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HomeMy WebLinkAbout0046 FORSYTH COURT 57A, r , Town of Barnstable Building e� . r' -. --m �.: �` ," � ��' a 'Post This CardSo.That rt is'Vis�ble From theStreet=,A', ,roved,Plans,Must be'Retamed on Job_and this Card Must be Kept ,_ WLNbTA[SLL�, . „ , ..', <, . 5 M" ;'Posted'llntil Final Inspeetion..Has Been Made x ., s • i639 Wd- ,r, 3 ,, i „ , ,.t w,%!.�s + ,;: f q:% �;I ,; a ' R ,Q< - y+m Where a;'Certificate of-Occu anc is;;Re ui`red such Bu�ldin shalt,Not be Occu,p►ed„until a Finai Inspection has beenmade ei illy =.�..•p&„ y�.. q g. ,:, . . ,.a.,. .A,,� Permit NO. B-18-619 Applicant Name: Robert K Boucher Approvals Date Issued: 03/05/2018 Current Use: _ Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 09/05/2018 Foundation: System Map/Lot 055 061 Zoning District: RF Sheathing: - Location: 46 FORSYTH COURT,COTUIT f i ' xContractor Name Robert K Boucher Framing: 1 b Owner on Record: LEPPLA, DAVID C&JACQUELINE K Contractor License �13,=17 2 Address: 46 FORSYTH COURT Est-fProtect Cost: $3,000.00 Chimney. ". COTUIT,"MA 02635 er�mrt Fee: $35.00 i Insulation: Description: AS PART OF ALARM SYSTEM UPGRADE:REPLACE?SMOK•E `�Fee Paid $35.00 DETECTORS-SAME LOCATIONS 2-ADD NEW CRB®N MONOXIDE Final: DETECTORS 3-ADD GARAGE.HEAT DETECTOR Date , 3/5/2018. WORK PER SUBMITTED PLAN '' a r ..r r Plumbing/Gas01 . 5 Building Official Project Review Req: , g Rough Plumbing: . .; This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withinsiz"emo hs afte issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. k .: Rough Gas: All construction,alterations and changes of use of any building and str>u u reshalbe incompliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be.maintained open for public inspection for the entire duration of the Final Gas: Work until the completion of the same. r � Electrical The Certificate of Occupancy will not be issued until all applicable signatures by iNe Building and Fir6,Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work fl ate` Service: 1.Foundation or Footing 2.Sheathing Inspection a •' Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining'is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Parsons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ttiE Application Number.... .'.... ..�.�...1.................. neirx�r��trxr .BUILDING DEBT ones. Permit Fee.......................................Other Fee........................ Total Fee Paid............................................ TOWN OF BARNSTA LE h v � TOWN F SARNSTABL= APPro by•ab .On. ....Permit val ........ . .... BUILDING PERMIT APPLICATION ......... ............pa�ei.. ................... .... ... Section 1 —Owners Information,and Project Location Project Address -5 ` tea- Village ' Owners Name I—eD12la f' Owners Legal AddressQ� ✓''tom City State Zip Owners Cell# 7 Zq 36/- 6 7 9'/ E-mail Section 2—Structural Use ''Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3—Type of Permit ❑ New Construction ❑ . Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retain wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4—Detail Cost of Proposed Construction 3 LSquare Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Last updated.I In/2017 Section 5-'Work Description zv z A . ovtc)X" d� tAo 7GG�o S Section 6-Project Specifics ❑ Wiring [] Oil Tank Storage . Smoke Detectors/G ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑.Heating System ❑ Masonry Chimney. ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane C Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed r Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No c astupdaftd:1=017 Client#: 21641 2SEASIDEAL ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE121120.18 02/21lzo.ls THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE.CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil Insurance Agy PHONE, 508 775-1620FAR arc No Ext: C No): 5087781218 973 lyannough Road E-MAIL ADDRESS: P.O.Box 1990 Hyannis, MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cnan&Forster specialty Insurance Co. 44520 INSURED Seaside Alarms,Inc. INSURERS Associated Employers aoYersmauraneecompa"y 11104 1265 Route 28 INSURER C:saregr Inaem ann+a insu• eeiompany 33618 South Yarmouth, MA 02664 INSURER : INSURERS INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH'RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED'BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UB POLLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER (MM/DDIYYYY MMIDDM YY) LIMITS A GENERAL LIABILITY GLO531182 D212512018 02/25/201 9 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $50000 CLAIMS-MADE F XI OCCUR MED EXP(Anyone person) $5 000 X Bl1PD Ded:1,000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000, POLICY PRO- LOC $ PRO- JECT C AUTOMOBILE LIABILITY 6222107 2/2512018 02125,201 COMBINED SINGLE LIMIT COMBINED dent 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $. A X UMBRELLA LIAB X OCCUR SE0102527 D212512018 02/2512019 EACH OCCURRENCE $1 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1 000 000 FTDED I I RETENTION$ $ B WORKERS COMPENSATION WCC50050128332018A 2/25/2018 02/25/201 X WC STATU- OTH- ' AND EMPLOYERS'LIABILITY YIN ) ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000 000 OFF ICER/MEMBER EXCLUDED? N NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes;describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Regulatory Services ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S207359/M207182 EAM o • .10- r "D OBTECTOR =09a.00T Pig "RAT OET NW♦Fi G6 VP, tQp t-- F TP SMOKE DETECTORS REViEWL / J IIVST B' IL D DE P f D TE _ I � FIRE DE. RTMENT /r DATE �l U f BOTH SIGNATURES ARE REQUIRED FOR PERMIT1lNG y�a P fir_--�•---'' C(-;c D, BAMM eM _ "'" - Town of Barnstable. Regulatory Services Richard V.Sca6,Interim Director Building Division ' Thomas Perry,CBO Building Commissioner - 200 Main Street, Hyannis,MA 02601 - www.town.barnstable.ma.us Office: 508-862-4038 Y Fax: 508-790-6230 Property O"er Must , Complete and Sign This Section If Using A Builder I ;1i . Z. as Owner of the subject property hereby authorize / to act on my behalf, � Min all matters relative to work authorized by,this'building perm i r: C�C,t application fo ��� L . (Ad ess of Job) SignLW6 of Owner .Date a Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN MBuilding Changes\E)PRESS PERMIT UORESS.doc Revised 061313 The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.massgov/dia lVorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Anolicant Information Please Print Legibly Name(Business/Organization/Individual): Seaside Alarms Inc Address: 1265 Route 28 City/State/Zip: South Yarmouth, MA 02664 phone#: 508-394-0599 Are you an employer?Check the appropriate box: Type Of project(required): 1.Q I am a employer with 19 employees(full and/or part-time).' 7. New construction In I am a sole proprietor or partnership and have no employees working for me m $, E]Remodeling any capacity.[No workers'comp.insurance required.] 30I am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. El Demolition 10 Q Building addition 4.F1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors eithei have workers'compensation insurance or are sole I 1.[D Electrical repairs Or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.a I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ repairs re airs These sub-contractors have employees and have workers'comp.insurance.: 6.©We are a corporation and its officers have exercised their right of exemption per MGL c' 14.0 Other alarms 152,§1(4),and we-have-no employees.[No workers'comp:insurance required:]• 'Any applicant that checks box 91 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Associated Employers Policy#or Self-ins.Lie.#: WCC60050128332018A Expiration Date: 2/25/19 Job Site Address: All sites in gaffes�� !/� 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 MGL c.152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct Si ature: �(�.� P� s r r04 ,.�� Date: -2- a.3 k Phone#: 508=394-0599 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#: f Section 9—Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell# I I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. 'i Signature Date Section 10—Home Improvement Contractor E Name e v✓ls —7,mZ Telephone Number `. Addressg5,�� ZK City v�OLZkState IP14 Zip I / Registration Number ��/ 3� �� Expiration Date . r I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 gulatu CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your KI.C... Signature Date Section I I —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature , /92f-S , 41 1r Date k Print Name d Ae rl' Telephone Number E-mail permit to: Last updated. 1 IM017 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for approva.L Section 13— Owner's Authorization j as Owner of the subject property hereby authorize to.act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name i 'I Last updated:11/72017 7 7 oF y4 ' ` FINE ip� Town of Barnstable BARE. ' Regulatory Services -" FO /I230 y MASS. $ P t6}9•p�0 Building Division rFD MP'� 200 Main Street, Hyannis,MA 02601 7(�rc�3 f Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection 01�tu Location ho�51/7'1-1 Cr-, Permit Number Ce L7IFC-C-�7 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 2 oo76 fl 3/ - C r, - 1foc� /ti Gygte-4 /ti �-22� oe'a Please call: 508-862- 8 for re-inspection. Inspected by / '�� ,mot �6���✓ Date C MtN f - , '.,",'` '� -�''",n,•,k.4,"3'r�"�,�t a1}�' }.^�' is7T"s+Y��'Z'X�i'"" ,,..� �" •0 .'rt:'rd'r.7w:.:�F h-�.-•b'.Lb :aft11 AEr Town of Barastable BARNSTABLE. Regulatory Services MASS pt 039• Building Division A. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 5087790-6230 Inspection Correction Notice Type of Inspection Location V!2 fr,;r - �>— C'T: Permit Number 2 y 0,_2 Q S 0 Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting:* / f k.42,L �o�fu pL /N Y-!z OW r /,/*,u 6 r-W s -- Af l� Co A M61S a� C,E E7iU/J /36�EI � G�sS c,.w 3� Cu,4141 A-g� p, chi YT 4-rhi C -6wu) bo utv,dt-_e_ -r?'Z rl°C'6 FLvco_ vld6'51 T_ ' V- p 6 rL o K.. �Id/5 i'` To &W S'z"/IU 774C,l S E /Ur-et- /4 T S rL L 4 A /31.0.1KWG �mcG�,ys Please call: 508-862-493-'forr re-inspection. Inspected by U2dt.( G Date tap ) '+ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ® Parcel 0(0 1 , Application#L !)Q Health Division _ Date Issued Conservation Division '.'Application Fe Vk_ Tax Collector ? , Permit Fee OD Treasurer ! =' Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 6f-- Village Owner �d `� �Iew� nh�►', ` Address -ttp _fq,44, L�'K Telephone Permit Request 13emRe L_ 01F Pi xwo s-rovZO - 7RwfA ,ry ;-r wad 0 E: Awr> q i smiz � ge n� o' oo aug- ALS® 02F c,! 86 S( J PP;-nb a.J -7b Mu ;A 00'g, Agog W.06*l d A11C Tya9m Square feet: 1 st floor:existing WY proposed 8o® 2nd floor:existing O proposed Goo Total new iyoC> Zoning District Flood Plain Groundwater Overlay Project Valuation I 00 Construction Type Lot Size I,O y Agne Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family-�y Two Family ❑ Multi-Family(#units) 8 el Age of Existing Structure Mks• Historic House: ❑Yes No On Old King's Hi gI way: Olkes - to Basement Type: *Full .,'Crawl ❑Walkout ❑Other �E__ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) :51 7 Number of Baths: Full:existing new fl Half:existing ate! dewI Number of Bedrooms: existing_ new O Total Room Count(not including baths):existing $ new 9 First Floor Roo Count Heat Type and Fuel:.'Gas ❑Oil ❑ Electric ❑Other Central Air*es ❑No Fireplaces: Existing 2 New O Existing wood/coal stove: ❑Yes -*No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage*xisting 'new size 200 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes .-�(No If yes, site plan review# Current Use Rer'r DprriALL ~Proposed Use 46 in --� BUILDER INFORMATION Name y PEVAJdrV - Qw N c2 Telephone Number SSaS- y2,0- Z 93Y Address Y& lcoggr/77-1 Cam" License# Coru i r- /nil 0 2&3 9 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE LfLoL-���.�.._ _ DATE Au Aus - >D Zoo 7 FOR OFFICIAL USE ONLY . f 'APPLICATION* / Q TE ISSUED { MAPZPARCELNO. ADDRESS VILLAGE i OWNER , DATE OFINSPECTION: . . . } pk f FOUNDATION 13rOD ƒ FRAME $ INSULATION /1'%) 7 \ FIREPLACE \ . . ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL / - i GAS. ROUGH FINAL ; FINAL BUILDING � %% m�■/2 ��� � . ` \ DATE CLOSED OUT } ASSOCIATION PLAN NO. . . . . / f ; . � 7 Town of Barnstable Regulatory Services i.E Thomas F.Geller,Director Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 t' www.town.barnstable.ma.us •Office: 568-862-4038 Fa 508-790-6230 PLAN REVIEW Owner. Map/Parcel: � Project Address l rfs fl' Oa(IP-r Builder: The following items were noted on reviewing: f} L 14)4 L4 L,�r-rLl o& jKu S r A e'o ye---Alt-a CW 50P k `iRFCoaE 3,Y�7;Vac,(<- . 2 STLL /R (� SAl!�C—r20 GK . ,r J� Sri 46GI9ms 4 u 57' A5 19(oc rc:r�) T6 CJ Q&b In-V C-rLcP-F- 'l �}u �N��r✓ ��� A(,L6r 8E IkAAICtFAC(u�c� 1 4 Sri-/2S ma fr SE &Ufc-7- T C�oaE Reviewed by: G Date: a D Q:Forms:Plnrvw 2,0 0-7 os'o3 2� l l bOSg3 -Gres ta. Fro �(,c„� ca Z+►g�e- d�'i«�uc eG' 7 ? 7 336 — Poo Ne Fi i►a g 8/d 9 i f DREG t�c7Rw`cTs 77? (f0-96� Z�c�Q �6fllJe�� i E,°`'ti Town-of Barnstable Regulatory Services s� MASS�S � Thomas F.Geiler,Director t0.1 b Buildin Division jelED MP'�► Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date Atoms,' 1b 200? AFFIDAVIT HOME MROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modemization,conversion, .improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containnig at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other i requirements. Type of Work: 61AAA4C -400;tiD lV Estimated Cost 00_ DD® ,Address of Work: Owner's Name: Date of Application! I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 113�uildirig not owner-occupied �P�g-o_wnpermit- i �.--. Notice is hereby given that: OWNERS FULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOMM IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITAA* TION 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 Contractor Name Registration No. OR D ate �`� Owner's-Name' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly EName-(Business/Organizatiowhdividual): Cr7 My o 64P g, (Z)L,�C --"`Address: !1- 2 City/State/Zip: AA- 0 Phone A -�b' Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a e to er with 4. ❑ I am a general contractor and I � y 6. New construction . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees 'These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. $ 9. �Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions -# officers have exercised their 11. Plumbin repairs or,additions -3 I-am,a homeowner domg-all work 0 g P mysel£:[No_workers' ca right of exemption per MGL 12.❑Roof repairs n e- c. 152, 1(4), and we have no insurance required]-t -�•- § 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 ornotthose entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. Iam an employer that isproyiding workers'compensation insurance for my employees Below islhepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct: S ien att re:_ L Date„ ;;. """"`&40C V,7 Official use only. Do not write in this area,'to be completed by city or town offciaL 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#: preseriptiie Paeksgd for due Sad T»o-F'amc'i�'RetldaatW Saildinga Heated Vitt Pels ' 114A7CfMVM , �IM� ' 41aang Gfaang Coiling Wall Favor t3asemta! Stab •SestiaglCvoling Bier Z:qulpmesst Et6acar Arm,('lo) U•vslue= R-valuer ' R-value, R•Yslud ae�ge R P values R-Valuer 570I to 65DO HeAtiag Degrcr Days' iZ°la • 0.4d 98 I3 l9 ]4 d Normal ' 12Y� 4S2 3D 19 •• {9 10. 6 Plorrnal R 15-AFUE ;9 12% Q.50 31 I3 19 14 15ve 436 38 13 25 NIA NIA. Norma!' T Normal L! 15% 0.46 313 19 19 10 d' 15% 0.44 31 13 21' NIA Y is U AFUE �y 13% cm 30 19 19 10 Normal 13Y. 032 33 1s 21 NIA NIA Y 13%. 0.42 38 19 25 WA NIA NOrmai Z 13% M. 31. 13 19 10 d 90 ARM 13�10 a54 34 is 1s !a 93AF1]£ 1, ADDRESS OF PROFEFTY: /(o /0IZ.T/77Y �T CoTv>T / q 02G35 ' SQUARE FOOTAGE OF ALL.EXTERIOR WALLS: g, SQUARE FOOTAGE OF ALL CrLAZING: MY A�, GLAZING ARFsA 03 DLVMED BY'92); 1 O 5, SELECT PACKAGE(Q AA-see chart above): Q NOTE; OTHER MORE INVOLVED S ETHODS OF DEiERMI iING ENERGY'REQUIRE:MENTS ARE AVAILABLE. ABK,US FOR THIS INFORMATION. 1 ' g ,Di�TG'INSPECTOR AMOVAL: YES:. NO c I q-� „ -Do0303a i OF'THE t Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F. Geiler,Director . Kris. Ar i639• A.�� Building Division FoY 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: ' JOB LOCATION: number �p��'�I street �(�� village "HOMEOWNER": + U/I.iv t PYye— 1iY1ei�1 j"`„�"'?��J� �`Z1.L 6 4PS name home phone# work 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 requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules.&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly 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. / I i 40 - �/� + � 7� it - • .Y .. 448%. { 1 ` 46 • i i 1 � I n � 1 ,' � i LOT 44 .-.: 32 r r 49..60'50 - 7 ' I 40 ' : 4B r Existing { 1. Drjve 77 32 v G 01 i5044', ! FORSYTH 34/. ,.•:%.s °¢� �'/ , / i ...{ NEwgA �$ im Lot A? (rp ,ts• f' �. j, � / ; � gyp, COURT.:�._..;):•..• ' . GR .�B/'�, ri' � / /% �� it $....-„.:� as•ra re°ueaue„ 14 .. 9 Exlsdngg t o rave sea• 11'T.l�—'� DmrLfng arum•eavnr l 50.77' - . low rr�— i a0'i :� 2 6°�• .doter.`..• �r r r Proposed �\ 42 r ; i�'•, lA-- 1500 Ce//Tank 76 ':.�` e S w, Proposed Remove ng /4a ! �`� i ,SAS A•eneb ... .., Cesspool / '' v ---� /sv 416 48.2 ...ram S4.B'gNr _50". . ° AN P/nes \ \� �nwava� 42 C Don[ 45.5 2.=�4 4a 4' .The Dennen Residence 46 Forsythe Court, Cotuit, MA 02635 Second Floor w_ 11'-10" y _ 1 VL VL 3'-2" 7+{fzcx� THRoo M v 1.,00'OL X6 0 M.0p, b P�ED2cx�r'I 2 �f� '�-'• � - �EpRr�:�r�l 3 _��� e `41 2'-3" iv w 13'- r r , e s n ' Y " ze'.4" 6 ` ,EL tk i rct* of u / 7 Oven 4'•f *-4'•9" �- V1. V' 1 '► g nr.a•ro y r 1 \ y A q " r. 4'.9" g'-Ir ,' 9=9"� —8'•0" 8�0" —r-2'•9" . 2'•8"-r--B'•B" y`' rd,r,°'° /y —11I'�"= 98 �Xl ynN6, ccwac,&I z , v t. FL"Doa. 4' „ - n n�r� �•25i die,-,chi : . � -4� . si The Oennen Residence Area of new construction-950 Sq Ft addition 46 Forsythe Court,Cotult,MA 02635 Renovation and small addition p g zo'•11 SMOKE DETECTOR REQUIREMENTS �z��9a•-*-9•a•-..... Charlene and - ....-. ,..� Walls.2x4 16"oc Phone:508-420A19,3f& 0EAW EVEN THE ADDITION OF A Floor -2x1016"oc NEW Roof-2x10 16"oc BEDROOM WELL TRIGGER AN .Wall Insulation -R13 UPGRADE OF THE SMOKE DETECTORS y Mr�sT ER 6EovmM Ceiling Insulation-R30 FOR THE WHOLE HOUSE. YOU M JST PLAN ACCORDINGLY AND HAVE YOUR a ELECTRICIAN TAKE OUT THE APPROPR ATE PERMIT AT THE FIRE DEPARTMENT. 24-2 4•-1' 2-7' 4'-0 y .�-9'A'--' MN&*;L b , T834 a r. 4'-0' G�.oSET-- R B'd' 6'-B' 4•-B• 4•J• 9' FF.FIILY PGnH �1ny+ OAT ua•- Y ii. 4 N n'a• --tt - r CaE C - --------- (N..FICIC rl •' 4711• z••e• 2•-e• e•.2 4'-e• / O. vrB. ,2u Area ofnew construction e••e• 1e�•11 4• E10. 7 HAu 950 sq.ft.addition SMOKE DETECTORS REVIEWEDMI a .„ 2���-ter FIRE DEPT.(VEN.#) DATE The Cennen Residence 40 Fasylhe CM4 C",,MA 02635 Renovation and smog addition Area of new construction Foundadon Plan.Notea: North 1.New foundation helghl•M ' p_++, Pour to mettle elevation of exlsdng dwelling 2.Prodds walkout beaemem opening on southwest elevation of new addition 3.Ventilation per MA code FBai,, p wamaoe 4.30*x3O'xl2-Lally footings 5.9'Wells on idn12'footing keydd,cmp proo&d per MA code alkout 7.Sill bogs 0'O.C.Hoar from cone(TYP) anf Field veiny ell nreeeu�ementa with ownerbsfm constructionScale:1/4'-1 Footvrn seam L sa rx w•-x• 'a' � Exisrwa...—_ Half Bi ement T �'— ro�n-IoaraN rdUua 22N Existing Foundation , bT 1 ' —pax b IC•r \ KAm6bhAM vz . u - uravi-cy rseam uebiyn f Licensed to: Dan Braman, P.E. 4R., or : Dennen Residence Cotuit Steel Code: , AISC 9th- Ed. SPAN In FORMATION Beam Size (User Selected) = W14X26 �Fy 36. 0 ksi Total Beam Length (ft) = 24 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 026 'k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 24 . 00 0. 180 0. 180 0. 000 0. 000 0. 480 0.480 SHEAR: Max V (kips) = 8 . 23 fv (ksi) = 2 . 32 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb " Fb fb Fb Center Max + 49. 4 12. 0 0. 0 1. 00 16. 79 ' 24 .00 16. 79 24 .-00 Controlling 49. 4 12. 0 0. 0 1 . 00 16. 79 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 47 2. 47 Max + LL reaction 5. 76 5. 76 Max + total reaction 8 ,23 8.23 DEFLECTIONS: Dead load (in) at 12 . 00 ft = -0 .217 L/D = 1330 Live load (in) at 12.00 ft' = -0.504 L/D = 571 " Total load (in) at 12 . 00 ft = -0. 721 L/D = 399 f ' f Daniel E. Braman. P.E. 10 Harbor Point M ACC_o i��, btZ�'� T�'� GT, '' Cummaqu MA 02&7-0361 S9 04 STS • a k w L_ z t2 s Cl�a a 5 a t' OF � ® DAPIIEI E. �► • i 3TR yR' vt d _ f/jam -• r tME►o,,ti The Town of Barnstable - '• BARNSTABLE. Department of Health Safety and Environmental Services 9 MASS. 0 t63q' pjEo Mpg a Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection L,L Location ��12.�1�1t1 C T Permit Number 7 7 V ` a Owner /V 9, Pi A '0e,41 Builder ©G 141-e- . One notice to remain on job site, one notice on file in Building Department. The following items need correcting: "VeOVc. CURB RcgV1, 2e1) &rrweew 6'�R94E 4a''I 4,pp �J All � 'es kxl FR#14 5 To '15 C 6-01.1 6'11'e D ZAf P 61C g!.NG. ✓/f m j-6 Ff 1Z f/✓a, l P6Cr:S 0,C SOe ,d f(& 4,11 V,G V2- TN& SC/yieW—) < 4V0#D yni coxITICi ol,1 4 -o ilcke7r- id G It. Z•5oGA71:D, . _._ 6) ffe#I)veg AT Ctle4J 57-01?;If W/AI,001✓ /71AtlX�/Es C') cC S s 9 C �? y C0 ar"A141F6Ta g R oa i' JC CO zL/9,z Ti�PS �tv5 J-#tc 'eI) )Vole, VeW ?,9Ty ��HfrusT5 gR►° T � Ilel✓T�U �`fegi of Mouse 1V4% /z. Please call: 508-862-4049 for re-inspection. 57-Fr pLAil/ 9Fvt'?-- Inspected by- Date © _ ez TAP �� 2 �` iv � � RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00+ J`` �• �� Alterations/Renovations $25.00. Building Permit Amendment $25.00 FEE VALUE WORKSHEET = NEW LIVING SPACE F 9Sra square feet x$96/sq.foot 9/ to 0, x.0031= Z$Z• 2 plus from below(if applicable). ALTERATIONSIRENOVATIONS OF EXISTING SPACE f t D D square feet x$64/sq.foot /'1 S ZO b x.0031= 3577 /Z plus from below(if applicable) GARAGES(attached&detached) w square feet x$32/sq.ft.= 4 x.0031= ACCESSORY STRUCTURE>120 sq.ft. . >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$06/sq.foot x.0031= . STAND ALONE PERMITS Open Porch y ; x$30 00 (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool. $25.00 z Relocation/Movingµ -$150.00 - (plus above if applicable) Permit Fee (G►3 / 8 projcost Barnstable. n.stabxe. �o . o� e yoYJxE R egulatory Services ' • -�" ; T4omas7,Geller,Director a �k.,�� }3uildiug Division , Tom,Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 , Fax: 508-790-6230 Office: 508.862-4038 ' y�it no. �.. • A=A,Vr XOMM R S I'MEHTT O ERMIT APBLI ATZON ' MGL c.14', requires that the"reconstraction,alterations,renovation,repair,modernize ting er o,ccu led ion, •improVernen ren�oY81,demolition,onha but net more than four dwelling units or orstruct which are adjacent to bdg containing atleas such residence or building be done by registered contractors,with certain exceptions,along with other requirements, Work: 'REr,ovV J;O'A Aa'� �L� A 'n°t�$stimeted cost 150.000 Type of - Z�� ��O FORSL T� O'Ny r �A 57 Address of Work: !- .� . y}F�RI C�J ^J� G� N_ Owner's Name; , Data of Application. 23 - I hereby certify that: . ge�istration is not required for the following reason(s); , ❑Work excluded bylaw []Jab Under$I,000 , []Building not owner-occupied wowner pulling own permit Notice J�hereby glyen that; OVMg,S PULLIN G'IMIR 01 PERMIT OR DEALING ROYEMENT WORK D 0 NOT HAYS C XORS FOR AYPLICAB�HOME MU AOCESS THE AMITRATION PROGRAM OR GUARANTY FZTND UNDERIIIGL c,14ZA, CON'IRA . SIGNED UNDERPSNALTMS OF PERJURY Ihereby apply foi&permit as the agent of the owner; Contractor Name Registrationl`Io. Date The Commonwealth of Massachusetts .== - — Department of Industrial Accidents' is t 600 Washington Street Boston,Mass. 02111 Workers'-. Com ensation.Insurance Affidavit-General Businesses �.- �' rs.• Via'.. }'� n/ �'� � `/E�/AI address: city (�077JjT. state. /'�A: + Ztp: 42Co35. phone# Sp$�VZa`2Q��f work site location full address : 7 6 17 X 65-7w;r rn 0 Z&3'Est s I am.a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/BaAating Establishment working in any capacity. ❑ Office[] Sales(including.Real Estate,Autos etc.)" ❑I am an em lover with em to ees(full& art time): ❑Other % %%// I am an employer providing workers' compensation for my employees working on this job. ceriiAanV]name• •...' . . .`. •.:�' :..; city: tihone.#.:'•,: b .��' �i. ••r.: 7 . '•.t:,. i�. O ,insurance.cart': �^:•'.,.,•.,... li •c Cri/lam /%a sole proprietor and have hired the independent contractors listed below who have ilie following workers' t compensation polices: companyname ;' address: . city ufione.'#:. ` `,.. 1IIS11I°aIICe CO. L. 3 :4 s•i� p', a•. r'�4. comp I1V n -address: - �• • t Ci .Uh[I11E#: x'•'• :. insuranceMap co; :. .,..•:: .... O C: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as elvilpenalties in the form of a STOP WORK ORDER and a fine of$100.00 a.day against in& I understand that p. copy of this statement maybe forwarded.to the Office of Investigations of the DU for coverage verification I do hereby certify under the ains and en es of perjury that the information provided above is true and correct Signature �� Date, '✓v�+,Gr Z2 ��: • Print name Phone# $•O$`Sy0 official use only do not write in this area to be completed by city or town official city or town: permft/license# []Building Department `ClUcensing Board ❑check if immediate response is required ¢ `" [❑Selectmen's Office - []Health Department ' contact person: phone#; . ❑Other (revised Sept 2003) ' r(Q C#rSFG e1 ! cAiigtt dlfal�111 j�g3(11 j'ueb(' xxtY1..rs.1x11( a der Qan$Ad Trra-V$wLY�laideaiiit Huitdiag presarlptzYe pxekxg ' MrrCtmumVAU xcazlndCaafing�' Tr'IAX MY1tri Flcar 1 a EvApocnc cc3a, wat paw • Az�,t('lea p,Yaluat . 1rage 5101 to 6�OQ Hatitt 15 pxp''Q Ncrm�l 0.40 �� t9 1Q 10 1S AFYTE Q IVA 0m 9Q 13 14 t0 Narns�I 0.50 31 3� 13 7s N1l. 6A Namsal ISTh us 19 19 10 �A :S AM T tsr�i 0.46 71 13 15 N1A • L AM V iSla n.44 3E 19 1g 1Q ?tartn�t Y I9�h Q.iZ 30 13 75 NIA t3(A rtamI 1s�I� n3� as 14 25 NIA x�A 5o AFC X lS�f� 0.42 53 13 19 10 gum Y 0.47, it 19 1g tQ lsf. x 18•f� as0, 3Q C r 1, ADpRE55 OVPROPER'I'`fs 02.635 1v1T In 2, SQU FOO rAm OF ALL 3, 5R�ARE FOOTAaE 01'ALL GLA7,U;G, 13 , #3'D'LVIDED By#2), GLAZING AREA( �, C-r PAOdB�Q AA•see ahari:abate): O�RjySOR��(OLVED�ET�OD 5 OF DETEgO ,RQY"'4�MEN'1'S ARE AVA",P'BLE, As�.us�'oR�s�o ,Tsort, �tj�,DII�O VSPSCTOR p pFROV�L� VO yss q•4acm�•�$0303s • Town of Barnstable Regulatory Services B&MMSrASIM4 ; Thomas F.Geiler,Director MASS. , �A %639• p,� Building Division lF0 MA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 40 Gf t " number street village "HOMEOWNER : 04CwI_ne D—ennPYI 1�20` AM 46), 3gtj Ill(LI name home phone# work phone# CURRENT MAILING ADDRESS: F0✓SUl WA DZeo 3S city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner J 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 pen-nit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certihcation for use in your community. Q:forms:homeexempt [r N-I=W -a.lOK-E DETECTOR REQUIREMENTS ARE NOW LAW. EVEN THE ADDITION OF A The Dennen sythe RVSjt p(1 C O F THE SMOKE D ET E CT O NEW BEDROOM WILL TRIGGE Area of new construction-950 Sq Ft addition 46 Renovation �$ �Gf�d�lRk�1 5 PORf� THE WHOLE HOUSE. YOU MUST Charlene an , � �R D I N G LY AND HAVE YOUR " ' Walls-2x4 16"oc Phone:sos ao- E x:5 Ci E OUT THE APPROPRIATE w N w h Floor of-2 1001s�� 13 PERMIT AT THE FIRE DEPARTMENT. Wall Insulation - '� Ceiling Insulation-R30 y ,...MASTER I EPMZOM b eY - S Ire N 24-2' 4'-1• 2'-7' J'-/1" -3'-1'- 3'-1' 2'-,' I'-0y y -'3'B'� MA'rCX b a �oSeT-- -?: tce• ^ ' M _ F4r11LY RGt7H AUCa LfvNr>f 4 Room � v —. 77 - r — K TcHEu / 8r '-if (aN �a E N .----- ; _ pEDra�M 1.. � _J.NLh1U.. M aaB• 7-a• z-a• e•-2'�—a'a" / �: R Area of new construction ,oy. e e s-11 4'.m x 10.00 r 950 sq.ft.addition 1e'4s _E1000 Hau f;Rs7fl SMOKE DETECTORS O.K. #L4. DePl- COPY, BARNSTABLE BU LDING DEPT. .The Dennen Residence 46 Forsythe Court, Cotuit, MA 02635 Second Floor 11'-10" 10'-9" �8 VL to VL �L M a 1 00'0L X ac6 M„Zb 05 N 41-1, 2'-3" 04 4'-1" w U14'-8" 13% _ The Dennen Residence - 46 Forsydw Cowt Cof A MA 02e35 Area of new construction Renovetion and smell eddition Foundedon Plan-Nofes.• North zoar . 1.New foundedon height-rr Pour to match eleveflon of exledng dweekg I 2.Provide walkout basement opening on southwest elevation of new addition 3.Ventlletbn per MA code +o�ro tw 9w tloa-'fmM wegfWow 4.30k30k12'Lallyfootlngs S.3'Wells on fek12'foodng keyed &Damp-Moofed Per MA code Full walkout 7.Sill bo is e•O.C.1 foot from comere(7YP) c Basement Field vedfy ell measurements with owner before oonstrucdon ;q Scale:1/4'-1 Foot 4 1 F1 >.�x,zaam 4 0 R b b R SYty. by m 85JST-INfi�..___ _ ExlsriN4...—_ Half B amen( 4 un.la+raN 6Wtr. OIL, 2wN $ itµ,"'---- Existing Foundation q k' ,ono' 4 f —mr z zz� r••r. ,r. IM PEr W Rc�vF "CANT. SPo K V1 SNI 16V FM- sPW LT SMIALa'LES —STKJC(UZ�L RIDyF TO W Mr HINPD nIGAA L4M8�IOE,e—w 1.9P DBf1='17!-IIAIEU Zxb PAI'-M ' alb"O•C. 8 1 6 CQIIL AF.,✓D�SfS'014^O.O. 6o NT -Omer vegT 17. �6 Rao PATT INSUL." a"DRYWALL - . ___._ —6K{LI61NT5 �— NEW S�IEp pqP Via.71rtH I I'3'¢x9�4�1.4P1I4TED VmcAL_ 2-4 s1DI11y F.JQEaroR WALL ' _ VEo-IEEY.g6AH(L� ) 41:C:'SHIUGI-ES ��DINy 2xt., SILL Ib�p,a� lY F<:pL NoUSE wIzAp 2.10 6PF�6'0G A" FLYWIX7D SHEAnkc, U R{W=V P.rtq HEA�pp.CN P),L T' 'BRIACPG'MIp tPAW .- '* (213 iHSLLAtw__ 'Ih"OR-IKALL '3-2v12 9Ee1-I oN i7Danwq - =�X�ST0.1G BwSEMEWT _ 3,S°GD HC.PILLBp 7 LALL'15 - T P. 5EGTION . THRU MA91FR Z�DRx;:oM SEGTIO0 -rHRU .rcoI"1 rRwmao 46 FoRSYT+I CT., C.OTLIIT,M-A, n�wwa Hu�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map - 'Ole = Parcel Permit# 77 a I a Health Division `f / /b �v � Date Issued 7—� " ZdO�jF Col. ation Division ® Application Fee Tax Collector - ' Permit fee Treasurer Dept. SEPTIC SYSTEM MUST BE Planning p INSTALLED IN COMPLIANCE . Date Definitive Plan Approved by Planning Board WITH TITLE 5ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS 6 Project Street Address c -; Village <— Owner +7PmAddress -" Telephone Permit Request o U_t i P S /te N /�Ywn� S Square feet: 1st floor: existing proposed q(eO 2nd floor: existing proposed Total new cibo Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type u,oyp CnNtf Lot Size l gtRbr Grandfathered: Cl Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure I� Historic House: ❑Yes �No On Old King's Highway: ❑Yes _+No Basement Type: -4full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new '� Half: existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing 1 new_(4�) First Floor Room Count Heat Type and Fuel: ❑Gas 410 il ❑ Electric ❑Other Central Air: ❑Yes *No Fireplaces: Existing New Existing wood/coal stove: ❑Yes XNo Detached garage:❑existing ❑new size Pool:❑existing )�ew size Barn:❑existing ❑new size Attached garageAeexisting ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes "o _ If yes, site plan review# Current Use Proposed Use ^ 71" BUILDER INFORMATION sw 0' Namel�OAR Telephone Number . S08 YZ o-Z4 3 q Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ?AR-jS"P3L9- T??,ana Yk Slwrio,( o7Z SIGNATURE DATE -t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED t MAP/-PARCEL NO. ADDRESS VILLAGE OWNER z- r r ,• . DATE OF INSPECTION: `i FOUNDATION if AP 0i< FRAME INSULATION �a FIREPLACE -L ELECTRICAL: ROUGH FINAL m PLUMBING: ROUGH Mj M FINAL GAS: ROUGHn n O� FINAL FINAL BUILDING tAt�S r�F/V Co k � l /.Z C) - DATE CLOSED OUT !` S ASSOCIATION PLAN NO. f' ;T Daniel E. Braman, P.E S G►-�1-?'�•�`-� 10 Harbor Point Rd Cq" MA 02637-0361 �(. t,oJdo7 'R `2 �iCoNO f t.0C�,V_ d 0l.r-f u I fiG N�.yc���a►<<S� co.c�5 of d c w�lnn l� dr-$-�crrM 0Fs ®� �ANIEL E o STRUCTURAL' w p QIST EfS/DN E ®(2^Q 4 1!]L'1✓LL�Il'1 V 4• V vi4 V 1 L.S u .u .. vvvw7• Licensed to: Dan Braman, P.E. Job: The Dennen Res . Cotuit Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W10X22 Fy = '36. 0' ksi. Total Beam Length (ft) = 24 . 00• Top Flange Braced By Decking LOADS: Self Weight = 0. 022 k/ft Line Loads (k/ft) : Distl Dist2 DLl DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 24 . 00 0 . 135 0 . 135 0 . 000 0 . 000 0 . 360 0. 360 SHEAR: Max V (kips) = 6.20 fv (ksi) = 2 . 54 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb - Fb fb Fb Center Max + 37 . 2 12 . 0 0. 0 1. 00 19.26 24 . 00 19.26 24 . 00 Controlling 37 .2 12 . 0 0. 0 1. 00 19.26 24 . 00 -- --- REACTIONS (kips) : Left Right DL reaction 1. 88 1. 88 Max + LL reaction 4 . 32 4 . 32 Max + total reaction 6.20 6. 20 - DEFLECTIONS: Dead load (in) at 12. 00 ft = -0. 343 L/D = 840 Live load (in) at 12 .00 ft = -0,. 785 L/D = 367 Total load (in) at - 12 . 00 ft = -1.128 L/D = 255 I ��75�Q �(,K.. _ �D��1NEtt,1 1ZE5i°t��ntCE COT%) 1Y1i1 0%. P*3 ga COLUMO '1 -, a I i f t CuC�p 17F�-� - "D�NNE�,1 �ZESiNeE y� 'Foast-rA Cr ' O 3_COT rn DZ l03 LoG wAL_L Li >c ► -t-- SPA COLUMO LL r4 1 m ASS t {frf 1 � i - 1 r. V .Ig YN ,i is a r R I'' I - " laey,rwa, 12es�d r q p,-4.(v forsA Cf.,4 ui1` 6, j>C>OL- 5Jl�T� y / it I Z x 4 'r I�wood t 4 ' 1 9 6'-0" 10"DIA II r--7 II Lf) i II i Oil LO II II O 10 DIA 3,5 4=T' --4'-9„ 3,3"-7( W--0" ' I T a 11'11hG� �IfA t'1 D-ehrwn frvposecI ed (ohtit, MA i L 1 ` to I •t a m L � r fw Winne .es�d�►�.e -44 fws,6 Cf.,cphAit'� . oc- Z ,< 9 sz / F � Z•X(� �C+=,:��� o' > A� Rica lzv , � F �f W O" 10"DIA II o 7 11 LO II LO a O �I I I i II O X 10"DIA 3'S" 4'-7"- 4'9" f 1rA mir�o� ��A H'1 ��hr�e v� QPsi d�er�c� - �ropvSPc{ Sh ed CO+u;t l IlmA p TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel # ®l i t' i�� Health Division Q�lf--?fig' /�/� aq 1/W r 1 ,3 Dateter,:Issu�ed 3LCC T Conservation Division Application;Fee-_�r0 Tax Collector G $'n�L� �. � v Permit Fee TreasurerPlanning Dept.Dept. - SEPTIC SYSTEM MUST BE ` INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 Historic-OKH Preservation/Hyanni ENVIRONMENTAL CODE ANDs TOWN REGULATIONS Project Street Address ue 'Mv-S4h Village- Owner -P Gi�n�l Pity (��iYl��'1 Address -h Gfi. Telephone Permit Request C112 01 Square feet: 1st floor: existing - proposed ( itO� 2nd floor: existing proposed Total new 9xq-q o Zoning District Flood Plain Groundwater Overlay Project Valuation MOO Construction Type N.d{acQ -(rAr-e-- Lot Size Grandfathered: ❑Yes ❑.No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of.Existing Structure o, Historic House: ❑Yes > o On Old King's Highway: ❑Yes *0 Basement Type:.,'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new '1/ Half:existing new Number of Bedrooms: existing 4 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel �;1�vGas ❑Oil .41lectric ❑Other Central Air: , Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes o Detached garag xisting Elnew size . Pool:❑existing ❑new size r Barn:❑existing ❑new size Attached garage. existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 01"*^ DATE 10' I2- o FOR OFFICIAL USE ONLY i ' PERMIT NO. y DATE ISSUED MAP/PARCEL NO. ADDRESS"' VILLAGE � OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATIO FIREPLACE i ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH , m FINAL , m GAS: ROUGH FINAL Q FINAL BUILDINGcJ yc� /Ffn - t'3 � Qa - fmi0Tom_' � Bcrru0 DATE CLOSED OUT ,�. ..._ 0 ASSOCIATION PLAN NO. m rn r l Town of Barnstable Regulatory Services Thomas F.Geiler,Director 63 s639 Building Division � ,0� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwwAown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 124- Please Print DATE: JOB LOCATION: G number street village "HOMEOWNER": ChAr" 4 E,�'( ` Lenaer, � o ` �70 --A— name n home phone# ,{ work phone# CURRENTMAUJNGADDRESS: 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,Qrovided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a.one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official.on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance:with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and recMuements. _ �'`�Yam• �L��r-- _ 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 homeowner;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:forms:homeexempt °FZHE l°y, Town of Barnstable = Regulatory Services + BARNSTABLE, * Thomas F.Geiler,Director c 9`bAr039. g Buildin Division En nnor Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Gong d S Type of Work:_IT""1 Estimated Cost 2(Gt70`�— Address of Work: 4(-,P fb Cam• Owner's Name: Date of Application: 1,0~ 1 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 B ilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN.PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. -lt� (It4�z A( Date Owner's Name Q:forms:homeaffidav The Commonwealth of Massachusetts Department of Industrial Accidents 600 ff-ashington Street Boston,Mass. 02111 Workers' C sation Insurance Affidavit-General Businesses name• ;.l�lr Y/"�i"i"�f� .::��� `�i►'!t'1�, .. _ .... .: - ._- ....;, . address: J( Vn64)-, ci state: zin: Vlb�6nhone# u work site location(full address): ❑ I am a sole proprietor and have no one Business Type etail❑Restaurant/Bar/Eating Establishment working in any capacity. Office❑ Sales(including Real Estate,Autos etc.) ❑I am an en loyer with em loyees(full& art time . ther [5 I am an employer providing workers' compensation for my employees working on this job. comnanv name city nbone#• insurance.co: ohc #' ❑ I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: c0iii iny address:.:... . . . city phone insurance co. !%////1 /%/////%.///� comnany name.;... -- - address hone# ' _ U irisuraace zo.:.:; . .:. '::::..:c: `: ,;,::.. .:'.,;:•' . .. .'olicv, Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 der the pains and penalti f perjury that the information provided above is true and correct. - Signature Date l Print name (�Y l�y/ 1�`'1")�1°'^ Phone# � .,�-a��„c bt official use only do not write in this area to be completed by city or town official ` §' permit/license# Building Department city or town: P g P ❑Licensing Board a ❑check if immediate response is required ❑selectmen's Office ❑Health Department e, contact person: phone#:- ❑Other �(reveed Sept 2003) Information and Instructions chapter 152 section 25 requires all employers to provide workers'compensation for their Massachusetts General Laws p Q �P Y e"law" an employee is defined as every person in the service of another under any contract from the �1' . As quoted employees q of hire, express or inTlied, 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 p g hone 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.tne 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 b�e 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. MEMO- /// // The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents WIN of inesugafions 600 Washington Street Boston,-Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 1 RESIDENTIAL: SHEDS -POOLS—DECKS-OPEN PORCHES- GAZEBOS FEE VALUE WORKSHEET APPLICATION FEE: $50.00 BUILDING PERMIT FEES: ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,etc.) >120 sf-500 sf 164 $ 35.00 $ �jgo >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) . IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL RELOCATION/MOVING a $150.00 $ (Plus above fee if applicable) PERMIT FEE $ r Q:forms:dkcost REV:063004 The Town of Barnstable ANSTABLL Department of Health Safety and Environmental Services MASS- Q Building Division ED MPY► 367 Main Street,Hyannis,MA 02601 508.8624038 508.790-6230 PLAN REVIEW Owner: AI�41 Map/Parcel: (l�'�S ^ 4�/ Project Address: _ q(^felp CT Builder: elp"I t/?p. The following items were noted on reviewing: l/_4 e Td Reviewed by: i � � _ _. i F ,� � . � � � � * � �, � t ,, .�; P _ �� � ��->j.-i ��� Opt ��,� ,,, �`' , f t'..� ; � � � 5 !` -. Lw � � ._ i t .�,--- i �. " 0,<5 a °, .. �� '. �, � �� �� e° �. "DE,�1rJE�1 �ESi�'�tCE" , 4G ForzST-A Or �3�oc,lC, wAiL �� u $" Soa OT-OS E 4` -r c✓ F CaLUMOS IN L - - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �3 �J Parcel d (� Permit# 77Y 3t Health Division C9 co-! Q-1 g p 9 I h 4 q Date Issued ���7_;10y Conservation Division . �` 9-h—1 IBY Application Fee -�Ll®- ss Tax Collector I , Permit Fee Treasurer 0�O 1111/1-1 Planning Dept. SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 Historic-OKH Preservation/Hyannis EWIRONMENTAL CODE AND TOWN REGULATIONS Project Street Address 46 Toi2,s u 7�, Cd u 1,T" Village cc,�'�tV Owner Address '`E PG 2 S4-rL c c,sor Telephones �� 3 Permit Request `" a4ocl 4/4 Po ��LA Square feet: 1 st floor: existing proposed 2nd floor: existing proposed, Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type L, - t-v,16 2ooA3® Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. 4 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes C l<0 On Old King's Highway: ❑Yes 8<o Basement Type: ❑Full ❑Crawl ❑Walkout Cl Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size On, existing Iriew size Ax Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization. ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use ��"" BUILDER INFORMATION Name &D. ��C-!7 SSA e2.e2 Telephone Number f�_ja A9 G C[ G R_ Address License# (0 3S ��25vJ S S via Home Improvement Contractor# C G G S 0 @,(1+b Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE y DATE �4 �04— z - FOR OFFICIAL USE ONLY PERT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS- VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL M GAS: ROUGH m CO } , FINAL � Yt FINAL BUILDING 4, r � � DATE CLOSED OUT:; �• c� c. ASSOCIATION PLAN NO. t— —. . n. 7 of wa of B arnstable R.egulafory Sex'Yzces• - � S&�arr;$ Thomas B,Geller,Director s619, k,+ $uildiug:D'zviSIDIL ran MA'S • Tom Perry,Building Commissioner• 200 Maio Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 peixnit no, - • Date ' AFMAYIT HOME ROP O'VEMENT CONTRACTOR LAW SUPPLEMENT TO PEMY=APPLICATION MQI, 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •improvement,removal,demolition,or constroctioa of an additionto any pre-existing owner-occupied bunding containaig at least one but not more than four dwelling units or to stract❑res which are adjacent to •• such residence or building b e done by registered contractors,with certain exceptigns,along with other requirements, Type of Work: )6 L2 4 L- Fstim4tea cost Address of VYork:, G l�u2 t �a c,(Z -Owner's Name: �� �/►✓�'1 ��°(� Date of Application:_ I hereby certify that: Registration is not required for the following reasons): ElWork excluded by law ❑lob Under S 1,000 []Building not owner-occupied []Owner pulling own permit , Notice is hereby given that; OyMRS PULLING THEIR.OWN PERMIT OR DEALING WITH UNREGISTERED CON'I*RACTORS FOR AYPLjCAB%iHOMEIlaROYEMENT WOPXDO NOTEA.YE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A,- SIGNED UNDER PBNALTMS OF PLRMY Ihereby apply for apernut as the agent of the owner: *-SCLOO Contractor Name AeQisErationl�Io. OR Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents' . O�I'6�9 ef�lfa�s' • ' a 6k Washington Street Y Boston,Mass. 02111. Workers' Com en sationAnsurance Affidavit-General Businesses / �/ / xy_,• .y / :r:.�'.�•/���'euta.. . :.T�a+"'�,A3.r•`Tg•..•: •' ,. �.a: a .:�:teN] - / , III— y x' f a .. address; �]� j'/��✓�5 ' /isLC�S" state /1 dam work site locatiosi full address [] I am•a sole proprietor and have no one Bµsmess Type: []Retail❑Restauraut/Ba=/Aating Establishment working in any capacity. [] Office E] Safes(including-Real Estate,Autos etc.) ❑I am an em toyer with ettiplo ees(full&part tim�: ❑Other %//%//i, I am an employer providing yorkers' comueusation for my employees worlring on this fob, COjn�2II •ItfiIII ;t,� ,r•.: .i r j c, :aF•- i . :• �+�a;:..•: 'i'•,' '`' " .' '.e . ::i• M1.•,j+':f? •'i.'' •`:''.i:•- •at�'. ± • :)'' i•.?��•t..rr!i. ''1.:. ��•,;ir. ..,: � f, .. urarice.eo'• :,: �; \ /�//. ' ,� I am a sole proprietor and have hired the independent contractors listed below who have fife following workers' .compensation polices: :+'• ...•s,..i: i:S.^•7• _ •',� i. n' :':. }'% ..< s•'� r: -4' "„`'Cr ';r}�Y a hf:,:;Y. :r,' •' .. coin an 'name: ti :v :• ,* k.. sddre'ss: 4' :.4 �':• ,1 it :r •. ,,, L'�' .ta ''l,'. .•�;,.Sil'f,. i• .;•' .1��. .;1l• ,t' .i,:•,'•r r• :r)', `t is •• ,. •'i; .•;;;• `libae''##:. �a:.. �"• + t.:.. ._ - Ci .:� y::}.•}.+:•vFL;;S..•' i�r`t.;`:': •,ti�.;a. �a' ;t' ��i r�.��ri:;• ''r; �`••' . '•F,`: 7,:'•'•'•'fv v.l.•.',!.•.r.:.+l��ri' ?�:•.f:' -i:• YO'IjC :i7''�.r.Ji.Y't•:,: •''.i\,'• `'{•''9..+i• •\. idsurence'co, ;;:< ,_ .. - ... .: l%//%%%//%/%%// 4•Ja 'i•. .iY:. '. .,,n ,.* ,,r•j t�••. .r•� :S/•Ai. •!•i't••• - '+ 'S•'•.' •i+ •5.• .,r;•��•� i:;.' ..t;:. •''d•;:.j'f: }•i ii.. �.:4'::? i• •'l"'i•.`• }:• Y. ,J4fw1C A�`•.•rare'+•:,: .f' •iJ%.:_'••.. r• .C.' Co.in' address:. ••, . .: rI• :t ,fti •`i't.:• : rt'' rL f� iTLLr<:+ -fC 1. _ . Cl r': i j;; ' 4 '0r`` \;h,i• r. �.Sr ° '"�� `�'i::�:�r....J a• r, \ r a••' '.):;`�..••:•<:.� y : r •+�'' _ ;;� .'r,',i t:•• :ir: 'iJ•�' ..S".u' _\OZiC{': ->': �:,f';f..'i,rf'•f �:�':: �� ••e:C •.y... msurSnc Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500A0 and/or one years'imprisonment as well as civil penalties In the foim Of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that g copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi under ih ains an penal ies o perjury that the information provided above is s?iueiartd�corfect tore Date Siena �' Phone# Print name -J official use only do not write in this area to be completed by city or town official. city or town:. permitllicense tr []Building Department . r ty: ❑Licensing Board , `Q check 1f immediate response is required ❑Selectmen's Office QHealth Departmeni '* phone Y; ❑Other contact person'- 3 a (sewed Sgat 2003) s > Information and Instructions ylassachusetts General Laws ch4 pter�152 section 25.requires all employers to provide workers' compensation for their. loyeeS: As quoted from the law', an employee is.defined as every person in the service'of another under any contract of hire; express or imp lie oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or mare 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 havYng-not than three apartments and who resides therein, or the.occupant of the dwelling house of another who employsp�soris to do.maintenance, construction or repair work on such dwelling house 6r 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 vdthhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.cornmonwealth for any applicant who has t produced ace evidence of compliance with the insurance coverage required. Additionally, neither t not pro eptab he' any its political subdivisions shall enter into any contract for the performance of public work until co o duce h nor.ay. ' COMP with tie insurance requirements.of this chapter have been presented to the contracting . acceptable evidence 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 maybe 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 regardin'11nei`law"or if you are required to obtain a workers'•compensationpQRU,please call the Aeparti*nt at the number'listed.below. City or Towns . Pleasebe sure that the affidavit is complete an 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 Min the perrrntlhcense number.which will be used as a reference number. The.affidavits may.be:retumed to of FAX other'arrangeramts have been made. the Department b}•T�'1 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-calt. 21 The Department's address,telephone and fax number: , The Commonwealth Of Massachusetts• Department of Industrial Accidents of�tssti ens ' t3t�ce �t1 600 Waslungt on Street Boston,Ma. 02111 fax M. (617)727-7749 phone#: (617) 7274900 ext:406 Town of Bar stable f Kmg tog, Fegdatoxy SeINICO .��� � Thomas�' Gefler,birector Building)Wdon TomPerry, Sanding commissioner 200 Maw street, BY=%MA 02601 . _ .•• �•ta•�n.barnstable.ma,us --• Fax; 548-790-6230 office: 508:862-4038 . .. _ rroper�r ow�ler Must . ... . and Si n TMS Section Co mplete g .... . . if Using ,A.Builder i • f ,as Owner of the subject property _ ;to-acton ray be�iaTf, hereby authorize I ( L' S e�sC, :. hers relative to work authorized bytes bundmg Pest application for. - rra job) f o Cc A- ss to • ///��)� n 1 jj 1psture of der . print Name /7 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Nuunber 042838 Bi 1 0 4& - - ,o 6 Tr.no: 22114 iol Re t WARREN F SCH 121 CA MIVIETT RDw1/' MARS "ONS MILLS, M' •2648 Commissioner ��ie�aninau.�ealU ��aaeac�zuaelt Board of Building Regulations and Standards ii HOME.IMPROVEMENT CONTRACTOR . Registrrt - 136605 6/2006 r to Corporation SHELL ISLAND WARREN CHER 1 121 CAMMETT RD'ra MARSTON MILLS,MAC 8 -- ij AdministratoO. Cardinal �Slystems,� Inc. s"EJAM 269 South Rt. 51 SahuokRI Haven, PA. 17972 DESIGN OF Z—BRACING Controlling condition - water fo the top of the ool panel i� WATER DEPTH = 3°-6" " OPEN 1'-0" DEPTH OF EXCAVATION FOR POOL. WATER SIDE 6' X 24" CONCRETE SLAB AROUND THE SIDE BASE OF THE POOL WALL. I POOL DIMENSION ASSUMED 0 16' X 32' CQ MATERIAL: 14 GA. GALVANIZED STEEL WALL PANEL Fy, = 47 K.S.I. Pr Co Pw POINT "A1---2'-0"=--� " P. - WATER PRESSURE AT BASE OF STEEL WALL PANEL IS 218.4 #/FT. [(62.4 #/FT') (3.50') (1.0')] = 218.4 #/FT. P., - THE RESULTANT WATER PRESSURE ACTING 1/3 FROM THE BASE IS AT 382.2 #/FT [(218.4 #/FT) (3.50') (1/2)] = 382.2 #/FT. NEGLECT THE EFFECT OF THE EARTH PRESSURE DETERMINE IF-THE POOL IS STABLE WITH 3'-6 DEPTH OF WATER. INSIDE THE POOL• TRY ANCHORS AT 8'-0" MAXIMUN. E MOMENTS AT INNER FACE OF THE WALL 0 POINT "A": Qor = 382.20 X 14 = — 5,350.80 24(6)(100f = 14,400.00 X 12 = 172.800.00 24(6)(150) = 21,600 00 X 12 = 259,2�00.00 36,382.20 426,649.20 - a = 11.7269" > b/3 = 8.00", b/2 = 12" P,,.,,, [(4 x 24) 6(11.7269),36,38 2.220 = 1,619 PSF/FT. (24) Pmtn = .[6(11,7269) - 2(24) 36'3— 4- 0 = 1,412 PSF/FT. '. THE. POOL IS STABLE-AND THE FOUNDATION PRESSURE IS ok Q"f "7'cv✓J-1 WZ.V i r M-A I. I nG r VlA t F-1 v j 7°7 16'-2 1/2" 6'x6'R LT 6'X8' 21-6" � pp�� i 6' ®ESP 4'aQ 9 °xt31:t s'x6 1 1 R 6-0 1 2'-r0" 21-812" -. 1r----------11-0"----------�®, 5'5 1/d°x32' 611 tp 0 1 i , v- 11'-8 7/8" gyp -.. -------------- ----- -'_-R 32'-0". �p' ' _ w o 5'1 1/2"x8'RevR ' _-.._ --------- w o� ----"-`--R 81-011----- 1 1 , � 1 ` x3TR 1 i 5'11l2"X eVR 72.) 1 , , 12'-0 3/4.1 6'x6' -� 40" FINISH R 6'-0°•- � 'x32'R ALS i 1 1 ANO of 1481%C .dl3�35 .� air tia 4iyA��. rig'` Date: 12/99 PCol ieuflo1,Inc. +Yumbero a aeArutryanoSeUNca� Title: Kidney 1s'x 32' ForbaaRoad . Newmaftt,naugWal Park Newmaluet,NH 03867 Drafter: JLC PHONE(WO)OSS•aaas FAX (8=95.0222 ® , ® File Name: tpoliCIDNEY1632 Area: 519 sq.ft, aF ao�- Template#:59367 turns ri ht Perimeter: 81110.718H o,v,UG MAY DAUBS PfltlMiii@rr,i/AM,vat,atLTM OR DEATH g (app•picwre) 59356 turns I@it(pictured) INSPI Type 0 Non-Dj%ln mmlmm e+roM01 A"�Crge B7wm.N •�eo-°n°a wre Tfn .._ IERPDCILJ(►T .f.�STR.! Jle.s•IOlr Vl a1t/0(0,q��q _ . TOWN.OF BARNSTABLE BUILDING PERMIT APPLICATION Map © Parcel d r0O , -B a,/�_ Permit# n Health Division NS�AB�F Date issued Conservation Division 20if% +4 P 2 3' Application Fee oa Tax Collector �__ Permit Fee Treasurer 0/ 'iS/ON Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 4 I' , . Village �C�'f l.C,i� MA Owner EA -�C�//�`�1 f. _015�Vl ne4- ,ddress Telephone !t7 b - 4-20 - -M 3 Permit Request C — _ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No- If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: Cl Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use /� BUILDER INFORMATION Name 04_12� � c.� Telephone Number 420 ' 2t 3�1 Address `i (19 6�1 License# ` + U Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 8r l`oY FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r r DATE CLOSED OUT ASSOCIATION PLAN NO. i s, From:Joe Madera 508-862-6007 To:ED 8 CHARLENE DENNEN Date:7/15/2004 Time:1:18:30 PM Page 9 of 10 "M BC CALC®2003 DESIGN REPORT -US Thursday,July 15,2004 13:12 Double 1 3/4" x 11 7/8" VERSA-LAM®3100 SP File Name: E Dennen.BCC:RB01 Job Name: Charlene 8 Ed Dennen- , Description:RIDGE — 1�t���,�cad✓�r+� Address: 46;;t=orsylhe CotFt.'. �, Specifier: City,State,Zip:`Cotuit,'MA Designer: Joe Madera Customer: E Dennen Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512,NER 629 Misc: �0 12 Standard Load-25 psf l 15 psf Tributary 10-03-00 BO 131 1922 Ibs ILL 1922lbs LL 1241 Ibs DL 1241 Ibs DL Total Horizontal Length-15-00-00 General Data Load Summary / Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 15-00-00 Live 25 psf 10-03-00 115% Member Type: Roof Beam Dead 15 psf 10-03-00 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 11860 ft-lbs 48.5% 115% 2 1-Internal Slope: 0/12 Neg.Moment 0 ft-Ibs n/a 100% Tributary: 10-03-00 End Shear 2745 Ibs 29.7% 115% 2 1-Left Total Load Defl. L/366(0.492") 49.2% 2 1 Live Load Defl. U602(0.299") 39.8% 2 1 Live Load: 25 psf Max Defl. 0.492" 49.2% 2 1 Dead Load: 15 psf Notes Partition Load: 0 psf Design meets Code minimum(U180),Total load deflection criteria. Duration: 11.6 Design meets Code minimum(L240)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. Minimum bearing length for BO is 1-12". The completeness and accuracy of Minimum bearing length for B1 is 1-12", the input must be verified by anyone Member Slope=0,consider drainage. who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+12 intermediate bearing evidence of suitability for a particular application. The output Connection Diagram above is based upon building Member has no side loads. code-accepted design properties and analysis methods. Installation Connectors are:16d Sinker Nails of BOISE engineered wood products must be in accordance with the current Installation Guide b=3 b d and the applicable building codes. c=7-7/8" a To obtain an Installation Guide or d=12" you have any questions,please call (800)232-0788 before beginning product installation. C BC CALC®,BC FRAMERS,BCIS, BC RIM BOARD TM BC OSB RIM BOARDTM,BOISE GLULAMTm, VERSA-LAMS,VERSA-RIMS, VERSA-RIM PLUSS, VERSA-STRAND TM, VERSA-STUDO,ALLJOISTS and AJST"are trademarks of Boise Cascade Corporation. Page 1 of 1 From:Joe Madera 508-862-6007 To:ED&CHARLENE DENNEN Date:7/1 5120 0 4 Time:1:18:30 PM Page 10 of 10 �O1SE- BC CALC®2003 DESIGN REPORT -US Thursday,July 15,2004 13:12 Single 1 3/4" X 9 1/2"VERSA-LAM®3100 SP File Name: E Dennen.BCC:SH01 Job Name: Charlene&Ed Dennen Description:VALLEY 1L t-rcfj6P Address: 46 Forsythe Court Specifier: City,State,Zip:Cotuit,MA Designer: Joe Madera Customer: E Dennen Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512,NER 629 Misc: A 4.5 12 d 11-03-12 ° BO B1 d=00-00.00 267 Ibs LL 533 Ibs LL o=00-00.00 222 Ibs DL 416lbs DL Total Horizontal Length-11-03-12 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value n/a Dur. S Standard Load Simple Hip Left 00-00-00 11-03-12 Live 25 psf n/a 115% Member Type: Simple Hip Dead 15 psf n/a 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 2083 ft-Ibs 26.0% 115% 2 1-Internal Rafter Slope: 6.4/12 Neg.Moment 0 ft Ibs n/a 100% End Shear 767 Ibs 20.8% 115% 2 1-Right Total Load Defl. 1-/677(0.214") 26.6% 2 1 Live Load Defl. L/1217(0.119-) 19.7% 2 1 Live Load: 25 psf Slope and Cut Length Dead Load: 15 psf End Condition Slope Facia Depth Horiz.LengthProduct Length Partition Load: 0 psf Plumb Cut with Hanger to dbl.top plate 6.4/12 10-118" 11-03-12 12-04-11 Duration: 115 Disclosure Notes The completeness and accuracy of Design meets Code minimum(L/180)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(L240)Live load deflection criteria. who would rely on the output as Minimum bearing length for BO is 1-1/2". evidence of suitability for a Minimum bearing length for B1 is 1-1/2". particular application. The output Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+1/2 intermediate bearing above is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product Installation. BC CALC®,BC FRAMERS,BCIO, BC RIM BOARD^",BC OSB RIM BOARDTm,BOISE GLULAM"", VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND TM, VERSA-STUD®,ALLJOIST®and AJSTM are trademarks of Boise Cascade Corporation. Page 1 of 1 From:Joe Madera 508-862-6007 To:ED&CHARLENE DENNEN Date:711 512 00 4 Time:1:18:30 PM Page 8 of 10 �01$E BC CALCO 2003 DESIGN REPORT -US Thursday,July 15,2004 13:12 Double 1 3/4',x 9 1/2"VERSA-LAM®3100 SP File Name: E Dennen.BCC:RB02 Job Name: Charlene 8 Ed Dennen Description: 12W&iC — I1tT-6i46N Address: 46 Forsythe Court Specifier: City,State,Zip:Cotuit,MA Designer: Joe Madera Customer: E Dennen Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512,NER 629 Misc: �0 12 1 Standard�Wd25psf 115 psf Tributary 01-00.00 80 131 940 Ibs LL 520lbs LL 519 Ibs DL 308lbs DL Total Horizontal Length-08-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left OD-00-00 08-00-00 Live 25 psf 01-OD-00 115% Member Type: Roof Beam Dead 15 psf 01-00-00 90% Number of Spans: 1 1 SHORT RIDGE TrapezoidalTCLefN 00-OD-00 Live 315 plf n/a 115% Left Cantilever: No 08-60-00 Live 0 plf n/a 115% Right Cantilever: No 00-00-00 Dead 158 plf n/a 90% 08-00-00 Dead 0 pff n/a 90% Slope: 0/12 Tributary: 01-00-00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 2329 ft-Ibs 14.5% 115% 2 1-Internal Neg.Moment 0 tt Ibs n/a 100% Live Load: 25 psf End Shear 1081 Ibs 14.6% 115% 2 1-Left Dead Load: 15 psf Total Load Defl. U1820(0.053°) 9.9% 2 1 Partition Load: 0 psf Live Load Defl. L/2850(0.034") 8.4% 2 1 Duration: 115 Max Defl. 0.053" 5.3% 2 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(U180)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(L240)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-10. particular application. The output Minimum bearing length for 131 is 1-12". above is based upon building Member Slope=0,consider drainage. code-accepted design properties EnteredlDisplayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+12 intermediate bearing and analysis methods. Installation of BOISE engineered wood Connection Diagram products must be in accordance Member has no side loads. with the current Installation Guide and the applicable building codes. Connectors are:16d Sinker Nails To obtain an Installation Guide or if you have any questions,please call a=7' d (800)232-0788 before beginning b=3„ b product installation. c=5-1/2"- 8 BC CALCS,BC FRAMER®,BCIS, d-12 BC RIM BOARDT",BC OSB RIM BOARDT",BOISE GLULAM Tm, C VERSA-LAMS,VERSA-RIMS, VERSA-RIM PLUS*, VERSA-STRANDTm VERSA-STUDS,ALLJOISTS and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 i BC CALC®2003 DESIGN REPORT -US Thursday,July 15,200413:12 Double 1 3/4" x 14"VERSA-LAM®3100 SP File Name: E Dennen.BCC:R803 Job Name: Charlene&Ed Dennen Description:RIDGE VERSION 17 Address: 46 Forsythe Court Specifier: City,State,Zip:Cobt,MA Designer. Joe Madera Customer: E Dermen Company: SHEPLEY WOOD.PRODUCTS Code reports: ICBO 5512,NER 629 Misc: "ja %7 12 1 I'tandard Load-25 psf 1 15 psf Tftewy 01-WW ------------------ ------------- ::...:.::: ::_::..:V.._:r-------- _ _ _ =... ....... ............. BO B1 2273 Ibs LL 2273lbs LL 12801bs DL 1280lbs DL Total Horizontal Length-16-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 16-MOO Live 25 psf 01-00-00 115% Member Type: Roof Beam Dead 15 psf 01-00-00 90% Number of Spans: 1 1 Trapezoid Left 00-00-00 Live 320 pff n/a 115% Left Cantilever. No 08-00-00 Live O pff n/a 115% Right Cantilever No 00-00-00 Dead 120 pff n/a 90% 08-00-00 Dead 0 pff n/a 90% Slope: 0/12 2 Trapezoidal Right 004)0-W Live 320 pff n/a 115% Tributary: 01-00-00 08-00-00 Live O pfi n/a 115% D0-00-00 Dead 120 pff n/a 90% 08-00-00 Dead O pff n/a 90% 3 V1 Conc.Pt. Left 0840-00 08-00-00 Live 533lbs n/a 115% Live Load: 25 psf Dead 416 lbs n/a 90% Dead Load: 15 psf 4 V2 Conc.Pt. Left 084)0-00 08-00-00 Live 533 Ibs n/a 115% Partition Load: 0 psf Dead 416 Ibs n/a 90% Duration: 115 5 R Conc.Pt. Left 08-00-00 08-00-00 Live 520lbs n/a 115% Dead 308lbs n/a 90% Disclosure The completeness and accuracy of Controls Summary the input must be verified by anyone Control Type Value %Allowable Duration Load Case Span Location who would rely on the output as Moment 17318 ft-Ibs 51.9% 115% 2 1-Internal evidence of suitability for a Neg.Moment O ft4bs n/a 1000/0 particular application. The output End Shear 3030 Ibs 27.80A 115% 2 1-Left .above is based upon building Total Load Dell. U430(0.447-) 41.9% 2 1 code-accepted design properties Live Load Dell. L/697(0.275') 34.4% 2 1 and analysis methods. Installation Max Defl. 0.447" 44.7% 2 1 of BOISE engineered wood products must be in accordance Notes with the current Installation Guide Design meets Code minimum(U180)Total load deflection criteria. and the applicable building codes. Design meets Code minimum(L240)Live load deflection criteria. To obtain an Installation Guide or if Design meets arbitrary(1")Mabmum load deflection criteria. you have any questions,please call Minimum bearing length for BO is 1-10. (800)232-0788 before beginning Minimum bearing length for B1 is 1-12". �. product installation. Member Slope=0,consider drainage. BC CALC®,BC FRAMERS,BCI®, Entered0splayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+12 intermediate bearing BC RIM BOARD-,BC OSB RIM BOARD"',BOISE GLULAM T", VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND T", VERSA-STUD®,ALLJOISTS and AJST°are trademarks of Boise Cascade Corporation. Page 1 of 2 sO;S•�s BC CALM®2003 DESIGN REPORT -US Thursday,July 16,2004 13:12 Double 1 3/4"x 14"VERSA4 AM®3100 SIP File Name: E Dennen.BCC:R503 Job Name: Charlene 8 Ed Dennen Description:RIDGE VERSION 1 Address: 46 Forsythe Court Specter: City,State,Zip:Cotuit,MA Designer. Joe Madera Customer: E Dennen Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512,NER 629 Misc: Connection Diagram Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are:16d Sinker Nails a=2" d b=3" �— c=5" a d=12' • C • • a �4 b Page 2 of 2 BASE- BC CALL®2003 DESIGN REPORT -US Thursday,July 15,2004 13:12 Triple 1 3/4"x 18"VERSA-LAM®3100 SP File Name: E Dennen.BCC:RB04 Job Name: Charlene 8 Ed Dennen Description:KITCHEN RIDGE VERSION 7 Address: 46 Forsythe Court Specifier: City,State,Zip:Cotuit,MA Designer. Joe Madera Customer: E Dennen Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512,NER 629 Misc: 12 t 2 11 6 Standard Load-25 psf l 15 psf Tributary Ot-00- --------------- --=-= ------__ = - ................ --_---___ ----_ --_ _---.- -:...;.. Ak BO 131 3384 Ibs LL 3282 Ibs LL 2059lbs DL 1999lbs DL Total Horizontal Length-24-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 24-00-00 Live 25 psf 01=00-00 115% Member Type: Roof Beam Dead 15 psf 01-O -00 90% Number of Spans: 1 1 Trapezoid Left 00-00-00 Live 320 ptf n1a 115% Left Cantilever. No 08-00-00 Live O plf Na 115% Right Cantilever. No 004)0-00 Dead 120 plf n/a 90% 08-00-00 Dead 0 pff n/a 90% Slope: 0/12 2 Trapezoidal Right 08-00-00 Live 320 ptf n/a 115% Tributary: 01-00-00 16-00-00 Live 0 plf n/a 116% 084)0-00 Dead 120 p1f n/a 90% 16-00-00 Dead O pf( n/a 90% 3 V1 Conc.Pt. Left 08-00-00 08400-00 live 533lbs n/a 115% Live Load: 25 psf Dead 416 Ibs n/a 90% Dead Load: 15 psf 4 V2 Conc.Pt. Left 08-MOO 08-00-00 Live 533 Ibs n/a 116% Partition Load: 0 psf Dead 416 Ibs n/a 90% Duration: 115 5 R Conc.Pt. Left 08-00-00 08-00-00 Live 520 Ibs nta 115% Dead 308lbs n/a 90% Disclosure 6 ROOF Unf.Area Left 16400-00 24-00-00 Live 30 psf 08-00-00 115% The completeness and accuracy of Dead 15 psf 08-00-00 90% the input must be verified by anyone who would rely on the output as Controls Summary evidence of suitability for a Control Type Value %Allowable Duration. Load Case Span Location particular application. The output Moment 32754 ft-Ibs 40.7% 115% 2 1-Internal above is based upon building Neg.Moment 0 ft-lbs Na 100% code-accepted design properties End Shear 4745 Ibs 22.6% 115% 2 1-Left and analysis methods. Installation Total Load Defl. U429(0.672") 42.0% 2 1 of BOISE engineered wood Live Load Defl: L/697(OA13") 34.4% 2 1 products must be in accordance Max Deft. 0.672" 67.2% 2 1 with the current Installation Guide and the applicable building codes. Notes To obtain an Installation Guide or if Design meets Code minimum(U180)Total load deflection criteria. you have any questions,please call Design meets Code minimum(1-240)Live load deflection criteria. (800)232-0788 before beginning Design meets arbitrary(1")Maximum load deflection criteria. product installation. Minimum bearing length for BO is 1-10. BC CALC®,BC FRAMER®,BCI®, Minimum bearing length for B1 is 1-12". BC RIM BO,BC F M R9,OSB RIM Member Slope=0,consider drainage. BOARD B BOISE GLULAM"', Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+12 intermediate bearing VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND'", VERSA-STUD®;ALLJOISTO and AJS"'are trademarks of Boise Cascade Corporation. Page 1 of 2 From:Joe Madera 508-862-6007 To:ED&CHARLENE DENNEN Date:7/1 512 0 0 4 Time:1:18:30 PM Page 5 of 10 ' BC CALCO 2003 DESIGN REPORT -US Thursday,July 15,2004 13:12 Bi�1�E Triple 1 3/4"x 18" VERSA-LAM®3100 SP File Name: E Dennen.BCC:RB04 Job Name: Charlene&Ed Dennen Description:KITCHEN RIDGE VERSION 2 Address: 46 Forsythe Court Specifier: City,State,Zip:Cotuit,MA Designer: Joe Madera Customer: E Dennen Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512,NER 629 Misc: Connection Diagram Nailing schedule applies to both sides of the member. Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are:16d Sinker Nails a=2" a b=3" c=7„ e d=12" ° e=3" ` e o 0 4b Page 2 of 2 From'`e Madera 508-862-6007 To:ED&CHARLENE DENNEN Date:7/15/2004 Time:1:18:30 PM Page 2 of 10 BC CALCO 2003 DESIGN REPORT -US Thursday,July 15,2004 13:12 Double 1 3/4" x 16"VERSA-LAM®3100 SIP File Name: E Dennen.BCC:RB05 Job Name: Charlene&Ed Dennen Description:KITCHEN RIDGE VERSION Address: 46 Forsythe Court Specifier: City,State,Zip:Cotuit,MA Designer: Joe Madera Customer: E Dennen Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512,NER 629 Misc: t 12\5/ T t z 6 Standard Load-25 psf 115 psf Tributary Ot-00.00 ,.-................... ...... ......:-:........... • v:::-: AL 16-DO-00 08_00-00Ak BO B1 B2 1881 Ibs LL 4640lbs LL 972lbs LL 10271bs DL 2705lbs DL 66 Ibs DL Total Horizontal Length-24-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 24-00-00 Live 25 psf 01-00-00 115% Member Type: Roof Beam Dead 15 psf 01-00-00 90% Number of Spans: 2 1 Trapezoidal Left OD-00-00 Live 320 plf n/a 115% Left Cantilever: No 08-00-00 Live 0 plf n/a 115% Right Cantilever. No 00-00-00 Dead 120 plf n/a 90% 08-00-00 Dead 0 plf n/a 90% Slope: 0/12 2 Trapezoidal Right 08-OD-00 Live 320 ptr n/a 115% Tributary: 01-00-00 16-00-00 Live 0 plf n/a 115% 08-00-00 Dead. 120 pli n/a 90% 16-00-00 Dead 0 pli n/a 90% 3 V1 Conc.Pt. Left 08-00-00 08-00-00 Live 533lbs n/a 115% Live Load: 25 psf Dead 416 Ibs n/a 90% Dead Load: 15 psf 4 V2 Conc.Pt. Left 08-OD-00 08-OD-00 Live 533 Ibs n/a 116% Partition Load: 0 psi Dead 416 Ibs n/a 90% Duration: 115 5 R Conc.Pt..,- Left 08-00-00 08-OD-00 Live 520 Ibs n/a 115% Dead 308lbs n/a 90% Disclosure 6 ROOF Unf.Area Left 16-OD-00 24-00-00 Live 30psf 08-00-00 115% The completeness and accuracy of Dead 15 psi 08-OD-00 90% the input must be verified by anyone who would rely on the output as Controls Summary evidence of suitability for a Control Type Value %Allowable Duration Load Case Span Location particular application. The output Moment 12097 ft-Ibs 28.2% 115% 4 1-Internal above is based upon building Neg.Moment -11270 ft-Ibs 26.2% 115% 2 1-Right code-accepted design properties End Shear 2281 Ibs 18.3% 115% 4 1-Left and analysis methods. Installation Cont.Shear 3638 Ibs 29.2% 115% 2 1-Right of BOISE engineered wood Uplift 717 Ibs n/a 4 2-Right products must be in accordance Total Load Defl. U1069(OA8") 16.8% 4 1 with the current Installation Guide Live Load Defl. U1703(0.113") 14.1% 4 1 and the applicable building codes. Total Neg.Defl. -0.026" 3.4% 4 2 To obtain an Installation Guide or if Max Defl. 0.18" 18.0% 4 1 you have arty questions,please call (800)232-0788 before beginning Cautions product installation. Uplift of 717 Ibs found at span 2-Right. BC CALCO,BC FRAMER®,BCIS, Notes BC RIM BOARDTM BC OSB RIM Design meets Code minimum U180 Total load deflection criteria. BOARDTM BOISE GLULAM^", Design meets Code minimum(L/240)Live load deflection criteria. VERSA-LAM®,VERSA-RIM®, Design meets arbitrary(1")Maximum load deflection criteria, VERSA-RIM PLUS®, Minimum bearing length for BO is 1-1/2". VERSA-STRANDTM Minimum bearing length for B1 is 3". VERSA-STUDO,ALLJOISTO and Minimum bearing length for B2 is 1-1/2". AJS are trademarks of Member Slope=0,consider drainage. Boise Cascade Corporation. Entered/Displayed Horizontal Span Length(s)=Clear Span+1 f2 min,end bearing+1/2 intermediate bearing Page 1 of 2 From:roe Madera 508-862-6007 To:ED&CHARLENE DENNEN Date:7/15/2004 Time:1:18:30 PM Page 3 of 10 r sO;SET BC CALL®2003 DESIGN REPORT -US Thursday,July 15,2004 13:12 Double 1 3/4" x 16"VERSA-LAM®3100 SIP File Name: E Dennen.BCC:RB05 Job Name: Charlene&Ed Dennen Description:KITCHEN RIDGE VERSION 3 Address: 46 Forsythe Court Specifier: City,State,Zip:Cotuit,MA Designer: Joe Madera Customer: E Dennen Company: SHEPLEY WOOD PRODUCTS Code reports: ICBO 5512,NER 629 Misc: Connection Diagram Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are:16d Sinker Nails a=2" d b=3" i c=6" a d= 12° • —r-- C a lb Page 2of2 L The Town of Barnstable M "p Department of Health Safety and Environmental Services b��•o M ' Building Division 367 Main Street,Hyannis,MA 02601 : 508.8624038 508-790.6230 PLAN REVIEW Owner: Alp 4,,41/74S Map/Parcel: Project Address: Builder: The following items were noted on reviewing: o'Yi,D T- t gie�a�lf _3, l G��/P/ ?�✓�TN �/�ys f'a Y N�vyT Qi"/L ccn y 7-V Reviewed by: ,6 Date: I � ����� �� i�� t I i G��Q ,,��G�,��/t�a��" � II /� ���� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ® S Parcel 6621 Permit# Health Date Issued Ce on Fee Tax Collector - reasurer lac a.��Q-t� Vl to/ zzl� I Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 76 ,GOy.S Y#7-# Cr Village _ Owner �� ��7 1'&6Ai E77 Address 446 /0,'.5Y/Mr/7"' Telephone -17�0 R 4Permiest - N 6-W /) If Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new �i Estimated Project Cost VOO Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new F Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION 1 Name /?OB&)C r PlCievla Telephone Number JOB — �:Z Address 77Z,5_-'57V {/ / License# F/'7'1i�mgf Ala 1 Home Improvement Contractor# l �� Worker's Compensation# 01 C 6 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IAJ SIGNATU DATE 1 d FOR OFFICIAL USE ONLY . PE4MIT NO. DATE ISSUED ' r ,. MAP/PARCEL NO. ADDRESS - r VILLAGE OWNER DATE OF INSPECTION: - FOUNDATION r , FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - f PLUMBING: ROUGH FINAL GAS: ROUGH FINAL •. t r I FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. j r Y a { ply--A. � ".HOME IMPROVEMENT CONTRACTOR Registration 100503 Type - PRIVATE CORPORATION E Expiration 06/19/00 CARE FREE HOMES, INC. ROB RT PICKUP Huttleston ave MW*WTlro4"!— ' ` airheve AMA 62719` _r The Commonwealth of Massachusetts -- Department of Industrial Accidents . _� --:-..- , _=• Offfce of/ofrestigatloos _ — 600 Washington Street Boston,Mass 02111 Workers' Com ensation Insurance Affidavit name f�h'1 e� Lefi location city r,,v 5}C¢1 P phone#W ❑ I am a homeowner performing all work myself. ❑ I am a sole etor and have no one worlds in anv achy I am an a foyer providing workers'compensation for my employees,working on this job.............. Coziipanv natae a � < address � `' �����:::<: .. . •�""--'��:,��`� C.i. one. C1tV• � r� F.. insurance co:: ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the wntractors listed below who have . the following workers'compensation polices:........ ..................:....::.::................:.......:............,.,..................................................::::..:..}:;.}:.},.}:...»:.»,,,;:. com all n ............... address.. � ::.......:.::..:: .;,..�:,:;.:.::::.; .:.,...::::,.......... ... ........... .. ....... .r............ ..................................::............................::}}......................................y,.}:::::::::•.v:•:::v.v:::::::v:::.v::::::.... O:3'v""•'.:yr ........n.............................. ,........... :... :....................................... ........ .........x ............................................ ...........:...:::::: nv::::::::::::. .... ........ .... .....{............ :.................. {:....::•:::•::::::.....r. :::::::.....:................ .......... ..... .. ........................................................................................................................... X. 1:'<:.:ii:^i: v}}::?:ti?{::}::F}}}}}:•}ii}isC:FY?i}}};.}}}}}::n};.}v:•}:•}}}:..v..}}:;}:•}iii�:{{iiT{iii:::i::i:: .. tme clh* ............:::.::,:............................................................................................................... ........ .... ... .......................................:wM.................... ....::::::vnv::w:: . .::}:v:::,v.v::.v.�:nv::::::w::::;:}::::::•:}:{F;{{{•}:;Y::i^:{.{:}i:.•.v.•::.::•.: ........... .. ......... ...........F.T..........:::nv:......w::::.v:::.v:.v:::v::::•w::n:::...::nF.v.4::m::.:v.:F}::..................... v..:{•n•......, anv name• address: city 'one �.... ....... ...... ................ .....::..... . .. ...:.. ...........{..:F}:'.•}}}:•}:.}:{.}:•}:{.i;.}:{F}:.:;{;;{{.}}::.::..:�;:{.:;.}:�}:.>;}:.}:.>{.Y:;;::{--><::••:::::{;:.};;;:.}}:.>;;:::�.... . , o icy F bure to secure coverage as regdred under section 25A of MGL 152 can lead to the imposition of erimiad penalties of a fine up to 51,500.00 and/or one years'vnpiisomnent as weR as dvO 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 Office of Investigations of the DIA for coverage verification. I do hereby certify a pauu and of perjury that the infonnadon provided above is fto correct Signature t Date 3 l Oct print name Phone# 1 o fficially do not write in this area to be completed by city or town ofadd petrdi icense# �Bdiding Deparhnent ❑Licen�ng Board mediate response is required (selectaun's Omce❑Health Departmentn. phone#; ❑ ��— --------------------------- oemad 9/95 PJA) I . F THE T The Town of Barnstable r � LUMU A M r 9� MAS& �� Department of Health Safety and Environmental Services 639. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 50&790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. cc- Type of Work: lf�aoF Estimated Cost�4 T D0 Address of Work: 416 / ,C5&7-/1 tom! Owner's Name: Date of Application: I hereby certify.that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby appl or permit as the a ent of the owner: /tOc-9 ,503 Contractor Name Registration No. / OR - Date Owner's Name q:forms:Affidav Assessor's map and .lot number ... ...?�.. ...... ..?............ .:.... - �F7HEt0 Sewage Permit number `!� K�_ ... .................. .................... d ,► Z BA"STADLE, � House number y Mae& • Apo,1639. 9� TOWN OF BARNSTABLE BUILDING INSPECTOR /,c r��r D//10'e_1 /AI I,_._. APPLICATION FOR PERMIT TO .......,:....:.........:.........................:......,........................................,........................ .. �,.. 1 TYPE OF CONSTRUCTION .... ......................................I...... :y..��.:�.........19.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ............................,... ., .................................................................................... Proposed Use ...�f�/a!1 �.!G..... A!'f 1. v.... /t1 /.✓„/# . -................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ...Pe?.:.... .........................Address .................................................................................... Name of Builder �,. ... `�� .. T. ..Address ............................f r .� .... .... .... ...Y..... ` V ....... ....... f Name of Architect {f4/...,yR .P. C/ /tI Z,'Z C Address � .. . Number of Rooms .........,�..... i�� ....� ..........Foundation �1 Exierior Roofing / . _ ..................................... r ` / Floors j..2'/1/ / .......�...RG?) /�4 7"'�..An......Interior .... C� .......... r- ?1 s r1-7"' /,,r/] T,F.� /r1// Plumbin /?L7TL1C' `�` /�/Tt'yL�►���./. Heating `... g ....... ...<..... ........... . ................. ...................... Fireplace .....(3,(/................................................................Approximate Cost .. .................................... Definitive Plan Approved by Planning Board ________________________________19________. Area = —=ft7 t� rr~ ..:..:......................m............. Diagram of Lot and Building with Dimensions ;�Feev""" ^—=�r.. ........... ... ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , Names. .-!/// !C �''':(�.... ............................... `.....�..... . Bockett^ Dr. Jar�iea A=55-61 20487 l 1/2 story ' No ................. Permit for .................................... single family dwelling ' —'-------~'------~---------' 46 Forsyth Court Location -----..................----------. Cotuit . --------------~-----------' Dr. James Rockett � ' Owner ---------.................------_. fr ' Typo of Construction --..±���-------- ` Permit Gnonna6 ----Augoo.t.l5--]P 78 Date of Inspection ------------lV ' Dote Completed ...................................... \ PERMIT REFUSED .......................... lA T............................... ' p � � \ k . v � ' ................................................ . `~ 19 ---.. —.............==~~.-------------.. ` ------------.---------.~.—...- ' ` - , �_� Assessor's map and lot nu ber .... .. . Sewa.Qe Permit number SEPTIC -fir �D INSTALLED IN COMPLIANCE, BE 2 EAUSeTA LE, House .number ........................................................................ OMPLIANC E' 9Cp i639. `00� WITH AnTfCLE II STATE + �'O�pYa' S/1 J C(1D� D UVN TOWN OFBAR ��'�S� 'A" JLJ BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. l�f�sS.T/. . . .......1. ...r���GI � �.! �7 ..... ....... ...... TYPE OF CONSTRUCTION .....W.0.Q.0Z)......TICS.48.)F......................................:................................... ...... s ..................... /.az........i9-d e undersigned hereby applies for a permit according to the following information: Location ....F-�Q #.�ZZ .... . Ql '.��l�J�... (/���'j....._Q.T /..T..................:........:... " ........................... Proposed Use ... '/rtJ L. ..... �J!y .. .....DAW..6LL1,V...G................................................................................ ZoningDistrict ....................n/....................................................Fire District .............................................................................. Nameof Owner /Q.......JQQC A&T. T.........................Address .................................................................................... Name of Builder .5.�.... ... ... } ,�0 �..y.. /U ....Addv 4 �T�d ...�►f��.. ..t�J VL 6- Name of Architect kb( 11,44....&&.U. .*...W/eZS.-Address ... .... . Number of Rooms .......... .......Foundation Exlerior Noobl.... �.�/ �.. . 4�f Roofing .......c,�/ /.F11-4.�? L.��../.......................................... Floors �. �� �,.. ....1.. �r..a/ .T11....� ......Interior ....`.[�.61 r .00 ` ............................................ Heating_ 02-.F.D....f..OT.�(l.�.T.E/.�. ...QrIL.....Plumbing ....��,./3t4Tf.� $...!?`-kl. Ve..................... .. �r Fireplace .....:0!U .. ........ . Approximate Cost ...,��z!1f.G1,C.C1........................................... _ Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ... .......... Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam��y(�a�ldiL.,..5�4•:`e���%���n✓k�,����....C�...�i�ic I Rockett, Dr. James No .....20487. . ,.Permit for ................................ ...1 1 2 story` single family dwelling ..................................................................... .......... Location 46 Forsyth Court .......................... ..................... .............. dw elling e th C ......... 1 n g .0�rt .......... . ....... . Cot ui..t..., .. . . ..... T . ................ .......Dr.....Jam s:... b.. .ett.............. AOwner ............................ • ... ....................... - Type of Construction ..............frame............................ ................................................................................ .Plot ............................. Lot ...........#.....44 .............. Permit Granted ..............August-.15...�-1 9 78 en -.Date,6f Inspection .......19 I rij Date Completed ................ l 9 f PERMIT REFUSED ................................................................ 19 �� �ti � ' .........................................................; ................... ......................................................... ................... ............................................................................... .......................................................................... j Approved ......... 19 . ......................I.......................................................... ................. ................................. ................. r The Dennen Residence 46 Forsythe Court C tu' M 26 5 yt � 0 1t, A 0 3 Garage Addition-Foundation Plan .' N 1. New foundation height-4'on North and west elevations, 7'6"on South(rear) Pour to match elevations of existing dwelling(garage 2. Ventilation per MA code 3. 30'5c3O x12"Lolly footing 4. 8"Walls on 16"x12"footing keyed 5. Dam roofed r MA code 6. Sill bolts 6'on center, 1 foot from comers TYP 7. Field ve 'nfy all measurements with owner before construction Charlene and Ed Dennen Phone.508-420-2934 38-0' Ib Existing foundation Area of new construction 34Lo. . v . - I va,rrao vo,arao vo,erao - _ Ic- 10'4' 10'-6' 10-6. 38'-0'. c.1 The Dennen Residence 46 Forsythe Court, Cotuit, MA 02635 Garage Replacement-Second Floor 20=11" _ Charlene and Ed Dennen —7'S Phone:508-420-2934 Td+Q-Ch TY+JdR Jd+ldh - ' Area of new construction - Garage Replacement Approx 800 sq fl unheated Walls- 2x4 16"oc Approx 600 sq ft heated Floor -2x 10 16"oc Roof- 2x 10 16"oc . .Wall Insulation - R13 N Ceiling Insulation R30 Triple Double Hung f0'-3'� 1 ry RO-T 3-V4'x 3'113/4' m ,,--6-0" 6 5 ±' Skylights 24"x46" RO 2'5-1/4"x 3'11" - 6 centeled on btple wide windows 7 T-W 4 2-6' Verify exact placement with owner 2.8. V - e k 13'-3" r o � s5 8'' ` 3'A a, 4 ti ' 2',t; 4-0 T'_1" r ,rr 9 ,:r °4 �2'1 W 6-0" ^, a_ Double Doubts Hung o- ' 0 3r'x 3 1-V4' 10 16=2' 3'A' � } a 'a 11, 12 N 13, 14 t, I Cupola-open to below o RO-To be determined $I M,i0" * t o+ 33'AOr Open to below. `s w - A x 33: i• 38 5 9• 2- 2'-6' 5:9" 5: 2'-6" 2.6" 0 6. �V M+N' M+fl M+!! 9P+T9Y1t r�+14 rlifJ' rl+Pl - - `' 3 Wide Double Hung Existing RO-T 33/4"X 4'11-Y4" 3 Wide Transom in gable above RO-7'33/4'X 2'1-f4' To match existing gable i The Dennen Residence 46 Forsythe Court Cotuit, MA 02635 Garage Replacement-Second Floor Framing Plan 20-1i" na--�-3=1-- s-r Charlene and Ed Dennen Phone:508-420-2934 a ' Area of new construction -Garage Replacement` Walls-2x4 16"oc Approx 800 sq tt unheated Floor -2x 10 16"oc Approx 600 sq ft heated Roof- 2x 10 16"oc 4 Wall Insulation -R13 Ceiling Insulation -R30 81 Cr 8's" _ m b 4 2�. a . 2! Cb 4L1"— a 2$" ,Fr zt c c 4 T 1• %!p 2-6'QD ta„ar II 1G-2. • . p Open to below k 33- 1- 5--V 2'-8• 2-6" 5-9" 5- 2-8• 2-8• 8 " A7 SdrBd Td,K zI,B$ 9$,Bdpl M,14' T•!! ld,N' Existing The Dennen Residence 46 Forsythe Court, Cotuit, MA 02635 Garage Replacement-Fisrt Floor 20'11" Charlene and Ed Dennen r4•�L3=1-- 3=1• —� 5" Phone:508-420-2934 Fax:508-420-5061 J4+JCR JO+JdA JO+Jd'p Area of new construction- Garage Replacement Approx 600 sq ft heated Walls-2x4 16"oc b Approx 800 sq ft unheated Floor - 200 16"oc " Roof- 2x 10 16"�oc -Wall Insulation -R13 Ceiling Insulation-R30 b 2 W Right Hinge Casement v RO 2'1-Y4"X 2'11-/4" 4=1 COExterior Door 4 Go / RO-To be determined 36'-0" A ' r 4=0• q j G ' ,; 6,s p 2�" ., 2-0. � �} t_,� Double Hung ip 4. I i8 !Q f . h 3 ,cJ E? ._. z RO 25314"X 4'53/4•: 6=0' °� 13 � . . ..i C 15.9 .9 Use 6dsdng Exterior Door. ` RO 2'10-1/4-X 6'9-1/2" $ 12 g 5 -� DoDO w r =- �� -0' 9, 1 40 t b 16 ' C 6 \ w 15 0 8. Jyom A r v _I 1- x - 38'0" W-9" 2'-6' 2'6" S 9" 5 9- Y 6' 2'-6' 6' 14 N TI+I1' Sl+fl Ste+� JV+Cdi1 Tl+II' TT+f-0 '}l+I 4'�- - w 1 2 b Cq 3 Wide Double Hung RO-r 33/4"X 4'11-W4- 3 Wide Transom In gable above ExistingRO-7'3-V4'x 2'1-V4" To match existing gable -- - i F7T FT FFT1 FFFI !` iCL_LL EIL 1_!Jr r r . f ` _ i .............. +---- ------- _-= ---F t�R y ELEVATtr)tti' . WE - DR�w„�NVMeFR F l 1 - r ..GpP..Lfa Witilv�W SIZE • ..To B£..DE?'ERMINbpR. 4 � 12 :PORM9 LL II 1 _ 5'141(4H.:WLFWLL st�� p uNcA-no):j r VNDER G�.4nGE � E-J K�rGNEfJ/�'luPrtC47P� . ._ NWeR ReSICINCE. -,.JD wm 540.0"1 �nseo OEsT ELEvA-nc)H . c,5c-rlotJ -j-++Rv MuoRa�M. ., . r `' s if -- .; zoo + . L— / . Poo 10 2 . �c-vow- 1� ®c.. i i S U- DLLs 77, ,�l��llllll n7mmTi * — 7' PRECAST REINFORCED CONCRETE DISTRIBUTION BOX �y F INV EL SUMP.. EL., Install on a level base 47 20' ,Minimum 'wall. thickness = 2" . DISTRIBUTION BOX Minimum inside dimension = 12" Outlet inverts shall be equal to each other and at 2" mini below.-inlet ,invert. The. distribution lines from the distribution box shall .all .hi equal inverts .as determined by flooding. the distribution bo i the .height= of the`•distribution line, invert after all lines ha been sealed in place: Invert adjustments shall be made b fillips with durable aj ,•' ; ! 6'• nondeformable material ermanentl Yfasteged to the line o y % reconstructing the lines until all invests are of equal eleva % 3 ° , 40 ., - ; %i t` _ .•'r �- r - , : Design:Da ta: Five Bedroom 5 X 11, r No .Garbage Disposal 1 ; i Use: Chamber Treni [42.. + 42' + fly': O i ; i ► 4.4 ®rv'' 42' x 12.63 = pc0 32 i i is 1. ( i 757 x. 0. 74 = 56 1 1 I i i ► ; 46 4 ; - .SOT , 48 45,164.tsq.fi~ -- 34 i ! tip' l i I '14 . 1 . ; 50 ' 77 44 ' : '� i 40 r ' 48 Existing Drive ::. 32 h. 46 f / l 1 i 50 1V! E: 42 Garage O 1 50.44' . 14, to ;, ,, fro PoS�t� ;•: oil / i r i f % NEW •��' 1r1� �•' I' ,ice / / `, ' l w � �k }y: i� '$ /i: ; �/ j 7►' it ; APnI-nOP4 o 50.45' ol ' . ol BH.. Top Foundation , 5 Fdev. 2.2 Existing Datum: NcvD.* Drilling 50.07' r r ► _ ter ,. S appProposed \` 1500 Ga1/Tank 1 Proposed Remo MeExis z�g 1. •.� Trench o -- .� Cesspool. hy:,� . 201 . ., . 0 46o . o ge . ; � � g 48 49.2` 'zp' S 50 -40 tti • .� \1 . ���� � ti �^ �- ' O�p" yeti .n9 G SIT �h LA 1� ^k 16�itJ� t IV 6E po-efzm!il4 V y ! r.'-7 i N Su 1. wew r � 3 C1, ' �A r-1 I ' '.(` fVj ..A L_ Z x 4 a ir'71KP f Ito r, ry PNPL W-USC WRAP G �:.5�'t� .�`r �!t`3 �a� � r ., `;r �' �G��i �•t�l'� 1�`i y.�,�.'�"iLl h.3 - ---- -- -- -- � .. -ram , R, � 40, I .n'Y r',��1 r^'1 "� HF ...._..� ( 4 ♦ / �� (r .^ _ .� T 1....-"L- i l� I •a �.i� \ � h..d SCALE: tV_ I`-�'i APPROVED BY: "' DRAWN BY DATE: -�- +� REVISED DRAWING NUMBER J � 1. n NN r w3 �1,.',a[�J�--� �i J �., .•.S F'c...c*r-.� /.� �ca c y Tc�" O tiJ •-,,E'" ��` �`" :,i �`�. !� Tl v � EJ2� E �TVi Top Foundation El. 52.2' ASSESSORS' DATA• MAP 55 PARCEL 61 REFERENCE• DEED.- C74097 ZONING DISTRICT RF 0 VERLAY DISTRICT GP & RPOD Fip/Grade El. 51'.36 /a• to f/z• rrashea Stone o s• Mick _ + BUILDING SETBACKS:• YA?L^®C D'Dla noivu 0'D! Finish "Grade El. 50.0'.t FRONT - 30' / SIDE & REAR - 15' - 8.5' v. El. 47.33' FEMA DATA: ZONE V DOD L�r=y 10 u" 14 �' EL PRECAST REINFORCED CONCRETE DISTRIBUTION BOX • INV EL sr�m _�- a a;a ., -/� Install on a level base . 9eto+r Flow Llae ..-. INV EL _..._ , El. 44.50 _�._ INV EL _ • 47.30 47.00 46.50 s 4 - : r/z sashed stone 12.83 n / L! u!d Leval �e .. . . 7 > s 2 r Q 4720 Mlrlimum . wall- th.zcknes . . ,: �. , _. ..� .�... Y.,:-_. _ _ �.. 47.55 - . . . . . . . . 4 4 Minimum inside dimension 12, » ( „ a• .. DISTf,'IBUTION BOX Outlet inverts shall be equal to each other and at 2 minimum 42' S' 34 44� - - e 24 below inlet in vert. 1500 GALLON SEPTIC TANK The distribution, lines from the distribution box shall all ha ve PROPOSED LEACH: TRENCH equal inverts .as determined by flooding the distribution box to Number of Trenches - i l the .heightr of the ` distribution line. invert after all lines have -- Number or chambers - 4 t' been "sealed in place: El 39.50' 1500 GALLON REINFORCED CONCRETE SEPTIC TANK j Invert adjustments shall be `made b fillin with durable and r ,1 y b°' PROPOSED LEACH TRENCH - END VIEW N.T.S. Minimum Construction Materials Per 310CHR 15.226(2� 6' nondeformable material permanently fastened: to the line or Tees shall be constructed "of Schedule 40 PVC and shall extend a l (.. ; reconstructing the lines until all inverts `are of equal elevation. Adj High Ground TYater �E'L 20' - Mapped : minimum of 6" above the flow line of the "septic tank and be on is 0 , the centerline of the septic tank .located directly under the , 40 3 clean-out manhole. 4 The Inlet pipe elevation, shall be no less than 2" nor more than 3" i ; above. the invert elevation . of the outlet pipe. ,. Septic tank shall be installed level and true to grade on a level, + i r r : ; i Design Data: stable base that has been mechanically compacted and on which p0 ( _ ' ! ;► Five Bedroom 5 X 110 gpd = 550 gpd Required Flow 6 of crushed stone has been. placed to ensure stability and 0• ! , to, prevent se t fling. � 1 No Garbage Disposal Septic. tank: shall,"ha ve a .minimum cover of 9': , � ! ; � ! ► � Use: Chamber Trench 42'L x 12.83'W x 2' Eff/Depth Tree 20"-manholes with" readily removable impermeable covers ' ; ' ' ' s r i , y 83 + 12.83J x 2.0 = 219 of durable material shall be provided with access ports i , : ( ; , ( 44 Hof j42 + 42 t 12, P P , 1 ` r 42' x 12.83 = 538 being placed•.at the center and over. the inlet .and outlet tees *DO 757 x 0. 74- = 560 GPD Total Design Flow The outlet tee shall be equipped with gas baffle. 46 ��p� . • r r r i r GENERAL CONSTRUCTION NOTES � � � T � r i I: r r r i .�o 44 11 the workmalishi and ma ter shall .conform to D.E.P Title 5 , (_ i t t -48 .._ 1. A p i _ r I i 45,164fa ft. and the Town of Barnstable rules and regulations for the subsurface q' disposal of "wage. i r: ! ► ; 2. At least one access port over tank tees shall be accessible 32 , ! (; i r ► ' . within 6 of finish grade, with any remaining access ports . brought 30 ! i ! ; i i 50 .."- 49.s0 to within 12" of- finish grade. 1; , of the sanitar system shall be ca able of ; 34 3. All componentsy ys P . , ! ; r ; ► ; ' i -._ ---' 1 i withstanding H-10 loading unless they are under" or within 10 ft50 of drives or parking. . H-20 loading shall be used under or within i , f , ti ' 1 , �-- s is equals ma be , ,� i t , .... ...... ............... '.... 10 ft of drives or parking unless noted. Plat q y used in lieu of all recast units ��3 %` i 40 48 l' Existing ' i !I % ; ! , Gravel �r q Lochs y 4. The exca va tor�ontractor shall verify the loca tion of all site / , i n and shell be responsible for �` ,,'•` ! i 1 j Drive utilities .prior to any exca va do , p ►� �, ; / r o electric easements 46 all matters relating t �0 32 % ' 50 4 5. Sewer pipes shall be 4 Schedule 40 PVC laid at 0.02 slope. , °� , ) / 6. Any masonry units used to bring covers to grade shall be ,f ' 115 3 ' ' ' mortared in place. ;' ; % :x" *t;;.µ Or 7. Finish grade shall have a minimum slope of 0.02 ft per foot. EAGLE DR Garage l POND ,l 150.44' FORSYTN COURT ' :' ,�'' eft �' � i �" i � J 1► �¢, 34 set 14EW 50.45' ILI .01 1 ' ' ' %' `• ,,- s GRAPHIC SCALE �. 01 . 20 10 20 40 so :: 83f.• Top ound F atl on Existing Eleo 322 ' Datum. NGVDf • f' ` Dwelling v` 50.07' IN FEET ) i � t/ 1 inch - W it. �40 ��' ^ ---- ! . appr Proposed 1500 G�1 Task 1 Sewage Sys te.m Repair Plan 1 18 42 ;� /: ,/ �.` / ; ,� �`•F Prepared For.• l . Proposed Remove Exis ng i 4s�• „SAS Trench o Cesspool 1 �s 4 '? .F'O.l",S t.h"2 Co Z Z_Z"t 44 - 5020' ;fie % r % 20 Sep 46 ' o 0 0 ge pro-. Nb,' In 54.8 - El. 49. 4 9 0 e • TB - 492 :2p - 5 �a �, Barnstable, Massa ch use t is 0�' 48 -•--_- 00 4t fit,' - , = May 18, 2004 1 e� Scale• 1' 20' Date: A SL 10yr 312 4S�� �N.l" g Prepared Br Test Date. May 20, 2004 1D I. 5 4 N��¢o' 42' �� , Stephen J Doyle and Associates B LS 7. ` Remove 6 �ti4 ►}'' a °� 42 CanterburyLane, E. Falmouth; MA 02536 18 Soil Evaluator.' Stephen Doyle ti Pitch Pities: Telephone: 508/540.2534 pent Y o p1S fqF f Q� o f. R e vi s i c> z�. S I © c Z-•� Perc Rate: <2 Min/Inch STEPHEN . . �a8.7' CA „C,,, e�oe � � a - ooirLE MED - TO , DES �o a � q FINE 2,5y 616 SAND 45, 8. 48."4 120 - El. 39.4' BY.. i No Water Encountered . N0. DATE DESCRIPTION IoA- 2�5�;.A SPF-ELT 'SHI f,laL'�5 'IZ' FEZrU '{tJr " PirIt� ? MIGf.O IAMB. tDCiE-e Al2P rD.g5 Gt:TEfsMll.,'�b --=_-STRvG-Tutc ,t. RIDGE 7110 Pam'.tXTEP _f`i t� lto'` o:.�. Irv-'- > t -► - PE`i ti�'f4 GrJrt-r: soe�FEr;.vENT _ j2 ` . ILw, AATIr: INSUL• !Zn PRifL,1.4LL -NE�1--s�fEla- a�>✓ 3��;-p{rcN 3--rr� rM-->�►{N,roJS:_. G-�taiTER_-,XIST I" Vs L"U4 SIDI0_.,f(.VK ._ W"c; Hikt,^LC- (5p- P-,[;AH fWc.) V. rz'' �.�thhc>p.5t+r A-rN►► r { 2x(p Vr. sILL _ __ .. . 2xI0 SPA � N -FwfI7C-� ...:r_.Ml.p �P E t-7�L, - e I P _LAL.`{S 4 aN t'�4Tt 4s, SE TIC IN T-1-� L 'I/� `I � C i �cx � Sc-CIT1C 1 _ T� f � IL`�` r9.cx-)I`'� I II - t- II APPROVED BY: SCALE: LI.= '�O_._. . DRAWN BY6W h REVISED (10TU IT CTI DRAWING NUMBER