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4910 FALMOUTH ROAD/RTE 28
_ -- �_-. 4 �-__ --•---- ��..�. _ _ - - __- - - - ---- ----�....�� _. -- -- r �I -- -- - - - - - 4 - ��: ,, �, II� �� ,, 6� �� Y 6 _. i t i �THE ' own Of Barns table Permit# yqY o ; 'es 6nwnthsfroitt issue dote I. Regulatory Sakes. X0PR ;. 1 9. m Thomas F.Geiler Director AUG 1 2n13 BuRding DiAsio r Tom Perry,CBO, Budding Commissioner 20011�Street,Hyannis,MA 02601 � -� ��� www.townba=table.ma us 9 : '0 4038 Pax:508-790-5230 EXPRESS PERMIT A,PPYACAT'I©N - RESEDENUAL ONLY .,� rc)u,-; Map/parcel Numbert C Property Address f—m/ d- r/ Ol/J ► N �?C ,d / 1A 01763 PResidential Value of Work [ 1�' ��(! Minimum fee of$25.06 for wank under$6040.00' Owner's Name&Address- �� q9/D PiyM od�1 Fatlff,/VIA. t77-9 V5 Contractor's Name sser nti -�32���' n, LC TelephoneNumber (,:!F�o?8—�f a Home Improvement Contractor License#(if applicable) [ ) oZ 5 3(o Constuction Supervisor's License#(if applicable) lD ✓f2fWorkman's Compensation Insurance Check one: < ❑ I am a sole proprictor _ I am the Homeowner I have Worker's CempensationbL,;azwce. { ' Insurance Company Name a roe�al Union {'ir'e InSUm ere. �o Workman's Comp.Policy# Ct Copy of Insurance Compliance Certificate must accompany each permit Permit Request(check box) i. ,Re-roof(stripping old shingles),All contraction debris wiD be taken to m (C ❑Re-roof(not strippmQ- Going over exdsttng layers of root) © Re-side , #adoozs Replacement Windows/doors/slidess.U-Value (m�p;mnm•44)#of windows -where rcgafi - Issuance of this pem2h does not tempt compliance with ocher town depatuaem regniations,i.e.Eastnriq Conservation,ctc. r "Note: Property Owner must sign Property Owner Letter of Permission A copy of the 110M! rovewent Contractors License&Construction Supervisors License is SFT4B LTY2Bi Q1WPFMW\F•O1tMSV=Odingpa=itfomsUD2RESS.doe , Revised 090809 s Mi a ssachusetts -l7epatrtment of F ublic Safety Board of 8uildin9 Regklations and Stanriards: tonsh action Superc isc�r License: CS-097666 DEAN C FRASER= , 104 TWINN VIEW LANE <<,i EAST FALMOUTH MA 02536' L-xpiratio(I �:.. - Cor«snissioner 06/07/2015 MUJ,1CC(flGLGrIG� Office of Consumer Affairs and Business Regulation 10 Park Plaza,- Suite 5170 Boston,Massachusetts 02116- Home Improvement Contractor Registration Registration: `112536 , Type: DBA ` - Expiration: 3/23/2015 Tr# 231059 ' FRASER CONSTRUCTION CO. _4 DEAN FRASER A = P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. SGA 7 f5 30M-05(t1 Address' ❑ Renewal Employment Lost Card / r���t•"f(r+a»i�tv�ilnl'rrI/� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only Al OME IMPROVEMENT CONTRACTOR .< before the expiration date,'If found return to: egistration: 112536 Type: Office of Consumer Affairs and Business Regulation 1 Expiration: 3/23/2015 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 Y FRASER CONSTRUCTION CO. DEAN FRASER 104 TWINN VIEW LANE E FALMOUTH,MA 02536 Undersecretary Not valid without signature - 4 a,- • __tom` FRASCON-01 MOSU CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD,, YY) THIS CERTIFICATE IS ISSUED AS 10/512012 A MA TTER OF IN FORMATION ONLY CERTIFICATE DOES NOT AFFIRMATIVELYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. OR NEGATIVELY THIS AMEND BELOW. ,THIS CERTIFIC T ' EXTEND,OR ALTER THE COVERAGE AFFORDED A E OF INSU FWSUR BY INSURANCE DOES N THE POLICIES NOT CONSTITUTE A CONTRACT BETWEEN'THE ISSUING 1NSURER(5), AUTHORIZED. REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the P05GY(ies)must be endorsed. if SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on th certificate holder in lieu ofsuch endorsement(s]. is certificate does not confer rights to the PRODUCER CONTACT Vrveiros Insurance Agency,Inc: {508)676-0309 NAME -Suzette Monl2 375 Airport Road PHONE arc No.Ext:508-676-0309. .No;508-324-9147.Fall River,fYIA 02720 E. ADDRESS:SMoniZ Viveiroslnsnrance.Com 1NSURER(S7APFORDWGCOVERAGE NAIC4 INSURED Z INSURERA:National Union Fire Insurance Con1 an raser Construction LLC INSURER B: P.O.Box Im Cotuit, MA 02635- INSURER c r INSURER D " INSURERE- . - - COVERAGES INSURER F: 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 SY PAID CLAIMS. LTR TYPEOFWSURANI - ADR WVD POLICY NUMBER - POLICY F POLICY IXP - - GENF�iALLIAB1LlTY _ MMPDD MMlDD - LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR PREMISES Ea occurrence S - - _ - MED EXP(Any ape person). S PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMITAPPLIE5PER GENERALAGGREGATE 5 POLICY 77 PRO- LOC PRODUCTS-COMPIOPAGG S AUTOMOBILE LIABILITY COM3INED SINGLE LIMIT ANY AUTO - - - - _ _ Ea accident S - ALLOWNED SCHEDULED - BODILY INJURY(Per person) S AUTOS AUTONON-OWNED BODILY INJURY(Per accident) S HIRED ALTOS AUTOS PROPERTY DAMAGE S Per accident UMBRELLA LL46 - - S OCCUR IXCESS EACH OCCURRENCE $ LIgB CLAIMS-MADE - - - - AGGREGATE S DFA REYFs11'ION S WORKERS COMPENSATION S AND EMPLOYERS•LIABILITY - WC STATU• OTH- YIN ". X TRY LIM R A ANY pROPRIETOR/PARTNERlF7(ECUTIVE WCODSS30601` 9/2fi12012 9126/2013 OFFICERIMEMBER EXCLUD'eD? N P A E.L.EACH ACCIDENT s 500,000(Mandatory in NH) - lfyyes,descnDec�der !! EL DISEASE-EA EMPLOYEE $ 500,000 OESCRIPIIONOFOPERA710NShdaw I' E.L.DISASE-POLICY LIPRIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHteiEs.(Aerach ACOPD 101,pdddional Rema"Schedule,if more space is regorred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESC;RIBEO POLICIES BE CANC2=LLED BEFORE -"Fraser Construction LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED..DB LIE 31$OWdOlrl Rd ACCORDANCE WITH THE POLICY PROVISIONS. Mashpee,NIA 02649 - AUTHORgcD REPRESENTATNE - ACORD 25(2010/05) ©1900-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD s f The�ontnio svealPli o} u�saclarrseits -De�vm7�iren�u,�'�'nrlustrial.,4ceia�',e>z�s ® of�lZb�p���1J7L4 i �d�bShAt�tOld a�'�'EE't 1 Boston,NA 627 ��►sss�gavldia .. � lasrers'Camtpelrs4o, AEa �erslColctorsltectfieisnslpIma�bers A2PIic�trt l`nf��oaa€son ? . erintL ; Nazx�.e Pleas ; t � on�tnaiviaaa3}• rce Y Address- CitylState%�q _ Am I as ez3pla9m'Check theapprep pate bow l• l aue a employer vv V . L(I am a�ammi eoaftacxar and I Typ e at'pra�eeE(race?:. 1 z-DemPIOyees MH andfo5 -time)* ' have hfi-eI the mb-co� E D New Ommhuction I am asoleproprietor•m Partner_ Ustedoxibe atfached sheet strip aadhaveao employees These sub-cmfxadOmh&ve 7workb ❑RernOdelmg 1 IN wag f m c=m��� emPlayees mdhave workeas' 8 ElDCMO iaa comp-ias¢r wft cm3)p immrsnce t 9, D Bm'Iding sdclitEon 3,0 Z am a homeowt�erd0' _D '�i a are a c xal�oII end its IQ.D Electrical.repairs or addidcns mg ell wolk of€rcm have exrxcised tb,* myself o tror�'comp, -gh I I_D Plmubixg repass or additiors f IN u t°Of exemptim per ma c 152 ME]Roof insntauce rer r , 1(4),and the have ito rPdm ) mplu=-DKa workers' 13.0 Other �P-mstimnce zegrxb ed j I "FtYaPP7i�t6tchtcksbax#I=l::&IIM*W tie ' 1FIor¢eawne�wko�fkis s=4oubeasrshawiagthcswo*m,�p�p�l��Y eafr-mydoa '.• �Zdsvi#IDdieJ�gt3t_Aq•s[edoim�sIIwoSsaadrlua$nzoui�tesoutra>:ta:smostsubmucamwa�d.'wicu� . _ eto-1haze�erktitis 6oxmustatmdudanzddniaoars�ee[s�t76caaace oft8estb cdnuactorsaid srwfietheroraattttose eotifzesbave ' en�rloy%es Ifthesub-eoneac�rs3ave0npl°Yass•�`9'mkargmVidethearvranccrs'wmp aIi P �Yt�cr. t am as�ployertlratic prarir�izg werTre�s'co fnfomaffm akog r�szriance for�rss, �y : 8etaxv xs rilie pelicy and job see• Im mane Company Name Y 'Dr'1Q1 ) Policy#or Self-ins.uca# fitf b ��8 j� Job Site,Add,t:ss. Y /6 Attach acopyo€the workers'coInpensmampokeydeclaration Fa Pam(shotviag'2Ie Po&cy number and i z�rue to seorae coverage as reclimed�ez�Seativa 25A ofMGI c l52 can Ieadtn the iru espYration date). � fine tm to$1,500.00 and(or one-year impasmment.as nvell as c1Yil pOSMon,of caf,n penalties of'a Of to ma 00 a penalties as the form ofa Slop Won ORDER and a fine I vf day na>asttixe violator. Be advbxA,,jw a Copp of$ds St.T= t maybe fotsvutled io 2he ice of tiorrs of fe DIA for i ce cavezage veai&ation: ; I de-hereby cer '35 derru�eR af�erjrtty tFzar tFte' i tx,}orarrr�ox proridedllbatre is Jrue arLd cnn� I $* ate: I '4Zuwv)zly. Ile rotwVefn7lx'__-•• rS faI a cr»r &Vd by c dy artmun offrc7¢t E City at,Towa 1 - ;i'ermitf.�icexase� '�ssteiIDn Ar!$orify(circle oae): � -., .Y. 1 >. .Board of Heald? 2 Bm3&mg DeparfffienY 3.aiylYowrt Cleric 4-EleetricsD Yespector`S:g'Imatbittg Insliector mute- oritacPersma: ) 1 xs � 4 Fraser, Construction LLC CONSTRUCTION I P.O. Box 1845, Cotuit MA. 02635 ROOFING Email: info@fraserconstruictioncapecod.com SPECIALISTS v A.rcv.fraserconstructionca ecod.com 508-428-2292 Fax 1-508-428-0123 HILL#112536 CS#97668 RE-ROOFING O A DATE: August 3, 2013 PRONE: 508-360-4787 r� NAME: Adrian Lahteine, R l` ,EMAIL: v� " MAIL ADDRESS: . JOB ADDRESS: 4910 Falmouth Rd. Cotuit, MA 02635 ERASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Maul away all of the old roofing material -Re-nail all plywood sheathing as needed. Job Description: Supply and Install GAF 3- Tab Ashpalt Shingles. Color to Match- Charcoal Black. Price: $11,900 Initial: , Product & Installation Details Sup ply & Install - (Soffit Tenting) Hick's Ventilated Drip Edge or S" Aluminum Drip Edge with existing soffit vents. { Smart vents over white drip edge. Protection against damage to the roofing materials and structure. The most effective system is a balance of air intake and exhaust that creates a uniform `low of air through the attic. This system creates a condition in which the roof temperature is equalized from top to bottom, supplying a uniform air flow along the entire underside of the roof deck. Supply & Install'- CertainTeed Winter Guard or Carlisle TIP. (Ice & dater shield) (WIP- Water &.Ice Protection) Waterproof Underlayment System (3ft.-on eves and valleys, 18" on rakes, walls, and skylights) Water and Ice Protection (WIP) is a self-adhering roofing underlayment used on critical roof areas such as eaves rakes. ri,d es .vane skylights g ys, dormers to protect roofing structures and interior spaces from water penetration caused by wind-driven rain and ice dams. WIP may also be used as covering for the entire roof to prevent moisture or water entry. Supply & Install - Surround I nderlayment (A Typar Brand) A_ smart alternative to felt, it is water's toughest opponent, creating a secondary water barrier that reduces the incidence of leaks caused by storm damage, wind-driven rain, ice dams and worn roofing materials. It is a waterproof, synthetic polymer material that will g our protect home against P Y moisture in&asion. Supply & Install - CertainTeed Swift Start Possible Extra-Any rotted or otherwise.deteriorated trim'boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$75.00 per hour, plus 20% mark-up materials. FRASER CONSTRUCTION Warranties the labor for LIFETIME of roof. FRASER CONSTRUCTI6N Warranties the,shingles against Blow-Offs for 15 years. Any deviation or alteration.from above specification will.he executed upon written orders and will become an extra charge over and above-the estimate! All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire,.tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal: " FRASER CONSTRUCTION, LLC ,Carries Workman's Compensation".and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: Homeowner Fraser Co �Ction, LLC i Supply & Install -Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Ridge Vent - Shingle Vent II High performance ridge vent with external baffle. (As recommended by CertainTeed) Supply & Install - Pre-Cut GAF Hip & Ridge shingles Clean & Remove -Debris from work area daily. PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION. 1/3 initial payment, remainder to be paid upon completion Payments accepted are: CASH - CHECK -MASTERCARD -VISA-AMERICAN EXPRESS * Any payments not immediately paid upon job completion will be charged 0.005%for every day after the given 5 day grace period upon day of job completion. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION z Map Parcel Application# Health Division _ Date Issued Conservation Division Application Fee L Tax Collector :,`, 'Permit Fee., Treasurer Planning Dept. - Date Definitive Plan Approved by Planning Board ,7 [J Historic-OKH Preservation/Hyannis a _ Project Street Address Alma a_11� _/Ro�d l7cy o2� Village Owner A�2� J ��_e_ Address 71510 /k7074 `/, l�ORWA Telephone JD8 /3&0- 1-09 7 , Permit Request fnO� Square feet: 1st floor:existing �3a proposed /(0 2nd floor:existing � proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ® Construction Type GiMvq✓ ?425; ie Lot Size 1 3 C�<."ZeS Grandfathered: ❑Yes &No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure e4-J-5_ Historic House: ❑Yes 2"No On Old King's Highway: ❑Yes kMo Basement Type: YFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 530 Number of Baths: Full:existing new I Half:existing new Number of Bedrooms: existing Z new Total Room Count(not including baths):existing new ! First Floor Room Count 3 Heat Type and Fuel: dGas ❑Oil ❑ Electric ❑Other SJI Central Air: ❑Yes &/No Fireplaces: Existing / New Existing wood/coal,stove: gYes C-lo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑eXtsting ❑i ew size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other. �- ;> Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ c Commercial ❑Yes O/o If yes, site plan review# _ Current Use Proposed Use ----BUILDER INFORIVIATIO ., "4 L 03113 Name �/A�1 �- /L�ZLrI� Telephone Number Jog (o0- Address License# 19/® fa1,nou-th tR'0,9-d Home Improvement Contractor# Cc � � Oz�35 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IOUM L-A SIGNATURE `�� DATE 2-I /a I0,9 FOR OFFICIAL USE ONLY ' ;x. n • 'APPLICATION# ° DATE ISSUED MAC'/PARCEL NO. ADDRESS VILLAGE r ' ` OWNER t DATE OF INSPECTION: FOUNDATION O« u oSic r FRAME A N I[O 1R �i> 7 09 OfRGz INSULATION ( FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL i GAS: ROUGH // FINAL s � G� O <O FINAL BUILDING 7 ,s DATE CLOSED OUT rt, ASSOCIATION PLAN NO. a. of t Town of Barnstable Regulatory Services FrAS iM Thomas F. Geiler,Director Building Division Thomas Perry, CBO,Building Coinniissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Ll�r`�r�l�E Map/Parcel: 60_ / 003 Project Address y9/o r<rkok rf/49-P-176 Builder: eT. The following items were noted on reviewing:. fo ee Nd too a/ AaG r1- 8 a �i�iuET�tz 7 y. ILt�9X ON l Nt6rE' D ai e GKiAJ-Cs- No r ss%z-� v lu /0C,4-N lec-&u_r A&4 i.-V iyir-ZQ ix-r/cep IA1 hwz 7zT-r1r © �y �s!(vN�O� P£zQu/,ems C'onx�Ea� d�dcA 1Uoae�.ys, �f'�'i2a�y�/!f`� le�Fr 7m ' w<1!� S�u a CO,u cr�c yO of S /�' Z'�/t AW 70 lftfFrHC AP AIeVZ 7Vi5 le/,16E 4-P--b I0Og/r(P?5 771 7-c y9 I CiV r & Notes THf� �' � t��r��,ysi�r/ory `6 u�,r2� ® Ai�.f.�lccs��!lor'��t�l� CoNS7-aac7-1VN -4 lq6 7/f� rQEGtC(//2Ei?�lEit/TS aF 7bo cycle �/ ., ro�a! 9�: T�fs �40� Aixe LD©Nst�c'u�too�J !z( Nur9c ll/A Tq 6 Avat FlP0`nC- M,4AWM-L /10Aeo-y Zx,1c-Cy ACCA (�aio�. Reviewed by: /L ✓ f Date: Q:Fonns:Plnrvw. The Commonwealth of Massachusetts Department of Industrial Accidents ` Office of Investigations 600 Washington Street Boston, MA 02111 •� °� www.mass.gov/dia c Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Le ibl CY/ ' Name(Business/Organization/Individual): e<H �t) . Ahle l i'qe, Address: Q p>< /q 73 (V'710 ljov t o2e City/State/Zip: 2424�, OZ� 3 5 Phone.#: 50 1 360- 4 9 7 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. '❑New construction employees(full and/or part-time).* have hired the sub-contractors 2I am a sole proprietor or.partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees . These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ 9. �Building addition [No workers' comp.insurance comp. insurance. required.] - 5. ❑ We are a corporation and its 10.❑ Electrical repairs or`additions re q ] officers have exercised their I L Plumbing repairs or additions 3'.�_I am a homeowner doing all work ❑ g P 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#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. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and'ob 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi der the pains of perjury that the information provided above is true and correct GL a %a/08 _ xSi afore: �' Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health'2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other. Contact Person: Phone#: Information and Instructions ' - J Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing.engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter.152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary,supply sub-contractors)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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass.gov/dia .1 Town of Barnstable OF SHE Tp� Regulatory Services * t Thomas F.Geiler,Director BARNSfABLE, MASS. g �p i639• ♦0 Building Division. TFDr n Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 _ Fax: 508-790-623b HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: " �Ji^ number street village, "HOMEOWNER": 5VO 14aF-831,5 5b��3&0-��8.� name home phone# work phone# CURRENT MAILING ADDRESS: L`j'7 3 city/town state'x 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 undei 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 d quirements and that he/she will comply with said procedures and requilmpnts. Signature of Ho-6-1er 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.L 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:forrns:homeexempt Wn • °Ft►,Er�,, Town of Barnstable ti Regulatory Services • BARNSTABLE, MASS. �,, Thomas F. Geiler,Director 1639. Building Division Tom Perry,Building Comm/026 200 Main Street,Hyannis,M www.town.barnstable. Office: 508-862-4038 Fax: 508-790-6230 Property Owner Complete and Sign ThIf Usin A Buil as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by building permit application for: (Addre s of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QTORM&OWNERPERMISSION r r„ • REScheck Software Version 4.1.0 Compliance Certificate Project Title: The Lahteine Residence Report Date:04/11/08 Data filename:\\Rescom2003srv\data\Drawings\2008\Residential\Literno Residence\energy calc.rck Energy Code: Massachusetts Energy Code Location: Cotuit,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 3% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: M1 Cotuit,MA Adrian Lahteine Cotuit,MA Maximum UA: 147 Your Home UA:98=33.3%Better Than Code Gross Cavity Cont. Glazing UA--, Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Cathedral Ceiling(no attic) 512 30.0 0.0 17 Wall 1:Wood Frame,16"o.c. 640 19.0 0.0 35 Window 1:Vinyl Frame:Double Pane 22 0.350 8 Door 1:Solid 31 0.450 14 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space - 512 19.0 0.0 24. Furnace 1:Forced Hot Air95 AFUE 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 Massachusetts Energy Code requirements in REScheck Version 4.1.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Name-Title Signature Date ♦ �h The Lahteine Residence Page 1 of 1 L-6" 3 • fro�s-a torso - � JO w 6.0 J-aw J•o �,x s.. . li C[asE�=D esswc ' Kl CHEN �- MASTPR ara r° / .zi w,.a hoots ,�i .a)oodl ..rFlon¢ �o I l 39u II I (S •fo/ ,.. v o ... of I MASTF BED OOM wv t DINING 'c ui+io rr,ne HALL `I 36 6 36=L SECOND .FLOOF,, PLAN FIRST FL00F_ PLAN �FIR5T'«SECOND FLOOR PLANS Z3l�YLED6!Z- Qi �I ' � pro ole z..$� • - G,.. .I I. _ 2V�O,C.FOR H/N. t' G ivi.D6 G DEEP I a�; - JC ,tV o, � ..PORCH..ELE�.?Tio.✓41'i0" - /D"PDUREo �"OCiv�.9riow pFTHE Tp� Town of Barnstable - BAHNSTABLE. : Regulatory Services .. 9 MASS. 0 Building Division pTfD MA'S a. 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection 7- Location �/�` /U L&oar# 6b CJ.� Permit Number � ®3 `��� Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: Please call: 508-862-408 for re-inspection. --, Inspected by �A C4-� Date - _ tl .�•, � ...,art,` _ j;. PyOFtHE 1pk� Town of Barnstable - - - BARNSTABLE. ` Regulatory Services 7 MASS. 16 3 9. Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of InspectionLY0 / Location 71 I-ixocCZ 6b �i(` Permit Number o� ���� :£ Owner L ���1�� Builder i One notice to remain on job site, one notice on file in Building Department. r The following items need correcting: APO ( o i ikM Please call: 508-862-4�� for re-inspection. - Inspected by Date r Town of Barnstable Regulatory Services �TAIIMssg`'E' Thomas F.Geller,Director X., �rEo;A:�1e� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:`508-862-4038 Fa 508-790-6230 PLAN REVIE Owner: L �/�'F�w E Map/Parcel: . Doc/ ©o i oo 3 Project Address Yvo mo fifi Builder: 0, ra--� The following items were noted on reviewing: L/p�.�(►� oa C%o E: v%AP m/Alm ate 40F 49 A)4 44.9 Z A)C w-re- �� G�Fc /tk— 2- C5 /09 ; S -tn i Nor fe E/i G*'!5C—K�ic�7-- /Gt&g V,6 il ,94-eF KL ZcZ JBE /LL Ibc-cat4 Reviewed by: Date � . Q:Forms:Plnrvw 'NO TES., 0 1 h 1:) THIS PLAN IS VALID ONLY /F /T /S STAMPED AND SIGNED IN RED. THIS OFf7CE ASSUMES NO RESPONSIBILITY FOR I INFORMA77ON CONTAINED ON COP/ES WHICH DO NOT HAVE i ORIGINAL STAMPS AND SIGNATURES /N RED. LOT 25 , F S 159.56' 22.7ft _ 60.4ft • EXIST. 90.8ft 16.0 48.5ft • 0 00 - gq 78.1 N -, EXIST. 45. ft 0 77.7ft EXIST. SANITARY LOCH 710N FROM i LOT 30 LOT 28 PUBLIC RECORDS�o o J NOTE.• � ADD177ON TO INCLUDE A' r•� BEDROOM, HOWEVER THE S.A.S. WAS DESIGNED TO ACCOMMODATE 355 GPD, 'THEREFORE THREE BEDROOM 0.K. LOT 29 59246.3E S42 FT , 1.36E ACRTS �AS�'a1fFNT. . 146.00' L=25.00' ROUTY' 28 - ST.4TF' f'ICfIIYAY R=1970.29' A,S' - BUILT PL OF PLAN OAr- R. J.' O'Hedrn' , P.L. ;5:, R. ,S. L�CLOT 29, 49>0 .ROUTL' 198 35 Route 134, Swan River Plaza Unit 2 COTNT, (BARNST4BLL) MA. South Dennis, , Ala 02660 ASSESSORS A&P,9 PARCEL f 003 CERT7FY TO ADRIANz A. JR...& BRENDA. B.. LAHTEINE - "` ,sae NO.: —AND•T `O HE- TOWN -OF 8ARNSTABLE BUILDING INSPECTOR 1117R THAT TO THE BEST OF MY INFORMA77ON, KNOWLEDGE ��N �F 44 s DAZE AND BELIEF, 7HE STRUCTURES SHOWN ON 7H/S PLAN FEB, 1, 2008 P Asq HAS BEEN LOCA7E0 ON THE GROUND AS INDICATED o`, MCHARD u� AND THAT I IS LOCA7F0 /N.FLOOD ZONE C PER a/ViT:� o'HEARN � LAHTE/NE FL OOD INSURANCE RA 7E MAP DA 7FD 7102192 No.sus» o scAcF-- 1 /N = 50 FT Ff�i��c/STEEtO J�J� OR BY: Z o QB L LAN DA REG. PROFS lO LAND SURVEYOR SHEET OF } ��-- WOKE DETECTORS ' DING DE ABL � # III',. µ• NA L 1 11 1 ... \\s EAP, VIEW- ° F-RONT VLEW ° FkQM a-PCEAP, .ELEVATION w . . / LINE Or- Tu/{r�ET BEYOND iOMP(i I;''J�' a �12 — • to ---� _ I �` �s . I , Q 3 � —= ---- - 32 r� �— -- CCMPCSITICN POOF [7 • T-IG_/r SIDE LEFT SIDE k f//gyp,' ,Qdiiai7 4o.41"ne n • `� ........2.CBCai%nyT.ri ',., 1 ^ly1i\) `�tV. X-. ,. V - .- L / • �ZX lR..F/GYJ.PTo/Sr G :'...-........ �t/2' � ♦ 1 ♦ I . m - � i; • R-O.OF. AREA N.A L L. �- rYP]CA-L WALL SECTIOIJ- 730OF A7FA S CA LIi-�� 1 wv j: a vo v ,. woww w�...• 31=6" 3G-6" w CLDSE7�D ESS/aC o ItfTCHEN < k MASTFR ArN - • 1'1' / -" -- tc 9 _ OFf ED DOM I k __.... 14 d Iol PAF�LOP, 4 floeRS 0 a V L, � r I",I.co CWAWW .. • i t% a° NAST 05-- ED HALL 1ZOflM —— 'c o-cio< _ o i -�'" .. r A .. Ocam. 1e ri-+' Syr O -. .. i �1 •SECOND FLOOR PLAN: FiPST FLOOR_ PLAN- F.IR5T +SFCONID FLOORL PLANS • y, n� 1� { i' - . a X6 NAILER 9l"rv[t f •.I/1/G,y _ _ - /axe..'•' ELE va rro.✓ . - I rxsy" • r _............. ----------- io"PDLIREO e �"oCiv�,sria,� { SMOKE DETECTOR, 3 0.K, BARNSTA LE BUILDING DEFT. El V � .T�EAP VIEW- ` � MONT VIEW FkONJ+-UAI{ .ELEVAT►ON ,� .. .nor. ...r.r.w.. LINE OF TuR�j_ET BEYOND r , -POOP!V OO , G �12TIE - - r r i` qo -- �'- _ - -- - --_- CC,NIPOStTICN 1�00F --� ij� LEFT SIDE• r IG�. S,yrn E P6 2.�S J Y� 34-6" ,rw rc-a i-o.e.o i � :: - Je w 60 ..� -�-a R S•n .�ri•.r�G • CLOSf7-.DRESS/aF `. d •a __ a x '� MASTER / " 5 OFF ED.OOM •. x - �. __ fill lk �.d L 1 0 i t ?L+Gt 90tuN _ _"�'_I �. _. ..y67' _ 3'_Z i=�Q. ♦� f •i !1 sarHDI fP, O MASTE BED OOM j —.. t N DiNi G. II 6.P' P 11 ' � ..C9.+�YET �I t • 4. 'weo° ieet ,\ 3 _ .. d j (D t — 36E 36=6" • SECOND FLOOR,_PLAN • - FIRST FLOOP\- PLAN- FI3-5T +SECOND FLOOPL PLANS' 3 WE:........:'.:':o:....,. ........... 4 ti II , • F I - Y kj i �. • .R-0-OF. AREA IS<<H -:---�= L L. -:-:...::........ TYPICAL CUALL SECTJOAJ- 130OF ARM " - IC p iY' 1I -zi, `� G.v/ .zde.(e�3• R.0/JED I - ' C! 14 O.C.FOR/1/N tl �'i�/D6 G DEfP� - `� RX6 NAILER i j: I 91 rvtl. 1 t. 3 - . V. Fug r � JG 6. 122 �. ;q Ai 1 i Inclusionary Affordable Housing Fee Property Owner's Name 4g-7—$1 v Project Location q t 0 o e CIFA 0 CQ Cam,( ( - Project Value kq CO Permit Number f Planning Dept. INCLUSIONARY HOUSING_ FEE $J k 9 • Q ® PAID PLANNI G DEPARTMENT INITIAI.410jh DATE_a-- 0 v --f SMOKE DETECTOR OX BARNSTABL�81L DING OEpT. t - _ 7 itn r I t,- -� C( CII ❑ --- --- -=- AN o !:::�Rloo ®! J li •-11�EA-_ VIEW- FToNT VIEW FkON7+-REA1{ .ELEVATION • � -�NCCh.IliJ?.��/�C �1 .um .LINE OFTuf�r�ET. HE'YMIU Y -R,00PIN6 Y 12 M� 12 • I _ V' �G - 32 --- -- CONIPCSrTICN P`OOF • FZIG lT $fiE LEFT SIDE t g1-6" 3.-6" A. : n CLOSfc ASS/4G roAs7eR Ara _ / K-Q-C - h HEN h `.. OFF _....._. yV _ � h1c91 'PAR -- ' `. � I 4 ..V Q• /A R LOR. ,I � .fF�oO rFi00R �,�0 3 .15. - MASTER PED OOM I 4.f a NG. — DINT t -6 a,pnw HAIL n 0 5 X. 36 E 36=G.N ' SECOND FLOOR,PLAN =FIRST FLOOF, PLAN- Ft-RST •GFCOMD FLOoRL PLANS W , I I i -- _ 1 1 —J I I I r FOS;r,�,� • iZO.QF. AREA y I TYPICAL'WALL.SECT1Ou--POOF A7FA - SCALF- �n'a 1-.•. � - .. co tie Tom' 124� ' 2.q O.C.Fok AWN _ 6 iui�6 G DEfP ?� P)rg A14/LER • a t. + V; Fa f, y s I I Fc�.jr PJ 0-*6"' l y�..._.___..._��6••...._.— _.ate � - _......_....._.__..._-. ...._..._......... _..._.... -----------Ila 6. ;..�.. WE:...,..�...,,......... ; ..o. N 60'44'10"E 159.56 9l I 79 ' I 44 EX/sT/ 3 iu a p NM � N LOT 29 HSE. 4910 1.36 ACRES 146.001 �-��9 S 64'46'50°W C1 re ROUTE 28 °TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND FOUNDATION SHOWN ON THIS PLAN IS AS L OCA TED IN IT ACTUALLY EXISTS AND CONFORMS TO CO TUI T - MA SS . THE ZONING REGULATIONS NWN OF BARNSTABLE. REGARDING PREPARED FOR DATE.'NOV.23, 1999 .�.1 DA.V!D w r,HARLES ADPIAN LEHTAINE �Q sa��c.K! y ANiC L l' DATE.'NOV.23, 1999 SCALE: 1°-60 FT. i°Fsrst��c CAPE 6 ISLANDS ENGINEERING FLOOD ZONE NON-HAZAR �• r•. ' D-ID 2P ''�� 6°� MA SHPEE — MASS. TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 009 001 003 GEOBASE ID 37350 ADDRESS 4910 FALMOUTH ROAD (ROUTE PHON COTUIT ; ZIP LOT 16 `�3LOCR LOT S I Z' DBA DEVELOPMENT DISTRICT CT PERMIT 35085 DESCRIPTION 2BR`2BA}FULL BSMT T STYLE(SEW#98-365) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG MT CONTRACTORS: PROPERTY OWNER De t of Health, Safety ARCHITECTS: p e artm n nd Environmental Services TOTAL FEES: $485.00 BOND $,00 tHE CONSTRUCTION COSTS $150,0 0.00 101 SINGLE FAM HO TACHED 1 PRIVATE P 'tA*i F_ ; * •ARNSTABLF, L MASS. �► 1639. ♦� BUILDING D S30 DATE ISSUED 12 f i 01 .1998 EX RAT DATE BY ., . '{`i iau I'A CFZ� ID 009 001. 003 OEOBASE ID' 37350 ADDRESS 4910 FALMO PHO ZI COTUIT t � J,OT.' 1$ xr a ',BIAOt, L,0`3` ,E DR A b� DEVELOPMENT - Sy'RST { ' M., PERMIT 36086 US�CR��T Otv BR .��� �+UL � TiuM'�' T�7 R. Sr�'LE( �"�#O$--3s�6) PER-SIT TYPE BUILD `�]:TLE �� ►S DEN 'IAL BLDG �M' CONTRACTORS: PROPERTY OWNER-AR D partment of Health Safety CHITECTS: ;"f nd Environmental Services TOTAL FEES " 465.00 3.�sOND pX THE , a)NSTRSCTxQN COSTS . $1.50,000'00 1� 1.0 i S I, FAN a, (D TACHEll' .P C7Fi`I' •: {. 1AMSTA814 + MASS. 039. BUILDI SDINTIS'TON,�'By DATE ISSUED /0 /I95 E RA I64..#DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR/SSIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED/GNDER 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 OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTFfICTIONS. 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 (READY TO LATH). P#NCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. i a BUILDING INSPECTION APPROVALS y PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 , 2 3 1 HEATING SPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL 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. BUILDING PERMIT ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map &XIParcel 0 Permit# 775 123 Health Division M 3 Iloq' �+ ', I Date Issued 31 S D y Conservation Division I i lol �"4' " b5 Application Fee -Tax Collector < ' Permit Fee---- X�- Treasurer NO 7 SEPTIC SYSTEM MUST BE (fii " /r —INSTALLED COMPLIANCE" Planning Dept. ' VMTH TITLE 5 Date Definitive Plan Approved by Planning Board ROAAYIENTAL CODE AND TM REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address ���D `i� �/yl✓7,GG/l /�Qf Village Owner /• � `��� Address Telephone c - Permit Request 2 �X 16.E Square feet: 1st floor: existing proposedf�`x��12nd floor: existing proposed Total new Zoning District Flood Plain Groundwater.Overlay Project Valuation Construction Type Lot Size Grandfathered: ,0 Yes a- o .If yes, attach supporting documentation. Dwelling Type: Single Family .Vol/ Two Family ❑. Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: 0 Yes �R1 Basement Type: ull' -0 Crawl 0 Walkout 0 Other Basement Finished Area(sq.ft.) y Basement Unfinished Area(sq.ft) Number of Baths: Full: existing / w new Half:existing new Number of Bedrooms: existing new - Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas;.- ❑Oil O Electric ❑Other Central Air: 0 Yes ,, No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:O existing O new size Pool:.0 existing 0 new size Barn:0 existing 0 new size Attached.garage:0 existing ❑new size 'Shed:0 existing 0 new size Other:- Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial 0 Yes ❑No If yes, site plan review# a Current Use Proposed Use BUILDER INFORMATION f Name Telephone���� Telephone Number Address ��D ���/�e � CiY �� License# `�/� Z 35 Home Improvement Contractor# Worker's Compensation# _ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ZeL/ 7 i FOR OFFICIAL USE ONLY ti r ..PERMIT NO. " S - DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER 1 DATE OF INSPECTION: f� FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL • s T 7 PLUMBING: ROLPW i•. FINAL GAS: ROM .S5R: FINAL FINAL BUILDING t= P=-F- _� 0� n 00 rn DATE CLOSED OUT S CO ASSOCIATION PLAN NO. � 0 The Commonwealth o Massachusetts A ' u=) k6s Department of Industrial Accidents waBI1fir"VOM 600 Washinpon Street Boston,Mass. 02111 Workers'Com ensation Insurance Affidavit-General Businesses name: . address: City state: zi ✓ hone# t 0 '179 tPtC S work site location(full address): ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑Sales(including Real Estate,Autos etc.) ❑I am an em loyer with em loyees(full&part time). ❑Other %/% %%%%%%%/O%%%/O%%/O/%%%/�/%�%%%%%%��// [5 I am an employer providing workers' compensation for my employees working on this job. company name: .. ..., ' .. address: ... .. I city. phone#• insurance.cor: olc. .# I am a sole proprietor and have hired the-independent contractors listed below who have the following workers' compensation polices / comuBuy name: address: � h x • p`F city:. phone#e % �� ✓�:"" 7�G l/OZ d. insurance co. golle # compeny panic: address city: : : phone#"c insurance co.°�: .:. .: ::....: :.. .... .. ;,., -..:, .. .,.:•.,. . :... .:: :. olicv.#:•' : Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of ertminal penalties of a fine up to$1,500.00 and/or one year impriso nt as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statem t may be fo . ded to the Office of Investigations of the DIA for coverage verification. I do here b under dpenalties ofperjury that the information provided above is trues nd orre(� Si Date ��/ Print name Phone# ,� 366 s� r official use only do not write in this area to be completed by city or town official city or town: permAllicense# -[]Building Department ❑ ❑Licensing Board check if immediate response is required P 9 ❑Selectmen s Office ; ❑Health Department contact person: phone#; —[]Other — VP (revised Sept 2003) f r Information and Instructions 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance 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 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. 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 permit/license number which will be used as a reference number. The affidavits maybe returned to 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 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 8910 of Imstigamns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 of�NEr Town of Barnstable Regulatory Services 9B ssi.E,$ Thomas F. Geller,Director q,A 1639• �,+ Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 ' Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IlYIPROVEMENT 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' Estimated Cost Address of Work Owner's Name:1 !/�6y Date of Application• I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []B 'ding 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 TEE AR131TRATION 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: Date ntractor Name Registration No. R L - _ ate 0 er's Name Town of Barnstable �oFt�'O`'ti Regulatory Services sa�wsraer e, : Thomas F.Geller,Director Mass. 99,A 039• .0'� Building Division rFc �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: l 0 JOB LOCATION: D num b er ss eet /L village "HOMEOWNER': Gf�`G1��%�Z�/ </ 7 1� � ' 10' name hho phone# work phone# CURRENT MAILING ADDRESS: h2 RW 35 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 pection procedures and requirements and that he/she will comply with said procedures and re ts. gnature .� 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 pemrit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt H'RB°,� PINE HARBOR WOOD PRODUCTS "1 326.Y4rmouth Rd. 259 Queen Anne Rd. 403 Turnpike St.(Rte. 138) Hyannis,MA 02601 Harwich,MA 02645 S. Easton, MA 02375 (508)-771-5007 (508)430-2800 (508) 230-3420 Fax(508) 771-7070 Fax(508)430-1115 Fax(508)230-3421 °d.PRoo . 1-800-368-SHED SOLD. BY -' - - - DATE �/y INSTALLATION DATE .NAME:. - _ - F 2004 0 ® . ADDRESS PHONE#'S Co /ED\] DESCRIPTION AMOUNT SIZE i STYLE SHINGLE r r :OPTIONS ! . LEFT GABLE RIGHT GABLE L L Y, Ce fLi n/lrA FRONT SON SUBTOTAL TAX BACK DELIVERY TOTAL {��. tYt[✓ ^`� `� DEPOSIT �� ! CHECK # CASH MCNISA. OTHER BALANCE Sv i Permits & sitework are the responsibility of the homeowner. Please check with your local building department regarding permit requirements, setbacks and other regulations that,may apply. If you change, postpone or cancel a delivery we require at least a 5 day notice. CUSTOMER SIGNATURE t ` N 60'44'10"E 56 TS' 9I I 7e 30. t 3 0 ti � NM � MN LOT 29 HSE. 4910 1. 36 ACRES 146.0� S 64'46'50"W Cl ROUTE 28 "TO THE BEST OF MY KNOWL EDGE, THE PLOT PLAN OF LAND FOUNDATION SHOWN ON THIS PLAN IS AS L OCA TED IN IT ACTUALLY EXISTS AND CONFORMS TO CO TUI T MA SS. THE ZONING REGULATIONS WN OF BARNSTABLE. REGARDING LJ�, ,&T6Aox" PREPARED FOR DATE.•NOV.23, 1999 fig; �AVID -� ADRIAN LAHTATINE �+�iRLE�C +;'pi��il_ _ E�j _ _ - _ _ �?L• l DA TE.'NOV.23, 1999 SCALE. t"=60 FT. iM c CAPE 6 ISLANDS ENGINEERING FLOOD ZONE NON-HAZAR D-ID 2P _= MASHPEE - MASS. TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 009 001 003 GEOBASE ID 37:350 ADDRESS 4910 FALMOUTH ROAD (ROUTE PHONE COTUIT ZIP . — LOT 16 BLOCK LOT SIZE DBA ' DEVELOPMENT DISTRICT CT PERMIT 62216 DESCRIPTION C/O FOR SFH UNDER PERMIT 0 41176 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANC),,. CONTRACTORS: De artment of Health Safety ARCHITECTS: P � Y and Environmental Services TOTAL FEES: ----tOND $.00 INE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE RaPR. RARNSTABLE. # MASS. 4639. A`0� Ep�Cl BUIL + ING DWISION DATE ISSUED 07/03/2002. EXPIRATION DATpy �, / / TOWN OF BARNSTABLE BUILDING PERMIT FPARCF-, ID 009 001 003 GEOBASE ID 37350 ADDRESS 4910 FALMOUTH ROAD (ROUTE PHONE COTUIT ZIP - LOT 16 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 41176 DESCRIPTION NEW 2 BDRM SING.FAM.HOME SEWPT#99-6149 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $524.21 Im BOND $.00 ; CONSTRUCTION COSTS $169,100.00 101 SINGLE FAM HOME DETACHED MASS. 639� BUILDI NISI BY DATE ISSUED „ 09/20/1999 EXPIRATION DATE 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 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUf9ED FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. mig"11 kin , o • BUDDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS _ELECTRICAL INSPECTION APPROVALS 2 2 /�/%� 2 PN� 3 1 HEATING INSPEC ,ON APPROVALS ENGINEERING DEPARTMENT 2 a BOARD OF OP ALTH OTHER: © SITE PLAN REVIEW APPROVAL 9 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. JI TION.--�� L s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map - Parcel j-Q0,31 Perk qmit# /(� Health Division �Vqq_6 �? Date Issued �l Conservation Division C1/2() 1 - Fee / Tax Collector; Treasurer INSTALLED IN COMPLIANCE' Planning Dept. WITH TITLE 5 �•` ENV • ' ENVIRONMENTAL CODE AND ` Date Definitive PlanfApp �edl, Unniie Board c�-p -� e : TOV`�;N t OGULATI��aS � Historic-OKH Preservation/Hyannis Project Street Address �� �/� � /?C/ • 4 �'� Village Owner/ , '��� E/l�e�cd ,�� e�rc� Address '' Telephone ' ,- Permit Request Ile-0 ��-S,cledfl Square feet: 1 st floor: ex• tin proposed 2nd floor:existing proposed / Total newt ! p Estimated Project,Cost� - - Zoning District Flood Plain Groundwater Overlay Construction Type/�ky6' Lot Size 13 /"c-, Grandfathered: ❑Yes GJ No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure % Historic House: Cl Yes G/No On Old King's Highway: ❑Yes alNo Basement Type: ❑Full ❑Crawl ®'Walkout ❑Other Basement Finished Area(sq.ft.) 0��99 Basement Unfinished Area(sq.ft) • rRx Number of Baths: Full: existing new Half: existing new f' Number of Bedrooms existing new Total Room Count(not including baths):existing new 6 First Floor Room Count Heat Type and Fuel: a6as ❑Oil ❑Electric, ❑Other Central Air: ❑Yes Cd'No Fireplaces: Existing New - Existing wood/coal stove: ❑Yes Plo f Detached garage:O existing W�new size Pool:❑existing ❑new size Barn:❑existing ❑new size - Attached garage:❑existing knew size/y'x le Shed:❑existing mew size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# w Current Use Proposed Use BUILDER INFORMATION Name ��^� �C �T/(�'�C�7 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE _ Z� r • f FOR OFFICIAL USE ONLY F PERMIT NO. I' DATE ISSUED_ F MAP/PARCEL NO. r ' ADDRESS •' € F 'VILLAGE 1 + x OWNER- DATE OF INSPECTION- ` FOUNDATION r FRAME UL� ��G`'C 1 ' •- INSULATION- /00 e4� f < T A FIREPLACE ELECTRICAL: ROUGH- FINAL PLUMBING: ROUGH;' k.= � FINAL` '. GAS: ROUGH L � FINAL. i ~J µ Y Close- oQ t $ ►= FINAL BUILDING 3'�2- r • .p� ` ' 3 t • DATE CLOSED OUT ASSOCIATION PLAN NO. ' 4ri €: ' _7 _, ., a•. : r The Town of Barnstable P pF ISE ipw� N4, pT .4 BARNSTABLE. • Department of.Health Safety and Environmental Services 9 MASS. 0 prEOMPyp Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice, Type of Inspection Location % Ll -t �4�Permit Number : Owner Builder One notice to remain on job site, one notice on file.in Building Department. The following items need correcting: r / 4AJers auf m , 1 e J�J a-') (P41( - C. { e7 l ram. �I," X",- _ -�461W ()Ort AVU .4W) �0/1� I hAx �zr�14- � J Wee t // too / .I s r lit�E'.�/s A' U k- o rAip 17 Q 6 Mn 4,IjQ -z-/ ArLA4- QAq A--� I� I Please call: 508-862-4038 for re-inspection. Inspected by `"7 ;t. r ,j Date : ftrS1 The Commonwealth of Massachusetts Department of Industrial Accidents '-__ , i .�� OlfiCr of/QYBStIg8t10/IS 600 Washington Street . � Boston,Mass. 02111 '3nr�c�w• . Workers' Compensation Insurance Affidavit ?i3ttiR�r 1�fiii fr. nr,nm)rfi2a��rrr/�ir�//////i/r ���� ������ ���� i��i�r ,.,,,,,,�,,, ,//��LfL/��������������i////������������������%//�",.... name: AG101192/ /jj location /9X� city ��j�,rr57 ��P. hone# I am a homeowner performing all work myself. ❑ I am a sole pro rietar and have no one world in aizv ca achy ///%%/%////// �///'//////` ///%%////O/%O%%//////%////%%/////////%%/%////%%O///////%/%%%//O%/O//%%//%%/%///%/%////////�'rig,//%%//''//////////////////%//// //////////GO%G.,;;;:,;"; ❑ I am an employer providing workers compensation for my employees working on this job. company name: address: :">;:::�:... .::..: .::. . .;.:::.:.::;.::<:.;::•.. city. phone 0- insurance co. PnHcV# �am a sole proprietor, general contractor, homeo circle one)and have hired the contractors listed below who have , the folloning workers' compensation polices: comnanv name- ..... address: ;;••...: ;:::::•:;..:. dtv phone#- . # insornnce cn. oilm comnanv name- address• cites phase#� insurance co. Rol # YWiO '///�///////%/ %O�%//G///%%%%%%% / // //////�//, Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a lineup to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DU for coverage verification I do hereby certify a pin i ��at the information provided above is tru,and correct Sirssature Date - Print name Phone# (:contact ai use oniv do not write in this area to be completed by city or town ofncw or town* permitAicense# " ❑Building Department ❑Licensing Board heck if immediate response is required ❑Selectmen's Office ❑Health Department person• phone#; ❑Other (mmm 9,95 P1A1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thl:r employees. As quoted from the "law", an employee is defined as every person in the service of another under any cone�- 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 rece:s•e: 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, constriction or repair work on such dwelling house or on the grounds c. 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 renews: 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 chapter have been presented to the contracting authority. �i�i/� xi,� �i,. �i,� %/� Applicants ' Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance 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 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Deparmueut 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 applicauL Please be sure to fill in the peimitlkicease number which will be used as a reference number. The affidavits may be returned io 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 questions. please do not hesitate to give us a call. P MEN The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of Investloadons 600 Washington Street Boston; Ma. 02111 fax#• 61 727-7749 phone #: (617) 7274900 exL 406, 409 or 375 i .l smOKE DETECT � �P v .. .. - �,.is L• � . BARNSTAB'L�U ILD►NG. ��►<< , � I II I. .III II �I ivll� I I KK S O p 3d`t 4 : _ =x -SEAR_ VIEW- MONT V1EW o PROW#-UA{{ ELEVAT101V ..LINE Or- TuPj�jET BEYOND /2 12 _.._ �12 -- tlu I/all � ' =-- _ _ 3,e -- CCMPC'SiTiCN P`OOF -� ----- - — -- f - a • P,IGNT S;yE LEFT SIDE ��k P�,'pr .9drycc�7 Io�i/ci/�a SIDE _ Jror<-a twrRo I ` .. .. Jor6C ,I-nr s•o Y,•X L` - I J � yy ' ITCNEN CLOSET-D ESS/NC 6 < 4. ---- MASTER ATN cc ccc-' •I 4 ' - _ I 1 x• P'I w.e`a AWAS t f1 � ToruN .1 1 II II -_ eAry C.. M/lSTE BED OflM NG _,. w+boi �HAIr...� � y 9•ers-o + � .Jo�i-f� G•G' 244 •G �-8 '/ L_fl" _mac—� 36 6 36=G -SECOND FLOOI�_PLAN - FilUT FLOOR- PLAN- f.T7�sT+9ECOND FLOORL PLANS • 7 mz i e f &-. 77 ! / v�/l•! � .�`r{ t l �� fb� � TI 4" 'R 3 � W�Pp� �'' m4 '� � ..ZLBCer%yf.sf � r�y �(CJ'1�.J7J�L. � �tl"C f v _ c � ;�,i ��,. t� � • � > e r i " • a ryy • .. w. r� , 4 • °n h P I. s: u" �v��.P., I ,;I�f ,I,- t figs � � I �`° . .• — n. n, , s �l AREA a i SCA _nJgl L — Tt Of'' TYPICAL UTALt,SECT109— ROOF AF F-4 WE..c,..•.,....o....... M a r d SP , .r � w w pp t r e f ., �.—9-4 7I - x ,a.�t �"',. � a 7,'` .t,_"` �. �+Y:r s�;-r.• a r a , Al fib w � / 6 , sJ ". o(e z Fe�44 + f � 6io/'�bc.l�/3' R.D/JED � i t. " 5 •"f. a k" '.A4 Q N�O.C.FO /// ch r ki Qu d• a.:,�+i ,•e ,.v. i 4 '. O aq .".: � - - tjY v i N /-4�..�5- r . p ` _ , T/ON;/./O r• �Y i El `h w' vC ._._.. //6..:...._.— _-ate - •„ t • /O r�PDIlR�� �ou/v�Ariaiv W//'ODT/i/G y WE MCMRAppou ttj Table JS=b(condoned) Preaeriptive Packages for due and Two-Family Residential Buildings Heated with Fowl Fuels { MAXIMUM MINIMUM Glazing Glazing wing wall Floor Basement Slab Neatingi ooling Afm'(*A) U-value= R value' It value It-values wall Paimeta Equipmau Efficiency-' pie It value R value' 5/01 to 6500 Hating Degree Days-' Q 12% 0.40 38 13 19 10 6 Normal It IZY. 0.52 30 19 19 10 6 Normal S 12%. 030 38 13 19 10 6 83 AME T 1 15% 036 38 13 23 WA WA Nomud U IV/. 0.46 38 19 19 1 10 1 6 Normal V IVA 0.44 38 13 25 WA WA M AFUE w 1 sY. 032 30 19 19 l0 6 83 AFUE f X 12% 032 38 13 2S WA N/A Normal, Y 18% 0.42 38 19 2S WA WA Normal 2 18% 0.42 38 13 19 10 6 90 AFUE AA 19% O.SO 30 19 1 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: ZE 2 aeoo , , 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: '7�5i2 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q-AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-fomns-1980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ftZ of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for 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 and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages). Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 7 The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 F - ° D p � 9 f G tl ° F r WesternSurety n ° " G LICENSE AND PERMIT BOND F For County, City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. G G KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P• 4 2 3 5 9 6 0 3::. y G 1 A F Thatwe, Adrian A- LahtPine of the Town of Barnstable State of Massachusetts -, as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Massachusetts , as Surety, are held and firmly bound unto the Town of Barnstable , State of Massachusetts , Obligee, in the amount (Valid only when a County,City,Town or Village is named as Obligee) of One Thnnsand DOLLARS 0 h pQ0 . 90 ), (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed St-rPPtniPninT permit by the Obligee. N IPI FORE, if the Principal shall faithfully perform the duties and comply with the laws and orl ,. 0 all amendments), pertaining to the license or permit, then this obligation to be void, AANe t e 'man full force and effect for a period commencing on the 3 9 t:h day of November _, and ending on the 31Lth day aJT—.y NnvPmhP r , 1 9 9 9 , unless renewed by continuation certificate. T:tislbond ma terminated at any time by the Surety upon sending notice in writing to the Obligee and to tlf# ncip.lk, i 0 the Obligee or at such other address as the Surety deems reasonable, and at the expira- tionse , � days from the mailing of notice or as soon thereafter as permitted by applicable law, whichJ�ven atop,this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 3 0 t h day of , 1992 Principal Principal Countersi WESTERN S U E T Y C O M N Y G i f• F By By F Resident Agent President F 0 F ACKNOWLEDGMENT OF SURETY G STATE OF SOUTH DAKOTA 1 o F f ° gg (Corporate Officer) F County of Minnehaha G On this -1 0+-h day of N�x�-,-who r ,�9 9 8 before me, the undersigned officer,personally F appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN " SURETY COMPANY, a corporation,and that he as such officer,being authorized so to do,executed the foregoing ; instrument for the purpose therein contained,by signing the name of the torpor n by himself as such officer. ; IN WITNESS WHEREOF, I have hereunto set my hand and official se ; r , J. RHONE j NOTARY PUBLIC 9EAL SOUTH DAKOTA sL otary Public, South Dakota n r My Commission Expires 6-12-2004 Western Surety Company r Form 849-A—12.96 ���5� ��"����'� '����'+ 1-605-336-0850 ' f La F il ACKNOWLEDGMENT OF PRINCIPAL P F (Individual or Partners) ; F STATE OF c F ss County of F , F ' R ° n � G On this day of ,before me personally appeared F il F il F F e 1� F i il c y known to me to be the individual_ described in and who executed the foregoing instrument and c F c ' F'M acknowledged to me that_he_ executed the same. p n il My commission expires �s r• E Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the .. of , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. Y 'f My commission expires s Notary Public r� I� d:' F r• -t F > G , I 0-0 f �••) F r E h+y 1 s F 4Jr n n ( ) W ty F F MGM o AA C'1 ¢ F Z Z O &4 W �i F V) a F F o z z W U2 w ° 7 e ° 4-4a h � o ccG� d' t The Town of Barnstable �irte o Department of Health Safety and Environmental Services Building.Division Bmwffriim 367 Main Street,Hyannis MA 02601 1639. ArFD MA'I A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: / —� JOB LOCATION: 7 q�D /number street ,/ village "HOMEOWNER": name �Z(1/6lo name home one# woYK phone# CURRENT MAILING ADDRESS: cityftown 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 min' um inspection procedures and requirements and that he/she will comply with said procedures and 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 to amend and adopt such a form/certification for use in your community. Q:FORMSIXEMPT The Town of Barnstable * IMUMABLE, % MAN. $ 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 May 13, 1998 Mr. & Mrs. Adrian Lahteine PO Box 2503 Covington, LA 70434 RE: Buildability of 4910 Falmouth Road, Cotuit (009/001.003) Dear Mr.& Mrs. Lahteine, Based upon the information given by Butch Hiller of REMAX Liberty, the above mentioned lot is buildable. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner I Engineering Dept.(3rd floor) Map Parcel j Permit# . L House'# f0ate Issued Board of Health(3rd floor)(8:15 -9:30/.1:00-490) Fee (,5 ' Conservation Office(4th floor)(8:30- 9:30/1:00'=2:00)'30Noc kg a T Planning Dept.(1st floor/School Admin. Bldg.) �P Y IC L MUST SE / Definitive PI ved b Planning Board o�- § ``aa 19 ,�' PLIANCE TOWN OF BARNSTABLE ODE AND �- Building Permit Application Project Street Addressqla ho A L Village C,Z ' f Owner ✓/C����n' �- �� �rr.d� �': ,CA/Z' u�PAddress Telephone ? Permit Request 4 V n 'First Floor A� 7 square feet Selond Floor /� 9 square feet Construction Type lif/f�DG� �'�'� 0 V Estimated Project Cost $ 90 Zoning District Flood Plain V Water Protection Lot Size Grandfathered L]Yes p�No Dwelling Type:' Single Family U. Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ,�No On Old King's Highway ❑Yes XNo Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) X// Number of Baths: Full: Existing New Z Half: Existing New No.of Bedrooms: Existing New Z Total Room Count(not including baths): ExisfA'ng New -9 First Floor Room Count 0 Heat Type and Fuel: p as ❑Oil ❑ilectric ❑Other Central Air ❑Yes . 0 Fireplaces:Existing New Existing wood/coal stove ❑Yes )4 No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) None ❑Shed(size') ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes JYNo If/yes, site plan review# Current Use / Proposed Use Builder Information Name Alle� Telephone Number Address License# Home Improvement Contractor# 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 DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE /' DATE 3✓ c/c� BUILDING_PERMIT DENIED FOR THE FOLLOWING REASON(S) I v N�� G����� 61 �- j FOR OFFICIAL USE.ONLY PERMIT NO. _ DATE ISSUED MAP/PARCEL NO. s ADDRESS r VILLAGE' OWNER - DATE OF�INSPECTION: FOUNDATION- FRAME INSULATION FIREPLACE _ - � r r • F j > ELECTRICAL: ROUGH FINAL yPLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL B FINAL UILDING' r `DATE CLOSED OUT' . i r-1 rASSOCIATION PLAN NO. The Town of Barnstable Department of Health Safety and Environmental Services Building Division MUM ' 367 Main Street,Hyannis MA 02601 ia39• Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION �—/ Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phonework phone# 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 r ents and that he/she will comply with said procedures and requirem Signature of HomeowniK 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 persons)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 to amend and adopt such a form/certification for use in your community. Q:FORMSIXEMPT f The Commonwealth of Massachusetts 11 =_� __ :- : F..�� Department of Industrial Accidents Office of/nsestigations 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole pro netor and have no one workin in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. company name:. addressr: -: phone#i insurance co. > olicv# / I am a sole proprietor, general contractor, omeowner circle one) and have hired the contra or lsted below who have Cyf d the following workers' compensation polices: com anv name: /4��/1 =cr"�' address. r J� ci o hone#:. insurance co. 4. . camaanv name. f: address: ���` 0 hone#: � © �p�t Failure to secure coverage as required under Section 25A of MG L 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify u Pins and pei _ at t e information provided above is true and correct correct Signature Date Print name ��i�9 ci /,/ 1�i�O Phone# / TU% '�, �G17 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check H immediate response is required OSelechnen's Office ❑Health Department contact person: phone# ❑Other Ormed 9/95 P1A) Information and Instructions 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,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 r Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance 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 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. 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/license number which will be used as a reference number. The affidavits may be returned to 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 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 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 Ao �x &,d 11'219 7 8tM&dh - �'1� 0,;�& 76 70 130CtRAppomfti Tab1eJS2.lb(eoadeaeei) Ptaeriptire Pack"=for ane sad Two-Family Ruidmdd Bdtdtop Hatd with Fad Fuck MAXPAUM MIIVQNUM Wall Elaor Baaemmt Slab U-value= IGvaiu� R vetue� &vaiu� Will hsimm I EMS'' Package 3701 to 6300 Hado;De6rse Daw Q 12% 0.40 38 13 w 19 10 6 No R 12% 032 30 19 19 10 6 Normal 9 12•DA OJO 38 13 19 t0 6 iS AM T 15% 036 38 13 23 N/A WA Normal U 15% 0:46 31 19 19 10 6 Normaly 159A' 1 0:44 3'5 13 WA WA :s AFUE W 15% om 30 19 19 10 6 M AFUE 1C 1S'/. o32 38 13 25 WA WA Normal I39A 0.42 38 19 2S WA WA Normal t 18% Q42 3= 13 19 10 6 90 AFUE AA IrA Mo 30 19 19 t0 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): �,�• 2i S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTO RO YES: NO: q-forms-080303a T- 780 CMR Appendix J Footnotes to Table J5.11b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors,. skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 fl of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The toiling 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 and the ventilated portion of the roof. 'Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. s The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements•are for unheated slabs.Add an additional R-2 for heated slabs. • If the building utilizes electric resistance 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 lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values•are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Lw , r w e3 -------------- FkbnwT'6'LEVA770M ' o ... Ip11�I1LfIM q1Y z Cr 7f � : ..'�Pam. - ■. r �' _ �- ,:��..' , -��:' r-, f i I e:4 . !II1III:IIi11111lilI Hill IIII 71 W - s i 11 1 BARN 639.��. '99 JUN 14- P.i :35 Town of Barnstable FILE COPY ONLY. Zoning Board of Appeals NOT r RECORDED AT Decision and Notice REGISTRY OF DEEDS I Appeal Number 1999-62 -Lahteine Special Permit Pursuant to Section 2-5.1(1)Temporary Use Regulations Summary: Granted with Conditions Petitioners: Adrian and Brenda Lahteine Property Address: 4910 Falmouth Road/Route 28, Cotuit Assessor's Map/Parcel: Map 009, Parcel 001.003 Area: 1.36 acres Zoning: RF Residential F Zoning District Groundwater Overlay: GP Groundwater Protection District&WP Well Protection District Background: The property that is the subject of this appeal consists of a 1.36 acre lot that is presently vacant. It is commonly addressed as 4910 Falmouth Road, Cotuit, and is located in an RF Residential Zoning District. The applicants wish to place a trailer on the property for the purpose of habitation and as an office while a permanent residence is being constructed on this site. The trailer will be occupied for a period of approximately 6 months during construction of a permanent residence. The applicants have applied for a Special Permit pursuant to Section 2-5.1(1)of the Zoning Ordinance- Temporary Use Regulations. The temporary occupancy of a trailer during construction of a permanent home is allowed, provided a Special Permit is first obtained from the Zoning Board of Appeals. A letter, dated April 12, 1999, authorizing Linda Hutchenrider to represent the applicants at the Zoning Board of Appeals hearing has been submitted to the file. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 21, 1999. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened June 02, 1999, at which time the Board granted the requested Special Permit. Hearing Summary: Board Members hearing this appeal were Gene Burman, Gail Nightingale, Richard Boy, Ron Jansson, and Chairman Emmett Glynn. Linda Hutchenrider was present and represented the petitioners, Adrian and Brenda Lahteine. Mrs. Hutchenrider addressed the Board. She explained that the petitioners are seeking a Special Permit to allow the occupancy of a temporary trailer on the property during construction of a permanent single- family residence. She stated that construction would commence in about 2 months and would take approximately 6 months to complete. The Board asked about the proposed office use of the temporary trailer. Mrs. Hutchenrider explained that the office would be for personal use only and not for business use. r f;. Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-62-Lahteine Special Permit,Section 2-5.1(1)Temporary Use Regulations Public Comment: No one spoke in favor or in opposition to this appeal. Findings of Fact: At the hearing of June 02, 1999, the Board unanimously found the following findings of fact as related to Appeal No. 1999-62: 1. The property in issue is located at 4910 Falmouth Road, Cotuit MA, as shown on Assessor's Map 009, Parcel 001.003, in an RF Residential F Zoning District and a GP Groundwater Protection Overlay District. 2. The petitioners, Adrian and Brenda Lahteine, are seeking a Special Permit pursuant to Section 2- 5.1(1) of the Zoning Ordinance to permit the temporary occupancy of a trailer during construction of a permanent home. 3. The relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the Zoning Ordinance. Decision: Based on the findings of fact, a motion was duly made and seconded to grant the requested relief subject to the following terms and conditions: 1. Occupancy of the temporary trailer shall not exceed twelve (12) months from the start of the foundation permit construction. At the end of this time period or prior, the trailer shall be removed from the premises. If additional time is needed for the construction of the permanent residence, the petitioners shall return to the Zoning Board of Appeals for an extension of time. 2. The locus shall at all times comply with all Building and Health Divisions regulations. 3. There shall be no business use of the trailer. The Vote was as follows: AYE: Gene Burman, Gail Nightingale, Richard Boy, Ron Jansson, and Chairman Emmett Glynn NAY: None Order: Special Permit Number 1999-62 has been Granted with Conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20)days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. Emmett Glynn, Chairman Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this��_day of under the pains and penalties of perjury. Linda Hutchenrider, Town Clerk , 2 Planning Labels 13_May_99 RefNo mappar ownerl owner2 ' addr city state zip 62 002 004 DEPAMPHILIS, RICHARD L TR OSIA CAPE COD LDGE 2404 TR 4966 FALMOUTH RD 009 001 001 COTUIT FIRE DISTRICT COTTJIT MA 02635 009 001 002 REAL/PROPERTY SERVICES INC P 0 BOX 1475 COTUIT 'kCABRAL, ROBERT L & PATRICIA A 4748 FALMOUTH RD MA 02635 �LAHTEINE 009 001 003 REAL/PROPERTY SERVICES INC COTUIT MA 02653 , ADRIAN A & BRENDA G P O BOX 2503 009 001 006 LEPPANEN, LINDA E 6 COVINGTON LA 70434 009 033 VILLANI, MICHAEL DONALD TR HUTCHENRIDER, 'BRADFORD L PO BOX 105 HYADiN25 TR JOSEPH M VILLANI TRUST 21 BEAVERBROOK RD MA 02601 W YARMOUTH MA 02673 1 Proof of Publication Town of Barnstable Zoning)Board of Appeals Notice of Public Hearing Under The Zoning Ordinance for June 02. 1999 To al persons interested in,or affected by the Board of Appeals under Sec 11 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts,and all amendments thereto you are Hereby notified that:. 1:15 P.M. Pea pock/Lawton Appeal Number 19WSI James a Claire Peacock and David A Joyce Lawton haw applied to the Zoning Board of Appeals for a Modification of Special Permit No. 1999.01 for a Family Apartment.The applicants have modified the original plan due to requirements of the Conservation Commis- sion.The property is shown on Assessors Map 117.Parcel 022 and is commonly addressed as 100 Meadowlark Lane.Osteiville.MA in an RC Residential C Zoning District. 7 4S'P•ffit t hind ' meal NumbO 199—42 Adf18r1 4i: � !tlIts iPb#dtothe.ZoningBoardoiApipeeigfjoraSpecwporn pursuant to Section 2-5.10) Temporary Use Regulations. The applicants are seeking permission for temporary occupancy of a trailer on their property during construction of a permanent home.The property is shown on Assessors Map 009.Parcel 001.003 and is commonly addressed as 4910 Falmouth Road/Route 28.Cotuit.MA In an RF Residential F Zoning District. 0:10 P.M. Liimatainen Appeal Number 1999-63 William A. and Linda Liimatamer0wis petitioned to the Zoning Board of Appeals for a Variance to Section 3-1.4119)Bulk Regulations-minimum aiea and lot frontage-to allow the transfer of a triangular parcel.of.land.apprwdmately.554 sq.it in area:from the abutting lot to the south(Lot 7)to the petitioners'pmperty,(_ot 8).The transfer of this land will reduce the lot area and frontage of Lot The property_is shown an Assessors Map 101.Parcel 21 end is commonly addressed as 525 Flnt Street:Marston Mils.MA in an RF Residential F Zoning District 8.30 P M. ChrisW-s of Cape Codi LLC Appeal Number 1999-64 Christ)Is of Cie Cod:LLChas applied to the ZoningBoard of Appeals fore 5pectal Pemnit pursuant to Section 3-3.6MA)Conditional Uses.The applicant is proposing the renovation and reconfiguration of an existing self-serve fuel station to include a convenience store and coffee shop with drive-up window.The property is shown on Assessors Map 292.Parcel W5 and is commonly addressed as 317 Falmouth Road/Route28.Hyannis.MAin an-HB Highway Business District. 8:45 P.M. Kelly Appeal Number 1999-65 David M.and Susan B.Kely:Trustees of Pirates Cove Trust#1 and#2 have appealed the decision of the Building Commissioner.The Building Commissioner has.determined that the upper level of the proposed new dwelling would constitute a third story.The budding height in residential zoning districts is limited to 2 1/2 stories or 30 feet,whichever is lesser The property is shown on Assessors Map 051.Parcel 005 and is commonly addressed as 81 Pirates Cove.Oyster Hadtiors,MA in an RF-1 Residential F4 Zoning District. 8:50 P.M.- Kelly Appeal Number 1999.66 David M.and Susan B.Kely,Trustees of Pirates Cove Trust#1 and#2 have petitioned to the Zoning Board of Appeals for a Variance toSer.tion3-1 3W811141?egulatictis Height.?hr Petitioner seeks permission to finish and make habitable a 555 square feet area on a third level together with an 83 square feet observatory deck on a new dwelling being constructed. The property is shown on Assessors Map 051.Parcel 005 and Is commonly addressed as 81 Pirates Cove,Oyster.Harbors.MA In an RF-1 Residential F-1 Zoning District. These Public Hearings will be held in the Hearing Room:Second Boor.New Town Hal.367 Main Street. Hyannis, Massachusetts on Wednesday. June 02. 1999. Al plans and applications may be reviewed at the Zoning Board of Appeals Office.Town of Barnstable. Planning Department.230 South Street.Hyannis.MA. Emmett Glynn.Chairman Zoning Board of Appeals ,J k: sy `J #x f. z a �eruwo�r h �.o ;BASEMENT PCAN • -. =AAAAm®-mma� rom IoI�AA�o�I� [O)�000 u ® tG)-�AAAAA�AAAA�® OR 8m t.! If ��■L��all .. ro SM I�_ I�■,+ A�a.�r---�:�s�®�s--mac a r:. • • Ram I { sw 14 oil......,.e,. .060 a a sr.1. { ran r,- - � L sE.CT/.ON ti. GGt41 C �-1 a ROOF PLAN -scar fis• ���r':""`°�=:. -'�',� 1 QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION-------------------------------------------------=--------- 04/21/99 PARCEL ID 009 001 003 GEO ID 37350 LOT/BLOCK 16 DBA PROPERTY ADDRESS OWNER REAL/PROPERTY 4.910 FAL-MOUTHgROAD�( SERVICES INC COTUIT PO BOX 1439 95 BEDFORD RD MIDDLEBOROUGH MA 02346 PHONE DISTRICT CT DEVELOPMENT STATUS C ASSESSOR'S CODE CAPACITY(NOTES) ZONING DIST/ZOC RF SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? # BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 44431.2 OPER/MGR NAME WET LANDS MULT ADDRESS USE 130 PROTECT DIST WP (N) EXT / (P) REVIOUS / NO(T)ES / PER(M) ITS / (V) IOLATIONS / (G)EOBASE / (E) XIT UPDATE PERMIT RECORDS: ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION----------------------------------------------------------- 04/21/99 PERMIT NO. 35085 PARCEL ID 009 001 003 4910 FALMOUTH ROAD (ROUTE PERMIT TYPE BUILD NEW RESIDENTIAL BLDG PMT DESCRIPTION 2BR/2BA/FULL BSMT TUDOR STYLE (SEW#98-365) STATUS 0 PERMIT VOID/FEE REFUNDED APPLICATION DATE 12/01/1998 DATE ISSUED 12/01/1998 EXPIRATION DATE DATE COMPLETED 04/21/1999 MASTER PERMIT VARIANCE VALUATION 150000. 00 BOND 0 . 00 CONSTRUCTION TYPE 101 GROUP TYPE 1 CONTRACTORS OWNER PROPERTY OWNER ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON-PROPERTY RELATED PERMIT. CTRL-I FOR HELP. The Town of Barnstable BAMSTABM 9�A 16 9. ,0�' Department of Health Safety and Environmental Services 'Fo,�►r°i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-90-6230 Building Commissioner DATE: April21, 1999 TO: Mary Blake,Assistant Accountant FROM: Kathy Maloney,Office Assistant RE: Refund of permit fees Attached is a letter requesting a refund of a building permit fee. The permit was never exercised and has now been voided. Copies of the canceled check and voided permit are attached. Please let me know if you need any additional information. cc: Adrian A Lahteine Q970815A ✓�fdrian arxd!/�ren�oCa�teine P.O. lox 2503 Covington, Laiiiana 70434 ✓VpriG 9, 1999 /�'/�,. oCinda .htutchenrider -own (..lerh (fit/y-�talf .hiyanni.4, MzJJac4u9ettd tear Madam (f lerh: /enc4ded id a copy (front and lath)o f our c�iech dated november 30, 1998 payable to the ..town y}�� l/�arnatable in t1 amount of$465.00 in payment/or a ccLilding permit. Since 11w iajuance of tkis building permit, we have not started construction on t1 premises. 51w elore, since we /cave not begun construction o/our residence, we request that the -own of garstalle issue a el,,J of t4i.4 amount. We will be applying in 11w near future for a new building permit. /-/hanh you for your ami-4/ance in t4ie matter. ."you leave any quediow or commenh regarding t4ij matter,please do not hesitale to call. Sincerely yours, n nn e -,,Q,ian J. ,-akeine encLure - �8�,•3;_y 7..r�Y',"5.. a. - #'•.e^�.+'x iY;`tA'yy'd Y3�' .•N 4a i'"?!_''� " v.i .� � w•f fit.... S Y �...,•..r. A: 1 r. BRENDA B. LAHTEINE ADRIAN A. LAHTEINE,.JR. j/: r. is , J 53 710712113 P.O. 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'. .�n•.h_ .�.�':�`�'rrs'�-^,� .•.;�°"'t='.F-.E",^.' _R. 7... «-y..._ .. < : _. ,'4'�'a_'•_.. .A...—.-:.•«••e- rr.T'. ..'iY� iw... v � _-..,... a, ..rn -•: •"� :Yew' +#. .'N'� S`•-..._. c"9!LL Y 7TH EDITION OF THEMASS � •�., STATE BUILDING CODE RESIDENTIAL DESIGN CRITERIA . � 1/2'MINIMUM GENERAL NAIUNG SCHEDULE 110 MPH EXPOSURE B WIND ZONE RESIDENTIAL BUILDING DESIGN CRITERUI - CMR 780 7TH EDITION ernllenlRl�DI slcN CRITERIA r € 2.FRONTING JOINT OLSCNIPTKNI NUMBER OF NUM3.1 FLOORS 1.0 OE9ON OOTERIA• - Box NAILS of VIAL SPACING The door span of flow_ joist shall p COMMMON NAILS BOX NA0.5 780 CMR - Do 1 meet w THE FOI1pWING OUTLINES MINIMUM PERFORMANCE STANDARDS FOR THE PROJECT 2x6 P.T.SILL PLATE THE MASSACHUSETTS STATE BUILDING CODE Edition.�°"Glues set forth in 780CMR 7th AND THE BASIS UPON WHICH SHOP DRAWINGS(IF ANY)WILL BE REVIEWED. ROOF FRAMING STATE BOARD OF BUILDING RECULA71ONS h Floor openings shall not exceed the lesser of 1.1 TYPICAL ALTERNATE STANDARDS(FOR REQUIREMENTS NOT OTHERWISE 2x FLOOR - �' �' aLocNINo ro RATER -NAR.ED 2-80 STANDARDS 12'-0'par 3OIE of the Dutklnq dimension. L/2 w INDICATED IN THIS SPECIFICATION OR RELATED DRAWINGS), APPLICABLE tO SIMPSON STRONG-TEE2-15d EACH END Seventh Edition of the Massachusetts State W/2 BUILDING CODE(INCLUDING INDUSTRY STANDARDS REFERENCED 7HERE_IN)OR MPAND22 HOLDOOMN /_. RM BOARLD TO RAFTER END NAILED 2-16d 3-led EACH END Building Code PRODUCT MANUFACTURER'S RECOMMENDED STANDARD.WHICHEVER IS THE Mflf w/11-16d NAILS , WALL FRAIO/1G - (One and.Two Famiy Dwelling Code) 3.2 FLOOR BRACING STRINGENT FOR A PARTICULAR ITEM OR CONDITION. • 70P PLATE AT 1NTFRSECITWJS FACE NAILED h1e0 5-16d AT JOWTS WOOD FRAME CO Blocking and connections shall be provided at 1.2 COTUIT BASIC WIND SPEED(TABLE 4301.2(4))120 MPH DESIGNED IN Ci y \ '�i YI410.A1(t REBAR STUD ro SR1D FACE NAILED 2-16d CONSTRUCTION MANUAL-WFCM ACCORDANCE WITH SOUTHERN BUILDING CODE r 2-tad 2{'O.C. 120 MPH EXPOSURE B Pend edges perpendicular to floor framing C(SNGRE55 INTERNATIONAL members In tfw Rret two truss or STANDARD FOR HURRICANE RESISTANT RESIDENTIAL CONSTRUCTION SSTDIO-BB HEADER ro HfwOEt FACE NAILED 16d 16d 18.O.C.ALONG EDGE Guide to Woos Construction in High Wind Areas joist spaces 1.3 FEMA 543 DEFINITIONS WIND BORNE DEBRIS REGIONS WITHIN 1 MILE OF !/ p1 SMEAR \( FLOOR FRAMDC _ for One and Two Family Dwe10 and shall be 48'O.C. see Flow Bracing Detail. COASTAL MEAN HIGH WATER UNE"LOCATION APPROXIMATE 2 MILES FROM MEAN r4 CONCRETE ~- HIGH WATER LINE -a. xIAl1 k FOOTING � JOIST ro SAL.LOP PLATE OR ORDER NNtEO 4-Bd h10d PER JObT NOTE., �N' 4.1 WALLS BLOCKING -0 JOIST " IT IS THE INTENT TO PROVIDE A CONTINUOUS LOAD Laodbearing wells shall not exceed 10'-0'in 2 0 oEAn Ln.ne_:2-ad 2-10d EACH END PATH,THE INTERCONNECTION OF ALL FRAMING height 21 STRUCTURAL SHEATHING: HOLD DOWN DETAIL BnKSaNG ro SILL OR TOP PLATE NAILED J-isd h16d EACH BLOCK ELEMENTS IS CRITICAL TO AWIND-RESISIfVE Noantadbearing walls shall not exceed 20'-0'in 11.1 FLOORS 3/4•MIN. THICK. T R G CDX PLY. lEOGER STRIP ro BEAN OR GIRDER ACE NAMED J-tad h16d EACH JOIST BUILDING.A CONTINUOUS LOAD PATH OF 21.2 EXTERIOR WALLS. 1/2•MIN. THICK COX PLY. 1'-0' JOIST ON LEDGER ro BEAY NAILID 3-8d 3-10d PFR JOIST INTERCONNECTED FRAMING EIFNEIYIS FROM BAND JOIST ro j% END NAIBID 3-15d h16d PER JOIST` FOOTINGS AND FOUNDATION WALLS TO FLOORS. 4.2 EXTERIOR WALLS 21.3 ROOFS.' 5/8'MIN.THICK, CDX PLY. ' BAND ro JOIST ro SILL BR TOP PUTE NAILED 2-16e 3-16d PER FOOT WALLS.AND ROOF FRAMING SWILL BE FRONDED. Maximum Loadbearing Stud Length 22 FINISHES. (THE FOLLOWING REPRESENTS STRUCTURAL DESIGN CRITERIA.NOT 2x4 2 at 16'O.C.;9'-9' FINISH SPECIFICATIONS)' 3%311 4'PLATE 5�8.DIAMETER x 2x8 2 at 18'O.C.;8'-9' ES,BATHROOMS AND SEE NOTES FOR WASHER 1 O ANCHOR x B ROOF SITRUCIt10 1.1 SCOPE ng $ ASSUME THIN-SETT CERAMIC TILE OVER 1/2'CEMENT FIBITCHEN AREA& BER BOARD SILL P.T. NOOK ANg10R BOiIS 1\ WOOD S1RI�CR1RAL PANELSSP Table 5301.2 4 Maximum$ at O Cb�11'_S. n �j �� UNDERIAYMENT.SILL PLATE ANCHOR BOLT •� RAFTERS OR TRUSSES SPACED IlP TO 1e'O.C. N Tod a'EDGE 6'FIELD () Massachusetts Boob Wind Speeds - . Town: Cotuit. Bask Wind 2.2.2 FLOOR FINISHES AT OTHER HABITABLE AREAS ASSUME 3 4' SPACING RAFTERS OR TRUSSES SPACED OVER la'O.C. N Speed: 120 mph 2x8 2 at 18'O.C.; 18'-5' HARD - FLOORS. 1�.. 10d 4'EDGE P FIELD � / CABLE E710WA, RAKE OR RARE TRUSS 5301.2.1.4 Ex ./o CABLE OYQeIAFR ad 10d 6•EDGE Exposure Category Coble Walls 22.3 WALL FINISHES:: ASSUME CERAMIC TILE WITH 1/2'CEMENT FIBER _ /6'FIELD 1 Exposure A. Urban. Shall be braced for dhtanea of at least 1/3 BOARD BACKER AT TUB AND SHOWERS;,1/2'SWE90ARD AND PLASTER ALL B p �,. S TRUSS 3 posura B.Urban. Surburban of the build) width with wood a -at i cr panty. 07HER LOCATIONS. _ .. w TRUCIURALad 10d 6'EDGE/e'FIELD Posu•e CX Open Trbs or of I ,22.4 CEILING FINISHES ASSUME 1/2'BLUEBOARD AND PLASTER CONCRETE 4 Exposure D.Flat Urabetructed NO ASPHALT ROOF FINIS FROM FIW ° OR RARE TRUSS PHA ROOF FINISHES ASSUME HEAD DUTY,ARCHITECTURAL GRADE OF PLATES - - �`' ad 10d 4'EDGE/{'FIELD Exposure e;Cotult to Story Uplift and Lateral Connections sae - 23 MAXIMUM DEAD LOAD OF 10 P.S.F. ` q CEILING SHEATHING Table 5301.20) Massachusetts Ground Snow 3.p(NOT yg�) - `,. 3d COOLERS ___ 7'EDGE 10'FIELD Loads Studs R Headers at Wall Openings see Table. .may WALL SHEATHING Town: Cnteit. Snow Load;35 Ref 4.0 AI I OWA_al F DEFLFC71TOM WOOD STRUCTURAL PANELS _ 01 4.3 EXTERIOR WALL SHEATHING 4.1 FLOOR/CEUNG ASSEMBLIES(INCLUDING SUPPORTING BEAMS)-(NOTE -- STUDS Prsesura' Pradde 7/18'rood etrueturol panel sheathing on WINDOWS AND DOORS-ASSUME NAIUNG TABS AT JAMBS AND H 'SNOB SPACED LIP ro 24'O.C. ad 10d 6'EDGE 12'it Windows in rind borne debris Ion EAD VAIN - ELD _ regions Mall have all exterior walls. S, „. Provide the minimum M 1 aired ANUF.ANI)2s 2' required RECOMMENDED H FlBERBp4Rp PANELS Bd ___ 3•EDGE 6r FIELD in glazed openings protected from rind borne debris pereaMogs full-height sheathing see Table. 4.1.1 LIVE FAO CLEARANCES d-APPROXIMATELY 1/2) �Tl LOAD DEFLECTION: L 480 UP TO �•+ CONCRETE FOUNDKTION 1 •GYPSUM 1YAl1H0ARD __ 1n accordance rfth Large s MlsaOa Tset 1' ('"�:•.' Sd COOLERS' r9 of ASM E � / /2 MAX Y- EDGE 10'FlF1D . ., 4.1.2 TOTAL LOAD DEFLECTION: L/240 LP 70 J/4'MAX WALL Nt FDORNq F/.:..1 ��TM� . �1998 and of ASM E 188B. � Provide hold donne at each full height asgmeM .i .' _ � Exception.Wood structural rnh at 7 18'x - each end fline. -panels, 8 0 o a roll/ FLOOR SHEATNINO shall be permitted iw o � '4.o MwrFlNAt c: Q qN perm In accordance prone n In one S.1 FRAMING DIMENSION LUMBER -p•, _.WOOD STRUCTURAL PANELS and two story buildings In accordance with Table 5.1 ROOF LOAD BEARING DIMENSION LUMBER FOR JOISTS•STUDS•PLATES.RAFTERS• Ft33 1.d1 5301.2.1.2 and the IBC. Roof span shall not exceed 36'-O'" HEADERS•BEAMS AND GIRDERS ETC.SHALL CONFORM TO DOC PS 20,AS LISTED 6d tOd e'EDGE 12•FIELD Roof openings shall not exceed the lesser of IN 780 CMR•APPENDIX A.AND TO OTHER APPLICABLE STANDARDS OR GRADING ANCHOR BOLT DETAIL KRFw1EH TM"" 1' 12'-0'or 50%of the building dimension. L/2 or RULES AND SHALL BE SO IDENTIFIED BY A GRADE MORN OR CERTIFICATE OF �, Tod led 8•EDGE 6'FIELD FEMA S43 Definitions NOTE: _ Wind-owns debris regions.N°ae within W/2, INSPECTION ISSUED BY AN APPROVED AGENCY. THE GRADE MARK OR Aurricarn-prom regions located; Roof slope shall not be greater than 12/12. CERTIFICATE SHALL PROVIDE ADEQUATE INFORMATION TO DETERMINE Fb,THE ew t lRwE55 STATED.��GlvEl/FOR HAILS TER LENGTH N71TH StffS,BOX AND PNEUWIIC 1 Within 1 mile of the coastal mean high water NA85 OF EIXINALENT ONYETER ANO EOIIAL OR GREATER LENGTH ro THE SPECIFIED COMMOIN NAIL WY line there Na basic clod speed ALLOWABLE STRESS IN BENgNG,AND E, THE MODUWS OF ELASTICITY" p K/ . BE SUBSRMW UNLESS 0T11ERY111SE PROHIBITER. 5.2 WOOD RAFTERS &I-I ALLOWABLE JOIST SPANS: THE CLEAR SPAN OF FLOOR JOISTS SHALL `► \ H sell to or greater than 120 mph and In The Near span of rafter°shall meet w exceed NOT EXCEED THE VALUES SET FORTH IN TABLES 780 CMR 3605.23.1a, V OA• t peed is equal the values ad forth in 780CMR 7th Edition.The - 360&2.3.tb AND 3605.23.1°. THE MOOUWS OF ELASTICITY,E.AND THE EDIFIER or TRUSS V 2 In areas whom the basic rind a eq maximum rafter span shall be limited to 3/4 of STUDS AND HEADERS AT WALL OPENINGS ACTUAL STRESS IN BEFIDING Fb.SHOWN IN THE TABLES SHALL NOT EXCEED THE v or9raoter-tha".130 mph. teh a VALUES SPECIFIED IN TABLES 3805.2.3.Id AND 3605.2&Is LISTED AT THE END. CD pen permitted excee for -0 20psf roof five bad OF 780 CMR J60S.2 Height AI'PLICrea U case. not to on H2.2uplift W.2 ALLOWABLE SPANS THE UNSUPPORTED SPANS FOR CEILING JOISTS Q/ LOADER SPAN MINIMUM REOUuiE1RENi5 AT EACH END OF HEADER HeIgM R Area Umitatbnro (Table 303 780CEER Bth Provide Simpson H2.3 uplift connections°t each (FEET) HEADER SIZE NUMBER OF FULL UPUFI LATERAL Edition); R3 Type 5 Unprotected; rafter or Wes. SHALL NOT EXCEED THE VALUES SET FORTH IN TABLES 780 CMR, 3608.24oa AIy`` Provide minimum 2x8 collar THROUGH 3S�24dd.. THE UNSUPPORTED SPANS FOR RAFTERS SHALL NOT17 HEIGHT STUDS (POUN06) (FOUNDS) 2 Storim.34'-0', 4,800 SF collar/rafter the of 48' EXCEED THE VALUES SET FORTH IN TABLES 780 CMR, 3808.24a THROUGH Roof PRc'+ 3.5/12 O.C. located in the upper third of the attic epees 360&24x"TREADERS a LOAD BEARING WALLS and attached to rafters using 5-10d nails at Mean Roo-Height: 14'-2' each and. 5.1.3 PLYWOOD BREATHING: AND ROOD STRUCTURAL PANELS USED FOR 48'O.C. ` n _\\. 2 2-2N 1 277 132 Building Length x W -8•x 18'-0• STRUCTURAL PURPOSES SHALL CONFORM TO DOC PS 1.DOC PS 2 AND HPMA ¢ W STUD 2-2x{ 2 416 198 l�aet Ratio(l,/W) 1.9g 5.3 ROOF SHEATHING (ANSI)HP.AS LISTED IN 780 CMR.APPENDIX A. ALL PANELS SHALL BE Q� 7 2-Ors 2 554 264 Nomlrnl',Height of Ta Opening; 6'-8' Provide S/8'rood structural panel sheathing on IDENTIFIED BY A GRADE MARK OR CERTIFICATE OF INSPECTION ISSUED BY AN �-.Cf\ a 2-2x{ 3 693 all roofs. APPROVED AGENCY.PLYWOOD AND WOOD STRUCTURAL PANELS SHALL COMPLY 330 1"3 FRAMING WITH THE GRADES SPECIFIED IN TABLE 780 CMR.3865"3.21.ta W U Tn 2-2.e 1 831 J9a General framing cwlnectiorur ehal be In 5.4 ROOF BRACING ENDWALL &1.30 WHERE USED AS SUBFLOORING OR COMBINATION SUBFLOOR ROOF RACED IL j 7 2-2xB J 9ro 462 accordance with 780CMR 7th Edition unless noted. Blocking and connections shall bs provided at UNDERLAYMENT.WOOD STRUCTURAL PANELS SHALL BE OF ONE OF THE GKT,E� z O 3-2rt0 ] t217 39{ Schedule.528 Provide ramirg connections per General Nailing panel edges perpendicular to roof framing - 894krA7Y4,E\'897 rtmADE5 SPECIFIED IN TABLE 780 CMR,3605,3.21.ta members in the first two truss w rafter spaces WHEN SANDED PLYWOOD IS USED AS A COMBINATION SUBFLOOR UNDERLAYMENT, t0 - 3-2x12 ♦ 1305 sea and shall be 48'O.C. see Detail. THE GRADE ADE SHALL RW WOOD SPECIFIED IN TABLE 780 CMR.3805.3.21.1b. z Q. 11 h2.10 { 5301.5 Live Load i--, STUD WALL - ts24 72e mum uniformly distributed live kwd°.Table OALL R COY S.HEADERS AND GIRDERS SPECIFIED ON THE PLANS AS LVL BEAMS. Q � Z HEADERS IN LOW BEARING WAILS COMPOSITE(BUILT-UP)LVL BEAMS SHALL BE AS MANUFACTURED BY ,// 2 1-2.4 MT 1 80 132 Attlee with:::.wogs; 20 Ind JOIST MACMILLAN OR APPROVED EQUAL. ALL SPANS,LOAD CAPACITIES, TRl1S FFr W n U JOIST or 7R1155 3 1-2.4 FIAT 2 Attlee without-Starage;l0 Ref. BEARING CONDITIONS AND FASTENING SCHEDULES SHALL BE AS REQUIRED BY Q W 198 Decks: 40 psf THE MANUFACTURER. ' ♦ I-2x4 MT 2 120 2" Exterior Balconies; 80 pe - E ;-Li4 FLAT 3 150 ]JO Fire Escape*;40 8.0 M5T•11 AMON STANDAanx.. 2xa FIAT 3 180 398 Guardrails, Hordrails 200 pif PROVIDE CONTINUOUS LOAD PATH BETWEEN FOOTNM FOUNDATION WALLS.. •"'•'. 7 1-2.8 FLIT 3 210 462 Guardrails in-fill components; 50 per - FLOORS, STUDS AND ROOF FRAMING AFD a 1-2.6 FLIT 3 240 52a Passenger vehicle garage: SO pal, 8.1 FRAMING SYSTEM: WESTERN PLATFORM Room°other than sleeping; 40 pef 6.2 WOOD POSTS AND JACKS SUPPORTING WOOD FRAMING - 9 2-2xa FIAT ] 300 880 Seeping Rooms;30 W 6.2.1 WITHIN 2 X 4 WALL'FRAMING:. 4 X 4 MIN <r• P`( B. IMPORTANT - UPGRADE REQUI t0 2-2x8 FLAT 4 30o no Stairs; 40 Ref, 6.22 WITHIN 2 X WALL FRAMING: 4 X 6,OR 6 X 6(REFER TO PUNS). . �' ( + STUD A O 48.O.C. 2-2xi FIAT { J30 72e - 8.2.3 ALL WOOD:POSTS.SHALL BE CONNECTED TO THE WOOD FRAMING AT TOP STUD WAIL 2-2x8 MT 5 ]80 T82 The all wabD�rflle d e - WITH METAL POST CAP A.C.OR A.C.E. BY SIMPSON. •.� OO�ti11 1 The allocable deflection shall not exceed Table 6.3 COLUMNS(BASEMENT OR EXTERIOR LOCATIONS): J 1 2'(ALLY COLUMNS LJ111. .1D ' STATE BUILDING CODE REQUIRES .THE UPGRADING OF �01J B&I BASE TES SPRINGFIELD BEARING PLATES WELOED TO COLUMN., O, 8 SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN Raftere great°`Nan 3/12; L/180 B.a2 CAPS-(CONNECTING COLUMNS TOIWOOD FRAMING}. SPRINGFlEID• FLOOR BRACE DETAIL nNF na AAnoe Interior Walla H/160 BEARING PLATES.OR SIMPSON'CC TYPE COLUMN CAPS I"_ SLEEPING AREAS ARE ADDED OR CREATED. A Floom/coil`ngs L/360 8.4 ANCHORS."CONNECTORS AND HANGERS-^ Exterior Dolls:eWeeo H/380 6.4.1 SZE•CONFIGURATION,LOCATION AND QUANTITIES TO MEET WIND. v4 Exterior Walls :brittle:1/240 �O EARTHQUAKE AND GRAVITY LOADS' Exterior Walls,Yflexible; L/120 6.4.2 JOIST HANGERS: TOP FLANGE TYPE(UNLESS NOT FEASIBLE)SHALL BE NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE / USED AT ALL CONNECTIONS AS REQUIRED. HANGERS SHALL BE 18 GA.MIN. „P INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL 2.1 FOUNDATION WITH ALL HOLES FlU LL WITH REQUXALL FASTENERS ZF Ciao.Conc is eholl I minimum of 28 \1 8.S WALL FRAMING ALL EXTERIOR WALLS SHALL BE 2 X 4 OR 2 X 8(AS S10D 'RMIT DOE s Nor.SATISFY.THIS.REQUIREMENT. d°''° +' U/ INDICATED ON PUNS)2-18d PER D SIIBFl00R V� 6-&1 EXTERIOR WALL SHEATHING FOR SHEAR AND UPUFT SHALL BE FASTENED2.2 FOUNDA' ANChHORAGE WITH 10D NAILS AT 12'O.C.AT INTERIOR SUPPORTS,AND 10D NAILS AT 8'O.C. 2-16d O 18'0. Provide 5 diameter x 12•.long x •hook AT SIDE PANEL EDGES,AND 10D NAILS AT 3'O.C.AT TOP AND BOTTOM PANEL }torPER � anchor its O 48'O.C. with 3'x 3 x 1/4' WCES, UNLESS OTHERWISE NOTED ON PLANS(U.O.NJ d01ST or Plata Ushers.- 8.&2 2 X 4 INTERIOR STUD BEARING WALLS SHALL BE 2 X 4 STUDS AT t8• °� JOIST10�T "' SMOKE DETECTORS REVIEWED 3y °°°arches bon e• from a0ah O.0 WITH BLACKING AT MID HEIGHT FOR WALLS OVER 9 FEET HIGH.AND METAL / s of Plato and one within of comers. X-BRACING(SIMPSON STRONG TIE TYPE W8)U.O.N. 2-16d O O.C. 7 8.6 FLOOR AND CFTUNG FRAMING(UNLESS NOTED OTHERWISE ON ATTACHED 2-16d STUD �../f/�'" 11 n- ;1 - DRAWINGS): DIMENSION LUMBER. ' arrm V 6.6.1 PROVIDE DOUBLE JOISTS BENEATH ALL BEARING PARTITIONS AND AT ALL 08015 0 WALL r �' ROUGH OPENINGS BARNSTABLE BUILDING DEPT. 8.8.2 PROVIDE sauD BLOCKING BETWEEN JOISTS AT BEARING WALLS RUNNING DATE �. - PERPENDICULAR TO WALL AND BETWEEN JOISTS TO EITHER SIDE OF PARTITIONS °0p ..STORY TO STORY UPLIFT & CARBON MONOXIDE ALARMS RUNNING PARALLEL TO FRAMING 04/"/20M[ 6.6.3 PROVIDE SCUD BRIDGING AT 8 FT MAX O.C" 6.6.4 PLYWOOD SUBFLOOR SHALL BE GLOW AND NAILED WITH 60 NAILS AT LATERAL CONNECTIONS MUST BE INSTALLED PER 10'O.C. TO INTERMEDIATE SUPPORTS AND BD NAILS AT 6'O.C. TO PANEL EDGE MASSACHUSETTS BUILDING CODE 8.7 RATITE +'- +'-e' FIRE DEPARTMENT D E- 8.7 RAFTERS(UNLESS NOTED OTHERWISE ON ATTACHED DRAWINGS): DIMENSION LUMBER. BOTH SIGNATURES ARE REQUIRED FOR PE END. > 10'-4" d 3'-8" 2'-6" 3'-6" f L • I G ® ® REQUIREMENTS:, K;i GENERAL2%6 WALLS - - UNLESS!NDICATEDALL IONS OTHERWISE.E TO FACE OF STUD 4 ALL WORKMANSHIP AND BUILDING MATERIALS SWILL MEET OR016" O.C.. _' EXCEED TRADE, RECOGNIZED INDUSTRY STANDARDS FOR EACH APPLICABLE2 ALL IOR WALL ING SHALL BE 2xS CONSTRUCTIONRAND ALL INTERIOR WALL FRAM NCS REFER TO OTHER DRAWINGS AS PART OF THIS SET FOR YOREV L NVLSFNLL BE 2x4 CONSTRUCTION UNLESS OTHERWISE DETAILED REAUIREMENTSRECARDINC BUILDING MATERW.S, b BATHROOM EXISTING LING.; N°TE°•'•- FOUNDATIONS AND STRUCTURAL DESIGN CRITERIA. r _ )I3 ALL Y wrrH THE-_• '6 SMOKE DETECTORS. H DETECTORS AN CARBON MONOXIDE,. CW NG CODE• LIN CMR DETECTORS VE BEENON THEANS TO— FIRE PROTECTWNaADDITION MASSACHUSETTS A ILDIAMILY DWEWNG CODE, THE:REOUIREMENTS OF 780 CALL M — ` SYSTEMS:HOWEVER FINALPE ARCH NO RESPONSIBILITY FOR THE 38 CIE TWO F µD BY LAWS:'_URICIPALlIY NANCES ,Tb OR NCE HURRICANE-BRACING ..., 44 �y.' y - •:,..' . - +. PROCEDURES OF THE 03 FIREWAf�iING SYSSTEEMM.. 2x6 LET IN EACH'SIDE - . & I I EXISTING HALL EWR .'. RO M1W7 _— — � SIZE-2'�MUNLLED YBN�YVE RELOCATED g_�^ )•TRANSO%17 R M WA=/DDDR - - 7, V7 - .. -�.. 'SMdRE DETECTOR- v .. ... .- r EXISTING KRC EN HEAT DETECTOR� ' 6'-4. - WD GO CARBON MONOXIDE DETECTOR FIRST FLOOR PLAN oclsnNc PARLOR 1/4.._�1_01. d ° , t ;ie . i 4 1\ w` Y• ,. t , d , ,.. .. _ d i : r , x r a . .: ... a..- � :. a •'. - .. .. .a. f \I. . oo 10. ------------------------- 1 , r z FOUNDATI 7-7 r-- ---,- ;-------- -=-------------`---- NOTES,: I a " r1 ALL WORK SHALL SO .CO•' THE'MASSACHUSETTS STATE w' Z �oWEIIING CODE.ALL ICIP CHAP73 ONE AND TWO FAMILY 8' "REST ALL FOOTINGS'AN-FIRM NATURA4JGRANULAR �4 CONCRETE SLAB OVER 8': ti..' :I. O I _ _ _.ORDINANCES AND BY—LAWS. :>MATERIAL..FREE FROM TOPS014 ORGANICS OR CLAY HIVING A.. . " '.MIL POLY VAPOR:'�SARRIER I,I •... I I__-- L2°;;CONCRETE SHALL BE MINIMUM 3.000 PSI AT 2B DAYS OR AS MINIMUM SOIL.BEARING.CAPACITY OF 1-1/2 TONS PER SQUARE " ;. . I I F ---- Poor. I..• • ".'' k. ;_ _ I,,I ' - I - - _ SHOWN.'OTHERWISE. o 3'. STEEL REINFORCING'SHALL BE ROLLED BILLET STEEL.CONFORMING ..- • +' — _ I„ '' 7 SLABS SHALL CONSTRUCTED.WITH,CONTROL JOINTS EEO I I NEW BASEMENT I'.I iv = , 10 ASTM A81s.GRADE 80. / _ I NOT NLISS 71VLN ONE NINCH.�AND JOINTS SHALL BE SPACE THICKNESSD. i(1 a : i -- 4 CONCRETE SHALL BFAR ON SUITABLE LINDSTURBED EARTH..00- INTERVALS NOT MORE THAN 30.FEET RN EACH DIE CTIONSPACED AND :.. I . I lo'aoloxclx rpxnuol' I- NOT.PLACE CONCRETE IN WATER OR.FROZEN GROUND. : - xxuaml lY'x m- • SAWCUT AND RE]L0V2 I I - I - I SL+APE,SLuu1'LavE.,-corrtrtOL ramxw tlwx FOUNDATION —�_I I '' I s' ROUGH'OPENING SIZES.FOR"BASEMENT DOORS.WINDOWS AND °��NOT THELAB AT POINTS OF CIF '. �• I - - VENTS-TO BE VERIFIED BY CONTRACTOR BEFORE POURING ANY EXCEED$ � �T.AND IN,ACCOROANCE 7� A/� CONCRETE.TYPICAL. .. dCJ. C'S.Aj .. L------- --------- --- 4,I, EXISTING BASEMENT I I , 31'-8" i i j j BOURNE., I I FOUNDATION PLAN REVOM LA r-----------.�\ 08015 . �. -- I i 04/11/2008 • _ L J Al ------------------------------ ------------------------------------ --------------- ------------------ __===—==— = _ a — _ _ —= 12 —_—_ —...... _ ——............ - - ———————— — —————————— _— 8.5� ==— _ _ _ FM FM FM Fm EXISTING REAR ELEVATION ADDITION LEFT SIDE ELEVATION ' { cn O a. �r rw vas 6c^(�RED�C��T �C1 I O 2x 10' F AFI--RS ® 16 0 / g 2x 0 I No. 741 z 1 .0 21121 1 1 OURNE, ` 1 I I •m�w aver L _ _ r+wsloNs FIRST FLOOR FRAMING PLAN � CEILING FRAMING PLAN 08015 1/4"=1'—O" 04/11/2008 12 ^ 3_ ;sootoo 8. 5 y RIDGE VENT O TYPICAL ROOF FRAMING —2X10 RAFTERS ® 16" O.C. w .� —5/8" CDX PLYWOOD ROOF SHEATHING R 30 �� r� g —15 LB. ROOF SHINGLES 4x8 FIR @48 O.C. —ASPHALT ROOF SHINGLES HURRICANE CLIPS EACH RAFTER PROVIDE INSULATION BAFFLES TYPICAL �v METAL DRIP EDGE TOP PLATE TOP PLATE ALUMINUM GUTTER & oew MATCH EXISTING SPOUT SYSTEM OVER 1x8 PINE FASCIA BOARD 1 x PINE SOFFIT WITH 11 10'-4' TYPICAL EXTERIOR WALL ASSEMBLY . � a CONTINUOUS VENT —2x6 STUDS ® 16" O.C. . —6" BATT INSULATION (R-19) AR T -1/2" CDX PLYWOOD WALL SHEATHING c�`� y B.s�q FLOOR- FRAMING —EXTERIOR SIDING OVER AIR BARRIER- 2xJOIST @16"0.C. NO: 9748 (2) 2 X 6 P.T. SILL PLATE —3/4 CDX PLYWOOD PROVIDE BLOCKING ® MID—HEIGHT BOURNE, WITH 5/8" DIA. ANCHOR -6 R19 BATT INSULATION h � ... Qn' BOLTS- ® 48" O.C. � � � o` $ M Oz , FIRST FLOOR H MATCH EXISTING w cn �- G U 10" CONCRETE FOUNDATION WALL WITH 10" X 20" FOOTING TYPICAL I (2) #5 BARS TOP & BOTTOM rl 4" CONCRETE SLAB OVER 6; . MIL POLY VAPOR BARRIERMUM • • BASEMENT MATCH EXISTING 08015 04/11/2008 A3 S YS TEM PROFILE NOT TO SCALE TOP FNDN. FINISH GRADE EL . %' %', o �a _ � � FINISH GRADE OVER OVER TRENCHES FINISH GRADE FINISH GRADE OVER DIS T. BOX a o•°s' SEPTIC TANK s:o:oQ�a 12" MAX. .o �b• c •o:•.Q. e�• .•�:••• . •a.•a•.n�;4::p.e'•o '•:v:i•o.y+ oo..a.. .. y•. a n:o'•. d TOTAL LENGTH OF TRENCH 2 :o'.o:P, •� „ � OUTLET PIPE LEVEL 3 .o. FOR 2 FT. MIN.00 • o:o.o 4...: • 0 G B.5� o a. t.:o'• e:. :b::t:e.: o CAP END f e da e o Qq C. I. OR P VC TEES 1500 GA L L ON DIS TRIBU TION BOX BSMT FL . o o.0 :� G•: EL . INSTALL ON LEVEL BASE "500 GALLON DR YWEL L S " PRECA S T CONCRETE d1 Q!yv:c�0 'v. •:a -o :oo A.•.:d p,a:.. .y :Q ° H— / 0 REINFORCED 0, 0: p o �i b�o v`��•.vp'�o 0 6.:0�••:D a �y��.p�Pri;b��•�V �'Op�P: SEP TIC TANK TRENCH SECTION INSTALL ON LEVEL BASE NOTE.' EXCA VA TE TO ELEV.. ,vl'' OR LOWER TO REMOVE ALL IMPERVIOUS MATERIAL BENEATH THE LEACHING AREA a" DIAM. 1.12" MIN. 69 REPLACE EXCA VA TED MATERIAL WITH 3" OF ?/B"—?/2" G� -yo o b. a . .a.:p. o:pop b'� :b :o '. •Aj:�� c - CLEAN, CLAY FREE SAND o4 d'° :d .:A. .t.4 WA SHED PEAS TONE N G . .e o, r V o00 3/'4" — ?—?/2" WASHED CF'USHED STONE °$ o°� �• GENERAL NOTES TRENCH WIDTH g �! ?. ALL EL EVA TIONS SHOWN ARE BASED ON ASSUMED NUMBER OF TRENCHES ? 2. ALL PIPES IN THE S YS TEM MUS T BE CAS T IRON NUMBER OF DR YWEL L S 2 3 - OR SCHEDULE 40 PVC. OBSEat' T.TOv PI a- _ 3. THE BOARD OF HEALTH MUST BE NOTIFIED WHEN CONSTRUCTION IS COMPLETE PRIOR P-5651 P-5652 PERCOL A TION RATE.' TO BA CKFIL L ING 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED <2 MIN. /IN. WI TNESSED B Y.,7 �1" 2 Y THE OF HEALTH AND CAPE 6 ISLANDS SURVEYINCO. TOM McKEAN ` 3 5. MATERIALS AND INSTALLATION SHALL BE IN j ^ COMPL IANCE WI TH THE S TA TE SA NI TARP BARNS. BRD. OF HEALTH DESIGN DA TA DA TE ✓UNE ?3, 1986 CODE — TITLE V — AND LOCAL APPLICABLE — — — — — — / RULES AND REGULATIONS _ NUMBER OF BEDROOMS 2 6. NORTH ARROW IS FROM RECORD PLANS AND U - —-- - - a GA RBA GE DISPOSAL NO IS NOT TO BE USED FOR SOLAR PURPOSES , I 220 GAL . 7. .FL OOO HAZARD ZONE NON — HAZARD - r, r' z„ DA IL Y FL OW o 8. WA TER SUPPL Y TOWN WA TER '' S 1500 GAL . SEPTIC TANK REO D. SEPTIC TANK PROVIDED 1500 GAL . N LEACHING REOUIREO 220 GPD. ` SIDEWALL AREA = 152 S. F. % I N ? I �, ?52S. F. X 0. 74G/S. F. _ ??2 GPO. . .,. , i r — _ _ _____ BOTTOM AREA = 329 S. F. it LEGEND 329S. F. X 0. 74G/S. F. = 243 GPD r � LEACHING PROVIDED = 355 GPD PROPOSED EL EVA TION EXISTING CONTOUR SINGLE FA MIL Y RESIDENCE 6 ` - -- OBSERVA TION PIT 0 DISTRIBUTION BOX �` ` PROPOSED SERA GE DISPOSAL S YS TEM PREPARED FOR o o SEPTIC TANK A ORIA N L FlH TA INE - G i RESERVE AREA 4910 FA L MOU TH RD . — R T. 28 ----1- — — I •�` BA RNS TA BL E CO TUI T MASS. ()AVID '� �•-i _ ,o l° �'� � , 7 o PIPE INVERT EL EVA TION CH"RU-S J I� , /, DA TE.' CAPE 6 ISLANDS ENGINEERING PLOT PLAN , 1 " SCALE A S NOTED 133 FA L MOU TH ROAD — SUITE 2E SCALE.• l "- o ' -.� :��, ��rE. �. MAP SEC P L 0T HSE f ._ /� PLAN NO. MA SHPEE, MASS. , NOT To . C. . TOP FNDN. F Z NISH GRADE OIL- FINISH GRA 3E EL . FINISH GRADE 70 - FINISH GRADE 47VER O1rST. DOX .• OVER TRENCHES 7 %' Pe SEPTIC TANK „ 12 MAX. •4••4•b Arai. TOTAL LENGTH OF TRENCH OUTLET PIPE L,i=VEL 32 FT. MIN. _?� CAP END f A G. C. I. OR PVC TEES .�� �8 '�'s i ". �' j ;, a � ' C� "� O o moo$ Of '•d•:`l7.• •p:s Gy.a•�: ,dam; ��/c —.. _=,,, ` � h ' '1 0 0 os° . a:3 ..,, .� .� , . .. ►tea �. 1500 GALL ON .a. T �. :� a N ,�a,.�.�k BSMT FL . INSTALL ON L E VEL BASE "50 0 GAL L ON DR YPIEL L S " EL . PREC A S T COIVCRE TE Q H— 0 REINFORCED D: p n •t�iO�o o,'bo..op'Go�6:•'0-b�-;V•a 0�,�:O.p�P.•iPp� .�4 Y.Op7?4: SEPTIC lA NK TRENCH SECTION INSTALL ON LEVEL BASE NOTE: EXCAVATE TO ELEV. OR LOe ' ? TO REMOVE ALL IMPERVIOUS MATERIAL BENEATH THE LEACHING Ai'-EA 4• arAM. 12 MIN. G 8 REPLACE EXCA VA TED MATERIAL WITH ,o• �_ %Geri 3" OF 1/8"-1/2" \ o F/N?w -- CLEAN, CLAY FREE SAND 04 v o WASHED PEA STONE 47 I a. b••: •ZOO N Gv .o;; ° �.o•• c� 1-1/2" WA SHED , M . \. C'�USHED S TONE t, I GEIVEC.�A.?_ TRENCH WIDTH ! 1 I s u 1. ALL EL` VA T,t"'iN SHOWN kr�E 5,. ED Ga`.' A S,�'JMED NUMBER OF T �'� '✓�'��.5 j,.jS T Rr T :Rs NUMBER OF 5, -' L 2 _ G i i OR , a CHEDOL` 40 PwIC. t .y��. /A Tli v$ izU T 3- THE BOARD OF H EA L T-/ MU z T BE NO T1'FI ED MVEN CONSTRUCTION IS COMPLETE PR10R P-4iti52 - - — ,� PERCOL A TIOh' ;:,A TE.' TO BA CKFIL L IN:� 4. ANY CHANGE` If�o TrJI PL Al )U,�T BE APPROVED �2 MIN..�IN. :ill TNESSE r B Y.,BY 7'j-1E t3OAR0) OF HEAL Th ANO CA PE ISL ANDS "o _ 5 7' " �—� SURVEYING .__ TOM Mc,F.ZAN ' 5. AIA TE RIAL S AAD s N: /. '1 iN SHALL SHE IN y • _ r. _ FINS. BPD. OF H,�"AL TH 0E .7 N DA TA COMPL IANCE ill l I Tf dE ,�i'A TE SAN TARP °� - r DA TE. JUNE' 3, 19L'36 �y' CODS.. - T.2 IL� �/ - A ND L OCA L APPL ICABL E r�UL i S AND P SU"L A TION. ' i�- _;G '-/ --SG_ 2 2 `M i °• I �/ �° 6. NORTH ARROW IS ,�FIOR H�ECORD PLAN. AND ____— NUMBER OF BEDROOMS NO • ! � ES - GARBAGE DISPOSAL S NOT TO ,BE" �J,�E,O FOR ,�OL A, PU O,� /: � �---- - - -- i 220 r °'jN - 4 �''� 'D r 3 , I GAL . 7. .FLOOD HA2A,�d✓ ZONE DAILY FL Doti✓ 4, ?500 GAL . I V f a 7 ,^' " '�°- SC P TIC TANK PEG 'D. � B. WA TER SUPPL Y SEPTIC TANK PROVIDED 1500 GAL . 220 GPD. / LEACHING Rc OUIRED % SIOE#WALL AREA = 152 S. F. 152E. F. X 0. 74G/S. F. = 112 GPD. _ BOTTOM AREA = 329 S. F. 329S. F. X 0. 74G/S. F. = 243 GPD ✓ r LEACHING PROVIDED = 355 GPD PROPOSED L1 EVA T1ON EXISTING CONTOUR INL E FA MIL Y RESIDENCE G OBStRVA T10N PIT ... .,.. D157 TRIBUTION BOX .,�rv-•r w r. PROPOSED �E, � GE DISPOSA L S YS TEM PREPARED FOR /� I �`; �� `y A DRIA N L EH TA INE I � i 0 a SEPTIC TANK , 4.' 10 FALMOUTH RD. RT. 28 - ----- _ __ -------�---- ----.�-�-- —+ 1 ------ i t RES'E'RVE AREA ,,,. r or -_ T - ,9 70. � —.—. ;�7%— —� ` x BARN, TABLE — COTUI — MASS. PIPE INVERT ELEVA TION y; ' DATE: PLOT PLAN �, CAPE 6 ISLANDS ENGINEERING SCALE AS NOTED 133 FA L MOU TH ROAD - SUITE 2E SCALE.' 1 "_ ' - :5 >/ y`'t:J t1Nt I kO`l'. 'a O ,a SEc . PC . L 0T HSE �% r PLAN NO. � . � MA SHPEE, MASS.