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0138 PHEASANT WAY
��j�$ �P�,e�xsa.h-� W '�� r G :. . . ,� . .� <, . _ x„ : : e .� k ., �. .. � s �.� . � . . .. i � � ��� &. 4 - - .... I , ,. _ f � � - � - - p ., - � .. p - .. .� � � ., .. � _ _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division JU! 6 201 Date Issued k-11/� -T Conservation Division n��O� TQ14.i /V 0�__��� Application Fee Al �1 _ T Planning Dept. Permit Fee U U Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address a Village Q/� Owner 944y1 `1 J 4 Address /3>6 7 MI6-5/9,I_F Telephone 08 - -n "^ 16 0 Permit Request -50 P. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation . ®d0 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 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name f)A110q 67aAqN14 Telephone Number &©6 _ 5 `- a Address hJ �rlT AA License # C MA- Home Improvement Contractor# D L Email--E lR J S' C�� /�OT/ A-1 r, CC121 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - -' DATE �`��` FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED f MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r2 R �cj, �� g 01/i 2-117 ` FOUNDATION® n ime c FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. ' S 27w CaumanweaSr Wt BasW24 HA.0ZLTI Wes° COM13PIliff5EM lunwance e ar 322diO t PIease Print f et p •hdame l f VJ Are you an employer?Checcktbe appropriate ban Type of project(required}_ L❑ I am a emplayer whiz 4_ ❑I art a get caaixactar and I 6. ❑Ale;construction employees PA fir:part-timed* hava l in d fite �-❑ I am a sole pnjiddar or part=_ Tined cif f$e afinhed sbeat 7- ❑Reffia elfin g and have no ! These;sub-eonfractars have PPt 8- �]Demalifion tiv�ag f rnM in.asrg g oyew aadhm S - ❑ h :aui ad [No ers'camp woe COMP' 1 -1 5. ❑ We are a cmporafim and ifs 10-0 Elecidcal repairs or adcrdi= 3_XL 1 ama bamewrL-r doing ag wmk officam hMM wed few 11-0 Fh=bsogrepaim or moos , m-df[No workers'o=np- Tight of PerM(M �❑ .. i ce reed j i a M§§1. SP {,4k sad we have mo I3_y�f3i�r/Q����� emol J e'er[NO C`11TZ4 JA rimy r dare s�s�lm else�0 9� abe�aar @�¢ crs`m�swcat; pmrsq7i ML # asmallass9TIdwai de7am3aimgeH MA&M imaaw�caa �sta�hmicaae� �tmdi wdi c1,ed*ter brw wmst aiud,efl cu arldi6�sit gthen oethe �a styeohs�aotffinse ea esha� 1€tbe mt-c=ftzd hava %ffnep=rarp=Mide&ek saw CM2P PalicF—bw _ I ant arr Errtpl r fii�isgrauirIrng tvori ets'rrxrarpertsatiart i tsztra>�cs jar eargfrf�ees. Sefiw is tho purity w d jab sits , izifar�aa�a iuSOn CbMPagYNaM Po-Ti4#'or Sw-irns Iio_- Job Me Address Cdp p: Affiwh a capf of the warkere camapewat mpoEcy declaratiaa pap(showing the poficf amber and eYpiratioa date), Fadnre fu secruy_-coverage as requiieduuder Section 25A of AMM c-- I52.caa Ind fa fi;e ikoposi ioa of cummai Penalties of a EmuptoSL50D-ODmWarone-yearimpdsmm3ent as weR as civil penalties.in to faaa of a STOP WORK CEMand a Hue of up to$25M a dap aginst the viol-dur. BemMsedfinaampyofftstatemer maybe farsrarded fa fire office of Imvesgafioas ofthe DIA for hmmmaw coverage v lido hera y cart fy wdw S-agahu and peen fees ofpcdW7 t&atfhe�armatbapropUed ahma fig hoe and correct hate_ C1 PhMe anal ro wgy. Do not mite in fiii;ava,€a be cmnp&.a by C4 artalm of t City or Tawm P6rmxiclr=n se:ff L Bw&rrd of Heal& M IIuBamg,Dot 3.Qt�YrosQs C3rxk 4�Efectrical Fnspeetar S.Phnibing hm ecWr &other Contact PersoM Phow#: 6 ,.:�._r,a•..�.� .1_ ._..a� �...._. .1 �..7. .•�._ a. ., .- . -•.1.,.�F ra....�.A,:...,. to i. . .,..1. . �al .Y.•/ .• i.■3. o:.■.If ... irrrr r ..a..■�• : - �.F.t 3. i■ 1► • • :[..i1� Il..i :•. r.I.l!•:r •1 ■.. ■ II II r •1 .�)t■1�• : ... t..l• .t.l: •t:■ ..�iF•.•r _`l•wY1I•I■ ►.1 ■t1 _I■•I. .1 •..� �•J: �■/■I • ■, _•■• ••• •1 1■•1 - • ■■- 7•; - -•!■.' i•.._J: �. 1. _ •1t.t �■1/� .1•A� .I■• ■..AI■.II. i■ n_ - ■1 R��:.lrlt •w • : .n F �• i1I.■• •` ., it- • • ■ • .�- • :.l tl■I• .1■Y. ■_f■■■�F■11• .Aw•wt:.■isle ■1 •II - r �f11af • ■!■• •• 11: n1■■. .•�.+ ••• t. •-•.�+ • _ ■ � I■• 1.e ■_ n• ■• n u - is.n in � a.a m�SIa. :u• -•m wY•�: i■1 tin a f■" • wnmm • SI" . -.1 VI- one •- • :I.■•1 ••■• :;nl. ■ .�ti m �VI •• u•nu1...ON r SI•Y. .r■SII!u "..a •••■. 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Office: 508-862-4038 Fax:-508-790-6230 roperty Owner Must _ Comp ete and Sign This Secti UsinLr A Builder I Owner of the subject property hereby authorize to act on my behalfy in all matters relative to work authorized by ' b ' ling pemait application for: (Addres of Job) . **Pool fences and alarm ar the responsibilit\insed licant Pools a are not to be filled*or u ' ed before fence nd all final inspections are perfo ed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QYORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services Richard V.Scaly Director Building Division s�veresu. Paul Roma,Building Commissioner 1e3 R� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: gg�� p� ����..ss11��,, ���� // JOB LOCATION: /3 c� YIJEA&A / I Wh" number @, stmet ,,p village Q �j �j _ "HOMEOWNER": B A 1 . 5C6- ,7_7/—S© ` �C�® l s� name Q home phone# work phone# CURRENT MAILING ADDRESS: 345 / hg45-q R l 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 A'u homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who.owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures anand ,.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire-to do such work,that such Homeowner shall act as supervisor." Many homeowners whouse 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 . f 'Q41 _ I - V 4' ei 14 ,v FU 6 ,1 g 94 28 6-g )Ry LM I WE:CAN FUT THS KITCHEN CR ANYM-CRE ALIT►-EE x —. WALL THAT YOU WOLLD u4E 01 PROPOSED FAMILY ROOM PROPOSED GARAGE p e CLOSET COLLJD GO Fff� ' K TO ALLOW DOOR Ya=W V �� &TO MCAE SYMETRCAL. ��� i ONFT�YhIT bVALI. N �'}� i � ZV P i I Ra LIVING ROOM 74 3 p � v .. E 7-0" 4'-6" 2'-6" 7'---0 7-fy' - - er Slisli3 CAPE COD INSULATION IIDIR 0"$$ SE MUSS SORAYFQAM WSVSNDFD BANS "TT. INSUTA-N CSILINOS ' 1-800-696-6611 Town of Barnstable cn Regulatory Services Building Division �' a 200 Main St Hyannis, MA 02601 LAJ 1 Date: `y Y Dear Building Inspector ' » Please accept this,Affidavit as documentation that Cape Cod Insulation Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod' Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village ro�v► K� lep� rayH�- j3�% ni "bit Cep tern' <<� Insulation Installed: Fiberglass Cellulose .- R-Value Restricted Unrestricted Ceilings ( ) ) ( ) ( ) ( ) Slopes Floors oo Walls ( ) ( ) ( ) ( ) ( ) • Sincerely Henry E Cassid rir, resident Cape Cod Insulation, Inc. T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C,� Parcel Application # - Health Division LOI? ' �' 10 8 11 10: 3 is Date Issued �'� � a Conservation Division Application Fee .: z5 Planning Dept. �°-� �_ Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation /Hyannis 47) Project Street Address Village Ownerdt" � 412 jTAddress Telephone .6'D Permit Request 114J,--e Z t9/el Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type ,M,..>. 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 &-Ko On Old King's Highway: ❑Yes ;2-No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing __new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ 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 J APPLICANT INFORMATION j (BUILDER OR HOMEOWNER) Name Telephone Number (3 TT4/ Z 144 Address es; 4A1114 License # , ,4-:F Home Improvement Contractor# '/,s D 8 Worker's Compensation # "e" 9,6 :: Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,r D U � )00 SIGNATURE _DATE /��/ n; FOR OFFICIAL USE ONLY r , t APPLICATION# DATE ISSUED { MAP/PARCEL NO. . r ADDRESS J f VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 1-4 _+ FRAME f ,t t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL . r PLUMBING: ROUGH FINAL , GAS: ,u ROUGH FINAL .FINAL BUILDING 1 A e . ;DATE CLOSED.OUT 1 ASSOCIATION PLAN NO. + �1tDk�� a 10 Park Plaza - Suite/5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC 6r HENRY CASSIDY 455 YARMOUTH RD. r aria — f HYANNIS, MA 02601 �,`•;I — `, °. _: : �.MaJpdate Address and return card.Mark reason for change. Address ❑ Renewal n Employment F] Lost Card DPS-CA1 0 50M-04/04-G101216 Office o umer Affairs Bus'ne ReI�g,,u,�I t',i,on License or registration valid for individu!use en!y HOM6wo � � before the expiration date. If found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 1;115/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 . OD INSULATION HENRY CASSIDY ' x 455 YARMOUTH HYANNIS,MA 02601 4 a Undersecretary, jalid th t A tune Massachusetts-department of Public Safet% Board of Btiitdint; Regulations and Standards,, i....Qonstruction Supervisor License License: Cs 100988 s� HENRY CASSIDY 8 SHED ROW WEST YARMOLITH MA 02673 s. a-- �'"�" Expiration: 11/11/2013 ' ('unwii..iunrr Tr#: 7620 s The Commonwealth of Massachusetts Department of Industrial Accidents Office of lrt.vestigations 600 Washington Street -Boston, AIA'02111 www.rrttw.gov/did, Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information '" Please Print Legibly Name ([3usihess/OrgantLatioti/tndividual): �'A i�P ✓s �'Aj"�� �__�_ A9c� '' ' Address: City/State/Zip:_ ['llone�#: 1 q Are you an employer. CI ck the appropriate box t Type of project(required): I. l am a employer with �� `I L-Tam l�gen�'al contractor and I - . employees (full and/or part-time).'*, have hired the sub-contractors 6: New construction _ 2.❑ I am,a sole proprietor or partner- listed'on the attached sheet. 7. 0 Remodeling ' . ship and have no employees - x ,`•These sub-contractors have . . g, Demolition working for me in any capacity.` ,employees rind have workers' [No workers' comp. insurance .` comp. insurance,$ q•- D:Building addition .' oration and its 10.❑ Electrical repairs'or additions `required:] 5 ❑ We are a corporation 3. l am a homeowner doing all work- 'officers;have exercised their' 1 LQ Plumbing repairs or additions myself. No workers' com r right of exemption per MGL ,. y [ p• 12.❑ Roof repairs « insurance required.] t c: 152, §1(4), and we have no employees. [No workers'i ]3.�] Other ' comp. insurance required.] ;,' :• . *Any applicant that checks box,#l.must also`fill otit the section below showiitg ihcir workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must subinit'a new affidavit indicating such.. [Contractors that check this box must attached an'additional sheet showing the name of the sub-conttactors and state whether or northose entities have r • employees, ifthe sub-contractors have employees,they must provide their workers'comp.policy number. s 1 urn an employer that is providing workers'compensation insurance for my employees. Below is the policy`and job :Site, information, Insurance Company Name: L/q/f / ,l -� r- l A}.Selti'A✓1 k Policy.#or Self-ins.,Lic.'#: C �9® r Expiration Date: Job Site Address: City/State/Zip. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties'of a ` fine up to$1,500.00 and/or one-year imprisonment, as,well,as,civil penalties in the form,of a STOP WORK ORDER and a'fiiie of up to S250.00 a day against the violator. Be advised that a copy of this.statement may be forwarded to the Office of , -Investigations of the D1A for insurance coverage verification., • , I do hereby certify'u e t pains nil penalties of perjury that the information provided above is true and correct. Signature: t Date: ` Phone#: G s'.. Official use only...Do not write in this area,'to be completed-by city or town offrctal. . ; City,or Town: - 11ermit/License# Issuing Authority (circle one): ; Ir Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plwnbing'Inspector ~6: Other • � 1 r Contact Person: Phone#: ,x " Client#:4597 CCINSUL �G ,M CERTIFICATE,-OF'-LIABILITY INSURANCE DATE(MMIDDIYYYYI 2102/2012 THIS-CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE GOES 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. t e ce I Ica e o er is an the po Icy Ies must be en do, ,subject o the terms and conditions of the policy, certain policies may require an endorsement:A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER .. '. .. Rogers&Gray Ins. -So. Dennis NAME: Margaret Young FAX PHONE s 434 Route 134 (aIC,No.ExtL508-760-4602_a,__ _ (wC, No): 877-816-2156 E-MAIL P.O.Box 1601 PRODUCE�oungma@rogersgray.com" `South Dennis,MA 02660-.1601 CUSTOMER ID iINSURED INSURER(S)AFFORDING COVERAGE NAIC It , Cape Cod Insulation Inc ►- ? INSURER Peerless Insurance 18333 455 Yarmouth Road . INSURER B:Ohio Casualty Insurance Company` , Hyannis, MA 02601 'INSURER C:Atlantic Charter Insurance INSURER D:Commerce Insurance Company 34754' INSURER E• < INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS 1-0 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, M NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. NSR ADDL SUBR TR TY POLICY EFF POLICY EXP PE OF INSttRnNCF f c Et]L1G,YJt1110iIBEh_ " A GENERAL uABlurr CBP8263063 . . ,04/01/2011 04/01/2012 EACH OCCURRENCE $1,000'000 X coneMtHaAL GENERAL LIABILITY a Ifxe) $100,000 CLAIMS-MADE X OCCUR ° .. _. _ DAMAGE TO RENTED' PREMISES(E MED EXP An one (Any _poison) $5,000 PERSONAL B ADV INJURY '' $1,000,000 -- 1 t GENERAL AGGREGATE $2,000,000' GENL.AGGREGATE.LiMI'FIANP�IES PER .PRO- PRODUCTS-COMP/OPAGG $2,000,000 z s : , A. f '$ D AUTOMOBILE LIABILITY '11 MMBCKVMK ,_ _ 04/01/2011 04/01/2012 COMBINED SINGLE LIMIT $ ANY AU 10 (Ea accident) 1,000,000 ALL.OWNED AUTOS M1T' BODILY INJURY (Pet pefsun) BODILY INJURY(Per accident) X SCHEUl1LElJAUT05 .. ,� t � � PROPERTY- DAMAGE -r X HIRED AUTOS • +• - .. (Per accident) X NON-OWNED AUTOS' ,$' .''. . _........ .. ... .. .. .. . ... B UMBRELLA LIAB X OCCUR ;UUO1254514645 ` 5 F 04/01IM 1'04/0112012,EACH dccURRENCE ' $1,000,000 EXCESS LIAR CLAIMS-MADE UEUUCTIttLF -- ," AGGREGATE $1,000,000 i X KtIENTION $ 10000 C WORKERS COMPENSATION - WCA00525902 a: v. 06/30/2011 WC STATU- - 0-1 H AND EMPLOYERS'LIABILITY YIN 06/30/20121 X 'CORY LIMITS ;ER s ANY PROP R16TOR/PARTNERIEXECUTIV OFFICFR/MEMBER EXCLUDED? E r. E.L.EACH ACCIDENT $SOO,000 ' t' (Mandatory in NH) N N/A r • I(yes,ddJIXltle llf ,a r, - E.L,DISEASE.-EA EMPLOYEE$,SOO,000 •' ldl-`f - * - ^ DFSCRIPTION OF lP`RATIONS hylnw EL T ` )ESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Rentafks'Schedule,if more space is.required) r„ , Norkers Comp Information Included Officers or Proprietors',. , ' 'ERTIFICATE HOLDER _CANCELLATION +" r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ; EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A AUTHORIZED REPRESENTATIVE 6 01988-2009 ACORD CORPORATION.All rights reserved.' CORD 25(2009/09) 1 of 1 . The ACORD name and logo are registered marks of ACORD ' ##S77368/M68179 MEY OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at , y (Property Address) Cj�:7 if 4 (Property Address) hereby authorizeJ �1 1 (Subcon ctor) V1ia an authorized subcontractor for RISE Engineering, to act'on my behalf to;obtain a building f permit and to perform work on my,property. ' t Owner's Signature � rl Date • MAR �;g 2012. � , . f 1. 4 "t• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1 Applicationdbl VZ_ Health Division Date Issued Z Conservation Division ✓ Application F Planning Dept " _ Permit Fee--° 30� Date Definitive Plan Approved by Planning Board dr Jolq'�2, Historic - OKH _ Preservation/ Hyannis Project Street Address `I" Fiq` CM 1 VA y Village` 0E Owner � ►� �1� � r!�, E�,�C =Address Telephone SOC6 0 1 Permit Request b ' L a G 42 2_x, 2 b l7 Abo K) e, esc� U,/e,- elyu , ro Square feet: 1 st floor: existinq9 60 proposed QLZ 2nd floor: existing ?�� proposed I ® Total new 175-6 Zoning District 1ZQ-- I Flood Plain Groundwater Overlay Project Valuation �6 Ua Construction Type 0 Lot Size / b 6Grandfathered: 0 Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 1 00 NAS, Historic House: ❑Yes *No On Old King's Highway: ❑Yes No Basement Type:"&ull '6 Crawl ❑Walkout ❑ Other r Basement Finished Area (sq.ft.) 4s o Basement Unfinished Area (sq.ft) `t 9 Number of Baths: Full: existing CQ new 0 Half: existing new Q Number of Bedrooms: 3 existing®new Total Room Count (not including baths): existing new Q First Floor R=m Count a z� m Heat Type and Fuel7'-AGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes -JANo Fireplaces: Existingy__, New Existing wood/coal stove: ❑ s`I.No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ Listing ne size_ Attached garage" existing ❑ new size _Shed: ❑ existing �W new sizelt4W 1,10 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name fr) �J� Telephone Number Address (0 2,:5 Vel License # 489Q O " Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WI L BE TAKEN TO ' SIGNATURE DATE �` FOR OFFICIAL USE ONLY r -�- • APPLICATION# DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE i OWNER DATE OF INSPECTION: FOUNDATION (39)itJ r FRAME SBl 16 5� t►.l IL /,)Az tc INSULATION P 1 &112- 124 412, 4 FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Cd& 2,Z�I 1 DATE CLOSED OUT ASSOCIATION PLAN NO. ' - �\ LriL VVrI LIILVI NrL{LLNL V/ 1f1liJJLLLlLLtJ LLLJ ' ,_;•�� Department of IndastrialAccidents Office of Investigations - 600 Washington Street Boston,MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Businessloro ni7afion/Individnal):. Cox �(� 1�c�(� GC) -Address: `eA VDI LI4 City/State/Zip: S V ne.#: rj 0 Are you an employer? Check the appropriate box: . I am a general contractor and I Type of project(required):_ 4 1.A I am a employer with _. ❑ 1 g 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.'R Remodeling These sub-contractors have ship and have no employees �8. []Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp,insurance comp.insurance.$ required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions , . 3.❑ officers have exercised their I am a homeowner doing all-work 11.❑Plumbing repairs'or additions . myself. [No workers' comp. right of exemption per MGL . 12.E]Roof repairs insurance required.]t c. 152, §1(4), and we have no . employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below.showing their workers'compensation policy information. . t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContractors that check this box must attached an additional sheet showing the name of the sub-contractois and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is,providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-iins.Lic. Expiration Date: �p �813 Job Site Add dress:Y�p City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for" ce c a e verification. I do hereby certify un e pa' pe aloes f perjury that the information provided above is true and correct, Signature: ' Date: J �' ., 'F' �� _ • Phone#: 70ffflci4al only. Do not write in this area, £b be completed by city or town official-n: Permit/License# Issuing Authority(circle one): / .1,.Board of Health 2.Building Department 3.Citygown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: . ' Phone#: . ent ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE 09117120122012 THIS CERTIFICATE IS ISSUED AS A MATTCR OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE Al FOaPFp BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must be endorsed.If SUBROGATION IS WAIVED,Subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemant(s). PRODUCER NCA E:O C Anne Santo TA HUB International New England ���+o a■I:508.833-2244 ac No: 508.833-0680 125 Route SA EMAIL . Sandwich,MA 02563 INSURER($)AFFORDING COVERAGE NAIL A 508 888-2244 INSURER A Essex Insurance Company INSURED INSURER 8:Liberty Mutual Insurance Co Cox Construction INSURER C Cox Corp dba INSURER D 6 Winnie's Way - INSURER E East Sandwich,MA 02537 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE,INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE INSD SUB POLICY NUMBER MMIDP E FF M�PoLipY P LIMITS A GENERAL LIADIUTY 3DJ6829 110112012 01101/2013 EACH OCCURRENCE. $500 000 X COMMERCIAL GENERAL LIABILITY ENTEO $50 000 CLAIMS-MADE FXI OCCUR MED EXP(Any oneperson) S11,000 PE=RSONAL&ADVINJURY $500.000 GENERAL AGGREGATE $1 000000 GEN'L AGGREGATE LIMIY APPLIES PER: PRODUCTS-COMPIOPAGG $1 000000 POLICY n PRO LAC $ AUTOMOBILE LIABILITY CO BIINdEDISINGLE LIMIT ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per aceldem) $ AUTOS AUTOS. ` NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS P accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ $ B WORKERS COMPENSATION WC531S487580072 6/14/2012 661141201 wicsYATu- oTH- AND EMPLOYERS'LIABILITY ANNYY PROPRIETOR/PARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT $1 OO OOD oFPICER/MEMBER EXCLUDI207 NIA (Mandatory In NH) E.L-DISEASE-EA EMPLOYEE $100 000 If yes,desunbe under E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101.Additional Remarks Schedule.if more space Is re9ulred) CERTIFICATE HOLDER CANCELLATION BE SHOULD ANY OF THE ABO VE DESCRIBED POLICIES BE CANCELLED FORE Town of Barnstable H _ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 367 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE �� i ®1908-2010 ACORD CORPORATION.All rights reserved.: ACORD 25(2010105) 1 Of 1 The ACORD name and logo ara registered marks of ACORD #S7913201M791319 MWO04 oF�HEr , Town of Barnstable Regulatory Services BMWSresLe, y M►ss.. Thomas F. Geiler,Director 1639. �4 r. ArFo naa�" Building Division Tom Perry,Building Commissioner v 200 Main Street,Hyannis,MA 02601 ` . www.town.barnstable.ma.us Offr;e: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I,yf , as Owner of the subject property hereby authorize_ 6E Go)c to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) ` bD ��� . Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence:is installed and all final inspections are performed and accepted. , k(I I Signature of Owe Signature of Applicant Print Name Print Name 1 Date QTORM&OWNERPERMISSIONPOOLS 6/2012 OF'fHE 1p� Town of Barnstable Regulatory Services BARNSTABLE, Thomas F.Geiler,Director 9`bp 639 ��� Building Division � lED Mp`l a Tom Perry,Building Commissioner 1- 200 Main Street, Hyannis,MA 02601 Y www.town.barnstable.ma.0 Office: 508-862-4038 '.� Fax: 508-790-623 HOMEOWNER LICENSE EXEMPT ON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to lude o er-occu ied dwellings of six units or less and to allow homeowners to engage an individual for hire who doe of ossess a license,provided that the owner acts as supervisor. DEFINITION OF HOMFO 'ER' Y Person(s)who owns a,parcel of land on which he/she resides or int ds,, reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures a cesso to such use and/or farm shuctures. A person who constructs more than one home in a two-year period s all not be onsidered a homeowner. Such "homeowner"shall submit to the Building Official on a form acc table to the Building Official,that he/she shall be responsible for all such work performed under the buildin e t. (Section 109.1. The undersigned"homeowner"assumes responsibility for con liance with the State B Ming Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she underst s the Town of Barnstable Bui ding Department minimum inspection procedures and requirements and that /she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 5,000 cubic feet or larger will be required to comply with the State Building Code.Section 127.0 Construction C trol. HOME WNER'S EXEMPTION The Code states that: "Any homeowner performing ork for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Sup isors);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 una re that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,S tion 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,ou Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimate lylesponsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ��eoo�zn�waacueaLG�o� aa� �u�eGIq. Office of Consumer Affairs&Business Regulatacion License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration 105400 Type: Office of Consumer Affairs and Business Regulation xpiration 7/1!7/2014, DBA 10 Park Plaza-Suite 5170 . Boston,MA 02116 COX CONSTRUCTION COMPANY,rzr, xi�a Thomas Cox „ c 6 WINNIES WAY e: a East Sandwich,;MA 02537 1 Undersecretary Not valid without si nature I11it*"4104-etts Ddrpa tiiient nt,Pteh1�4 Boifl-d;of BuiidinO Rc!,til;tt'ionti Construction Supervisor License License: CS "44872: .THOMAS P COX 6 WINNIES WAYr <i E SANDWICH, MA 02537 �i�_ _may .,�• �; Expiration: 11/28/2012 ' ♦ r _ ('unmiissiuncr _ Tr#: 4864 110 MPk91 "IEXPOSURE B WIND ZONE b�-oprY Checklist � oF Wind Speed (3-second gust)......................................................:..:...........................................:....:110 mph Wind Exposure Category........................................................................................ ............................... B Number of Stories ....... (Figure 2):.....:........ 2 stories <2 stories ................................................ -- Roof Pitch .......................... ....... .......: ............. (Figure 19 ...................... 12:12 Mean Roof Height (Figure )..:......:°........:........... F ure 2 ..G. ft. < 33' ................................ ..........................°... Building Width, W ..._...._.....................:.................................. (Figure 4)............................. ft. < 80' Building Length, L (Figure ) ....Z ft. <- 80'. .......................:...................................... Fi ure 4 .........................:.... Building Aspect Ratio (L/W) ...............'. (Figure 4) a - $ �yi�¢I��Xy. spa .w�p HHHgsss+,pp f�,- f• ' `0'e4r,p W N V F:C �l .d'+I K.v'..� • { f General compliance with framing connections?................:. (Table 2)........................................................ Type of Foundation...:. (Figure )..�..............:.......................................... 5 . . ..... ........ ... Foundation Anchorage Proprietary Connectors - Uplift. ... (Table 3) .:....U _ If Lateral.................:................................................... (Table 3)...................... ...... .........L= 2 Of -- r . S= fl if Shear................................,..'............:.:..............:.... (Table 3).:............................. p — 5/8" Anchor Bolts u Bolt Spacing.................................................. . (Table 4) ..........................-4tin. Bolt Embedment .:....................I.............. ...°..... . (Figure 5)......................... ... ....... in. . 7 F Washer Size.. .....:. (Figure 5 in. x 3 in. xin.thick ........... .......... ).............� A , Floor framing member spans checked?.............................. (IRC or WFCM)............................ f Maximum-Floor Opening Dimension ................................ (Figure 6)..................................G�42-ft. 5 12' __ CI'I", Maximum Floor Joist Setbacks 4 Supporting;Loatlbearing:Walls or Shearwall................. (Figure 7).,.. �4!N.��Yc tiy?.. ►�, 5 d Maximum Cantilevered-Floor Joists s Supporting Loadbearing Walls or Shearwall .. (Figure 8).............................:....... ft 5 d Floor Bracing;at Endwalls..................................................... (Figure 9).............. .._........ ................ Floor Sheathin i e............ .. IRC or WFC 9 yp ( M).......................... Floor Sheathing Thickness.... ....:. _ (IRC or WFCM)....................... in. Floor Sheathing Fastening.. ............................................. (Table 2) ........6pe. ... Wall Height r Loadbearing Walls................................ (Figure 10).:.... ............ G b Non-Loadbearing Walls ( g }Fi ure 10 Wall Stud Spacing............ ..................................... .......... (Figure 10)......... .....:.......... *in:<_24" O.C. -- Wall Story Offsets ..............:.. ...................... ...................... (Figures 7-8) ........ . ...... in. :5.d C� WALLS Wood Studs R Loadbearing Walls............. ' "Mir p��l .... \ (Table 5) ft. in. Non-Loadbearing Walls .... .... GI�C]I1-a....... . ..... (Table 5) .....................2x---(j -ZA ft. in. ' i 4 •,:,�:P;k� .`.t ,��� .. ,. �t u�. . � i,a`�n?•ry'.:i��� �v rt,s:vt�y'�£+,<�(i {7 vj�n�5"'��t � a� � '_, r:{�.��,:. i;., U - q�4�n��.,�; tiA Bracing Gable End Walls 4 WSP Attic Floor Length................................................. (Figure 11 ................ -ft., >_W/3 Gypsum Ceiling Length................................................. (Figure 11)...........................7i ft. >_0.9W Double Top Plate ' I SpliceLength ................................................................ (Figure 13)........................ Splice.Connection (no. of 16d common nails) .............. (Table 6) ...................................:.....,.......: Loadbearing Wall Connections . Z V S Ob6 : Z SPUce ;�/Q-1 bd Uplift. (proprietary connectors).................................:.... (Table 7) ............ :..°....:...........:..,U =- Ib. -- Lateral (no. of 16d common nails) ..............................:. (Table 7) ................................................. 2 Non-Loadbearing Wall Connections Uplift. (proprietary connectors)....................................... (Table 8) .....................................U =-l&l-lb. --- Lateral (no. of 16d common nails) ................................. (Table 8) .................................................. Wall Openings .. � • � fi Header Spans.................:..:..........._............................. (Table 9) .........................6 .ft.'(o. in. <_ 11, Sill Plate Spans..................... (Table 9) t3,ft. L. in. <_ 12" Full Height Studs (no. of studs)...............................:..... (Table 9) ........................................_.........- Connections at each end of header or sill 1. UplifP (proprietary ) .............. (Table 9) ........... t. rieta connectors ...:............. .....................:....,........__ lb. Lateral (proprietary connectors) ..............I.............. (Table 9 Wall Sheathing Minimum Building Dimension, W = ZZI ---- Sheathing Type .... ................................................... able 10(T ) ...........................:.............. Edge Nail Spacing.......:........ (Table 10) ......:..............:'................... .. In. Field Nail Spacing Z i . ...:....::......................................... (Table 10 :......................... . r. Shear Connection (no.of 16d common nails)........ (Table 10) ............................................. Hold Down Capacity ....... .............................:. (Table 10)..............................I .. J ) Percent Full-Height Sheathing...............................:(Table 10)..............................................lli2% X z Z 4 t Maximum Building Dimension, L IZ g ° Sheathing Type ..............................:............. (Table 11)..........................................W y ' g ............ (Table 11) E Nail m :................................ in. Field Nail Spacing - in. (Table 11) ....................... Shear Connection(no of 1&i common nails) (Table 11)..:....:............ . Hold Down. Y ....: ...... ......... .....:... .....(Table 11) .........,...:...... .....:... - b • Percent Full-Height Sheathing.................................(Table 11).............t..................... 6 °�° jc2�= f Wall Ciadding r0� ) Rated for Wind Speed?, ......................... .......... . Roof'framing member spans checked?...............................(/RC or WFC Roof 0yerhang................................................................. (Figure 19)............ ..................+—L�-ft.'S 2- or U3 Truss, I-Joist,or Rafter Connections at Loadbearing Walls. PmpKiietary Connectors Uplift. .............................. .................................. (fable 12) U=2S lb. Z=a= ................................ Lateral .............:..:.:.. (Table 12) L= lb. .. S= lb. Shear.............................. ..............................(Table 12)... ............................... e sections Tension .......... (Table 13 � `+ r Ridge Strap Con - ).. ...:..T plf Cable Rafter OuElooker (Figure 20 ............. ( ig )...... .CAI �• —_ft. -ft. <2 or U2 Oulta�oker;Connec�ions at-Non-Loadbearing Walls v Proprietary Connecters UWiR .............. ....... ---•--.. ----- -- abla 14). Caleral............................. Table 14 ............................I. `' )................... ................L=. lb. 'oof Sheathing Type .......................... . -- .. .ijF a, . ..._..... /RC or WFC ) ( �.......................... uj(SP .soof Sheathing Thickness.............. .,�.a`�„� • Fastening �" °y ii in. >3/8 Roof Sheathing wsp g g............ o ....MI-CHEILE.....N. .... (Table 2) .... °�...�j.....�.C....CUDILO �. ° No.34774 t STRUCTURAL I ell Z e 'QNAE��G i � � -ad ��GS w5P EDGti 0. TIP-Mm1 N I 7�mit. TYP. TYQ i II mlt�• 3. Merl. �t.mars. D.G hVS.P ATTAC H M E N T RoIr 7o 50146 E FOR V RTo -kA Aoit IZ: �TTAG�1MBMT NOTEsu - 7 - ; Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows: i. Panels shaU be installed with strength axis parallel to studs. ii.4 AU horizontal joints'shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story constructibn,upper panels shall be attached to the top member of ahe upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment GENERAL NOTES AND MATERIAL SPECIFICATIONS: . FOUNDATPONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition.' 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for'a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. % , 4. Concrete: Minimum 28 day strength, Pc=3000 psi;3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced o/c,or in concrete piers w/ Simpson ABU-series base; SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement,etc.): FRAMING 1. All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. . 2. Structural Design Loads: Dead Loads: Actual Weight of Building Components Live Loads: Snow Load =30 psf.(plus drift)with applicable reduction , ATTIC Storage=20`psf ' Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf # Wind Load: Criteria used for 110 MPH Exposure B,unless noted otherwise 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint witli rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. , b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively, field weld by certified welders.. i i c. Deflection Criteria: L/360 total load deflection. 4. Timber Framine: a.All new timber framing: Spruce-Pine-Fir No. 2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.-T.): Southern Pine with Fb=1300 psi,E=I,600,000 psi,or better. c. Laminated Veneer Lumber:Ali L.V.L. shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi, Fv=285 psi,Fc_per=750 psi, . Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi, Fc_per=-750 psi, Fc_par--2900 psi. Note that Microllam and Parallam may be used interchangeably. i 1. Deflection Criteria: L/480 Live Load, L/360 Total Load 2. Optional: Provide shop drawing submittal of.engineered lumber systems for approval prior.to materials purchasing: . 5.'Metal Connectors: F As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufactuier requirements,with all nail holes tilled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c-, �. Rafter to Ridge Plate: Collar'iies min. 1 x6@ 16 o/c at top or Simpson Straps over top of plywood spaced 16"o/c ` b. Rafter ends to top plate: Simpson H2.5A l c. Band Joist: Simpson straps at 48"o/c' CS-14R750.5"centered at�band joist 6. Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise. Bolt holes in wood shall be 1/32" larger than bolt diameter. Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers. All nuts shall be �etightened at completion of job. 7. Blockine: I a.Blocking shall be solid blocking,2x minimum,and full depth of member. b. Stud Walls: provide blocking at 8'-0"o/c,maximum height. Comers to be blocked at 48"o/c with plywood edge nailing • to this blocking for the first 48"of these building corners. c. Nailing Schedule: , Solid Blocking to Bearing 2-8d toenails ea. side° Blocking Between Studs 2.10d toenails ea.end,or 2-16d end-nails ea. End d. New Framine: Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all,edges;att plywood edges to this blocking aS� tN OF Ssq 8. Nailing Schedule: All nailing shall be in accordance with Appendix 120,Q,unless noted herein specifically. o MICHELE cye Multiple Studs 16d @ 12"staggered CUDILO a. All nails shall be common wire nails.. ° No.34774 N b. Sub-bore where;nails tend to split wood. STRUCTURAL 9. Headers less than 4'4',use 2-2x6;all others per,MA State Building Cod T le 5 0 .5(l)and:(2). q ( CUDILO, P. C/ 1G 1�� Con�ultin Structural'- En ineer ' 123 Cottonwood Lane, Centerville, Mos3ochusetts 02632 Brown By: MC Doter Drawing ��►Ju� / Scale: AS NOTED Rev, 0 SK • File Nome: ' Project No.: _ — , i .0 CTION DETAILS FOR THE APA 14ARROW WALL BRACIN'R METHOD ,-IGURE 1 NARROW WALL OVER CONCRETE OR MASONRY BLOCK FOUNDATION Side Elevation Outside Elevation -` Extent of header(two braced wall segments) Top plate continuity is � Extent of header(one braced wall segment) '�i /required per R602.3.2 - Sheathing filler if needed b } -----. 2'to 18'(finished width)—— 16d sinker nails I ° �+ r a. (0.148"x 3-1/4") n 2 rows @ Fasten sheathing to header with 8d common , ° nails(0.131"x 2-1/2")in 3"grid pattern as shown 3"`o.c.' and 3"o.c.in all framing(studs and sills)typ' I xA l { / , I J j �• 1,000 lb.header- " \ --1,000 Ib.header-to-jack-stud strap "• to-jock-stud strop on both sides of opening �, on both sides (install on backsid9os shown on , ' �: i%, of opening(Ref. Max Side Elevation,Ref.No.LSTA24) ;; No.LSTA24) height Min.(2)2x4 typ. 10 « Braced wall t r °i '' ' 4 3/8"min. If panel is needed it shall segment per` ° occur within 24"of mid-height. R602.10.5 �' thickness wood 1{ t�° r structural panel eel Blocking is not requited. 1 .lee �M1 A No.of' pe sheathing ' Min.width based on 6:1 f k ock studs e2 height-to-width ratio:For g I per table example:16"min.for 8'height, p 20"for 10'height,etc. R502.5(1&2) ; Min.2"x2"x3/16"plate washer ° Foundation per code Not to scale Anchor bolt per R403 1.6 Ty. I✓ll Od fasteners providing lateral resistance equal to or better than the prescribed nails a r other code-recognize . Note This narrow wall bracing segment meets i the mininum requirement., for wall IiracinB FIGURE 2(rack loads iir the ptane of Ihc''wall),The EXAMPLE OF REQUIRED OUTSIDE CORNER DETAIL(IRC R602.10 5) building designer should determine �+ghat spe- cific cr aiWaie necessarl ttr pmVide a complete . J�— _ __ -- 16d nail at 12"O.C. liiad patltTi)r using ihis bracing in ihe'tru lure. At corners,connect the /r two walls together as outlined in this detail;to , Orientation of stud may vary provide overturning L j restraint. ' " 'Gypsum,when required, t installed in accordance , ' with IRC Chapter;? 1 Wood•structural panel n/ MICHELE CUDILO,' P.E. .- 74PA, Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 l feT Drawn By: MC Date: Drawing µ ( Z�f"e-) tale: AS NOTED Rev. 0 File Name: Project No.: — — f - . WAD STi�UCZUR�cL PA�ISEL (WaP) - Stt�,ATi{INCti _ z - �-- lop -•-1 (� CO tp -- — _-- s. ( (p, IMP p •1 70 N z � '' � its �mE����ti � Mite � • I '-� z� o,41. (, VE�'f. W54 EDGES „y G REScheck Software Version 4.4.1 Compliance Certificate Project Title: GERAGHTY RESIDENCE Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: § Construction Site: Owner/Agent: Designer/Contractor: 138 PHEASANT WAY CENTERVILLE,MA 02632 Compliance:3.3%Better Than Code Maximum UA:120 Your UA:116 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Ceiling 1:Flat Ceiling or Scissor Truss 756 40.0 0.0 22 Wall 1:Wood Frame,24"o.c. 712 19.0 0.0 35 Window 1:Wood Frame:Double Pane with Low-E 114 0.320 36 Door 1:Solid 9 0.280 3 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 616 30.0 0.0 20 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: GERAGHTY RESIDENCE Report date: 09/11/12 Data filename: Untitled.rck Page 1 of 4 REScheck Software Version 4.4.1 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-40.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame_,24"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.280 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling coveting. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: Project Title: GERAGHTY RESIDENCE Report date: 09/11/12 Data filename: Untitled.rck Page 2 of 4 Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Lj Materials and equipment are installed in accordance with the manufacturer's installation instructions. Li Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Lj Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R4 Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 f12 pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handier installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Heating and Cooling Equipment Sizing: ` Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: EI Heated swimming pools have an onloff heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. ❑ Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-42. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: Project Title: GERAGHTY RESIDENCE Report date: 09/11/12 Data filename: Untitled.rck Page 3 of 4 A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per waft for lamp wattage>15 and<=40 (a)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: Lj A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: GERAGHTY RESIDENCE Report date: 09/11/12 Data filename: Untitled.rck Page 4 of 4 f 2009 IECC Energy Efficiency certificate Ceiling I Roof 40.00 Wall 19.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): P—�aftwaft Window 0.32 Door 0.28 NA Heating System: Cooling System: Water Heater: Name: Date: , Comments: i TOWN OF BARNSTABLE.BUILDING PERMIT.APPLICATION.,- Map c Parcel ' `Application # Health Division Date Issued �C Conservation Division Application Fee Planning'Dept. �'Permit Fee S ` Date Definitive Plan Approved by Planning Board Historic _ OKH. _ Preservation / Hyannis Project Street Address 1"Gi4,,�5/4rj f p y /9 P Village i4(:�WzV/l/C- Owner _Hg11+'I K64-h lEEn Gel-Q Address Telephone Permit Request )eE_1Y70D EL C'✓ �Z ,`� 07 S/ `uare feet: 1 st floor: existing proposed 2nd floor: existing 6_'sO r q gp p g proposed Total new Zoning District, Flood Plain Groundwater,Overlay Project valuation 3ooa Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure / VAS- Historic House: ❑Yes J2kNo On Old King's Highway: ❑Yes XNo Basement Type: ,14 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) C a cl- Number of Baths;;Full: existing c)- new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing A�> new First Floor Room Count Heat Type and Fuel: I&Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes gNo ` Fireplaces: Existing / New Existing wood/coal stove: ❑Yes XNo Detached garage: ❑ existing 0 new size—Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:Xexisting ❑ new size _Shed:*existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - -Commercial ❑Yes_ . gNo Ifyes, site plan review # � Current Use RES w Proposed Use - - -- - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name R ,Pi -4 1�14 ] 1EEff (7frcic4h Telephone Number 60 77/" SDgL� Address 136 A016 / License # l y/1/ Od 6 3 0'- Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO W—ujH 6 BA2h S 744 le- SIGNATURE ` �I- �- DATE } e FOR OFFICIAL USE ONLY ' APPLICATION# DATE ISSUED MAP/PARCEL NO. f r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 '4 FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. r The Commonwealth of Allassachusetts ,Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): )SA JAt� C77 Z�CLCI h�t/I Address: 13 �l'I�. j'I (.c)./4CA City/State/Zip: _6� oI l e Phone.#: OCR l a Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. []New construction employees (full and/or part.titne)•* have hired the sub-contractors listed on the'attac 2.El I am a•soleproprietor or'partder-' hed sheet. T." Remodeling ship and have no employees These sub-contractors have g. '0 Demolition employe and have workers' working for me in any capacity. 9. ❑Building addition [No workers'_comp..insurance comp. insurance.# required.] 5: [] We are a corporation and its 10:❑Electrical repairs or additions I ain a homeowner doing all work have e officers xcised their 11.❑Plumbing repairs or additions 3. exercised • myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant_that checks box#1 must also fill out the scction 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. XContractors that check this box must attached an additional sheet showing the name of the sub-contactors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ' Policy#or Self-ins. Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimirigl penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sitaature Date: 0 _ Phone#• Official use.only. Do not write in this area, 16 be completed by city or town officiaL • 1 City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 1.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a jo''t enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individua,partnership,association or o /r legal entity,employing employees. However the owner of a dwelling house having of more than three apartmen and who resides therein,or the occupant of the dwelling house of another who emp oys persons to do mainten' ce, construction or repair work on such dwelling house or on the grounds or building appurte ant thereto shall not be use of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states at"every state or I cal Iicensing agency shall withhold the issuance or renewal of a license or permit to opera e a business or t construct buildings in the commonwealth for any applicant who has not produced.accepta le evidence of ompliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) s es`Neither a commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance o ublic wor until acceptable evidence of compliance�szth the insurance requirements of this chapter have been present to the ntracting authority.. Applicants Please fill out the workers'compensation affidavit c pletely,by checking the boxes that apply to your situation and, if necessary,supply sub-conti actor(s)narne(s),.address s)and.phone numbers) along with their certificates)of insurance. Limited Liability Companies.(LLC)or L' ed Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'work s' ompensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that th' affi vit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also b sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application or the pe t or license is being requested,not the Department of Industrial Accidents. Should you have any questi regard' the law or if you are required to obtain a workers' compensation policy,please call the Department the number isted below. Self-insured companies should enter their self-insurance license number on the appropriate e. City or Town Officials Please be sure that the affidavit is complete'and rinted legibly. The epartment has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigatio has to contact you regarding the applicant. Please be sure to fill in the permit/license numb which will be used as a eference number. In addition, an applicant that must submit multiple permit/license applica 'ors in any given year,nee only submit one affidavit indicating current policy information(if necessary)and under"Jot Site Address" the applicant ould write"all locations in (city or town),".A copy of the affidavit that has been off cially stamped or marked by e city or town may be provided to the applicant as proof that a valid affidavit is on file or future permits or licenses. new affidavit must be filled out each venture permit not related fo business or commercial .year.Where a home owner or pitrzen is ob a license or p Y (i.e. a dog license or permit to btim leaves etc.) d person is NOT required to cc etc this affidavit. The Office of Investigations would like to.thank Vou in advance for your cooperation d should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax nun ber: The C6m nonwealth of Massachusetts Depaztr ent of Industrial Accidents Office of Iayestigatim" 600 Washington Street Boston, MA 02111 Tel. #617-727-490.0 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 11-22-06 www.mass-.gov/dia Town of Barnstable o Regulatory Services sAxxsteBr Thomas F.Geiler,Director KASS. , 03.9. A,�� Building Division Jens Tom Perry,Building Commissioner ` 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: y I JOB LOCATION: r� number street village "HOMEOWNER": 6 et . — 7111 ^ dq name h6me ph ne# work phone# CURRENT MAILING ADDRESS: V3 V)h S r wj+ ""' 9:", C jFAA e, i i 11(f, MA-- �— city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. k's rgna ire of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fonr/certifrcation for use in your community. Q:\WPFILFS\FORMS\homeexempt.DOC i �IHE1 � Town of Barnstable Regulatory Services. BAMSTABLE, Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r Q,P'V) as Owner of the subject property hereby authorize / to act on my behalf, in all matters relative to work authtPHJ-�tr his b permit application fo138 CE.n�J I �c� M (Addre s o ob) ©9 signature of Owner Date 2t P*E Vj Print yipetqty If POwner is applying for permit please complete the HA eowners License Exemption Form on the reverse side. Q:FORMS:O W N E RP ERM I S S I ON 3j 3 Q. _ _ sro rz,� 1 KOO ....... ........... t T-T �- ' -- s i r -. ...... ........... ..........i I E 1 ......�. ..! _. ...... _ .: v _ 4 _ L.__..._ i-_... .._._ . - ..... _. .... { E R� , o........ _.._._ f__..... - _. � 1 _ i Are f . . Pt�ncl i ......._. ...____..... ..... _- #- .......... _.... __... ._._... q. .._... _-.. .. _ _.........., I m �f yo 1'0 r �oFTHE•o,,ti Town of Barnstable BARNSTABLE,p' Regulatory Services 7 MASS. 0 Fo .a�. Building Division 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 f` Inspection Correction Notice f v rF Type of Inspection TRi 5 U Location 1s PHrAsivO WA`f Permit Number _T Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: ya3`� Please call: 508-862-4038 for re-inspection. Inspected by ,1 ku , Date 0( 1 Z t pF.lIE Town of Barnstable BARNSTABLE. Regulatory Services 9 MASS. 1639. MP N0 Building Division pTFD '�a. - - 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 i i Inspection Correction Notice i Type of Inspection �'/ �C l Sit L�1 / Location �'f�F�5Ate'-r Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: F7 eb t,T" 4-U a ZC 4-t, :E C L-T P S /\)67- VAPcP' BAKIE- - MWu - 6C- --T�) C.on3--t74CT L&) I-TIJSU LAW') f Please call: 508-862-403.8 for re-inspection. Inspected by Date 12�711 i ,,Wry H OF MASo STRUCTURAL cn }d No 34774 "Z FS�0 ALA /2 �.� LJ f w c a -- I 'I Town of Barnstable F THE A Regulatory Services .Thomas F.Geiler,Director • BARNSTABLE, • MASS ��� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 y - W Office: 508-862-4038 Fax: `508-790-6230 PERMIT# 8 (9 4 4 1 FEE: $ °G ASHEDEGISTRATION 120 square feet or less 'Ph EA 5 C1=r d"nry Location of shed(address) Village A, kl�� tEAD,) '67 Vt�Vj Property owner's name Telephone number Size of Shed Map/Parcel# w ots Signature Date ` Hyannis Main Street Waterfront Historic District? 141 Old King's Highway Historic District Commission jurisdiction? e° Conservation Commission(signature required) CJ ZJ� PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 j o;+ to Olj hp V� (0iNL• � ,�f •`d � �i � i rS IA ul Av r h ph ! z aa't.Y! U j- FF.. .,rfi!�} V 5 � ,x��. F.' .•, n �'" /_�r.'rv' %`"� w S .{)O�# f*•i •,Y 1 OXI IL ts LY.- }� `t ( }'40 Own f !- tf oc air 41 Q. 71 10 1 � i � 1'rig✓ -i ~�--' �. [ t\_ I C �vLcl MA oa-63a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Par&;i Permit# 8� E f3 CC �;1+$p Health Division ,B E Date Issued l.y�a y Conservation Division pf, Application Fee Tax Collector Permit Fee '$ 9 Cl UT k Treasurer s!JS►oa T Planning Dept. Date Definitive Plan Approved by Planning Board UWWT0.J0F8WR00= Historic-OKH Preservation/Hyannis Project Street Address I V t-AS A N "F U--Aq Village _ CE N)TCR 0 l LL e Owner 11IF&I &Mcl 4q Address 13R �)hCG+SAM'T 03Aq Telephone Permit Request E4Y10 0E7L EC 1 5__i G &m Prm) O, 3 ac rb sql + s Square feet: 1 st floor: existing �01 proposed Ind floor: existing propose Total new Zoning District Flood Plain Groundwater Overlay 900 Project Valuatio-no ®d, Construction Type 6Si 0e_1 Tirq-� Lot Size A-L . Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure r5 Historic House: ❑Yes *No On Old King's Highway: ❑Yes 04No Basement Type: Full ❑Crawl ❑Walkout ,❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 1 new Half: existing ® new Number of Bedrooms: existing new Total Room Count(not including baths):existing Ll new 3/4 First Floor Room Count �— Heat Type and Fuel: )(Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes *o Fireplaces: Existing New Existing wood/coal stove: Cl Yes ?" L-No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:Xexisting ❑new size 3ob Shed:❑existing ❑new size Other: �.v Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes to If yes,site plan review# Current Use �"��d "(-��f;, Proposed Use 11 BUILDER INFORMATION �5 Y • It Name 3IZiRn 61 lagac, l1` -► Telephone Number dY S octo �f a Address ,5 ���poi� '� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO J R SIGNATURE DATE t �I[6� FOR OFFICIAL USE ONLY PERMIT NO. 4 DATE ISSUED MAP/PARCEL NO. ADDR�SS, - VILLAGE OWNER " r DATE OF INSPECTION: FOUNDATION a0o� cea � cols) AMA, e.L�ss3. � � 1^ US FRAME R o Access 7- ArTl j rr2,r_ge_ocx: Pp DewN `=oQ rKSt,C INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH m - FINAL GAS: ROUGH FINAL ' FINAL BUILDING 0 DATE CLOSED OUT m ASSOCIATION PLAN NO. Q N The Commonwealth of Massachusetts _ - t Department of IndustrialAccidents 66a Washington Street _ Boston,Mass. 02111 Workers'..Coin ensation.insurance Affidavit-General Businesses haasnni: idd state ' r"lr'C zi CSd'lo�l` hone# spa 0. work site locatio>i full address : ' I arts• sole propiietor and have no one Business Type: []Retail(]Restaurant/Bai/Eating Establishment working in any capacity. [l Office[]Sale01.s('in0101 cluding Real Estate,Antos etc.) I am an em to ei with •' ein 1 'ees Mull& art tim ❑Other ' %� / c / %///m//�%/%%%%/////%�///%///%/�%/// rldn on this•ob.. . I ati an•,employer providing vLorkers cempensahon for my empl y g I , y r:�, ;•y 4:ti�'S:i� :,r'; _. •t'' Y •.::'5::::.,..:1'3,•..'I'. ,. — .t.•l'i ':1 .1; .li.::'r:•:i' '�'`i.. •COIn"an •eme � .r., .: 1 ,:•c•.:3Y• r •;ry; '3' :Syre;(r. '.';';:'P^?i:+:. he'::'' .:` ..'�• .:: 1:1 :t•Y1�LA'r ,i •1•' 'Y:•�r•.• :'Jf�: :i._ i;.•1,•, :3l' } ,;••r•,' •y .�•"•, ' :�••,, .'t ',Y.' • .• •• r I '••f , •J •• r. :•{.!,'Y,KT., rZ'•�i{=:.:!f�. 1 .1 = ;�• .r• ..5.,:' d.`+!•)Q;y: '.¢. :y.+'::f::.ttt,{.itJf •:r•i;^.:: �: ..�::.. a.r.'.:3:.<.. .1 +•iKL' .. sdi3reSs: `- f..,i'• .ay�y�. .�i.,•. .i•' i •t :`'ir 9:.• :;' :�.�•'. ;rt5: ;�'. ii.` i(.':t 'tiw :•N.:.a'•r r'+ •`: a ,. {•� •:;.,.... :;•� ..�•. t .:'. .Wsiirarice.cadur:yt:.•.i: J`33 rt,. am a sole proprietor anftave hired the independent contractors listed beltiw'who have the following workers' •' , coinpeasation polices: '•• `:.S �:,• 3 _e' .•f l . .4'r 4 ,v y:.;y• ':*.'r;�Y r Y t Y- • .:.iie�.i^. •, `:'f'•l'1''n ^,i• •.i.. `,�:it•'`n!: 7a•'rr:rf'''�'�,,•.. r+ t r COIU 8n 'IIame. i. �:, ^Y':.r:+' ' I:::,:i i• 4.�. .I.r•.;:• ar.,r• 'r.lr t;: ' .. y'7'••. i:,3'r •.•r ,�:,ii•i:�rt''`'r�:•:'a•: ,fi:?' .;1•ei�� i t. .1:.'' .. . :. •r,»:�.�. 7. •:• _ .e.:a' 'yt,�•� li4+•,�:iil•*.•. ri:�•� n"i' r'• xL .Ifit.i. 1:. ,i:'•.,�: •r, '•r;sr+.'; :•t. 'rr•r: �.i, :7,r,ii,-t r,'r.: t•.Y'. 'r.• YdnC'�F:. CI• 1 yY' \ SY; r�;}4yt 1.:.. :,^'''r.;i ti y ,,. :3:::!_t n:;_:;, ,rl:. .y,,,• c. .� ,.4 .t•�. .'. ;i }�iY.. rr�-,'tiij'.' 'v`�.��:' � :.•1.' •.�: ,i•f .r, 1••: .tt. :i^'; .1, •p,+'r.' ?•..ir��(.:;�• •. �. .tea.. 1 .r;.��•ri;• �:' •�r.w.•.:!•,•�r.;a�i. ''Y..`•�• •.T;.;;ni't_:iJ,'�'.,',:'•t,..fY'•,Y°.C,.• •'�.'4 fro't�Nt. .Y. '0•l1C �: r..+,°k ti.r•.:fit':'},:•}:.. ¢`'..�.:• .., in'silrance'co. :s= •r .•t, ''(:. •:' .:21,:�' iei'•!i ,. :It• r;'�� l:t• � A." •+ .6. • �.;. .!• Y�~,di`C..e�rC l';Jit':6•..�•••F, .'fi:...... •' .. .1 J'• '` r i,r.•`}•' coin all. nande address: .�;'L.<,' r i s. '• r: t: , �.'�. •)zone#'s '• �' ....':-'-. 't•t; ,.'� • .,•- iLy -�b'y1 ..,:r^ ,J;';" :i. .:r S.y.•.,4,r'1. -�i. i.i! .:t`' •' ' ��:•?i:+r'' ;'`: ". ::;�...• , v Yi,�••:'• ..rt;;• 1 :s •.. '•i•. .3 •,;: r'it r o 0 C, :lr�t••> � ;'1'Iti:+'P,f.:�:;,, .tf. r•a''•. 4`+� •~'�`O:, ,.tt'!':��•.i',>:f.;"'+s:. •':yS�•` :lip' :i�..r� :'J:�•' tti:,'S,S a:w'-l.;'. • • ' ��� fnsur8iicd '+'` Failure to secure coverage as required pens ties in the fo'i'm5A of hof a STOP woRK O"GL 152 can lead to the E and a fine of$10.0 day agaimt me. I understand that K one years,imprisonmsition of er ent as well as civil penalties copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the inform atiox provided above is free and correct 1 Date G LA ��' Signature ^ Phone# � 6® Print name -official use only do not write in this area to be completed by city or town official permittlicense# []Building Department city or town: (]Licensing Board ❑Selectmen's Office [}check if immediate response is required []Health Department , contact person phone#; ❑Other (revised Sept 20 3) Information and Instructions. Massachl?setts General Laws�cba-1 pter�152 section 25 requires all employers to p�' vim workers' compensatioh for their. ernployees: As quoted fr the la ; an employee is.defined as every person m e service o another under any contract of hire; express or implied; or or written. An employer is defined as an indi �d ' artnership, association, corporation ' er legal entity, or any two or mgre of the foregoing engaged in ajouitenter�ris and including the legal represents ' es f a deceased employer, or the receiver or :, •. trustee of an individual,partnership,,as r ration or other legal entity, emplo loyees. *However.the owner of a dwelling house having.not'tnore than thre ap and who resides th. the.occupant,of the.dwelling house of- another who.employspersons to do.mai a construction or repair rk on such dwdag house or on the grounds or building appurtenant thereto shall not becaus o uch.employment.be d-erred tobe aii employer. •...., lYIGL chapter 152 section 25 also'staies that'ev ' . state•or local li sing agency shall ivithhold the issuance dr renewal of a license or permit to operate a business or to���struct buil �gs in the.commonwealth for any applicant who has not produced acceptable evidence'of•compliance wi `�tliems��}}''ance coverage required: Aiiditionally;neither the' commonwealth nor.any.of its political subdivisions shall rtertoany contract for the performance of public work until acceptable evidence of compliance with the insurance req is of this chapter have been presented to the contracting . Authority.. Applicants •l vit e �l el b chec ' the box that applies to your situation.•Please Please fr��' :the workers"eornperisat�affida oi�� y, Y ��g .• .PP . .. .. • supply company name, address and phone numbersa9, with a certif! of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for .tion of insurance co erage. Also be sure to sign and date the affidavit. The affidavit should be returned'to the ci or town that the appli-lion for the permit or license is being requested, not the Department of Industrial Accid" . Should you have any �estions regarding the'"lave'or if you ale required to obtain a.rvorkers.'compensation mpg : ,please call the Department a e number listed below. p City or Towns . ' Please be sure that the affidavit is comp andprinted legibly. The Department has pr 'ded a space at the bottom of the has to contact you re ar the a licant Please Office o Investigations ent Offi fg g PP affidavit for you to fill out in the event. Y number. The.a. vits ma .be returned to be sure to fill in the permit/lice e n which will be used as a reference numb y the D ep artment by.mail or FAX s theirarrangements have been made.,- The Office of Investigations wo a to thank you in advance for you cooperation and sliould you have any questions, please do not hesitate to give us a call. The Department's address,telephone and:fax number: ; , The Commonwealth Of Massachusetts Department.of Industrial Accidents BMW 0f Wesdg mils 600 Washington Street ' Boston,Ma. 02111 fax#: (617)7Z7-7749 ��,..,.. .u. «lm r7,)17_A011n av+ dnr, 3 , rNe r Town T n of Barnstable P of o�yo Regulatory Services . anxr Thomas F.Geller,Director 9� 163 ,�� Building Division. ''lfD MP•4 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date - AFF]DAVIT 110112E raROVF IENT CONTRACTOR LAW SUpPLF,NMNT TO PERMIT APPLICATION MGL c.142A requires that the"on,or onstrruction of an addition to n,repair,myp e-existing oov"Aer o,cc pied ion, •improvement,removal,demolition, buigding containnig at Least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractozs,with certain exceptions,along with other requirements. . �SECond (chOR���,TO�'11 fed Cost 100 O©C7 ork• FMab� l r ti� 'Type of W �� Ph ��1c AAA o-a(o 3� - Address of Work: _ v ' Owner's Name: . Date of Application:: 91 ab I hereby certify that: gegistretion is not required for the following rem on(s): []Work excluded by law []lob Under$1,000 ❑Building not owner-occupied ®Owner pulling own permit Notice is hereby given that: N PERIMT OR DEALING WITH OWNERS FULLING TE MIRLO ABLE HOME IMPROVEMENT WOUNREGISTERED RKD �ONOT HAYS CONTRACTORS FOR ACCESS TO THEITItATION PRO GRAM OR GUARANTY FUND UNDER 111GL c.142A. SIGNED UNDERPENALTIES OF PEBTURY ermit as the agent of the owner: I hereby apply for a p Contractor Name Registrationhlo. Date ' OR i Owner's Name L Town of Barnstable Regulatory Services M, Thomas F.Geller,Director MAM .0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma:us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTIONCA ' Please Print DATE: c}8 l JOB LOCATION: i3b 2number /� �-" street village "HOMBowNER": `fir �a.'1 l,`l P�Q GI�Tv, 5og �t— 5 Oct O 5®6 - c�3 —y Q g j name home phoney_# work phone# CURRENT MAILING ADDRESS: 13 MA 0463a•- cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a.one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildingpermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliant with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION ` The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly F when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt f - RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00SZ1,00 Alterations/Renovations $50.00 Building Pen-nit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= r7 x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.R.= x.0041= ACCESSORYSTRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf. 75.00 >1000 sf=1500 sf 100.00 >1500 sf-Same as-new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) . Deck.._. ... ... :_ x$30.00= (number) - Fireplace/Chimney x$25.00= (number) - Ingrodnd Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 r,... 780 CMR Appendts J Table J&Mb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fowl Fuels MAXIMUM MINIMUM Glazing Glaring Ceiling Wall Floor Basement Slab Heating/Cooling Area(%) U.valuer R-value' R-value R-value° Wall Perimeter Equipment Efficiency' Package R-value° R value' 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 l9 19 10 6 Normal 12% 0.50 38 13 19 10 6 8S AFU E T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 1 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 95 AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): S NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS. ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J r �" Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. S The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d;:scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes eleetric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must,meet or exceed the efficiency required by the selected package. . 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 HEATLOAD.COM- Heat Load Calculation Form For Two Story House Page 1 of 2 r Heating and cooling information center for home comfort and good health. HEAT LOSS "ONLINE COMFORT IS OUR DOMAIN" HEAT GAI Heat Load Calculation Results For Two Story House �w- The following are the characteristics of this house and its location used to calculate the heating and cooling results on this page: I Wall Type R13 Ceiling Type R30 7,e rV.kr— Window Type Double Pane Functional Low Temperature -10° Functional High Temperature Temperature Differential 20 ^c��svv� t. l% Grains of Water 16 Minimal Overnight Temperature Drops. No First Floor Requirements Room Name Heat Loss Heat Gain Ft. Baseboard Bedroom 1 4610 btu 2668 btu 7.ft Office 5693 btu 3268 btu 9 ft Bathroom 1 2684 btu 851 btu 4 ft Kitchen 4366 btu 2937 btu, 7 ft Living Room 8475 btu 4583 btu 14 ft TOTAL FLOOR 25828 btu 14307 btu 41 ft Second Floor Requirements Room Name Heat Loss Heat Gain Ft. Baseboard Bedroom 2 5347 btu 3623 btu 9 ft Bathroom 2 2387 btu 1088 btu 4 ft Bedroom 3 4357 btu 2804 btu 7 ft Bonus Room 11820 btu 5843 btu 20 ft http://www.heatload.com/cgi-local/heatload_hot water model_two.pl 10/4/2004 HEATLOAD.COM -Heat Load Calculation Form For.Two Story House Page 2 of 2 ITOTAL FLOOR I 23911 btu I 13358 btu I 40 ft I House Requirements Total Heat Loss 49739 btu Total Heat Gain 27665 btu TOTAL FT. BASEBOARD 81 ft Heat loss software Heat Loss Calcs&Sizing Easy to use program, Calculates heat losses Software for easily sizing AC&furnaces,for for rooms, buildings pros and homeowners. ' Ads by G000000gle http://www.heatload.com/cgi-local/heatload hot water model_two.pl 10/4/2004 f Oct 12 04 03: 38p RDRMS&RUXTON (413) 734-8138 p. 4 �G'D�rPJ/�� VENT ` tit 12 �ZDRYWAc.�-Z-N8 �EfUn1C� IZ"VEND r515 Q- Z � JU Zx4 — 1/0,G. Y ii N yL —��CiX SMC f�S 2�G • T47i) c :. y..P) �/.CY So�''�.. .._.�,.nr, _ •__- r _. G k. c,W To t,'T C TX P. f Oct 12 04 03: 38p RDRMS&RUXTON 1413J734-8138 p. 3 (;FNZ 9AvI"-t- I G �tlT Pr V4a�.., 7`Z 2.4 -�e.�wi �EA►-1. u P_e �� ,..cd�r �� ���•�� U To ITS A(=� ,�, M Oct 12 04 03: 38p RDRMS&RUXTON I413J734-8138 p. 2 OCT-04-4t4 MON ns;eo PM ROF SUL1_ZVAI4 T T___._� _4J,.� 368 3A-11 P_R? _ a-C GAWS 200:3 p USESIGN REPORT» File Nam®: BC CALL Proleol..v1 S-angle 16" 9010 9"&SF' Deaortier: Bob St 8911mrd Job Name Spccitner John MOSW Aocrrees. company; any; Boise ty.$late,ZIP'. Cvtio IWi: COdv repotts: MER:i94,;C „' :5.wr i IKp,t 0CSpednA1e' "_."i_�_1._-�.....;.I --.,,.`rv,•�A� .'•—. 1 6ti,9Qtlerd LOad•^O Ps I,ij16 -�,I«..'.ice.-. �-� — L.-_,_�-�...r+�-••-�`^-��`� r :'�A r� �` ��t� 1XIr i.`.�. �11 i+ »..a.. rYpC valuo 005 Dur, GCnwal Data LoadSutrimary . Ref. Start End 1 ta^ 141U74 1D Daacrt{1Mlofl l„ced TyPB 30 Dsf U90 Vecsivrv. US ImOcr,At r n6 Arai felt d0 49 00 24 00 00 Liu® 15 pat IV is, s Sunda d Load U Dead 490 pl; is, vQ!S nor tuber�ypM ;Dist f Cons Lin, Lalt D4-00.00 04 09 00 Derdv' ' ?,20 ptf is' Nl:nlber Ot$p7irl9' " - -tit Cvnfilevor' No tm,tff,t oanU•c.,a,. h'0 C011tr®1S Summery uratlGn Load GaGo Spnn Lr)b 1011 Type value "1eA110Wabla l7 3 , intorntl Olt2 Gpntrr►I T d5,0'3& 115a� SiOpe' 6.188It•tba 100's 0L'9pt•Cing, f6" Moment g ',•t.0!! ncpoti6.ve' Yea Nag.Moment olt-Iba 65.1% 116% 3 End Reselion 1466 the 9Zti°� GuMBSNclli7n iyp<•GlueO 62A% 3 1'Otsl loasi Deth L15i6(0.368''} 1 L vo IVAe' O Span i DOW 19.0 30 p,i LALOsd 09% U710 f0.37-0 65,G'A Oea l,euo, 15 PSI Max Datl. 0.668" Ai�a.�'YtoiCl_ttr�d. COO Now Oesi n A1Cet0 User speoitled,U4g0)Total lead deflect on criteria. Disclosure 9 �o gTplofenese and a,:vUT0q Ot Dazigi VI"User epl+l:'tir'Max mum load!0e"'OeWn i eclatorlc+. r+ r a rf "} !fir inoul mual�f:��nf�ea by s yq Dos+gn manta arb;tCa ono wvui�rely on the output as Minif u+ bearing 43'r for t30 is 3 t�2. antorodlD a Arms j Hotth ler I Span LeMth(a}-C103r SD6n+112 min.CnG bearing+112 lotm®'data h garin� n�ltlerce ut rtsltdbdUy for a Minirrivm b9drin�IAnQth tar Bf is 1•ya' p3rtiCUtflf epplivauon, rhv oueOvt toes Ir Oaleed upon U0 4r'.iaa r 1;•9Caept®d vosign p p 1r pptSE.anAj�5� MC e% r fo�4d wtnudalla 10f t^t cfs r,vsr t e In accordance with the curr®m Instatlal�ot) a-td the appliC013 building OOOCS. "e obtev)en tns N11 0011 3u',de of I` yac hive anY ql+e9tion9,g19a5e v011 bti01£'.d UiC°helora bcginn MS rvduct iilolftifativn, r3C OAL'�,�1:.f RAMtti�,bCi'?, sC Nirh SOAF-Dw,BC OSa RAI %BRARC'"',BC'lSE GLVI.W", 8SA•LAWI,VER3A•111MQ, `JEPSA-t!iM tL�1YY, V�CRS�1gTR�;NU'"", vE.TaSA-ti"Uflb.p.41.J019T�an0 pt9'"'a'a ira0omt,r f.a 01 f3U1J0 CESCrJdn(,'or�,nr>srii:r;. Oct 12 04 03: 38p RDRMS&RUXTON L4131734-8138 p. l mll�mffmglpp Quellty Co�sf�Uc(!Ort ertd SArv/Co Since iDOJ Adams &Buxton CONSTRUCTION COMPANY Wo UNION 5TREEL P. 0. BOX 390 a WEST SPRINGFIELO. MASSACHUSE rTS 01009 TELEPHONE (413) 734-2133 OUR FAX NUMBER (413) 734.8133 FACSIMILIE COVER SHEET TO: FROM,: COMPANY: ',Ae.l�1S7,ilL: � ATTENTION: .7 r . DATE: i 1 V COMMENTS: +JET i (s 1.►.)l�1z,1-" A eS i�..r`i �i G Jet ram.. _. �k:_sTI 5 rim c�•" t; T L� 'otli�fi� C71'`1101.a '1�ev4:" Be ( r4)SS OIL NAf�lc>LT�S, 6 Ally 2 Ass;si'br's'map'and•lot number ..��!� /:Y3 r .. a THE r 5'q �Sewa,ge Permit number ::..................................� .... ......... y �. � �` ST F i rP� gp y p+�q �jp ` w (j^ 19 8.,E16k•bB�A.:�vV�Puf 8.�� �9SHSTADLE, • House •number. ... Cl.....:/!&11 ........ ...... - d '�. .•�` WiTH TITLE '°oho pY:a�� INK: E TAL CODE s TO'W'N OF BA BUILDING INSPECTOR APPLICATION FOR PERMIT TO kr ...J.. N1�R. C>>'1 t7.�,,t�..................... ....... ...... .. TYPE OF CONSTRUCTION �c �QQ..\. . ..... C^La QU ............9' .............:..,9. TO THE INSPECTOR OF BOILDINGS: I The undersigned hereby applies for permit according to-'the following,information: Location ..1 ©1... .1?NISc �Y.. wi .�. < F �L�. ..... ............................... . ProposedUse ��!1 f�r3....�' ((`((��4. .. ..................................................................... .................................. .. f • ......Fire District ........................... d Zoning District ....... `�>.... �.a................... Name of Own -.. ..Address ..1 Name of Builder Z. ...w) ...........Address 1 :1� b max... Nameof Architect ..................................................................Address ..................................................................................... .,.,Number of Rooms ................. .............................................Foundation' ........ ' 1 �1�.....�.C �. QIUX........ Exterior 1., -,�\..r.�...........1�.1��4�>�5.... ..:..........:......Roofing .�.��i���5.�....... .................... r H S Floors _ ^"aS...........................:........................................Interior .... .,.�5,� ............ Heating.F-.1- ... ..... a"1. .. .........................Plumbing ....... ............................... ................................. .Fireplace: ...�:(3..................:................................: .a.,........:.Approximate. Cost ....... ..�=y..�.�.1�. ::............. ...... .... Definitive Plan Approved by Planning Board _____________ __ ___19--------. Area `S` ;l . Diagram of Lot and Building with Dimensions Fee / . .........1- . .. SUBJECT TO ,APPROVAL OF BOARD OF HEALTHC�G��< ' ..fir 4 ' � � • .. � r^:� r._. ,k 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. x: Name. i,... Construction Supervisor's License .............................:...... FIWWGER, ROBERT J. No ..26677... Permit for ...J3.uild..Lwelling.. - .5ing1e..kW1j.ly.:.Dwe11j.ng....................... Location Lot..4,. .2a.Pheasant.Way............... .......... .Centexville...................................... Owner Robert J. Wenger.... ........ 4 Type of Construction yyam+ --. iLy ...,.....' ................................. ............................... Plot ........................ Lot ...... ......... r July 10, �, t Permit Gran,ed Date of Inspection ...................................:9 Date Completed ................/^ ... ii `,,9,r-3' �- r C t(` ,/ ` I• TOWN OF BARNSTABLE Permit No. _.._____ �209 l ��n Building Inspector cash ° OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... 19............ ................................... .........................................................._.......... Building Inspector FROMis.Lahteine BUILDING DEPARTMENT TOWN OF BA RNSTABLE r . Town cl 367 MAIN STREET HYANNIS, MA 026DI Phone: 775-1 vO SUBJECT: FOLD HERE , + DATE March l 1985. MESSAGE -_ - �"'e,wry.rie-«>«•Wr x.m�..ee^h'Jb air<r. _ - Work Ii—s y'y.a y.iFt beers�F 'y cecrlpleted un3er Permit Numbers-26677 & 27209 (Robert IN. Wenger) - .. + Please release FIGNEI . I L-1 DATE - .REPLY N87-RMI RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY . PRINTED IN U.S.A. ` SENDER: SNAP OUT YELLOW COPY.ONLY.SEND WHITE AND PINK COPIES WITH CARBON-INTACT. fi ifs: # C1 ,. • c - �r`.r , A+� `� F S .w d k'. a r � 1 �,,—,-,!,,`1',.�1i,-��.AI,'r I;vr1,-','.I-"-.y,"�-.,._-.,,,"�,I--I-I---�,t..-,r���,_-,,-�,.''I,4'ri-_ w,�,Iti�_"�.",r!,,_tm,.,!.-1.-',.i W!1_)O'��',,-,-;,�,�-:�'�-r,..,_-,.r,�,�-',:'.,,-.�t,!�r.. v,T i R ,s ii. it i ? tr Y^ ,-7 J 9. 1— 3 NGN It I I. ! � ,. T , /���}���y+�yjJ� /��`�-mow" ��///�J/y 4� O a;.:Of'i�Ef tD,C�" �LOC+�TEO /N �EaEiPllk , HAZAAC" '' ,rl ��7V�0�' THE. 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A 5 a !_ ..{ �r s. r: r Y �'"' f 13�" �,?ku#f��k l mw '�h9 ,.3r4�daa C4k ST'3�tA,a e ii -S.I u,. �„�`'' ��7. _. „ ,_ ,.. . . _. .., a.,. _ . 1 ....;- JJk e enl, 1 o1s '/ x 7, ua'" irn IMPORTANT - UPGRAII E REQUIRED STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENT RE DWELLING WHEN _ ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NCTE' A SEPARATE PERMIT IS FOR THE INSTALLATION OF SMOKE DETECTO S-THE ELECTRICAL _ PERMIT DOES NOT SATISFY THIS REQUIREMENT i El• !rff , � ram; � �� k /f' - Q [SMOKE DETECTORS R VIEWED112 C..EFT T LE BUILDING DEPT. DATE FIRE DEPARTMENT pATE 4 o� U v1k� BOTH SIGNATURES ARE REQUIRED R PERMITTING v t not r 770AAS ' - SCALE:! // •//�// APPROVED BY: 4_ / DRAWNer OA:E: REVISED ol, 'h�l.'car1� vti �,1�1CrU:( DRAW ING NUMBER _511 `j^I T)IY4�j �1].% al, 0 "� to N 2{ PgIAREp OM•O.t0001�CUAPVAIM• a • L• III '1 a TC--b CLem. Q [D] FW] ---�. _ pe -- E f. W FJ•c f snr k� v t�JClv�R1 � f•�f'•�/� '�' �y � � u _— --- I �Cj EATM CX{9%tNcn h�IlLital�l- F':c_ Li�'aa �L G►a �nAl��(1(9�l !0©x 13 3 � �+Y r r_Lv t ATDNC%tr i,M�}tL Ifs" �• t5 3'X!D�' ii w IL-j S co f rXf STanlLa I 9 } j/'O" -. SCAE: APPROVED BY: DRAWN BY DATE: REVISED , Sr.�}I�.yiY` � ;�`l���ll /�..,1.�;�;1-I,� j.3�, •"�7�!fie'�/i} !r_i',U �{-�Yi`,:i fir: 1. t DRAWING NUMBER i�� Ll.7Lj;i ;'� t•■3• PRWMD"RO.IO OXARPRIM• - 'l 03 to Le. IIIA 11- - .. .MULLIS ' _ BEDROOM e N. L z � , h! SPACE AS Tl- O �brG.yAjww Q I 10" ton (0�.Ol b 11 1 t SCALE: /. 7/ / k APPRQVED9Y: . . DRAWN BY DATE(� �^1 AEy15ED DRAWIN6'NUM BER�f 14Y24 PRINfEDOMR0.100p11 C1lMOIIDiT� • , u UISIA e a GENERAL NOTES, •LGCAL.BUILDMG CODES SUPERCEDES ANY AND ALL DRAIt11NGS AND SPECIFICATIONS ' h1.0,Fog *DALL DRAUINtBS MUST BE CHECKED BY.THE BUILDER w PRIOR TO CONSTRUCTION AS TO ACCURACY REGUARDING I /} MEASURMENTS SPANS AND.DEMENSIONS DESIGNER I.S NOT RESPONSIBLE OR ACCOUNTABLE FOR t ANY ERRORS'AFTER CONSTRUCTION HAS BEGUN. • ALL GRADES,LEVELS AND STEPS FOR FOUNDATION MUST 82 ESTABLISHED AT THE JOB SITE BY THE BUILDER I f'0 Ad PRIOR TO CONSTRUCTION. 4J,q� Iu • THIS HOME IS FIGURED ON EAST COAST LUMBER SIZE • AND GRADING RULES d I • ALL FOOTING SIZES SHOUIN ARE FOR IDEAL SOIL CONDITIo&o ALL KITCHEN LAYOUTS ARE ESTIMATED,BUILDER TO CHECK �1 - /r'� f7 IO R .ALL DIMENSIONS PRIOR TO ORDERING KITCHEN CABINETS /' ALL FLOOR JOIST RUNNING PARALLEL TP PARTITIONS ARET'O n BE DOISLEb UNDER THOSE PARTITIONS AND AT EACH END 0 6Ah i�Ji � FOUNDATION WALL HEIGHT TO BO ADJUSTED TO FIELD CONOITIONC �- EMS 1"4 6"hg ALL ENGINEERED LUMBER SPECED IS To BE VERIFIED AS BY StAPPLIE R. fgcQl:ii 4 FbUhJ WVF11014 • ! zi t ! - ""(A ,r \.IpISOV/ /i -404 AM"'t1�• JJdt`.lc...vr- _y ular Nj / �7d I U'1.0 I / �� �e,/4;p-o-6, Lu -- - IS4t- F iJ !vdsC/,9 �N��!L)aldtii im„ '%z"Gt�>l �V� SJ1�75 z-ZXJU �}DfZS ri2 �yk1� [./ 2x3 C6 tu�J'; 103 /la yD,f. .I E'tJ1 -ZX4 EXT;�7bA' •J o I of•� ,o ilv"o,G. �� c_vnsr Rloc,E V6A[f '(�� R-bC? - Zx�f �xY� �T1_SGs �2 r v� EQ c-,� �1-T T_4G1 t.NDE LA11. }z-► 3 O, 3 \ X S►LL. ____.'' `�'I r�J'ieJ, � `tom„ �X(n sit) �kyLb LL a, L S� F� %IPUi> ° t�3�1 LVLFLC1�R JSc S card c_� .�, Vh\V 1 "vE ! /._� s '�lJis'3 a✓ I E7 /�"'o,C. JK a t 3!'f° tl.rrt!] -r It L �.. Q VS ,ems �„ C i .I.y ��. �3;/Sr�PP1aFR X/D.oT. TD.1sTS lz cox I ,n G HS �� 76.6' . >" i~�lt�t�� � : r S1G+Ih�cl /7122 - 4r {h�. 1_�CXRfi" o ITS �,�r � f•cJll/V i �!� :� /='` FL!.f'.�tk. �t�rT'U,.� C�. SCALE: APPROVED BY: DRAWN BY DATE: REVISED 1, �- rJ1 I.7f1 � �1`�i";I,I (`r{'�.,J:f�'k� ,�•)t _!F!f1J�3T�:V�1)';: L>rr'��rJt t, DRAWRYD NUMBER J�j.3e� j I Ty,/4 lax.. PRY7lXPMK0.j(lxHCl2MNIIM• THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM /A �- - E DATA N Uj - DETECTORS REVIEWED O s-1 a W4BU1N—G DEPT. DATE U4 _ U N FIRE DEPARTMENT DATE W O BOTH SIGNATURES ARE REQUIRED FOR PERMITTING W V Z W CL r— O _ W co F— II cV m CD — — —� — — 'IT co 10 j.— ® � - - ❑ ❑ UJ id I EXISTING TO REMAIN AS IS CONVERTED GARAGE AREA OF ADDITION TO IST FLOOR{ a:I cv o U O z Z Q co PROPOSED FRONT ELEVATION =3 U ap c0 x _ w Olu4c� O } LipLi z Q O � � OO :a /W��R O - V <C cv N a CIV Q Q W EXISTING CHIMNEY _ - - , z Id TO REMAIN AS 18 - - - - " TYPICAL FRAME ROOF:-225 ASPHALT SHINGLES I/2"GDX ROOFING PLYWOOD 2x12 RIDGEBOARD J` RIDGE VENT - - _ 2x , RAFTERS®16"o.c. RIDGE VENT' _ N 2xwG 11/ OLLAR TIES a 16"o.c. _ /! V (_ ',, V 7x8 CEILG JOISTS 16"o.c. Q. T N 12 VENTED DRIP EDGE s� CLC7 ,ST v U m 00 N Lu 11111 VENTED DRIP EDGE W If I _ Q Q TYPICAL 2x6 SIDING EXTERIOR WALL: 0 vJ 0 Z1111111111111111 [III GEOSAR IMPRESSIONS VINYL SIDING ' 1/2"CDX PLYWOOD SHEATHING 12 i 2x6 STUDS O 24"o.c. 12D uj 0 MATCH SIDING.AND TRIM TO EXISTING AS CLOSE AS POSSIBLE R-40 GATT INSULATION W/BARRIER IN FLOOR OVER GARAGE '/t'- TYPICAL 2.4 SIDING EXTERIOR WALL: ,�/ ,Y ^'� V CEDAR IMPRESSIONS VINYL BIDING 1L iiifff��� 1. 1/2"CDX PLYWOOD SHEATHING —1 IL 7x4 STUDS m 16"o.c. ul RIB BATT INSULATION fill Hill fill Hill fill Hill ]III I it 3/4"T4G SUBFLOOR GLUED AND FASTENED C.mil POLY V.B. OVER 2XIOKD FLOOR JOISTS,IN BACKROUND, 1/2"BLUEBOARD W/SKIMCOAT PLASTER OVER 2X(.PT BILL PLATE OVER SILL SEALER R40 BATT INSULATION W/VAPOR ARRIER - - Z FINISHED GRADE W FINISHED GRADE � (� >r 4"PC SLAB IN FOREGROUND, ' Q cl) PROPOSED RIGHT ELEVATION OVER COMPACTED SAND, - ( _ �1n .�E 4 PITCHED TO GARAGE DOOR Q �✓V� (V _ FIBERMEBH IN THE MIX - R er SrE9' !;K_/ O O O - S"POURED CONCRETE - Z FOUNDATION WALL OVER PC KEYED FOOTINGS Cf �'C. � O CROSS SECTION Z-'-' C �,�'`"OF SOLLI0 Z o`er MICHELE 3 sa j D/QrcD CUDILO m � No.34774 !O OS —Z O)2 STRUCTURAL U z N Z AF � ZNCISO Gr `SrONAL F ` U Z i-- cj U „ Q 0 � � O O E - U NQu.t ,n U (3/r z sue. LJ O 0 Q � N a - Lu V cC14 W _� O w ROOFING/SIDING/TRIM 4 L TO MATCH EXISTING }" AS CLOSE AS POSSIBLE Q } = W C) O r CL _•-» r-»- _ _ _ r � n coLU Q W_ 0 co f� ILL a■ ■ az ENHI oill HII lilt lilt fill IIIH lilt Hli 11 uj ff-- o Ul Hill 1 . 11.11 11.11 � ' > - w r AREA OF ADDITION aE EXISTING - O N o u cn PROPOSED REAR ELEVATION z O r O w U � U Q 73 }- U c� p dj � Q �A w pw4CA � ~ UzNcAO = cA U aX � NcAX O .16 0 0 0 lU ,n U . JUL W O a N O_ V N 14'-0" 14'-0" W 3 R.O. x 4'-836" .�nn TW284Fi-3 l 7 W % LAUNDRY o o IS Z) ,�� Lirl_.. � z a P o z 10 _N x KITCHEN 4 � u.i BEDROOM #1 a a a m �1 PROPO� D FAMILY ROOM Q C.) QQ -' PROPOS GARAGE INSTALL NEW - �$ HWF THR UGHOUT pal s O q -j t N o w � _ �^ v1— END OF NEW 1° :- ' OAK FLOORING `, ' 3, TWZ442 ; /'�I�/�y q,4 u a�� � Q O ON HALL SIDE L) Y 'NC ROOM R.O.R 3 3 R.O.Z-6b x 4-4TA" IO(` [' ° —j d = a 4 1L DEN 4 M. R.O..W4, }-- z 4'-6" 3'-O" l'-O" �'-O 'S' �Z w i' I IC NEW FRONT PORCH 14-O" 14'-0" PiDx4 — ¢ in APPROXIMATELY 4XI2N USING 2X8PT JOISTS WITH 28'-O" O O 5/4X6 LATITUDES DECKING W z 0 z O EXISTING MAIN FLOOR PLAN TO REMAIN AS IS EXISTING GARAGE ALTERATION GARAGE ADDITION to V d � I d 3 m �N OF MAS.& ..;, p N 3 A c� Q ztoz , MICHELE tip\ W Q W Q d►� o CUDILO ��•�; = v � U No.34774 N X z X ` v STRUCTURAL cc Q N (� Y ' K 0 . •p^ a Ll/ 04 LL. U � Lu w ze-o cY z Lu d � R.O.2'-7 'x V-416" - R.O.W-B x 4'-4U" cm TW2032 TW2842-2 ` Lu ' v \.J 0 iii a. T� �` 3sZx r o � � Q If- �-- II CV u I � .►lK'k'. o `z� 4 U ``� U m c� ,4THROOM , ° T� ,w u- � uw 0 TIT, PROPOSED UNFINISO, IED BONUS ROOM y�ri N�LL BEDROOM 03 i o -x Q BEDROOM 2 II lI LL a � j ' �• H v/ DOWN 2x8 CEILING dbISTS ® 16" o.e. NCRE EN ACC ACE ❑ N 2'-0%` �,. 4A fipF � ipF _ I p 7i t El I 101-0" w b' w 4 r- EXISTING 2ND FLOOR PLAN TO REMAIN AS IS PROPOSED AREA OF ADDITION TO 2ND FLOOR 0 p � p 1: p cn }= U jtk OF A44 cy Q MICHELE CUDILO 3 Q m C$ Ou No.34774 u STRUCTURAL F�, u s/t�ttn�E o X z I— I X Q N � J 'T ��3�z pUvoWa) pU LL f ` W Q N CL uj U N uj Q Q , LU 40'-0" I L 14' O�" ' A;alk 2'-6" } ;• -Q-- ....Q.D..e. __•_ _____. .. ---a C_.a..._....____Q•.__...... __._ _.. _.._D.._a.._.........a. D. _Q. ......................................... � ........................... . ..... uj A/ O O CL • o • 1 • _ • 1 1 •... ......................................................................... ..__..__... _. .-_-____ • r _---__---.___. _-____________ • • _.__.______....___ _••--__. -_ 1 t v •.• 1 ; ; Z T VI v PROPOSED GARAGE 1 I _1 Q _T tu — — — — — — — — — — — — — — — — � — — — — — — — — — — — — — _ _ _ _ _ _ _ _ _ _ — — _ _ _ _ _ t t I - 1 ; 1 I r — ; V CA1 • 1 I D I I I 1 , •� , 4 ° ------------------------ --- •------ - ----------- ---- , •v C v �a v a v 1 C 1 I' 1 v•__e_:____:_o a___oa'v......., v C 9 o_. v..___.. v a___o _...........v d ve .c .. , .v a___v .o. D° ;____________________________... _..____.__.._-......... ......._____ _. Lu � - �'-o" a: r a 40' O" 14' O" I Q N 68'-ou O U Q z O uj EXISTING FOUNDATION PROPOSED FOUND OF D `Q Nss4°ti Q U_! Q dJ CUDIL o MICHELE � O �, c cz No.34774 y U Z I-- i STRUCTURAL Q O O O 0 9FG/STEP ��a Q V \lD Lu In•.V - TYPICAL FRAME ROOF: 0225 ASPHALT SHINGLES 1/2" CDX ROOFING PLYWOOD �. 2x12 RIDGEBOARD 2x10 RAFTERS o 16" O.c. RIDGE VENT 2xS COLLAR TIES a 16" o.c. 12 W 2xS CEILG JOISTS 0 16'I. o.c. No R40 BATT INBLL, �� Zu Q (/W' 6 mll POLY v.B. LU Q<'Q z W F- O fx z w a o p T E- N . . lA PROPOSED TYPICAL 2x6 SIDINGS EXTERIOR WALL: W II O UNFINISHED CEDAR IMPRESSIONS VINYL SIDING 6 ATTIC ABOVE 1/2" COX PLYWOOD SHEATHINGS z r 12 NO ACCESS TO I 2x6 STUDS G 24" O.C. J MAIN 2ND FLOOR U Q 12 FROM NEW ATTIC - o cn o 1 2-2XI0 TRIMMERS AND IN BATT INSULATION W/BAR 2-2XI0 HEADERS FOR F OOR OVER GARAGE ATTIC STAIR OPENING n - - /�rl IM 1111 .1� L z Ul IRE RATED SHEETROGK ON CEILING SAMC TAIR. AND WALLS OF THE NEW GARAGE OWED ON TYPICAL 2x4 SIDING EXTERIOR WALL: n' n GARAGE SIDEll-- CEDAR IMPRESSIONS VINYL SIDING PROPOSED FAMILY ROOM BEYOND 1/2" CDX PLYWOOD SHEATHING .2x4 STUDS ® 16" o.c. R13 GATT INSULATION 3/4 TdG SUBFLOOR GLUED.AND FASTENED 6 mill POLY V.B. 1/2" FIRE RATED OVER 2XIOKD FLOOR JOISTS, IN BACKROUND, BLUEBOARD W/SKIMCOAT PLASTER OVER 2X6PT SILL PLATE OVER SILL SEALER` R40 BATT INSULATION W/VAPOR ARRIER z r a 0- � PROPOSED I CAR GARAGE IN FOREGROUND 64 FINISHED GRADE o U 64 411 PG SLAB IN FOREGROUND> z Z 4 �- OVER COMPACTED SAND, - 0 O PITCHED TO GARAGE DOOR Q W FIBERMESH IN THE MIX _j 3 } V � cn cn Q ((L� ;.8" POURED CONCRETE - - `_ W O Lu � co FOUNDATION WALL OVER PC KEYED FOOTINGS X Z ~ CIS U Q Q CROSS SECTION U '0 w ,t� U r , y PLAN REFERENCES: ASSESSORS MAP 208, PARCEL 139 Mq/N s7 Q PLAN BOOK 195, PAGE 1 LOW S o PLAN BOOK 236, PAGE 73 PLAN BOOK 236, PAGE 75 S� F PLAN BOOK 122, PAGE 97 P� q`S9� a A � wit o 9 z AssEss. MAP 208 y CENTERVILLE, MA 4 CID PARCEL 138 KEY IV/AP NO SCALE w 5 w A 2 w 01. •-o � � W ASSESS. MAP 208 i PARCEL 69 I HEREBY CERTIFY THAT THE EXISTING q DWELLING SHOWN HEREON IS LOCATED AS IT W EXISTS ON THE GROUND. W Cl-4 DATE -, lk /c- W a EXISTING SEPTIC N OF S C r�ti W SYS?LM LOCATION P.LS q C7 DEMAR T,JP, y . 36 xp, , ! 'cEss% LOT 4 AREA = 11,1170 t S.F. z PLAN BOOK 195 PAGE 1 �.., ASSESS. MAP 208 ASSESS. MAP 208 PCL 139 ti PARCEL 141 6�p'L .D S v ASSESS. MAP 208 c , N PARCEL 140 o P- 20 10 0 20 60 Now- [ � A ro W O ft. 1 inch 20 c N o k rz � o j a PLAN REFERENCES: �` o M,4I Q` ASSESSORS MAP 208, PARCEL 139 N Sr PLAN BOOK 195, PAGE 1 LOCUS z PLAN BOOK 236, PAGE 73 { PLAN BOOK 236, PAGE 75 C:> ti F W PLAN BOOK 122, PAGE 97 A cb o 9 ` V z . MAP 208 �/ AA CENTER VILLE, MA ASSESSCID q PARCEL 138 /!I E 1 MAP NO SCALE 0 _ Q 01. 0 � o � ASSESS. MAP 208 PARCEL 69 I HEREBY CERTIFY THAT THE EXISTING q l DWELLING SHOWN, HEREON IS LOCATED :AS IT W EXISTS- ON THE GROUND. W y s i f DATE -t�••► �oq � W EXIs-nNG SEPTIC �yti E--I W SYSZha LOCATION ,IOHN Q l EMARE : y i / �o No. 36859 sk,, ���s, LOT-4 NQ su; ;��® C7 3 AREA = 11,1170 f, S.F. Q; z "Nb�, nssEss. MAP 2os ® PLAN. BOOK 195 `PAGE 1 o PARCEL 141 ASSESS: MAP 208 PCL 139 6�p0�o0 w coo ASSESS: MAP 208 —�, PARCEL 140 - N N PLAN Q 20 10 0 20 60 o F--i x • � w O,. � 0 .a ,� 1 inch = 20 eft, N