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0003 WASHINGTON BURSLEY WAY
�,,. 4. Gt,S��� �-�n�c�t-s��c,� I,t�c J �� m ffi "� � a 0 �` e � � o - •� { - 9 o - � .. - u o :. � R �.. � � � � p - _ � -. .. ,. � �� _ � - I - v O .. � .. _. ' � '1 C .. - � o, .,. � � ., ..�. .. it n � .. .. ,�, n „ . :. .. _ ,. o w,o o -. _ - o .. � COW.RIDGE VEM tt NEW ASPHALT S1ONGtEB ro nurcH ExlsnNa- ' . - - NEW FASCU 6FRIEtE BOARDSTONUTCHEpBr. ANDRou EN q NARPOl Co GLIDIND 000a - TGP DFPUIE . .. NLGD606SL _ VyELU% I •. - TOO MALTCH ma. 5B 303 MI - NEW W.L.6HINOlE SIDING W - i NEW TO MATLH E%IBTNG K n SUNROOM . (VAULTEDLEILING) _ - . 4 .. I TOP OF WUN0. LEFT SIDE ELEVATION EXISTING w HOUSE NOTES: - - 1.)CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS 4._ ANDERBEN - - &DIMENSIONS IN THE FIELD - s �� • 2.)CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, _ 3 - - - DETAILS,&FINISHES IN THE FIELD WITH OWNER - - 3.)ROUGH OPENING HEAD HEIGHT OF WINDOWS AT - EXPANDED _ FIRST FLOOR TO BE U-8"ABOVE SUBFLOOR GARAGE .- - - 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS - (r coac.sys F STATE BUILDING CODE,SEVENTH EDITION r PlrcHx ro o.rt oaoaj - 5.) 110 MPH EXPOSURE B WIND ZONE,1.50 ASPECT RATIO - .. 6.).ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY - - _ 7.) THE NAILING SCHEDULE ON SHEET A4 TO BE FOLLOWED WITH NO EXCEPTIONS. BJ SEE CERTIFIED PLOT PLAN DEVELOPED BY HOOD SURVEY GROUP FOR ALL - • Exlsr. ' , DETAILS ON THE EXISTING PROPERTY ---- --------------' I 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL NEW L- ----------� COVERED i 4 - SIMPSON COMPONENTS - a I R tr r, I 10.)ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS 8 SLABS - PORCH _ TO BE 3000 PSI - - ! rn._____—____ __—_- 11.)THIS ADDITION DOES NOT MEET ALL OF THE REQUIREMENTS OF THE WFCM 110 MPH EXPOSURE B GUIDE.THEREFORE,ADDITIONAL STRAPS,HOLDOWNS,ETC.ARE SHOWN , A BO•v T0'ON.DOORWIIRNlSOM B4 a Tl'O.H.DOOR rtaa+sOM' p ON THIS PLAN A A D N�P.z lO.CABIHG A4 A taro C-.—E r .. .., B - A - - • (ApOITIOM - . FIRST FLOOR PLAN LEGEND: Q EXISTING WALLS ©SMOKE DETECTOR J CONSTRUCTION TO BE REMOVED (D CARBON MONOXIDE DETECTOR ® NEW CONSTRUCTION ®HEAT DETECTOR SCALE: DRAWING NO.: C� c6TUIT BAY DESIGN,LLc NEW ADDITION/REMODELING FOR: va"_ V-o"MAS PEE MAR02649 BAROSSI RESIDENCE . DATE: (� 1 PH.(508)274-1166 9/17/2009 1 A FAX(508)539-9402 3 W ASH INGTON BURSLEY WAY CENTTERV ILLS, MA - RIGHT-SIDE ELEVATION EAST.�--- .. .NEW CORNER BOMDS _ . F TO MATCH EXIST. i < NEW 6101N0 TO - F MATCH EXISTING - - TOP.OF FOUND. NEW ASPHALT SHINGLES - • - 12 TO MATCH F1J6BH0 MATCH - �IMATCN - I NEW RPI(EtTRiM BOAROS TO MATCH EXIST. NEW F/SCIA t F—E BOARos T➢MATCH mw T P OF PIAIE o 000a oaoa 0 oaoo 0000 TOP OFFWNO. FRONT ELEVATION VERIFTMFR..STTIE DO GR NWPT 6xBPO6T6 W; wA11 OETAll6 FOR O.M.pDOR ]/,x BGA.E t- OWNERS 1xBCM.t eA6E •• TOP OF PLAT REAR ELEVATION FIRBU 0.00 jOR SCALE: DRAWING NO.' EaF<WCOTUIT BAY DESIGWLLC NEW ADDITION/REMODELING FOR: 1 1/4°= 11-0° 43 BREWSTER ROAD MASHPEE,MA. 02649 BAROSSI RESIDENCE DATE: PH.(508)274-1166 9/l7/2009 A2 FAX(508)539-9402 3 WASHINGTON BURSLAY WAY CENTTERVILLE, MA ^/ IS INSTALL SIB'ANCHOR BOLTS AT M'P.c.NN S W 61NPSON BPS 5I6]BEARINO PLATE6 (AOWnOro d 1 S CORNEPAHD TO PB�MINIMUM EACH .. DEPTH _ ]8 4S B x I O - P.T.2.6SILLWISF LER EXISTING ANCHOR BOLT DETAIL BASEMENT B's „'a ANCHOR BOLT DETAIL 4 IADDnroM SCALE:1/2"=i'-0" G m P.T.21 IO LEDGER SDARD LAG BOLTED TO SOLID BLOCKINGWI�2)IFDGE LDKBOLTS IS a.c.WI JOIST6 MM aER6AT BOTH EN05 CI I f NEW SUBFLDOR TO MATCH ,^ EIBSTNG SUSFLODR I EXPANDED I L------- a GARAGE — IurmEBnNCOEev6Jro o A-L EXISTING I j BASEMENT a 4E INSTALLSIB'ANCHOR BOLTEAT" ,MA% WI SIMPSON BP8563�EMINO PlATE6 - SO �MAR110— SIWSONNMSTH01{STRAP ON BOTH SIDES 4 I I - • /_11ILLS pIN NEW f-0UNDATON OFTIEOSR ID14 TR S NBOTRSPER S I EXPANDEDTOPE6BOTTOM TON WALL x FORM TT-IDJB APAWOODPORTAL I I- - GARAGE - WALLFRAMING " ' A 4 • --------- ----- — I I CONC&UBHOOBFELOW SOD�BLOLpNOWB((P W�ERILOKmLTTO6 • •• F ' I Soc WIJOISTSHANGERSATLOTK ENDS. A APRON q ------------------------- I I I I .. .. S B - I NEW ALL '• 1 q _ I FOUND.D.WALL L_- -___ _-_____J DO—ISLAS PE2T ADS DOOR) Nm P.T.2.1l R._ J CONC.FOOTINGS TO OPT DO TOP ORSOF FOUND. AAT ' &Pj 2. . . — ---------- ------ --- — q IYP.2B'DIA'BIGFOOT FODYBKi ANCHOR BOLT PLAN D�o A PDREN:VUWF-EP°FAOSFNGum APR N q SIMPSON ABUSE POST BASE IT DW CONCRETE . q - SONOTUIES TO{7B ESBA POSTSASE FOUNDATION PLAN b'd 2Odz ` lAornnDM (ADDITION) COTUIT BAY DESIGN,LLC NEW ADDITION/REMODELING FOR: SALE: °BA"`"°"°.: 43 BREWSTER ROAD 1/4"= MASHPEE,MA. 02649 BAROSSI'RESIDENCE DATE: IA3 6)P74-FAX( 3 WASHINGTON BURSLAY WAY CENTTERVILLE, MA FAX 506)539-94-9402 2/4/2009 NEW ROOF CONST. n 12 1.2.10 RAGTER.0 IT oc. FONT.RIDGE VEM - - EXISTF 2.SIB'LOX PLYWOOD SHEATHING PAD OUT EXISTING RAFTERS Z 0.ASPHALT ROOF SKNGLE611 - - TO FIT TSATT.INSUTATION(R.o0) 4.15 f FELT PAPER 2x61®1S'ec 5.2.12 RIDGE BOARD USE 61.NAILS IL NEW 2x BL®1B'O.c. ].91MPISON L6MPSONTA246TRAP ATF 2S HURRICANE LM RIO�GFIRAFTER AT EACH END CONNECTION,OVER RIDGE ATTIC, NEW WALL'CONST. 12 MATCH 2r46NDS®16'o.c - EXIST. I -1?PLYNY-DWEATNING -MATCH EXIST.SIDING _� -- -TYVEK NUSE— TOPOF PLATE • NEW 2x12.®16'o.e. OP OF RATE 2vB. 16'oc. N BEAM i>AT.LVL EW 2z0 WALL WI G1 Yd'r 11]B'WL 1?GYP.BO.l 6 FONT.ALUMINUM BEAM BEAM 510•FIRECODE OYP.BD. SOFFIT VEMs S�FIRECODE GYP.BD. - GATT IN6UL(R•191 Tpp OVT fJ(IST.iv'WALLS o c IN J STRAPRNG D IS' ' N 1 x J STRAPRNG®16• 4 O FIT(IR 9)BATT IN—ON ,. GMAOE ' o.c.IN GARAGE � uFi ¢F¢n P T.2 z f0 LEDGER BOARD LAG BOLTED TO Iy EXPANDED NEW SOLIDBLDDKINGW/(2)1,DGERLDKBDLT6 i EXPANDED i SUNROOM I6•o.c.WNoISTSNANGERSATBDHEN05 O GARAGE GARAGE P.T.2xB.®1S-e<. fIRST FLOOR (1"CONC.SLAB - _ 6UBFLOOR - SLOPE T TOWARDS N"CONC.GAS EXIST.CDNC.SLAB NEW P.T.2.1.®i6'a.c. - DOOR) TOP OF FOUND. - P.T.2 x 651LL SLOPE 2'TOWARDS 2-P.T.21 10• OODfl) - NEW( OF R•10 NEW ANCHOR BOLTS, NEWB'CONC. ., . _ (SEE P—) FOUND.WALL9 RIGID INSUTATLON • 4 ' 4F 4 NEW 16 v IY . NEW B CONC.BLOCK WALL ' - UNDER NEW WAl1 SECTION @ GARAGE o„8—p GEES SECTION NEW GARAGE USE SMP60N— A @ A4 - POST BASE A4 - NAILING SCHEDULE FASTEN NEw RI1FlER5 w BOLT RAFTER LEDGER TO 110 MPH EXPOSURE B WIND ZONE - LW/LEOGERLOKSG4EW6 TO EXST Roof STRUCTURE a USE SIMPSON LSSM10 SLOPED JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING W/61MPSOH/JI t2zBON FUT. HANGER - 2.B RAFTERS®IB-e.c..USE ROOF FRAMING: SIMPSON HLG210R RI—E BLOCKING TO RAF 1 R(TOE NAILED) 2-W 2-'w10d EACH END - 12 CLIPS TO FASTEN RAFTERS. 2-16 d 316d EACH END 4. To MULTI LVL BEAM RIM BOARD TO RAFTER(END NAILED) WPI.L FRAMING: iv B.®1--1 TO - TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d • 5-16d. AT JOINTS RAFTER—(E)ID—S - STUD TO STUD(FACE NAILED) 2-16d 2-16d 24".C. i 1 Y4-r T"I LVL BEAM HEADER TO HEADER(FACE NAILED) 16d Uki 16'o.c.ALONG EDGES FASTEN POSTS TO BEAM WI SIMPSON PC60 6 EPC GS POST CAPS FLOOR FRAMING: JOISTTOSILL TOP PLATE OR GIRDER ROE NAILED) Odd d-1. PER JOIST " GENNG.BARD - BLOCKING TO MISTS(TOE NAILED) 2dd 2-1IM EACH END BLOCKING TO SILL OR TOP PLATE(TOE NAKED) 3-16d 44-1fid Z EACH JOIST EACH BLOCK 6x6PO5TSWl - - .LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-16d _ I.NI.B CASING JOIST ON LEDGER TO BEAM(TOE NAILED) G-Bd 3-1Im PER JOIST WI IZBBA5E6CAP - _ BAND JOIST TO JOIST(END NAILED) 1Iw - .1. PER MIS T VERIFY DEWING MATERIAL EAND JOIST TO SILL OR TOP PLATE(TOE NAILEDD 2.16 d PER FOOT W/OWNERS - ' ROOF SHEATHING: —FASTEN PosT$TO GIRT W/sIMP60NSTRUCTURAL PANELS(PLYWOOD)- ABUS6POSTSASE RAFTERS OR TRUSSES SPACED UP T016'O.c Bd tDd 6"EDGEM'FIEL➢ RAFTERS OR TRUSSES SPACED OVER 1C o.c. Sd IOd 4"EDGEM•FIELD LD GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG Bd - IGO 6"EDGEZ'FIELD • 1 P.T.3v 1z. GABLE ENO WALL RAKE OR RAKE TRUSS ed 10d 6"EDGE/6'FIELD. x e.c WI STRUCTURAL OLTTLOOKER6 10d 1"EDGE/4"FIELD IY f- - GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS ed P.T.2 BL®16' - CEILING SHEATHING: T'EDGEl10'FIEID TYP.2B'DIA'—FOOT'FaOTNO - _ GYPSUM WALLBOARD SO COOLERS — UNDER I2 DIA SONOTUMS AT PORCH VT DEEP,USE SIMPSON - - WALL SHEATHING ABU66POSTBSE WOOD STRUCTURAL PANELS(PLYWOOD) - _ - - STUDS SPACED UP TO 24"o.c Bd 1 W 6"EDGE/17 FIED P.T.2 x 1O LEDGER BOARD LAO BOLTED TO 12"6 25/J2'FIBERBOARD PANELS 5d COOLERS T'EDGE IW IEW FIE 60UD BLOCKING WI(2)LEDGERLOK BOLTS VZ'GYPSUM WALLBOARD — T'EOGE/10'FIELD S'..WI JOIST6LW4GERS AT BOTH ENDS. _ ' - FLOOR SHEATHING: �+ BUILDING SECTION @.PORCH - WOOD STRUCTURAL PANELS(PLYWOOD) ,(b 6'EDGE12'FIELD 1"ORLESSTHICKNESS 10d 16d. B'EDGE/E FIELD GREATER THAN 1"THICKNESS A4 SCALE: DRAWINGNO.: F <W COTU►T BAY DESicrr.LLC NEW ADDITION/REMODELING FOR: 1/4•= F-0" A 43 BREWSTER ROAD /\ 4 MASHPEE,MA. 02649 BAROSSI RESIDENCE °ATE: 1/--�1 FAX( 08)53-94 3 WASHINGTON BURSLAY WAY CENTTERVILLE, MA � sn�iioos FAX(508)539-9402 . (ADDITION) (EXISTNG) B A - - NEW]-13If a T 1N'LK NEADEP 0 6 EXISTING ROOF STRUCTURE TO REMAIN IN PUCE ' _2a 12 RIDGE BOARD _ EXISTING RIDGE BOMD'_———___———— - - FASTEN NEW RAFTERS TD EXIST.ROOF STRUCIURE F EW 2z.,=IPISQ11 o.0 W/SIMPSON 162x BON FIAT 4 - I? TO BE BUILT OVER FYJS A3 TNG ROOF STRUCTURE NEW}1 G4'z 11)B'LK REM 4 A NEW3t 1X'x ii]Z LK BEPJd _ NEWS1.8If x)1/f LK BEPM— — — SOUD2zBBLOCKINGINTHE ------- ---- .TWO RAFIERSCEILINO JOIST I—S 0AY5 SIMPSON LSTA216TRAP ON BOT161DE5 A C N 1"lOWSPACEFOR ROOF - FLOW ON THE UNDERSIDE OF ROOF OF THE GAMOE DOOR S CORNERS PER A SHMTpNO _ - 'FORMTi-1W0APAWOOD PORTAL ONSTAUCT GAPAGE ENO WALLS - - WALL FRAMING B _ USING THE APAW000 PORTrLL WALL TEACH POST TO BFAM NBSIMPSON A FRAMING FOR ENGINEERED POST— - 'WI HOW DOWNS PER FORM NO.TT-10DB (SEE ENCLOSED DETAIL SHEET) 2.S RAFTERS®16'—..USE SIMP60N 1-11-HURRI-HE UPS TO FASTEN RAFTERS . TO MULT LK BEAM ' (AoomON) IADDITOp ROOF FRAMING PLAN - NOTES: 1.)ALL ROOF RAFTERS TO BE 2 x 12's UNLESS OTHERWISE NOTED - 2.)USE(2)SIMPSON H2.5 HURRICANE CLIPS AT ALL RAFTERS ENDS - 1 3.)VERIFY GUTTER TYPEMYOUT _ W/OWNERS SCALE: DRAWING NO.: F-KIN COTUIT BAY DESIGN LLQ NEW ADDITION/REMODELING FOR: 1/4"=r-0• 43 BREWSTER ROAD MASHPEE,MA. 02649 BAROSSI RESIDENCE DATE, �. PH.(508)274-1166 9/17/2009 FAX(508)539-9402 3 WASHINGTON BURSLAY WAY CENTTERVILLE, MA l i to W r r'r-t I vo°loAr,51o►J / _ _W_..71 S4 i`Ezvt LLB �t �t ��'"� �i-''� 1�' -:�i J ill rT2., rF.i�. �(•�, _r`e _ �. _ ...� }., �...° _ P� 7/24 N37052'5 I"W j� 49.75' 1 20,427±5F 10, 3 , N N F U _ lf) _ N o W PATIO \ t . No. 3 11 STY. �S WD. FRM. N o N� N Cp 14.5' / �g EX15TING FOUNDATION f `u N (27AUG09) > Q '05'Z S = c' \ EDGE UTILITIES \Ab 2� WASH I NGI NGTON BURS LEY WAY I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, AND IN MY PROFESSIONAL OPINION, THE FOUNDATION 15 LOCATED ON THE GROUND A5 SHOWN HEREON, AND ITS LOCATION 15 IN CONFORMANCE WITH THE HORIZONTAL SETBACK REQUIREMENTS OF THE TOWN OF BARN5TABLE ZONING BY-LAW._ FOUNDATION CERTIFICATION JOB No.: 08251 N DATE: 27AUG09 CENTERVI LLE, MASSACH U5ETT5 SCALE: ' " = 30' PREPARED FOR THOMA5 BAR0551 r.j. hood * son, Inc. land surveyors - en6jineer5 18 route GA, 5andwich, ma 025G3 Ph: (508) 888-1090 Fax: (508) 833-82 12 TOWN OF BARNSTABLE 20 SEP 18 kN If: 23 OIVI IO TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0`� Application �� Health Division , -7 C - &'0 0 Date Issued (6 Z8 Conservation Division Application Fee Planning"Dept. . Permit Fee Date Definitive Plan Approved by Planning Board DY- 1010�1 Historic - OKH Preservation / Hyannis 1 Project Street Address .3 uris h 130,x eV 0 ct Village 3 e✓�3 ,7S cat IJ►✓f s 0 IV Owner V C77�, C r-©S -S Address C en-f moo- Ile rho Telephone fo S:'' g ' 7 Yo Permit Requ ? J% -7 t© .0 So I ro v ram' P Qt 0 .S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) e ` 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: 3 existing a 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# '` 1 Current Use Proposed Use APPLICANT INFORMATION w T (BUILDER OR HOMEOWNER) C.jl- � Name / e��r. �� J 45 4 i b Telephone Number 5 o 7- 3 3 5- F 3.Q S Address 12 _ s n d VeY License# C S ?1u 7 /7 S IV, f 0A 0,20 Y Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Cf/'A b LJ ,r11. SIGNATURE DATE piss`+• " y FOR OFFICIAL USE ONLY �-- APPLICATION# DATEISSUED ` MAP/PARCELS NO. ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: FOUNDATION FRAME o 2.> ,0 INSULATION261a�.1� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING D 0 2- DATE CLOSED OUT ASSOCIATION PLAN NO. - - Forte JOB,.SUMMARY REPORT Wolasek-Barossi.4te software ��e.,,. "�' .�.�"6 x .�:, •arr�"F3F+a '':�.��'.. a:r*r. 9+t.'° 'K- „�".. .,r Matthew Gustin Bill Wolasek Mid'Cape Home Centers Barossi Residence mgustin@mideape.net 3 Washington Bursley Way (508) 398-6071 x 4987 Centerville, Ma, O1 AttC ar gp'jae � m :rr %fi� R� ., ifa +� "7t ak�"gsN 5 c- at. t-;ter».is z - ' 7.�a �}rx.., r . �,�_ 1T� zw_3 s:n4 fx •.. s= 3� 'b" e a a.,. s: Member Name; Res"ults Current Solution Errors Attic: Drop Beam Pass 4 Piece(s) 1 3/4"x 18 1.9E Microllam®.LVL Wall:Garage Door Header Pass 3 Piece(s) 1 3/4"x 11'7/8"'1.9E Microllam®'LVL Porch: Lintel Pass 3 Piece(s) 1 3/4"x 7 1/4" 1.9E MicrollamO LVL. 10/26/2009 9:01:43 AM Wolasek-Barossi.4te iLevel@ ForteTm 0.0 Design Engine Version V4.8.0.1 Page 1 of 1 ■ Attic,Attic"Drop Beam � erhaeuse• 4 PIECE(S) 1 3/4".x 18" 1.9E Miadam@ LVL PASSED " b/Wey - -All Dimensions are Horizontal-Drawing is Conceptual " Overall Length:23' - + 0 0 '. #'+ -� c �^� .k4'h cr `3cy �"- k � 'y<• y ..,.� --�,�g�p�,.�x �Y ,+�':�� __ . 23 . 0 Member Type:Drop Beam Building Use:Residential Building Code:IBC Design Methodology:ASD System:Floor Design Results Actual @ Location Allowed Result LDF Member-Reaction(Ibs) 11325 @ 2" 15925. Passed(71%) Shear(Ibs) 9561 @ 1'9112" 27531 Passed(35%) 115% Moment(Ft-Ibs) 63246 @ 11'6" 89132 Passed(71%) 115% Live Load Defl.(in) 0.603 @ 11'6" 0.756 Passed(L/451) Total Load Defl.(in) 0.966 @ IT 6" 1.133 Passed(U282) • Deflection criteria:LL(U360)and TL(U240). • Design results assume a fully braced condition where all compression edges(top and bottom)are,properly braced to provide lateral stability. • Bracing(Lu):All compression edges(top and bottom)must be braced at 9'9 9/16"old unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability: _ Supports` Total Available Required Support Reactions Ibs Accessories Bearing Bearing . Bearing Dead/Floor/Roof/Snow 1-Column-Spruce Pine Fir 3.50 3.50" 2.49" 425312588/014485 None' 2-Column-Spruce Pine Fir 3.50" 3.50" 2.49" 4253 2588 0 4485 None Loads Location Tributary Width Dead Floor Live Roof Live Snow Comments (0901 U (non show:1.25) U 1-Uniform(PSF) 0 to 23' 13' 20'.0 0.0" 0.0 30.0 Roof _ 2-Uniform(PSF) 0 to 23' 7'6" 10.0 30.0 0.0 0.0 Attic Operator Information Job Notes Member Notes Matthew Gustin Bill Wolasek 3-ply 11-7/8"LVL as show_n on plan is insufficient. Mid Cape Home Centers Barossi Residence (508)398-6071 x 4987 3 Washington Bursley Way mgustin@midcape.net Centerville,Ma: Notes • IMPORTANT! The analysis presented is output from software developed by'iLevel@..So Jong as the user keeps the software properly maintained and updated,iLevel@ warrants the. sizing of its products by this software will be accomplished in accordance with iLevel@)product design criteria and ICC and CCMC code approved design values. The specific product application,input design loads,and stated dimensions have been provided by the software user.Use of this software will in no way be construed as replacement of any need for qualified professional expertise in the design and/or review of any particular structure or structural component thereof. • THIS ANALYSIS FOR iLEVEL@ PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. . • Refer to current iLevel@ application guides and literature on how to install this product and its accessories. 10/26/2009 9:01:43 AM Level®ForteTm v1:0 Design Engine-Version:V4.8.0.1 Page 1 of 1 ■ Attic,Wall:Garage Door Header 3 PIECE(S)-13/4" x 11 718" 1.9E Microllam® LVL PASSED by Weyerhaeuser All Dimensions are Horizontal-Drawing is Conceptual Overall Length:23' 0 0 e ,x . - -.„ ——, a 23 Member Type:Header on Trimmer Building Use:Residential Building Code:IBC Design Methodology:ASD System:Wall Design Results Actual -Location Allowed Result LDF Member Reaction(Ibs) 2268 @ 1 112 10238 Passed(22%) Shear(Ibs) 2024 @ 1'2 718" 13622 Passed(15%) '115% Moment(Ft-Ibs) 12759 @-1 V 6" 30788 Passed(41%) 115% Live Load Defl.(in) 0.401 @ 11'6" 0.758 Passed(U681) -- Total Load Defl.-(in) 0.879 @ 11'6". 1.138 Passed(U311) • Deflection criteria:LL(U360)and TL(U240). • Design results assume fully braced condition where all compression edges(top and bottom)ate piropedy braced to provide lateral stability. • Bracing(Lu):All compression edges(top and bottom)must be braced at 22'7,718 olc unless detailed otherwise;Proper attachment and positioning of lateral bracing is required to achieve member stability. Supports Total Available Required Su000rt Reactions(lbs) Accessories Bearing Bearin Bearing DeadlFloorlRooflSnow. 1-Trimmer-Spruce Pine Fir 3.00' 3.00" 1.50" 1233.101011035 None 2-Trimmer-Spruce Pine Fir 3.00" 3.0 0" 1.50" 123310I011035 None Loads Location Tributary Width Dead Floor Live Roof Live Snow Comments U 1.00 (non snow:1.25)' (1 15) 1-Uniform(PLF) 0 to 23' NIA 90.0 0.0 0.0 90.0 Gable Load Operator Information Job Notes MemberNotes Matthew Gustin B!II Wolasek Mid Cape Home Centers Barossi Residence (508)398-6071 x 4987 3 Washington Bursley Way mgustin@midcape.net Centerville,Ma. Notes • IMPORTANT! The analysis presented is output from software developed by iLevel@:So long as the user keeps the software:properly maintained and updated,iLevel@ warrants the sizing of its products by this software will be accomplished in accordance with iLevel@ product design criteria and[CC and CCMC code approved design values. The specific product application,input design loads,and stated dimensions have been provided by the software user.Use of this software will in no way be construed as replacement of any need for qualified professional expertise in the design andlor review of any particular structure or structural component thereof. • THIS ANALYSIS FOR iLEVEL@PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. • Refer to current iLevel@ application guides and literature on how-to install this product and its accessories. 10/26/2009 9:01:43 AM Level@ Forte TM v1.0 Design Engine Version:V4.8.0.1 Page 1 of 1 ■ Attic,Porch:Lintel y �tiYve r<"="'' 3 PIECE(S) 1�314" x 71/4" 1.9E Miadam@ LARASSED All Dimensions are Horizontal-Drawing is Conceptual Overall Length:19'11" " V. • ..Y.? ` a .,f •k.,{ T' . "4'.. y'- �' �w Y � ' 13' 6'11" Member Type:Drop Beam Building Use:Residential Building Code:IBC Design Methodology:ASO System:Floor Design Results Actual @ Location Allowed Result LDF Member Reaction(Ibs) 5570 @ 13' 28547 Passed(20%) Shear(Ibs) 2811 @12'1 1/8" 9040 Passed(31%) 125% Moment(Ft-Ibs) 6329 @ 13' 13340 Passed(47%) 125% Live Load Defl.(in) 0.284 @ 6'2 518" 0.417 Passed(L1528) Total Load Defl.(in) 0.461 @ 6'2114" 0.626 Passed(1-1326) • Deflection criteria:LL(L1360)and TL(L1240). : .Design results assume a fully braced condition where all compression edges(top and bottom)are properly braced to provide lateral stability. Bracing(Lu):All compression edges(top and bottom)must be braced at 19'11"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Supports Total : Available, Required Support'Reactions(lbs) Accessories Bearing Bearing: Bearino Dead/Floor/Roof/Snow 1-Column Doug Fir 7.25" 7.25" 1.50" 9491(4561-11)1100210 None 2-Column-Doug Fir 7.25" 7.25" 1.50" 2206110351232910 . None 3-Column-Doug Fir 7.25" 7.25" 1.50" 2411(2741-161)125510 None Loads Location Tributary Width Dead Floor Live Roof Live Snow Comments (non snow: , 1l 15) 1-Uniform(PSF) 0 to 19,11" 6' 20.0 0.0 30.0. 0.0 Roof 2-Uniform(PSF) 0 to 19'11" 4' 10.0 20.0 0.0 0.0 Ceiling Operator Information Job Notes Member Notes Matthew Gustin Bill Wolasek Mid Cape Home Centers Barossi Residence (508)398-6071 x 4987 3 Washington Bursley Way mgustin@midcape.net Centerville,Ma.. Notes . • IMPORTANT! The analysis,presented is output from software developed by iLevel@. So long as the user keeps the software properly maintained and updated,iLevel@ warrants the sizing of its products by this software will be accomplished in accordance with iLevel@product designcriteria and ICC and CCMC code approved design Values. The specific product application,input design loads,and stated dimensions have been provided by the software user:Use of this software will in way be construed as replacement of any need for qualified professional expertise in the design and/or review of any particular structure;or structural component thereof.. • THIS ANALYSIS FOR iLEVEL@ PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. • Refer to current iLevel@ application guides and literature on how to install this product and its accessories. 10/26/2009 9:01:43 AM Level@ Forte TM v1.0 Design Engine Version:V4.8.0.1 Page 1 of 1 Cotuit Bay Design 5085399402 P. 3 AWC Guide to Wood Construction in High VindAreas:110 mph Wind Zone Massachusetts Checklist for Compliance(7s0 CMR 5301.2.1.1)' LoadbeaOng Wall Connections Lateral(no.of 16d common nails)................................(rabies 7)..................................................... •/' Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wag Openings(record largest opening but check all openings for compliance to Table 9) Header Spans .......................................................(Table 9)............................... 9 ft tD in.s 11' y- Sill Plate Spans .......................................................(fable 9)..................................-T ft�in.s 11, v .Full Heigh Studs(no.of studs)....................................(Table 9).......................................................—3- Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans............................................................(fable 9).................................A ft Cn, in.s 12, e� Sig Plate Spans. ........................................................(fable 9).................................a ft Z3 in.s 12" Full Height Studs(no.of studs)... (Table 9)................................._..................... Exterior Wall Sheathing to Resist Uplift and Shear Simukaneousv Minimum Building Dimension,W Nominal Height of Tallest Opening2 .......... .................................................................l.�t�s 6 8• gg ¢� Sheathing Type.............................................(note 4). _Cp _1C• �? 9(!d`(''7t/� Edge Nall Spacing.......................................(Table 10 or note 4 if less)...................... 3 in. er Field Nail Spacing..........................................(Table 10)............................................. i v- u-5H1E*�fl�s Shear Connection(no.of 16d common nails)(fable 10)................................................L4 � Percent Fug-Height Sheathing.......................(fable 10)....................... 3o% ✓ 579 Additional Sheathing for Walt with Opening>68'(Design Concepts).................... Maximum Building Dimension,L WAX lLfftLA- Nominal Height of Tallest Opening 2.......................................................................E+'9s 61- � �Sheathing Type.............................................(note 4)...................................................-jam Edge Nail Spacing......................................... (Table 11 or note 4 if less)..................... 3 in. "Cyrv� h G'7rT f$°°� Field Nail Spacing............. ....................................(Table 11)................................................ 1z in. �C APA, 4A Shear Connection(no.of 16d common nags)(Table 11).................................................... .�— pAgAar.� lijk c_ Percent Full-Height Sheathing.......................(Table 11)....................... ............... % ,�u 5%Additional Sheathing for Wall with Opening>Mr(Design Concepts).................... rT�� Wall Cladding Ratedfor Wind Speed?..................................................................... ................... ............................. 5.1 ROOFS Roof framing member spans checked?........................(For Ratters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Fig(Figure19).............. ft s smaller of 2'or L/3 �- Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors ffft able lf Lateran............................................(gable 12...........................................L=1ZL ppif Shear. .(Table 12)............................................S=-M plf Ridge Strap Connections,if collar ties not used per page 21...(rable 13)..... ......................T= Zplf Gable Rake Ouflooker..........................................(Figure 20).............O ft s smaller of 2'or U2 ��- Truss or Rafter Connections at Non-Loadbearing Wags Proprietary Connectors Uplift................................................(Table 14)............................................U=471b. Lateral(no.of 16d common nails)...(Table 14).......................................L=—IMlb. Roof Sheathing Type...................................................(per 780 CM Chapters 58 and 59)............ v� Roof Sheathing Thickness.......................................... .Din.a 7116-WSP„ -�� Notes Roof Sheathing Fastening.........................................(Table 2)............................ V-- _lC 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety than the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 C. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Dawns per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 R shag be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. v7vao C=5z K CC TO t i &4ry•>c31 C-A, U toll 0-all Cotuit Bay Design 5085399402 p.2 OAS cf��� �SLasc�� (��7 C��vc�a � AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' Check 1.1 SCOPE Compliance WindSpeed(3-sec.gust).................................................................................................................110 mph WindExposure Category....................................................................................... ......B .................................. 1.2 APPLICABILITY Number of Stories(a.roof which exceeds 8 in 12 slope shall be considered a story) stories s 2 stories RoofPitch..........................................................................(Fig 2) ............................................. -1 512:12 ✓' MeanRoof Height...............................................................(Fig 2)............................................� ft s 33' ✓' BuildingWidth.W..............................................................(Fig 3)............................ �ft s 8d v� Buildinglength,L..............................................................(Fig 3).................................................3'`}ft 5 80' Building Aspect Ratio 6J" ...............................................(Fig 4)............................................. 5 3:1 t� Nominal Height of Tallest Opening ...................................(Fig 4)................................................,�s vir 1.3 FRAMING CONNECTIONS General compliance with framing connections...................(Table 2)............................................................... �- 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 ConcreteMasonry................................................................................................................................... . 2.2 ANCHORAGE TO FOUNDATION1-3 6V Anchor Bolts imbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general.........................................(Table 4).............................. *4 in. Bolt Spacing from endToint of plate............................(Fig 5).................................. in. Bolt Embedment-concrete........................................(Fig 5). ....................................... in.a 7- c� Bolt Embedment-masonry.........................................(Fig 5)............................................�n.a 15" t� PlateWasher...............................................................(Fig 6)..............................................a W x 37 x%" G/ 3.1 FLOORS Floor framing member spars checked ..............................(per 780 CMR Chapter 55)........... _...... Maximum Floor Opening Dimension...................................(Fig 6)................................... . ft Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall................(Fig 7).................................................... Qf! s d Maximum Cantilevered Floor Joists Supporting Loadbearing Walk or Shearwall................(Fig 8)....................................................Oft s d y' FloorBracing at EndwalLs....................................................(Fig 9)...........................................I......... ........ Floor Sheathing Type .......................................................(per 780 CMR Chapter 65)..................... �11� .. ram* Floor Sheathing Thickness................................................(per 7W CM hapter 55) ................... - in. Floor Sheathing Fastening................................................(Table 2).._d nails at ig;in edge/_CZjn field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)........................... ft s 10' Non-Loadbearing walls................................................(Fig 10 and Table 5)....................... ft 520, Well Stud Spacing .. F' 10 and Table lg, WailStory Offsets ........................................................(Figs 7 8 8)............................., ...CS ft s d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(!'able 5)..............................2x 4 - ft 9 in. Non-Loadbearing walls................................................(fable 5)..............................Zxt--—2 ft M in. -- ,Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10)..................................:.............................. L i' WSP Attic Floor Length................................................(Fig 11).................... o ft awn _rC' ................. ........................ Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................L.-A ft a 0.9w and 2 x 4 Continuous Lateral Brace Q 6 8.o.c...(Fig 11)............................................................. t� or 1 x 3 ceiling furring strips Q 16"spacing min.with 2 x 4 blocking Q 4 ft.spacing in end joist or truss bays e--- Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).................................... Splice Connection(no.of 16d common nails)..............(Table 6)......................................................... �-� License or registration valid for individul use only „%�e t �»,rrranrtealf�. o ✓��a,u�clut6eli~G before the expiration date. If found return to: =-`- Board of Building Regulations and Standards Board of Building Regulations and Standards r FQO(WE IMPItONENAEPIY CONTRACTOR One Ashburton Place Rm 1301 t ti(nr { Registration: 126577 Boston,Ma.02108 Expiration: 6/22/2010 Tr# 267758 Nhi Type: Individual ROBERT P.FASANO= {"1 ROBERT FASANO Not valid without signature 12 BIRD RDyo� MANSFIELD,MA 02048 Administrator '+Ia„tr13.u,c11, ttttcIII of Public Safety 1 Boartl of Buildiit. Re-Illations aittl staitilards Construction Supervisor License Restricted to: 00 ` . License: C S" 71576 •,,•,,,,,. 00- Unrestricted Restricted to: 00 1G-1 2 Family Homes ROBERT P FASANO 12 BIRD RD MANSFIELD, MA 02048 Failure to possess a current editionof the ' Massachusetts State Building Code ` is cause for revocation of this license. Expiration: 7118=11 Tr=: 18266 Refer to: WWW.Mass.Gov/DPS a z r Town of Barn-stable Regulatory Services ` RARNSTesL Thomas F_Geiler,Director fn�16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: S08-790-6236 Property Owner Must Complete and Sign This .Section If Us ina A Builder I, U \Ci0, F G6 O5S l ,.as Owner of the subject property hereby authorize IQ e>,`T )C:�S cis+ b to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature , er Date NA* 2 Print Name - . If Property Owner is applying'-for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM ISSION ��oF Trtt=ray Town of Barnstable „�. Regulatory Services BARNE.,ABM Thomas F. Geiler,Director HAsa 165¢ .,lb Building Division prEpla Tom Perry, Building Commissioner 200 Main.Street, Hyannis,MA 02601 ' www.town.barristabie.ma.us Office: S08-862-4038 Fax: 508-790-6230 HOMI OWNER LICENSE EXEMPTI Please Print DATE: ' k / I JOB LOCATION: a°V Q S , . U!r le IAA number str t village -"HOMEOWNER": C e, .. ff Fek r O SS i name home one# work,.pbane# CURRENT MAILING ADDRESS: city//etached state zip code The current exemption for"homeownerte ded to include owner-occupied dwellings of six units or less and to allow homeowners to engage an indiv ure who does not possess a license,provided that the owner acts as supervisor. MON OF HOMEOWNER . Person(s)who owns a parcel of land on she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling,attachched structures accessory to such use and/or farm strictures. A person who constructs more than one hoo-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Buildinl on a form acceptable to the Building Official, that he/she shall beres onsible for all such work erformed buildinpermit. (Section 109.1.1) The undersigned"homeowner"assumes esponsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and re lions. The undersigned"homeowner"cc . s that_he/sbe understands the Town of Barnstable Building Department minimum inspection procedures and equirements and that he/she will comply with said procedures and requirements. ignaturc of Hom Approval of Building Official Note: Three-famJ.y ellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Sectio .0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: omeowner performing work for which a building permit is required shall be cxcrnpt from the provisions of this scction.(Scction 1 D9.1.1ng of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such wofk,that such Homcowncr shallupervisor.Many homeowners wh �emption are unaware that they are assurning the responsibilities ofa supervisor(see Appendix Q, Rules&Regulations for Licensinruction Supervisors,Section 2.15) This lack of awareness often results in serious probictm,particularly when the homeowner hires unlicensed per =. In this case,our Board cannot proceed against the unlicensed person as it Mould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, hat the homeowner certify that hdshc 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 fomm/ccttiftcation for use in your community. Q:formns:homccxcmpt N37°525 I "W _ 49.78' AM . ] 72- 1,65 20,427±5FEn ' �e 3 0� Ln Ao N N o ° O 0' \2� PATIO \ No. 3 q� / 1 5TY. �S 05< WD. FRM. �N cP I 1, 14.5' / fig. 1ti EXISTING FOUNDATION 1 �; N (27AUG09) 'v _^ 1 - �y gQ '`✓ I �O UTILITIES t 2 WA5�11 NGI NGTON B U K5 LEY WAY I HEREBY CEKTIFY.THAT, TO THE`BE5T OF MY KNOWLEDGE, AND IN MY PROFESSIONAL OPINION, THE FOUNDATION IS LOCATED ON THE GROUND A5 SHOWN HEREON, AND ITS LOCATION 15 IN CONFORMANCE WITH,THE HORIZONTAL 5ETBACK REQUIREMENTS OF THE TOWN OF BARNSTABLE ZONING BY-LAW. / FOUNDATION CERTIFICATION _ JOB No.: 08251 N DATE: 27AUG09 CENTERVI LLE, MA55ACH U5ETT5 SCALE: = 3°' PREPARED FOR THOMA5 BAK0551 r.j, hood Son, Inc. land surveyors - engineer5 18 route GA, Sandwich, ma 025G3 Ph: (508) 888-1090 Fax: (50(5) 633-82 12 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION., ............. :" ,". Map— Parcel- Application ., U111 I Health Division Date Issued (1109 Conservation Divi6io"n Application Fe 0,71 � 7-0 Planning Dept' 'Permit Fee` Date Definitive:Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street Address M4_:�A I Village Owner S Address Telephodesd vo)- I Permit Request b.-i gel Square feet: 1 st floor: existing 464,proposed 2nd floor:-existing Total new proposed Zoning District Flood Plain Groundwater.Overlay �'(oject Valuation Construction Type • Lot Size— Grandfathered: LJ Yes Ll No If yes, attach supporting documentation. Dwelling Type: Single Family ,, LJ Two Family LJ Multi-Family (# units) �Age of Existing Structure Historic House: LJ Yes LJ No On Old King's Highway: Z1 Yes Ll No kBasement Type: LJ Full U Crawl Ll Walkout Ll 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: Q Gas Q Oil LJ Electric Ll Other �ntral Air: Ll Yes L] No Fireplaces: Existing New Existing wood/c—oal stove:` Yb8LJ No Detached garage: LJ existing LJ new size—Pool: Q existing LJ new size Barn: Q existing :gEe Attached garage: J existing L1 new size Shed: LJ existing Ll new size Other:�,t.Zoning Board of Appeals Authorization Ll Appeal # Recorded LJ co cxs Commercial LJ Yes Ll No If yes, site plan review# 00 Cu rerit Use Proposed_Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 7 3J f- 7-3.2 j— Name q,� -7 15 Telephone NO bL� �O�74/�9 7 Address License# 17SZ iJ 1 k 0,;2 6 q T_ Home Improvement Contractor# 1:2 e E Z 7 . Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i. FOR OFFICIAL USE ONLY " f _ ,APPLICATION# DATE ISSUED MAP/PARCEL NO. Y i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. - s The Commonwealth of Massachusetts 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 Lel?ibly Name(Business/Organization/Individual): �.e n S e, 4 Address: 2 City/State/Zip:_ 714 S k-� Phone.#: �7o f-722 S__ 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-time).* have hired the sub-contractors .2.Mi am a sole proprietor or partner- listed on the attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P h' # 9. ❑Building addition [No workers'-comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised.their 11.0 Plumbing repairs or additions right of exemption per MGL myself o workers co 12. Roof repairs Y � mP• ❑ P insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other cbmp.insurance required.] "Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob 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 criminal 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pat andpaldes of perjury that the information provided above is true and correct Signature: Date: Phone#• J 7- 3 3 — Official use only. Do not write in this area,to be completed by city or town official .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." 1 . MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in.the.commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-con6actor(s)name(s),address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: r. The Commonwealth of Massachusetts Department of Industrial Accidents - Office of I>avestigatian,s. 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-12777749 Revised 11-22-06 www.mass.gov/dia �IHE Town of Barnstable Regulatory Services sniMAS& Thomas F. Geiler,Director 0,39. v� s ,0�' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02604 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 L h, • , as Owner of the subject property hereby authorize C;, U to act on my behalf, T in all matters relative to work authorized by this building permit application for: Ct",Z, v4 il (Addr6ss of Job) Ole Ig na of Owner . . ate ; 'N rint e If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM S:O W N ERPERM I S S ION Town of Barnstable Regulatory Services Thomas F.Geiler,Director BMWErrABLE, MAE& 039. �� Building Division ArFD�r ti 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: 10B 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 tQtiisnclu "�owner occRiec wellings�of kix units or less and to allow homeowners to engage an individual`�orhire who does not p0sses`s`a ficense,Eovtdd that the owner acts as supervisor. 1 °r DEFINITION OF HOMEOWNER r 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 Signature of omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required i6 compl With the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." .Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC r ;A t' i APA%V0=A&%W=0X E H N I E H L T0 P I E S Form No.TT-100B Pagel of 3 April 2007 A PORTAL FRAME WITH HOLD DOWNS FOR ENGINEERED APPLICATIONS Engineered Design Use While the APA portal-frame design, as shown in Figure 1,was envisioned primarily for use as bracing in conventional light-frame construction, it can also be used in engineered applications. The portal frame is not actually a narrow shear wall because it transfers shear by means of a semi-rigid, moment-resisting frame. The extended header is integral in the function of the portal frame, thus,the effective frame width is more than just the wall segment, but includes the header length that extends beyond the wall segment. For this shear transfer mechanism,the wall aspect ratio requirements of the code do not technically apply to the wall segment of the APA portal frame. Monotonic and cyclic testing has been conducted on the APA portal-frame design(APA, 2002 and 2003). Recommended design values for engineered use of the portal frames are provided in Table 1. Design values are derived from the cyclic test data using a rational procedure that considers both strength and stiffness. The„design value derivation procedure ensures that the. code (IBC) drift limit and an adequate safety factor are maintained. For seismic design, APA recommends using the Design Coefficients and Factors for light-frame walls with shear panels— wood structural panels. Since design values are based on testing conducted with the portal frame attached to a rigid test frame using embedded strap-type hold downs, design values should be limited to portal frames constructed on similar rigid base foundations, such as a concrete foundation, stem wall or slab, and which use a similar embedded strap-type hold down. References APA,20.031 Cyclic Evaluation of APA Sturd-l-Frame@ for Engineered Design,APA Report T2002-46, APA—The Engineered Wood Association,Tacoma, WA APA, 2003, Cyclic Evaluation of APA Sturd 1-Frame®with 1.0-ft Height and Lumber Header, APA Report T2003-11,APA—The Engineered Wood Association, Tacoma,WA APA, 2003, Cyclic Evaluation of APA Stu►d-I-Frame@ as Wall Bracing,APA Report T2002-70, APA-The Engineered Wood Association, Tacoma,WA 7011 South 19th Street•Tacoma,WA 98466 M Telephone(253)565-6600•Fax Number(253)565-7265 www.apawood.or9 2007 APA—The Engineered Wood Association y� Form No.TT-100B Page 2 of 3 Apri12007 Table 1. Recommended allowable design values for APA portal frame used on a rigid base foundation for wind or seismic loadinga,b,c,d ASD Allowable Design Values per Minimum Maximum Ultimate Load Frame Segment Load Width Height (pounds) Shear Deflection Factor (inches) (feet) (pounds) (inch) 16 8 2,780 1,000 0.32 2.8 10 2,180 600 0.40 3.6 24 8 4,720 1,700 0.32 2.8 10 3,630 1,000 0.34 3.6 Design values are based on use of Douglas-fir or southern pine framing. For other species of framing,use the, specific gravity adjustment factor=[1-(0.5-SG)],where SG=specific gravity of the actual framing. This adjustment shall not be greater than 1. (b)For construction as shown in Figure 1. (`)Values are for a single portal frame. For multiple portal frames,allowable design values can be multiplied by number of frames(e.g.,two=2x,three=3x,etc.). (d)Interpolation of design values for heights between 8 and 10 feet is permitted. Technical Services Division Disclaimer The information contained herein is based on APA—The Engineered Wood Association's continuing programs of laboratory testing,product research,and comprehensive field experience. Neither APA,nor its members make any warranty,expressed or implied,or assume any legal liability or responsibility for the use,application of,and/or reference to opinions,findings, conclusions,or recommendations included in this publication. Consult your local jurisdiction or design professional to assure compliance with code,construction,and performance requirements. Because APA has no control over quality of workmanship or the conditions under which engineered wood products are used,it cannot accept responsibility of product performance or designs as actually constructed. 2007 APA—The Engineered Wood Association K r` Form No.TT-1008 Page 3 of 3 April 2007 Y Figure 1.,Construction details for APA portal-frame design with hold downs EXTENT OF HEADER — n � �DOUBLE PORTAL FRAME(TWO BRACED WALL PANELS) V EXTENT OF HEADER SHEATHING FILLER A '^— —SINGLE'PORTAL FRAME(ONE BRACED WALL PANEL) ® IF NEEDED 4 P L �I MIN 3 X 11 2S NET HE ` ....t.,.... 4 ; ., 6'TO 18' I ' 1000 LB FASTEN TOP PLATE TO HEADER WITH TWO ^i� TYPICAL PORTAL I i8D 1000 LS ( FRAME HEADER ROWS OF 18D SINKER NAILS AT 3"O.C.TYP. SINKERS \� STRAP(REF. STRAP CONSTRUCTION I 2 ROWS 1000 LB STRAP OPPOSITE SHEATHING NO.LSTA24) 3"O.C. (REF,NO, FOR A PANEL SPLICE LSTA24) FASTEN SHEATHING TOO HEADER WITH 8D COMMON OR (IF NEEDED),PANEL I GALVANIZED BOX NAILS IN 3"GRID PATTERN AS SHOWN AND ! EDGES SHALL BE ,ti: �. MIN.2X4 MAX 3"O.C.1N ALL FRAMING(STUDS,BLOCKING,AND SILLS)TYP, BLOCKED,AND OCCUR .. �' FRAMING HEIGHT FOR BRACING;MIN.WIDTH=16"FOR ONE STORY WITHIN 24"OF MID- TYP. 10 HEIGHT.ONE ROW OF MIN.WIDTH=24"FOR USE IN THE FIRST OF TWO TYP,SHEATHING-TO- STORIES,FOR ENGINEERED USE SEE TABLE 3, FRAMING NAILING IS 4200 LB REQUIRED. , TIE _----- MIN.(2)2X4 / MIN.(2).2X4 IF 2X4 BLOCKING IS DOWN t 3(8"MIN,THICKNESS WOOD 1 USED,THE 2X4'S MUST DEVICE STRUCTURAL PANEL SHEATHING BE NAILED TOGETHER I (REF.NO, r— MIN.4200 LB STRAP TYPE TIE-DOWN DEVICE(EMBEDDED WITH 3 18D SINKERS. I STH014) INTO CONCRETE AND NAILED INTO FRAMING),INSTALLED MIN.1000 LB I PER MANUFACTURER,(REF.NO.STHD14.) 1 TIE DOWN Y MIN.2"X2"X3l18"PLATE WASHER k DEVICE(REF. ) k, NO.STHD8) ONE&I8"DIA.ANCHOR BOLT WITH 7"MIN.EMBEDMENT I !I FOUNDATION f y a J PER CODE — A SECTION A-A FRONT ELEVATION SIDE ELE1/A71C1N ©2067 APA— The Engineered Wood Association t - I - REScheck Software Version 4.2.0 Compliance Certificate Energy Code: 2006 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Project Type: Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 3 Washington Bursley Way Barossi Steven Cook Centerville,MA 02632 Cotuit Bay Design,LLC 43 brewster Road Mashpee,MA 02649 508-274-1166 steve@cotuitbaydesign.com Compliance:1.0%Better Than Code Maximum UA:46 Your UA:46 om ma wMQ en Maw Ceiling 1:Cathedral Ceiling(no attic) 124 30.0 0.0 4 Skylight 1:Metal Frame:Double Pane with Low-E 9 0.410 4 Wall 1:Wood Frame,16"o.c. 370 19.0 0.0 20 Door 1:Glass 40 0.300 12 Floor 1:All-Wood Joistlfruss:Over Unoondiboned Space 121 19.0 0.0 6 Compliance Statement: The proposed building design described here is cons' t t with the building.pla ,specifications,and other calculations submitted with the permit application.The proposed building he n designed to eat 2006 IECC requirements in REScheck Version 4.2.0 and to comply with the mandatory requirements li n the RESc ck Ins ction Checklist. ��ve►�Cor�K.-/�N.�a r�a.�►2 z Name-Title SigR ure Date Project Title: Report date:02/04/09 Data filename:C:\Program Files\Check\REScheck\barossi.rck Page 1 of 3 N REScheck Software Version 4.2.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Skylights: ❑ Skylight 1:Metal Frame:Double Pane with Low-E,U-factor:0.410 #Panes—Frame Type Thermal Break?—Yes—No Comments: Doors: ❑ Door 1:Glass,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. (j Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. Sunrooms: ❑ 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. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification: ❑ 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. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Ducts in unconditioned spaces or outside the building are insulated tout least R-8. ❑ Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: ❑ Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. Project Title: Report date:02/04/09 Data filename:C:\Program Files\Check\REScheck\barossi.rck Page 2 of 3 All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and rdastics are rated UL 181A or UL 181B. Building framing cavities are not used as supply ducts. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Certificate: 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. NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 02/04/09 Data filename:C:\Program Files\Check\REScheck\barossi.rck Page 3 of 3 1 No200,E IECC Energy t Efficiency Certificate Ceiling/Roof 30.00 Wall 19.00 Floor/Foundation 19.00 Ductwork(unconditioned spaces): P-MOOMMU meow @M Window Skylight OA1 Door 0.30 NA Water Heater: Name: Date: Comments: - Nlassachu:setts DepartmenVof Public Safety Board of Building Regulations and Standards ` Construction Supervisor License Licenser CS 71576 Restricted to:.00, .. '.ROBERT R FASANO s' 12 BIRD RD J. WANSFIELD, MA-02048 , Expira 7/ Tr#: 18266, Bow✓aarrd of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registratior� 126577 Expirat ors 8/22/2010 Trft 267758 ,p ': Indiyidual ROBERT P.FASANO ,. ROBERT FASANO max.air 12 BIRD RD .4�«,r 'E}t MANSFIELD,`MA 02048`- Administrator , Tow_ n of Barnstable µ ' BARNSTABLE. Regulatory Services ' MASS. 1659. O a 0 Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection �41 S� ` Location l yh S H, �� ` 1 Peirriiit NbFm'Ber Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: B R-A c I N @ fi r= — sT �- �� YS P fez w �=c �-r 4 Qcdcrc L'L s 6tIU4 ty pe Co " ? A41-f--",PC t / H C C l4 0`0 Gov ': `, ?, 0 6i� R -tie l D -fits r�CCJ :T c K 5 /c(t/(,S L' F0 #4� /A L�- /-fe)k(Zc) r�7A4 e-L t4in--6�7-I cX L ?6-K(!F ?7 S cal L Please call: 50 -862-4038 for re-inspection. Inspected by Y Date �� The Commonwealth of Massachusetts 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): ce,* L1 Address: l t 0- d- City/State/Zip: J/ Phone #: �®� 3� 5" 73 Z Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.V1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' •13.0 Other comp. insurance required.] *Any applicant that checks box 41 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, lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#:_r S '21,•S 7 Expiration Date: Job Site Address: 1 cl, U t.5I &1ev 4 'City/State/Zip: Cep17'Very, l fe , y+�4— Attach a copy of the workers' compensation policy declaration pale(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine' of up to$250.00 a day against the violator. Be advised that a copy of this statement may'.be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer ' the p in and Ities of perjury that the-information provided above is true and correct. Si nature:' Date: Phone#- -rO F .�3 S^ �3-2� Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one):, 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia ENA-R-G'Y CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE,- AND TWO-FAMILY DETACHED RESIDENTIAL'CONSTRUCTION (790 CMx 61.oa) Applicant Site A`d`ciiess: 4 !vv Pry"` Town: '�.' e�'t' eras t� Applicant_P.hone:��—�F- Applicant Signatur-e: f -ate of Applicatio" /f�-/�— NEW CONSTRUCTION: choose ONE of the following two'o tions .780 CMR.TABLE 6107.1 P RESCRIPTIVE ENWL0PE COMTONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS 1��M 'MINMJM ' Ceiling or Slab QOption 1: Basement Fenestration exposed Wall Floor Wall perimeter A-FUF- HSPF SEEI U-factor floors R Value R-Value R-Value R-Value R-Value and De pth National Appliancc•Encrgy R-10, Conservation Act(NAECA)of .35 R-3 8 R-19 R-19 R-10 4 ft , 1987 as amcndcd,minimums or cater as applicabIr Note: This form is not required if you choose either of the two versions ofREScheck as listed below. ❑ Option 2: RES check Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck—Web which can be accessed at http•//www.entrgycodEs.goy/resr-heck/ ADDX SONS:OILA T�RAT)ONS.TO EXISTING$YJLLI} IGS.O R5 YEARS OI�17* *buildings under 5 years old must use option#1 or 42 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_ a) SF 100 x - _ % of glazing (b) Glazing area equals _ SF 6 Q If glazing is<-d0%.use the chart below. If gla2ing is > 40 % rgceed to "STJNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUEf DINGS MAXIMUM N(INIIv1UM Ceiling and Slab Perimeter ElFenestration -wall Floor • Basement Wall e U-factor Exposed floors R-Value R-value R-Value R_Valu R-Value and Depth .39 R-37 a R-13 • R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and includi ig any access openings), ' SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the_cornbined gross wall and ceiling area of the addition. Note: Owner to-fill out Cons-w-ner Ihformafzon Form found in Appendix 120T • _;,,/v=A.yt....-.K:.:+ ,.-�,r..,_. �--.,..r —r=..-.-.- ,� �,�-a n-.. .r ,..r�.s..�...,.- —::oC�+'i'^^d.-'.FT+;..4J'9°"-wa.=+.`"'{w`�.« ...,»»...«-�,.e•.r^r+�e+..�--nT 'i'�%w.�lsr+„I`YW"' _ ! a Ord �� �� !/-a y-76 - Assessor's map and lot number ....:.......v..""................... Sewage- Permit number .`..............Ul.`................,..................... FTHET��o -r TOWN OF BARNSTABLE t • IN BARNSTABLE, i °moo aYae�� BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ... ............................................................................................ ....................................................................................... ::.............:................................................................................................... f ...........19..!�f�f t' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. f�! 7 ( /f ' �.. ff / .+!.�*..... ..... . . ....�� ....... ,2.......... ..... �'�........^''�................................................ t.. ProposedUse ....... .... .. �..... . ................................................................................................................... Zoning District ....................Fire District - f .. .......... ... ...............Address ........ ..._. . !....Al.. , ,C _.. ....................... Name of Owner r✓' /.�"...:. .' -.Is F 1 a .. *..................... C___ r - ... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ...................................................................Address .................................................................................... Numberof Rooms .................. �.........................................Foundation ..............................,........................................... Exterior .......... '� ✓..' .. ° t::f'' '..: .... '...............Rooftng ....... ............................................................... ... ... .Interior ......... ../e . .! -?.. .. r... i.t / Floors ..................... ... �. ....... ..:........................................... ......"'�••••........................ rieating ........ .....rL. ............................................Plumbing ............................... ............................... r .....Approximate Cost ..................................... Fireplace ............................................................................ ......................... ` '.................... .:........ Definitive Plan Approved by Planning Board ________________________________19________ . Area ..;l ().... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding i e"above construction. Name(f ...... ..... Ilan E. Small No .... Perm ir for ..... ........... Y single family dwelling ...................................................... ................... Location ,Washington...Bur!�I.ey.Way ..... .. ...... .......... ...... ty.. Centerville . ................................................................. Owner ........Alan E. Small............................. Type of Construction .......frame.... .................... ......................................................... ..................... . Plot ............................ Lot .... ............ Permit Granted .......November 29.................................19 76 Date of Inspection ....................................19 Date Completed ..............................:.......19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... .............. ...... ... . ......... .............. ........... ... ... ........ Approved ..... 19 ............... ........................ ..... ............................................................................... l �r Assessor's map and lot=number .:. .....:........' 41C�G� — / _74�• '§FPTIC.SYgTEM MUST BE Sewage.';Permit number -........... � INSTALLED IN COMPLIANCE .................... {• WITH ARTICLE II STATE ~ %Nl A"" Cfi AND TOWN. 1 CFTHE TO� TOW OF ARN, S I AII U R G y, I,Z B'MSTd11LE, i 4 90 M69 .I�.L I :O INSPECTOR 'E ft M a' APPLICATION FOR PERMITS TO b TYPE OF CONSTRUCTION ...::..... ...... ....... 1 ............................................... ....:....................................... t1............19...... TO THE INSPECTOR OF BUILDINGS: The undersigned her by applies for a permit according to the following information: Location ......... .... . ...... ..........5,15........... 'r ........ ..... .... ...... .... ..t1,61 1. .. ProposedUse ............. .... .::..,............ * + ..................................................................................................................... Zoning District ..................Fire District ....... Nameof Owner . ..... . ... ..................Address :..........._.. . . ... .......... . .:..... ...,.... Nameof Builder ......:.............................................................Address .................................................................................... Name of Architect ..................................................................Address ...........................:.......................................... .............. Numberof Rooms ...................I<- 0 .......................................................... Exterior .........�--1 ... ............. ., f..................Roofing ........ � .:.......:. .....,..................................... Floors ..................... .....................,.........................................Interior ......... �!�.. e( .......................... Heating ......e ......!.....4% ...............................:...........Plumbing :..................... ............................. Fireplace ........................................................:.........................Approximate Cost ..... .........�/!..®®Q.... Definitive Plan Approved by Planning Board ________________________________19-------- Area Diagram of Lot and Building, with Dimensions Fee ...................L......................:. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the'Town of Barnstable regarding t above construction. Named�'.,vr.................................... . . Small, Alan E. ' ............ . ^ ' ' \ _. . ........................... ��� LLocation ---.����b.�Ag�qA.h4K§kRy..��z..... ' ----.----K�wt.e?y I 11A---------.. . Owner ............Alan.]�"..5gO.1l......................... ` - ` frame Tioe of Construction ---�.. ------.. . . . ` ---.='_---------.----------- ' . . . . . . . . . . ^ #�� ' Plot ............................. Lot ----------.. ^ ^ . ' � Permit Granted.— 29---]g76 ' . ' Date of Inspection lg [ate Como��a6 .c��/..�/. � ^� lq . ~ ----.��. � . . . ' . ^ PERMIT REFUSED . . . ° . . ' . . . ---.. --. lV' ' ---.--- .--------------------.---.--. . . . .—_--.—.,.---.~ ........................................ . ..^..-----.----- ........................................ . -` - .-----.--.~---------,—.....—.—... . . . '�kpprovad ---------------- lg ' ^ ' . ' ^---------------------~—.-- - � � ---------------------...—~... ' y r � . m t + 4T, 'o to M� . o .o� "E tV P'iZpPo SEW CRblt3 1- loco �At.. 56P11 C Tef4u ( - IovC�l�� Uzka4 PT 02o 4-OZI SF W I rcd 100�v Ea(pAoi►OJ3 1 N p THAT T1Jr TZoQt.lD, egc>,,u1.j -4�SZicDtJ �,tl?1,E;-L++.; .. 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