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C®16�ISTRUC"TOO ➢ COI'tLLC: I2• 3 4 .
546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673
PHONE: 508-778-0111-.FAX: 508-778-5010
WWW.TUPPERCO.COM
DIVISION
Date:
Town of Barnstable:. -
:Thomas Perry CBO
.200 Main Street
Hyannis, Ma 02601
(508) 790-6230 fax
Re: Insulation Permits
Dear Mr. Perry
This affidavit-is to certify that all work completed for permit application
40
Issued on IG has been inspected by a certified .
Building Performance Institute (BPI) inspector.' All work"performed meets'
or exceeds Federal and State requirements
Sincerely, Permit #: r�d lgC? Cr?Address:
Richard Tupper01
�� GC r ,
License # CS=60055
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
M `20 ( �--{ D C)t. `P
Map Parcel v Z Application #
Health Division Date Issued 126)/
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address e&i ;eiv6
Village
Owners�r) ®Py Address,23 If 1 Ver_6Cin
Telephone
Permit Request �
� ( Ip
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation ,WQ/6,�k Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
++
Age of Existing Structure l Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: IFull ❑ 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 d/coal serve:c:,211 Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Baw existin§? ❑&w size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Ot9'
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ co w
Commercial ❑Yes ❑ No If yes, site plan review# Ja...
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER) w
Name Ib Tel phone Number
�
Address 1,�,
License #
Home Improvement Contractor#
Email Worker's Compensation AW _DD.61Fg301,9614A
ALL CONSTRUCTION DEBRS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
64& A h�6'vi-.5
SIGNATURE DATE i L
FOR OFFICIAL USE ONLY
APPLICATION#
r
DATE ISSUED
MAP,/PARCEL NO.
t -
.4 '
ADDRESS VILLAGE
OWNER '
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
' R-REPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATCLOSED OUT a�
ASS091ATION PLAN NO.
t
t.-
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/Electrcians/Plumbers
Aaalicant Information Please Print.Legiibly
Name(Business/organizationMdiyidual}; Tupper Construction_` Co ;: LLC
Address: 546A Higgins-,Crowell Rd
City/State/Zip; West Yarmouth, MA 0.26 7 3 Phone=#. 5 Q 8-7 7 8-0111
Are you an.employer?Check-the appropriate box: ape of project(requiredj`.
LIE QX I am a employer with 4. 0 i'am a.general contractor.and I 6. Q New construction.
employees(full and/or part-time),* have hired the sub-contra tors
7. Remodelin
2. I am a sole proprietor.or partner liAdd:on the attached she .A. g
ship and have no employees These sub-contractors ha�e 8. F Demolition
working for mein any capacity. workers' comp.insurancef 9. Building addition
[No workers' comp.:nsurance 5. M.
We are a corporation and ts:
required.] officers have;exercised th�ir. IOU Electrical repairs.or°additions
3.0 I am a homeowner doing all work right of exemption per M L 11.0 Plumbing_repairs:or`additions
myself. [No workers' c. 152 § 4 ; dwhavroc . ofrepatrs
insurance required.]'f employees. [No workers* 13.[y�Other.WeatheGlzatlon..
comp..,msurance required.]
*Any applicant that checks box#1:must als011 out the section:below showing their.workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are:dbipgalf work and then hire orrfside contractors must•submit a new'�davit indicating such:
:Contractors thatcheck this box must attached an additional sheet showing the name of the sub-contactors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name::._ ABIC
Policy#or Self-ins.Lic #::. WCC 500551 9 3 G..12 0;1AA.. .. Expiration Date: 10/3/1:5
Job Site Address: 2�� �V{�i �.limit .- QitWState&i �Alk 10A._02,4
Attach a copy of the workers'compensation policy.declaration page(showing the policy. number and expiration date).
Failure to secure coverage as required un.e"r Section 25A. .of MGL c%. I52 can lead to the imposition of criminal penalties of a.
fine up to$1;300.00;and/or;one-yea imprisonment,as well as civil penaltlesin the form of a STOP WORK:ORDEIt and.a:fne
of upao$250..00 a:day against the`violatoT 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 here# certify .y fy under the pares enalttes of perjury that;the informalron provuied above u true and correct..
Phone#:. �508) 778-011.1
Official use only. Do not write n.th&.area,io be.cor Wleted by city or iown'officiaL
City or Town: Permit/License•(#"
Issuing Authority(circle one);
1.:Board of Health 2.Buildmg;Department 3.City/.Town Clerk. 4.Electrical Inspector 5:Plnmb ng Inspector
6.;Other
Contact Person . _. Phone*..
AColDATE�WDDTYYY,EAT OlA1L INSURANCE
10/29/201A
THIS CERTIFICATE Is ISSUED At A MATTER Or-INFORMATION:flNLY AND.CO.NFERS NO RIGHT5 UPON THE GERTIA_CATE:HOLDER.THIS
CERTIFICATE:'DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR,ALTER`"THE CQVERAG.E AFFORDED BY THE POLICIES
BELOW. THIS.CERTIFICATE OF INSURANCE.:DOES NOT CONSTITUTE.A CONTRACT BETWEEN THE.ISSUING"INSURERMi AUTHORIZED'
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER:
IMPORTANT:.:If the certificate`hoider'is an ADDITIONAL INSURED,the jmlicy(Ies);must be 4ndorsed :If SUBROGATIOtd IS WAIVED,subject"to
the terms and conditions of the policy,:certain policies may require:an endorsemelTt A statelne on this cerF fiicate_ toes;not aontsr rights t0 the
certificate ttokler in lieu ofsuch endorsement(s):
PRODUCER :.... ..__........ `." NTACT
NAME: Lora FitzGera3d . ..
Southeastern Insurance A.gHI3.CY PHONE (508J 997=6061 111 1 1(AlC Np:(5o8)990-2731
439 State Rd. A :lf I.itz@'southe . t._ p_.—_com _
P.O. Box. 79398 hStl s A IJADINc COVERAGE:. NAIC fA
North Dartmouth MA 02747,
au SURE R A Ai be11a Protection. Insurance. 1360
INSURED B Boston :Insurance :Brokers a Inc
Tupper 'Construction tol SURERC ..
27 Roberta Driver INSURER o;_
W@StS Yarmouth MA. 02673 :INSURERF;c
.COVERAGES=-. CERTIFICATE:NUM6ER.2015 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:OE:ANY CONTRACT OR OTMER DOCUPAENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE.'ISSUED OR MAY PERTAIN,.THE INSURANCE..AFFORDED BY THE POLICIES'DESCRIBED HEREIN 1S.SUBJECT TO.ALL THE TERMS :?
EXCLUSIONS AiJD CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY.0 ID CLAIMS. "
INSR - - ... ADOL Waft
- - POUL.�.CYE :FOUCYEXP.. _
t7R TYPE OF INSURANCE; POUCY NUMBER AEBkDDJYY MM/D LIMITS'
GENERALLIABIUTY'
EACIi OCCURRENCE
MACE REN D
X COMMERCIAL GENERAL uAmLiv i : a ?; :1001 000
A CLAIMS-MADE �OCCURr 50000B'i43' iJ1/2019 1/1I2015 WEDEXP(Anydnepemn) 1 $1,040'
PERSONAL BADVINJURY
.... GENERAUAGGREGATE 'S- 2:y000,000
:.GENI.AGGREGATE LIMITAPPUES'PEW PRODUCTS-COMPlOPAGG :'S. 2;,_.0DO,060
PRO;
5
X POLICY( LOC °,...-..._.._
'AUTOMOSIL.E LIABILITY'
Ea:afxiden2 :5 1`:-:000 0o0-.
A ANY AUTO ' "BobiLY4WIJRY(Pf(Person) ':S _..,
ALLOVUNED RxAUTOS
SCHEILEO; 020009389' 2/112013 /1/2414: ;BODILYaNJURY(Per6xifieiltlifi
.. . AUTOS ..:AUTOS.NON-OMEl1 .2 PROPERTY DAMAGHIRED AUTOS. ` ` :PeramWent
UntnsitieG mfltotisS k31 Littitil :. 250j,000'
g UMBRELLA UAB1.
, OCCUR EACH OCCURRENCE. ,5. . . .
EXCESS UAIS ._CLA _ .
IMS-MADE � � '� AGGREGATE;.........
DED c. RETENTIONS : e00058368 1/1/2014 1/1/2015 $'
$ .WORKERS COMPENSATION` x ,;'NG STA7U ;',x OTH
AND EMPLOYERS'UAIiIWTY GliLLIN" :
ANY PROPMETORIPARTNERIEXECUTNE Y 1 N El.EACH ACCIDENT 5 I,,OOO 000
OFFICER(MEMBEREXCLUDED?.
(Mandator;jn NH)� l0/3/12014 :0/3/2015 EL otsEASE',EA`.EMPLOYE S 1-:OOO' 000-
fyes.tlesci be under... .
OESCRIPTIONOFOPERATIONSbelavr _ E.L:OISEASE>POL1CYtiMIT:iS 1 000" 000
,
DESCi21DT1Or3 pF:OPERAT10N5 r tOCAT7OMS1 VEIi1CiE5"(A1tatli ACE3RL:101,AEdaimlal Remaites.SctieGule,IPinnre spaco':t$reoutFeep :
cElatFlcArE HOLDER eANCELtATIo�'
SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF;, NOTICE` WILL BE DE"VERED, IN
�IJFORMATION EURPOSES ONLY ACCORDANCE WITH THE"POLICY PROVISIONS:
TUPPER CONSTRUCTION Cv T•T C
IL
546.A HIGGINS ;CROWEti, ROAD AUTlwRIZED.REPRESENTATniE
VEST:YARMQUTH,. ASP 02:673
Lora Fts6eral.d'/F.F.i
AGORD 25;(201fl105} a�1988-2010 ACORD,GORPORi�YIOIV.:At rights reserved:
INSfl25rmtfM51 fit:. ni Alf-. rt.namo soli"inns era rGanicfoeoA enm�ic.:f,Af f1RT)
�ua'lbwT �Ls¢.'•S' � xsU &�� Y 3�A 2.� '". .-1,
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1
OWNER AUTHORIZATION FORM
(Owner's Name)
owner of the property located at
c-0
(Property Address)
(Property Add ss)
hereby authorize g' � � �
Q hJ
(Subcontract )
an.authorized subcontractor for RI E. ngineering,to act on.my behalf to obtain a building
permit and to perform work on my property.
.Owner's Signature
UY Date
i
4-o N d
Town of Barnstable *Permit#
V Expires 6 nths firom issue date
Regulatory Services Fee
* 13n101srnarX
hUss' $i639. Richard V.Scali,Interim Director
��
Building Division
Tom Perry,CBO,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Z Not Valid without Red X-Press Imprint
Map/parcel Number U
\
Property Address 3 f v V L �e, x V%C S 0 L Pl y t
C31C�❑ Residential Value of Work$ l/p Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address v G
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) / _ - ^-
`[ LRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken toy. �� -� T. 03
❑Re-roof(hurricane nailed)(not stripping.. Going over existing layers of roof)
❑ Re-side
Replacement Windows/doors/sliders.U-Value .3 5_C>d7 1.tjmaximum.35)#of windows
of doors:
ke/Carbon Monoxide detectors 4 floor-plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
copy of the Home Improvement Contractors License&Construction Supervisors License is
re uired
SIGNATURE:
Q:\WPFILES\FORMS\build g permit form XPRESS.doc
Revised 061313
1
n
THE , Town of Barnstable
Regulatory Services } .
awarE Thomas F.Geiler,Director
�`b�Eo u,�►`e� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Officer 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: ' ✓ i7 L>h 2 !t. 3 7`C7 �.✓t Z�lV 1 l 1 G
/number //�1 I street village
"HOMEOWNER dLJ�►� 6e61 '1 1 0� 0
name home phone work phone#
CURRENT MAILING ADDRESS:_ v trn !L a o
51, h � �7
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 suuervisor.
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.
Th un e sign d"h eo r"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
pr c es re it nts d that he/she will comply with said procedures and requirements.
Signature of Homeojher
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or Iarger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided.that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used.by several towns. You may care t amend and adopt such a form/certification for use in
your community.
C:\Users\decollrk\AppData\Local\Microsoft'�IVindows\Temporary Internet Files\ContentOutlook\QRE6ZUBNIEXPRESS.doc
Revised 053012
Town of Barnstable
ti
} Regulatory Services
�satuvns SS. Thomas F. Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
• Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORM&OWNERPERMISSIONMOLS 62012
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hue,
express or implied, oral or written."
Au employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more
of the foregoing engaged is 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, §250'6)also states that"every state or Iocal 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 commonv,,ealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants —
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their carbificaie(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 industial
Accidents for confirrmation ofins rrance coverage. Also be sure to sign and date the affidavit. •I1re 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 Ell 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"a l locations ILZ (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:
The Commonwealth of Massachusetts
Department of Ind al Acddents
Office of kveslig-adwls"
600 Washingtoa Street:
Bastou,MA 02111
Tel A 617-727-4M W 406 or 1-4 -I ASWE.
Revised 4-24-07 Fax# 617-727-7-749
mas oy dia --
.77te Commor riveaM of assachusetts
Deparftrwnt of firdu itial Accidents
Office of fnvestiffa io=
600 Washington Street
Boston,AM 02111
wnw nasmgmldia
Workers' Compensatiun Insurance Affidavit:Builders/Contractors/FIectricianMumbers
Applicant Infarmation Please Print Legibly
1
Name(Susme ozzanim ionadbridnao: 00,ZnX-j0 dL✓1S e r
Address:
IDL
CityfstateMp: R ba.3P�ho c, S'_0
Are you an employer"Check the appropriate box.: Type of project(rordrei1)=
L❑ I am a employer with 4- ❑ I am a general contractor and 1 6- ❑New oamstrucfiim
employees(full andlorpart-time).* have hired the sub-contractors
2_❑ I am a sole proprietor orpartner- listed on the attached sheet; y- ❑Remodeling
s and have no employees These sub-contractors have: g Demolition
working for me any capacity employees and have workers' 9_ ❑Building addition
[No wormers' comp_insurance comp_insurance-1
regntred-]
5. ❑ We area corporation and its 10-.0 Electrical repairs or additions
3_ I am a homeowner doing all work officers ha-m exercised their 1 _.0 Plumbing repairs or additions
myself [No workers'oomp_ tight of exemption per MGL 12..bj 1Rmof
insurance required-]F c-152, §1(�%and we have no �l
employees.[No workers' 13_❑Other
comp_insurance required-1;
*Any appUcaat that checks boa#1 most also hill out the section below showing then wat kern'comgensatioa policy infor ox&n.
T Homeowners also submit this affrd=vit indicating they are doing an wai k and then hue outude contractors— submit a near affidavit indicating such-
tCautncmrs that check this bar.must attached an additional sheet showing the name of the sots- ohs and state whether ornot those entities hne
emltlayees If the sob-contracton have employees,they must provide their warkus'comp.policy number.
lam an employer that is prert Dag it�orlrers'congw salon insurance for my employees. Beiov is the policy and,}ob site
informadam
Insurance Company Name:
Policy 9 or Self-ins-Lic.0: 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 regtsireduuder Section 25A of MGL c,. 152 can lead to the imposition of criminal pemalties of a
fine up to$1,500.00 and/or one yearimprisamment,as well as civil penalties in the form of a STOP WORK ORDER and a fine,
of up.to$-50.00 a day against the violator- Be advised that a copy of this statement maybe fnrwarded to the Office of
In,e,sti3PX- D rn�e coverage verification-
. __ _ . . . _. _. . _... _ .._.... ..._- -- ......_ _ _ ... ... .. ...._- --.._ _.._..__ ._. .... ..
I do here c fy i e ns and allies afpedw y that the informidian provided above is true and correct
S,itmature: Date: 0
13
Phone#: O Cc
l3aki.al rue only. Do not write in this area,to be courp£etod by city or town aficiat
City or Town: PermitUcense If
Issuing Autharity(circle one):
1.Board of Health 2.Building Department 3.Cikyffown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
/(�
! sse�ssoi% map and lot number ...... ..................�............
/ Q�OF THE TO�y
I. w
Sewage Permit number ......XF 2.-.. ............... SEPTIC SYSTEM MU'
p TAM i
House number ........ .... ... .........................
INSTALLED IN COMP ' a
WITH TITLE 5 0 1639.0 Jul
�00
r TOWN OF 'fBARNS � £ ;
BUILDING INSPECTOR
e
APPLICATION FOR PERMIT TO ....I......_..1/...... 'J�.....rl ...............................................................................
TYPE OF CONSTRUCTION .............I�'�.?d. `' �4 '1I17. .............................. ; .
.� ..................19. h
TO THE INSPECTOR OF BUILDfNGS:
The undersigned hereby applies for a permit according to the following information:
Location °.. . . ... . n4'Y.4 G 5.......�.�.. / ......... ...................................................
ProposedProposed Use ......z....................../ ......................................................................... ......
Zoning District ....... ..., .................................:.................Fire District 4 hv I
Name of Owner��..+ i!! ..L'd���� /' ....................Address � ��l...? ........................... .... .. ri�
Name of Builder' .................Address.. ' ... ...........:...........
Name of Architect /
' ......� ....................Address .1/lit .. ............................. ........
Number of Rooms ..... G
............. v
l
Exterior 1 4�... f,1 rl .. ..C/' ��/�✓l� Roofing, ..../ � 'g .. .:.�'..........................
.
h —
� _` .1 C D
�'.lr✓..t?.'��..........................Interior �......(.'.....�....�..�.�.... .......................................
Heating ........................................Plumbing .. ..T!�.5.....:... .... .....
Fireplace ...../..... r........r'y��'.................................................Approximate Cost .r�'Z>.V.>... ?.t.?................ ....................
Definitive Plan Approved by Planning Board -------------------_-----------19_______. Area ......
.........................�.........,..�
Diagram of Lot and Building with Dimensions Fee ..
C7
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and, Regulations of the Town of Barnstable regarding the above
construction. �✓—
` q Name ....... .. ... ... ...... ..... .......
GORDON, LEWIS
No. .
y
� 24118... .Pe
One..41 i
...............� r lor ......... .... .....
,;t� Single Family Dwelling
............. .............................
Location Lot #222��3 1 Five Corners Rd..
..............................................................
Centerville
................................................................................
O�vner ..........L ew.i .G....o.rdo........n......................I............ .......s
Type of Construction .................Frame.........................
............. ......6...........................................................
Plot ............... ............. Lot ..............................
June- 7, 82
Permit Granted .......................................:19
Date of h ...............................19
Date Completed .... ..............19,
Assessor's map and lot number ........ 4V..................... . THE
Py�F
Sewage Permit number ....... IV............. ....................................
33A"STULE.
House number ........ ....... .................................. MASIL
1639-
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ............
.................................................................................
TYPE OF CONSTRUCTION .............. 9.A ........................................................................
- —/)10 X 7
................7* **.................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location �6.277.Z.Zzl...... .......... ..........................................................1,/..)........................
Proposed Use ...... A/
.... ... ........ ...... ..
...... .....................................................................................................,. ..........................
Zoning District ..................................................Fire District ..... ///V w
...........................................................
Name of Owner ....................Address I T- �
...............*........... ............... ....�
. .............
Nameof Builder' -<...............................................................Address ....................................................................................
Name of Architect ....................Address
..... ... .. ..... . .... ...................... ..........................................
Number of Rooms .......S". ..................................................Foundation
Exterior .. .......Roofing ............................... .................... ............................
Floors .........................Interior --o�5..
..........................................................
-�7.... . ...
Heating ......f!?:. ........................... .............................. ..........Plumbing •... .............................................................
Fireplace ...... -Approximate Cost ....................................
Definitive Plan Approved by Planning Board -------------------------------19--------- Area ..........................................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
21
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ......i........................ ......................a..................
GORDON, LEWIS A=168-80
r)o o-)cdth
24118 y
No �t'ermot for One for
Single Family Dwelling
.................... ..............................
Location Lot #22A Five Corners Rd
. .. ... .................................................
Centerville
...............................................................................
Lewis Gordon
Owner ..................................................................
Type of Construction .Frame
......................................................................
Plot ............................ Lot .......:........................
Permit Granted .7.qgq...7.......................19 82 i
Date of Inspection ....................................19 t
Date Completed ......................................19
l oo
I
■.ate� •
•� TOWN OF BARNSTABLE Permit xo.
Building Inspector Cash
OCCUPANCY PERMIT Bond
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Lr?wi s r('3w'+'on Address
itervil '
Wiring Inspector " '" Inspection date
Plumbing Inspector � �. Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
........................_.._......_............._., is___ ........................................................
.:_.__�_
Building Inspector
.a� O
� Y
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Lo
1
Ad
SCAB. f ' - 3o aAT46: u 2
,E'EFECEA✓GG':
r-3EiNG LOT 22� Fa S S/-1 ow:v /sJ
f�G f3 n J 4 o 0 A:' .3 Z 7 PH G 4
2 NCC�BY C�tT/FY THAT THE B(//LD/�/6r �"'
SA.f0#VA./ OA/ Tf-//S AP4A*A/ /S L.00ATB•a ON TI./& F
';;?Ot/A/D ^9 3AI"DWA,/ AVOAV@Od� AQA./D TAVoQr /T
i jZo4:5S COA.//-OCA-f 7C> 7'iVB -LO.t//it/G
BY LgN/S OF THE 7'0H/A✓ OF 6A2NSTF71 /3L� £ uk u +^��
t X } s
t
1 YA� MO[JTH, MA55. pATE• �
I
_ _OFFIC NORTON, MA
JOB NO.
122-1148
MORTON BUILDINGS GENERAL SPECIFICATIONS
LAMINATED COLUMNS NO. 1 OR BETTER SOUTHERN YELLOW PINE NAIL LAMINATED 3 MEMBER S4S I
COLUMNS USED IN MORTON BUILDINGS ARE PRESSURE TREATED BELOW GRADE TO A RETENTION OF .8 I
POUNDS PER CUBIC FOOT WITH CHROMATED COPPER ARSENATE TYPE III, OXIDE TYPE, AS LISTED IN -
I
FEDERAL SPECIFICATION TT-W-571J. THE TREATED PORTION OF THE COLUMN EMBEDDED IN GROUND I
p
SHALL BE LAMINATED WITH STAINLESS STEEL NAILS. •
FOOTINGS AND ANCHORAGE - COLUMN HOLES ARE DUG 4 FEET DEEP MIN. DEPTH BELOW GRADE AND I
READY-MIX CONCRETE PADS OR DRY CONCRETE MIX PADS ARE POURED IN PLACE (NOTE PLANS FOR
SIZE & TYPE). TWO GALVANIZED STEEL BASE ANCHORS ARE PLACED 1" FROM BOTTOM OF COLUMN -
I
OR 1/2" GALVANIZED STEEL ROD PLACED 2 1/2" FROM BOTTOM OF COLUMN.( SEE SECTION )ADDITIONAL CONCRETE i
IS MIX POURED AROUND BASE OF COLUMN THEN BACKFILLED WITH SOIL AND COMPACTED AT 8" INTERVALS.
SPLASHBOARDS — SPLASHBOARDS ARE NO. 2 OR BETTER SOUTHERN YELLOW PINE 2"x8" S2S AND CENTER
MATCHED, PRESSURE TREATED TO NET RETENTION OF .6 POUNDS PER CUBIC FOOT WITH CHROMATED COPPER
ARSENATE TYPE III OXIDE TYFE, IN ACCORDANCE 'WIT;: AMERICAN WOOD PRESERVERS' ASSOCIATION SPECIFICATION
ARSE
C2. ONE ROW IS FURNISHED FOR BUILDING ON A LEVEL SITE. --
FRAMING LUMBER — SIDE NAILERS ARE 2%4" S4S OR 2%6" SPF NO.2 OR BETTER SPACED APPROXIMATELY 30 O.C. Lv
m
WITH ALL JOINTS STAGGERED AT ATTACHMENT TO COLUMNS. ROOF PURLINS ARE 2"x4" S4S NO. 2 OR -
z _
BETTER ON EDGE SPACED APPROXIMATELY 24" O.C. ALL OTHER FRAMING LUMBER IS NO. 2 OR BETTER. ( SEE SECTION ) - Q cr
5
ROOF TRUSSES FACTORY ASSEMBLED WITH 18 OR 20 GAUGE GALVANIZED STEEL TRUSS PLATES AS (,
L INSPECTION IS CONDUCTED - M
REQUIRED AND KILN DRIED LUMBER AS SPECIFIED. IN—PLANT QUALITY CONTROL
UNDER THE AUSPICES OF THE TPI INSPECTION BUREAU. TRUSSES ARE DESIGNED 1N ACCORDANCE WITH < I'
Q
CURRENT STANDARDS AND SPECIFICATIONS FOR THE STATED LOADING. z
w C/� .
SIDING PANELS (KYNAR 500/HYLAR 5000) — 0.019" MIN., G90 GALVANIZED OR AZ55
GALVALUME, WITH AN ADDITIONAL BAKED-ON KYNAR 500/HYLAR 5000 FINISH. PAINT IS
' O
NOM. 1 MIL THICK ON EXTERIOR.
- BUILDING DEIGN CRITERIA
ROOFING PANELS (FLU0R0FLEX 2000 (10 -0.019" MIN., AZ55 GALVALUME WITH AN
USE GROUP s1 ;.
ADDITIONAL BAKED-ON'THICK POLYURETHANE PRIMER AND KYNAR 500/HYLAR 5000 TOPCOAT
D CONSTRUCTION TYPE sB L
WITH A TOTAL MINIMUM PAINT THICKNESS OF 2 MILS. LIVE ROOF LOAD DESIGN 25 PSF
WIND LOAD 90 MPH
O
TRIM — DIE-FORMED TRIM OF 0.019" MIN., G90 GALVANIZED OR AZ55 GALVALUME STEEL FLOOR AREA 1,500 SO. FT.
I
ON GABLES, RIDGES, CORNERS, BASE, WINDOWS, AND DOORS WITH SAME FINISH AS
ROOFING OR SIDING PANELS
I
GUTTERS - 5" K-STYLE, .030 HIGH TENSILE ALUMINUM GUTTER, KYNAR 500/HYLAR 5000 TYPICAL LUMBER SPECIFICATIONS - 1991 NDS
cz
SIZE DESCRIPTION BENDING VALUE Fbf �fz011
� T
FINISH TO MATCH TRIM, ON BOTH SIDES OF THE BUILDING. 2"x4" NO.1&2 SPF 1313 PSI �' n ���' ,
2"x4" 2100f MSR SPF 2100 PSI
ADDITIONAL NOTES 2"x6" NO.1&2 SPF 1138 PSI 4„
1. ALL PLOT PLANS AND RELATED DETAILS SHALL BE PROVIDED BY OWNER UNLESS INCORPORATED AS PART 2"x6" NO. 1 SYP 1500 PSI
d1
2"x8,, N0._1 SYP 1500 PSI �'R " _� ,a' �xwej- DRAWN BY: MTJ-834
2"x10" N0. 1 SYP 1300 PSI ���`�•�:�� `�""'�<
OF THESE DRAWINGS. 2"x12" NO. 1 SYP 1250 PSI < -,� DATE: 2-5-98
ALL 1950f MSR SYP 1950 PSI
2.) ALL INTERIOR PARTITIONS AND ROOM FINISHES IF NOT INCLUDED WITH THESE DRAWINGS SHALL BE PROVIDED 1 1 2"X16" LAMINATED VENEER LUMBER 2800 PSI CHECKED BY: GMC
3 1 2"x151 GLU-LAM 1650 PSI DATE: 2-10-98
BY OWNER. STANDARD FINISHES SHALL HAVE LESS THAN 200 FLAME SPREAD RATING AS REQUIRED BY 5 1 4'xl6 1 2" GLU-LAM 2400 PSI
51 4"x19 i 2" GLU-LAM 2400 PSI REVISED DATE:
ASTM E84 FOR ORDINARY CONDITIONS AND 25 OR LESS FOR EXITS, PASSAGEWAYS, AND CORRIDORS. NOTE: HIGHER GRADE MATERIAL REQUIRED AS NOTED ON PLANS. REVISED DATE:
3.) FLOOR COVERINGS JUDGED TO REPRESENT AN UNUSUAL HAZARD SHALL MEET THE SAME TESTING PROCEDURES REVISED DATE:
[� REVISED DATE:
AS REQUIRED FOR WALL AND CEILING FINISHES. TMp
HEREBY CERTIFY THAT THE ARCHITECTURAL DE �GN' �w.N�ti%
.
IN GENERAL SPECIFICATIONS APPLY UNLESS INDICATED DIFFERENTLY ON--SPECIFIC FOR THIS BUILDING WAS PREPARED BY ME OR
4.) MORTON BUILDINGS GE , '` x
Q . . ,�'
- MY DIRECT SUPERVISION AND THAT.: f AM A DULY No.8976 �
JOB DRAWINGS OR SUPPLEMENTAL INFORMATION..
LICENSED ARCHITECT. t PEORIA z
' `� ILLIYJOIS
a -
5.) KYNAR 500 IS A REGISTERED TRADEMARK OF ELF ATOCHEM NORTH AMERICA, HYLAR
WAYN NOWL ARCHITE n+oF �
DATE:It �l9 REG. # w n
5000 IS A TRADEMARK OF AUSIMONT, USA. SHEET INDEX
SHEET DESCRIPTION
HEREBY CERTIFY THAT THE STRUCTURAL DESIGN FOR
THIS BUILDING WAS PREPARE ME OR UNDER MY
CS2x4FK 2-96 1 OF 4 SPECIFICATIONS & SHEET INDEX DIRECT SUPERVISION AND AT i M A DULY R I ERED
2 OF 4 COLUMN PLAN & ELEVATIONS PROFESSIONAL ENGINEER.
3 OF 4 SECTIONS & DETAILS
RONALD L. BUTTON, P.E.
4 OF 4 TRUSS DRAWING MICHAEL L. McC RMICK P.E. SCALE:
DATE: 2 -1 -9 REG. # 4bS SHEET NL4J
1 of
•j
[OFFICE:NO RTON M77
A
O 122-1'148 ttj 3
STITCH LAP RIBS 6 LN. FT. FROM
EACH ENDWALL W/#9x1" TRU-GRIP .�
SCREWS. (SEE DETAILS ON SHEET -
3 OF 4.) VENT-A-RIDGE 12
GABLE TRIM
5 O.G. GUTTERS
W111,'�Al
t
T#21
T#167 TRANSITION TRIM ^ ,
�J I T#167 BASE TRIM
EAST ELEVATION SOU TH ELEVATIONcn
VENT-A-RIDGE 12LJJ� a too") '
41 T#16 GABLE TRIM
5" O.G. GUTTERS �, •�
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ui
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T#21 Q
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® T#167 TRANSITION TRIM Z ,
® cn _ 4
T#167 BASE TRIM
WEST ELEVATION NORTH ELEVATION
Z
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A
fi
3 1'-0" OVERHANG (SIDES VENTED) ®, L'�C.c'IV5
Construction s P,
y la _9
Lacaar
COLUMN PLAN LEGENDko
' 02346
N O' o - 3-2"x6" LAMINATED COLUMN LOCATIONS
DD - 3068 T300 . 9-LITE WALKDOOR W/DEADBOLT
- tO (3) 4030 SLIDING 9-LITE WINDOWSOFDRAWN BY: M 834
Q 14'-9"x14' SINGLE SLIDING END DOOR
N (ALUMASTEEL) DATE: 2-5--98
— - (4) 3065 SKYLIGHTS W/VAPOR RETARDER CHECKED BY:
., - 1/2" H.D. THERMAX 1N ROOF ONLY
I
N DATE:
REVISED DATE:
7/16" OSB SHEARVIALL LOCATION I
(SEE DETAILS ON SHEET 3 OF 4) REVISED DATE:
REVISED DATE: _ 1
REVISED DATE:
m m m
L
i i
gg�,_ }y�
z _
i
-4 1 f2' 14'-10 1/2" I 22'-4 1/2" I 29'-10 1 f2' I 3T-4 1/2* I 44'-10 1/2" I 49'-9' W
T .
0"
I
7'-4 1/2- 7-6' 7'-6" 7'-6' 7'-6 7'-6' 4'-10 1/2' lV0,897gn � � g'
_ PEORA
ILLINols I
49'-9'
�NOFMass°
COLUMN PLAN
SCALE: 1/8 = 1O"
q
SHEET NO,.
2 of ��
-- _ OFFICE:
LOWER CHORD OF NORTON, MA
FF2 HI-RIB STEEL 7/16" OSB END TRUSS JOB NO.122-1148
2"x4" PURLINS ® 23" O.C.
(NO. 2 SPF) . .
1/2" H.D. THERMAX - - - - — — — — - — — — — —
STD. 2"x4" BUILDING .I— — �• �'
2"x4" BEV. PURLIN NAILERS - - - - - - - - - - - - - - - - - -�
. '
T#15 :i- - - - - - - - - - - = - - - - - -I; 2'rx6" VERTICAL BLOCKS AT
2"x6" BEV. FASCIA -� •I I. COLUMN BETWEEN NAILERS
0
5" O.G. GUTTERS 'I— — - - - - - - - - - -1'
T#144 & 146 FASCIA TRIM 'i—= - -= - - -= - - - - -
30 S.C. TRUSS
PERIMETER OF OSB SHEETS
SOFFIT -- ;I I; NAILED' W/ 1-3/4" SHINGLE •
HI-RIB/SOFFIT CAP (2) 1/2" I
x5 1/2" M. BOLTS & I_ — — — — — — — — — _ — GUN NAILS SPACED 3 " O.C. i
(4) 20d R.S. NAILS — — — — — — — r 1
2"x6" OVERHANG NAILER
•I I• t
EXTRA NAILERS ADDED 'i I• OSB NAILED TO INTERMEDIATE 4
HI-RIB STEEL (KYNAR) BETWEEN STD. NAILERS •�— — — — — — — — — — — — — — SUPPORTS W/ 1-3/4" SHINGLE GUN
(MAX. SPACE TO BE 24") I.
NAILS_ SPACED 6" O.C.
3-2"x6" LAMINATED COLUMN •I i,
' LAMINATED COLUMN_ _
(3) ROWS 2"x4" NAILERS I - - —•- - - - —- - - —- - - I�
_ � I
2100f MSR SPFCD
.I I•
14 —0
GRADE TO HEEL •I— — — — — — I• c ►
. . . . ._ . _
'I— I'
Lij
2"x4" NAILERS
T#167 TRANSITION TRIM �•
2"x6" NOTCHED NAILER _ _ _ _ _ _ _ _ Q
HI-RIB STEEL WAINSCOT (KYNAR) ,I - — — — — - — — — — - —- — — —
I' W a
7/16 OSB PROTECTIVE LINER I I Z t
5/4"x4" NAILER (IF PROTECTIVE LINER IS INCLUDED) Q
T 167 BASE TRIM ;I-•— _ _ —•- - - - ' —• -•- - - ' — D 1.
— LL
�
(1) ROW 2 x8 TREATED SPLASHBOARD U LL
Z
• �• 2"x8" TRTD. BASEBOARD W
4 CONCRETE FLOOR (BY OWNER) I I•
s
.tom
FINISH GRADE 4" MINIMUM COMPACTED GRANULAR BASE 2"x6" BLOCK BETWEEN NAILERS z
(BY OWNER) NAILED TO COLUMN W/ 20d GUN NAILS. L�
CONCRETE FLOOR NOTES NAILED3 " O.C.
1.) 3500 PSI, 5 1/2 BAG MIX CONCRETE.
2.) REINFORCING; 6x6-10x10 WWM. O
4'-O" 3.) SLOPE GRADE AWAY FROM THE BUILDING
6 MI MINIMUM FOR A DISTANCE OF O S B S H E A R WA L L ELEVATION
4.) 6 MIL POIYETHEYLENE VAPOR RETARD
ER PLACED
2' BELOW THE BOTTOM.OF THE CONCRETE FLOOR. 3i
46M BASE ANCHORS
8" THICK READI-MIX PAD. PLACE N {
A
1�
(1)50# BAG OF SACKRETE AROUND LAMINATED COLUMN
a° COLUMNS WHEN SETTING. O o
NOTE: _
S
CORNER AND ENDWALL COLUMNS WILL
HAVE 15" DIA. HOLES W 8" THICK READI
MIX PAD. PLACE (1)50# BAG OF SACKRETE
AROUND COLUMNS WHEN SETTING.
SIDEWALL SECTION A- A " 7/16» os6
2 x4 NAILERS ..
90 M.P.H. WIND LOAD •
LAMINATED COLUMN
SCALE: 10" 1'-0" FIRST NAIL IN THE FLAT AT THE TOP
AND BOTTOM PURLINS W/2 1/4" N.W.
--- --- - - - ----- _- NAILS --- 0 S B S H E A R WA L L SECTION
- 3" N.W. NAIL INTO EACH PURLIN s - DRAWN BY: MTJ-834
NAIL LAP RIB FIRST. THEN THE OTHER
NAIL PURLINS TO END RAFTER W/(1)60d 2 3 TWO RIBS. USE 2 1/4" N.W. NAILS DATE: 2-5-98
R.S. NAIL
#9x1" SCREW W/WAHSER INTO EACH PURLIN LICENSE
CHECKED BY:
?#16 GABLE TRIM (CENTERED BETWEEN HI-RIB AND FIRST • (, r1r71ta 'Super. DATE:
MINOR RIB) FF2 HI-RIB STEEL NOTE: tl`tulc J Date " REVISED DATE:
DRIVE NAILS & SET SCREWS 9
PERPENDICULAR TO ROOF PANEL REVISED REVISED DATE:
,Sal�et REVISED DATE:
•_
�,'��j-�: 0234�� REVISED DATE:
1 1/2- R.S.
USE PENCIL TO MAKE MARK ON
NAIL — PANELS SHOWING WHERE PURLINS
2"x4" PURLINS ARE LOCATED
IN L W THE/FLATS„AND 2CENTERED
1/4" N.W. #9x1" SS SCREWS W/WASHERS
END TRUSS
NAILS IN ALL HI-RIBS USED TO STITCH THE LAP-RIBS BETWEEN
THE PURLINS
HI-RIB STEEL (KYNAR) NOTE: 1' OVERHANG SHOWN
ROOF STEEL TO ENDWALL STITCHED ROOF STEEL ATTACHMENT DETAIL
ATTACHMENT DETAIL SCALE: AS NOTED
SHEET NO.
3 of 4
MANORTOI�I
OFFICE:
JOB NO. ----- '
122-1148 __ I
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e:
6
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TRUSS SPACING V-6» O.C. aa
LIVE LOAD 25 PSF B 0'
DEAD LOAD 4 PSF
CEILING LOAD PSF 11 x11
TOTAL LOAD 29 _PSF Pi. g � m d
s
eeoo eeedem
Dee ee
CJ ,
WEB #2
3x5 - mot i:�:'ell o� sup,
m is e %
6'3" B #1 PI. _ 12 "—to
9x16 PLC :zoa 04 ----•�
WEB ##3 8x13 Pl. r �Q
, �� ,
DRAWN BY: MTJ-834
fStreet
� z,r�wad C2,346
� r
3x5 13x8 PI, • Dave r �io DATE: 2_5-98 _
.... ooaoee i'.
PL. 18 Ga. 8x10 H.B. eaaae e.e.
•••••• e.. CHECKED BY:
.eeae.
e.. .e Pl. •D.D. .ease 15 1/2" —
° Dap saa 0000000 ee Dee. 00000
2»x8" L.C. #1 crane ease 2"x8" L.C. #2 eaDeee DATE:
REVISED DATE:
CAMBER AT CENTERLINE 5'10-1/4" REVISED DATE:
3/4"
REVISED DATE:
14'10-1/2"
[REVISED DATE:
TRUSS DESIGN SPECIFICATION:
Truss has been designed by computer using the Purdue Q /[�.
c --M
--
Plane Structure Analyzer IAW current standards and f C P 3 0 S. C. TRUSS � '`
specifications of recognized engineering principles. a0 � Ye'
Output data will be provided upon request. SCALE: 2 1 —0 `
LUMBER SPECIFICATION (1991 NDS for Wood Construction):
Lower Chord -- 1950f — 1.5E MSR Southern Pine '
Top Chord ——— No. 1 K.D. — 19 Southern Pine
Web Members No. 1 K.D. — 19 Southern PineIO �
TRUSS PLATE SPECIFICATION (ICBO Evaluation Report No. 2929):
ASTM A-446, Grade A 20 Ga. and 18 Ga. where noted,
galvanized steel Morton truss plates identified by a
hexagon stamped every 1-1/4 along the center of. the plate.
RAFTER LENGTH 15'8-1/8 SCALE: AS NOTED
Webs are 2x4's except where noted ----
_ _. . SHEET NO.
4 0F 4
SENDER:Complete items 1 and 2 when additional services are desired,and complete items 3 and 4.
Put your address in the "RETURN TO"space on the reverse side.Failure to do this will prevent this
card from being returned to you.The return receipt fee will provide you the name of the person
delivered to and the date of delivery.For additional fees the following services are available.Consult
postmaster for fees and check box(es)for additional service(s)requested.
1.CH Showto whom delivered,date, and addressee's address.2.CH Restricted Delivery.
3.Article Addressed to:
Mr.Jack fGirvan
•Whitehall Floor Coverings
P.O.Box 924
West Yarmouth,MA 02673
./'
4.Article Number
P 620 563 999
Type of Service:
•Registered D Insured
•Certified • COD
Q Express Mail
Always obtain signature of addressee or
agent and DATE DELIVERED.
5.Signatur^-^'Adhress^'''~~y'^~-y^-
X /
8.Addressee's Address (ONLY if
requested and fee paid)
6.Signature —Agent
X7.Dat^^Deliver^^.^^
PS Form 3811,Feb.1986 DOMESTIC RETURN RECEIPT
UMlfEO STATES POSTALSEftVtef,^84 ,
OFF rglAL ^
SENDER INSfI
'^i'riii yoyr nanid,addia^,and ^li
In tha||^ace|ieldv&.,VO
•€ionlptat|itaiiis 1,%and: 4 od
oJktftcJb tp Ironf Pf antiple if space
pejrnilis^iotheK^ivlse affix to deck
aHiiclei
p Endori^e^^JCfa "Rettirp Receipt
Heljne^ed"adjacent in nufnilat;
IB-
FilMW FOR PMViISS
Use.S300
My,.laseoh DaLuz.,BnlMiBsg ^afflaiS'Slgaeg
TdTffB of iarttsta'ble
feiO Street ..,.---...
Joseph O.Da1.uz
Building Commissioner
F^i V£.^^ocx£>(
CL^'^A^'x-'si i \
TELEPHONEt 773-1120
EXT.107
TOWN OF BARNSTABLE
Building inspector
TOWN OFFICE BUILDING
HYANNIS,MASS.02601
February 9,1987
Mr.Jack ^Girvan
Whitehall Floor Coverings
P.0.Box 924
West Yarmouth,MA.02673
RE:237 Five Corners Road,Centerville
Dear Mr.(Girvan:
I have information that would indicate a carpet/linoleum business
is being operated from a dwelling owned by you and located at 237 Five
Corners Road,Centerville.
I am requesting a reply from you regarding the above matter within
fourteen (14) days of receipt of this letter.Failure to respond could
result in litigation.I trust we can avoid any legal involvement.
Peace,
JDD/gr
Certified mail P 620 563 999 R.R.R.
(Joseph D.DaLi
lilding Commissioner
BARN5TABLE HOUSING AUTHORITY
146 SOUTH ST.•HYANNIS,MASSACHUSETTS 02601 •(61*7)771-7222
TO
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INSTRUCTIONB TO SENOER:
1.KEEP YELLOW COPY.2.8ENO WHITE AMD RNK COPIES INTACT.
J?.A
rh1fi m?=irrpr
SIGNED.
INSTRUCTIONS TO RECEIVEft
I.WRTTEREPLY.a DETACH STUB,KEEP PINK COPY.RETURN WHITE COPY TO BENDER.
WHITEHALLFLOORCOVERINGSCARPETING• LINOLEUM • TILEP.O.BOX924WESTYARMOUTH, MA02673SHOP AT HOMESERVICE(617)428-7558
Telfi^one Business Tel.'746^!54«^746-6078 QEDS Anywhere in Mass.
QUICK EXPRESS DELIVERY SERVICE
26 FOREST AVENUE 7J^LVMOUTH,MASS.02360 K?20334
Consigned to:WHITEHALL FLOBR COVERING
Address
Shipper
Address
237'FIVE CORNERS RD..CEHTERVILLE,MA.„^hg.Coll«t
J.O'CALLAGHAN *•am
WYMAN STREET.WOBURN.MA.
Description Weight I Rate or Class 1 Charges
Date 6-13-86
Our Charges
Adv.pharges
C.
C. O. D.Fee
TOTAL
Received the above ingood condition
Amount
Consigned to:
Shipper
m 20048
>ne Business Tel.f A I f *Any
89 746-6078 VjC
QUICK EXPRESS DELIVERY SERVICE 20(
26 FOREST AVENUE /PLYMOUTH,MASS.02360
Consigned to:[^)Ij (L/L^J
Address;jg /C rVj /)\S H,j U CL-Uj^.Prepaid Chg.Collec
/)'f.•0 0
Address
Anywhere in Mass.
Prepaid Chg.Collect
Address
NANTUCKET
228-3950
MARTHA'S VINEYA-iD'
693-1036
CAPECOD
DATE;
CONSIGNEE
a/8/86
SUN
ISLAND
DELIVERY
S A'ilmO or FRLiL-iiI bill
TRANSPORTATION,INC.
MAIN OFFICE •DRAWER "W"HYANIMIS,MASS.02601 -PHONE 362-2721
NANTUCKET • BOX 2240,NANTUCKET,MASS.02584
FOR MASS.CUSTOMERS ONLY
1-800-622-1300
818
SHIPPER DELIVERY unit
£>AL
CONNECTING LINE Nsferpoint charge conn,line credit conn,line SUNREVENUE DATE DELIVERED
•qRAVF.R.c;FYPR|.\Q.q |42244 hyannifl
KX PIECES
OPT
YMENT
DESCRIPTION OF ARTICLE
ICci/L^•'fi.
' 'ALL CLAIMS FOR D^MA6ES MUST BE MADE WITHIN 48 HOURS.
The I.C.C.Sec.223 Motor Carrier's Act
requires Ihst all bills be paid within IS
days from prasontalion.
RECEIVE
FIRM
D itd^cqcrt)coNDiTi^ex^spt/Ls noted
<.-V -
RATE FRGT.CHGES.
170 m
totalprepajd
27.20
ppd
C.O.D.
C.O.O.FEE
TOTAL
^^LAreidWATliWa N^Iiu'liiaLi ii«o-iWjTiALfl)
TOTAL COLLECT
Telephone Business Tel.
746-3489 746-6078 QEDS
QUICK EXPRESS DELIVERY SERVICE
26 FOREST AVENUE /PLYMOUTH,MASS.02360
Consigned to:wHTTi:;!!ALL i-'LOOR
Address iaVL:COKhERS iU),,CENTK RVILLL!,AM.Chg.Collect
Shipper J.b'CALLAGIIAN ••
Anywhere in Mass.
2t0u4
Address \:YMAN ST.,l.'OiUJRN,MA.Date 7-18-0 o
No. Pkgs.Description Weight Rate or Class Charges Amount
2 lINO.
4
36 Min.
Our Charges
Adv. Charges
^.C.0.D.
C.0. 0.Fee
13.25
*
;/
t
i'
-TOTAL
S '^
/
11 III •Ill
Telyjhone
746-3489 /
•V
Address
Shipper
Address
Received the above in good condition
•ar
Business Tel.
746 6078
By
QEDS
OUICK EXPRESS DELIVERY SERVICE
28 FOREST AVENUE /PLYMOUTH,MASS.02360
Consigned to:WHITEHALL FLOBH COVLuING
237 FlVii CURMnRS RD..CiiNTERVILLF.MA.Prepaid
J,O'CALLAGiiAN
UVMAN 8TRE1-T.\;01tliRN.MA.
Chg.
•a
Date 6-13-80
Anywhere in Mass,j
'N?2G334 '
Collect
m
•V '.
•~W7-y
relgD^hone Business TeL
746-6078 QEDS
QUICK EXPRESS DELIVERY SERVICE
-•26 FOREST AVENUE /^LYMOUTH,MASS.02360
Anywhere in Mass.
m 20334
Consignedto:WHITEHALL FLOBR COVERING
Address 237'FIVE CORNERS RD,>CEblTERVILLE,MA Prepaid Chg.Collect
Shipper J.0*CALLAGHAN •E
Address WYMAN STREET.WOBURN.MA.Date 6-13-86
No. Pkgs.
Description Weight Rate or Class Charges Amount
I
\
LINO.
k »•
28
Our Charges
Adv;pharges
C.O.0.
C.0.D.Fee
V
*£
t
l\
\''
TOTAL
Received the above in good condition
Telephone
746-3489
Business Tel.
746-6078
Consigned to;
By
QEDS
QUICK EXPRESS DELIVERY SERVICE
26 FOREST AVENUE/PLYMOUTH,MASS.02360
Anywhere in Mass.
m 2004826FORESTAVEI^E/
[i LmJ
Address/^>\}/</'J Prepaid Chg.Collect
0 0Shipper
Address /<ykuk ,Ua-
No. Pkgs.
Description
/(yti (•
By
Date
Weight Rate or Class Charges
Our Charges
Adv.Charges
C.O.D.
C.0.D.Fee
TOTAL
1 I Received the aboveingood condition
:_L
i-i
iBfl-
Amount