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0156 FULLER ROAD
G I i - Town of Barnstable l P.,ost ThisS.Card So'That'ita�sVis�bl'e,�;From the Street-A roved;Plans;Must b�e'Retamed o� ing- Job-and th�s3Ca'rd°Must flARNB'[XEiI.G.. • :; .z. a 14rx n . '� 3.; �. , Mnss F pP •, xlikl ,', p Permit Posted Until Final Inspection Has Been Made ' ;Where a>Cert�fica`te of Occurf°anc is Re aired such Buildmp shall Not"be Oecu red until a::;Final;Ins' ection hasMbeen made ;�.p >.y:;y .Q >.�.• ,.a,.5,ZE,r`',M, Jx.r: ,.<,;.,?ihp. ., p' Permit No. B-18-1865. Applicant Name: RON BURLINGAME Approvals Date Issued: 06/11/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/11/2018 Foundation: Location: 156 FULLER ROAD,CENTERVILLE Map/Lot 189-115 Zoning District: RD-1 Sheathing: Owner on Record: DUPUIS'SCOTT C&ELAINE P Contractor Name, ;RON BURLINGAME Framing: 1 x Address: 156 FULLER RD Contra�ctorLcense 1�39470 2 23 CENTERVILLE, MA 02632, a � k ' „ Est Project Cost: $5,000.00 Chimney: Description: reroof(stripping old shingles) �'; Permitggp: $35.00 Insulation: Fee Paid" $35.00 Project Review Req: � s � Date� 6/11/2018 Final: - , r r y Plumbing/Gas Rough Plumbing: - � Building Official Final Plumbing: ra This permit shall be deemed abandoned and invalid unless the work authorized by thfs permit is commenced within six months a,.Tr issuance. Rough Gas: All work authorized by this permit shall conform to the approved application andk he approved construction documents for which?this permit has been granted. f Final Gas: All construction,alterations and changes of use of any building and structures shall ' be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public nspectibn for the entire duration of the work until the completion of the same. 77 Electrical The Certificate of Occupancy will not be issued until all applicable signatures'by the Building and Fire Officials are,providetl on,this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:f- 1:Foundation or Footing Rough: 2.Sheathing Inspection Final 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: - "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property.of the APPLICANT-ISSUED RECIPIENT , TFIE Town of Barnstabl * erin Ex�gy�res 6 months from issue date B Building Departm t Fee j &UMST : Brian Florence,CBO � r 1 �' Building Commissioner J �� O� 10rFp a 200 Main Street,Hyannis,MA 02601 www.town.barnstable. us Office: 508-862-4038 ��� j ?®'� Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL 6 I Not Valid without Red X-Press Imprint Map/parcel Number p ((ff Property Address 14 4-. 00 [Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Sa h4( f,�.f.5 0 Contractor's Name ZAhq r.A (�Ge/�!�f•J }�"( Telephone Number 776 -83Y Home Improvement Contractor License#(if applicable) 13YV70 Email: Construction Supervisor's License#(if applicable) 4M ❑Workman's Compensation Insurance . CkA one: I am a sole proprietor ❑ lam the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ�tSt(check box) [�J Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to's S C xco ❑Re-roof(hurricane nailed)(not stripping.-Going over existing layers of roof) - - ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: ` Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q.NL� QAWPFILESTORMSTMESS2017 The Comommveakh ofMassac usetts Department of Indushial Acciden& Ohre OflFmWstigtdiO= 600 Was inglou,S'ma -- Boston,AA O2HI wrvtu masmgm1dia Wwimrs' Campensation Inm=ce Affidavit:Builders/CantractursMectdcianslPlumbers Applicant Tmfw-mat iau Please Prim I,e�blY Name tBas�e Dhga nal �DA���J ILA— A-) /7 Mi Addrtw. \,50 City/State/Zilr G,�o %9 , / 4 6 , Phone 77(—$- f Are you an employer?Checkthe appropriate born: Type of project(required}: L❑ I am a employervith 4. ❑I am a general contractor and I wloyees(fish atrdfo>par time * #mve hiredffie sub-coatmc 6_ ❑Ides construction Ig I am a sole prnpaetor or partner- listed on the attached sheet 7- ❑Remodeling ship and have no employees These seb-conRraclan have g-.❑Demolition wodanb for sae in any capacity. employs andhave wotirers' 9- ❑BBu thug addition: [Q wpdmrg'comp-i acaxarire comp.susaranmi l{} EteLtrlcal Or a dd ions required-] 5. ❑ We are a corporation and its 3.❑ I am a h,omemmer doing all work officers have exercised their 1L❑Plumbing repairs or additions myself o wail ms'cotap right of a m3pfion per MGL , ce equire&]i c.152,§1(4h and we have no 1. ❑I�oofrepairs ewkwees-[NO WQAMrs' 13-❑Other Q6 9—oa7f conrp.insurance required.) •Any aM5=tthatchecIsboa#I mast also fillcratthe swdazLbgwwsbnssag dmkwarkes'campensida„poTieyin5ramdm3- I�ameearaees vrha sab®ut this sffida«r is drocatmg they axe dais alE vrc¢ agd thffihiie aa3sidg rnnhartmc��{5ohmit a neW a5idaeFt mdicsfino sacTL . ZOanttactotslb=eI-7rt'hI boa Eststtechedzmadditimlsheetshotiemgden=ieafflissnb-cc=z m¢sjmdstuewheffiaarnvtfausee2idesbxve empbpes.Ifthezdb<=tacrmhaceempIcyem%&eYn=stpmvidethesr workeWcammp pdrkynumbm I am au eriipfapr fiatispr4 dueg ivarke-rs'cauq ertsaliart f mirance for wy emph;yce. $etory is f7ta paficy arul job ske rir,fot�safiars . Insurance Company Name: Poric}*.4,or Self--ins-I.ic_ 1piratoaI3e: Job Site Addres - - __ City/StateI2 p: Aftach a copy of the work-ere coaapensatiou policy-declaaration page(shawkg the policy number and expiration date). Faihm to secmm coverage as requiredunder Section 25A of MGL.cw 15 can lead to the imposition of criminal penalties of a fine up to$l,SQa OO andfor one-year inTris m=ent.as welt as ciO peaalties.sn the form of a STOP WORK ORDI Rand a tine of up to$250_Qa a day against the violator_ Be advised that a copy of this statement maybe forvrarded to the Office of Itrvestigations o€the DI.for insurance-coverage verfca#ioiL l cFo fteretiy ctarftfy,asu&r the pains mid perialfies qf1mrjajy that As bzforuuut#Li m>prmJi&d ahmv is bun acid correct /f Sitmature: J Date_ a�j�` . Phone 0-7 t3„�ciaL use artfy. Do n+st avrete iri tft�area,€er be caanpfeted by iafp arttai4n a,#j`rerat City or Town: PerrmtUcense# Issinn5 Authority(lade one): L Board of$ealth Z.RnrTfng Department 3.f t iTmn Clerk 4.Electrical Impector 5.Pbunbmi g Inspector 6.Other Contact Person: Phone#- ormatian and Instructions . r Massachuse,tts GPtaeral Laws chapter M regoa es aIl MMPloye.s'tn gravid_-wo6eds'compensation for rhea employees_ p fhis Stgft3tD,an err ploy=is defined as,` every person in the service of aaad=under any Coxt-drt of Iiae, esp}ress ar finptiMCL oral or wrifte=." An employer is defined as-an huRvidual,partnership,assudafaom,corporaixon or other legal enfzty, or any two or more of the foregoing engaged is a Joint eofmPHse,and inchrdmg the legal representatives of a.deceased employer,or the receiM or trustee of an indlQidual,pa tamshrp,association or other Iegal entity,employing employees- However fhe owner of a dwelling house having not more tbm tbrw apartnemts and.who resides tberem,cr the occapent of the - dwm ing house of another who employs persons to do maintmlance,constraction or repair waric on such(iweIling housc se ds or on.the groun or building appurtenant thereto shall not because of sarh employment be deemed to be an employer. MGL chapter•152,§25C(6)also states that¢every state or local Hcensbag agency call withhold Elie issuance or renewal of a Hc— e.or permit to operate a business or to construct buildings in the commonwealth for any applicantwho has not produced acceptable evidence of cdmpHancewith the msui-ance.cove;agereqused_" Additionally,M(TL chapter 152, §25C(7)states'Neither the commm calih nor any ofits political subdivisions shall enter into any con Tact for the pesfvnnanc0 0f2nblic wont unizl acceptable evidence of compliance va h the msora am.. regrIkenients of this dnptes Iiave been presented to the rr�rac i authorzty." Applicants , Please f Dl out the works' compensation affidavit completely;by chmidng-Lo boxes that apply to your situation and,if necessary,supply suh-contrac.6nr(s)name(s)' a rlJress(es)and PhOIle mnnber(s)along with their cmtfficate(s)of iusnrance_ Limited Liability Companies(I.LC)or Limited Liability Parfnesships(I LP)withno employees ocher.fhaa the members or partners,are not required to cagy woikers'campeosation fi s[nance If an LLC or LLP does have employees,a policy is rmp±7ed.. Be advisedthatthis a$dayitmaybe snbmi�ad to the Department of Iudu_sftia.I Accidents for con-firmafion of msnrm.=coverage: Also be sure to sign and dateIhe affidavit. The affidavit should boTat mzed to the city or town that the application for the permit or license is being requested,not the Department of Ln2nstda1 Acmdmis_ S`umId.you have any questions regaldmg the law or if you are regmred to obtain a workers' compensation y,poHcpleasecxIltheDepartmeotatthennmberlistedbelow Self-MsUredcompauiesshouldeaX.their s license number On the appragriate line. City or Town Of Facials Please be sure that tha affidavit is complete and primed legibly. The Department has provided a space at the bottom of the affidavit for you to f M out in the event the Office of Investigati=has to comet you`og"1 n a the applicant Please be s=to fill in the pent Iicense ntnnber which WM be used as a reference number. In addition,an applicant that must submit multiple pennid-lIicense applit2ttons in any given year,need only submit one affidavit indicating cent policy mrormation Cif necessmy)and under`Job Site Address"the applicant should wri 'aII locations in LY ar town)-"A copy of the-affidavit that has been officially stamped or ma3:1ed by the city or gown maybe provided to the affidavit is on file for futrae'p=a:it�or licenses A new of adavitmvst be ffiled oft each applicant as proof that a valid a year W. here a home owner or citizen is obtaiIIing a license or pe nit not related t4 any business or commercial venture (i_e_ a dog license or permit to bum leaves etc.)said person is NOT req�d to complete this affidavit The Office of Ind wow Irk_-to thank you in advance far your cooperation and should you have any questions, please do not hesitate to gr 0 M a call The Department's address,telephone and fax number. Co tbE of MassachuseM DeparEme�cif Ilid�zat A�d�nts . f�c�of�itve�g�fia� fir? E�111 i Fax 61�'��'�� Pi -07 sg.gatzfdia of Eta,, Town of.Barnstable ti Building Department �xxsTASM MASS. Brian Florence,CBO °r 059. 1` Building Commissioner En rnxl g 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 E" as Owner of the subject property hereby authorize &oafq 1'b Uk- -bill 'qm to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of Job) r **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 spections are performed and accepted. AA � r Signature of net _ . Signature of Applica6l a Print Name Print Name Date QTORM&OWNERPERMISSIONPOOLS Rev:10/17 JLVvru VI "aivaia0JAV �oFtHe r � Building Departinent Brian Florence CBO II s�xxsrest�, Building Commissioner / p MAS& $ 200 Main Street, Hyannis,MA 02601 1639- ♦0 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEQWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# •work phone# CURRENT MAILING ADDRESS: state zi • city/town P code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. ' DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building hermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection.procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to complywith 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 2.1 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 to amend and adopt such a form/certification for use in your community. 1 aaracaeulCli e��axiac�uaeCtrJ t imer Affairs&Business Regulation -h4 ROVEM ENT CONTRACTOR ; Registration valid.for individual use only TYPE:Individual before the expiration date. If found return to: ,tration Expiration Office of Consumer Affairs and Business Regulation 3410 07/16/2019 . ' 10 Park Plaza-Suite 5170 Boston,MA 02116 e Not valid wit ut signature Undersecreta`r . : t i Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstructioLt,'S FA r Specialty CSSL-099695 =r � Pires: 1210312019 RONALD R BURLINGAME ; 58 OAK STREET B WEST BARNSTA LE M'A'02668?� r,`(�.WaaS ��S 1 3 SSA Commissioner ' e c TOWN OF BARNSTABLE j CERTIFICATE OF OCCUPANCY--FAMILY APARTMENT PARCEL ID 189 115 GEOBASE ID 11124 ADDRESS 156 FULLER ROAD PHONE CENTERVILLE ZIP - LOT BLOCK LOT SIZE DBA -- DEVELOPMENT DISTRICT CO j PERMIT 89014 DESCRIPTION FAMILY APARTMENT, ZBA 2004-91, PERMIT 79408 PERMIT TYPE BFAMCO TITLE FAMILY APT. CERT. OF OCC. CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 �tNE 1q� CONSTRUCTION COSTS $.00 i 756 CERTIFICATE OF OCCUPANCY sAxwsrABLE, MASS. 1639. A� FD MP'� BUILDING DIVIIION BY �__ DATE ISSUED 12/12/2005 , ' EXPIRATION DATE --" r' TOWN OF BARNSTABLE CERTTFICATE OF OCCUPANCY--FAMILY APARTMENT PARCEL- ID 189 115 GEOBASE ID 11124 ADDRESS .155 FULLER ROAR PHONE CENTERV I LLE Z 1 P LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 59014 DESCRIPTION FAMILY APARTMENT, ZEA 2004-r91a PERMIT 79408 PERMIT TYPE BFAMCO TITLE F&MILY APT. CERT. OF O= CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 Ott CONSTRUCTION COSTS $.00 r' 756 CERTIFICATE OF OCCUPANCY BA.NSrABM • MASS. 1639. Al BUILDING DIVIS ON BY J-1- DATE ISSUED 12/12/2005 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE L TN 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR I 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). ANICAL INSTALLATIONS. 3.INSULATION: OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS j I ' I 2 2 2 j 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS I'. THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS FATE THE PERMIT IS ISSUED AS 'OELN PHONE OR WRITTEN NOTIFICA- NOTED ABOVE. T• • -^a 1 1 s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map /�� Parcel Permit# Health Division ' Q0 --44 � ' kq Date Issued ��dy Application Fee Conservation Division /"'e .� Tax CollectorL0 lcl P it EQQ e _ Treasurer P/to, 31` P SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE • � -Date Definitive Plan Approved by Planning Board WITH TITLE 5 _ ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address Village Owner Address j Telephone SDJ Permit Request � 126 A) � -x is fix) co ca r- 6 Square feet: 1 st floor: existing proposed -I 2nd floor: existing proposed Total new4/8 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 00 oP IJ4A lip Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ? Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: W Full ❑Crawl Cl Walkout ❑Other Basement Finished Area(sq.ft.) �S 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 A6-,� 41,e Central Air: C�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# 0200 9/ Recorded Commercial ❑Yes Blo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number �• � �08 36o�/Y� 7-� Address 75 , a k �DD-s License# 0573 eC)- a" 4KSfDAJS d .?AS /�i¢ �d6 /�l Home Improvement Contractor# /09 7S/ Worker's Compensation# S.2DO/&J f eS ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 14711"fi G Lti/9s'fr SIGNATURE DATE lit - FOR OFFICIAL USE ONLY 3 `PERMIT NO. ✓f DATE ISSUED -t f P • , r ` MAP/PARCEL NO. ADDRESS VILLAGE OWNER . TI DATE OF INSPECTION: FOUNDATION FRAME _dl C-I-!I-t cy ., r x INSULATION I a.( FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH�� m FINAL; { GAS: ROUG_ Hsi O_ � FINAL' FINAL BUILDING ,DATE CLOSED O,UT - n s <C ' ASSOCIATION PLAN NO. ct; p f � • 4 ' L +ry . toe_%9 76 v 800 a 8-12-2004 1 1 m£r S- BARNSTABLE LAND COURT REGISTRY oF�"E r Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2004-91-Dupuis Section 3-1.1(3)(D),- Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Scott Dupuis Property Address: 156 Fuller Road,Centerville,MA Assessor's Map/Parcel: Map 189,Parcel 115 Zoning: Residential D-1 Zoning District Relief Requested &Background: The subject property is a 0.25-acre lot located on the southern side of Fuller Road in Centerville. According to the Assessor's card,it is improved with a one-story, 3-bedroom, single-family dwelling with a living area of approximately 1,414 sq.ft. The dwelling was originally constructed in 1968. The property is located in a Residential D-1 Zoning District and is serviced by public water and a private on-site septic system. According to the application,the petitioner is proposing to add a 680 sq.ft. (22 by 32.5 feet)one-story addition to the existing dwelling for use as a one-bedroom family apartment.+The family apartment is to be c occupied by the applicant's father and mother Herbert L. and Natalie L.Dupuis. y The petitioner is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April j 20, 2004. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 07, 2004, at which time the Board found to grant the appeal. Board Members deciding this appeal were Richard L. Boy,Gail Nightingale,Randolph Childs,James R.Hatfield, and Chairman Daniel M. Creedon Ill. ky� The applicant, Scott Dupuis,represented himself at the public hearing. He cited that it was his desire to secure the permit to construct a family apartment to be occupied by his father and mother,Herbert L. and Natalie L.Dupuis. Mr. Dupuis stated that he had read all of the restrictions and requirements for the apartment and would abide by them. The Board reviewed the plans and site plan for the location of the addition and noted that the plans conform to the required setbacks and that it appears all of the necessary �1 information was in order for the granting of the permit. Public comment was requested and Mr. James M.Mighorin expressed concern for the location of the proposed structure. Upon review it was noted that several years back an error was found in the layout of the lots and upon readjustment of the effected parcels,it was discovered that Mr. Migliorin's dwelling was very ,close to the property line. The Board,however,noted that the apartment location will conform to the setbacks and it was Mr.Migliorin's structure that does not comply. Findings of Fact: At the hearing of July 07,2004, the Board unanimously made the following findings of fact: 1. Appeal 2004-91 is that of Scott Dupuis seeking a Family Apartment Special Permit in accordance with Section3-1.1(3)(D)to allow for the addition of a 643 square foot family apartment to the dwelling. The property is shown on Assessor's Map 189,Parcel 115 addressed 156 Fuller Road,Centerville,MA in a Residence D-1 Zoning District. 2. The lot is approximately'/a of an acre located on the southern side of Fuller Road in Centerville. The parcel is improved with a one-story, 3-bedroom, single-family dwelling with a living area of approximately 1,414 sq. ft. 3. The petitioner is proposing to add a 680 sq.ft. (22 by 32.5 feet)one-story addition to the existing dwelling for use as a one-bedroom family apartment. The family apartment is to be occupied by the applicant's father and mother,Herbert L. and Natalie L.Dupuis. 4\The current property owners are Herbert L. and Natalie L.Dupuis. A signed and notarized letter from g--'�Herbert and Natalie Dupuis has been submitted to the file for standing. That letter,dated April 14, 2004, states that the owners intend to transfer the property to their son and daughter-in-law, Scott C. and Elaine Dupuis; Scott Dupuis is the applicant. 5. According to the Board of Health records,the existing on-site septic system was installed in 1983 and was originally sized for a three-bedrooms dwelling. The applicant's proposal would add a fourth bedroom. The property is not within a designated groundwater protection area and therefore,not subject to the 330 Rule or the 440 Title 5 Nitrogen Loading Limitation. It appears that the existing system could be upgraded to service a four-bedroom home. 6. A stamped,certified plot plan has been submitted,identifying the location of the existing dwelling and the proposed location of the addition. According to the plan,the existing structure and the proposed addition will conform to the setback requirements for the Residence D-1 Zoning District; 30-foot front, and 10-foot side and rear yard setbacks. 7. From the materials submitted,the family apartment meets the requirements of Section 3-1.1(3)(D)of the Zoning Ordinance. 8. The application falls within a category specifically excepted in the ordinance for a grant of a Special Permit. 9. After evaluation of all the evidence presented,the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Decision: Based on the findings of fact,a motion was duly made and seconded to grant the appeal with the following conditions: 1. The family apartment shall comply with,and be maintained in accordance with, all restrictions of Section 3-1.1(3)(D)of the Zoning Ordinance and shall be.the primary year-round residence of the family member residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board. The proposed plot plan of which is entitled"Certified Plot Plan Location Centerville"scaled 1"=20',dated 4-07-04 as drawn by James C Moore,Professional Land Surveyor, and as per plans presented entitled 2 G� i "new Addition for Dupuis Family 156 Fuller Road Centerville 1VIa"consisting to-three-drawings Al;A2 and A3 as drawn by Cotuit Bay Designs dated 4/4/2004 scaled I/a"=l'-0". 3. This special permit shall be filed and signed by the Town Clerk and subsequently recorded at the Registry of Deeds. Copies of that recording shall be submitted to the Zoning Board of Appeals file and to the Building Division at the time an application for a building permit is made. An occupancy permit from the Building Division must be issued prior to the occupancy of the apartment unit. 4. The on-site septic system shall comply with all Town of Barnstable and Health Division regulations, without any Title 5 variances from the Board of Health. 5. The locus shall comply with all State Building Codes and State Fire Prevention Regulations. 6. The property shall be transferred into the name of Scott Dupuis prior to the issuance of an Occupancy Permit for the family apartment. The vote was as follows: AYE: Richard L.Boy,Gail Nightingale,Randolph Childs,James R.Hatfield,Daniel M. Creedon NAY: None Ordered: Special Permit 2004-91 for a family apartment has been granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision,if any,shall be made pursuant to MGL Chapter 40A, Section 17,within twenty (20)days after the date of the filing of this decision, a copy of which must be filed in the office of the Town Cle age M. Creedon ,Chairman Date Signed I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,here' cer.9i1�-x that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and tl '�ppea•1w•••° , of the decision has been filed the office pf'flib.Town Clerk. Signed and sealed this d y o - under the ai s " d pen7al4ee-'ot p0 Linda Hutchenrider,Town Clerk 'fill fib ' ••v� 3 I j j i Prof of Publication T�,WN OF HARa11ST�B1.E ZONING BDARD DF/►PPrEALS NOTICE OF P4DHd.IC HEARING URIDuER T> E Zi?NiNG OR©1ININCE sz JI9LY �,.2d104 To all petson rntere-ted+n ar affected by the Zamng�oarc}of Appeals„under SeGt+an1 , of Chaptei 46/a of the General Laws of tf,e,Commonweal#h of Massacha,set>s and all amendments thereto you aril hereby ndt+fied thatf f Y 7,:00 P M DYpiuie q DPP@AI'2004-97 Scott Dupe+st:as appl+etl for a Fam+IyAparkment Spec+al 1;;:1(3)(D�to allow for the addi#+on of a 64 P rm+t iartment#oth 3 o fo,ei)yap w n3 the dwellii,g The property"is shown;on Assessors Map 1�9, Parcel 1 15 addressed 4;56 FullerRoatl , Centernl►e MA m a Res+derxcg D t Zpmng D+stnct r ", 7 i 5 P Appeal 2t�04 92 er Debr a HaITy has appl+ed for a Fam+ly Apartment Speaat+Pm+t p accordance w+th Sectwn," 3-3 t t3ltD)#o allaiy for the develb iiWdh of a 892 square foot fam+lyaparkr nt,rLthe g,cispr�y, detached garage located bri'the"property" 1`he'property:+s shown 9ri Assessor'9 Rfvlap 151 Parcel 024 addressed as 41"Knotty P+ne Lane Centervrile MA'in a Residences Zt3nin®'i J$tnck + 41 w � W, > t s. 1d' 1 1 �i,•s�0 P M r� ��.�;;Schumann,t ,s s,�h S,am+ra H Schumann has appl,ed far �am+y Apartment Special r�er�n+t=inccartlarce �abdt+on 3;t A,-C3 a11oVv for a fs'rrntjr apartment'to be developed above the ex,st,ng aftach #garage W Tf�e'prdperty i show,t on Asses$or s Map 271 parcel Q03 addressed as S;Stra+ghtway 1Vorth Hyannis MA m a fes,dehbe C A Zorl+ng Drsmct` 7`45 P,M Benn@t# 'S o sAPpea1209. b4-94, ' Dav+d and'L+nda Bennet#have appheii#or a Mod+ficabbn of Spec+al Perni+ts 9 989'50 and ` QOt 1 B to allow fire trar►sfer of thas special perrntts fr iod9+"Pgq fi pesrS 3; obmsa Iri the altema We the appLcant#Las also requested a new Cdndd+ona!Usepec�al pgrm�t,n accordanFe `ftSebt+on 3 '„1{31(A) odg,ngti#p perm+t 8 tQdg Oil, rs+n 3 mpras�1?,e property ,s sh ' Asse own on ssorvs Map 324 Parcel O i 7 addressed 70asr,old S#reel Hya{,n+s MA l0 a Re$[danbe B Zt,ning Di§tr1Ct 8e00 P M1PPea!2 rOP4=9 igq � Paul an { )d Phm aanctSroa 4e Bul&F3e�ula#,ons M+rnrnumArea,M+ta+mumtLot W,diri and Sect+on ,6'344)ResourceProtectron Uveriay ; ' i tul+n+mum�lot S`+ze the app6e ant' seeks#o re dfvtde khe,lot into the oy,gmal tvyo lots that were established by a t 9137 LandGburi Plan'3The properly+-located as shown on Assessor s Map 093 Paroei 042 ,E addressed as 92 South Bay fiod ,C3sterv,tl ,MA,n a f iestdenpe F U Si00 P M 5 Fireman ,s t .�4 r�, `Appeal 200,496'ri � ,; " M land Phyil,s F3rem8n have epphed for`a Spemal Perm+t,ri accd�dartce w,#14 4 3t?a � t�onconfo'rm+ng Staucture Used as a S+ng1e Fanti+ly Dwelling and tvIGL Chapter 40A Sec#ron ''" 6tfind h9 s todemolish one s+n; le fami dwelhn";and accesso 9 h' 9 !y structu "Orld to recpnsiruct two s+ngle`famdy dweti+ngs on 2 underg+zetl One-acre lots The property+s located as shown on As-es5or s Map;093 Parcel 042 00t addressed as 92 South Bay road Osterviiie MA"` +ni'a Residence f 1 7onmg'Djstnct , ti '`' '�' ` , These Put+Uc Heanow-'w,il`be heltl at the Barnstable Town Hail 367 Mam`Street `hiyanms MA Hearing Rdbm'2nd Floor Wednesday July 7 2004 Plans and appl,cat+ons;maybe Ygv+ewetl at the Planning i�+vis+on Zoning Board of 4ppeais Off+ce Town Oftces 2i0 Ma+m.' ,, Street Hyann+s MA r. p r Darnel M Creedon 111 Chairman` The 6amsable Patriot` ,i '# June i 8,and June,25 2004 I _Parcels Within.300' of Map 189 Parcel 115 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from the Town of Barnstable Assessor's database on 6/6/2004 i Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Country 189002001 FRATERNAL LODGE BLDG CORP ToH—UGH C FINDLAY 435 MAIN ST HYANNIS MA ]02601 USA 189002002 COLLINS,EDWARD J 139 FULLER RD CENTERVILLE IMA 102632 189002003 JGALLAGHER,TIMOTHY 20 FOX PATH �NEWARK DE 19711 USA LN 189002004 DIANI'ONI,SANTE& DIANfONI,SCHAARIE A 163 FULLER RD CENTERVILLE �MA �026.32 USA 189058 CENTERVILLE/OST/MM FIRE DIS 1875 CENTERVILLE IMA 102632 USA IFALMOUTH RD 189097 HILL,JAMES H&KRIS L 47 MARIE ANN CENTERVILLE MA 02632 �TERR 189098 KALWEIT,GEORGE W LYNDA L KALWEIT 39 MARIE-ANN CENTERVILLE MA �026 1 32 USA I TERRACE 189099 VEITAS,VIDA R 10 GARDNER ST HANOVER MA 102339 USA 189100 HARRIGAN,SUSAN TR 9 MARIE ANN CENfERVILLE MA 02632 USA TERRACE 189101 CCABE,RITA C 155 DEDHAM MA 02026 USA LEDGEWOOD RD 189102 OGONOWSKI,ADAM E&SUSAN L 1139 EMERSON CENTERVILLE IMA 102632 WAY 189103 DEW,RICHARD B JR %NYMAN,JAMES A 119 ENIERSON CENTERVILLE IMA 102632 USA WAY 189104 LYON,BRUCE W&SALLY H %LYON,BRUCE 120 1/2 LYME HANOVER H 103755 USA RD 189106 BARNSTABLE HOUSING AUTHOTY 146 SOUTH ST HYANNIS MA 102601 USA 189107 BEGG,JOAN E&WHITMAN,JON T WHITMAN,JON T 2 EMERSON CENTERVILLE MA ]02632 jUiT7 011AY 189108 JVXASIL,ALICE 120 CENTERVILLE MA �02632 USA LONGFELLOW DRIVE 189109 GROH,CAROL A PO BOX 308 CENTERVILLE MA 102632 USA Monday,June'07,2004 Page 1 of 2 _o Mappar Ownerl Owner2. Address 1 Address 2 City State Zip Country 189110 HEIDEMANN,WERNER&RITA 111 CENTERVILLE MA 02632 LONGFELLOW DR 189111 SYRJALA FREDERICK J& MARY ELLEN SYRJALA 121 CENTERVILLE. IMA 02632 USA LONGFELLOW DR cn 189112001 �IbEBENEDICTIS,MICHAEL MICHELI DEBENEDICTIS 1139 CENTERVILLE MA 02632 USA @ LONGFELLOW DR 189112002 rANSON,DENNIS M&SHARON L 21 CRYSTAL WILMINGTON MA 01887 USA �a ROAD 189113 �TAYLOR,SETH F&NANCY B 132 EMERSON CENTERVILLE IMA 02632 JUSA co WAY I c 3 LU 189114 MIGLIORINI,JAMES M 164 FULLER RD CENTERVILLE MA 02632 USA L 189115 �bUPUIS,HERBERT L ATALIE L DUPUIS 156 FULLER RD CENTERVILLE MA 02632 USA 5c 189116 DUQUETTE,JOHN P&SUSAN.M . 267 WEST ST �NORTHBORO �MA 101532 189124 WYND,NANCY 120 FULLER RD CENTERVILLE MA 02632 USA 189125 POWERS,JOSEPH W&CATHERINE 130 FULLER RD CENTERVILLE MA 02632 R 189126 HAYDEN,MARY DUNDAS. 140 FULLER RD CENTERVILLE MA 02632 189127 IMIELE,JOSEPH A&CAROLYN T 26 LEITHA DR IWALTHAM �MA 102451 z�w w� 189129 J�ALLAHAN,CYNTHIA H TRS 770A MAIN ST JOSTERVILLE IMA 102655 JUSA O oar w Joa w H¢O 189130 CALLAHAN,RICHARD P TRS 770A MAIN ST OSTERVILLE IMA �02655 USA m}O 00= 189131 MORRILL,PAMELA 177 FULLER RD CENTERVILLE MA 02632 USA m¢¢ 1 v O 189137 �ELER,ABIGAIL G TR& WELLER,CHRISTOPHER J TR 119 FULLER RD CENTERVILLEMA 02632 USA 0 189150 AVIZONIS,LIUDA V 25802 LAGUNA HILLS CA �92653 USA PRAIRIESTONE DR _ Monday,June 07,2004 / Page 2 of 2 a� Town'of BarnstablePermit: "760'D0 Regulatory Services ate: pF1HE Tow Thomas F.Geiler,Director Building Division ee: Via' - avd * snxxszasz e. * Tom Perry; Building f ommissioner Mass. v�ATED 3.a�0� 200.Main Street, Hyannis,MA 02601 0 l LAW47 www.town.6arnstable.ma.us - Office: 508-862-4038 _ Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT - Owner: JC �� 1 P D r Phone: 3 -6 © ^. Install at: S l r2z Villa e: I r C �� - g C: Map/Parcel: �j� Date: ) — 7 s Stove A. New/ B. Type: Radiant/ Circulating C. Manufacturer: ®T`t ji Lab. No. ` D. Model No.: Chimney A. New/Existing (If existing,please note,date of last cleaning), h 0S X!9 B. Flue S1ze _ l3 C. Are other appliances attached to Flue? �� D. Pre-fab Type and Manufacturer,. E. Masonry: Lined/Unlined Hearth A. Materials: ' u B. Sub Floor Construction: Installer Name: `;CC)-H- _ -Ct' Address: ]S�b ) V�� Ce "Y, Phone: i Location of Installation: H.I.0 Registration# r' Construction Supervisor# OR check meowner Insta! ng, no license-required f. APPLICANTS SIG ATURE APPROVED BY; Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 103107 UPDATE PERMIT RECORDS : ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION----------------------------------------------------------- 12/12/05 PERMIT NO. 79408 PARCEL 'ID 189 115 156 FULLER ROAD PERMIT TYPE BFAM FAMILY APARTMENT DESCRIPTION FAMILY APARTMENT ZBA 2004-91 STATUS C COMPLETED APPLICATION DATE 09/22/2004 DATE ISSUED 09/22/2004 EXPIRATION DATE DATE COMPLETED 02/14/2005 MASTER PERMIT VARIANCE VALUATION 61920 . 00 BOND 0 . 00 CONSTRUCTION TYPE 434 GROUP TYPE 1 CONTRACTORS 057382 BOURQUE & COLE ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON-PROPERTY RELATED PERMIT. CTRL-I FOR HELP. I X-CRESS PERM Town of Barnstable *Permit# Explres 6Cm the from issue date Regulatory Services Fee `� -/] JAN 19.2om Thomas F.Geiler,Director TOWN ()F BARNSTAIBLE wilding DIVIS10n Torn Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.towmbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PEMT APPLICATION - RESIDENTIAL ONLY e Not Valid without Red X-Press Imprint 'Maplparcel Number E—5 I ice_ Property Address - U C L P—D S Residential Value of Work-- /�65-6- Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address cam:® Du P 0 15 Contractor's Name �° ` a Telephone Number Home Improvement Contractor License#(if applicable) h Construction Supervisor's License#(if applicable.) XWorlanan'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 be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) � +Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 } t� `r ,: a i f -: t its 'O J, ' A aS 13r - 13 'L §tlr :b (': I [{ I.I i4 ., t i - ";; 2 d+ t t)h,is 5, 4f .`a�j"s"."l.#- _ P7+,1"Gl 6+41 t ..7!),4ftd� i m t{ f l }'s t 34� }! t t7� arl it }} 2, J. -1 I 9 3i CC k f -s t,:h +� itra_ c+: . _ it1SOLD; FURNISH'EDf&INSTAILLED RY I Sa�BS 888 245 7293 ! �4 " .- _I f j ,r.d#i l+ F a L I I;id t E'•'° EI r, r Il. t: +,. 1;1 S!: f, 'i rtE:S i BIi'RA AluminumlSi-, Cor Setvtt a%Repairs: 11 Dg y g p of QueensI ii c. I 1-888 245 7294 0 ��(,� . F: 0 Elmont'fRoad • Elrront; NY G11003 .1oa #`` —cr Q "NEWYORK CITY DEPARTMENT bF CONSUMER AFFAIRS LIC NO 0730686,t NASSAL1 LIC.NO H2704150600 '�,SUFFOLK L II— C:NO.21194HI YONKERS 1397 s PUTNAM.PC93.4 WESTCHESTER WC0613.H87.'- LONG BEACH GC2001 -a NEW JERSEY LIC. NO. 9949269.;;CONNECTICUT DEPARTMENT OF CONSUMER'AFFAIRS LIC..NO.-00532774 W. PP Ai O MAINE LIC NO DD1;893_-,NH LIC,NO. - e;MASSACHUSETTS LIC:;N0.,120456„t VERMONT LIC,,NO, r.RHODE ISLAND LIC.NO::.13707. ,' pp s �,,.., SOLD � ll RO®rlN 0t�NTRAC'1' TOt c�' �` r i DATE,';,: ay; 7.. I r t "` �' _. ,f/ r uIlta'lMri;l;L 1+t41 :) I STATE' 11. . ZIP �C ADDRESS % '�? . Y_ ,._.G"/ 3 d CITY" r� ,) PHONE ttorne 50 � �7 : WORK!! } ) 13 EMAIL D. I'I i;$O E ..wl ,N r rr , ,a u., , IiS, I, i e. �f � +� IMI { k , d U e JOB SITEADDfiESS(IF QIFFEREN i ,�;'iti.1Y 't- t;jrlrr 1- P '- J aSa tl F - T t..o T".aas - ik4N. v �..i; 14itt, ll _ .. ,- r: n._ ; }=1 i7 r �1P L1ED�RO®FI'I�G"'S'Y.�sTEMk i r j A .-6 General Desenptlort of Work at Above Address Type of House frame O Masonry 99 _ „ }r ":(REQUIRES:; Applo>I�1StartDate L l �. Approis Cornpletlon Dato - , t4" (WEA..THER&MATERIALSPERMITTING) _fit,;- FIRRINGi,{ •...... -- w : "i. ®' Approved inaterl'als with be furnished and installed#O these,specifications.I - PLEASE READ CAREFULLY. ONLY ITEMS CHECKED "YES" ARE INCLUDED IN`YOUR ORDER. YE O YES NO A b, :REMOVE EXf$TING Iayy'ersl of rofafihg dowrfao 5 ❑ APPLY ROOF LOUVERS t= ' j a "' '' r "" wood deck;or wootl"slats {s Specdy ❑ Front Elev ❑'Riia�'EIeV' ' ❑,Left Eiev. i YearManFufacfunng'Warranty a Speclly ❑ FrontEleV.: ❑ RearElev ❑ LeftElev Areas ❑ RlghtEl'R ❑'Other ' I 1 Year`Full Labor Warranty 4 Areas piRlghtEleu' >.Partial ❑ Entire 16 ❑ SOL{�{VINYL SIDING' Cover only fiatwall O;Dormerfsy P areas designated forsid(ng i.., Mfg OOther Size "`r Color istyle ColOf { Pattern `(+Package. Total Investment $ IDetaalls+ *} I t l _ Gustomlcorner posts color .,_,.I o a. r ,r ,: ts,t.. 1_=t .r r «>t .i B,A i a❑)'-SIDING ON;DORMER:&M ADJ&14,'AREAS 2:.❑ REROOF remove any curled ordisflgured roof specify O Froni b6' ❑ Rear EleV: `. ❑ Left Eiev shingles&discard at dlscreUon of Installer: , Areas ❑ Right EIeV O Partial ❑ Entl, Year ManUfactunng Warranty I r.0`LeftElev 1 �� Year i ull Labor Warranty ,Sperrly ❑t Front Elev ❑ Rear Elev ❑ DDrmer(sL ,��,, / Area Q Right Eley:; ❑ Portal ❑ E111ire -t , 6; r� ( ❑ Other'' t`y I i,: is f t i4S'1 1 a 4� ) f l i.,.,. ..it- „ ❑'DOrmer(S) { iL } + .,. ,i e f I s ,4 :�,{ r'{,.e _; r i 0 rl K g :r: + tiisr =ro bra, t•,r ifx I]'DetailS a . I Style cg V +� CDlor Di Other qC} y t Y kt l + Q {l 9 of t,f a s p" ' r s I ( ,I I; (Total Inyestrnent r�l k ❑t�Detalls , d+C 6„a'.. 1( ,I';' t l 1 `, e r, 4 r 91a1, ';7f C'; 4 krlallt"FSIf �,.t'1._ _ , .I}. „igk(.l'�'4 1a,i ll• rr _a,H rch,%.,�F`�,.II`irdfk: ;;3 tI,r. t I8 ❑ GUTTERS/,LEADERS;; Notres�poiislblef�rr)amape tluring remo an , , C , O Remove Existing Y,,: 1.J ❑APPLY NEW ROOFING,SHINGLES 141 r 0 Discard, „❑ Save for Homeowner Yea(- anufacturin Warrant` er-, ' Iq, ,; r, aE P�Re'Install Existing u s sa i:.; ,i. , #3 , „ g y I f: a w t O Replace with new custom seamless.,;, Year Fulf Labor Warranty ;;; ., d Style + 6V 2 ,I..- ti✓1 ggutters&Sieaders ❑ White ❑ Brown . Color s3 l�u t A t F i Other y �' Mfg L. yea x t tot fill }a lei y; i:' 4 Style Color,. /-,r 41 ❑ NEW ROOFING SHINGLES will be'a (led 19 ❑ APPLY VALLEYS:0 9 t].10 i. ' + to the fol(0wln areas:onl APf it Total Invertme t $ I 9 Y 20 ❑ ATTIC FAN( fNo Electncal 1' r t! { , , v ,4, n` ,r 7 Specrjy ❑ Eropt Elev ❑ Rear Eley ❑ Left Eiev 'r is' ('Areas. ❑ RlghtEley, Partial r ❑ Entire ` ; 0 SKYLIGHT(S) ApplyrFlashing; I '. O Darmer(s) 22❑' `SOFFIT Cover wit ii`;approved; ! 7 I - ;; t4 4 q SOLID VINYL SOFFITiSYSTEMAm Vented .11 A Year;Manufacturing Warranty I t:: ❑!Other Color}' I 7!`t i I ,! r {+,Ii ,t ,,r i. Year,Full Labor Warranty ° Detail Bri Lfd�f' 23 ❑ FASCIA Custom wrap with api5roved I 1 S� , ,D ALUMINUM Mfg `�� 1 o 24 GARPEN RY REPLAGE,FAS.I' ' Style Color 5. ❑ PLY ntlastic Goid A I ed Modit ed Color u I,;,, — Ap I . I,. t Bitumen Rubber Rooting u t ❑ T CIA BOARD Tota.Investment $. " '' ❑ 1k6 ❑ iXBt �p applied wlO�tlon#4 I $ -I! ed P. r 7 .,4f�;'!) 4 .i'' ) ,f6 ;7 - ,} 1' '� .!I Iil'q 9{Er,y�;u. A. I lli,}E -)'�7 E @ '6r�I' - ,.''" _ .�aa. I a 1;,,.?, Ixr t P#I r ro,J.. :L'. �?°'- 6. O ;;RPOF DECKING �. : E,:;; r r;tl 25 ,❑,CLEAN Up:,Propertj)'at!compLetGo ,D 'work It��l , :e_ xa � , ti, Tih t , L;t !-Y ��. i� H III , { ' . Eurfiish&Install 5(8!!`CDX Plywood 26'I�'❑`INSURANGE All workman s;compensation na 0��1 i I Ir ,- :..._, 1,. r�ro� _ 7.; p g g and liability t0 be maintained '' I. IrIDIcaTErN1 SHEATHING Re lace any lama ed sheathin I l I' PAYMENT at an additional.cost.bf$_!,ew4 ace. 27 p`WARRANTY Mail tfi:customer after eomplebon Cj}s� f �& iDeposltWith Order 8. Igr❑ APPLY ICE'&WATER BARRIER at eavestl"`r and full payment is received ( =-�— valleys around skylights and pitch changes 2$ ❑' ,'PAYMENTS on NON FINANCED a6', PaymentomMeasure 1_l- (1nctuded wlthMasterElite fackaAe) installer is'authonzed to Collect ro ressive t {. P 91 Payment on Start 9: ❑APPLY NEW ALUMINUM DRIP SEDGE payments; ">r .r at eaves&perimeter of roof ar s 1 ,a I + 7 rj �29 ❑ S PRE EASITI43 CON0[TIONS ORTEAKS0NOTED'� ;Balancet0ue on '.- f i, "` .. T Sybstantial Completion 10-�❑ APPLY UNDERLAYMENT" Shin9041e® I .I I q 30ib FeN Paper, 0 151b Eeit paper I r,l Total+tlpount of 1.l( APPLY NEW VENT PIPE BOOTS' t° I T'l r., Ie�lance to be Rqa ced H � r� + j,l �I 30 ❑ �9DDITION'AL WORD of Spealfietl Abo $ s '-,'+' $ ,12�4Q❑,.EW COUNTERFLASHING AROUND CHIMf�EY(S). Ili," f y' If 194ncdd;lt arce iyqble In monthly. .' eatl O Copper ❑Aluminum r 4 ("'"! nstaprrlentsofa fixi"ately �+� per ma fill, ElberRdofCement f rr ,J u}I ( , PPf" IH P `. .,.. ,..,-,, ....,.oa r .,s ,i m:'i.,. @u�..',, I�._,t+i_ ","faZt"tbx+4lyu Nl;:ry�i rro _•�liP11IINCIIYy D ,er.i(OyylMACt�JibtdlfatlflanCe[1,GyrOyyt!let [.. r ❑!AP RIDGEVENTTtJ RIDGES;,Yi,- ,','t.� ` '5� 113ji1 {Work Notito Be Dohe p y Id ar'Pop o tthe Jendmg"plus stYcfr. 1 '' .;:� , t•- a,.;:=i+l iltfdi r.'acrt fpi'ri'�}i�as •! , } SI PL ALL-''Ie_l - then Ownerwll 2 $a �o ra®; ❑ Other-` interest aid credit service charge of said lendmginstitution Specrty Frgrit Eleir ❑Rear Eley f, ❑ Left Elev 1U ar `�'^ " payable airectly to the=Jendmg institutlon loaning such rno I _ qI Areas };B RIglrtElev Cl Other to Owner.°and will execute a � ,x F r nT. 32 ❑ I Repair or Replace the Following i' Re ad Installment obligation an i pal p�Wounfs(lave' ` 1 it❑ fjj''EAVE VENTILATION-=' ,1: 'f rk $p `I �, f rant'docyme(its required by such a 9ee4}A{rpltdd �r�. rs 'Supply and l".,a . Round Vents + rt 1 ' a , _ �,4 ,f k r _,' fir f a ata,s+ I + :�: le�ding i(isVtutio Ill congectio`n' + nreed � r.. t"Er '{FINISH J ❑Mtll ❑,Black' ; s,;' : a fit rrt f l 7 f rr,� „ ,t W'th saidloa I - f r }yvr .is ( ,t at .a.Y,, } a L i , �. I I:.:I a . '.. -�._:r._ ..-.£,' xtit'V.�.,,A.m''......:'E_y'.`a',—r_�,,._ 6_!-g .�.Td '.,r�-: 'l� �.. ,.h' *_.. e£i'. e�C�a4Te•.. �" �t .wi"i.6wf l,:f"',' -.1- hm'��6'A,"_;i-* �,.m.Yuy ,,ac ask;:.. n-3'+,i ;i"s`i; rcr"z�'..:I,me"zs`'�3�ifS,�pas lk-a.}y.., *CONTRA','CT0R1-IS':I�OT RES-..014518E FQR�/�N P fl1'rING;A$ CURIT�zS1LiSTEMS; PPIRS :QR��S,�L1'IT�R]S�JES�r��1�1TE.EI A$�r�." TRIG `FI�[7-F119�!OR, ANY DAINIAGE DUE.`:TO VIBF ITIONs'0LE X*Mt kEM61,YE ALL W�DOW TR ITMENTS''VYIf�IDOW_'MOUNTED AIR;CONDITIOHERSa'PICTLIRE R OR ANY':.QTHER.ITEM5,1 .OR PERSONAL EF.F.ECT5;EROM THE:WORK,AgEA ,I4 FfS:ARE NOT RES.ONSIEIk1E .OR THE','E3EMOVAL OR,INSTALLATION OF THESE TYPES OF ITEMS.;; t. 11 CONTRACTOR NOT RESPONSIBLE FOR LANDSCAPING;SHRUBBERY,FLOWER BEDS OR OTHER'O0, , ( EMS INJIHI WORK AREA'. ,::_ .. . ..., NOTICE:It financed,anp holder of this Consumer Credit Contract Is subject to all claims and defenses which the SALESMAN HAS NO AUTHORITY TO CHANGE ANY ITEMS OR MAKE ANY REPRESENTATIONS OTHER THAN debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof. `CONTAINED IN THIS CONTRACT AND"OWNER"REPRESENTS THAT NONE HAVE BEEN MADE TO OR RELIED UPON Recovery by the debtor shall not exceed amounts paid by debtor hereunder:' BY"OWNER":YOU ARE ENTITLED TO A COMPLETELY FILLED IN DUPLICATE ORIGINAL OF THIS CONTRACT. . I ;. OWNER REPRESENTS TO,HAVE READ AND RECEIVED A DUPLICATE ORIGINAL OF_THIS CONTRACT AND TO BE "YOU THE.'BUYER,.MAY?CANCEL THIS,TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD THE AUTHORIZED AGENT OF ALL"OWNERS"OF THIS PROPERTY UPON WHICH THE WORK OR THE MATERIALS ARE BUSINESS DAY AFTERTHE DATE OFTHIS TRANSACTION.SEE ATTACHED NOTICE OF CANCELLATION FORM FOR TO BE'SUPPLIEO AN EXPLANATION OF THIS RIGHT,ON ALL ORDERS CANCELED AFTER THE RECESSION PERIOD,CUSTOMERS NOTICE-TO THE HOME OWNER(S),GUARANTOR(S),LESSEEl51,CO-SIGNER DO NOT SIGN THIS CONTRACT WILL BE RESPONSIBLE FOR A`45%ADMINISTRATIVE AND RESTOCKING FEE." BEFORE YOU READ ITOR IF IT CONTAINS ANY BLANK'SPACESBOR IF IT DOES' T CONTAIN EVERYTHING AGREED ; UPON,ANY PERSON WHO SHALL HAVE COSIGNED,GUARANTEED OR SIGNED ANY CREDIT APPLICATION OR NOTE SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS.BY SIGNATUR BELOW,OWNER AGREES TO THE RELATING TO THIS CONTRACT HEREBY ACCEPTS TO BE BOUND BY THIS CONTRACT. TERMS OUTLINEDatz/ E OF THIS CONTRACT. r '�, .` `. -'- k(,k :'_' I t S b_:. T l -';_ ' c G n ' - 1 DATE a (.j, xGohtractorAccept Print t ^ s t l ar 7 (SlgnatureJ s Salesman s Name ', 1'`'' ,` , '.' Signture �,� ,4r, i1r+l x°A ,r_ ,--,r ! (Customer S,gn Here)' Saleman's ' License Not I-. �� S'nature I ,a'.c""o,,,—... e,_..,"__ ._,,,.— - _ - 1 (CustamerSlanHere) - - 4 I- . ; .. ',j. THE COiYMIONIVEALTH OF MASSACHUSETTS. Present Registration No, EM Board of Building Regulations and Standards Rome Improvement Contractor Registration Program Effective Date; 1 Ashburton Place,Room 1301 Boston,Massachusetts 02I08 Application for Renewal of Registration as a Horn e Im Expiration Date:— provement ' Contractor or Subcontractor-MGL Chapter 142A,780 CMR R6 pate Entered: (PLEASE READ BOTH SIDES CAREFULLY) A,, 1. BUSINESS NAME: i C.'&L 11i/74;,�v v sa• rG�n �a^ OF c�►�V ���l .-�t 11`` Print a name in which the applicant is conducting business (SEE SACK OF FORM) 11111;19ba, 2. MailingAddress: 7d kIvlb/JT p,o,4� ��t!' �6 3. City. L1"N o,V 7- State: Zip: 1 JC9 3, Area Cod i°°Iio a Number 4. Street Address(ifdifferent): (Print street and Number,a P.O.Box is not acceptable for address)t3'ttjl, SE{kte " `' Zip 5. Applicant type: ? Individual r ? DBA ? Partnership ? Trust Privatee�CorporaUo Pulio<<arparation ? Limited Liability Partnership -? Limited Liability Corp rattoit �� Please Check One (See instructions on backregarding enclosing a city or town registration undo D9A ar"iic f oumar eja aw•MGL c 110,§5 8 6) Il- 3 �1� a 6. or Federal ID Number. J ca � / ��' 7. Nutitber of Employees 0 0 �l � �i (See bock of Form) S. Have you registered previously under this law? s �`' If so,under what? a vt. r� .,~ Registration No: 9. individual responsible for Home Improvement Contracts: t F �1�! L?1,, /�les L• ��� :,„ . Gn 10. Title of individual responsible for Home Improvement'�� ntrnc , lee� re S I �e14 11. Does the applicant or responsible individual hold .rother construot n, :elated state,city,town licenses or registrations? ? Yes ? o Type of License or registration Issued'.E ,& Licepse or registration# Expiration pate Name of License Holder 12. List all partne * iF.-officers,dir �_ and majo o. ers(10%or greater of ownership)of an applicant partnership or corporation below. Use additional A�i e �. (See instruM fq'tYv�heck here if you wish to receive an application for additional ID cards for keypersons. Last First Ml4Q W&TIlle In Applicant Business %Owner Address ? �, I n l �5/I✓/ rk .vd � "Ores/G irt. J© / !.el tt i�ir ri t ' 1Crr &Slr,&t.Z� .S� J:�Ar•;Ndoo�2 P, r{' I�lX��i1/ .t• J/?y� 13. Is the applicant claiming' Xemption from the registration'fee?(See the instructions on the back) ?Yes o 14.'Registration fee enclosedr�Z/O Q• (see note#1,on back) Guaranty Fund fee enclosed:S SO O (see note R2,on back) If necessary, Include two separate certified checks or money orders-one marked"Registration Pea";one marked"Guaranty Fund". See instructions on back for amount of fees,Make all certified checks or money orders payable to"Commonwealth of Massachusetts". NO PERSONAL OR BUSINESS CHECICS WILL BE ACCEPTED UNLESS THEY ARE CERTTFIED. Pars nt to assaebusetts Gene'• 1 Laws Chapter 62C§49A,I certify under the penalties of perjury that I,to my best knowledge and belief h e f ed tate tax r urns �111 taxes required under law. ignature n licant or applicant's representative Title held NNV applicant Date i ' Board of Building Regulations and Standards ' One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Repistration: 12b456 Type: Private Corporation Expiration: 1/2/2006 BIL-RAY ALUM, SIDING CORP CHARLES LEPORIN - 40 ELMONT RD - ELMONT, NY 11003 Update Address.and return card.Mark reason for change, Address Renewal Employment Lwit Card ✓ire �'ar�m�,uuaa� a�',,iZ'�aarac%uaalla . Board or Building Regulations and Standnrds License or registration valid for IndlVidul use only HOME IMPROVEMENT CONTRACTOR before the expiration date, If found return to; Registration:. 120456 Board of Building Regulations and Standards Expiration: 1/P/2005 One Ashburtoo Place Rm 1301 Type: Private Corporation Boston,Ma,02108 31L-RAY ALUM.SIDING CORP -HAFtI ES LE PORiN 40 ELMONT RDA �p _- ELMONT,NY 11003 Administrator Not valid without signature ?0 Tony Balestdno ERG:The BII-Ray Group 40 Elmont Road Elmont,WilocS Corpor&Operations Manager Tel:516 616A200 A040 Fax 516.616A030 Email:thalestrino@bilray com Cell:R-EM Mg I THE COMMONWEALTH OF MASSACI USETTS Board of Building Regulations and Standards Home Improvement Contractor Registration Program ' 1 Ashburton Place, Room 1301 Boston, MA 02108 _. Mitt Romney (617) 727-3200 Governor Kerry Healey Request For Supplementary HIC Cards Lieutenant Governor It is recognized that some construction firms may have a need for additional identification card(s) for officers, partners,or other Ivey employees as means of identification in dealing with building officials,potential customers, and the life. Additional ID cards will be issued upon proper completion and submission of this form along with a$10 fee for each additional card requested (CERTIFIED CHECK OR MONEY ORDER). The registration number will be the same as the original.applicant registration number,and the ID card will list the name of the applicant and the name of the individual to whom it is issued. The address of the individual should be the address at which the person is based (i.e., a branch office, main office, or home address). Cards will be issued only to officers, partners,or employees of the registration. THE REGISTRATION.AND THE NAME OF THE RESPONSIBLE INDIVIDUAL WILL STILL HAVE THE JOINT AND SEVERAL LIABILITY FOR WORK CONDUCTED AS NOTED IN MGL c.142A AND 780 CMR R5 AND WILL BE RESPONSIBLE FOR THE WORK OF THE INDIVIDUALS ISSUED A SUPPLEMENTARY CARD. THE HOLDERS OF THE SUPPLEMENTARY CARDS WILL NOT BY REASON OF BEING ISSUED''SUCH A CARD ASSUME SUCH LIABILITY. THESE CARDS ARE ISSUED AS A CONVENIENCE TO THE REGISTRANT. Additional Home Improvement Contractor identification cards are requested for the following individuals: PLEASE TYPE OR PRINT LEGIBLY Gi�7i aM TITLE ADD ,SS I hereby authorize the issuance of supplementary cards to the above—named INDIVIDUALS WHO ARE EMPLOYED BY THE HOME IMPROVEMENT CONTRACTOR REGISTRATION IN THE CAPACITIES NOTED. I understand that the registrant will be completely responsible for the woric of the individuals,and will be responsible for the proper use.of these cards and their return if the status of the individuals)with the registrant changes. SIGNED UNDER THE PENALTIES OF PERJURY: RegistratianBusinessName: �L/` y' Al2V ci Re gi ati n bar: j � �• • �//1EUvt.� � �� a`'c� Y� - Auk rized signature of the registrant Title Date Please return this form aloe faith the appropriatefees S10.00 PER CARDJ to the arldress above. For Official Use Only: Registration Number: Processed By: Date: r The Commonwealth of Massachusetts Department of Industrial Accidents' 600'Washington Street Boston,Mass. 02I11 v Workers',• Com ensation.Insurance Affidavit-General Businesses pm � ��� .��' %!/�$ a state• l/�• zip' ��YO• phone# �11�r�c�6�-/Y�� , c work site location fill address [] I am.a sole proprietor and have no one Business 7�pe: El Retail Res taurant/Ba ating Bstablishment •- working in any capacity 0 Office[] SaI6 Cmcluding.Real Estate,Autos etc.)' []I am an em toyer with ern to ees(fuIl& art time . ❑ Other //�%/%/%/////////%///�%%/%%%1%%%G//%/%/%/G%%%%% �loyer providing:Yorkers' compensation for my employees worlang on this job.. am an, F,t,tr:!' :.,.. r�: �'i,3 ,'i.r:t 3,.ti. �;'` ;'.l;i:•ti •r1�t''.'+: •^:: :I:'• ,.??S. '•t`.,•.i`•� •i, =_ ' ' �� •f'• ,i�'+•? ° a++',1 �' a •. t, i.. ,;ti:.f:a'k�f. ''t � ,,' i#°:;T'':.',t .. ' eddr'e'ss' V 4.r. t ,' t �.:i'. 7�011 I M a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: , co naII1L: t.-y., , ' '1. ":p,ry?Y'•''t •4+•.r•}c r"' a?, ... .t,]..1, •.c :uyi"'�• .1';a:.�: '.t• v't:^ v1�,.ifr .�.,.�ia i:.^• ... . . rh1• 4•.y:,}�::'•t j, :S'.�dY:, address. .�� :�•�a'.;:�� �',r. .at i;' •.:t t'ft'; ,!•' _ :l �7�•••: ,;.!;r?i•I:••{:::t ryLe ,1j, r'' •A..�• "�i •i '�'`,r~ _ '!.' -•`5. Cl yr: iLj S`: `r`1..`::• '.y^., 1!..;• ::a'r'.; .^j, ?- i:�.r�c;:';• t', ,!'•'' . r••• ��rf.tiyi:,.,;�:• ..i"1, P: '' ...1: i. .t_r f�'•'. 'mil 1 a:• ;t, "t+ �. : ; a,. !:' .;! t' tor:5.. 4'•,, ''i.i.i. .'•y: y „" ... �',�''...�:..' :. �I,_ _ - .a,Ar,L't•t,:•}?'•.+1.. ;•.- }'} •• ��!:K•+f_�y3.` 'ry.):.Rr.:�'�,: •r..l,.:.i,!•.-��..�.'i fir:-:J`:': .!'t... ^C• �'0'11C +#�': fnsurance'co. •... . :� %�%%%O/%%//• . .!• tij'1ft �•�. •t,.�,• 5r• -t•t`�I{,n.,id`':.�•f'; •:t.,, r,�„ :+f.�f,n•,! r'P�. .'� '1'''S! '"�'7 =• 'i :.: !,: '` 't'Y:r�:' '•t .'•• .J,'r,. Hl.� ..t e•,• a=••r •�'•.c. 18:.a"vf '.G•':t•'j•r it: •V(+,.. ,.'•nv ''�t n'- com an naIIi addTessi. 0. _ :i•)y', t'��!�;ti:fy:' •:!' + tf .'i. 1t:, .1. ,. •1. •ti•'• •.Y•tt t,l tf=..f•LS•�. •,_ •t' s t.:•. 't.�' -�, !'"•t J' 9•.r'. .:j:r: ;,S,:i;.S �. '.�:'" •OZiCV:#.i., ---------------------- ffsuf�6ncelcO % Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition o1 eriminalpenalties of a fine up to 51,500.00 and/or one years'jmprL+onment as well as civil penalties in the foim of s STOP WORK ORDER and a fine of$100.00 a day against me, I understand that a Copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cent' un er the ains a nalties of perjury that the information provided above is Prue and orfe dl Date &L .416 Signature �.r phone# •.` .�c�/ 7- Print name J official use only do not write in this area to be completed by city or town official city or town: pgrmit/license# ❑Building Department • i ❑Licensing Board ❑check if immediate response is required . ❑Selectmen's Office 0HealthDepartm>ni contact person: phone#; ❑Other (revised Sept 223) . ' i Inforn ation and Instructiions. mp •.•ir 4assa.,husetts Gen. eral L chapter 152 sectio aws'chn 25•requires all employers to provide workers' co„ enstion for*their mployees: As quoted from the 1`law", an employee is.defined as every person m the service of another under any contract ,f hire, express or implied; oral or written. • artners , association, corporation or other legal eniify, or any two or more of 4n ezr}ployer is defined as an individual,p hrp . he foregoing engaged in a•joint enferprise, and including the legal representatives of a deceased,empioyer, or the receiver or artners , association or other legal entity, employing employees. 'However the owner of a iustee of an individual,p . �P. Swelling house havmg'not-inore than three apartmmts and-who resides therein, or the.occupant of the dwelling house of another who employsp.ersbns to do.maintenance, construction or repair work on such dwelling house 6r on the grounds or building appurtenant thereto shall not because of such•employment.be deemed to be:an employer..., MGL chapter 152 sectin 25 also'states That every state'or local licensing agency shall�&At ld the issuance or renewal o of a license or permit 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, neither the ' .of its political subdivisions coironwealth nor.any 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. 11111111 + Applicants Please fi]],in .the workers' compensation affidavit completely,by checldng the box that applies to your situation.:Please supply company narrie, address and phone numbers along with a certificate of insurance as all aff davits maybe submitted •of Industrial Accidents- confirmation of insurance coverage. Also'be sure to.sign and.date the to the Deparment 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 regardin�'the""law"or if you are required to obtain a workers'•compensationpolicy,please call the Department at the number listedbelow. City or Towns . Pleasebe sure that the affidavit's complete andprinted legibly. The Deparft=t has provided a space at the bottom of the affidavit for you_to fill out in the evenfthe Office.of Investigations has to contact you regarding the applicant. Please fill.in the permitlltcense number.which wM be used as a reference be sure to number. The.affidavits may.be.returned to the Departmentb}Y.�or FAx,unless other arrangements havebeenmade. - The Office of Investigations would hike to thank ybu 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 6ffice of�esti�tlens - 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 yF � Toym of Barnstable of� Regulatory.Services Thomas F.Geller,Director 16 .Oki BiWding Division Tom Ferry,Building Commissioner 200 Main Street, Hyannis,IJA 02601 . 0ffice: 508-862-4038 Fax: 508-790-6230 Permit no. ' AFFIDAVIT xrom IMPRO'YEM&NT CONTRACTORLA'44' SUPPLEMENT TO PERW=APPLICATION M(3L 0.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -=Vrovm nent,removal,demolition,or contraction of as additioato any pre-existing owner-occupied . building containing at least one but not more than four dwelling units or to structares which are adjacent to • such residence or builduxg be done by registered contractors,with certain exceptions,along with other requirements, • Typo of Work: Lstima.ted Cost�OO Address of Work: Owner's Name: Date of Application: I hereby certify that: Re#stratioa is not required for Ea following reason(s); ' ❑Work excluded bylaw ' []lob Under$1,000 []Building not owner-occupied []Owner pulling own permit , Notice is hereby given that; OWNERS PULLING TSEZR OWN PERMIT OR DEALING WITH UNREGISTERED COI'i'IR&CTORS FOR APPLICABDE HOME ZIPROYEMENT WORX 3)0 NOT 3TAYE ACCESS TO TEE.AMITAATION PROGRAM OR GUARANTY HIND UNDER MGL c.142A. . SIGNED UNDER PENALTIES OF PMU URY :I hereby apply for&permit as the agent of the owner: Date Contractor Name ReQisErationNo. • OR , Owner's Name . Town of Barnstable Regulatory Services Thomas F.Geller,Director 9�ATEe , Building Division TomPerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . - - : w"Aawn.barnstablema,us Fax, 508-790-6230 Office: 508=862-4438 w Property O ner Must _. - Complete and Sign This Section If Using A Builder as Owner of the subject property - hereby authorize �d a=R.�:�� d �®�� � .,to act on my behalf,' h . all matters relative to workauthorized bythis building permit application for- Id ex Cr e-l-A e, /V (Address of Job) $ign4t=6ner Date Print Name I RESIDENTIAL BUILDING PERNHT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKS HEET NEW LI G SPACE4#*9z)* square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch �_x$30.00 (number) _ Deck _�_x$30.00 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Proicost y �cJ //ram Z-cT zoo Q o P d S 3o/jo�lc rc1 ter-- 32 C�gTtcy 7W*7 G7i -1/iu 2El� M�IE.YTS_ D� T{�� .. TOUJOF o� �� /5��B� - .�-i✓a r� �Y®_T- ����`� �ass�cy G MES WORE c;� w No.' 2153 L©7- �f 1�� 21161 y NAI r P� N0 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION,and ADDITIONS 780 CMR Appendix J Applicant Name: Site Address: I15(0 I"OCI-,C KOO Applicant Address: City/Town: e=_�A--?EZ U t(.,L.& Use Group: t Date of Application: Applicant Phone: Applicant Signature: Compliance Path(check one): ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1b): Heating Degree Days(HDD,,) from Table J5.2.1a: (For items d. through i.,fill in all values that apply from Table J5.2.1b:) a. Gross Wall Area sq.ft f. Wall R=value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(100 x b_a) % h. Basement wall R- d. Glazing.U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE Component Performance: "Manual Trade-Offl(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J,`['and HVAC Trade-Off Worksheet,if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area sq.ft. b.Glazing Area sq.ft. c.Glazing%(too x b_a) % ❑ ADDITION with Glazing%q (c.) up to 40%may use 780 CMR Table J 1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration' Ceilin ' Wall Floor I Basement Wall Slab Perimeter,Depth. 0.39' R-37 i; R-13 R-19 I R-10 R-10,4 ft I Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation maybe used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM" addition(greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial:: Reason(s)for Denial: (provide additional details as needed on back side) ia.� 4; ,;'• ` , ' a:',,. `;' -Zf �.�:caq."...' Ix .� ;�;� .. _.� ,3. �,. '� At�sa a �,,fi :,'.' . 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE Manual Trade-Off Worksheet Permit N Builder Name Date ttedced By BuilderAddnss j ��. Site Address 1`. &f iXLa 1Zo. emmmL.C, Zone V2 013 O14 Date t :' Submitted By Phone • PROPOSED • ` REQUIRED Ceilings SWiihts and Floors Over Outside Air Required Itnsulation x !g Ama U-Value . cioa R--Value U-Value UA - (Tobte 16.2.2h) x Area UADescrip Ceiling o �f'� i'1 ° (fabk J6 Z2a) �Jk✓:• V�UYJ z ,v o`' Floor Ova Outside Air R' (T'abk)62 aT . :x.. . . , . .•ToulArea iVa1Ls Windows:and Doors Jnailatfoa xV—et Required '•tiOn •• R Valve U-Value Area Y' • •UA U-Value •z Area •UADacr - Wdls k q �Q' i (� Rabk J622b.e d) 1 V�Z G U t �... . ��� i f Y7 l l 6 Wkwows (NT•RCorTablcJ1.$.3s) b T Dow. '— c L`1 '_'' 2n (NFRC a Table J133.b) Sliding Glass Doors (NFRCorTableJl.3.9a) r✓ ` R� Toot Ara R' Floors and Foundations lasutadon lasuhdoa R- x Area or '- Required Description Devth value UNA= Perimeter UA U--Value z Arca -UA . Floor Ove--- 16.2,2e) 164:�Unconditionedoaod (i'abk J® 105 2(. 2 lJ. 'J7- (8 S �Z r 1 - Ile Basement Wall (rabic J6 Ua6ca W Slab able J6 22 ) is Flesud Stab (Table J6.2.21) is rear J'roparatr LGl�sant be lea. Tots! .- • Tom! tisa or equal So Toar(erA4&ftap Jtgd ad VA pmposed UA r t� ott g u/nd UA 1 l� n 1 i eq Swematt of CoWrwn=The pwposod bi desist an pttisauod is L-.--.-+adjusted dire docv+wtw 4 cared ae*wM&bud ftp&m 4ee�o'a cad odw alcutidon$submitted rrm dne ion Requlr,id UA �i�► Cc01� 60-1 b�T FAY Bur7daIDerJgner company Name Dati 760.22 780 CMR-Sixth Edition. 2/20/98 (Eff=Uve 3/1/98) r BOARD OF BUILDING RE,WLATLONS i License: C_.NSTRUCTION SUPERVISOR I 057382 Nwmberc �� ` Tr.no: 2453 ,����Q77�2b05 Red" 1 � JOHN D BO e\ /�/ I w�_ 80 CROCK.ER R i W BARNSTABLE, MA d2668r Administrator ' � ✓fie i�omvnwouueaflfi a�✓�adoacfucae�.6 Board of Building Regulations and Standards HOME IMfPfOVEMENT CONTRACTOR. Ex_p rrp ion. =Yjpe Partnership BOURQUE& PO-BOX 1005 � , 1 MARSTONS MILLS,MA 02648 Ad►ninictrator I I 'o,.HE►�,tio� The Town of Barnstable DARNSTABLL Department of Health Safety and EiMronmental Services Building Division 367 Main Street,Hyannis,MA 02601 e: 508.862.4038 S. 508-790.6230 PLAN REVIEW a�S��D Owner: Map/Parcel: 4F J Project Address: Ise F�a I jr- -- gCL' Builder:Bc e t The following items were noted on reviewing: Reviewed qby- 2 4, • Date: ! 0 09/21/2004 11.14 FAX 6034312811 JSN ASSOCTATES. INC E 10002 �.r eerr�- iw• �o WUUl1 SIKUCTURES .INC: 2f�7 2B2 2423 P.C�2/16 i - o- - -- _ � y Double 1 3/4" x.9 112";VERS LAME.31 06 SP File Name. o01 TELLO DUPUIS:FB01 ; Job Name: DUPUIS FAMILY ' ' ' I Descripption: , c+ II, Address- 1St3 FULLER ROAD Spedfler: PLANS ,(�0 1 v City,State,Zip:CENTERVILLE,Ma r Designer, C.FALTON t Customer: BOTEL'LO' ' Company: W,5 i. 1 f Code reports; ICBQ 5512;NI:R 629 M1sC- �r�� • — — n �namm®�eROa���tt�a. Q 4c�Q } t — 009rd Loa 0.uppsFi.503P Mary I ft�l r' t a b��,t ^Lry, t �IiS: '� N*� ryl.t a ,;tit'•t' ••. 'i y, Ij, t , •'' '�°� !n'^'� ,,eb - -•t nrlJt'.L..••. atalbs DL . � T�tat;Han�ntat'I�n9a�:.o�oa.00 d�eruara�l Da4a dad Surnmprb_ ' Verslon: US Imperial ID'.,®e�i tlon Load . a:ti � Typ itef. Start . End' � Types � Value Trib. Dur. Sr'.Standard Load.Int Area; Left,, 00�00-00.; 09-0640 Live i 4000 04-0$-081009E Member T � Floc a r {°dudolfer ofpans: 1 r tie i ' bead 15 psf: 0A�05 08 90%' Left Gantalever: No ��VIt�BS�tdPilL7fMB6'I � 4 Right Cartfllever: No imontraal Type Wald® " %Allowable Duration' loam Case Spun Location 416ment I" -2872 tt-dbs 20 6°rb 100% 211 1-Inlemal 4 Slap®: 0112 N Moment oft ':~ rIr�t,tan� oa-os.os: Ehl.Sohear . 11006l 16 Tar • 100% 2 1 .Left r+ T6bl Load DO. U1222 0.063") . !8 6,9'a' 2 1 E: a sr - It� k Live d t)etl., k Loa U1744 0;065' 24.Fi' ,. � `IE • t 1 l'. 2' d s MAX Defl. 0.093° a®3°!0+. .2 - 1 lave Load Dead Laod: t16 psi Notes .: Partition Load; 1 psi Design meets Code mirtimumIU240 TbW loaaAefiectl®n criteria. ®oration 100 r ®salgn'meets Code`minlMum.(L/360�Lave toad dptiection criteria. k 1DIscla�u „• Designer®ett'arWtmty(.1"')Maximum load deflection criteria. % ::Th®e�mpteteness'ent scoutaey' inimum sonng length fdr,e0 is 1'11Z�:r IMmum b®er�ng tsngth'for B! IS 1-112 , the input must;beivetified by any t®red/Displayed;1^lorizorttai Spa�i Len s Char Span+ JI2 rein Reid beating+ r Who would rely on tho output 26 ) �� t ( A ng "112 int6rcriediste bear " evidenCA�f$W9 rla %hOt 1 particular a li on''Fh ®nn® ti n l71a a®rt» Pa PA ®outpu above Daasr�d upoia f mlding^ Mpr ibsr has ne side a'dd�.�aGcepted destg 'Aroy�e'iti� >rinectors ere 16d t and art-0rsi517eethod5 Pnsfalistl Sinker Nails of NOISE engMse'ed�v�d proouct',must be in aru;�arr,laredaa b� 3» 4 %vith•the current lnstall0tion Guid a w -, ?f # gartd.ttne®0�,tleabls buildin oedv a o;{5'1/2 r a r` "; f �, of Qbtain an Irt�llation Guide a -12°' '`'� vy�e}ter haove/o�ny qu�esU®ns:pies5e {I I f I , I , ' x (,100)212-0788W66ba4i nini� "� � rimcluct installation. ; C Y " / + " r SG'CpS.C®,:.EC'F11ER�,BCkt �DSM,BC QSB R16 r=;irk'.. �`` ` I �' , r O ^ " }x � t +• �'. �I � ,;y ' �.i�, ' BOAIRMY", BOISE CLUL.AM +� VERSA-LAMS VERBAA R11V ; ';,,Disrlantter !k 4 , VERSA-RIM PLOSOD 7M , , , ,the supit�r acicraowled 4C'that 8 has r uested.JSN Assoc;ales, inc Vloi3SA:STIp , 9-, ea ; VERS DO,ALU61STO'21 lk+rta.rev��w alp r enc neeretl bu�ida�g product W&iifed as above for AJS46'are dematics of ' ;.;�rie�pwn and iouding Mr. ons shown,dn''this calcu ation Sh9@t: ��' JEFFREY.S. �P ,: Ba 'Cade Corporation. '°�Tlie sVprlier fcarthe'r ackE;bv ledges that JS Assaciat:s', inc;will ntAwRpGKr:: r riot en2lneer dcsgr manuzoture t e-ect said item and is not STRUCTURAL trI'rMons!151� n any way f ° c.s r} a ti t ,, y arJz e_t.��rvaficie ycP's. T�rreiUj2;`t�,c ` t .i '+SUApl�i:r`^�'av�S:c3 i MI. 3clai:tst��btV AssecrateS, I. L.erisirg in No.3A16$ ' hY'H!aYa'p any defects`cieticinckzs;�FrOro Dr On1i5a1(1fi5 In tI',e �'jp� arSTE9�•� � i ¢ y, ,iE j�ad de#emf�naho des�gri'fdbric,lt,o7 or erection of said item. Note i , . .PagerAd�n�'at��P�-`rn n�fc� r'k ' ii k} r ^ „ % �r nrtlnc.�t,nif tier£ must LNe provided cy others ` �' ^•` '` '' t i}k k+'w4, ;n , 09/3.6/2004 'THU 14 32 [TY/R3 NO 6' '1 IM`002 " � 09/21/2004 11:15?FAX 6034312811 JSN ASSOCIATES. INC f�j003 acr-1 O—�tU4 : 14::y WUA) STRLIGTLRES I_NC. 207 262 2423 P.03i 16 Shigle 9 °(12" .Slv, 20 MSR ' Pile Name: SbULLO DUPUIS:J01 W)Name, DUPUIS FAMILY " , 17escnption, t4td9rmSS. 1661°ULLER,ROAD Speafier. ,PLANS city State,Zip:CENTEF�MLLE,MA Designer.'; O`fALTON: Caastorgar, t3�LLO . . '� i Colflp y W.S.I. Code reps ts: 150CA'22-ug,SBCO9 9707D 1080,AFC-5504 ,' Mist: 17 kd it c g i.;91 c 5LOdud Loyd- pF( p�}-�Ca SpHd�1 d" e �,�a, � e R �!��,:�., fe�p"7i;•'' .r" ui;l rI ,�,m.a•.... I ;�-•�� r t ! I , M, t 11rtS9`I'�n,�Y31�` t 'F �4y �°' �.a�ttir,¢.d�Yge,,, ..,�.lLkl" „i"'�w.•q'. .4:i•"9'F, + yAh ap, i ty.70� 63A 1 1!2" s 81,3.1/W" Isz,I II!r 399 Ibs LL i ii t ; 90�9 lbs LL 9 Ibs LL t+ 140 Ibs DL '3071b®DL $0 Ibs t7L A L. « n , io 1 H(,#nta(Length-30=04-Qo 3, .bad eliumme U5! t Version:'' grial 1®'•., � mp Dos6riptloh`` Load Typo FWf, Stan End ." Type Value OCS .'Our. f ` S r 'S18nserd Loadfif Area L�,t 00-00-00? 30-0A-00 L ve . 40 p6t 16" ., �,100°/b Nlerinber TYae° Jolt t ;:'� „ o I�uPnb®r Spins. 2i` Dead 15-psf.x18 x.a 90/o Lett Can616v'er: me Controls Summary r t " night Cantilevar: No bbartr�l e ;Value %Allowable puratlon Load CAso Span.Location 1 Moment i 2253 fF-lbs 74.®o/, Sli�pe: ,d O/�21'Otl%, 2 ¢ 2-Left, CC S az 1f;" Pieg lug®meet •-22 #t-1b5 :74 0%1 `, '100% °' 2 1-Right D ' = EW R®aaon 539 lbs 471% 100% 4 1 -Left �tructioit l"y Y® t In 'Reaction',' 1417 lbs 48 49'0 { }�00�:6 ,>t s =2 �'1-Right i IPv Glued t ,, a";Oflt.Shear' 771 lb5 * ° 66 4% 100% 2, Load:: ` O P UPt 11 tbs ) � 6 2% 4 -Right 's t]e'ad'La:ad: 15 pst total Laad' LJ520�0.404" ' �'�i1Jk{OI9 Load° 0 psg LNe Load:DA 1lt377 0 31") 'S32�i6 4 1: To4al Neg:t]®fl 0.09T 1 Gt4/o 4 ° .i2 C)uration 100 aefl. 0.404 t 40.4%` 4 I; 1 it 1fJi cl®aea>r4: Span/Depth. 22.1 " h/a' 1 ' The corrrPiettPltess aritl acwraoy ¢8ts3 ,, l Ibe rnput muati;be ver + d>�y ahysI n Rt®ets Cvda'minitnurn(U240 Total load denuctton critena. t who .Wd rely on ttre.vutput as, 0p�ry9tnim�� a�nimunu L/3t30)Liva l d'tlefle�tti® eWdbhcs Of;uitabliity fer a `, D""•i7 ( ) ®0 19 cnt�vrrae °a particular ap(�16s�tton:,The®4 u n meets arbtlraryr(1,)Maxlrnum Toad d6fl'iiaon cnteda. t : ' t above 4s ties d upam building MIhlMUM b0180g Iehgth for,60 W 17112" K a' , ° C,,_" t • y N lll9itnimur r a to Cade-acceQted der3n pyp bean g; ngth fvi B1 is 3.112° and artaiysis Qnetho s._Insialtatl Minimum bdaring.length for 152 is 1'-1/2. , teredlDi�layed Ht�rt2ooital Span Lengths) ,Clear Span+1/2 min.and bearing+.i/2 iraterm®dia�bear of 15015E engineered wood ��� a ptadtlCtS vtltlSC�be in ace�rArlce ` y ; "uvrth;the ourient Installation Guid and the.applicable building code µ t To obtain art 111 lla�aet 8uide if ij s y®U,h'8Y®21ny'QUti®n5�Plfs8aE1 t000)232-07�8,'before to®griniR>� i product Irtstallbition. I�I,el2t I f I f ,ti ThC''SUpill� ciCi nGldln05�s that i~ias ret,Jested.INN Associ,Fies, Inc ' VC CA�LC'®,;BGt.l•R 1716Rt® �C,l r^revie ,a'cr-T-,?'n ea ed l:;iilQ:rg prodt;a iclenC"tfied as aborJN F,�r ; DO NIM 00ARD11w'Ir 8G®Si3 RE tr 6tzi'�5 c)h �ntl:`ft7adirq C)nditions shpvn on tells cald4latipn`Sh ei. E3OAaRC�rn ®eSir GLt7LAAA I Ile supplier t,liter .c knowladces+het JSN/�ssticia�2o'1r1C.vaili 1r►�1it � `Pl�a�!!�" tlft®e V�R.a2°A.-t�l�l®, ( ;trn0'Ert;rr� r I�2c�Cj t nl?nitt�ciCtL6rv�Cr:G'tPCE Satf�`iLsrrt 2lla IS ynOt. s 1PEFta�'d�-F�18VI.PL,US®o . ; i �esponsr�l,�ni`an� �vay,'ordedec'ts°ot,72fCiEni:�sifil7ErQi�lc?,tRe ,'JEFFR6V5.,': i VERSA, T �tTRA1V® SuppEi�r waves st!�lai;rs a^.ainst ESN`Pissbdat�s'L,c:arising in, ti y' PIAWRt7CKi r ti VERSA'-STUD6 ALLJOI$>rGs1 an s' ,, fi,JS"'ar® a ®f , ; ;. any way front any defects. eitctenc:es;err'ok c�ors�issioiiilin ti-te STRUCTURAL F161i56'6ascede Cgn�o r„ 'load;d'ternsir'atiCn;design,fabncation,or ere on of > $3id itcr M. No.34168 ' P�ote., IG t ,. lr le AbUe9tE degich Of tUglaartinq must be proviCled by other:;t € 0 0 t I x it tsM d Fade 1 of 1 f r .ti k :1 0:/18/2004 THU 14 332 [Tg/12X N0' 637P] Igi003 09/21/2004 11:15 EAR 6034312811 JSN ASSOCIATES. INC 0 004 a — — . wuuv J t Mug..!u!�a 1 Nu, 207 2F32 2423 P.04/16 I ka i67We 91/2" M 11 as MSR FM Name: BOTELLO DUPUIS;J02 Job Name: UUPUIS FAMILY Des�riptfor!: Address. 156 FULLrzk ROAD Spec'rfrer. PLANS ;. City,ftte,Zip!CENTIRRRVILLE;Mp, , Designar: 'C:'FALTON Customer. BOTeLLO' sE i Company: W.S.I. . ! Oode r6ports: BOCA 22-09,SBCCt 97070,10130 PFG6504 Mlsc: : L Stan 1-cad.4 psP t ig Pst AC sPacln®Te'" .iWrttN,M:�,.4 i✓i 1'e.r.r 1. n I I,,,�7;•_1� l 7, .pJI i `` ff se,. � � _ ,. , t ` so 1-112° r 1 t B1;1�112 470 lbs LL 470 Ibs LL 97s ibs DL f' 176!ba DL t Totall;tgri,zontal'Lehgth 17.97-08' Mr VG21 Dala Load Summary t• �. 1l�rsaon: US Imperial. l0, 00 riptlon Land Type Rof.i Staff t;Fhd Type Value ADS Dur. pR!�thkler Type: Joist S St ride LoadJnf.Area, Left ' OO�OA 00• .17-07-08 ''Live 40 psf 16" 100% C ya • ;' �' Dead 15 psf 18" 90%7 . Nurnberiof 5pahs: 1 4 �' L�Cantilever. NO Controls , Might Cantilever. No $ul1'�A2lPy A®ntre►i Type, dalt�e ' , °i6 Allowable Duration Load Case Span Location idltirr►ent ; t 2848;ft4bai 93.2% 100% 2 1-Internal Stops:: , 0112 146!0.l�t®rrie6t a ft-lbs We_ 1o6aib i 80 Sps� g: 96� Imr�O l4�aoti�sn 646 Ills �'5ti 5°h ' 10l)%:, 2 1-Flight FepeYttve` Yds 'total Load Defl. RJ320(O.g61°)', 75.0°/p 2 1 t .0onstruati®n Type:Glued :' Livia Load Doff. U440(0.448 1") 41:8%, 2 1 , I fvl�ut D®fl. 01661R 68.1% _ 2 1 Live' L®a®' '4 16 Dsf " n/a Dad Load: 5' . Partition Load_ 0.psf Duration: 100 Design meets Code minimum(U240)Totat load deflection criteria. Design meats Coda minimuM,(L1360)'Uve-load deflection Criteria. ®1 ' Dr®' I e ilgn rd®ets�rru'r r j1")M"M'um toad,deflection crge4a. } 7 he'cocnpfete,ness and'oCCUMAeyr mimum taearir!g length for EO is 1�1/2' i ! the Input must,bo verified by!Tiny pirnOrrt'b trig length for 81 10i.112" + ;`who mould i on the autput as, 4 evlaenc!3 o¢'sultgbTty' fora Ent° ®isplayeq-Fiori�ontr�t Spat Lengfh(s) Gfear"span 11a`miw andbeadng*1121nterru►a;�iw,�te bear pamcuiar epprzation.tTh is outtii : r R above is based,upon huifding ' code-aCcepted design properti nd enalysis mothoos e��ISt�;enpoered wood as ,�(:taf 7t1;,! - f , .' i ;_ _ s - 1'• 1 nr1?d1�CtS rV1USt be tri afte ddttil fi,�e c'.6lrl'eP�t Install ion Guld r, t. I he supplier,a„l;rowleQoQs,pia 'it hag eq Uesied JSTI,Ar,,,, 18ic5 Inc ind:the?IW=able building c !; '' :to,��vr�v�a;bra e^!cincerac lbui ding rt'bauct menbr a9,as ab6ve for To'obtairl are lnstallat'dn Guide o iff''':"IF r^:he spin and! `deny.C?n}�: ions shcwn on this r3lcUl8ti0n sheet you have any quesdo6s,please ll t ne uup ier,fahh+'racnn6�v!ed!aEs°Fitt JSN As�aGai Si IRC.Will i +ft,►4 �� i i it _ ° }BC1t7 �07i38�fbrebr3gieining t nG,�f1C�ln�>,',doSl�rt n+cn 1r.:sure Or Er ^r sand item and`a no: s i product Installattion• responsib'ty,in a! Y vay rnr def,9..ts 4r'd�ft l�nci8s 'Therefore the o ,IEFFREY S. NAWROCKI r SU;��I!P' Uii7VC7 2;!C�a!r°75 r ctn$t J$i',f AS50C18iC$ }nC;'aria' Q In ` r iC.CALC®;>3C FRi�MEt ►,,BCI ,, amf.v a�irom any dPf�ofs �Genci�s errors'or otttls5i®r •i 7 my.UCTURAL Be i21UI B®AR®701" OB13'`RII t n the No.341rS8' h3CDAl DTM,t3rDISEGLULAMim ��I ' 'loaddeter-rtt�-,it�r'c�6sigtl �abdcalt ri'�rerect'svnCisaiditont. F ` i V/ERSA-LAUD,VERSA-Rl�li®; 4i Note,l �. r p AF rSTE Q: l 'WERSA IM IPLUSO, ! ;�;; Arten:Ja;e c' ran of 5ut;aorti tc sM.rcf rE must be s7r�vided:b j olher� ' o VERSA-STRAN®fir., +' _ , _ �StOM11lE� �' 1/ERSAISTUE* AI. OI.S'T®en ' 4.�,as.rs K,iretrad®marr«lof �` F �WeC��d PiCorpOratl®rt 7�4f ! f i A } t 1ge t is {sx'; 08/16/200:4 'JCHU 14:32 i r [TX/9X•NO'63721 .l?)004 ! 09/21/2004 11:15 FAX 6034312811 JSN ASSOCIATES. .INC 10005 .-w`....,ro•17�V`V..7 VI\GJ 1IYl:o } li 207 2e2 2423 P.®5/1$ II + OWN angle 9 1/2" AJS 20'MSR FII®Name: 89fELl:O pUPUlS:J03 ' „ab Mama: OUPUIS FAMILY ' DeserlpptioG► Address; 16e FULLER ROAD ' ' Spacifler` PI AIVS City,State,7Ip:CENTER' NM; ; Designer.;; x C:FALTON +f Customer: t SOTIELLO Company:' W S,I. Gode'tepo !2CA 2.2-99,S IBM 9707C,ICBO PFC-5k*' Jb- E or Sfendar 40 1$p 6Spec`m9 i'0^ r^ -I 1: l,e�. t _ r�i' .7�.`- L:�'�"k/uy° I ¢ n t 9 .5. x u:.t f� yrl�. `v�l .'° It�,l�..:.li,. •E,. ;1 . "i'... 4641tis hL 174 Ibs DL 464 Um LL , y 174 Ibs bl Total Hor�ontal Length-'17.A5.00 .... �enerai Data ILG Sa RIMaly v®rsiorl, ? US Imperial (® 'D6scrDption !.®ad°hype' ®f. 6 tt t End Type Value OCS Our. ` S'f` Standard Logd)nf.Are. Left 00"00-00 17-05.00 Live 40 psf 16" t 100% Membat Type: �Joist ? E3easi 15 pef 16" "- 90% . NuMbar of Spans, 1 Left Cantilever, No G®ntrols Bummary ta7�ght Canti9er►ar No lav;ritli*l Type :Value %Allowable,.Duratich load Case Span Location MOrnerit, 278194b8' 91'1% 100°k I O/12 N' Mbar ent' '0 tt Ibs �a 1'.009'm 16" '' En�'R-=N', ; 639 Ibs '155 8g'o 1 o0% 2 1 -Left @`^,110u M: : Ye$ 'total Load-OdA. L/331. 0:831") . . 72 5°k ,, '2 1 I C,r®nstrwction Type:Clued Live Load l]efl L1455�0.459") :7914Yo? I ¢; 2 1 } Lrvtr l: d: 4®';p61` Span/DO'tft 22 0'" f 63 1%' j5 2 1 f t� tl Lead '' 16 psP f�li tl®n Load, 0 psf - d NOte I'•, iz ? Z y e i D align meets,Code rnln6urn(6l2a0)Total load de9l"on' 7 lye�ctasur®' Desig1.n rheats;CodO m1rilir�m,(L/9fi0}Llveload deflebtion caiterla_ ®sign meets arbitrary(1")Mmmurm load detlec fan criteria. I• Yna corr►pletenass and 8ccu ac�y Winurn bearing length for 80 is .` the input must be verified by any nimum q r4ng length for.61 is 1='1/2 f t Y . •Who would rdly an the eu�ut es tabilk,for . : EnteredlDlspiayed;Hortzontel Sparc Gengtlt(s) Clear Span+'i/2 min_end bearing¢1/2 i + °t3Yldenoe'of s>,t :tr y . .I. ' r ntermediate bear ,. p�oular appncatian:s1'hd'ib tp ,,,, w abwe.1s,basbd upon building codta�pted deslgn properti I �Md an ols'm®thctls'':Instaliatl "; K,<, ' t engineeredvvood '' Ia�rl� ,. products fYluss>t be In'ac®ordancFa rl le suppiI�1 c iCf(Jv+/lf?G-2H lri •c I�(v a!oCx zS(EIS 5tti1 f S57'1f:7S1e5, Inc S+ Wtt}r tFr ,,eurrarrt lnstalla#4n,Gulct j ,'',In eVt_W c.ra englrieE red 0 iQlny aiv^1L .I/'>?ilh@Ci.A$aboO e for ,,s,.. ,! t i,•,j }..� 3 end,ti '.apptii ble building co[i +it ",l.lG S�?��+a, -16a,!nG'Cc�ndlilOn' Sh*`V 1 ci t thl%Cn:cLGlc�tl011 Sliest. r r Ta btitain t3h Instsltetion Guide o dt, , - 11 you:he any questiacis,ple�6Fd Ii1i Tne St�r;.:IieriilirL,rr rCl<il(wie itges Vial 1,N P%sidciates' In .will I; I.C.-en d�slyn,(1' f1U'r�cu!�0 ' t t S�IG�.itein s6d'is not-(�00)2'32-07aa3.befare beginning uadlrct inatalla69on. rqS ,,S hid in�h w: ,��rir'Giu 4r av ClGrrl as Th f r p: p Y Y eece �it:'s I- ! , r, ! EIC CALCO,Sp t=1rAIVERLO.t l 141 on AVdar T NISI a'.r?' ism egafrrst'3Snf A '- r t risii�q iii oir'� IEFFREYKif•.' M , x c r r a .S�C`C121t8S',it1C 2 } 1. o y defect6r oehclencles,ignm.s or crnissions In tiie �► NAVVRt Ki tC;RIM IS " x dIbi4Pl7�'®® I laad determinationa5�gn,�ai;�icaton�r erecflcrl:of Sald item. ( STRUCTUIYl1t # �� SAaFtIM® t Nate No 3bf69 ` 4 SA-LAMM :71 Adequate d�slvn of su n $ t�, 1+1 O'Sa_�ilvl'PLUS0 i I+k alx�rt a t*u^+urn Trust to prov{cded 6y'others - " Y t� A4TI'W D7v 2 M •'•}4� Yl..t, �I-1 S1-Ulm,AI.LiJJ0 S'TO'an �,;- ,q ?' _ '� T : !r ,; ,, rsrorrAL 1 R iTw are We1V�arks 6f 1 14 I .f 7 �I q f �.r ' w 4 f I+it>4 A S i , + .�� • ��. I t } .+•, r `e t ' `4 ;ra a, r ,r.., s j .! t}+ - to •�' , i Ai�t,n t✓4.,.1 :,' 7 ` t71 y . r r � ' A - i rif I,J, f' fit[ 14:32 1TX/RX NO 6372) Qo05, 0,9/21/2004 11:15 FAX 6034312811 JSN ASSOCIATES. INC [a006 r 207 282 2423 P.06/16 I Single 91/2`'AJS 20'MSR _ : t File Name: BQTELLO DtDPUIS;J94 Job Name: DUPUIS FAMILY Description., Address: 15fi FULLER(ROAD Sp®Clfier. PLANS City,State,Zip:CENTERWLLE,MA sign®r; 4'C:FALTON CustomerBOTELLO Company: W.S.#: ` Code re BOCA 22 SRC lo60 F?FCe5504` 1- � � _" .e1�— tandord Loed a0 paP i.15 psFAC Sped!1� Il' i.t V 'I 462 ibs Ll. 462(bs LL 1731bs OL 173 lbs®L A t, 20 Moriaonlal'Length17.04.00 Imary ` til�rsion: LDS imperial lb 11jescelptidn Laid Type 1Ref.t Shut ' � end Type Value OCS 'Dur. r S Standard Loawrif Area # Lett.' 40-00-00 17-6400 Live 40 p5f 16 10096 s Member T e: Joust „I Dead 1 S PJtir+i6er pans: 9 �• +;,. ' I-eflt Cantait ver: No C�DXI P�Isi S�¢i1M x - Right Careulev '. No # Cbntr6l i®!,'Ve6 e 1 i 9/6''AJlowabie ©ura4ion . Load Ciie span Location Nldrvikt';; 11641Wbs .90.2% �; " 10d% 2^l? 1-inteal •yQ® 0J92 1�1 .Moment 0 ft-lb5. n/a 100% ' * rn ; End Reactich 636 The 55.6% ",100%• 2 1 Left' R®petihva: Yes TI Load iaefl. L/336 0.62')_ 715°.6 2 1 y cone otiavl Type.Glued LIv®Load Deft' U481 0A61'°) 7b 0°� I i 2 1 Max,Daft,.' 0.62" 2 1 T 1;0Psf , , Win/dptf►' Z1.9. i ,n%a 1 „.; fi deadload: . . 15 psf E Partition Load:• 0 p91®Q85 .. i7uration:' 100' ; ; Q®sign irmets Code rninimuRi(U24')Q Total load'deflection criteria. bt iclosure� ' b®$ign me®ts.Codo minimum(060)Ltve load deflection criteria. i: the com fett~naas aril a6i,irg 19n'meets aibf�ary'(1")NJa�tlmurn load tlefl�ctiorrcriteria. • . i� the inputpnust be verftied'by anynimuci�` aang length For BO is 1=1/2 .. , ttrnurn bearing length f0t,B1 is 1-'112 , ,r oohs iNould reiy on the'output as E11Rered/®lspWj4d Wariz®ntai Span Leng4h(s;) , Clear Spcn:;+;912 I71tri end V9eanng"¢1/2 intemnediSte ta�ar. " em ens of sultability for a" F:' sE s• ,� , , t w partiCUIar appilclon.,Mis ou ab6v®is:based upon butld'ung' 1 code-a�pted'design�Rropa�ii� ,, , ,,7�� 'i S .tend brlralysit M16thads' Ir talleta of k OiSE engiraeofed wood '. ... ., ,., Ertrodu As moot be in a4coni®rlCa ` Nr Wd thv'wrrerat insWiation Ouid �j ^I I i ,f{ A •': ' 4 .t Y•�.. r' _I tit�c)tf�'®appfib6e buildlt cod trig Thy sup�nEr eexra✓falec'gsS tha' #nas'eG�eStacl J�Vy�vea�tes, Ire. `t i 1"o nta�irA at)Itls4allatldn'Cuide o if,;,, #oQevrew xpre engineered bAd�rg pra^i�c' di�ntifl as a iove fc�; 3 you hale any questions po®aeia @ .` ` (800)'2 =076H befoee'b inning t # - spar and�l6edinc�.c ohditions shown ow phis c ilc�,lati�,n shoe . �' r' #�r�vduct ins�llat➢on. r a , the supplrer>urtner aCkncwledges tit jSN Ass c"tP;; Inn,..will s t l nog d1Jii>e2t td6sl n,T1F64ew r l4°,�;1,En r t bd��D.Ct{f1,'0R: YE .� 1 '��E'01 2ret ci l!1 1'no-, Fi#' c Or1S bIS IC1.' r t N„ E3C RIM-BOARD'P+BC®B'R�i `,, y a supplier v�'ave all c a s a�trfocts<�rar r�,�,�t• i.�,N r�e, i.�a �s'Jic1,1S1�,.SSC�.IS'Ps I,� anstrsa bOA'RfaTM RISE OLtJLAMTMa ll In , , ruwFtoCKI. any way lrom any defects dEfc�an�tes,a or;or or;�s5io�a in the w ''f VERSA:LAM&VEIRSAAIMG, t, ioaC'determ,16 . deslg+n,fabnraijOri r a ec`icn o`szld i`:e SYRUCTURAL t ERSAP'RIM PLUSH i�i0te i m' N 3416a ( VERS�rSTRA1yDz"; it itil ;; r,o ` ., o, i a# VEcRSA SToQD(M,AL,1t��•'.66T6 51 ?I !}Act irate desiafn oP�upporEng stiuctt:re dust tre prry mad by others 1 AuIoCJ. � ,et C:,aeer4lM�?:47f' ills^ 5 i 4J '' e , I•' t '' "Cr , � 1 4 ntr.,, l:. , � (l *i; i E t+.. rr ' 1 ,. 1 '. ,.i' I A,.. S ••. �t 'z'S Page..I �LQ�R EiIU ` 0Sili5 14:32 (Ta/RX .NO 6372) 16.006' A : ' _ 09/21/2004 11:16 FAX 6034312811 JSN ASSOCIATES. INC 121007 ��� mow-* +-••-+-, WUU)IJ 5 P MJL l UNIMb i rvL. 2177 282 2423 P.07/16 . . I . t Shigle 9^1127 AJ3Tm 2O,'AASR pile Name: 810TELLO DUPUIS JOS Job Name; DUPUIS FAMILY, DescHptlon: r ".' Address ,156 FULLER ROAD Spofrer: PLANS city,,state ,Zip:CEIVERVILLIL� 1 ` Designer: C.W170N Customer, '!_ BOTELLO ' company: t1V,S_I. C064 report: `BOGA'2/2.09,86M`e707O,1 00 PFC-5504 Mist; , ,k S�rt1�1tl� 115�pef�A ng 16" Z � Sr1 ''.P'"+ + ,•f a j.. , .S?lBr�� P9 r�P'I-� w r � `,,�� f..T't..I: i i , �.s r 1.1 ' �b'� ?dU�'�'�� ! it� k:41... ' � i's" ufl.�^. ,nn7n'lY._. Enabnd�.r:b �.,A•C,5 , t , !�IbsLL, t i 3441bs LL a ., 129 ibs OL; } 129 lbs DL P , x r � ,y•� 1 Total-HOrkon�laen9eh'-1'2-11-00 , . ��" � tetlaral: F EIl a�t1�17rE"12lrg/ , i/arslon: US Imperialesc ipt�on lad,Type'Ref. `�Start End , " ' Type Value OC& " Dui: Standard LoadJr Area,, Left 00-0040 12 1�,.po Live 40 psf 16" 100°!° O�BeiRbarrType J4i�4`` Dead 15psi` IT 90% Murtnber of Spans.:1 ' 1, ;w La'Cantilever° No Controls Su Right Can51bver 1:IVe trfral Typ® V/alUe ' a �/o All'®watblel'Dui tioro Load Case Span Location ent P, 1529 fr-lbs 50. % 9001ya 2 1-Internal r 1gpe: 1 A 0112 M®meert :Oft-Ibs { i'n/a ;t ' '100% OC Spaacing;-I i :1�",, t ,, FE�ollofa 474 ibd' 4.1.4°h r00°rb 2 1-Right Repetitive. ,:Yes t l.l.ot9d'�ei! :41781 (O Z04"}.' 31'5% 2 1 Cdhetrucbon Type,.,Clued ,,, Load Max Def14 UI048(0A 48") 34'4% 2 1 i D♦9llp .: ®'�j�pAll '20.4°/Q ' Liva Load ,' �40 Psf r, '/Depth '16 3 f; Na ®ead:Load PiMonLoad: Opsf 'Notes , Duration: 100 Design wrests Code minimum L1240)Total load deileftlon criteria. ` Disclosure ®Sign meets Code minimum(U360)Livia j ad deflection critieds. t.• ." P33Igr1 nits arb6trary(9")tUlaxirrium I®rtd deflection cr94er1a° j 7�ie convleldc,,M.and eccuraay °rtimurn ti®aring 9engen for pO rs.1.1�2" . G the Input must be verffled.by air ; riil9mum taring dength f f Ol is j`1412" i' V,r116 would rely on U4a oaitput Enters Dliplayed Hortaon%l Span'Length(s)6 Cl®0r Span: 9/2 m!n ®nd bearing f 1!2 intermediate bear'.r evidence ofstiltability;f�a- [ 1 n 5t f , ? patibou ar, P,I caftgar' The ot4b �', } abtwe'i,bnd upon buildiri® hd ' oode-accepted de�ra prtrp®ttie an44nafysis rnethods I Ilatf Ctrs lzPm�r,; c3f.S015 c�ngdrleered W®od P P ncs'anplPe!°ecfcne'�vtedc�es that Pt has-regt3est r+JSN Pig:ooiatas,Inc F � ' a c ' products rnusu be in accordanr� to t2;torN 2'pre-er7C,]PI22Lr4d building Oro 1M ivden'lt♦'d as above for} f1 5�d (1{• a I W114�1 t11�C,Lirrerik tn6taltatt®n'lsUlld 1y i. t1�6'Sparl and;IPa..;1119"; ndlYlOns15y01Hnto� �^s,G�lvutati�n an the,apptiC,able bu61d1n` aid "The srupp'i&furii7'er abknoMeagas that JSly„ssxPat25 Itlr,v�iil gg ` To obtain.an>lnst Ilatiorr lideo If.'' note p�rec=''destg�;i'nartsvfaCr.re or;erec sflio ttp!i and i not r you have any questleni pi e. gall,' 'w raSp ^ P�n',r1<at y W it TJr. GcfdC�r1Ci0S P'I i'�ls Cf£', the (5Q0}23.24789 beft{�;beginniing '�`` o lSty ASS + r s ng in s so,er w vs,ail Maim.jai at x a.e lrt .'a�.i . r pe+oduct Insldllatlon n. ' ' ''d fE ; de ii,r ehcies �,r a'S:or orr-1ssi0ns in the arry ovav ,fOPi•!,*n �(�`+ ' LEI BC FI�ItltE��,TIC. a,�,`i f i0dd CSt Rmigaation ,eSlaJ�r1!f8br1C2tiOf] S�P1Brt1. BC RIM'SOM 74M SC OSB: I Ivcte: t ,.i 1 fYi �l� r A'. C '' .n cfw 4i PC miIc+ �nrQvld�'�t,v,others @QAROTM';EI0ISE GLIJti1AMT"P, [t ifirl�CFty 14, !Z. n n ciPt±^Pftf.,. sly. f u NAWfiOCKI M ti ,VER kLA * IERSA=I�IMV, ,I ��^ t; r 1 i VERSAAM,PLUS'®;; i t t1 1 f f �r STtzu& L. j 4 1/EF2SA.'STRANt]�;;'t'i ?, • i" c 3 ', No.34168 f �/EFtSA STUB,`ALL:lOIST®an 3 * EorstE�o 'fir am trod@rnark`s of 1- �d�.M,`' w ! '.r� r: Bcrae'Cascado Corg� tien ^i s' A► , y f�.r ,✓' 4. 'pt] �, - � '�i r,,.Prd ' t !'` : :.t,ri' .- f � f �a Mt � x , {•_ JtA a. �'',Agq�l of 1 r< ` �,• r.l f= T' �?:"-`h{ r: r„,:, � r " t 'r ,,t ,' r P 4 i 09/1g/2004 7WT 14.32 ITX/1tX NO 63721 U 007 1 , 1 sl i ' ? G 1 r°;� ,, t y`, � , 1 tsfYh ° 'r„a , F r F., �r •'7 .. r 4 ,09/21/.2004 11:16.FAX 6034312811 JSN ASSOCIATES. INC 0 008 a o wuuu �,tCVt.I UMr—Z IIYY.`. ;We 262 2423 P.08/16i t `t Bugle 91/2" AiSTN 20 MSR File Nemec`SOTELLO DIJPUIS:J06 , Job Name: DUPUIS FAMILY i, riptlon. Address: 1166 FULLER ROAD 19peclfiii,' PLANS j city,5tate,'Zip,CENTERVILLE,MA r Designer : C`PALTON ' C uctgrner. 80TELLt3 Corrlpany: W.S.I. s'ode reports: BOCA 22.09,4$1300'9707D,ICUO PFC-65b* 4,}'d' r � 7J. t i CG9nd91dLoad-40psfB15 ` _� CCSpACIn91S" , — t = 7:1 3� r t BQ1-112 .� 1,,. ; , 342 Ibs LL 4421bs LL #} #' 128lbsDL i i ! i2d(bsAL,: � �,�., � � � a .i �,• - To181�HOhlZontal L'oritli;;12 10•AG Dam TLiamacclSOIfti1F7tary I a Version x' -US tmperiaes�riPt L��drTypt3 Ref. stagy end Type Value OCS` Dint i ' ndePd LoedJruf:Ar+3a L®ft 00.00�00 12 10-00 ;.,Live 40 psf16" , t00%MemberTIJst' a k ..,. �,, D sad 15 psf 16" a 90°/,, !, . ... •a , , - r Left CSnbiev�eP: N� I cdntioW S�>Immary I ` � Rghtt�in014ver No �aa�ttol hype"°' aloe 9 %°AllewaWel ®uratGari Load Case Spain Loom ion } el I MomeOt 1. + i 9610 fiplbs 49A% 100°!0 2 1 -Internal i Slopi3.{ 10112, Neg.Motmant > 0 ft lbs. n!a 1'Q096 ' I OC So Ing:; 16" r Ernd sed6h ^? 471 Ibs 41.1% 100% 2 1-Left =E f� 'Pet ye Yes T6W1 Load Defi. L1776`(0:1g9'� 39 0% +'i 2 1 Can truc�ion Type.Glued UB(6 Load Oetl.; t110®5(0:145") ` 33 6°/a ','s,a ; ` 2 1 M ak 1014. 0ASS 19.J°l6 2 �. Uve Load: ., 40 Of; linen/Depth 16.2 .r 13e d t_bad° 1 psf , P1a 4n Ida. f Notes hJUt�ti®n: 100 slgn meets Bode minlMvnn(1JZ40)To B;load'delection criteria. O1�eigh meets Code minimum(L/360)Live load devtlecbon curia, � ` � esBgrl meats erbitreN(9")Maxlmurrt road dett�non�ttena: ' t 'he;�ri ut musC be v®r`+fied an I, The completnms and accuracy inimum bearing length f6r'S0 is 1 112" y I�Mlinn•�rt1 beating Iength for'l3ttts 1'.1J2 , 6 � + . t .F . t a' Who would rely on Ote'ou@put;as EriteredlClisplayed'Hor1�a�+tai Span;Length,(s) Clear Span¢112 min end beanng+t/2 lntertitediate bear,. r evidencn of suability fora , ihr It ±'+ J 4r1� { r par(ieiaBsr ap�plicon.,.Tha� pu 1 ! , ,� ,. , above Is based:upan btal(ding ` cod"=aptad dt sign prapertie Y ; and,- sis' netli0ds; 'In;tan i of�Oi5engineered`�i+>cd t pr6ducts must b®ln'accordence tr`� i r.;JF+}{r@ .. r r a...:.1 v:,l,,I,17.+l Ic.�u r'"!`I t�Jl`v`•t' I:7�r MoOC•Idi'ti II1G' - t^,.;.+. ,r + ` rl +�''��+lv�`�' t f NPtttl'`tl10 current Installation C3u1d 7' r f I 6:v and e'ap c ble hu#lding I F I a pr• Pyy nWst�ci t5ul,.�ng prat uct i entlfltCl a1 ,bcve tor' { Ts�'�Dt? �2n InstBn�at)n C�UId�O j�` SDcir!')!1l'f.'iQdr�lll�,4Gi,C�ItICns St1^'�IY1 O}i�il$r'9ICE.f!ti71 Sher?i. { IlL SI 77Iiet: I1r her ^ r + i } you,4 any,quCStQoats,please aIB r b 0' t r acknowledges this J4N AssoclMte s I,tc::vlill r ,'� ` �, (800}232-0758 before:beglrining englneei,,cesjgn,kk-ra,ufec►�re or erc,�i sa?d i" iF! nsk�. ;. i11y� r �5 �+ , �� a +a 1i c$Y$n.,I$':`•Q; s` ti ! PI duct i �naboe T } pay SIbI in 01?r1 3y nr dvfP S dEFIG h?IiClz i7eF6tG.B,the t I, dxG li d},,, t e l.•.#'v ill ~.f t, upplie'r JYa9e§an ciaicns 7�,9lrst JJ,U'�ns.SoGa?eS Enc.'a7siflg in BG,CAL ;8C FRAMER0 9C1 r anyVay from an`yciefecfs:de'Fc,crcies;'e rorsol om ssians in t^e "� SC�IwR�yfIM t3t I.J� D@"';/�F3C.®SB"Ftl �di�4 pNGd tleternlinaEron,desi- r fabncatior�;or election ofi;saia item. ° , y,� J�FFR�Y a VERaA-1'ANl®,VERSA-RIW, , ,, t®, i T v IN4wRoCK1 . � 1 ' v81?5 -RIM;PLUS�I,; �(1j,., a N0006aterde5lgn of ssipporting sfructtiiG dust be provl ed b Others ~ yd @ �i�pp p��pq Y 6TRUtruwal. 1, ` A1711'�IrND* ' VERSA4TUDS,AC Otm an No,"sass t a avPS? are taderna t�of �; 7 3a66e�'C�5t:aou carpAt�380P1. ' 't� t .: r AK ".. ++ 1 t i page 1 of !` t .f i }J io ;l , } s. + 09i16i2004 THU 14.32 1T%iit:Ji 1V0 6372) .Moos=` `'fr t• : ( 09/21/2004 11:16,FA% 6034312811 JSN ASSOCIATES. INC 0 009 �-. "IUULJ Z't tW-I Ukhy 1 PAC. i 207 292 2423 P.09/ -- - . 16 # t Slinglle 91112'a AJST! 20 MSS Fee rdarne: SoT 1 LC)DuPws:.10 ob Jane:' DUPUIS FAMILY ` � DescrlppLion Address: 156 FULLER'ROAC f'y ; :Specifier' PLANS' Cty State,Z1p:OENTBRVILLFE,IVIA,• Designer: f C.FAL.TOId, CMeMmet:.,. BOTELLO x Company± W.S.I. .; Oflde reports; BOCA22-09,S30C J 97070,:ICI30 i?FC 504. " T+llisc. , r:. • :I {; j , P f t li`,{`i ..I i. { ` • ' } r,.1 #,� t ,. - '.i �� [' if {. •, o..,, �: u:.' '�= .. } S' `� } S7dr1d La2d;-40 psf i'iS !a OC SpWn418" t r K { .aiV�iiu _ 1 ill, °N° N� ` Q}.u.ryit� }f,Y-�� I� ✓J' f {-{r.r '�. #� v �'` .flWl,.itJ_�•.(PU�i3;"'�_•''•_ ,� i�:w:..iotl�y!k,.B."rt'I.S�I{I�:� '�' ' 239Ibs 1 L a1 239 Ih 90lb5Qt 9016sDL ` :• f 4 ,, .. Total Horizon�f 6angtf9 be.1 i-08 { + i it r''�e11�Pt tl'B� )a FID At7U ImperiapfriCpv:L�dType R®f Stet rtd Type Vailue OCS ' Dur. d Load:Inf Araa. Laic' OMO.; 0 08-11-08.'LIve 40 psf 15" 100%Marrib®r T �a; Jot + oB�I(.smbl of Spas , psad 15 psf 16" _ , 80/eLoa Cbndlever Wd Sunij' ry ' l�'rg4Zt CBntiir3ver. Pan antlral`fig a Value %'Allawable.Duraltio.` Load Case Span L�o�bti®n 4 �Sit�pe; t 0/i2 ': �+lOmerrt 736 tt-lbs :, '24,1y6 100% 2 1-int�lal ¢�C�pacxng 9e3"' I W4.Moment 0 iWbs r . We P. 1UQ°/® Etta Re bi ,,128 ba • r, # 2S 7°ye 100G/M 2 I . b�c�pedtiv® ,Ya4s ,T Load 0 tJ1985(0.0541) � 121% 2 1 ; ' Cr,nstrut�tion Tye Glued Live Load Defl ;L/2729(0,030 ' 13.2�X° 2 1 ` LW Load.`! 4®-psf B�I�uc i�aA 2; 1 I 5 /®epth l��:Load: '` 16.pst` K Pairllticn Load; O pef ld®fee Dur�on: 100 a Design meets Code minimund(L/240)Total load deMecban criteria. ► CBes�re ,' l' r �� Design m e4s Code minirtium,(U360)Live:load deflect�n criteria. J. r` The c®rrrple ®sign meets a�kmfyy((1.)Maximum bad de on criteria: ' the, mu�be vernridre by ny lr►lmum'bearErr ten i01'60 rs 1-112„ I nimum d�eanng longth for'Pr1 Ps 1 ,{ Wh®1UOtJld`PL'ly on the output 2a Et�tryr9d/CI3pl�yed Hollzontal Span l:Bn9th(a) 'Clear Span*112+min end�eeanng*1 Intermediate bear ' J a: evrd®i1Ce`� 6�U(tSblf®r� -u { { 1wKy r r t ".,1! { : a �':+ r H ( t� Ca�O :x �I6 OIJt� b 1; d t + .,!r E. A , h parts ilbF a0011 n':.T )U +Ir' v ¢' t k ' • �+ �' t n { ',', t ' �` s a °} ` d. ix , .1 ej ;`above w bash upon bu1<aBng 6s CC►cbe-acCe 'Wd des(gR and"on, 696 RiBthod.3.Itl.Mapab � ThE,c►P„ilier ackn ' r ow,edges that of ROIS er Blheer6d wood'# r q revr y t haS r2c�:'efifcr�,1SIv Ass , r f .products'Mu t'be'In�ccordanc® fhe:spen Sd# i9��E. gt' r~11t1n9 prod, et ci?Irii'hiecl�,� �bc�v lnc � ` '1* w tt a Cuerot�t Bestallatlran Guid supplier 5 cc�J}tspr s;�;�rn on h `he. plied;,q{lv+j' t�ilF11LJl�"lj1Ull.`i�Ie,�( ate the'applii bl®bt 6,islang�COd �' r''6 nt7#t:f a�knoWra'qges J''StJ,fv' a�ucrar 1; 'Ta'dbtalri off firl llati®n tsoJlde o 'If EnCine£c c �{ 1i; ,'t2�i 9a^#�r�, �, (c:w(L you hale any qutbstiar9s,pBeasa� II}I res +g s l;i {e a'a"Y�°:' �� c{r:d,��i.u#s o.r d-f� ssr�I�e;n.f�anurrs not '(BOO)�2-aIt bEfOfB'b 0n Ing .11 4lltrtN21� { �h IGEn,CI@SiT{1Gf��UCP. rs '4. i ank-Y u f 20 a{i.,J, T(S JQa rl$ J`1 riS50CI�tCaS'Inc. i �rradut�tMstallStlan. ' { la d.f3,X ., any uef�cts,des iaraces errors or o►;iissio�Ps g in P I deto,tiro#,on deSi the ` IBL;;CALC�,B3C FRAMER'BCI ,t i, 'tdu#e:, ' gn•fib,o<�ticin or er�c#pan of satd item, o� � N i3C OiNJ 13® lR® l (n OSf3 RB ,�o•,r � , r i '1BFFREY S i I �13OARD'YM 1301SE GLLILAMT'�� f`, !'� � ( wuaOQ�Q.� nt c:innp>aln turn mf ,. 1t' c strut Jst'ba provided b + i�awt�OCUc1 '; fo VRSP�-LA('M®',VERSA F2BAR® t., t s Y others JERSAIRIIM PLU�t F+` "{! `' # 57RUCTt1RAt cr 5 t �i�V/�G�t�vlQ+cv��TrJVY9Yga1�YRdiw tad } } �, i No.34168 } .i VIERSA S U00/,ALI,;I6161V Sin c�[L ®PJ Of a' e�#A t ��0�5✓Z�SCvSId��9f�B�tdOn. }�, ' � ,{ �;+ ` �.{ r ('.;� � 4� j .. ! @ f ..; �j'S/plr►l Ep0 , 'y{.,r' 6�+"' Of ��fa # �` � l Alh i � 4�1�i1a rt a,l."}�k , t ' �i §il'�,i�Y` r Rlpl,r •i� ,• _r'+ r �o. , r ' 7�' . 1 1 'r, �•''.,s � }" '. ` 4 I '. :2# � ^� g' �'a�'i{ ;; l y ' a c M t ` � .. � c 09/1fi%.2004' YHU 14.32 [T /RX NO 6372' 009 ' Ilk f 09/211/220�0Ap0!1144 11:17 FAX 6034312811 JSN' 'ASSOCIATES. INC [aOn -�I41'@8,YE11� wuuL a r MUk—I UR=Z) 1 NL., ® .rwL-- -- -- - 287 282 2423 P.10/16 Double 1 3/4�°;x 9`1A2'a /IE� '- Ne�'3100 SPA Fd • Y e'Narrie 64TE1.1.0 DUPUIS FE02 ' Job Name, DUPUIS'PAMILY Il r Address: 156 FULLrER ROAD ' S�scr�lrer ptlon PI:ANS Gtiy.State;Zip:CENTLROVILLE, Designer: G.PALTON ' Cumer .' Elob M pany: W.S.I. Code reports: 10 8 0 5512, NCR azA e ''jam' i -L�� _ 1nde�ld-$pail 6p nbutay/ 14-GO "; - I 1 IF .,p�, r ral �J11W� I` ' 1 a t ! �" 1 "• 5 41 " ,r'� 4 m.' I�1. ra•.,.'kr tl of ...A,;..+;,W 'ki kRI I t%' a.�., :6,. •'"'d •"Fh`-r , { :sEiB Ik�s LL f 835 61:LL ' 1 441los:DL i u,n Toth Mallzontai Length x12�-a4 i+, t r , General Data � ��F3�rr+maty , 1 { '/erei©ni US Imperial dD Deserlotion Goad Typie Ref. Stat E�Id ' ".Type, Value Trlti: Dur. ' S ''Standard LoadJnf Area I.Ot 00 00 00 i2 09-04:1 Liv® 40 pgf; 01.04.Oan00%: > ° Member TyOW 'Floor 6teamr 11 , '! ' : � c ,. Dead 15 osf ,01 04-00 90%, r1,.. I�ure1b®r of S®6na t. I I"' FS-01,Pe`iNT C®IQQJ Pt; ,'Left 08-11.08 08-71-08" live ` 847 Ibs`" n/a t Oo°ib : + Leff QantileSiloi Ne a� � , 1 -'Rlght'Cantilever• N® /,�,y -- ppbb ..,' F , ' Da®d 382 Iles nta" t Pe- t�ltAfllffla� y ; �b 0112 'C�rltrol'9P {I palate' Tributary. 01tr0�=0o, Car. t 4646 a f�lbs ' _ ' �o�All3owable ®ul�atlon, Lead Case Span Locatlon s { /0 2 1 •Internal Eid Sh®aP 2' 1 Right Laar TohalLbid'l�efl. U630 0�24�3"?t 381%„ 2 1 fr WeLoad;,;..r + 40�f r� lobe Load `U930(0.165 ]4 , 15 psi al $ 2 ,c Partition Loa : ` �'=O pst r. ��X Den " . 0.243" 24:3% ": 2. 1 p4ratich;` 100 ( Not®S ' lr �asclsure` {' 6 D@s'rgn m�is Code minimum(L/240)T®tal load deflection criteria; k + The rompietiriess and'a`=ra c` gn,rnsat Coach r lydtatum(060)Live load deflection ieriter'ia. I ;' �' esigh meets arbltrery(1")Maximum loan defliitMon criteria. '+ it the input must be verifi®d by any r i m'fieardng B ngtl�•ior BO is 9=1/2° /` who would rely on ttte output a� M�ryimurri�eerie�gieng,'th,9br1�1'12" �� , ` + : fl ;k, �� °= u f evidertice of stGstabillty'f®rE a , Entared/131s"1a ed F1®rl2anta6 S an'Ler� th s -G der.S parilcular[001lcation: ;Tha,outpu �: Y pr g y(!,) I pan ►,1/2 min end.beanng+ 1/21nt®rmedlate bear,t k a at9ave'is based upon building eG$ �i� �'etn a : r cede-aec4pted design Prop ertie Cdrin n g _ .. �tnd annlysr�mC�thods to�IIaQ evnb®r has no side loads•:� `� 1 k +,, �'�! 7 y �. �, ,. cif 190 iSE engineer®d V,Ins avnc9 . .orlGenfratec8load:are'noti:Onsrdered In slde load analysis.' ' + 4 I �ITiducW-mustbbin�S.d�mai ! ',.f ° with tree cument lns�liation Quid "Con ors are 16 I�rnker Nails, , find 61e applicable gilding code I + ` 7•�6vbta f1 any In d wilyi��tl4�deh�`aU1l.06�1) I � ja t 'p��1� I i �'� ♦r '3 �(� `� you have any ques w PiliCl�® I 3 r... C(t3,00"I)2.362-0,7�68ybetbre'.begiMjrygt �6�f9�2°�I f.`, �S =P,i' r ' � � „r = k� I W'^mus;kIns#allatd®rt y. _•• !d'.r�-92 K P 1 I Y ti, ' +, sts.. I t p ' ;.' 4,"t SS , 6�`! 4.^I ' i f 1•f 3 u ,y i�f I,., • {Ik :~ {" 1 �•'J� .; � Y;� �l 1 }t•4'' 4 �,`;'a✓� A r ° �'CALC�'B�i� �� K i... r ®'60l t i .�- �, t, i, P �x r,r,, 1 1 ,�• kr,r , rr ®C RIhR SOoARdym'I5C''OSB Ril ," , Fr JOARDT,WISE r3i_t)i:14iV1"r t ,1 .! rl rr t 1 ,. _'� r {., I VISA=LAIVl�;11r=aSa-RiMQ, i 1 r , ;,_ w,.. r YEF�SA= '1�p�q y��►,g� tJkt V fi 0 { w g1�11V1'(—Iu DIm �P� !IMKT• t VER�1'�'fRP�NDgm I YERSAST Lf r .v; I f a� a I I p�� �•°� I?kr , t ��. AJS 'are,l t!®gTiA pST®asi 4 r�ill �, f a ' a,r am° ', " y: { a �► JEFFV S:. a'�i5e'Cascede'Corpnntton � {y.•: t 3 ,, ,. t t ri, ,a t u .i NAINROCtCI F+ :'�t{ t ,.' STRUCTUBZALAER ON FOUCWWG PAGE; 1r i r d ! a 'PLEASED + �rt 1 I E i �w t r•{ r4 `{I tit r.r t t �_..-,�, + { 1 ,,41, 1 •} r - f " , _1ti 1 t ,` .I. a , sV � "" .'Ri "5 �'� a ! :. r �)t r ; !x'f " r f:...c = •t...., t y.. .:, .. .>+ t i 4Fi", sy ,,` + 09%16/20d4! iCLT,`14.32 ITX/RX NO 63721i'la010 ` I ' ` t 1 i � ."� s d y r , i11 ,. r 1..,�'i 1 .. N ✓ 1 ,..i�y 09/21/2004 11:17 FAX 6034312811 JSN ASSOCIATES'. INC 0 011 ' Disclatnler. t 'it q+ e t The supplier acknowledge*that d has requested JSN Associates,Inc j to review a pre-er giridered building Oroduct identified as vbovQ fay w r the span and loading conditions shown`'on'this'celci,la6 'sheet. 'The supplier turther'acknowledges tt`at JSN4i4ssoc�afes Inc.will L. • ! �� ;' + not engineer,design;manufacture or erect said tfem and is not u s responsible in any way for tli:fects or defidencies Therefore;the '• , { , ' i suppNer waves alldaims against JSN'Associ6i65,Inc:arising ri f k + I any way from anyt defects,deficiencies,errors aF ominlons 16 the! ? t load'deterrninatroh",design;fabrication or'erectinn of said item; Y' , { Note: ; i ? k ; ! Adequate desrgn'of:'supporflng structure must'be"provided by#others r p� ° k t ;a 14iµ.. e r + •' '. - . . EYE i !• dt a(� A r •.{ li r ) a I s. k. • fps ' o 4111, St 1 ' � � ,�•- B Fri ` �yt3 I 'IYJ j f S , • t if f�' .. + �- t" • f it tl. � .E 1i - �ll` •r 1 • I � }. • 1f Y4 y +• S fly ,y r rt r • b. #ly .a t t ,t ! 7; x�'•R"•" '4 a{� • ` _ r. +. ..•i .. � f�.,°B. 09/21/2004 11:17 FAX 6034312811 ",, JSN'ASSOCIATES. INC 012 wuuL o r Rug,r uuct� ,t NC:. 207 282 2423 P.1 t/16 a :C. { Single 1 3/4" i 9.112 VERS�p1�►�N® 3'I Ob SP File Npme: 8OfELLO OUPUIs Faos . Job Name; DUP(JIS'PAMILY " _ Description ' �ddrese 156 FULLER ROAD :pacifier- PLANS ; ity,Smote,Zip GENTGRVIUA- 1-o MA' . 1) g6er C;FALTON {; , v ' t 01ustomer 9OTE'LLO r i GompanY: W.S.I. C.ode`eepae4s: IG8O:8512,tVBR 69' !! s i,M i f C —� - ..t ', ik Stantl® "goo paf P i *tpy'� ` iv�"1T' s"'t:,WNl6"u , b ' �'r ' r�'�' ,—�- �J'—'°*--••"�'---- tt 0.; l •tlt{ 4�'e�'F',v'�",�,x,"`T dC'"A .,, •,rlf.'�',�".I o ianY!'. ' .o+ q ", r S t , 41M lb 55941bsg L1 r 92. t B3 i i i ft 1t� I Q 5395 Ibs LL 18V lbs LL t31 b 1'849lb5 IJL r + " ` °5301trs bL , Total Kwkoltw Length 2Q-<a5-00 f ' e'�BJIr�n'u� e r�rslvn ` US frtlpena9 E1®'il'I]®�� pNon10'mid Ty0 Ref;' St irt' ' Epd '` 1r�pie, Value Trib. Dur. LgadJnf Ar®e Lest 00= -00 20-p 00 Live 40 psf .1"3�?0100°k' r iOlPeerlber Type, Fleser 8®arn , t . ead : 15 15-W3 00 90%' D � , P 8t�ntber cf Spa,hs: 3 1' r"2 P0lHT Pt.`. Left 01-68-00,'014840,'.Live t935 lbs" .Na "'100% ' L'bft C:cdWgGer No ; , Dead 4a1 III nla 90%' bight Cantilever. N6 2.0 11;13-02 POINT MAO Pt-, Left 1.1-p0-OQ:11AM-00 LiVA 5001406` nla 11 t5°1a r r , 0ead i 200lbs n/a 90% I i f cibut 15=03�00j.�4 Coatltroi " Iurnrr% I t •fi r. , ti `` b.•s ` C Ci6nt al us. , %o i4liAilbla IDuikol n` Load Case Span"Locution E" t; IVtcvtrten# °S19a(tabs' 64 6%� 1,15°� 6 2-Left Nag Moment ti,186 ft-lbs 645°b '11$%° ® 1-Right r Lrve Lid i40 psf End$heae 2629 Ibs 81'8% 10096 2 .1-Left. f19t3ad'6't7at9;. 15 s OOtI#.Shear I 3175Ib598,8%• 100°!e 2 "'1 -Right ' 'Partition Load: O pef T601 Load Deft. 579 ®ura#lon: 100 U (0:14•�°), 41:a%` 4 I LNIS Load tin Ll7as a r+rep 4e,s°� 1 Total Nep D®tl -0.068" 1'1 7%' 4 1 g buscl�urs I ' O'142° 4 2 ; +t bt the m lets f I M�i('Uefl �� 1,42%r e 4 CO p floss and'�uracy , E ' tha input must be verified by'vAi y I to i who waulof slrayitablthte t'as Design m Cad®,rralnimum(L1240Total load d®fl®cCait;crlterla.. 4 a s # evidence aY,_, a t9®rigs ttteets Cotl®:tivihirrtum:(U3®D;1-14jbad�d>afltctfon rAteria: ! lit " pmcular,ap hcation The au s above.is based upon,puildmg ®esign mtbefa ari5ftsary(1 pn�3xlml;im load d ti®cdon'cntena: " t {� t �p� Mlnlmum btnng length f®trSl)is 2,3/6 p " Q Pam'— P r k.. e de Ccepteal dent n'pCe Nlirtimam beans 'lan th for 811 is qn: ;i."t' r, andpan�al srMs tnap#�h/ngdJ51p'I:latsJfieltat In1mum'bearingt?1 fsr l3,Z Is 4-7/8" j, ' t�At'V�1�7 Gl IgI VV 4U 9T00 Y.�F �'� om,. N Y prod'uois roust In:'accer�ance: tbliraununt tienringhrtg�ibre3 is 1.31a ; WI#}t"the c;urte tanstailataoc►'Cuid E=, iatll�i played M®ivzontsl Span LAngth(s) rrlear Sp�ri 112 inln.end bearinng+1!2 Iritermedi2te bear. r 'andth'aappiic�blebtaildih�cod® . , i �o ebin an Ins4811ation Gulde u tf - ` you Q'1ewe any 4U83 �+�'Please: �It ` (8002 OI An�S• DPP:#teQlnnlRil ; f' ti P ' �r.'k, r,.•z �, ', �'�+ , t, �IhC+dLt�InStali�la®I�. �' , v �rau •1tU �.' `d a � ,t , ,rsry, +'F ` yt•" t. ' {' ` Eihe su II'CraCni,�tVl?G'C@S'n 1�,'i .i , , A , , at 4i'2 rut�,es rd".,SN r tes.,lry ! �C CALC41,� �' ���,�C,I i to J-Vhw'i r&-ell fn�Gf2t�bWi�jn c` to SSUCIa t .i BC t�Sl�6�11 'r' i' I J id ioad9 �'F Oduc r(se uh os above fprt fIc Alm SOAROTm t?A,� an 2, Condi ron's s'bwn on'n,,c.81 ulCtio i$i ' t` QOARD m1,13OISE GLUtAbA +; t` I he uppiier further ac knr.'wlcdges that fiJS !Assoc '-{+ 'i �►�t 41 I SA �TeS lii�.Whl Cy 'i.�� L � E`fZIIUI®, 't yr t , . S,^0�8i}�eE,r �'Ic'si�F' tT1, +11 fa(tr1.y o:r erg 21�,icy,sera 15 not ` „ ��p�i JE�FREY.S.r ,� Wii SA-STI I®T� ' '' t r' :,,s Irl any wa, •o.def6c s.� de �orcre� .I hereF�R? the 1, .. WROCKI t � • . 6 , IJ{7LI Na4Zs at{cia,ms F+yaln3l :°.5i\'Ass1G'�teS�{t1v'aifsing In :P• ' r WAR 4=STU,tS�,ALLJ®ISTO an I, e W)y[wey,Tror�at'y ciesects,po„crenb,�srerrors oP,omiSSigng in tsTRuGTutiAt q 1t:$a . r I�JS are't 'eieertarka.bf 9' cad determulationi desi n#! , r- the x 5 9 ,. abn.a,ion�, erection. s , of said tam tikn: • f.• t , „ iVRte I a, , �+^, , �'};, .dia ipn'.of$UDDo"lrna stt LICE r ' U e must r `, r be nrnvide s r�, d b eihe,s i t 1.f. 4 r i 14:32NO 5372`] 1�011 09/21/2004 11:17 FAX 6034312811 JSIV �ASSOCIATES. INC 0013 ?' j ' uuv s enzn,r uKtS' 1 NC.•' 207 282 i 'w;, 2423 P.12i16 <x u is DOU bW 1 3140® x 14" VE SAm 3100:SR File:N®m® 30TEt.®DUPUIS fB01 JobName: DUPUISFAmiLY f `' Degdription: I : Specifier PLANS Address: 156.PULLER ROAD t'Clay,State,-Zip:06NTERV1 1,MA a:Desigtuer, 6,FAYLTCEN Customer:+ BOTELLO" Company W:S:I. }r>t x 1 C6de r8000s: ICS®-6512,NER 629 Mlec: ;' i,, { S ` ''"•, �' t ®d 1 l""" r. kLa4Q' �0 T 11101Y10-05+00 MuAq Y� d i Y6,i1 I ,R75 i �It'W ' M,I rtt�'�".IG...[�i"a-.-,�+r•41 ' „�, ?t Y "'W I ' ti 9 q'I•rylr':1N y I^tIm .3al. i s 2891 Ibs LL, i 191'41ti�t Di 2691 Ibs LL T ; i 1914 Ibs DL t Tow!ficirltontat Length-uP7 06.00,', ;, .... fin®r,sil �Ra� } Laid S�rrtnV u , r' �•E ;;j I Version. � US lmperial l ®e�'PBptaon,.L®a4i-'IVpe Ref. 5tert � �v'd�. � T Pe I' C�Value° Trill. i Dur. ' Standard Loadlnf°-Area Left O MOO 17 08-00' Live 300 10-03-M 16% I I Mem''bar T e, R®af Beam l�vnlb@rpens: ' ; ,° fi Dead 20 psf �ao34ao so% 4< ' LeffCar>rtl i6- No Ic ratr6l ,summalry Rignt cangaver: No' ' r + ntr®1'f'�p® Value %Ailowabla duration Load Case Span Lotiation ' Slope° 0%12 ,° ldbment t0147 irrtbs Y , 'Coll % 1116% t 2 F: 1•Irttemal t N®g Mr�rnent ,. 0fWbs rUa .' ytOQa� 44" . Tributary i•,. ,. ,10.03 00. _' End Stir' :'3991 Ibs' 36.6°✓v 115% 2 1 -Left ' t it r } r rTotal LpSd Defl. tJ303'(0°694-) ; 69.5% 2 ' # `K .` r U09 Load E 1151$ 0°405") - ` 1 Lroe«Loaad 30 p$f Mac Oefl, 0,694" , 69.4% Load. :20 psf t'arhtiorl Loar9; 'q , [, a Guvation ,115 `. Design rnoets`C6de min►rnt m ol 0)Totiil 16ad defiec6an criteria, t]eslgr�rieets Code Minimum(U240)1Uv6.1oad deflection criteria. Diaclot I* Dasrgn meets arbitrary(1")Maximum load defledon criberla ii 4 in mum,been Ti7®c )MP!®tones$and accura +' In" bbi _ f the±lrpug mustbts verified by' ng length For:E31 4s11/2 Y ember Slope Q;ecnsider d !rl,96 , - , vehA would r®.ly on t660utput als �ntered/Display®d Hari 6M;M Span,Length(s)°=Cleer Span•-' 1/2 rnH.'end bearing w 1tZinterenediate bear.,,., ' rice,of 0ablli4 �. I �, �.� ardcialicahi®n �Theoutpu p ularap �i >� at10%re based upon lwlding i 1 male-acdept�ct descgti pr®perd Mlarnher has n0 side i0ads. r 1 i i. I ' r�nd;•aslelysisfethods' Instalfaltl +at l I E engon®el'ed'vnlood -° c r1e r:3 are 1 d4hkar Nails + i lams ucts must be in accordanca 2" t i %ttn•ths curt'eatt inwilation Gu1d ap({C"�y,`114®,(���lib1Q.'i9dU�f�dlfpl��yC�®G1 .jj 3 1©Mbtath an ln.Wlag6hl Vu1L�® •'� It ' S.:I rSN I . y !/0t14teve any quesUanS,pleaSE 112' gsrq ,�� a -i (800)2332-f1766 bef6rE'I 91nRiPlg t ° ``., ' product Instgiia4ion r x:f, f ,; 1 k{• " r+. I. I r:. p' + I +1 i BBC pCALCi®' B(�C�FRApgMERIV,B01 „ �t 1 1 •`� +I I , 4`�� �r i ff$ r irs 6ibr RlI ASOARD",.8C OS9R1 •;63t]d,4RDID,SWE GLUL.AWM; VORa�°�A�&�tM�, VERSA=RIM VERSM®; 1 , . PLUSH VERSA-,STRAND b VERSA.ST,-U ALlJOIST8 an Ulsclasmer , «' Y { TM° �' !�hr•sup tier acknetivledges tltiat it has requesteli JSty Assccletes,inc ,®re tr�iriamard of ,i Ceske Corporation '(6,r wev i a`r:,re-engineered building product WeritifleC a5 above 3 ik it q « rf,t.JP�.LI ` r ,>,n`r + ,inE S Ja11''elnG iU8 1i , ,. for •• o, 'JEFFREY S.`,; Gond1 tfonsyst30Wn Ori thrs ,.�leu�atlO6 ghee?t. 4 NAWROCKI cies�h�r'JSI�rAssOciatrs InC Will STRUCTCIRAL' � ',;qa; o ere J Jesign rna'rufac1 Jre r ci said i'tern a110 is Y �', Ra^slble In 7y,vJ�� .fir 61�"'Icks Or de,Y^l,l—.nl ie,:•.. T" the a ! I 5 t c i- No.34168 •; ,1 �rCIV.i-. tl lL, PJ11ePtWi0VZ5cZ.CIc1'f73 �a13iStMJSNAssbcjetin. af;Sli?CtiIISM 4p F ,1'0f 1i[' i JI I.,c1y .,or'1 anf'tlz.$�+a.day Ci?tiCl�+��@irort 0 of 1JSsiolTs in IhB det2fT`11173t 0 i1�G�ICJr) IcaJrleatlon o�.er,�cfi n bf'said itaY 1. rc. 4 1n "Iotp 7 P - � s I a•:a} y c ' f'��� ®6'�'9 � 1s [T%/RX `N0�6372) C�0�,2 2 „+^ tty�.. r' � ' � r r Y• 09/211. 1/2004 11:17 FAX.60343 12811 JSN ASSOCIATES, INC 10014 wt iuu'a i r<u ro iNL. 207 2$2 2423 13.13/16 r ' t ®uble'`'l 314'°'x`91`f2°°�:V eRSI�i-I�M�3100 SP i Fue Name' SoTFLI CD D�JPUIS:I o2 ' JoB> DUPUIS FAMILY"' i pescxtp4i0n: '' Address. .,''' 156 FULLt R ROAD Speeffiar. PLANS. . t I City;State,Zip:CENT'ERViLLE,t1� Designer- C.FALTON ( t Guetbrner, t9OTELLO ; Company W.S;B r Cade repo{5: ICF3C1'a612"N1rR 629 + 97 INE-1 � K'_ ,q+, h 4' ( ' 167316s LL r, r r �I. t - , mg Ibs LL rn , tl 'bass lbs DL 060 IbS b�' } } Yi 1, r t. i,`t .t,, fOM r..�1�I�1 �_2'VPO� Yd t t - t - t,k t 1'! ^i,-}j; f( "laonerai Dattta ��S uri1�V ar ' t ( X 4 , Version. (9S Intperual 11D^`,Lioac ipt�on;Load:Yj'pe Ref. tart Ord, Type Value Tria ``. r: Dur. S Standard 1-c6dJnf Ar&6 Left t 6"O0,60 02-00"C) Live 16 psf 01 04-00115% .t M®mber TYt ' G fZoof Seam 11;yx �;' E°'t ;,'� Dead ZO p5f 01.0400 90°k ,j r/ '< Ntunber'of,'3pans:` 1 4 d Unf.Lin. Lett 00-00-00 '02.06-fl0 .Live: 0plf`' �nla Le#t Cantilever No [ t Dead 100 0f nla 90°1(i' Yt. Right Celyt7ever No c �' ;Cone Pt,, Left Q:1-00-00 01-00.00• Live 2691 1bbge n/a;l'' -115%" D'oad 1975'lbs n/a - 90% . .t 1 � � t F.ry{ 1 ,�, Trbutary, tl ( 01 04�0 �Anllrpls.jSurnl dry, 'C1�ntr®l Tyge; Value y °Xvi0vaveb6®< Duration Lodd.hCase Span'Lgcation Yts'��rts �i#L't�. W(Ar" �.r-, Eo 'Moment';= ' 2!?r35ft-Ib8 i '�1®3R��. t '2 1-internal; I t v Lead C 35 ' ;, .1�eg MomOnt 0�-Ibs 1 OO�o F Loatl�r'' 20 sff' s End Shiear r J. ,2993 Ibs: 39 0% }115�'0 2 1 Le4t # 'Partltion Ladd ^u p:psf # Total Load'Dei ;r 5665,(0200. 5 LaveLoad''UefB U10I0(0.003")' 241 ` 2 . 1 �; t3uratian: 1.16 h4a> beta, 0.0W .0.5®� . 2' 1 » DIS�E®$B1E1FJ � � '" r � � � s' , •M[,#,' Tiib o®mp1Qt ,rl�ass and avr�ajr-icy Sign meets�da minimum(u180 Total':load defleotlan cntePa. tl�e ieopiat mupt be vatlfied by my sign,tin"tslC1e minimum L12,40)L{vt3;loatlrdeflechon'taritena 'h rrvould rely on 1h 1 ta{atput ae ( ) ( esign meets arbitre{ry(1 )Maximum foad efie lien txrteria t �v,d8nc�of uitabh►aty�re ,:'( t MI11mu-`big ruig`tenip, -rao0W ± s: loerrtia l ar eppii�tlgt9 T ie,od�IJ $ abic*p i9 based up®nl bui6eiflg' a Mertiber Slape ' Or G®tlsidLP dP2i1fl' ®�t I'. Bade- tW deal s ro erlG r .g r �r, era #,.a p 9 p P Eriter®dl®isplayed�lorQorta[Span lengths) G®er Spar 712 min end beanng+1I2 rntermetliefe bed%; t I Y and ants Wq'methods. Install fi s, ,Off.B01S a»g#neemd woad d ( ys r t t ' produote must be in 3t Ardt�nt� Conn l6 Diagimm 'r 1►Y 1'the 6SIFV®P9t 16 t Haudn Gild I lenl�er n0�Ide IOadS° s 1 nd 4h L;on6antMWd loads are not can8id®red In std®toad`analysis : , ,� 4( ., a e appisrsble bti;IdirNe"cad® ,, # i •# Too btatn ariinstalla0on Gu1d® (� ' t''t ^ -t Y ••,n , • ` t$+ a 1 t t'r r n'�Xi onn®ors are 16d St Mf Nails YOU hie any questlOft,please ( K ( ; , l i , 1 '�y{J ,• t ( ' ` (600)232 07�68 Mora beginning o t rev ,I 1. �Jr8dU6t Inpt911ghon. r} t EBCC,RCAALC�t�D�t�4MER®,'SCI d=12" ; � .} r,,., F ;� a �t ,� '�, +t a. "�2 h Y. �'- '•;. r 0 �,SC OSB RI ' aVER ' s 13bAR®7°'`,93OI5E C9LIJLt41Ul?rr , i I a t V/i��R9A-�Rti�M�"�PI�U�S®/' � � tt, t/GRSA—�7 rI f�PIND� { _ ,y 1 V>RRQA`STUf7O fALL'JOISi®an t t: t x h ♦E ,, � f Pr#i i341se;�85C�dB Cerp®radon ', ' `t�'`� tt'„j ,'�ri( �,` 1 i} �°a .,, ' :>� � '��1AI4it9CK1: �a�► �, ` STRt1�J NO 34i68' � .. i . ,• .. ; � �f e { s n uM ON.IFOLLOW Para � t #' 1�p 1 �f,1.�i .4.. t ' w d .K�t ' t o - t "V7 �� , r ,-• 9 Ir � , :y._y ,f+x� „ v5<r n4 t"Y :h is A t.��� Yt ` <. Yr � .€ . ! � .{ • ! i r �1 1 Y , n '.i 09/16/2004 TI3[l 14:32 i„} ¢ j r r iT]C/R% N0 6372] 013 .Y t ( ,�.. .P` .Y.1 # t M1i�.. .,, .} E'' • ' , , �1.�, lam. 091 21/2004 11:18 FAX 60343128i1 Y' JSN ASSOCIATES.' INC,,' 16015 y , • G t ..Yi�, 'i t.1 1, 1. ii'•��, Y ,1= , . + i u Disclaimer: i The supplier acknowledges that it has requested JSN Assoaates Inc i' r to r2vre4v g'pre engineered buildFng p odua ideirtified ds above'for n +9; the span and loading coed 4ns shown on this ca�ula#ion sheet` 5 r b , $I''E The'supplier ffurther;acknoWl dges that JSN,AssoCietes,,hic.will riot engineer;design;-manu`faichire of,erecttSai item&ritl is'npt, 4 responsible in anymay for'defects or defirieneies Therefore;the' �`suppUer waves alt claims a ainst JSN'Associntes Inc.ansin in + r } rA f ,'any:we' from any.dafects;de clencie& errors"or oml'ssions,n ttte Toad determination;design,fabrication ar gereGtipn of said item: 1 Note: a i i4 i i !Adequate des gin`of supporting structure must bt pro' 6d by'otherso I {` i f r sx•r it J, . t is r 1 + r � I ,6 .el 'd ._�V ,i:;t ,r i i Ii .� 5 k - E. Y - � -, .�' tYA.3, ,10•.'Y 4�} 1 5. -•4' '� 1 ! si. �,� ly r,r h ii � s , r�, S s # ! ! r '� - ��'„ ( 1. su ,• s r;.�y � ft 1:.:" ' r 1' i } 4 �-.. �.i' !! t it 1,• { +• � a e ; l:s s l : G 3 r:.d I Y A Ij `�`a' ] .,. 'i•y i 1.. t f - 41 .. y i . i G f�IF� 2 Y'1 1. V r '•t t F 1 I •45 I , ' / 5 . i f» ' s{ � r + ! 17t",I ,� �i�" � si i � I� s t•' r 6 I �.' S' �.. �_+> a �j'^D "r��y,�`;�y�'� '�:1 i �n r � � Y ri• t .t y s C{i i?`� { ', �, , ! r {. aty� �' i�'•r.., x CY 5r 1,r%�il�� r j 09/21/2004 11:18_]FA%_6034312811 JSN -ASSOCIATES. Ik 016 w o'R i uo i rx.. 207 282 2423 P.14/16 ,y oll IS p s . QUi3druple 1314d!;k.14' NE SA- tlUl® 3'100 SP F1e dame 8'OTEU0 DUPUIS:R903 aeb Name: DUPUIS�FANNLY > � ; .D®acripption I Address. :i 166 FULLER ROAD SpeCilYer PLANS lCity,State,Zp:CENTERVILLE,MA ,D®3igner. CFALTOiV ' Customer, 807ELL0 ' Company; ,, Code"raporls: ,ICBO 6612,NioR�29 � 1 x o 12 } � ,`r ,f'$ 1 � r I ` ...,. "�.' a ,tip, ' 9. 51 .,% • I. • rF r .,I.. E jTr pv TribUtP; -5K'i' ,.#i' 1 r 9 �K'�.I'-. , "�u�a'•t�,�� ;r�iN�a���p� y��r.��^�+i,Ga rr��=- ��y 1�' '` � � ;#[ Y7lbs L 2 - 31001b511. al I•+ pL " s I 2168 Ibs DL vI } , enet 1ta, t p, F,mdria�`dersion:' U$lrieoel'ialit1�>7'Lstiad 4yE�e Ref Stiar' ' � Er1di ti� T'pe "'Value i Trib. Dui. l-O�dJnf APea Leff; 0.00 00Member Type., Rc4if 13earra Dead 20 psf„ 66-06.00 909/e t3EA DAV,T LDS 12.0"0 12 06-40 Live062'Ibs Na ' 915°/n'" '�, ®ead 766Ibt3 Na ' lei t Can19 gh vver' Pd0 s ' �xrn#ral��wmarnaty � I, , it �''l9lc�pa:= ofl'2 a � i, R�� Tributary oe 06-�A ' i G®ntro!"typo ;Value F 'i: '' +, , le Aliowiable DOition Lead Casa Spae Location �', ' ' + t Mint t 32074 ft4hs r AS 9% t 15%0 2 1 -Iritsmsl 0;ft-Ibe } '� x nla ' 9D0%. Fria SP1®er 4819 Ill 2219� 11 S9�o 2 1 -Right s 1 Lav®L'Gsd + F 36 T4tm Load l I�J312(0.846") ' �7°!0 ,2 1 ,{ P :t Llvo'.il l , U631'(0.497^,'j 2 1 I 1 ',Ded`Lc�d,i ( 2'Opgf ;E ' Mac Defl oB�LS" r PaRitlbn Load;. m pSf ®4.6�Yo' 2' ` 1 llurationc 19b Notes 1 " !�®si n rr�ets Code minimum 180 iota I ad d 9 (I I vtlect�on:ti��,sris, i t. rl Mess end accurao srgn meets Co do minlmum(U240)Live load ddect oA crltaria. ' �t t• The,po' le Y slgn meets arDiPoraly(1,)Ml�tinluegt laa�delfect�on crPtecia:. , tpre lnput m st;be ve tea by sr�y n1mum rfg Ian®th for I30 Is.1-t/2" r j daWrt�Id r®I�on t)tofoor eat®s Minimum: 'rang. nsth E 1 is 1=`1Y2" . t of sibtldy.. 'p �/.A ld r 1� uj76..r; a ,�4'i 171�11'/Warr(�`I$��,Q,°;�'ronBi�®�': i���� } `F T t o �. parlllae epplprsbory The oratpu EnteredlDla'le ' +,, q,, �u k x i},',Y; „ R Y�Hcx'i�onfdi Spar!Len®th(s)o Cleat,Span''•112 rRin end tsaagng"+'iJZ lnter�ediate bear � !ab®ve is'based upon builan N, } «nda•pccel desi n'properh j r d , t Crartrloo�i�n E)ia p�fE'1 � ' i, f �nc!`'sraalysoe m ttao�s: In llaiG ems>inch®�B'W1 WiII be SsuPneil to bet etthet tc' loaded onl r equally I ' f,f>3C�I�E eriineered wood .P- y,v eq ally loaded from eecPy i larcdots must bean a+^rwrder� are assumed robe Grade 5 or hisher -t a , > f viddi th6 rat P Member,has n®side,loads 8. _,�elrre IPI3tall91,111 Gull 1 r t i r 1 ra WId the 2�pplit�bie bt�i(dnlg`C4� ' CbrfCe�treted�lmads''are note nside"red in alft load analysis.! 4 �'®obt�p sh InsWilsidn Qutde'a ;�,'` �} � I I ,7 you Have eriycluestl®i"I plawe, ®koyyynneotors are,lt2'trt 9�pgereQ Through Bolt ] , p ,�� �.x 6 5 i._ 1 r'3OQ)�32-0�;88 LJ4Y�r�i e�7®�tn� .PArfr 'f<�k ki i"}.A i '�„S;t iX `j• k 5 k 4 ;, �3 t[ .,'X 'Ff ' t�S 3t 1�(r r "k'fY;.V {I..,.M` 4 Y jA�* S 1 t 1 } pr+oduet insl�lli1. " qq q �, C1 It ". .1 't b 2 112 It 1 fir, F.• I I' ti t ;r t�, .J .� tin s f IdC CALC®,,BC FRAMER® t3Cl ,Y 6C RIM BOARbtm, . + �C CSB Rl d 4' ,+ i EOAi�D7 BOISE 13LULAMTM, d, VERSgai.AM� VERS{�"I�iM®' ! r g ° VCERS�A,��=�}��vavlilrgl/PLUS® tpyt {f V6I1v1°'�VTiV1Rli>]� ` + 4 r 71('3{ f t` ' +`i f �.r t ,i + .+ i�• �t �E►`t 4, h ' 1 ' "k 4 A 1.y k 1 '.,} t..4 1 tit; T �i0� X Y VERSA-STUEX0,;ALLJ I win d Yf : da e + ,� `' o e , P r "} ,' S € i +.'c� r ,', i 3` r \ ♦ k i� JEfFREY A,ieKT*+tfired®Rldl'iCS Of ,?, +r r v } / ♦ i BoisB C85cade'Corporatloe9 �STRUCTURALt 1 . +No.34168 ° r.i } "� ja' �JT�^`• � ".} h Y yy Y tt yy pPPqq�� .N+ Fl .: ,X N3 }+ .3 �YI.µU L �'� {, 4 3 IA} } � A Pl4S SEA DBSI;LR 0R FOI�LOV9fMIG P , IR `! .. 1. s 4 r. r• �JJ t 1 r A iµnw (( Ae Y {Y 4. r ^S j t i r / a _�+•.rtf 3 '°! f_' � ,t 1� � rl;qti, , M;rt' { �. , id, s z 3.:.i +„ ,09f�16/20'04'� iJ '�14:32 [T1r/,R7C� '' �NO '63721 �Ols ; i'B 4 a,, r •.�• 7 ra t �, +� �f r� d ', I, ,,i � , 441111yr � a k ..` r , irjtr �. ;�,1 sty t` y 1 fibs 'lip i; it 69/21/2004 11:18:FAX 6034312811t;' JSN ASSOCIATES. INC ' 121017 r t 5 is Disclaimer: § The supplier 3c6ngwledges 8iat it has requested JSN Asio`di s Inc 3 to review'a prengeneered bWding protluct}dentA as above for .e ' the sp6n arid loadmg'condi46n's sliovun on dais calculation sheen Thesupplierfurthe'r'acknoWle46ithatJ&N�Assoaates, Inc ' not engineer;design;''manufa'cture or erect'said!item sand�s not , �� ". � •R`` ' responsible in any„way'for defects or; le4sgertCies', Therefore;the' supplier,waves alt ciairns egainst JSI,,Associatis,+lnc•;arising in ; any wayfrom any defects,deftlencies,errbii or°omissions'in the road determina{6n,design;tabncation or erecddn of said item. i � [S { J _ 4 r 1` t fit. Adeiquate`design of supporting structure must'be provided by'pthers # ' k �.� �� p �, 5 s�� y ' S',r iy' _ �;- � r '". �' � . i ,'r,fi �:G'' .., • {•.,5i 1����`I� �! c q, , � ��"Div n-� A' •A 1 �°� ,} 5. 'x - A 1 y. x.,n fy nip 4�,�b �� t,� p� � a��r`p� nG�p, -t i.,. IbK t v�' 3 � ` : , .. •i a � t ' a. i h d r i i'ia r I 1 �i¢r, G Y�,fir{r� ° ,_� S i , °'" •9 P t ; � F +tA � � �;r ' � ' .��V ! I U , 3 %, r - � � I .. ?• , is n s,�'' , { a v., h •til:.. „r t� �r I�i A + .: i '' 5+ e_ _ .d .+. { 4 i-• y �.. n • ¢ p,...�� '� '` l A rr J , 4. d '�.{e I r. t. 41 I }4 •,' �y�` 47 m =�' t ( �� 1 5 I. � � E� f i - •� a r .- ' t �qF { �`t:n NAY. 09/21/2004 11:18 FAX 6034312811 JSN ASSOCIATES: INC [a 018 I' —•�+ WG1i,ti 1"T•J.t �. tJAJUJJ-�1 KUI..I UICtS ,�ntr, , , 207 z82- 2423 -P:-15/16 ti ®uble 3/4" k 112°B ER�A� III®3104:SP °File name +BOTEt:Lo oIJPUIS:R604 s { Job Neme: DUPUIS FAMILY,r <'Descrlpticn u Addr®se• 156 FULIER MAD sped fer PLANS ' t�; }° CO,State,Zip:CENRVILLE,M� Designer: G.FR+LTON , Customer: !3®TELI:O Company: W:SJ. ' 1. Code reports: ICSO M12•NER M { R to 1 (' e t �' t ! t d 1 , � M1 i ..1 { •. FI y:'„ + � ',.t t �e �` a k + { nin v $'' PS11 bra,.:l3bll�9ry09A4 C ;a' SP ! l�I 4 I lr Ear- zTt •d. S, �.,} .ya r BP +s«• zi:ty+_ IF_ �{ 77 Ora SO % 1241!bs LL , Y 1533 Ib6 LL' 1263 Ibis OL +� I + • ',1 Otiil. lzan I >n=02-08.00 "{ 1 Irl � }'I � � t t , .,•,1., w' , Y e'- r.' f ` General data cad,Surnr�ary` Vers'IM Us Irnperlal 11D I)Odc pfi n'16ad Typa Fief. Stain End, Type Value Trio. Dur_ ; , �� i 1 � S 5�a°Id rd Loa lJnf Ar i Loft`f, 00-00.00`;,02 0&0D Five 35 psf 01-0"Ql15%r, �. ' i bllei�nb®r Ty j hoof warn t' It at',x �'rr 1 �'." Dead 20 N 01 OA-O0, 4; r Paoittl92 �fans. I ' 1'•� Ft3tpt�1T'`I�ABIst,. Left 01=0fi-00 d01,p8-oo .Livq i'29571be +°nla. ,116°!0 Left CaarPllev®r. No Road 2064 Ibs n/a' 90% Ftht.d�sntiie�er hlo ; t ' �antr®Bs Sunnmary t Stew 2 { a w k fie."�4tivwraabl® Qurat�on l Load Gas'e,Sp811�Locatton ' 0/1 Conbraal Typ�'< Value x�y t a 1 ,Trrbulary 01 04.00 o r 1.Internal MOmentl , 3071 forlos _ .;19.1/o },113% ` G s'. Nags Moment • t 0`ft lbs, :w , ,J :}.., nla 106%. 3� End Shear: 4050 Ibs 41 3% #115%I r l 2 1-Right fietal L4'>�efl U5�57(01005) ar 3 3%` t 2 1 ` Lw®cud �,35 gsf Delaet Lid: 120 sf !lve 6.oa'd®eflt L/®278(0.003") . " S% 2 + P �itign Load: 0 p0 Max�raYl r 0:005" }'' 0:6%'t , 2 1 t I�uratlorY 1 5 I41®taffi ` a ` { >jest�gn meets Cod®mwmum(U180�Tote!load'defection dnteria. ° � ;���� ; �o �l+�aur®„ I d M slr i IMP Cdde rr►inemvm((U24'0 U d load'deflection chew. r , i ��.1 The' { 1 t m nba vertfi®d py n esQn meets arbitrary 1.(1`r Maximum ioad'Miefth cnterlk P Y Imum b'sarar�''t�ngM fcr Bd ee 1-r1/2m 6 ,+ f who nouW rety cn tr+e outpat as Mltumum Iannglength for B1 is 1m1l21j N }.1' tevrclenc `of,5urtaball!)I fora ;r R, I�t�mber alpper Q:�E1Pt91der tlrainage � "',• ,"i' ;;°; i` I+particillar pplfcation' °itue'outp tvred/Displayed Frontal Span L®npth(s) 6orSpan`+112 ruin:end bearing+l/2 Wermediste bear. 'above is,based uponl bulldiny ' ,r CAde.-arce0k®dprop" nneCta�n DaagraPn r�=land enaiysWrne#lioda In all tt q of V ISE engin®eyed wootl ®fit h t- i slide loads; { Concentrat®d loads are not considered In side load=analysis. , 5 praducts rnut be ur"eC6or+clance i,•. a{ rt vvi4h.the currant Insiallstf®ri Gull Cvnn®ct®ts are 18d 5mkar Nails , Ir arad the appllv°�bb b0fetl�np C0 t ' § T�''bbtaln aF1 InsfallaRiori Buie® ., .you hMfla 41*questions,plesse tl�3° i /{�8,0gay2g32w,�g�y:.1�}7�t1p8 Wb,�efbr:'e bdghMn:'g �ry ni: AA } ,5 prbducg i51.itaHaUWn.f I' tl2/ �L I ?5 1 Y zk .t ,kM"t w 'T ,�TI •S5•I �..Ar '� \, i r� +M; '� li 4_ i 2S]C: ALO BO FI kMER® I CI ,i , k. I } , ,: x ' •al/V�:�pR�'IyO�^vy!PoJ�Fy'li DTm.�gIRC,OSB RI ��f A ' � 1 z: �r � C r�\//"!t .da'000IS°E'G'rt-tJtTM bras q...,: + k.!` •1'.l i �" „1•, ,} 1 fit, ' f'. 5 1/ERSP+LAM�'VERSR-RIM4� 1 , , I I � +t i t v�A r r + I , df• t '� �'� Vis'RSA RIM!PLU�"' `t' fr I, '� i 1 rn°rl� 1 +a r VERSA S RAND ri + V�Gt 1-��T9J®®,�LLJOIM �n t ` Ilya fir► 1 ' r ' AJS!!°Iarel Ir,'ad®Ir1'�rltfi JeFFREY S. x Boise Qascede w�,virROCKt d p'• ' 5� t I+ t $l'f21JCTl1�RgAl M.�1V6 ,� P CCCC ON FOLLOWP1C PACE ,P 1 I I i 't tt 1 " # 1 : � r a.- 1 1+ t 1� ('�< �I YXiy , t; ti{,. 9 4 1 t y 1 �S r $., r+, `, 81QNRlEK y r �' pagerl�ofl.. �wr �� 0 ��4 a rp r,p'� gyp �H/16�2004 r1LU: .} J k x •d yx,;'fe. .{ &Ai.82 [TX R7C+N0 �Bs7zj� �6 R ,eta+ . 41 t: 09/21/2004 11:18:.FAX 60,34312811:,; 4-JSN:'ASSOCIATES.IINC k Im019 `91 '''x�tlt 1 ♦ , p y t iY 71►e`supplier Acknowledges that r&has requested JSN Associates;Inc. to review a pre-engineered bu1lding pr�uct 16ntiffied,es above:fcr , the apart and loading condrkyons showm on this'+aleultion sheet y� The supplier furthevacknovvledges thaf,JSW Associates;Inc.will ' ',not®ngineer,,•design,,manufaaure or"erect'said item and is not;.. ; " responsible in any,v ay fer,defects pr'de'Ficienc`ies. Thereiore;!the r supplier waves all claims s aih3t J5N,O ssoaates lni.'arising in,! t •I " ,- PF g1 � � � any'iaaytfrom any dNfects nefictancte errors:or oiv�issions in the x } { r load,determinat,on,d �n ton or'erectian of said item`:, I Mote: Adequate design'"cf:supporting;structure ntust``be pr6'vided'6y"others e y !if ! r{ p1;� a fi p it i ' n• + f , r tip p.1 + - { '-�'Y 1 ,M1 jr ��x��k�,b��. I S 9 r 1.j:. n, r t r } � u', p (, � el � ..;a"'i { a� t, J r { e + r + # � S •� �� , 9 I� r p , .t tJ 1 [ 3•tM,,�.�� 1. i I� L - y 4,a. J. 1. � � , i fit' ,#I ,. nt � i '� _ ! « . . ,E � • ' .r. '� P r. 6 . aryl. .� ' � ' .it•, �*` [i, it x, + ` .. .! r ,p. �;. i t rt '"�#r'+-ray:. t d ;ti t #• �". i4 •. ? . '.x .r"r '. #• 'tr�'r. I �4"''Iry q, 1'r 09/21'/2004 11:18 FAX 6034312811" JSN ASSOCIATES. INC Q 020 W"Id aD I MU I Ur=Z) IN1_. We 282 24M P.16/16 1 d2 VERSA 03100 SR, i 'File Name•, 90i" LLO DU}aUtS:R1305. ' Job Name: DUPUIS FAMILY I +'Cescription , i. Address: 158 FULLER ROAD �•Bpecffler: IPL�AIVB , Bate,Zip:C'ENTERVILLH,MA " D"Iner: G.FALTONJ ,I cuswmer BOTELLO Company W t'ode repoo,s: ICBO 56 12,N ER 62t� �ilise: { �' i FIT ;,4 • Star>drJudlOid-716 f I rrbute 1.04-00 > 4 11, ff yy � �� ^Iwl N11gY. �;T ,.' �1 I4 S 1 1 �. 4 1.• M / J 1:.VI 'df•- •1', it ny ,1�I� v i,M. .vsn" y�}, `,'-j;:lr,�31 !n',M ' iLP�'.$+ �•r'. t - 830`IbS DL Total Horlacntsl Length1.10�00-00 �l a ' ' sy�'Gi at°R� S , �f�ad�4AT111rY9r�fjOf �j ,$ r U51 elrau 'hall L'oa 11r �r " P d �e Ref.: met ed 11'bpe . Value Trib. Clwr. gig, [� y �w �o p. q n Ap �/� /�/y g t !'Gta chid Loadjf�f AY�' Left + 0640 6O 1600Y 601.Live „ �1'9.01�5% [ ii. 3yy5 Of 01 ' 1 Ne�fftber'af '1 t, F I v {tt_ t6 '°* i! r W 2 , ` a t R n,n� `NGad e r 6� } '' 1 :ROOFTRIBUTl4gIRYAOAD Left'. 100-0!}-00 10-0"0 Live 195 ptf°. �nla 115% Left'Cadblever: ' ' „° No j i. Dbad 130 PN' n/a �% ; i t Right Cantrlbva:r, ,No � + , Cp16ntrola Suiiimaey - I ItSt Bloom`:, 'fp 0112 a B ® YY�I�e' 1 '•� ' I .. . 1 Tnbutary 01=044-00 I ' � ' %�1ll��ralile IDuPati®na Lvad:Case Span.Locad6r; = I �. NN®ment 5096 ft tb`s; 317°k I 115% 2 1 Intem" al a<t 4 We'' Mame�t Q R-Ibs " ,n/a 100% � imnd chew ," ,17..16 Iba x; 232% 115°Y� ,; , Total Load c�ef1. L1854(0193" �. 27 596` I 2 ;1 •Left r r Ive Load �, �5 psf Llvr�Lc��gafi '6l1104 + E ["Ise Lhad„ r (0:10�`� ,+ 217% , 2 1 z „24 pDbti', L, SQL n �' ,5 • 2 1 a j ' I'91�tit919CmgBd: 0 Sf, hll r',� 1 T$39�0 r. t Durati6h: 1 P� ' f Iii I�aur® 1 Ddslgn meets Code,minimurrt(Ll180,Tatdl'load defltictlon criteria: ' n fC1l�8tS Code)WhlmUm Q240)Live Idsd deftecti®n o%da " The completeness ark sccUracy M �+ s� tPlq rnpuf must pe verlti tl bjr®ny esign rna ts'arbltmry(1"}`M�amu..ifn loa�'dsfleCtian cnt 6u 1 '" '' t „ 1 I► � ,' s s,F.'who would rely Oro, e®U�ut ha 'iinYm t►aenn$+len®tlt for.Bl7ris 1;.4'/2" f r; 4,a�, z i'. ,+,.N ` p " { t; ,i �' evidence'of sirlNabilitylor 3 *' toeanng 1u9ngtlt for a U Is 4 {I ' •' i a Iinber,f�U a-�0„cons d , a 9 ►. 1 , ,'_ Ii paMbular.'appll tlon ;,�I!9 Otitp , I er'clramaQe. ,, ;, 1 f 4 s , „U 06red/D�sp y®d Hoafzontal 3pan.L®n9f)i(s) Clear B an+112 chin.end 6earl t"1&i�ter oate;bear above is hem upon b'uilding , p ng med ) ;Qod�abCePt `deS? n� perk _ { ,,� +r �Ctlot ® 11 sand an ilysLs rhetho iAnnsTaflag ntn 1 ',`of f30ISE engir198red vd!ovd err6®r has'na side P roust be!n ,r tt h r t Y '1 f 1 r 1 1f `3 '.;uvl th drmt(nsla ®InG CoelneGt9rs a re.16 :honk®r Nails '°" t =' , , �'s`• r�� 1 °8Rd fPte`agaplre2�hlB building CACICI i 1 pr u r '"� �To 4btaire pan IsEallatlori G 2" a F 6U M1, ' Y e.,aqy quesflAas re in t p F e 74, t „�i " p PM Uct`lnstallotlon [�+�PP NYwrA atyai br}r 3i 1. t'•{ �f�.�,-, „s ,.. , a '"r':n` ,F11 1Y �xMAN: ,say#RAm ®;Bcr , ;f yc. r +` BOARQU,'BC;O813 RI a t: +, ,' ,' f ♦ ', 1" E; ` t BOA67D'" `BOISE GL;R1L IS 64�nrVRSAi1�4M�►jl'VERSA,-FlIIV!®i. ! 1� , •f a� Aj .1 `r�Mr '1 *µ1� >.y ,B'I, yc , - .,b s a 4 +'- FI tVESk�= tIMPLUS®;, ; ;�,1. Q ` jy Vf ISA4BTRANC�n^� .; lip 1''''r �rI I, { i 1 t i. , VE'R�_S'TU[jG%r ALLJ�:118T��1I ,r} � . � I , � � ;9 i w 1 + ��� JEFFREY4.- r�S L A 11 ' 1 w r d)9S89t:515��d9�Ptitin_ " a d ,1.1. l r: " f $TRUC f U�L 3r4968' ' s f�PIE�SE SEE D9St AMEF�ON FOLLOWING PAGEf' 'o 5 Y, •' s 6 ' RI 1 t�„ , r,� "j s v. '�hha �d' �� AL�� , fl .`.0 w9n 9n4� fr„ '. �°I w ��t y i'f i + � � + •f. .. a, .rt i 66 �(_ �1 , .i�`� �I�i '{ � R,3 r, Fk •t:' f,pt� I xi ,�7 iW er,d4z t Y� ,t- r ij ,��♦1 , TOTAL P 16, +t t fi I , , �Rf ' as ;t x +,�a ti 0916/20,04 T ' gfJ`'14:32 (TIC/RX NO' 63721 O16' 1 #r R 11 �it +$ # S ✓ i e 1 it., (r.�° �' .,` r�' I } 3+I,, •' i; ti 'a t , r 09/21/2004 11:19"FAX. 6034312,811 M `ASSOCIATES. INC` ''f " Z 021 r' al. i '' , 1, i Z #, i. �'�:1•,�..Gee i Disclaimer: i,.; i.'' .V The supplier acknowledges that it has requested JSN Associates,Inc.' to rei iew,a pre-engineered building product identified as above'for ,,; a the span and'rlosding condimons shown on Ws,cslcul8tion"sheet Theasupplierfurther'acknowletfgestfl'atJSNAssopates not'engine'er;design;'manufacture or ere`d said hem and is'not aresponsibie in any;wgy for defects'or tleficiencii�s Therefore,the S sup plier waves atl ctairsis age''irist'JSIV rASSOCl2k°Us OnC...yarlsi6l :in tl �" t : 1 anyway from any defects deficienaes,errors or omissions in the load determination;design;fabncation or eredti+on of said itelm: -Adequate'dasign of"supporting strvctu�e must be provided by'others' � 1 i > "4.f r � Rt- r� a r riF � ,r r '} # -.. �,� � :,ai {' • t �.����h} s�i f+ r j •1 �.�, ri:-. #[• �� t fk, h t.j a( r t, 1 c#, � '# ` 'r :1 ,.. y 1 i r .-.# r } ^ �, 1il' a 1 .{� _ „ [t r' # k it ' "i.i. a'• "A' Ar l Vf i q s , f ilk,j' ii x# i r {�.i tit i'",� i v.t. " R ! i ' r �� t'•>7.. , ��� . .: � �'" ;. I, , .�. � � � . .. + i�il,i:''t " .{'i i �� v r si'�.j' •� - i+ - . -iq + _ ,. ri P, I r+f } t :Y�t a�tt r`' u _ t . o '" i •� + 'e� j �'iz v I,t. t # + S �# �_i, • to i=' �r d i ;.E. iCy{ A. # . a ,,� , t�� is �` ,�•� + a 1 � f+ � �#{ .;7 l� r�,#, i �, t {�i ��,9a.�.,t1 1, f.. +� t, " �• i -,. , - q i �.'��liV,: # 1 t000p Town of Barnstable OF INE lQ� o Building Department Services Brian Florence, CBO • HARNSTABLE. Building Commissioner i639• ♦� ATFo n�+" 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath,.depose and state as.follows: My name is I am the owner/resident of the f property located at: �.S(o �'U 1'C The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: r _ eck Name &relationship to owner: y 4aI e 4 �tU 1 S M'5m The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives,vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location;please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program.(Appeal No. ) Other Sworn t7unydehe/ms enalties of perjury this day of,_TAnIjQCd 2019. p c Signature Phone Number Print Name T J411 gfirms/famaffid.doc rev 11/08/13 Town of Barnstable � Building Department �G C NN Brian Florence, CBO �® • sn�wszns Building Commissioner O639. � ✓9� ��1� 'OrFp Mp'l�, 200 Main Street, Hyannis, MA 02601 OA' O9 www.town.barnstable.ma.us 6 Ve A� 51k !® Office: 508-862-4038 Fax: 590-6230 Town of 13arnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name isc© ,�i S v4,n f,�, I am the owner/resident of the property located at: jCd The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 14cr-be - Name &relationship to owner: VwA"k�-e_ t t S IMcrv� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other SMtdthe pains and pen ties of perjury this %+h day of ,fl 2018. AA ��-7�ioVd3� Signature Phone Number Print Name q:forms/famaffid.doc rev 11/22/2017 Town of Barnstable ` Regulatory Services oxT Richard V. Scali,Director BUILDING DEp-T- - Building Division MAW Paul Roma,Building Commissioner JAN 23 1639. ��� 200 Main Street, Hyannis, MA 02601 www.town.barmtable.ma.us owtt �` Urns Office: 508-862-4038 ' Fax: 508-790-6230 Town of Barnstable Family Apartment.Affidavit I,being on oath, depose and state as follows: My name is "- I am the owner/resident of te- "'6 property located at: The following membe s ofmy family will be the sole occupants of the Family Apartment at the aforementioned address: , Name &relationship to owner: 1 Name &relationship to,owner: r1IrP u S 11"bm The Family Apartmenfwill be the prima ryyear-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I under"stand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file.an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to complywith all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify'the Building'Commissioner-immediately.in the event of the sale of this property. - if there is no longer a;Fatnily Apartment-at this location,please explain:The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other r Sworn; e.pat�enalties of perjury this day of 3iM1)A.,J 2017. Si a e Phone Number Print Name �c q:forms/famaffid.doc rev 11/08/12 } _ Town of Barnstable ,.� Regulatory Services oF'THE Richard V. Scali,Director Building Division anxivsresi.E, Paul Roma,Building Commissioner ' `a ATE A1� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us `'"`" Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: My name is I am the owner/resident of�-,e -� jl property located-at: The following members o£my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: I ►.e Name &relationship to owner: A re 1�-,nu i S YVIPr� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Fan-lily Apartment at this location,please explain: The apartment has.been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to er the pain d penalties of perjury this day of 2017. -)90- Si a e Phone Number Print Names q:forms/famaffid.do c rev 11/08/12 Town of Barnstable CD Regulatory Services - oF�"E rwiti Richard V. Scali,Director = Building DivisionBAM _ S& ' Thomas Perry, CBO,Building 1639. 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs m Office: 508-862-4038 Fax: 508-790-6230 Town, of Barnstable family Apartment Affidavit I, being on oath, depose and state as follows: My name is Su , S I am the owner/resident of the /// property located at: /�6 f';�Jlrr qd The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: - Name&relationship to owner: li`r Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no,subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to der the airs and penalties of perjury this day of ) 2016. Signa a Phone Number Print Name t y i--(� q:forms/famaffid.doc ,I rev 11/08/12 Town of Barnstable Ft r Regulatory Services Richard V. Scali,Director TMIPIII OF BARNSTABLE BAMSfABLE. * Building Division E Thomas Perry, CBO,Building Commissioner 'E FD Mp`l 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 �'Fa ,Ab8-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is U4) 0 fs I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: I� /����� `��p r:S ✓"�o H-1, Name & relationship to owner: 4rkl-�L 71)4O' The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to der the ins and penalties of perjury this day of �- 2015. Signa e Phone Number Print Name :" vi`� q:forms/famaffid.do c rev 11/08/11 f .Town of Barnstable Regulatory Services roy, Richard V. Scali,Interim Director Building Division v �* Thomas Perry, CBO,Building Commissioner MAn `bAr 1639. p�� 200 Main Street, Hyannis, MA 02601 ED Mp'l www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is S � y k ) I am the owner/resident of the s. property-locat:,d at: f s-6; Z'Z-2 z/el- �e���f►�i I'P i�V1 Ifs ���o. The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: ' /71 r&r-4�c ►S RAJ 21 Name &relationship to owner: - AW 7-) 0 G.. The Family Apartment will be the primary year-round residence for th4W%ve-idenii d family members. In the event that the listed relatives vacate said apartment, I tiv A-mmediat� a-a M notes the Building Commissioner in writing. I understand that no subletting or subleasing o said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building .10 52 Commissioner listing the names and relationship of occupants in said Family Apartment. I,glso y? understand that I am required to comply with all conditions imposed by the ZBA Special PgRmit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments., I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this 5'a6 day of n 2014. 6 3a 6 Signature Phone Number Print Name S ,Its Elo,p e :L�( sp,y—< q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services �IHE Thomas F. Geiler,Director ti Building Division 1"Q3 �" Thomas Perry, CBO,Building CoMASS. mmissioner 1es9. 200 Main Street, Hyannis, MA 02601.20 -#till 1 . Pig ; 06- FD MA'S www.town.barnstable.ma.us Office: 508-862-4038 = _Fax:g50_8�790-6230 DIVISIO Town of. Barnstable Family Apartment Affidavit I being on oath, depose:and state as follows:: . My name is,--rn l; u,a IS �I am the owner/resident of the property located at 1� 2 lie The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &.relationship to'owner: J i Name&relationship to owner: .4 _ - The Family Apartment will be the primary year-round residence for the above-identified family members.. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that.no subletting or subleasing of said Family Apartment is permitted.. . I understand that I am required to file an Affidavit annually with,the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also. understand.that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.IFamily Apartments. I agree to note the Building Commissioner immediately inthe event of the�sale of this property: If there is no longer a Family Apartment at this location, please.explain: . The apartment.has been.dismantled. The apartment has been.transferred to the Amnesty Program (Appeal No. ) Other Sworn to der'the pains and penalties of perjury this of 2013: Signature Phone Number" Print Name S q:forms/famaffid.do c rev 11/08/11 Town of Barnstable Regulatory Services 'Y Thomas F. Geiler,Director TO,] $ Building Division amass M ' Thomas Perry, CBO,Building Commi'ssioner,> ;` r, k Y #fir t o & Ar 1639. A1� 200 Main Street., Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-86274038 ` - DI I , 1 ,F -790-6230 Town of Barnstable Family'Apar#ment Affidavit,` I, being on oath;depose,and state as follows- My name is ;I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned`address: Name &relationship to owner: v ►:'S ( �� + � Name &relationship to.owner: ►r The Family Apartment will be the primary year-round residence for the above-identified family members. In'the event that the listed relatives vacate said apartment;I will immediately , note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted.' r. I understand that I am`required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I.am required to comply with all conditions imposed by the ZBA Special`Permit and/or the Town of Barnstable-Zoning Ordinances Section 240-47,1 Family Apartments. I agree to;rioter the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location; lease ex lain: g Y_ p p p The apartment has been dismantled:.: The apartment has been transferred to the Amnesty Program(Appeal.No. ) Other Sworn to der the pains d`penalties,of perjury.this day of7) ; 2012.-' Signature z Phone Number Print'Name. e t q:forms/famaffid.doc i rev, .l l/08/11 r Town of Barnstable E: Regulatory.-Services Thomas F. Geiler,.Director k�x�xss* jfl N3; 3 Building Division �n LE• ' Thomas Perry, CBO, Building Commissioner{ 1 1 €M ►1° 4U - 039• Argo 200 Main Street, Hyannis, MA.02,601 •www.town..ba rnsta ble.ma.us Office: 508-862-4038 DI V. fPax: 508-790-6230 Town of Barnstable Family Apartment,Affidavit I;being on oath, depose and state as follows:.` s My name is 64 'eli�i o 7buPc) i5 I am the owner/resident of the property located at: e �c The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: •//e.VJ C ki)o 7 - c Naive & relationship to^owner: j � The Family Apartment will be the primary year-round residence for'the'above-identified ` family members. In.the event=that the listed relatives vacate said apartment, 1 will immediately notify the.Building Commissioner in writing. Lunderstand that no subletting or subleasing ofsaid Family Apartment is permitted. I understand that I am required`to file an Affidavit annually with the Building ;. E Commissioner listing the names and relationship of occupants in said Family Apartment.-..I also , understand that I am required to comply-with all conditions imposed by,the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments, I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location; please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. Other Sworn to nder the ins and penalties of perjury this g day of 201:1.- _ 0 - Signature 4 `: Phone Number` Print Name`S u,i f Town of Barnstable Regulatory Services a'0*1HE T°� Thomas F.Geiler,Director Building DiViTsW4,l OF BA NS 1ABLE * sAxivsTAs Tom Perry, Building Commissioner 9 MASS. Q� 039. 200 Main Street,Hyannis�W b2601 I PM 3: 57 ATFa ,l s www.town.barnstable.ma.us Office: 508-862-4038 DIVISION Fax: 508-790-6230 Town of Barnstable Family Apartment artment Affidavit : I, being on oath, depose and state as follows: My name is � ��Py }S I am the owner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: i. Name & relationship to owner: 12AZ2L e The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. 1 understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family.Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to der the p ' sand penalties of perjury this_7 day of n U,q 2010. - e_C2 aG Signature Phone Number Print Name C � Q/bldg/forms/famaffid Rev:12/08 Town of Barnstable Regulatory Services pF'THE Tqk, Thomas F. Geiler,Director Building Division ° x'`l BARNSTABLE r r * snxxsrnare, ' Tom Perry, Building Commissioner v� 20119 s 9 �0� 200 Main Street,Hyannis, MA 02601 JN 4 4M 12: 30 arF p ,t A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: l My name'is c�� r - /Aifl�" ci _�" (� i"S I am the ovaner/resident of the property located at: The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: . Name & relationship to owner: nig�,� C L The Family Apartment will be the primary year-round residence for the above-identified family members: In the event that the listed relatives vacate said apartment, 1 will immediately notify the Building Commissioner in writing.?understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the ZBA Special Permit . and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this properciy. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to r the pains an p nalties of perjury this /a day of 2009. Signature Phone Number Print Name Aurs Q/b ldg/fonns/famaffid Rev:12/08 f Town of Barnstable Regulatory Services oFIME r Thomas F.Geiler,Director , 'STABLE vY` � Building Division13r?i`l-� BARNSTABLE, Tom Perry, Building Commissioner MAss. g JAN I S Q3 Qj 1639• 200 Main Street Hyannis,MA 02601 AIFp �s www.town.barnstable.ma.us 4V15i'0 Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family. Apartment Affidavit I, being on oath, depose and state as follows: My name is ao4 C. i-i✓au f 5 I am the owner/resident of the property located at: (�r The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: xz�c Name & relationshipAo owner: 1)2,0 The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the.listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. 1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit . and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains nd penalties of erjury this J_ day of � 2008. Signature Phone Number Print Name- SC42/ Q/bldg/forms/famaffid - Rev:l/03 I Town of Barnstable 016 Regulatory Services �6 FTME rOk� Thomas F.Geiler,Director Building Division ' ,r,, anxwsTnaLe, Tom Perry, Building Commissioner Y MASS. �At 039. A�0 200 Main Street,Hyannis,MA 02601 ' N 22 AM 1 1: 19 www.town.barnstable.ma.us 14 Office: 508-862-4038 ��- u,0 YFax011508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath depose and state as follows: My name is % I am the owner/resident of the property located at: Cat r 4, The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name & relationship to owner: z.S %f-ilr j Name&°relationshi p_to.owner: g a ,•e The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of . said Family Apartment is permitted. .1 understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that 1 am required to comply with all conditions imposed by the,ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn o under th ains and penalties of perjury this —day of--o„�,,,. 2007. Signature Phone Number Print Nam r ^C Q/bldg/forms/famaffid Rev:1/03 Town of Barnstable 014 Regulatory Services pFTME Tp� Thomas F.Geiler,Director Building Division '[OW'1 OF S ARHS1,,k8LE =�BARNSTABLE, Tom Perry, Building Commissioner 039• .� 200 Main Street,Hyannis,MA 0298'116 JAN 17 PM 1: 56 Argo ,1 ONwww.town.barnstable.ma.us ,,.o.._.__.._.. DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is 1r' /4!Q e I am the owner/resident of the property located at: zte l cr Map and Parcel Number The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: n A W i e- L J)u ior a-5 rl aAe"'—" Name&relationship to owner:�rr6et-� 4 2)U vrs /`ia�he� The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.l Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to der the pains and penalties of perjury this I C-/ day of g 2006. Signature -'s m ' Phone Number Print Name `col -S f Q/bldg/forms/famaffid Rev:1/03 <: Doc m 976 P S00 08-12-2004 11 v 4 4- ' BARNSTABLE LAND COURT REGISTRY 04 JUL 21 AM It: 4.7 BAD ABL E TOWN CLERK Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2004-91-Dupuis Section 3-1.1(3)(D),- Family Apartment Special Permit Summary: Granted with Conditions Petitioner: Scott Dupuis Property Address: 156 Fuller Road,Centerville,MA Assessor's Map/Parcel: Map 189,Parcel 115 Zoning: Residential D-1 Zoning District Relief Requested &Background: The subject property is a 0.25-acre lot located on the southern side of Fuller Road in Centerville. According to the Assessor's card,it is improved with a one-story, 3-bedroom, single-family dwelling with a living area of approximately 1,414 sq.ft. The dwelling was originally constructed in 1968. The property is located in a Residential D-1 Zoning District and is serviced by public water and a private on-site septic system. According to the application,the petitioner is proposing to add:a 680 sq.ft. (22 by 32.5 feet)one-story addition to the existing dwelling for use as a one-bedroom family apartment. The family apartment is to be occupied by the applicant's father and mother Herbert L. and Natalie L.Dupuis. The petitioner is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Procedural&Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 20,2004. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened July 07,2004, at which time the Board found to grant the appeal. Board Members deciding this appeal were Richard L.Boy,Gail Nightingale,Randolph Childs,James R.Hatfield,and Chairman Daniel M. Creedon III. The applicant,Scott Dupuis,represented himself at the public hearing. He cited that it was his desire to secure the permit to construct a family apartment to be occupied by his father and mother,Herbert L. and Natalie L.Dupuis. Mr. Dupuis stated that he had read all of the restrictions and requirements for the apartment and would abide by them The Board reviewed the plans and site plan for the location of the �4 addition and noted that the plans conform to the required setbacks and that it appears all of the necessary �1 information was in order for the granting of the permit. Public comment was requested and Mr.James M.Migliorin expressed concern for the location of the proposed structure. Upon review it was noted that several years back an error was found in the layout of the lots and upon readjustment of the effected parcels,it was discovered that Mr. Migliorin's dwelling was very close to the property line. The Board,however,noted that the apartment location will conform to the setbacks and it was Mr.Migliorin's structure that does not comply. . i i i. ---'finding s- of Fact: At the hearing of July 07,2004, the Board unanimously made the following findings of fact: 1. Appeal 2004-91 is that of Scott Dupuis seeking a Family Apartment Special Permit in accordance with Section3-1.1(3)(D)to allow for the addition of a 643 square foot family apartment to the dwelling. The property is shown on Assessor's Map 189,Parcel 115 addressed 156 Fuller.Road,Centerville,MA in.a Residence D-1 Zoning District. 2. The lot is approximately'/a of an acre located on the southern side of Fuller Road in Centerville. The parcel is improved with a one-story,3-bedroom, single-family dwelling with a living area of approximately 1,414 sq.ft. 3. The petitioner is proposing to add a 680 sq.ft. (22 by 32.5 feet)one-story addition to the existing dwelling for use as a one-bedroom family apartment. The family apartment is to be occupied by the applicant's father and mother,Herbert L. and Natalie L.Dupuis. ' The current property owners are Herbert L. and Natalie L.Dupuis. A signed and notarized letter from Herbert and Natalie Dupuis has been submitted to the file for standing. That letter,dated April 14, 2004, states that the owners intend to transfer the property to their son and daughter-in-law,Scott C. and Elaine Dupuis; Scott Dupuis is the applicant. 5. According to the Board of Health records,the existing on-site septic system was installed in 1983 and was originally sized for a three-bedrooms dwelling.. The applicant's proposal would add a fourth bedroom. The property is not within a designated groundwater protection area and therefore,not subject to the 330 Rule or the 440 Title 5 Nitrogen Loading Limitation. It appears that the existing system could be upgraded to service a four-bedroom home. 6. A stamped,certified plot plan has been submitted,identifying the location of the existing dwelling and the proposed location of the addition. According to the plan,the existing structure and the proposed addition will conform to the setback requirements for the Residence D-1 Zoning District; 30-foot front, and 10-foot side and rear yard setbacks. 7. From the materials submitted,the family apartment meets the requirements of Section 3-1.1(3)(D)of the Zoning Ordinance. 8. The application falls within a category specifically excepted in the ordinance for a grant of a Special Permit. 9. After evaluation of all the evidence presented,the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Decision: r Based on the findings of fact,a motion was duly made and seconded to grant the appeal with the following conditions: 1. The family apartment shall comply with,and be maintained in accordance with, all restrictions of Section 3-1.1(3)(D)of the Zoning Ordinance and shall be the primary year-round residence of the family member residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board. The proposed plot plan of which is entitled Certified Plot Plan Location Centerville"scaled 1"=20',dated 4-07-04 as drawn by James C Moore,Professional Land Surveyor, and as per plans presented entitled 2 "new Addition for Dupuis Family 156 FullerRoad Centerville 1VIa"-consisting-to-three-dr-awings Al A2 and A3 as drawn by Cotuit Bay Designs dated 4/4/2004 scaled 1/a"=1'-0". 3. This special permit shall be filed and signed by the Town Clerk and subsequently recorded at the Registry of Deeds. Copies of that recording shall be submitted to the Zoning Board of Appeals file and to the Building Division at the time an application for a building permit is made. An occupancy permit from the Building Division must be issued prior to the occupancy of the apartment unit. 4. The on-site septic system shall comply with all Town of Barnstable and Health Division regulations, without any Title 5 variances from the Board of Health. 5. The locus shall comply with all State Building Codes and State Fire Prevention Regulations. 6. The property shall be transferred into the name of Scott Dupuis prior to the issuance of an Occupancy Permit for the family apartment. The vote was as follows: AYE: Richard L.Boy,Gail Nightingale,Randolph Childs,James R.Hatfield,Daniel M. Creedon . NAY: None Ordered: Special Permit 2004-91.for a family apartment has been granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision,if any, shall be made pursuant to MGL Chapter 40A,Section 17,within twenty (20)days after the date.of the filing of this decision,a copy of which must be filed in the office of the Town Cle 'e M. Creedon ,Chairman Date Signed I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,herebceri that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and tl ,c�ppeat of the decision has been filed' the office Town Clerk. c� oil i • :7 . d o u cYer i d enal th a s i e o '� Signed and sealed this�_ PQ Linda Hutchenrider,Town Clerk ��� �� '• ,,, •'• O 3 201-61 (AVM M (EXStw. ImPum I Art I STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. AWMN AWSM iW 2446 rn 2446 14M; A SEPARATE PERMIT !S REQUIRED FOR THE z qq A O A INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL O o PERMIT DOES NOT SATISFY fi-1i'S REQi REMENT. A A a Ir 6 r IP' rnAN to Ww Ll >"w2 ANDERN C3�BOOM 12'8"xb'8" BA1M _ W LVAWED(EWNp f �DN4 '- `a N • x6'8 2 TOP' NSW A ►n —— ma\ �XI51. EXIST. - N e —a05.— 2 I I NSW I l7�CK MCK I� K]fGfN sax 2.A,. (VEWYMOM LAAYLUW/CONOW nyr - a 15f 3'O"x aS:�. a+ a AND�tJ PRIIJC tW 2446-2 Mr.. Ex51 exa. ExiSf. � Q05. 1'5 R "00 I DDl ,.-r. 2.6..t 6V W EMMA GPI f I T6"i 6-®. EXIST. O I FOLDPIG m[N00M V EXIST. N51. T NSW I 171NIN6 KITQ-I�N M rnZ446 " LIVING ` r ads. W a. Eo 1 a05. 0b EXSi �XI'S? i �45 Ate, .Y rn2446 W � =6'- Popoi 4'-9" 6-5" ;00M Q v Z f U —————— 1. VA5f. - ` EXIST. , sa os.l LIVING �—+ f�17�00M t' ' � rn.ax4rf.posrw/ � i�17f;00M'- —, Q Ix5/Ix6fA5iYt 124 U C EXIST EXISf. EXIST, EXIST. exl5r. w SCALE: 22'a' 1 IN= 1'-0" (ADD DD (EXI5lw DATE: SMOKE DETECTORS REVIEWED FIF5f- M00� MAN 8/25/2004 GEN�M NM5: JOB NO.: TA LE BUILDING DEPT, DATE EXIST.FIRSfFL00R 1296 SF. DUPUIS fOrk FAMLY APf,5.F.ALLOWEV m 648 5.F. I.) COWMfOR 15 fO VelWY EXI511146i CONOMON5 XV PIMEN510115 NEW FAMLY APf. s 60 5.F. IN 1lt FEW PRIOR.fO 114 5fAKY OF WORK DRAWING NO.: FIRE DEPARTMENT DATE LUNn: 2.) ComwfOR f0 REMOVE EXI5"t10OR5,W1 mm, WALL5,&ROOFING A5 REGLIIREn FOR NEW CON5iu110N. BOTH SIGNATURES ARE REQUIRED FOR PERMITTING _ © EXI5TING wft5 3,) AI-L NEW CON5IRI.I ON f0 MAKN EX%NG IN MATERIAL, ` L::J CON503010N O DE MMOW17 MAL,ANn F NM Al IMM NSW CON5fWCWN CONE.wa VENT Z 6� C3 z ,� ron= cnpo ll Q qA NEWMCROW& � �• Ca �-w�� Pow sEXKI pq c�i�w for of PLA9 ti N FFH PH I FH ❑ 0 0 ® Q (�j co FM LLI 11 FM 0 FM v FPSf FiOGRLil BLOCK FPONf ��MVON �O w • NEWpJ�B,RIMM900�5 O Q TO MATCH EMT. 1Z a TOP OF PIASE NEW COM tVAW5 ® 10 MAIM m%. (� wwwc. s>> 7w ►/a�� to ExiS 10MATCHiING L ,--4 FKST FI OO2 4 a 4I'.f.mW/ UCFI OOR I x 5/1 e6 CASEJG SCALE 1/4'= I'-0" DATE 8/25/2004 JOB NO.:: DUPUIS DRAWING'.NO.: l ' 1 - NEW RPXE S IPYM 00/RV5 fo hwoi uj5f. i i yf t2 W I W1 -— xr of oco Q 'o I E� fzff= su�.oc>z ja CoNr.Rv6ew. r Z U O ' Q IZ hkWASPFWf S 0-4 fo lm"EXISTING O NEW FWCLA&fO 2E BOARDS fO MRfCN EXIST. Q �I ® ® ® �.. rT ►��FEW LLlM BO"S � � I-- . ® -- — fOMRf01EXK1 NWWL,%ow 5m fOMATclbr m `f wJ a4 SCALE: 1/4"= 1'-O' pICAHf 5M UVAflON DATE: 8/25/2004 JOB NO.: DUPUIS DRAWING NO.: e 47 + CNODBtow _ (qwlw NOTE,MFrOFofNEWFaWAZW rOMA%HWW9ZFLOLRw/a pQ Gam" AA9Em BKISrNG5mOGR,(VMYNruV vaws wwow gy m. ————— ——————————— ————— qq cn0 roll 1 H3a. M T 1�2 O1r�w9 V2"LI 1015f5@I6 on °$ I s la' 6'a 6'la' I A I 1 rn. 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