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0077 LUMBERT MILL ROAD
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EXISTING FOUNDATION 13.4ft LOT 15 /✓ s ,� V1 o'' LOT 16 22, 59.1 ft N r !V 6I o7 LOT 42kk FLOOD ZONE C FO UNDA TION CERTIFICA TION RES ZONE'• RC TOWN CENTERVILLE SCALE 1"=30' PL REF° 31043-A ELEV N/A SETBACKS• 20-10-10 THE FOUNDATION 1 THE PLAN AS IT E�ST� t, +� YANK.EE LAND T_ � SURVEY CO INC. � o� �G1S 0//� v i PSTEP. . 40 INDUSTRY ROAD °on.E_ -�o v s MARSTONS MILLS, MA 02648 - �7 ® . I TEL .508-428-0055 FAX 508-420-5553 JOB ®v Dl o4' i DATE.•12131109 NUMBER 54474 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business_certificate ONLY REGISTERS YOUR NAME,in town (which yo.0 must do by M.G.L.-it does not give you permission to operate.) You must first obtain,the necessary signatures on this form at 200 Main St., Hyannis.- Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis,- NIA 02601 (Town Hall) and get the Business Certificate that is required by law. k Y ter._ DATE: 3 Fill in please: _. F,� r :m APPLICANT.'S YOUR NAME/S: .. c �. �hz& SINESS ' YOUR HOME'ADDRESS: Lx__w-\ j Zc, TELEPHONE -# Home Telephone Number r NAME OF CORPORATION NAME OF NEW BUSINESS:'. TYPE OF BUSINESS IS:THIS-A HOME OCCUPATIONS -YE$. N C ADDRESS OF BUSINESS ( PAP/PARCEL NUMBERS d D I ing) (Assess When starting a new business there are several,things you must.do in order to be in compliance with the rul6s and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. 'You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &.Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSION R'S OFF E .This individ al ha imf&r a of an per it requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION Rath r d ignatur RULES AND REGULATIONS. FAILURE TO MMEN COMPLY MAY RESULT IN FINES bn �� 2. BOARD OF EALTH , This individual has been informed`of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) - This-individual has been informed of the.licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: :. �s Regulatory Services P� Thomas R Geiler,Director • MUMMnsr a. t Building Division 9� 1 Tom Perry,Building Commissioner '° t s 200 Main Street, Hyannis,MA_02601 www.town.barnstable.ma m : Office: 508-862-4038 ' :'Fax: 508-790-6230 - Approved. Fee: Permit#: 2CA HOME OCCUPATION REGISTRATION Date: Nam Phone#: Address: L�) t Village: ' —j Name of Business: Type of Business Map/Lot: ' �p 1NI=: It is the.intent of this section to allow the residents of the Toiim of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside die d`vellirig: there shall be no increase in noise or,odor,no visual alteration to the t ' premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution After registration«ith the Building Inspector,a custom•uy.home occupation shall be permitted as of right subject to the' following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located�`idnui that d-veelling unit. Such use occupies no more than 400 square feet of space: • There are.no external alterations to the,dwelling which are not customary in residential buildings,and there is no outside evidence of such use. •, No tragic will be generated in excess of normal residential volumes. . • The.use does not involve the production of offensive noise,vibration,smoke,dust.or other particular matter, odors,electrical disturbance,heat,glare,.humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on he same lot containing die Customary Home Occupation,and not�vitlun flue required front yard. a There is no exterior storage or display of materials or equipment. • There are no commercial vehicles.related to the Custoru<uy Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,.and one,arailer not to exceed 20 feet in length and not to exceed 4 tires;parked on the same lot containing.the Customary Home Occupation. e No sign shall be displayed indicating'the Customary Home Occupation: • If the Customary Home Occupation is listed or advertised as.a business,the street address.shZall riot be included. o: No person shall be employed in the'Customary Home Occupation ivho is not'a permanent resident.of the . dwelling unit. I, the undersigned,have read and c F`idi the above restrictions for my home occupation I am registering: Applicant ,f. .SS ISLr------ -Date: Homeoc.doc Rev.01%3/08 Town of Barnstable �t"E rqr,�°� Regulatory Services Thomas F.Geiler,Director BARNSTABLE, ` Building Division MASS. 1639. GM. 16%. � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# U 6 FEE: $ S SHED REGISTRATION 120 square feet or less -77 �un� erfi ter, 1Zry tIJe Location of shed(address) Village 06 1 36 -7 Property owner's name Telephone number Size of Shed Map/Parcel# - /so Siena ture Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? 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:042506 G) e P-TF-D �L't LL- -i)owa I I i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map Parcel (� z 'Application Health Division Date Issued Conservation Division Application Fee Planning Dept; ;'Permit Feel Date Definitive'Plan Approved by Planning Board Historic - OKH: Preservation/Hyannis ; Project Street Address 7 7 L U M &r Village CwiTPw I Owner ! C_ 1- kGro5r5leln° Address 77 in RXXC( Telephone fl om �fZ �G S 1, (Sce•) 3 6? 33 Permit Request 4,_,Xc d I'G../C) dal' ! Gt. o�C-'_ `/ W-C mud- roorvi �G o.,r--�7'f�C � 'fh� /'nC�.t rn �'1Cv 5 � `i'/'oon � � ct,l�q•2 � ` Square feet: 1 st floor: existing proposed 2nd floor: exi ��6posed Total new Zoning District Flood Plain rou ater,Overlay Project Valuation Z7,Goo,ck) Construction Ty Lqt Size er 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family A o F Multi-Family(# units) Age of Existing Structure — 30 Yr5 storic House: ❑Yes XNo On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑Crawl • XWalkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing, 2 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: )A Gas ❑ Oil ❑ Electric ❑Other Central Air: $Yes ❑ No Fireplaces: Existing l New Existing wood/coal stove: ❑Yes XNo Detached garage: ❑existing 0 new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Att�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 r y APPLICANT INFORMATION w u� (BUILDER OR HOMEOWNER) Name 16_r' 55 `6110n Telephone Number. CGOO r r Lv�t 6e_i /� M Address + � License # G S �ggj Ae O 2& Z Home Improvement Contractor# I6 I E? 9 Worker's Compensation # k / ALL CONSTRUCT N DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE // 6 / FOR OFFICIAL USE ONLY t } APPLICATION# I) 4 DATE ISSUED s MAP/PARCEL NO. a `ADDRESS VILLAGE 3 OWNER DATE OF INSPECTION: r .. FOUNDATION :...FRAME INSULATION FIREPLACE I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: HOUGH FINAL FINAL BUILDING r } DATE CLOSED OUT 4 SSOCIATION PLAN NO. oFt r Town of Barnstable do Regulatory Services * 1MRxsrnsLE, MASS. g, Thomas F.Geiler,Director •i639 ♦0 ATED 39 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 6, 2009 Mark C. Grosslein 77 Lumbert Mill Rd. Centerville, Ma. 02632 RE: 77 Lumbert Mill Rd., Centerville Map: 168 Parcel: 017 Dear Mr. Grosslein: This letter is a follow-up a discussion we had some time ago regarding application #200901537 submitted to do work at the above referenced address. As discussed, permit #68516 was issued on or about May 5, 2003 to renovate the existing building and has not had a final building inspection. To date,the status remains unchanged and permit#68516 requires a successful final inspection before another building permit will be issued. Subsequently,your application is not approved. If at a further date you wish to proceed with the project you must submit another application at that time. If this office can be of further assistance or you have any questions please call (508) 862-4034. Respectfully, L. Lauzon Local Inspector Qzoning5 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION S_G A Map Parcel 01 :2 Application # Health Division '�c� rtit - S ° Date Issued Cd -z�_Lo Conservation Division AN Jh7lol�y ►,�vl e fz . SEPTIA SWW#% 1NSTALLEI7 or I- 1 ; ,... !s,NCE oZ Planning Dept. fitlee ENVIRO� ►��' Date Definitive Plan Approved by Planning Board ,PAENTAi_; ;v0E AND �nL TOWN REG�ILATIONS 0 fD��" Historic - OKH Preservation / Hyannis Project Street Address +/1 L(/� i v a Village Owner Oar L- f' It area ��•55�e�r► Address Telephone &Mp ( Sv93) `fZ�S — C166 S GQ �t�. 6S,00 A., 3'3a12 Permit Requester �j h L0 tJs'r 6Oh Vl-_GT1VI! t0 /hGt Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new c Zoning District Flood Plain Groundwater Overlay Project Valuation COO,00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure �r '30 YI25 Historic House: ❑Yes LYNo 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 1 new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: OGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: sting anew size_ F_-- '! Attached garage: ❑ existing knew size _Shed: ❑ existing ❑ new size _ Other: 'L' 6# .7M Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 110 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use W r-- v r» APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1 `� ���S �h/1 'Telephone Number (�) G / 3 3W Address �C/rV1 -f �G f �`�I License# C S 9 ee go 4ez' c/ & �2(, `�2 Home Improvement Contractor# 161 �6? Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO / n/. i 4// SJA �P � . 5� SIGNATURE DATE } FOR OFFICIAL USE ONLY t APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER — DATE OF INSPECTION: FOUNDATION .w FRAME L 5' 7Z}�G owt.Y f 1 c 4) I f � INSULATION i tAll j FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH " FINAL GAS: ROUGH FINAL s FINAL BUILDING (®z 1 Wi3 DATE CLOSED OUT ASSOCIATION PLAN NO.' ' { r - The Commonwealth of Massachusetts Department of Industrial Accidents 1 Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): Ol(� �r0 S Si. E'lei Address: 77 &lm L-f 11V 4( City/State/Zip: , 6yJ /� Phone #: SO Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. R] 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 comp.[No workers' comp. insurance required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 1 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating-such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those cntities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lie.#: 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 may be forwarded to the Office of Investigations of the DIA for i ur e coverage verification. �Ido hereby cerli t 'and penalties of perjury that the information provided ab ve is rue and correct. nature: Date: �D 6 Phone#: 6SoP) 36-7 -3_�2 2 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1, Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: 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 pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to 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 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia E E,RG'Y CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE; AND TWO-FAMILY DETACHED RESIDENTIAL•CONSTRUCTION (78/0 CMR 61.00) Applicant Namc: A�� SS�_ �2 Lv'i Site Address: 77 L�,�.bert/�1�/� 14 psi,,, Town: /tt14-6Z6`32. Applicant Phone: So 0 3 Z Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two'o tions '780 CMR TABLE 6107.1 PRESCRIPT1'YE EN-`JELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS mAxM MINIMUM Ceiling or 51ab Basement Option 1: Fenestration exposed Wall Floor Wall Perimeter AFUE HSPF SEE] U-factor floors R Value R-Value R Value R-Value R-Value and De th National Appliancc•Encrgy =19 R-10 R-10) Conscrvation Art(NAECA)of - 8 R-19 R minimums or .35 R 3 Oft • 1987 as amcndcd, catty as aL•cable Dote: This form is not required if you choose either of the two versions ofREScheck as listed below. Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck--Web which can be accessed at http°//www enerf7Ycodes.>;oy/zescheckl ADDZ OIVS:OR ALT RATIONS.TO EXISTING BUILDZNGS,.o VER 5 YEARS OLD* *puildings under 5 years old must use option#1 or 42 in New Construction section above. Complete the following formula to determine the %o of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b _ a) Zlo S SF 100 x �fo = 3� �3 % of glazing (b) Glazing area equals SF 6 Q If glazing is<:40%.uge the chart below. If gla±iDg is > 40 % rocec,d to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM M[NIMUM Ceiling and Slab Perimeter Fenestration Ceiling Floor . Basement Wall R-Value U-factor Exposed floors R-Value R-value R-Value RValue and Depth .39 R-37 a• R-13 • R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and includihg any access openings). SUNROOM—An addition or alteration town existing building/dwelling unit where the total El glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out ConsamerInformation Form found in A endix I— 'own of Barnstable o Regulatory Services Thomas F. Geiler,Director a ttirrs rwst e buss. Building Division Tom Perry,Building Commissioner 200 Maiti.Streef, Hyannis,MA 026.01 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 509-790-6230 H01hdEOWNER LICENSE EXEMPTION fry / Please Print DATE: /V JOB LOCATION: / L uW1CJ8' G/�. l (�!/( fir/!/l[� /"t / number street village - ---"HOMEOWNER": 'Ark (_: 61-05 50- q?g 9 S 30 gull -"HOMFAWN R S 8fn (G �6 (� name home phone# work.pbone# CURRENT MAILING ADDRESS: _e,� 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 huneowners to engage an individual for hire who does not possess a license,provided that the owner acts as Supervisor. DEFINITION OF BOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to' be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"h me er"certifies that.he/she understands the Town of Barnstable Building Department minimum' o educes and requirements and that he/sbe will comply with said procedures and regrrir Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions. of this section_(Scetion 1 D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homcowner shall act as supervisor." Many homeowners who use this exemption are unaware that they arc assuring 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 Mould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately msponstble. 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/ccrtification for use in your community. Q:forms:homccxcmpt v w zHEr, ` own of Barnstab-le Regulatory Services s,WYN �$ Thomas F_ Geiler,Director FDa Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862--4039 Fax: S08-790-6230 ProperL-y awrierM'ust Complete and Sign This Section If Using A Builder T, t , as Owner of the subject property hereby authorize ° P ,' to act on my behalf, in all matters relative to work authorized by his building permit application for. t 1 e r I t > (Address.',#Job .j 4. Y Signature of Owner' Date Print Name ' E j If Property owner is applying forpen:-nit please complete the Homeowners License Exemption Form on the reverse side. Swanson .Structural. Inc. Paul W.Swanson,P.E. Engineering Services 116 Forest Street coitmercial Franklin,MA 02038-2579 residential Phone 508-520-1333 heavy timber Fax 508-520-1334 Paubg9wansonStru ctural.com ✓ W, t-�. % (1'fJ a _�1.1_drns _ .1 i 9 ? CIA GS .L i ! 1 — ..i 1,.."-- v— --r•.-- :— —fi it—' _ _ t .T..W r _6..P i, s _7'.__—f..._.�Y S V..._ r ZNI i �._/— 1 t� .4 I A s — _ -t— - _ _te 5� D5 � 1 � a i � t 1 t i_ �i —i 9 GK-� ,�-• , }} I F {t f ! , i 44 + E 4-L! Job Name /V�w C��Gc✓A�� Job Number ✓2 / 3 Location 7 7 Llnn be-,-t Al n )/---1" V - Sheet f of C� Client 32 7 By l Date d Swanson .Structural, Inc. Paul W.Swanson,P.E. Engineering Services 116 Forest Street conkmercial Franklin,MA 02038-2579 residential Phone 508-520-1333 heaiy timber Fax 508-520-1334 Pau&_5wansonStructural com I -d x ' S � ;D PfERlt IV S j l j i— I— i I r - ; I of , 2? 1 _ € € �! ysi { "OFF—L-'_"-- 4, Y � I - - ' _ _ i ._l 17- �---I- D- -Sad ; 2•s 2 I >'lttd i ' i 5 4 i /��� t'if71�1�T �Pi/'C'i�/�i✓ 's ' I I ' � i � i i ! �—� f V : , 2 - f i _ P F 1 2275, i fir.14T —._,i i a i i__ r_ t �._ € 1�_ !_. x�" -- -- E ! I ! 1 77 « B3pi1I II I 7 a _... 16 r 1 1 i 3� I w/ }3' x� l,u}+ooW _ — ,- 2 x w 5�- p _ fib f�c$ 12 ' ... ........... S 22DG > lsb 'a� Job Name Job Number J 2 q 3 Location Sheet Client By �GE/� Date Q Swanson Structural, Inc. Paul W.Swanson,P.E. Engineering Services 116 Forest Street contmercial Franklin,MA 02038-2579 residential Phone 508-520-1333 heavy timber Fax 508-520-1334 Pau&_SwansonStructural com -7, — - - • r ' 'S } ,. .rGw I .--_--�. i 3 � < ! _- { r r .. ._ ..._.. i f , Job Name Job Number Location ---i--'--- T- Sheet of C� Client BV ��� Date 3 D r i,::. r .?. 'l�:r,7 d r r- '^�...7.`�'`v �..-'+�.°_K"��.4u � _ �FF} .P.R-��"� t3fiw��k}'�' �i��- • HOUHaidown [ 6�#EEMn This product is preferable to similar connectors because of WTI F wr a)easier installation,b)higher loads,c)lower installed cost, 1° or a combination of these features. Post size by Designer m e; The HDU series of holdowns combine the advantages of low •f o deflection and high capacity from the pre-deflected geometry with the ° o ease of installation-of Simpson's patented SDS screws. HDU SPECIAL FEATURES: Pilot Holes for •Pre-deflected body virtually eliminates deflection due Manufacturing o to material stretch. purposes(Fastener o ' o Pressure treated r •Uses SDS screws which install easily,reduces fastener slipbarrier may be not required) m H required and provides a greater net section area of the post �.: n Za o compared to bolts. •SDS'/4°'x2l/z°screws are supplied with the holdowns. m r� (Lag screws will not achieve the same load.)This ensures the o proper fasteners are used and is convenient for the installer. - •No stud bolts to countersink at openings. h e MATERIAL:See table. FINISH:Galvanized INSTALLATION: 17 •Use all specified fasteners.See General Notes. Q Vertical HDU Installation. •Place the HDU over the anchor bolt. •No additional washer required. t rep HDU may be installed raised off •To tie double 2x members together,the Designer must determine HDU the sill plate with no increase in the fasteners required to bind the members to act as one unit deflection values(see note 7). without splitting the wood.See page 20 for more information_. •See SSTB Anchor Bolts on page 33-34 for anchorage options. For holdowns,per ASTM test standards,anchor bolt nut should be •Refer to technical bulletin T-ANCHORSPEC for post-installed finger-tight plus Y3 to 1/2 turn with a hand wrench,with consideration anchorage solutions(see page 199 for details), given to possible future wood shrinkage.Care should be taken to not CODES:See page 12 for Code Listing Key Chart. over-torque the nut.Impact wrenches should not be used. Dimensions Fasteners,—___.__AlloT2260 ds Model Holdown.Deflection. No. Ga _ u " ighesrltfl C.od_ W H B ofSDS Bolf0) Design Load. .... Ref.HDU2-SDS2.5 14 3 B"Ar, 3�/a 11/4 4e 6 26 0.017HDU4-SDS2.5 14 3 1015/,e 3�/a 1�/a 6/ 1D 9 0.049HDUS-SDS2.5 14 3 133/,e 3�/a 1�/a % 14 543 0.061 146,160HDU8SDS2.5 1D 3 16% 3�h 1Ya- >xa� 2D 95 1):D37m`�"'HDU11-SDS2.5.. 10 3 22Y4 3�h 1 Ya 1 - 3D = :112 0.040 N W 1.Allowable loads have been increased for earthquake or wind load durations with 8.Deflection at Highest Allowable Design Load: z no further increase allowed;reduce where other load durations govern. The deflection of a holdown measured between the ii 2.Loads are based on static tests on wood,posts,limited by the lowest of 0.125' anchor bolt and the strap portion of the hoidown deflection,lowest test ultimate divided by 3 or the calculated values of the when loaded to the highest allowable load listed SDS Ya x2Yz'screws. in the catalog table.This movement is strictly due 3.The Designer must specify anchor bolt type,length and embedment to the holdown deformation under a static load 4.When using structural composite lumber columns screws must be applied to test conducted on a wood jig. o the wide face of the column. 9.Tabulated loads may.be doubled when the HDU is W 5.Post design shall be by Designer. installed on both sides of the wood member provided 6.SDS screws install best with a low speed Ye'right angle drill with a%'hex head driver. either the post is large enough or the holdowns are i; 7.Deflection values are valid for holdowns flush and raised off of sill plate. offset to eliminate screw interferences. Refer to note q,page 14 for Installation instructions of raised holdowns. y 2 4 y -- o ATSAnchorI/ N N The Anehor.Tiedown System(ATS)is a method for anchoring " shearwalls in mid-rise wood frame construction to resist large - uplift forces in stacked shearwall systems caused by earthquakes and high winds.The revolutionary ATS method restrains f �- overturning forces through bearing plates and Simpson z. Strong-Rod providing a high capacity restraint.system far , exceeding the capacity of traditional holdowns.The patented — �T ATS also offers Take-up Devices to compensate for wood shrinkage and settling common in mid-rise construction. For design information request C-ATS or visit www.sfrongtie.com. � F -- ;= ree ATS Selector Software available L 35 r Main Wind Force Resisting System—Method 1 h<_60 ft. Figure 6-2 Des ign esign Wind Pressures ; Enclosed Buildings WaUs & Roofs O r .. i.ow nl -- a' I m efemn C e Transverse W / r Refewce MW a a --- �� Longitudinal .� tt M Notes: �t I. Pressures shown are applied to the horizontal and vertical projections,for exposure B,at h=30 ft(9.1 m),for 1=1.0. Adjust to other III exposures and heights with adjustment factor) k *.rat 2. The load patterns shown shall be applied to each corner of the building in turn as the reference corner.(See Figure 6-10) 9 3. For the design of the longitudinal M WFRS use B=0`,and locate the zone E/F,G/H boundary at the mid-len q . 4. Load cases 1 and 2 must he checked for 2 °< -length of the building. 5 B<_45°. Load case 2 at 25 is provided only for interpolation between 25'to 300. 5. Plus and minus signs signify pressures acting toward and away from the projected surfaces,respectively. — a 6. For roof slopes other than those shown,linear interpolation is permitted. r 7• The total horizontal load shall not be less than that determined b assuming 8. The zone pressures g. Y g Ps=0 in zones B&D: p represent the following: Horizontal pressure zones—Sum of the windward and leeward net(sum of internal and external)pressures on vertical projection of A- End"zone of wall C- Interior zone of wall ' B- End zone of roof D- Interior zone of roof ' Vertical pressure zones—Net(sum of internal and external)pressures on horizontal projection of: " E- End zone of windward roof G- Interior zone of windward roof F- End zone of leeward roof H- Interior zone of leeward roof 9• Where zone E or G falls on a roof overhang on the windward side of the building,use E H and G 0 off for the pressure on the horizontal " projection"of the overhang. Overhangs on the leeward and side edges shall have the basic zone pressure applied. 10. Notation: a: 10 percent of least horizontal dimension or 0.4h,whichever is smaller,but not less than either 4%of least horizontal dimension or 3 ft(0.9 m). 1 h: Mean roofhei ght,in feet(meters),except that eave height shall be used for roof angles<10'. i 0: Angle of plane of roof from horizontal,in degrees. i Minimum Design Loads for Buildings and Other StructuresVQ 41 q 1 Main Wind Force Resisting System-Method 1 h<-60 ft. Figure 6-2(cont'd) Design Wind Pressures Walls & Roofs Enclosed Buildings Simplified Design Wind Pressure , PS31) (psf) (Exposure 8 at h=30 ft. with!=1.0) a ID Zones Basic Wind Roof U Horizontal Pressures Vertical Pressures Overhangs .' Speed Angle m (mph) (degrees) 0 A B C D E F G H EOH. GOH 0 to 5° 1 11.5 1 -5.9 7.6 -3.5. -13.8 -7.8 -9.6 -6.1. -19.3 -15.1 . 10' 1 12.9 -5.4 8.6 -3.1 -13.8 -8.4 -9.6 6.5 -19.3 -15.1 15° 1 14.4 -4.8 9.6 -2.7 -13.8 -9.0 -9.6 -6.9 -19.3, -15.1 �5 20° 1 15.9 . -4.2 10.6 -2.3 -13.8 -9.6 -9.6 -7.3 -19.3 -15.1 . 25' 1 14.4 2.3 10.4 2.4 -6.4 -8.7 -4.6 -7.0 -11.9 .10.1 2 -2.4 -4.7 -0.7 -3.0 - 30 to 45 1 12.9 8.8 10.2 7.0 1.0 -7.8 0.3 .6.7 -4.5 -5.2 2 12.9 8.8 10.2 7.0 5.0 -3.9 4.3 -2.8 -4.5 -5.2 0 to 5" 1 12.8 -6.7 8.5 -4.0 -15.4 -8.8 -10.7 -6.8 -21.6 -16.9 10° 1 14.5 -6.0 9.6 -3.5 -15.4 -9.4 -10.7 -7.2 -21.6 -16.9 15° 1 16.1 -5.4 10.7 -3.0 -15.4 -10.1 -10.7 -7.7 -21.6 -16.9 90 20° 1 17.8 -4.7 11.9 -2.6 -15.4 -10.7 -10.7 -8.1 -21.6 -16.9 25' 1 16.1 .2.6 11.7 2.7 -7.2 -9.8 -5.2 -7.8 -13.3 -11.4 2 -2.7 -5.3 -0.7 -3.4 - 30 to 45 1 14.4 9.9 11.5 7.9 1.1 -8.8 0.4 -7.5 -5.1 -5.8 2 14.4 9.9 11.5 7.9 5.6 -4.3 4.8 -3.1 -5.1 -5.8 0 to 5° 1 15.9 -8.2 10.5 -4.9 -19.1 -10.8 -13.3 -8.4 -26.7 -20.9 10° 1 17.9 -7.4 11.9 -4.3 -19.1 -11.6 -13.3 -8.9 -26.7 -20.9 15" 1 19.9 6.6._._13.3_�,�_191_-12.4 -13.3 -9.5 -26.7 -20.9 ®® 20° 1 22.0 -5.8 14.6 -3.2 -19.1 -13.3 -13.3 -10.1 -26.7 -20.9 25° 1 19.9 3.2 14.4 3.3 -8.8 -12.0 -6.4 -9.7 -16.5 -14.0 2 -3.4 -6.6 -0.9 -4.2 30 to 45 1 . 17.8 12.2 14.2 9.8 1.4 -10.8 0.5 -9.3 -6.3 -7.2 2 17.8 12.2 14.2' 9.8 6.9 -5.3 5.9 -3.8 -6.3 -7.2 0 to 5° 1 19.2 -10.0 12.7 -5.9 -23.1 -13.1 -16.0 -10.1 -32.3 -25.3 10° 1 21.6 -9.0 14.4 -5.2 -23.1 -14.1 -16.0 -10.8 -32.3 -25.3 15, 1 24.1 -8.0 16.0 -4.6 -23.1 -15.1 -16.0 -11.5 -32.3 -25.3 110 20° 1 26.6 -7.0 17.7 -3.9 -23.1 -16.0 -16.0 -12.2 -32.3 -25.3 25° 1 24.1; 3.9 17.4 4.0 -10.7 -14.6 -7.7 -11.7 -19.9 -17.0 2 -4.1 -7.9 -1.1 -5.1 - 30 to 45 1 21.6 14.8 17.2 11.8 1.7 -13.1 0.6 -11.3 -7.6 -8.7 2 21.6 14.8 17.2 11.8 8.3 -6.5 7.2 4.6 -7.6 -8.7 0 to 51 1 72.8 -11.9 15.1 -7.0 -27.4 -15.6 -19.1 -12.1 -38A -30.1 10, 1 25.8 -10.7 17.1 -6.2 -27.4 -16.8 -19.1 -12.9 -38.4 -30.1 15, 1 28.7 -9.5 19.1 -5.4, -27.4 -17.9 -19.1 -13.7 -3B.4 -30.1 120 20° 1 31.6. -8.3 21.1 -4.6 -27.4 -19.1 -19.1 -14.5 -38.4 -30.1 25' 1 28.6 4.6 20.7 4.7 -12.7 -17.3 -9.2 -13.9 -23.7 -20.2 2 -- -4.8 -9.4. -1.3 -6.0 30 to 45 1 25.7 17.6 20.4 14.0 2.0 -15.6 0.7 -13.4 -9.0E_35 2 25.7 17.6 20.4 14.0 9.9 -7.7 8.6 -5.5 -9.0 0 to 5° 1 26.8 -13.9 17.8 -8.2 -32.2 -18.3 -22.4 -14.2 -45.1 10' 1 30.2 -12.5 20.1 -7.3 -32.2 -19.7 -22.4 -15.1 -45.1 15' 1 33.7 -11.2', 22.4 -6.4 -32.2 -21.0 -22.4 -16.1 -45.1 s 20° 1 37.1 -9.8 24.7 1 -5.4 -32.2 -22.4 -22.4 -17.0 -45.1 -35.3 130 25° 1 33.6 5.4 24.3 5.5 -14.9 -20.4 -10.8 -16.4 -27.8 -23.7 2 -5.7 -11.1 -1.5 -7.1 - 30 to 45 1 30.1 20.6 24.0 16.5 2.3 -18.3 0.8 -15.7 -10.6 -12.1 2 30.1 20.6 24.0 16.5 11.6 -9.0 10.0 -6.4 -10.6 -12.1 Unit Conversions-1.0 ft=0.3048 m; 1.0 psf =0.0479 kN/m2 • o e 3293 8 1 42 .. -- As CE 7-02 h r - _ vs2 = Nominal unit shear capacity for side 2,lbs./ft. 4.3.3.3 Summing Shear Wall Lines: The nominal (from Column A,Table 4.3) . shear capacity for shear walls in a line utilizing shear walls sheathed with the same construction and materials, shall . v5C Combined nominal unit shear capacity of two- be permitted to be combined. sided shear wall.for seismic design,lbs./ft. 4.3.3.4 Shear Capacity of Perforated Shear Walls: The nominal shear capacity of a perforated shear wall shall be Nominal unit shear capacities for shear walls sheathed taken as the nominal unit shear capacity multiplied by the with dissimilar materials on the same side of the wall are sum of the shear wall segment lengths, ELi, and the ap- notcumulative. For shear walls sheathed with dissimilar propriate shear capacity adjustment factor,.C°;from Table materials.on opposite sides, the combined nominal unit 4.3.3.4. - shear capacity, v,, or vwc, shall be either two times the smaller nominal unit shear capacity or the larger nominal unit shear capacity,whichever is greater. Exception:For wind design,the combined nomi- - ---nal unit shear capacity vw°,of shear walls sheathed with a combination of wood structural panels and gypsum wall-board on opposite sides shall equal the sum of the sheathing capacities of each side separately. Table 4.3.3.4 Shear.0ap"fty Ad"ustmett Fac tor,rC MAXIMUM OPENING HEIGHT' WALL HEIGHT, h h/3 h/2 2h13 5h/6 h ' 8'W a l l 2'-8" 4'-0" 64" 6-81' 8'-0" 10'Wall T41 5'-0" 6-8" 8'4" 1 10'-0" Percent Full-Height Sheathing 2 Effective Shear Capacity Ratio 10% 1.00 O:69 0.53 0.43 0.36 20% 1.00 0.71 . 0.56 0.45 0.38 30% 1.00 0.74 0.59 0.49 0.42 40% 1:00 0.77 0.63 0.53 0.45 50% ` 1.00 . 0.80 0.67 0.57 0.50 60% 1.00 . 0.83 0.71 0.63 0.56 70% 1.00 0.87 0.77, 0.69 0.63 80% 1.00 0.91 0.83 0.77 0.71 90% 1.00 0.95 0.91 0.87 0.83 100% 1.00 1.00 1.00 1.00. 1.00 . The maximum opening height shall be taken as the maximum opening clear height in a perforated shear wall. Where areas above and below an opening remain unsheathed,the height of the opening shall be defined as the height of the wall. Z The sum of the lengths of the perforated shear wall segments divided by.the total length of the perforated shear wall.: . _ 3293 AMERICAN WOOD COUNCIL '- Table 4.3A Nominal Unit Shear Values for W -ood Frame Shear Wallsar° Wood-based Sheathing Minimum A B Minimum SEISMIC Nominal Fastener Panel Ed (inches) WIND Sheathing Material Panel Penetration In Fastener ge Fastener SpacingPanel Edge Fastener S acing inches Thickness Framing Type&Size 6 4 3 2 6 4 3 2 (inches) (inches) v Is kGsM v is G_a v_s G_a v_s G_a v_w v_w v_w v_w ki s/in I (kips/in) I ki s/In i I Nail(common or galvanized box) Wood Structural 5/b6 1-1/4 6d 400 13.0 600 Id 3/8 18.0 780 23.0 1020 35.0 560 840 1090 1430 Panels-Structural 460 19.Q 720 24.0 920 30.0 1220 43.0 645 1010 1290 1710 15 3b 1-3/8 8d 510 16.0 790 21.0 1010 27.0 .1340 40.0 715 1105 1415 1875 15/32 560 14.01 860 18.0 1100 24.0 1460 37.0 785 1205 1540 2045 15/16 !V!n 680 22.0 1020 29.0 1330 36.0 1740 50.0 950 1430 1860 2435 5/16 360 13.0 540 18.0 700 24.0 900 37.0 505 755 980: 1260 M: 3/8 400 11.0 600 15.0 780. 20.0 1020 32.0 560 840 1090 1430 m,�' Wood Structural 3/86 440 17.0 640 25.0 820 • 31.0 106045.0 615 895 1150 1485 d 7/166 z Panels-5heathing 480 15.0� 700 22.0 900 28.0 1170 42.0 670 980 1260 1640 o. 15/32 620 13.0� 760 19.0 980 25.0 1280 39.0 730 . 1065 .1370 1790 15/32 X. 19/32 1-1/2 10d 620 22.0 920 30.0 1200 37.0 1540 52.0 870. 1290. ' 1680 2155 � 680 19.0 1020 26.0 1330 33.0 1740 48.0 950 1430 1860 2435 --I Nail(galvanized casing) D Plywood Siding 3/86 1-1/2 8d 280 13.0 420 16.0 550 17.0 720 21.0 392 588 770 1008 En 320 16.0 480 18.0 620 20.0 820 22.0 448 672 868 1148 n Nail(common or cn Particleboard galvanized box) n; Sheathing- 3/8 D 8d 240 15.0 360 - 17.0 460 19.0 600 22.0 335 505 645 840 • (M-S"Exterior Glue" 3/8 260 18.0 380 20.0 480 21.0 630 23.0 365 530 670 880 z and M-2"Exterior 1/2 Glue") 1/2 10d 280 18.0 420 20.0 540 22.0 700 24.0 390 590 755 980 370 21.0 550 23.0 720 24.0 920 25.0 520 770 1010 1290 5/8 400 21.0 610 23.0 790 24.0 1040 26.0 560 855 1105 1455 Nail(common or galvanized roofing) 8d common or 11 ga.galy. Fiberboard Sheathing 112 rooting nail(o.t2o^x 1 11z^ Structural long x 7/16"head) 340 4.0 460 5.0 520 5.5 475 645 730 8d common or 11 ga.gaiv. . 25/32 roofing nail(0.120"x 1 314" 360 4.0 long x 7116"head) 480 5.0 540 5.5 - 505 670 755 a. Nominal unit shear values shall be adjusted in accordance with 4.3.3 to determine ASD allowable unit shear capacity and LRFD factored unit resistance. For general construction requirements see 4.3.6. For specific requirements,see 4.3.7.1 for wood structural panel shear iyalls,4.3.7.2 for particleboard shear walls,and 4.3.7.3 for fiberboard shear walls. b. Shears are permitted to be increased to values shown for 15/32 inch sheathing with same nailing prov across studs. ided(a)studs are spaced a maximum of 16 inches o.c.,or(b)if panels are applied with long dimension W c. For framing glades other than Douglas-Fir-Larch or Southern Pine,reduced nominal unit shear capacities shall be determined by multiplying the tabulated nominal unit shear capacity by the Specific Gravity N Adjustment Factor=[1-(0.5-G)],where G=Specific Gravity of the framing lumber from the NDS. The Specific Gravity Adjustment Factor shall not be greater than 1. d. Apparent shear stiffness values, Structural Panels Supple are based on nail slip and panel in accordance with the ASD Woadd St stiffness values for shear walls constructed with OSB panels. When plywood panels.are used,shear wall deflections:should be calculated v' ment. . SW3ISAS ONIISISM-33HOJ IVU31VI m n T�,VNG.PREPAR�1TFRCMCU►PUTERQIPUTMADS D�!ISILIIL]Slfld[T�.�BYTRL155�ff2. � fU 12WAdjGFIOSSLE;N f A-1 - Sxa�9 Mock:Nal ty, i0d a_C�1ri1D 128XALSSLJ r ALL PtATE fU Tcp da 2di SPF(S)1&'a'Y•i-%:TG2,TC32s9 SPFI-:5Wl.7E: BF;G 007 WaLDi N.S LEir r Sl)C L44S91R 1 BOIL d=d 24 SPF(S)IFrDRi.5E d3C2 bd 5?f 1 SGX-1.7'c 4 &Itsm m d3C3 2p4 S 1wZ 262Cd i 17 OD Plebs 2 K4,qFf#i=1 - >9 thcic_r fP sake s¢e aril` e5[ x3d,ud. tivrzS3e 2,d 57F�1 y3zFJ W e bFl SPF Btdz T Ia m dra+vg �r add rixma5m I10 WY..sad,ISDD 6.msm h®i,ASCE 7-D2,MOSM btV,! W-7 t ''as rook CAT4 EYF B�tiril iC LiL ps1, wi'd reacilrT tessl to L+Y.FftS Sxes . LAJ 4sz,d M DL=SD PSL CO Try passad c m&f r 21 psi a3 bassm dlord Fte lid c,3E05 w•442'-rill,Is24'�-ris sie�a•ca - CrJa1 !Fl�l�>�dean 33 D2G d=e b Sse load ail Q.19' load- Tnrss dEshan f>�S,'SeOL R6d2.ID2.10.00 pd rt bo_.t�r�Ere kzd ap?t'3d per ANS� 1 Coco-re brazil+.'9=&Uma f tradr6 A 2T CC.or rCg:d cEL-V. o Tessis;rdbrs�raaa*.Nora `edsDom.Prsd,-,tt �nlum[c•�r.azl dandLd3aa.N✓. 6La rxY>>lar n9'LL=340s'f OL=SODpstion730bi33-0 Tnasm b b--%is"wed m vacaEsM Q]psi MAX LL - Q--on frees Ll24GE-e and UIBD t:t T toai_ U) s = m m r 1 m LO m fn e- 1313' 137 2'OIc.. TC2 X . ' 12 3X6 (�Q(MR)g 6C3 Kr 'oD 00 � • H0310 M D6612 m M 2 GAS N m 4X12 ro i r• 6X5 aC2 H0768 $Q 256' 4'S43 � 56'r=5ti6'T- - 1171 --I 12' -77 - o R=2307# U--87;9 R�--�iE-2W- w=3-8 �n R--2307# U=67#_W=3'8 � m m _ lD SEQ N m PLT.TYP:WAVE oar owT��sir=+aari�Ysl it QTY=t6.TOTAL=18 3322 REV. B_05 42.©728.12 SALE�.1 0 I .s TC LL 35.QpsfREPF T mp_asoacmwra.r =nr�sixa 'D=rT�I rausPL{r_:CQvaE MMvaaFMMSUUF_x..a,U!CCMN.xl.��,1DLVM':-EsCWCJ.cf..�r�ra-v TCDL 1D_Op DAIS 11-2&20JB (!�{t4',A5OK'Al E37M FOR S H-7YMg. FPMRM P�33% --7Eg F1kLT.Rb-US.F_SG-'i::E.lr - ,z>vr�>&c-IX-D 9WI WZ r PaXIEWYATfxsE)s r,vxr+eEis>vc�rilrxF BC DL 1 D.DpS1 DFWIG .MMX f-.. oN G7r1'LF T:L�LETFoI�TO RC7/11$.Tk'A: ��L'IOP JILWE c. 1a��J3 F9aFJCS. ( .� a�f•`^:��.�.i1-'i_=�_y:1 YC.3WlaGi�i¢•�P�LEFGiA\Y.LJGT.aNF,27r Tr5171k1N1=F11FF=70 �(`i 0-�Y�' ' Nr�y44f WIT_-T;tR:�_XrW K72J13�: F"441C14STlG1D7G'J£R; Y'OF TP' ' W �•.-..�.. �.�:',ti- cflrroas Y,r.; xRsl r�,✓o.a cF FMouma AL UE.x �.BY wlaq am 1--a_eaE ot+rri'+oR TOT.LD. 55.�51 L3 A 1�N. 2506M PLaSra�Etl�:�cf?3•sa'1Ecisiw.r.'5��14 w`I,FJc7� �rl9c��pP1 R1�. rA.v s:FL aFFSY?UCM --a-FXCECFTFLSFrc.LMESSOTHEPI WaAG 3AlS1SLf31r7,1PG6�?7JAPH,DR.•R'i+l�AZ In7 Ld 1.15 JOB r Bt2sz1�: L_•'3s'.YYS.M �EL-WH OF PLAM,FOLLQAIM EV0 WALL BE ME 71aE][A'S OF iH r.2C12 Vic.3.ALYF r,1 frff- �1)iZ=Ac. gT1C 1c # £+r•F7!/7 f l%l Ms rMLCAT,0 Y, 6M E of F SIQAl PM&—r&•f vn s.jE FZ pV 5FjjTy C a�aaT s.z.4a:oat I)ESQI s nm'c,e�n rrr IEf DF THS rnas�onatTFCRN+/BLXMJ�> T E r�:v,r cc SPACING 24.U' TYPE 3aE9RG DMGrER.PER 00,11,F4 I SFcam'.2. _ . THIS DWG PREPARED FROM COMPUTER INPUT (LOADS 8 DIMENSIONS) SUBMITTED BY TRUSS MFR. (81292-A-/GROSSLEIN -r77 LUMBERTMILL RD CENTERVILLE, MA.- A71R) Top chord:2x6 SPF #1./#2 :TC2, TC3 2x8 SPF 1950f-1.7E: 110-mph wind, 15.00 ft mean hgt, ASCE 7-02, CLOSED bldg, Located Bot chord 2x6 SPF(S) 1650f-1.5E :8C2 2x8 SPF 1950f-1.7E: anywhere in roof, CAT II, EXP B, wind TC DL=5.0 psf, wind BC DL=5,.0. :BC3 2x4 SPF #1/#2: psf. Webs 2x4 SPF #1/#2 :Lt Wedge 2x4 SPF #1/#2::Rt Wedge 2x4 SPF #1/#2: Wind reactions based on MWFRS pressures. Calculated horizontal deflection is 0.24" due to live load and 0.14" due Truss passed check for 20 psf additional bottom chord live load in to dead load. areas with 42"-high x 24"-wide clearance. Truss design per IRC sect. R802.10.2. 10.00 psf non-concurrent bottom Collar-tie braced with continuous lateral bracing at 24" OC. or rigid chord live load applied per ANSI/TPI 1. ceiling. BC attic room floor loading: LL =. 40.00 psf; DL = 0.00 psf; from 7-0-0 Deflection meets L/240 Five and L/180 total load. to 19-0-0. 4X6(R) III 3X6= 3X6= 9 — —1 9 3X12III BC3 TC3 3X12111 2X4 We/ 10' 4 1/4" 10 U 6X61i 7,, 2„ 6X6' LL n ` 12' 0 7-1/4" 7-1/4, W BC2 4X10(B10R)10 H0708= 4X1O(R) III 4X1O(B1OR)� 4X1O(R) III H0708= 10': 6-3/4". =T—. 4' 10-1/2 --� 5' 6-3/4„ -- 51 0„ F 26' 0" Over 2 SupportsZVI R=2203 U=74 W=3.5" R=2203 U=74 W=3.5" RL=227/-227 t Design Crit IRC2003/TPI-2002(STD) F Mq 1 PLT TYP. 20 Gauge HS,WAVE FT/RT=20% O% /5 0 8.05. 9 8 MA/-/1/-/-/R/- Scale=.25"/Ft. "NAMING" TRUSSES REQUIRE EXTREME CARE IN FABRICATION, HANDLING, SHIPPING: INSTALLING AND BRACING. d TC ILL 35.0 PSF REF R8042- 23520 REFER TO SCSI_ (BUILDING COMPONENT SAFETY INFORMATION). PUBLISHED BY TPI- (TRUSS PLATE INSTITUTE, 218 a �.1 NORTH LEE STREET. SUITE 312, ALEXANDRIA. VA, 22314) AND WTCA(WOOD TRUSS COUNCIL OF AMERICA, 6300 U'R ENTERPRISE LANE, MADISON.WI 53719) FOR SAFETY PRACTICES PRIOR TO PERFORMING THESE FUNCTIONS. UNLESS TC 'DL 10.0 PSF DATE 01/14/10 ' OTHERWISE INDICATED TOP CHORD SHALL HAVE PROPERLY ATTACHED STRUCTURAL PANELS AND BOTTOM CHORD SHALL HAVE RUCTUF{AL N OP'A PMMR<v ATiAWHER RIGID CEILING. - BC DL 10.0 PSF DRW MOUSRS042 10014012 - 18PORTAKF—FURMISH A COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. ITS BUILDING COMPONENTS No.��020 GROUP, INC. SHALL NOT BE RESPONSIBLE FOR ANYOEVIATION FRW THIS DESIGN: ANY FAILURE TO BUILD THE TRUSS ' BC ILL. 0.0 PSF MO-ENG SLS/SLS ALPIME IN CONFORMANCE WITH TPI: OR FABRICATING• HANDLING, SHIPPING, INSTALLING 3 BRACING OF TRUSSES. MS O ' DESIGN CONFORMS WITH APPLICABLE PROVISIONS OF NDS(NATIONAL DESIGN SPEC, BY AFAPA)AND'TPI. ALPINE ^ 0. CONNECTOR PLATES ARE MADE OF 20/16/16GA(W,H/SS/X)ASTM A6S1 GRADE 40/60(G. N/H,SS)GAW. STEEL. APPLY TOT.LD. , 55.0 PSF SEQN- 232678 PLATES TO EACH FACE OF TRUSS AND. UNLESS OTHERWISE LOCATED ON THIS DESIGN, POSITION MR DRAWINGS 160A-2. 6 " ANY INSPECTION OF PLATES FOLLOWED MY(1)SHALL BE PER ANNEX A3 OF TPII-2602 SEC.3. A SEAL ON THIS A1. ` - 1TWOuildingComponeMsGroup,Inc. TWIN'INDICATES ACCEPTANCE OF PROFESSIONAL ENGINEERING RESPONSIBILITY SOLELY FOR THE TRUSS COMPONENT �FSS/pM DUR.FAC. 1.1 5 Earth Cl DESIGN SHOWN. THE SUITABILITY AND USE OF THIS COMPONENT FOR ANY BUILDING IS THE RESPONSIBILITY OF THE City,MO 63045 BUILDING DESIGNER PER ANSI/TPI 1 SEC, a. SPAC I NG 24.0" JREF- 1TYG8042ZO3 , PROJECT NAME: �` G ADDRESS: PERMIT# PERMIT DATE: M/P: <<O ® t -7 LARGE ROLLED PLANTS ARE IN: BOX `� r SLOT _3 Data entered in MAPS program on: -10Z ,(09 BY: q/wpfiles/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map wU Parcel bC� Permit# 19 RS Health Division Alf V,3 Date Issued 63 Conservation Division 5121oj � "`,Jw AY -2 Application Fee I Tax Collector f Permit Fee Treasurer , .� 1i�'I SEPTIC SYSTEM MUST 8E IUt: INSTALLED IN COMPLIANC Planning Dept. WITH TITLE$ Date Definitive*Plan Approved by Planning Board ENVIRONMENTAL CODE ANG, TUWi4 REGULAI. ONS Historic-OKH Preservation/Hyannis Project Street Address Village 6a4ter v: I I2 Owner Ark c c(-,o5 S C'f r1 Address a& ?3 1 t" ONyll&t 1-14 Telephone I 36—) — 3N Permit Request- o 60M 64(A' bee f- A a^ /�'��na✓�G �c�c 'C: r� i a r' leue two S In j2Le- 4)06071'MrA Q_/�2 49be n!NO-_ei Square feet: 1 st floor:existing 1(, 0 proposed.ICUP 0 wr: existing 4—c-0 proposed /000 Total new Zoning District Flood Plain Groundwater Overlay ` Project Valuation 2S4 COy. op Construction Type Lot Size 4,too S, Grandfathered: D Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family 9 Two Family ❑ Multi-Family(#units) Age of Existing Structure ZS Y(ZS Historic House: ❑Yes 'WNo On Old King's Highway: O Yes CWNo Basement Type: O Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) %Cco Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing l new Z Half:existing O new / Number of Bedrooms:` existing Z new Total Room Count(pot/including.baths):-existing 6 new First Floor Room Count Heat Type and Fuel:' i Gas O Oil 0 Electric ❑Other Central Air: ❑Yes 0 No, Fireplaces: Existing / New Existing wood/coal stove: 0 Yes Q(No Detached garage:O existing "Ll new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing" 0 new size Shed:❑existing O new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial O Yes ❑No If yes,site plan review# Current Use - Proposed Use BUILDER INFORMATION Name �Irl P 41 Telephone Number Address �77 c�.-an Xke4 - License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRI RE G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY r' PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING TJ cr *4 DATE CLOSED OUT _ ASSOCIATION PLAN NO: i °fTHE °� - The Town of Barnstable h 9AR Department of Health Safety and Environmental Services � MASS. 26�9• �e A,fp Mpy Building Division 367 Main Street,Hyannis,MA 02601 ce: 508-862-4038 508-790-6230 PLAN REVIEW Owner: S S a l _ Map/Parcel: LO Project Address: / -�7 to», NN�) Builder: 6 W Yl e.Y The following items were noted on reviewing: C� k CA. i s Q ���e�mr�Q�Q CGS S ©veer `� v C-NN9- 3(o 63 20 4- 1 Reviewed by: Date: \ -6- iI • `�` The Commonwealth of Massachusetts Department of Industrial Accidents — office o//noestigatioos 600 Washington Street Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit a Emu ��name-_ location: city phone# 64; I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this jjob ;k s r 34+3 fi3,Y15y '�jc"' ! y..it kC({}Y I.T•� FIlSB�' 1 S i.{ 1a�i i { ��`N+.:: 3 i xt 5 7 t•.a� t`) f !M ) N r`r+� '..X F��rtrt4 f •L p- F, xr. {} ��c�.,Fviwl 7�kg Yc,x4.-= x t7 ✓ �,x Y,� r�� 4 A ;. X ., iz' l `�"���-^S' g� Z 1��,.'Jaj�, �we, �7�,,,.•�r.y- `F-i�f "ice.�' .>xr r .r z<. °21 l L-.Y a •x.? �. e`er 4i' � ��� �'S 7,,,'�j;�-. �Mh.•Y v�'�,y��<CiS�k.`�'+"'34YS .J �'st" ',.� x»M 1.A"9 4}�. 1 x ty. 4 ! �` a � � S�tAP�.a'"L''. "'f4 ;.hLi L'Y+�-����•;rfi14"'!��. .1t;rG y`xa'Fex�'3 i�4 »� �•7a �'� d= *a a 5 i .a„ v S�r"�f f u w3a '"sL... r' tI-�y* 'k'i ...,s r '"M;x''• '�;:�s rt +•-�c,#. eC t`1F�d'�,., e`.' t �:. c r A 7 r to 'r a ,:i r ,E .'may w' 4.� x .i(^n.. :� &h��'v si-�5.. Y ECI b`�• xI' '�.at`�'^a '` ..i,. '+ram �. 9 r ; �F � d w t -u t phone# r ..'?.. � 3xCs��;rat, s r a w.x c _aa,•ti" r x 4 s.q} 1"�a s"}S (...�.�'''Pgst'.. �`��4 �.ri�k �`h?yt.,, t'r" a ,z d,»:t 7,#"�" z �,q 4 ,� ss. ,t ••C y ju kr 'S l t s +:: yi„° s 1 a;'' J.sr�-G'a;4 $.t.^ ,z< '. °' k," x,` c av i r �> :' r r 's d� L f i. t '.a:"a$� •.k` ti: i'`ti r a`S�n" x11iSUraDCeCO"�5'�. ��",k ,Y h +°+r [] I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the follow}�+ ing workers' compensation polices: E M1`P�k 3` ;a2nP� �Zt. � 3A'�',7,,wsa��l�r �,n�ti,�v 4,Y�,�t � x•fta'r yt y3�u y °� h1 tJ:. y -,i t }t � x & i `apf.t� �y �s�a�-c. s. ff��t� rr �•>< fir'+��d"" r .� �4r ;.Yr�'-,� h r � a r t -3 r ? # 4 „ i i� � s."� i t .. x'�'�,i �t�•�" 7"S`r,.M ,-�'h ..: addr$��s Y c ���5 z y Yiffi,gr�a, 'Yt,,prZTu''tEtnt° a f 3� �r 4• eft M.` Fr?qY x r' t l i� a �+ r c} '+ ' r 3}"�'s����"�t>><n31'�^�;Sr}`r'�rk�Fi< t ,�.+...v. x � TA� w s ( rt 1 c y s fi }N3 w t ,..! •� ti 3" ti' ?'`lax.^�z� cxit t}�s�,� .s a`4. � £ * t "'t. u "�r'S '�i�, .£� fi � .rr?",r• �� ��^'�t �t hyF f S�'x�� ��.L' S �� . ��!' �..;'S 5 $. uyy) ud.'�hrt i � f. i {'�IV � � f � f ()F •Y�y�+1 Y,�"'�'+�A•t`V��4.•iFe•L��'�S Y�•'3' T� „c'3 .,y -xt a �., q -i•t ttz t ,�., a y. '. }. r 54� i y .,S,r+k .t-fh x ....rPi � F*t coin aan n ame n 5 � AM+c ^� C"ri.,�Y`�ry T*1?Fy i'�-'�"`�3-a..;`L��' Sx5z;:4. x { i a^x...t•d�x 4 r*�i G,s 17 T,�1 N t'e '•t � �1 r�7i a��\ �1 S'L�.7s,+�Y,,,, tn��3�t•��a . CI ~5sa''"•�1��^a �hw�ri s, ,.�.4 ..c��2yh'3w x ) \ r A sr d F� �'. phone# t . 'I POIICVr# ..4.a � 3 ilis'urance-co a x 3 �` �- Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be f rded a Office I estigations of the DIA for coverage verification. I do hereby certify u t pai a penal o er' njormation provided above is true aaannd co ect. Signature Date Print name ' 'Otl'L-� �r o SS le-(� Phone# 3) �� —3 l 17<f official use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Department []Licensing Board check if immediate response is required []Selectmen's Office Health Department contact person: phone#; FlOther (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is iYefined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as aj individual, pa nershi-b, association, corporation or other` gal entity, or any two or more of the foregoing engaged in a jdnt enterprise and including the legal representatives of deceased employer, or the receiver or trustee of an individual, partnte rship, association or other legal entity, d loying employees. However the owner of a dwelling house having not ma tha�f three apartments and who resicd s erein, or the occupant of the dwelling house of another who employs ersox�s to do maintenance, construct on r repair work on such dwelling house or on the grounds or building appurten t thereto shall not because of such pl yment be deemed to be an employer. I MGL chapter 152 section 25 also state that`every state or local lice/si ag cy shall withhold the issuance or renewal of a license or permit to op ate/a business or to construild' gs in the commonwealth for any applicant who has not produced ac pta°ble evidence of complianit the insurance coverage required. A dditionall neither the commonwe th',rior any of its political subdo s shall enter into any contract for the Y� performance of public work until acc pta� le evidence of complian �wi the insurance requirements of this chapter have been presented to the contracting au t or' '%N Applicants fill in the workers' com ens tion affidavit.\corn lete) , b checking the box that applies to your situation and Please fi p P Y Y supplying company names, address np phone numbers aling with a certificate of insurance as all affidavits may be submitted to the Department of Ind strial Accident for onf imation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit s of ld be returned o e city or town that the application for the permit or license is being requested, not the Departmen of Industrial Acci ents. Should you have any questions regarding the"law"or if you are required to obtain a workers compensation p,li please call the Department at the number listed below. 11 City or Towns f f 1 Please be sure that the affidavit is co iplete and p inte'd legibly. The artment has provided a space at the bottom of the affidavit for you to fill out.in the event the O ice,'of Investigations ha to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a referenc umber. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. � '.. The Department's address,telephone and fax number: I The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 °FZHE tows Town of Barnstable Regulatory Services aaaxsTesrX * Thomas F.Geller Director asnss. � 1639.�a��� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`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. Type.of Work: �� -[{�a`I/calf Estimated Cost a;,,ow (� Address of Work: ��V_ Owner's Name: ! ' �� ���S /et. J < , Date of Application: f (® I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ElBuilding not owner-occupied JQOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IlYIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. g/2 6`� ox / z Date Owner's Name y� 0,e- C e RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings;Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE OCO square feet x$64/sq.foot= GY rev x.0031= 1 , q0 ' plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft. ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplacelchimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee r - , r 71a CMR Apprnd'cc 1 Table d5.2.1b(continued) tb Fossil Fuch �periptrve Paeliagei for One and Two-Family Ratdential Buildings Heated wi mmim MAXIMUM 1lM Wall Floor Baseaeat Stab Henting/Cooling CgC�g Gluing Ceiling Equipment Fmcienc? Areas(%) U.value= ti perimeter R-value' R-value' A-unions R val 1 g.valuer P=kz3e 5701 to 6500 Heating Degree Da No=jd 6 Q 12% 0.40. 38 13 19 to 6 Nctrnal R 12y O SZ 30 19 19 10 6 85 AFUE g 12'/. 0.50 38 13 19 t0 N/A Normal T 15% 036 3E_ 13 25 N/A 6 Namial N/A y 15% 0.44 38 13 ZS NIA 35 AFUE 19 19 10 6 W 15% 0.52 30 NIA Normal 3 0 Z 8 13 25 N/A }� 18/. NIA Nom1a1 y 19% 0.42 38 19 ZS N/A 13 19 10 6 90 AFUE Z 18Y• 0 42 38 6 90'AFUE AA 18'/. 0 S0 30 19 19 IO 1. ADDRESS OF PROPERTY: _ 2, SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY 92): AA-see chart above): g- SELECT PACKAGE(Q --._ .. NOS: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE, ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO,. q.f0ms49 S 0303 a �; 780 CMR Appendix J Footnotes to Table J$.2.Ib: 'i Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 f of decorative glass may be excluded from a building design with 300 ft of glazing area. 3 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council used.test procedure, or taken from Table JI.5.3a. U-values are for whole units: center-of-glass U-values cannot ' The ceiling•R-values do not assume a raised or oversized truss construction. If the insulation achieves the full Ins thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 d for R-49 insulation. Ceiling R-values represent the sum of cavity insulation and R-38 insulation may be substitute insulation plus insulating sheathing used). For of the ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilatedp ' includ 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing ('if used). Do not extl sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER erior siding, structural ER b R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to y e masonry, log)wall constructions,but do not apply to metal-frame construction. e or mass(concrete, nry, g) wood-from aces such as unconditioned o crawlspaces,basements, s The floor requirements apply to floors over unconditioned spaces or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' if the building utilizes electric resistance heating use compliance approach 3,4, or 5. if you plan to install more than one piece of heating equipment or more than one piece of.cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town seer Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value that door is not available, e the g Table a of the If a door containsyindows and use the opaque door U valu glass and an aggregate U-value rating e o determine compliance of the door. glass area of the door with y One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component.Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0,35 for doors). r The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION G� I Please Print DATE: ✓�� ` O� JOB LOCATION: / �M 6J / Al t2(— ' V-f?V!u number street village „HOMEOWNER": 1Y)lgf-K C (fb5%(FLA-)&A 36) z name ^� /�hoome phone# work phone# CURRENT MAILING ADDRESS:2/D L CJM 7P tr 1 / )t Le /2 6_1�N77(Z_ U ( LC. e M/-# f�2( 3Z city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more-than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and - other applicable codes,bylaws;rules and regulations. The undersigned"homeowne "certifies that he/she understands the Town of Barnstable Building Department ction procedures and requirements and that he/she will comply with said proced a me lts. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed-Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a frn,n currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE ti New Buildings,Additions $50.00 Alterations/Renovations $25.00 S Building Pemrit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE S 2 square feet x$64/sq.foot= 2'4 x.0031= o�o plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) t� Q, / j Permit Fee C� _` ( o . 52FEICES�S€QRLY PROPERTY ADDRESS: :ALCULATION FOR PERMIT COST TYPE OF ROOM ETC NO �R 2 ADDITION 5x _ 2 2 5 ALTERATIONS BATH BED ROOM 14- = 224 s4- CERTIFICATE OF OCCUPANCY . COMPUTER ROOM 16'2 DECK OPEN DECK WITH ROOF DEMOLITION 4 DEN DINING ROOM `r`v�-:c.� l _ .� L�we� (.ev¢ l FAMILY ROOM 2.0 S FIREPLACE FOUNDATION ONLY Nl\a�� (_o.\. L I GARAGE NO. OF BAYS GREAT ROOM _ KITCHEN LAUNDRY ROOM LAUNDRY ROOM LIVING ROOM MUD ROOM. _ OFFICE PORCH CLOSED PORCH OPEN REROOFING. . SHED " . STORAGE AREA ' SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVE GROM D SWIMMING POOL ING UND WINDOW REPLACEMENT 1 • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map A/ Parcel 0/ Permit# Health Division Date Issued Conservation Division Fee .��` Tax Collector�l Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Ce, T ✓, Owner e x T tt J 1 /i f S Address S Telephone U 3 3 Permit Request 5/1 �Vzes- /0 S-a Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new /&1/0 Estimated Project Cost S 0 0 Zoning District Flood Plain Groundwater Overlay Construction Type w 0 o ) Lot Size 43 4q Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family [ Two Family ❑ Multi-Family(#units) Age of Existing Structure 3 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other y Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 6(No If yes,site plan review# Current Use c S Proposed Use , NO JBUILDER INFORMATION Name eoJe.,. / s S Telephone Number Address ��•� �—�` /� �j o 7J License# 7 '�✓ f a s 3-� Home Improvement Contractor# f 6 Worker's Compensation# / ) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE - DATE f 6 r• 4 FOR OFFICIAL USE ONLY 4 l PERMIT-NO.- -, DATE ISSUED a " MAP/PARCEL NO. ADDRESS VILLAGE OWNER `t DATE OF INSPECTION:: FOUNDATION 'FRAME t INSULATION FIREPLACE a , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT ASSOCIATION PLAN NO. -f _��_ The Commonwealth of Massachusetts ' . . a artment of Industrial Accidents _- z D P Office oflmrestfoatinos 600 Washington Street s -��'• - Boston,Mass. OZlll Workers' Com ensation Insurance davit name: / location: �/ hone# -? C, � V � G � C3 � city all work mysen- I am a homeowner performing achy lam.a sole n /// etor and have no one worktin is an% ////////i�cu%/// ✓ /a/i �'r/DO////O//ry///i 'i/d//%/��///�/%%��%/; p 1 woddng on this job.:::::::::.:,;:. formy oyees . �P.......:.::::::..:::.::::.:•..:;:::.:..::::::::.::...:::.:::::..:::::::::::::::::::::::::::::::::.:::.::.:.::::::: co erak P ....g..:.:::.::::::::,.:::::: .......... c 0 • m a n me- :. :,.... ress one, u insurance co. hired the contractors listed below who ❑ Iam a sole proprietor, general contractor,or homeowner(circle one)and have have the followiiron ohc n workers ..snP, :::..:. MMUInv to das a CV :.::::.. .....: :.::::::::....:........ ..........::....... .......................................... ,.j. . ...:..:.....:::.:::::::........................................ .......... `l •. .... ..........::::::::::.i:J:??;":^:ii:•i:?i'iii:v:}::isi:::?isiiii:isiiiiii:'>.:!.{::j:;i:;i.:;:;:?;:;i::i:{:iii::}i::•:<::::;:::`ii::i:::C:44: i:::.:.�:.::: i:•::y:4`:ia.:::�:•iY::::.... i as gran e v na :::. :.... .. ...............•..?:::::. ................ inwrance co of na1 pensides of a fine up to 51�00.00 smell or aired raider Section M,fL 152 can lead to the of S100.00 a day against me. I tmder�d that a FUMM to secure coverage as" . ensitia in the form of a STOP WORK ORDER and a the one yam'imp may as weal as civa p m of the DIA for covtxage veriffesdiom copy of this statement msy be forwarded to the Ofilce of Iavestigatio that the injoraia Lion prowda above is trrcP.and con ct; I do hereby certify, the and penalties ojPe19u7 O O Darr S Signature Phone# 1 � 3 ` -�-•-sue / • �r ss Print name 2x to be completed by city or town oifldal oigdai use only do not write in this area • �Btidlding Department permidUcense tt Ui icing Board city or town: ❑SdectnteWs OPfice response is required (]Health Department ❑check if immediate rap° 4 ❑Other phone 0', contact person* 6515 (rnyea 9l95 PJA) j n of Barnstable The Tow &"�` �' artment of Health Safety and Environmental Services yes¢ •�� Dep Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 Permit no- Date AFFIDAVIT HOME nyipROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, MGL -existing owner-occupied. improvement,removal,demolition,or construction of an addition units ts r to��s which are adjacent to building containing at least one but not more th contractorfour s, certain exceptions,along with other such residence or building be done by registered requirements. Estimated Cost S 2� F Type of Work: Address of Work: Owner's Name:. - Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Wob Under$1,000 Building not owner-occupied O 0-owner pulling own permit Notice is hereby given that: OR DEALING WITH REGISTERED OWNERS PULLING THEIR OWN PERMIT _ WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE PROGRAM OR GUARANTY ROVEMENT FUND UNDER MGL c,142A. ACCESS TO THE ARBITRA SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Registration No. Contractor Name Date O 6 Owner's Name Dat q:forms:Affidav Building Division , . t+�►ss. 367 Main Street,,Hyannis MA 02,601 �ATED!AP'1� Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commis= HO-,iEOWNER LICENSE EXEMPTION Please Print DATE: �r d JOB LOCATION: �- ��- lam- 3 number street ,{ viila,e ••HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS:— city/town state up 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. DEFINMON 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 helshe 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 procedur and re uirements. FT Signature dt Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger wiil be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S F.7MAMON . 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 asupervisor tsee 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 to amend and adopt such a form/certification for use in your community. Q:FORMS: EXEMPTN OF IME .�. : The Town of Barnstable * HaRtvsrna�, • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner nn - l mil.[\�J V ✓ � � �� V 1 `(E \ V Qt,� I V - 6 Fcce r L(,o Gam- l o s Q ��� ob y,�- , Health Complaints 02-Jan-98 Time: 10:13:01 AM Date: 1/2/98 Complaint Number: 1155 Referred To: EDWARD BARRY Taken By: THOMAS MCKEAN x Complaint Type: Article X Detail: Business Name: Number: 77 Street: Lumbert Mill Road Village: CENTERVILLE Assessors Map-Parcel: tax Complainant's Name: Anonymous Address: r '4, Telephone Number: Complaint Description: Overflowing dumpster adjacent to driveway. This home is located within a residential neighborhood. However, they are running a commercial business with tractor trailer trucks, dumpster(s)and daily deliveries. It's an eyesore and a noise nusisance to the neighbors who believed they were living in a residential area, not a commercial area or business area . Actions Taken/Results: �� v 7t/ Investigation Date: Investigation Time: 4''. k #t W V MV is Yi 1333r SWUn now SVJAL li j 5� IJ ff r 1 . Engineering Dept.12Ld floor) Map Parcel .�f Permit# House# 7 7 R/W Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) / 2 v2�, onservation Office(4th floor)(8:30- 9:30/1:00�-2:00) Planning Dept.(1st floor/School Admin. Bldg.) of1HE rq Definitive Approved by Planning Board 19 ; BARNSTABLE. ' MASS. TOWN OF BARNSTAELE Building Permit Application Project Street Address -�. / 6�-d Village C e,$ e.L Owner e-� �- I., I f 5 S Address 5 ��----�-- Telephone 0 3 -5 2 Permit Request % �-,I-� ec T` /may -�,-e;?e . p First Floor /U O Q f square feet Second Floor square feet Construction Type G"'®o J F,_ a v Estimated Project Cost $ �, ey-a' Zoning,District /� C. Flood Plain �- ��°� Water Protection Lot Size %'S� Grandfathered UYes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure j b Historic House ❑Yes ff No On Old King's Highway ❑Yes 9No Basement Type: ,,Full ❑Crawl aWalkout Other At? +s r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) < -y d Number of Baths: Full: Existing_� New '��/� Half: Existing New .,/ e-Y No.of Bedrooms: Existing 3 New t/ Total Room Count(not including baths): Existing J New First Floor Room Count Heat Type and Fuel: AGas ❑Oil ❑Electric ❑Other Central Air ❑Yes �JNo Fireplaces: Existing _ New �//9- Existing wood/coal stove ❑Yes a No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) t&Attached(size) //3 &SC /,gy p ❑Barn(size) ❑None ❑Shed(size) -✓//9 ❑Other(size) -✓�s' y Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes W No If yes, site plan review# - Current Use 0rr..f, Proposed Use Builder Information Name &-7 f I `--Ae,, ( . 6 / r s S Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) �R FOR OFFICIAL USE ONLY 22 PERMIT NO. DATE ISSUED ; MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION + I FRAME ,INSULATION y , FIREPLACE t s' ELECTRICAL-: ROUGH FINAL - - . 4Y PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING 1 DATE CLOSED OUT ASSOCIATION PLAN NO. i a 30 e�o� � Asc^- `1 n p e—{ 1 -+OBI Z.7 acLl��^ � Jols�� V __ o� f T11C Co1111r1o1111-caltll of 11 fassacbusclts w • �•i •t:rl l tzrDepartlyze"t Of h1d" triQl.4ccidc�nts 6110 flt'vahiu�;ton Street 1;w, Boaton. Mas-T. 02111 1 �•' Workers' Compensation Insurance Affidavit e�.hPlic—n t infor mation � Plc•tse PRINTlebt_ME City C 4 4Z t.( 1 I Q rhone ,a-'ra-m a homeowner performing all wort: myself. Q I am a sole proprietor and have no one%vorkinf= in any capacity - ,_ _.�_____•_ [1 1 am an employer providing Nvorkers' compensation for my employees working on this job. cnnin•inv n Ime: •Ili r1 rc�a• M city. nhnnc�!• nniicv!! G I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below whe the following workers compensation polices: c-nmryinv name* addretc� iwzirrn cit.•• nhnnc�• ncc rn nniicv d -r. 71Z- cnm any name addr",t- rite nhnnc it• -- d _ insurance c lie• .. Attach additional sheet if necessary =•..•�" :•f. ,_.•* --,;' ":"' ...;' `"••'• _. ..•..,r. •..•:••.,," M-..�,-- �': '..•'- �', .'.�'-:�. _ .y ��� -�..�. Faiiure to secure coverace as required under Section of NIGL 152 can lead to the Imposition of cnmtnai Penalties of a tine up to S1S00.00 ant une�cars' imprisonment as%veil:Is civil penaitics in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand th.L copy of this statement mac be forwarded to the Oftice of Investications of the DIA for coverage verification. !do herchr cerrifj•it t r the punts and nc tait* f perjure•that the information prof ided above is true and comet Si_nature Oatc a s� Print mine Phone>* •ofticiai Ilse univ do not write in this area to be completed by city or town official city or tt»vn• permitilicense># r'itluilding Department r at.icensing Board E [ check if immediate respunse is required allc2i t De s Uniicc r- �ticaith Uepartment r-.f Ithrr ,iassachusetts General Laxvs chanter 152 section 25 requires all employers to provide workers' compensation for their :nlnloyees. As quoted from the law-- all enrpluree is defined as every person in the service of another under an\• .ontract of hire. express or implied. oral or written. \n cnrpinrer is defined as an individual, partnership. association. corporation or other legal entity, or anv two or morc le forc�soinu enuaged in a Joint enterprise. and including the legal representatives of a deceased employer, or the zccwer or trustee of an individual , partnership. association or other legal entity. employing employees. However the wncr of a dwelling house haying not morc than three apartments and who resides therein. or the occupant of the Nvc1lin�_ house of another who employs persons to do maintenance , construction or repair work on such dwelling hous - oil tit:: __rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. iGL chanter I52 section 25 also states that e,%•en• state or local licensing agency shall withhold the issuance or newal of a license or permit to operate a business or to construct buildings in the commoinvealth for an• )plicant -who ltas not produced acceptable evidence of compliance with the in coverage required. dditionali•.. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the rforniZ:lec of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha tm presented to the contracting authority. 1p icants ease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and 'Pivin_• company flames. address and phone numbers as ail affidavits may be submitted to the Department of usulai Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tile .3%lit should be returned to the cite or town that the application for the permit or license is being requested. the Department of Industrial Accidents. Should you have any questions regarding the "law- or if you are required brain a v.-orkers* coil,peflsat*oil police. please call the Department at the number listed below. `• or Towns :se be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of :fiidavit for you to f i11 out in the event the Office of Investigations has to contact you regarding the applicant. Pleas ure to fill in the permit/license number which wilt be used as a reference number. 77ie affidavits may be returned to Department by mail or FAX unless other arrangements have been made. Office of Invest i=atioils would like to thank you in advance for you cooperation and should you have any questions. se do not hesitate to give us a call. . Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NVashinbton Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (6I7) 7274900 est. 406, 409 or 375 THE °. The Town of Barnstable � g Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissi For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "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 adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. �ype of Work:— 'i C C 0< Est. Cost l6 d.y �ddress of Work: /Owner's Name Date of Permit Application: —4zI hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied =Owner pulling own permit Notice is hereby given that: OWNERS PULLING THE IR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR/CC 7 N V 0 ceJ �iQ TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. voATE /JOB. LOCATION Number Street address Section of town "HOMEOWNER" • (*,> ) I Y.I y� Name Home phone Work phone PRESENT MAILING ADDRESS City town State Zip code The current exemption for "homeowners" was extended to include owner-occupier dwellings of six units or less and to allow such homeowners to engage an in- dividual 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 re. side, 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 Offic on a form acceptable to the Building Official, that he/she shall be responsih for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the St Building Code and other applicable codes, by-laws, 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 compl ,with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER' S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for • licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home ' Owner' actin as supervisor is ultimately responsible. ,. To ensure that the Home Owner is fully aware of his/Ater responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the la--t page of this issue is a form currently used by several towns. You may --are to amend and adopt such a form/certification for use in your community. t. �1"fr The Town of Barnstable Department of Health, Safety and Environmental Services s t�+utsfretar.E, * Building Division 1639. �e� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: a `— / SS �/� Phone#: Name: �le-XJ �- / - U J ,T'a,o H 0 vn. e-S Address: 7 7 v'". /`7. ����• Village: l e•, - v, / Q Type of Business: C h ' el ^el Map/Lot: f / 7 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: r/• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. ✓• Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwellingwhich are not customary in residential buildings,and there is no outside evidence of such use. /• No traffic will be generated in excess of normal residential volumes. ,• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. /• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess p of normal household quantities. ✓• Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. ✓• There is no exterior storage or display of materials or equipment. ✓• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick up.truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed.4 tires,parked on the same lot containing the Customary Home Occupation. �• No'sign shall be displayed indicating the Customary Home Occupation. ✓• , If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. ✓: No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering Applicant:—' Date: Nnm�ry rent` °Fn+e The Town of Barnstable * .nEetvsrns�, • 9� 1 Q. ,0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Buildin&Commissioner March 27, 1997 Dexter Bliss 77 Lumberts Mill Road Centerville,MA 02632 Dear Mr.Bliss: This will confirm the contents of our discussion and agreement in my office on March 27, 1997. In our meeting you agreed to remove the truck within 30 days. You also agreed that you could comply with all other requirements of Home Occupation By-Laws including the requirement that no outside employees work at your home. I do not have a problem with the one person you mentioned going to work with you and leaving his car there,however any more than this one person,then I would have to revisit this opinion. If you decide in the alternative to go to the Z.B.A.,please let me know and we would be more than happy to help you. Sincerel , Ralph Crossen Building Commissioner RC:lb g970327a "{T x , k,, ,�•,�P ,p4C'f�vi I Fi�wi�s/w'• -y � �� ��1��►'��`y`tj�d� �Pv �3' 4r � j►if� �'��'1•yZS.��r�""�1 ��'°��`�#AM�"vK��,���4'„� ��5,�� �9 ��.1 f 1 P; 1;^ Di i� `Yir 'r, ' , t •'� t 1 na, f� r � L psi:' �i-s-�:�1�=� �..a�..��..!-.��..�.._�:��' r..:a.j t Kl� �' � �ra•...«Lw 1 �•�\��iA�p,��� y1 "r1�f� i,:lip �e..t_��• i ��. 0 E.' 2 +0 4 1. �'�•s,F'I4 i�_ � ^�`' 1 � � ��Ivp�•1�17'/./s�' �'tE ,'`\ �� �j�, ���;f �.S' „- -: fi al�'El �� t -1 i � v ti.�; a t� +'� � tr zo �'�. �4+:der�` :\. + ati�;.li';,' ��y e. • ,`,., IF '}..� Sri ,• 1 } d 1 M.WAil a , q � it , :fit 1..5�;i-•.."'�" •i �.�) �•� 06 21+011-D o cR r,n,S r nna�ss o�6o C :3-I - 9 7 et-o-s-'s—,---y7 Q t G"RUles cL 11 e— c� Jus 1 172J_S yn �- = - -� on CAYI LLle Oct 4_S-�`V LC s � c 1 (`CSC P_o �l r _ Y 4 f' ,J Y r i . I Y r i Marcello Tom To: Ralph Crossen Subject: 77 Lumberts Mill Rd. I have observed on two occasions, a Semi-tractor trailer unloading goods at the subject location. There is a 1 ton closed van parked at the above address as well as an extended cab pickup truck. I have also observed several passenger vehicles parked on the site and on the Town right of way. In addition to the above, there is a dumpster, a pull behind air compressor, and paraphenalia in the driveway. The business was run for several years on Autumn Dr. However, the house on Autumn Dr. has been sold and the owner and the business are now located at 77 Lumberts Mill Rd. The neighbor at 67 Lumberts Mill Rd. is JIM KELLY and his business phone is:775-5830. He is extremely upset and is preparing to sell his house (his words) if something isnt done. His concerns as told to me are: . Noise at night with tools and equipment .Parking the 1 Ton van with the lettering TOP HAT CHIMNEY CLEANING SERVICES next to the property line in close proximity to his house. .Parking the van on the road for all to see. .Letting their dog defecate on his lawn, as of this a.m. .Employees parking their vehicles at the site during the day. .He is going to install fencing around the property. Jim would like you to call him at 775-5830 and he will substantiate the above and with photos. Be not swayed by subterfuge that he is using these vehicles to move into the house and that what he is doing is only temporary. Page 1 3 B LDINg M ICES 168/02 ................................... ....................B LDIN :::..........::.. .:.::........... :::::............ TOP HAT---D. B ...�...........:::�:::.:........ •gym«:>::>:>;;,.. LISS ... .' x:: TU DR.::: ENTV::< LLE �<> > »>.»>''�<;;'»> ;yti3>' > `}' < 1411'1>>}<''ti �`<`><` {��« €<�tt�'>``«« <{'`<'otiy'S+ ..........................:: . ONY. ........................ P ASE CHECK TO HE.HAS. «W ITH TO REFER TO BUDDY MARTIN. O� rye at,,�IY-72 002- ADi7415,z, 12z—�4 1 i 751 q 168 017 AS i � Edt EFa 1�E I .f S sa: E E !, 77 LUMBERTS MILL ROAD E uE.ON E E I TERVILLE r!EIE�{E E! 5 y Eat EE E { . � ANONYMOUS �� EQEE E -RR �^ '�; !a tA�n�" ' ''"»E 6y:lEi...Y v::•� S,€E, �..�5. � E E t Business being run from home. Top Hat Chimney Cleaning. Compressors running at Q night. Trucks parked there during the day. , . E E E€i(Ej E€tE�H a� a BaEE' a A i .,. yZ ......•,; �EEE .l• � � Y t.NEE ��II E�uEN z k - ���7EE3EE N 0 DBE Y%µ:l�3iyfi E l� E V LE{5 :..,� N� i.. � � "..€EEC lh�. SP•EEE � ! <�• x:.—� !•oi�t ��� � s/9�-visa .� fy.ip�, •� �w;i� ;,Jy � 't�a1. �aa.�i�.` p 'A�"�'®'j�+'�� ��.�ry; Z'4� �.�±' �i� SR • pq � - r+ , day `'�, 2 ���_� •y - .'bra,%� r .' ++����•••� fib,� ...- .� _�. a r� ,« �� � •+ rfl a 71as d i ��+��i�q�i� ' ;� «���f.•.,�..,,..ram .r W 9 + �C T r 1 • _ ;.: iL, ice► ,.: n�V oFTME The Town of Barnstable • snsxsrnBi.E. • 9e� 1'N6A39.9� 10�' Department of Health Safety and Environmental Services rFv Mop" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 28, 1997 Top Y Hat Chimney Services Dexter Bliss 77 Lumbert Mill Road Centerville,MA 02632 Gentlemen: This will confirm our conversation on May 22, 1997,whereby you stated that any and all future deliveries will be made to a commercial address,namely Bow and Arrow in Marstons Mills. Any further violations of this restriction to Home Occupation Business,will have to be handled in a more formal way. Sincerely, Gloria Urenas Zoning Enforcement Officer GU:lb g970528a FROM TOWN OF BARNSTABLE BUILDING DEPARTMENT 367 MAIN STREET HYANNIS, MA 02601 Phone:775-1120 3, 5 SUBJECT: FOLD HERE DATE MESSAGE SIGNED DATE i PLY , . SIGNED Ne7.RMI. RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY Crossen Ralph From: Marcello Tom To: Crossen Ralph Cc: Burgmann Bob Subject: Semi-tractor Trailers Date: Tuesday, May 20, 1997 2:05PM Just thought you would want to know that I sat and observed a semi delivering 2 six ft. dia. rolls of chimney liners and 4 boxes of some other material to the Dexter Bliss residence on Lumber Mill Rd. Centerville. The tractor was parked in the roadway and took up one lane of travel in the Southeast bound lane fronting the dwelling. This is the third time that a Commercial semi-tractor has been observed by the Writer. It seems to me that the person is conducting a commercial enterprise from his residence (Top Hat Chimney Services). Are these deliveries allowed?The delivery semi is APA from New Jersey. These deliveries seriously impede traffic flow on this residential road particularly since the residence is located on the inside radius of a convex curve. If nothing can be done regarding this commercial enterprise in a residential neighborhood, can we at least prohibit these tractor trailers from making deliveries at this location? I already recommended No Parking but that was not an option. Recommendation: It is recommended that the individual file for Site Plan Review in order to determine exactly what is going on at this residence. At least it will give the neighbors some relief as to what their rights are or are not. Thanks V i �6 Page 1 �: ,� / I i % - ,, Z � r'` %� ,..�: �,.e.___ � .� Q\1 y EO MAIN FLOOR EXlSTfN (j- i L�Ty GAT T try i fa - _ 1 i i i - tf . C/q LOWFR EXISTING i I CERTIFY THAT` TH• IN ACCORDANCE WI STANDARDS FOR TH TH OMMONWEALT A �I-Al PA UL A. MERITHEW, C STAKE (SET) ����tN 4F M Na � A 4 �qNO SUR � r LOT ti f J 0 14 0- o STAKE (SET) - �(' -)`77- - - - SrAAX & N - - - - - - - - (Sff) �etAC — — O fo LOT 15 C. AREA =14664 SQ.FT. � (tnd LOT s s 16 ca p (rnd) 8479'41"E STAKE 2.5, C ft Ste (fnd) '1' !STAKE (SET) LOT 42 0 GRAPHIC SCALE 20 0 10 20 40 so ( IN FEET ) . 1 inch = 20 ft. s NOTE.• THERE WAS A TAKING OF Q.FTt BY.LAND (LOT Is) �. 'LOT 13 . . ; : - OF 3600 THE P BOOK 210 PAGE 73. a §; - . . Ilk _ TOWN RECORDED IN - .a Fete ° LOT 14 LOCUS MAP IV- IV- PLAN REF L C..P. 31043—A ^ �8• �O CERT REF 168804 ASSESSOR'S MAP 168—017 ZONING: 1RC1. 0 0 ;;;;;5;;,, NG, 28. ,� \ SETBACKS 20' — 10 — 10' Q ,,,,,,,, ,,, FLOOD ZONE: C PANEL NUMBER. 250001 0016 D f ���� DATED. 0710211992 = 15.4ft PROPOSED 12.4ft PLOT PLAN OF LAND i GARAGE LOCATED AT / ►✓ 77 L UMBERT MILL ROAD OF A4SS�168-017 1. t LOT 15 / �� ASSESSOR sTe�Fo�/Y- . CENTER VILLE MA 'S MAP � ,, � �STEPHEN N � ` CB�(OFF) ► 14663.7 SQ. FT. - E)J,L` ► LOT 40 S 0.3 ACRES ^ ► 20 LOT 16 o�oQ PREPARED FOR: 7 q O v v vv� � 0 61 t n, is MARK GROSSLEIN v� _CB (OfiT) JANUARY 27, 2009 , E7°7); 1 REV E >> h� REV LOT 47 REV YANKEE LAND SURVEY LOT 42 CO., INC. .GRAPHIC SCALE 30 0 15 30 60 40 INDUSTRY ROAD MARSTONS MILLS, MA 02648 LOT 46 _ TEL• 508-428-0055 FAX 508-420-5553 1° inch = 30 ft. ti SHEET I OF I JOB # 54474 SH '�DaO i ` 4. con I _ 4czj �F.4 PA r�' — _ 1 3 PAtiL ,, i u?i LAU a t,I STi7 tP(AC.I�- i I SCHEDULE_ HEAGER 22X6 ---- ---- .._..__ -___-__.__._.__'_" - -- - -- .-..____• --O F.;1" ..L PCL {^.. ._-._..._. l f � -7h e;A-�E _IL �_WaltiLii4Y' i' c.' I � I� - — . -_=,� ,� I. . _ .. �. _ � j �" I _ •} � [ � �`~.I�� � >� 2'9..31 v ,DID t ritJ^I tT L - .. 4..�_� I I ,I L I if. ALL ME({ trl.tif3C)W. I r. I ARt E'XIST!NG �7 ,�t(,.{ ...i .,.,....FF- - I - q ,1 :. r>h.,=.11'�. I f I I I,' II �- :� I,. 6_Li:t��i Ld i+�� - .�. 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