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Home My WebLink About0149 FULLER ROAD �� _ , : ,. , . :, . , . . � . ... a .. .. ,. o . 0 F . � -� p � e e : � G �� - . e L .. a - . ,: � ... . �y.,. a .. .' w _ ;.; `` ,. ., ,; .� e p ., 4 G- .. .� � � o d., u B. , .,.. c ., yi � Y � 0 - - .. � d .. - c .. 61 qll C v�iC, 01 INSULAT.IOIN,,m 9. . 1j7 �11 �® IIS BAIT( f OUT?a Sf WSUTSPRAYACAM SUSPf N4[0 4ASif OUftI4f INf UI ASION CSIlINOf __ 1-800 6;9y666 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: 6P/3/�-C/S� Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village //C/ Glee Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ) ( ) ( ) ( ) Slopes ( ) ( ) ( ) ) ( ) Floors KIN Kvo,.. ( ) (X 0 (x) ( ) Walls KID (VO r )1,Pr y 0 r,4-jec1 — Al't 0 r-e Sincerely H ry E ssi r, President pe C Ins anon, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Map- Parcel 7A03LE Application # o ' Health Division Date Issued r . Conservation Division J Application Fee Planning Dept. / Permit Fee Date Definitive Plan Approved by Planning Board' Historic - OKH _ Preservation/ Hyannis Project Street Address ;'O 9' Village Owner� 21,4 f//� � ' Address Telephone *PP..Y 4Z f Z/J Permit Request 24e6.e�lJou e1_ee i9:1 /y1Ye9 ® � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ' 5'onstruction Type -.I-- 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 e�<No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - - - Name Telephone Number s Address Ze /� ,/��c �� f/> e!�/e License #1,Z G?/J T� ,�.�, �.►7T�� Home Improvement Contractor# Email Worker's Compensation # lzt2 6�LI J�92,, C) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR OFFICIAL USE-ONLY 4 APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL T FINAL BUILDING 1 a DATE CLOSED OUT ASSOCIATION PLAN NO. PARTICIPATING mass save CR RMmrJs t!nounn ai+nSV.!ttiti>;rvcy „ PERMIT AUTHORIZATION FORM owner of the property located at: ( wner's N e, printed) ' ( roperty Street Address) t (CitylTown) hereby authorize the Mass Save Home Energy Services'Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work.on my property. wner's Signat T. 'Date-, ° `FOR CSG OFFICE USE ONLY Conservation-Services Group has assigned the following Mass'Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor. Date k Rev. 12132011 Xi i Ilie Commonwealth of Massachusetts 0. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Legibly Name (Business/Organizadon/Individual): . Address: City/State/Zi :v0D ` �V ,��;� , Phone #: Are you an employer?Chet he appropriate box: - - l. ( I am a employer with 4. ❑ I am a general contractor and I Type of project(required): / employees (full and/or part-time).* have hired the sub-contractors . 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity, employees and have workers' [No workers' comp, insurance comp. insurance.: 9• ❑ Building addition 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 o workers' comp. right of exemption per [No p ?� p p MGL 1 . R oof repairs Insurance required.] t c. 152, §1(4), and we have no 2 p f 3a.® I am a homeowner acting as a employees. [No workers' 13. Other general contractor(refer to#4) --�--- comp. insurance required,] Any applicant that checks box#I must also fill out the section below showing their workers'compensationpolicy 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 boz must attached an additonal sheet showing the name of the su employees. If the sub-contractors have employees,they must provide their workers'comp. o number. and state whether or not those entities have policy I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job.site information, 'Insurance Company Name: � '� (/+��GtYG1,1/1 C-e� Policy#or Self-ins. Lic.#: �- Expiration Date: _ Job Site Address:_./�� le_ /� ,o 4i�s��ity/State/Zip: Attach acopy 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 ceJunt1hepains and penalties ofperjury that theinformation provided above is true and correct Si a Date:Phon #: ~-25 Official use only. Do not write in this area, to be completed by city or town offl-ciaL City or Town: Permit/License # Issuing Authority(circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#• J Ce Massuohusetts - Department,of public Safety `✓ .,:board of Building Regulations and Standards Construction Suhcrviscir License: CS-100988.• n.. HENRY E CASSII) ' ;•. 8 SHED ROW r WEST YARMOU'rII :a B Expiration Commissioner 11/11/2015 �.J=7�VC/ a Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Co'n,tractor Registration Registration, 153567 Type: Private Corporation Expiration: 12/15/2016 Trot 259188 CAPE COD INSULATION, INC HENRY CASSIDY --- -- 18 REARDON CIRCLE - ------ SO. YARMOUTH, MA 02664 Update Address and return card, Mark reason for changc,� :CAI ti 20M•05/tt Address Renewal ❑ Employment Lost Card c�J/ze 1pai�t��aarzcue��C�c�'C�/�GrwJac�cr4el�1 \ Office of Consumer Affnlrs& Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to: eglstratlont 1.53567 Type: Office of Consumer Affairs and Business Regulation zplratlon:,:.1.21:.15P.0.1,6 Private Corporation 10 Park Plaza -Suite 5170 Boston,MA 02116 -APE COD INS ULATI,'0F..INC': IENRY CASSIDY 18 REARDON CIRCLE." :'''.. . •; ��_ 30,YARMOUTH, MA 0266'4 ` Undersecretar —— Y N valid wi ut sign c r From:Rogers&Gray InsuraFax: To: +15087786735 Fax: +15087785735 Page 2 of 2 0313012015 10:04 AM CAPEC6D-27 13DELAWRE N C E A�RU" CERTIFICATE OF LIABILITY INSURANCE =DATEDrnYY, 015 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency,Inc. PHONE FAX 877 g16-2156 A/C No Ext: A/C No:434 Rte 134 ( ) Il South Dennis, MA 02660 E-MAIL --- ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER B:SAFETY INSURANCE COMPANY 39454______1 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Ins. Co. _ II 18 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth, MA 02664 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDIL SUBR PO C EFF POL C EXP -- LTR TYPE OF INSURANCEJUM POLICY NUMBER t0M/DDIYYYY) (MM/DOfYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 a CLAIMS-MADE T OCCUR CBP8263063 04/01/2015 04/01/2016 PREMISES(Ea ocrtc n- $ 100,0 MED EXP(Any one person) $ 5,000 PERSONAL&AOV INJURY $ 1,000,0OOI GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY a JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,00 OTHER I $ J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 I B ANY AUTO TBD 04/01/2015 04/01/2016 BODILY INJURY(Per person) ALL OVNNED X SCHEDULED BODILY INJURY(Pei, $ AUTOS AUTOS ( 1 X X AUTOS VNED PROPERTY DAMAGE HIRED AUTOS AUTOS Peraccidan[ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00d C EXCESS LIAR CLAIMS-MADE EX.C10006635000 04/01/2015 04/01/2016 AGGREGATE $ r DED I X I RETENTION$ 10,000 -Aggregate $ 2,000,00(y, WORKERS COMPENSATION PER _ AND EMPLOYERS'LIABILITY Y/N STATUTE EERH D ANY PROPRIETOR/PARTNER/EXECUTIVE WCE00431900 06/30/2014 06/30/2015 E.L. 000,000� OFFICER/MEMBER EXr_LUDED� N❑ .L.EACH ACCIDENT $NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00, If yes,describe under I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000. i ' I I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation includes Officers or Proprietors Additional Insured status is provided under thh General Liability.and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle I ACCORDANCE VATH THE POLICY PROVISIONS. South Yarmouth, MA 02664 • AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD j •r A TOWN OF,BARNSTABLE BUILDING PERMIT,APPLICATION,,.,. - ,a Q rr Map 1 Parcel 10� � F ''Application #o S 6 f _ r Health Division Date IssuedtT 4 '� Conservation Division G �F "Application Fee `v7y�' Planning.Dept:_ i 'Permit Fee 5 Date Definitive Plan Approved by Planning Board Historic -OKH Preservation/ Hyannis + P H Project Street Address Village �Y��' - Owner Address � 5; � Telephone U' qo1 oab 1 Permit`Request EX �eeX ! f Square feet: 1 st floor: existing 1' proposed � `2nd floor: existing P° proposed Total new Zoning District Flood Plain Groundwater;Overlay oC� 8d0 Construction T Projec Va t luation ype Lot.Size Q I Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two'Family ❑ Multi-Family (# units) Age of Existing Structure f g g 2 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: X Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) DO � Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new Half: existing new i Number of Bedrooms: existing _new Total Room Count (not including baths): existing �_new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil 0 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: ❑ existing ❑ new size_ Attached garage:Xexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization Of Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use s Proposed Use Ci APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ��, —7 -,„ Name Telephone Number qvb- qz ., `,&C6 Address �� 4� 1 License# 0J qq �� Home Improvement Contractor# _� 3 I '• Worker's Compensation# W 6 I�-q(oq ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A L G' YI � -1 SIGNATURE L C� DATE a (� FOR OFFICIAL USE ONLY •APPLICATION# DATE ISSUED MAP/PARCEL NO. c 1 + ADDRESS VILLAGE ti OWNER DATE OF INSPECTION: FOUNDATION i � aFio FRAME ( ►SUio17J CO&112,7 l 'INSULATION FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r - j GAS: ROUGH FINAL 1 FINAL BUILDING k / // k DATE CLOSED OUT ASSOCIATION PLAN NO. 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 lease Print Legibly Name(Business/Organization/Individual)' 7 • Address: <IJI tA AMP City/State/Zip:o� l`f. Phone.#: 9'�28-��000 � Are you an employer? Check the appropriate bog: Type of project(required): I am a e to er with 5 4. I am a general contractor and I y T* have hired the sub-contractors 6. ❑New construction iA. employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y P tY• # 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. xContractors 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. M �iJ�+ 111S. Insurance Company Name: U 1I -1 �1 do. Policy#or Self-ins.Lic.#:�C` ��4 Expiration Date: Job Site Address: I �: &! er City/State/Zip:� 1' o, A- o202 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 f 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ertify der the pain dpenahks ofperjuty that the information provided above is true and correct: Si ature: Date: -2 D no —7 Phone#: _ L v' 1 6M) Official use only. Do not write in this area,to be completed by city ortown official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: CERTIFICATE OF LIABILITY( INSURANCE DATE(MMfDDIYYYY) o7/1s2o10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTA KET Germani Insurance Agency NPHO AME: Fax 908 Main Street c No E :(508)428-9194 c No:(508)428-3068 E-MAIL ADD SS: Osterville,MA 02655 PRODUCER CUSTOMER IO A; INSURER(S)AFFORDING COVERAGE NAIC i INSURED INSURERA: SAFETY INS CO Scott Peacock Building&Remodelling, Inc. P.O.Box 171 INSURER B Oslerville,MA 02655 INSURER C: INSURER D: National Union Fire Ins.Comp. i 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMI'SSHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EX LTR 1 R POLICY NUMBER MMID MMfDDIYYYY LIMITS A GENERAL LIABILITY CP00001152 7/52010 7/5P2011 EACH OCCURRENCE $ 1,000,000 COMMERCL4L GENERAL LIABILITY DAMAGE TO RENTEIT_ PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE . $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PROPOLICY LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS • BODILY INJURY(Per accident) $ SCHEDULEDAUTOS PROPERTYDAMAGE $ HIRED AUTOS (Per acddent) NON-OVWED AUTOS $ $ UMBRELLA.LIAB HOCCUR EACH OCCURRENCE $ EXCESS AB CLAIMS-MADE AGGREGATE $' DEDUCTIBLE $ RETENTION $ $ D WORKERS COMPENSATION WC 5815464 62220 0 62220�1 WC STATUI OTH+ AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE .LEACHACCIDENT OFFICERIMEMBEREXCLUDED? ❑ NIA $ 100,000_ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under r DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES(Attach ACORD 101,Additional Remarks Schedule,Ifmore space is required) CERTIFICATE HOLDER CANCELLATION Scott Peacock Building&Remodeling,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Faxg'S08-428-7625 = ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(200§109) The ACORD name and logo are registered marks of ACORD � l F I• r ,.. .i' T Massachusetts Department of Puhlic Safety Board ()f Building Regulations and Standat'dS Construction Supervisor License License: CS 94500 F JAMES S PEACOCK PO BOX 171 r d OSTEVILLE, MA 02632 '' Expiration: 7/22/2012 d ('nnwissi nxr Tr#: 29233 A i L 11 n� eli t License or registration valid for individul use only Office of Consumer Affairs&B sines Regulation � g Y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: =151853 Type: f Office of Consumer Affairs and Business Regulation Expiration 7/7/2012 Private Corporatiori 10 Park Plaza-Suite 5170 r I Boston,MA 02116 SCOTT PEACOCk,[i6 DING&REMODELING INC JAMES PEACOCK11 1046 MAIN STREETeSU,ITE47 < gQ — OSTERVILLE, MA 02655z=:y t' Undersecretary V valid without signature i THE T Town of Barnstable • snxtvsTnaLE, 9� ' �� Regulatory Services prFo�^�r s Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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, «L i , as Owner of the subject property 1 I hereby authorize l Wen.J.nL to act on my behalf, in all matters relative to work authorized by this building:permit application,for. -r7 J'(W (Address of Job) V-( Z3 poi® Signature 1A Oate Print Name QAWHILESTORMS\building permit forms\EXPRESS.doc Revise020108 10/08/2010 23:34 5087785731 CAPE COD INSULATION PAGE 01 REScheck Software Version 4.3.1 Compliance Certificate � e Project Title. New Custom Additions Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family p�:•, Project Type: Addition/Atteration F►�"�/j'a: �,r`�% Nesting Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent:' Des. 45 Fuller Road Gallager Residence SCE Centerville,MA 02632 Drawn by:Craven Architectual Design Scc Date of Plans:09-18-2010 P.0 ast 508 .Compliance: Maximum UA:119 Your UA:111 or -dLI Or UA Perimeter a 0 - Floor 1:All-Wood Joist/Truss;Over Unconditioned Space 576 30,0 0.0 19 Ceiling 1:Cathedral Ceiling(no attic) 232 30.0 0.0 8 Gelling 2: Flat Calling or Scissor Truss 356 36.0 0.0 11 Wall 1:Wood Frame,16"o_r- 698 21.0 0.0 32 Window 1;Vinyl Frame0ouble Pane with Low-E 62 0,310 19 Door 1:Glass 80 0.280 22 Compliance Statement. The proposed building design described here Is consistent with the building plans,specifications,and other calculations submitted with the permit application,The proposed building has been designed to meet the 2009 IECC requlramenta in REScheck Version 4,3.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature. Date Project Notes: REScheck by Cape Cod Insulation,Inc. 455 Yarmouth Road Hyannis,Ma. 02601 1-800-69"611 97401Ch Project Title: New.Custom Additions Report date:09/24110 Data filename; C.Xocuments and SettingsWeithlMy DocumentMRE Scheck4a7401 Ch.rck Page 1 of 4 10/08/2010 23:34 5087785731 CAPE COD INSULATION PAGE 02 REScheck Software Version'4.3.1 Inspection Checklist- Callings: ❑ Calling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments; ❑ Celling 2:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16'oz.,R-2.1.0 cavity insulation Comments; Windows: D Window 1:vinyl Frame:Double Pane with Low-E.U-factor:0.310 For windows without labeled 41-factors,describe features: #Penes Frame Type Thermal Break?,_Yes No Comments: Doors: ❑ Door 1:Glass,U-factor,0.280 Comments; Floors: ❑ Floor 1:All-Wood Jolst(T russ:Over Unconditioned Space.R-30.0 cavity insulation Comments: Floor Insulation is Installed in permanent contact wlih'the underside of the subfloor docking. Air Leakage- El Joints Including rim Joist Junctions),attic access openings,penetrations,and all other such openings In the building envelope that are sources of air leakage are sealed with caulk,gaskated,weatherstripped or otherwise sealed with an air barrier material,sultable fllm or solid material D Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door Jambs and framing. D Recessed lights In the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and rho Interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without Insulation compression or damage)to at least the level of insulation on the sumounding surfaces.Where loose fill Insulation exists,a haMe or retainer Is Installed to maintain.insulation appllcatlon. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air: Air Sealing and Insulation: Ej Building envelope afr tightness and insulation Installation complies by either 1)a post,rough-in blower door teat result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier.Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceilinglittle:Alr barrier in any dropped ceiling/soffit is substantially aligned.with insulation and any,gaps are sealed. (c)Above-grade walls:Insulation is Installed in substantial contact and continuous alignment with the building envelope air barrier. (d),Floors:Alr-barrier is installed at any exposed edge of insulation, (e)Plumbing and wiring:Insulation is.placed between outside and pipes.Batt Insulation is cut to fit around wiring and plumbing,or sprayedlblown insulation extends behind piping and wiring, ( Comers,headers,narrow framing cavities,and rim Joists are insulated, Project Title; New Custom Additions Report date:09/24110 Data filename:C:1Doeuments and Settings\Kelth\My Documents\REScheck\9740.lCh.rek Page 2 of 4 f 10/08/2010 23:34 5087785731 CAPE COD INSULATION PAGE 03 (9)Shower/tub on exterlor wall:Insulation exists between showers/tubs and exterior wall 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_ 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 identifled 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: 0 Supply ducts In attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6, Duct Construction and Testing: 0 Building framing cavities are not used as supply ducts. p All joints and seams of air ducts,air handlers,filer boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181 A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 Inches and are fastened with a minimum of three equally spaced sheet-metal screws. Except%ons: Joint and seams covered with spray.polyurethane foam: Where a partially inaccessible duct connection exists,mechanical fasteners can he equally spaced an the exposed portion of the joint so as to prevent a hinge effect Continuously welded and locking-type longitudinal joints and seams on ducts.operating at less than 2 in.w.g.(600 Pa); Duct tightnam tart has been performed and meats one of the following test critei.la; (1)Postconstruction leakage to outdoors test Less than or equal to 8 cfm per 100 tt2 of conditioned floor area. (2)Postoonstructlon total leakage test(including air handler enclosure):less than or equal to 12 cfm per 100 ft2 pressure differential of. 0.1 Inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g, (4)Rough-In total leakage test without air handier installed;Less than or equal to 4 ofm per 100 1`12 of conditioned floor area. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an Inspection for compliance with the International Residential Code, 0 For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: y Circulating service hot water piper,are insulated to R-2_ © 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.. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools` 0 Heated swimming pools have an on/off heater switch. D Pool heaters operating on natural gas or LPG have an electronic pilot Ilght. Timer switches on pool heaters and pumps are present. Project Title: New Custom Additions Report date:09/24/10 Data filename:C:\Documents and Settinga\Keith\My Documents\REScheck\f17401Ch.rck Page 3 of 4 10/08/2010 23:34 5087785731 CAPE COD INSULATION PAGE 04 Exceptions: ' Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. 0 Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum Insulation value of R-17_ Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: Q A minimum of 50 percent of the lamps in permanently Installed lighting fixtures can be categorized as one of the following; (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent ' (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens,per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage 40 Other Requirements; D Snow-and ice-netting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature Is above 50 degrees F.b)no precipitation is felling,and c)the outdoor temperature is , above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'), Certificate: A permanent certificate is provided on or In the electrical distribution panel listing the pmdominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility or the circuit directory label,service diomnneot label or other required labels. NOTES TO FIELD;(Building Department Use Only) b t Project Title: New Custom Additions Report drjte:09/24/10 Data filename'C;lpocuments and SattingsWeithft DocumentslREScheckl#7401Ch,rck, Page 4 of 4 10/08/2010 23:34 5087785731 CAPE COD.INSULATION « '- = PAGE 05 2009 IECC Energy . a Efficiency Certificate 1 - Ceiling/Roof 38.00 Wall 21.00 Floor!Foundation 30.00 Ductwork(unconditioned spaces): Door Window 0.31 Door 0,211 NA Heating System: Cooling System' Water Heater: Name: Date: Comments: , y , Mc •. x n: Ar j . ,to-. •. ,. .'',: ,. -�, AIVC Cctidct to Wood Construction ill high Wind Areas: 110 mph Wind Zon Massachusetts Checklist for Compliance(780 ( R 5301.2.1:1)� 1.1 SCOPE Q Check Wind Speed(3-sec.gust) Compliance Wind Exposure Category .........••• •........... . _ 1.2 APPLICABILITY ............................................................. .................................. """"""" .'•••••••• B Numbef of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) Roof Pitch ..._„••............................. ry)�stories 52 stories Mean Roof Height ................................................................................. Fi 2 Building Width, W ............. (Fig 2)............................. i Building Length, L ......... (Fig )................................................ 0 ft Building Aspect Ratio (L/VV) ..: ""......"""" 580' (Fig 3).................................................$Z�ft _<80r Nominal Height of Tallest O enin ....................................(Fig4 -� P g ...................................(Fig 4)..................... 1 53:1 .......................�. 56'8 1.3 FRAMING CONNECTIONS —�C General compliance with framing connections....................(Table 2).................. 2.1 FOUNDATION ✓ Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.:........ .............................................................. Concrete Masonry �................................................. / ........................................................... .................................. . 2.2 ANCHORAGE TO FOUNDATION'' .......... ................... 5/8"Anchor Bolts imbedded or-5/8"Proprietary Mechanical Anchors as an altema Bolt Spacing—general .......... tive in concrete only Bolt Spacing fro ................... m end/joint of plate ............... """(Table 4)......... Bolt Embedment—concrete..................:.. 2 ✓ Bolt Embedment—mason ...................(Fig 5)..................................:masonry.. (Fig 5 ..............."in. >7" PlateWasher........................... .......................... ( 9 )........................ in. >15" ....................................(Fig 5)................ 3.1 FLOORS .......................>-3"x 3"x Floor framing member spans checked ...............:.......... Maximum Floor Opening Dimension..... (per 780 CMR Chapter 55)..... Full Height'Nall Studs at Floor Openings less than 2'from Exterior Wall Fi 6 ... ... . ..............Maximum Floor Joist Setbacks ( 9 )( ............ /Supporting Maximum Cantilevered Floor oasts or Shearwall............. . Fig 7)................. Loadbearing Supporting Loadbearing Walls or Shearwall.................(Fig 8).................:.... Floor Bracing.at Endwalls............................. / (Fig 9).............. Qft sd Floor Sheathing Type ...................................................... Floor Sheathing Thickness (Per 780 CMR Chapter 55)..... Floor Sheathing Fastening................. (Per 780 CMR Chapter 55).................................................(Table(Table 2)...� in ed d nails at . �in. ......... 4.1 WALLS � ge/ in field Wall Height Loadbearing walls......... (Fig 10 and Table 5)........................... Non-Loadbearing walls........ Wall Stud Spacing (Fig 10 and Table 5)....................... ft <10, (Fig 10 and Table 5) Wall Story Offsets .....................................I................. ii in. <ft s20' ................... .�. ........................................................(Figs 7&8)...................... .. . 24"O.C. 4.2 EXTERIOR WALLS-' """•• --Q ft sd Wood Studs Loadbearing walls..... Non-Loadbearing walls..............:.......................:.:.......(Table 5)._.,......_..............�:...2x � Gable End Wall Bracing ' 2 ft�in. 2x�- ft_in.Full Height Endwall Studs............. —sG WSP Attic Floor Length .................. . .... (Fig10 not*......... ..................(Fig11 Gypsum Ceiling Length (if WSP not used)............ ).............................................. ft �/V/3 and 2 x 4 Continuous Lateral Brace @ •(F'9 11) .........—ft >.0-9W .................... or 1 x 3 ceiling furring strips @ 16"spacing rain,w1 td 2 x)4 blocking Double Top Plate , g @ 4 ft. spacing in end joist or truss bays Splice Length Splice Connection (no.of 16d common nails (Fig 13 and Table 6)......................:. (Table 6).................... ............ ft t ATVC Guide to .Wood Construction in High Wind Areas: I10 mph Wind Zone Ma. ssacnu.seiis Lneckiist for Compllance (780cM111s301.2.1.0' Loa dbe aring Wall Connections - Lateral(no. of 16d common nails)...............................(Tables 7).::.............. Non-Loadbearing Wall Connections ""'"""'-'"'." . Lateral(no. of 16d common nails)...............................(Table 8).................................... . ' �l Load Bearing Wall Openings (record largest opening but check all openings for compliance..to......9. .ble.....9....) Y^^� Header Spans . ...................................... (Table 9)..................................� '�in. 511' Sill Plate Spans ........................................................ Table 9 ( ).................................. ft �n. 511' Full Height Studs (no.of studs)................................:..(Table 9)................................... ... Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table Header Spans.............................................................(Table 9)................ . ft in. 512' ........................................ P ................. Sill Plate Spans...........................................................(Table 9).................. Full Height Studs(no. of studs)........................... . (Table 9)........... """""""' ft in. 512" ...................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° -Z_ Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................................................................�� 6.8„ Sheathing Type....................s (note 4)................. fZ 'PLY. ........................ / Edge Nail Spacing.........................................(Table 10 or note 4 if less) ........ ram.. in. ✓ ........... Field Nail Spacing '"""""""' p g ........:................................(Table 10).................................................��in. Shear Connection(no.of 16d common nails)(Table 10)..................... Percent Full-Height Sheathin """'""""'�& 9 g.......................(Table 10)........................... . . . .:.. ............ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L Nominal Height of Tallest Opening.......................... Sheathing Type........................................:....(note 4).............. ✓ .......................................ifs�Y.Edge Nail Spacing......:.......... (Table 11 or note 4 if less) �n Field Nail Spacing """ """"""�- ........................ (Table 11).::................................. in. Shear Connection (no.of 16d common nails)(Table 11)..............: / Percent Full-Height Sheathing..... (Table 11)........ ...... i D......... 54o Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..............:.Wall Cladding � ••••• .� Rated for Wind Speed?.................... 5.1 ROOFS / Roof framing member spans checked?.......................(For Rafters use AWC San Tool,see BBRS Website) ✓Roof Overhang ..... Figure 19 ( g )............ fl ft ssmaller of 2'or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift..........:.....................................(Table 12)............................................ U�( Plf / Lateral.............................................(Table 12).............................. plf �C Shear......................:.......................(Table 12).............................................S=LM plf Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker..........................................(Figure 20)............. Q ft !_smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift............:........ ....... . ...... .........(Table 14).................:....... U= lb. Lateral (no.of 16d common nails)...(Table 14)...................... Roof Sheathing Type............ •••• L= Ib. ..................•.........(per 780 CMR Chapters 58 and 59) ....... Roof Sheathing Thickness....................................,...... ....... ...... . ............................. 0 Roof Sheathing Fasteningin• ?7L16"WSP . ...........................................(Table 2)........................ Notes: ........................�, 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety.then the following metal straps and hold downs are not required per,the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 C. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per F'� p figure 18a and Figure 18b • Exception:Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade., AWC Guide to Wood Construction in High Wi1:d Areas:110 mph Wind Zone r i ' IMIassachusetts Checklist for Co mpliance<(7so civ>ia 5301.261 1)' a. From Tables 10 and 11 and location of wall sheathing and Building"Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment i -MEN THIS EDGE RES I ON MMIING USE Ad MAILS AT6bc __ - 1 „ t/ Ib • t 11 41 11 11 II 11 11 ,1 tl 11 11 , 1 II 11 , • 11 _ o n p 11 ii < , O 1 W 2 2 11 ,r , d 11 /1 as II Q II 11 � 1 a 1• I I W II i t l F 1 11 Z 11 �1 S I d aX. . . .,, I 1 41 yl 1 11 li 3 11 rt ' II ti -14 DOUBLEEDGF NAIL SPACWG i t PANEL_ r See Detail on Next Page Vertical.and Horizontal Nailing for Panel Attachment r r i GALLAGHER RESIDENCE BEAM AT KITCHEN 2010.4 Allowable Stress Design LOAD TABLE MSI: 0.81 ' NOTE: 3 PLIES 1.750 X 9.500 LP LVL295OFb-2.OE DESIGN CRITERIA VSi: 0.65 1. THIS COMPONENT IS DESIGNED TO SUPPORT ONLY NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1. OTHER LOAD CASES DESIGN CONSISTS OF 3 - PLIES FASTENED RSI: 0.55 THE VERTICAL LOADS SHOWN VERIFICATION OF TOGETHER-(REFER TO NOTES). ' FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. - LOADING,DEFLECTION LIMITATIONS,FRAMING FLOOR LIVE LOAD = 30 PSF , METHODS,WIND AND SEISMIC BRACING,AND OTHER (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) - _ - , ,}- FLOOR DEAD LOAD 10 PSF LATERAL BRACING THAT IS ALWAYS REQUIRED IS DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD T. FLOOR TOTAL LOAD = .40 PSF - THE RESPONSIBILITY OF THE PROJECT ENGINEER FT-IN-SX FT-IN-SX _ OR ARCHITECT. UNIFORM ROOF LIVE TOP 390 PLF 00-00-00 23-06-00 w 1.00 - ROOF LIVE LOAD = 30 PSF 2.PROVIDE RESTRAINT AT SUPPORTS TO ENSURE UNIFORM FLOOR LIVE SIDE 180 PLF 00-00-00 23-06-00 1.00 ROOF DEALT LOAD = 12 PSF LATERAL STABILITY. UNIFORM ROOF DEAD TOP 156 PLF 00-00-00 23-06-00 0.90 ROOF TOTAL LOAD = 42 PSF 3.DO NOT CUT,NOTCH OR DRILL LP LVL. - UNIFORM WALL DEAD TOP 80 PLF 00-00-00 23-06-00 0.90 - 4.SHIM ALL BEARINGS FOR FULL CONTACT. UNIFORM FLOOR DEAD SIDE 60 PLF 00-00-00 23-06-00 0.90 FLR LEFT SPAN CARR. :..12.00 FT 5.VERIFY DIMENSIONS BEFORE CUTTING LP LVL UNIFORM BEAM WEIGHT 14 PLF 00-00-00 23-06-00 0.90 - _ FIR RIGHT SPAN CARR. 0.00 FT TOSIZE. ,. - ROOF LEFT SPAN CARR. 26.00 FT 6.THIS LP LVL IS TO BE USED AS A WARNING NOTES: 1 - • ROOF RIGHT SPAN CARR. 0.00 FT - COMBINATION ROOF AND FLOOR BEAM ONLY. - - - _ FLOOR LIVE LOAD LESS THAN 40 PSF SUITABLE THIS COMPONENT DESIGN IS SPECIFICALLY FOR L-P ENGINEERED WOOD PRODUCTS. DEFLECTION CRITERIA FOR SECOND FLOOR SLEEPING ROOMS ONLY. - 'USE OF THIS DESIGN FOR ANYTHING OTHER THAN LP LVL OR LP LSL OR LP IJOISTS IS + LIVE LOAD DEFL: •L / 360 7.COMPRESSION EDGE BRACING REQUIRED AT STRICTLY PROHIBITED.ANY MODIFICATION OF THIS DOCUMENT REQUIRES REVIEW TOTAL LOAD DEFT.: L / 240 , EACH END OF COMPONENT. BY A DESIGN PROFESSIONAL. - . CODE COMPLIANCES :• ATTACH TWO PLIES WITH 2 ROWS OF 16d - :MINIMUM BEARING SIZES ARE SUFFICIENT TO PREVENT CRUSHING OF THE LP LVL •"° - - REPORT # - -ti (3-12")NAILS AT 12"OC,FROM BEAM AS DESIGNED,IT IS THE RESPONSIBILITY OF THE PROJECT ENGINEER, ICC-ES. ESR-2403 - - ONE FACE ONLY. STAGGER ROWS.FLIP ARCHITECT OR DESIGNER TO VERIFY THAT THE SUPPORT STRUCTURE FOR THIS - LAADS RR-25783 BEAM AND ATTACH THE THIRD PLY WITH 2 BEAM IS CAPABLE OF SUPPORTING THE REACTIONS. - HUD MR-1214 - ROWS OF 16d(3-12")NAILS AT 12" - - CC 4C 11518-R - OC TO THE UN-NAILED SIDE OF THE FIRST PROVIDE ANCHORAGE FOR UPLIFT AT SUPPORTS.ANCHORAGE DETAIL TO BE TWO PLIES. STAGGER ROWS.NAILS MAY BE PROVIDED BY PROJECT DESIGNER. - COMMON OR BOX NAILS WITH A MINIMUM SHANK DIAMETER OF 0.131".16d SINKERS ANCHOR LP LVL ROOF/FLOOR BEAM SECURELY TO BEARINGS OR HANGERS. - 3-1l4" MAY BE USED. LP LVL FLOOR BEAMS ARE MANUFACTURED WITHOUT CAMBER,THEREFORE, - IN ADDITION TO COMPLYING WITH THE DEFLECTION LIMITS OF LOCAL BUILDING CODES,OTHER DEFLECTION CONSIDERATIONS SUCH AS VIBRATION,BOUNCE. - • - - CRACKING AND AESTHETICS,SHOULD BE EVALUATED BY THE PROJECT ENGINEER OR ARCHITECT. - MAXIMUM RECOMMENDED DEAD LOAD DEFLECTION IS 0.333"OR LESS. THIS FLOOR FRAMING COMPONENT HAS BEEN DESIGNED WITH AN INPUT TOTAL LOAD DEFLECTION LIMIT OF L240.(PROVIDED BY THE LP CUSTOMER).THIS COMPONENT CANNOT BE USED TO SUPPORT CERAMIC TILE FLOORS. log Be ' SUPPORT REACTIONS (LES). .9.500 i .. MAXIMUMS E A R I NG N U M B E R _ _ - 1 2 3 1.750 DOWN 4720 11819 1932 T 3.500 - UPLIFT --- --- 691 F5.250 _ r CROSS SECTION - MIN BEARING SIZES (IN-SX) 5- 8 5- 8 5- 8 - MAXIMUM DEFLECTIONS CALCULATED ALLOWABLE LIVE LOAD 0.42" 0.51" 15- 6- 0. .8- 0- 0, " *DEAD LOAD 0.4311 23 6- 0 - TOTAL LOAD 0.71" 0.761, "*THIS DRAWING IS NOT TO SCALE Handling&Erection Miscellaneous Information LP LVL,LP LSL and CTR,LP I-Joist Specifications Software Provided By: ' Ot2vv IBC 2006 w Temporary and permanent bracing forholding component The use ofthis component shall be specified bythe designerofthe •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 and•Common nails driven parallel to glue lines shall be spaced a minimum of 4'for 10d 414 Union Street,Suite 2D00 installed by others.No loads are to be applied to the instructions from the designers of the complete structure before using this and 3'for ad. 414 Union St 37,Su component until after all the framing and fastening are component.If the design criteria listed above does not meet local building 'Do not cut,notch,drill or alter LP LVL,LP LSL and CTR,LP I-Joists except as shown 19 completed.At no time shall loads greater than design loads code requirements,do not use this design.When this drewtng is signed in published material from LP any use of LP LVL,LSL and CTR,LP I-Joists contrary Phone 800.515.7570 be applied to the component. and sealed,the structural design is approved as shown in this drawing to the limits set forth hemon,negates any express va anty of the product and LP Fax 866.753.4369 based on data provided by the customer. LP LVL,LP LSL and CTR,LP disclaims all implied warranties including the implied warranties of merchantability Design Criteria I-joists are made without camber and will deflect under load.Wood in direct and fitness for a particular use. The design and material specified are in substantial contact with concrete must be protected as required by code.Continuous DWG # conformity with the latest revisions of NDS.•Dead load lateral support is assumed(well,floor beam,etc.).LP does not provide - deflection includes adjustment factor for creep.Total load on-site inspection.This drawing must have an Architect's or Engineers seal'A COPY OF THIS DRAWING IS TO BE GIVEN TO THE INSTALLING CONTRACTOR SHEET # ' deflection is instantaneous. afixed to be considered an Engineering document. . LP is a registered trademark of Louisiana-Pacific Corporation. _ File:CAProgrem Files\LP\Wood-E Design\2010.4\WOODE.SPX t The Town of Barnstable K#JM ,g Department of Health Safety and Environmental Services Ma Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph Crossm Building Commissio: Fax: 508 775-3344 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,aiteratiotrs,renovation,repair,modernization,conversion, imprwement,.removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to strociiues which,are adla"mt to such residence or building be done by registered contractors,with certain acr,p11 IM along with other requirements. Type of Work: Est Cost V•f Address of Work: O%mer.Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _ _ob under S1,000 Building not oamer-occupied Owner pulling am par* Notice is hereby given that:OWNERS PULLING THEIR OWN IIvIPPERMIT ROVEIvIENT WORK DO DEALING DO WITH NOWT HAVE �DCCESS TOCONTRA THE ORS FOR APPLICABLE HOME ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as'the agent of the mmer. Registration No. D e Contractor e OR w Me Commonwealth of Massachusettti y .y:�y• Dc�partinent of Industrial Accidents i . AfeeofMFestflo forts 600 H'aslthigron Street Boston.Afars. 02111 Workers' Compensation Insurance.AMdavit _.,._ nlFm-nfot•mationi Please PRINT le tbl Mw 'R name• �y/�'� ��-'�� nhone 1 am a homeowner performing all work myself am a sole proprietor and have no one working in any capacity .... "tee-�•"W... - .� _-- - - •,..��.,.� lam an employer providing workers' compensation for my employees working on this job. company name: asidrece• • cety: nhone#• incur�nce co policy!! • L.... *... .;«..�,......�...r: .. . ,•......t�,.w+•rs:474�`.':!•..,rw��"•'�w.ff^* . .. . _. -....'. 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnany nime• address• fib.. phone#• insurance co neHey 0 1:��..�u:. .�•--.•-1%:-• - _ .sa..__ -s..a.-Q-�-+►-•r-r•�ee�nst'�Ki.sr.�- - - - '77VF •'�?r•�:"`+:1.7�!R�?�=.'['-'-"L!'-•.9�'�!?::•"'+� company name• address: - - ---- city. phone#t insurnnce_co policy# - .Atiach additional'aheetiftiecess, 7 :-,w.; - :;.��:y�:,'r.�.' " :``:,r:.'. r`' �..,. .. •,�•u'�`lf�io' Failure to secure coverage as required under section 25A of 51GL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or une years'imprisonment as well as civil penalties is the form of a STOP WORK ORDER and a fine of S100.00 a day apaiam me. 1 understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coveintge verification. l da herebt•cerrij• rler the parrs arrd penalties ojperjuq•that the iajonxation pm ided abo is true and coifed sic urc (� ate �' oZ & Print name K © '-� Phone# D official use only do not write in this area to be completed by city or town official city or town: permit/license Building Department OLicensing Board ' O check if immediate response is required Oseleetmen's Office 011ealth Department contact person: - phone#; rlOther Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees: As quoted from the"law", an emphti ce is defined as every person in the service of another unde'r any contract of hire, express or implied, oral or written. ,' An emplmyer is def fined as an individual, partnership, association. corporation or other :',gal entity, or any two or more of the fore�_oing 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 1'52 section 25 also states that every state.or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commoni•calth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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 hav, been presented to the contracting authority. �we.r.!�!.e��'��1T!!• .+..+.,w .r.';7i. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. r._.�,,,,M„��,,,,,.,..,a...r •.a•.•Q...on--.; - _ �� ,wry ;: _ �. �.. ._... n� .. q,_'•r �jA.. t...wi :aF u;:.i�.r. !�.p.�•'`Sf'+,Ui�r°n.^Tµ•.RLi7i�+y.l.H.-��7�ti' :'�!t��',5�:..J'Y-�i. • :,.. ... . City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure'to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department b )mail or FAX unless other arrangements have been made. r � The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #; (617) 7274900 ext. 406, 409 or 375 l ✓�ee -�amxnxynuleall� ��oac�ivael7a_ _ C c4 1V ;Ec2�TmENT CF "UBL SAFE"' E( ,QS: 8ii indat i _ None 3SOli i' JBii ,.• II V v J> P 0C/ 9" ) i c t T .'n GOFF TERN :— s' L Tr PUT; I — 77 r-fi—7� 4t. Ar�. a • . s .'ham } - . Rt3* *` mil r• F * {:fi 1. p f a,3•. 7 'Shr ,�,3" .fit t ,T s. .• tin x� 4 e'a r.� a i _ Nv M4 �-t lx, t aw"r�� u ,'�. � ",x .9- k � S�i•.krar2t�' 'e... L- a „ . HOME IMPROVEMENT CONTRACTORS REGISTRATIO..el 01trlllkpk�W; N �' p � x 7r Board, of Building 'Regulations and Standard t{0. F �� `�hr �wu �'- ; One Ashburton Place Room 1301 � � ' s�= zr Bos ton,- Massachusetts` 02108 � � s � Ra s.s .•'s ,• ,.' i s a } �lk' g�v(j,r 3�`r��'` 'C'.. "iA Ar Y . gay s 9 + ��' k, 3.,.1, HOME IMPROVEMENT OR ; :. r k • Ex iration 07/24/96 ' f , Registration 106566 P Type — INDIVIDUAL ' _, � � 4a� x~ r w H �[° �,•N NONE INPROVEMENT CONTRACTOR RegistrationQV `106566 x INDIVIDUAL Bria.n Cliff0: d Clifford ' Expiration 07/24/96 Sr ian 0 . ' 10 Goff Ter v k i " Brian Clifford Y ' v Centerville MA 02632 ;:Brian D. Clifford Wjca�r�o�i0Goff Ter :. I .,Centerville MA 026-32 ADMINISTRATOR Q , � 4 its AMC too$ 3 j / ��k L l� S y Town of Barnstable *Permit# c9ffj Expires 6 r onths fi n►issue date . X-PRESS PERMIT Regulatory Services Fee AUG 1 7 2007 Thomas F.Geiler,Director �$�)?J6'7 A e/ Building Division 'j"QWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY . Not Valid without Red X-Press Imprint Map/parcel Number 0 0—Z 6 5-S Property Address I ff /` 4 11e ®Residential Value of Work_1 TZ 0 Minimum fee of.$25.00 for work under$6000.00 Owner's Name&Address / ;; Contractor's Name �` s7 L l' Telephone Number -5 d".�' %t7 Home Improvement Contractor License#(if applicable) 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 'o iv W orkman's Comp.Policy# "yix-/e w Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [} Re-roof(stripping old shingles) All construction debris will betaken to- r �� s S,rti 1 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.'U-Value (maximum.44) *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Aroperty Owner must sign Property Owner Letter of Permission. cop of Ho provement Contractors License is required. SIGNATURE. F Q:Forms:expmtrg Revise061306 s, r30:11'dl• iiilcil lla j o�nirreoo glilatio u�n ncu�Zuae License or registration HOMIE IMPROVEMENT CONTRACTOR e valid for individu' Rri�trat on; 106566 before the expiration date. if use Qrs, �. EAprratYon- ound retu Board of Building Regulatio Regulations and Stand�'t� 7/24/2008 One Ashburton Place TYpe`IndNidual Rm 1301 arty Boston,lVla.02108 d I7fORp + r.,118f 'I.ford r �v`Gof T r ` t t entE I✓lA 02632,t De .... p11ty Ailnlus _.._ f - liot vats wit lout si y THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A m / �C(LJ LI DATA 08/16/2007 14:53 FAX 2037306371 VPEBSTER BANK 139 � Z 001/001 Town of Barnstable. s $ Regulatory Services Thomaa V.Gallar,Director 7BuUding D"lou Tom P¢rrp, auifding Ccmx 11dow 200 Main S%flc, Ey=tik MA 02601 _ �r�V>9to�vn.barnatabl�,ma.pa • C�,ce; 508-562,4038 � � Rom: 5Q8�79Q-623fl Property Owner Must Complete and Sign This Section If Using ABUII er hereby auriorize " t .. a , ��' t '-t� ton fla iay��ehalfa rl is all matters relative to,work authai=, a by6is bw7dm—&per=k app3ication for: , S1gaa Date �!'.F@F.R2.9:89�N�PERM35StDT1 ,. �'s� � �n '1 01)74)) 1b0nc '(IAl Void. 01113,900 ).iu )7,)1) nui ,nn-;_or_nnu' '00!7.00�1 );'di- $b,-ZO LOOZIBLI80, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a ' d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers'*Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Aivllcant Information f / Please Print Le 'bl Name(Business/Organization/Individual):.��► /( .��5 Address: /� --Pc 4-- city/state/zip: �� . ��1� Phone.#: Are you an employer? Check the appropriate box: -Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction . 2R I am a sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• E]Demolition workin for me in an capacity. employees and have workers' g y P �'• #• 9. ❑Building addition [No workers' comp. insurance comp.insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P officers have exercised their -3.❑ I am a homeowner doing all work 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.Q 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 anew 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.policynumber. Iam an employer that is providing workers'compensation insurance for my employees. Below isthe 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 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify�rnder the pains-and/enalties of perjury that the information provided above is true and correct: Simature: Date: . 7 Phone#: sr-0- Official use only. Do not write in this area,'to be completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: oitxsr, TOWN OF BARNSTABLE Permit No. ..2.9?37...... BUILDING DEPARTMENT { D°8;a 1 TOWN OFFICE BUILDING Cash ........... HYANNIS,MASS.02601 Bond 4 CERTIFICATE OF USE AND OCCUPANCY Issued to Dale Urbanik Address Lot #3, 149 Fuller Road Centerville USE GROUP FIRE GRADING `-OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CdDE. Septe mb�:r 8. 19.....87 rr ,rm-�`�? .. .� _ .. f Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT i 'Jaanr TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 �a lur►. MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the buillddiing authorized byk` r BuildingPermit #$........ ..... »............................................r'.....`. . � .f... . ............ ................................»»». issued to ....1 / �fJ cJ/. ........ _...... N Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR' QUALITY ORIGINAL (S) DATA I { TOWN OF BARNSTABLE, MASSACHUSETTS M 1 T �A/ (1p J�J DATE' • 1 S APPLICANI�-�� 1 V ADDRESS__ f�/ (NO.) ' CONTR'S LICENSE) PERMIT TO /L .{_)�C.STORY 2 TYPE OF IMPROVEMENT) NO. (PROPC AT (LOCATION) 1-11-9 BETWEEN •W� _ --- AND— (CROSS (CROSS STREET) �{�"� SUBDIVISION LOT BLC (((/// BUILDING IS TO BE FT. WIDE BY FT. LONG BY (//' d / .M IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR dd. PERMIT VOLUME ESTIMATED COST $ FEE y� (CUBIC/SQUARE�FEET) OWNER BUILDING DEPT. ADDRESS BY A THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY•OR _ PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED < FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED'' FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. - MADE. WHERE A CERTIFICA"rE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. - POST THIS CAR® SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS E ECTRICA ECTION APP VALS 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHERV`'' n BOA ALTH y J i WORK SJWALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L'.., BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE WORT STA ;:C) ''THIN SIX MON HS OF DATE THE I TOR HAS APPROVED THE VARIODUS STAGES OF j ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT iS ISSUED-IAJ NyY D AECV't* NOTIFICATION. ( 16 r � 711P A AT © �' Assessor's offioe Nst floor): �' SYSTEM THE - _ �• MUST- � ro Assessor's map and lot number .......�. 9.....�.............. I►t%ds L E[) IN COAAPLI o H'Board of Health (3rd floor): - T w Sewage. Permit number WITI♦ TITHE :...:.....e..�,...�.:.... ..1.ti!::.......... Z 21AUSTADLE. ENVIRONMENTAL CODE M.Mi i Engineering Department. (3rd floor):. � - - ,a, House number .......................................OF.!.!Kf........................ ; TOWN REGULA icc 'EO 1639 39•a\ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1i00 2:00 P.M. only r TOWN 'OF'- -BARNSTABLE BUILDING _ I.NSPECTOR APPLICATION FOR PERMIT TO ...... .C.9�.... TYPE OF CONSTRUCTION ...... 9.0 TO THE INSPECTOR OF BUILDINGS: >• The undersigned hereby applies, four a permit acce�d�to the fo wing i format'on: �I ./ °�Location ��(j��.�. .............. ..... ! ........ ............................... ............................. .. ..�� ........................................ Proposed Use ....Z ..... ........ ?j J..< ..........�. ...w..... .�� . Zoning District ... . J ............................. Fire District ......... . .... .......................... Name of Owner ... .... .. .......... .. . /y> ................Address�S ... . .. . .... ... `4.. .... .....: 7 I �J Name of Builder .... ` ....... .I„mil ... C Nameof Architect .............`:..61.e.c...................................Address ........... . ......... ........... ..................... ........ .7 Number of Rooms .:.............. .............................................Foundation ..... .... �..... ..................f. .t�.. . ..... Exterior ...... .. ��'c . . ............... .(. / .. .........Roofing .........../ .......... . . .... . .................... Floors (/ Cr .....................................Interior ....... . ........... .. ........ .... .. . . .. . ....... — . rieafing ... . k07= �.. ..:'...............Plumbing ....... .. . ..�. . . ....... J.Fireplace ...... ...................... . ...... ..................................Approximate Costf ... �'t... ..............:..................... ---------- Definitive Plan Approved by Planning Board ___Acloe-_a' 9 ........... �TSCJ e Area 74�— ;Diagram of Lot and Building with Dimensions Fee ...........��.......................... 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. hy Name ................ .. . .. . . ......................................... �o. Construction Supervisor's License .................................... URBA UK, DALE s ..No ..29$.U.... Permit fcr ...1.1...St.ox ................ .� Single..Famly..Re.l J zzzg.................. Location ....Lot.. .....149...kulles..Road....... CenterV' Owner Dale Uran' .................b.....,1 .................................. ` Type of Construction ...Frame......................... ................................................... , tPlot ............................ Lot ..........: .l ................. `{ Permit Granted August 26, ...19 86 Date of Inspection .......l....� ..............19S4 Date Completed ....:.... .....................TOM 1 1 j r 7 - �7- Assessor's offioe (1st floor). / Q n �� ' �' 1..�..J.. �Cy Q�F TM E r�` Assessor's map,and lot number ....... . .... ............... Board of Health (3rd floor): Sewage Permit number . . H ulseernumbepartment (3rd 'floor).....::....................................... oo�rb a`e� < o Ypy APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN ,_OF BARNSTABLE BUILDING INS"PECTOR 1 APPLICATION FOR PERMIT TO ...... c .... kA-ca -....................................................................... TYPEOF CONSTRUCTION .............................................................. ..................................................................... .......... ........19. . l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit��rdgto the f�odopwii,ng information: Location /.4c.-.3' ........... /�? ................. ........ ........`- `��........... ......0.................................................... Proposed Use .......... d Zoning District ...r—.......... ......!...............................................Fire District .......... ,f CJ .. ................................................................ f Name of Owner ..............�._......�!........ ../�,' ...............Address/s .... K�!((J./...... ... ...... 4,5 Name of Builder v r �° �`................Addressa�) Nameof Architect Q e..................................................................Address .................... .............................................................. Number of Rooms ................�...............................................Foundation ..... ` .0 .................f/ 7. , Exte for .... ... ..[:�...1fe?l.....k:..... ?.r. /�.l..� Roofing ......... �� . ........ gsU . . y. .......................................... Floors ........................^...........( .. ..............................Interior r ..... ................ Heating 'v.." e ........ G�'-.S•.............................Plumbing .......�.................. .................................................. Fireplace ......j.............................. ..................................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 R 1 11 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. r Name .............. .................................. r Construction Supervisor's Licerise .�...%70............ URBANIK, DALE A=189-2 No 29837..... Permit for . 1 ...Story.. ............. Single Family..Dwelling. ................ Location ....Lot...��3.......k4q..Fuller Road Centervil e Owner ......Dale Urbanik Type of Construction ......... rame F.r.ame....................... i Plot ............................ Lot ................................ Permit Granted .......August 26, 19 86 .................... . Date of Inspection ....................................19 Date Completed ......................................19 7; V Assessor's_ffc�(lst'floor) Map'*, Pai6el Permi t#_:��Daie� Issued Conservati, Office(4th floor)($30-9:30/1:00--2-06j -;0 Board of Health Ord floor)(8:15 0-00-44,5) fel 3!� Engineering!Dept (3rd;floor) House# SINE P SEPTiC SY 1p� e p . �Ioqr/Scnool Admin.iBT(3g.) INSTALLED ANCE ou MoTyriamung Board J 19 4 WIT ENVIRO ME" ODE AND iBA N REGULATIONS1 TOWN OF RNSTABLETOW Building Permit Application Project Address Village OJ rOwner oo 0 19,lldtej Address -7� j oTelephone (42 t Perm Request /aW /,0 1 a>7 > 0 ;First Floor square feet Second Floor square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? A Zoning Board of Appeals Authorization Recorded e-lz� Current Use Proposed Use S Construction Type oV 0 d al�l Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure is O.-_3 Basement Type: Finished Historic House Unfinished Old ring's Highway Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number 4�0 Address /0 License# t9J771D Ai Home Improvement Contractor# /0 G —Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE al-2 BUILDING PERMIT DENIED F"E FOLLOWING REASON(S) ............7 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. i ADDRESS - r VILLAGE i OWNER , DATE OF INSPECTION: FOUNDATION a Y } ' FRAMES INSULATION t i� { _ ZL y.. FIREPLACE'. f' ELECTRICAL_ : ROUGH FINAL _ y PLU_ MBING: ROUGH FINAL GAS: R(fiGH® � FINAL - � r Qas _ FINAL BUILDING '^� d ~ m L r 3i DATE CLOSED OUT, !LFr- ri O • � C7 �'ti I I i t sy � fti C: ASSOCIATION PLAN I . , ,_._._. SMOKE DETECTORS RVIEIIVD . - = o�IS1o77, - � 1 Rf BLUBUILDING DifPT. DATE FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING x ..•. .�..,2,.... ,..F...,�,.. ..,,.ter �. w- t L. L Ja i ._._. , R x _ •�r. '�is..... s I w !j i I - { t- L { ! r iI !tl f r -- r' I tl 7 •,I,,, ' .. - I 5T7.✓G a .� • i 1 I I .1 1 : f} i lot'J n, I uu N 01 ..... a T., 0 fi _.------' — --.I.._. __ j f k _70 41 1pi-- - ._ {�•�.. � � I t' �?I t { '�._.L7 ,sJ i: �{�� I '' <•°- - r-r^s .f"a'rc .e- r�/_ _..—....�.__�'— .� WE 1 i—' 1' �;�t- - •t, - 1 .� I 1. 'i 5� L7aG t _ .R[... .. w... s , 4 ! 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(: .+ tw.�.{-- , , A. - t r9� 11 i — — 'ro.Ys+, nt<•`-...g. ° � :; ,. �.:.. .. !(.' Y� t kl li !4 it L- � - � l.0 i s ti. i..p #-a ,... �•.,.1•X4-_ _l..•v_ - f .' 1. : g� ,p(. .i -, !I �: .r k � :. � !, 1`' ,.., !t (• � � (. I� 'F .. ._.. .... - ....... ._ .. ... ..... '- r E .. p , {�a '� F. =--� -._-:•— -- - _.__ n` ill . -. [tl. .n i rr, q •. �4 ;i 3 9. ..fi{ .1 ,. � -. j. .. , _ _ _ �.:c...r-. _._ -I - (� i F k i I 1 wN 5 � t .. .•a.. - .:•. -' �rsis'::_. a._....wy. i 11it It {1 _ —1-d1-•m-F ' __. Zi it :. { :•. 'r: ,' ".-,. "" �� -.. � - . �_.__ .1.-�.._ _, � �,E=� ,key �i - -- it i 1 1 i h t tt i I r P 1 { i Y .,.. .A:yi+ .... ,...�.: e✓v:•iS:'n.»AaL�.. -::: .: ._ ! F .. Fes\ .! �, _ •- .!, ,, ". ..,. _ ail -' ':a , : _ it i i• 1.: ti, 1 I !l JT b> .x.,... s.: .. f !...+ :E• .:.^.ACE..idY'W.P,a' - _... .. tc __ ..�. ._ _ _. ...._ .. -.. + .. 1 t _. _.-_ ___.. ... .. 13. - ' , `. - ,, it '., - l i --•- 4f' i 17-- , i 7 4 - 4 I I t `C V--C- -31 ^ : I _ e i C4X ih 'F ._. ; .. .. , ' ____'__.i 1 ,: '..-. u PB 440 ' F i PAUL RYLL y y No. 32448 0� 9FC/sTER�v%' �i�'1A1 LAtdO�J� �4cV�>4�-� "i o.. �c z C,�C/E G 1A.14 C)E,42 2 Ck<11<Ia f 2bs/ a /z.g ��i (�GD ' J 4<'yl EOGE d� GdYduTl1 r yr Zc.;' E G/,v pE,cZ ,a�3 4/b ,cam 2 3 ��' �,t20s� �OGF Use G4YDu�-l J r �O �. m o << 9r-a TOWN OF BARNSTABLE ZONING -(� < BY-LAWS DATED FEBRUARY 1986 ZONE: RD-1 SETBACKS f FRONT = 30' SIDE = i0 ,80 L T O,c/ Al Y.o. 55/ EL.6 V /oc�• o G REAR i 0' PROPERTY LINES SHOWN HEREON WERE COM PILED �p ss'utire�) FROM PLANS OF RECORD AND 00 NOT REPRESENT AN ACTUAL SURVEY ON THE GROUND. PROJECT N0: 3-1803-00 THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON 8/i9/86 in AND EXISTS AS SHOWN AS OF THE GATE OF LOCATION. BARNSTABLE MASS . THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: i" = 40' SHOULD NOT BE USED FOR ANY OTHER PURPOSE. AUGUST i9 i986 BSC / CAPE COD SURVEY CONSULTANTS 3261 MAIN STREET DA E PROFESSIONAL LAN URVEYOR BARNSTABLE VILLAGE, MA. 02630 - (617) 362 8133 a s k �o P '�3 �B i t a v -7 _3 4 ,r 4 PAUL ' o R• G� J RYLL U A No. 32448 10 o�F� 9FGISTIR y 4'4tLAND � p p ai•Si z V 9Z T�a� �_ MIJp a� �Q.�ic.ss rd6G E' 2' 4Po. 44dY6u7-) N f� �\ \ Zc,•c<G L/.v�= pE�2 ,a,5 -4/b ,o Z 3 vs�L4Y4 u T� t� �O << 9 TOWN OF BARNSTABLE ZONING BY-LAW; DATED FEBRUARY 1986 4 " '�. ZONE: RD- 1 a0 - SETBACKS FRONT = 30' ' ) SIDE = 10' ,So Z_7- oA.1 N ) FAO, SS l EL.E V. REAR = 10' (/.C9 SsutirE.o� PROPERTY LINES SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1803-00 AN ACTUAL SURVEY ON THE GROUND. THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON B/19/86 in AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNS TABLE MASS . THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1" = 40' AUGUST 19 1986 SHOULD NOT BE USED FOR ANY OTHER PURPOSE. BSC / CAPE COD SURVEY CONSULTANTS ✓� 3261 MAIN STREET DA E PR OFESSIONAL LAND URVEYOR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133 -i SOIL TEST PIT DATA. INDICATES INDICATES SEPTIC TANK DETAIL: / 000 CrA L . DISTRIBUTION BOX DETAIL: LEACHING PIT DETAIL.* REVISIONS: PERC. -s— OBSERVED NOT TO SCALE NOT TO SCALE NOT TO SCALE TEST - GROUNDWATER NO DATE NOTES: I. SEPTIC TANK SHALL BE STEEL 4. WLET AND OUTLET TEES TO BE CAST IRON OR " NO. OF OUTLETS: S MANHOLE COVER LOAM 9 SEED TP 4 3 TP* 4 TP TP REINFORCED CONCRETE. SCHEOL 40 PVC. TEES TO BE CENTERED UNDER � BROUGHT TO FINISH GRADEI FOR PAVEMENT GRID. EL. 90. 4 GIRD. EL. 91• GIRD. EL. GIRD. EL. 2. SEPTIC TANK TO WITHSTAND H-10 LOADING MANHOLE COVER. J-1_--, NOTES: GW. EL. Gw. EL. Gw. EL. GW. EL. UNLESS UNDER PAVEMENT, DRIVES OR I L DIST. BOX TO WITHSTAND H-10 LOADING 2 MIN.OF 1/8 ' p 0 TRAVELED WAYS,WHEREIN H-20 LOADING I I UNLESS UNDER PAVEMENT, DRIVES OR TO 1/2" 12°MIN. FILL 0 ?dPSOK 0 T 30) SMALL APPLY. i PRECAST I TRAVELED WAYS WHEREIN H-20 LOADING WASHED r COgICSa 3. ALL PIPE CONNECTIONS AND CONCRETE NANNOLE COVER IS -I I DIST I I SMALL APPLY STONE �� re • tj i SA pi CONSTRUCTION TO BE WATERTIGHT. NROU4NT TO FINISN BRAOE t BOX r' 2. PROVIDE "LET TEE OR BAFFLE WHERE SLOPE OF ' n F INt So 1 INLET PIPE EXCEEDS 0.08 FT./FT OR IN PVC INLET PIPE o c a a o o ❑ Tp 3(o CT1CAVtL I Sato- �� L___ J o 0 0 o 0 o C� 0 0 � ° NOTE GENERAL NOTES: 12'YIN. ��___ PUMPED SYSTEM. i d Gj S•' / COVER 3. FIRST TWO FEET OF PIPE OUT OF DIST x .• p LEACHING PIT TO rn M,EpIuM - 1p - PLAN VIEW BOX TO BE LAID LEVEL. a -mot 0 0 0 0 o a o 0 0 J o WITHSTAND H-10 LOADING 1, THIS PLAN IS FOR DESIGN AND . UNLESS UNDER STRATI t �— ' '• - ' PRECAST (�_°` o ° PAVEMENT DRIVE OR CONSTRUCTION OF THE SEWAGE 51�' '�'G D NORrAL WATER BEVEL COVER ABLE � � >� - DISPOSAL FACILITY ONLY. COVER +. W 3/4"TO I-I/2" a v o n Q a o a ❑ TRAVELED WAY WHEREIN MED)VI ` � 1 - - DOUBLE• r LEACHING PIT a ;� H-20APPL LOADING SHALL 2- ALL CONSTRUCTION METHODS AND • PROVIDE .. W LI) N WASHED 0 p O o o a o 0 0 MATERIALS SHALL CONFORM TO MASS. STONE ' U. �• go O.E.G.E. TITLE 5 AND LOCAL BOARD INL[T T[E WATERTIGHT U. (no finest OF HEALTH REGULATIONS. 8„ AN 1 _ I ► JOINTS(typ .1 1� •, I• W Do• . 0 o o n o 0 0 o O �• ` FINE 1 /SEPTIT - — � 4'.0"YIN. OUTLET 5 8 r-� [E[ 1.. r / ' 3. ALL PIPES LOCATED UNDER PAVEMENT SEPTIC 1: r �r 1 , SAND i TANK ,`• LIOUNi 0l/TN TEE NOTE E �: ,• '� ��` f' 1 ts •a 0 0 C❑ C3 o 0 0 o D , e OR TRAVELED WAY SHALL BE �'-IO 4� INLET � F ►Nt 1 1 `�Lf�l 4 OUTLET C4 1 ' ` p c e� SCHEDULE 40 OR EQUAL. ,��-- — —71 r 6 MIN. •- '` �--------�• 2• (o DIA. Z •• ;-'.•• :. :.. : :. .�:.. ..- .. "? .:•.:� _ : .: •,.� O`o BOTTOM ON �� BOTTOM ON LEVEL STABLE NAME' d•�0,; v� oyQ•� �' u o• LEVEL STABIF 0 DIA. ii�r �,rirrr�, CROSS-SECTION B� PLAN VIEW CROSS-SECTION VIEW NO k T CROSS-SECTION 144 I44 79•` _ CONSTRUCTION NOTES: DAT : DATE: DATE: DATE: "� {'� INVERT ELEVATIONS. TES BY. TEST BY: TEST BY: TEST BY: ., s.w so U s.w s INVERT AT BUILDING WITNESS D BY: WITNESSED BY: WITNESSED BY: WITNESSED BY: Y INVERT AT SEPTIC TANK(in) $$• - �✓ INVERT AT SEPTIC TANK(out) . PERC. RATE: PERC. RATE: PERC. RATE: PERC. RATE: �- INVERT AT DIST. BOX(in) SSAA MIN-ANCH MINJINCH MIN./INCH MIN./INCH X� -a7 Z INVERT AT DIST. BOX(out) INVERT AT LEACHING PIT _ I _ DATUM: ' BOTTOM OF LEACHING PIT O U.S.G.S. MAXIMUM GROUND VERTICAL DATUM: ASSUMED WATER ELEVATION BENCHMARK USED: TAB '5cur cW t4cjpRA#4-r '*55/ FL= 1o0'hss"60 OBSERVED GROUNDWATER �,,,�J ► .N E L E VAT I O N �L NOTES # Pl opewT Y L INES SHOWN HEREON WERE COMP14 ED FROM A PL AN � RECORDED AT rmf BARNSTAB E- COUNTY REGISTRY QF DEEDS , '� IN PLAN BOOK PAGE AND DOES /MOT REPRESENT AN � j r / �C' ,Z OA/c !i•J6- ACTUAL SURVEY ON THE GROUND. 1 91 Zo,�rE- LANE PoF C- PLA�1 eons- 4/0 �..; wt/5J`t-�,�vIA. Zl TNlS TO►AQGRAPHlC S6IRVEY WAS MADE ON. THE GROUND 8Y , g.e, TRANSIT AND yrowm mcri3GD l O ~E �c;o•F.P-oiw. tDi i o� /.� `. �r 1- , � `Z DESIGN CRITERIA: 3l UNIJt`RGROUN�U77t�7`tt�3 ->�£Rf'`Z'Y�I�fPlt£f��'f�d1{0'''.�tb�i1`Lfl • ,\ � -- _ 09 /7 ...- RECORDED PLANS OF UTILITY COMPANIES AND PUBLIC AGENC/fS- _ e `9?_ , - 3 1. S DESIGN FLOW: AND ARE AP ONLY• BEFORE DESIGN AND CONSTRUCTION �� Y - =� �^p / / I1 3 BEDROOMS ATlro G,P.g•i® = 330G.P.D. CALL "DIG SAFE" I-800-JZZ-484493 , /! --` j , 1 . �00 , c NO CrA R AMI J/ The BSC Group l / ( r� �► r.-, • , , j % '` /� / I !� w . Ql' '` ° REQUIRED SEPTIC TANK: b�AB10 �• f dw 330 X /50 � — GAL. SEPTIC TANK PROVIDED: _ /G00 GAL. I ♦ 06 C . P2uQob1�T� WIC , Cape Cod Survey Consultants � - � SIZE OF LEACHING FACILITY REQUIRED: y FIR 01P058 " W _V - DESIGN PERC. RATE 2 MINJINCH a� : 4) 3261 Main Street �� I,oai U/►' F i Q r ( ` ` g 3` 3 30 Route6A `� or '\ ,pw `� � SEPT,c ( / I q1 CTPh Barnstable Village MA � ZtiN ��S.t � � ! f 0 02630 PARUL ` TP 4 Tr ti a ! J f 617 362 8133 RVL L w No. 91 (o LLJ i PROJECT TITLE: �0��c ��aa s• �D� _.'• •�'' �.,4 G 0 BMX 1 co SIZE OF LEACHING FACILITY�ROVIDED: /2 ONE ♦ - h o �— � o= �— SEWAGE DISPOSAL Y T , 0 LOT 3 Il 1 1 E I - Y PROFESSIONAL LAN RYE OR �• ? , ---6� i / s �06PJ Al-Ls: r79 s,� x �. s - 44f; yr,�D. SYSTEM DESIGN ® 1'(.r.��) 6% P I � f /� � � , �D?l0 y►1 7 9 5.F. k I . O � 5 Cr.P.D. 1 hh 44j087. 71 S. . ,u is T cL -__ _` ,, ,� � � E `'+�. l /� f �► � V _ T�TA� ; 2.57 S,F. 524 aPp. O F f r FULLER ROAD ._... _ 19Z 98 r LOCUS PLAN: H40 S/ONALflwmef-At4cl✓/4 A E � ` ` _. ...- �� 345- ' \ / 011 5T A/A . 95 .,.. : .... „ w C F�TER vI��E) ti ` ' N / "� PREPARED FOR: ♦ ♦ I / go 92� ! / focus �- -' - DALE URBANIK SETBACKS ` II-- 8 I FRONT: 20' 85 REAR l O 4�' DATE: 7- / - 8Cv $ COMP/DESIGN: S.A.H./�•A.P./P.S.N. f I s� CHECK: R. P, M . r PLAN VIEW zoNE - Ro-I °�Y ' DRAWN: L . H . G . 80 SETBACKS FIELD: N . R.A. / J.V. Pam. � SCALE: 1'= ZOr 1 - FRoNr: 30' LOCAT/ON MAP FILE N0: r PINS SIDE : 101 SCALE ., /" = 2 083 't DWG. NO: 1134 SHEET 0 10 40 40 �o FEET REAR: I.O' ___ _ JOB NO: 3-1803- I OF I