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0160 HORSESHOE LANE
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RichardV..Scali,Director I 3�1� Building Division7-NIX, Paul Roma,Building Commissioner 200 Main Street,Hyannis,,.MA 026QY'A www.town.bamstable `1 Z Office: 508-862-4038At � ,�� ®,J Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION - RESI D NLY_ Not Valid without Red X-Press Imprint `P Map/parcel Numbed I ` Property Address' _ Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address j qA Contractor's Name Ve4_(� �VQCI Telephone Number 60 g c'JOQq Home Improvement Contractor License#Cif applicable) l a Email: Construction Supervisor's License#(if applicable) EKorl man's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Co ensation Insurance, Insurance Company Name • jj r _ Workman's Comp.Policy# 6509 V 'J6_ UQ�5!60 Copy of Insurance Compliance Certificate must accompany each pe mit. Permit Requ checkbox) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to `71ylP.Jlil dl c1�'( ❑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: c *where required: Issuance Uthis 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 Uqu d. SIGNA Q:\wPFILEST0RMS%uildmg permit forms\EXPRESS.doc 01/25/17 t lot I Yhe yeah* Office ofhWedwadam - wwmmasx,4pfza. . IIISQE:ffic d[fEdayi : ` PleasePrlzd v A - r ba T of picr1ecr(rcqu ireq- _a �T * Iiu sir ems. s ❑New consftuctim risted El. Demolffion _ Ca ma's` - ❑ e Io.DElectdcaire aract cros - .12—, ve3 iL[-J era1c&iioas Cper Mm and�eba�en L" o Roa ie�us_ emplayew,pro wcame COMIX_ l ' s � �osas _bp copaytq � giant sa ri i saraaza�ra e r $aLowistliaprr& ardjabsita ci P :� : gip • ` i page(Awwmg FazioaS ? a€ .¢1 i�n]eaata&se Qfps ofa fine ets - - Es wa asr trdpe inihaff kmafa ST(p WC RI flBMEKandaHme of ar g Ee riled taoapyaf -sI soagbe Riwar&d fa The ofE60of - f+ F F s for npnvrb abaraa�s and -, `7 707 67 A 1 3e` FhMM 4 �5o�6 S �-4 t �3a staai#a sa q�r isewmprdfid by Cup artmm CRyarTaw= cease# Emzimg y Cc�se: LSeaad atEk2ah3Bmgirmg Dqmrhment I ova{ 4. 1 6.g ' S r FtSsfla: Phoae�- . 6 t KELLY ROOFING INC. MA CSL #99157 PH 508 509 4540 8 BRINE ROAD. MA HIC #128957 YARMOUTHPORT MA 92575 kellyroofing@icioud.com June 06' 2017 Proposal submitted to Frank McShea of 160 Horseshoe Lane Centerville MA We propose to supply all materials and labor necessary to remove and replace the existing asphalt roof at the address above (except over front of Garage) All debris to be removed to town transfer. 8" White Aluminum drip edge to be installed on all eaves. Ice and water damage protection membrane to be installed on the first six feet of eaves, in valley areas and around all protrusions. Remainder of deck to be covered with #15 Felt Paper. Lifetime limited warranty Architect style shingle to be installed, (Color to be Specified) All shingles to be storm nailed. (6) We generally use but are not limited to Certainteed Products. Bathroom vent pipe boots to be replaced with new. Repair/Replace all flashings as necessary. Install Shingle Vent 11 Ridge vent on all ridges with Hand Nailed Caps. Protect all walls, windows, decks, plants, shrubs, etc. during roof strip. Complete cleanup of area during and after procedure including all nails and cleaning of gutters: Obtaining of Town Permit. At a Total Cost of $8100 Payment schedule: balance upon completion. Respectfully Submitted, Oliver Kelly. r 6 Proposal accepted by;' Date / /2017 If acceptable please si and r o co a address above, keeping a copy for your records, this proposal is valid for 45 days from date above, please call to verify thereafter. 1 ' V t Massachusetts Department bf Public.Safety i Board of Building Regulations and Standards = License:CSSL4099157 = Construction Supervisor SPeciatty. OLIVER.M tlhu.Y ' 8 RNNE ROAD YARMOUf`ft.PO$T Expiration: CAM' 419=4017 (WNN SINN, Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvem ractor Registration f-- m_ y j f Type: Individual. OLIVER KELLY. ty - - Registration:. 128957 1. Expiration: 06/13/2019 8 RHINE RD YARMOUTHPORT,MA 02675 - ] ' _ r Update Address and return card. Mark reason for change. SCA 1 0 20M-05/11 t. _Adsires�11 RPne �l I1 Fm loyment_C_L,ost Card -_--- �� V/ie�ia��vrno�ruuea�l�a�C/f�ir�ac�aoel�d. \ Office of Consumer Affairs&Business Regulation -= HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only - t r TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation -�7 �128957_ 06/13/2019 10 Park Plaza-Suite 5170 O�IVER KELLY.<E .,y_ :.:_._ r' stil-il;MA 02116 i t u x .-n OLIVER M.KELLY' `_ �,Q CGQ - 8 RHINE RD. YARMOUTHPORT,MA'02675 Undersecretary Not valid without signature 1 AIIIN.'"' 0 CERTIFICATE OF LIABILITY INSURANCE 05-;5-2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: DOWLING&O'NEIL INS PHONE FAX 973 IYANNOUGH RD LAIC, /C No Ext: ac No): HYANNIS,MA 02601 E-MAIL INSURERS)AFFORDING COVERAGE NAIC# INSURER A:ACE AMERICAN INSURANCE CO INSURED INSURER 8: KELLY ROOFING INC INSURERC: 8 RHINE RD YARMOUTHPORT,MA 02675 INSURER D: INSURER E: INSURER F: OVERAGES ERTIFl ATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AODL SUB POLICY NUMBER p�N jpp EFF POLICY E)(P LIMITS LTR INSR WVD ( /NYYY) MM/DD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS-MADE� OCCUR PREMISES Ea occurrence - MED EXP(Any one person) $ - PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ ANY AUTO Ea acciden SCHEDULED BODILY INJURY(Per person) $ ALL OWNED AUTOS — AUTOS - BODILY INJURY(Per accident) $ H RED AUTOS N NOSWNED PeOP&Rde t AMAGE $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR H CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N X TORY LIMiTS1 I ER ANY PROPRIETOR/PARTNER/EXECUTIVI N/A E.L.EACH ACCIDENT 500,000 OFFICERIMEMBER EXCLUDED? N UB 05-10-2017 05-10-2018 (Mandatory in NH) SH085809 E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) TOWN OF YARMOUTH BUILDING DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 534 WINSLOW GREY RD CANCELLED BEFORE THE EXPIRATION DATE THEREOF, SOUTH YARMOUTH,MA 02664 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE a I JOHN J.LUPICA,President ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD -n: '. ,. �... ... i.. .:.. .. .-.. .•.f. Yi'Y:. yr, - r' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- , Map 7-0 Parcel /2,9'- �'�� ' Application# or ts1 Health Division -2 27 Date Issued Conservation Division Application 1=T&- 7Oc3� 4. Tax Collector - Permit Fee dol.10 Treasurer 6 K °7) Planning Dept, Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address (aD l�U Y5 C sh ao A-- Village Owner /yl S Address I&C7 lynfe 4i� ,Cn Telephone (50 7 S S Permit Request 0-0 ' S � l k at/ att49 ' L Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Z 72- Zoning Districts Flo lain Groundwater Overlay 41 Project Valuatio �eConstruction Type L �.� Lot Size ZZ Grandfathered: ❑Yes ❑No. If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �� `?aY5 Historic House: ❑Yes d No On Old King's Highj ay: ❑Yes ❑No Basement Type:. Ul Full ❑Crawl J Walkout ❑Other 4 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 7te ePa Number of Baths: Full:existing 1 new Half:existing_ I aeO Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room ount co co r r�r Heat Type and Fuel: dGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes E�No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes QM�No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:dexisting ❑new size b_7e `rShed:Cfexisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,_site plan review# ---Current Use Proposed Use r a ~ BUILDER INFORMATION Name 2111�&xy if / uh Flo Telephone Number S-0a) 'Z7S- 3 7U 6 Address /�)S r' s2 �►i License# �8,3 3 12, Home Improvement Contractor# !/2 97? Worker's Compensation# UA � o 76 0 Z 35`S`6y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO l �i !� 4SY�rl& SIGNATURE DATE �- r FOR OFFICIAL USE ONLY APPLICATION# s DATE ISSUED MAP/PARCEL N0. l ADDRESS VILLAGE f i OWNER DATE OF INSPECTION: , I _ FOUNDATION Sono Q1J0T , k FRAME r - ? INSULATION ,C .FIREPLACE Ail ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL , [Yti' GAS: ROUGH FINAL - f 4, FINAL BUILDING k' i ,Z6 —� DATE CLOSED OUT` ' ASSOCIATION PLAN NO., I i i rf. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 v •� www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl ' ' r Name(Business/Organization/Individual): Lif Address: 1.0 JCL City/State/Zip: (/! (� Phone. 0R) 7 S " 3 709 Are ou an employer?Check the appropriate bog: Type of project(required): ,.YOU am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ listed on the attached sheet. 7. ❑Remodeling I am a sole proprietor or partner- -� ship and have no employees These sub-contractors have g. ❑ emolition workingfor me in an capacity. employees and have workers' Y P tY• # 9. Building addition [No workers'comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions - 3.❑ I am a homeowner doing all work officers have exercised their 11.[1 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M U1 C [�()_�(A Z 35 00 Expiration Date: l01 Job Site Address: 16C 4ory%zt ne '1/� _ City/State/Zip: �� Kv YL) Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Signature: Date: Phone#: � � / S ' 3760 4 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: . Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: and Instructions j .t Information , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill.in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617--727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass.gov/dia pfcSHE roy, Town of Barnstable Regulatory Services �BARNSTsASBL� Thomas F.Geiler,Director r �p .sG3y `y TEo 39 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4.038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, LAI � ?� a , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) r b�4 eta Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION P�oF1HE Town of Barnstable Regulatory Services �BARNSTABLE, Thomas F.Geiler,Director y MASS. 1639• ,• Building Division rED►AP't A - Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 — -------------------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: ' JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Client#: 3860 2DANGELOMI WD A RD- CERTIFICATE OF LIABILITY INSURANCE 03/26/0$°"""' .r PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling &O'Neil Insurance ONLY,AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOE S NOT AMEND EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Insurance Company Michael J. Dangelo Building INSURER B: Associated Employers Insurance Compa 8r Remodeling, Inc. ''^ INSUREW&'J ". 105 Horseshoe Lane INSURER D: ' Centerville, MA 02632 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN,REDUCED BY PAID CLAIMS. DW POLICY EFFECTIVE POL ICY EXPIRATION LIMITS LTR N TYPE OF INSURANCE INSR ".POLICY NUMBERDATE A GENERAL LIABILITY 16808433H175TCT08 01/04/08 01/04/09 EACH OCCURRENCE $1 000 000 D P=TO RENTED occurrence) $300 OOO X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 5�OCCUR MED EXP(Any one person) $5 000 X PD Ded:500 PERSONAL&ADV INJURY $1 OOO ODO GENERAL AGGREGATE s2,000,000 PRODUCTS-COMP/OP AGG s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PEOT- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Es accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE- $ (Per accident) AUTO ONLY-EA ACCIDENT $ GARAGE LIABILITY OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESSIUMBRELLA LIABILITY AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE �y \ $ RETENTION $ WC STATU- OTH- B WORKERS COMPENSATION AND WCC5006733012007 12/19/07 �12/19/08 11 X EMPLOYERS'LIABILITY �_J E.L.EACH ACCIDENT $100 000 ANY PROPRIETOR/PARTNER/EXECUTIVE `''- E.L.DISEASE-EA EMPLOYEE $10O 000 OFFICER/MEMBER EXCLUDED? YES It yes.describe under E.L.DISEASE-POLICY LIMIT $500 OOO SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. Officers are excluded from coverage under the workers compensation policy. CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <i•:'"w.tr.,.. '.- REPRESENTATIVES. AUTHORIZED R PRESENTATIVE LS1 © ACORD CORPORATION 198� ACOR ' 16 s Brd of=,dmg egu atiohs an ' tan ar s tAl I' �a Construction Supervisor License R V �I { L)c�ense: CS 48338 Ex irat{on /22/2010 Tr# 13952 +i i Wr'Res�riction 1rG MICHAEL J DAN GELO f AN �l I' t 105 HORSES HOE�LA�NE ,,� /--�--- �` �J� ri •� - ? CENTERVILLE, MA 02632- Commissioner - r 4 tv�itdingRcgulattairs iidStandards,. j to HOME INL!ROVEMENT CONTRACTOR cyot�tc Iu1.uae only i befoi �zcz fist�ti6fl ate �I'fount!"rettiri{to. Registration 112g77 Boer �� � ut{t{Ing Rcgulat{ons and Standards tExpiration 5/.7/2009 Tr# 128790 One)${tUurton Place Rm 1301 r Typendividual Bostti i,'11aa.02108 MICHAEL.;c'wANGE 04�01 -` � `� . MICHAEL j ANGELO 105 HORS SHOE LN - y'`�'` CENTERVt' E ---- Admm�strator r Not valid i bout signature. Page 1 of 1 17 PT 1 .G.AR : Tt° ti http://www.town.bamstable.ma.us/sketchesO8/14617_15115.jpg 6/12/2008 Massachusetts Department of Environmental Protection oFIKME Bureau of Resource Protection - Wetlands WPA Form 2 - Determination of Applicability 9� LE•$ i°39' Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 `�� ate$ ED MAy and Chapter 237 of the Code of the Town of Barnstable DA- 08052 A. General Information Important: When filling out From: forms on the Barnstable computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the Francis D. and Mary E. McShea return key. Name Name 160 Horseshoe Lane i6 Mailing Address Mailing Address Centerville MA 02632 City/Town State Zip Code City/Town State Zip Code 1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents: Plan of Land in Barnstable (Centerville) Mass. 06/17/91 Title Date Title Date Title Date 2. Date Request Filed: April 22, 2008 B. Determination Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description (if applicable): Construct 16'x 17' screened-in porch on existing patio cement pad. Project Location: 160 Horseshoe Lane Centerville Street Address Village 207 129 Assessors Map Number Assessors Parcel Number wpaform2.doc•Determination of Applicability •rev.10/5/05 Page 1 of 5 > LAMassachusetts Department of Environmental Protection of„ T Bureau of Resource Protection - Wetlands , WPA Form 2 — Determination of ApplicabilityMALSM Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 9��f'639. •``� and Chapter 237 of the Code of the Town of Barnstable DA 08052 B. Determination (cont.) The following Determinations) is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation (issued following submittal of Simplified Review ANRAD) has been received from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling, dredging,or altering of the area requires the filing of a Notice of Intent. ❑ 2a. The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate. Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3. The work described on referenced plan(s)and document(s) is within an area subject to protection under the Act.and will remove, fill, dredge, or alter that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4. The work described on referenced plan(s)and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: Name Ordinance or Bylaw Citation wpaform2.doc•Determination of Applicability •rev.10/5/05 Page 2 of 5 i Department of Environmental Protection Massachusetts pa �,HE ire Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability I BAR„�LE• Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 9�ATfn and Chapter 237 of the Code of the Town of Barnstable DA 08052 B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s), which includes all or part of the work described in the Request, the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability, work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department. Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1. The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2. The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. ® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act. Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions (if any). Property owner will work with conservatin staff to develop a line of demarcation to reduce the amount of mowing into the wetland. ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. wpaform2.doc•Determination of Applicability •rev.1015/05 Page 3 of 5 Massachusetts Department of Environmental Protection oFt tom Bureau of Resource Protection - Wetlands , WPA Form 2 Determination of Applicability = RAMSTABM Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Chapter 237 of the Code of the Town of Barnstable DA- 08052 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations,no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on Date: by certified mail, return receipt requested on MAY 1 9 2008 Print Name Signature Date This Determination is valid for three years from the date of issuance (except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Conservation Commission. A copy must be sent to the appropriate DEP Regional Office (see Attachment)and the property owner(if different from the applicant). Sign tures� On this 1L� day of 2 UO before me �- personally appearedL'?'7� to me known to be the person described in and who executed the foregoing instrument nd acknowledged that he/she executed the same as his/her fr act and deed Notary NOTARY PUBLIC My co JW§/EALTH Of MASSACHUSETTS m J-716 VpMY COMMISSION EXPIRES 11/21/08 d. wpaform2.doc Determination of Applicability •rev.10/5/05 Page 4 of 5 LIMassachusetts Department of Environmental Protection of„Er, Bureau of Resource Protection - Wetlands WPA Form 2 - Determination of Applicability �M Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 9`��E 39. and Chapter 237 of the Code of the Town of Barnstable DA- 08052 D. Appeals The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office (see Attachment)to issue a Superseding Determination of Applicability.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and Fee Transmittal Form (see Request for Departmental Action Fee Transmittal Form)as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appealed. To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection,Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. wpaform2.doc•Determination of Applicability •rev.10/5/05 Page 5 of 5 AIr 00F,,,ts �c MICHELE 'c\;� 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS I1,o !t'0t&--sNoe , CUDILO ASSACHUSETTS STATE BUILDING CODE No.34774 v G�t�ff�lLVll.� STRUCTURAL AWC Guide to Wood Construction in Higil Wind Areas:110 mph Wind Zone /1 Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 GtSTF�''c0 R \�0 Q Check 1.1 SCOPE Compliance Wind Speed(3-sec.gust) ................... ... ........ ............... ..... 110 mph — Wind Exposure Category ..... ........ •,.. 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) Roof Pitch .�stories s 2 stories Mean Roof Height •'''' _ _� s 12:12 — .. . . .... .. .. ...... ...... (Fig 2) ..+ �ft s 33' — . .... ......... ..... Building Width,W (Fig3) —" Building Length,L ........... .' ft s 80' — . .... .....:.. (Fig 3) . . ..... ... ��ft s 80' Building Aspect Ratio(L/W) .. (Fig 4) . .. .. ..•. I .t — Nominal Height of Tallest Opening' (Figq .. ... —6. ,5 s 3:1 1.3 FRAMING CONNECTIONS General compliance with framing connections... (Table 2) 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete Concrete Masonry . .. . . .. . . ... . . . .... .. . .. . .. .. - ........ . .. 2.2 ANCHORAGE TO FOUNDATION'•' Anchor Bolts imbedded or%"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general .... (Table 4) Bolt Spacing from end/joint of plate .... . .. (Fi 5 ` 8 ) .........W..... in. s 6"— 12„ Bolt Embedment—concrete.........:. --- .. (Fig 3)...... . ....... .. .. ..... .�nn. i 7" Bolt Embedment—masonry............ .. Fig 5 _ Plate Washer . . ..... . ... (Fig5) .................W 23"x3"xy4„ 3.1 FLOORS Floor framing member spans checked (per 780 CMR 55.00) ........ Maximum Floor Opening Dimension........ .. (Fig 6) ''•• Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) . .. .. ....... . Maximum Floor Joist Setbacks — Supporting Loadbearing Walls or Shearwall (Fig 7) ...... ... ..... . ... . Maximum Cantilevered Floor Joists - 14/A--ft s d _ Supporting Loadbearing Walls or Sheatwall . Fi Floor Bracing at Endwalls ...... ............ (Fig 8) � —ft s d _ Floor Sheathing Type ... .. ...... .......... 9) '''''' ''' . ...... .......... (per 780 CMR 55.00)—.HA':V.0-6?t. — Floor Sheathing Thickness . (per 780 CMR 55.00) ..�?G,.-1. ,(�3 in. _ ►.f . — Floor Sheathing Fastening .................. (Table 2)_d nails at—in edge/_in field 4.1 WALLS —" Wall Height Loadbearing walls ... ........ ... .... t Non walls �t8 10 and Table 5) .. ....... ft s 10, _ Wall Stud Spacing ,...... .'' '... (Fig 10 and Table 5) .........:� ( ft s 20' (Fig 10 and Table 5 — Wall Story Offsets . . ..,.• ) ••• � in. s 24"o.c. _ (Figs 7&8) ...•. .. . .. .. /... .. —ft s d 4.2 EXTERIOR WALLS' — Wood Studs t Loadbearing walls . . . . . . .... .... ... .... (Table 5) ?P5T'-5;YI1,2x_ _ft_ in. _ Non-Loadbearing walls . .... ... ........ . (Table 5) ...2x_-_ft—in. _Gable End Wall Bracing' Full Height Endwall Studs . . • ,. (Fig 10) • ........ WSP Attic Floor Length — Gypsum Ceiling Length(if WSP not used (Fig 1 1 11) . ..... . _ft z W/3 _ xnJ Z x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 1 1).. ..... or I x 3 ceiling furring strips @ 16"spacing min,with 2 x 4.bloc....' i g®4 ft.spacing in end joist or truss bays ....... ......... . ..... ouble Top Plate •• •• •�•••• •••••••••• _ Splice Length. . . . .. . . . . . .. . ... .. ...... (Fig 13 and Table 6) Splice Connection(no.of 16d common nails)(Table 6). ......... —ft 1054 780 CMR -Seventh Edition 12/28/07 (Effective 1/1/08) air 8F'AqS s'e�p� q tAICHELE. tip\ AWC Cnide to Wood Construction inn High Wind Areas: 110 nnn h Wind Zone CUDILO No-34774 ' Massachusetts Checklist for Compliance (7HocMR ;3nl.i.l.l)' STRUCTURA[ aring Wall Connections teral no. of 16d common nails ............................... Tables 7 .......P>? .�,� .. �t ............... oadbearing Wall Connections C,,9,cj ✓c-'tad Lateral(no.of 16d common nails).............. ( ) Table 8 ........................ ......... .... .......... ... Load Bearing Wall Openings (record largest opening but check all openings for co4. . liance to Table 9) Ob/l(r/Da 1 Header Spans ...........................(Table 9)........................ ........._ft_in. 5 11' ........................................................ ` Sill Plate Spans (Table 9)........................ ........._ft—in. 5 11' Full Height Studs (no.of studs)...................................(Table 9)......................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) _T HeaderSpans...... ......................................................(Table 9)....................... ........._ft_in. 5 12' Sill Plate Spans...........................................................(Table 9)......................... ......_ft_in. 5 12" Full Height Studs(no. of studs)...................................(Table 9)............................... I Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° ( i Minimum Building Dimension, W { Nominal Height of Tallest Opening2 5 6'8" ............................................ Sheathing Type.............................................(note 4).........................0 .......... j.... ............ . Edge Nail Spacing........:................................(Table 10 or note 4 if leis) in. i ....................... Field Nail Spacing.........................................(Table 10).....................;........................... in. Shear Connection(no.of 16d common nails)(Table 10).....................(.... ••••--••••-_ j Percent Full-Height Sheathing......................(Table 10)..................... .. % I 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... f Maximum Building Dimension, L Nominal Height of Tallest Opening2....... ....... ................. :............. .........................._5 6'8" Sheathing Type.............................................(note 4)......................... ............................ Edge Nail Spacing.........................................(Table 11 or note 4 if lejs) ' n. Field Nail Spacing.........................................(Table 11).................... in. _ ....................Shear Connection(no.of 16d common nails)(Table 11)....................Percent Full-Height Sheathing...................... Table 11 .................... .. _� I............................. 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..:........... /� Wall Cladding Ratedfor Wind Speed?....................................................................................:......................................... 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19).............4 ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................ U= /7opIf Lateral.............................................(Table 12)..............................................L=ai_7 plf Shear..............................................(Table 12).............................................S=�Z plf Ridge Strap Connections,if collar ties not used per page 21... (Table 13)5t!.:IPS ..T= plf Gable Rake Outlooker.........................................(Figure 20)....... /L�_ft 5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls 6 Proprietary Connectors Uplift .. (no.of 16d common ............... ........(Table 14)........................................... U=�lb. Latera nails)..(Table 14)...................... -1 Roof Sheathing'Type.........................................:.........(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness............................:............... ........................ ............! l.tr4d.? in. >7/16"WSP Roof Sheathing Fastening...........................................(Table 2)..................(g.".t�ilia Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2, to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the W FCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception: Opening heights of up to 8 ft- shall be permitted when 5% is added to the percent full-height sheathing i requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. ` •i, . I 2008 GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced 4'o/c,or in concrete piers w/ Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage). FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads: Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load: Criteria used for 110 MPH Exposure B 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framine: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_rer=750 psi, Fear=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per--750 psi, Fear-2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 48"o/c; Rafter to Ridge Plate: Collar ties min. 1 x6@ 48"o/c at top or Simpson Straps over top of plywood spaced 48"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blockine: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b. Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-I0d toenails ea.end,or 2-16d end-nails ea.End d. New Framine:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. Multiple Studs 16d @ 12"staggered NOVA 01:!'f.A a.All nails shall be common wire nails. b. Sub-bore where;nails tend to split wood. �o MiCHELE 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1)and(2). o CUDILO U No.34714 STRUCTURAL v, s ���NAL j1A i 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDICES Construction Checklist , prmequiretd a ` * i +Single&Two Family Dwellings by the buglingofficial,)this fonn•shall besubmitfed at thecompletionof the work;priorto the issuance of a certificate of cy or the, by the-licensed`construction-supervisor;registered'professional-orhomeowner(responsible party),as applicable,the municipal and/or state building official in verification that,to the best of his/her knowledge,the work has been - executed'in accordance with the provisions of the applicable`state building;code(code)and reference standards. The date shall indicate the date on which the responsible party viewed•the building activity to ensure compliance with the code and/or reference standards. This date may or may not correspond to the date on which the activity was inspected for compliance by the municipal and/or state building official. v Note any deficiencies thaf were discovered(if any)and corrective action • F Activity i `'' , Date taken to ensure`compliance with the code and/or reference standards q Foundation a\�L a. Locationlexcavation' s r b. Preparation of bearing soil { c. Placement of forms/reinforcing d. Placement-of Concrete e. Setting weather protection methods , 4: f. Installation of water/dampproofing fi g. Placement of backfill Structural Frame' a Floor l0 b. Walls t ID A c. Roof/ceilings 1171 d. Masonry or other structural system .� Euergy,Conservation ••. - a. Insulation/vapor and air infiltration barriers b. NFRC rated window C. HVAC equipment with proper„ efficiencies Fire Protection •/ a. Smoke b. Heat c. Carbon Monoxide d. Other �- Special Construction a. Chimneys b. Retaining Walls C. Other3 I. If encountered in excavating for foundation placement,the responsible party shall report the presence of groundwater to the building official and shall submit a report detailing methods�f remediation. 2.'Frame shall include the installation of all joists,trusses and other structural members and sheathing materials to verify size,species and grad,spacing and attachment methods. Sllie responsible party shall ensure that any cutting or notching of structural members is performed in accordance with the requirements of this code. 3.The building official may require the responsible party to be present on site at other points during the construction, reconstruction,alteration,removal or demolition work as he/she deems appropriate. 3/23/07 (Effective 4/1/07) 780 CMR-Seventh Edition I', t 1025 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE NOTES � • w In signing this form.the licensed construction supervisoi;,registered professional or homeowner(responsible party),as applicable attests to the fact that,to the best of his/her knowledge,the work as described on the referenced permit number and associated plans and specifications'has been executed in accordance'with the provisions of the applicable state building code(code)and reference standards. Name of Responsible Party, Signature of Responsible Party Construction Home ImproverVent Registered Registered Supervisor License " k Contractor Registration Professional Engineer Architect Number,,, xpirauon Date 'Number ', xpiration Date Number Expiration Date Number Expiration Dat .A.,,•,r:.��.. .• �fd338 ► �0 l 1� - 3Y 'ICI .� , This form is submitted for the following project Permit y� Number !7" ZOvT/ U S Property Address 100151 Flu �{ G 143 y • r " 1 ti 1026 780 CMR-Seventh Edition 3/23/07 (Effective 4/1/07) Assessor's office(1st Floor): _ ® SEPTIC SYSTEM MUST'�fE Assessor's map and lot nur►�b r / �O V INSTALLED IN COMPLIA THE TO`` Conservation(4th Floor): •/` `'� ` WITH TITLE y Board of Health(3rd floor): # r - ' ENVIRONMENTAL CODE 3TLDL t Sewage Permit number t r� c�J' _r - w rua TOWN REGULATIONS �o Engineering Department(3rd floor):' o �o�o'���d° House number Definitive Plan Approved by Planning E16ard 4 19 APPLICATIONS PROCESSED 8:30 9:30,A.M.'and 1``00-2:00 P.M.only ` TOWN Of BARNSTABLE BUILDING ; INSPECTOR APPLICATION FOR PERMIT TO !- ��� A 71 A10,/C7 g to Pe-4 TYPE OF CONSTRUCTION _� Q ��, 19 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 0 Hp rs e- S L►D f �h �Pir�1 Irv, �! P Proposed Use h• d 63 {'a Zoning District �e4�r�e r� �i`!� Fire District ��e!'Ur _ ��L/l> ral /(�P Name of Ownerl A- Address y4,/&-9 Name of Builder r a e J, /0 Address 16 '�'w e r(ar - Name of Architect Address Number of Rooms Foundation Exterior Ulf Ce ClIf y 5 l h y 40 S Roofing Floors 00-1 G,P /�P %!I`�41�y Interior 5 -e e.�d 6 Heating�T O�� I�r ` Plumbing Mi -e Fireplace Approximate Cost Z4 fil Area Diagram of Lot and Building with Dimensions Fee '1 141 1 61( C,4 q i r4\ I U , +` 5'e c,� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS [.hereby agree to conform and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 33 g �MCSHEA, FRANCIS & MARY No Permit For BUILD GARAGE & ADDITION Single Fami 1 �7 Twpi 1 ing Location 160 T,ane Cent rvill ' Owner Francis & Mary McShea Type of Construction Frame Plot Lot ` Permit G'rarlted November 18. 19 < -.,-Date of Inspection: Frame 19 Insulation. 19 Fireplace ' 19 Date Copleted u �� �C 19 ,:. 4 yEi . s,Y r Via.. • .. • t w i I14 I ril 2 i � I Al i I 5 { Y - " ll r 1 c 1� i I 'r �t .� z IMENEM mmmmm� MEN MEMO MEMEMINEMEE m IS No MENEMEMMEMEME ME MEMO OMEN M MOEN MEN MEMEMEMEME ME M EMMOMMEMEMEME NONNI MEMMEMEMEMEMEM 00 No UNMEMMIMM MEN IMME "'MEN ME MEN mommom NONE 0 immoom MEN mi 0 mommom immmm� ONME MENEM 0 NNE SEMEM M ONE 0 ENO EMIMEM MEN 0 ELM Mom EMEMME MEMO 0 0 ME I m MEMEMIN L 0 0 oil 1101,m ONE OEM IN MEN M 0 NNE NEI 0 M 0 OEM 0 J. ! ME 0 SEEN M., 0:0 No ,No 00 Now 0 ON 0 0 MEN M MEN 0 m Z M OEM No No ON Elm, 0 No ME ME ME MWE E ME 0 M FIN 0 m � 1 i i i 4 � _ - + - - } I 1 i � I IIj � t ZE9MO VW 311IA831N30 HOWH1SININGV 3NVl 30HUGH SOT 0139NVO 'f 13VHOIW OWA R 9C19 0130NVO f 13VHOIW S6'/LO/SO U0Tje1Td13 V90 - ad c1 r ZZ6ZTT U0Tie11ST6ad 801OV�J1NO3 1N3W3AO8dWI 3WOH ———————————--———————————— COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY failarrot°pOisossacarrot OF ONE ASHBORTON PLACE Mo+socA�rtottagtoM�l% A. MASSACHUSETT [; BOSTON MA 02108 Codo/sQoraoto►rergotdl .F_ a oftAls/loo&m EXPIRATION DATE I CAUTION RESTRICTIONS EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAIN THEFT, PUT RIGHT TFiUN` P g RINT IN APPROPRIATE p o BOX ON LICENSE. Z BLASTING OPERATOR; m m MUST INCLUDE PHOT( PHOTO(BLASTING OPR ONLY) FEE: �) NOT VALID UNTIL SIGNED BY LICFNBFE AND OFFICIALLY 1^"` ,. J ,, HEIGHT: -` STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: THIS DOCUMENT MUST BE r CARRIED ON THE PERSON OF TURE OF LICENSEE SIGN NAME IN FULL ABOVE SIGNATURE LINE THE HOLDER WHEN EN- -� OTHERS-RIGHT THUMB PRINT GAGEDIN THISOCCUPATION. I SIONER I 30 P.T Il , r - -L Z =43 2ttx I0,�p1.@ - =K 4 0.G. oe IL 'ex lop r �K��cO pF MA$i1 G,\ u v, 1 I Q010I wc�sr CA>� 3�u��'L • 2''x1 Pi.�11D'G I � a 2-'� 14 bQ�• _•r,+! 2 X Is t je. I -a _t i P9 / 'JOA }J REG!S� Vil.. �-r. 1�2Q�.'x cJ1,C=J Cal o A - a� 4� _� I 1 fly. �•Q� ` fit u >t1. Sill' 2XID p(. !1 N ! �L 6 tcfK �'iP• + 1 rl �t1�ljtNlt °!Da 6WOlt461 POCK_ 1, / a 1 l b��rb� $ 1 I I 'W4 G 15 & PSIA M G I&0 Na 12S to +Abv— -D-! f few I L-r-, INN: Q2(o SCALE: �/411 ' t _��t APPROVED BY: DRAWN BY DATE: REVISED p I Kd U f-I PA-7-1 d�4 I DRAWING NUMBER � - r s- / 17�-Ou oil geA 4 � PN? DIN 7 �15?11�t1a li°!o8jUPINGt PA?t2 . / C15`f'ING Nbusr-- rICANC15 HAfi2Y M c- 5HrA D Hol2���No� LN. GNTPz-vl�t , titA. o2�32 SCALE: ,/ APPROVED BY: DRAWN BY DATE: REVISED POWSH toad, -%1-AWN _ DRAWING NUMBER - Ai/ l 3�IN1D��Q SZ 110 J kilo N� q ku 4A Q � � L • � 4 JL C L JLIL t_ JL. L L L JL - - -J L �o X _ • � moo`, MIC F_t_� � _ _ 1.0 :..7 \ IT STRUCT I I 5T i REr P� ! E - — J C. � ,�:•. o .yam. • • J IL- i r1/� possi 1�1 V AW. W/b►Mpjbas kaT9cIwl^ AG to �r 2 x&0,e 1 �O H t,r--, A-012 J L r - SCALE:I `�II�I' Q" APPROVED BY: DRAWN BY �r / DATE: REVISED 3-II- d8 i2 D po 5 SG2� - I N U}�}-� Y?� I1�lC� RAM DRAWING NUMBER I I 4 { i A�-IpL"( oHINGI.l= RlX�TO � . 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P CoWMN N f ram_ P-AA-10-TKIM MDu647I1,46, I , i A}4G PA 4 r-r--cvjw j I , I I` OF Mqy�� i N n t (�t �2 1�� .{�.w f i r e 11 9n 1 2 ) I P.T. �; 1 o C_ � _ x �, 1I - II pr11G�iEL xl2 I SI 52 t=2 C l�Z AIM MF�SoAI r�-1� � A� M�JN'TW o 1: I LO 4zrnrP oUT a5 N>c� �R`{TD HbIG+rt�NAl�.. � 10 O 1JA►l �-(O N� G U fll .- � a coN Al lAG hGKEWr� 11Nl� Llv IOt7X x I!2"NAllb'�O �1A5T o Poo.3- 7 c) VRr�L T RU CT S ¢- - 1" ce1AR t.,&Tn,Gra- ��+?-t-PbTS cownNuoug�{ EGISll �nalJi.t�It�ct sIOTJ IIXvi« IM � SIRAp50p�1 �L�E3io(m R AI' i SIt7!✓ Off "�I JG L ,per 5/9'P IA.Aw cHog BOLT .Io 1 1,60 L-N G1 N-- u,t—,,0A, 02 3 z. O I •Q ' p JAM MTr--R.OAtzv N// 1-el�ptAM' , f I SCALE: fj `�I�1.11 APPROVED BY: DRAWN BY 1 DATE: / REVISED `t (2� 5 �L t R, �/ ttc Qtr► Y -p(�.'11A> - 3.�1 o S 6 8 8B Cd M pAG Ti✓D �I t` DRAWING NUMBER s 3 " a t� C 9' RVt PG s� $ PRNO`D 96 04d 43 E { LOCUS MAP SCALE I"=2000' P\ BK' S TT 19 50 -�a c�; — �,• ZONE RC S58o28'43"E 74.95 G0�5Fr / MINIMUM WIDTH= 100 FT. ����- p� S�-- �• MINIMUM AREA -43,560 SQ.FT. ASSESSORS MAP 207 PARCEL 129 AND 130 \ c��O ' y0�-'3F =rN '�'Por'¢" LOT' 3 SHAPE FACTOR 1 d' 4i�,`�rO �� ' OLGA E. FULLER Bi LOT 32A AND 32B= 18.45 ��� ^O�� 0�0 O' 2T — THOMAS C. WATERMAN LOT 31 ^0 a G0�lb, 0, (g$- '1 O�A LOT 33A AND 33B. 16.05 ARDITO FAMILY TRUST yL LC. 32290 D CTF, 91150 BK. 41T8 PG. 3919* �. '.���S� i3e A " I �°5 Op,O F4Gi.off 92 a� 3 gQ•FF,a� n� \°'�g .yam `�1 G��yO 'a_' , a a\'�\O 0 50 F( k �-/`�p0 g0 f Any��+' — �� �p3\O Oa\,O r SQ. 'l•�S� DO i ti - - Q �i0• u�u�w — VP \ a\Q: 6 '10 q^ ory; ts; �' \O�1f0�p 9� O• 50.23• A-3 — A 58. u 2.0 t%J LO PNO O a\ 58 7- SQ .� O 0 a V \, 45 -- Nr N %\\.52 �n ;. _ N 53°53'IO W R;� a �\p\.' 3 5a - - R'538.02 ce(S s3 v. PRIV. WAY HORSESHOE erg ss� \\o 00 \\3 54 � g (p ILO 2 v -bQ NEY w t o SO\\N S836 eK' rn PLAN OF LAND IN BARNSTABLE,(CENTERVI LLE) MASS . FOR MART E G. ROBBI NS, FRANCS D.a MARY E. MC SHEA E 1 JUNE 17, 1991 0 30. 60 90 r am y SCALE IN FEET 1"=30' CUMMAQUID SURVEY.INC. + 45 COLLIE LANE CUMMAQUID , MASS. I CERTIFY THAT THIS PLAN CONFORMS WITH _ . . ' THE RULES AND REGULATIONS OF THE REGISTER ' NOTE- LOT 32A AND 32B_TO;BE ONE LOT AND LOT 33A OF DEEDS. ,i AND LOT 338 TO BE ONE LOT. JUNE 17, 1991 1 .G 1-1' e APPROVAL UNDER THE SUBDIVISION CONTROL ��+`A A� .< REG. LAND SURVEYOR LAW NOT REQUI D D. 8 E. KELLEY DATE .. . •• �j ' BA NSTABLE PLANNING BOARD PLAN REF.- PLBK. 140..PG.33 c '