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Town of Barnstable
oF`m A Regulatory Services
Richard V.Scali,Interim Director
' BABNSTABM ' Building Division Tom Perry,Building Commissioner PC12-71 P
200 Main Street, Hyannis,MA 02601 IO2,-7/jv�
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT#C,2 d FEE: $
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less
Location of shed(address) Village
o..a -4
Property owner's name Telephone number
X IZ'
Size of Shed Map/Parcel#
1o1 114
Signature Date
Hyannis Main Street Waterfront Historic District? �h
Old King's Highway Historic District Commission jurisdiction? l�s�
If over 120 square feet,you must file with Old King's Highway 1
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30 —
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE
ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION
FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:110413
oF1HE> Town-of Barnstable *Permit#
F,xpires_6 montl rom issue
Regulatory Services.-, Fee,'
MASS9e� 1 9. � Thomas F. Geiler,Director 4_
Building Division "`
Tom Perry,CBO,. Building Commissioner,
200.Main Street,Hyannis,IVIA.026.01
-www town barnstable ma.us
Office: 508-862-403 8-
,, . . Fax 508.-790=b230
EXPRESS PERIYIIT APPLICATION - 'RESIDENTIAL ONLY ¢ S
Not Valid without Red X Press Imprint,.
Map/parcel Number AO?) 8 r., to�
0
Property Address 1ri J �.��� .� (J� ''I' • .
®.Residential Value of Work (4000 Minimum fee,of$35 06 for work.under;S6000.00
� .
r
Owner's Name&Address u i' �2 k✓ll06tiC,. l N
Contra¢tor'sName �• L - j"1OfAE'� Ai/yv��4=-, Telephone Number c6Y(a'3^f
Home Improvement Contractor License#.(if applicable) y .'
Construction Supervisor's License#(if applicable) % 3
1�0orkman's Compensation Insurance
Check one: FEB.0 9 X2012'❑ I am a sole proprietor
❑ I am the Homeowner
®; I have Worker's Compensation Insurance
`TOWN OF BARN8TABLE ±
Insurance Company Name
Workman's Comp. Policy# 1 r, 2(
Copy of Insurance Compliance Certificate must accompany;each°permit
i
Permit Request(check box).
Re-roof(stripping old shingles) All construction debris will be taken to c� .T. �J
❑ Re=roof(not stripping. Going"over, existing'layers of roof)
�] Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows
._*Where required: issuance of this permit does not exempt compliance with other'town department regulations,i.e.Historic,Conservation,etc.
i
***Note: Property Owner must sign Froperty Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE: i�raZ� i
I�
'Q:\WPFILES\FORMSUiiding permit formsTXPRESS.doc I
Revised 0701910
.r 3
The CCarmmortavt*dth ref MaKs ichusetts
Devartraent a, bidustrii d A cidermy
D r�ce r� '�nvesagadotu
IF hdfl WashhWon Street
Bostoq,MA 02111
nww mamgovlydia .
Wormers' Compe-nsaiian Insurance Affida BmEderstC -ontractors/Electiz cians(Ph mbers
Applicant Information _ Please Print L'bIv
N dual): g ,e/ 6Q'1fhhai'r
Address: Q Ss
CityfStat&z* S'°`• nr 1l, 6 Phme
Are you an employer?Check the apprapriste boom Type of project(required):
�- 4. I am a coatractcn and I` 6. �Nam*constrazcfion
1.9-I am a employer with ❑ €
employees{full andlacpart�time}.* have hired thesub-Cvntr2Ctors
2.❑ I an a solae proprietor orpartuer- listed on the attached sheet 7. ❑Remodeling
and have no i s Tie sub-contra Aors have P $_ D Demolitifln
we ddng forme in any capacity. employees and have wogs
o wodmrs' comp.insurance comp.insvratrce.l 9. Q Building addition
5. ❑ We are a corporatiflu.and its 10.❑Electrical repairs or additions
re a a homeowner. officers have esercased their,
3.❑ I am ome-owues doing all work1 l_❑Plumbing repairs or additions
mywJ±[No wor7mrs'camp. dgk of esemptim per MM- 12.❑Roof repairs
insurance required.]T c_132,§1(4),and we have no
employees-[No woriners' 13_❑Other
comp imu me a required.] .
;Any• ny wpliczxt that checks box#1:mmst also fill out the sec8an beLaae shaming�wa¢kets'tnbtpeasatian Pa�9 �
Y Homeoainen wbo subunit this affidavit indicating they are doing O wo*and thm hoe oWm&coaitm=rs most submit screw affidavit indicating sarh..
ors that check this boot mast attached an adefiflanxisheet shaming the name of the sob-amirmam and state whether or notibose mitties have
employees. If the mb canttacram have employees,they--st pouide their Wwkare comp.policy number.
I am an arinTlayer that is pray OWNr workers'conwensWiva insura ce for my ewplj Below is the poiiry and job sihi
irQfortuurrtian.
Insurance Company Name: �r '� ��� Gv�r✓ Tti,1
Policy#or-Self ins.Lic.#: Per Z«2 7 4 1 Expiration.Date:
Job Site Address: 'lZ �4 I.-��� c.-✓s-1 Cityistatezp: f'u-j-
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-75A of MGL c._152 can lead to the imposition of criminal penalties of a.
fine up to 51,500_00 andior one-year imprisonmert,as well as civil penalties in the form of a STOP WORK OR=and a tine
of up to$250-00 a day against the violater-. Be advised that a copy of this statement May be forwarded to the Office of
Investigatitms of the DlA for msurz r=ctweiage vedficatian.
I do hereby cardj� under the pains and penabies ofPedM7 that the infot na#ian proWded above is trace and correct
rate: 2-
Phone#: RO IM G ST1
OjyWai am only. Do not Wrr in this a ea,;b be completed by city sr tefou O i'ciaaf
City or Town• Pero ilUcense#.
Issuing Anthoritp(cu-cte one):
1.Board:of Health 2.Bualding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
b.Other
Contact Person: Phone#:
HOME IMP iMairs&Business Regulation
a ROVEMENT CONTRALTO License or re i
° Registration R g'stration valid for individul use only
145504. before the expiration date,
Expiration;..--2j �dt3 rYPe i Office of Consumer Affairs and B found If return to:
B.L. MOSHEy =3 Private Corporaho�;i 10 Park Plaza- usiness Re '
R CO�l�7T) C. '/ ! Suite 5170 gulation
Boston,MA 02116
BERT MOSHER a!
74 SEA
RSVILLE RD"' � r
S.DENNIS,'MA 02660' i 3 i
5— �
Unde ta
rsecretary
j Not valid without signature
BONT.tssarhusctts Dcpa►�rnent ol'•p
Irtl OfBuildinr• ublic $•
Construction Su ,. Regulatigrtti; •Itc t�
1rr
pervisor S .StarrtJ:il(1
License: CS SL 103433 peclalty Qr ense
Restricted t (.
° RF,WS pM r _
BERT MOSj tER
P`O BOX 113j
S:DENNIS
MA 02660
Commissioner`'• X Iration: 9/16/
P 2013. ;
Tr#: 103433
Sean T. McNulty
12 Kalmia Way
Centerville,MA 02632
February 9, 2012
Town of Barnstable Building Dept:
Hope you are well. Please accept this note authorizing B.L. Mosher Inc. to pull a roofing
permit for our home at 12 Kalmia Way in Centerville.
We appreciate your support. Thanks—have a great day.
"McNulty
er)
,X
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND.CONFERS NO RIGHTS UPON THE
ERTIf+ICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED
Y THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN
E ISSUING INSURERS AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
MPORTANT; If the Certificate holder Is an ADDITIONAL INSURED,the policy(iea)must he endorsed. If SUBROGATION
S WAIVED, subject to the terms and conditions of the policy,certain polioles may require and endorsement A etatemamt
n this certificate doom not confer rights to the certificate holder in lieu of such endorsement,
PRODUCER
Dowling O'noll Insurance Agency
Po Box 188D
Hyannis,MA 02WI
COMPANIES AFFORDING INSURANCE
COMPANY A GRANITE STATE INSURANCE COMPANY
INSURED
8 L Mashor Construction Inc
Po Banc 1131
South Dennis,MA 02660-0000
THIS IS TO CERTIFY TKAT THE POLICIES OF INSURANCE LISTED BILOW HAVE BEEN ISSUED TO THE INSURED NAMED APOVE FOR
THE POVOY PEMOD INDICATEQ NOT WITH6rANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER .
DOCUMENT WITH FMBPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE�AFFORDED THE
POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMrrS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS:
LTR Tree Or IIOtlRANOe FOLMN"BER FOUCYPROM DAW PaUMMFnATM OMI
A wORKERScOmPENFATION
D UPLOYENIKIeamr LIMITS
E PROPRUMN
PARTN1R61W=UT IVE
OFFICIRI AR!
INOC o Z=L❑ 2253878 12JOB12011 12/08/2012LCRY LlMlreHER
CCIDENT S 1.000.00Et`OLICYLIMB E 1,000,00
ISSAI&FACH EMFLOYgE OOO
09=jqvw1N OFOPERATIONSPOHIM15=119CAL
<.g
CERTIFICATE HOLDER 10ANCELLATION `
IRENE WAAS SHOULD ANY OF THE ABOVE DENROND POL IUCS ee CANCELLED eEF ORE THE
ENP RATION DATE THEREOF,NOTICE WLL BE DELWIRLD IN ACCORDAN OE
100 HLLBOURNE TERR WHTYTH5P0LICYPRW210NI
BREWSTER,MA 02631
AUTHORIZED REPwr=NTATIVE
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
d
Map Parcel Application # 70(161-1;))
Health Division / Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address
Village
Owner C r V I V Id re s Z LWM6
Telephone
r
Permit Request
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
roj
ect Valuation Construction Type
��L.ot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
i
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stove: ❑Yes ❑ No
Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn: O existing „0 ne c size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other R= , ?
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ "
Commercial ❑Yes ❑ No If yes, site plan review# ,
NO
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name � 'tom Telephone Number
Address r)- License #
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
'4 FOR OFFICIAL USE ONLY
APPLICATION#
f v I
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME 5
INSULATION ;
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
4
GAS: ROUGH FINAL
FINAL BUILDING O SIIS 1
{r DATE.CLOSED OUT
.t
ASSOCIATION PLAN NO.
Tap
c�. The Commonwealth of Massachusetts
,=•Y� -
Department of Industrial Accidents
- Office of Investigations
60.0 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LeLibIy
Name (Business/Organization/individual): (�
Address: c
Ci /State/Zi
tY P� . Phone #�
Are you an employer? Check the appropriate box: jbingrepaij
ype of,project(required):
1.❑ I am a employer with 4. 0 I am a general contractor
employees(full and/or part-time)..
-have hired the sub-contra ❑ New construction
2,❑ 1 am a sole proprietor or partner- -listed on the attached shee0 Remodeling
shipand have no employees These sub-contractors hav
0 Demolition
working for me in any capacity. `employees and have work
comp. insurancesBuilding addition
[No workers' comp. insurance P• ��.
required.] S: 0 We are azorporation and i ❑ Electrical repairs or additions
3. ZIafh a homeowner doing all work officers have exercised the0 ]'lambing repairs or additions
myself. [No workers' comp. right of exemption per MG Roof repairs.
insurance required.] tc. 152, §1.(4), and we have employees. [No workers' 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.
(Contractors that check this box must attached an additional sheetIshowing 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,
/am an employer that isproviding workers'compensation insurance for my employees. Below is thepglicy andjob site
information
Insurance Company Name: f
Policy#or Self=ins. Lic. #: Expiration Dater
Job Site Address: City/State/Zip:
Attach a copy of the workers'.compensatian policydeclaration pager(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.penalises in the form of a STOP WORK ORDER and a fine
of up to 3250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage yeFification.
1 do hereby tify under.the pains and penalties of perjury that-the information provided a ove is lr e and correct.
Signature: Date:
Phone#: '6
Official rise only. Do not write in this area,to be completert 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 Inspect6r S. Plumbing inspectoi
6. Other r
Contact Person: Phone R:
1
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual., partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than 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'pemtit 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 permiOicense 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 infofmation (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 homeowner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
office of Investigations
600 Washington Street
Boston, MA 02111
Te1�#.6177- 27-4900 ext 406 or,1-877-MASSAFE
Fax # 617-727-7749
Revised 4-24-07 www.mass.gov/dia
SHE Town of Barnstalyle
n-y.
Regulatory Services
ttnttxsTAaL.F
Building Thomas F. Geiler, Director
Division
g
Tom Perry, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.t6wri.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
I '
JOB LOCATION: i
tuber street villa e C
"HOMEOWNER": dvu, Q q
name home phDn&# work phone#
CURRENT MAILING ADDRESS: Ka,/-U -I
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 Ue
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 wifhr said procedures and
reg111r`�ments.,
Signature o omeown r_
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 )09.1.1 -Licensing of construction Supervisors);provided that if the homeowner cpgages a persons)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 ofa 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 un)icensed 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 ofhis/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities ofa 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
of Yip r�
RARNSPA.HLE. ` -
MAS& Town of Barnstable
9
Regulatory Services
Thomas F. Geiler,Director
Building Division
Thomas Perry, CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstabfe.ma.us
Office: 568-862-4038 Fax: 508-790-6230.
Property Owner Must
Complete and Sign This Section
If Using A Builder
I Y 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:
I� 1
(Address of Job)
Signature of Owner Date
Print Name
ff Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users\dccollik\AppData\Locaf\Microsoft\Windows\Temporary fntcmet Files\Content.Outlook\DDV87A?.Z\EXPRESS.doc
Revised 072110
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
t I
Map d Parcel ®0 Application # L
Health Division Date Issued
Conservation Division ;' Application Fee 1 ��
Planning Dept. Permit Fee Z �
Date Definitive Plan.Approved by Planning Board
Historic- OKH _ Preservation / Hyannis
Project Street Address �� /6- �� y
Village C2Allmut jl e
Owner CIA .4�J �� Address
Telephone 50 ` 35-3 0 4S y
APermit Request 100941 6 � )L. 31 , l�gQoonl� Swe4L&L,.t �li
Square feet: 1 st floor: existing proposed6 00 2nd floor: existing proposed Total new 600
Zoning District Flood Plain Groundwater Overlay
Project Valuatio 3� boo. Construction Type 5P e-( k4//f U/W',L Lf tee-
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family., 14 Two Family ❑ Multi-Family(# units)
Age of Existing Structure ) y2S Historic House: ❑Yes WNo On Old King's Highway: ❑Yes No
Basement Type: �3 Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area
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
ID
Central Air: ❑Yes ❑ No - Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name ipt(- 4gz) SEK)Izii Telephone Number ur�k ' 3a- 9 .77 g
Address 3`l/a`1h40) 5T License # d�3
r ' NST46�P; m ad Home Improvement Contractor# /0�,009
Worker's Compensation # GWL740E!Z75-01dW
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
7
I OV AJ
SIGNATURE DATE -�- /
t
r
FOR OFFICIAL USE ONLY
. -APPLICATION#
1 =DATE ISSUED
MAP/PARCEL NQ.-.,.<
ADDRESS, VILLAGE
f
OWNER
DATE OF INSPECTION:
f,,j'iFOUNDATION. (jarrilG
s
FRAME
f
. 'INSULATIOW!
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
-e'
GAS r asws ROUGH FINAL
a <
i- rFJNAL BUILDING ! :r u�
-.DATE CLOSED-OUT: ;
ASSOCIATION PLAN NO.
I �
i
T1re Comfrio'nwed lrc of lassdchusetts
• .Dep.drfrneril"of.Iidus Accz den es'
Offxce of rrtveSUff, doll
P 600..N�ash;ingfon S>reel
�130sorx; hL4 02X11 R<
Workers' Compensation Zns>zrance Affidavit; .$ui7c�ers/Cobtractors/�Iectricians/Plumbex
t Z,e 'b
�_ 1'.lease Prin _ _
Applicant Zn..formatton
Dame'.(Busin cis
slOrganizBtionllndividual):�itrl
kcl81e55:
• `Ci State/Zip: ,Pa✓5' ,C Oy � �' Phone #;�,J�� ,.3��_ ����;
Arc your �n employer? C>seck'the appropriate boz Type of proaec{(required):
! 4..[] .I am a general contractor and 1 6.o ❑ cw construction
1. 7 am a employer with 1
employees (fuLlandlorpartti=)I* Zia c hired tlicnib-contractors 7 " ❑Remodeling
lusted on the attaclicd sbcct ,
2. T art a'solo proprietor or partner ry -
Thcsc sab-contractors have g '� bariohizont
ship and ba:vc no cmploycts employees and have rvorkcr s ;n
9, Building Rddition
wort ing` for me in any capaczty. insurance#
[No workers' cor'ap. insurance Electrical repairs oT add
r�gaiircd] 5 [ We are a corporaflon and-ifs
3, 7'am a homeowner doing all'wo off7ccrs IAYc=cxcrcised their 1LQ Plvmbang.repairs of ads
kbt of.exemptim per MGL 1z;[1 Roof repairs
rays elf [No workers' comp. and we hayp no W
c, IS2 §1(4), 13,[] Other'
invnrancc raqurcd].f c to ccs ;[I�o wnrkcrs'z `
r .insurance rcgaYured]:`
r ltiy zpplicani that chacl�bax ffl mustalro'fil1 out the scction-bclow ihowing thcv wtorkcra'comp 4on Po}icy infon on
t ItomcowntrC w no submit this e$davit indicaling f5ep me doing a1]work and.thcn hire outside con tractors:snort subrNi n new a�daYitindiecfing Nc
tConiraetnrS iitiat ehoelC taut box trvrst`attachc t showing the name of fhc sub eontractars and rLi{c afiethcr.Qr not thosa tnfjtics hive
cn plo}�. if the rut-conlractnrs have cmplvyrL.thcy.mu rl pravf 66 thnr y workcrs'comp I
pollcynvmbcr
ram art etrtpfoyei Ofrc�lsprovtdwff,workers' evmpensalian cnsuraneeJor my.,employees Belott� 1s time pa iry arrdjo si
iAfDrm0:110lf
TnsvSaT]cc.amp ang14a or..
elf-ins,-Lze #:�/�'J 7d0J`i���L3/�,®/0xpirationbatL:
policy#`or S
�L� City/S17
tatc/Zip E'
Tob Sitc A-ddress '
t]]e oCtc number and expiration d,
1 itach a copy of the�vorlcers' corripensation"policy`declarationfpagey(slio'win� p �'
Failiars to sccurc.coYcrago,as rcc�urcd under 5cotion�5A'ofMGL c.;152 can Icad to°tlic zmpositian.of crimin al"p cnaltics
firm to 315,500,OO.andlor one-year uvprisonment; as well astcivll penalties in the foim of a STOaPD � $Roand
of up'to $250.OD.a"dad agiirist thq violator, .�c',adviscd that a copy
of this statLMcnt may by forty
lnvcsti aticns of fhc'b7A fo r,,nsrmcr covcra c vcr>35cation
I do'hereby ce un er.lhe preens and per allxes,ofperjury tItal.[he arifarrttalion pra{ided cCbbve rs ea
nal co]Te�G -
F x 'bait;:
'Si arias: /� .
Official use only Do not of in ilau.arca, l0 6e compleled by crly or town offietaL t
' Perrrut/LiFcense# � r
City or Tows;
IsstiingAutbority (circle one) M:
I, Board o{-Health 2, Building Department .3`,pCityfTo yca
.Clerk .4. EJecfrtc�1,Tnspectok 5 PJumbiog'Tnspec{or
p.
r
ra Laws cha ter 152 requires all employers to provide workers' cornpc ndcr a y co tract ooflh io,
Ong
a di
Massachusetts Gcncr 1 P crson m,thc scmc.r- of anoth
Pursuant to this.statute, an employee is defined as. ':..cY,rS P
express or implicd,.oral or wnttcn "
artncrsbi association, -corporation or otbcr legal entity, or any (wo or more
An emp Vyer is dtfincd as "an iudiyidual p P' aI tcprescntativcs of a dcccascd cmploycr, or the
of the farcgoing cngagcd in a joint cntLrprisc; and including tho.Icg c to ccs.panHowever Cbc
receiver oz tzusteo of an individual, parc'Ship, &Ssociation or other Icgal entity, employing �p Y
a dwcllin boost having not more tiian thtcc apartments and wbo residcs thor c w°o on such dwelling bousr
owner of g .
dwcl_ting house of anotbcr who c�ploys persons to do rnamtcnancc constru�4on or p
ds or bvilding`appurtcnant thereto shall not because of such employment be deemed to be an employer."
25 also stags that "every state or local licensing agency sha_l t�itbhold the issuance aT
MGL chaptcz 152, § C(� b.
reraePYal of a license '),.permit to operate a businesse of tom li nee vu-i-Idthcslris't-raIIC °en age rtequir C1
applicant who has 1rotp.roduced acceptable eyidenc p o fits olid.Cal subdivisions shall
AddttionaIly, MGL obaptcr 152, §25C{7)atatcs "Neither the conuctonwcaltltnor any P
enter•into any. Optrdct for•rhe performa-nee of public work.until acceptable evidence of'eomplience g2th the in vrncc
tcr have been proseatcd to the contz?cting authority.
requirements of this cbap
A,pplica.nts•
c orkcrs' co cnsation aff davit corziplotely, by chcch�ng the boxes that apply to your situation and,
Please fl.l out th w mP
nccess supply sub-contractors)namc(s), address(cs) and ph ono number hi atom with n cu�loyc s thcr the the
insurance, Limited Liability.Companies(LLC) or Limited Liability Paztncrskups (L
mombcrs or partnczs, azc notrcquizcd.to carry workers' compensation insurance, If ato n cPaLLC or LLP dots have
c loyccs, a.policy is requizcd
cd- B3 advised that this a$tdavitmay be sub nd date tlaeDaffida t nt c a�da�Of �sbould
Accidents for confijmatron of insurance coverage. Also be sure to sign
bo rcturncd to the city or town that the application for the permit:or)ico o c�s bring arc roquircd to obtain a vr�rnt of
Tndtistzial Aeeidcnts, Should you any questions regarding the law r Y
co cnsationpolicy,'PIecalltheDepa !entatthezturr}bcrl.istcdbelow., ScJfnsuredconxpaDiesshouldcntcrthcix
self-insuranFo Uccnsc number on the a ropzzatc lino.
Clty or Tq-ffp DMOals.
c urc that the affdaYit is.bon�plctc and printed legibly. Tbc De bottDra
epartment has proudzc aiding thcappli ant-
Plcasc b s •
of tho a:f�davit for you to fill out in the event the OfEco of lnvcstigations has to contact y n licant
Plcasp bo suze to fill in.the permit/ltccnsc number which will bYcn caar n cd as a only submicDGr tonP afdalvit indicating current
tbat roust submit mulAP)c perrnccnsc applications is tiny gr Y ,
ohcy jDforp�atlo-n(if Accessary) and undcr;'Job Sitc Address" tho aPPI d bt should
ho ci w rttown may b pro•y,d th, oz
P ,
tDw )."A cbpy of the ef�davit that has bccn off cially stamped or mar y
mo
Cd
aPP .
Licani as pzooEtbxt a valid affidavit is on file fox fututcpczznits or o�matcd fo any )n ss or cobmm�cialovcntuzc
ycar.•WhGro a hot�c owner or citizen is obtaining a]iccn.s c or p•crmrt n
(i c, a dog kccnsc or'permit to burn Iaavcs ctc.) said persoA is NOT required to cor�lctc this affidant
Tho Office of Investigations would hkc to thank YO
U in advance for your cooperation and should you have any questi ons,pleas') da not hcsitaf0 to giyc us.a call
The Department's address,`tclapbone-and fax number.
Tbb Common 'alth of M0a�s c ius�tts
Qf$c� of Lmvestigat .aAs
600 Washington Strict
) o�tQn, MA' 02111
TGI; # 617-727 4.SOQ ex'4.0�6 Rr 1-877-NASS.AFE
Fax# 617-727-7749
Rcyiscd 11-22-06` www.ma .S..goY/d�a
I -
°F YHE 1p��
'Ozx ofnsta�Ze
y Reg�x7ator 5ervrces
w uxxsrtn�e, Thomas F, Geiler; Director
Bu ing niv iiion"
to)
a
°Tom Perry,'.Building Cor7issi:orner
200 Main Street; Kyannis, MA. 02601
w,ww.to�vn•barnstable.ni�i:us
Fax: S08-790-
Ofce: .S08-862-4038
Property 0:arne Must
co•mplete ,anc 'Sigt' TI ds Section.
Cf Using-A B uild
Owiiet of the subject'topcfty
nl/Ge to act on my behalf,
heteby autho.t-ize r� /i� a ��9 G
in all ri titters relative. to work authotized by this building pertntt applicatiotl for,
(Addtess of Job)
g7atur o�fwa er ,
Date
Punt Name
Zf Property Owner is.applying for permit please complete the Ho'meo whets 1Jicetlse
Exemption Form"on th'e reverse side:
j.
•
Or
Town of BarustabXe
of 1Ne ref 1
Regulatory Services
Thomas F. GeiJer, Director
s,i>vvsrAsr�,
MASS. � Building Division
s67p• �m
µat" Tom Perry,Building Commissioner
200 Main Strcct, 'Hyannis, MA 02601
KrWjy.town.barnstable.ma.us
Fax: 508-790-6230
Office: 508-862-4038
_ — F301ZEOwN> R LICENSE EXEWTION
f' plcnse Print
DATE:.
JOI3'LOCATION: street Yillage
number
1140MEOWNER": oncN work phone>K
home ph
namo
CURRENT MAILINO ADDRESS:
stale rip code
city/town otivner-oc—u iccd d� cllin s of six units or Jess and
The current exemption for"home owners was cxtendc include� t• _- --
to allow homeowners to engage an individual for hire who does not possess a license, ro 'ded that the owner ects as
Superyisor. DEk'WITIDN OF HOhJFOWNER
' s Q azcel of land on'whichhe/she resides or intends to reside, on wh���.e£� ti-uctures,dA to .
porsoa(s)•who own p. ry be; a one or two-family dowcltJlin ,an pi chcde m atacbrd tK,o ycax per1odssha11 not beocon idcrad,a homeowner. Such
person who constructs rn tl
"homeowner"shall submit-to the Building Official on.a form acc{pt ble ton1109 )Building Official, that he/she shall be
res onsible for aJl such work crformc,d under the buildm crrru
e undersi ncd "homeowner" assumes zcsponsibility for compliance with the State Building Code and other
Th g
applicable codes, bylaws, rules-an d regulations.
blc
Th•o undersigne d "homeowner'' certifies thal he/she understands the Town of J3tsa Broccdurgesand Went
miniTlll]111 inspection procedures and.rcquizcmcnts and that he/shetiill comply wtth id P
requirements,
Signature of Homeowner
A royal of Building Official with thr,
PP 1 lYl
• cr will be required.to comp y
Note; Threc-fam'ly dwcllings containing 35,000 cubic fcct or)arg
on Control.
State Building Code Section 127.0 Construc�OMEDWNER'S EXEMPTION
-mil
erforming work for which, building pert is required sha11 be exempt from the provisions
The Code slatq lhaL' "Any homcowncrp
crson s for•hirc to do such
.I -Ubensing of construction SuperYisors);provided that if the homeowner cng ages a P
of this section (Section log')
work, lhal.such Nomco`,mCr shall nct as superYisor." particularly
Many h omeowncrs who use this exemption arc unaware that they arc assuming
lack. the nccsooften rcru)tsf in scriosproblcrru,pxrt. Q,
Rules &*Regulations forLieenring Construction SuperYisorr;Section 2.IS) This
when the hoincowncrhires unlieenied persons.oIn is ultimatdyrcBponsibinnot proceed against the unlicensed person as it would H�[h been
Supervisor. The homcownsr acting as SupeMs r
To ensure that the homeowner is fully aware os ornanbr r ss ofsa SuI ,.or,y0n the last upagc of Lhis&ssus is o atform he currsntlyil 'uscd by
tha.rthe homcowncr ccrttfy that hdshc undcJslands the rfs r:riificalion for use in your community.
12/9/2010 8 : 52 : 03 AM 8935 ® 02/02
DATE(NQv1/DD/YYY)
CERTIFICATE OF LIABILITY INSURANCE 12/09/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS SO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DUBS HOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE DF
INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(9), AUTHORISED REPRESENTATIVE OR PRODUCER, AND THE
CERTIFICATE HOLDER.
IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy(iss) 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 endorsamant(s).
PRODUCER CONTACT .
United Insurance Agency Inc PA:
PO Box 1013 (A/C.Re. ftt): (A/E.ED):
a-NAD.
Buzzards Bay, MA 02532- �E,�s
CDETDaER IDA.
IRSORRO(S) APTDRDING COVERAGE BEIC 9
INSURED - - IHSURSR A:A.I.M. Mutual Insurance Co
Richard T SenoskiH
3413 Main Street IDSUM C:
Barnstable, M 02630-1234 IDSUM 8:
INSURED E:
INSURER P:
COVERAGES CERTIFICATE NUMBER: REVISION HUNIDER:
THIS IS TO CMT37Y THAT THE POLICIES OF INSURANCE LISTED BELOW HAGS SUN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING MY REQUIREMENT, TEEM OR COEDITION OF ANY CON'1R,ACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C3MT33rICATR MAY BE ISSUED OR.MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCH--HBBSTs IS SUBJECT TO ALL THE TERM, EICLUSIONS AND CONDITIONS OP SUCH POL=XES. LIMITS SHOWS
MAY HAVE BEEN REDUCED BY PAID CLLUM.
ine POLICY NUMBER POLICY EPP POLICY PIP - LIMITS -
cti TYPE OF INSURANCE tKA/DDRrrnM (mv®/rTTT,
GENERAL LIABILITY SAOM DCCURARCR H
❑CCWERCIAL GENERAL LIABILITY DnIDGE TO am= B
., ❑❑CLA1M8 11AD8 ❑OCCUR PREEISES(E..ecDO wo)
EED an, (Any one Pezeon) H
PERSOEAL L ADV INAURY 8
6 GEWL AGGREGATE LIMIT APPLIES OR: - GERSRAL ROGREOATE B -
POLICYPROJECT F]LOC L PRODUCTS-CURD/OP AGO B
H
AUTOMOBILE LIABILITY COtBIMD SINGLE LIMIT
(ea acdident) E
DAFT AUTO
BODILY IBJU$y (88i BenWt) H
❑ALL OWNED ADIOS
❑SCHEDULED AUTOS - BODILY IRTM(Rar aooident) E.
MIAGE
❑HIRED AUTOS - - - PROPERTY:(Der..Idm-t)
t) S
111TON-OWNED AUTOS -- - E
g
i
BBRELLA LIAR OCCO0. RAM OCCVHREOCE - 6
❑SYCES.LIAB CLADCM MADE - AGRREGATE B .
8
DEDUCTIBLE
DESTODTIOv 9 0
WORKERS CoMPEHSATIOH +Tan- orw
AND EMPLOYERS LDIBILITY Tva IJnTs
THE PROPRIETOR/PARTNERS/ E.L.EACH RccmENT 6 500,000
EXECUTIVE OFFICERS ARE
A
❑ Intl ® excl 7005575012010 E.L.DISEASE-POLICY LIMIT E 500,000
11/1a/aolo 11/1�/2011
E.L. DISMWSE-EA EMPLOYEE H 500,000
CONKENTs DESCRIPTION OF OPERATIONS OR LOCATIONS: ,
ALL MEMBERS ARE EXCLUDED FROM THE WORKERS'CONPENSATION POLICY.
-'= iViassachusetts- Depu►tmcnt ol•PUhlic Safeh
Board of Buildin'� Regulations and Standards .Construction Supervisor License
Licenser CS •9635
Restricted to:, 00
RICHARD T SENOSKI
3413 MAIN ST
BARNSTABLE, MA 02630
Expiration: 7/26/2011
(unlmisiuner
— ------ Tr#: 17836.
HOME IMPROVEMENT•CONTRACTOR
Y Registration: 106009 Type:
° Expiration: 1'/2012 Individual,
- i
D T.SENOSt�
i L
Richard Senoski 1 ;
341$MAIN ST.
l
BARNSTABLE, MA 0263 4.
} Undersecretary
•
License or registration valid for individul use only
before the expiration date. If found return to: -«
Office of Consumer Affairs and Business Regulation
10,Park Plaza-Suite.5170 I
Boston,MA 02116 � t
j
I Notval _ without signature
For swimming and other child safety gates,most safety standards specify the NAGNMLATCH'
following minimum height requirements above the finished ground/fixing surface:
1) latch release knob`F at minimum 54"-59" (1370-1500mm); 2)fence height of between 4' &6' (1200& 1820mm)
Always confirm these and other requirements with the appropriate pool or.safety authorities in your area and install this latch in
accordance with the local fence/barrier codes and regulations.Also,pool gate must open outward,away from the pool,so this latch
must be fitted to the outside of a pool gate.Tools:Electric and cordless drills,drill bits,Phillips No.2 screwdriver(hand&powered .
types).Note:If mounting to steel or vinyl with aluminum or steel inserts,it is advisable to pre-drill the holes to prevent screw breakage.
Installation Procedure SZ
1.The gap between gate frame and latch post must be between'/s"(l Omm)and 1'/16'(37mm);3/4"(19mm)is ideal.
2.Determine the location of the hole for Mounting Bracket'A'by measuring up from the finished ground/fixing surface... F
•for 54"knob height measure up 361/8"(925mm); •for 59"knob height measure up 413/e"(1050mm).
Place Mounting Bracket'A'on the post as shown,and,using one of the 1"(25mm)wafer-head,self-drilling screws,fix the
bracket to the post—through the side fixing hole.Now install two more of these screws through the front of the bracket.
3.To install Mounting Bracket'B'measure up from Bracket'A'INC(340mm).Mark this point and fix as,'2'above..
NOTE.•For 4 feet(1200mm)fences without an extra-high post,this measurement should be 5"(115mm)for 54"knob
height and 10"(250mm)for 59"knob height
Place the Bracket'B'so that the holes are centered on the marked line.Fx bracket using the same screws as per
Bracket'A'.(NOTE-In some applications it may be necessary to add a spacer to clear a post cap.Spacers Sl,S2&
S3 are for this purpose and should be inserted behind the mounting brackets during installation.) i
4.Take the main LAKH BODY T and slide it down onto the Mounting Bracket'B',ensuring the rear track
of the latch slides over brackets'B',then'A'.
5.Slide the Latch Body until the bottom of the latch aligns neatly with
the lower end of Bracket'A'(see dashed line'l1.Take the single
3/s"0Omm)countersunk screw'H'and secure the Latch Body— ! B st =
DO NOT use a power or cordless drill—to Bracket'A'.
_
6.The final part to be installed is the STRIKER BODY'D'. ,
Nate that the Striker Body slides on a dovetail track within the
Mounting Plate(PI,P2)and is operated by an internal adjustment E
screw,NEVER use a powered drill to adjust this screw. a
See Diagram T.Locate the Striker Body assembly onto the post as CFI. s2
shown.Position the Striker Body to obtain a'/e"(3mm)gap
between the lower part of the latch and the top of the Striker Body ;
as shown.Maintain this gap and fix two 1"(25mm)screws through MouNTI,e L
the two main holes of the Striker Body.The two,small(cylindrical) E PLATE (pt) I
dress plugs supplied should now be pressed into the screw holes. N o ( ) Horizontal
7.a Open the gate and secure two more screws through the side AdluStment
leg o the Mounting Plate.Note:If the width of the gate frame is r
11/2"(38mm)or greater, follow step b)... a a STRIKER BODY
b)With the gate open,adjust the Striker Body using the d
screwdriver in the adjustment screw.Turn counter-clockwise until the �, y (Gate Stop)
two holes are exposed,as in Diagram'(P2)'.Fix the two remaining
screws to secure the Mounting Plate.
0 0 W
8.Use the screwdriver to adjust the Striker Body to align with the Y Y GAP .
Latch Body,as shown in Diagram T.Open and close the gate to N LO ❑
check the latch operates correctly.Adjust as necessary at any time LL 0 (3mm)
after installation to ensure safe operation of the latch. E
NOTE•Future vertical adjustment of the latch can be achieved by
removing the screw'H;sliding the Latch Body up or down the post to
obtain correct operational alignment, then inserting the screw into the appropriate hole.
Made in Australia MLINSTR0002PA
da AUSTRALIA:192 Harbord Rd,Brookvale NSW 2100 , •pk-ml/fl1 (5/01)001
id i�e E Lh�o L o g e s USA:7731 Woodwind Drive,Huntington Beach,CA 92647
Swimming pool fences,gates and latches cannot substitute for adult supervision.If using this latch on a swimming pool gate,consult all appropriate local authorities for safety requirements.The
latch will operate properly only if installed and maintained in accordance with these instructions.
MAINTENANCE: REMOVE KEY FROM LOU AFTER USE.Regularly lubricate the key-lock part of this latch by spraying oil-based lubricant into lock.Do not lubricate any other part of the latch.
Ensure all screws or bolts are tightened firmly and that the release knob[F]and latching bolt are kept free of sand,debris or ice which could impair latch performance.
WARRANTY&LIMITATION OF LIABILITY:The products are warranted to be free of defects in materials and workmanship to the original purchaser for as long as he/she owns the product.
If a structural material defect appears,the original purchaser may return the item,freight prepaid,together with proof of purchase to the company or its approved international agents.The company
or agent will,at its discretion,repair or replace the defective item or part without charge to the purchaser.Anodised,powdercoated and printed finishes are not"structural material"and warranties
02/22/2011 10:01 5083629779 RICK SENOSKI PAGE 02
FALLON FENCE INC
PROPOSAL
RESIDENTIAL&COMMERCIAL
WOOD • CHAIN LINK • PVC
CUSTOM FENCES=FREE ESTIMATES
Office 508.420.2817
FAX 508 420 2339 PO Box 276
);rtrail � ��c^�coall�agf ttr:t -Centerville AAA 02632
TO
Sean MeNulty 5081353-0954 111411.1
32 Kabida Way Phone Date
Centerville,MA. 02632
.lob Name/Location
Same ..
We hereby propose to furnish the materials and perform the labor necessary far the completion of
• Option A;30 ft.of 5 fL high decorative aluminum with triad tops ou pickets,also consisting of 1-8 ft.wido double gate as
weu as l-4 ft.wide walk gate.---------- $2,911.05 (Colonial Alimititup)
• Option B;Some scenario as above with Specrail aluminum product.$
• Approx.97 ft of 4 ft high black chain iittic with 1 1/4 pool fabric.---
All gates and fence to meet poolcode requirements
WR PROPOSE hereby to furnish rnawials and tabor—,complete in accordance with the above
specifications for the sum of: Dollars(S See Above)
PAYMENT to be made as follows:
50%deposit upon acceptance of proposal
Balance clue upon completion
All material is guaranteed to be as.specified. All work to be ornapleied according to standard practices.
;Any ahepaion or dgvia6on from the above spccifmWons involving extra costs will be cuculed-only upon
written orders.and will become an es*z Charge over the above estimate.All agreements contingent upon <
swkes,amides or delays beyond our control. Qwner to aury fire,tornado.and other necessary insurance.
Our workoem are tally covered by Worbnan's Compensation lasursom
)amen Fallon -
Authorized Signahue
Note;This proposal may be withdrawn by us if not awoptal within 30 days.
AC'C EPTANCE OF PROPOSAL—The above pricers,specifications,and conditions are satisfactory and are hereby accepted. You ase
authorized to do the work as spaded. Psymcat will be made as outlined above.
y
Date of Acceptance; X X
Signature
Signature W.w
f
PoolTrends PTSL03 Sentinel Alarm System for Pool Gate,Pool Door,
or Window
Honevwell/Ademco Product DIY Security System €`
Call Watchdog for Free Help!Cheapest Prices and A DIY Home Security System that is Simple, -
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f Sentinel Gate Door Window Alarm System
Sentinel complies with United States and local barrier
alarm codes
1 Easy to install and operate
Convenient single button pass reset operation
" Auto battery chirp
Product Description
From the Manufacturer
Pool Alarm
Product Description
Sentinel pool Gate,pool Door and Window Alarm.Sentinel complies with U.S.State and Local Barrier Alarm Codes.Easy to install and operate.For all wooden,and
metal gates and sliding glass doors.Convenient single button pass/reset operation.7-second delay allows for adult pass-through.120 d6 alarm siren-minimum 95 d8
at 10 fleet.Auto low battery chirp.All hardware included for gate,door or window mount.Listed by ETL to UL 2017.Water-resistant.Always on device as required by
barrier codes.Can be manually reset or will automaticallyreset in 3 minutes to continue siren.Alarm goes off immediately when triggered as
Operates on one 9 volt battery(not included). required by barrier codes.
r - ,
TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION
Map Parcef``l fs Aa Application # Q �
L,,.
Health-Division 'Date Issued 4 ZZ
Conservation Division Application Fee
Planning Dept. t Permit Fee.
Date Definitive Plan`Approved by Planning Board b,
Historic OKH _Preservation /Hyannis f
f 4
Project Street*,Address ,
Village j + _
O 2 C ress
Owner 1
Telephone
Permit Request I 16 I kit. ve C J'O
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
t
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family-_❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing L
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
:p 4
Detached garage: ❑ existing ❑ new size Pool: ❑existing ❑ new size _ Barn:,❑ x i sting D:hew jze—
Attachedd garage: ❑ existing Ll new size _Shed: ❑ existing ❑ new size _ Other: ;
,3
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
. cry
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION-
(BUILDER OR HOMEOWNER)
�ilqame MPJN�� !� Telephone Number
Address G ,I, License#
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE U DATE U'
FOR OFFICIAL USE ONLY
x
APPLICATION#
DATE ISSUED
MAP/PARCEL N0.
ADDRESS VILLAGE
OWNER _
DATE OF INSPECTION:
FOUNDATION W k,
A FRAME 05 c2> 912,3)1 o
INSULATION
FIREPLACE
k ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
�R
GAS: ROUGH FINAL
FINAL BUILDING ® l Q N
DATE CLOSED OUT
r
ASSOCIATION PLAN NO.
I
„ . The Commonwealth of Massachusetts
Department of Industrial Accidents
�-: Office of Investigations
600 Washington Street
Boston, MA 02111
y www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
rApplicant Information Please Print Le ibl
Name (Business/Organization/Individual): \/Ot,
' L
Address: �N I YY) I A
City/State/Zip: ��� � , I Phone
Are you an employer?Check the appropriate ox: . Type of project(required):
4• I am a general contractor and I
1:❑ I am a employer with 6 ❑New construction
- employees(fiill'and/or-part-time).* have hired the sub-contractors _ _.., __ ._.:. __ _. .. ...
2.❑ I am a sole proprietor or partner-.
listed*on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g• ❑Demolition
and have workers'
working for me in any capacity. employees9. ❑ Building addition
[No workers comp. insurance.$comp. insurance 10.0 Electrical repairs or additions
�equired.] • ❑ We are a corporation and its
3:❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
right of exemption per MGL
myself. [No workers comp. 12.❑'Roof repairs
"`"���/// insurance re uired. t c. 152, §1(4),and we have no
required.) 13.❑ Other
employees. [No workers'
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 thepolicy andjob site
information
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address:. City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator.:Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
L do hereby c ' under the pains and penalties,of erjury that the information provided abo a is true and correct.
Si nature. . 4 �,JAAi
Date: �✓
Phone#:
Official use only. Do not write in this area,to be completed by city or,town official
City or Town: , Periiiit/Lice 'se
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#:
ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR
ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION, (796 CM'R 61.00)
Applicant Name: s I. Site Address:
print
tt Town: w
Applicant Phone: 1. 1
Applicant Signature: Date of Application: Lop
PP g � . �— �---
NEW CONSTRUCTION: choose ONE of the following two op bons
780 CMR TABLE 6107.1
PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR
NEW ONE- AND TWO-FAMILY BUILDINGS
MAXIMUM MINIMUM
Ceiling or Slab
Option 1: Basement
Fenestration exposed Wall Floor Wall Perimeter AFUE HSPF SEER
U-factor floors R-Value R-Value R-Value .
R-Value `R-Value and Depth
• National Appliance Energy
R-10, Conservation Act(NAECA)of
35 R-38 R-19 R-19 R-10 4 ft. 1987 as amended,minimums or
greater as applicable
Note: This form is not required if you choose either of the two versions of REScheck as listed below.
Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed
(780 CMR 6107.3.2
.R REScheck--Web which can be.accessed at http'://www.energycodes.f ov/rescheck/
ADDITIONS OR ALTERATIONS,TO EXISTING BUIL,DINGS.OVER.5 YEARS OLD*
*Buildings under 5.years old must use option#1 or#2 in New Construction section above.
Complete the following formula to determine the % of glazing: ti
(a) Gross WaII & Ceiling Area equals Formula: (100 x b- a)
3
100 x — — % of glazing
(b) Glazing area equals SF _ a
If glazing is:< 40%° use the chart below. If glazing is > 40.0/d proceed to "SUNROOM" section
780 CMR TABLE 6101.3
PRESCRIPTIVE ENVELOPE COMPONENT,CRITERIA ADDITIONS TO EXISTING
LOW-RISE RESIDENTIAL BUILDINGS
MAXIMUM MINIMUM
Ceiling and Slab Perimeter
❑ Wall Floor Basement Wall R-Value
Fenestration Exposed floors R-Value - R-value R-Value
U-factor R-Value and Depth
39 R-37 a R-13 R-19 R-1.0 R-10, 4 feet
a- R-30 ceiling insulation may be used in place ofR-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—An addition or alteration to an.existing building/dwelling•unit where the total
0 glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the t �.
addition.
Note: Owner to fill out Consumer Information Form (found in Appendix 120.P)-
ttV�l4 '#'ti i1FS«alrGulq� f *W t`kd, t
- r } � �= t� <+'•'T� ���� � r a • ? �• ,.
o*'T t
Town of Barnstable
Regulatory. Services
Thomas F.Geiler,Director.
BARNS'rABM
"'1639. Building Division
ATED MAr A ,
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.towii.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
' HOMEOWNER LICENSE EXEMPTION,
Please Print
DATE:
F / q
JOB LOCATION:
number stre village
"HOMEOWNER": _S3,.r
name home hone# work phone#
C Z
:L
CURRENT MAILING ADDRESS: Lei WbuA
i -
2. 11-V I� ,
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
bey 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, 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
require 'ents. t
Signature of Homeowrrer
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:\WPFILES\FORMS\homeexempt.DOC
°*THE Town of Barnstable
°^ Regulatory Services
s MAS& E$` Thomas F. Geiler,Director
z6gq. p10
E
r Building Division
g
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for.
(Address of Job)
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:O W N ERP ERM I S S I ON
t =ya
t
f �
'9 yy�S
}
e
r`� n
ra
12 Kalmia Way,'.Cent. } 4 4/6/2010
/ I
IT
12 Kalmia Way, Cent: 4/6/2010
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It Ile
47-77
12 Kaln is Way, Cent. . 4/6/2010
.. •1`
12 Kalmia Way, Cent. 4/6/2010 -
�✓P� ��G AS . Q ,� �� � �eM�� �,n�5
I� � ,�1'✓�- �ns D�Lc-�� Uhl . I U-r-5 .
i
Town of Barnstable -
FtTti Regulatory Services
o�
Thomas F. Geiler, Director
• BARNSTABLE. i
t Conservation Division
Y� s639. `fig'
Robert W. Gatewood, Administrator
200 Main Street,Hyannis, MA 02601'
E-mail:conservation(@town.bamstable.ma.us
Office: 508-862-4093 Fax: 508-778-2412
Massachusetts Endangered Species Act Regulations
Important changes to the MESA regulations took effect on July 1, 2005. Project
proponents must now file project plans with the Natural Heritage & Endangered Species
Program for proposed work within Priority Habitat regardless of the presence of wetland
resource areas. It appears that your project is within Priority Habitat and therefore may
require filing with NHESP. For more information please visit www.nhesp.orl; and click
on the Regulatory Review tab. There you will find filing requirements, filing fees, a list
of exemptions and other important information. You can speak with a member of the
review staff at(508) 389-6360.
To avoid costly delays and the potential for criminal and civil penalties, please
determine whether you need to file with NHESP before you begin work.
You may view a hard copy.of the Priority and Estimated Habitat maps in this office or
view them online at www.mass.gov/dfwele/dfw/nhesp/nhregmap.htm . You may also
submit an Information Request with NHESP for a list of species associated with the area.
This will allow you to design the project to avoid or minimize the impact on rare species.
Q:/WPFiles/Forms/MESA.doc
,TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 189 Parcel 1 !9 00 L4 Permit# n?�6 ML 9
Health Division Date Issued
Conservation Division Application Fee =J v 00
Tax Collector Permit Fee
Treasurer.
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address i2 144-1 ,.G Lk14
Village �i�, �,��j'� I'� DZ 2
Owner Address &—a
Telephone 6Z2) -71 1 - 3 S 3 S"
Permit Request �7 i _ .t i
Flk t4u,:�, 1 j dbt Ctnu-tcling, 11,,riln 1'.1wo.- &-w d,!� r-,00")
Square feet: 1st floor: exist ng_ proposed q4 t, 112nd floor: existing Ci n proposed S-y 0 Total new T-O
Zoning Districtt� I Flood Plain Groundwater Overlay 3 I
Project VAfuationLc Construction Type -A dots-h cv►
Lot Size 2p-- G I L zk Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
r�
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) ,.
t
Age of Existing Structure 1-1 &4 r Historic House: ❑Yes )�No On Old King's Highway: ❑OMS &No
1 7
Basement Type: ,4 Full ❑Crawl ❑Walkout 0 Other
Basement Finished Area(sq.ft.) !i 90 Eg Basement Unfinished Area(sq.ft) ,b 4
Number of Baths: Full: existing 2 new i Half:existing newer ""''�'
Number of Bedrooms: existing ;3 new
Total Room Count(not including baths): existing r new +1 e60 1First Floor Room Count
Heat Type and Fuel: )(Gas Cl Oil ❑Electric ❑Other
Central Air: ❑Yes WNo Fireplaces: Existing _ New -- Existing wood/coal stove: ❑Yes _lo
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:O existing ❑new size
Attached garage:X existing ❑new size 22iA Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes XNo If yes,site plan review#
Current Use r Proposed Use ?kX r Jig, 4., 4
BUILDER INFORMATION
Name. ieY14 a ka Telephone Number,
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM HIS PROJECT WILL BETAKEN TO
ff
SIGNATURE DATE Ci Z on-7 s
0
o- -
FOR OFFICIAL USE ONLY
IPERMIT NO.
DATE ISSUED ;
1 IAP/PARCEL NO.
i
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION IZ��
FRAME®����`� IC' `� jo�19�61 U 1�30 IJ�
INSULATION c;k 013®/W7
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
•t
f DATE CLOSED OUT
ASSOCIATION PLAN NO. ,
s,tHE Town of Barnstable
>°��
Regulatory Services
sAxxsrABLE Thomas F. Geiler,Director
MASS.
p,039.,a``� Building Division
~ Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
PLAN REVIEW
Owner: C Map/Parcel:
Project Address Builder: L,O�� —
The following items were noted on reviewing:
O ddXo el rrbe_ fro tii e Ib
® L\eeA A aym . S\V\eRIs e%N q, h eiz:.f-A ��b � f
I I
ire -vott�� (40bd' e.�1�N �� 0.rcL. e -6 �ic�e��►h� ��
_
\
s-T� are.
OiPc or k0-,rr,evP ftee ctd.Aer ���b �
e-4 1-. Lkrude 1,c
Reviewed by: Lek+ �nesSci5
�
Date:
Q:Forms:Plnrvw
Town of Barnstable
FtHe rays - ,
N
Regulatory Services
OMWSTABLE, Thomas F.Geiler,Director
MASS
9$A a � Building Division
rED NIP'
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Fax: 508-790-6230
Office: 508-862-4038
Permit no:
Date
AFFIDAVIT
HOME MoROVEMENT CONTRACTOR LAW `
SUPPLEMENT TO PERMIT APPLICATION
142A requires that the
MGL c. "reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied .
building containing at least one but not more than four dwelling units or to structures which are adj acent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. nn
Estimated Cost
Type of Work:
Address of Work: "
Otivner's Name J�iu l F _
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s): -
FlWork excluded by law
i❑Job Under$1,000
[]Building not owner-occupied
NOwner pulling own permit 4 ,
Notice is hereby given that; RED
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITHGNT WORK O NOT HAVE
CONTRACTORS FOR APPLICABLE HOME EURO
CONTRACTORS
C THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL'c,142A.
ACCESSIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date
Contractor Name Registration No. .'
' OR
Date Owner's Na
. Q:forms:homeaffidav •' L
Town of Barnstable
ViE
y o� Regulatory Services
• Thomas F.Geiler,Director
+� 13ABNSTABM
MASS.19. Building on Divisi
9� s6;q .�� '
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTIQN
( r PleasePrint
DATE: 1 i�'_ I•?19��] n
JOB LOCATION: C41-1, t, AA A Ia
number treet village
"HOMEOWNER': Sao 65-0✓)
name or home phone# work phones e,#
CURRENT MAILING ADDRESS:
a2 t-?2-
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-
s_pervisor.
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
respo med undenhe building vermit_(Section 109.1.1) ,
The undersigned"homeowner"assumes responsibility for compliance with•the State Building Code and other
applicable codes,bylaws,rules and regulations..
5eqr
undersigned"ho eowner"certifies that he/she understands the Town of Barnstable Building Department
inspectio roce ures and requirements and that he/she will comply with said procedures and
ments.
ature of omeowner .
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 bomeowners 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 lank 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 '
Permit Number ,
REScheck Compliance Certificate Checked By/Date
. 2000 IECC
REScheckSoflware Version 3.6 Release 1
Data filename: C:\REScheck\MCNULTY.rck
PROJECT TITLE:ADDITION
CITY:West Dennis
STATE:Massachusetts
HDD:6137
CONSTRUCTION TYPE: Single Family
WINDOW/WALL RATIO: 0.10
DATE: 04/24/05
DATE OF PLANS: 04/25/05
PROJECT DESCRIPTION:
THE McNULTY RESIDENCE
12 KALMIA WAY
CENTERVILLE,MA.
COMPLIANCE:Passes
Maximum UA= 164 .
Your Home UA= 153
6.7%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter -Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 540 30.0 0.0 19
Wall 1: Wood Frame, 16"o.c. 1000 13.0 0.0 74
Window 1:Vinyl Frame:Double Pane with Low-E 63 0.350 22
Door 1: Glass 40 0.330 13
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 546 19.0 0.0 . 25
COMPLIANCE STATEMENT:.The proposed building design described here is consistent with the building plans,
.specifications,and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000.IECC req ' e ments ' S checkVersion 3.6 Release 1 (formerly MECchecl and to comply with the
mandatory requirement sted in t checkInspection Checklist.
Builder/Designer Date
REScheck Inspection Checklist
2000 IECC
REScheckSoftware Version 3.6 Release 1
DATE:04/24/05
PROJECT TITLE:ADDITION
Bldg.
Dept.
Use
I ,
Ceilings:
[" ) 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.350
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? [ ]Yes [ ]No
Comments:
Doors:
[ ) 1. Door 1: Glass,U-factor: 0.330
Comments:
Floors:
[ ] 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation
Comments:
'Air-Leakage:
[ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly
with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a
3"clearance from insulation. .
f
Vapor Retarder:
[ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors.
Materials Identification:
[ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions.
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided:
[ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
G�1
Duct Insulation:
[ ] I Ducts in unconditioned spaces must be insulated to R-5.
Ducts outside the building must be insulated to R-6.5.
Duct Construction:
[ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives),
mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181A or UL 181B.
Exception:Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in.w.g.(500 Pa).
[ ] I The HVAC system must provide a means for balancing air and water systems.
Temperature Controls: .
[ ] - Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Service Water Heating:
[ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the
water heater has an integral heat trap or is part of a circulating system:
[ .] Insulate circulating hot water pipes to the levels-in Table L
Circulating Hot Water Systems:
[ ] I Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20%
I
of the heating energy is from non-depletable sources. Pool•pumps require a time clock.
Heating and Cooling Piping Insulation: .
[ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 T must be insulated to the
levels in Table 2.
�1
Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non-Circulating_Runouts Circulating Mains and Runouts
Temperature(Fl Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2"
170-180 0.5 1.0 - 1.5 .2.0
140-160 0.5 0.5 1.0 1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Pining System Types Ran e F 2"Runouts 1" and Less 1.25"to 2" 2. "to 4"-
Heating Systems
Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0
Low Temperature 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems,
Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 .
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
The Commonwealth of Massachusetts '
Department of Industrial Accidents
Office of Investigations
' 600 Washington Street .
Boston,M4 02111,
wi•vw.mass.govldia
Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organiiation/ludividual): M=�'� t"
Address: t. (..,,,
City/State/Zip: i 0,U,%,CL' t''1rA• O Z(, Phone.#:_ 39"3�—
Are you an employer? Check the appropriate box: ;Type of project(required);
1;❑ I am a employer with 4. ❑ I am a general contractor and I '
•employees(frill and/or part-time).* , have hired the sub-contractors 6, ❑New construction .
2.❑ I am a''sole.proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling
ship.and have no employees . These sub-contractors have g, ❑Demolition
working for me in any capacity, employees and have workers'
insurance$' 9. ❑Building addition .
[No workers' comp,in coinsurance p•
,(required.] 5: ❑ We are a corporation and its 10.❑•Electrical repairs or additions
.3 l J I am a homeowner doing all•work . officers have exercised their 11.❑Plumbing repairs or additions '
myself,[No workers'comp. right of exemption per MGL 12,❑Roof repairs
insurance.required.]t c. 152, §1(4),and we haven 13.❑Other
employees, [Nb workers'
comp,insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such,
tContractors that check this box must attached an additional sheet showing the name of the dub-contractors and state whether ornot those entities have
employees. If the sub-contractors have employees,they mustprovida their workers'comp,policy number.
la m an employer.that is providing workers'compensation insurance for my employees. Below is.the policy and job site'
information.
Insurance Company Name:
Policy#or Self-ins.Lic,#: Expiration Date:
Job Site Address:
City/State/Zip:
Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date).
Failure.to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine tip to$1,500.0 d/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 y againslance
violator. Be advised that a copy of this statement maybe forwarded to tile•Office of
Investi ations e MA for coverage verification.
I do hereby e fy undar th ns-an penalties of perjury that the information prgvided above is true and correct.
Si tore: Date:
Phone#: Qe '17 i 3� 3.5
Off clal use only. Do not write in this area,to be completed by city or town official,
City or Town: Termit/License#
Issuing Authority(circle one):
.'1.Board of Health 2.Building Department I City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
�I11U C�Ib�LdQ)ll UJIU JUN LI Uk;UL➢113
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 employ=, 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 of repair work on such dwelling house.
or on the.grounds or building appurtenant thereto shall not because of such employment be deer ed 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•af•compliaace withtlie 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-contiactor(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'lind. -
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 permitnicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Sife Address"the applicant should write"all-locations in (city-or
town)."A copy of the aff davit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture
(i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance.for your cooperation and should you have any questions,
please'do not hesitate to give us a call.
The Department's address,telephone-and fax number:.
Tho CQMMOUW lth of Ma=,hu tts
D�parteat of ladwWal Accidents
Ofce of lu'VeAlagailolks
' . ' ��fk�ashi� Qri�tecet
Rostc a,AAA 02111 -
TO. 617-727 000 ext 406 ar 1- 7-MASSAFE
Fax#617-727-7749
Revised I1-22-06. W .Maus g6v/dia
% 1 1 '
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RAMSBEAM V2. 0 - Gravity Beam Design
Licensed to: Dan Braman, P.E.
Job': Mddulty 12 Kalmia, Centerville Steel Code: AISC 9th Ed.
SPAN INFORMATION:
Beam Size (User Selected) = W12X30 Fy = 36. 0 ksi
Total Beam Length (ft) = 22 . 00
Top Flange Braced By Decking
LOADS: Self Weight = 0. 030 k/ft
Line Loads (k/ft) :
Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2
0. 00 22. 00 0. 173 0. 173 0. 000 0.000 0. 580 0. 580
SHEAR: Max V (kips) = 8 . 61 fv (ksi) = 2 . 68 Fv = 14 . 40
MOMENTS:
Span Cond Moment @ Lb Cb Tension Flange Comp Flange
kip-ft ft ft fb Fb fb Fb
Center Max + 47. 4 11. 0 0. 0 1. 00 14 . 73 24. 00 14 . 73 24 . 00
Controlling 47 . 4 11. 0 0. 0 1. 00 14 . 73 24 . 00 --- -,--
REACTIONS (kips) : Left Right
DL reaction 2.23 2. 23
Max + LL reaction 6. 38 6. 38
Max + total reaction 8. 61 8 . 61
DEFLECTIONS:
Dead load (in) at 11. 00 ft = -0. 155 L/D = 1704
Live load (in) at 11. 00 ft = -0. 443 L/D = 596
Total load (in) at 11. 00 ft = -0. 598 L/D = 442
of
BRAMAN
Rucw
[3g
D7
0 0/ R,/
4
Material List Report
Mid-Cape Home Centers
STORE # So PO Box 1418 NAMEa1l�ytia uRIS
465 RTE 1
ACC T. # 4 3
SALESMAN Gl L-!4 South Dennis,MA 02660 JOB LOCATION MC N(L2L-4
l l Lc..- Ry ar—sC._ 508-398-6071 12 tom,4LM1 ts4 1N Aq
508-398-4559 �_G—ETC Z V I M 14
Level Name: 2ND FLOOR Report Date: 1/17/2007 9:35:44 AM
Joist Products
Plot Product Net Unit Net
ID Length Label Ply Qty. Price Price
Al 14' 9 1/2" TJI 230 joist 1 15 $1.62/ft $340.20
A2 26' 11 7/8" TJI 230 joist 1 5 $1.75/ft $227.50
A3 24' 11 7/8" TJI 230 joist 1 4 $1.75/ft $168.00
A4 22' 11 7/8" TJI 230 joist 1 5 $1.75/ft $192.50
A5 16' 11 7/8" TJI 230 joist 2 4 $1.75/ft $112.00
A6 12' 11 7/8"TJI 230 joist 1 3 $1.75/ft $63.00
Sub-total $1,103.20
Rectangular Products
Plot Product Net Unit Net
ID Length Label Ply Qty. Price Price
Ml 6' 13/4"x 11 7/8" 1.,,9E Microllam LVL 1 1 $4.39/ft $26.34
M2 4' 1 3/4"x 11 7/8" 1.9E Microllam LVL 1 1 $4.39/ft $17.56
t
Sub-total $43.90
Headers. ,
Plot Product Net Unit Net
ID Length Label Ply Qty. Price Price
See Trus Joist Framer's Pocket Guide for Product Trademark Information
TJ-Xpert 6.42 (#693)A Page 1 BURKE-MCNULTY.JOB Design Date: 1/17/2007 7:30:05 AM
Level Name: 2ND FLOOR Report Date: 1/17/2007 9:35:44 AM
Hdl-lt 10' 1 3/4"x 9 1/2" 1.9E Microllam LVL 2 6 $3.46/ft $207.60
Sub-total $207.60
Accessories
Plot Product Net Unit Net
ID Length Label Qty. Price Price
Rml 18' 1 1/4" x 9 1/2" 1.3E TimberStrand LSL 4 $2.31/ft $166.32
Rm2 18' 1 1/4" x 11 7/8" 1.3E TimberStrandLSL 4 $2.51/ft- $180.72
Bb 1 1' 1"net Backer Blocks 4 $0.00/pc $0.00
Fbl 4' 2x6+ 1/2"plywood Filler Blocks 1 $0.00/pc $0.00
Shl 4'x 8' 23/32"Panels(24" Span Rating) 25 k $0.00/sht $0.00
Sub-total $347.04
HANGER LIST - Simpson Strom-Tie Company, Inc.®
Plot Product Hanger Net Net
ID Label Support Member Ply Notes Qty. Price
HI ITT3511.88 LVL 11 7/8"TH 230 joist 1 (1) 7 $26.94
Fasteners
Top: 4-N16
Face: 2-N10 .
Member: 2-N10
H2 ITT11.88 TJI Joist 1 3/4"x 11 7/8" 1.9E Microllam LVL 1 (1)(5)(6) 2 $6.94
Fasteners
i
Top: 4-N10
Face: 2-N10
Member: 2-N10
H3 ITT11.88 TJI Joist 13/4"x 11 7/8 1.9E Microllam LVL 1 (1)(5) 1 $3.47
Fasteners
Top:' 4-N10 '
Face: 2-N10
See Trus Joist Framer's Pocket Guide for Product Trademark Information
TJ-Xpert 6.42 (#693)A Page 2 BURKE-MCNULTY.JOB Design Date: 1/17/2007 7:30:05 AM
li e.
Level Name: 2ND FLOOR Report Date: 1/17/2007 9:35:44 AM
Member: 2-N10
Sub-total $37.35
Hanger Notes:
(1)Indicates non-stocked hanger
(5)Backer Blocks Required
(6)Filler Blocks Required
Sub-total $1,739.09
SALES TAX(5%): $86.95
Tax Sub-Total: $86.95
REPORT TOTAL: $1,826.04
See Trus Joist Framer's Pocket Guide for Product Trademark Information
TJ-Xpert 6.42 (#693)A Page 3 BURKE-MCNULTY.JOB Design Date: 1/17/2007 7:30:05 AM
i - -
Land In BARNSTABLE Belonging to Donald T. &Patricia M.Gay Deed in Book 10122 Page 325
Land Court Certificate No. in Book Page In Barnstable Registry of Deeds
Recorded Plan Land Court Plan Number 41567-A2,on file with Land Court Boston Date of Plan September 25, 1984
in - Barnstable Registry of Deeds Plan Book - No. - Filed Plan No. -
MORTGAGE INSPECTION PLAN Sean T.McNulty& Carol A. McNulty Thomas J. McNulty,Jr.,P.C.
Loan No. 12 Kalmia Way,Centerville
G
-a
C,13,fnd\ FCf�E CoAd,
S
, 20,0015F,
` I&112 T O
5foky
I W000 7
jN F`a1 68'
O
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_ C.l3.fndF
KALMIA WAY
*SEE REMARKS
Aug.29,2002
JN 72899
Scale: 1."= 40.'
THIS PLAN -IS-FOR-MORTGAGE _PURPOSES ONLY--'-
I CERTIFY THAT THIS PLAN WAS PREPARED IN
ACCORDANCE WITH.THE COMMONWEALTH OF
MASSACHUSETTS PROCEDURAL AND TECHNICAL
STANDARDS FOR THE PRACTICE OF LAND
SURVEYING 250 CMR SECTION 6.05 AND WITH THE
SPECIFICATION SHEET ATTACHED HERETO.
ASH Of
off' KENNETH ��,
f ` o ANDERSON
Nm 31298
tS1 ERD `
�J' ELAN
Land In BARNSTABLE Belonging to Donald T. &Patricia M.Gay Deed in Book 10122 Page 325
Land Court Certificate No. in Book Page In Barnstable Registry of Deeds
Recorded Plan Land Court Plan Number 41567-A2,on fife with Land Court Boston Date of Plan September 25, 1984
in Barnstable Registry of Deeds Plan Book - No. - Filed Plan No. -
MORTGAGE INSPECTION PLAN_ Sean T.McNulty& Carol A. McNulty Thomas J. McNulty,Jr.,P.C.
Loan No. 12 Kalmia Way,Centerville
G
C.6.fn . FENCE C:OAd,
C07,0N
- dot 4 _
20,0015,F,
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6N000 �O
68"
CoAd. (7 O
C,f3,fnd.
KALMIA WAY
*SEE REMARKS
Aug.29,2002
JN 72899
Scale: V'= 40.'
THIS PLAN IS FOR MORTGAGE PURPOSES ONLY
I CERTIFY THAT THIS PLAN WAS PREPARED IN
ACCORDANCE WITH THE COMMONWEALTH OF
MASSACHUSETTS PROCEDURAL AND TECHNICAL
' STANDARDS FOR THE PRACTICE OF LAND
` SURVEYING 250 CMR SECTION 6.05 AND WITH THE
E SPECIFICATION SHEET ATTACHED HERETO.
Of
KENNETH
ANDEf3SOPi
No. 31295 0
Jy
L LAMO�'
Loan
SPECIFICATIONS
1. Using the title reference supplied,this report provides for an examination of the records in order to obtain the legal description of the property.
Examination does not include verifying the accuracy of the deed description or the accuracy of any plan on record.
2. The property is found and measured by tape on the ground from the data given in the legal description.This does not include the measuring of
angles with a transit,that being the function of a property line survey.
3. Buildings on the property are located and measured by tape except where there is a plan on record which establishes a building to be located a
certain distance from the boundary which would qualify said building itself to be considered a monument.
4. A photograph is taken for identification of the property.
5. All record and field measurements,and findings as outlined above are presented on a print of a drawing.Whenever buildings are less than one foot
from the property line the fact is noted and double underlined thus calling attention to a possible encroachment. If serious,a recommendation may
be made under heading"Recommendations"that a more precise survey be made.All figures on the drawing will be shown to the same number
decimal places as they are in the deed and when this indicated a greater accuracy than that specified a parenthesis around the figure will indicate
that we do not guarantee the measurement to its every decimal.
6. Print of the photograph taken as above to be included with the drawing.
7. "Recommendations"and"Remarks"may be prepared to set forth and amplify the results of the field inspection.When a more precise survey seems
to be called for,it may be recommended.
8. No inspection or certification is made or implied as to hazardous waste materials on locus.
9. This report is not based upon an instrument survey and is prepared for and submitted to the client named herein for mortgage purposes only.We
will not assume liability for any other use.
RECOMMENDATIONS
REMARKS
*A portion of an abutter's driveway and fence appears to encroach onto locus, approximately as shown on
the drawing.
I certify that the building shown on the attached plan is located according to the above specifications and its
location conforms to the zoning law of BARNSTABLE- EXCEPT AS ABOVE and does not lie within the Special Flood
Hazard as shown on the Federal Emergency Management Agency Flood Map. Dated: Jul 02,1992 , Zone C
ANDERSON SURVEYS INCORPORATED
Please refer to Job No. 72899 PROFESSIONAL LAND SURVEYORS
HANSON, MASS.
• o�TN� TOWN OF BARNSTABLE 33551
Permit No. .. ..
BUILDING DEPARTMENT
f »aan } TOWN OFFICE BUILDING Cash rr//
v D 619.
19 X
•'raur HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Bayside Building Co.
Co.
Address Lot #4, 12 Kalmia Way
Centerville, Mass.
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE ,
BUILDING CODE.
June2 2, .... 19...9 0......... ..... �........................ ......... .......
Building Inspector... ...
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
! seHaer : TOWN OFFICE BUILDING
rua
i639. �� HYANNIS, MASS. 02601
�o r�r►•
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy Permit has been issued for the building authorized by
BuildingPermit $ ......3.��.:.� ......................................_...... ................................._..................._.......................................
issued to /f7 '� .o .............. ....!......' .................. /�'..... Wz11f11'...........
Please release the performance bond.
is +.. y x A �.,
'..,v
'� TOWNtiOF.BARNSTABLEMASSACHUSETTS F BUILDING
?f¢� DATE_ MF45Y(`}1 19 C1Q PERMIT NO.. 2e�Iil�i_
APPLICANT�YSide Bldca co. ADDRESS_ Aa?L 95, CenterVi.'lle #005645
.Y�. (NO.) (STREET) ... .
X "` (CONTR'S LICENSE)
L PERMIT TO BuiIL %�Ll�llinu. ( ) STORY Singh: Family Ihae111�n DNUMBER OF
WELLING UNITS r
.#€' t; •�x; (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) - ,.•
AT fLOCAT ON)-_ LOt >$4, • 12 Kalmza Wt3V, ZONING. ,
Ce1'iterV� lle DISTRICT
�a+; (NO) (STREET) f
rat BETWEEN�� ;
AND
.'��.�-=:-ACROSS STREET) ' (CROSS STREET)
y
a P ,' SUBDIVI�SIO�N LOT BLOCK" LOT
SIZE
t BUILDING lS�TO BE '. fi Y a WIDE BY FT. LONG,BY" FT IN HEIGHT AND.SHALL CONFORM IN CONSTRUCTI,
vo
TO TYPE. a' q !SE GROUP BASEMENT WALLS OR FOUNDATION
4 f rr its ,st � �t $
(� A R
Sc.�wq®; p87 .74 / (TYPE)
s REMARKS: _. h
a e
r 3 :. ^f,<t+ ,C3r diis+ti' •ti �i 3:: ''!«�.._.' ri r ' ,
Mrs, AREAOR 1l16 +�cj• 1�• ,
VOLUME $ 1550 OOO PERMIfi•' 137 �5
� � ESTIMATED COST • FEE $ •
4jCU8IC/SQUARE FEET)
` OWNER.:. ., aysid®' Hldq• "CO•
Ld ADDRESS B�� ��/ ConterV�llc: BUILDING DEPT:;
SS t r BY
ice; r_ .THIS PERMIT3CONVEYS NO RIGHT,TA OCCUPY ANY STREET, ALLEY OR SIDEWALK, OR ANY PART THEREOF, EITHER T 1.EMPORARILY C
-PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST, IL A
7+s- P.ROVEDitEY�;THE JURISDICTION. .STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINE
N_FROM TH'E DEPARTMENT'eOF-PUBLIC'-WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM.THE CONOIT101
�s rtF �OF ANY'APPL.4C:ABLE SUBDIVISION RESTRICTIONS.
.:
k MI NIMUM'irOFtxa'THREE 'C'ALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE PARATE
rtkINSPECTIONS REQUIREDFOR�
CON$T UC ION WORK CARD KEPT'POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE, RE FOR.
r T QUIFED
ELECTRICAL 'PLUMBING AND.
YF ' �2. PRIOR TO'COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL .
MEMBERSIREADY TO LATH).-;,
S: FINAL',INSPECTION BEFORE. FINAL INSPECTION HAS BEEN MADE. -'
OCCUPANCY.
��r POSVIHIS CARD SO IT IS VISIBLE FROM STREET :
�I~Y
r
I r . .rBU1LDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
r pt$ w.
j(,
t
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.16
` 9 HEATING INSPECTION APPROVALS
\,. i ✓ ENGINEERING DEPAR MENT
}
. OTHER p v .•
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ot-
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a KON
WORK SHALGNOT PROCEED UNTIL?HE INSPEC t PERMIT WILL BECOME'4ULC AND VOID IF CONSTRUCTION
TOR HAS APPROVED THE VARIODUS STAGES OF r- WORK IS NOT STARTED WITHIN SIX MONTHS OF-DATE THE INSPECTIONS INDICATED ON THIS CARD CAN
CONSTRUCiIONt` ij a ,1�' ARRANGED FOR BY TELEPHONE OR WRITT'
> s r, PERMIT IS ISSUED AS NOTED ABOVE. '
NOTIFICATION.
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RAXTERILA
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i
TOTAL" R= 31 (o rT
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R=0.61
9" FIBERGLASS
j INSULATION
R=19
I
—SHEETROCR I DOORS:
-J' R 0.45
\—BOTTOM SURFACE
R= 0.61
1/2"PLYWOOD
� —INSIDE SURFACE WALL ASSEMBLY REAR ELEVATION
R= 0.62 I
�� R= 0.68 TOTAL R= a�l.'l q ': G.W.A. r1 �U
WOOD i }" SHEETROCR U=
SHINGLES R= 0.45
R= 0.87 �-� WINDOWS:
l gq
OUTSIDE — 3}" FIBERGLASS
SURFACE INSULATION a
R=ll
SURFACE,.RESISTANCE
J FLOOR ASSEMBLY i. DOORS:
FINISH FLOOR TOTAL R=
R= 0.914 U=
R r " PLYWOOD
RIGHT SIDE ELEVATIC
SUBFLOOR
— R= 0.62
—. G.W.A.
OUTSIDE
SURFACE
R= 0.17 I WINDOWS:
-` 3 r7
—6 P FIBERGLASS
INSULATION FOUNDATION
CONCRETE j . R= 11 WALL ASSEMBLY
FOUNDATION t (may be used instead DOORS:
SURFACE RESISTANCE
WALL of floor insulation)
R= R= 0.61 TOTAL R=
LEFT SIDE ELEVATION
U=
G.W.A. & lq
INSIDE SURFACE. .x
I -R= .0.68 m
/8" SHEETROCK WINDOWS
}
t R 0.32
µSTYROFOAM `
i DOORS: '
NOTES':"
PERMANENTLY_ INSTALLED STORM ALOT Ll vq'-1
WINDOWS TO BE USED
GROSS WALL:AREA= yc1 C' NT /z ✓�LL , �'.
WINDOW AREA DOOR AREA= �.?v� 1379 y s/DE v 0 l&, / r/G �0
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. - SULE:9IA-1-cr' AVVXOVEDB•• fF1
11 0
� ,AsseSsor's offioe (1st floor): ���
'Assessor's map and lot number ...........
Board of Health (3rd floor): �Rq
d
Sewage Permit number r �� T ��
• '`,;`a'��''�Cr'' fir,. 8.:.
Engineering Department (3rd floor): " Cjo P;�� �++
House number ... ...� �S E������✓� ��� p MA
� .................... a n Ta
APPLICATIONS PROCESSED 8:30-9:30.A.M, .and 1:00-2:00 P.M. only Towt4 RE(, ®E AND
IL a�6j
TOWN OF BARNSTABLE
BUILDING -INSPECTOR
APPLICATION FOR PERMIT TO ......................................... ... ...Z� .... .................... ............................
TYPEOF CONSTRUCTION ....... .............................................................................
.........................:�/.. ......19.7
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
4 la
Location ... ......Z..... ✓.� ....�! �............. ..............................................................................................
ProposedUse .. .. .....................................................................................................................................................................
ZoningDistrict .... ...........................................Fire District .............�................... G .........................................
Name of Owner ..... ... ..I............... ............:.........Address .... ... ...
Nameof Builder ....................................................................Address ....................................................................................
Name of Architect ...... ....................Address .........C.l,4. ......................................................
Numberof Rooms .........!....................................................Foundation ........ ....... .....................
Exterior .. .. ..........Roofin ..............................................
Floors . ....Y.. Interior ... P..... ..
Heating tJ... ....../ ." o G 44JC I..............Plumbing �Y C� ( ��/4, d� ���r1�
......
Fireplace .... .... . .. ..... `/ L1 �...8`../ Z% ^Gf ....Approximate Cost .............'�0/..........v............../Z�
. ..............
Definitive Plan Approved by Planning Board -------------------------- 19
/// r
-------- • Area ..tJ(... ....... ........... .
3
Diagram of Lot and Building with Dimensions
Fee ... ... ... ..., ..... . . ..............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...` % � ..1............ .... ..
Construction Supervisor's License ... �s�a..� ......
t
BAYSIDE BLDG. CO.
11
rr
'No 33551 Permit for ... ...S.t.or.y.............
Single Family n
..........
Location .#Ar...... I'm....
............ ...............................
Owner ...R K yg.i.d.e.... ...................
Type of Construction ...ZrAMP..........................
...............................................................................
Plot ............................. Lot ................................
..........
Permit Granted ... March 12 , 19 90-
...........................
Date of. Inspection ........... A',. ..........19
,I ..............I .
1 Q
Date Comple ed .............
040,
oe
0 t4-
L)
Ira
7
Assessor's offioe (1st floor):
l'y7i9f' �c� �tD EL, %
Aossess�'s map and lot number .....................J. u THE To
/ I
` Board of Health (3rd- floor): Basa9TsnLE
Sewage Permit number ............. . /7 / nn==//C) ! r
.f
Engineering Department (3rd floor): fa �JS r' +ao NAA 0�
House number
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 ... ...........................................Q .4 ?-! .Q
TYPE ..OF CONSTRUCTION .......f/l/O- .zl1..........G/ ..............................................................................
........................ a �.......TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location/............ :...... ...............................!�v. .............�..................................................................................................
ProposedUse .............................................................................................................................................................................
14
Zoning District ........
.....p......./................................................Fire District ..... .... ......1W................................................
Iw: - Name of Owner ..�..... ..............._// .�-�/ ........Address .... ........
Nameof Builder ....................................................................Address ....................................................................................
Name of Architect ..:.. ! '�1�. .....................Address ......... ...................................................
/� ,Q
Number of Rooms ..........4lD....................................................Foundation ../.... ... 1° .....................
Exhe for .. ��� !1.1Y......1�.................. .........Roofing ...../ L lGCSC...................I............................
Floors ............. .....f!.. .............................Interior
D.....� ........ .v ......................
✓C �` l3 A i�l<
Heating ... ...,._..�................}:''..a-(......L�+��[�-�crr!.t.............Plumbing ...1............................. ...................... ...J
Fireplace L ! '4 ....`/ `!'iJ? ...�...
.....................Approximate Cost .....!..../ O /�
.......................................
Definitive Plan Approved by Planning Board --------------------------------19________ . Area / .C�J.... ...........
Diagram of-Lot and Building with Dimensions . �
Fee .....�.,�._,............... ...........
SUBJECT TO APPROVAL OF BOARD OF HEALTH ze�l-
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. ,
Name ...:/ = -vY�.. ... .......... /
�..........................
Construction Supervisor's License ... �r��. ar.....
BAYSIDE BLDG. CO.
A=188-118-4
No Permit for .St...11 .Story............
.2 .........
Single Family Dwelling
.........................................................................
Location ....Lqt...#.4.g...... Ka.lmi.a .Way..
Centerville
..................................................................
Owner ....PAy.§ide...Bldg.r....Co
........ ........ ..................
Type of Construction ......Frame.......................
.......................................I.......................................
Plot ............................ Lot ................................
Permit Granted ........March.March. 12.........19 90
..... ........
Date of Inspection ....................................19
Date Completed ......................................19
/Iri
r
m eaLs
FILE:101 VOW Note-DIVING
. I *11R
COPING POOL
�� DECK 711
i
~'�ri.'i w• '1iR
7R 6RR
r Gr wr
POOL WALL ADJUSTABLE I `
PANEL \ A-FRAME 1 ,
COMPLETE
04223 711
2'PREPARED
BOTTOM \ .r 25001pNsi 6'
CONCRETE A
BOND BEAM OAP 4 *11R
I 's . _ 2.
- - -
j
IRV
4!.72to 4W
W $0 DEEP
OVERDIG - .- � T-1 `'- -11R
UNDISTURBED i
EARTH .
7R 10, am
y SIT
i 0. `1 IR
I 8
7R -=--- "
AmFOAME
LIN ET':88=1" 4 2" °11R
j -oe t ';SPECIAL PANEL. !
POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE jtl r
ACCORDANCE WITH LOCAL AND STATE REQUIREMENTS- i
2) THIS PLAN DOES NOT INCLUDE POOL LOCATION ON PROPERTY, ---- _
TION. ,
FENCING WALLS OR OTHER SITE INFO$,�IA
GRADING, ?
3) ALL CONSTRUCTION SHALL BE DONE IN ACCORDANCE WITf1 Aj L i.
LOCAL AND STATE REGULATIONS. V-9
pU� � _
4) 0 CTOR SHALL VERIFY BURIED tMLn IFS WT1IIIri ff' .
S OF INSTALLATION AREA i
ADDTIIONALNOTE s, '
IF DRAINS ARE FURNISHED,THAN DOUBLE DRAIN ASME A11219.8 --,
AT 3'-0'MIN(EDGE OF DRAIN)APART
AND
ENTRAPMENT AVOIDANCE MUST BE INSTALLED IN a
ACCORDANCE WITH 7 z a-o?1pep.3 m
_�_.-. eaaersoRIfWALa
6 14DATE
— -- ,
CUSTOMER
SKmrjRE
RECUUM
dri
1) COMMONWEALTH OF THE MASSACHUSETTS BUR DING CODE. onI M P E RiAL POOL S
I of theenth FditiOn Masswhusefts
Sev Stye Bt>0 ffi °
780 CMR(7°ED.) pne and TWO Family DweWag Code) '
ELECTRICAL&PLUMBING
.anm A Mix Jr.. Plvleot SWIMMING POOL.
THE CONSTRUCTION AND INSTALLATION OF ELECTRIC WIRING,GROIN
AND BONDING,AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO � ' ^
Owner: 10
TIM CURREWF ADOPM NATIONAL ELECTRIC CODE REQuIREI�TrS. Sawn McNulty jawW 07'�
ALL pL I COWLY WITH THE CURRENT ADOPTED STATE CODE, � �/!'f A4a/AL
12 KaUnia Way s o",tit^ '- SSf�ent'i�ec
---- I QNSVNSPI-TYPI 6POOL Centerville,MA 02632
ppb,COMpLMS TO IRC 2(l0 &NSPI-5 ,I` MA Profess3or<al E>ag[n�er Y.ice #36365
i
ZONE.• RD— 1
MAP: 188 118 004
/)/,J jv VIOL
C.B. rnd. LOT 2
F sr- -.
25 Ob' c A
R9.27 C� fnd. .�Nr�
C.B. fnd.
00' G �.
357
LOT 4 ,
X�
10.d:VElD ��.�
o. PooL-.
G' ! s�
ON
a 40,
N Q
�_-- ti� . � ELF
4,,�y ? i LOT 3 . 49 A)4 /
1 BRICK
rjry�� WALK
oERnFlcAno/v c.e. rnd.
oT
On the basis of my knowledge, information, and
,
belief, I certify that as a result df& dd)-my
made on the ground on 3/26/07, I And that: _ ^ ¢: " si
estruature(s) are located on the site as s. ,� P6o( Nc I���l CER T1Ei'E'D PLOT` PLAN
shown.
I
the title lines and /Ines of occupation of the C B. In FOR
site are as shown hereon.
The site is not situated in Flood Hazard Zone 7358• .SEAN MCNUL TY
ro�93s3s y. i,12 KALMIA WA-Y 6 j'
C.B. Ind
Date. 30?710 ��� -j"OF*, N BUtiIPs BARNSTABLE, MASS. f. I
S. R/�E
3 1A0R1E'
s�asP ' 1 p
DNA« Scci_ie: 1., f Date: .31.27107
Gary eLabrie, P.L.S.
Wetrwi2d' 8e.. Associates Inc.
DRA►NV Br cs DAM- 1127107 GRAPHIC SCALE
to ,, „ 3 County Road Boat 801
OVEr W Br SIICC7 1 6F I 4:,:f '
j
North Falmouth, Mass Q►Z556
P.,kLand Pro*cts 2004 jMavuc rrl d»i l Aiavtit r_r.dw0 ( IN ! ) (508) 56 — 7777
1 faoh - 20 tt
. - it
ST
\�StRED ARCS,/
9NUL F00
EN rFc�
- No. 7789
\.4 J O VARMOUT cl
PORT,
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PATIO' � ,fc� EXISTING 10 -0 x8 -0 _ o
PERGOLA w
/ EXISTING / ZONING DISTRICT TABLE: Cl w p w
cn cn Q
DWELLING
ZONING DISTRICT = RD-1 o Q Lu
# 12 EXISTING COVERED a- ~ C
/ / p PATIO REQUIRED SET BACK o aS Lu
FRONT = 30' Z Z N w
PROPOSED CHANGING SIDE = 10' cD U
TOILET ADDITION REAR = 10' Z
i Q
6
�T=K L/NF NOTE:
SURVEY TO STAKE CORNERS
OF. ADDITION TO CONFIRM TITLE:
COMPLIANCE WITH YARD ARCHITECTURAL
I\\ n SETBACK SITE PLAN
L0
o ` m / DATE ISSUED:
73. �8 , SITE PLAN INFORMATION TAKEN FROM 05/20/2010
- � _ "CERTIFIED PLOT PLAN" PREPARED BY °��BY: S.KHALIL
aU/`7P - _ _ WARWICK t ASSOCIATES INC.
S D -= 63 COUNTRY ROAD DRAWING NO.:
�O 1 SITE PV'1N NORTH FALMOUTH, MA 02556
(508) 563-7777 A1 , 2
ST \S�ERED AR�y�T
QWL FE,yG
o c ,
fY�Q No. 7789
3 p UTHPORT, j
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YARMO
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W PLYWOOD ROOF P.T. 2x10 BEAM
SHEATHING ON 2X8 CENTERLINE
RAFTER @ 16" O.C. OF BEAM - T. 2X10
37
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2X6 CEILING JOISTS Q 0
@ 16" O.C. P.T. 2XIO JOISTS U a
U
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z
@ EACH RAFTER cx
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CL @ EACH JOI S
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IXS FASCIA
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PAINTED BOARD _CENTERLINE o
(2)- Ix3 SOFFIT t ON Ix3 STRAPPING OF BEAM = 3�� P.T. 2x10 < '�e
2" VENTmz
BEAM =
w (2) 2x4 TOP
Q PLATE
S FOUNDATION & FLOOR FRAMING PLAN 0
Scale: 1/4"= i'-0"
LL EXT. WC. SHINGLES
O MATCH EXISTING w
c>_ QZ � Q
. EXISTING HVAC UNIT
j 4 ELEC. METER EXISTING EXTERIOR w Q
3 WALL LU 275 J 0 3r w_,
O EXISTING Q J
Y2" CDX PLYWOOD Al. 0 0 w
EXTERIOR WALL 16" CONCRETE PIER - 0- t•- >
SHEATHING g�-p" EXISTING WINDOW 0 66 w
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GRADE, SEE DETAILS 4'-0" 4'-0", TO REMAIN CL 0 I z
2X4 WALL STUDS 04 w
@ 16" O.C. I -- -713/eux18u o U '— 0
3/,4" SUBFLOOR ON P.T. 2x10 z
P.T. 2x10 JOISTS LEDGER - T TRANSOM Q
2X4 SILL i " -
@. I6 O.C. BOARD =� d) O _
SIMPSON 24" STRAP @ ` _ U '
E
EACH TUDS = FINISH FLOOR TO
P.T. (2)- 2XIO BEAM ' BE DETERMINATE TITLE:
DTT2Z TIE _ PLANS &
CBQ46-SDS2 COLUMN �� SECTIONS
Z BASE OR EQUAL CAST I - SIMPSON HTU210 @ 32 O.C. ;r j( 2 x
3 Q INTO CONC. PIER JOIST HANGER, 4"-6"' THICK Ar.3 EXISTING
37 O Q TYP. @ EACH JOIST _ BULKHEAD DOOR DATE ISSUED:
DRAINAGE
i — 05/20/2011
II o wm I I STONE -
3"' 16"(P CONCRETE PIER i OUTSIDE FACE OF __ ____ DRAWN BY:
4'-0" MIN. BELOW I EXISTING WALL 3 -6„ 41 6„ I I S.Kwau�
DRAWING NO.:
GRADE i I EXISTING I I
i 311� I FOUNDATION WALL STONE STOOP
A1 , 3
II
WALL SECTION 2 CROSS SECTION D
PARTIAL PLAN AN4
Scale: 1/4 = 1-0'
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cn m CHANGING & TOILET ADDITION ���� ARCHITECTS,`INC. o o G�'m
J Q D203 WILLOW STREET,SUITE A PH 508-362-8382 = V r
o --I M c N U LTY RESIDENCE YARMOUTHPORT,MA'02675 -.� FAX 508-362-2828 0
� s
-� N o � r 12 KALMIA WAY tiO
SETTS
CENTERVILLE, MA
>�:�:�`:
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Nm PROPOSED BROWN LINDQUIST FENUCCIO &RABER . •a
D COVERED PORCH / PERGOLA IM
m U, ARCHITECTS, INC.
O m 203 WILLOW STREET,SUITE A PH 508-362-8
- M c N U LTY RESIDENCE VARMOUTHPORT,MA 02675 _ FAX.508-362-2
N 12 KALMIA WAY
D o
o CENTERVILLE, MA
ST
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2X12 RIDGE BOARD
Pao.77t�9
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EACH SIDE � �� �� PLYWOOD ABOVE I, N (0 x36 36 x24 YWOO WHITE CEDAR m 1 dM'
OUNTERE COUNTER i �� OSHINGLE EACH S.ID - i P.IT. xGC O ON
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TO ALIGN W/ BEADED BOARDS N/ _ =1 - _J1--i._JL u z
III T- -�r= u2X8 WHITE PINE PAINTED
OUTSIDE OF P lye" BULLNOSE @TOP _ ° " r PERGOLA � ° 101 O.C. OVER THE BEAM �w z N w
(2)- ,2XIO BEA APPROX. TOP OF o u u u u u u >
— �ii u u u u... t u�
FOUNDATION .BEYOND _ c„ , = kI'=
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BASE NI;ANCHOR
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TOP OF BRICK PATIO
BO off.
�� I I I u I `u P.T. 4X4. WRAPPED N/ TITLE:
= IX AZ EK TRIM ON 10"� PARTIAL PLAN &:
u -u— u u u u.— u -u u. CONCRETE PIER W/
WALL SECTION
5: , SIMPSON ABU44Z BASE
a 10"0 CONCRETE PIER 1 AI.I 8'00 W/ ANCHOR BOLT
W/ BIG FOOTING
O Z I _ DATE ISSUED:
1 -
� - 04/12/2010
DRAWN BY: S.KHALIC
DRAWING NO.:
a °
. - C��S
T (REVISION I `,
�� : BEAM SUPPORT HANGER 6/Al•.1 •WALL SECTION cale: 1/4�� — 1 .0 / BEAM/COLUMN CONNECTION 7/A1.1 Al . O
1 Scale: 1/2" _ V_0" -; �
STAMP:
H2.5 SIMPSON HURRICANE
2X4 STUD ANCHOR @ EACH RAFTERae�L
@ 16" O.C. EXISTING WALL L2X10 @ 16" O.C.
FRAMING EXISTING WALL o
c
SIMPSON LSTAIB @
EACH -OTHER STUD (3)- 2X6 POST @
�. .
EXISTING WALL
ra `
r EXISTING FLOOR PLYW
LOOD SHIN
' FRAMING "
2x PLATE `L N
WHITE ALUM: m
GUTTER 7411 o a
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L2XIO's BEAM II" z
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rl� -—-— -------------- N v
BEADED BOARD z I
(2) TIMBERLOCK @. CEILING
SIMPSON FACE MOUNT 12".:O.C. STAGGERED „ WHITE' CEDAR .SHINGLE 2X14 WALL . z w
HANGER HU410 0 , - , „ ON Y2 PLYWOOD EACH _ N
NEW 2X4 S @ 16 STUDS p U w
SIMPSON Ya"x23/.a" HEX EXISTING
O.C., PARTITION SIDE m Q o
HEAD TITEN SCREWS ° FOUNDATION BEAM DETAIL �e °
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CONNECTION DETAIL 2
Scale: 1/2" = 1�_0�� � o Z
1
L=B`EAM SUPPORT,HANGERS 3 scale: 1 1/2" = 1'-0"
6 20" WIDE X 2" HICK
Scaler 1 1/2 = 1 _0 GRANITE COUNTERTOP,.
COLOR BY OWNER
. g
O
EXISTING RIM BOARD BRACKET ( OTHERS) O U
BYw } Q
. . EXISTING 0 a_ .w Q
(2)-2X10 BEAM (2)- P.T. 2x4 TOP w L
PLATE � = w Q J
EXISTING TOP PLATE TIMBERLOCK IX2 WHITE PINE PAINTED _ 0 C C
SCREWS @ @ 12: O.C.= OVER 2x8 s
x4 S S @ 16"RAFTER TO BEAM P.T. 2 TUDO.C. O O w
SIMPSON A66 ANGLE cn N Z
ui
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RAFTER vPAIN I ED
EXISTING .(3)-2X6 POST @ 16" O.C. OVER - 0
THE BEAM U
.- BRICK PATIO
SIMPSON ST2215 STRAP
�� .. - . . . .. TITLE:
TIE "2f6"x165r(6",. CONNECT. (2)-. 2x10. P.T. BEAM,
EX. (3)= 2x6 POST TO : PAINTED WHITE P.T. 2x4 SILL W/ Y2" DETAILS
r � N
r1J EX. RIM BOARD .. SILL W/(2)-. Y2" ANCHOR.
- ANCHORAGE BOLT W/
BOLTS TO EACH POST 4" MIN. EMBEDMENT 4
�;� EXISTING RIM _
BOARD SILL a a a DATE ISSUED: 04/12/2010
P.T. 4X4 WRAPPED 24" WIDE x 12" DEPTH
'W/ IX AZEK TRIM ,ON _ ° DRAWN BY:
r1 10"� CONCRETE PEER CONCRETE FOOTING S.KHALIL
DRAWING NO.:
r � -
i I I
2 -0
ri
TA
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PERGOLA DE
BE COLUMN DETAIL ' Al J
/ 5 I TER DETAIL
7 „' Scale: 1 1/2 = 1 -0 4 COON
Scale: 1 1/2 = 1 -0 Scale: 1" = 1'-0"
f Ocp�
i"ten 1 VV
A complete TJ-Xpert framing plan requires the Trus Joist Framers Pocket Guide -
_ See Taus Joist Framer's Pocket Guide for Product Trademark Information _
�
d3'1 / • I ®���•� ert®
0 12, — I� 10' 2" — 10, 10" — 21 2"► 2, 4"-N�
RmI Rm2
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N
LEVEL NOTES .
File Name: BDRRE-MCNULTY.JOB
---------- AS------- H2 Level Name: 2ND FLOOR
Plotted: 1/17/2007 09:34
2 — - Design Status:
. _.. 2ND FLOOR....1/17/2007 07:30
ROOF.........1/17/2007 07:28
NOTE: Level design times indicated above provide
assurance.for proper level stacking.
' - Design Methodology: ASD
� I
Floor Area Londe Vary:
f - n 40 to 60psf Live Load and 12 to 17psf Dead Load
Maximum Joist Deflection:
' L/480 Live Load
.s L/240 Total Load
Hd1-lt TJ-Pro Rating Information:
———————— ——— Weighted Average: 51
Rml 2 ;p I I _ Lowest Rating: 47
_ Hdl-St ,� _ Hdl-St . Highest Rating: 60
A3 ——————2 ———— — Rm2————2—————— Glued & Nailed Decking is Required
Direct Applied Ceiling is Not Required
1 X 4 Strapping is Required @ 8' O.C. Maximum
• y - A3 Spacing
Floor Decking: 23/32" Panels (24" Span Rating)
Normal O.C. Spacing = 16"-
-Unless noted otherwise
12' — 0411' 15'
Layout.Scale: 1/4" = V
BANGER LIST - Simpson Strong-Tie Company, Inc.® - -
ACCES30RIHS LIST
Plot ID Qty Product Label Top Nails Face Nails Member Nails Notes plot ID Length Product Plies - SYMBOL LEGEND
H1 7 ITT3511.88 4-N10 2-N10 2-N10 - Qt4 ®�S�S�B '
Rml 18' 1 1/d" x 9 1/2" 1.3E TimberStrand LSL. 1 4
H2 2 ITT11.88 4-N10 2-N10 2-N10 (5)(6) �® � 0 F � a O, -Point Load
H3 1 ITT11.88 4-N10 2-N10 2-N10 (5) Rm2 18' 1 1/4" x 11 7/8" 1.3E TimberStrand LSL 1 4 d �� As
Bbl 1' 1" net Backer Blocks 1 4 t/ ��bQ` 'r,/�. v /n/ — Line Load
Hanger Notes: Fb1 d' 2x6 + 1/2" plywood Filler Blocks 1 1' Area Load
(5) Backer Blocks Required Shl 4' x 81, 23/32" Panels (24" Span Rating) _ I' " 25" " ''� ® J� 11 - CREATED BY _
(6) Filler Blocks Required Rm, Rim Board ® . HBO, Beam By Others
JOB COMMENTS Mid-Cape Home Centers
t 4 � y� ' � PO Box 1418 O Detail Callout Label
EDP BURKE 465 ATE 134 (See Framer's Pocket Guide)
JOIST AND BEAM LIST ) A L MCNULTY JOB South Dennis, MA 02660 Hd-t- Header, and -t indicates quantity of 2x_
/$ E 12 RALMIA WAY 508-398-6071
�t
trimmers required at ends r�� VI MA FAX: 508-398-4559
Plot ID Length Product Plies t 4t ` CENTER LLE
9 Q Y .{'
Al id' 9 1 TJI 2 joist 1 15 7/8 23 Page 1 of 2
A2 26' 11 7/8" TJI 230 joist 1 5 � �
A3 24, 11 7/8" TJI 230 joist 1 4 P,1(
A4 22' 11 7/8" TJI 230 joist 1 5
A5 16' 11 7/8" TJI 230 joist 2 4
A6 12, 11 7/8" TJI 230 joist 1 3 i
M1 6' 1 3/4" x 11 7/8 1.9E Microllam LVL 1 1 j FOR THE TJ-XP E RT WARRANTY
M2 4, 1 3/4^ x 11 7/8" 1.9E Microllam LVL 1 1_ i SEE FRAMER'S POCKET GUIDE
TJ-Xpert 6.42(#693)C6.42 D6.42 S6.42 P6.42
A complete TJ-Xpert framing plan requires the Trus Joist Framer's Pocket Guide
See Trus Joist Framer's Pocket Guide for Product Trademark Information
Tupert
0 43
6
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A6 t.
s .
' - LEVEL NOTES
File Name: BUREE-MCNULTY.JOB
Level Name: ROOF "
Plotted: 1/17/2007 09:34
_ Design Status:
2ND FLOOR....1/17/2007 07:30 r.
ROOF.........1/17/2007 07:28
' NOTE: Level design times indicated above provide
assurance for proper level stacking.
Design Methodology: ASD
Roof Area Loading Is:
Opsf Live Load (115%LDF) and 0 psf Dead Load
Operator added additional loads.
Maximum Joist Deflection:
L/360 Flat Roof - Live Load
j L/240 Sloped Roof - Live Load
L/240 Flat Roof -Total Load -
L/180 Sloped Roof - Total Load,
Layout Scale: 1/4" = 1'
._ CREATED BY `
JOB COMMENTS Mid-Cape Home Centers
PO Box 1418
EDMUND BUREE 465 RTE 134 SYMBOL LEGEND
MCNULTY JOB South Dennis, MA 02660
F 12 RALMIA NAY 508-398-6071 Line Load
CENTERVILLE MA FAX: 508-398-4559
Page 2 of 2
a FOR THE TJ-XPERT WARRANTY
SEE FRAMER'S POCKET GUIDE
TJ-Xpert 6.42(#693)C6.42 D6.42 56.42 P6.42
. - STAMP:-
IMPORTANT UPGRADE REQUIRED
^ STATE BUILDING CODE REQUIRES THE UPGRADING OF
SMOKE DETECTORS FOR THE;ENTIRE:DWELLING WHEN
ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED.
NOTE: A SEPARATE PERMIT iS`REIItJiRED FOR THE
INSTALLATION OF SMOKE DETECTORS=THE ELECTRICAL
--- - _ - PERMIT DOES NOT SATISFY THIS REQ(JIREMENT.
_- o
gun
ALARMS
o
RIDE �
C MUST EDINSTALLED PER S W o
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MASSACHUSETTS BUILDING CODE W o
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> ' THE'
1� M�1�1 V L 1 �� ;1� ; �� , C TERM WAY Q
NEW ADDITION FOR CENTERVILLE, MASSACHUSETTS 1 U
t Dw. dui
s
GENERAL •NOTES.(See also Project Specifications): Existing aurfaces disturbed during the course of the Work shall be recce—L—ted and ABBREVIATIONS SYMBOLS SCHEDULE OF DRAWINGS O Q
finished to match adjoining surfaces. Patched-.areas shall be finished m such a manner : _ .... —
W to provide visual and structural continuity across the entire affected surface. ee. AMceos Roar n tom A 1 TITLE SHEET A >
MY. ABOvx n 1:!lane lea uc BOLT �.i\ Maxie ARROW 0 J C
1.The General Conditions state that the Contract Documents are complimentary. 8.AL voids created or surfaces disturbed- resulting from cutting, removal or Installation of Ace Acocsacn.TM LAW l.gwete \\-IFS/ - A-2 FIRST FLOOR PLAN/SCHEDULES Z I
elements as part of the Work shall be filled and finished to match adjoining construction. AxDD � L° IA,IA A-3 SECOND FLOOR PLAN
2. Provide the services of a Massachusetts Registered Surveyor to layout structure on site • 'AT WR me—cnssaa ems WE"
-M m To
A-4 ELEVATIONS • 'Q U N Z.
'and establish existing elevations.Elevation of finished floor shall be established by 10. Except as provided in the Documents, no structural member or element shall be out emfT lsASEgExT X.O. MISOMY OPMENG 3 mac�"om?m w W .
Bn Mown S tut. RATMAL A-5 FOUNDATION/FRAMING' PLANS/
Architect with elevation information provided by Surveyor. % without written approval of the Arebltect. The General Contractor shall coordinate all •, lax nro� rAx rtemsvg - Aim tErtTB>R'tsO,HORW lull
amEaTsa TI1Y owe,pe. - U
3.The General'Contractor Is responsible for all the work. cutting and shall advise the Architect ofany.potential conflicts with new or sainting - stro summ, UN. geceAmcsu _ I - CROSS SECTIONS W
- structure. BOrT RO'rTOtl Ilm. �IOMDNY •45e -MEf aTO'r®xPAT10N ..
A. Build and install parts of the Work level,Plumb, square and in correct position. B.o.v. usi n.or PAu wm. gOUm6D
g RR BRAY Mo.. MOUBle aI- A.a MS1mG SPOT ASPAnOB B.Make joints tight and neat. H such is impoasiDlo,apply moldings,sealant or other jl.Demolition work shall only be carried out cane all temporary shoring and bracing I.I. W.DG amwo Mow. aoRmAl
joint treatment as directed by Architect. place.Removal of all temporary supports shall be completed only after new work is secure- evr cersPar lu.c Rm n corrixACT 'l.mR OR vammm ®{]�1 �y+�/p.'+fP.r�.�p�2 DETECTORS
•[g� 'l�qp Pp(g�P+�. ]P���t! pp� -
CRYT CM.xNT X.T.S. MOT TO aGYx SMOKE -��ET'EC 1.®i.\� '�'4b�Ilwi��tl.n�
C. Under potentially damp conditions, provide galvanic insulation between different and complete. - -; cR cemx(mc) ' O.c. os cTO w 101 Root anises `
metals vRstch we not adjacent m the galvanic scale. - -12.All materials, equipment end workmanship shall conform to the requirements of - Ea �N0 OP G Ov�� Q none MUTmxR
D.Apply protective finish to parts of the Work before concealing them. For example, authorities having jurisdiction.of the Work. ..,- - < - W nonce mr. PAM � � � VDmOe'TUB
paint door tops, bottoms,glazing stops, glazing rebates, and hardware cutouts before - coxe. cOMCR.m• "' P+n PAaPn® '•
h doors, and aint corrodible moue' lutes before instal "or them. 13.All materials and a ut ment shall comply With the Occupational Safer end'Health Act, Oku cm cute Me90se cant ens. PAaA1 '- m
�gm8 P tutg P Is�'s 4 P P Y Pe,- 9 �� vAt1.TYPE
EMU-,
M
E.Where accessories era required in order to install parts of the Work is usable form inclining eti amendments. • �tcL1oT 00". .+ R Ps.A A -
rr a°"TRG"n'-SB'°"'r Pus. Ki C WAE- LDING DEPT D TEand to makethe Work perform properly,provide such eceessoriea. If apedal tools 14. AD materials and equipment shall.conform to the teguirementa of avUsorltiea havhng �case cavwmsw:.x p.Wl. Plstric tAPSMAtE �vLuoN W� n -
ern required to maintain.adjust and repair products,provide them. oar. cane FLOG. 1TA1ne8iO EDsmIG vAsrtnox. '
P.Follow manutactureia instructions for assembling,installing and adjusting products. jurisdiction regarding not using or installing asbestos or asbestos-containing materials. Da PLM PLYWOOD TJIIR -
Do not install products in a mouner-contra to the manufacturer's instructions 16. All paint,used on all products and assemblies shall conform tc A.N.S,I.Z88.1, i Dal. DIlBN31ax P.T. PRa8 T i'�1ED -RE•EXISTING
c3fU
P contrary P P -. Da DOOR � qT. gGAem Sill ,. 1i..
' unless authorized m writing b9 the Architect. - - Specifications for Paints and Coatings Accessible to Children to'l inimize Dry.Film Toxicity. mf DOUmEI BEg'D, agGmm ffiaeae CIN•AIL
G.Adjust and operate all items of equipment,leaving them fully ready for use. - - MG(s)
DIUIER Rig. mnceeAtrox
H. The division of the Documents into Architectural,Structural, Electrical, Mechanical. '18.All warranties,guarantees Band service Work maintenance agreements shall commence is the i OF nsnamo(Sn - R1:4. RsvLnoxs ( -PLAN S FIRE DEPARTMENT -
D1 DmNYB14.omnm R Ri9CR n D TE
data of Substantial Completion of the Work or of the Item being guaranteed,rlifchever I. i sv 1-M—nR Rn Root 92A - six-Film OR sn,m"
Plumbing and Civil components is act intended as division of the Work by trade or later,Bo that the Owner may receive full use of the item for the guarantee or warranty mac. EAr.Tmc(ua W. - ROO. TITLE SHEET. :.otherwise. period. ra, arsvarEr: MO. Bowe ovstmic cowceans mace wAi®oR aVc. BOTH SIGNATURES ARE REQUIRED FOR.PER ITTING -
L Provide utility installations from lot fine to house including underground electrical, P _ > SimELM msvarOe sBn. Sarno- 001 - _ -
water,telephone and CATY to comply with all local codes and requirements.- 17. GENERAL WORK TO BE PERFORMED AS PART OF,THE GENERAL.CONSTRUCTION: - E Eq AL r' �®' ®� �re�P -SPMC. SRMrEATfORB ® eSaa.Lisce SWE
J.Concrete shell have compressive strength of 3000 pet 028 days for tells and � �. A.Seal cracks and openings to make the exterior skin of the building tight to water and �east. ®.�sG I � �� - - - .
T. 3600 psi a slab work,and reinforcing rode&woven wire fabric(WWF)per drawings. air entry. - m rxo, zxPMMOR John SasP,T& mBlrew "• ® ROM LUMBER
Where noted,provide hard steel trowel finish on slabs. B. Provide adequate blocking, bracing, nellers,fastenings and other supports to Install leefo� an. erm;L ® l+a�'iAfmEs - -
Dam r shall be facto manufactured semi-mastic consistency from asphalts - of the work securely- Bloc sa. �reEon apse. sraWEmID -
PP oofing factory 9 P shall y king, bracing. or weakening
fastenings and other supports � m+MED Tim TNEI( rMullos-men
and mineral Iibera, and installed on all walls and footings. spell be of a type net subject to daterioratioa or weakening as the result of r •A Peet AnAWf Tee TOPABOMM 7 DATE ISSUED: -
PP.O. FumnIn'.r.:'—M Talc TONGDxf.QaODVa xtx7kri B1901Ainai-BAR .
Flare for decks shell be concrete tilled 9onotube forms. - environmental conditions or.aging. - - rs PM EMAUMW T.OY. TOP DP POUNDWOON. 1xEiCA] _ OM25/05 '
C.Perform cutting and patching for all trades. Patch holes where ducts,conduit, pipes of vimR(o 0 Taw. TOP or van eARm REVISIONS:
4.The General Contractor shall verity all dimensions at the site and shall notify,the i nine nnoexW-En' r TRRAD -
and other products pass through or.ere being removed from existing construction.. PT Pout WP Trnr•i. COIiPAGT GRAVED.
Architect of any discrepancies before proceeding with the Work or purchasing materials D. Provide chases,furred spaces,trenches, covers, pits,foundations and other r M voormc minx. uMroamix, ' ' - Ol 1 Z
or equipment.Verity critical dimensions in the Held before fabricating items which must construction required in conjunction with the Work. H such construction in not MD. romu"s v.eP vERrr m rmm nLmD wmx gems -fit adjoining construction. shown on the Drawings,coordinate with Architect for sizes end placement. cam (D+GI m. vrxmrl-co�oEwoe Tfls PROP10=In1E
S.AD details are typical unless otherwise noted and are not necessarily shown in the E.Provide and coordinate access doors and panels as required for access to equipment i 4aV. GALVAR12RD vac vrxrL RAZE GOTELmc CJNM!md -
Documents at all locations where they occur. - requiring adjuvtment,inspection, maintop—ce or other access and as required for access ! mw. a�a lGa v�� _
OR OW.W
to spaces not otherwise accessible,such as attics and crawl spaces. './ ems
8. The Arabitectuml Documents govern the location of all Electrical and Mechanical time F Chen[m,aui arena. cresUg 90Atm v.v •ri W - -
installed as a pert of the Work. age and mn res.L ur ov d such st for res.. R.requirements for bases.pads, and Move. I M MOOr " WM® 11i90
S other aupporting structures.� Provide each structures.. Remove aupporttng structures �- wsrD ssARDnroon RO nos - -'
5 7. FSd items which are not W be removed end are dam ed or removed In the course associated with removed a ui ment and atch remainin s u sees. sank ReAraO,w UMNI aO,
sting ag 9 P P g s x, .,x moxetc _
of the Work shall be repaired and replaced in like new condition without cost. G. As part of one year,warranty specified in the General Conditions, repair cracks end. s Ova H ROMARr DRAWN BY:
other damage which occur as a result of settlement and shrinkage during the first year afar REGNT I rUX.
. - sca Imuew lfxn4 --
after Substantial Completion. mmL Mm-Tf� DRAWINGS ARE
W. - PROJECT#:
- 18.All work shall conform to the eppficable sectioes of the Maesachsnsetta State Building I n roMe
_ Code, Sixth Edition. For residential projects,particular attention shall be paid to Chapter REPRESENTATIONAL- ONLY
- _ 36 - One k Two Family Dwell Ap. especially Table 3608.2.3 Fastener Schedule for Structural ( '. - - DRAWING NO.: -
Members,, f DO NOT
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I I iIx4 MAWOGANY'DECKING ON // / TABLE E608.2 \\ \\
I '
gLEEPERS BBER ROOfTAPPERED ON MODEMBRANE
PLYWO ON ON 12 /
G eoeYF I � - 3/4'TfG \\
I I' 2x SLEEPERS TAPPERED TO SLOPE ON
I I 4' GONC. SLAB w/ BREAKOUT TOP OF q j/4'Td1'. O.G. \\ \\ U U U EX. CONC. WALL \
I I 6'zb" 10/10 WWM ON ♦ / \ \
I b' COMPACTED GRAVEL --- .- •� BELOW EX. CONC. SLAB TYP.2d FLOOR CONSTRUCTION
_ BSLL,EANBD IN NEW GONC.
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1 , TYPICAL WALL CONSTRUCTION 1 41
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_--_ _—_—_ --i� 9I7; LEDGER �:-'_•h_—___—_—_. , --_—_ I (' ➢ \,� - LAIND FLAT r
TYP• -
- DATE ISSUED:
r� oa2s,0e
,CONY. q i/4' RIM CONT. it a"RIM�•a _—_—_ ,� J _ REVISIOM:
' ..BOARD AT ROOF BOARD _ - I Ol 15 07
DECK -
%nE: FLOOR TRUSS SYSTEM?O BE
ENGINEERED.BY TRUSS MPR. ,� ROOF FRAMING PLAN
• r NOTE STEEL BEAM$TO BE ENGINEERED .. _ � _
B - BY STRUCTURAL ENGINEER -
DRAWN BY:
t PROJECT#:
�� ,/1 SECOND FLOOR__FRAMING PLAN • ' —
DRAWING NO.:
3
�� 5
ZONE: R. D—
MAP:' 188 118 ' 004
WIND LOAD: EXPOSURE B
LOT .COVERAGE C.B. fnd
LOT AREA=`20,001 LOT 2'
STRUCTURE
INCLUDING POOL
3,066.37 S.F. = 15.3%
i
�025.00'
� 9.27' C.B. fnd.
C.B. fnd.
LO' T 4
001 s.f.
EXISTING STEEL
�\ -
\ POOL FRAME
01
B
h ti /�1O
6.
PERGOL
A
ROOF
� h ^h 3O?• ti
LOT 3
ry �,• rye.
v °
i
a- C.B. fnd.
CERT7FICA 77ON
i
On the basis of my knowledge, information, and
belief, l certify that as o result of o survey
y
CER7r D PLOT PLAN
made on the ground on 3126107, and 411212011
-N o /
l find that: The structure s arm located NEW:POO�.
� � on the :site as
shown. o s-
. FOR
The title lines` and lines of occupation of the
P C.B. fnd. h
site are as shown hereon.
The site is not situated in Floo 7 SEAN -M d Hazard Zone 3.58 cNUL TY
N�936,3 " 12 KALMIA WA Y
I" F 5 H'
s c.B. fnd.
Date. C� BA RNS TA BL E MA SS.
S
No.40039
o ` ,[�
/STEQ�'�4'�* / r O
YAL LA'm s Q
Scale: 1 „=20' Date: 411212011
i
Gary;S`Labrie, P.L.S
Warwick & Associates Inc.
DRAWN BY GSL DATE 3127107 : GRAPHIC SCALE
20 0 10 20 40 so
63 County Road Box 801
CHECKED BY SHEET 1 OF 1
North Falmouth, Mass 02556
P. �Lond Projects 2004�MCNUL TY�dwg�MCNUL TY.dwg W F (508) 563 — 7777
1 inch = 20 !t
e
ZONE RD—
MAP: 188 118 004
WIND LOAD: EXPOSURE B
LOT COVERAGE C.B. fnd LOT 2
LOT AREA= 20,001
STRUCTURE
INCLUDING POOL
3,066.37 S.F. 15.31w-
R�25.00'
9.27' ., C.B. fnd.
Sj¢3
lo
\� C.B. fnd. 8415,
ti
LOT 4
Cj 20,001 s.f.
o
^V 2,2,
40,
EXISTING STEEL
POOL FRAME
a�4 RS p sr
o
w
r �o
•a'
PERGOLA
��Nc ROOF
? LOT 3
ah h 302, ry
.01
ry
,D
-786Q ry�DK
TIFICA 71ON C.B. fnd.
CER
On the basis of my knowledge, information, and "CER TlFIFD PL 0 T PLAN"
belief, I certify that as a result of a survey r-
made on the ground on 3126107, and 411212011 NEW POOL
I find that. The structures) are located on the site as
s-
shown. oo. ^ FOR
The title lines and lines of occupation of the C.B. fnd.
site are as shown hereon. SEAN MCNUL TY
The site is not situated in Flood Hazard Zone 7358'
N79;36' 12 KALMIA WA Y
35"w
�1AOF*$ 8� c.B. fnd BARNS TABLE, MASS.
/�
Date:4/��r /2orr ° `�" �S. 1 `0S
LkMIE No. P [� RO
gat Sn
Scale: 1 =20 Date: 411212011
Gary S Lobrie, P.L.S.
Warwick & Associates Inc.
DRAWN BY GSL DATE.• 3127107 GRAPHIC SCALE 63 County Road Box 801
20 0 10 20 40 so
CHECKED er. SHEET 1 of r North Falmouth, Mass 02556
dw INFM
(508) 563 — 7777
A ,Land Projects 2004\MCNUL TY� g�MCNULTYdw g
1 inch = 20 ft
7/
�z 7,01)rl D Dp&�
ZONE: RD- 1
MAP. 188 118 004 .
I
c.e. tnd LOT 2
4�5.00'
R
9.27 C.B. fnd.
Pc.e. fnd.
LOT 4
.0,
20,001 s.f.
PA Wb
OR/VE ory �• ,,,;,
c
?o•
0
°•
BRICK ,
y WALK 'Oq�
/ o
LOT 3
BRICK o ti'y
WALK S01
h
CER77RCA nON C.B. 1Snd.
On the basis of my knowledge, Information, and
�
bellef, 1 certify that as a result of a survey /� �y PLAN
»
mode on the ground on 3126107, / f7nd that: �o ►� CEIT �l�'l ED PLOT
The structures) are located on the site as
shown. o FOR
The title lines and Lines of occupation of the CA fnd
site are as shown hereon. SEAN MCNUL TY
The site is not situated /n Flood Hazard Zone
3635�w 12 KALM/A WA Y
B s c.e. fed.
OF Myss9� BA RNSTA BL E, MASS.
Date: /p?7/ `` �y��P�
�o GARY
S.
� LABRtE
No.40039 1?0AD
AI L %
Scale: 1 =20 Date: 3127107
J� Gary Labrie, P.L.S.
i
i
Warwick & Associates Inc.
DRANK er.• csr DAT- .1127/07 GRAPHIC 8CAL
63 County Road Box 801
I21)
No
s► t t or- 1 rth Falmouth, Mass 02556
can er
! (508) 563 — 7777
i P.• (Land Projects 2004I MOVUL MdW#JAK�!' rYdw9
' 1 inch 80 !!.
i
i