Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0061 PADLOCK LANE
.- r - ..... ,. >. .. �. �, r' � ,. e 0 6 e � � _ o a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel R Vk NTO�p I&t ion # _0 q -2-Co Health Division ,-q,,,Date°Issued y�lS Conservation Division Application Fee Planning Dept'. w Permit Fee D - © 0 a Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address C [ � ot�- �h - r r\\ Village .,`-� Owner__K1 ,L!1L. Address Telephone Permit Reques ` Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size £�.r34 Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Sl-" Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 2 No On Old King's Highway: ❑Yes ❑ No Basement Type: e'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: _,3 existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ZGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Q"No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:Zi isting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: sting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address �� �`�-r1/�r`� 4H1�° ;`�� License # �A '^32— Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �J SIGNATURE ` /�G DATE 0 7 /'S— FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED MAP/PARCEL NO. `J ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ,r DATE CLOSED OUT ASSOCIATION PLAN NO. _ Depaffw rrtvflndksiri Accident- . . Office oflnvesfigaduns 600 Washrngfon Street `- BOstG74 HA 02III - ' WWW 7l1ILs�gOv�dZQ u . Workers' Compensation Insurance Affidavit:Bwlders/ContracforvUeetzicia=Nlmnbers Applicant Information Please Print Leglly Name push=worg z oam diviaaD Address: �►: ( U GLG���i�l� . �c'l Phone 9-1 gV14 -41 ty Are you an employer?Check the appropriate bay Type of proJer#(regtat ed). 1.❑ I am a employer with 4. ❑I an a general contractor and I - me # have hiredfbe sab-c 6• ❑Nevi construction ��s(fall and/or ti ). listed an the attached shmt 7. Z.❑ I am a sole proprietor or gamer- ❑REmodeFng ship and have no employees' These sob-c have g_ ❑D=oldion worisng fir me in airy capacity. employees•and have workers' [No work'comp.into nce coup.Msm-ance t 9. ❑BmlEmg addition ed I S. ❑ We are a coip6ration and its 10.❑Electdcal repairs or additions 3.ETI ama homeowner doing all work' officers have exercised their 11.❑Plmnbmg repairs or additions myself[No workers'oomp. right of exemption perMGL ❑RodfrepaiLs inctrranr_e1ErnTm�rl]t c,152,§1(4),and have no N wdrker5 ' IiEl Other comp.ins�cereduned_I *Any-appli=mt tbat ehxks box#1 mart aTso JM om fhe section below showing t iesw 5=1 eompeasatioa policy mjhffiafion. t HomcawnerS who submit fbis afndavit i.&cat ing they arc doing ail work and fhea bum onfside eontmdoa must snbmit a new afdaxit indicating such. ;Corte tb�check this box ffist affichcd an adrtiffnnat sheet showing the name nfthc sl�cfa-—dxtEf--vvhdhcr or not those edifies have —ployccs.Ifthc soh-contmefors bave employees,they xaastpm-mr their woijcas'cm33p.policy nambee I am an anp Toy er tliaf is providing workers cc 7np e7aaao it ursurance for my emPlaJ'cet. Below is the poFiry and job sites it forrnatiorc. - I InMraace Compauy Name Policy#or Self-ins.Lic.#: FpiraftanDafe: • Job Site Address: Attach a copy of the workers'compensation policy declaration page(showing the policy umnbar and expiration date). Failure to secure coverage as required mxIm Section 2SA ofMGL c.152 can Iead to the imposition of mimmal penalties of a fine u to$1,500.00 and/or one-year impris=md;as Weil as civil penalties is the form of a STOP WORK-ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this st kL-lent may be,forwarded to the Office of Iuvestigaiions of the DIA for i sm-„ce coverage vexificafion, I des hereby certify uicdet the andpenaltzes ofPerjraY thin the information provided above is face=d correct Date: o'7 ,e7/rr Phone 4- O07daZ use only. Do not wrife in this area,to be carTkfedFiy city or town ofirid " Citi or Town: PermitiUcense## Tsmkg Authority(circle one): s L Board of Health 2 Buu1dmgDegar(menf 3. City/Town Clerk 4.Electricallnspector S.Plmnbiag Inspector 6 OfYier Cantact Person• Phone Information and Instructions-. ssmclmcetts General Laws chapter 152 req¢ires all employers to provide wo&e&compensation far their employees, �Pmsuant to this staff an employee is defined as"_.every person in the service of another uader any contract of hire, ex press or implied,oral or " ' Anezrrployer is defined as man individual,partnership,association,corporation or other Iegal entity;or any two or more of$ie`�regoi ag engaged in a joint emnrprise,and iachrding the le representatives of a deceased employer,or the receivcn�r f rostee of an individual,partnership,association or o er Iegal mifty,employing employees. However the owner of'a dwellinghouse havingnotmorethanfhre,•e apaitm and who resides therein,ort3ie occupant of the dwelling h�buse of another who employs persons to do ce,construction or repair work on such dwp ing house or on the grounds or biding apgnrtnuanf therein shall not a of snob employment be deemed to be an employer" MCiL clfi�er Z,§25C(�also states f1 "every st ate local licensing agency shall withhold the issuance or renewal of a Lice or permit to operate a busin to contract bnaldmgs in fiie cammo�ealth for any applicant vvho h otprodaced.acceptable evidence f compliance with the hima-ance coverage required." A.ddif onally,MGL ter 152, §25C(7)stafar`�Teifh the c�ouwealthnor any of its political subdivisions shall enfra into,any the peafo=ce of public , until acceptable evidence of compliance with the incrrr.�ce req� eats of this have been presented tD co g affbmiiy." Applicants Please fill out the w Ann' msatioa affidavit letely,by checking the boxes that apply to your situation and,if necessary,supply snb-co )name(s),addms es)and phone immber(s)along with their cmtMcate(s)of incnrancP. Limited Liability Co es(LLQ or iuuied Liability Partnerships(LLP)wiffi no employees other than th e members or partners,are not to cant' compensation insurance. If anLLC or LLP does have employees, a policy is required. Be ad ed fhat affidavit maybe subm?t�i to the Department of Iudustial Accidents for conf miahoa of mmmnCe verage Also be sure to sign and date the affidavit: The affidavit should be rufnmed to the city or town that the apph o for the pew or license is being regaesfisd,not the Department of lndn si,i al Accidents. Should you have any ns regarding$ie law or if you are required to obtain a workers' compensation policy,please call.the Departm \\ the n tuber lisiad below. Self-insured companies shldou enter their . self-fi sae license no onthe Nm_ City or Town Officials PIease be sate that$ie affidavit is courpleted printed I ly. The Dep artment has provided a space at the bottom of the affidavit for you to fiIl out in the a the Office of vestigations has to contact you regarding t$e applicant Please be sure to frill is the perinW icense er which will a used as a reference number. In addition,an applicant that mast submit multiple pemzifillicense a phcabons in any year,need only submit one affidavit indicating cUzrent policy in•Fnrrn afion(ifnecessary)and under`Job She Address" applicant should write"alI locations in (city or town)."A copy of the affidavit that has beau.officially s�mped.or ed by the city or town may be provided to the applicant as proof that a valid affidavit is on file fur future permii�or 'censer. Anew affidavit mast be filed out each year.Where a home owner.or citizen is obtf-aurmg a license or permit no d to any business or rpmm ercial veiLtrre _(Le. a dog license or permit to bum leaves jetc.)_said person is NOT to complete this affidavit The Office of Investigstions would.hke to kyon is advance for your coop an and should you have any questions, please do not hesitate to give us a caIL The Department's address,telephone and fxrmmber: - Irmmoralth of Maac3� tf D7atfmmt of Indastial Aci idffat; Lb c�of lugesti iiGna (500 W t ` Bow MA 02111 2a#6 7,727-494Q ext 406 or I-VTMASE Revised 4-24-07 Fax#f 17-727-7749 m d& Town of Barnstable Regulatory Services o� rosy Richard V.Scali,Director Building Division rszaR*, Tom Perry,Building Commissioner 9$ :L6.5 ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma us Office: 5 0 8-8 62-403 8 Fax.: 508-790-623 0 HOMEOWNER L•ICENSE EXEMPTION PleascPrint DATE: '7� (I�P^1 �7 / �//� 10B LOCATI81,1 I(� %� L�/ G7 T�'%LL%r/l e I I 626'�5 2- number sinxt pill Zt-�/�l "HOMEOWNER": e ecS I�u.�ca4,� Zvi name me// ho phon/c# \ work phone# CURRENT'MAMING �/p ADDRESS: �� A C k— Lv, ` 263 Z cityADwn state rip 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. DEFTiMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit_ (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town ofBarn table Building Department minimum inspection procedures and r /rt-4iefffs-andthat he/she will comply with said procedures and requirements. Sign 'ofHomcowmcr 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 EXE&.(P•TION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of tbis 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 jack 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 wonId 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 Iast 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:IWPFIIZSTORMSIbuildmg permit forms=RFSS.doc Revised 061313 ' �TMET�,ti Town of Barnstable o� ` Regulatory Services RARNSTX&M% Richard V.Scab,Director Building Division Tom Perry,Building Commissione 200 Main Street Hyannis,MA 02 1 www.town.barnstable.ma s Office: 508-862-003 8 Fax: 508-790-6230 0� Property er Must Complete and Si This Section If UsingBuilder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work 2t bytbis building permit application for. ( dress\accepte 'Pool fences and are the of the applicant. Pools are not to be filled o utilized installed and all final inspections are perf rmed and Signature of Owner Signature o Applicant Print Name Print Name Date Q:FORMS:O WNERPERMI.SSIONP00IS 2xID �g� W4s s1�9g lFork :D,:;,�6 10"Y'�9" 6z(dboccc( 4Lc s o .. x Ou , I big �cno bes x�� Made o- tiu��h base o lus4r '' o. C . (( OC - /, - � [ 2, Z Cro�S ()� �� lv l�, l ' E ►4in i o-X Pam+ hx P/ PW ��+i vtg -�o G14 2x2 ?XZUC,+ec min 540.ca P `O 2voo P x ` — A)otek ros++o A rsf box mery76er and Hof+Lid 4,L)lI l 2 (o"?)o14s ��c6 pos-�- C�anns2 �I2�d�a e� ,7n �,JaSh�� �neltiDcp� ic) t � TLtbe AA,;+k 2� �° nouV, � CD -'4)0.00 /_;11 OF1% �°s.,ut>)� r„ �_� 1 o m w CD c„ v. =0 m @ o Lu' vao 3 rats ^�'-•1��, _ ,� w,� - �� � { - . - .�/.•F.- .. +�� ��L� � _ 'I!Y � .. �414-�1 t.d/J`.'r7J.v.(]+�:AJCs`/�.l^�J`V A/.�J.I//�=K. -}�[ . ki y AJr V ).�r?y A-1 ai,v';+' u hr trr. ,��G � ! , r? urns 7�ri�r Ir<. a.t*I .a. ,a �,r:.,frraa: } ' M-2rJ �Z�rr'ar'/C•,n.i �:oFi7�in/r n� Uvr'�' ,_ � -, ;;. �r--�;� , , � �. �,��.t��,,�'Z� /.,�tic.�•r r1,�e i7 �� . �r9� •,.a-: .t .,<,- — M k,.. _ P/M:%G'0 1 010•1 O,A� ' T 's�+i*.zingvnuexMa.w=t,L_m.uc¢u....aswyuFFFF.a.aua r - F favisrN WV 9 �,01 T � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �.� Parcel 7 Application # D l qos Health Division Date Issued 0 1 /L/ Conservation Division Application Fee u` Planning Dept. Permit Fee U� Date Definitive Plan Approved by Planning Board Historic - OKH = Preservation / Hyannis Project Street Address Cl P�f'ocL. Z, Village �K??�V�'�� NA QZ_e32. Owner Kko,0LL(6%A%,) Address Telephone 64 6/9 p _ Permit Request 'ew. Q S p20r�o,jerjt PiabC&_ uvi�dawS i��,vv � i®ate oK K .r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ' Pro5ct_Valuation moo_o o Construction Type r Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup orting dooumenlation., Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's H ghway: O�Yes No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing f 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 ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION j (BUILDER OR HOMEOWNER) Name t16-m3 Telephone Number _ 6'0�3) Add4,s License # 3 -2.�lP�Lvi Home Improvement Contractor# 'Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /-- DATE ©X10��y FOR OFFICIAL USE ONLY APPLICATION# ` D'ATLISSUED r MAP:'./PARCEL NO. 4 ADDRESS � VILLAGE OWNER r DATE OF INSPECTION: A FOUNDATION -' FRAME INSULATION. a { RREPLACE ELECTRICAL: ROUGH FINAL ' r, PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING:: r ' DATEbCLOSED OUT ASSOCIATION, PLAN NO. The CaminramwaM afMtusackus s DVw-hnmt vfludusbid Accidmts 0i ce ufirir hgafioxrs 600 Washurgton Street wwmmassgov1dia Workers' Campensa an Insurance davit BiiiMers/Contracfk rdElect ician,-Mumhers Applicant In&rm tj n Please Print Legilly Name(S li&vsdmo-- / ko&tC" / /c-tic«�ruy Q y/State{Zip: Phone 4: . Are you an employer?Check the appropriate.bG= Type of ro ect r 4. I am a contractor and l � p r id). 1_❑ I am.a employer with ❑ '� fi_ ❑New construction employees(full andl'orpart.-time)-* have hired.the sub-contractors 2.❑ I am a sole proprietor or partner listed on the attached sheen 7- Z1odeA ing ship and have no.employees These sub-contractors hate g. ❑Ihiolit w Q for me in any c employees and.have wozkers' arty 9_ ❑Budding addition [No workers'comp.insurance comp_4n 'I ❑ 're are a corporation and its 1{k❑Electrical repairs or .additions d_ 5. 3_.4I am a homeovener doing all work officers have exercised their 1lJVI'=bing repairs or additions If workers gip- 'c right of exemption per MGL mF� �o 12..❑RDofrega= i su ame required.I I c.152,§1(4� and we have no employees;-[No workers 13-❑other camp-insurance requited-1 u !Any gplicm&dLst checks box#1 must also fill out the section below shos�ingfb&woglcexecampeasatioapoUiryinta—ads t umiemmers who submit this afi-idin it mghcathg they are doing Z weak=4 then bae outside comactorsZC4ntactms Est submit a nets siiidseit mdaca ng such that check This box must aturbed as additional sbeet showing the nme of the sub-ca+rt*atam aid state whertheroanot tImse entice 1w eployem If the sub-cantmacars have employees,they must pimade their w arken'camp,policy number_ I am an emp.Loyar that is prorfi ing workers?compensation inmirance for[may enWIogees Below is the policy and job site infannatioiL Insurancce Company Name: Policy g or Self-ins.Lic.#: ExpuationDate: Job Site AAdress_. city/Statelzip: AjUlach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25.A1 of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50Q-ifa andfor ane`year in4xisonment,as well as civil penalties in the fGrm of a STOP WORK ORDER and a fine of up to S250-00 a day against the ti-iolatar. Be ad-v7sed that a copy of this.statement may be forwarded to the Office of Tuvestigations of me DIA for insurance covexage,- cation- -- b9 . .. Pa? Fe fF7 ' do F are certi -under the pax ar[d nat[ies a it that the information prin-ded abm a is hwe and correct r` Date: ®3 T Phone ik Ofeial use omY v. Do,not write in this area,to be compTetesd'by city or town official City or Tara: PermitUcense# } I&saing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityffown Cleric 4:Electrical Inspector S.Plumbing Inspector. 6.Other Contact Person: Phone 9: 6 Town of Barnstable :Regulatory Services Richard V.Scali, Director Building Division `* RAsxsrAarA Tom Perry,Building Commissioner $ 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038w�t Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 01610311y .JOB LOCATION: number street _ village "HOMEOWNER": CS nQ L I i name Kome phone# work phone# CURRENT MAILING ADDRESS: lbo &X W/33,t� 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,Rrovided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. �^ Signature of H eowner t Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed ' Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as.part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. t DARNSTABU, • 1 1b� 'Town of Barnstable Regulatory Services Rich4ard Scall,Director Building Division ThoTas Pefry,CBO . Buil g Cymmissioner 200 Main S eet, yannis,MA 02601 ww .townY[barnstable.ma.us J Office: 508-862- 38 Fax: 508-790-6230 ro Property Owner Must mplete a`nd Sign This Section If Using A Builder i fi P � I Owner of.the subject 1property hereby authorize to`act on my behalf in all matters relative to work authorized y tl building permit app 'cation for: (Address of Job) Signature of Owner, Date Print Name If Property Owner is applying for permit,please complete the.Homeowners License Exemption Form on the reverse side. V Q:IWPFILES\F01tMS\building permit formAsmokecarbondetector:.doc, Revised 050412 q (Imo)Boise Cascade ' Triple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301 �TJ Dry 1 span No cantilevers 1 0/12 slope Wednesday, May 28, 2014 BC CALC®Design Report- US Build 2627 File Name: K Hunanyan 61 Padlock Job Name: Description: Designs\FB01 Address: 61 Padlock Lane Specifier: J Madera City, State, Zip: Centerville, MA Designer: Customer: Khachik Hunanyan Company: Shepley Wood Products Code reports: ESR-1040 Misc: u .J�w'u S a r ;,"M �r .; WE WOWw' r<. _...., 15-00-00 B 1 B0 Total Horizontal Product Length=15-00-00 Reaction Summary(Down/Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 1,800/0 1,008/0 B1, 3-1/2" 1,800/0 1,008/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area (lb/ft12) L 00-00-00 15-00-00 20 10 12-00-00 Disclosure Controls Summary Value %Allowable Duration Case Location Completeness and accuracy of input must Pos. Moment 9,897 ft-Ibs 47.3% 100% 1 07-06-00 be verified by anyone who would rely on End Shear 2,403 Ibs 25.4% 100% 1 01-01-00 output as evidence of suitability for Total Load Defl. U347 0.502 69.1% n/a 1 07-06-00 particular application.Output here based " ( ) on building code-accepted design Live Load Defl. L/542 (0.322") 66.4% n/a 2 07-06-00 properties and analysis methods. Max Defl. 0.502" 50.2% n/a 1 07-06-00 Installation of BOISE engineered wood Span/Depth 18.4 n/a n/a 0 00-00-00 products must be in accordance with current Installation Guide and applicable Allow %Allow building codes.To obtain Installation Guide or ask questions,please call Bearing Supports Dim (L x W) Value Support Member Material (800)232-0788 before installation.\n\nBC BO Post 3-1/2"x 5-1/4" 2,808 Ibs n/a 20.4% Unspecified CALC®,BC FRAMER@,AJSM, B1 Post 3-1/2"x 5-1/4" 2,808 Ibs n/a 20.4% Unspecified ALLJOIST@,BC RIM BOARD- BCI@, BOISE GLULAMTM,SIMPLE FRAMING SYSTEM@,VERSA-LAM@,VERSA-RIM Notes PLUS@,VERSA-RIM@, Design meets Code minimum (U240)Total load deflection criteria. VERSA-STRAND@,VERSA-STUD@ are Design meets Code minimum (U360) Live load deflection criteria. trademarks of Boise Cascade wood Design meets arbitrary.(1") Maximum total load deflection criteria. Products L.L.C. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer: TrussLok(tm) Page 1 of 2 1 ®BoiseCgscade Triple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\FB01 Dry 1 span No cantilevers 1 0/12 slope Wednesday, May 28, 2014 BC CALC®Design Report-US Build 2627 File Name: K Hunanyan_61 Padlock Job Name: Description: Designs\FB01 Address: 61 Padlock Lane Specifier: J Madera City State, Zip: Centerville, MA Designer: Customer: Khachik Hunanyan Company: Shepley Wood Products Code reports:. ESR-1040 Misc: Connection Diagram �{ b d a c • • • e a minimum=2" c= 5=1/2" b minimum =4" d=24" e minimum= 1" All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. All TrussLok screws may be installed from one side of multiply Versa-Lam beams. Member has no side loads. Connectors are: FMTSL005 Page 2 of 2 Boise Cascade TripleI-3/4".x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor BeamXFB04 Dry:j.1.span I_No cantilevers 1 0/12 slope Monday, June 16,2014 BC CALCO Design Report-US Build 2627 File Name: K Hunany6n_61 Padlock Job Name: 'Description: Designs\FB04 Address: 61 Padlock Lane Specifier: J Madera City, State, Zip: Centerville, MA Designer: Customer: Khachik Hunanyan Company: Shepley Wood Products Code reports: ESR-1040 Misc: r. A OIr t iI ' ' .' a 18-00-00 ? BO s✓ r B1 Total Horizontal Product Length 18-00-00 Reaction Summary.(Down/Uplift) (Ibs) Bearing . Live Dead Snow-- Wind Roof Live BO, 3-1/2" 2,662/0 994/0 B1, 42' 3,817/0 '1,426/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start .End 1000% 90% 115% 1600/6 125% 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 18-00-00 30 10 12-00-00 Disclosure Controls Summary value %Allowable Duration Case Location Completeness and accuracy of input must Pos. Moment 12,698.ft-Ibs 60.6% 100% 1 07-04-12 be verified by anyone who would rely on End Shear 3,121 Ibs ' 32.9% 100% 1 01-01-00 output as evidence of suitability for Total Load Defl. LIM(0.626") 87.3% n/a 1 ' 07-04-12 particular application.Output here based 4 ,. ;, ° on building code-accepted design ,, • < Live Load Defl. ; L/377.(0.456 ) . ; 95.4/o n/a 2 07-04=12, properties and analysis methods. Max Defl. 0.626" 62.6% n/a .1 07-04-12 ':Installation of BOISE engineered wood Span/Depth 18.1 n/a n/a 0 00-00-00 Products must be in accordance with Distributed Load(B1) 480 Ib/ft 1% 100% 0 n/a current Installation Guide and applicable building codes.To obtain Installation Guide Concentrated Load(B1) -O Ibs n/a 100% 0 n/a , or ask questions,please call (800)232-0788 before installation.\n\nBC Allow %Allow CALCO,BC FRAMER@,AJSTM',. Bearing Supports Dim.(L x W),.` Value,. Support Member Mateeial ALLJOISTO,BC RIM BOARDTM BCIO, BO Post 3=1/2"X5-1/4" 3,657 Ibs n/a 26.5% Unspecified BOISE GLULAMT"' SIMPLE FRAMING P SYSTEMO,VERSA-LAM&,VERSA-RIM B1 Wall/Plate 42"x 5-1/4" ,• 5,243'Ibs n/a' 3.2% Unspecified PLUS@,VERSA-RIMO, VERSA-STRANDO,VERSA-STUD@ are Notes trademarks of Boise Cascade Wood Products L.L.C. Design meets Code minimum (L/240)Total load deflection.criteria. _ Design meets Code minimum (L1360)Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations„assume Member is Fully Braced: Design based on Dry Service Condition:` Deflectiorisless than 1/8"were ignored in the'results. Fastener Manufacturer': TrussLok(tm) „ Page 1 of 2 Boise Cascade Triple 1T=3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\FB04 \TJ Dry ( 1 span I No cantilevers J 0/12 slope Monday,June 16, 2014 BC CALCO Design Report- US Build 2627 File Name: K Hunanyan_61 Padlock Job Name: Description: Designs\FB04 Address: 61 Padlock Lane Specifier: J Madera City, State, Zip: Centerville, MA Designer: Customer: Khachik Hunanyan Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram ram{ b d e � • v• • c • • • e k. a minimum =2" c=5-1/1'..°> b minimum =4" d =24" e minimum = 1" All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. All TrussLok screws may be installed from one side of multiply Versa-Lam beams. Member has no side loads. Connectors are: FMTSL005_ Page 2 of 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I R3 Parcel ��r/ Application # 14 Health Division Date Issued 2 Ly�/ Conservation Division Application Fee Planning Dept. Permit Fee 10, Date Definitive Plan Approved by Planning Board Historic - OKH _-Preservation/ Hyannis Project Street Address 06 ' C) i Village c6�o� Owner va� AUMnY#_.)%ddress Telephone ..Permit Request . l A -17 TV Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District �t Flood Plain �® Groundwater Overlay Project Valuation 10. 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 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Ilumber 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 AAuthorization ❑ Appeal # Recorded ❑ Commercial ❑Yes td No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ( Telephone Number Address License# 106 V�14/ Home Improvement Contractor#1 1�-7550 Email Worker's Compensation # �b� b� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS P/R�JECT WILL BE TAKEN TO �V SIGNATURE DATE � ' a ` FOR OFFICIAL USE ONLY f . ' APPLICATION# DATE ISSUED t MAP/PARCEL NO. ADDRESS VILLAGE OWNER J, DATE OF INSPECTION: FOUNDATION FRAME i ' INSULATION FIREPLACE ► ELECTRICAL: ROUGH FINAL �t PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING D`AT -.CLOSED OUT ASS O /'TION PLAN NO. 4 I, sA„ 1 ' Massachusetts -Department.of Public Safety ..Board of Building Re, . g Regulations g and Standards , Construction Supc111,s61, License: CS-100988., HENRY E CASSIDY' 8 SHED ROW } WEST YARMOiFTH x S Expiration Commissioner 11/11/2015, &Xe " Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home'Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE - SO. YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. SCA 1 Co 20M•05/11 Address Renewal Employment Lost Card GFI;e CL lldjacl Idea .\ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: tug, egistration: 153567 Type: Office of Consumer Affairs and Business Regulation xpiration:.- -.1-21:15/20:1:.6 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE COD INSULAtION INC` w HENRY CASSIDY 18 REARDON CIRCLE r ' Under S0.YARMOUTH, MA 02664 y Ali ut sign e i- i The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations W � ' d 1 Congress Street, Suite 100. o� Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information. Please Print Le ibl Name (Business/Or g 'zation/Individual): Address: City/State/Zip: ` Irk, WV)4�1M� Phone#: Are you an employer? Check be appropriate box:, Type of project(required): L J'I am a employer with 4. ❑ I am a general contractor and I have hired the sub-contractors 6. ❑New construction employees (full and/or part-time).* ,. _ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' h ❑ [No workers' comp, insurance comp. insurance•$ 9. Building addition_ required.] 5. ❑ We are a corporation andits- 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.7 Roof repairs insurance required.] t - c. 152, §1(4),and we have no L employees. [No workers' 13.� Other I f 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'hffidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site Information. Insurance Company Name: �Ciavokly Policy#or Self-ins. Lic. #: Fe d Expiration Date., t � Job Site Address: C City/State/Zip: r Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c• 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage.verification. I do hereby certify n r pains and penalties of perjury that the information provided abo a is it a d correct. Signature: Date: l Z (I Phone#:. 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#: IP ECOD-27 CAP KL IGETT DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE sr13/2o1a 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). RODUCER CONTACT ers&Gray Insurance Agency,Inc. PHONE Barbara DeLawrence Rte 134 WFAX (877) 816-2156 Guth Dennis'MA 02660 A DRES (A/C NoS: bdelawrence@rogersg'ray:.com ersgra :.com INSURERS AFFORDING COVERAGE NAIC p INSURER A:Peerless Insurance Company sugEo INSURERB:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURERC:Evanston Insurance Company 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E: INSURER F:. 0 ERAGES CERTIFICATE NUMBER: REVISION NUMBER: TF IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IN ICATED. 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. R TYPE OF INSURANCE POLIC POLICY NUMBER MMIDDFYY Y MM DDI E YY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR CBP8263063 . 64/01/2014 04/01/2015 ED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POUCY�PRO. a - , JECT LOG t . PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - Ea accident $ 1,000,000 ALLLL OWNED ANY SCHEDULED. 14MMBCKVMK 04/01r2014 04/01/2015 BODILY INJURY(Per person) $ :. _ AUTOS X AUTOS BODILY INJURY(Per accident) $ X NON-OWNED HIRED AUTOS X AUTOS _ PROPERTY DAMAGE $ Per accident $ •X UMBRELLALIA13 X OCCUR EACH OCCURRENCE $ 1,000,000 FEXCESS LIAB CLAIMS-MADE XONJ453614 04/01/2014 04/01/2015 — DIEDX RETENTION 10,000 AGGREGATE $ Aggregate $ 1,000,000 ORKERS COMPENSATION. ND EMPLOYERS'LIABILITY STATUTE EERH. NY PROPRIETORIPARTNER/EXECUTIVE YIN WCA00525904 06/30/2014 06/30/2015 ' FFICERIMEMBER EXCLUDED? � NIA E.L.EACH ACCIDENT $ 1,000,000 Mandatory In NH) f es,describe,under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 . ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 11000,000 SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be.attached If more space Is required) rkers Compensation Includes Officers or Proprietors. iltional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. iR IFICATE HOLDER 'CANCELLATION i PA"Ili , � � � ter " 117 P AN US �„ J v hri /is 17Jlmr�ne[!ro data/ParcelDetail a ID=13949 X Q5 Dae Search p P� sq G P "RYA j� -... .....��. r., rk a t `Fauo2es � . ebS Taaltaq� i1r4tm M 9 � i �NR '�.,r4, k 'c g(` �,i'' ParcelDeta7, a a, s _ar _ Pages af�y .,.. S Tools 1.i4`� bARK�'rAMtF ,dX 8 3 .•'`Parcel Info, � '�' � ,::,; � era �re4� � frt *,�� lq�:..:.� � ,� a��� ,1�^rr � • �*' Developer i Parcel ID1193-187 I Lot LOT 35 Location 161 PADLOCK LANE Pri Frontage i112 � iSec k Sec Road f CONANT LANE I Frontage111 village ICENTERVILLE _ I Fire District,C-O Tovm sewer exists at this address ND Road Index i.1201 Asbuilt Septic.Scan: Interactive EN 1931871 Map I- .Owner Info 4" . 0vmer IRAYMOND DAMES TRUST NA TRmI4 Co owner I9'OHDNANYAN,KHACHIK m.m �,,. Y t,.}... ............. .,....,_ street'1153 JAMES OT1S RD I street2 I a ? i auntrycity CENTERVILLE state� - zip�0 2 G �� e �i "6and b Acres IO 35 use Single Fa m MDL 01 I Zoning SRC Nghbd i0105 TopographysLevel utilities Public Water,Gas,Septic Location Start o; ldam System(vlenu TO..:1 APPtica6an fri4ry,-Mums[ Parcel Dual Windows I �'..s,„ �^;}tr �„� OWNER AUTHORIZATION FORM 0, (Owner's Name) owner of the property located at (Property Address) oZ.6 3 (Prop rty Address) 1 J hereby authorize ;�� ( bcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's S09fure /�� Date �, � d��i TOWN OF BARNSTABLE permit No. _----------- i .ten Building Inspector cash rua ----------------------110 ,639 OCCUPANCY PERMIT Bond —________ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Suffolk kealty 'rriSY Address >nx 308, (;entervzlle Lnt #1 5 i Wiring Inspector Inspection date Plumbing Inspector _ / Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19 .... ................................................................... . ...� _......... .__ Building Inspector Q — 7 Assessor's, map and lot number ypi TH E Tp� j7p SEPTIC SYSTEM MUST BE Sewage Permit number INSTALLED !N COMPLIANCE ............................................. WITH ARTICLE 11 STATE = aaaa L. Housernumber ` SANITARY CODE........... ...................................................., RY CODE A pp 9 REGUI ATIONS. TOWN O . ,BARNS.TABLE BUILDING,.,IASfPECTOR r �✓{� APPLICATION FOR PERMIT TO .....Suffolk Realty,,,Tru�t...................................... ........ . mil residenti n TYPE OF CONSTRUCTION ................single.......................fa...........y.............................al.........:............................................ :..January....31..................19..7 9 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............Lot 35 Padlock Lane Centerville,,.,,MA,.......0263.2........ ......................... .. ..... . ...... . ... ... .... ......... ProposedUse ........single family...residential............................................................................................ :..... Zoning District ..,,,,single family residentialFire District ...Centerville-Osterville ........................................................... Name of Owner ...•• Suffolk Realty. Trust ,,,,Address .........PAD.. Box 308 ............... ............................................................. Name of Builder Same .•.Address same Nameof Architect ..................................................................Address ...........................,....................................................:... Number of Rooms seven.....................................Foundation .........poured COT1� �.i� ............................. ..................... ...... Exterior cedar...shingles........................................Roofing .. sph�lt.. S.�?.h1�C�a, s................... ............... .............. .... . carpet over nderla •ment Floors ...................underlay..........ment ....... Interior .......5 1.111.. R.a k....��.a.S keS:.:............................. Heating forced..hot water by...o. l,•...,,,••„••••••,••Plumbing PVC.....:........:.......... ..... ............. .............................................. Fireplace ............. c ..................................Approximate Cost ............ ............................... Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area .....1840 Diagram of Lot and Building with Dimensions Fee < �® .........�.J................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH i#:�-'O Ll Ash N 60 50 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......... Suffolk Realty Trust � ` 2I0I8 one story No ---.--. Permit for ---------'.--' , " � ' single dwell' ................... ....... .................................................. OI Padlock Laoe / - Location ------------^--------. - Centerville ---~..---------.~----------- Suffolk Realty Trust '' \ {]vvnar —�-------------------- ` frame Type of Construction -------------- ' ----.—.----------------.---.. . #35 Plot ............................ Lot ----------' ^ ` . � . February 5 79 / PermitGron�s] ' lA -� InspectionDate of V '+ Date CompletedIV; . PERMIT REFUSED 1�......................................................... �. --..—.---------.----.---�'---.. ` - ^--.—~-...-.---.-------.--.�.�---.. --^'—'—'--^----^^^`^^----^—^—'--` .----.---~.—.---.--~..------.— � - k --..�-------------. lg ' .' ^ . . . ^ . . -----:---.---^--^--^—''r'--^—'—�' . . --------------.------.~......., , �I �C4'is .:3 m CD E T Q LLID 0 U In Cc$ O W ` Co L /+ p A CL U, CIO W 62'-Ily" A. Z C _ U r � d t I <Itchen Wall to be removed .1 N Co --------- (Z 5 as 11 --------- t i1f b Po9`71nmu•c l� _________ dcr� � O m OD Ca 0 N Y� U Bearing wall T be removed _ CoLu r< �'�° Replace with ) S " LVL ,, Q Posted down p u 4 ! ------------ ----------- PC Wall to be removed � ;_� -,�,a F Cr W m cp g New 2x4 Partition ryt - A n a z c�1 � g B•'�• 9 � �_ . r � t cv Q r A 4'$15" I'T•_376u 4'-596" U'-10" I5•-I 1 ygn �.-3x n,-0„ 4,-0 2'-10 viol, W, X Cn LLB ILL SMOKE DETECTORS REVIEWED E5 _ o a B R S L UILDING ED DATE Cr U W FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTINO Cr Cr f 1 r O 00 O N C) z o cz `4 M Q C cz ui a o = cm N O cd (D ' bt'-t0�4" c 4? r o m j -0°x 4'-0 N� ►j�b4) S . LV Beam a V Z 1— T oom 2 Dining Room Kitchen - p Cl) , Bedr g n Garage i :q V24C q i z t= W j Lui OU fn d z. PL _ -------------- PL 7 : T� Livi Room Q ' Bedroom 1 Bedroom 3 - - M,\ Q C ro .PL B'-0"x 4'-0° Point Load O .. Provide Solid c ntinues bearing on Curt ( w LL 4'alb" Il'-33b" 4'-5�6" 11'-10° 15'-IITb° 1'akz° 9'3° F = V- �,�„ �,-0„ 2'-1 91w,"14'a46" 2'-10 11Fb° w a. d J Q Cr U LLJ H S U cc Q c cis `O C E E LO�o U g w co C'3 > o d c CZ z = CLo N .lie N A O cti New (4) 9 : LVL Beam c m r Go co . . 0 In Mc o 9 is IC•sarage °m- U Z F- : T- LU Z ¢ CO E: F L/ cWrs a z e room ............ d o 3 i n PL - Point Load . Provide Solid continues bearing on Girt c U- o w x 0 O ¢ cn = u_ w a a. U w H 2 U cr L O O L_ CO E W c° a. o R c � Co •E � o 05 U- tc$ W � _ = a o N Y N New (4) 9 : LVL Beam _ U (D as m r C .2 e II Bedroom 2 Dining Room Kitahen Garage ° Q M GO N m r a m T r Z ~ LLI J W. PL 0Cn CO z cc ------------------------ O cc w PL CO i Bedroom 3 Living Room ni a z Q T PL Point Load . Provide Solid continues bearing on Girt w _ u.. O li! 77 p CD = u- w a. 0 Q cc M U w N U Q c Ca CL LO LOr_ N CO E E CO o (� m as co =o C6 Ca L a C CO o �t N N a Add Squash blocks 0 new point load location V m o � ------------------------- ?s a V LU -- --- -- --- -------------- -------- --- --- -- ---/- --- --- --- --- --- --- --- --- --- -- m r H co T Q cn o CO p= W m j a z -- ... W L~L 0 U) W 0U' 0 fn L LL o a J Q Cr H U W. � H � 2 U Q r Z THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , I- I M / �C(�J L DATA -211 6 /Vy4 J J/ •.�� /-fir=Ji UNJ 1 a I'J l? 1 , - O7-36 _ r f 2 ~ �v i .35 �,r•v TEST H O L. E 1`� , 4� � E .S ULTS TO�.//V tvF? TER. /s I/r� r /= r r %� //LrS:� /=,-5 /ti /`'J F30 i L J l /UG 5�? �3 ' C :K c_C;: (�', a mac ,, r�� 1 7 ( v ✓i,1✓ J P ✓ Z-3E ✓ 2O `'- 1'v1 F 4,-/E . C - -�>1S -T-E,•-17 J S �E S LE/90 %12 —7 O 2 nn f Ors I -O U r. D r-1)' O r\/ J / 0 -- / E.'i ��r / l-r Lc�v�e5 _ t D/5 /' —s L� 1� •9S//cD STo,\,E ' � �, cG,�-�- I ` 'I /O H;A,/. i�t �, \��l �'007 � `- -�� r�'"` � �•'T rt�-� i� ��, �0�� ` 3/� , .. Z �/� PLOT PLIqAJ , J r... •'�-T_ ` T:Li ••,'•"� �('� ��. .'/A O � J 'ri ` � �7 C,l �qy1' I`L-' - ` 1 ` - ` �T �/O a �B AGE_ C-•'�';'�':��.' 2 �� !? � Fr,E- �-r� ' � � �i-- -�8 'nit=) k. F pf f L O C FA 7 c.; A.j .' eF- am/ Jam= � j• w