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HomeMy WebLinkAbout4810 FALMOUTH ROAD/RTE 28 L "x PI I•'' A c9h r , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION G Map Parcelp00 ��� `Application #QO :off 66 PS Health Division "' Date Issued Conservation Division ;Application Fee Planning Dept. - " Permit Fee Date Definitive Plan Approved by Planning Board Historic- OKH _ Preservation / Hyannis Project Street Address LIS 1.�Q 1;,�ir►ovw PUD Village U CT Owner �'ZbZ (/'� LAC- S \ Address f5'1 D" AL 00TZ f Telephone Permit.Request �L7 -"�� 's1�1✓3'L�. M L A"TLC Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2-00 Construction Type_ Lot Size _ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) _ Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new C.7, Total Room Count (not including baths): existing new First Floor Room;Count V Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other "• -�+ cao� Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:a❑Ye ❑ No a . De4ached garage: ❑ existing ❑ new size--Pool: ❑ existing ❑ new size _ Barn: ❑ exi' ting ❑,yw ze_. Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use — -- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name — M,Gi/1#fn��i Telephone Number Address "l I � � 3 �a1� YlNiC-H /1i1A Home Improvement Contractor# io bsS'� Worker's Compensation # �)0/ q 13 t-10/ 2b72 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREL4,JJ2) DATE l I %Z.- FOR OFFICIAL USE ONLY APPLICATION# � -:DATE ISSUED MAP./PARCEL N0. . '1 1 • F :r ADDRESS VILLAGE `f OWNER 4 DATE OF INSPECTION: ,,.'FOUNDATION''^- ^ FRAME INSULATION P FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL } GA•S­v,,-_-:. ROUGH :u- FINAL r ;F,INAL BUILDINGAiz ;,14 : + DATE CLOSED OUT " ' ASSOCIATION PLAN NO. The Commonwealth of Massachusetts 1 Print Form - Department�qf Industrial Accidents Office of Investigations , .l Congress.street,Suite 100 • Boston,MA 02114-2017 www.mass.gov/dWa, Workers' Compensation Insurance Affidavit: guilders/Contractors/Electricians/}'lumbers Applicant Information Please Print Lelribly Name(BusinessfOrgattiration/Individual): FRONTIER ENERGY SOLUTIONS Address:376 ROUTE 130,SUITE C City/State%Zip:SANDWICH, MA 02563 111101te#;339-832-2623 Are you nn employer?Check the appropriiite box: Type of praject(required). 1.Q i am a employer with 8 C] I"ain a general contractor and I a have hired the pub-contractors 6. []New construction employees{bill and/or part-time). . 2.[� I sin 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 rY• 9. Building addition [No workers'comp,insurance comp. insurance.t required.) S. ( We are a corporation and its 10.❑ Electrical repairs or additions 3.Q J am a homeowner doing all work officers tiitve exercised their l l E3 Plumbing repairs or additions myself.[No workers'comp. right of exen7ption per,.MGL 12.0 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#]'must also fill out the section below showingtheir workers'compensation policy inforination. t Homeowners who submit this affidavit indicating they are doing all work and Then hire outside Contractors musi submit a new affidavit indicating such, tContractors that check this box must attached an addli oral sheet showing the name of the sub-contraciors and slate whether or not those entities have employees. If the sub-contractors have cusp oyees,they trust provide their• workers'coutp.policy iurirrber, l am an employer shirr is providing workers'compensation insurance for my employees. Below is The policy and job site information. Insurance Company Name,.AIM MUTUAL 1NSURANCEt Policy#or Self-iris.Lie,#t,6012054012012 Expiration Date;7/2512012 Job Site Ad4r"s: City/Starelzip; Attach a copy of the workers'compensation policy declaration page(showing the policy number and cxplr`:ation date). Failure to secure coverage as required under Section 25A of MGL c, 1,52 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do laereb ce!ti2 under the gains and enalJies o er"i: Ilia/[lie in nrmation provided above is true and correct sign to e--[. Date Phone i#• 339-832-2823 Offuial use only. Do not write in this area,to be completed by city or town official City or Town; Permit/License#. Issuing Authority(circle one); I.Board of Realth 2:Building Department 3.City/Town Clerk 9,Electrical Inspector S.Plumbing Inspector 6.Other Contact i'ersom Phone##: ( . DATE(A•L�'VDIj1Y1'Y) CERTIFICATE OF LIABILITY INSURANCE 18/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO .RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE , DQz$ NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER,THE COVERAGE AFFORDED BY THE.POLICIES BELOW. THIS CERTIFICATE OF - . INSVRANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S)', AUTHORIZED REPRESE14TATIVE OR PRODUCER, A.ND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ics) 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 endors=ent(s). ]60DU0EA � CONt'ACT - Rogers 6 Gray Insurance Agency Yy;.i}r. raa Inc _ (o/C. ND. Ezc}: --- 'A(c. NO): _ - ' - PO Box 1601 ADOREM PRODUCER South Dennis, MA 02660 ensraarn 100! . INSDAEDiS)AFFORDIIIC COVEFUNSE "Ale 8 . IranEn IAHunzaA: K,I:M. "Mutual Insurance.Co 33758 Frontier Energy Solutions LLC INsa R[iR B: - 39 .Siasconset Drive ltMRSK C; Sagamore Beach, MA 02562 INSUANR D: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS. IS TO I2hWIFY THAT THE POLICIES OF INSURANCE L.:.STED BELOW HAVE BEEN ISSUED'TO THE INSURED HAMED ABOVE FOR.THE:POLICY PEILIOD INDICATED. NOTWITHSTANDING ANY RE:4UIRD4ENT, TERIG OR CONDITION.OF ANY,CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE aY 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. POLICY NUMBER POLICY EFF POLICY EXP LIMITS ruL TYPE OF INSURANCE tro;Dn/»+vJ t Pwan/rrxri �� GENERAL LIABILITY - _ :AC:i OCCUIViiYCE 5 O•:CMIUJP:ZAL fai712Ra4..LIE74I Ri' - 1 DNNOE TO UNTED $ - ' ?AlO�laEn{Ua.necv r>-angel OO{LAIM WI.g O"�'Al M'^E'D UP to ly--Par9ont. 6 Q - i PCnDOiUS.L RDV It6101tr 6 I ORKRAL AGOAL ATe 9 -iBtl'L h;-X'i ATE LIMIT ASCLZES Rn. - OGGtL;Y a?Y.rµl El'x QI.:.• , P6300 UCTO-COMP/OP AGO $ . .AUTOMOBIIE'LLABILITY _ cDYEI MAD 51N6r:E Llr - ONO'Au'P0. (m axaacnE} 4. BOPILY ItUORY {P.Daescnl 3 OAI.L CWlIED aUT;D �. nxicIivM.•"Ns Pcni LY ItLYU0.x 1(roe eG.YdanS) D - ONIIWO - PAOPI:nt7 GAMN'a . ILM-PI,P,4lA UtAe O ••?`•:.Ri - EACH 0OCJ?A9.4'E. OEJD'8?„D�IAn O='.LAIM3 tU1LL. A04lFAAx& $ . OGECIAS'1bL6 .. WORM",C*QEHSATIOHAND WLOYEES LIABILITY ,, + - 4O4Y LxecrT Ds THE VR Y6iET.t41 FkR lER3: a.L. EACH At:clnein 3 1,000,000 A E.E;UTI'Jc �FF.CEOS ARE ❑ ieJcl ® e: '.t �'6012954012011 E.L. DISEASC�POLICL tIrlx $ 1,000,000 07/25/201] 07/25/2012 - - ( e.L. Olseas=•-EA E+aPLDxDR $ 2,000,000 COMOATE/OEECRIP7103 OF OPWATIONS OR LOCATIORS, ALL MEMBERS ARE EXCLUDED FROM`TKE WORXERSICOMPE14SATION POLICY. t - r CERTIFICATE MOLDER CANCELLATION CONSERVATION SERVICES GROUP ' SHOUIJ?ANY 401?THE ABOVE DESCRIBED POLICIES BE CANCELLED BEi ORE:THE � EY,P.IRATION DATE THEREOF, CaTICE'WILL BE DELIVERED IN ACCORDANCE WITH THE SO WASHIIIGTON STREET POLICY PROVISIONS. WESTBOROUGH, MA 01581 ADxMDAIzzD xEvneaea ATrve ' � , B�r:cr't1 rot 13rrlilin:'. 4tS•�trY:rti+an: aatil:<L:�ntt<rc'c�"� l , ,, _' Cz�alscl`a.rc�±Qr1 Str �ursr3r S��c�t,x{„iG�ns!� LKi rase; CS S1- 102778 >3e-51r�cit�3 to; tC w CONOR MCINERNEY 35 SIABGONSET DRIVE. SAGAMORE8EACH,'MA02 2 r` =t ��i,mac Sxlzz �trarr 911grAl'2 .___...--------- Tom• 1'J�7?$ /-3i t f.3.°Y lsif•rff k,fil��k Y d/fk:<rfx,d'!<:r'.�v°.,� 14F �= Oftiic,nTC'�rnsunrcr!\1£�ausi�'Btlsieicsette�nlxiraraz r r HOME,IMPROVEMENT CONTRACTOR y y , Registration: 160854 . t I y \ e r P 978[2012 1.;LC 1 2'i +4 � Expiration::r' Y SOLUTIO IS z = I-ROt4'f12R ENERG y r u' _ ? tJGINERNEY CONOR r' 9 135 STATE RD SUITE 1 c _ SAGA,1110RE13EACH.MA02562 t?x+dCaz=tar_txrs Y, i _ OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at .(Property Address) . (Property Address) t T- hereby authorize i'f LyJ ,e( (P Y" (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my beh to obtain a.building permit and to perform work on my property. Owner's igna ure Date s Y 1 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION SMap Parcel 407' �'?�. Permit# Health Division ��� Date Issued Conservation,Division �� /-3 d� Fee ' 79- Tax Collecto (,t✓l�►�'13I�� Treasur �o SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board w1TH s ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 0 20AVO Village 60-r—v< < Owner )rn��1—� �� =-� /J�f Address Telephone 0 0 Permit Request � $i 12t�C� o4 ?_31C Z- 2- C_A}►Z. . 6?WA&-F_ Square feet: 1 st floor: existing proposed O 2nd floor: existing �d(� proposed Total new Valuation �3r �0 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If es, attach supporting documentation. y pp g Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 3 � �5 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: 4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ;9 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing '-7 new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Count Hbat Type and Fuel: Gas ❑Oil ❑Electric ❑Other r Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No -41 X Detached garage:❑existing X new size23 0,4 Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use ` Proposed Use BUILDER INFORMATION �s�J Name- J Telephone Number SD���!'ZD 2 26S Address 12Ao License# Home Improvement Contractor# l0.3 2_S3 Worker's Compensation# ALL CONSTRUCTION JIS SULT FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �3 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED _ MAP/PARCEL NOr ,~ ADDRESS VILLAGE ? OWNER �' = . - � . : _ __ . . Y � - , • DATE OF INSPECTION:'` FOUNDATION FRAME 2( 1 INSULATION i FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH x FINAL - FINAL BUILDINGS DATE CLOSED'OUT ASSOCIATION PLAN NO. ''c '_� M n; 4..� • • a 1 I 1 1 1 L E.STINA TEO PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$1151sq. foot= (above average construction) . square feet X$96/sq. foot= (average construction) square feet X$57Isq. foot= GARAGE (UNFINISHED) -5�50, square feet X$25Isq. foot L PORCH square feet X$20/sq. foot= DECK square feet X$151sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Cost I �� Inc/usionary Affordable Housing Fee Residential Commercial" Property Owner's Name Project Location Project Value Permit Number "Existing Sq. Ft. "Proposed New Sq. Ft. Fee $ 790 CMR Appendis I TabbJSZlb(toauiva00 pjC2Cjipdre P2dU19W ford=w d Two•Faa*Raidmdal 13.nAiap Heated with FosfO Fuch MAXIMUM MII�iiMUM aft Wall Floor Bad Slab 1Hend* C00E1�us %) tT-value: R-wWe I4vaiuO IGvalue Wall Perimeter Pmm fing RylUO Revalue' Package 970110690 Reatiag Deg=Dam Normal Q 12% OAO 38 13 19 10 6 30 19 19 10 6 Normal R 1ZX am 3085 AFUE S IrA 0.50 38 13 19 i0 13. ,23 WA NIA Normal T 150A Q36 38 Normal U 13% 0.46 38 19 19 10 i V 159A 0.44 38 13 23 NIA WA 8S AFUE W 15% Gm 30 19 19 10 i ES AM X 18% 032 38 u 25 NIA NIA Normal 19 25 WA WA Normal Y l8•/!i OA2 90 AFUE Z 18•h 0.42 38 13 19 10 6 AA IV1- Q.50 30 19 19 10 6 90 AFUE F&t-m 0 VT14- V0 A-0 1. ADDRESS OF PROPERTY: ri 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 1 3. SQUARE FOOTAGE OF ALL GLAZING:. 4. %GLAZING AREA(#3 DIVIDED BY#2): .5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHM MORE INVOLVED METHODS OF DEI. RM KING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR Tins INFORMATION. BUILDING INSPECTOR APPROVAL: YES, NO: q-forms-t980303a 780 CMR Appendix J to Table J5 Z1b: _ I skylights, and , tea _ , tao � Footnotes assemblies. m sliding 1'� doors, �' e ratio of the area of the gIaang C g area is the the gross wall Glazing �SPA+but exchtdiag°Page doors)to basement windows if located in walls that inclose nine,expressed as a pereearagL Up to I%of the total glazing area may from the U value raFircm t For example,3 8=of decorative glass may be exainded fiom a bufldmg��with 300 S=of glazing aria _Aft January 1, 1999,glazing Lmdues must be umd and documented by the maauiacnuer in accordance with the National Feaestmtion Raring Comtca (NFRG) test Pr'0 ' °�talcm from Table J1S3a U-values are for whole units:crater-of 91M U-vakes cannot be mM' achies the full ' The ccftg R values do not assume a raised or ovasized.U= man. If the ti achiev titated for R 38 -t insulation thickness over the e�maior wars for °o+ R 3D:insulation may s insulation and R 38 insulation may be fir'R"'�9 °n. Cet�kg R-vahtes represent the svm of cavity insulation Plus insulating sheathing(if used).For vmtt'kted exfl'mgs, insulariag wag must be placed between the conditioned Space and the ventilated of the 1 OE ins iasulatkg g(i f used). Do not include 'Wan R-values represmt the Samof the.wan carriY. P could be met EITHER or sidin structural sheat8ing,and hm;F.r For example,as R-19 requirement could R-6 nsulatng sheathing. wan requkcracats apply by 19 cavity insulation OR R-13 cavity insulation plusii to metal-flame construction. wood-frame or mass(concrete,masamrY,109)wan camsattctiens. do-not apply smch as tmronditioaed c:awlspaces,basements, 'The floor mquiremens apply to floors over unconditioned spaces or garages),floors over outside ak must meet the CCITMg dam depth less than 50%below grade must 'Tl:e entire opaque portion of any individual basement wan with an average meet the same R vahm requ�.as above grade walls. windows and sliding glass doors of conditioned basements must be included with the other.gin.i ft. Basement doors must meet the door U-value requirement d_=ibed in Note b. _ The R value requirements are for unheated slabs.Add an .. R-2 for heated slabs. If the building.utilizes electric resistance lle�g CSC cOmphantx 3'4,Or S. If you plan LO install more pd. rhea tine of went,the equipment with the lowest than one piece of heating equipment or more P� , efficiency must meet or exceed the efficiency reguircd th•.selected package. by��see Table JS.Zla 'For Heating Degree Day requirnaeass of the closest city NOTES: Insulation R-vahae are minimum acceptable levels. a)Glazing arras and U-val=are matdmum acceptable levels R-value requirements are for insulation only and do not inehtde szr=mM1 cOmPonmm b) Opaque doors in the building envelope must have a U-value no greater tban 035.Door U-values must be tested and documented by the mamufacnmer in 8aclrtA with the NFRC test procedta�e or taken from the door U-value in Table J1S3b.If a door contains glass and an aggregate U-value rating for that door is not available,include the �or U-�to ermine compliance of the door. glass area of the door with your windows and use the opaque than 035). _. One door may be excluded fmm.this requirement ru-+may ban U-value grc= c) If a ceiling,wall,floor,basement wan,slab-edge,or CMWI sPacx wan component includes two or more areas with rf a the w -weighted•average R-value is greater than or equal to different insulation levels,the component�a Glazing door comPmmu amply if the area-weighted average U- the R-value requirement for that component U-valuc �(035 for doors). value of all windows or doors is less than or equal ai =- = Department o to S ''- Q�cr oflmresii$autrds 1 z � 600 Washington Street Boston,Mass. 02111 - -- � nce davit Workers Compensation Insu/ra ,.,//////%///��%%%%///%%%//////%%//%////////%%i' ,,, "`,,,` !0cation /�`'OdVI V l �y F ` OitOnC r , J erfmm=g aU vVM nl3 mei£ _ I am a homeowner p in aap capacity I am a sole DrOldetor and have no one w "d= emPlavew wofidng on this job. >:;.: < »,, >,<»»>, >..... r am an ��,�..^^wt7'= emD I O .. 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' l l • • I t 1 ' 1 Op THE Tp� • P� 'h The Town of Bar URNSTner.B. • Barnstable '4,p MASS. �0 Regulatory Services TEo►r+A�' Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW. SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied buildin-containing at least one but notmore than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. -�� Type of Work: Estimated Cost Address of Work: 2�1 —� Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law E]Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereb apply for a permit as the agent of the owner- T f, 00-0 a Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav ___"roG^.r=-r('/t-.....r�.�I't^7Y.`Y'1'„•'+�w.`**'.t;"'.�j:. ,� �..,Ef 7i�:R' �f";,_g l p }(a'"�-�1d�.Yv+1+'�+"!�y"'.�»M�'*Y�i" .e w� } � —T'•f.es:Y3.'�?`.iY�f%..ay-aYv.Ky«alM' �r n R,S=,ay' r.�..,�-r.:a..:-r• _ _ . tME 1p� The Town of Barnstable BAMSrABM E 9� 059 Department of Health Safety and Environmental Services A,Eo N►o�" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: Map/Parcel: a01 - OVO Project Address:(� - (NI MA 1P'h c Builder:-Cp SrWN � S The following items were noted on reviewing: _� (rt � r• If-\ sa e_ to i\k ic s Please call 508 862-4038 for re-inspection. Inspected by: Date q:building:formsseview �i �omvino�u�va�l�c o�✓uaa�ac�irael�a " . BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS O44178 Expires:09/29/2001 Tr.no: 4822 Restricted To: 00 JASON S ROSSI _- 70 JAYS l.N HANOVER, MA 02339 Administrator �iie [�aoxmeanara�i o�,/�aaaac/u�aelGt HOME IMPROVEMENT CONTRACTOR Registration: 103283 Expiration: 07/07/2002 Type: Individual JASON ROSSI G� � r Uwn Rossi ADMINISTRATOR 70 JAYS LANE Hanover MA 02339 DATE(MM/DDNY) AcoRo CERTCFECATE OF LI BIL[TY INSURAN 11/10/00 I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paul Peters Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P 0 Box 669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth MA 02541-0669 COMPANIES AFFORDING COVERAGE John J. Lynch III COMPANY Phone No. 508-548-2500 Fax No. A NORTHERN ASSURANCE COMPANY INSURED COMPANY B Legion Insurance Co. COMPANY Paul Theriault Inc C 69 Sady's Lane COMPANY E Falmouth MA 02536 D COVERAGES 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/OD YY) GENERAL LIABILITY GENERAL AGGREGATE s2,000,000 A x COMMERCIAL GENERAL LIABILITY NBFB40707 01/01/00 01/01/01 PRODUCTS-COMP/OPAGG $2,000,000 CLAIMS MADE OCCUR PERSONAL$ADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 100,000 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STATU-TORY LIMITS OTH ER EMPLOYERS LIABILITY ;, _ :' EL EACH ACCIDENT $ 100,000 B THE PROPRIETOR/ INCL WC40022511 11/23/99 11/23/00 EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Builder CERTIFICATE HOlpER ' CANCE.LLATiOt ; .. BARNT01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of Barnstable 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 367 Main Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Hyannis MA 02601 OF ANY KIND UPON THE COMPANY,ITS AGW OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE John J. Lynch III + ACORD 2`r3(1l95Y Co. 0 ...TIO..Pt 1988 J P,n171 Aa lO -- I l li l Ii T- iilllll II d ! li ! I li - I I � I I I I I I I I I ! I I l i I I I I I i I I '• I � _.� I — I i I i I I I I _I I i i I , I i i I I I i I i II I I II I I � " � ii III i I I I � I I i•I ija , I I I i I � I I I - i I I I I i I I i i I I cr I I �- ' I - I I l I I l i i l I I I I I I I I I I I i l j I I i I ' •i I I 'i ' I I � i i , - -- i I - I iC) f t - - l 1�-- �L� I �L{-r � •�f�r � -� I I � - _�'C'��-"L�� Ill�q'- � -b _ - --- i - i I I j I i 4 i I I i i I I � i I ' i AtiK 1,-;,Ito 1 t i T � I I I '� � i �Z aY� ^ i i I I I I I I i i I i I I I I � r i _� Jt �,K, tz D 10 if I l l j i I ! -_, Tj ^7-97 MON 11 : 19 SALEM FIVE MTG FAX NO. 6087472323 / �� �v ��-ate•{o � , AVagrYM MOM i +I i � • LOT 26 44 104 SF. ~ i ROUTE 28 . °TO THE BEST OF MY KNOMLE06F THB PL O r PLAN pr L AND FOUNDATION SHOW ON TH,rS. PLAN IS AS L OC�4 T I IN M A DNrV >' EGUILA r AND eonrf BARNS TA BL E—CO TUI T�-MA SS. THE ZaNING +9E6ULA TIONS IN Tl;�;,�1MN ' �; '�";� BAaNsrAecE AE6.AOZNc YAAU,�e=Mbuif—, :_ t pflEpAAED FOR DATE•SEPT. R .1996 JASON ROSSI == _ _ "_'�_ _ =:,, `STET;•`r,s:% DATE.•SEPT.9, 5996 SCALE: 1`=50 FT. F1.00O ZON- NON HAZAHU �+�s• cAPE 6 LSLA%NDS ENGINCCRING 1 fl-50 27c MASHPEE 4. T OF SHE The Town of Barnstable • snxxseABM • 1K6SI 3 q. `0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax:. 508-790-6230 Building Commissioner PLAN REVIEW Owner: Map/Parcel: O!�M- C701 - O l 0 Project Address: FAMQURR4JBuilder: C"p6o t ©�S' t. The following items were noted on reviewing: ��Z 1A61NA -6 Please call 508 8624038 for re-inspection. Inspected by: Date: q:building:forms:review Ty i t ! I I n to --!�-� � I ' i - -' � � � . i ! i I II il111I ; i III I —--L—i—Ti � ZVI- i i I I I i I i _ -4-� --- - --q— ---- -- — I I 1 f��I � I V V �/•• - ' { I I I • I i i t i I I i { — i � i j + I i i I I 'I � I .I I i � � II j I � I• i �. I j � i � j ?' � } i d I (lot, BE I f i I G4, Al I i I, �I �I I C I �ii � �i I �I ! �I 114 Lj LA 14- TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 009 001 010 GEOBASE ID 37357 ADDRESS 4810 FALMOUTH RD/RTE.28 PHONE ^`� Cotuit ZIP - LOZ 23 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 24531 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#16407) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: ' and Environmental Services TOTAL FEES: BOND $.00 THE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY + • * BARNSTABLE, MA$S. OWNER ROSSI , JASON S g3 9 1639. A1O� ADDRESS 297 SILVER ST HANOVER MA BUILDIN. p VI DATE ISSUED 07/21/1997 EXPIRATION DATE r TOWN OF BARNON LE BUILDING P PARCEL ID 009 001 010 GROBASE Ill 37357; ADDRESS 4810 $4W�' `> lL,,w,L, ��" PHONE Cotu1 �: aF+' r" -R ZIP . DOT 23 BLOCK r LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 164P7.. DESCRIPTION SINGLE FAMILY DWELLING (SEW.PMT-490--313 PERMIT TJPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: . ROSSI , JASON °�' �' Department of Health,;Safety ARCHITECTS: 14{j and EnVi onmental Services TOTAL FEES ;.a r44.B4 "l ` f � /` BONDt ..00 } tME CONSTRUCTION COSTS' $7$,g$0.'Q0 1 = S INGLE RANI HOME DES' SHED 1 t ATE e P; '- ` * DARNSTABLF, MASS. s6 OWNER ROSs ;JWd-N/ /: � � r 9 AD �/• 't� '� .� 3 7ED MIS A DRESS 291 8/ ,�1RR ,r- ; BUILDIIN ,VI. ON DATE IBY SSUED 07/n9/199 EP2ATION. DATE ,Zip'' ,.• � f I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION:STREET OR ALLEY GRADES AS WELL AS DEPTH 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 SUBDIVISION.RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: _ APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- . (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. , �LWIL'DING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS. 2 C 1 HEATING INSPECTIQbWPROVALS ENGINEERING DEPARTMENT 2 &•-23--7`7 A 3D Of HEA TH �w - OTHER: ` SITE PLAN REVIEW APPROVAL .� 7 71 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. a_ 4 ' fI` I it C � r. :t )} n}1 � o rJl n :ce'(1�*+,:,.� *— wmnmwlw� 09 2 Parcel ( , Permit Conservation O (4th floor)(8:30-9:30/ 1:00- 2:00) 1G s Date Issued Board of Health(3rd floor)(8:15 -9:30/;1:00-4:45) . 4 s,f� Fee -Ao2y�/, Engineering Dept. (3rd floor) House# 4 (1, 294 TIC SY UST BE r IN STALLE LIANCE Planning Dept.(1st floor/School Admin. Bldg.) , Definitive PlanApprov by Planning Board %19 CI� VI A ` ®�Ai'9 Pin ��a� ,� 0+ R TOWN OF BARNSTAB E B ilding Permit Application )=;4 Lke Pro treet Address 7— O ® �Ti � J Village IL-14 t,: �+ �.J�� OJ�1� i Owner �71 _ Address {Telephone �"' �' G/6�f— Perm't Request First Floor t7.3, square feet Second Floor 6- square feet / Estimated Project Cost $ IEZZ= Zoning District Flood Plain Water Protection Lot Size Grandfathered ? �— Zoning Board of Appeals Authorization �- Recorded 1 �� Current Use V+ Proposed Use Construction Type "" en z7 Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel % ®IL Central Air o O Fireplaces / Garage: Detached Other Detached Structures: Pool d Attached �' Barn !l None ld� Sheds Other �} f Builder Information Name I Telephone Number '' S�` �.� Address License# E �� /��_ /�Z %�� Home Improvement Contractor# 4®3 793 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRI SULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PER IT DRIAEry FOR THE FOLLOWING REASON(S) FOR,OFFICIAL USE ONLY '�APIMIT NO. - 4 DATE ISSUED , M P/PARCEL NO. & DRESS _ r t VILLAGE O NER , DATE OF INSPECTION: s + I r FOUNDATION FRAME a INSULATION FIREPLACE. 1 ; ELECTRICAL: ROUGH FINAL , _ , r PLUMBING: -ROUGH' t, ' _ FINAL ;AS: OU FINAL ! i FINAL BUILDI t 1= 2-11 97 + , 1 a "!.`. DATE CLOSED I3l ASSOCIATION PLAN NO.,, f 1 i tt ` •�"-� �cQ Tlie CumnrunNIII Of AfassadliuscltS t . -- Lr,# '�. •_+ Department of Industrial Accidents - • , Q _1� � . 0/Ylceallaj►rs�lOall�as ` p n 41 J';.a' 601111�lt Slrea . • -� Musa 02111 _ ` � Btu-ion. Workers' Compensation_ Insurance.ARdsvit ;�RAiiM►nt�infnrmatinn��� "' PICRst!PRiNT`��iV• �.� tec•tnen C3 1 am a homeowner performing all work:myself. 1 am a sole proprietor and have no one working in any opacity compensation form employees worlan on this ob. 1 am an emplover providing workers' comp YS Mmnnny nnme asid�sss• //.� /7/�l�ddl �/I�� � - Anne#• � 7U nolievo r• .armor M "• ~ -w---•9�•r-'"`�' .. . _. .. _.�Y- -- � *"''--''• - -'- --'— Q 1 am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below whc the following workers' compensation polices: N /1 4� nhone f ( � nailer# insurnncc a a/`L- �""CuVTom, ,�,. -+. ,• ems+,++-' L_-=sue:= «•- -• - .. �sneas+.�:-•sawr�'?'�•"!'- . COMT12nv namm address *00 city n evv �t insurance ;Atiachaddiddh2l-sheet iftieet �+ +^y �••.sa•r r•*�• T`~' ��1 _ � Failure to swore coverage as requited under section 3A of hIGL 15T can tad to the imposition oterisaim t penalties of a fine up to 4.500A0 ant one.ears'imprisonment as incil as civil penalties in the form of a STOP WORK ORDER and a line ofS100.00 a day against me. t naderstand tb:Coin•of this statement may be forwarded to the Otnee of lnvatigations of the DIA for comatte re:ilteatitm. 1 do herebr cutif}• n the r and penaltlQ of perjure that the information ptvrided abotw is uue and correct Siena= ate Print name one# oMcial use only do not write in ibis area to be completed b'city or toad ollteiai airy or town• permitilieetne o nBuiiding Department DUcensing Board 13 check irimmediate response is required alicsi t Dap Office �tialth Department pbone q; nUther_� contact person• -Information and Instructions '- Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for employees: As quoted from the "law",an emplot►ee 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 :cgal entity, or any two or rr •,the foregoing enga=ed in a joint enterprnd including the legal representatives o ise,af a deceased employer. or the mcciver or trustee of an individual , partnership, association or other legal entity, employing employees. However owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwclling house of another who employs persons to do maintenance,construction or repair wort:on such dwelling or on the:rounds or building appurtenant thereto shall not because of such employment be deemed to be an emplo MGL chapter T52 section 25 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,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 chapte been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation an supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affiJa�•it. 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 requir to obtain a workers' compensation policy, please call the Department at the number listed below. .:'::�;.::,+,: may::. .ice.:ys.•rsy...., yd.�+w t- iE7�j„`7:n•: :w.ati;1..'�;.. City or Towns Please be sure that the affidavit is complete and printed legibly. Thte Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questi please do not hesitate to give us a call. : ..,.. •�� .•.... .. :. ' _ �i ..ram.. ram.«..:,���. v.n�.l1..�i,r'y,��i. �'.v.a.•�•`.a�.r•.,.•t.+_ .w�T: y�:F.. The Department's address, telephone and fax number. , The Commonwealth Of Massachusetts Department of Industrial Accidents Office of ingestigadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 112.79 N 47'08'40'E 2d t EXISTSNB FOIIYA�TIQN$ 40t+ . ae. r : W 0 Z to LOT 26 46. 104 SF. k r I ♦ u . i A-150.00 R-3365.33 ROUTE 28 "TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND FOUNDA TION SHOWN ON THIS. PLAN IS AS L OCA TED IN I T ACTUALL Y EXISTS AND CONFOq# BA RNS TA BL E-CO T UI T-MA SS.THE ZONING REGULA TIONS IN . fghW ram` ;,. BARNSTABLE. REGARDING YARD $EJBACKS"� PREPARED FOR DATE.'SEPT.9, 1996 � LJA SON ROSSI -J_ - / �-i--- - _ � cT i/�,� DATE.' SEPT.9. 1996 SCALE.' 1"=50 FT. FLOOD ZONE NON-HAZARD �A,a� CAPE C ISLANDS ENGINEERING D-50 27C MA SHPEE — MASS i DEPARTMENT OF PU IC SAFETY i 10259 ' ONE ASHBURTON PLACE, RM 1301 BOSTON,,.MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE h' Number: Expires: CS O44178 09/29/1997 w Restricted To: 00 = "' ° w JASON S ROSSI . t w I ac Deth bottom, fold sign on 297 SILVER STREET r `t `" �"� s ;�� � back, and laminate license card. HANOVER, MA 02339jti Keep top for receipt and change �; x ,!,of address notification. ' -.w,,a ,...w•.: ✓. i. �q ✓�ZE �(31�Y�%I Ir[L%IAA \ Restricted To: 00 UluDEPARTMENT OF PUBLIC SAFETY I J '-- CONSTRUCTION SUPERVISOR LICENSE 00 - None Nuaber Expires: 1G - 1 R 2 Family Homes Restricted Tos' 00 Failure to possess a current edition of the } Massachusetts State Buiilding Code r� JASOH S ROSSI is cause for revocation of this license. d , ;29.7'SILVER STREET cokMissioN� `HANOVER, MA 02339 I, if .ti,. W N U1 N O - i N /oy, o N Q f� 1 X � ryi 01 a I CERTIFY TO DUNNING, FORMAN, KIRRANE, & TERRY, SALEM FIVE MORTGAGE CORP., AN ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASE- MENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION, THE LOCATION OF THE DWELLING AS SHOWN HEREON o IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY-LAWS WITH RESPECT TO .HORIZONTAL r TH DIMENSIONAL REQUIREMENTS, zz R. ov FERREIR n 28%1 THE DWELLING SHOWN HERE DOES NOT'FALL WITHIN �, a A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON s'•F�!s. . A MAP OF COMMUNITY #25000170018D DATED 7/2/92 BY THE F. I .A. NOTE: COMMON DRIVE WITH LOT 27. Kerinet-I K.Ferreira Engineering,Inc. Ito.Odx 1903 ••..`""'�• New Bedford,MA 02741-1903 Tel:508 9)2.0020• Pax:508 992.3374: GENERAL NOTES: (1) The declarations made above arc on the basis of my knowledge, information, and belief as.the result of a mortgage plot plan tape survey inspection made to the normal standard of'care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for con— . o structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. • a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. , Map ON" 001 Parcel O f 0 � Permit# t�dSoZ � Health Division '�� Date Issued Conservation Division 00 Fee Tax Collector•.. 9_ja JOD ✓fit Treasurer / � !Z .TIC SYSTEM MUST BE INOTALLED IN COMPLIANCE Planning Dept. 7�70 WITH TITLE 5 {Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND _ TOWN REGULATIONS , Historic-OKH Preservation/Hyannis - -Project Street Address ��� Village Owner Pr Address Telephone ` Permit Request ('�'YS V64, A Square feet: 1st floor: existing g 36 proposed 2nd floor: existing proposed (0 Total new a�S Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size // A(o l o`T Grandfathered: El Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: ❑Yes lit No Basement Type: C1 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Gf'J(V Number of Baths: Full: existing new 0 Half: existing new © i Number of Bedrooms: existing_ new Total Room Count(not including baths): existing `��new�_ First Floor Room Count Heat Type and Fuel: Xas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing k new size Pool:❑existing ❑new, size Barn:❑existing ❑new size Attached garage:❑existing P new size :7 -Zlq Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name ��t ► Sc i Telephone Number Address (� L License# y�1 70 7 of 25 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEB IS RESULTIN OM THIS PROJECT WILL BE TAKEN TO ! SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. ' - moo. '• f ,r DATE ISSUED -"" - MAP/PARCEL NO. ADDRESSs VILLAGE OWNER - DATE OF INSPECTION: ' FOUNDATION FRAME d I " 7h4 .. + INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH"' FINAL , GAS: ROUGH' FINAL I.. FINAL BUILDING DATE CLOSED'OUT' ,-; ri R ASSOCIATION PLAN NO. } a^-!�+±-,.p,;a.,r►P-i�Y++'.-q•^.-rw.�Yi�t-=•-�.at�FT•,•= h. �„�r•}rlr'.fT�^f�,•tiir-C°a�,r..��•�^ti<�4w���fy+f'�"+�Fr.^K:.�tri'-.�""`.,'e.•�-sr°'-€M't-.s,w+es:+4*�+'�J"a'+►M..^.-.r+•..-•.w....:-.-�'•- � THE The Town of Barnstable MAS& Department of Health Safety and Environmental Servic& c ArEo �" 'r Building Division - 367 Main Street,Hyannis MA 02601 f Office 508-862-4038 Ralph Crossen Fax: .__508-790-6230 Building Commissioner PLAN REVIEW Owner: bi4L)n C1n Map/Parcel: W - 00 © t 0 IEProject Address: �(0 fl,V1�OU. Builder: oN,\ 1� e following items were noted on reviewing: I r Cal N h S , uj f 015 O_s _ c ti•. ,r Please call 508 862-4038 for re-inspection. .;r Insp c� -d y Date: 4( CSO q:buildinglorms:review . The Town of Barnstable 9� MAS& Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT.CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: l S' 5 , ���"7 Estimated Cost t" Address of Work: 40[ o Owner's Name: I ► t�l�`�� —�Vi Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: IZif 60 C� (ZS- , ( 03 � Date Contractor Name Registration No. OR Date Owner's Name .gl6mis:Affidav I 1 0 %. -- -— 411111 • 1 1 1 1 1 1 1 1 1 1 .1 1 1 I I I • ■ 11 1 :1/11• 1 • . • • 1 1 • •. «. IIU NI .11 • 1 . 11 ' .1111• . • ... 1_ • 1 1 •1 1 11 1 -------------------------- ------------ wAll Emil F- M 1 1 � N I, 11 • • .•,. - • 1 1 I i 14 W,14 If 1 • 1 1 11 1 1 �1 •�1 . 1 , �. 1 «•1 1 • H .• • • 1 a a 3 b s. so 19=, . IIJ : 1 1 11 _ LIM. • it 7 1 1 ----------------- oli • I , n in ffib am to be completed by city or town omcw _QBuHdinj DeparbOwt city or town* Board ■ ■ • I1 . ■ iflazandiste reWme is required ■ ; ■ • i i Information and Instructions 6 Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",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 section 25 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,neitherthe 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. y: ' Applicants °;.Please fill is the compensation affidavit completely,by cheeimng the box that applies to your situation and a 1 company names,address and phone numbers along with a certificate of insurance as all affidavits maybe 11 3'm8 submittedto the Department of Industrial Accidents for confirmation of insuranoc coverage. Also be sure to sign and date the affidavit. The affidavit should be retuned to the city or town that the application for the permit or license is b requested,not the Department of Industrial A=d=ts. Should you have any questions regarding the`W or if you a policy, lease call the D re required to obtain a workers' c�ensatiah p cy,p eparmeett at the number listed below. IF ffyZIM: City or Towns " 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 peimit/licease amber which will be used as a ref cnce-number. The affidavits may be retnmedb the Department by main or FAX unless other anangem®ts have been made. M=Office of Investigations would like to thank you in advance for you cooperation and should you have any.questions. Dlease do not hesitate to give us a call. The Department's address�telcphMand number. The Commonwealth Of Massachusetts Department of Industrial Accidents Me of lavesttgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 >soaatAppeaftj - • Tibts'nr( �. prra ii d..Paelcags for Qas sad Twe d!Rntdea w Blldta w Sated with Fang Faei: NAMIUM mum Wall Floor 8e�mt SVb 8 U-vdaa: le vaiad gwa mO- R.vda2 WWII P Fga p� ouing R.vabest Jtvsiaa'. 5"1 to dm He�da;Delete Dale' Q 12;r. OA0 R 13 19 10 6 Na mai R 12% 432 30 19KUM •10 6 Noomi S 12% 430 n 1310 . 6 B AME T 13% d36 3: 13WA -WA NMW U 15% OA6. 33 1910 6 7 is�i Q" re 13WA :5:: !S AEZ7E W Is% dSZ 30 1910• 6 U ACE x lE'/. 432 32 QWA WA N T IVA OA2 U 19 WA Noomai � Z IVA� 442 n IJ 19 10 6 W AFEIE � M IV/. OJO 30 19 19 10 6 90aFEM I. ADDRESS OF PROPERTY: Z SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING. 4. %GLAZING AREA(#3 DIVIDED BY AM: S. SELECT PACKAGE(Q—AA-see chart above): NOTE. OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. Q BUIIXING INSPECTOR APPROVAL: YES: NO: q-fonrs-f980303a 780 CMR Appendix J Footnotes to Table JS2_1b: doors, 'skylights. 4nd Glaring area is the ratio of the area of the glaring assemblies (including sliding-glassoaq egross wall basement windows if looted in walls that enclose conditioned space,but excluding opaque doors)to the area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glaring area. =After January 1, 1999,glazing U-values must be tested and documented by the manufacturc in accordance with the National Fenestration Rating Conned (NFRQ test proadum, or taken from Table J1S3a. U-values are for whole units:center-of-giass U-values cannot be used. 3 ° The ceiling R values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness-over the exterior walls without compression, R 30 insulation may be substituted for R 38 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space Bud ume v=Uwd puad-on of the=0L ' Wall R-vahus represent the trim of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,strvcmral sheathing,and interior drywaiL For example,an R-19'requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood frame or mass(conaete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned cmwispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement;d with an average depth less than 50%below of grade must meet the same R walk. Windows requirement as above-grade wa Windows and sliding glass doorsoned basements must be included with the other glazing. Hass ment doors must meet the door U-value requirement described in Not b. The R-value requirements-are for unheated slabs.Add an additional R 2 for heated slabs. If the building utnTizes electric r�nce heating use compliance approach 3, 4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the Iowest.V effff ciemcy must meet or exceed the efficiency required by the selected package. _ For Heating Degree Day requirements of the closest city or town see Table JSZ la NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation -values are minimum acceptable levels. R-value requirements are for insulation only and do not include sauctttral components. b)Opaque doors in the building envelope must have a U-value no�than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or trawl space`'"all component includes two or,mom areas with dill ent insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). ESTINA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) 0 square feet X$96/sq. foot= (average construction) square eet — GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value 4 1 i ACORD CSR IM DATE(MM/DD/Y1� CERTIFICATE aF LIABILITY]NSURANCET ,� 11/10/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION � ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Paul Peters Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P O Box 669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth MA 02541-0669 COMPANIES AFFORDING COVERAGE John J. Lynch III COMPANY Phone No. 508-548-2500 Fax No. A NORTHERN ASSURANCE COMPANY INSURED COMPANY B Legion Insurance Co. COMPANY Paul Theriault Inc C 69 Sady's Lane COMPANY E Falmouth MA 02536 D COVERAGES 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTRDATE(MM/DD/YY) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE $2,Q00,Q00 A X COMMERCIAL GENERAL LIABILITY NBFB40707 01/01/00 01/01/01 PRODUCTS-COMP/OPAGG $2,000,000 CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Anyone fire) $ 100,000 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND TORY LIMITS� OER EMPLOYERS LIABILITY EL EACH ACCIDENT $ 100,000 B THE PROPRIETOR/ INCL WC40022511 11/23/99 11/23/00 EL DISEASE-POLICY LIMIT $500 000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Builder CERTIFICATE HOLDER ;;CANCELLATION; BARNTOl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of Barnstable 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, . 367 Main Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Hyannis MA 02601 OF ANY KIND UPON THE COMPANY,ITS AGE S OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACbRD 25-5(1195j ACOR. O TIDN 1988 John J. Lynch III APR-07- 3 F-U2 112.79 ma's + � � �7p� e11T�7�1D5 I�©�"} � FUM .,J orj iD 00 1 i - z �1 LOT 26 45, 104 SF. i A-150.00 R'ti7L�0a7.Aj RouTE 28 To THE BEST OF MY KNOWLE06F- rHE PLOT PLAN Or L AND FOUNDATION SHOW ON THIS, PLAN SS AS LOCH T k IN LP AC ZONING !- ESMA aNs cona-o, BARNS TA BL E—CO TiJ1-T•—MA 5S. THE ZONING f4E6ULATIO/YS IN TL,�;:. ri+N ;. "� 6AAW9rA9LE. ,9E&4AD1'NC YAAID,;� PREPARED FOR i AP? ©AM., sE'PT. 9, ., SAN' JASON POSSI L24 TE:•SEPT.9. 1996 SCALE 1`=50 FT. FLOOD ZONE NON-HAZAHU '���'�� CAPE & ISLANDS ENGINCCRDW �0-5o 27c MASHPEE 1 . ��re' nmxnxosa ve ✓ I R BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR i Number CS O44178 Expires 09R.9/2001 Tr.no: 4822 r I. - Restricted To: 00 JASON S ROSSI 70 JAYS LN ,. HANOVER, MA 02339' Administrator �iLe Paowneona ev�i o�✓�amac/u�aelzi ugHONE IMPROVEMENT CONTRACTOR , Registration: 103283 Expiration: 0110112002 TyPe Individual- JASON ROSSI G� � son Rossi ADMINISTRATOR 10 JAYS LANE i Hanover MA 02339 00 35,000 d endosed space (MGL C.112&,w) to-Masonry onN 1 G-1&2 Famlly Homes Failure to possess a current edition of the. Massachusetts State Building Code o- is cause for revoca w of this license. DIG SAFE CALL CENTER: (888)3"-7233 License or registration valid for individual use only before expiration date. If found return to:Qne Ashburton Place Rm 1301 Boston 02108 5 C • BOISE CASCADE - BC CALCTm 2000 DESIGN REPORT -US Monday,December 04,200010:18 Double - 1 3/4" X 14" V-L SP 2900 Name: Untitled Job Name - S.R.Assoc. Customer - Address - -'el o ;Jrq reovq f� Specifier - Designer - Charles Coombs City,State,Zip- Barnstable,Ma Company: - Wood Structures Inc. Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: - Member Diagrams Ridge beam d 12 12 r St.l-d load-23 PSF tS PSF Tr"ry 17-0S-00 15965r LL AL 1504 fm LL 1Me 9.OL 1615 BgIOL Total Horizontal Length•17-00-W I General Data Load Summary FFF Version: US Imperial 10 Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 17-00-00 25 PSF 15 PSF 07-06-00 100 Member Type: - Roof Beam Number of Spans - 1 Controls Summary Left Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location Right Cantilever - No Moment 13225 ft-Ibs 48.7% @ 100% 2 1 -Internal End Shear 2685 Ibs 28.3% @ 100% 2 1 -Right Slope 12/12 Total Deflection U336(0.86") 71.4% 2' 1 Tributary 07-06-00 Live Deflection U656(0.44") 36.5% 2 1 Repetitive n/a Span/Depth 14.6 1 Construction Type n/a Live Load 25 PSF NOTES: Dead Load 15 PSF Design meets Code minimum(U240)Total load deflection criteria. Part Load 0 PSF Design meets Code minimum(U240)Live load deflection criteria. Duration 100 Minimum End bearing length is 1-1/2". Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation.For glulam inquiries,please call (800)237-4013. Page 1 of 1 BCIG and Versa-Lam®are registered trademarks of Boise Cascade Corp. BOISE CASCADE -BC CALCTm 2000 DESIGN REPORT- US Monday,December 04,200010:24 Double - 1 3/4" x 11 7/8" V-L SP 2900 File Name: Untitled Job Name - S.R.Assoc. /1 Customer - Address - ��j-0 " -r`,/�(1L e�/ Specifier - Designer - Charles Coombs City,State,Zip- Barnstable,Ma Company: - Wood Structures Inc. Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: - Member Diagram 111�. e4 I' Ridge beam support 12 13 8te ,d Load-Z5 P8F j,5 PBF Tdbutm 01.00 W a85 M LL 955 ft LL 10650s OL 1065my OL Total HodzoMal Lwoh-1540.OD General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 15-00-00 25 PSF 15 PSF 01-00-00 100 Member Type: - Roof Beam 1 ridge beam Conc.Pt.Load Left 07-06-00 07-06-00 1594 Ibs 1563 Ibs n/a 115 Number of Spans - 1 Left Cantilever - No Controls Summary Right Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location Moment 13602 ft-Ibs 59.4% @ 115% 3 1 -Internal Slope 12/12 End Shear 1987 Ibs 21.5% @ 115% 3 1 -Right Tributary 01-00-00 Total Deflection U273(0.932") 87.7% 3 1 Repetitive n/a Live Deflection U560(0.455") 42.8% 3 1 Construction Type n/a Span/Depth 15.2 1 Live Load 25 PSF Dead Load 15 PSF NOTES: Part Load 0 PSF Design meets Code minimum(U240)Total bad deflection criteria. Duration 100 Design meets Code minimum(U240)Live load deflection criteria. Minimum End bearing length is 1-1/2". Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation.For glulam inquiries,please call (800)237-4013. Page 1 of 1 BCI®and Versa-Lam®are registered trademarks of Boise Cascade Corp. BOISE CASCADE - BC CALCTm 2000 DESIGN REPORT - US Monday,December 04,200010:25 File Double - 1 3/4" x 91/2" V-L SP 2900 Name: Untitled Job Name - S.R.Assoc. � �� Customer Address - -tol ® i '4-U/U-4 CTI'� Specifier - Designer - Charles Coombs City,State,Zip- Barnstable,Ma Company: - Wood Structures Inc. Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: Member Diagram q�•,/' door header '2 12 Standard L-ed-25 PSF 116 PSF TAWtM 07-06-00 AdL AL 1126F.LL 1125 meLL 1IX3eftOL f03/beIOL Total Horizontal Length-12.OMO I General Data Load Summary FFF Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 12-00-00 25 PSF 15 PSF 07-06-00 115 Member Type: - Roof Beam Number of Spans - 1 Controls Summary Left Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location Right Cantilever - No Moment 6477 ft-lbs 43.1% @ 115% 2 1 Internal End Shear 1874 lbs 25.4% @ 115% 2 1-Left Slope 12/12 Total Deflection U303(0.67111) 78.9% 2 1 Tributary 07-06-00 Live Deflection U583(0.35") 41.1% 2 1 Repetitive n/a Span/Depth 15.2 1 Construction Type n/a Live Load 25 PSF NOTES: Dead Load 15 PSF Design meets Code minimum(U240)Total load deflection criteria. Part load 0 PSF Design meets Code minimum(U240)Live load deflection criteria. Duration 115 Minimum End bearing length is 1-1/2". Disclosure The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation.For glulam inquiries,please call (800)237-4013. Page 1 of 1 BCIG and Verse-LemO are registered trademarks of Boise Cascade Corp. ..� .. Y -uSr'2. .� K x3l". .8 .. .: ... 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BOX - ' OVER' TRENCHES -s 3 .e pro SEPTIC TANK `,` ca o••a •rrc�; ii 12 MAX. a c:°q. °o:...a::;: :oatiA'::Q•v �D� aF+wbrl :w►.d•• a' ,a �� o, � _v?......_. _.. .'�S IF TO TA L L ENGTH OF TRENCH OUTLET PIPE LEVEL - „¢ • . FOR 2 FT. MIN. c 4-3 00 pp PAY" r➢ ,`'� 1— --r-- ;n•,pA. . ND AP �. a ., b::*: a,•: e c CAP E dd . C. I. OP PVC TEES O O jl p i .bbO :p•o.Ao ' 1500 GALLON o ;�� ' TR. ` U TIO BOX BSMT FL o.o ti .e• p. EL . -e-1, .�'' o Q�/ /( f�/�� ;INSTALL ON LEVEL BASE ",�00 GALLON DRYWELLS " . 0 4 a / / JECA S T CO CRL T q:o'i'e•ti:lip •p,e• a j .•0 :0 4to Q. .e•.� p..4 Cb / /- P tJ. .RE1 NFiL./P�C�E p o: •4?e+:o.v.v,:br--'•.b•�'d':n•'b, P.�.:;x•A•;n'Sf'w�y 't7^� + •p'�e ° • °;�''7•i" .C►:P.4••O.q y .p.p.. .p ;17..o.:A,. .'R't.•trGP:Qb k'8".Yt,P: Ji��.��y ���"y► T /��) T�' 7 EC SEC I �OI • SEP T�C TANK INSTALL ON LEVEL BASE ���► ` r/ NOTE:• EXCA VA TE TO ELEV. �/ OR 2 D L OWER TO REMO VE AL L IMPERVIOUS 1 MIN. /$ '' MA TERIA L BENEA TH THE LEA CHING AREA " s2" MIN. � 7 4 DIAM. REPLACE EXCA VA TED MA TERIAL #1 TH 3" OF 1/8"-1/2" - iiz•� / — CLEAN, CLAY FREE SAND . . .v o:aop, � 041�o• �. A' a •° WASHED PEA STONE 8 3/4„ _ 1-1/2" WASHED o l CRUSHED STONE 3 bw...Nit GENERA L TES TRENCH wIOTH ALL E L E VA TIONr ,�HOI✓N ARE BASED ON ASSUMED NUMBER OF TRENCHES ? 4 — -- - -- -- -- 0 0 . �`: ° e 2. ALL PIPES IN "HE SYSTEM MUST BE CAST IRON NUMBER OF DRYWEL L S 2 1rr�os A ° OR SCHEDULE 41 PVC. �j�`°�,{►'� �'1j�/�1�P°� I .c TION T l� J 0".a(� q""' OHO V Y4w R� �0 P� . , - •�.,�AL�'H MUST BE NOTIFIED y,��„"K`��, � � � WHEN �"`O.J�'S'Ti��L�"C� PERCOLATION RATE. o ION IS COMPLETE PRIOR 1 TO ®A CKFIL L., qua. �S i <2 MIN.11N. S1C�a �' � 1 4• .ANY CHANGES .�"�� THIS PLAN ��PIST �-7'E' APPROVED BY THE BOARD z2F HEALTH AND CAPE 6 ISLANDS �✓ITNES,SED 8Y.• \ SURVEYING INC. CO.,s TOM MCKEAN 1 �� a p•. a a w ul 5. MA TERIALS AND' INSTALLATION SHALL BE IN ° '� ?Ffn'neo Qoe r 1411 COMPLJANCE WITH THE STATE SANITARY BARNS BRD. ®F HEALTH DESIGN DA TA DA TL.• DUNE 3j-1985 CODE - TITLE �' - AND LOCAL APPLICABLE RULES AND RE G 'L A TIONS 1� z 2 G. NORTH ARROY l p FROM RECORD PLANS AND 0 " NUMBER OF BEDROOMS 3 a TOPSOIL 6 GARBAGE DISPOSAL NO IS NOT TO BE USED FOR SOLAR PURPOSES GAL . N + 7. FLOOD HAZARD .,:'ONE C (NON—HAZAADL __. DA.IL Y FL OW � SUBSOIL GAL . S. WA TER SUPPLY, " �, ,,,� SEP TIC TANK PEG 'D. ?500 u� Lo-r Z6 SEPTIC TANK PROVIDED 1500 _ GAL 1 24 yG, �o 3p �s•r 6/ ° .. °,��, LEA CHING REQUIRED 330 GPD. `�- MEDIUM SAND SIDEWALL AREA 152 S.F. 4 112 1.52 O. 7 = G � i S.F.k G S.F. GPD. BOTTOM AREA = 329 S.F. L E.1E 329 . .F.X Q. 74 G/S.F. = 243 GPD _ L EA CHING PRO VIDED 355 GPD PROPOSED SED ELEVA TION ,�, 8 NO GROUND;VA TEA E "ISTING CONTOUR , INGL FA MIL Y RESIDENCE t� C,,-3 `ERVA TION PI T 01STRIBUTION BOX ' • PROPOSED SERA GE D�'SP�'.�"A L SYSTEM PREPARED FOR -� 1 M, r h.a' o a CEP IC T. d'K �: 4A CJA SON ROSSI _ L O T 26 (HOUSE 4810) ROUTE 28 ,�ESEVE AREA BARNS TABLE — CO TU.Z' T — MA SS. J' ,. r, PIPE s: ..t1Vll� /•+ p �Y �IPE IN EL TION � ' DA TE:' A-lay CAPE 6 ISLANDS ENGINEERING 1 W65 / , PLOT PLAN ,r t , SCALE A S NOTE® — M= ,E�:-t�:, 133 FA ROAO SUI TE 2E 77 SCALE.• 1 IAP I SEC PCL I LOT I HSE" ,' PLAN MASHPEE, MASS. DATAPRINT N1909$ a ti: .:a:sn.:- _ _ _ _.'"emu :._::ysi.. r e.+:� •. grwry._. ..>...tea ,•-•s3 -x-• a,.*. r .r. 'Wmrs,. m.: .rcr.,u�� _ mar. >� . .. 5.e�iC-^i '. _. sG. �'• a.da�'4es ._.. .- - - xCI_ -__�. 1. � •�� -� e� ..--.- -' / l j 60 WP ri Gj lS` 1 < .� 17 N. 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