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HomeMy WebLinkAbout0011 MASTHEAD LANE c N` �st. t `n y n n r � a o 41 � > i 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V _ Parcel_ Application # Health�Division Date Issued _ _ Conservation Division Application Fee Planning Dept.` y Permit Fee ;I Date Definitive Plan Approved by Planning Board 1 K / 0 Historic - OKH Preservation/ Hyannis p� C Project Street Address \. Village OeVA t %)",�,V1,_ Owner _ l.� � Address -`A �,R A Telephone &f>,c6N ' 'r► Permit Request Ak �A o, L Z Square feet: 1 st floor: existing proposed V69_2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 3d8,sF. Project Valuation Construction Type uac�q IQ e— Lot Size W A!A `' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 7KQ Historic House:. ❑Yes M-No On Old King's Highway ❑l:Res *No Basement Type: ❑ Full '.Crawl ❑Walkout ❑ Other Y C 9 ti Basement Finished Areas ft. Basement Unfinished Areas ft ( q ) ( q ) Number of Baths: Full: existing__ new _ C Half: existing yew ) NO Number of Bedrooms: _ _ existing�_new ... Total Room Count (not including baths): existing IG new First Floor Room Count Heat Type and Fuel ❑ Gas Oil ❑ Electric ❑ Other Central Air: )9.Yes ❑ No Fireplaces: Existing\_New Existing wood/coal stove: ❑Yes ANo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_ Attached garage: LJ existing )knew size _Shed: existing ❑ new 'size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Co nmercial ❑Yes No' If yes, ite plan review # Current Use _ \ ` pr t�� Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name` _ Telephone Number 5,0 "�o��3�icQ alT Address License #_�_ . 0'37 Y O Home Improvement Contractor# vZ Worker's•Compensation'# O ALL CONSTRUCTION DEB IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE_ FOR OFFICIAL USE ONLY = APPLICATION# r DATEISSUED € 9 MAP/PARCEL N0. ADDRESS '' VILLAGE g OWNER r '. DATE OF INSPECTION: ` i, FOUNDATION 4011 r FRAMES .E INSULATION FIREPLACE ' f t ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT - '.F ASSOCIATION PLAN NO. ofYNF, Town of B arnstab. e`. , Regulatory .Services BAnNSTABLE Tbomas F. Geller, Director MASS. $p)F 659, Aim Building Division Thomas Perry, CB0, Building Commissioner, 200 Main Street, Hyaaais,MA 0260.1 www.town.barnstable.ma.us - Office: 508-862=403 8 Fax: 508-790-623 0 PLAN REVIEW Owner: !EX X.FZAA Map/Parcel: 193 OW, Project Address I I MPS-rgEAb UJ Builder: `bF—A J --STA JLCT The following items were note&on reviewing;. �Uxt.T Reviewed by: Date: �:Forms:Plnrvw r The Commonwealth of Massachusem - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 021II www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricia Ans/Plumbers licant Information Please Print Le 'bl Name (Business/Organ=tiondndividual); *� Address: 3 � City/State/Zip: Phone Are you an employer? Check the appropriate bur: 1. I am a employer with 4. I am a general contractor and I T`yPe of project(required): employees(fuE and/or part-time),* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. Remodeling ship and have no employees These sub-contractors have working for me in any capacity, employees and have workers' 8' Demolition [No workers' comp. insurance comp,msurance,t 9• [1 Building addition 3.❑ required] S. El We are a corporation and its I0.[]Electrical repairs or additions I am a homeowner doing all work officers have exercised their myself. l 1.❑Plumbing repairs or additions ys [No workers camp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no 12•11 Roof repairs employees. [No workers' 13.[]Other * comp.insurance required]] �y applicant that checks box#1 must also fill out the section below showing their outside contractors must submit a new affidavit indicating sucworkers'compensation policy information, t Homeowners who submit this affidavit indicating they are doing ap work and then hire h.' Contractors that check this box must attached an additional sheet showing the name of the sub-cont actors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the poficy and job site information. Insurance Company Name: Policy#or Self-ins,Lic.#: Expiration Date: ^ Job Site Address: City/State/Zip:Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the f imposition of crizninal penalties of a ne up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification 7do hereby ce under the d allies ofperjury that the information'provided above is.true and correct tore; Date: p Phone#: Ld A4 QliFN, Officly. Do not write in this area,,to be completed by city or town offzciaL Ci.7a Permit/License#issrity(circle one):1.Boaalth 2.Building Department 3, City/Town Clerk 4.EIectrical inspector 5.Plumbing Ins actor fi. Oth PContan: Phone#• } THE Town of Barnstable Regulatory Services BARNSTABLEMASS. g Thomas F.Geiler,Director_ Ev►Nxl" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnsta ble.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder le (x I e Cc-- ,as Owner of the sub'ect ro l p .pe riy hereby authorize 7e.Cc S _e to act on my behalf, in all matters relative t j.o uthorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. .Pools are not to be filled before fence is installed and pools are not to be utilized til all final inspections are performed and ac ted. #� O Signature of Applicant ySAr( AF Ax� p . Print Name Print Name Date Q:FORM&O WNERPERMIS S IONPOOLS �1HE?I Town of Barnstable Regulatory Services anxrtsrnaLE. Thomas F.Geiler,Director y nsnsa i639• .��A Building Division lED MA'I Tom Perry,Building Commissioner 00 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was tended to includ owner-occupied dwellings of six units or less and to allow homeowners to engage an individual fo hire who does t possess a license,provided that the owner acts as supervisor. DEFIN TION OF HO EOWNER Person(s)who owns a parcel of land on which he/se resides o intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached struc es accessory to such use and/or farm structures. A person who constructs more than one home in a two ear per' d shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a fo acceptable to the Building Official,that he/she shall be res onsible for all such work Verformed under the bu ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for ompliance with the State Building Code and other applicable,codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she and stands the Town of Barnstable Building Department minimum inspection procedures and requirements and t he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 3 ,0.00 cub'c feet or larger will be required to comply with the State Building Code Section 127.0 Construction Con ol. HOMEOER'S E MPTION _ The Code states that: "Any homeowner performing wk for which a\building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);providedd,that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." i1 Many homeowners who use this exemption are unawar that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Secti n 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 respor siblej To ensure that the homeowner is fully aware of his/her responsi ilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities oSupervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forrns:homeexempt Office of Consumer Affairs Bc Business Regulation License or registration valid for individul use only a HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: r.__{132149 Type: Office of Consumer Affairs and Business Regulation Expiration; 11/28/201,2. Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 DEAN F.STANLEY G �` DEAN STANLEY 1` 't 359 CAPT. LIJAH RD', LCENTERVILLE,MA 02632 Undersecret ry Not valid without signature -hamorm Massachusetts c - D,I ru tn�cnt of Public SafctN Board of Buildin" ds Rc�ulations and Standar Construction Supervisor License License: Cs 35037 Restricted to: 00 4 DEAN F STANLEY 359 CAPTAIN LIJAH RD °r1 = CENTERVILLE,.MA 02632 b Expiration: 1/19/2012 ('umn�issiuncr Tr#: 12334 NOTICE OF ASSIGNMENT EMPLOYER: COMBO I.D. STATUS OF EMPLOYER DEAN F STANLEY BUILDING CONTRACTOR INC 000287699 Corporation 359 CAPT LIJAHS ROAD CENTERVILLE, MA 02632 COVERAGE GROUP 0287699 Coverage under this assignment The Waiver of Our Right-to applies to Massachusetts Recover from Others. Endorsement operations only. For coverage is available on Pool policies. outside of Massachusetts, contact Contact your agent for details. the appropriate Pool or Plan for that state. INSURANCE COMPANY: AGENT NORTHWOOD ESHBAUGH INSURANCE AGENCY INC OR KATHLEEN M GEDDIS TRAVELERS PROPERTY CAS CO OF AM PRODUCER: 540 MAIN STREET Jonathan Scharnberg HYANNIS, MA 02601 P Q BOX 3556 iORLANDO, FL 32802-3556 I (800) 443-4404 AGENCY FEIN:043448356 _ CLASSIFICATION OF OPERATION CLASS ESTIMATED RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION CARPENTRY-DETACHED ONE OR TWO FAMILY DWELLINGS 5645 $36,000 8.68 $3,125 CARPENTRY-DWELLINGS - THREE STORIES OR LESS 5651 $0 8.68 $0 CARPENTRY NOC 5403 $0 9.61 $0 EMPLOYERS LIABILITY 100/100/500 9845 MOD FACTOR 9885 .95 ' $-156 STANDARD PREMIUM $2,969 EXPENSE CONSTANT 0900 $338 TERRORISM CHARGE 9740 $11 TOTAL POLICY MINIMUM PREMIUM $500 TOTAL ESTIMATED PREMIUM $3,318 DIA ASSESS. 5.9% $175 TOTAL EST. PREMIUM PLUS ASSESSMENT $3,493 INSTALLMENT BASIS: Annual DEPOSIT PREMIUM: $3,493 THIS IS NOT A BILL COMMENTS Coverage effective 12:01 AM on 10j05/11 Subject to 08/31/11 Anniversary Rate Date. Add endorsement WC 00 03 08 to this policy. An approved Form 153 - Affidavit of Exemption for Certain Corporate Officers cr Directors - was submitted with this application. DATE OF NOTICE: 10/0 5/11 PREPARED BY: Evelyn Cobb EXT 522 , The Workers'Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street•Boston, MA 02110 (617)439.9030 •FAX(617)439-6055 •www.wcribma.org - r FSKE Tom. ,� , ,-j; Town of Barnstable *Permit# Expires onths rommJcy.date Regulatory Services Fe f BARNSTABLE j c...1 . v� 639. Thomas F. Geiler, Director prfDMAyA 1�- !�+�S��TABLE Building Division l' Tom Perry,CBO,.'Building Commissioner Y. 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 50,8-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map;parcel Number- — - G (42 . Property Address t�- \ �,.`� '�\ \ �� .Residential Value of,Wort K ;?(2) Minimum fee.of$25.00 for work under$6000.00 - n Owner's Name & Address Contractor's Name \� h� � /t tv� �1 Telephone Number'-x '-t�o� Ilome Improvement Contractor License#(if applicable.) s,_'_�k_ li�&R Construction Supervisor's License# (if applicable) �JWorkman's Compensation Insurance Check one: ❑ 1 am a sole proprietor ❑ I am the Homeowner _ ❑ I have Worker's Compensation Insurance- Insurance Company Name Workman's Comp. Policy# �,U Copy of Insurance Compliance Certificate must be on file. Permit Request (check box) [X[ Re-roof(stripping old shingles) All construction debris will be taken to V Lrv� \jJ ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) `Where required: Issuance of this permit does not exempt compliance with other town department regulations;i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of.Permission. A copy of the Home;Impr,vement Contractors License is required: SIGNATURE: t.'\\I'1-II.I.S�.I:ORMS\building permit forms\EXPRESS.doc It-eviscd 100608 ,= 10/29/2010 15:56 5083932273 NORTHWMD INSURANCE F'rkUt U1 OP ID:TO CERTIFICATE OF LIABILITY INSURANCE DATE(MMR?D)YYYY) 1;s 10129110 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED,the policy(iss)must be andomed. If SUBROGATION IS WAIVED,subl"t to the terms and ConcNtions of the policy,certain policies may require an endorsement. A statement on this Certificate doss not confer rights to the certificate holder In lieu of such endorseme s. PRODUCER 508-771.1632 NAME T Northwood Ins.Agency,Inc. 509-393-2955 a"W)NNo FAz 640 Main Street,Suite 9 Hyannis,MA 02001 P5TANL4 IN 8 AFFORDtlQG COVERAU MAIC11 Iws(rREa Dean Stanley Building INSURER A:UbOMf Mutual Insurance Co. Contractor,Inc. NaSURER a: 359 Capt.Ujahs Road INSURER C: � Centerville,MA 021832 INSURER D: INSURER E: INBU R F: COVERAGES CERTIFICATE_N MBER: __ REVISION NUMBER; THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 59LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INU TYPE OF INSURANCE PO ICY NUMBER mW YY MM EXPVI L GENERAL LUURRM EACH OCCURRENCE i COMMERCIAL GENERAL LIABILITY PREMIStfi(Ea oourreno $ CLAIMS-MAOE F7 OCCUR MEO EXP(Any are pmm) E PERSONAL 6 ADV INJURY 9 GENERAL AGGREGATE S GEN L AGGREGATE LIMIT APPLIES PER! PRODUCTS-COMPIOP AGG S POLICY PR LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Me ecodw) ANY AUTO BODILY INJURY(Par parson) S ALL OWNED AUTOS QOC14Y INJURY(Per ecddeM) E a y� SCHEDULED AUTOS PROPERTY DAMAGE HIREDAUTOS (PerBcdtlelH} 1 NON-OWNED AUTOS S s UMBULLA LIAR OCCUR EACH OCCURRENCE 8 _ E710E9f1 LUUr CLAIMB MADE AGGREGATE $te, DEDUCTMLE $ RETENTION s WORKERS COMPBNBATIGN WC sTATU- OTH- AND EXP_LO ERV LIABILITY. A ANY PROPRIETORIPARTNEWEXECUTIVE YQ NIA A C13183743140110 0B/31110 08131111 E,L,EACH ACCIDENT s 10010 OFFICERIMEMSER EXCLUDED? 1 O0OA (NyyEee in NHl E.6.DISEASE.EA EMPLOYE 9 r DESCRI",ION OF FER N ow G.L.DISEASE-POLICY(iMrr $ ram Dr:Wpi=N OF OP@RATIONS I LOCATIONS 1 V8Ha.E$ (Affseh ACORD 101,ANIWI101 Raoarirs$ehodule,N nmfe space Is 1"UIred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES eE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dean Stanley Building ACCORDANCE WITH THE POLICY PROVISIONS. Contractor,Inc. 369 Capt.Lijahs Road AUTWKND REPRESENTATIVE Centerville,MA 02632 �&" X. o zaAxa--e' 019t1$-2009 ACORD CORPORATION- All rights reserved. ACORD 2S(2009/09) The ACCMD name and logo are registered marks of ACORD ' Ntassachusetts- Department of Puhlic Safech IM Boat•d of Bttil(linh Regulations and Standards Construction Supervisor License License: CS 35037 Restricted to: 00 DEAN F STANLEY ` 359 CAPTAIN LIJAH RD CENTERVILLE, MA 02632 Expiration: 1/19/2012 ( nunis.i ncr Tr#: 12334 :._.y^,._ ,..: �'✓�ie "Coarr�mzarurieu�t,�✓Ucaa°acfiuver�6 Office of consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Type: Registration 132149 Expiration 1112812Q12 Individual ; DEAN F.STANLEY; � DEAN STANLEY 359 CAPT.LIJAH RD.,,, CENTERVILLE,MA 02632 Undersecretary The Commonwealth of Massach usetts i_.. Department of Industrial Accidents 1 ~J L ; .6 Office of Investigations C !u 600 Washington Street 1 il1llr / . • Boston, MA 02111 ° www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LelZibly Name (Business/Organization/Individual): ��\� _ �, 3, - Address: ' City/State/Zip: `i \�� `� Phone #: C>�-L{ -' -�{(c� Are you an employer? Check the appropriate box: Type of project(required): 1.N I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contfactors 2. ❑ [am a sole.proprietor or partner- listed on the attached sheet. 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work right of exemption per MGL 11. Plumbing repairs or additions myself [No workers' comp. c. 152, §](4), and we have no 12.❑ Roof repairs insurance required•}t employees.'[No workers' comp. insurance required.] 13.❑Other *Any applicant that checks box#I 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. \ ; Insurance Company Name. "I Policy#or Self-ins. Lic. #: W C�,\` sl_�-l'A ,S \.4 d�6 Expiration Date: Job Site Address: Y � ey d 1`� City/State/Zip; K 6 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$1,500.06 and/or one-year imprisonment, as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Al I do hereby C. it'y under th f nd enalties of perjury that the information provided above is true and correct. Si nature: i✓-- Date: 75= Phone#: �K` 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 ' t 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 u er any contract of hire, . express or implied, oral or written." An employer is defined.as "an individual, partnership, association, corporation or other I al entity, or any two or more of the foregoing engaged.in a joint enterprise, and including the legal representatives of deceased employer, or the receiver or trustee of an iri.dividual, partnership, association or other legal entity, empl ying employees. However the owner of a dwelling housAaving not more than three apartments and who resides rein, 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 emplo ment be deemed to be an employer." MGL chapter 152, §25C(6)also ates that"every state or local licensing age cy shall withhold the issuance or renewal of a license or permit to perate a business or to construct buildi gs in the commonwealth for any applicant who has not produced a eptable evidence of compliance with he insurance coverage required." Additionally, MGL chapter 152, §25 7)states"Neither the commonweal nor any of its political subdivisions shall enter into any contract for the perfonna ce of public work until acceptab] evidence of compliance with the insurance requirements of this chapter have been presented to the contracting auth rity," Applicants Please fill out the workers' compensation afVch it completely;by ecking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s), ss(es)and phon number(s)along with their certificate(s)of insurance. Limited Liability Companies(LL ' ited Liabili Partnerships(LLP)with no employees other than the members or partners,are not required to carryer ':compens lion insurance. If an LLC or LLP does have employees, a policy is required. Be advised ts of i vit y be submitted to the Department of Industrial Accidents for confirmationof insurance coveAlso b u e to sign and date the affidavit. The affidavit should be returned to the city or town thatthe applicar the pe t or license is being requested, not the Department of Industrial Accidents. Should you have any qu regard' g e law or if you are required to obtain a workers' compensation policy,'please call the Departmee nu er lis d below. Self-insured companies should enter their self-insurance license number on the appropria . City or Town Officials Please be sure that the affidavit is complete and/iallystamped gibly. The D\an ent has provided a space at the bottom of the affidavit for you to fill out in the event the Investigatioto contact you regarding the applicant. Please be sure to fill in the permit/license numbeill be used aence number. In addition, an applicant . that must submit multiple permit/licease applicay given yearo ly submit one affidavit indicating current policy information (if necessary) and under"Jobess"'the applho Id write"all locations in (city or town)."A copy of the affidavit that has-been offs or markthe 'ty or town may be provided to the applicant as proof that a valid affidavit is on file or future permits or lic A n affidavit must be filled out each year. Where a home owner or citizen is obtain a license or permit nod to an business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT requ complet this affidavit. The Office of Investigations would like to thank you in advance for yourration and s ould 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 De' artzxment of Industrial Accidents Office of Investigations � `600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 y. Mi TOWN OF BARNSTABLE BUILDING DEPARTMENT ��- COMPLAINT/INQUIRY REPORT Date (- qS� Rec'd By �Assessor s No. Last Name F'rst Name ORIGINATOR Street Village State Zip Telephone: Home Work Descri tion: 10, _ COMPLAINT INQUIRY' / J Requestor's Signature COMPLAINT Street Address LOCATION A= OFFICE USE ONLY INSPECTOR'S Date V:)_9 ACTION/ Ins ector COMMENTS `���C�� `l rzapaya"-( - P �n o�� G �o �� 32-�ckG Pio — ��Y FOLLOW-UP ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MGR.) MISCI 1 Assessor's map and lot number .......3, ...................... I F1 E, 0 -S50 Sewage Permit number ...7. ......................................... SEPTIC SYSTEM MUST . INSTALLED IN COMPLIA z MUSTABLE. House number ......................e.11.:. .. . ................................. u Joao. . . WITH TITLE 5 1 m63 m 9.ENVIRONMENTAL CODE AN MAI Ar TOWN OF BARN91PAMYEVCJ*i).js BUILDINP , INSPECTOR APPLICATION FOR PERMIT TO ......... TYPE OF CONSTRUCTION ....&.O.VAI... ..................................................................................... .......... ......................19..... TO 'THE INSPECTOR OF BUILDINGS: Th6 undersigned hereby applies for a permit according to the following information: Location .... ....................... ............... . . ..... ...... ................................................. ProposedUse .......k/a'-C-4( ............................................................................................................................................... Zoning District .............. ..............................................Fire District ... ..................... Name of Owner -4�...010-*Atr......................Address .... .................................................................. Name of Builder ...........Address av, I I .................. /. .. ............. Nameof Architect ....�8..19.................................................Address .....1. * .................................................................... Number of Rooms .....I..........................................................Foundation Z-Irx.\J.A�7.... (�............................ Exterior .....4rj..ik-j ......................................................................Roofing ....r, X .................................................................... Floors .........4/.........r/.................................:.........................Interior ......I........................................................................... s. Heating ..........rx,jl......................................................Plumbing .................................................................................. Fireplace ................ ..................................................Approximate Cost .....i�q 07) ) .............. ...................f....... Definitive Plan Approved by Planning Board -----------------------------------19-------- - �t?, Area Ae A. .... ........... ..... o.® wcDiagram of Lot and Building with Dimensions Fee ...........)0 — .......... ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH )0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....7)-! - ................................ Construction Supervisor's License ..... ....... DUANE, JAMES 14 No .... Permit for ...RQWWeL.Gazage.. ......tg 1-5-t Sangle..Fan-ddy..Dwelling Location ... .......................... ....................omte.-r.Vi'Ue................................... Owner ....James...V IaRQ..................................... Type of Construction ....Flame.......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ... 2.0...,....................19 85 ... Date of Inspection ....................................19 Date Completed .................. ..19 tv *'V ,� V2,`;v,-�'C. Ou2n N�.Rb; DoGr7• 8u,.:t7 i71.e K I RAM UP Ft.SOA tNSJI._ATT__S`-y FFt AtISh4 AMA ' (,V SU LATF_ ALL QF'I.00R7c ?CtLt_ OoWn; Te, i+RLL- t 1?CFit:�! j " , I h�'STJt.L f�wa7 r DooR •r" CJirer�nc�r MCARP ' a,e.l � _ � I 72ifn�✓Z Ex lam.,e n)G K I T"ltr'Ai Hp, uPTek HeAT --TOC VMV MWT 1,) i-p21 a;1 A:"r<] tZ..l P,!,���e i 1)r?C i'�s iAl`_7r't_!_ .hiA`.,,•° -r k't,�t t•T t •� fiPW t��`,e'"f tv,1"? _L� sS�t:-CF Y"TLUSN DJ.:t: 1 } --- ---— �: _—_.--- �:, '. .,. _. - � �� i .. r i t � � (! •u;l_•1.J�IZ 7� 1 is C.:,:p�. :iL L --- Neu) ' 4 nooil, C Fri'1O.'e T; rr Pr' : { ,, �' �.0!•L'(`Ir tlt i n.'�1'i�.: �-hL._ri �.GiL.R'l')O/F' 'll f TF� Noce Of CAWCOBAb M­-, H NAM MOAh LAW v_LE_— -7? 1-- by' H�ntP, 11,t • Baugh Road � Rte. 28 e Hyannis, Ma ss. 02601 775=28.15. ^ .. #9-2206 Rte 28. to Old Stage Road- right, right on Capt Lijahs Road, right onto Mast Head Lane. irage .- raise floor system and insulate. ill block wall-frame up for window. ioor. Relocate pull down stairs to hall. kitchen and new kitchen. wiring for stove and and dishwasher. Relocate cooktop. r to, supply fixtures. closet door. Hot water heat-same Zone-toe kick heat in Dr, walls and ceiling. etch up in kitchen. Includes .removing existing kitchen erior .trim to match existing counters. No soffit included. included. ws, sink, all appliances, cabinets, etc. ,aced. i I i i � / Y GAL.... Pi7 � at rC c� c�.�a�_. P' r q�u TOTAL- -!L)C-SIGKI = 425 Pt;-:r'GDI_P,T10LJ tZ&TE ( FN Or2. to fy) V 2 ti 4ttCHAFttj G d' Jq \ � pp N ~ \ lee,� 99 �. FG 91,0 ��TijriJ• vr� �i V,.i. ii � l Sv.B fTX IIW. G&L.EG -Bo� Ta�tK. 771#r GAL.. aG Iq 9635 PciC Ce=q, LcArN A w i rr~ �4/A4�•IEl� { I 1 CFCL `,'t1~lG� rt_C)-T- P L 4,l�i Gfa i_ � c Ctp h`T t gl ale'kil JJp tr�4T�� - ___._._ pt A1-1 ti r_=.r-_--aisljc_a- 7 i-({.s, t- Y'I4 L� �'DU L11aa"t't0{J S r-1CT.c1 F�J ,,�._..._,. ......_. . _ ....._-_ ( 1C:Syt`_cst i c�C:>lv1C'1 �tS VJITP TW 'jit7( l_r► 1E- Awe r'-TU- AC4 V�r:64U IQC O&-_� ,; �� F�t� LOT 3 'TawL,! off` Ar2►J r,d>°�6�. V_UOT7-Y vl L!AC�L tom,-f= 1 1-1 r— C:SC�_it~VkI-%-1 t{JS(-L�`•Jt✓1L.1�!i �j:1i �lt�'{ •�• j4lC cJl=i ;f:��r �I'tl �jJiT'� 7 r Ei t €2,L_ t!=:C L.• 1�, r-1'�..L-'.N�, �l; 1_ca C' i_t l t� - _— - _____.__ 64 PE I►�l tT' L •/. e sor's map and lot .nu r `. � �> 71 J SEPTIC SYSTEM = . c5 S d Sewage°Permit number .:.........,........................................:...... i iNSTA C MPL A SE LLED IN' NCE 4: r� WITH ARTICLE II STATE 6? TOWN �) TH E4k `» 1 O W l \ O l- B A R , 'i `� ®wry t7 y 4} } 9 �ABa �> G INSPECTOR ° �639.a.. _ U FL D"I N�U v1 "; APPLICATION FOR PERMIT TO .. �. .... TYPE OF CONSTRUCTION . fi l , 1 J 17 a .......................... ....:19. TO THE INSPECTOR OF. BUILDINGS: \ The undersigned hereby applies for a permit according to the following information: , Location .� -> F..•... .. . ....... .................... .... ........................... ProposedUse ..... .... .................................................................................................. ........ Zoning District ........�.It. r...............................................Fire. District .. .. . .......................�............................ Nameof Owner ......... ......... ............:��—�`. ................Address .........../. . Vj............................................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect .......................:..........................................Address .................................................................................... 5 ,P Numberof Rooms ..................................................................Foundation ........./�.......................`....................................... Exterior ...............v1•...�e... .f.....................:.................:....Roofing . ..... ....... .................................... Floors U/i. `.. .�. r...........................:.....:...............Interior .....:.. .. .................................... Heating .......... .<...&...�'Il.'.' �G ( ..Plumbing . Fireplace ......... .......................................................Approximate Cost ........e .` f.......L................................... Definitive Plan Approved by Planning Board ------------------- ---19--------. Area �/ Diagram of Lot and Building with Dimensions Fee .......32 ...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I I hereby agree to conform to all the Rules and Regulations of.the Town of Barnsta!be regar ing the ab e construction. b Name .............................. ........... .. ..... ' ^ ' one story , . _ Permit .`" -----------..ide Development lk*pewiod,e miu��le. fa����� dwelling "~ _ -.—.—.----.----.,---..--.—.--.-- . . _ ftuwthea� Lame�p^". ' 'Location —.^.'�..—.--------------- . Centerville . ..._...�..~.--..—.—~—..__...---~--- ~ Ca - ' . . � Owner ���----- --'---�--- _ 'i'--' -----------'--^--'' ' ` . '' frame Construction Typo 439, Date of Inspection Date Com PERMIT REFUSED ' ` ` ^ . . ' . . ^ . . ' � ^ . - ~ - � - ' . . . --' —.. . � ^ . ^ ........................................... . � . ^ —^-^.z^^^^—^^~~^---'r—'---_� Approved ................................................. 19 ~/ . .--~---.--'-------~--...—.—.—,... -----'--''---------'--'~—^^^-~~^ ^ � � � -" HOSE— BENS -------------------- /0 .00 CONCRETE .� FOUNDATION �c3 o O O 44'-/- CONCRETE IFOUNDATION -- 7.7 CONCRETE �� FOUNDATION p s, CONCRETE FOUNDATIONS SHOWN WERE LOCATED BY SURVEY ON NOV. 31 2011 . 3 i,o S vn& C' I CERTIFY THAT TO THE BEST OF MY PROFES-SIOlNAL O , KNOWLEDGE, INFORMATION AND BELIEF THE DWELL 1 NG i� SHOWN HEREON CONFORMS TO THE HOP,I ZONTAL SETBACKS OF THE ZONING BY-LAW FOR THE RC DISTRICT. THE DWELL I NG DEPICTED ON THIS G PLAN WAS LOCATED ON THE GROUND BY SURVEY ON JUNE 171 2011 AND ��� ��� ��� PL� f PLAN AS SHOWN AS OF THE DATE ?�, ''R /1 MASTHEAD LN, MAP 193 PCL 66 OF LOCATION. BAkVSTABLE, MA. THIS PLAN IS FOR PLOT PLAN SCALE: 1 "-20' NOV. 4) 2011 PURPOSES ONLY AND NOT FOR RECORDING, DEED DESCRIPTIONS EAGLE SURVEYING , INC Oj? EST.".BL I SHI^AG PROPERTY LINES, 923 Route 8A Yormouthport, MA. 02675 THIS PLAN IS VOID IF NOT (506) 432-5333 ; STAMPED AND SIGNED IN RED. M I - it - 0 f 0 20 40 PROJECT NO. 11-045 ACCESS COVERS MUST BE Wi ,THtN INSPECTION 9' MINIMUM. I N V ER. T ELEVATIONS • DC_ I G�� G('1 / T E(1 I A GENERAL NOTES : 6' OF FINISH GRADE PORT 3 • MAXIMUM COVER FIRST 2 TO INVERT OUT SEPTIC TANK: -94.5 DESIGN FLOW: I BE LEVEL INVERT IN DIST. BOX: 94. 17 3 BEDR0044S AT i l0 G. P.D. -ER I THIS PLAN /S FOR THE DESIGN AND CONSTRUCTION INVERT OUT DIST BOX.- 94. 0 BEDROOM EQUAi S 330 G. P.D. OF THE SEWAGE DISPOSAL SYSTEM ONL Y 4- DIAW.PIpf INVERT I N LEACH CHAMBER 93.92 _ Ci£AN SANG BACKF/LL - 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS 2 AROUND AND 2- OVER CHAMBERS BOTTOM OF LEACH CHAMBER: 93. 0 NO GARBAGE GRINDER gas 9♦4. _ ,i 4. 1 / ' -- SET, SEE SI TE PLAN, GAFF:c-1 94. 17/ � J_C ADJUS TED GROUND WA TER: _N/A SEPTIC TANK REQUIRED: i . 3 OUTLET 10 HIGH CAPACITY /NF/TRATOR OBSERVED GROUND WATER: -N/A 330 G. P.D. X 200% 660 GAL. 3, ALL CONSTRUCTION METHODS AND MATERIALS AND EXISTING D BOX CHAMBERS /N TRENCH FORMATION BOTTOM OF TEST HOLE •1: -88. 0 SEPTIC TANK PROVIDED: 1000 GAL . EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1000 GAL CONFORM TO MASS, D.E. P. TITLE 5 AND LOCAL SEPTIC TANK 6' CRUSHED STONE OR SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. COMPACTED BASF "' DESIGN PERC RATE ! 5 MIN/INCH PROFILE : Nor TO SCALE SOIL TEXTURAL CLASS - 1 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFLUENT L04DING RATE - 0. 74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER -------... 330 GPD / 0. 74 GPD/SF - 446 S. F. REQUIRED THAN 3• IN DEPTH SHALL BE CAPABLE OF WITH -- --_ STANDING H-20 WHEEL LOADS PROVIDED: 10 HIGH CAPACITY INFILTRATOR CHAMBERS. 62.5'x 7. 79 SF/FT - 487 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR N487 S.F. x 0. 74 - 360 GPD APPROVED EOUAL . 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED �IASTfI,�'/q� L�N� SOIL TEST PIT DA TA S PRECAST CONCRETE OR APPROVED POLYETHYLENE. INDICATES v _ INDICATES BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER DN PERCOLATION OBSERVED TESTED FOR LEVEL WHEN THERE /S MORE THAN ONE dt• /f � SM. CATCH BASIN TEST - GROUNDWATER OUTLET. � RIM-9B.16 � TP sl P*13277 TP •2 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. 1-888-D IG-SAFE AND THE LOCAL WATER DEPT. 0- HORIZON TEXTURE COLOR 98. 0 0- HORIZON TEXTURE COLOR 98.0 FOR LOCATION OF UNDERGROUND UT l L I TIES. BLUE STONE DRIVEWAY F I L L F / L L Op Y 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE R '12 _ DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION ve yo SAND 3/2 SAND 3/2 �p5 q - A LOAMY lOYR A LOAMY IOYR OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE �' i CONSTRUCTION INSPECTIONS. l0 HIGH CAPACITY _... 96.5 /8' 96.5 I NF I L TRATOR• CHAMBERS �3 �► ,. B / B LOAMY I O YR L OAMY 10 YR Y SAND 5/8 SAND 5/8 9. EXISTING LEACH PIT TO BE PUMPED DRY AND 32 95.3 30- .. .. 95.5 BACKF/LLED. TP�2 �, I MED/UM !D YR C MEDIUM /O YR • SAND 6/6 SAND 6/6 10. VERIFY INVERT AT SEPTIC TANK PRIOR TO 52' CONSTRUCTION. ADJUST INVERTS AS NECESSARY. 'LIDHcD - w a � Q� �y o-sox 120 NO WATER 88. 0 120- NO WATER 88. 0 DATE: JUNE 7, 2011 4f � TEST BY: STEPHEN HAAS PfTSTINe WI TNESSED BY: DONALD DESMARAIS �"' STEARHEN PERC RATE: C 2 MI N/I NCH Y=1 aS a( CIVIL No.35461 EXISTINO N Pr SEPTIC TANK _ L O T 3 9 Xk s9�69 I5. . .144* SF py,lf e� i .lO 5 E- P T / C S YS TEM DES / G/V "A S T 1EAD L A !VE . A4AP / 93 . PARCEL 6 �5 N SA R IV S TA L E . CE/V TER V / L L E > ,V� PREP�1 REL7 FOR A D E,q /V S T-,4 /V L E Y LEGEND O 359 0A P T . L / JA /--/ ROAD . CE/V TER V / L L E - "A 02632 LOCUS _ ■ CB CONCRETE BOUND + N` parr hh -w WATER LINE SCA / E : / - 20 ' S E E 8 P TMBE_R . 2011 - V HYDRANT --G GAS LINE E A G L E SURVF I NO I NC ,?HW-- OVER HEAD WIRES 923 FR o u t ® 6 A ! P o T P T rmo h�Ya rru t r t MA 02675 - 1 � LlGH OS � � �_\~ tyl4 i �' -E - UNDERGROUND EL ECTA•lC LINE � I/ ��I�\� C508 362-8 1 32 -T- UNDERGROUND TELEPHONE LINE 1w t 508 4-32-5333 N -CTV- UNDERGROUND CABLEV I S ION L/NE + 40.4 SPOT ELEVATION + I -40- EXISTING CONTOUR L OCV S MA P 0 i 0 20 40 fda PROPOSED CONTOUR JOB NO: 1 1-045 FIELD CANAL CAL C: SAH/CFW CHECK: CFW C,, N: > APPLICANT TO COMPLETE & SUBMIT WITH PERMIT APPLICATION AMC G11ir1c la Wood Constructiott ire.high WFrul Areas_110 ntplr F6�u2d Zone Massachusetts Checklist for Compliance c7so c AlR Q Check Compliance 1.1 SCOPE Wind Speed(37sec.gust).......................................................................:....................................110 mph Wind Exposure Category............................................................... ...B 1.2 APPLICABILITY ! Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)_:L stories 5 2 stories V RoofPitch ........:..............................................................(Fig 2) ................................... 51212 MeanRoof Height ..........1.................................................(Fig 2).......................................... 13 ft S 33' Building Width,W...........................................................(Fig 3 1 ft 580' BuildingLength,L ......................................:....................(Fig 3)..................................... 22, ft 980 Building Aspect Ratio(L/VV) ..........................................-(Fig 4)..._...... 5 3: Nominal Height of Tallest Opening..............................._(Fig 4)...,.. I.$4 v5 6'8' _y 1.3 FRAMING CONNECTIONS General compliance with framing connections...... ..........(Table 2)............................................................. 2.1 .FOUNDATION Foundation Walls meeting requirements of 780 CN, 104.1 Concrete................................................... ........................ Concrete Masonry. ....................... 2.2 ANCHORAGE TO FOUNDATION''' 5/8"Anchor Bolts imbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete onl Bolt Spacing-general.........................................(Table 4)............................ ....... k In. 2x l 0_Q}11 G t- _ f Belt Spacing from endfjomt of plate ..........................(Fig 5)._............................... �_in.5 6'-12' -_'Ve 5N4QgW1yy QV_1.�, F A-7-rLgf Bolt Embedment-concrete.....................................(Fig 5).................................. . in.2 7' Bolt Embedment-masonry.,..................................(Fig 5)........... ... ........ ....... . -irA in.z 15- �L 12 Plate Washer..........................................................(Fig 5)........ _..._... ................... 2 3'x 3"X Y., \l jQ .3.1 FLOORS leo 51.%v I N Io5 ow _- 12 J�� / Floor framing member spans checked.............................(per 780 CMR Chapter 55)............ ............. 2_e QhF1LFS t t�/ Maximum Floor Opening Dimension.................................(Fig 6).............._......................... ft 512' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........ ... ---.-_.- R•dOlNbu •/2ti 8S•JS -- y Maximum Floor Joist Setbacks - - Supporting Loadbearing Walls or Shearwall............(Fig 7).......................................... /k sd Maximum Cantilevered Floor Joists --- Supporting Loadbearing Walls or Shearwail...............(Fig 8).... ............__................... 'I ft `_ Floor Bracing at Endwalls...........................................(Fig 9)................................................... ......... 1x3 SC{Ztif'PIn1 �Lx6 C1A. \NC, _T Oc Floor Sheathing Type.... _..............................................(per 780 CMR Chapter 55)............................ ..... t, Ix 3 6rRr�1°Ve 1 Floor SheathingThickness ..(per.......................................... 780 CMR Chapter 55 CI -- 2 Sla r..t'tl0.0GC ci Z9 60 S R _K Floor Sheathing Fastening................................................(Table 2)..jLd nails at I in edge 2>w STuins tc. O.G w 0..21(hl5r t, u E2clST1Ur1 l'olh cj 4.1 WAILS / "G-C --- Wall Heightt .......................... ..... (Fig 10 and Table 5).................. it 510' ✓ - Loadbearfrlg wolfs... . ................ NornlaaadbeamW welts...:.........................................(F!g 10 and Table 5)...................... ft 5 20' i Wall Stud Spacing ....................................... ................(Fig 10 and Table 5)..,............... in:524',o:c. 0« Wall Story/cuisas �3 P'T stu W/ `tALER 4.2 EXTERIOR WALLS' / j / -- WooLoadb aring walls....................................................Table'S � y. OAfM RG1O Non-Loadbearing wa,lls........................................(Table 5). r7,466£.............2x in. Gable O j Gable End Wall Bracing- f 2'.TUV rC0t••1C, TUPPII)CI ) Full Height Endwall:Studs:....................................(Fig 10).......................................................... I ON V&FOR, IbAR9i6ER WSP Attic Floor Length......................:.................(Fig 11).,.. ...__...............I.....,....... ft 2W/3 Gypsum Ceiling Length(If WSP not used)................(Fig 11)........................................._ft 2 0.9W and 2 x 4 Continuous Lateral Brace @ 6 fL o.c...(Fig 11)............................................................ _y or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft spacing in end joist or truss bays;� Double Top Plate SLC.-,T LUN /` •/� SECTION 13•F3 CIECT(U� C.G Splice Length ...............................................Fi 13andTable6)................................... 9 _ Splice Connection(no.of 16d common nails)............(Table 6).......................................:.....:......... ,4WC Guide to Wood Construction in High Wind Areas: 110 rnplr lVind Zone Massachusetts Check-Iist for Comhliance(78OCnlR53011.1.1)' Loa tbearing Wall Connections / Lateral(no.of 16d common nails)............ ..........(Tables 7)...............tS f. . '............._Z..- 1/ Non-Loadbe, ng VJall Cnf,P:;:tions Lateral(no.of 16d common nails)..............................(Table 8)........................................................ Load Bearing Wall Openings(record largest opening but check all openings for complia—to Table 9) Header Spans - Table 9._------_..._-------........ _It 4_in.:5 1 V Sill Plate Spans ...... ................................... ........(Table 9)................................ S R� in.s 11' Full Height Studs(no.of studs)...................................(Table 9)......................................................_-Z Non-Load Bearing Wall Openings(record largest opening but check all openings for comp'nnce Table 9) / _ --- V Header Spans. ............................:..........:._.(Table 9)......:. ..... ,f['7• in.<_12' ................ Sill Plate Spans.........................................................(Table 9)..............,...................5 k_j,_in.<-12- / Full Height Studs(no:of studs)_..................................(Table 9).......................................................... --- - _ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously' Minimum Building Dimension,W Nominal Height of Tallest Opening2 ...:. ....:....._.._......: .. .. ........ram Sheathing Type.............................................(note 4)................................I.....t1`Q.4S?__ _�✓ Edge Nail Spacing.........................................(Table 10 or note 4 if less).................:..... 3_in.. _✓ Fiald.Naii Spacing.............--------------`--•--......,(Table 10)................................................Sa_in- -� Shear Connection(no.of 16d common nails)(6able 10)......................................................... J Percent Full-Height Sheathing.............:........(Table 10)..................................,........ .....1.AC�% _✓ 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)....-............... Maximum Building Dimension,L Nominal Height of Tallest Opening........••............................................................ 6'8' b Sheathing Type.............................................(note 4).........................................ilZ-iws —✓ Edge Nail Spacing.........................................(i able 11 or note 4 if less)........................ in. V Feld Nail Spacing........................................(Table 11).-................................................_m in. Shear Connection(no.of 16d common nails)(Table 11)............................................... Percent Fuh-Height Sheathing......................(Table 11)_.....................:....................... 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)...._............... Wall Cladding Rated for Wind Speed?..............•--............_.............---.-------........_..._.._..-------••............................. ......... --- --- 5.1 ROOFS Roof framing member spans checked?.....................(For Rafters use AWC Snan Tool,see BBRS Website) J o l hGC Roof Overhang ...................................................(Figure 19)............ '.�smaller of T or U3 6 iU Truss or Raker Connections at Loadbearing Walls Proprietary Connectors yUpfift......................................... (Table 12)............................................U=.2j(flplf l/U Lateral.............................................(Table 12).............................................L=QL plf Shear..............................................(Table l2)...........................................S= plf U - U $ `. ____.- � _ Ridge Strap Connections„if collar ties not usetl per page 21...(Table 13). .....................T=.jfej,�plf 0 m' Gable Rake Outtooker.........................................(Figure 20).......... ,fts smallerof 2'or L/2 _ ('r S.' Truss or Rafter Connections at Non-Loadbearing Walls a Proprietary Connectors C W _ U Gk.::........... .......... V P. ..................... ..(Table 14).......-........_.......... -•U-- _�Ib. aLateral(no.of 16d common nails)..(Tab 14).......................................L=_Uo lb. Roof Sheathing Type ....................................._.......(per IT80 CMR Chapters 58�59)........... Roof Sheathing Thickness........--._...................................._...__._...__..... ._......_ C in.2 7/16'WSP RoofSheathing Fastening..........................................(Table 2).......................................................... . -- Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of bu U) El_QZK1 49j 5 VK750M 1,1.G C- Sp5 780 CMR 5301.2-1.1 item:1.If the checklist is met in its entaety`then the following metal straps and hold downs are not �CktprL required per the WFCM 110 mph Guide: a, Steel Straps per Figure 5 b_ 20 Gage Straps per Figure l l a Uplift Straps per Figure 14 d. All Straps per Figure 17 e Corner Stud Ho(d.Dowas per Figure 18a and Figure 18b -'- "-t0 Kvrjck,T(2+c6 k,4,7T k4_ 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent fut-height sheathing In / requirements shown in Tables 10 and 11. -- _ 3. The bottom sit plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated 92-grade. Szu�v S�St 4i,P,Ct.lp 5 i �Ip • -tf- a.t •'--- APPROVED BV: Lr"pe Dev SCALE_--a�t�'O_...-. DRAWN. y�•�] • QATE.5 *_ -Cl ,. REVISED ?74-238-07 73 I t AX AhTL-k Q - DRAWING NUMBER _ V � i _ StMP6064 14.0 OUP ¢LOGE VIEM7 -- -- — r_lSWWIUT Sulu41-U`5 I__— _ _ -- Lke bt3�uTw�.�nk►.LT - _- �vM-,4c/rCt:R I-r' i ' 1 �— -_ ls'vurCt_T 54i�4�5 - r ---- _ --,- I AMA,4,LJL1'EIL TA�E�tMx.axa•1 6xtrSt lwq i � �SI � t I UPI N\&k tCAUhI.) jj \� c,SutwC,ti; Oi0 "i_ri I - ._L Y LLl Cv2�4tUl�1- - �+ ky I i i I i i i �i i �I I I _ I f li I LE I I I -T-L , t--f I — I 1 t 1 I I RtnR U�.�✓�.�>.o-l� C4n.�•�.�,E� I�tnR t�E�����c�r�} i a 1 x q I I ° (,T-oLC L si r' N Wall sheathing r: must extend -------- up over header nn e �u 0 � "C 'CUIPR4ud4 Cbt\lX.PCJ1'� ) �� i C 1 E12 CJUT NtW 2 6 PT,SILL\ Sd common v/ q T Nail schedule T 3Z klc, ctPkbo t 4 Yj 4L`�UtKZ EXTERIOR at 3"o.c. VIEW OF O E GAPA NIGE NG Ii`x6"xVq"TUk FL&TES t Wall t sheathing I f ' s extend o ©o up over header CXt6Tt�t;tdTY�.Y - �� 1�6C112 ;7 0 0 -- ---------- Sheathing - --- --- `L`.G" aJ`•G" l0''cxt m Q`.p- Joint at approx. Nail schedule e:,e mid height 8d common a a d I at 3"o.c. 6�O" F OUND/\T SON K N A PA i4!"TGK.\YCUf ON L•4"x8" T"V, 48"IUlN,%EWW THE ENGINEERED WOOD ASSOCIATION Bruce Devlin SCALE/ iLQ` _ APPROVED BY: DRAWN BV DATE: �j`�1t�.,P��T,c+611-Vt. REVISED 77423"773 DRAWING NUMBER Alz cl'3 SMOKE DETECTORS REVIEWED lalzs��i FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING air - Rt�4a Gti6JT.. — CAP°VK6" _ 5/ i — ---- 5utu�,�s�s Anr WUOSi\\_Chv qurreiz I r r- - --,.. --- _.... ._ JAA f WtW0ow ctiP I I f �f SII]lN Te -X �L V �— -I — i-- t - -- - --- I lop ' f e. i' ' f I 21kt2wt NF�IZ,I� h I 0°k1°CS Q__h I I I 0 110 MPH EXPOSURE B WIND ZONE Table 2. General Nailing Schedule 5 �.I Sty' JOINT_DESCRIPTION Number of Number of Nail Spacing I Common Nails Box Nails � f Roof Framing Blocking to Rafter(Toe-nailed) 2-8d 2-10d each end ;$ R�F�o \vow-NUs 1 — Rim Board to Rafter En nail(End ) 2-16d 3-16d each end nailed) t5*tit¢4w 5 C`raWbs 2ooc) _. .I I"R.CC N'q SLft W/ 0 „u Wall Framing --- '-- [but�r:tws Top plates at Intersections(Face-nailed) 4-16d 5-16d at joints CJ \Y - _ — _ — _ ._ - :-�. 19 SLL. p ICId N Stud to Stud(Face-nailed) 2-16d 2-16d 24"o.c. !I ! Header to Header(Face-nailed) 16d 16d 16"o.c.along edges Floor Framing Joist to Sill,Top Plate or Girder(Toe-Nailed)(Fig.14) 4-8d 4-10d per joist -- ' Blocking to Joist(Tee-nailed) 2-8d 2-10d each end __._..__ - Blocking to Sill or Top Plate(Toe-nailed) 3-16d 4-16d each block ✓� , Ledger Strip to Beam or Girder(Face-nailed) 3-16d 4-16d each joist t4 0 Joist on Ledger to Beam(Toe-Nailed) 3-8d 3-10d per joist Band Joist to ist r p I Band Joist to Sill or op Plate d(Toe-nailed)(Fig.14) 2-16d 3?16d per fot V � P t Roof Sheathing Wood Structural Panels FUA' Rafters or trusses spaced up to 16"o.c. 8d 10d 6"edge/6"field -- f —= Rafters or trusses spaced over 16'o.c. 8d 10d 4"edge/4"field =� -- ---- -- Gable endwall rake or rake truss w/o gable overhang 8d 10d 6"edge/6"field p01' Gable endwall rake or rake truss w/structural out lookers 8d 10d 6"edge/6"field T7.— ------ _ .-- _.. N+ Gable 6ndwall rake or rake truss w/lookout blocks 8d 10d 4"edge/4"field 13t3oR (WL4*irtlEMER) r Ceiling Sheathing — -- -- — - = Gypsum Wallboard 5d coolers 7"edge/10"field Wall Sheathing Lwr)o\\e I --- 3 — ---- rO 9---- Wood Structural Panels o Studs spaced up to 24"o.c. 8d 10d 6"ede/12"field W and 25/32"Fiberboard Panels 8d (•1) g �a 3"edge/6"field �/n Y"i Gypsum Wallboard 5d coolers 7"edge/10"field Floor Sheathing WQQd Structural Panels 1"or less 8d 10d 6"edge/12"field Greater than 1" 10d 16d 6"edge/6"field 6:o (1) Corrosion resistant 11 gage nails and 16 gage staples are permitted; check IBC for additional requirements. Nail: Unless otherwise stated,sizes given for nails are common wire sizes. Box and pneumatic nails of equivalent diameter and equal or greater length to the specified common nails may be substituted unless otherwise prohibited. APT')k 7 IyVy 5-D;t i s�ti� v Y B {ce ,(Tev1i�7iY SCALE �Y�_-ti4 APPROVED BY: DRAWN BV Designe DATE: p'1EV Wit REVISED 774-23"773 l Nv\n L4wrt DRAWING NUMBER