f..:. .c �. SO1 t=.1� L�E_1J �l_�il,�,=t.'o.,.� i4lSrF.•. RCIC)F= 7fL A fv Cy Qi4",l_O-� rxhn nuo cKtrd�l )•1-rctluq Pc,LT5 1,rc V 51 tloo lu Tr:,EKls it t/_I Cu�un, or N/.STx'7.IA RE.SII)c DICE - Bruce Devlin aa4,a:�<,�7.:m aPPea ea..: ➢a.whe. Design® ➢.1a:1� r. ( , 1 774-23"773 /1i57f�1 S,i>. s �L.IE R/•)lL1i_I> - wtnn nw en L - - LET-41 y I ; Bruce, e vile _ si w • . ( p` _ AA.� ICJ. 5 Oi_. .yam i CNI t 1 i ' d _ , ZY rn vn i r - I a -f 1 1 Ez+6TIu_ pofLr.ER I ((jj(( M I A J q 005 px ILN)SIoN , � fi _ T - I _--- �� �/ ,(W hS crL.ITEQ I I I' % I , f � I - __-. `._ I ,. • j n.Sl"+/ELT Su�.�;ut5_ - _ - _- _- __ „ -. II \ i�o w-n1cH tri,cnu5 - - �1, . _, .. L_ .' `• ..• ,-. :. ill• � _ �j l''l1 7T \^�� w.•, _ ___ __ ___--_— _— _ i r i -Loll !i .. - - III!TY,Pj3�0/7\v 2t+.4fa/�v1i�E1C,\{ i:. __ Kw,.n� u c,t ------ I IDEND I U\4H c7`•b�_'tttJ,N50 � L 11,•I �'• 'bA L�1 1 j I I IU3 Ud'�Xt5f�u4 NEv Gcxa.��l.UJE-� ' . FROI•�T-LULVKT(ON --- - -- - — - — - - - - y rl- - - - s r RI4t4FEL_-V/.?)0N t� till\.n Hl7U\vS=/.NI7 L•12:L=N �1c0 V=R��-S T.\v. •. _ ._ -_ Bruce Devlin — -- DesignO o 6:OE-,Z,Og 774-23"773 �r7nlTo;IJS g TE2F.Tolds Ir. fi • II t'•x l'ri't_rt p1fYE—__—_____— \ I `�i)�4•.LVL R.il)yE Q.. ------------ .CTC7FJ2$ ..... ..._ T �\ r•2"Su Ftu wi o1J 2x�o -_2<8 I70CMER FnrtERS ` JOrSlS . Ly BCL.S.JUI ST STy/,PV1,J5 _ 1 •Z- ��2'S4kCTP X•'i — � • — )' I s f-- r S 4U3yl,¢giSU7 �ZS up5.V/R•13.1IJSYL. --- .N t qq ��--yy TB- . j - — ---__RY - ! /•uacGP EXI6l WCt .—_. ____-. _ IT. STLR V1TE S. - , ;3/6"T@ 12"Q 1, Bb R 3/d^TRS SU3.F"c, .a 'O J c-, • eTRnrul � G1 - � Cta.E a.tJ/`L. i2"SWEt_TRIJCI< Z I>S STrtTnVl I ° 7— z - I �Iol vc�titi Snz t__ - I { - 3/4•TIL boa.r-tAufq �. . nt,7�30t5t5 I F - P--Iq 1U4ULnTtUN - - _ - �LL1V'2"T1Ji4.0041 c,"IOCt�US� � - SECTION A Z- i StCTl6_N_;,15 B - ,C.cr,Z EC3 t�46,Mlla.lyEi0.y 4.0- - I : Do - -=_- t h I M t�t��' kl rcLiGIJ '' r� C.IVN17n11 PL AN CT4K.wnitbN 1:4•K KLI. G 4 0 I 1' - — 1�1 U(�. �O{3�/�T-I 4'Y AIL I71 hEN S1U L15_ _ - z'. z 2 � -�---- I 5 e� s'Tlc,.,. ae..l•.a,.,.r�eLo,..�nn�t � u _j 1 ..L�I r�--- _ II � Iz _ r • SIG"F.E.GU SP EETC_Ut k a-a_S —1 ---.—I p 4 a 1e.336TL.iEr •`ie•.Qtrwrs a cN�vn 1Z&-L'/E MJQ EXl6t1U{REDO -, j — roC- Q- L-SP/�C CI=J.w 29Ra. '4"TUK.CUN G.Sati3��/ O - I :NOTE:. TO OF NL v CUU'J"/"'t"J Tb 9E MV fC1.1 I I �v/t+c'�T,ur, RW-dKA @X'ST,kI{ Sang 26 z I I I CUr LKiSt,nli�vtaL t5O"^J�o w.7 Rs', < •g I' PRE'V1Ous FOII )A-r Unl V WE- I d I ' n I, .. I ak- a. __ ---_ ��- h • C � � �2)14"a n • - - SEc0,W7 F'Lao t-m:SEE Qt:Tx,1_TI', f M - • 10-Q..___._. 10 9•. s4 - _ y.Z.6.. 16.6"10 OC7f! .:26..: }7117-.S 1._ �"����L�,T�.- _: � ^ I. � q 6;,�.. 216• __-_ - I_ - _ --- _. 216 ER IST,US Ire-.'ZSC-1. -Ua�"2ms—re'LC'1-(6•J 1 w IY"izerfa.,en hanST�°I/, pESl�Elacts t -- Bruce Devlin note:ly4" c •°°"omo e.: NOTE.Cr,U'7ancTUo.T v¢ y ltL 1)`m N-JSItW40u SIR=. - Designe a 77423"773 o%f)l TIGIU 4./.LTF R A71,1,r.l c g' lhi t i c kiltUE41 I: 2 it, Z.W rs.I6 b�; SUuvEq O _ i Gn like, ME., - IR 16TI,AG-Olt IsLL J Ell 1 11 r -- --- - I .. .N C31v°i;R•�z..�t.t 2.0' a.6- 5.0- 1-6' 2.G'� 26' :{_J•' G.p• 4.q• S(L-CQIJI� F'COL)R T'LJI�IJ_ • 7 4 cU•��Y+.J•_r.o2 To WIr4/•il n.V.FIJ^Ip�lj ole.Tr .. Iliks ZI7 kiS+rC+Jcc r 'Bruce Devlin ,:.,,.I •-•�•• Design® 774-238-0773 ��_niolas �:�,ek/ 7101 l CC`1_Tl`r`'1ll_r /.• on.�wu.a wuyPew APPLICANT TO C0111161E 6 SURNIT WITH PERMIT APPLICATION - - Alr'Cr:nidr u,of rid Cnmhuai",in Fffgn Fr•7nr1,1 ar '110 n uh IN 17-of ,� `� r - ^c a - _', - >�•'.h'.- _. I ll'C G„hie rn H'nuA Cnrnerrvelin,r in High fl'nir/slrcns:l/O nyrh If'ind Znrte ,{' 8 u' IliaaMPH EXPOSURE IS WIND ZONE�lassaclitisetts Checklist Fof"Cornphi.tllel'(7Rn(.MR5.1111,2.1.1)r IVFR6SaCh(ISCttS CIieCICIISt IDI C(1111I)IIHBL'C(7a0cniR�illl.i.l.1)i .. - cllr ._. ... .. _ .. _ .. Coin Ch, Loadbearing Wall Connections p Lateral no.of led common nails). .... Tables 7. W -_C\i R ✓ a e 2,Centel Nallln Schedule 1.1 SCOPE ( ( ) -_S:at.. N'......E..... ...L A 9 Non-Loadbearing Wall Connections Wind SpeedExpos(reset.gory). ..... ..... .. .. ....110 mph Lateral(no,of 16d common nailsla _ .;but..(Table 8).. -- Wand Exposure Category.. .... ." ....B � ... ... ..... _ —/ Load Bearing Wall Openings(record largest st open rig but check as o 1'- v Header SPans ............ .. ....(Table 9)Pen or c an. r Numb1 mgs 1 ompli T 1.2 AJ?FLICABILITV Silt Plate Spans .-. ......... ,,,(Table 9), �- Nu:nber al Stories(a roof which exceeds gin 12 slope shall be consldered a story)_ stories 5 2 stories ✓ Fetl Hei hi Studs(na o!studs) .... (Table 9J 2 n rein S 11' )1 ,� it-X I2-Sid Nails box Roof Pltch ... ,.(Fig 2), .. .... f 7 512.12 7- Non-Load Bearing Wall Openings(record largest opening but check all openings for coma'+nee:+Te013e 9) Mean Rool Height ....... .... ..... ..(Fig 2).., .... �n 5 33' 1 Header Spans ..... .... .... (Table 91 G'OaZn..C. ...., R rl (=in 5 ITrni r of Numbbi of Blocking to Rafter Building Width,W ... ..3 G ll 5 so, Sin Plate spans. .(Table 9) IJGY.;! - - - .....(Fi 3.. ....... - 1 Ri Board to Rafter End allayed i 2-lfid I - g ) - """"" .--2_ i slz' ( ) 3-16d I each end 1 Building length,L ............ .. ...(Fig 3).. .... ..aL S Bo' _' Full height Studs(no.of studs)...._............ ............(Table's)-- .. ('ii �� Edend header to king stud 1flT:'i �= -'� "-T- - —r'-^--fir.-T•- -.,-,- 1 9 ( 1 - .(Fig 4).. .-.................................T_5 3:1 V Exterior Well Sheathing to Resist Uplift and Shear Simullanevusty' _ '"�- Nailllah pinta 11 •K.-^I)-- Building Aspect Ratio lNV ,/ " :!Weg.Rsm� --T•T Nominal Height of Tallest Openings .IFi 4.. ...1._tARA5£..11021T5.. "56'e" - t 1 --- g ) �(L. �/ Minimum Building Dimension,w o ceder To Plates at Interseellons Feee-nailed - f 4'Rd - I ) Nominal Height of Tetlesl OPenings ..... •1,i with Dv rows ) S-i6d at Joints i 4.J F,RAM,NO CONNECTIONS Sheathing Type..... ................................(note 4).....,..... '"('""r"" s G'B" d 16d nails - Stud t0 Stud(Face-nailed)( _ -'Rd 2.16d General compliance with homing connections ............(Table 2).......... .. ..... ............ Edge Nall SV,6ng, ... (Table 10 or note 4 if I J Q _in at 3'e.c - Header to Header(Face-nailed) i6d' 16tl 18.O.C.ebflg edgeg i 2.t FOUNDATION Field Nai:SpaunS..... ....._......(Table l0)...... .. .Sri-In. �L✓ ; 1 i .i.�: n�,�„j. I..'%..., Concrete.,.,. ems of TO CMR 5404.1 Shear Cahneclion(no al 16dhin common nails)(Table 10) ........ _ , Percent Full Hei Id Shealhin . (Toole 10 4 Foundallon Walls macros requirements - •• 5'/a Adddional r Wan w lh p 6 ( ' S P Ste Or Gild tT n, ( g ) 4-Bd _ )�.- .. ..... c y y, Joist to ill,Too I er oe-a'letl) FI.14 Sheath for O enirig> •8'Design Corxepis).._._... �• 4 10tl per joist Concfele Masonry. ................ ............................................................. ......_ .. ...... N_ Maximum Building Dimension,L """'�'•' �� � W., Blocking to Joist(Toe-nailed) 2-ed 2-10d each end 2.2 ANCHORAGE TO FOUNDATION" Nominal Height of TaaeSt Opening,., r%L 6.8- Blocking to Sill or Top Plate(Toe-nailed) 3-1 ad 4_ y_ 16 5/8'Anchor Bolls imbedtled or 6/9'Pioprielary Mechanical Anchors as an alternative in concrete only Sheathing Typen ........(note 4)...... .. _I/ZOBS_ � all ...................... trip 70 In: Edge Nail spacing...................._._..... (Table Ili or nole 4 if less)........ . in. edger Led t0 Beam or Girder(Face-naffed) 3-16d 4-10d each lost iable 4.......................:.- ............. / Field..it Spacing......._........ . Boll Spacing-9enerdl.... .. .... .........._(� ) .....:.... ",.1L .. Table ll ........� Boll Spacing ham end/rainy of plate...... ....... ..(Fig fi).... CZ-Irt 5 fi'-.1F _•J ""•'lads( ) ............................ ---. In Z/ I Joist On Ledger to Beam(Toe-nailed) - 3-10d per Joist ^"'''"'- Shear Connection (/ ....... (Fig 5 ..B In.a 7' (no a hin common na...(Table 11) ......,,...:.. 3 Ed p Boll Embedment-concrete...... .... ) ..........:. .. �[ y, percent FWIJielght Sheathing...._. ... Die i 1 -••- - _ ' Band Joist to Joist(End-nailed)(Fig.14) 3-16d - 4-16tl 1 Boll Embedment-masonry• • ••• (rig - •• In. 15' `1 Additional Sheathing ,Wall it ( ign t�- ,SS .rye _y .i � � per J0151 Pieta Washer.. ...............(Fig 5)....... .......23'x 3'x Y." w h Opening>6'8"(Design Concepts).........,.,... Band Joist to Sill or To Plate oe-nailed Fi 14 2-i6d ...•.• .,.......,.•.., .•,........ SY A Ain to, �- i INTERIOR P (T )( £ ) 3-i6d loot ' Wall Cladding 3.1 FLOORS Rated for Wind Speed?_...................................... ....... .. ................._.............. Floor framing member spans checked ......' ..(per 760 CMR Chapter%)... .......... - OPE APanels -- Maximum Floor Opening Dimension.. ............ ............(Fig 6)............................. ,..1 ft.s 12' y/r s.t ROOFS - Full Height Wvli 6Dids el T-loor Openings less then 2'from Exerior Well(Fig 6)..... ..... .... - Roof homing member spans checketl?.... ......(Fw Raoers use AW!':Span Tool,see BBRS Websile) s r 59e ,C, per foot OF ' GARAGE �-- Roof Overhang .....(Figure 19 1 " 1 Install • NIN WraHers o bums s sp ced up 10 18 o ed 10tl 6'edge/6'field G ..... l'4.�smaller of t'or L/3 - -•. --"� :: ,.. Maximum Floor Joist Setbacks -/ L 'b ) .e 1 g00-Ile shop �: rafters Or trusses spaced Over 16-O.c. 8d .J! Truss or Rarler hmy Conn.e al Loadbearing wens gable entlwgli.rake or rake truss w/o gable blierhang Bd 10d 13'edge/8'field Supponmg Loadbearing Walls or Shearwall.. ,.(Fig T) ' ..._It 5 d proprietary Connectors Maximum Cantilevered floor Joist, ^ _ supppning Loadbearing Wall SI e u._n -..(Flg e) ._n sa [� upl n:.... .... .(Table tzJ. ..... .. ._.Uz s6'PI1 `� gable endwail rake or rake Wss w/structural 8d 10d 6'edge/6'field Floor Bracing at Endwalls........... ...................(Fig 91 ............ ................ .... .... Table 121.......... .. L= E•plf -t7 4 g-,/ Lateral Spear. outlookers Floor Sheathing Type .............'...............................IPer 780 CMR Chapter fi5)..... .... .....,.. -� ge 1 able I �-+r1.. ._... 2 ..................... ....Se_LL rill 2 an both with _ Riabl Slrak Connections,if collar Des not used 2f.,. _,__„-. .__._T- f I min.2'x 2'x 3/16' able endwall rake or rake Wes w/lookout blocks 8tl Floor Sheathing Thickness ..................:....................._..'(Tab e82 CMR Chaails at 6).........._.......:'.In in. 1/ .• _ per page (Table tJ). _y.Z pt - 4 r 9 _ _ rod 4'edge/4'field Floor Sh¢elhm Fastening in.ed / i field Gable Rake Outiooker.............. _Fi ore "+' --'•^' 9 9................................_..............( I.1.. tln �_ ge ..t.Z_n �� ........_............Wa( 9 20).......... Alssmaller of 2'or U2 _ Plot.washers �n,,,E,.,;•.r'.r�.iii�'._ Truss a Rafter Co 1 1 Nan{oadDeanrig Walls �. Nail corner studs together - - 1 _ 4.1 WALLS ProPdelary Co d Well Helghll - UPI n ..................._....-----(Table.i) ...... 2 rows of 16d al 24'0.,. Gypsum Wallboard ), COolere - 7"edge/l0'field (.oadbearing wall' ............................(Fig lO and Table fi).......:........... R 510' �/ L'leret(no of i6d common nails)..(Tabld 14).................. ....0 eIIO N. / - • n E� Non-loasllbee wall FI 10 and Table 5 �.:i R 520' V -Roof Sheat ing Type_ ............................ ••- - y �i,`e', _ R3 ................................("9 )................) -/ ... ...........(Per�'80 CMR Cha01ers 58 arq 59) ........ Sludp honey to Will Stud Spacing FI 10 and Table 5........... In 624'o.c Raof Sheathi Thickness: _ P.......................................... .... ......,...+.._._._.-._........_..- L n...7/I6'WSP I cuPpod inlerior knish Wood SINCIUIaI Panels Wa1181ory'�(fsW ._.-_.._.............:...........................(FI8s7881......................:...................�M1 sd _V Rtrol Sheaulin9 Fastening_..__.._.............._.__....._...(Table 2)...____...._....-..-...- .__... studs spaced u0 to 24'o.c. Bd 10d 6'edge/12'field Nolen: I Gypsum 1 _ 1. This dmcklisl shall be met in fts entirety,excluding the specif exception noted in 2,to comply will,the requirements of oplionol 1/2'and 25/32'Fiberboard Panels Edit 3'edge/6'field 4.2 EXTERIOR WALLS' - Wood S Wdhl 780 CMR 5301.2.1.1 Item I.If me checklist Is met fn its en6m(yVnI the following metal shops and hard downs are not ad al i '"•K' - Loedbearin9 wens.........................._..._...................-(Table 51........................_.2x�-Z rt In. required per IM WFCM 110 mph Guide: _ -b'o.c - Nan.Loadbealin its. ( )............. ` - / Y.__" g wa ..... ......... .............lade 5 ...........-._2%� Z R 1 �/ a_ Steel Straps per Flgwe 5 J Gypsum Wallboard Coo 7'edge/10'field Gable End Wall Bracing' - b. 20 Gage Straps Par Figure 11 '^,•" -' , (1/2 �I k I o .Full Height Cndwall Studs......... ......................(Fig Iv).... ........................................ .. .::. e. UPRR Straps Per Rgum 14 m Wal.o .. 1 9"'a i.! ..•�n. ' _WSP�1t1ic Floor len9lh....... ...... ....... ....(Fig 11).........................................._R z1N/3 - d. All Sips Per Flgure 17 ad at s'o.c. Wood SINCIURII Panels Gypsum Calling Length(it WSP not used)...... ..(Fig 11)............................. ....._ft 2O 9W e- Comet Stud Hold Downs per Figure 18.and Figure 1Bb and 2 x 4 Continuous Lateral Brace 6IL o.0..(Fl it'. ............................... .. = 2. Exce tram i her h c '-LAN VIEW OF CORNER DETAIL) 1'Or less Bd 1 Od 6•edge/12'field ,,i 9 ID Ofsen rig g h of up l0 0 fl.shall begevnitted when 5%is adEetl to the Der aril fullJleighl sheafidrlg greater than i' I 10d I 16d I 'etlge/6'geld or 1 x 3 aching fwdng ships(M I W spacing min.WM 2 x 4 blocking®4 ft.spacing In endfolit or truss baysy requirements showm in Tables 10 and i l Double Top Prate - e m sin plate In exterior wags Shan be a minimum 2 in,nominal thickness pressure,treated R2-grade. / 3 The bona - Spice Length ................................_..................-(Fig 13 and Table 6)...................................B-ft _V - ._.-.. - . ..__ C b I t ..IT.e Splice Connection(no.of led mmrtmn nail• -..(Table 6)........:............................................(jam �/ - "-- ' i afros n ran 51an 11 gage rooiing na s antl 169agri Staples era pemdtteQ chock IBC for atldlional requirements. -- - --- - - Nails.Unless otherwise stated,sizes given for nelh..are common wire share.Box and Pneumatic palls o1 troulaalem • llameter and equal er greater length to the Specified common nails may bo substituted unless otherwise prohiblte, 1 ,. 4 �ds.nl3er,°R h�latas F4. ' .•�;,!--.- ASP1JAlT Sl+lwl SlE$ Ili I� L II. - . SC➢-13 iwccl�c---- - - nq, (}lJ'A.0-CLIVS_ _ -'F,�e"T/.l TNLIp ED4E - __ — — __ __ E k15Tt IJC,0.1n GE .1 - ,cl - 4 •l \V.r,$HI„14105 ON. _ NE-EA_b CI A_ �� g'rvdk ua.eCiLU,.L • �` I y ._ fSGRME 1?A-tee -1F F.T.SI II,.r�TOAcL Fi. i. I • I -i;<S Flb1F2E F,W 4r)6i+.t>.d IA.,w ri/4°Lk G•LE,l4E ..'}�' I516"A A1JCNu0.AULTS Cbo^ <..� cx_R NE%`r)ER I�,.,COU T.) �""• 1'�- // - �i-/ 3"x3".ai/n" TU K•P�ZEJ - _ �— rC� ,,AAA r,1�5LA�a__ - F•— J . 7­10 VA-P p5 $tll.. r7E1A iL Li'-.,..,,.o..), 5Ur--k:L T.__t�l`f_ �l_.CIr,L„_L o..,�.. RGC)F FR/.!•lily c; wa-�1:o_) to tzcct+¢s 1-c—Re"LT5 F�r.s IIa S"li0Y1WT0 EKls ll./=1 rU�wb, b - 1 is VV1,5Th7.IA .Rk51t,�1,jCG Bruce Devlin Design® 77423"773 ii1)7fnLT,i>. g ALI(z-R{.1 tL`I_ APPLICANT iil.COMPLETE F'r'SUOMIT WITH PERMIT APPLICATION AIPC G"irlr/u It'-d Cnnar uclinn in Fligh Fraud Ar cnJ.:110-ph IN I Z. ,f � x a EXPOSURE B WIND ZONEi M.gSSaclntsCttS(,IICCi(li$t 1'01-Cnrn III i}face(7NtCnin53p1:2.1.1), MRSSBC11"SettS CheddiSt 1*01'C(InII)Ii Ince(YaO CNIR ctoLLla)' - Ch, L--bearing wan Cpnneclons ... - - .. 1.1 SCOPE , Compli°' Lateral(no of l6d common Tads) -(Table.7) •_c-},W t•kL1LER L able2.General Nel Schedule Nun t-dbealmg W all Cpnneclions -� Wind Speed(3-sec.gust). ...... „. - ...110 mph Laleral(no.of 16d common nails)- ... ..._(Tabs 91 ` - Wind Exposure Category.. .._ -, ..8 - Load eeanng wall Open ngs(record largest oven ng but check a openings for camp)any -leg) t 1.2 APPLI CASILITV Sell Plate SPans .. (Tabl gl- - 2-It b m5 it ng ads,so Number pr Stories(a loaf which exceeds a in 12 slope chall be conslde,ed a story)''lodes s 2 stories ✓ " )' it sit, I ' F„s Heighl Studs 01 of SlWsl.. ....... ............ (TALI g) "'- Z G in Roof Pitch .. ... (Fig 2) ... ... 1/. 512.12 Z Non load Bearing W-11 Openings(record largest opening but check all openings far comp'.nce Tab -- _ 'Mean Real Haight ....... .... ..... ...(Fig 2). .... ....p`.iSit a3,, 1 Header SPans .......- ,..... (Table 9l-s~dlLn.5.la ... 4 ft (� st2Rim - -10d each and- Building Width,W .....(Fig 3t. ... .. a ...M rt.80 Sill Plate Spnns _.......... .. (Table 91,.b7 G>G!!3" h in _ 1 oard to Rafter(End-nailed) 2 1t3d 3-16d each end Bin ding Length L .. ... .. .(Fig 3). ... ..�R s60' �% Full 1lei lent scads(no Wawds)...-........ - ....2- nh.s,z- - 1 Buddin Aspect fta[lo VVJ .(Fits 4). 9 ..... (Table 91-- �� Edend header to king surd e pee ( 1 ..... l 5 3:1 V Exterior Wall Sliealhing[o Resist Uplift and Shear 5,mnllanepusI' "- ^'O1"°P plate .':(IVetl,Framin-p. �:rss'•` Nominal He9ht of Tallest Opening' .(Fig 4J.. :1a C7.'Rh4F..PO7P.f.�T(]'S6'B' �/ Minimum a✓Iding Oimans an,w y to header �•:T'--:' -- Nominal Heighl of Tallest Openin' mote<)........... 5 G'e' with two laws Top Plates Of intersections(Face-nailed) 4-16d 5-'I'd at)olrhts j 1.J FRAMING CONNECRONS ' Sheathing Type . . g .- - f'-' ^ , �' ^ vl 16d naib Stud IO$Nit(Face-nfliled) 2-16d 2-16d General compliant,with framing connections ............(Table 2) ........ ..... ....... Edge Nall Spacing., - (Tab 10 or note 4 if I - - -"� 01 3'e.e Header t0 Header(Face-nailed) 16d 160 18'O.C.-9lorlg 2.1 FOUNDATION - Fia)d Nail Spacing.. _.... (T b1e 10).:.......... ) -in �/ mj� r Fwndallon Wails meeting requ,emeuts or rat CMR 6404.1 Shear Cohnecti n(,a of i6d common nalls)(Table 10) ...... T' �L • Percent Full.N.igfil Sheathing........... ._(Table 10)... �� J .1:� '!• 1 Concrete.. ..... ... ... ... wag p ( Joist to Sill,Top Plate or Girder(Toe-nailed)(Fig.14) 4-8d-. 4-10d, joist s%Additional Sheathingfor ... '-"with 0 en rg>fi'B"(Design COncepB per I ConcfeleMaspniy. ..... ........ ........................ ........................ ...... .... - - 90 )._._........ T; _ 1 t r ,Ply Maximum Bhi leing Dimension,L �� . !'+d- ..�_. Blocking to Joist(Toe-nailed) 2-Bd 2-1Od each end- ' Npmmal He sill of Tales[Opening', riA 2.2 ANCHORAGE TO FOUNDATION" "" .. 4 6_-6'a' i Blocking to$I11 Or Top Plate Toe-Tolled _ Sdge Nail Type. .........._.. (To(e 4).:.. ........................... i - ( ) 3-16d "4-16d each block 5/9'Anchor Bolts imbedded or 5/B'...,printery Mechanical Anchors as an alternative..convele only Ed Nail 5 '"" •^�2_OBS -� II - BoltSPacing-general................... ..............(Tebl 41 .........,............. .-10 In: .1L/ 9e Spacing....... Table,. t 4'ftess).........._.. er a ) each Boll SPacii g from end/joint of plate. (Fig 5)........... . -4- _In.S 6--.12_ `�J Field Nail SDaang....or l d I...... (Table i t) ................... �- V """'" """""'- Sllear Connection "•--' (- Bnit Embedment-conerele....,.. ..........(Fig 5).. .....9 In.2 7' �[ (To,of hin common nag..Cr.b1e 41) "_ Z/ _ Joist Beam .... .... _..................... U tOd Per Joist "' Percent FURJdeighl Sheathing..._....._. (Table i 1 ............................ ...�i- , Band Joist Joist(End-nailed)(Fig.)14) a 3-16d 4- Bolf Embedment-masonry.. ...... .. ............(Fig S)....... ........................... 1Sn.215' -L _ 5%Additonal Sheathing II ) -. "- -""' T. •a - ( i6d per(Oieil Plate Washer.... ( 9 )......... ..22'x 3'z%' ,ea ping for Wall with Opening>6'B"(Design Concerns).._......._._ -�7 (`� Band Joist t0 Sill or To Plate oe-nailed R 14 2-16d ...................................................Fi 5 ...................._........ .� Wall Cladding .._ � INTERIOR P (T )(FIG. ) 3-16d per foot ].t FLOORS Rated for Wind SPeed7............'........................... ......... _...._...... .. _ _...... - GARAGE GE Floor rimmingmember s ens checked ...... ..(per 780 CMR Chapter 55).. - - t mein P .,. ����'�R 512' � 5.1 ROOFS � �� ���� OPENING � �q �Wood Structural Panels -Maximum Floor Opening Dimension ... ........(Fig 6).................... ..1- �r - Fun Heigh(W-II Shld-It Floor OPenin lose then 2'frem Exterior Well Fig 6)..... ... y Rool Tram ng member spans 1,edied2... .....(For RaRers use AWr c'an TDOI,see BBRS Websile) � ,•1 - rafters or trusses spaced U to IS'O.L, eel 10d 6'edge/6'fi@lel as I Maximum Floor Joist setbacks : / Roof Overhang .................... ....(Figure 19)-. err l'+'molly dr Z«V3 1000l supporting Loadbearing Walls or Sheewall.. _(Fig 7) �(! Truss or Ramer Conn ' """' 1000-Ib zho . actions el Loadbearrr, wens p � _ rafters or trusses spaced over 16'o c .... ...-rt s d g Bd� 10d 4'edge/4•field "' P-prial Can " MaziSupp°rtingl Loedbea'Ingr-allss or Shearw'all.... (Fig 9).... .. ar/' .. 1. - - V 11 gable¢nUwell rake or rake(m60 W/O gable mrerheng 8d 10tl 8'edge/6'field .... ........ n sit L1L./_ UrniR..:. '(T al 12 ....... Floor Bracing al Endwalls............... .........................(Fig g)........... ................................:.... y Laleral .(Table l2)........ _ .)b gable endwall rake pr rake Wsa w/structural eel tOd 6'edge/6'Held Floor Sheathing Type .....................(per 700 CMR Chaplet 55).......... ............. -� Shea... ..........................(Table 12).....-.... ...5=��pit -� outleake15 Floor Sheathing Thickness..................................::.......(per 780 CMR Chapter 55)............. in- �� Ridge Strap Connections Ucollar ties not used Per page 21...(Table iJ). ,T=IL.7 Pit - •r 2 anchor bolls with -----•- --- min.2'.2-x 3/16' -sable endwall rake or rake Wss w/lookout blocks 8d 10d 4'edge/4'field Fla., Sheall,mg Fastening.....................:........_................(Table 2l..ad nails at CC) I_LLin field -V Gable Rake Oultalker.........--------........:........._.._..(Figure 20).......... _,R Ssmalier or 2'or tl2 v - ''•-"--"^' - --�--, g Truss Or Rafter Cpnneclions al Non{oadbeadn Walls plate washers ( - ., 9 � Nail corner studs together 1 - •��'' 4.1 WALLS Pmpdelary COnneclars --- -- - - - Wall Heyhlt - UGGn:: (i )' ,-- r s of 16d pt 24'e.c. G 90m Wallboard -_..__._. _._..._. _.....(Table.l4 ......_..... _ u Yb. YP Sd coolers T edge//0'field Loadbeering w'a[is'................... ........................(Fig 10 and Table 5).....................�rt 510' �) Oieml(ie of 16d common nails).(Ta 14) ...... ........ ...1-llp Ib. f !p N°nJ-oandibee6 wails..............................:.............(Fig lO and Table 5)..................I.Z:::-R 5201 -V Roof SheaNhg Type_........................................_.__(Pot BOCMR Cho tars 5a 59 - �• - p )....-...._. op mtenpr finish T� rut Wag SIUd Spacing .:....................................................(Fig 10 and Table 5)..................1So.In.524'o.e. y Roof SheaOdrg Thiekness:....___-_...._.._........_.._._..__....._....-.--_..__-._..-Yd in.27ri6'WSP 2 0 Slvd Wall Stp •06(fslh .(Flgs 7 a 8 a 5 d RZ(Sheati Fastenin - Wood Structural Panels ry. .__-........................................ 1.............. V m9 9-.._..._...................._....._..(Table 2)...__.._...._....__..._.-___...______. f support' Notes: 1 Gypsum� _ studs spaced up to 24'o.c. Bd. tOd 6'edge/12'field 4.2 EXTERIOR WALLS' '1. This checklist shall be at In its entirety.eschn ing the spedf exception noted in 2,to comply with the requirements of optional ' Wood Stud4 Tao CMR 5301.2.1.1 lien,1.V the cheatisl is met in as enitrely)hen the following metal straps and hold do-are net ( ed of ) % 1 an 2 Fiberboard Panels Sell - 3'edge/6'field Los walls.....................................................(Table'S1........................_.2xg-7 t In. �. required per lM WFCM 110 mph Guide: 6' Non-Laadbearin Its. / -r«--- -g wa _..................... ...............(iaw.5)............................2z�-Zrt In. �/ a. Steel Silo..'par Figure 5 )` / 1/2'Gypsum Wallboard Sal coolers T edge/l0'field Gable End Wall Bracing' b. 20 Gage straps pv Figure I d Full Height Endwat Studs.....................................(Fig10 ................................................... ✓ c. UpfiA Straps Per Figure WSPJuIIc Floor Length.......... ...... ............(Fl911)...................-......................._R 2W/3 C d. ,UI Stra s erFl rei7 B at 3'o.e Structural I II2 O.gw P P 9u 1. d d r Gypsum Ceigng Length g!WSP not used)........ _(fig 11)........... .................. e. Comer SWd Hold Downs per Figure 10a and Fgwe.l Bb - + 00 St ue u!a Panels •r•. and 2 x 4 CCrtimmus Lateral Brace 0 6 a a O.(Fig 11;................... ... i 2. E ceplion:Opening heights O(up to 0 It shall be permitted when 5%is added to the percent MI-tie,ghl sheathing "LAN VIEW OF CORNER DETAIL) - W1.Or less t Bd :Od- or 6'edge/12'Oeld t •T ,and 1 x 3 ceiling tuning strips 0y 16'zpacinp mirk.with 2.4 blocking®4 R.spacing In endjolil or(* bays mgl,irements shown in Tables 10 and l,. - - (� greeter than 1' - I 10tl 6d I e'edge/6'held DwNe Tpp..fate 3. The bo(inm sill plate In ails(or wags sha0 be a minimum 2 in.nominal thickness Pr'sure treated 02-grade. Splice Length .....................................................(Fig 13 and Table 6)...................................8-ft Vr _ __ n e "- --" - - -- - "- 1 Corrosion reslslenl 11 a raofln nails erN i6 Splice Connedion(no.of 16d common nags.. .....(Table 6)......................._.,,,.........:..............(ja gage g n gag,Staples am permitted.check IBC for adQlbnai requirements. "- -- - ' - Nails.Unless otherwlas stated,sizes given for nalls:are common wire Sim.Box and pneumatic nails of equNelant ` tlemeter and equal or greater length to the specified common malls may be substituted unless otherahm pmhlbller ,) ' - - • .fX,PJ±PR E�'TEN(>SIOv WFTF'Rs .1 �..s non/„;q tu>=Ttas ASPtI/.LT SHIU4lG5If0i . I+xp",..1 2"4L f - "StfApS(SIJ FJ.B-C11P5- - �N- Thl fJCIP ErJ4E ,gjjF! ! _ EKLSTstic,2104E ��•1 s-'s Ir...v.T...-__. •` -. \v.r,SNIr1 c.Lcs ON. _.....- 1 1 , --.. ....- _.--- _ .. '. ixa r-xacln � � bi� e�-rEg -J� (:{_ i '2-a P',r.Sill,:�t.L'Aill\ I \ TtS F1tlELE FiW 41J 0i,i 114. U.L,G,LT-'L4E Igla id A,JCHun,AULTS Cat" <..� HEti OHR Cc 0`•i T.) ) i �1'* Ir�lr-t- /i i� of �LO CKiiJ kTI F tvc+ b Polls r'✓r,c V,Sr'n 1.1.00 st 1nST1 1/ FFtr anpeepa .� C Bruce Devlin Design® 77423"773 YSTEM OMPONE SHALL SYSTEM PROFILE MMAARKED WITHCMAGNETIC TAPE OR BE NOTES PROVIDE MIN. 20 DIAM. WATERTIGHT (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS APPROX. NGVD ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 45.75 PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 2. MUNICIPAL WATER IS EXISTING Pia Ph�nneYs \ Great h 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. F •._ 45.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIROVER SYSTEM 45.0 s' MIN. DIAM. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST rt PRECAST H-10 I RISERS (TYP.) UNITS TO BE AASHO H-10 2'0 4"O-CH40 PVC 2" DOUBLE WAS D PEASTONE PIPES LEVEL 1ST 2' 5. PIPE JOINTS TO BE MADE WATERTIGHT. I 1. OR GEOTEXTILE �AI ' � ,-- 42.5 Cocos _ P \�*42.75 10» 1500 GAL H-10 14" .y 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE f�o� WITH 310 CMR 15.000 (TITLE V.) a s (PROP.) 42.50' TEE SEPTIC TANK TEE 2.25' ' 0 0 0 0 0 6" MIN. SUMP c t�2,0 M0 0 GASH ti °°0000°oo°o°o0 12" MIN. INT. DIM. g °- 2 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND " 42.18' 42.01' 000 40.0 NOT TO BE USED FOR LOT LINE STAKING OR ANY n a : 4 LIQ. LEVEL (ACME OR EQUAL) .; OTHER PURPOSE. .. o°o 0 0 0 0•'0•o o•o 0 0 0 0•0 or o 0 0 0 0 H-20 3050 INFILTRATORS o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o°o » +°o°,o°,o°0o°oo0o�o°000°o°o°o�o�o„o„o�o°oo°o° 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC.'. 3/4" TO 1 1/2" DOUBLE WASHED STONE a 5° 6" CRUSHED STONE OR MECHANICAL 9. COMPONENTS NOT TO BE BACKFILLED OR �2 X SLOPE) COMPACTION. (15.221 [2]) OVERALL DIMENSIONS TO OUTSIDE OF STONE: 30.4' X 10.25' CONCEALED WITHOUT INSPECTION BY BOARD OF oo� cJ' HEALTH AND PERMISSION OBTAINED FROM BOARD ( % SLOPE) ( 1 X SLOPE) OF HEALTH. 1 *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS CALLING DIGSAFE (1-888-344-7233) AND PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF BOTTOM TH-1 & TH-2 350' WORK. ' . LEACHING NO GROUNDWATER FOUND ASSESSORS MAP 229 PARCEL 4 FOUNDATION 12' SEPTIC TANK 7' D' BOX 3' FACILITY 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. LOCUS IS WITHIN AP DISTRICT & ESTUARINE PROTECTION DISTRICT 12. EXISTING CESSPOOLS SHALL BE PUMPED AND I EGE I D /` 7•i 6 SAND OR PUMPED AND FILLED WITH CLEAN ZONING: RD-1 I_ I V 13. WETLAND FLAGGED BY HAMLYN CONSULTING FRONT: 30' 99- EXISTING CONTOUR SIDE: 10' / 14. GUTTERS AND DOWNSPOUTS TO DRYWELLS X 99.f EXIST. SPOT ELEV. PROPOSED CONTOUR .48 198 4 3 39.05 � , PROP. NEW GARAGE IN PLACE OF PROPOSED SPOT EL. �� ��, EXISTING (BEDROOM ABOVE) SYSTEM DESIGN. PROP. 18' x TH1 P 10 DECK NO NET INCREASE IN BEDROOMS TEST HOLE 37. 42.01 GARBAGE DISPOSER IS NOT ALLOWED 2� SLOPE OF GROUND G N' A� UTILITY POLE - LONG POND o DESIGN FLOW: 3 BEDROOMS 0110 GPD = 330 GPD Tr BENCH MARK - TOP of BRICK USE A 330 GPD DESIGN FLOW 9_ STOOP ELEVATION = 45.7 FIRE HYDRANT WATER ELEV. = 27.3 28.7 i A,) ND NOTE: T ALL SYMBOLS MAY APPEAR IN DRWNc / 0 7 0 x .7 `�.`V� SEPTIC TANK: 330 GPD (2) = 660 ice; _ .�__w--_�_.. �_ .__ ._ ;-.__... __ i. n;ss _.�•r:�_. _ -,_ - 27 X ♦ a 43 9 USE 1500 GAL. h-10 SEPTIC TANK TEST HOLE LOGSI'll, I x LEACHING: 4 2 s. 44.63 SIDES: 2(30.4 +10.25) 1.85 (.74) = 111.3 GPD ARNE H. OJALA PE, SE i 82 LOT 6 44.50 ENGINEER: t 4 .8s / 3 .4o BOTTOM 30.4 x 10.25 (.74) = 230 GPD WITNESS: DAVID W. STANTON, RS26 35.o s8 �♦ ) TOTAL: P 461 S.F. 341.3 GPD /43.47 DATE: 11/6/09 / #5 ^h 44 1 t'i0. .7 .48 / USE (4) H-20 3050 INFILTRATORS, PERC. RATE _ < 2 MIN/INCH �' 7.97 !� h qO oe� PAVED DRIVE / WITH 1' STONE AT ENDS AND 3' AT SIDES CLASS I SOILS P# 12747 X 34. 4 x 79 ��.�� 45 �• O O<cr O 44.67 ^� "..79 8.76 / 1 Q 1 ELEV. z ELEV. ♦ / �3�s, 1 Q" 4 45.0' Q" 45.0' .44 / ?) 44.32/ A A 5. 316' 44.2(2 G �✓ LS LS M A 45. 44.39 , 10YR 2/1 10YR 2/1 APPROVED DATE BOARD OF HEALTH 8" 8" ' AS4.92 /44.45 B B S� 3.57 / NOTE: oR TVEHICLE NOT TITLE 5 SITE PLAN LS LS PROP. WORK LIMIT LINE q�R�Hx 45.30^ �� /44.66 PLUMBING TO BE RE-ROUTED OF TO EXIT AT ELEVATION SHOWN 26" 10YR 6/4 42.8' 24" 10YR 6/4 43.0' .27 x 62 DUNASKIN ROAD RE-ROUT TON BE(MUST ED 0' MIN. FROM CENTERVILLE SEPTIC SYSTEM) Ci Ci 45.16 45. 3 PREPARED FOR PERC x 23 42. / x 4442. �(N OF S f�yZN OF MgS, CS CS �o��DaNIoRLAs9cyGN � DAN[EL °ti�m M/M THOMAS NASTASIA i�45.58 U 0�IALA chi ®�� _4 09 0 NOVEMBER 30, 2009 2.5Y 6/6 2.5Y 6/6 X 46.06 / �N©.46 Y; _ off 508-362-4541 fax 508-362-9880 n !_L c downcope.com / CLEAN SAND. GRAVEL CLEAN SAND, GRAVEL � " 2�(45.97 � � A� .` SS o�' y_\,`, • • • �� DANIELA. ��, o A. \�\ " COBBLE/MED. FIRM " COBBLE/MED. FlRM ' w U OJALA y� 0 OJRL� 1 NOW cape eag�/1eer//18', h7c. 120 35.0' 120 35.0 crvlL q No.40980 �p civil engineers NO GROUNDWATER ENCOUNTERED Scale: 1 '= 20' �o��Fc,s �ti°�, �. Sao _S' �o� land surveyors 939 Main Street ( Rte 6A) 0 10 20 30 40 50 FEET DATE L A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 0�--257 09-257.DWG(SBO)