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0050 DOVETAIL LANE
�I i t, � Town of Barnstable Building Department - 200 Main Street * MAS& * Hyannis, MA 02601 i 9 MASS. ' :M , (508) 862-4038 Certificate of Occupancy Application Number. 201207309 CO Number. 20130042 Parcel ID: 002002115 CO Issue Date: 04130/13 Location: 50 DOVETAIL LANE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: POTENTIALLY DEVELOPABLE LAND Village: COTUIT Gen Contractor: BAYSIDE BUILDING, INC Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed TOWN OF BARNSTABLE ' �t� Building ' 201207309 • BARNSTABLE, Issue Date: 12/05/12 Permit 9 MASS. �p i639• Applicant: BAYSIDE BUILDING•INC Permit Number: B 20122946 Proposed Use: POTENTIALLY DEVELOPABLE LAND Expiration Date: 06/04/13 Location. Zoning Zoning District RF Permit Type: NEW SINGLE FAMILY HOME Map Parcel 002002j1—,z Permit Fee$ 816.00 Contractor BAYSIDE BUILDING,INC Village COTUIT- App Fee$ 100.00 License Num 005645 Est Construction Cost$ 160,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND TO CONSTRUCT A 3 BEDROOM 2 BATH CAPE STYLE HOME WITH N THIS CARD MUST BE KEPT POSTED UNTIL FINAL ATTACHED 1 CAR GARAGE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: COTUIT EQUITABLE HOUSING LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 95 INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: RM BuildingPermit Issued B : Y THIS PERMIT CONVEYS NO RIGHTTO OCCUPY ANYBTREET ALLEY OR smtwW Lk OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.,'ENCROACHMENTS ONTUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER:THE BUILDING CODE;MUST BE-APPROVED:BY.THE JURISDICTION: STREET OR ALLEY,GRADES AS WELL,AS.66 ii AND LOCATION OF PUBLIC SEWERS MAY BE ``• OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS%THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF.ANY.APPLICABLE'SUBDP✓ISIGN, RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIORTO FRAME INSPECTION. .4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.I42A). ARf e c RO BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 41>11/- 0 a- 2 2 'F�n�Z ��� � 2�� AOO 3 1 Heating Inspection Approvals Engineering Dept a—)3 13=1-oa v yc yI2etI3 Fire Dept / /�- 2 Board o Y I Duct Leakage Test Form = Customer Znformatimi: Test:Condiiaaons: Nam.e:. Bayside Building Date: 2/19/2013 Address: 1645 Falmouth road Bayberry square Time: City: Centerville Ma Indoor T eraturc � (F}: StatelZip: 02632 Outdoor Temperature(F): Phone: (508)-771-1040 Floor Area(0::: 1598 Entail: System Airflow(cfm): 1400 Cooling Size(tons): 3 BuildinZ Address:(if different from above) - Heating:Size(bru): 80,000 Street: 50 Dovetail lane Supply DuctwUcatork: f Basement t Supply Ductwork: City/State: .Cotuit Ma Pr=aTy.Location of Return Ductwork: Basement Comments: System located in Basement on hvo zones 1i 1 first floor#2 second floor.Second floor fed by risers in interior and exterior walls All connections,joints and.seams sealed with 3-m mastic tape and or caulk.•All duct work in conditioned spaces insulated NAth r-6 foil faced insulation.All duct in unconditioned spaces insulated with r-8 foil faced insulation.System tested after rough stage of install. Total Leakage:Test Depress Press Outside Leakage Test Depress Press. Test Pressure: (Pa) Test Pressure; (Pa) Baseline Dtict Pressure(optional): (Pa) Duct Flow Ping Fan Press poly Duct Flow Ring Fan Press 1?IDW Press. a Installed a) cfm) Press. a Installed a) (cfm) 25 3 b Fan Model/SN: Results: Outside Leakage(cfin): Fan lvlodel/SN: Outside,Leakage as% . System Airflow. Results: Outside Leakage as% Total Leakage(-fin): 86 Floor Area: Total Leakage as% . System Airflow: Total Leakage as Floor Area: 5.4 uric Whiteley . W.VERNON eriC@wvtwhiteley.Com r ,�+ INC. orb 28\/jilage landing P.O.Box 1266 PLUMBING•HEATING j W.Chatham,Mk 02669 • t/ �--- AIR CQNDiT(ONING SWCE.1952 rs08.945.1100 F508.945.5549 wvnv.wvwh!tefey;cotn f _ i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION is d t - _3O �( Map 00Z Parcel (5{�7- !/. yn Application # Health+Division Date Issued a` a- Conservation Division Application Fee 11 Planning Dept. A ALI �,Ot C<ts� Permit FeE011 . Date Definitive Plan Approved by Planning Board - Historic - OKH _ Preservation / Hyannis VU Project Street Address Village Owner Y Cc�tw Qu,444 Y� Address 8K�/4 Q Telephone J • Permit Request O OnLm1n G_a a__ Square feet: tst floor: existing proposed 2nd floor: existing ,propose d .Total new Zoning District _ �. Flood Plain_ ' _Groundwater Overlay C> Project Valuation Construction Type-�`,"""' Lot Size� Grandfathered: ❑Yes St No If yes, attach supporting documentation. Dwelling Type: Single Family. Two Family ❑ Multi-Family (# units) Age of Existing Structure _New Historic House: ❑Yes �41'.[Vo On Old King's Highway: ❑Yes No Basement Type: Wull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) r?G Basement Unfinished Area (sq.ft) Number of Baths: Full: existing >!C new Half: existing new C Number of Bedrooms: existin4 w Total Room Count (not including baths): existing )�' new First Floor Room Count Heat Type and Fuel: PGas ❑ Oil ❑ Electric ❑ Other Central Air: 0-Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes X No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing knew size _Shed: ❑ existing ❑ new size _ Other: /y x2,o Zoning Board of Appeals Authorization ❑ Appeal # Recorded l7 Commercial ❑Yes ANo If yes, site plan review#" r_0 { Current Use f auay�- _ Proposed Use �4Ien caul 04-ey APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ' Name f�� �o�c�-Qi Telephone Number Address K (fePAO-rVI�l License # 0C) Home Improvement Contractor# Worker's Compensation # CPA -6O'73140 920 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Sa.rdw�cb� 4,a.✓��1�` SIGNATURE DATE 1// 0 lZ k. e ti FOR OFFICIAL USE ONLY APPLICATION# ' DATE ISSUED ° j.—NAP/PARCEL NO. x ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION==,, ';I Z/It IL • 03 Gobs 0 S N � FRAME 0 3 2J 4)13 t :INSULATION O43 4 FIREPLACE .r a ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL - .GAS-�i t: ROUGH •-, t FINAL f. . 3 ;.r_FINAL BUILDING .5� A(/Z`1 DATE CLOSED OUT t ASSOCIATION PLAN NO -so -- 1- Departmerit of Industrial Accidents ' OffI-ce of rweStld=eet t�S 600 Washington Bostar;MA 02,111 Worriers' Compemation 1-usurance Affidavit: Buflders/Contractors/Electricians/Piumbers Applicant Information Please Print Leibly Nance (Business/organizadon/LndMdual): Address: City/State/Zip:6•'9 a(/ ` / 10A QZ3,'�Z, Phone Are you an employer?Check the'apprirpriate e of protect(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.❑ I am a sole proprietor or partner- listed on the attached sheet t ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition: Workingfor me in an capacity. workers' comp.insurance. 9. Building addition Y . . . 0 g [No workers' comp.insurance.. 5. ❑ We are a corporation and its required.] officers have exercised`their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work' right of exemption per MGL I LEI Plumbing repairs or additions myself [No workers* comp. c. 152, §1(4),and we have no 12.E] Roof repairs insurance reauired.]i employees..�To workers' 11❑ Other _. comp.insurance required.] *Any applicant that checks box#1 must also 0 out the section below showing their woikers'compensation policy information: #Homeowners who.submit'this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating sump.. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. Earn gut empl�yer that tsar®vidingTvar°kers'coriipensadon insurance for my erployees. Below is thepolicy and lob site infor martiom Insurance Company Name: eo Policy#or Self-ins.Lic. Expiration Date: t✓h Ci /State/Zi b r Sob Site Addres�:T 1.�1� t ty. p: � Attach a copy of the workers' compensation policy declaration gage(showing the policy number and expiration date). Failuse 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 viol tor. Rp advised that a copy of this statement maybe forwarded to-the:Office of Investigatiops.of the DIA for insurance coverage verification. I do hereby cer ti. under th ams arxdp,efralties of pe.-YuYy Mat fire irrfor rnaPtiorz proi ided.aboiye)is true&rzd correct. i ature: Date: )/b�L.l z Ojjia;iaal rise anly. Do not write in this area,to be cornpleted by city ar to-74"n of rzial. City or Tovim: B'erii i-Mcense# Issuing Authority (circle:one): 1.Board of Health 2.Building Department 3. City/Town Clerk. 4 Electrical Inspector 5.Plumbing Inspector 6.Other Conta.et Person: Phone#:.. Client#: 15273 21BAYSIDEBU ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) I 05/16/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil PHONE Insurance Agency A/ No Ext:508 775-1620 ac,No 5087781218 ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis;MA 02601 INSURER A:Acadia Insurance INSURED INSURER B Bayside Building,Inc.and INSURER C: Bayside Design&Remodeling,Inc. PO Box 95 INSURER D INSURER E: Centerville,MA 02632 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 ADDL SUB POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY LIMITS A GENERAL LIABILITY COA007340920 1/01/2012 01161/2013 EACH OCCURRENCE;: $1 000000 X COMMERCIAL GENERAL LIABILITY PREMISES ERENTED owu ence s250000 CLAIMS-MADE F x1OCCUR MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $1,000,000 X OCP GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT LOC I $ AUTOMOBILE UA61LFTY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Pe raccident) $_ AUTOS AUTOS NON-OWNED PROPERTY:DAMAGE HIRED AUTOS: AUTOS Per accdent $ $ UMBRELLA LIAB OCCUR ". :: .: EACH OCCURRENCE $ EXCESS LIAB CLAIMS:MADE AGGREGATE $: = DED RETENTION$ $ A AND KERS EMPLOYERS'COMPENSATION WCA007346621 1/O1/2012 01/01/201_ X WORYLIMITS ERH AND EMPLOYERS'LIABILITY: . ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? : FNI N/A (Mandatory in.NH) If yes,describe under. E.L:DISEASE-EA EMPLOYEE $500 OOO DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000:. DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate:of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable, Building THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE C 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD . #S96172/M96171 LS1 f TempParcelEdit Page 1 of 1 Y b X! Logged In As: Wednesday,January 16 2008 Frank Schlegel New Parce Application Center Road System Reports Road System The record has been added. New Parcel Detail New Mapparcel: 002 002 115 Street Number: 50 (� Unit: Dev Lot: LOT 115� � Road Name: ]DOVETAIL LANE T/R: FJ Sec. Road: T/R: Villlage: 07 -Cotult Part of M/P: MAP 002 PCL 002 Plan Ref: jPLBK 617/69-75 (APP 7-62) I Date Added: Updated: y Update:. Relete Add•Another 0 http://issgl2/Intranet/Propdata/TempParcelEdit.aspx?ID=Add 1/16/2008 AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so cNW 5361.2.1j)1 THE PHEASANT MODEL COTUIT MEADOWS Check Compliance 1.1 SCOPE Wind Speed(3-sec. gust)............. ....::...:.............................................................:..........:...:.................110 mph [� WindCategory,..Ex osure p ,........................... :...........................,...........,.........................,.:...................B i 1.2 APPLICABILITY Number of Stories(a roof which.exceeds 8 in 12 slope shall be considered a story)...... 2 stories s 2 stories Roof Pitch.............................................�..............................(Fig 2) ..................................................12 5 12:12 Mean Roof Height.........:.....:................................: .:::.:..:..........(Fig 2)....: .................16 ft 5 33' . E . BuildingWidth.W............... :..:.... ...................... ..,,..:.(Fig 3).................. .. ......:................ 24 ft:<_80': Building Length, L,.. ....: I (Fig 3).... 48 ft s 80' - Building Aspect Ratio(LNV) ........ .........(Fig 4)...:.................................................2 5 3:1 Nominal Height of Tallest Openingz................................. .....:...(Fig 4).................. :. . ...:. , ,W 6-8 5 6'8" . .1.3 FRAMING CONNECTIONS. General compliance with framing connections....................(Table 2)........................... ..... .... ............ ........ . 2.1 FOUNDATION Foundation Walis:meeting requirements of 780:CMR 5404.1 Concrete. Concrete Masonry........:...:.:..:......:....... ............,..... .. .................. !/N/A 2.2.ANCHORAGE TO FOUNDATION1•3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete onl : . Bolt Spacing—general ....:..::.. :.:.........................::(Table 4)......................::.. 28 :in. Bolt Spacing from end/joint of plate ......: .......................(Fig 5 ;..... Bolt Embedment concrete................... . ...:.........(Fig 5)...............................................: ..7 in.z 7" Bolt Embedment—mason in. z 15 N/A masonry:.............................. :....:..(Fig 5).................. Plate Washer.................... ..z 3"x 3"x%<'': ... ............ .:.:.(Fig 5)......................:....................... 3.1:.FLOORS Floor framing member spans checked ...................... .........(per780 CMR Chapter 55)........................ ......... . Maximum Floor Opening Dimension..............p g (Fig 6). .......................:.........9 ft 5 12 Full Height Wall Studs:at Floor Openings less;than 2'from Exterior Wall(Fig 6)................::.::. Maximum Floor Joist Setbacks Supporting Loadbearing Wells or Shearwall.............. ...(Fig7)...................................................._ft 5 d:. N/A Maximum Cantilevered Floor Joists.: Supporting Loadbearing Walls or Shearwall.................(Fig 8)...........................................::.......:.::. ft <d N/A Floor Bracing at Endwalls...:......................... .:.................(Fig 9).... ................................... ..................... �.. . Floor SheathingType ............... YP .......:...............................:..(pec780 CMR Chapter.55)..;:......................::........ . . Floor Sheathing Thickness ......................... ..................(per 78,0 CMR:Chapter 55).........:: 3/4 in. Floor Sheathing fastening.. .......,. :....... ......... ....:.:..(Tablet) .........8 d;nails at 6 in edge /12 in field 4.1':WALLS Wall Height Loadbearing walls.............:.....:. (Fig 10 and Table 5):................... .........8 ft 5:10:'. Non-Loadbearing walls ... ...................... ......:.(Fig 10 and Table 5)....:::. ..................18 ft ,5 20'; . Wall Stud Spacing', ..... .. ............(Fig 10 and.Tabl.e 5).....................24 in.s 24"o.c. Wall Story Offsets .................... ......... ..:................(Figs 7:&8)..:;..............................,....:..._ft s d N/A A WC Guide to Wood Construction in High Wind Areas: 110HIP11 Wind.Zone Massachusetts. Checkfist for Compliance (780C. MR 5301.2.1j)' 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls...........................................................(Table 5).........................................2x6-8 ft 0 in. Non-Loadbearing walls...........................,:.....::....::......,..(Table 5).......................................2x6-18 ft 0 in. GableEnd Wall Bracing FullHeight Endwall Studs.......:. .................. .:.......(Fig 10)...........................q.........I............................... WSP Attic Floor Length...................... :..:.....:...:...........(Fig 11);............................................. ft zW/3 N/A Gypsum Ceiling Length(if WSP not used)....:...............(Fig:..(Fig 11)........ ......... 26 ft z 0.9W and 2 x 4 Continuous Lateral.Brace @ 6 ft. o.c. .:.(Fig 11)...................................................... N/A or 1 x 3 ceiling furring strips @ 16".spacing min'.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ................... .......................(Fig 13 and Table 6)..... ............................8 ft Splice Connection (no. of 16d common nails)..............(Table 6)............................................................6 loadbearing Wall Connections q Lateral(no. of 16d common nails)............... .........(Tables 7)............ ....................... ............2 Non-Loadb.e.aring Wall Connections. Lateral(no. of 16d common nails)....... ........................(Table 8)...............................................................3 Load Bearing Wall Openings(record largest opening but check all.openings for compliance to Table 9) q Header Spans ....................................................... (Table 9).............................I................6 ft 0 in. :s 11 Sill Plate Spans ...(Table 9)...............I.................... .......1...... ................................;.:3 ft 0 in.:5 11 a p Full Height Siuds:(no. of studs)............::..:......:..............(Table. 9).... .................................. .................3 Non-Load Bearing Wall Openings(record largest opening but check all openings for:compliance to Table:9) p � I . p Header Spans................. ..................................... .(Table 9)...........................................9 ft 0 in. :5 12 Sill Plate Spans.... ............................;.....::................(Table 9).................................. ft in. :5 12" N/A Full Height Studs(no. of studs).................. .................(Table 9)...........................................:....................3 Exterior Wall Sheathing to Resist Uplift:and Shear Simultaneously' Minimum Building Dimension,:W Nominal Height of Tallest Openihg2 ....................... ................................ ....... 68" Sheathing Type...............................................(note 4).. ................................... ._.:.........WSP Edge Nail Spacing......................................:...(Table 10 or note 4 if less).............................3 in. Field Nails g......:............... ...................(Table 10)..��...................................... ..... ....12 in. Shear Connection(no. of 16d common nails)(Table 10)..:...:......... .................. ................4 p p Percent Full-Height Sheathing.......................(Table 10)............... .........v............................. oxo. 5%Additionol:SNeathing for Wall with Opening>6'8"(Design Concepts)............* Maximum Building Dimension, L Nominal Height of Tallest Openihg2 61-8 ..., .................................................................... 11!5 6'.8'.' Sheathing Type.................................... .......::(note 4).................. ................... . ................. WSP Edge Nail Spacing..........................................(Table 11 or note 4 if less).................:._.........3 in. Field Nail Spacing................... ::.................(Table 11.).......................................... 12 in..... : Shear Connection(no. of 16d common nails)(Table 11)..........................I............................. ......4 . Percent Full-Hei ht Sheathing_..�;...................(Table 11)... 9 .....................................;..........24% 56/o Additional Sheathing for Wall with Opening>6'.8"(Design Concepts)..................... N/A Wall Cladding Ratedfor Wind Speed?.......... .................................. ..................................... ............................... q p AWC Guide to Wood C ZlSisnt uo in High Wind Areas: 110 mph Wind Zone Massachusetts for Compliance(780 CAlk 5301.2.1.1)1 5.1 ROOFS I ) Roof framing member spans checked?.............. ......(For Rafters use AWC Span.Tool,see BBRS Website) Roof Overhang ..:... ....................::........"...::.........(Figure 19)...............2/3 ft s smaller of 2'or L/3 Truss.or Rafter Connections at Loadbearing Walls Proprietary Connectors - Uplift...........:........................... .:.......(Table 12)............ ...................U=236 plf: . Lateral..............................................(Table 12) ......:........................:.. .........L=176 plf1 Shear............ ...... ................:.:(Table 12)...........................,.......................S=77 plf .. Ridge Strap Connections,if collar ties not used per page 21... (Table 13)........:.......................T= p.If N/A Gable Rake Outlooker........ ........:.......:..........(Figure 20).............. ft s smaller of 2'or L/2 N/A Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors. . Uplift ( ) ...,. Table 14 ........... ....:.....................U= .: . Ib: . : N/A Lateral (no: of 16d common nails).:.*(Table 14).................. 1b., N/A Roof Sheathing Type............................... :..........(per 780.CMR Chapters 58 and 59) .:....:..... ff Roof Sheathing Thickness..,,..:. 5/8 in..z 7/16"WSP Roof;Sheathing Fastening..,..:... ................................(Table 2)............. ....................................8d THE PHEASANT MODEL-COTUIT.MEADOWS MEETS.THIS CHECKLIST IN.ITS ENTIRETY,.THEREFORE THE NOTE BELOW APPLIES: Notes: 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 then the following.metal straps and hold downs are not required per the WFCM 1.10 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. Corner Stud Hold.Downs per Figure 18a and Figure 18b " 2. Exception: Opening heights of up to 8 ft.shall 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.. : a. From Tables 10 and 11:and location of wall sheathing and Building Aspect Ratio, determine Percent full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed'as follows: i. Pan1.els shall be installed with strength axis parallel to studs. . - 11.. All 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 construction,upper,panels shall be attached to the top member of the 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: w: 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 AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(78o cMR 5361.2.1..1)' -YOM UM EDGE RESM ON FilAM63G USE&i MAU i ATfi1o.c .. _- -----eft .. 11 it • u 1-I 11 I l IN 1 IC II 11 1 1 1 `C 11 I r•' 1 . .. I id l Q 1 11 Q tl Ir it 1 W EL u ,1 F 11 Z - Ie II Yi 1 1 Lr � IA 1 Al rl ITE DIU 11 B M)GE ------ SPACAJG PAWEt_ See.[7etail on Next Page Vertical and Horizontal Mailing far Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance mo cNm s301.2.1.1)1 Q 1 ¢�^ . 1 1 Z 111 L/ 1 i i FFAAAING MEMBERS i � 1 EDGE INTERMEDIATE 1 g � r � 1 1 r r 3,Mrl .. STAGGEElEO AWLFM n3lN PANEL _- .. .. .. wj. ... .. ._ PANWOL EDGE DOUBLE NAIL EDGE SPAONG DETAL Detail Vertical and Horizontal Nailing. for Panel Attachment I i I _ l REScheck Software Version 4.4.1 Compliance Certificate Project Title: THE PHEASANT MODEL Energy Code: 2009 IECC Location: Barnstable,Massachusetts :Construction Type: Single Family Glazing Area Percentage: _13% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: COTUIT MEADOWS BAYSIDE BUILDING,INC. BARNSTABLE,MA Compliance:Passes using UA trade-off Compliance:6.0%BetterThan Code Maximum UA:252 YourUA:.237. The%Better or Worse Than Code index reflects how dose to compliance the house is based on code trade-off rules. - It DOES NOT provide an estimate of energy use of cost relative to a minimum-code home. - - - Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 682 38.0 0.0 20 Ceiling2:Cathedral Ceiling(no:attic) 272 30.0 0.0 9: Total Walls:Wood Frame,24"D.C. 1867:: 21.0 0:0:: 88 Window 1:Wood Frame:Double Pane with Low-E 208 0.310: 64 Door 1:Solid 42 UK 12 Door 2:Glass 42. 0.310 : 13 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 954 : 30.0 .0.0:: 31 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 �RES REScheck Version 4.4.1 and to comply with the mandatory requirements I to in.tck Inspection Checklist. j �• Name-Title :.: Sig ture Date. . .. Project Title: THE PHEASANT MODEL Report date:09/16/11 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\THE PHEASANT.rck Page 1 of 4 l _ . REScheck Software Version 4.4.1 Inspection Checklist Ceilings: Ll Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0.cavity insulation Comments: r � ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Total Walls:Wood Frame,24".o.c.,R-21.0 cavity insulation Comments: - Windows: ❑Window 1:Wood Frame:Double Pane with Low-E;U-factor:0.310 For windows without:labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,0-factor:0.280 Comments: ❑ Door 2:Glass,U-factor:.0.310 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: Lj Joints(includingsim joist junctions),attic access openings,penetrations,and all other such openings in:the building envelope that are sources of:airleakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier.materid 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/doorjambs and framing. ❑ Wood-burning fireplaces have gasketed.doors and outdoor combustion air. ❑ Automatic or gravity dampers:are installed on all outdoor air intakes and exhausts. ❑ . :Recessed lights in the building thermal envelope,are 1)type IC rated and ASTM E283 labeled and 2),sealed with a gasket orcaulk . between the housing and the interior wall or ceiling.covering. ❑ 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. 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 orjoints 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 insubstantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. Project Title:THE PHEASANT MODEL Report date:09/16/11 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\THE PHEASANT.rck Page 2 of 4 (e)Plumbingland 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) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. 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. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. 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: 0 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 R-6: Duct Construction and Testing:. Building framing cavities.are not used 6§supply ducts. F1 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 181.13 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 l.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 connectiomexists,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 76.3 cfm(8 cfm per 100 ft2 of:conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to.114.5 cfm(12 cfm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. 3 Rough-in total leakage test with air handler installed:Less than orequal-to 57.2 cfm 6 cfm per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.11 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 38.2 cfm,(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment:Sizing: Additional requirements forequipment sizing.are included by an inspection for compliance;with the,Inter national Residential Code. 0 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: 0 .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 For chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: . . _: .. 0 Heated swimming pools:have an on/off 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.. Project Title:THE PHEASANT MODEL Report date:.09/16/11 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\THE PHEASANT.rck Page 3 of 4 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 ins l lation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: 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 watt for lamp wattage>15 and<=40 (e)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 V). 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;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:THE PHEASANT MODEL Report date:09/16/11 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\THE PHEASANT.rck Page 4 of 4 2009- IECC Energy Efficiency Certificate Insulation . Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Glass& i Door Rating U-Factor SHGC Window 0.31 0.31 Door 0.28 0.31 CoolingHeating & Heating System: Cooling System: Water Heater: Name: Date: Comments: Subcontractor's Insurance 2092 fix, rw„-1-� .. olicy r, olicy W glPGLPg Sub Contractor�,�� ���R•". ��� �� k�y. -Effective Date�� Ex rationy Effective Date`: EX nation; All Cape Garage Door 508-398-2757 06/01/04 10/07/12 06/01/04 06l01/12 .. . Baxter Nye Engineering&Surveying 508-771-7622 08/11/05. 09/29/12 08/20/04 08/20/12 Campbell,William 508-790-3517 0$/26/04 08/26/12 07/13l04 07/.13/13 Cape Cod Marble&Granite 508-771-2900 07/01/05 07/01/13 . 08/16/05 . 08/16/12 Cape Concrete Forms. 508-922- :06/05/07 1910 09/29/12:: 12/07/07 : Q6/08l13 Carpet Barn Inc 508-548-1443 . 01/01/06 05/01/13 ..01/01/05 01/01/1.3 Chaves,Robert :508-362-9929 08/13/04 08/13/12 12/17/04 12/17112: Christopher Costa&Associates, Inc. 01/22108:: 08/27/12 02/06/07 02/06/13 _. _. Coy's Brook, Inc 508-394-8442- 04/24/04 04/24/13 09/21/04 10/01/12 Davids Building&Remodel 508-428-3214 01/01/07 01/01/13 06/14/04. 06/14/13 Hill Construction 508-888-8154 04/29/07 04/29/12 08/14/04:: 08/14/12 Jeffrey Lauder 508-22:1-1046 12/09/06 .04/05/12 DBA; N/A: Kitchen Appliance Mart 508=771-2221 08/12/04 08/12/12 0-1/01/05 08/12/.12 MAP Insulation.. '508-888-3599' 10/01/07 10/01/12 .10/01/07 10/01/12 Northern Sealcoating 1508-398-9474' 10/01/07 10/01/1204/01/07 04/01/13 Pastore Excavation Inc. 06/05/08 06/05/12 10/12/08 12/12/12 Wood Floor Specialists 508-888-3958 02)03/08 02/03/13 : 02/03/08 02/03/13 so"of suncom P40aw- CS-005648 r POIox-95 r '�EI�'F�'� iL•E : 4" I�32 2' 9-21 rCgn €4fE4 l aro 4t i dl {J �1q s of auy c� Mr ;F F� tl�adi 3-5,0ON 4#Uzc ail`ure:tg poi=ems a�� rr ent ecliii n tF e:llllar sashy ctf's Rtat�L'uild�ng,Gode is cause of ree�oca�i�,ntof t-s GiCen e. For ON b,a—msins infosma ioii writ: wwruuA ss Gijv/FOPS o. i Of{KE Tp T6Wn of Barnstable: Regulatory Services Thomas F.Geiler,Director , Building DMsiou Tom Perry, Building Commissioner 200 Main Street, Hyannis,Ia 02601. wT rv.town.barnstable.ma.us Office: 508-862-403 8 Fax: 502--790-6230 ProperLT Owner Must Complete and Sign ibis Section If Using ABuilder T, ✓latr ��/ , ds Ovrner of the subject property herby aut Mo e -e_ ! ' to act on my behalf, in all matters relative to work authorized bytU building permit application for; , Xo✓z l -- (Address of Job) 7- 'STIOkud of e Date Print Name Q 10R!NIS:OWNERPERMISSION 7. {NOD G FRONT ELEVATION SMOKE DETECTORS REVIEWED 9 - 5CALE, 1/4' - I'-O" - - xl-/� I - BARNSTABLE BUILDING DEPT.. FIRE DEPARTMENT .DATE - ... BOTH SIGNATURES ARE REQUIRED FOR PERMITTING - - LQ Z N to F N. Z- Z Q - ULn W W # � O _ I - SHEET REAR ELEVATION . 5GALE: 1/4" 1'-O" " JOB: LOT#115 _ I - DRAWN BY1 TFR DATE- 11/20/12 r U p -EFT ELEVATION (STREET) ---� ~ SCALE: 1/4° I'-0'. - - RIGHT ELEVATION . SCALE: �4° 0 ° Q/ `y o TYP.RQJF Q 4 2VIM. m 6wY Iv.•IG'O.C. � F.G.IN L ''HURRICANE CLAP' ° - R30 F.G.INS L/ FASTENERS AT ALL - 6/S'PLYWOOD SHEATHING/ ', ?>A 9 Y 16 O.G� RAFTER/TOP PLATE . ASPHALT SHINGLES JUNCTIONS T7P: Ir 9TRAPP NG - . GYP. RD RI41D WIND WASH.BARRIER REQUIRED. - . HALL B\ TH T E%TERIOR EDGE OF'EM��PL 12 . TYP.EAVF9 .210'S i 16'O.C. 2[10'9 0 16.O.C. BAY9N FFROIgiTGABLE WALL LO O . I° FASCIA/IM SECOND MEI•EiER -. - Q Q _CONTINUOUS VEMING DRIP EDGE OR I IK9 STRAPPING - _ In I1.I. . MB FRIEZE BD.W/BED MOULDING - y.T 1/2'GYP.BOAR m 1. _ I1.I . TYP FYTERIDR Wd FOYER KITCHEN m 24 EKT.STUDS i 2A'O.C✓ - . .: L Z - i'RI9 F.G.INSUL./ 4 1/2•PLYWOOD SHEATHING/ - ' .. - W.C.9HINGLE9TYVEK WRAP/ • 4'-O. 9'-O°' 3N4PLCOR - 6•R19 FlBERGLA9S - ob 2x1o'B•TO O.C. 2x10'S•I6.O.C. PT 2x10'S•.16'O.G. - 2-2x10 GIRDER Lll w - - T1P.FWNDATION WALL 4_2 y J P.T.SILL FN NDATI 2B'O.C. - ��-2x10 GIRT GALV.METAL POST ANOIOR - Lii o - S•xT-9'CONCRETE O'"' •TUBE'PIER TYP. ILI VAMP PROOF BELOW GRADE BASEMENT _ _ . l0•z16'CONTINUOUS FOOTING - 9'T -V2'LALLY COLD NOTE, S In'CONCRETE SLAB - LJ. ANCHOR BOLT5 - i MIL VAPOR BARRIER - EMBEDDED 7° - 5PACED 2B°O.C. 12'FROM CORNERS WASHERS 3'x3°xl/4' - SHEET 24'-0" SECTION "AH -JDBj LOTs115 SCALE. I/4° DRAWN BY1 TFR I DATES 11/20/12 4B'-O' _ 14, 0' • - - ° NMI - e - -—5UN DECK a wQ � WT1 - + 12-6' - 13'_6' _ - •Ic'O.c. - KITCHEN - 244oHzasD • ABOVE - (12'- X Olai•) I. DINING 32Sy°' 244DH2619 - GARAGE m _ ° - 3Y:6T 4'CONGRETE SLAB - _________--- • - P I T C HLIVING Td RD DOM- WOO O D12'-0�) •- Ii 244DH2O50 _ w ((� 2'-A' UP Tx9'O.H.DER - - 14'-4". N llt . Lu 1 -SEE DETAIL SHEET A6 I Lu O 1L NARROW WALL BRACING Z. N § # LL 2-b' q-O' 2-6' 4-0' 6-0' T-O' T-0' 6-0. A.-O. . 34'-O' SQUARE FOOTAGE SWEET FIRST FLOOR PLAN FIRST FLOOR' Bts S.F.' f� SCALE: I/4' 1'-O' - SECOND FLOOR' BBB S.F. ROOM ABOVE GARAGE' - 'IB2 S.F. TOTAL SQUARE FOOTAGE' 1,680 S.F. 7-B. LOTuiis DRAWN BY: TFR ') DATE: -.11/20/12 Om. d @ BMW sl U � ' o KNEE WILL TILE m �r T.V. LIN O C N . _ •, o TW244Lv - STUDIO/OFFICE 30 IA.X 6'CI (13'-6'% .. aEDROOM #2 ® - TW241L ----- -------- (13'-4'X 13'-B') 3 w IA-Xel- CARPET 4'%II'-4') CARPET KNEE 14-4n _ 'KNEE WALL KNEE WALL W Q oQ w LU a a aD � o 0 u W # N � ~p SECOND FLOOR PLAN A SCALE: 1/4" 1.-0' - - SQUARE FOOTAGE SWEET - FIRST FLOOR, 16'S.F. �� SECOND FLOOR 683 S.F. ROOM ABOVE GARAGE: 162 S.F. TOTAL SQUARE FOOTAGE: 1,600 S.F: J06: Ldr-lis - - DRAWN BTl TFR - DATE. 11/20/12 AW-0°- 14'-O• 34'_0° _ 2_4a 51-4• 5'-1a T-3".� . '... .. nO - -._ ..IIIII I" IIIIIII II'-.—m--5 no•�PI—DRG—P-o—wDA—OuO�R�1..�0��—•... —--—--J-I1III.II II.III°-.IIIIIi I I aII s,IIr-'c y_&..._�1-I do_•:C6iII I 3-�_-W A6LL'_B•--_=_-_- - EM�®ESNL'9IIjIIA T 0�B 4-C I1R 4P D-_'�D-AEa 0D R° ----�----_-—-eJN'IIIIIII-III III I .... IIL`IIII I .-. -_ �- OMNI 2-200 GIRDEROmni 4.4 P.T. GAV. 1ETAL P ANCHOR TUBE'PIER TYP. j BULKREADI 1 . 'DOOR w n QN3l . lCV y Will D 4 CTE wAu CNTINUWS FOOTING 7TP. ;CORETE VAPO BIR T_3. 3'-G 5'-1' 5--W GAR Gg SLAS SPLI T OWARD DOOR GI 9 I/'D .STEELEOLLIN LLI CONTINUOUS FNTING TYP. (n L QQ0. L -----—------ —————————————— w } 5 OZ Z C) LID FOUNDATION PLAN 5CALE, I/4° a I'-O° NOTE 5/B° ANCWOR BOLTS SWEET EMBEDDED 7° O M INTA L a 7 �g.. - _ - ,- ' SPACED 28"O.C. 12° FROM CORNERS - - - WASHERS 3°x3"xi/4° 1 JOB: LOTu115 DRAWN BY. TFR j DATE, .II/20/12 ° EXTEND HDR TOCORN hb DBL TOP PLATE YYII . _. - RAFTER a 16"O.C. FULL"I STUDS ; - • M JACK STVD NAIL TOP PLATE °- `�� APPLY SIMPSON MISTAIB CONNECTOR np° H2.5®FA.RAFTER' r TO BTM OF HDR W/]ROWS OF I6d NAILS - ON THE INSIDE FACE OF HEADER O.L. �' TO EACH JACK STUD � - STRUCTURAL PANEL S - HEADER - TOP PLATE- _ - NAILED.Bd COMMON : - TINUOUB HEADER . C IL O.C.EDGE AND FIELD I' CORNER TO CORNER 9� OVER MULTIPLE OPENINGS .DOOR TRIMMER STUDS. .O RAFTER TO PLATE CONNECTION (� SCALE-N.T.S. W-wo ANCHOR BOLT9 II - /3'1 3"PLATE WASHERS EACJJ NARROW WALL SECTION }'L DOUBLE ROW. * •-. - 5TAGGER NAILIN INTO BOTH PLATES W - 2X6 DEL TOP PLATEOMNI Q Pw _ .VERTICAL fxyl _ O ' - a VETICALSTRUCTURAL PANEL Af - NAILED Bd COMMON O 3'O.C.EDGE NARROW WALL BRACING AT GARAGE DOOR AND I2•IN FIELD E mtIT SCALPS N.T.S. IL 1 .- VERTICAL 'Pyl. 3" i DOUBLE ROW - - STRUCTURAL PANElS STAGGER NAILIN - BREAK ON 5ECOND - "TO BOTH PLATES RIM JOIST. - . ..ti.:• h6-DBL TOP PLATE ..' .-. - s 4k 9 w wfiiltli td _ U � 140 JODSTLOOR Z Q VERTICAL ?'� W w 'STRUCTURAL PANEL - 'I"A' yt� I STRUCTURAL PANEL NAILED M COMMON S '� 'B NAILED Bd LOYIPION 9 3"O.G.EDGE O 3°O.L.EDGE p I.i N AND 1�"IN FIELD P I - - AND 12"IN FIELD rr W _ L I r a i W tk I, .' [ p SHEAR WALL COMPLIANCE. }. 0. DOUBLE Row 'I ,lL W- 71%OF.EACH WALL RUN - Z STAGGER NAILIN �IT :I II IGBDrneR�NauN "Hi- fMrli VERTICAL SHEATHING WITH._ INTO BO%AND SILL '� INTO BOX AND SILL Bd NAILS 3' EDGE/12" FIELD ' (4)16d NAILS PER FT BOTTOM PLATE R - a L- 24%OF EACH WALL RUN VERTICAL SHEATHING WITH' - Bd NAILS 3' EDGE/12" FIELD (4)16d NAILS PER FT BOTTOM PLATE - SWEET - OFULL HEIGHT SHEATHING —SINGLE FLOOR ®FULL HEIGHT SHEATNIN�—MULTI FLOOR SCALE.N.T.S. TALE,N.T.S. .1DB, 1218 - DRAWN BY. KW DATE. tl/20/12 Commonwealth of Massachusetts 09 (}(� +ram Sheet,Metal�Permit Date: X'll''® !'"GrYM RESS _ IT �C71 3�G Permit# - Estimated Job Cost- I O OOO _,-a.FEB 112013 ' $ g , 00 $ Permit Fee. Plans Submitted: YES NO- eviewed: YES NO` OWN OF BARNST� s n Business License# Applicant License Business Information; Property Owner/Job Location Information: Name: Vernon Loh I, . Name: GO11�/�I a� v Street: 1' l ��G Street: 50 bDV if"- uA ►l., Ci /Town: U n ,,. ry I�Q� V(Q�'VI City/Town:, CAIJ I(.C•+LC `�' Telephone.- 509 995 000 Telephone: h Photo I.D:'required /Copy of Photo I_D_ attached: YES NO staff Initial J-1 /M-1-unrestricted license J-2 /M-2-restricted to'dwell' s '-stories or less and commercial up to 1.0,000 sq.ft./2-stories or less Residential: 1-2 family__.►4 .�,.__Multi_'family Condo.L.Townhouses__ : Ocher Commercial ,,,. Retail_,-_ Industrial_. .:Industrial ..._ .... . .Educational : Institutional Other 7 Square,Footage: under 10,000,,sq.ft. ,V ..over 10,0.00 sq. ft. Number of StI s: Sheet metal work to be completed: New.Work: V Renovation: _ V3 HVAC Metal Watershed Roofing Kitchen Eahaust'System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: One a a r n o to J A ORheal n � { 0�ld Ct M INSURANCE COVERAGE: ..,:.. ,tw .;. I have a current liabili~insurance policy or its equivalentwhich meets the requirements of M.G.L. Ch.112 Yes No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the I ce n'see does not have the insdrance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box(],1 hereby certify that all of thedetails and information I have submitted(or entered)regarding this application are true and accurate to the best of my.knowledge and that all sheet metal work and installations performed under the permit issued for this application will be Y 9 3 P in compliance with all pertinent provision of the Massachusetts Building P Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection - - - Date - - - - - - - - - - - Comments - x Type of License: By ❑ Master, - Title ❑ Master-Restricted r �_ City/Town ❑Journeyperson Signature of Licensee Permit# ❑ -./Elio License Number: y0 Fee ❑ Check atwww.mass.gov/dpl Inspector Signature of Permit Approval . ~;;> :COMMOIWEAL'TH OF'MASSACNU:SETTS `SHEET METAL WORKERS zr�% qS A,BUSINESS t 1SSUES.THE ABOVE LICENSE TO `FRIG' T_.WHITELEY i� W VERN,DN WHITELEY PLB15 AND 28 V:ILLAGE LANDING I� PO -B:OX `1266 W CHATHAM MA 02G69-000 4 160 12/22/14 292.629 71 -------------------- :COMMONWEALTH OE IAASSACHUSETTS _...8 0 0 �0 8 SHEET METAL WORKERS`` AS A MASTER-UNRESTRICTED ` ISSUES THE ABOVE LICENSE TO: ERIC T.•WH.I:TELEY _ m PO BOX 248 WEST CHATHAM MA 02669-02-48 2967 02/28/14 fi19423 Fo!d,Then Detach Along All Periorations 1 s No CHUSE�TTS �. i o r 1 ER1GTyt '� I 56 lt'W CHAbH M MA )r' kyp R .. - IV .i YK.'r�y_ f �y��trt'f 4/.'$�.��1�'�, I,., ._'JO F/�.8,•�-i� 4 �f The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations 600 Washington. .� 'Street' Boston,MA 02111 F www:mas&90 v/dig _ Workers Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly j Name(Business/Organization/Individual): Ve f, o LAJ t r � HCA r l e n C- z Address: y,11 A 'A n U 1 n Qo, City/State/Zip: W r s 4 Ci-1 A a 1 A; Phone#: 9 y Are you an employer?Check the appropriate box: Type of project(required): 1.14 I am a employer with _ 4. ❑ I am a general contractor and I employee.s'(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...E] Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for mein an ca acit employees and have workers' i s' y p y. 9. Q Building addition, [No workers' comp.insurance comp.insurance.- re uired. 5. ❑ We area corporation and its 10.❑ ectric Electrical repairs or additions q ] � � . 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself o workers'.com right of exemption per MGL: Y P" 12.0 Roof repairs insurance required.] 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Uthe 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 thepolicy and job site information. . � Snsurance Company Name y ' n tee_ 'Ca Policy#or Self-ins.Lic.'#: ."Lhj t c-,- z 1 l. o 3 O ] '� Expiration Date: l i o o 13 Job Site Address: U'A 1 o u s 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 impnsoninent,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 insurancOGverage verification: I do hereby certify under p a e o p rjury that the information provided above is true and correct Signature Date: 1 d ! Phone#: C G g� 9+.y - i 11 o o Official use only. Do not write in this area,to beXinpleated or town officialCity or Town: License# Issuing Authority(circle one)i L'Board of Health 2:Building Departmentw 1 Cyowner .4.Electrical Inspector 5.Plumbing Inspector Fh , 6.Other *' Contact Person: '" Phone#: ' Client#:48736 s VERNWHI ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/°°/YYYY) 10/01/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES.NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF-INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 endorsement(s). ' PRODUCER - - . . CONTACT - NAME: Karen A.Walther, CISR Rogers &Gray Ins. - aH0.NN,Ext:508 760-4630 FAX No; 877-816/2156 434 Route 134 E-MAIL' kwalther ro ens ra com . ADDRESS: 9 9 y• South Dennis, MA 02660-1601 INSURERS)AFFORDING COVERAGE _ NAIC t✓ j 508 398-7980 INSURER A:Arbella Mutual Insurance Compan 17000 .i INSURED INSURER B:Wausau Underwriters Ins.COmpan W.Vernon Whiteley Plumbing &Heating ArbellaProtection Co 17000 , INSURER C:. - Company, Inc. &Chatham Sheetmetal,Inc INSURER DP. O. Box 1266 - INSURER ' West Chatham, MA 02669-1266 ' 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1 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 - ADDLISUBR; - LTR- TYPE OF INSURANCE (INSR IWVO? POLICY NUMBER POLICY MMIDDNYYY (- LIMITS q GENERAL LIABILITY I8500052832 10/01/2012 10101120,13 EACH OCCURRENCE S1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) s 300,000 MED EXP(Any one person) s15,000 CLAIMS-MADE ❑X OCCUR PERSONAL&ADV INJURY S1,000,000 i GENERALAGGREGATE - s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X - PRODUCTS'-'COMP/OPAGG s2,000,000 ! POLICY X, JECOT- - 7 LOC s j AUTOMOBILE LIABILITY I` 11020006346 10101/2012 1 OJ01I2013,(Ee MoNEDISINGLE LIMIT S1,000,000 ANY AUTO - - I BODILY INJURY(Per person) S , ALL OWNED SCHEDULED - - AUTOS X AUTOS BODILY INJURY(Per accident) s X HIRED AUTOS 'X NON-OWNED PROPERTY DAMAGE- I AUTOS I I _ (Pei accident) S A X UMBRELLA LIARHi OCCUR 4600052833 10101/2012 10/0112013.EACH OCCURRENCE s4 000,000 EXCESS LIAB CLAIMS-MADE - - AGGREGATE - s4,000,000 DED I X RETENTION SO B WORKERS COMPENSATIONILIT WCCZ112600513011 10101/2112 10111/2013 X ITW0CSTAT T. oRH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - E.L.EACH ACCIDENT s500,000 OFFICER/MEMBER EXCLUDED? •. N N I A - - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s5OO,000 . If yes,describe under _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s506,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,.Additional Remarks Schedule,if more space is required) - - Plumbing, Heating, HVAC service.& installation: CERTIFICATE HOLDER - CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY.PROVISIONS. Hyannis, MA 02601 ' AUTHORIZED REPRESENTATIVE ©198 -2010 ACORD CORPORATION'.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #SS8017/M87928 TLH THE r ti Town of-Barn-stAle Regulatory Services v MAR& Thomas F. Geiler,Director Eo> Building Division- Tom Perry,Building Commiggioner 200 Main Strcct Hyannis,MA D2601 m-KW-town.barngtable.ma.ug Office: 508-862-4038 Fax: 508-790-6230 Property Owner Mus t` Complete and Sign This Section If Using ABuilder at U4 as Owner of the SUbject.property hereby authorize to act on mY be 1 , ` La all=-Lters relative to work authorized by this buldiag permit application for. (Address of Job) - I 5bnaturf-' of.Owner Date Print Name If PropeM purner is a.pplyrng forper it please complete the Homeowners:`License Exemption Form.on the reverse side. Q:FORMS:OWNEIZPfiRMISS1011 , F "THE r Tab Vu Of Ba rnstable stable .Per mtt i#0 r Expires 6 mon i s rant issue date * Regulatory Services *.Fee- * snxxsrABLE, Mass' ' om Thas'F Geile `b6 r,Director } pl� Mp� ' Building Didis><on Tom Perry,CBO,. Building Commissioner } 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us` " Office: 508-862-4038 Fax: 508490-6230. EXPRESS PERMITAPPLICATION RESIDENTIAL-ONLY Not Valid without'Red X-Press lmprint Map/parcel Number . ��. - Property.Address w [L esidential Value of Work � (�C7 � Minimum fee of$25.00 for work under,$6000 00 F Owner's Name&Address `' 407 Contractor's Name. �d,!?�Q OwYI �! Telephone Number" 7 7. " 2j, t9} 3 /c Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) VV 012 : Workman's Compensation Insurance ,w _- Check one: TO�a:f �� El In a sole proprietor � ����� I am the Homeowner .I have Worker's Compensation Insurance Insurance Company Name".' Workman's Comp.Policy Copy of Insurance Compliance Certificate musf:accompany"each permit g Permit Request ck box) �- Re-roof(stripping old shingles) All construction debris will be taken to -5~ SGrl. Ly�i h! ❑Re-roof(not stripping. °Going over existing layers of roof) ❑ _Re-side #of doors Replacement Windows/doors/sliders.U`Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,,i e.Historic;Conservation,.etc ***Note: Property Owner.must sign Property Owner Letter of Permission .. ° A'copy of,the Home Improvement Contractors License&Construction Supervisors License is quired. v ` SIGNATURE: Q:\WPFILES\FORMS\building permit forinsTXPRESS.doc Revised 690809 F: f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Fes ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl o Name (Business/Organization/Individual): A'�4,24 4en&idic7l Address: .]/o /ram1" i Awl City/State/Zip: Phone#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with" 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ 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.$ r uired.] 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'.❑P Bing 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,❑ Other comp.insurance required.] *Any applicant that checks box#] 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. 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.#: Expiration Date: . Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert' tinder the pai and penalties of perjury that the information provided above is true and correct. Af Si ature: Date: 30—/A _ Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. 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, constniction 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 Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia of z►IE ram. Town of Barnstable Regulatory Services - =nxxsTnsr E Thomas F.Geiler,Director MASS. 1e39. ,�� Building Division TfD MA'I a 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: !j 30—1 7, JOB LOCATION: 6-/0 number D J� street - village 3 7 HOMEOWNER": �l /'GI �l1 leleyId 2 7Y"��V '� / name home phone# work phone 4 CURRENT MAILING ADDRESS: 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 re wire a ts. t CfA4 ki�� Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a 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 THE Town.of Barnstable � 4G Regulatory Services `"NAB& " Thomas F. Geiler,Director 039..�► Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Of fice: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This ction If Using A Buil r o , I, �'f `e,4)i CZ , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work autho ' ed by this building permit application for. T ° 6/ (Address of Job) —Zt�j -144- S ture of Owne Date 9 ' leneleJ t cz, Print Name If Poe Owner is applying for permit lease complete the P P reverse side. meowners License Exemption Form on the rev QTORMS:OWNERPERMISSION TempParcelEdit Page 1 of 1 rwmno fi q 1 p �k y be Logged In As: Wednesday,January 16 2008 Frank Schlegel New Parcel Application Center Road System Reports Road System The record has been added. New Parcel Detail New Mapparcel: 002 002 115 Street Number: 50 Unit: Dev Lot: LOT 115 Road Name: DOVETAIL LANE T/R: l 3 Sec. Road: T/R: Villlage- 07 Cotuit Part of M/P: MAP 002 PCL 002 ..�.. _. _ .......... .._ ... . .. .._..,,.. . ._ . ,...... Plan Ref: PLBK 617/69-75 (APP 7-62) Date Added: Updated: _w OWW pelete d P�oth httn�//i.cn l?./Tntranet/Prnnd a.ta/TemnPa.rcelEd i t.a.Snx?TT)=Add 1/16/2008 Loundation Certification:. in Barnstab �le MA Prepared For Lot 115- N #50 Dovetail Lane Assessor's -Map: 002 Lot: 02 Baxter Nye Engineering & Surveying Community Panel Number 025551 0021 D Registered Professional F.I.R.M. Map Zone: C Engineers and Land Surveyors 78 North Street, 3rd Floor Hyannis, MA 02601 Phone —.(508) 771-7502 Fox.— (508)-771-7622 Owner: Cotuit Equitable Housing, LLC Job Number. 2005-214 Scale : 1 = 20'; 12-13-12 Q00 p� o LOT 115 �S4 Z 8,988f S.F. r 0.21 f ACRES o `' ry 81, cb DSO r 98. l ; �\s �o�b N 39 tij ,\O p 146 20 lot �0 .9 0 c 10 5 I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURE SHOWN HEREON IS IN COMPLIANCE WITH FRONT, SIDE AND REAR SETBACK REQUIREMENTS (20'/10'/10') AS NOTED IN TOWN OF BARNSTABLE ZONING BOARD OF APPEAL No. 2005-082 (DB 21059 Pg 158) IS LOCATED IN RELATION TO OF 44, PREIMETER MONUMENTS SHOW_N PER EXHIBIT "A" (DB 21804 P,g 45) AND jS NOT LOCATED WITHIN A ss9� SPECIAL FLOOD HAZARD AREA. s SHANE M. R THIS PLAN IS NOT RECORDED NOR IS 1T TO BE USED TO ESTABLISH PROPERTY LINES: BRENNER No.45917 Q 3 Az REGIS U D PROFES AL LAND SURVEYOR N BAXTER NYE ENGINEERING & SURVEYING ATE Fss�CN�iSTE; S`� MERAL NOTES: 1. LOCUS PROPERTY IS SHOWN AS: ASSESSOR'S MAP 002 - PARCEL 02 2. SETBACKS: FRONT - 20' SIDE/REAR = 10, 3. UTILITY INFORMATION AS SHOWN ON PROPOSED SUBDIVISION PLANS. 4. COMMUNITY PANEL NUMBER: 025551 0021 D THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, AREA OF MINIMAL FLOODING. 5. ENVIRONMENTAL NOTES. SITE IS NOT WITHIN AN A.C.E.C. (AREA OF CRITICAL, ENVIRONMENTAL \ CONCERN). M SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE 00 a �� \\ WILDLIFE PER NHESP MAP OCTOBER 1, 2006 MATED HABITATS OF RARE WILDLIFE" FOR USE WITH THE MA WETLANDS Z � PROTECTION ACT REGULATIONS (310 CMR 10).' pF SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP s s SA;10 �� MAP OCTOBER 1, 2006 'CERTIFIED VERNAL. POOLS.' 63.95 s� . �� SITE IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER .� . LOT 115� B�U�'ts• 1, 2006 "PRIORITY HABITATS OF RARE SPECIES' FOR SPECIES s F UNDER THE MASSACHUSETTS ENDANGERED SPECIES ACT, ���K�,h� 8�988f S.F. X ; REGULATIONS (321 CMR10) % "� �0 0.21 f ACRES \63.95 SITE IS WITHIN A STATE APPROVED ZONE II GROUND WATER 63.5 RECHARGE PROTECTION AREA � 63.95 \ x 63.75 63.95 63.25 x 6 \ PROVIDE (1) 6' DIA. x DEEP LEACHING � BA� W/ 1' STONE 1. ALL GENERAL Lti01N:iT'RUC110N NOTES ON SHEET C-2 FROM THE 10 ALTERNATENE (I�VA�ENT 9) � ry ��� SUBDIVISION CONSTRUCTION PLANS FOR COTUIT MEADOWS, DATED VOLUME OF 28'b�) 3, v �r0� • 4.5 OF /� 6125107, SHILL HEREBY APPLY 10 THIS SUE PLAN. CONNECT ALL ROOF 2. ALL GRADING, DRAINAGE, AND UTILITY NOTES ON SHEET C-5 FROM WN e DOSPOUTS TO C)o LEACHING BASIN ��� �� ' ,gyp • 3. ♦ 3 THE SUBDIVISION CONSTRUCTION PLANS FOR COTVIr MEADOWS, DATED 6/25/07, SH LI HEREBY APPLY TO THIS SITE PLAN. X 64.5 isss aim 6y �� . 3. SEWER BUILDING CONNECTIONS: 62.0 S INV.-57.76 h• MIN. COVER SHALL BE 3 FT. S F - SET CLEANOUTS AND MAINTAIN CLEARANCE FROM OTHER UTILITIES IN1�2 AS REQUIRED BY BARNSTABLE DPW. MINIMUM SEWER SERVICE CONNECTION SLOPE SHALL BE 2.1%. L Ay 64. S o f OUT CLEAN \ 63. r \ CURB 63. , c � S 3.0 , co _ Cotult Meadows Subdivision vEGE TED 12 DEEP 62.0 Cotult•Barnstable, Massachusetts S F � . , Cy� VEGETATED 12" C OC ,� RAIN G (125 PREPARED FOR DEEP RAIN \ �8? �16.5 C.F. STORA ) i X GARDEN (125 \ �' J' ~6 TOP-63.0 ,� COTUIT EQUITABLE HOUSING LLC C.F. STORAGE) G SO F BOTTOM-62.0 ! TOP-63.0 ` BOTTOM-62,0 P■ O. BOX 95 n S INV.-56.67 _ _ i 'IN _ - �74 CenteMile, MA OM2 \ O ,\ 80 C� EC1ST 4. flTLE Site Pia Lot 115 ,w 50 Dovetail Lane ` BAXTER NYE ENGINEERING & SURVEYING Is, Registered Professional � s Engineers and Land Surveyors 78 North Street,3rd Floor,Hyannis,MA 02601 Is, pc Phone-(508)771-7502 Fax-(508)771-7622 �X S F .OO O �, 20 0 20 40 k14 ,� , � Is, SCALE IN FEET 65. p SCALE. 1" = 20' DATE. 11-26-12 �\ \s17 REV. DATE. REMARKS SMH sNV LOT4 15 \ I OU C /y 58.39 S DROWG NUMBER 0: 2005 2005-214 CML DESIGN 2005-214PBLOTS.dw 2005-214