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Home My WebLink About0071 HIGH STREET 7� �f ,, �' f 4 t i %� 'f r ;� h �. {, �. I� �. I f ,1 �' �' 9 • 4 c -h �� y r:: .,._�. o � ,. �t Project Name: Address: I1� UI T Permit#: Permit Date: MAP:___ LARGE ROLLED PLANS ARE IN: v " BOX• SLOT: Date entered in MAPS program on._____________ Y•-----------------. TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION Map 0 Parcel D 3D Bv�L Application I D Health Division X ' EP J .h S i � D T Date Issued Conservation Division APR 28 2016 Application Fe i- � /I Planning Dept. TOwN 01:�gA�NS Permit Fee Date Definitive Plan Approved by Planning Board r�g�� Historic - OKH _ Preservation/ Hyannis Project Street Address Village �--' Owner f)'l�vv►(S �rv► ��n Address Telephone l 3 88 S "7 Permit Request A c-464e-. a &rn e,"I i G'r44ep GP l nG� G7 r-4^,fi'l J /FYY' li Cl/cr MGt \ A i C-e— Square feet: 1 st floor: existing proposed 2nd floo : existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation k— Construction Type Gv�� ►�V►e�- Lot Size 7� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ,� Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: �J Yes ❑ No On Old King's Highway: ❑Yes _4 No Basement Type: ❑ Full A Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2-- new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing a new First Floor Room Count IS- Heat Type and Fuel: ,@ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ;U Yes ❑ No Fireplaces: Existing_/New Existing wood/coal stove: ❑Yes ❑ No Detached garaged 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 APPLICANT INFORMATION "(BUILDER OR HOMEOWNER) r z Name7gn��_� _ Telephone Number _08. 3t>7- 2-18 Address License# GS FA • 04SIr 3 8 Home Improvement Contractor# _2.v36'2 -- Email n Worker's Compensation # 0we-Y00762-378�Zo�S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # 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 - DATE CLOSED OUT 3 ASSOCIATION PLAN NO. �a�-�rs' ��nigIn�n-,an��a�it I�-t�3.ersf�i�ct�rsl��cfr�ciaa�sll�um�ers r MA o Zb . ,s Phone's 660 2--1 f Areyan ag Employer?aeckffij-w�:pjft-u-priafe bu= T I am ccntmctur�Mg I I_A I ai:n s eatpl+3ger Vilay'. - El Q�Tei>F tx�cfi-rr�-� es�r�slapees(Ra andlorgait-—) El Z a a sole giapar crr orparEnzr Listed on the attacfied sh>�t 7- ❑Rtmym s , 'Ih�e wb--matracfiou have sbipaodha e.no cmplapers $_ Q 7 emaIitiazt 'Ding-forme.ia-ay C-pa-city- Inyec x and haw:waskess' [ Ta�ao> �s'c4tnp_* �trranrE Cow_sncm�r �_ Q luildmgaddiiifln W6 area corporatica and ifs IQ Elezt ical repay c r addifians 3_❑ I am a Ltamr doing aII wow tsfrzrs b$ e�ised thew L L-❑pig repair or�ditims o WoJMM' rtgltt ofe empfionpt rE Q rrT Tf 1 e h$s e go 12— IZnaf repairs. mmjz=e c-1'F 15Z (4)z and . a Wr=' l3_❑Otir com?-insuianc re�reit ��y.�p�t 33�xt cher�s bar rl z�ct alw,SIl aotii�se�fron bcIat�ch�+�*�R ii�s ty`o�-est rsmn�sssiio-a pa&c3- **N P;�•,,�s u�r,>�L�3vs r.�d�Yu -„r-r=, ,� ,�•;-::h�=r t�h�a�i�c�uLartrns mmst snh�it a��am3-rit- s��TCo-m, R tlTtcheck this bar must stiachedMI&Titirn,pTsnei�tslM gtbzn= eUfBie. b sandstslauhat�erocnntfnns� esTli� . E.PW3lEeS- rfthe soli y-wore c mg.Parma M=bez tcrii a arr Iq s ihrrtisgr�rt g ft�arkars'romp-11, r;ns 4ra-ac-g for My e-MPL�Yecs Be-low is thapaRcy artd job szif, TASTTfATI(P GompanyName PoELY g or Saf-ias-u- Job Sif-- � � '.�Cl T7 J'� �4 !�'tE� `T AttZCEt a'c-°PY[if the-TMrkets'cbmptusafrrin palicy dsd-4rsfiou page-(shin,� the F°IiLTrig aber�.�ation ds�e�: Faaum to secarc cavvt--caga as r gmE,ed-under Secfsoce25A of=MGL.c- 152 can lead to fhf:mph of criminal pies of a Erne up to-�I,50G-()Q a n dfor aue yearimpuso ,as waU as cazil pesnIHes in ffie faffi of a 5TOF WOKK ORDER-and a..E of up fn x^'�Q_�a dag against fire viol inr_ Ike advised that a u)PY of ffiis stEt it nt maybe f xwar&d-to the Office of Lfires nations of fhe Mk forTn,pu,a+;ris-cb-v=age c�tiorL .1eff -0�cr1 trfp; bias irrpfbatfh�uEFrxz¢irFnprasrzd�c£dbr�c��isfruatmdcuFrsct It i# E i i us ti Ejj Do rtOf t>'ribrhi Alis ttrec4 icr ha cavVz b�c iz�firma F c7u£: C&rarTo P FTcease.# r��afhn-ri -cacic cane LToatd¢f$cast.2.RuUftl azfm t I Cit £a Clr ,4_EIeci ulbisptc-�or.S.PlmnhiT,Emptctor — Con±ar-tgM-za Yh4u s l�tassachbs general Laws c ter 15 s1 t vide w?U us'compensaiian for fhcir employe �. pmn to this stag an erpIapee is defined as --even pescTn in lire seavice of another undue any contract ofhi-e, expri:ss or nxipIiec a'dial orwiitmD-" . An m-TTgye7-is.deEned as'an and vidual,pemcrshT,association,.corporation or of er legal eut fy,or any two or mars of the thr rgomg engaged m aJomt EDb- II e,and ucd�mg the legat represenfnfives of a deceased emplpyer, or the receiver or trustee of an mdividiA partoemhm,association or other legal entity,employing employees. However the ovtner of a delT�gb��sehavingnotmore than iinze apartments"andvo resides i�erein, arthe occ meant of ie dweIlmg house of another who employs persons to dD mairtmmce,construcson or repair Mork on such dv eIling house or on fhe grounds or building appurtenant fh.ereto shaIl not because of such employment be deemed to be an employer." -MGL chapter I52, §25C(6)also state s f h -every state or lucal licerrsiitg agency shall withhold the issuance or renewal of a tcense or permit to uperate a:business or to construct bntldrngs�n the common,vealth for arty apFTicantwTxo has not produced acceptable evidence of conrpl4aace with ore insurance-eoveuaga regnired.y Additionally, MGL chapter Js2,§25C(7)states`WDithea-fhe commonwealth nor a of its political subdivisions shall enter into any contract for the perfoiance of public woikimfil acceptable e-aidemce of complianc e with the ia�ce rt.-t e—uts of finis chapter.bave been pits mfrd to the contracting anihmity.' Please fill oot file workers'compensation affidavit mmpletEly,by checking the boxes That apply to y cir siivztion and if ' necessary,supply sorb contractor(s)name(s), addresses)andphone ntmbe_r(s)along with their cer��ncaic-(s) of hasu,-ar,ce. Lin:t Liability Companie t s(LLC)or Lim Liability Parine?sbIDs(LT1')R Do employees other han the members or partners,are notrequirad to carry workers' compensation insu raace_ If an LLC or LLP does have employees;a policy is requu� Be advised that this a idavit:may be submitted to,the Department of Indus trial Accidents for confizmation Of iasu ance Coverage: Also be sure to sign and date the affidavit. T1se afEi I't should be zir�ed to the city or town that the application for the permit or license is being requested,not the Depart ent of Iudus'�ial'Accidents. Should you have any questons reo to law or;f you are required to Dhoti a porkers' compensation policy,please can e Department at the mmabu listed below.Self-marred companies should enter their e umber on the appropriate Lee. ce livens n self-m.etrr�n City or TOwfr Officials Please be sm-D 6-at the affidavit is complete and priated legibly,MD Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office ofIuYesi ons has to contact you regarding tb e applicant Please be sure fu fiIl m the permitllirense number which will be used as a reference number; In adds doa an applicant that most submit multiple pcmjbgimnse applii�ons is any given year;need only submit one affidavit inaicaIIng cur2nt to'all locations in city.or 'c information ifnecess :and under°'Job Site Addtiss"the applicant should wiz ( PPolicy ( �Y) Y town).-A"co'y of the affidavit Yhat has been officially stamped or marked by flit city or town may be provided Lo the ) F applicant as proof that a valid affidavit is on file for fr tm—er permits or licensees A new affidavit must be Wiled o ut each. year_Where.a home owner or citizen is obtaining a license or:permit not related.to any business or"commercial Venture (Le. a dog license or perm tD bunmleaves efr:_)said person is NOT rt-- i to complete ibis affidalnt The Office of Eavf--�Ons would ac to famk you m advance foryourr cooperation and should you bane anyque�st7ons please do nothesifate to give ns a call Th e Deparhnenf s adt3ress,inlephom and fax n=ber CD=91aWWa of Massachns of Rasta:oMA G21II - F�X 4 617-727-' 44 KeN i&Da 4- 4-JT WWW-m VCHa. ATYC Guide to Woad Construction irr ff4g-lr'rod Areas:I1D mph T rrd Zone Mas ac usett§ Checklist for Com lance(780 MTR.5301-2.1.1) _ Ch=lc Comgliancc 1.1 SCOPE. 11D mph WindSpeed{3-sec.gust)-••------.............................._ .-...------•-- ---•---................. - P Wind Exposure:CategWy . - B Wind Exposure Cate.gory.............::.Engineering Required For Entire Project ..._...... ..._..._..._........ ......0 12 APPLICABJUTY -Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories s 2 stories Roofi P�h"_:_�.:._- = �.:... _ _- - -._.... --...:_(Fig 2) ------ --..-•- -......... 51212 Mean Roof Height ............ :.................. • = -(Fig 2)------ ------- ------. •-`------- ft 5'33' Building Width.w- ...' - ----_.(Fig 3)------ -------- ...............--=---- —fE _<eD' Building LengH1,'L _- _:._. - :--- (F►9 3)-----------•---. •- -.-: .----- ----__ .� Building Aspect Ratio(LAW) -• --- _ ... ....... .:::-:..(Fig 4)------ ---_--- ----. _ _.. s 3:1 Nominal Height of Tallest Opening :__(Fig 4)-------------------- - 1-3:.FRAMING CONNECTIONS General compliance with framing connections -._ (Talale 2)----------_ _ ......... __._ ._- , 2.1 FOUNDATION Foundation Walls meeting.requirem ants of 78D CMR 5404.1 Concrete...........................................................•......... .__.....__. --_.........:... -'---- ......... GDncrete Masonry -- - -_ - _ - - 7- -- --- . 22 ANCHORAGE TO`FOt1NDATIONta 5/8`Anchor Bolts=imbedded or.5/8'Proprietary Mechanics[Anchors as an.alternative in concrete only BoltSpacing-genetal' .:_:_:_ :.(fable4)----------------••- - --- ---- -_ in <_6 -12. Bolt Spacing from endrpint of.plate. =--...(Fg 5) - Bolt Embedment=concrete................---------- - --•(Fg 5)------ --- --- -=---- in.y 7` Bolt Embedment-mason Fi 5 --------..------------_ in__t 15" _: _- ._.. -:..--•---- •--- -- ----•_:.•.(Fig 5) - _ - -- -- >_3`x 3'x'/�` Plate Washer 3.1 FLOORS . Floor-framing member spans checked -----• _--. - :._(per 760 CMR Chapter 55) ........ MadmLi fi Floor Opening Dirr 5hSion--__ _-.--- _(Fig 6)------ Full Height Wall Studs at Floor Openings less than 2'from ExtejDF Wall(Fig a),................................... Maximum Fiaor Joist Setbacks Suppoi-ting Laadbearing Walls or Sliearwal! ----- •-(Fig 7) ...:___ ...:.__ :--._ .--- ---- ft <d Maximum,Cantilevered HDDrJoists 5u r(ing Lbadbearin Wails,or5hearwa[I :_-_-. Fi 8 ............. .......-- _ft sd ppo g ( 9 ) - •FloorBracing at Endwalls •.(F9 9) - ---- ------- Floor Sheathing Type --•-- Jpef780 CMR Chapter 55) ...--•- - - Floor Sheathing Thickness _(per 730 CMR Chapter 55). ,.: . -------- in_ Floor SheathingFastenin .:: able 2 _. d nails at in edge/_in field 9- - (T _ ) 4.1 WALLS Wall Height Loadbearing walls..._ - - .......... '_(Fig 10 and Table`5) -- _ft �1 D' Nc n-Loadbearing walls ..--_ ..:-.. . ---:-------•(Fig 10 and Table 5).------:-- -... ft.'s 2D'' Wall Stud.Spach _-(Fig 10 and Table 5) �n <24`o.c Wa[I 5tary Offsets __ _ -;.._.. - - __(Figs 7&8)- ------- •- --- -.------ -----ft `d:. 42 QCTFRI OR WALLS'. .:. Wood Studs: Laadbe,aring walls:_ --.....' .. ...... - (1 alale . _-_5) -2x fit rn: Non-LaadbeaFing wa[is:_:- ..._: ... - --:(Table 5)..__. ?x ft m;:. Gable End Wall BFacing Full Height Endwall Studs...'-. .`. ..._ - -_:-(Fig 10) ......................... WSP-Attic HoQr Length,--•-------•-:-......---- -- -- --(Fig 11)- --- -- Gypsurn Cer-fing Length(if WSP not used). ._ ....(Fig 11) tt z 0_9\N - and 2 x4 Continuous Lateral Brace @ 6 ft o.c_ , (Fig 11)......:....... .... -.---_. __.__. or 1 z 3 calling fumng strips @ 1 T spacing min-wit 2 x.4 blocking @ 4 ft-spacing:in end joist or truss bays Double Tap'Plafe Splice Length - -- -_ :_ -._-: : �_-(Fig:13 and Table 6) _ ft _ Splice Connection(no.of 15d common nails ....((able 6).-.:_. ----- -_— - ff F�C�Guide to fPoarf Carrstr uc tiorr in Higfr F3f1nc� reap:I10 fnph TViiid Zane Massachusetts Checklist for Compliance (790 CNIR5301.2.1-1 Loadbearing Wall Connections Lateral(no.of 16d common ME)....... .............----------(Tables 7)-------------- ------------------• s Non-Loadbearing Wall Connections Lateral(no_of 16d common nails) - - --(Table 8) •-•-- --•- -- Lnad.Bearing Wall Openings(record largest opening but check all openings fir cwirpfiance to Table 9) Header Spares --•--- -_---------------------------•(Table 9)------=--• •------•__ft_in.5 I Siff Plate Spans - .......----------- ---• - __ (Table 9)--------- Full HeightSfirds (no. ofstads)-----•--•----------•---------------(Table 9).....................-............... - -- Non-Load Bearing Wall Openings.(record largest opening but check all openings for compliance to Table 9) Header'Spans- -._....----------------••..........(Table 9)---••--------- ------------------- ft' in 5121 Sill Plate Spans..'------ ----._•-.�..-••---••-•--------------=-•----.(Table 9) - - -- _f1 in 512" Full Height Studs (nD.of studs) -----------------(Table.9)----•-----------------•------ -------•--• ------- Exterior Waft Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Bulaing'Dimension,W _ Nominal Height of Tallest Opening .........................................................- ------- •----- Sheathing:Type-•----------•--•---- ---.-- •-•-_.-...(note.4)-----•••-• =- ----------------------•-----:-- Edge Nail Spacing--------- ------ ----•-(Table 10 or note 4 if less)------ _ Feld.Nail Spacing--_----- - (Table 10)------------------------------- ------------ in. Shear CDnneCt)on (no.of 16d Common nails)(Table 10)_______- - Percent Full-Height Sheathing.......................(Table 10)-------- •-- --• 5%Additional Sheathing for Wall with Opening>.6'8."(Design Concepts)-------------------- Ma)imum Building Dimension,L Nominal Height of Tallest OpeningZ............................................................................... - Sheathing Type•-•-- -- - ---------------__•---•----. note 4 :__---•--•------ •------ -------•------------- Edge Nail Spacing __-- able 11 or note 4 if less ---------------____._:_ P g (T ) Field Nafl Spacing._-•--• -----•----•--•---••------:-•(Table 11)-------- - -------------- in. Shear Connection(no:'of 16d common nails)(fable 11)........................------ .............. Percent Fu&Hei ht Sheathin able 11 S%Additional Sheathing for Wall with'.Opening>6'8"(Design Concepts)______ __________. - Waif Cladding Rated fbr.Wind Speed?------•-............................... ---------------- ---------------------- - -........ ... - - _ 5_1 ROOFS Roof flaming member-spans checked?-------___.____-_-____(For Raff ers use AWC Span Tool,see BBRS Website) Roof Overhang ---------------------- ---- ------(Figure 19) ------------- ff 5 smaller of 2'or[13 Truss or Rafter Connections atLoadbearing Walls Proprietary Connectors - Uplift----------- --•- -•----- •---------.(Table 12)-----------------------------------------------U- Plf Lateral.............................. -(Table 12)- -` ---------------••----L= off Shear-------=------- ------ --------(Table 12) -------- ---•-------------- Ridge Strap Connections, if collar ties not used per page 21--- (Table 13)............................... T plf Gable Rake Outlooker_-__ ......--- _-_--. -_-__--__--(Figure 20)------------- ft-5 smaller of2'.orCl2 ' Truss or Rafter Connections at Non4_oadbearing Walls Proprietary Connectors Uplift------- --................. _--- _.(Table l4)------------------------------ --U= lb. [aterl(no_of 16d common nails) (T ) _(Table 14 - - ..............__L= lb_ Roof Sheathing Type ----- •--•----------------------------(par7BD CMR Chapters 5a and 59) • - Roof Sheathing Thickness. - - --•----•---- =--•-----• -- -- -- - - -__in.?7(16'WSP Roof Sheathing Fastening----------:•------ ---•---- _---------.(Table 2)--------------- --- ------------------- Note--: -1. This checklist shall be met in its entirety,excluding the spec exception noted in 2, to comply with the requirements of 78D CMR5301.2-1.1 item 1. If the checklist is metin its entirety then the fnflowing metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 2b Gage Straps per Figure 11. c_ Uplift Straps per Figure 14 d_ All Straps per Figure 17: e- Comer.Siud Hold Downs per Figure 1Ba and Figur-e 18b 2. E c:ep6ori:Dpening heights,ofup to 8 fL shag be permitted when B%is added to the'peruzflt full-height sheathing require- ents shown in Tables 10 and i 1. 3_ The bottom sift plate in exterior walls shall be aminimum 2 in_nominal thickness pressure ti-eated#2-grade, ` fi f�`C Grcirle to �f`oarl Corrt-tr-action zrr I�i�fi 13�i1zcl.4reas: II D rrzplr f�zrcl Zorze Massa' usetts Checicl stYfar C`ompfiancecit�o-Ci4iR53.OT?.I:I)r 4. a_ From Tables 10 and 11 and location of wall sheathing and Bulling Aspect Rafio,determine Percent Full-Haight Sheathing and Mail Spacing requirements b. Wood Structural Panels shall.be minimum thickness of 7115 and be installed as follows; 1. Panels shall be Installed with strength axis parallel to studs. I All horizontal joints shall occur over and be nailed to framing. iri_ Dn single stDry construction,panels shall be attached to bottom plates and top member of the double top plate. iv. Cn two story construction,upper panels shall be attached to the top member of the upper.double top plate and to band joist at bottom of panel_Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing, v. Horvontal nail spacing at double top plates, band joists,and girders shall-be a double row of Bd staggered 3t 3 inches on center per figures below.Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a)'new house or horizontal addition—required,if projed•is 1 mile or closerto shore(generally,south of Rte.28 or north of Rte.6) i not required un{ess there is extensive iznovafion'to the.first floor b)vertical add�on— c)replacement wiridows-needs energy conservation mmpliance only(chap 93) 6.Wood Frame Gonstruc:tion Manual(WFCM).for'l 10 MPH,Exposure B maybe obtained from the American Wood Councif. (AWC)websiie: WrIa4 THE S)GE REM S off ll u . .-. a -.'I I ' 1• . .. 1 r (1 . i i.� 1 •� t t. 1=pAi+,{[({G y�(� � •I I 1 to u' l L IDE,ELdI � 1 t t t ' . ',I W k - .fL LL' u� 1 1 1 It 71 +1 77 ----- - L�o11E�f E 1 STAG �� NAiS�kekaG I TtAILF'ATI�N PMEL . t h Fr71 HIE WUHLEllAtLH�G-ESPACar-DE{AI_ See Datefl on Naxf Page Vertical and HorvmrrtalHaiiing Detail 1 VerPigf.atxi Nolizonfial Nailing far Partal Attachment for Panel Attachment r ® DATE(MMIUDNYYY) ACCOR® CERTIFICATE OF LIABILITY INSURANCE 11/19/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorse!. 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 endorsements. PRODUCER ON OA ME:ACT Nathalia Andrade GERMANI INSURANCE AGENCY PHONE 508 42a-9194 IC Nc- WR'68: gia.nathaliaQgmaii.com 908 MAIN ST. INSURERS AFFORDING COVERAGE NAICd OSTERVILLE MA 02655 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURER B: PETER D FIELD INSURERC: PETER D FIELD BUILDING& RESTORATION INSURER D: P 0 BOX 16 INSURER E: COTU(T MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: 13493 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DL POLICY NUMBER RMDNYSUBR POLICY FF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE ENTE15 CLAIMSADE OCCUR PREMISES TOR-M o $ MED EXP(Any oneperson) $ N/A PERSONAL&ADV INJURY $ GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JERK LOC PRODUCTS-COMP/OP AGG $ POLICY❑ OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTO NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS -(Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ i EXCESS LIAR HCLAIMS-MADE NIA AGGREGATE $ DED RETENTION �/ $ WORKERSCOMPENSATION X TAT ER AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 100,000 A OFFICERIMEMBEREXCLUDED? WA NIA WA AWC40070237842015A 05/16/2015 05/16/2016(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 NIA DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attache!If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuantto Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired;those employees-outside-of-Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwdlworkers-compensationfinvestigatons/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Peter D Field Building & Restoration ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 16 AUTHORIZED REPRESENTATIVE �.i Cotuit `—MA 02635 Daniel M.Crovuj'ey,CPCU,Vice President—Residual Market—VVCRlBMA 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSFA-M638 "SL'1"SiSY .' PETER 0 FIELD PO BOX 16 COTUIT MA 02636 x .R.A CA, Expiration: commissioner Q7/16120 t7 - Office of Consumer Affairs and B iness Regulation - - 10`N Plaza - Suite 5170 Boston, Massachusetts 021.16 Home Improvement Contractor Registration Registration: 120362 Type: DBA Expiration: 11130/2017 Tr# 272887 PETER FIELD BUILDING & RESTORATION PETER FIELD P. 0. BOX 16 COTUIT, MA 02635 Update Address and return card.Mark reason for change. (� Address Renewal F1 Employment ❑ Lost Card SCA 1 20M•05111 f Fo„��tav's `��i siife s Rlegaat�un License or registration valid for individul use only Office of onsamer - - NtIOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ; Itegistratfon: 120362 Type: Office of Consumer Affairs and Business Regulation � Expiration: 11.13©I2017 DBA 10 Park Plaza-Suite 5170 Boston,MA 02,116 PET IELD BUILDINGA-,RESTORATION PETER FIELD 857 MAIN ST. : : :,,. _:�•.r; COTUIT,MA 02635 Undersecretary Not valid without signature Town of Barnstable Rewdatory Services = 8icbard P.Scab,Dfior= - '� Bv9diag DWon TomPem suadwg commissioner 200 MamSftw4$pie.MA 02601 w�vtoee�obarnstable macs . Office: 508462-4038 =" u*~ �BaC 509-790-6230 Propeity Owner Must P-%mm�2 .�^rer� CYO Se-ction r if Using Builder as Omer of the;ub' Ject property herabyauthoz re ,l"�'f�!'-h - —• to act on mybcbA in all matters relative to work authozized bythis bu&6g..p5 application for: , (Address of job) :01*'Poolfends and alarms are the responsibilityof the app' Rca.ot Pools are not to be fx•tled or t .ed before fence is installed and all final ' impections are peafomed and accepted. S4k4g of C}wnar Sigaatrue of gli PnarName . Punt Name Dam . TOWN OF BAZRNSTABLE BUILDING PERMti4APPLICATION 3 Parcel � ,ApplicationMap # Health Division 4 Date Issued 3 l(e Conservation Division ?Q� Applicatio Planning Dept. x Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Addressl� Village �a'►-,�t- Owner J�'!v✓►uS-A-f�A�n�.�_/tt�M/�r� Address Telephone l 7 Permit Requ !i k_ !c' o�tife� vw-*v dor e WI►�/ Ir �/ �i�i!`iGCP� �Lr/Y�[Y S7�Lf�� N'lCiI��127� �s �lt/i�N �N�J-rezh�SCSC Square et. 1 st floor: existing proposed 2nd floor: existing8l-M proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valu /. j � Construction TypeWb�c� Lot Size • 7S 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 d Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) . NAI 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:A Gas ❑ Oil ❑ Electric ❑ Other Central Air:4 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _ -� �:�,�� Telephone Number 520 367 2 O54 Address �� License # Home Improvement Contractor# Email G Worker's Compensation #1414e�-fotCQ2"2- ;76 f Z0/S p¢ ALL CO STRUCTI N DEBRIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL z PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . r The ConunoTrrvealtl:of—Massaclrusetts Deprrrfinerrt of lndustrial Accidents '�- Office oflm�estigations 600 Washington Street Boston,JVA 02111 � H ww,.mau;goV1dia Warkers' Compensation Insurance_ Affidavit:BuilderslCtintractorAlectricians/Plumbers Applicant Inform iou Please print Legibly Name(BusmesvDrganizadonadividnai): Address: City/State/Zip; AM 3 5 Phone: OM -R(17. �!g Are you an employer?Check the appropriate bo=: Type of project(regnire�c 1 I am a employer with ?� 4- El am a general contractor and I f employees(full andfor part-time). * have Hired.the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor orpartner listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition wodzing for me in any capacity_ employees and have workers' JNo workm' comp.insurance comp.sasuranc�e l 9- El Building addition. required-] 5.�❑ We are a corporation and its 10-❑Electrical repairs or additions 3.❑ I.am a homeowner doing all work officers have-exercised their ILEJ Plumbing repairs or additions myself- [No workers'tamp- right of exemption per It4GL 12-❑R.00frepairs gain insurance reed.]E c. 152,§1(4),andwe have no r employees.[No workers' 13_❑Other comp.insurance required.1 `Anyapplicant:thatcheclrsboxglrtm also fill out the section below showingtheirworkers'compevsatiaapolicyinformation I3 omeoarners who submit this affidat,ft indicating they are doing all wcd and then Dire outside contactors nmst submit a new amdavit indicatia�such. '-Contractors chat checY this b=must attached an additional sheet showing the name of the sub-contractors and state whether or not those®ritieshave employees.If the sub-contractors have employees,theymustprmrhde their workers'romp.policy number. I am art errtpinyer thatis prwRding n�orkers'conrperrsatiort irrsruance for my errrplo}ees Below is the policy and job site. information / Insurance Company Nam: d�/V?Gi ' ' (✓1��t�� s Policy,4 or Self-ins.Lic.:9._ Expiration ate: 1!4, 2,W Job Site Address: �� I-f?G��1 City/stawzl p:<� ti il— A4 Attach a copy of the workers'compensation policy declaration page(sheaving 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 S 1,500,00 and.ror one-year imprisonment,as well as ci al penalties.in theform of a STOP WORE`ORDER and a fne 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 DIAL for insurance coverage verification: I do Hereby certifi,n 'r itty that the information pm i&d abw'e is t ru-e and correct' Signature: Date- /� A Phone 4: Official use only. Dan asrite in this area,to be completed by city ortoorn o Jdat,. City or Tott'n: PermitUcense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: , 3 Information and lastruefioaas Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Ptirsuan�this st3tute,an err playee is defined as."_.every person in the service of another under any contract of hire, express or implied,oral or written_" An,errrplayer is defined as"an individual,partnership,associatron,Corp°ration or other Legal entity,or any two or more of the foregoing engaged is a joint enimrprise,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 ap arbneats and who resides therein,or the occupant of the . dwelling house of another who employs peon to do maintenance,construction or repair work on such dwcIng house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer" 25 also states that"eve sfat�or local licensing agency shaII withhold the issuance or MGL chapter 152,§ C(6) "every usiness or to construct buildings in the commonwealth for any renewal of a license or permit to operate a b g applicant who has not produced acceptable evidence of compliance tvitli the insurance.coverage required -- Additionally, states"Neither the commonwealth nor airy ofits political subdivisions shall AdditionaII MGL chapter 152, § C(7) _ _ Y, P enter into any contract for the performance ofpublic wozic until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting aufhoity." �-PPIicauts - Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Lmmited.Liability-Partnerships(LLP)with no employees other than the members or piers,are not rbquiied to cagy workers' compensation insurance. Iran LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submiti�d to the Depa1-(ment of Industrial Accidents for confirmation of inSlaance coverage. Also be sure to sign and date.the affidavit. The affidavit should be retrrmed to-ae city or town that the application for the permit or license is being requested,not the Department of IndT,strial A ccidim . Should you have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-fi suran ce license number on the appropriate line. City or Town Officials f _ Please be sure that the affidavit is complete and printed legibly. The Departraentbas provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the penmdV]icense number which will be used as a reference number. In addition,an applicant that must submit multrple permitlIrcense applicationsY 1�' Y in an en ear,need only submit one affidavit indicating current policy information(if necessary)and under"lob Site A caress"the applicant should write"all locations is (CitY or town)_"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (it. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hke to than you m advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Depm-tmmfs address,telephone and fax number. Tht CG=GnWea1tjj of Massachus-f--t#3 . . Ilepa-cfinent of 1ndiak AccidcDts Office of I.vestinfio= ��ashiz�EQn Stet Boston,MA 02111 Tf,-1.4 617-'27-49QO 4,06 car 1-977 M&SSAF Fax 9 f 17-` 27-7749 Revised 4-24-07 asgo�fd?a r t Town of Barnstable Regulatory Services _ Rid d V.Seals,Dh=fnr �'��,� Bnildiao�g Division 'romPeM,Buflding Commissioner 200 Maim Sftmet Hymzis6.MA 02601 to�uliarnstablema.as ' Offi0e: 508-862 038 Aar 56&790-6230 Propeity OwnerMu�st Complete and Szgn:This Section if T:Jsing ABuilder " as Owner of the.4ubject property hezzlipairthorize ;r2 r- ," ---- to act on mirbebA is all man== tive to work authoimed'bpt his bmUng pem3k application for: , '7.r (Address of Job) . 4Po6ifences and alarms are the M- p'onsibflitrof the applicmt,Pools are not to be filled or ui .d before fence is installed and all fsnal ' =pecd ns are pedormed and accepttrd. jt 5...:' of Q-7*7=r Sigaatuie of . Peat Name N=Name Dames Q�cl�rs:owz�z�sssortPaozs - . Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSFA-065638 Construction Super-visor 1 2 Farni!y PETER D FIELD t PO Box 16 COTUIT MA 02635 - �„are CA, Expiration: ' Commissioner 07/1612017 G® Office of Consumer Affairs and B iness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 120362 Type: DBA Expiration: 11/30/2017 Try# 272887 PETER FIELD BUILDING & RESTORATf N. PETER FIELD P. 0. BOX 16 COTUIT, MA 02635 t Update Address and return card.Mark reason for change: Address Renewal Employment Lost Card SCA 1 0 20M•05/11 :n. .,��rr�rl/3 � Office of Consumer r�t�a�rs�i�us►�ess egu•�t�on License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. U found return to: (.rOffice of Consumer Affairs and Business Regulation egistration: _:"120362 Type: H, Expiration 1.1/30I2017 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 PEELD BUILD"ESTORATION PETER FIELD 857 MAIN ST. COTUIT,MA 02635 Undersecretary Not valid without signature A�® CERTIFICATE OF LIABILITY INSURANCE °A„J,s�2o,sYY' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: Nathalia Andrade GERMANI INSURANCE AGENCY Pli/OCNE 508 428-9194 FAIR N,: a o 6s: gia.nathatia@gmaii.com 908 MAIN ST. INSURERS AFFORDING COVERAGE NAIC9 OSTERVILLE MA 02655 INSURER A: AIM MUTUAL INS CO 33758 INSURED INSURER B., PETER D FIELD INSURERC: PETER D FIELD BUILDING& RESTORATION INSURER D! P 0 BOX 16 INSURER E: COTUIT MA 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: 13493 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IPTR TYPE OF INSURANCE °LSUBRP POLICY NUMBER M/DD/YYYY POLICY E YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE O RENTED PREMISES Me occurrence) $ MED EXP Any oneperson) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO-CT LOC PRODUCTS-COMP/OP AGG $JEF OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $HIRED AUTOS NON-OWNED P e08 accident) $ AUrOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION �/ $ WORKERS COMPENSATION X PER ER AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNEWEXECUTIVE Y N E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED7 N/A N/A WA AWC40070237842015A 05/16/2015 05/16/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 2003 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwdtworkers-compensatonAnvestgatons/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Peter D Field Building & Restoration ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 16 AUTHORIZED REPRESENTATIVE Cotuit MA 02635 Daniel M.Cr o y,CPCU,Vice President—Residual Market—WCRIBMA 0 1 988-201 4 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD --------------- L t ; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 35_ Parcel 030 Application # 0 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning BoardS1/3113 Historic - OKH Preservation / Hyannis `:J Project Street Address `� �_�'16,[--' <5-R - Village Cv-rk i r- Ownerl?['UyvlA5 -I-J?&M Cam-. 1-�'i�M L-0J Address an Telephone _17 39- - S/ 7 7 Nyelig 1Jt 0 J M A; O l d 8 Permit Request AY1W;f4A_11ePVM AVo1n,2A bVr,--16.Aa:= ��ff• .fl�S/�,�1 SDur77c�nlS -4�✓� �-toD� Z�f%L,ay� �H Square feet: 1 st floor: existingl?�proposed 2nd floor: existing�7�7 proposed Total new :"Zoning District Flood Plain Groundwater Overlay Project Valuation FO ono Construction Type ►^��D icaZ,�nv► Lot Size + 75-Gcar ;�, Grandfathered: ❑Yes ❑ No If yes, att supportbg docpmentation. SR Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) a� Age of Existing Structure Historic House: �4 Yes ❑ No On Old Xi ;g's Highway: QYes ❑ No Basement Type: ❑ Full 4crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area q.ft) Number of Baths: Full: existing 7i• new Half: existing Q nev;% Number of Bedrooms: 3�7existing _new Total Room Count (not including bathe): existing new First Floor Room Count Heat Type and Fuel: )d Gas ❑ Oil ❑ Electric ❑ Other Central Air: WYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garagp.-Neexisting ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number . _'P9) ' 3 - 218t� Address License # �6 0 iT' AM O2_63.5 Home Improvement Contractor# /W� Worker's Compensation # 7b��78 /ZQO ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l y.h FOR OFFICIAL USE ONLY 4 APPLICATION# DATE ISSUED *MAP/PARCEL NO. ADDRESS VILLAGE i OWNER DATE OF INSPECTION: "FOUNDATION & 4u qh3 a FRAME P 119113 . } INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL e PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING T i DATE CLOSED OUT ASSOCIATION PLAN NO. p The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations i 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �-� Address: yJ�D �Jx /� ea-171,t t T 1I>4- City/State/Zip:.. C!�1 i i AA- 0?, 3.�Phone#: 0 367- Z/B A=Ioyer wiloyer?Check the appropriate box: Type of project(required): 1. th 4. I am a general contractor and IA. 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' 9. 0 Building addition [No workers'comp. insurance comp. insurance.$ required.] 5. 0 We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box fl-must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A?AZR�CY .Policy#.or Self-ins.Lic.#:,'We__ 70Z3- 7 0�n I ZO IO Expiration Date: 5�16h Job Site Address: -7 l t h A* SEt City/State/Zip: 60TU t p— kO 0L6 372�;- 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 I do hereby.certify u he nd penal ' of perjury that the information provided above is true and correct Si afore: Date: (OTi 6Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and .Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. . Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee.of an individual,partnership,association or other legal entity,employingemployees. However the owner of a dwellinghouse having not more than three apartments and who resides therein,or the occupant of the g P P . dwelling house of another who employs persons to do maintenance, construction or repair work on.such dwelling house or on the grounds or.building appurtenant thereto shall not because of such employment be deemed to be'an employer." MGL chapter.152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation''and,if. necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no-employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial , Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town.that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured.companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly: The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city.or ' town)."A copy of the-affidavit that has.been officially stamped or marked by the city or town may be provided to the . applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a-license or permit not related to any business or commercial venture (i.e. a dog license or permit to•burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions;' please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 TeL #617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass_gov%dia 7 ® � DATE(MM/DD/YYYY) a �`� CERTIFICATE OF LIABILITY INSURANCE 1oi02i2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les)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: German) Insurance Agency PHONE _ FAX 908 Main Street E-MAIL aC No: ADDRESS: INSURE S AFFORDING COVERAGE NAIC e Osterville, MA 02655 INSURERA: SAFETYINS, GO 0 INSURED INSURER B: 0 Peter D Field INSURER C: 0 Po Box 16 INSURER D: 0 COtuit, MA 02635 INSURER E: � _'- _ INSURER F: 0 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY 00001803 EACH OCCURRENCE $ l'Uuu,uuu x COMMERCIAL GENERAL LIABILITY 1 2 13 DAMAGE TO ENTED PREMISES(ERa occurrence $ CLAIMS-IMADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY jECT PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION 17f WC STATU- OTH- AND EMPLOYERS'LIABILITYLIM ANY PROPRIETORIPARTNER/EXECUTIVE 7023784012010 12 13 E.L.EACH ACCIDENT $ a OFFICERIMEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If100,000 yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable BuildingDepartment THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 14- p ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights_reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD �s S a,-'` ffi%.~�, '4,;:Ei7 Y7lSN"�i�L°aiP✓'��'':r '�.✓�./°s�✓��"` ��^ S. t'(`0 iir �'` ,k f � �,*� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 120362 Type: DBA Expiration: 11/30/2013 Tr# 217622 PETER FIELD BUILDING & RESTORATION PETER FIELD P. O. BOX 16 -- COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address10 ❑ Renewal ❑ Employment [:-j Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only F:;. ;;,HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 120362 Type: Office of Consumer Affairs and Business Regulation Expiration. .11/30/2013 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 PETER FIELD BL l DING&:RESTORATION PETER FIELD 857 MAIN ST. COTUIT,MA 02635 Undersecretary Not valid with t signat b"udAic "aft'S` Board of Ruiidinj> Retz ilaPniml'a and --- Construction Supervisor License One-and Two-Family Dwellings CS 65638 PETER D FIELD PO BOX 16 COTUIT, MA 02635 ;xpuatiow 7/1552013 1300 oFTME Tg,,� Town of Barnstable Regulatory Services • s�tnxsrwsrs, arnss. Thomas F.Geiler,Director 'ArE16. ,`� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I,7, 2V6'L 14A:MA"A , as Owner of the subject property hereby authorize_T�'Y��2� D . I CL..I� to act on ray behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of App cant Print Name Print Name D Date Q:FORMS:OWNERPERMISSIONPOOLS 62012 Town of Barnstable ��T�TOwti Regulatory Services sAaxsrnsr.E, Thomas F.Geiler,Director MASS. 1639• ,�� Building Division TFO MA'1 a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended 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 toitlae 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 responsrbilities,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. .A WC Guide to Woad Construction in.High Wind Areas 110 mph Wind.Zone Massachusetts Checklist for--Compliance(7so CMR:5301.2.1.1.), Q Check 1.1 SCOPE Compliance Wind Speed(3=see;gust)... :. ::..:. ....... 110 m h P Wind Exposure Category.. .... . • : ...... . . ....... ---.._......... . B 1.2 APPLICABILITY Number of Stories ..... ......(Fig 2).... ..:_.... :.... stories s 2 stones_ ti/ Roof Pitch (Fig 2) ... 12:12 V Mean Roof Height (Fig 2)..., ............. ..:�ft s 3T Building Width,W................... g ) ..... ft s 80' Building Length,.L ...... (Fig 3) ... ......:............... ft s 80' Building Aspect Ratio(LW) ...,-(Fig 4).... .......................... ...... ...:. .2� <3.1 Nominal Height of Tallest Openin z '�c' 9 (Fig 4).... . ........ . .... ..... . ....... ... s 6'8" 1.1.FRAMING CONNECTIONS General compliance.with framing connections .... :.. (Table 2) ....-..: . ... 21 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete,........................ .... ...... ........ .......:...:....,:... Concrete Masonry ............ ......... ............. L_ 2.2 ANCHORAGE TO FOUNDATION13 5/8"Anchor Botts imbedded or 5/8 Proprietary Mechanical Anchors as an aftemative in concrete only Bolt Spacing—general -- ......(Table 4) in. Soft S aci .from end/'omtof ate :..,..;.. :.....:...... in. s:6"—.1.2" P n9 1 PI (Fig 5).... Soft Embedment-concrete.... ........: . ...... ........:(Fig 5).:.. ...::.;::.....:.:.... . . .,.....:......: in.>7" Bolt Embedment masonry (Fig 5) :.: in.a 15" Plate Washer ....::.. :.......: ...:....(Fig 5).... :....... >_3"x:3°x%" 3.1 <FLOORS Floor framing member spans checked (per 780 CMR Chapter 55) :....... Maximum Floor Opening Dimension... (Fig 6) .. ft<12 or tJ2 or W/2 Full Height Wall Studs at Floor.Openings less than 2 from Exterior Wall(Fig,6) Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall-.::: ... (Fig 7)__ :.... ...�ft s d Maximum Cantilevered Floor Joists " Supporting Loadbearing Walls or Shearwall;...: .. ......(Fig 8).... :.:................... :......... ft <d Floor Bracing at-Endwalls Floor Sheathing Type (per 780 CMR Chapter55 Floor Sheathin Thickness ) 9. .. ..(per 780 CM Chapter 55) �in. Floor Sheathing:Fastening. (Table 2).:n.d nails at in edge/ 1_fin field _ 4.1 WALLS Wall Height Loadbearing wa[Is ..:,. (Fig 1.0 and Table 5) Non-Loadbeanng walls ...(Fig 10 and Table 5)...........................i ty ft :526' Wall Stud Spacing ....:: (Fig 10 and Table 5)......:............ 140 in.<24"o.a Wall Story Offsets ......... . ......(Figs 7&8):...--..... ..........a ft d 42 EXTERIOR WALLS Wood Studs. Loacfbearing walls (Table 5). 2x - ft in Non-Loadbeanng walls ..... ......(Table 5); ..........2x_- 12 ft in., Gable End Wall Bracing' Full Height.Endwalf Studs .................... (Fig 10)::. .............. ... WSP Attic Floor Length (Fig 11)... t-t-ft>W/3 Gypsum Ceiling Length(if WSP not used) ...::: (Fig 11).,• C. (Fig 11).:. ..........._ z O.gW 2 x4 Continuo"lateral Brace @ 6 ft.O. ....... . . ` Double Top Plate Splice Length. : ......... {Fig 13 and Table 6) .ft SPlice Connection cno.of 16d common nails)._.. .......(Table 6 A WC Guide to Wood Construction in Hi it Wind Areas: 11 D mph Wind Zone Massachusetts Checklist for Compliance(780 cMR 15301:2:1 a}' Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails) ....... ..(Table 7). . Nan-Loadbearing Wall Connections Lateral(no.of endnailed 16d common.nails) . : ....,;:(Table 8): Load Bearing Wait Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ............... .. ...........9).............. ... .......:... 3 ft 0 in. s 11' � Sill Plate Spans (Table 9). ft 0 in..:9 11, . Full Height Studs (no.of studs) .....................:.........:(Table 9)....... ......2 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance.to Table 9) Header Spans...:.. :.:.. ....... .......(Table 9) ...................... :.. ft o in: <12' Sill Plate Spans:......... (Table 9) 3 ft ® in.<_12" Full Height Studs(no.of studs) ........ :.. .......(Table 9) .... :.... .. ...:.. :...,-... Exterior Wall Sheathing to Resist uplift and Shear Simultaneously° Minimum Building Dimension,W. i #� Nominal Height of Tallest Opening2. ........ ................... :..:................ `$ 68" Sheathing Type....:.... .......... ........... (note 4).:........................:. ta7 X , Edge.Nail Spacing.:...., ....... (Table 10 or note 4 if less).:... : ... :........... _in. _ Field Nail Spacing:,:;. :.. .......(Table toy- ....... in. Shear Connection(no.of 16d common nails)(Table 10) .... Percent Full-Height Sheathing ...:::(Table 10) .... °lo - 5%.Additional Sheathing for Wall with Opening>6'8"(DesignConcepts)......... ... .. Maximum Building Dimension,L Nominal Height of Tallest Openiing2.:... ........ ...........ip=Os 6'8" Sheathing Type.,...:.:. ...............(note 4):- ..... Edge Nail Spacng: .. (Table 11 or note 4 if less).... .................... 3 in. 44 Field Nail$pacing.:,._. (Table 11) Ir in. Shear Connection(no of 16d.common nails)(Table t t) 2— :.. Percent Full-Height Sheathing .....(Table 11)............ 5%Additional.Sheathrng for Wall with Opening>68 (Design Concepts)......... Wall Cladding. Rated for Wind Speed?,.._.....:; ...............:... ....................::............ 5:!'ROOFS Roof framing"member spans.c hedked?, . (For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ..:... (Figure 19).............: '5 ft<_smaller of 2'or L/3 Truss or Rafter Connections'at Loadbeanng Walls . _ Proprietary Connectors. Uplift (Table 12) ..................:_... .....:..: U#70 if Lateral................. :.(Table 12) 1 p _ . L If Shear (Table 12} S= 7za.plf Ridge Strap-Connections if collar ties not us"per page 21;....(Table 13) .........T plf Gable Rake 0utlooker ...(Figure 20) ..--:.. ..:.. fts;smaller of Z or W Truss or Rafter Connections<at Non-Loadbearing Walls Proprietary Connectors Uplift (Table 14) U=At Ilb. Lateral(no of 16d common nails) (Table 14j ...;.... L- b. Roof Sheathing Type;, (per 780 CMR Chapters 58 ang 59) Roof Sheathing Thickness :. in.>7/16 WSP Roof Sheathing Fastening_...::. (Table2):� ....... _. ...... .. ' Notes:- & arC�l�� •+�2(,'7 1• This checklist most be.met`in its entirety exduding the specific exception noted in 2,to comply wTith the requirements of 780 CHAR 5301.2.1.1 Item 1.,lf the checklist is met in ds entirety then the following metal straps and hold downs are not required per the WFCM i 10 mph Guide: .,- a. .Steel Straps per Figure 5 b. 20 Gage Straps per Figure.11 c. Up1ift.Straps per Figure 14 d::. All Straps per Figure.17 e ..Comer Stud Hold Downs per Figure 186 2. Exception.Opening heights of up to 8 ft.shall*Permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness.pressure treated#2-grade. A WC Guide to Wood Construction in High Wind Arens:1 10 milli Wind Zone Massachusetts'Checklist for Compliance(7soCMRs3o>.z.t.i)' a. From Table tA,and location of watt sheathing and:;Burlding Aspect_Ratio,detemtine Percent Full-HeVIt V _- Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: is Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur be,nailed to framing, iii. On single story construction,panels`shall be.attached.to bottom plates and top member of the double top plate. iv. On two-story construction,upper panels,shalt be attached totthe top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made.to lowest plate at first:floor.framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches.on center per the.Figure, Vertical and Horizontal Nailing for Panel Attachment y . AWC Guide to Wood Construction in High Find Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance(7so C MR 5301.2.1.1) `VA"THIS EDGE FtESM ON FFtAM M OWBd MAID A�6b.iG. , ti n at t /t o ri ri'1 1 d ii �t:CD ie _� :.; Ed.1.4 � li t1' ii IL i- j /t tt a 41 p '. It it - a 1, tit - . H' ,t W u. tl T1 i PANEL -• V��i See Detail on Next Page Veifice and Horizontal Nailing far Panel Attachment ri AWC Guide to Wood Construction in High Wind Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance(780 CAR 53a].z.i.3)' t , + ! FRMAItNGMRS { ! c ESE eT£ ly ,> , 1 ST: OGENED AWlt FRTiERAL PANEL PANMEDGE DOUBLE ihWlL 966E$PAt3riG DEiA1 . 4etall Vertical-and Horizontal Nailing for Panel Attachment } Vk. L I . REScheck Software Version 4.4.4 Compliance Certificate Project-Title:Hamlin Residence -.--- Energy Code: 2009 IECC Location: Cotuit,Massachusetts Construction Type: Single Family Project Type: Addition Conditioned Floor Area: 0 ft2 Heating Degree Days: 6137 Climate Zone: 5. Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 71 High Street Tom and Pam Hamlin Peter Field Cotuit,MA 02635 71 High Street Peter Field Building Company Cotuit,MA 02635 Cotuit,MA 02635 Compliance: 11.3%.Better Than Code Maximum UA: 133 Your UA: 118 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Cavity Cont. Glazing Assembly Area or R-Value R-Value or Door UA Perimeter U-Factor Ceiling 1:Cathedral Ceiling 432 38.0 0.0 12 S Ceiling 2:Flat Ceiling or Scissor Truss - 140 38.0 0.0 4 Wall 1:Wood Frame,16"o.c. 578 19.0 0.0 21 Window 1:Wood Frame:Double Pane with Low-E 114 0.250 29 SHGC:0.00 Door 1:Glass 110 0.250 28 SHGC:0.00 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 518 19.0 0.0 24 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Hamlin Residence Report date: 02/28/13 Data filename: C:\Users\ADS-Laptop\Documents\REScheck\Hamlin.rck Pagel of 7 1 REScheck Software Version 4.4.4 Inspection Checklist Requirements: 0.0% were addressed directly in the REScheck software Text in the"Comments/Assumptions"column is provided by the user in the REScheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented,or that an exception is being claimed.Where compliance is itemized in a separate table,a reference to that table is provided. NU 11 S n � �s�,� ',��„�„�. �„.,e: Plans Venfied ��,�� t=ield�\lerifie � `, „� � � ��ff�' ��; '_ �� • �2009�IECC� Pre-Inspectton/i>Ian,Rea�evu 4 �-� � �z p �� ;� �� ,Com Ifes? �Commerit�As bons 103.2 1 Construction drawings and r a` ❑Complies PR1 I ;documentation demonstrate energy [ ] � "❑Does Not Comply: ' code compliance for the building E]Not Observable 3 envelope. ❑Not Applicable 103.2, lConstruction drawings and *Y❑Complies 403.7 i documentation demonstrate energyE � �❑Does Not Comply [PR3)1 code compliance for lighting and ❑Not Observable I mechanical systems.Systems serving ❑Not Applicable multiple dwelling units must demonstrate compliance with the '$ commercial code. ; Heating and cooling equipment is Heating: Heating: ❑Complies R2)2' sized per ACCA Manual S based on Btu/hr Btu/hr ❑Does Not Comply; ' other l J ACCA M d loas per Manual or oer f Cooling: Cooling: ❑Not Observable , approved methods. Btu/hr Btu/hr ❑Not Applicable y � Additional Comments/Assumptions: 1 High Impact(Tier 1) i2 Medium Impact(Tier 2) w 3s Low Impact(Tier 3) Project Title: Hamlin Residence Report date: 02/28/13 Data filename: C:\Users\ADS-Laptop\Documents\REScheck\Hamlin.rck Page 2 of 7 F"y'k _ -.' '5`x't^7a' iSe �tl,:,a mks•c�a3^;"• T,,.....w3 '.s�'. rr,� ' `ay.�"}'",.«yr.+�: w2001EG " EAundation Inspection s •Complies? � � Comments/Assumptions� 3b321 ;A protective covering is installed to ❑Complies FU1>1]2 protect exposed exterior insulation ❑Does Not Comply and extends a minimum of 6 in.below ` ❑Not Observable ` grade. ❑Not Applicable dfl � Snow-and ice-melting system ❑Complies (FO12jz ;, controls installed. ❑Does Not Comply; -- ";— ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: f 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Hamlin Residence Report date: 02/28/13 Data filename: C:\Users\ADS-Laptop\Documents\REScheck\Hamlin.rck Page 3 of 7 .� 2009.IECC ansV fiedFletd`UerYatue!_120; a 3 402.1.1, 1 Glazing U-factor(area-weighted U- U- ❑Complies ;See the Envelope Assemblies table for 402.3.1, average). ❑Does Not Comply;values. 402.3.3, 402.5 '❑Not Observable [FR2]' ; ❑Not Applicable 3 t 303.1.3 U-factors of fenestration products are � ❑Complies ---. _ ---- - - [FR4]' i determined in accordance with the � ,,, ,,�,: � ❑Doees Not Comply! NFRC test procedure or taken from ❑Not Observable the default table. =❑Not Applicable 402.3.5 Sunrooms enclosing conditioned U- U- ❑Complies ; [FR8]' ;space have a maximum fenestration ❑Does Not Comply U-factor of 0.50 in Climate Zones 4-8. -]Not Observable New glazing separating the sunroom from conditioned space must meet ❑NofApplicable j code requirements. 402.3.5 1 Sunrooms enclosing conditioned U- U ❑Complies [FR9]1 I space have a maximum skylight U- ElDoes Not Comply j factor of 0.75 in Climate Zones 4-8. ❑Not Observable ' ❑Not Applicable 402.4.4 ;Fenestration that is not site built is [ws- =❑Complies [FR20]' listed and labeled as meeting ❑Does Not Comply i AAMANVDMA/CSA 101/I.S.2/A440 orN� y �' ❑Not Observable has infiltration rates per NFRC 400 _ � , ❑Not Applicable i that do not exceed code limits. 4fl24:5 IC-rated recessed lighting fixtures x ❑Com lies � r u FR1'6]z sealed at housing/interior finish and " " ,>❑Does Not Comply labeled to indicate 2.0 cfm leakage at ' ❑ 75 Pa. t Not Observable ; ar ❑Not Applicable 403.2.1 ;Supply ducts in attics are insulated to R- R- .❑complies [FR12]' R-8.All other ducts in unconditioned R- R- ;❑Does Not Comply: spaces or outside the building ❑Not Observable ; envelope are insulated to R-6. ❑Not Applicable ; 403.2.2 ;All joints and seams of air ducts,air ❑Complies [FR13]' handlers,filter boxes,and building v._ ` ❑Does Not Comply; cavities used as return ducts are � � ❑Not Observable . sealed. ❑Not Applicable lam Building cavities are not used for sr ❑Complies supply ducts. � _❑Does Not Comply' # ❑Not Observable ❑Not Applicable 4033 HVAC piping conveying fluids above R- R- ❑Complies [FR17]z 105 OF or chilled fluids below 55 OF ❑Does Not Comply ;are insulated to R-3. '❑Not Observable ❑Not Applicable 403 4 Circulating service hot water pipes are R- R- ❑Complies - [1= insulated to R-2. ❑Does Not Comply r ❑Not Observable ❑Not Applicable 'Automatic or gravity dampers are ❑Complies ]FR1'9j2 installed on all outdoor air intakes and �� t, ❑Does Not Comply; exhausts. a " c ❑Not Observable []Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 9 Medium Impact(Tier 2) 3 F Low Impact(Tier 3) Project Title: Hamlin Residence Report date: 02/28/13 Data filename: C:\Users\ADS-Laptop\Documents\REScheck\Hamlin.rck Page 4 of 7 t✓ 20091ECC Insulation tns action2 1Mans Verr#ieci §Field Verified. � ommentsiAs�sutn Lions -,'_ 3031 All installed insulation is labeled or the ❑Complies ; {IN13j? 7 installed R-values provided. ❑Does Not Comply: ❑Not Observable Ail ❑Not Applicable 1 402.1.1, 'Floor insulation R-value. R R- ❑Complies- ;See the Envefo2s Assemblies table for 402.2.5, Wood ❑ Wood ;❑Does Not Comply:values. 402.2.6� --- [IN1]' ❑ Steel ❑ Steel ❑Not Observable ❑Not Applicable 303.2, ;Floor insulation installed per , a <,a ❑Complies 402.2.6 1 manufacturer's instructions,and in ❑Does Not Comply [IN2]' ?substantial contact with the underside 3 -` ❑Not Observable 1 of the subfloor. ` ❑Not Applicable ,x.., 402.1.1, Wall insulation R-value.If this is a R- R- i❑Complies ;See the Envelope Assemblies table for 402.2.4, mass wall with at least%2 of the wall ❑ Wood Wood Does Not Comply:values. 402.2.5 ;insulation on the wall exterior,the ❑ Mass ❑ Mass ❑Not Observable [IN3]' ;exterior insulation requirement Not A livable applies. ❑ Steel . ❑ Steel R ❑ PP ? .: 303.2 Mall insulation is installed per �� : ❑Complies ; [IN4]1 manufacturer's instructions. ❑Does Not Comply ❑Not Observable ❑Not Applicable 402.2.11 I Sunroom wall insulation has a R- R- ❑Complies [IN8]' minimum R-value of R-13.New walls i❑Does Not Comply separating the sunroom from conditioned space must meet code ❑Not Observable i requirements. '[]Not Applicable 303.2 ;Sunroom wall insulation installed per ' ' ❑Complies [IN9]1 manufacturer's Instructions. ❑ oes Comply: D Not C I 1 , []Not Observable ❑Not Applicable 402.2.11 ;Sunroom ceiling minimum insulation R- R- ❑Complies [IN10]1 R-value of R-19 in Climate Zones 1-4, ❑Does Not Comply: and R-24 in Climate Zones 5-8. ❑Not Observable ' ❑Not Applicable 303.2 ;Sunroom ceilinginsulation is installed' � ,� � v, ,�,❑Complies [IN11]' i per manufacturer's instructions. �� , ❑Does Not Comply ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Hamlin Residence Report date: 02/28/13 Data filename: C:\Users\ADS-Laptop\Documents\REScheck\Hamlin.rck Page 5 of 7 T, 20t19;IECCFinal ins ton Provsigns s en ed e d 11eri ed= y y ; pact Gomp)les Co me Ass�umtfnrss 402.1.1, Ceiling insulation R-value.Where>R- R- R- ❑Complies ;See the Envelope Assemblies table for 402.2.1, 30 is required,R-30 can be used if ❑ Wood ❑ Wood ❑Does Not Comply;values. 402.2.2 insulation is not compressed at eaves. Ej Steel ❑ Steel ❑Not Observable [FI1]' R-30 may be used for 500 ft'or 20% ❑Not Applicable (whichever is less)where sufficient space is not available. - ---- 303.1.1.1-I Ceiling insulation installed per i "' ❑Com lies --- 303.2 manufacturer's instructions.Blown _❑Does Not Comply [FI2]' insulation marked every 300 f:2. .g ❑Not Observable ' 1 ❑Not Applicable ; 402.2.3 ;Attic access hatch and door insulation R- R- . ❑Complies [FI3]' R-value of the adjacent assembly. ❑Does Not Comply ❑Not Observable ❑Not Applicable 3 402.4.2, Building envelope tightness verified ACH 50= ACH 50= ❑Complies 402.4.2.1 by blower door test result of<7 ACH ❑Does Not Comply [FI17]' at 50 Pa.This requirement may ❑Not Observable instead be met via visual inspection, ; ❑Not Applicable I in which case verification may need to occur during Insulation Inspection. 402W Wood-burning fireplaces have q {� Y r .;y v <-❑Complies [F18]2 , gasketed doors and outdoors ❑Does Not Comply a combustion air. `[-]Not Observable. ❑Not Applicable 403.2.2 Post construction duct tightness test cfm cfm ❑Complies [F[4]' result of 8 cfm to outdoors,or 12 cfm ❑Does Not Comply across systems.Or,rough-in test ❑Not Observable ' result of 6 cfm across systems or 4 ❑Not Applicable cfm without air handler.Rough-in test verification may need to occur during Framing Inspection. 4031� Programmable thermostats installed �� ❑Complies F 3 on forced air furnaces. ❑Does Not Comply ❑Not Observable n s ❑Not Applicable r 4031 2 Heat pump thermostat installed on plies❑Com ; { 1�0]Zj `$heat pumps. ❑Does Not Comply 3 ❑Not Observable ❑Not Applicable , Circulating service hot water systems ❑Complies ; have automatic or accessible manual � � [F1113j� ❑Does Not Comply � .= rcontrols. z `b ❑Not Observable .� ❑Not Applicable 403a9,1 "tReadily accessible switch on heaters M n ❑Complies JFl12]3 for swimming pools. ❑Does Not Comply ❑Not Observable " nr ❑Not Applicable 403 9 2' Timer switches on pool heaters and ❑Complies ; ax [Ft19)344 pumps are present. ❑Does Not Comply ❑Not Observable F3 ❑Not Applicable 403 9 3 i Heated swimming pools have a cover. ❑Complies ]F,120]3i Covers on pools heated over 90 OF ❑Does Not Comply! are insulated to R-12. „ ;❑Not Observable 1 a -]Not Applicable 404.1 50%of lamps in permanent fixtures � y � ��4 ❑Com lies p� [FI6]' are high efficacy lamps. m ❑Does Not Comply ❑Not Observable ❑Not Applicable 1 High Impact(Tier 1) ri Medium Impact(Tier 2) 14 Low Impact(Tier 3) Project Title: Hamlin Residence Report date: 02/28/13 Data filename: C:\Users\ADS-Laptop\Documents\REScheck\Hamlin.rck Page 6 of 7 3"d� p :.: �` �s i `" fit` E �` '.»1 � �u,' •• � � 2009 IECC n FrnaI ns coon Provisfons PYtans�/er fie Field ,enfed; A � f k Yatue: Value Go plies? o n AssumV"y- �� 4,013 �Compliance certificate posted. ❑Complies ❑Does Not Comply: ��' _ F ❑Not Observable I: ❑Not Applicable 3033 Manufacturer manuals for mechanical z '"' ❑Complies jF[18]3 and water heating equipment have ❑Does Not Comply been provided.--"`— �: ❑Not Observable 1 "4 �,, ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Hamlin Residence Report date: 02/28/13 Data filename: C:\Users\ADS-Laptop\Documents\REScheck\Hamlin.rck Page 7 of 7 r Wall 19.00 Floor 19.00 Ceiling/Roof 38.00 Ductwork(unconditioned spaces): Window 0.25 Door 0.25 Heating System: Cooling System: Water Heater• Name: Date. Comments: -7373 3 ' essor's Office(1st floor) Map T� ,� Lot Permit# rr Conservation Office(4th floor) ��(s 9 ,, Date Issued -S'' 3 Q — 9� r' �l Board of Health(3rd floor)(8:30-9:30/1:00-2:00) Engineering Dept. (3rd floor) House i7 X�Jl S'EPTtC ��MUST�� AL - .. ��BE Planning Dept.(1st floor/School Admin. Bldg.) / �,2� °S PLIANCE Definitive Plan roved by Planning Board 19 COD A ® raw- TOWN OF BARNSTABLE Building.Permit Application Project St et A ress (Sil/ Villages/ UI 7--� 1-14 Owner Address Telephone QD Permit Request Z6— � , U L / Q Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) e/�V square feet Estimated Project Cost $ , Zoning District Flood Plain —c Water Protection , Lot Size Grandfathered? Zoning Board of Appeals Authorization Recorde Current Use - ProposedU Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure 4- Basement Type: Finished ��. Historic House Unfinished y Old King's Highway Number of Baths Q No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel 9)9S Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information i� �/ f Telephone Number_C�03 / EI-X / `Address MY (�14///�`�/ License# 0�C / � y� Home Improvement Contractor# o Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,� j r SIGNATURE 0_ DATE BUILDING PERMI ENIED) THE FOLIfOWING REASON(S) 4 - r' FOR OFFICIAL USE ONLY PERMIT NO. #37799 DATE ISSUED 5/30/95 „ MAP/PARCEL NO.-- 035.020 ► r 't - ADDRESS 71 High Street, Cotuit, MA a VILLAGE OWNED Denise-E. Holbrook DATE OF INSPECTION: FOUNDATION + FRAME ! ; INSULATION ? _ tw i FIREPLACE ELECTRICAL: ROUGH FINAL i 'm PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL 1 f FINAL BUILDING , A r DATE CLOSED OUT ASSOCIATION PLAN.NO. 1 TOWN OF BARNSTABLE BUILDING,PERMIT APPLICAT,ION_ Map rcel ...'Applicatiob #0?61)9 06; Health bivision, Date Issu66 - Conservation Division App licati66 Fee Planning Dept. Perrnt Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street Addr ss ILA Village I) Owner F Address Telephone Permit Request 14d P�l 1 Lwad &;,Aa aox- UV Square feet: 1 st floor: existing —proposed ;2nd floor: exi sting proposed Total new Zqning District, Flood Plain GrounclWat&.,Overlay 4 P ject Valuation Construction Type Lot Size Grandfathered: Ll Yes Ll No If yes, attach supporting documentation.", Dwelling Type: Single Family Two Family Ll Multi-Family(# units) Age of Existing Structure Historic House: U Yes LJ No On Old King's Highway: LJ Yes L3 No Basement Type: Ll Full Crawl L3 Walkout U Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing �7 4/ new Half: existing new ?7 Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Was U Oil L3 Electric L1 Other Central Air: LJ Yes Ll No Fireplaces: Existing New Existing wood/coal stove: LJ Yes Q No Q.etached garage: Ll existing LJ new size Pool: Ll existing LJ new size Barn: U existing LLnew size Attached garage: LJ existing LJ new size Shed: U existing U new size Other: Zoning Board of Appeals Authorization U Appeal # Recorded LJ ui< C� > Commercial L)Yes CD4 XNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name S4wk/l ho ne Number Address7 License # 70 - 0 aU-?,-5Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO W�711" --0? SIGNATURE DATE - 0 r' 2 F 4 FOR OFFICIAL USE ONLY s _ APPLICATION# DATE ISSUED MAP/PARCEL NO. R N ADDRESS VILLAGE OWNER G DATE OF INSPECTION: FOUNDATION ' FRAMEFiQI]d 3 a� INSULATION FIREPLACE a ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. x i The Commonwealth of Massachusetts Department of Industrial Accidents - F Office of Investigations 600 Washington Street Boston, MA 02111 •� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information lease Pri t Legibly Name(Business/Organization/Individual): LA Address: P6 gff x p� City/State/Zip: Phone.#: O Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I 6. E]New construction employees(full and/or part-titn.e).* have hired the sub-contractors ..2.Q I am'a sole proprietor or partner-' listed on the attached sheet. T. 0 Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp.-insurance comp. insurance.# .,required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions 3, Irequ qu a homeowner doing all work officers have exercised.their 11.0 Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] "Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy infomiation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage,as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fie tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of theiDIA for insurance coverage verification. I do hereby ce fy nder the pains a d alties of perjury that the information provided above is true and correct. Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for-the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-con6actor(s)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4.900 ext 406 or 1-877-MASSAFE Fax# 617-72777749 Revised 11-22-06 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR bNE- AND TWO-FAMILY DETACHED SIDENTIAL'CONSTRUCTION (780 CMR 61.00) Applicant Name: �' Site Address: '-71 &, P„r Town: A— ) 6� A A Applicant Phone: Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE e followin two'o tions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS l�rA�c>MUM 'MINIMUM Ceiling or Slab Option 1: Basement Fenestration exposed Wall Floor Perimeter U-factor floors R R-Value Value R-Value wall R Value AFUE HSPF SEER R-Value and Depth National Appliance-Energy 3 5 R-3 8 R-19 R=19 R-10 R-10, Conscrvatioit Act(NAECA)of 4 ft. 1987 as amended,minimums or cater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ _Option 2: 4 REScheck Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck—Web which can be accessed at http•//www.enrrg_ cy Ddes.goy/rescheck/ ADDZT)(01VS.OR•ALTERATZOlVS.TO EXISTING$ ,DINGS.OVER5 YEARS OLD* *)Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %o of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_a) SF 100 x - = % of glazing (b) Glazing area equals SF b a If glazing is<40%.uge the chart below. If glazing is > 40 % rgcee.'d to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter Fenestration Wall Floor Basement Wall R-Value U-factor Exposed floors R-Value R-value R-Value R-Value and Depth .39 R-37 a R-13 . R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access openings). ' SUNROOM-An addition or alteration to an existing building/dwelling unit where the total ❑ glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form found in Appendix 120T Town of Barnstable o Regulatory Services s1►xrtsTnate Thomas F.Geiler,Director . MASS. 9�A 0.19. a Building Division rfD MA'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 10B LOCATION: number street village (� "HOMEOWNER": _5_— L 7a Ai lie ^h'o7me p one# �L �w/ork phone# /CURRENT MAILING ADDRESS: �O �O V7 V / // 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 minim inspection procedures and requirements and that he/she will comply with said procedures and requi nts. &AZA4 Signature of Homeowner Approval of Building Official j Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC �1HE Town of Barnstable Regulatory Services SA MASS.LE. ` Thomas F. Geiler,Director MASS. sbgq. 10� OtE16.39t� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 1 / d r , 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: ( dress of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption-Form on the reverse side. Q:FORMS:O WNERFERMIS S ION �_ � � tom' � � -' !�_ ' i G�� e� �:�.►._ ► � _�._ �_-�-��s= 9��d!�-� `fir l J_ TLL1 f I-- t_ { � 1 ► _ � I f I _ I �i 1II Jj- U • i I �- i I-. i T� � I � f� r . } I I ► 1I f ,. I i � f ! � 1 ► if y , t r Assessor's offioe .(1st floor): Assessor's map and lot number - . 3d :`.k. . ...... .SNO THE ` ` ' L GR� Gi ��Board of Health Ord floor): � Sewage...Perrnjt, ,number ..��. . ... ................ . Engineeririg',;'ep'axtmgnt (3rd floor): q� House riUrnber APPLICATIONS O&ESSED 8:30-9:30 A.M. and 1:00 2:00 P.M. only ` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........(./1....0 ........................ .......................................................... TYPE OF CONSTRUCTION / >�� G ........................................19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information. 'Location ............./..........,�1�/ah/.......tS .....................mod /.�...... ........ �1�5j�J .�/ • . Proposed Use .... �1J.� ��1/� ZoningDistrict ........................................................................Fire District ....�...,..........�........................................................... Name of Owner If, �!' "' .....Address ... 1! .......................................................... .-�................. ........ ./......L..�. �D Name of Builder ~� .. / i..&!..'...............Address ....�,5� 6: ...................................................................... Name of Architect .....�'^! ..................... Address ................................... � � � Numberof Rooms .�......�..........................................Foundation .............................................................................. Exterior ..V.� ./. ...... ....... ,/w .....................Roofing .. 1.�t ......... ................. Floors ......................................................................................Interior ...................................................................:. Heating ..................................................................................Plumbing ....................... Fireplace ..................................................'................................Approximate Cost�„_,r--...! ?-eW. ..... .. Definitive Plan Approved by Planning Board ________________________________19-------- . Ar . ..... a—A Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... . ...j.... . �� ............................. Construction Supervisor's License .4r�l..l... /.............. SNOW, ROGER -1 . No Permit for ...�emodel .............................. .Single Family 11 Location';....... ......................... Cotu*t . ........... ....... ........... .................................... ......... Owner 1......Snow ..................................... Type of Construction ..........Frame...................... .... .... ............................................................................... Plot .... ...................... Lot ............ ................... Permit Gr6n,ed .......June...1.5...............19 87 Date of-Inspection ....................................19 Date C&npleted .......... ...................19 D to Cl sed: ,F ,� ASP 1 ..•:: EE'„ aE y fEE ,ni fE y' 7 12 96a 1 035 030 ' yy L' _ r 71 ^f W e . HIGH STREET TTM ] OTUIT n ANONYMOUS CONCERNED NEIGHBOR s tEs S E, ..� p�S E a€� �i� �.. �•� ,Ea ..: �.:': � nut 'E�. ,nr..� :.!€' �u!R EP NEW STRUCTURE SEEMS MUCH LARGER €€ ,•E THAN THE OLD BARN THAT WASEElE� . , a REMOVED. OUT OF CHARACTER& '^' F SCALE FOR THE RESIDENTIAL AREA. i! SAYS MANY NEIGHBORS ARE UPSET AND `a' ,x 'CONCERNED.E L J�k b, s. a- " es i,E€ A MARTIN INSPECTED. ORDINANCE DOES '°��_ NOT LIMIT SIZE.OF ACCESSORY r STRUCTURES. STRUCTURE MEETS Q 'E ZONING&BLDG CODE REQUIREMENTS. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3.5� Parcel 3 O Application# Health Division '1 Conservation Division Permit# Tax Collector Date Issued ApprOvAl Of teat only, `�_& Treasurer No fo® BIIthOfIzOd�d eervlce Application Fee � o Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village &4u ,-� Owner Address Telephone 129— 7 Permit Request o x 3 o" —F /- 1 I 0A 1' 1 _l uc 0 , s S J Square feet: 1 st floor:existing proposed floor:existing proposed Total new Zoning District IQd Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size . 9 9-q(-r-e— Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 rs +— Historic House: ❑Yes No On Old King's Highway: ❑Yes ANo Basement Type: ❑Full (Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) a Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing 3 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 garaget existing ❑new size Pool:❑existing ❑new size Barn:❑existing O new size Attached garage:0 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 ,L(,jttC{dCd SIGNATURE DATE 2 } FOR OFFICIAL USE ONLY F PERMIT NO. r 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 DATE CLOSED OUT ASSOCIATION PLAN NO. _ The Commonwealth ofMassachusetts Department oflndustriat Accidents Office of Investigations 600 Washington Street Boston, MA 02111 - www.massgov/dia, Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information Please Print Legiibly Name Q3usft=s/0rganizationa&vidu4. Address: O City/State/Zip: • L Phone 7?-• d — l 7 Are you as employer? Check the-appropriate box: Type of project(required): i.❑ I am a employer with 4. I am a general contractor and I 6. E3 New construction employees (full and/or part time;)*, have hued the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet:t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workbag for me in any capacity. workers' comp.insurance. 9. Building addition [No workers' Comp.insurance' S. ❑ We are a corporation snd its 10.❑ Electrical repass or additions required.] officers have exercised their 3. I am a homeowner do g all work right of exetuption per MGL ME] Phimbing repairs or additions elf.(No workers' comp. c. 152,§1(4),and we have no 12.[] Roof rep tasutance required.]t . employees.(No workers' f 13.V Other o?Ox camp.insurance required.] *Amy applicant that checks box#1 must slsa fill out the section below e'howing 1heir workers'compensation policyinfoaaetian •. d c fP' t Hmmownen wbo submitthis affidavit indicating they are doing all work endihenhire outside couhuctars must submit anew&Mdevit iadicating'mcb. Iccub actvis that check this box must attached an additional sheet shouting the name of the sub-ecat idws and their workers'c=W.policy 1mforn adon. ram an employer that is providing workers'compensation insurance for.my employees. Below is the policy and job site informadion. Insm'ance CompaayName: Policy#or Sei".Lic. : ' Job Site Address: City/state/Zip'! Attach a copy of the workers' compensation p.oiicy declaration page(showing the policy number and W.1ratiom date). Failure to se=o-coverage as required undei Section 25A of MGL c. 152 can lead to the imposition of al penalties of a fine up to$1,500,.00 and/or one-year imprisonment,as well as civil-penalties ba the.form o�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 pa an enald of a 'ury that the information provided above is true and correct Si tut Date: Phone#' 7� M— / v c a:asi . De •E ih the fim,to be congded.by ct, or, City or Town: Permit/License# Issuingg Aldhority(drcle one): 1.Board of health 2.Building Department. 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector l 6. Other Contact Person: Phone#: Information and Instructions c- 'i Massachusetts General Laws chapter 152 requires all employen to provide workers' compensationfortteir empidyees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,.6w or written." An employer is defined as."an individual,partnership,association, corporation&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-nn such dwzlling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed tobe an employer." MGL chapter 152,-§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate it business or to construct buildings in.the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coNerage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of com:91iance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by cheddng the boxes that apply to your situation and,if -contra s names address es and hone number(a)along with their certificate(s)of sub ,address(es) P necess supply sub-contractor(s) () nY DPP insurance. Liuuted Livability Companies(LLC)or Limited Liability PartaerAips(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial. Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or-town that the application for the permit or license is being•requested,'not the Depariment of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured coiupames ftuldd eubcr their _self insurance license number on•ihe appropriate liac. City or Town Officials . ace at the bottom. the affidavit is mete and printed legibly; The Departmenthas provided a space , that e _ Please be sure �p p� of t�afiida&for you to fill aut in the event the Office.of Investigatim has to contact you regarding the applicant Please be sure to IM in time perm ieense number wYleb wMbe used as a reference number. In addition,an applicant ' 1e ermitAicense locations in an given year,need only submit one affidavit indicating current that must submit multtp p applications y olicy information(if necessary)and under"Job Site Address .the applicant should write all locations in_,_,(city or P , " or town may be provided to the edb the m town). A copy,of the affidavit that has been officinally stamped or mark y city Y Pr. applicaatas proof that•a valid affidavit is on file for fature permits or licenses. Anew affidavit mustbe filled out each year.Where a home owner or citizen is obtaining a license or permit notrelated to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address;.telephone and fa$number: The Commonwealth of assetks Department of Industrial Accidents office d kveftafiM 600 Washington Street Boston,MA 02111 Tel, #617-727-4900 ext 406 or 1 077 MASSAF'E ' Fax#617-72?-7749 Revised 5-26-05 w-wvxaass.aov/dia i Town of Barnstable ti Regulatory Services an XAS&t r, ` Thomas F.Geiler,Director atria Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder I, ke ` -Lk,as Owner of the subject ro e P P riy hereby authorize CL .to act on my behalf in all matters relative to work authorized by this building permit application for: S CUL (Address ob) Sig tune of Owner Date AT 1—�ec ke- Print Name Q:FORMS:OWNMERMISSION QeCrfitrte f f if faRet'q '9;taHre 6'Eke REGISTERED ISSUED BY: Date treated or APPLICATION AZTEC TENTS manufadured -- f CONCERN NO. 490 A[ASKA AVENUE °��. CAE COA46 F d19.0J TORRANC€,CA 90503 Q � (310}328-5060 REt •r This is to certify that the materials described below hereof have been flame retardant treated(or are inher- ently nonflammable). ' FOR PARTY CAPE COD ADDRESS 660 MACAlRTHUR BLVD, CITY POCASSET STATE MA, 02559 Certification is hereby made that: (check "a"or"b") R ❑ (a) The articles described below this certificate have been treated with a flame retardant chemical approved s and registered by the State Fire Marshal and that the application of said chemical was done in confor- mance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of chemical used........................... ....Chem.Reg.No......................... Meathodof application....................................................................._..................... a (b) The articles described below hereof are made from a flame-resistart fabric or material registered and approved by the State Fire Marshal for such use;Fabric has been tested and passes NFPA701-96. Trade name of flame-resistant fabric or material used..e �F _ Reg.No.--•... -. �asas� ................ . The Flame Retardant Process Used WILL NOT.... Be Removed by Washing . twill or will not) , David Bradley Chuck Miller- President 4y Nam of Applicator m Production Supenrdenderd Tim r+ e 1 Please take this certificate of Flame Resistance to your local building department to attain a permit for the tent installation. Massachusetts State code requires a permit for all tent installations. Please be advised that a Dig Safe inspection is also required for all tent installations. In preparation for the inspection Dig Safe requires all sites to stake the tent area with white markings. Party Cape Cod will call you the week of your function to advise you of your inspection date. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -75 'Application # Map- Parcel�, 3 0 Health Division 'Date Issued " Conservation Division -Application o Fee Planning Dept, Permit Fee' Date Definitive Plan Approved by Planning Board Historic -' OKH Preservation Hyannis Project Street Ad ress Village (�0161/I Owner �Nk (_brd&11fi10/"_Address Telephone Permit Re quest *a x ;2 1.2 61 IV v I IA_ /a iZA _,00eY_,v As- Uall'inx— �aAi�_ 64 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio1r,<V-00-Construction Type Lot Size Grandfathered: El Yes Ll No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family J Multi-Family(# units) X Age of Existing Structur r Historic 110- istoric House: Q Yes W No On Old King's Highway: L3 Yes Ll No Basement Type: LJ Full PLICrawl Ll Walkout Q Other Basement Finished Area (sq.ft.)' Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: J existing -Onew Total Room Count (not including baths): existing 0.new First Floor Room Count Heat Type and Fuel: Gas LJ Oil LJ Electric Ll Other Central Air: 14 Yes LJ No Fireplaces: Existing New Existing wood/coal stove: LJ Yes Ll No Detached garage.Xexisting Unew size—Pool: Ll existing Llnew size Barn:X existing ng Ll new size Attached garage: Q existing Onew size Shed: Llexisting Unew size Other: X� Zoning Board of Appeals Authorization LJ Appeal # Recorded LJ Commercial Ll Yes Ll No If yes, site plan review# > o Current Use Proposed Use X a co APPLICAN F1_0Rd%AT_1jM 7 F97. 01 (BUILDER R HOMEOWNERS Name S-�P_v& !�(-�fv/ewnorTelephone Number Address 7/ " Ac� E I &eY� License # Home Improvement Contractor# 7 S Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 717 M FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED , MAP/PARCEL NO. k ADDRESS VILLAGE OWNER DATE OF INSPECTION: ry 'FOUNDATION FRAME :r INSULATIONS v a FIREPLACE ELECTRICAL: ROUGH FINAL z PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING O • DATE CLOSED OUT ASSOCIATION PLAN NO. E e -I- - - _ � 1 ITT WE r Y - 1 —� • L Y } - 4 x;:�.. k i $4y Yp ey e , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston, MA 02111 4 iv www.mass.gov/dia Workers' Compensation_ Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information i Please Pript Legibly VJ Name(Business/Organization/Individual): 4 Address: 71 `VC r City/State/Zip: Phone.#: �V6 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-tithe).* 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 workingfor.me in an capacity. employees and have workers' y P �'• # 9. ❑Building addition [No workers' comp. insurance comp.insurance. �10. Electrical repairs or additions krequired.] 5. ❑ We are a corporation and its ❑ P 3;: am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions yself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant,that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors.that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day.against.the violator. Be advised that a copy of this statement maybe forwarded to the'Office of Investigations of the DIA for' ce coverage verification. I do hereby certify under e p ns and penalties of jury that the information provided above is true a correct Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official .City or Town: Permit/License# j Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation'for their enip! yees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-conti actor(s)name(s),addresses)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Ccimmonweal.th of Massachusetts Department of Industrial Accidents Office of InvesfigatIons, 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617=727=7744 Revised 11-22-06 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE=AID TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Dame: w _:&r Site Address: a / Town: Applicant Phone: Applicant Signature Date of Application: oZ d- 6- NEW CONSTRUCTION: choose of the followingtwo-options) 780 CMR TABLE 6107.1 PRESCRIPT VE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM O Ceiling or Slab tion 1: Basement P Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wall R-Value R Value AFUE HSPF SEER R-Value and Depth National Appliance Energy 35 R-3 8 R-19 R=19 R-10 R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or eater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: RES check Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck—Web which can be accessed at http://www.energycodes.gov/rescheck/ ADDIT)ONS OR ALTERATIONS.TO EXISTING BUILDINGS OVER 5 YEARS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %o of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b-a) SF 100 x — _ % of glazing (b) Glazing area equals SF b a If glazing is.<40%.use the chart below. If glazing is> 40 %pr6ceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter ❑ Fenestration Wall Floor Basement Wall U-factor Exposed floors R-Value R-value R-Value R-Value R-Value and Depth 3 9. R-3 7 a R-13 1 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and including any access openings). ET ' SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in Appendix 120.P L �tree rqf, . Town of Barnstable ` Regulatory Services Thomas F.Geiler • s,wxNsrwstE. r Director MASS Building Division Tom Perry,Building Commissioner 200 Main-Street, Hyannis,MA 02601... www.to wn.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: - �A�� s JOB LOCATION: number �jsb=tt village �(� .'HOMEOWNER": _, 1 , c grip'^'' Paoor o�7✓'QG I `' • namg home phone# work phone# lCURRENT MAILING ADDRESS: O a 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 buildine 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 coii:ip-iy with said procedures and requirements. 71 S atirre omeowner Approval of Building Official Note: Three-family dwellings.conbdning 35,0D0 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Constriction Control. HOMEOWNER'S EXEMPTION The Code states that "Any bom ,Amer perfornring work for which a building per-nit is required shall be exempt from the provisions of this section(Section I D9.1.1 -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 responsbilities,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 fomn/certification for use in your community. ` Q:fonns:homwccmpt Town of Barnstable 9 Regulatory Services . • unrrsres[.s, • MASS. Thomas F.Geiler,Director 'i°rEnµ ►�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner ust Complete and Sign T is Section If Using A BLu lder I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work auth d by this building permit application for. (Address of Job Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse s Q:FORMS.O WNERPERMIS SIGN �arre� APPLICANT INFORMATION e s - (BUILDER OR HOMEOWNER) Name (:2 A C��01 `&A' ipVG. Telephone Number�� Address �7a % d-aL mod-- Alw k,/ License # C S 6 3 � 17 A4A.-, o ZL-5-3,4' _ Home Improvement Contractor# /�.3%�✓� Worker's Compensation # r,J G Z 1 5 .365 84 (502e'? ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ' G9A W4-54-c- �x sutc-e- SIGNATURE r DATE��7�f •- A t t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0-30 Application # v^? Health Division Date Issued � J d Conservation Division M-77-97 °� Applicati Planning Dept. Permit Fee �• Date Definitive Plan Approved by Planning Board , Historic - OKH _ Preservation/Hyannis Project Street Address -7 5 Village Owner CGr 01 FY'e"S Address -71 qt4�1 A MAI= . Telephone (37R — -7 10 -3&07 Permit Reques( OV A Z 9 x 8" a�'� door o :3 in4 rror_ kh-IGIS w/ y., Garb Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new O Zoning District Flood Plain Groundwater Overlay —C � Project Valuation 7 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family GQ_ Two Family ❑ Multi'Family(#units) Age of Existing Structure Historic House: ❑Yes Ad-No On Old King's Highway: ❑Yes fi�No Basement Type: ❑ Full ❑ Crawl ❑Walkout XOther /V- h Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new `'p 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 Z'_No Fireplaces: Existing New Existing wood/co stove: ❑Yes OLNo Detached garage: existin 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑exi in w size_ 9 9 '� 9 9 g Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: c7 b Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ .� Commercial ❑Yes ❑No If-yes, site plan review# r1oco Current Use Proposed Use G ajra4ti APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ame S0Lfk 1AC. Tel �Q� ��✓ �� e ephone N- ber , _ f- A dress S 7 0�-•--_ License# 26 Home Improveme Contractor# L1S�y7s t � � Worker's Compensat n #WC 231 3 3S8"b I S02 8 ALL CO STRUCTION BRIS RESULTING FROM THIS PROJECT WILL BE TAK TO SIGNATURE DATE 0 S 2 3 O f E , FOR OFFICIAL USE'ONLY tiP?PLICATION# : DATE ISF'jJED i MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: 7 FOUNDATION FRAME v i6Z 7 / o o ewse _; 'ea G�4 ye. 5f INSULATION Blip " co r c FIREPLACE 5 � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING o L? IPA DATE CLOSED OUT ASSOCIATION PLAN NO. i T Town of Barnstable Regulatory Services ` HASI s`� Thomas F.Geiler,Director � Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.towmbarnsta ble.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �� Map/Parcel: Aw9t_,r7- Project Address7t �. C'2'', Builder: 4ofe &��e/zr The following items were noted on reviewing: sg,d &2y lr G Vz- S AL e- �'rt��z-l2ocic. /1�fusT' tine X . �v 6 1ZLer-r OF 4 c SG- at J r 0 tic IA T - urul l5 5 -f (AW7t 1!,61- Reviewed by: h�� _ �r Date: CP _ Q:Fonns:Plnrvw The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 0-,-,A,, Please Print Legibly Name(Businessiorganizationandividual):'�� b�b�— � . '1� C-- Address: City/State/Zip: 4-- Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. Q I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2.❑ 'I am a ole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, Q Demolition workingY capacity.for me in an employees and have workers' P aci tY• t 9. ❑Building addition i [No workers' comp.•insurance comp•insurance. required.] We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work cers have exercised their 1 LEI Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.E]Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infartnation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractono 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: k64::�ce___ /may Policy#or Self-ins.Lic.#: �� Expiration Date: Job Site Address: City/State/Zip: d Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investizations of the DIA for insurance coverage verification. I do hereby certify under the ains-and pen of perjury that the information provided above is true and correct • Si hire: ✓'�, � _ , Date• S Z G� • Phone — Official use only. Do not write in this area,to be completed by city or town official City or Town: . Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representative's of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate.a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, 1 sub-contracto s nam s address es and hone numb s -along with their certificate(s)of supply � ) � )�address(es) P �{ ) g insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating cun:ent policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number. The Commonwealth of Massachusau Dgwtnent of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-977-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.govldia MAY 23, 2008. 9 : 24AM HART INSURANCE N0, 012 P, 1 �ACORD,V CERTIFICATE OF LIABILITY INSURANCE D0g5/23/2008 05/23/2008 ��bDucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HART INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS. UPON THE CERTIFICATE 243 MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR` ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. PO BOX 700 BUZZARDS BAY, MA 02632-0700 INSURERS AFFORDING COVERAGE NAIC##. INSURED Sound Home Builders Inc INSURER A: PROVIDENCE MUTUAL FIRE INS CO 15040 570 Teaticket Hwy INSURER a-, LIBERTY MUTUAL INSURANCE CO 23043 . Teaticket, MA 02536 INSURER 0- INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN M SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD L POLICY EFFECTIVE POLICY EXPIRATION LTR c POLICY NUMBER LIMITS q OENERALLIABIUTY CPP0063567 03/01/08 03/01/09 EACH OCCURRENCE S 1,000.000 RtNIaD COMMERCIAL GENERAL LIABILITY PREMI Es occurenco S 50 )00 GL AIMS MADE D OCCUR MED EXP(Any one person S 5,000 PERSONAL&ADV INJURY S 1,00q,O00 ;ENERALAGGREGATC S 2000000 GEN'L,AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG S 2,000,000 POLICY PRO. LOC AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT ANYAUTO (Caaccldenl) S ALL OWNED AUTOS - J SCHEDULED AUTOS BODILY INJURY(Per person) I �: �_ .. HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per seeidenc)C7. P NJ PROPERTY 0GE (Per accideriz) �7 GARAGE LIABILITY AUTO ONLY- ?CCIDENT ANY AUTO - ACC OTHER THAN EA _ AUTO ONLY: AGG CC EXCESSNMBRELLA LIABILITY EACH OGGURRE E PS f C OOCUR CLAIMS MADE AGGREGATE 5 DEDUCTIBLE RETENTION S _ B WORKERS COMPENSATION AND WC231 S358616602E 03/07/08 03/07/09 YVC sju7 DTH- s EMPLOYERS'LIABILITY - ANYPROPRIE7rOR/PARTNER/EXECU7W/ E.L.EACMACCIDENT - S 500,000 OFFICERIMEMBER PXCLUDED7 It yes,describe under _ E•L,DISEASE-EA EMPLOYEE S 5O0 QOQ SPECIAL PROVISIONS hNow OTHER E,L,DISEASE•POLICY LIMIT S 00,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS OPERATIONS PERFORMED BY'NAMED INSURED AS PROVIDED BY TERMS &CONDITIONS IN THE POLICY Faxed to 508-790-6230 CERTIFICATE HOLDER CANCELLATION - 'SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town OIG Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN BUIId1I19 Dept NOTICE TO THE CERTIFICATtE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 367 Main Street IMPOSE NO OBLIGATION OR LMIUTY OF ANY KIND UPON THE INSURM ITS AGFNTS OR Hyannis, MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) ($AC CORPORATION 1988 . tlz a�✓ ft '[►ONS 1 t • om'm / BOA CONSIRoC-►iO pS y ` �� zk_icense CS. 0835 t, , * Number j1311g79` g55 ate 0a- �r no. BXp�res 811 ted �0 i tesinc NOW AFtD p _:. �m KE�iNEEN ACRES02.536. Go 3,3 E A MO�TN, M � ��ie �om�rao-»x��alC✓.,a�✓Ti�zavac,�tueelta �j�': Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR I, Registration 15,3415 irxpirat1 11/28/2008 Tr# 253461 j Type PnvaterCorporation SOUND HOME BUILDER-St:INC I KEVIN HOWARD 570 TEATICKET HWY TEATICKET, MA02536 Administrator ... t' 'cy 's 4 i nw_ t � I tA � v ytpMiKl ski 41 xNl ^e. Lbfkiis 41. _ I t 11A t w� F jk"NIL r� a tne. S'uz a5 1 1 �ry 1 1 i 4 L y Y r4, 1 —42 1 S �+ �+t��t• t a 1 M 4c&�t�y4,�, f i r ��3 �xiUW-iSS3�' uy�4}. i f 4' � 4 s e 2 r - t � a �• t - ady,- hY��N Y Se Y F^h" .10.3ar �.P a �t ca47 �oFEta,, Town of Barnstable Regulatory Services RARDIST9 "Br'EHAS& ` Thomas F.Geiler,Director i63p '0rs0.19. & Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ii Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 14ry''eC—h2' � , as Owner of the subject property hereby authorize 17 cr �.ne A4 4 � � _to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job) Si ature of Owner Date Print INfame If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. +---�F-7-7 -mA myrL�—, Ac 7, t lu� 'I IL 7-F 51— LC, INL— LJ Z?11 J-4 k Z%To gf�a, V- a YOM 17 OL-2 ----------- doll 1L AA: ---- ------ -IPI -4-c"—tv- LY Emommommoom INIMEMOMMEM mommmmoom Ell ME momommoommommom ONE NONE Ill 0 mrmlomm ONE MESEMEMSEM ONO MMEM OMNI MEN NONNI mmmm mommol A � II MOEN OMEN ommommom MMMMMMmmMMMMmMmMmmMM moommom ME mom ME mommom 0 moommmmonommmom ■ ■uN MEME mom iii■■■ass■ � � ■ate■��■■�■ ■■■■� �■■■■■�I �i=dun■�n ■ �� I L "r IN , �.1 #Otl RAMSBEAM V2 . 0 - Gravity Beam Design .Licensed to: Dan Bra m n, P.E. t Job: Frechette, 71 H Cotuit So Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W8X24 Fy = 36. 0 ksi Total Beam Length (ft) = 16. 50 Top Flange Braced By Decking LOADS: Self Weight = 0. 024 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 - Pre DL1 Pre DL2 LL1 LL2 0. 00 16. 50 0. 100 0. 100 0. 000 0. 000 0. 500 0. 500 SHEAR: Max V (kips) = 5. 15 fv (ksi) = 2 . 65 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 21. 2 8 . 3 0. 0 1. 00 12. 19 24 . 00 12 . 19 24 . 00 Controlling 21 .2. - 8 . 3 0 . 0 1 . 00 12 . 19 24 . 00 --- --- REACTIONS (kips) : . Left Right DL reaction 1. 02 1. 02 Max + LL reaction 4 . 12 4 . 12 Max + total reaction 5. 15 5. 15 DEFLECTIONS : Dead load (in) at 8 . 25 ft -0. 086 L/D = 2297 Live load (in) at 8 . 25 ft -0 . 347 L/D = 570 Total load (in) at 8 .25 ft. = -0. 433 L/D = 457 189. 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', 7 � ;:,4 'a y�� Y , r rr ,v.t.L >\\\JJJ I o f r• a. 1 ,. .. •:. r r,I.�:.f:�qr��."ut,*r��'lXCrrV`�t+•.�,I Il.. a�i,.' Ed W1dLC1:t C1 SF:E•i. Sc 'F,r-kI PS t?V S 2 1-E.2 'ON ENOHc :�N_'%SNb' }t';�1 ems' nE - di �sa� T �+-•�,Yr.C� is -... _ _ r Z - 5 _ _ FROM.,.: SO Raleigh RNS/FRY, PHONE NO. : 50877544S4 May. 26 1995 04:07PM P1 0 S, V. Raleigh Development Corporation Commercid Contractor • Dajgn - Enyineerinq • Tupr -Xv Construction • Eswbll$hM 1973 - Pre-Engineered Metal Buildings • Metal Roof Retmfrs Te1q,hone. (508) 7784001 JFACSIMILE TRANSMISSION COVER SHEET TO: DATE: Tn COMPANY: FAX FROM: xL FAX #: (508) 775 - 4464 a ` RE; TOTAL PAGES ( INCLUDING COVER ): - MESSAGI e... o. Respec y, Raleigh Development Corp. Licensed General Contractor Licensed Master Electrician Licensed in MA, NH, ME &'VT g • �P I Q _J i 'r CV ' S \ I J co Ln Ln.d - ro _ , ✓\ s� Q co rn _ _ O 00 C I I L - Aj o O O O O o z . w V o r o r o 0 J +i o O O - -- - o O LL . H H 0 20� 01i �0 o. 0 )TE: ALL -TAIL' 'DIMENSIONS FOR OPENINGS ARE FROM STEEL LINE SPECIFICATIONS ALL STRUCTURAL. STEEL DESIGN IN ACCORDANCE WITH M.B.M.A. SPEC+F ALL LIGHT,GAUGE FORMED STEEL DESIGNED IN ACCORDANCE WITH A. I .S. I . S ALL RIGID FRAMES DESIGNED I.N ACCORDANCE WITH M.B.M.A. SPECIFICAT'" DETAIL A DETAfL� DETAIL H DESIGN. FABRICATION AND ERECTION OF STRUCTURAL STEEL BUILD, FRAME RAFTERS : WELDED PLATE. 55 KS BAR A, 55 KS P1AT I a SPECIFICATIONS ,f ALL STRUCTURAL STEEL DESIGN IN ACCORDANCE WITH M.B.M.A. SPECIFICATIONS ALL LIGHT GAUGE FORMED STEEL DESIGNED IN ACCORDANCE WITH A. I .S. 1 'SPECIFICATIONS ALL RIGID FRAMES DESIGNED IN ACCORDANCE WITH h .B.M.A. SPECIFICATION FOR THE DESIGN. FABRICATION AND ERECTION OF STRUCTURAL STEEL BUILDINGS. FRAME RAFTERS WELDED PLATE. 55 KSI, BAR d 55 KSI PLATE FRAME COLUMNS WELDED PLATE. 55 KSE' BAR d 55 KSI PLATE ` . f ° ALL FRAMES BOLTED WITH A325 HIGH TENSILE BOLTS ROOFING : #26 Go SHARON HI -RIB PANELS. 50 KSI STEEL° + SIDING #26 Go SHARON HI -RIB PANELS. 50 KSI STEEL 's LIVE LOAD 30 psf, WIND LOAD 21 psf COLLATERAL LOAD 0 ps( SEISMIC ZONE 2 vjqw &?c v«'-ro CP /uo, goo rr-ra, 645-_P&a�o CPO la4gno_ 136wotg P,�am,04E) ' 1 r h SRu• � .`F�'`�'� ,•�'+�`?'P. _'•Sj`�sd�Ytx ti��x�y.-a�.r "jk,r�'`� �.r ,� ... � i ..I x�` < �:f-��4�§� � ,.�� •.� �i•�Tr'5�4 -r,�.,s s�c„x. T y. �' - p / ��` •i! �,� ), r- .y , ,� t �`v'f•,W�}Y��.�krtro.•e•+�,r4.��i2 q� '...I ,,, < � •., ' - y+. — I '�,�?�` It{�'�'dl��h,,• hr a T +te^+t tv a;, yi ( ` #-1� fiIMFforVEP1EN7 (CONTRACTORS REGISTRATION ' `oa d>% �of""Bu�xrlYd�ng Regulations and °5tanciarclsl shbuY't4T, ace Room ,130� ,�•,��J i"r"{�$,+�fW`°'"c'��•I4s4 "r.#.,F� ra•�+Afi. Ci 2s�b.-J r �ixl r+, 4 I r hu setts 02108 I HOME IMPROVEMENT �CONTRACTORzt ',x L -- -- -- - -.___--.- _--- "yRegistraion4112304 Expiration 03/12/97 I 07 yPe �/ RIUATE tC0'RPORA7ION 'HOME IMPROVEMENT CONTRACTOR. x , I Reglstr`a 6 1112304, x js } � S = RF� LE;IGH `ay` N BA TYPe :;'x PRIVATE CORPORATION 111 PHEfi1Va `,RALEEIGH� � 0 s Expiration. 03/12/91 1 -Ali #�• �' t OaALMOUTH RD r#1 I STEPHEN V RALEIGH ` jJA3'y' xL�EN'TEUILLE MA 40?632r STEPHEN V, R.ALEIGH ti ' zg � a�, ( te rt-o '�e8t�tc•1600 FALt�OUTH .RD #1 ADMINISTRATOR CENTERVILLE MA 02632 xT' e y d Y i COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 LICENSE CAUTION- EXPIRATION DATE CONSTR. S U P ER V I S O R FOR PROTECTION AGAINST . 1 /� CIC N0. I THEFT, PUT RIGHT THUMB R�STRIC IONS EFFECTIVE'7230 - PRINT IN APPROPRIATE NONE' 06/30/1993 011441' o BOX ON.LICENSE. R STEPHEN V RALEIGH ° � KK 0.P O B X 34 2 71 HIGH S T' g BLASTING OPERATORS $$ ` ,.A14-42-6`279 C COTUIT MA 02635 m MUST INCLUDE PHOTO. PAD PHOTQ(8- 'y'`�'OPR.oNLVI FEE: 11'' :\ 100.00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICytiLT +. ♦ STAMPED•OR•SIGNATURE-OF THECOMMISS10�7ER t HEIGHT: 9 I993 -r s./ DOB: SIGN NAME INI)Alp?Y SSTURE LINE THIS DOCUMENT MUST BE - i SIGNATUPEIOF LICENSEE - �•1 �•' CARRIED ON THE PERSON OF Y7(/�;.� • •'• THE HOLDER WHEN EN- e//�� 'NIB PRINT GAGED IN THIS OCCUPATION. V i I I . w r 11%02,94 17:02 $6177277122 DEPT IA'D ACCID - Q001 - _J j CorrunoruUealt{L o f Ja66ac1iuJettJ aCJa�artments n��ndu�tria[�cc 600 W ul nylon-Stnsst 1� 0 James J.Campbell &ton, 1//a6dacAu4A 02f f f Commissioner Workers' Compensation Insurance Affildavit O with a principal place of business at: /d (OW/St <eizip) d;,Ireby certify under the pains and penalties of perjury, that: ( I am an employer providing workers' compensation coverage for my employees working on this job. lnsurance Company Policy Number () I am a sole, proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Humber Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. I und:r<t;rd that n copy of this s:zternent will be fo-warded to the Office of Invesdrations of the OIA for coverage verification and that failure to secure cc•Wage as recfi,red under Section 25A of MGL 152 ca�i iead to the Imposition of criminal penalties consisting of a fine of up to S 1,500.00 andfor cr• yews' imprisoninent as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed is day of 19 t � Lice eelPermit Building Department Licensing Board Select hens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # t^ U„ ,, The Town of Barnstable MIMM "� �e� Department of Health Safety and Environmental Services ram'' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: L&12C IaP-901L-D Cost �. 1117 e, _ Address of Work: b Owner Name: M21A Date of Permit Application: s oT I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date ntractor na e ' Co '�stration No. OR Date C Owner's name t .,,?a 16 01 ��l oF1�r Town of Barnstable *Permit#' ti Expires 6 monthsfron;issue date Regulatory Services Fee n v PERMIT .Thomas F. Geiler,Director i63q. pie APR m 9 2010 Building Division ®�'d Tom Perry,CBO, Building Commissioner TOWN.OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 ' www.town'.barnstable.ma.us i Office: 508-862-4038 ` , Fax:,508-790-6230 EXPRESS PERMIT APPLICATION -RESIDENTIAL ONLY ''J j'{(�. Not Valid without Red X-Press Imprint Map/parcel Number �� " )�' . Property-Address KResidential Value of Work _�aZ Minimum fee of$25.60 for work under$6000.00,, Owner's Name&Address 4P� 1 C' Contractor's Name - Telephone.Number r Home Improvement Contractor License#(if applicable) t- Construction Supervisor's License#(if applicable). r ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance" Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) t 4 ❑.Re-roof(stripping old shingles), All construction debris will betaken to ❑Re-roof(not stripping. Going over ` existing.,layers of roof) r �Re-side e ,. .#of doors Replacement indows/ or/sliders.U-Value. (maximum,44)#of windows. i *Where required`. Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,ConserJation;etc r ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Ho a Improvement Contractors License& Construction Supervisors License is rec}Nired. SIGNATURE: The Commonwealth of Massachusetts, Department of lndustrial Accidents Office oflnvestigations I' t500 Washington Street Boston, MA 02111 wwm mass.gov/dik Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl /41 Pa V17 /Jr Name (Business/Organization/Individual): }Address' / City/State/Zip: Phone #: Ze 0�75_ Are you an employer?.Check the appropriate�box:y Type of project(required): 1. ,1 am a em to er with 4 El I am a general contractor and 1 ploy 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7, EJ Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have g E Demolition workingfor me in an capacity, employees and have workers' ' y9. E Building addition [No workers' comp. insurance comp.insurance.# KI quired.] 5. 0 We are a corporation and its ' : 10.❑ Electrical repairs.or addition ama homeowner doing all work officers have,exercised their ILEI Plttmbing repairs or addition self. o workers comp. m ' right of exemption per,MGL Y P �' 1(4),and we have no 12.E Roof repairs insurance required'.] t C. 152, § 13.0'Other employees. [Ndw.orkerS' comp.insurance required.] 'Any applicant that checks box 41 must also fill out the section below showing thcir 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. 3Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whcther or not those entities have employees. If the sub-contractors have employccs,they must provide their workers'comp.policy number. - I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy andjob site information. , Insurance Company Name: Policy# or Self-ins' Lic.#: T .. 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 fins 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'covera'ge verification. Ida hereby certify it d the pains and pen 1 e ofperjury that the information provided above is true and correct. /O �Siature. . _,. , "_Date: Phone#: Official use only.. Do not write in this ar , to be completed by city or town official: City or Town: t Permit/License# Issuing Authority.(circle one) 1.Board of Health 2.Building Department I City/Town Clerk 4.'Electrical Inspector S. Plumbing Inspector 6. Other Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. e person in the service of another under any contract of hire, . v Pursuant to this statute, an employee is defined as".-every ery express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,constniction or repair work on such dwelling house or,on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the conunonwealth nor any of its political subdivisions shall enter into any contract for the pet-formance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fi11 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability.Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any,questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials - Please be sure that the.affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will.be used as a.reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)." A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fiiture permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank.you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and faz number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASS.AFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia Town 'Of Barnstable f1K Regulatory Services ThomasF. Geiler,Director' • BAaxsTABLE, Building.Division 'lF�µAta Tom Perry,Building Commissioner s 200 Main.Street, Hyannis,MA 02601 y www.town.b arias tab]e:ma"us fice: 508-862-4038 Fax: 508-790-6230 Of HOMEOWNER LICENSE EXEMPTION J Please Print P (DATE lbe OB LOCATION: n street village" .,HOMEOWNER G name / home phone# work phone#1 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 ownsa 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 sliall 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 minim spection procedures nd iequ4ements and that he/she,will"comply with said procedures and requ. ern s. - 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. w 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 dq 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 hdshe 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. . �YHF r� Town of Barnstable Regulatory Services ' $"R'' BLE, Thomas F.-Geiler,Director 3.1b9 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barns table.ma.us Office: 508-862-4038 Fax: 5087790-6230 Property e Owner Must Complete and Sign This Section if Using A Builder. 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 Job) Signature of filer Date Print.Name if Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. �tMEt Town of Barnstable *Permit °" Re ulato Service F.xpires6mondks omissuedate//ll g S Pee .09 z �V 1AEMMABIJ4 • � n6 139. �b� Thomas F.Geller,Director 1 ArFD MA't� Building Division Tom Perry,CBO, Building Commissioner . 200 Main Street,Hyannis,MA 02601 www.town.bamstabid.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number d3dh3O Property Address i+ [AResidential Value of Work �Q, /� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address S 1 C Q ft� F I Contractor's Name Lp".-a Letj6 iyw c;r7yA co f eq L_ Telephone Number ��-�j�s—V00 Home Improvement Contractor License#(if applicable) ` Lf e7 y X Construction Supervisor's License#(if applicable) 7 ❑Workman's Compensation Insurance X PRESS PERMIT Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance 'OWN OF BARNS T AB(E Insurance Company Name Workman's Comp. Policy# WC_�5 15 2?j� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to Lla Ke-roof(not stripping. Going over existing layers of roof] U Re-side Z�❑ ReplacementE;;�doors/sliders. U-Value (maximum .44) #of doors #of windows oors *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. - A c of the Home Improvement Contractors License&Construction Supervisors License is 'r ire 1GNATURE: i 1WPFILESTORMS\building permit formslEXPRESS.doc :vised 07011.0 Th e Common wealth of Massach useits" a ^; Department of Industrial Accidents ( fpL Office of Investigations , a r tia f .600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Leeibly Name (Business/OrganizationMdividual): Ulffl. W, %Y,-,�,xjp 60 Address:, City/State/Zip:SO 1Qk. %PA `5 � Phone #: FE01i employer?Check t appropriate box: Type of project(required): employer with 4• ❑ I am'a general contractor and I 6. ❑New construction yees(full and/or part-time).* have hired the sub-contractors sole proprietor or partner- listed on the attached sheet t .7. ❑Remodeling ship and have no employees These sub-contractors have 8. E] Demolition working for me in any capacity. workers' comp. insurance. g, ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its ]0.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I LL] Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.�'Roof repairs . 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site �. information. Insurance Company Name: .Policy#or Self-ins. Lic.#: W C-- b�1 Expiration �[ 2 u•ation 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 here u e the pains and penalties of perjury that the information provided above is true and correct Si ature. Q Date: ' Phone#: v� Official use only. Do not write in this area;to be completed by city or town official City or Town: Permit/Lice'nse# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Information and Instructions Massachusetts General Laws chapter.152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"....every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business onto construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is Tequired. Be'advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to'obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line: City or Town Officials Please be sure that the-affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in.advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston,MA 02111 Tel. #. 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 s ry. Town .of Barnstable .regulatory Services BA2NSTAISy LE . Thomas F. Geiler,.Director ` ,.,$ BuiIciing Division Tom Perry,Build log Commissionet 2QQ M.ain Street;Hyamas,MA 02601 swww;tow n.b arns tab l e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property 0wt er Mus t Complete and Sign This Section t If Using A Build&r as Owner of the subject.property Lambyulflorize A. ,Craig Lohr, Lohr Construct on Co::, Inc. to aetDn my behalf, M all Matters relative to"work authorized by this buMi:ng permit app ration fora 71 High Streat; Coulit,, MA (Address:of Job) f _ Sig are of Owner - Date print Name if Property Owner is appl forger li.t please complete.the Homeowners License Egetrzpfion porrn on'the,reverse side. UN-06-2011 (MON) 10: 00 MALCOLM & PARSONS INSURANCE (FAX) 17813441425 P. 001/002 4-CORD CERTIFICATE OF LIABILITY INSURANCE od/oi2011 PRODUCER 781.344.3200 FAX 781.344.1425 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Malcolm & Parsons Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 527 Stoughton, MA 02072 INSURERS AFFORDING COVERAGE NAIC# INSURED Lohr Construction Co, Inc. INSURER A: ,Travelers Casualty Ins Co PO Box 243 INSURER B: National Union Fire Ins Co 25 American Way, Unit #1 INSURERC: South Dennis, MA 02660-3459 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 - COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S CLAIMS MADE OCCUR MED EXP(Any one person) S PERSONAL 8 ADV INJURY S GENERAL AGGREGATE 5 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY n JEa LOC AUTOMOBILE LIABILITY BA-8488R387 10/28/2010 10/28/2011 COMBINED SINGLE LIMITANY AUTO - (Ea accident) S ALL OWNED AUTOS - BODILY INJURY S A' X SCHEDULED ALTOS (Per person) 1001000 X HIRED AUTOS BODILY INJURY S X NON-OWNED AUTOS (Per accident) 300,000 PROPERTY DAMAGE S (Per accident). 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESSJUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION $ - S WORKERS COMPENSATION AND WC6515230 01/05/2011 01/05/2012 X I WC STATU- OTH- EMPLOYERS'LIABILITY - TO V ff5 B ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S 500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 500,000 If yes,describe under SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS General Contractor Craig Lohr is not covered by the Workers Compensation policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Town of Barnstable BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Main Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Hyannis. MA AUTHORIZED REPRESENTATIVE �L David Parsons ACORD 25(2001/08) FAX: 508.385.9214 ©ACORD CORPORATION 1988 i ! Massachusetts- Department of Public SafetN Board of Building; Regulations and Standards a Construction Supervisor License } License: CS 5887 Restricted to: 0o - `+ k YW � i CRAIG A L ' R E m 25 AMCRICAN WAY/P.O.BOX 2 '' s S DENNIS, MA 02660 Expiration: 3/22/2012 C'ummissioner Tr#: 21932 t' � GT�ie -�omvnw�zc�rect� a' ✓G�aaaa�lzuae� �. Offiee of Consumer Affairs&Business Regulatio I` HOPfIE IMPROVEMENT CONTRACTOR ' I_. _ - Registratiol_14348 'j Expir6itiot► —i/'`i'U-2011 Tr#. 287621 TYp�Z QUA LOHR REALITYk CAM StTRF1CTION;LLC. A CRAIG LOHR � PO BOX 243/107 RT�134; / � — li S DENNIS,MA 02660 , / Undersecretary f `oF.HE Teti Town of Barnstable -- : BARNSTABLE. Regulatory Services MASS. g 039.a, Building-Division�1F0 MPy . 200 Main Street,,Hyannis,MA 02601 - Office: 508-862-4038 Fax: 508-790-6230 101- y Inspection Correction Notice Type of Inspection g Location Permit Number Z 1? s Y o?6/ } s Owner, -7iR L 0 11-6 TF-- Builder One notice to remain on job site, one notice on file in Building Department. t The oil; items need correcting: / GIG �L ! AJS c C-7 J X t, G-E-- ' r � T / Lt>r N? s a mJ — 03/ L D� /3 # rp4 � �G�Sf= �oz' SPfS tf65� 4 {\ G AV Please call: 508-862-4038 for re-inspec on Inspected by ��~ � ,.. .,Date 3�a �410 FROM : S V RALEIuH CORP PHONE NO. : 5037754464 Dec. 06 1996 04:22PN Pc a,.,,��vr�r tr��ituNt•;�: ..�.�.�!i,�3.;►tSI"/,'g'rW,„.,, 'tC��_:_<a!!�,r, Skerrli Lit+r1t7/ng 1,9yvvl it,P11A Rp80001:+vitleo t7A/OW, lnclur)v nq In1c1/"t(on 091010(1910ri4 btryA, vpenkigs, nogp6sufles, oto) neaat�art�y tt)oarnpjvjg,,ly ircgolVbe the bullt�ing, Notm rglRrvrca altetch ar!ha Gc►,'t�ni or this page. ...�,..,,,�.... a,..�.,...... 14 - tN►1�wtM'�..d w,Vy «.W`YYrs /M�AMH'I..peNwl.i. p� • - �' ,~ Wes'-.� . w J ,.—Is . PIMwWY�11.Ir/M«lk•T.Sl1 .......... ��Ir�.LMNUp'IMAp/W,Y WM1�111RM1/NINOIA�Mtf%IIMIM,MYM�9gYl0Ni►y1�11Mf.V..�'r�MMMIi1MQ ,I,NMW WINMgWww�wW�uw.wYbwwwy.....Iwwlnrrw.wMrnlr FO;plrt SidPwall Book _ Relleren,,o e_uifdinjL _ a I'rpnt Arrows toprusent the orlaritalion of Ilia buildiltp, t;rnlWAfl $ndwell ;, INOTry on einpfo alop* 1dQp bulldinge 111•teat/okd►!e Lei 8ide*all the loft sld®wan(.aw). em11,ISer.0-1V ra V A awM, M41�YAMMMi1W1 .n'tl1A11,./9MM11rIw 10 -Y1 1 • . . .Olo �r .i 07/15/2008 TUE 13:21 FAX 603 472 6733 New England Region IM002/004 r . , TM - - by Weyerhaeuser. July l5,2008 Falmouth Lumber Attn: Allan Fleck Jr. e 670 Main St.(Teaticket Hwy) East Falmouth,MA 0253fi Attached arc.TJ-lieam�calculations based upon design information provided by Falmouth Lumber. These calculations can be identified by the following date and time in the upper left hand comer of each sheet: DESIGN DATF./TIME 7/15/2008 @ 11:49:14 AM 7/15/2008 @ 11:50:16 AM The professional engineer's stamp on this letter verifies that the TJ-Beam'analyses for the member(s)shown conform to accepted engineering practice and use code accepted product design values. Each analysis reflects that the iL,evel by Weyerhaeuser products,as sliown,have adequate capacity for the loading conditions indicated. The input has not been produced nor reviewed for completeness or accuracy by a professional engineer. All notes,figures--and design load information shown on these calculations trust be reviewed to ensure the design loads,spans,bearing conditions and deflection criteria are acceptable for the s ecif c application. Also,please verify that the roduets installed have the"SilentFloor�","TJI ","Microllam LVL","ParallaniOPSL",or "Timberstrand LSL"markings to confirm that this letter is valid for.the products used.,. Please-feel fzee to contact me if there are any questions regarding the analyses. - Sincerely, Kathy J.Do i ,P'.E. " Structural Fra Engineer \7E'fC#67644 fPl?Et } er,; t vI Northeast Technical Support 360 Route 161,Suite 2♦ Bedford,NH 03110'♦Phone 866-295-2170 Fax 603-218-6167 PG 1 of 2 07/15/2008 TUE 13:21 FAX 603 472 6733 New England Region Q 003/004 )) GARAGE HEADED 2 Pcs of 1 3/4"x 14"1.9E Microilam®LVL TJ-Beam@6.30 Serial Number: THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE User:1 7115/200811:49:14 AM - - Page t Engine Version:6.30.14 APPLICATION AND LOADS LISTED 79`8" Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member.Tributary Load Width:1' Primary Load Group-Residential-Living Areas(psf)t 40.0 Live at 100%duration,12.0 Dead VeRical Loads - - Type Class Live Dead • Location- :Application Comment - - Uniform(plf) Floor(1.00) 0.0 80.0 - 0 To 19 8" Adds To GABLE DEAD LOAD - - - Tapered(plf) Floor(1.00) 0.0 To 0.0 0.0 To 80.0 0 To 9 10" Adds To Tapered(ptf) Floor(1.00)" 0.0 To 0.0 80.0 To 0.0 9'10"To 19'8" Adds To SUPPORTS: Input Bearing Vertical Reactions(lbs) Detail Other - _ - Width Length LivolDead/Uplift/Tolal 1 Stud wait 3.50" 1.50" 393/1431 1 0/1824 Al:Blocking 1 Ply 1 314"x 14"1,9E Microllarr)LVL. " 2 Stud wall 3.50" 1.50" 393/1431/0/1824 . Al:Blocking 1 Ply 1 3/4"-x 14"1.9E MlcfollarrO LVL - -See iLevel®Specifier'slBuilder's Guide for detail(s)::Al;Blocking DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) -1800 -1604 9310 Passed(17%) RL end Span t underfloor loading Moment(Ft-Lbs) 9313 9313 24258 - Passed(38%) MID Span 1 under Floor loading - Live Load Dell(in) 0.087 0.483 Passed(L7999+) MID Span 1 under Floor loading . Total Load Doti(in) �0.431 0.967 - Passed(1.1539) MID Span 1 under Floor loading - -Deflection Criteria:STANDARD(LL:L1480.TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 18'7"We unless detailed otherwise. Proper attachment and positioning of lateral bracing is required toachieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented Is output from software developed by iLevel®.fLeve0 warrants the sizing of its products by this software will be accomplished in accordance with iLevel®product design criteria and code accepted design values.,The specific product application,input design loads,and stated dimensions have been provided by the software user.This output has not been reviewed by an iLevelg Associate. -Not all products are readily available. Check with your supplier orilevewtechnicalrepresentativeforproductavailability. - -THIS ANALYSIS FOR iLevel@ PRODUCTS ONLY!-PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS: - -Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel®Distribution product listed above. : - -Note:See iLevel&Specifier'slBuilder's Guide for multiple ply connection. Operator Notes: The professional engineer's stamp verifies the analysis shown conforms to accepted engineering practice and uses code accepted design properties.Weyerhaeuser Engineering has not reviewed the project plans or visited the job site,however.Weyerhaeuser guarantees the member shown has adequate capacity for the design conditions indicated. This calculation must be reviewed with the designer of record and/or the local code official to.ensure the informalion shown is acceptable for the specific application. - - - PROJECT INFORMATION: , OPERATOR INFORMATION:- DESIGN LOADS AND STATED DIMENSIONS HAVE BEEN PROVIDED BY ALLAN FLECK, JR.,FALMOUTH LUMBER iLevel 360 Route 101,Suite 2 Coluit,MA - .. .Bedford,NH 03110 - Phone:(603)472-6730 Fax :(603)472-6733 Copyright ° 2007 by iievele, Federal way, Y:A: - - Aicrol.lamO is a registered trademark of iLevele. - D:\Documents and settings\doughek\DeskLop\SOttND-COTityr HBADi.R.sms - - 07/15/2008 TUE 13:21 FAX 603 472 6733 New England Region 1a 004/004 garage:joist by 6VCy?rhJCUFC. 11 7/8"TJI®230 @ 16"o/c TJ-Beam©6.3oseriat Number: THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE . User:1 7115/200811:50:16.AM Page 1 Engine Version:s 30.14 APPLICATION.AND LOADS LISTED - 7-= Z - Product Diagram is Conceptual LOADS: Analysis is for a Joist Member. Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration,12.0 Dead - SUPPORTS: Input Bearing Vertical Reactions(ibs) Detail Other - - Width Length Live/Dead/Uplift/Total - 1 Stud wall 4.00" 2.7W 500 1 150/0 1650 A3:Rim Board 1 Ply 1 1/4"x 11 7/8"0.6E TJ-Strand Rim Board& 2 Stud wall 4.00" 2.75" 500/150/0/650 A3:Rim Board 1 Ply 1 IM"x 11 7/8"0.8E TJ-Strand Rim Boardt0 -See iLevel®Specifier'sBuilder's Guide fordetaii(s):A3:Rim Board DESIGN CONTROLS: Maximum Design .Control Result, Location Shear(Ibs) 633 •627 1655 Passed(36%) Rt,end Span 1 under Floor loading Vertical Reaction(Ibs) 633 633 -1278 Passed(49%) Bearing 2 under Floor loading' - Moment(Ft-Lbs) 2887 2887 4015 Passed(72%) MID Span 1 under Floor loading Live Load Dell(in) 0.390 0.456 Passed(U562) MID Span 1 under Floor loading Total Load Defl(in) 0.507 0.913 Passed(1.1432) MID Span 1 under Floor loading 7JPro 34 Any Passed Span 1 -Deffection Criteria:STANDARO(LL:L/460,TL:U240), - -Deflection analysis is based on composite action with single layer of 19/32"Panels(20"Span Rating)GLUED&NAILED wood decking. -Bracing(Lu):.All compression edges(top and bottom)must be braced at 4'1"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability: TJ-Pro RATING SYSTEM -The TJ-Pro Rating System value provides additional floor performance information and is based on a GLUED&NAILED 19132"Panels(20"Span Rating)decking.The controlling span is supported by- -walls. Additional considerations for this rating include:Ceiling-None. A structural analysis of the deck has not been performed by the program.,Comparison Value:,1.45 . ADDITIONAL NOTES: AMPORTANTI The analysis presented is output from software developed by iLevei®. iLevel®warrants the sizing of Its products by this software will be accomplished in accordance with ilevelO product design criteria and code accepted design values.The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevela Associate. -Not all products are readily available.Check with your supplier or itevel(D technical representative for product availability. _ -.-THIS ANALYSIS FOR iLevel&PRODUCTS ONLY? PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analy2ing the iLevelO Distribution product listed above. Operator Notes: The professional engineers stamp verifies the analysis shown conforms to accepted engineering practice and uses code accepted design properties.Weyerhaeuser Engineering has not reviewed the project plans or visited the job site.however,Weyerhaeuser guarantees the member shown has adequate rapacity for the design conditions indicated.This calculation must be reviewed with the designer of -record and/or the local Code official to ensure the information shown is.acceptable.for.the specific application. _ PROJECT INFORMATION: OPERATOR INFORMATION: high sl _ - coluit.ma iLevel 360 Route 101,Suite 2' DESIGN LOADS AND STATED DIMENSIONS HAVE BEEN PROVIDED BY ALLAN FLECK Bedford,NH 03110' JR.,FALMOUTH LUMBER Phone;(603)472-6730 Fax :(603)472-6733 Copyright a 2007 by ii,evelt''), Federal taay, WA. - - TJl° and TJ-Beam= are registered trademarks of iLeveln.:: - - c-1 Ioist`,Pro^ and TJ-Pro"are trademarks of il,evele - - - D:\Documents and Settings\doughek\Desktop\sound-garage Joist high st:sms ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ry Map n39 Parcel Permit# I tj 7 a` Health Division Date Issued a a ZS-7 Conservation Division Fee A,0,0 Te_-� Tax Collector Treasurer Planning Dept. �GI Date Definitive Plan Approved by Planning Board rn Historic-OKH Preservation/Hyannis Project Street Address Village ea/o.: us ell . �Y SOO /� Owner _5 Lf VC. a C41ZaZ �iQeC,411 C Address D .!/ 4-4,6, X1BApUR 14A Telephone 97,'- 794' 9/7-1 Permit Request A;A Ae. R?eAtev.4/ 4 AT— 40 ,�lUq� D•4R, Jaw -c—Afo y Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation t 3 Gco 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 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 Name �/C Telephone Number 5e F 77/-3//0 Address 7 Q4,e1Y441 License# CS 73497 L41y�.u'.r/� Home Improvement Contractor# Worker's Compensation# Ae 176 9S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .�av�e,</�' •� rs� � SIGNATURE DATE A v FOR OFFICIAL USE ONLY �I PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER 'f DATE OF INSPECTION: FOUNDATION FRAME &,Are ® � t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL l FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i 1 .. h iP Tkie Commonwealth ofMassaehusett < Department oflnduslrrial A cculents 4 4fice oflnvestig atrons 600 Washington Street a ' Boston,JW 02111 R'orkers'Compensation Insurance Affidavi B ov/dui A ncnnt hiforniahon-.•' ceders/Contractors%Electri lans/Plumbers Name(Bess orgaa;zatzonrrnaiv Please Priat ' 1 dt�: � ,/ate Address: City/StaWZj p - . e Phone:`oA a �3et # � /d apErlate 6or 1• am a ennpoyer-With Ld 4. I t atn acontractor o. ---�_ Q . gen eral f . employees(f n.Wd/orpart time. Kaye COII :tor and`I '° r g 2•Q I am a sole ) hired the sub-!contractors 6.:(]New Proprietor or partner- listed on&e attached construction zshT and have no emplo sheet del�ng 'These sub=contractors have ? s working for me m an /,tl, Y•3 [No workers' Y Pacity employees and.have workers' 9 •emolition -1- comp.insurance. co # . l�5u! equired] 9. []Budding addition . S. ❑ We are a corporation and its 10. 3,❑ I ant a homeowIIerdain 0 Electrical repairs or addtfto� . g till work o$itceis have exercised their: myself[No workers''comp• right of exemption per MGL 11 Plumbing repairs or.additions T insurance required•]f : ,:: c:152 1 4 12, §.O,and wb have no ❑Roofrepairs , em ploY4es. No workers' 13.[j Other ,�• 4 'An Y"licant'Ihat0hWl3 box#1 must- g Co insurance r � #Hom000vneis who subrm t this also�It out the section below shown , davit indi R'orket� co Po �1'mfo AConfr�ctocs t5atcheck thistioIIg�Yan doing aU work and mPeasation li employees: if:fie z most attached an additional sheet showing the name oeutslde conftctom must s�bmrt a new affidavit mdi Sufi contractrns Have' t' cxtin r employees,tice�+iinut providt pceir wor b coniracrors and stafe wlietli tho 9AMIL =PoheY nutaber. •i er or not se rnlities have lam an employer Art prov ilur , information. b worfcers.cbmpensatron uref or MY*employees Below i tlrepnlicy and job sib Instnrance Company Name :/ .Ci�i} /. 4fcscc . Policy#or Self-ins lac.#• , e 4w _ I '- 7 l 3 'cation . . D ate: O Jab s�.aadress 7 r' Attach a copy of the workers:coy/State/Zap:� mpensationpohcg deciaration.page:(showmgthe pohe�':number and eatiiratinn��fa�. Fa�une ta.secure-�overage as re�ir,�TP,t tv C�-t, ,_; , unts up to�1,500.00 and/or one- ""'��.,r,of IWSL c. 152 can lead tq the Of` Y o� as;well as civil mtposrtion of enalties of a . up xo$250.00 a da a P�alties m the frirm of a STOP WOcR p�� . Y gatnst Hits violator $a advised that a co ER and a-hne lnvestt flans of the WA for• PY of this statement may forwar n a covers a venficatton, ded to the Office of.• I de her �'cera der ihepaiiis dnd p altres o _ fPerj that the information prorided above.�s true tired correct Si lure: Phone 01j`rcrcl use only.. Do not write in this area to be co ?>�pleted 6Y wry or town-offrc City or,Town: Peraut Ucense# Issuing Authority(circle one): •1.Board of Health- I B mlding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector :.Contact Person: • - Phone#: - - • Board of Building Regulations and Standards- . Const ruction 4 Supervisor e rviso r License' true License-,CS. 73097 , Birthdate t 13/1957: .. Tr# 7187 • � Expiration 1_aF3l2008° r. . � Restrtctron g0' . PETER A LAROCHE,� 18 CEDRIC ROAD CENTERVILLE,MA 02632 _Commissioner ' Board of Building Regulations and Standards V "'HOME IMPROVEMENT CONTRACTOR Registration: 100121 .> Exprationr;;6/9/2008 Type Supplement Card OCEANSIDE.INC PETER LAROCHE . 217 Thomton Dr C G... i rfu✓ Hyannis,MA 02601. Administrator i. . . ° The Town of Barnstable s�►arvszner.s. - g Regulatory Services �prEo M;{•�� Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation.repair.modernization,conversion, improvement.removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors.with certain exceptions.along with other requirements. Type of Work: i D (� ��a1` IHCr`Slits Estimated cost Address of Work: 7 d �•Rta/ eC�e�e. Owner's Name' �9frltA/ • Date of Application: ®31y/0 7 - I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied QOwner pulling own permit Notice is hereby given that: _ OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL.c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owne . Date Contractor Name Registration No. OR Date Owner's Name q:forms:A ffi dav:rev-070601 � ceanside : t Since 1971.. _ I n .THERIGHT CHOICE 217 Thornton Drive,Hyannis,Mass 02601,. 508-7713110. 8U0-4"-3318(MA.Only),508-775-2848 Fax .MASS.HOM$IIMPROVEMENT CO •��r4TRACTOR REG.#100121 MASS.CONSTRUcnON SUPERVISOR REG.#000043 ASSIGNMENT OF 'AUTHORIZATION fi0 PAY . The undersigned, herein .called claimant, has authorized from Oceanside, Inc. , the materials and/or seryicerized and ordered s requested. Undersigned hereby assigns to. Oceanside; Inc`. an un` or to become', ecome due, . under. .the claimant s any. unpaid Proceeds 'due company-to direct to Oceanside, .IncPoorctoWinclude th the insurance.. check or draft, for all requested work:. its name 'on` A- In the. event that .Oceanside's claim here ` Z. by, an insurance com an in is not covered by, or paid wthin: sixt P y� claimant agrees. to pay .Oceanside, Inc. . y (60) days after work ha been completed. Claimant understands. that Oceanside, Inc. is workin for the -insurance company or the adjuster, g them and Pot..: Payments remaining due "'and payable after the clai Payment from. the : insurance .company shall bear interestmant received one-half :(1-l/2$) percent per month. : , t one and In the event that there is a breach by the -claim conditions of is agreement, Oceanside; Inc. .shall of any; of the recover, as: additional damages; attorneys ' ..fees, costs andlaned :to:.: Collection expenses 'reasonable and attributable to said y °ther payment. .is .not. received. within 60 days breach. Tf commence without further notice to the�claimantion action will DATE A N . S SIGNATURE PRI. T NAME A ME ADDRESS. (BILLING) CITY STATE �. L SAD ESS T-Pyd. y? 7gv., 36®l . \IOcean serAcustomer\documents\1 ASSIGNMENT.doc �� a P��t toys Town of Barnstable Regulatory Services r r i * 1ARNST"LE, + „AS Thomas F. Geiler, Director En;a�a,0�. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, .Hyannis, MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 April 24,.2006 To Whom It May Concern: As of this date no building permit has been issued for work performed at 71 High Street, Cotuit MA. Sincerely, Debra Barrows Administrative Assistant r ( ' - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel �� ® Application# 7� ' cp Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee 044 Planning Dept. Permit Fee I , Date Definitive Plan 1!2ning Board Historic OKH servation/Hyannis Project Street Address 1 Village 82) 1 (A r Owner z7TEI(F EQrwr:ri llE Address 5a RU551~GL kla fit, MAuQnI�A�I dyjR Telephone 9 N - _790 - b601 Permit Request REPAI P, 0 F 1NT5k101Z 0 F 1- OL46,t= I� E TO WATEilK .14 r96 145LAL4 rr®N. 2 4YW6� ):2_QM1 rJ6 CA&WFTAY Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation `7�cot).©�Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting"documentation. Dwelling Type: Single Family W/ Two Family ❑ Multi-Family(#units) -= � Age of Existing Structure Historic House: ❑Yes U No On Old King's Highway: O,Yes Basement Type: ❑ Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new 0 Half:existing new 0 Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and F I: dGas ❑Oil ❑Electric ❑Other Central Air: Yes ❑No - Fireplaces: Existing New Existing wood/coal stove: ❑Yes t�No p 9 9 Detached garage:❑existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 1 SIC., CPF-ret L41Z.D /�) Telephone Number 9P-t- 771- 3 f 1 y Address .2i7 ►N04197yN ,1/L• License# CS 730gy1 Home Improvement Contractor# /(>O 12 Worker's Compensation# GJC 06, ' 9 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �FZQVR&JE LM)FIL-L Z /\) FF_ ST 1171 OtJ SIGNATURE - DATE X 0 /��D 7 • FOR OFFICIAL USE ONLY PERMIT NO. _ DATE ISSUED MAP/PARCEL NO. + ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION �[/+�.f JJ � 0� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FFINAL, / FINAL BUILDING *Ilia DATE CLOSED OUT ASSOCIATION PLAN NO. i Town of Barnstable Regulatory Services Thomas F.Geller,Director M,►ss . �, %839 Building Division 'OtED NJ►�� Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 Fz 508-790-6230 PLAN REVIEWS Owner:—Ire, ME - MaplParcel: © 3 77 -� Or. Builder: O—e nc az s Project Address y � The following items were noted on reviewing: �A—LC, A? Reviewed by: Date:' 7 n 7 Q:Forms:Plnrvw APR-40-2007 09125 _ Ocaanside Inc. 508 775 2848 P.02 r , �'C® . C TIFICAT F LIABILITY I SU �Co=AMC E DATE(M9NDQfYYYY) PRODUCER Qi/09/®� Rogers&Gray Ins.Agency,lnc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 434 Route 134 ONLY ANI7 CONFERS NO RIGHTS UPON THE CERTIFICATE. HOLDER.THIS CERTIFICATEE DOES NOT AMEND,EXTEND OR P. O.Bolt 1601 ALTER.THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Dennis,'MA 02660.1601 ---- INSURED INSURERS AFFORDING COVERAGE NAIL Oceanside Inc INSURER A: A_rball8 Proteti ction Co 217 Thornton Drive INSURERS: Amarlcan HoWeA3sura~nci9 Hyannis„MA 02601-8105 INSURERC: INSURER D: COVERAGES INSURER Ec THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOT{E INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITH37ANbING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN;THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS 8 U 13JF TO ALL THE TERMS,EXCLUSIONS POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AND CONDITIONS OE SUCH R IS TYPE OF INSSIRANC5 POLICY NUMBER POLICYY EFFaCTJ E OL T Y EXPIRATION A GeNERAL LIAS!Ury LIMITS 8500029947 r X COMMERCIAL GENERAL LIABILITY 01/01/07 01/01/08 EACH OCCURRENCE $1 000.000 — DAMAGE TO RENTED CLAIMS MADE �OCCUR MIEeoc:.,ureoGel $100®00 MED EXP(Any one person) $S 0D0 PERSONAL 6ADVINJURY $1 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2 000 000 POLICY P.Ra. LOC i PRODUCTS-COMPIOPAQG 12,000,00o AUTOMOBILE LIABILITY ANY AUTO I COMBINED SINGLE LIMIT ALL OWNED AUTOS (EeaxiVent} �$ SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per person) $ NON.OWNEDAUTOS BODILY INJURY $ (Per aooldent) ROPEld YDAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY.EA ACCIDENT $ OTHER THAN EAACC $ .ems EXCESS/UMBRELLA LABILITY AUTO ONLY: AGG $--..-- OCCUR CLAIMS MADE EACH OCCURRENCI= $ AGGREGATE $ _ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC1766193 $ EMPLOYERS'LIABILITY 01/01/07 01/01108 rWC STATUS OTH- ANY PR OPRIETORIPARTNERrEXECUI'iVE OFFICER&&EMBER EXCLUDED? E.L.EACH ACCIDENT $500 000 I/yes,descobePRO under E.L. 19EAS'c•EAEMPLOY EE $500 000 SP IA PROVISI NS below _ OTHER — -- E.L.DISEASE-PIX ICY LIMIT $5 0,000 3ESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES EX EXCLUSIONS ADDED SY ENDORSEMENT I SPECIAL PROVISIONS L--KVFfCAT1E HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION Town Of Barnstable Attn: -�� DATE THEREOF,THE ISSUIND INSURER W �_ DA'Y3 WRITTEN I3s�iltling.Aept. ILL ENDEAVOR TO MAIL , NOTICE To THE 200 Main St, CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 60814ALL, Fiyennfff,,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES _ AUTHORIZED REPRESENTATIVE I CORD 25(2001108)1 of 2 #26470 DAC 0 ACORD CORPORATIO 11988 TOTAL P.02 i 1 ZH qy X ..egulatory Services Thomas T,Geiler,Director 9 y6s9Ohl Building Division Tom.Perry,Building Commissioner. .200 Main Street, Hyannis,MA 02601 www.town,barnstable,mo.us ice: 508-8624038 Fax: 508-790-6230 Permit no. Date AFFMAVIT HOME MROYEMENT CONTRACTOR LAW -SUPPLEMENT TO PER=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 1 such residence or building be done by registered contractors,with certain exceptions, along With other requirements. ��". . �E Lv -4LA. CTi 0 tj �F P/,t R Estimated Cost?q8 ®o 0.- Type of Work: ` Address.afWozk: C07U IT Owner's Name: _4T)F" _ E O—q W E: Date of Application / ld I hereby certify that RegistratiQu is aot required for the following reason(s); []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is bereby given that; OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR,APPLICABLE HOME 3MFROYEMENT"WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYYUND UNDER MGL c,142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner; Yip ® �� 4 ; - - �bO�Z/ 7 �.. Date - Contractor Signature RegistrationNo, OR Date Owner's Signature Q�`rPfi]es.farms:homeaffidzv Rev: 060bDb ceanside � a. Since 1971...THE RIGHT CHOICE — 217 Thornton Drive,Hyannis,Mass. 02601. 3110 508--771- 800464-3318(MA.Only),508-775-2848 Fax MASS.HOME DRROVEMENT CONTRACTOR REG.#100121 MASS CONSTRUCTION SUPERVISOR REG.#000043 COPY : . ASSIGNMENT..OF. AUTHORIZATION TO .PAY The undersigned, herein .called claimant, has-authorized and ordered from Oceanside, Inc. , the materials and/or :services requested. Undersigned hereby assigns to Oceanside, Inc. any. unpaid proceeds due or to :become' due, . under the imant ' cla' s policy with the insurance•. • : company .to ::pay. direct .to Oceanside, Inc: or to. include' its name ` check or draft,-: fo:r all requested work.: on a In the event that Oceanside claim herein is not covered by, or aid by, .insurance company, claimant agrees to a Oceanside Inc. : p an within: sixty (60) days after:.work has :been completed. Cla ' im ant. under stands : that Oceanside, Inc. is working for them. and not. the insurance company or the adjuster: Payments remaining due-' and payable after the claimant has received payment from.. the . insurance .company shall bear interest at one and one-half :(1-1/2�y percent per month. In the event that. there .is a :breach by the claimant of .any` of the conditions of .this agreement, Oceanside, Inc. shall be entitled to;. recover, as: additional damages; attorneys ' .fees, .costs and 'an collection expenses reasonable. and attributable to said breach. payment. is not. received:within 60 days, collection action will commence without. further notice to the claimant DATE: A 'S SIGNATURE PR�TNAME- � At H ME ADDRESS (BILLING) " " __._. . ._ . CITY STATE 71 /"/Ij ri /Llok L S AD ESS �G _ . _ Q?F- 7 9a � C/ 7y- ��/c 4& uS lad', \\Ocean serv\customer\documents\1 ASSIGNMENT.doc jj ' rk 6 -T, Board of Building Regulations and Standards ConstructioR Supervisor License . License:'-;CS 73097 t Brrtti late _ 03/1957 Expiration 1113G2008 Tr# 7187 " Restrtetw�l& 00 ^{ PETER A LAROCHE4 18 CEDRIC ROAD CENTERVILLE,MA 02632 Commissioner x Board of Building Regulations and Standards V HOME IMPROVEMENT CONTRACTOR Registration: 100121 Expiration. Type. Supplement Card OCEANSIDE,INC PETER LAROCHE 217 Thornton Dr GG-..' ii iiu✓ Hyannis,MA 02601 Administrator s �.h The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations ' a 600 Washington,street Boston,AVIA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LelZibly Name(Business/Organization/Individual): .00E,4M /, r lnjc., Address: 7,/1 7yo"Tp9J JR. City/State/Zip: APJNl�- M1 . QX01 Phone:#: §_*-_7.71- 311 D Are 3wu an employer? Check the'ap ropriate box: Type of project(required):. 4. general contractor and I 1.LJ I am a employer with t7 � I am a❑ g employees(full and/or.part-time}. * have hired the sub-contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no'employees These sub-contractors have g• ❑Demolition working for me mi any capacity. employees and have workers' comp insurance.$ 9• ❑Building addition [No workers' comp.insurance P• required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LEI Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4), and we have no - a employees. [No workers 13..❑ Other r com ,insurance required.] P q ] *Any applicant that checks box#1 must also'fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Am rU I C" W n'nr- .S lei " 7J be Policy#or Self-ins.Lic.#: WC 17�o"61 'cl 3 Expiration Date: 1 l 0 lob Site Address:_ W►6�1 .s�'� City/State/Zip:0071A/T Attach a copy of the workers' compensation policy declaration page(showing the policy number and ezpirarion date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy-of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un he pains and penalties ofperjury that the information provided ab a is true and.correct. Signature:4� Datef+ -- -2 Phone#: - I Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issaing Authority(circle one): A,,Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Inf®rati®n and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the Leceivor 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 bean employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for:the performance of public work untie acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." k Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of , insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers.'- compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,,- please do not hesitate to give us a call. The Department's address,telephone-and fax number: I� The Commonwealth of Massachusetts Depaxt=,,zt of Industrial Accidents Office of Investigations 600 Washington* Street Boston,NIA 02111 Tel. #617-727-4900 ext 406 or 1-977-N1ASSAFB Fax-# 617-727-7749 Revised 11-22-06 www.mass.gov/dia Assessor's offioe (1st floor): } ... P. ✓ 0�THE t0 Assessor's map and lot number ../.. ............�','..x.�........ Q.. ►' ��, —,—,,Board of Health (3rd floor): zY� citnr>� Sewage, Permit: number -�.....��: 1.. ��{ '..................................' Z B9Hd4TSI1LE. i Engineering::b 'br m On (3rd floor): rasa G� 1639. House n'umber .............................................................. d� �0 YPY APPLICATION$' PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF ',BARN�STABLE BUILDING ', INSPECTOR APPLICATION FOR PERMIT,TO ......... .�1...<. !/. ......................... ..................................................:....... �G � TYPE OF CONSTRUCTION ...........................:.. ................... .. ...... ............... :.............................. f ...........................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: f� �p Location .......... L.......</��9. ........ ..................... ....UL�...... Proposed Use .... �..,..s�........... ....... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ..11C /. Q .....Address ...11512 Name of Builder \. .�� .. 1�/�- .. ..............Address .....\ �/ G �. ;, " ............................... Nameof Architect ..... /�.............................................Address .................................................................................... � �)1� . Numberof Rooms .... .............................................................Foundation .............................................................................. Exterior ..V ./.L ...... ..... /...........................Roofing ../ ,0w .......lq!� ................ ti Floors ......................................................................................Interior .......... { Heating ..................................................................................Plumbing V..................................................... Fireplace ..................................................................................Approximate Cost+!�..:..... . .!/G�.D.�....� .. Definitive Plan Approved by Planning, � Board ______________________________19_____ . Are Diagram of Lot and Building with Dimensions Fee �..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I � l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ....� .....L12�1' w. /.....................\,. Construction Supervisor's License .(12/.......................... SNOW, ROGER I . A=35-30 s�G No 30866 Permit for .,Remodel Single Family Dwelling Location ....7.1 ..High Street Cotuit ............................................................................... Owner ......Roger I . Snow Type of Construction ...Frame ............................................................................... Plot ............................ Lot ................................ Permit Granted ........June 15, 19 87 r Date of Inspection ....................................19 Date Completed ......................................19 �t tom► Go/ �, 75, el Town of Barnstable *Permit Expires 6 months from issue date Regulatory Services Fee _. Thomas F.Geiler,Director Building Division) �. Tom Perry,CBO Building Commissioner ` 4' PERMI T ®®n� T 200 Main Street,Hyannis,MA 02601 j wwwxown.bamstable.ma.us �MqR� 2_- 2006 f , I3 Office 50$t862-403,8� Fax: 508-79 -6 TOWN ®F BAi�NSABLE- EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number [ S _ Property Address XResidential Value of Work q6e) Minimum fee of$25.00 for work under$6000.00 }: Owner's Name&Address /WLT 111-2S Contractor's Name � i &1A/t1 y/772) —W4,6. Telephone Number 6aje '.wo —W/d Home Improvement Contractor License#(if applicable) s Construction Supervisorjs License#(if applicable) ❑Workman's Compensation Insurance Check one:, ❑ I am a sole proprietor El I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name �' ?A4J rl v nS Workman's Comp olicyr'# U 46 ob R vI 6 b O J ; Copy of Insurance Compliance Certificate must be on file. Permit Request(check`boic) , u Z Re-roof(strppold shingles) All construction debris will be taken to ❑Re ioof(not stripping. Going over existing layers of roof) -Re-side A 5 arcrv'p f txufL�C Rep of ceinen in d UValue (maximum.44) ' *Where required: Issuance of"this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License' equired. SIGNATURE: Q:Forms:expmtrg Revise071405 r � l0 CARPENTRY UNLIMITED,INC. P.O. BOX 109 COTUIT,MA 02635 508.420.4212 PROPOSAL: September 22, 2005 Mr Steve Frechette Ms.Carol Raynor High St., Cotuit „ RE: High St., Cotuit In summary we hereby propose the following work at the above mentioned address at the main house. ROOFING: A Supply and install new architectural shingles on roof areas as discussed on 15# felt with ice and water shield and hurricane nailed as needed: Also re-roof and properly flash bay window A_qo e1V(,C- 's NOTE: Any additional roofing work that needs to be performed will be handled on a time and material basis. L 1--10>17— `�c=Z-T�, r lz- P2C CJN�!!S5 q�DiTro.vtiC >„'i t KITCHEN: [�5 C 5 �'T C—>cCC-z:D ! o emb Supply and.install two new VS 30 venting skylights with manual shades (hon design shades) (4:f-6 L-0 12- C 0 5&7 pu,,,r��S Remove bay window and install new Anderson casement window in existing opening as discussed. 5 L5r�. !-I5 /-'�� C� t Remove and replace rake boards with new azec of urethane trim boards rime n p poly ,p and paint. Insulate and sheetrock around new skylights and casement window as needed. Drill and add vents as needed around eaves where not appropriately vented. PAINTING: Paint all affected areas from new work performed. We have included touching up paint where bare wood is exposed on exterior. TOTAL MATERIAL AND LABOR " 0.0 TERMS: All removal of construction debris, C.U.I.responsibility All power and water to be supplied by homeowner All material is guaranteed to be as specified, and the above work to be completed in a substantial workmanlike manner in compliance with local building codes for the sum of. ($10,400.00) with payments to be made as follows: 50%upon^acceptance 25%upon roof and window work complete 25% at 100% completion NOTE: Any alternation or deviation from above plan specifications involving extra costs will be executed,only upon written order,and will become an extra charge over and above the estimate. Please review in full, any questions should be discussed prior to signing contract.' Any changes will result in an extension of the 100% completion date. Respectfully submitted: Thomas S. Cohen CARPENTRY UNLIMITED, INC. Signature: Date: G G i The ab prices and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. ACCEPTANCE OF PROPO Signature Date: WE THANK YOU FOR CHOOSING C.U.I. AS YOUR CAPE COD CONTRACTOR Il��d��f 13cilcting itc�ul�t t ns�ni, -�� i, RGUF, ANT CONTRY6 l OR..;' >` �is'r lion 1,10363 % lfla-o . 1`p/2012006 ei I00 Moual THCIJAAS S COHEN: TF 0MAS COHEN 1S HIGHLAND AVE wr �x 'gig ��e�tyrrvtnc?�uaeu�i a�� ccc�zrrQeka BOARD OF,BUILDING REGULATIONS license jCONSTRUCTION SUPERVISOR' S" Number,'CS 0571r22 {' w e:i ' � 'BirtFidate�06�12d�`�l,965 Exp�res0l12/2 ^07 Tr.no: 1308a �, Re�trf d �ROa �i THOMAS S COHEN 160 HIGHLAND;AVE ` _,.. G—r COTUIT MA ; Co'nmiss�oner � c �i� ��, i � �� I �" � �, , -� -- � � �, �� l �°'� �� C��oai ��n it o..i �� .� �� I ._ . i :� _ ,- -� . : �._ ,� �- 1 �' G Sf � 7� �lo� � M��Y ask:�� i �'�'i i !ti � —��. •e # i •.�` '�''�. r, ,ul• ... � 1�� .: _� � � r �� i. �� ` � ��. i �`i�� 1.. .�_ � ,, ( cn A � 2 �D tip 1, r ry+ "� � (k7F 0 � wII olco* , M Mir � S� i � � � � �oP ��u $ E a� - M/4CA1-1016 SEE I �12 I%A% RAKE UTILITY OC,. LASI EAST. ON I%BLOGA NG12'EIF� to . I%5 1,A91N6 FU 2%SILL o . m � i a I B o 12p InAYh 0ORSRBOARDS N . NEW GAMBREL ROOF TO ALIGN KTH 6 DORMERS y .N INTERSECTION OF DORNBR RALL AND E 00 5N�ROOF AT STORAGE EATS DORMERS FASCIA EAVE O ' o - (EEGIN 12:5 PITLN ROOF o TNIS PC - U BATH. , LUtVED ROOF RAKE - Q KE ON IX BLO<4CING V LIVING/M� 5TUDY. - I k� - - " 5,= XU U016 8ED M: STANDINSAM MOLDING B%lffAD LASING,' b (a J B CAGING vu COPPER ROOF U6 JAMB LASING �o5FL0lID FLF�._._._._._._ A-1 _._"_. _ t2 { \ 2 EAST. CURER ON DECORATIVE In VE. FASG VE RE A2 BRACKET - RETI.RN D - - -` IpXpbpLRASSIMN/Gpo OWN. - I%6 CORN8R80Ar✓D" TRIM o O aLF I OIL.SNINGLE5 • _ e FIRST FLOOR PULLS I � P A = DN. DN. I + CD Cl D� F R O N T E L E V A T I O N I SCALE: 1/4' '-O' I. ` V00 5TORAGE GARAGE- - 5TORAGE. + ------ ------ . _ - 1 Hi - DN. DEEPER TRIM 90H. ' DOOR OPENR65 ------- IfG\ EDGE OF OVERHANG—` ATTACHED 55I1��gq11NNGG TO 5T.W I ' ABOVE 66e m � s`e � um` —me6p— .. BOTTGM OF FRALL) .. mr m4 PLAYROOM m I Y � Ham-' � F I R S T FLOOR" PLANS Q)� +' w SCALE: 1/4" - 1-0' - t DEEPER SILL '~ �O 0)CA c C GENERAL ELEVATION NOTES ' -WALL/DEMO LEGEND r B' B• o` � :. __ _ _______ _ _ - _ = L PLAY t 6AMARB_ � f-i _ ,s,x.,� -..:.» � a. a u .. ,. ROOFING: ARONTELTLRAL ASPHALT EAVE?ETU106� IWX&FASCIA(BUILT-OUT) XULLS AND ITEMS M e _ __ y� vc$ y O SHINGLE•TO MATCH EAST1— VV I%51�F W LEAAGOATED BE REMOVED } � - - l D O a) �CR�M10 INS dl E%IsnNG Y4VJ.5 To - - LNG KEPT SIDIN6 �ry91In:CEE�DAR SNN6LE5 Ix FRIEZE ON I%BLOMMS - REMAIN NEW Y041.5 YV 1N8 CORLaCRBOARDS - R2 STORAGE PAVE: FG.6URFFON BED IX FASCIA ON L%SOFFIT N BED MOLDING ,�° WINDOW CASING: I>5 YJ•ShEAD GAGING E LK FRIEZE ON . BFLO{N . i i - 2Xb 511A YWIIBLLGKING P " W 2J(SUL E%Uf FRIP.IFlBLOCKIN6 DEMO NOTES - 1 I �i el*T.5w TO BE REMOVED MO PATCHED AS TO TINGASHED NNDOWS 5 - S //�� DOOR USING: In JAMaAEAO LASING STORAGE Rkkm*'IUWg: Fb.wrrER ON E%I t A �O�Y lob no.: 1515 UR FASCIA(SALT-OUT) NW OR REPLACED AS NOTED. V�/ ,ram �><I Qf� Q^R date 5 NOV&OER 2D15 GAMBREL SAVE, IAA%B FASCIA wC COPPER SHELFW i 'COATED ' �' vA.l W/ALUMINFI DRIP EDGE; 06025 LOVE MOULDING ON - •6026 COVE MOLDING ON IX FRIEZE ON LK BLOCKiNS/ - x >< NSTgB scale A9.NOTED I%FRIEZE ON I%BLOCKING GORNl6RBOARD GENERAL PLAN NOTE o S2 GAMBREL RAKE: IWXG RAKE BOARD DORMER EAVE(TYPJ- EAT5Tm TO RDWN - GL A.WAS��16 - pg <o I Q drawn: ,d K ON DI BLOCAMG . -aC of - - rev. DORMER RN-7-- Ue)U®RACE BOARD -VaNDOFG TO BE'AHDERSEN'A-SERE U(BLOIN6 PATTERN)ELEVATIOt6 FOR 1MRIIN 5EG0ND FILOOR PLAN rev. r -REFER TO Ei.EVAnON6 FOR WINDOW N R.O.HEIGHT"ABOVE%%FLOOR SGALE. 1/4' = 1'-O" A.- T •ALL E IDWR TRIM TO Be PVC• - _EHiRY DOORS TO EE 51MPSON - O ISSUED FOR CONSTRUCTION snt I Of 2 T EXIST.ARCHHITWWRAL C Eo Eo • ASPHALT SHINGLES EXIST.ARCMTECTLRAL ASPHALT SHINGLES WL.SaNS E9 EXIST.FRAMING u-i N •� BP H-Fla')ON - a7 '^ N In•WX PLYWOOD - E105T.FRAMING X8 W1YF N I%FLICKING R vc TTAGHm TO ING ' LL,FEpp�D��qqSIE1F W TDSBLCKNG )R� yD Wb FJ9T ST.V LLM - y ALLM.GRIP EWE o c AUK DRIP EDGE it V c, EV A Y E%ISTN65TW WALL _-4 AND SHEATHING c Y w P.T.STAB a PLYWOOD O BOTTOM PORTION OF Y N E WALL B'ROAVE 2X6 Ir Fb.WrrFR ON BLOCKINS TR.VLWIi70N) E%ISTNG FOMD.WALL Fb.,GVfTER CM —— - EXIST.IX FASCIA U Y EAST.Ix.FAWA y Y • !' EXI511NG SOFRT ap U MST'"SLP-FIT IX FASCIA fRETWZN TO BE WLT OTT 41n' - OOSTNG am MOLDING (50 PETAL 4/A-2) In'CEMENT BOARD ON EXIST.I%FRIEZE 8 3/4' b• ON IBED OINS(T • ' I%SAX6 LORt�EBOARD - I %FRIEZE MST. ST.T. IX I%FRT-411BLOCKIN6 AC.SHINGLES IXB COZNEFWAfW �J yydd N QJ r - 'W.SHINGLE F— ODETAIL @ GABLE WALL BUILD-OUT O EA\/E/RAKE DETAIL AT DORMER O EA\/E/RAKE DETAIL AT STORAGE BAY5 �I SCALE:1 In'=I'•O" SCALE:11n'.I'-0' SCALE:1 In' I'-O" V • - " � SECURE 2%6 LEDGET2 ro sans ��[,, ` ' CC SOARD AT ' W TIMBERED:SCRE'6 + " V DOP4R AAU BEYOND - SECURE LEoSa`To V SOLID w FRAMING OF EX STrOXTJIiE W nB MTA 6 RE m VOL. . aOL.L.Sm5CRTCB • RWF AT STORAGE BAY5 BETDID - SECURE 2X6 LEDSM TO STUD$ OF 2X6 50FFIT JOIST W TICK OF 2X6 O 16'FFI OL.JOTTB 12 STANDING SEAM b 5TANP ROOF IX3WX6 RAKE ON I%BLOCKING SECURE 2X5 RAFTER TO 2X6 SOFFIT JOIST W 5-TIMBERLOK SCRB•1r - Y 5 3W _ ' rmi memmo-:�-e \ 1�r'p-c oQ9 ' WVSTE CEDAR SNIN6LP5 ON m \ �.VvV<pzme i OV IR PLYWOOD SiEATHING _ `I�Nf6 FASCA STxW 4 jr OX EXST.WALL m 3ep6Topu� .• In V2 �e <mmy��a ym9• IX LEAD-GOATED GS. Im EWE a COPPER Si✓BF 0:12 TYPI - .•�., :.� EEADBOA RO ON IX PP=ems'"`mmo � ALJAt DRU'mGE FRIEZE iaEDNG - • : da_w-m ego e ON X FRIEZE . ON 1x BILG1cIN6 x HEAV CASING . I DGAX8 FASCA/ - - L FASCIA RETIWI ---__ ------ LI5TO4 BRACKET. ` - • +�-' •H-r N------------ g I J vFJ aTs N N E 3 --—--———— m 48026 COVE MOLDNG N —_ w �l I%BLO O M% Y3' • Ham--^ •� I1.2 S?W 6 3/4• 4. N G IXB LORNEIBOARD EXIST.a NEW DOOR HEADER C WIRE CEDAR SHIIKLL3 ON V2'GOX PLYWOOD 5HEhTHING - EXTENDED MM a DOOR OPE INS OVER 2X6 WALL 5=W , • t aJ0=NS AT Ib•OL. .s* ••i �^= V Q O RAKE / EAVE / EAVE RETURN DETAIL AT GAMBREL O DETAIL AT OVERHEAD GARAGE DOOR / OVERHANG SCALE,1 In'•V-O" 1 SCALE.I In••r•o+ job no.: Is1s n date . 5 NOVEt1BER 2015 scale AS NOTED .. drawn: JLA rev. .. rev. � L o r - ISSUED FOR CONSTRUCTION Bht 2 of 2 ` e WALL/DEMO LEGEND e - •.. - — - WALLS AND ITEM TO ` - '---- BE REMOVED 0 . ExsnN6WLLl9To NSN WALLS rt DEMO NOTES MUD HALL EX1STIN6 DASIED KNDOM!AALLS o v CK a-..- - TO BE REMOVED AND PATCHED AS . - - NEEDED OR REPEALED As NOTED. a ' s • . A d GENERAL RAN NOTES s .. :. .. ALL EM.W415 TO�axb5 o Ib OL A✓b.ESS NOTED Of11ERWSEf O ++ • -ALL Mr.WALLS TO BE ax45 a 16' p - .. OL.IIAdE%NOfED O11�tWSE) to U .�lo�.—'� KITCHEN _ - .: - - - _ NTH POCKET DOORS To - - (r4JMIN5,aW x 7W - r .. _ _ _ WALLS ,, Be are c .•. 5.(IYPI AU - s . •— - ^ HINDOM AND FRENCH DOOR TO BE•... .. iw PNDERSEN'400-SERIES(REFER TO m e�UIIH •C ELEVATIONS FOR MlNT1N PATTERfs1 . -IWM TO EEVATIONs FOR KNOCK (Z r � . KO.HEI6M5 ABOVE a8FOOR i _FROM ENTRY DOOR TO RO6EE VALLEY-------------- .�i ax45e BAY. ____ - . , i r d �, g� - �TH _ n e si!• - - (OIP�r MamNs.7n1 151 %It F D LVL a YU NN_ YI ACCESS ' ` OEs OF BO%EO ' ' A'.. ce�ER DINING 1� ' - NOTE, , • - T rs.o.�7-lo x S3.—.—.'Fiusr.oN1F8 BATH 3 ROO MnmNs and _ HALL , h rovET.aA-4) • - _ TO BEDROOM I � � - RuMnNs ant _ �`• � - RtMTNs:and - r. MR REMOVE A ROOIST.DFI.OR •. - ♦ L J ' RAILING!ROOF - "T• i R4ARRL5�ant ". OFFICE - E%ISTM6 cEILrta6 BATH I - EE S ABOVE - r .. LIVING ..� �-- -- - � � r! ;: ' - 2, - mg�S�.E'$m�`�o= EXTEND ROOF W E%KTM6 s . i - ----- ---- 1 f$YY { "3ea ��e ________________ __'____-_-_ -'_'-'_' -__'___-------- r i - • --i : .. .• - , MATC1 WALL NEI6HT S �— 9d•"s .. - :- _______ WEXISTM6 ^T Ell. oa em . X _ {33 3� A Z� :�o V —q 'BEDROOM 3. z wr d _ E-Rv nb n II. - - r 51TTI G ATF-Sole S IMMT"3nJ DEEP SILLS wise s .. ; ra+oNr WtfmoKs _ - _ - DlRTTNB: .——]WX TO�lt4T00�sP�EGTION� '.. �i+Mors aro , V N a L e �. \ l j -3 / - ------ -- - -- - O N i m d�� " COG axe son KALUHLOCKIN6 I I �44---- < ( •;� +•F� j �91�P.ATTII TiEJO�Ts 6LK' ~ � C(�Py�rT I ILCAnors) I r� 4xl � .> • W NINH 'IACGBs9 i -3 j _ Q f� T , r` NEIDED Pea I -3 ovEixAM6 - _ V I ' Mo Ewsr.RQ7F RaoF a litOF L2 I N Ass'9 SW W-W V-T s'-S W-P , �wg �s job no.: 1519 ' O ERIC J. of date a NovE Err zols µ j CEDERHOLM m TIC I O STRUCTURAL scale `nsryoTED "IPP I V No. 38962 c drawn • 1'-10 VY 7'-t011Y I -2 V]' r-IO Va• A /L rev. FIRST FLOOR PLAN 11' Ea rev.' SCALE: 1/4• . 1-0'Ln 0 SECOND. FLOOR PLAN g E SCALE, 1/4• e 1•_o- - _ - :, - ISSUED FOR CONSTRUCTION, sot I, of a I1 • xa 0 . - • NEN E1O511N5 � N 'Ct O N • rtx�wrJ� rti1e1� . o r L LPT INTO ROOF FOR/RNLVM ASPHALT qGC LEAP-COATED COPPER h0 W.GI EXIST PAN RASfIP:6 OR SHAM 4 , co � L L ARLNITFLTVRAL @ l4 4 D MfATE ARGNNFLTLRAL h0 MATCH. ASP lA1.T a`IINflE5 M y .. M, M • )D _ (TO P6 GOPI�OSTJ o (TO MATCH E%ISTJ - AL M.GVRER (TAEJ A LM.WnT no SNMGLES •. 55(TµµO MATGN EMST) M A•{ ` N MOIJXN6 i ASL�M LECORATIYE V (4 W"EJ O-RWJ I DEWRATWE FIARED EI/•Il ALatJeJfTER OONIW.VUS FRIESE N✓ �� - PLC.'SK"LE5 S _ ?TO KATC+4 ---------- V ----#"s --— — ---- ---_ —__ --_ SVBF — -- — --—----- cFMSTTTFFM V .� . ��LHINb _—— f A 1XMIX5 CORIERWARDS f7 (TO HATGD EXISTJ r ` MO.SDME9 low PROP05ED R 1 6 HT ELEV,A'T10N (TO MATLN MT) - - - „ PROP05ED FRONT ELEVATION • SCALE. 1/4• s 1'-0' er` h. un c Im __ ________________..fie � • _ , � _ _ .�. AR08iEOlIRAL (l (� MOTT"MY ' e s f _ • • (TO:MAUM EIMT) Cl) . t i (o MICH DO5T)SHOWU5 • 0— � C� CQ s. N,� m N CEl O�LW W kXWM RAM ��MecM S Q ———� secwm ELrL T� E r W LEM.f.OA C rlmR rS�'' •'' Lo RRooP —__ I O ERIC J. c�s = 0 CEDERHOL� pr� STRUCTURAL OR SMnA U No. 389E+2 job no.: (sls 'S date : B MDVET,eER 10Fi Ix TRIM•FA[E/SIOES , -�.;�' '�/ OF DAY PV CQTT.MILL �� scale : AS MOTED -------- -- -- ---- -- -----— ��(`( MORATME DRPtRETS --O LMx6 — 'V-: drawn: ,i,ri AR rev. fey. $ PROP 0 5 E D LEFT ELEVATION ------------ - .. ISSUED FOR PERMIT shl 2 of a - - _ G O _ C G O N N FO a ��ES A5 -7 _ '________________ _____________ Ba G1 . (TO IMTO"E STB16) ' o c rf �O _ s/b'COX RYMS AROWIEGYMAL A.fW.LLT7x105BbOL. 1011 brJ ITO- - 6 b.h IO itoo+ W f`6 S/YORYH _ - R)fE11/ m ' .. ARLNn CN A ASF X<]T lBEDROOM 4 sbA% 0aU O %S ARO FTIMnWL ASR LLT 2/05B 16'04. ROq�I91 IIWSLTb) TC b/b'COX L0S&16'y"O.O EOST.HOO I BED O9I1��N0•0U5b tCYY31pp5,OT.R�.POI FMPTBSl6 - Mwt 0'•"qAiOit MT.FI.WR V♦ • 41 Sggp MLES COX MYA= Oxb&OLKPLS LIVING LIVING SITTING E105T. - F SOa FLOOR •' .. SIH FLOOR � •\. - •., - A L1TieK 5.E'GT10N — y A. SEGTI ON '� � .. - _ .. t _ a, . .• .. . 5.. .. • e ... - v. . 1!%t-. - f •-Bs ti�eFd�v a=ue... a m t OO (TO %tYxE SRi MMOPI E%IsT ) - • Y t _. ' _ _.�u,� Cox FLYMM - '° "^ 2AO9B W 0L. p 0 r $a3m�.M • r 1 WES : T9 # YF NiGBTECTRAL A]RW.T--. - - -' . . MiTiM BE» M 4 - HALL N 0 ]%b5s IV OL. - - _ ++ Al�_— ][ '.'EAST. e.. _ - 0-0 U 06 F"al �� 11 * (n (0 C V• ramx— — Cam.`�{p C N O 71 e I N T U) cEff axirBCAA. ----- -{------- - '' _ <. O� ERIC J. e n � r<nLt am ' LIVING CEGEFtFIOLM m Q � f El 0 STRUCTURAL = V T i Ewsr.RaR p No. 38962 job no.: nls . Stp date a move am 2o15 w � "•''Z"rS scale . _ : AstmTEo 5 E G T 1 O N drawn SCALE. 1/4' - 1-0' - .. rev. rev. A 3 " ISSUED FOR PERMIT am 3 Of a a' . - E%LST.S%IHeL6 - �. 0 AAROO�r TLRA I.L. - ,on EXIST.FRAMM, ARGb1EGTUm - � m N ..� (TO MATcx EXIsnrJ6J .. • A" 51mYLE5 — (TO MATW EASTO%SJ c io 7 V RAFTERS EX.A 41K WnER u�-� v O . o Ib•OL. '.Ri IX FASCIA M. t y ch m cc " ALVIL DID FDbE .' �'� _ ._ mm AUK WrIOt Oft ALAI OwP EVSE `. r m Eo IX FAWA Y O) O) EXI%SOFFR IX FASCIA o AG9I WSLE9 I I Arlt Ie Sn1D MLL IXSOFFR tr+) E (5•A E1�J ' %FRIED=W • - — FBOIb EEO MOLOIRO O 4 IX FA IXD I M'A U 5 VT' , V016 CE .DI%6 • - TO Y IX SOPFR b 9/B'µ o V7 COX PLYAOOD RHE) .G u FW�R F FLE ., RAMINe AG SMMSLE9 � S AT MW 5/4 CAPW DEit—n�IO v �(� MATEIAAL GI/,1ViE +So10 SFD MOLDMb << rt0 MATLN E%ISn) - ��`' V�q o GDNED]X OLOCJC b O ERIC J. yr FE.aa eoARO CE©ERHOLM E%6TIN6 FOIE✓D.HALL - ® STRUCTURAL 1 V4• No. 38,962IX%W PRIM `© .' _ CIS DETAIL e GABLE WALL BUILD-OUT SAVE DETAIL AT LIV1N6'(LEFT) !D*01E] o SCALE:I'V]'-1'-O• r + i •" r AG 5MMS1E. .. (TOMATOI MIMIIi) . 11 AR Pcur WO ROOF FOR rms'avc hl Va•GDX FLYF1OOD FSF%LFAD{OATFD COPPER OONR - PAR FLAi&IS OR SIMILAR _ -. a GAP p WRVED 1lt BLClXYa G ft ti :a FAVE SEYQA . �.: . ; n Y -. _ .. _. .. s-5�.4�_y.. �es e � . r r . _ N sue = ��a O EAVE DETAIL AT SITTI G .off � m Hbli A5RCWMLT T - - 5GALE:1 V7:1'O. x - y§�B^ �E 'u a' R no AATG1 E%6TIN5/ Pa �_ 1*4 V2' L 2l, 9 pea oK`^ al cuRvm yc eLOOXIRe a AUK DRIP EDEE J - ,e _ ARGIpTFLTURAi. +• y I (To MATCH PJSSTIMbI n..,i ' :'#Gllf✓f 2X6 RAF1Eti To D(b ——— 10O RKIEAS ZS V�'f'� W •• A .D EDSE ————-——— I ——————— M1BL 6URER ON -N 0 L LLMRIP 1+ ++IXFAS N v/ U CIA LIMNS FIOOR FRAwtis ., N n' E��I I II - I• ' s "AM OW EPM - IX 90FflT r.W i cr— BEO PIOLP M9 B'Ix men Fv �, 0) W uEVIXe FASCIA .. I I - _ M I II I �•�_� I I I I DI FASM A j (D r P (o4E) -• - ! t IX 96FFlT F I I I _ IX FRIETEAEAD o • ur cmc FLYr10OD ,M I II I MWMFv•eob 7 T cul U 1 I _ EXIT 6T�w nM.L ..S ( .1. . DECORATIVE SRACRET I- II I �,,, _ rt Flr 10 Va. • « _ - OR so I II I $ - O 1 . rroLrn%e job no.: E.Xg O I II I I II I LINE a�orrMwnL I I I i e u date : y emvEneEM Zola LM W PAST.HALL I I I I ,p - state = As MorEn myav II I 4 t • drawn '.sw I I 1 }a°vF w 0 rev. S4 EV4'./- I I rev. I � o n 4 EAVE DETAIL AT ENTRY ¢O EAyE DETAIL AT BEDROOM 4 DORMER O EAVE DETAIL AT FRONTA-4 SCALE.1 vs,P r-o sGALe.I i/]•.,.-o.. ISSUED FOR PERMIT o snc f- 4 6 5.CONCRETE BRICK SHALL CONFORM 10.ALL PLYWOOD SHALL BE APA E GENERAL' 3.WALL5 ACTING AS RETAINING WALLS TO ASTM G55. PERFORMANCE RATED P CONFORMING SHEARWALL HOLDDOWN SCHEDULE o a R k SHALLWITHOUT PANELS 0 ORMING NOT BE BAGKFILLED TO-THE FOLLOWING MINUMUM'REQUIREMENTS: .� a> I.STRUCTURAL DRAWINGS ARE BRACING UNTIL ALL SUrPORTIN� sO1C 6.GROUT SHALL CONFORM TO THE •d � � 4 SLABS ARE IN PLACE 4.AT REQUIREMENTS OF A5TM C 146 4 A. FLOOR-STURD-1-FLOOR T46,EXPOSURE I, FOUNDATION HOLDDOWNS 4 ANCHOR BOLTS: g H TO BE USED WITH THE ENTIRE ADEQUATE STRENGTH. SHALL HAVE A COMPRESSIVE r- ran SET OF DRAWINGS. 3/4",SPAN RATING I6". .2 ,,, STRENGTH OF 3000 PSI. - HDUS-SD525 W/55TB24 5/8"DIAMETER ANCHOR BOLT .@ `a 4.COMPACT ALL FILL UNDER FOOTINGS B,WALL 5HEATHING-EXP05URE I, 1/2', u '2.ALL SAFETY REGULATIONS 4 SLABS TO THE SPECIFIED DENSITY 1.VERTICAL 4 BOND BEAM SPAN RATING 16". O5 W/GNW 5/8"COUPLER NUT BETWEEN 55TB24 8 5/8" a a w ARE TO BE STRICTLY FOLLOWED. 4 VERIFY. REINFORCEMENT SHALL CONFORM THREADED ROD INTO HOLDDOWN. POSITION 55TB24 METHODS OF CONSTRUCTION 4 TO THE REQUIREMENTS OF A5TM A615. G.ROOF 5HEATHIN67EXP05URE 1,5/8", W/ANCHORMATE TO FORMWORK PRIOR TO CONCRETE ERECTION OF STRUCTURAL MATERIALS SPAN RATING I6". POUR FOR CORRECT PLACEMENT. 15 THE CONTRACTOR'S RESPONSIBILITY. STRUCTURAL STEEL 8.MORTAR SHALL CONFORM TO THE REQUIREMENTS OF A5TM C 210 1-1120-50525 W/55TB28 1/8"DIAMETER ANCHOR BOLT 3.THE CONTRACTOR J5 RESPONSIBLE I.DESIGN,FABRICATION 4 ERECTION AND SHALL BE TYPE M OR 5. DESIGN CRITERIA FOR I2155EMINATION OF ALL SHALL BE IN ACCORDANCE WITH O8 THREADED CNN ED COUPLER NUT BETWEEN POSITION 4 Tf3 E REV1510N5 4 REQUIREMENTS TO THE AISG SPECIFICATION FOR q.QUALITY ASSURANCE TESTING 4 THREADED ROD INTO ORMAO K POSITION CONCRETE 0 � THE SUBCONTRACTORS. INSPECTION SHALL BE PERFORMED I.APPLICABLE BUILDING CODE W/.ANGHORMATE TO FORMWORK PRIOR TO CONCRETE s - STRUCTURAL STEEL FOR BUILDINGS, ' LATEST EDITION. IN ACCORDANCE WITH THE MASSACHU5ETT5 8TH EDITION POUR FOR CORRECT PLACEMENT. RE00IREMENT5 OF AGI 530.VA56E 6/88. 4.REASONABLE CARE HAS BEEN 2.DESIGN WIND SPEED: 110 MPH HDUI4-5052.5 W/5BIX30 I°DIAMETER ANCHOR BOLT TAKEN IN THE PREPARATION OF 2.STRUCTURAL SHAPES SHALL CONFORM EXPOSURE G, 1=1.0,G= +/-0.18 14 W/CNN I" COUPLER NUT BETWEEN 5BIX50 4 1" ALL DRAWIN65 AND SPECIFICATIONS. TO THE FOLLOWING: FRAMING LUMBER 4 CONNECTORS O THREADED ROD INTO HOLDDOWN WITH HOLDDOWN HOWEVER THE ENGINEER DOES NOT ATTACHED TO 6X6 O HO POSITION SBIX30 W/ j GUARANTEE AGAINST HUMAN ERROR A.WIDE FLANGE MEMBERS ASTM I.ALL FRAMING LUMBER SHALL BE ANCHORMATE TO FORMWORK PRIOR TO CONCRETE (� rn 4 FOR THAT REASON IT IS IMPERATIVE Agg2 GRADE 50, STRUCTURAL DESIGN CRITERIA KILN DRIED 194o MAXIMUM MOISTURE POUR FOR CORRECT PLACEMENT. w m- THAT THE CONTRACTOR SHALL CHECK CONTENT. LUMBER SHALL MEET ALL DIMENSIONS 4 DETAILS 4 MUST B.CHANNELS 4 ANGLES ASTM A36. AS A MINIMUM THE FOLLOWING - FIRST FLOOR 40 PSF LL _ VERIFY ALL CONDITIONS,DIMENSIONS, DESIGN VALUES FOR 5PRUGE-PINE-FIR: 10 P5F OL ca 4 ELEVATIONS AT THE SITE.ALL •G. H55 ROUND 8 RECTANGULAR TUBES DISCREPANCIES SHALL BE BROUGHT' TO ASTM A 500,GRADE B FY=46 KSI: A.2X 5TUD5 CONSTRUCTION GRADE SECOND FLOOR 40 P5F 01 - H TO THE ATTENTION OF THE ENGINEER FB=800,FV=65,FG=150 10 PSF DL CONNECTION TO CONCRETE FOUNDATION ~ V 3.ALL GALVANIZING SHALL CONFORM -ATTIC/STO. 20 P5F LL d 5.THE CONTRACTOR SHALL SUBMIT TO ASTM A 123: - B. 2X JOI5T5/RAFTER5 NO. I GRADE IO P5F OL FB=1150,FV=lO FOUNDATION SILL PLATE CONNECTION TO CONCRETE: - COMPLETE SHOP DRAWINGS FOR - ROOF GSL 30 PSF 5L aj ALL CONCRETE REINFORCING,ALL 4 BOLTED CONNECTIONS SHALL BE WITH C.P05T NO. I GRADE FB=800, 10 P5F OL 5/8°DIAMETER ANCHOR BOLTS® 32"O.G. STRUCTURAL STEEL,4 BOTH HIGH 5TRENGTH BOLTS IN ACCORDANCE FY=65,FG=675 �y Qcc CALCULATIONS 4 SHOP DRAWINGS WITH THE SPECIFICATION FOR - EXT.WALL5/5TOR.` 100 PLF DL FOR ALL MANUFAGTURERED LUMBER STRUCTURAL JOINTS U51N6 ASTM A 325 -` NOTE: ANCHOR BOLTS REFERENCED ABOVE TO BE 5/8°DIA. PRODUCTS 4 THEIR(ONNECTOR5 OR A 4W BOLTS. 2.ALL FASTENING OF FRAMING, - INT.WALL5/5TOR. y 80 PLF OL A301 STEEL ANCHOR BOLTS W/3"X 3"X 1/4' PLATE WA5HER5 FOR REVIEW PRIOR TO FABRICATION. ,_ _ . , PLATES,SILLS,5HEATHING 4 W/1"MINIMUM EMBEDMENT INTO CONCRETE. O* OTHER WOOD MEMBERS SHALL - DECKS/PORCHE5 40 P5F. 5.ANCHOR BOLTS SHALL BE A5TM A 501. BE IN ACCORDANCE WITH THE 10 P5F - '� CONCRETE MINIMUM 6.WELD5 SHALL BE MADE BY OPERATORS REQUIREMENTS OF THE 1.ALL CONCRETE WORK AND MATERIALS CERTIFIED BY THE STANDARD _ MASSACHUSETTS STATE BUILDING SHALL COMPLY WITH THE SPECIFICATIONS QUALIFICATION PROCEDURE OF THE CODE 8TH EDITION., 5HEARWALL SCHEDULE ' FOR STRUCTURAL CONCRETE FOR EWILDIN65 AMERICAN WELDING SOCIETY. (AGI 301-8q). 3.CONNECTORS SHOWN ARE A5 1.WELDING SHALL BE IN ACCORDANCE MANUFACTURED BY 51MP50N WALL TYPE 504DULE: =4 Oz W g N 2.ALL CONCRETE SHALL HAVE A 26-DAY WITH THE AW5 01.1 CODE FOR WELDING 5TRONG-TIE 60. INC.SUBSTITUTIONS' COMPRESSIVE STRENGTH OF 5000 P51, IN BUILDING CONSTRUCTION. MUST BE APPROVED IN WRITING & $ WITH MAXIMUM I INCH AGGREGATE$ BY THE ENGINEER. INSTALLATION 15/32" PLYWOOD-(EDGES BLOCKED) MAXIMUM 6�AIR ENTRAINMENT FOR OF ALL CONNECTORS SHALL BE SD COMMON OR GALVANIZED BOX NAILS W S 8.CONNECTIONS NOT DETAILED SHALL IN STRICT ACCORDANCE WITH THE @ 6"•O.G.E0GE5 4 12"O.G.FIELD. Z o EXTERIOR CONCRETE EXP05ED TO BE DESIGNED FOR THE LOADS 5HOWN � 3 MOISTURE. ON THE DRAWINGS OR FOR LOADS THE MANUFACTURERS INSTRUCTIONS o� 4 MUST EMPLOY ALL REQUIRED 15/32"PLYWOOD-(EDGE5 BLOCKED) - - GIVEN IN THE STANDARD LOAD FASTENERS. - �4 SD COMMON OR GALVANIZED BOX NAILS �' W 1 ' 3.ALL REINFORCING STEEL SHALL BE TABLE-5 OF A156 FOR THE SPAN, ®3°O.G.E06E5 4 12"O.C. FIELD. DEFORMED BARS OF NEW BILLET 57EEL SECTION 4 STRENGTH SPECIFIED. is CONFORMING TO A5TM A 615 GRADE 60. 4.ALL CONNECTORS SHALL BE 4.ELEVATIONS NOTED A5"TOP OF STEEL HOT DIP GALVANIZED. 15/52"PLYWOOD-(EDGE5 BLOCKED) A3 REFER TO THE TOP FLANGE OF ROLLED 8D COMMON OR GALVANIZED D NAILS 4.CONCRETE COVER OF REINFORCING BARS •• @ 2"D.G.EDGES 4 12"O.G.FIELD. ` SHALL BE AS FOLLOW5: 5ECTION5. 5. INSTALL ALL CONNECTOR FASTENERS FRAMING AT ADJOINING PANEL EDGES A.3"AT CONCRETE PLACED DIRECTLY <BEFORE LOADING THE JOINT. NAILS SHALL BESHALL BE 3" MI STAGGERED. RED.ER 4 �63 OF fl9,y,p�9 U , AGAINST EARTH. MA50NRY 6.SPLIT WOOD 15 NOT ACCEPTABLE +� FOR ANY CONNECTION. Ci ERIC J. %\ N B.2"AT ALL OTHER LOCATIONS. I.MASONRY CONSTRUCTION SHALL NOTE: FOR PLYWOOD 5HEARWALL TYPES I,2, 4 3 CEDERHOLM�r' O �_ O LISTED ABOVE,SD COMMON OR GALVANIZED Z CONFORM TO THE REQUIREMENTS 1.ALL EXPOSED FRAMING MEMBERS NAILS - (0.131 X 2 1/2")GUN NAILS MATCHING THE to STRUCTURAL .:1� N•(A W m 5.NO HORIZONTAL CONSTRUCTION JOINT5 OF SPECIFICATIONS FOR MASONRY SHALL BE TREATED PER AWPA NAIL DIAMETER 4 LENGTH MAY BE USED AS A fro_ 38Bo2 cv>i C N,� 0 ARE ALLOWED,UNLESS SPECIFICALLY STRUCTURES(AGI 530.1/A56E 6-88). 62/641 GGA 025 4 MEMBER5 IN SUBSTITUTE y O 5HOWN ON THE DRAWINGS OR ALLOWED STRENGTH OF MASONRY F'M=1500 P51, CONTACT WITH 501L SHALL BE m0 _ IN WRITING BY THE ENGINEER. TREATED PER AWPA 023/024 2.VERTICAL REINFORCING OF MASONRY GGA 0.60.JOB 51TE FABRICATIONS ,' CUTS 4 BORES SHALL'BE TREATED IN 5HEARWALL CONSTRUCTION: 6. wemwAR e�vr'l SrHaoK T ELDRAWIANGS ALL GORES OLL BE AS F ON Y.d� Q � O TM ACCORDANCE WITH AWPA STD.M4. 3 .4 u• n• MASONRY UNITS SHALL BE FILLED 1.ALL 5HEARWALL5 TO HAVE DOUBLE TOP PLATES _ 0 "s re• n• WITH GROUT. REINFORCING BAR 8.ALL MANUFACTURED LVL WOOD FRAMING. 4 DOUBLE 2X STUDS AT EACH END OF THE.WALL. • - - °e 20• LAPS SHALL BE 2'45"MIN. MEMBERS SHALL HAVE THE FOLLOWING 24. ,a PHYSICAL PROPERTIE5 A5 A MINIMUM: 2.FACE NAIL DOUBLE TOP PLATES W/160 NAILS® 16"O.G. 3.HORIZONTAL JOINT REINFORCING E=2.0 X 10 6 USE (12)- 160 NAILS AT EACH SIDE OF LAP SPLICES IN TOP job no.. FOR MA50NRY SHALL BE EQUAL PSL,FB=2800,FV=240. PLATES. SPLICE-LENGTH TO BE A MINIMUM OF 4'-O"LONG. FOUNDATIONS TO DUR-O-WALL TRU55 MANUFACTERED date = 9 NOVFJMER 2014 WITH WIRE CONFORMING TO A5TM A 82 q.ALL FLOOR J015T5 SHALL BE AS 3.NAILING FOR PERFORATED 5HEARWALLS TO BE CONTINUED xale : „sue 4 COATED FOR CORRO51ON PROTECTION MANUFACTURERED BY BOISE CASCADE ABOVE AND BELOW ALL OPENINGS IN 5HEARWALL. I.THE ALLOWABLE PRESUMED 501L IN ACCORDANCE WITH A5TM A 153, drawn, GLA55 B-2. ALL WIRE SHALL BE FAST yr. BEARING CAPCITY I5 3000 PSF, 4 AT SIZED ON THE DRAWINGS. ALL WHICH 15 TO BE VERIFIED IN THE FIELD FASTENING;BEARING,BRACING $ 4.ATTACH DOUBLE 2X STUDS 8 BUILT-UP CORNER STUDS AT rev. BEFORE CONSTRUCTION, q GAGE MINIMUM. PROVIDE MINIMUM STIFFENING SHALL BE IN STRICT ACCORDANCE 5HEARWALL EN05 W/(2)16D NAILS a 6"O.G. FOR ATTIC/ LAP OF 6" 4 USE PREFABRIATED T5 WITH THE MANUFACTURER'S REQUIREMENTS. SECOND FLOOR 5HEARWALL5 AND(2) 160 NAILS® 4"O.G. rev' ' OR CORNER SECTIONS AT ALL STAGGERED FOR FIRST FLOOR 5HEARWALL5. 2.FOOTINGS SHALL BE CARRIED WALL INTERSECTIONS. p 5.REFER TO HOLDDOWN SCHEDULE FOR TIE DOWNS AT � TO LOWER ELEVATION THAN SHOWN ` o ON THE DRAWINGS IF REQUIRED TO 4.CONCRETE MASONRY UNITS SHALL SHEARWALL ENDS. REACH PROPER BEARING GAPCITY. CONFORM TO A5TM C q0. _ ISSUED FOR PERMIT 5nt 5 of e � o 0 Ut� � 6ENFJtAL NARIN6 SCHEDULE-110 MPH . JOINT VESCAIPTION COMMON NAILS ILe NAIL�AGN6 ML440M OF O ROOF FRAMING y� t in co to FLOCKING TO RAFTER(TOE-NAILED) END � .m.. to • - RIM BOARD TO RAFTER(END-NAILED) 2-I6D S_16D EAGI END v� a YJ o N WALL FRAMHNG TOP RATES AT INTERSECTIONS ffP.CE-NAM1EDI 4-I6D S-16D AT JOINTS. - LSTA STRAP® W O.G. _ STUD TO STUD(PACE-NAILED) 2-I6D -1ev 24'oL. �'•m L6 ' (PER GSN) HEADER TO HEADER(FACE-NAILED) I6D I6D 16.OL.ALONG ED*,Mzz mm .FLOOR FRAMING ROOF SHEATHING ' JOIST TO SILL,TOP PLATE OR GIRDER(TOE-NAILED) 4-80 4-I00. MR JOIST N E BLOCKIN&TO JOIST(!OE-NAILED) 1-aD 2-lop EACH END ^ s (1)- IOD NAILS .. SLOCKINS TO SILL OR TOP PLATE(TOE-NAILED) 9-I6D 4-I6D., EACN BLOCK p o EACH END - LEDGER STRIP TO BEAM OR 61RDER(FACE-NAUED) 9-160 4-160 FAG(JOIST ' - JOIST ON LEDGER TO BEAM(TOE-NAILED) S-av 9-1017 .PER JOIST BAND JOIST TO JOIST IEND-NAILED) 5-16P 4-16D FER JOIST aye• _ BAND JOIST TO SILL OR TOP RATE(TOE-NAILED) - ... ..2-161) 9-1617 PER FOOT r^\•r^ a� . ..{_ ROOF SHEATHMG WOOD STRUCTURAL PANELS.. W 0) - -RAFTERS OR 7RIlSGES SPACED UP TO 16'OL. BD IOD 6'EDGE/6'MELD r � — . RAFTERS OR TRL5SE5 EPA=OVER 16'OL. BD - 100 -4'EDGE/4'FIELD SEE ALTERNATE , GABLE ENDWALL RAKE OR RAKE TR156 W/O GABLE OVERHANG 8D 1oD 6"EO6E/b'FIELD &ABLE ENDWALL RAKE OR RAKE TRLW W STRUCTURAL QRLOOKERS ev IOD 6-EO6E/6•FIELD - ROOF RAFTER.PER PLAN &ABLE ENDWALL RAKE OR RAKE TRVSS W LOOKOM BLOCKS aD - IOD 4-EDGE)4•FIELD ^ O V _ CEILING 5NEATHING _ _ - .SD(.DOLERS - T'Mae/10'F16.D U .. 6YP5UM WALLBOARD •� - ALTERNATE,ATTACH OPPOSING RAFTERS - - - WALL SHEATHN& BELOW RIDGE BEAM OR RIDGE BOARD W/ _ 2X4 COLLAR TIE A5 SHOWN.RIDGE 5TRAP5 WOOD STR V-TURAL PANELS " NOT REWIRED WHEN USING A COLLAR TIE. �1 • . -SN7 SPACED LP TO 24.O.G. aD Iop 6•EDGE/12-FIELD cc I/Y AND 25e2'FIBERBOARD PANELS as - 9'ED6L'./6-FIELD. _ -1/2'GYP517r7 WALLBOARD SO COOLERS - I.EDGE/10,FIELD BOOR SHEA - RSTRXTURAL .RIDGE BEAM TUT LL��JJ „ WGOv STRUCTURAL PANELS • NOT TO SCALE - - - 1.OR LEW ea IoD b•EDGE/12•FE3.D .'� a GREATER THAN I• IOD IbD 6 EDGE/b FIELD ` z p oZ iV1W QIQj " OZ� " �13 �• W Q N . . • '� � Roof sHEATHING .'EDGE NAILING ` 2X BLOCKING BETWEEN • - - ^ ' - RAFTERS(NOTCH FOR .. '-+ a +�•+ . VENTILATION IF REQUIRED. _ " REFER TO ARCHITECTURAL Eo - - PLANS FOR MORE;INFOJ - •r+ O� --c 4- rn— c09 ) A �-c co �z jF.°° mm 0 � co ROOF RAFTER PER PLAN. " - EPIC J. Q h-r (REFER TO ARCHITECTURAL H2.SA(INSTALL PRIOR TO - CEDERHOLM m-1 _ , O. PLANS FOR RAFTER DIMS... BLOCKING AND PLYWOOD _ " .AND EAVE DETAILING) SHEATHING)ALTERNATE: H2A_ ' 0 STRUCTURAL -H = U ca 38962 Y li • job--- Ism DOUBLE 2X TOP PLATE S/p - date 9 Novo'®ER 2Ots BEAM - "Cale r AS NOTED (IF 5HOWN ON PLAN) • - . - drawn: yy rev. rev. O RAFTER TO TOP PLATE NOT TO SCALE ISSUED FOR PERMIT stil C, of e YV W Lau%-ALL FSL STFNLTFIAL NOTES. v E 0 �- •. - AT POOLE Me-WAS 04 GAP rLLO,L40-450525 -ALL MKVM L E111EWOR POOR N w ' BASE TO BEAN.ELG4"43-45D525 IEAOER�TO Be Er 2"5 IT/yr BASE TO MN.ABNq RTFIow MESS NOTED one"E u ,p r U ' - AT TRIFLE MEMBERS ALL C1IERIOR DOORS READERS TO tg o . (AI""W OL RTI'O.POR 1Ai YLNLS - 4XI 1A'EOTOL(B�EAM��uOa45O525 r dJ INDS W V2'RTYO.FOR 7X4 MLLS u f/dl. . BASE TO FON.A9NE LNLESS NOTED M. m - t �'t t W ° -FLOOR.lWSTS TO$NEYFA4ADU6t .• - -All L CONNECTORS .IOINt5 c+vu.L HAVE ova•r9-2tOs 9 la•OL. - o y _ !@TN.LOMELTORS - Ytl I Y4'058 RPt,IOLST cal ,y ' m 02aE5S OBEA/!5E lDIEC) v •� m C -ST59M STRAFS•ALL VALLEYS TO _ OF LNG TO BE � ____________r ' pJ 3%4 n/tLs Ry ff99/! ,c c O ---------------------------------------------- flAIDiP POS/$ �+ d m o _________________�T.PIDOR ___ ' ALL RI0680VER?a'-0LONB m "' �' .F)Tvl-s oG--------'--' I • TO BE N 1 AW X 11*W LA. ; w - e ---------'------------------------------------� o ovuaA7 FRAMN6 FOR RAPTFA O - -PROVIDE TAO LEDGER BOARD — BEARNSKAFFM ------------------------------- - L -ALL RAFTERS TO BE.1A0 SPF:N0.1 —_ ____ ______ - OR BETTER.16°OL.TYPtrdd. - O • - • SP u*Muss OTI[9b'ESE.NOW t0 O DE LK ONOER ALL HALLS OR DBL.R U10 - - R J01575 ER ALL PALSVIM APPLJO0ZLE - I . C , I I------- ------ ------- ------------------------- _ — _ ,.' [0] FRAMED AT ALL '� PROVDE Il'JISIIS A . .�__ _ ___ ________Z_____________ I -POST GAM I BASES ALI. I ! EAST.FLOOR - r � 4 FiL.GII � • l •y d J51M V,32 - mov POST va•E/ •` �� - ------------------'__-- - --- -- --'-- --------- I I M P'IB'D POST Ii'Ft0 IAD/DI � '' ' X-PGOD POST tr r --------------------------------------------------------------- • I.: I I _ 3 •H '. - - T LOAD�iWRfiPW15 ,y ______________ ___ _______�___________y_______ ---------------- . ____________'T____. _______ _____________________________________4_ ___ _______._ __----_- ----'T _____ ---------------- I __ __ _ v _ 1 -a� I + � - cn 7 ------------------ I I = — -- ----------- ------------ 1 - Ez4vLws ash i ;,----------- ----- - 1' - - III , _ _ .. ----- --- ------ --- ---- -- 4; . I ----------;---- - - ------ ----- --- - - -- I I - ------- - = �,• -----------------_ -----'-'---- ----'---------------------------------- - - . « UQST.FLOOR , "T I. 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MOOD COLL"-ALL FSL E STRWTTMAL NOTES o • 4X4 GAPMC%fILB-450ST.5 tEXIERI0ft�D00R CAM Fltq GL05-450375 ID:ADFRa TO jl517.5 W BASE TO •D _ BASE TO FM.AaW FLYMOGO IM.E55 NOTED OTHERS# u ' AT iR!(iE t•E.83IIt5 'AL LMT�R 1111 9 To via •u 4XG GAP EU.q CGOS-45D525 1 mare"W IR•PLYMO.FOR 2X4 MALLS ft. t y BASF TO BEAN•EGG4"0"11*25 I/O.ESS NoTW OTHERRSE w � V) SAW TO F. ABUa6 -ALL POSTS O DVS OF BEA145 TO BE w . ALL RWD-VVW JXM SMALL NAVE &m=a'r— N • 1ETAL fXIMLTORS ALL RIDGES OVER 2O-0LONS O t " -ALL rrm GOLU41<s-SEE Ai.514LAR TO BE N I W4•X u VA•LVL' -FROYIDE 7AT0 LETJSER BOATtD M - -�5T O R•ALL VALLEY5 TO 0 OJEAAY F.W.FOR RAPIER y EEARINSr5.PPORr m . -PROVM HANGER$AT ALL FWFI FRAKD GO OUnONS t AT ALL . P05T GAPS I BATES E -ALL RAFTERS TO BE 2XI0 SPY.NO.2 t +' . • - OR BETTER a]VOL.TYPICAL -- . - '-----' -- SPAGMS.Mr..55 OTMUGSE NDTED ---- +BLOCK WER ALL FIALL5 OR �' O • , VOL TLR JOISTS D9OER ALL WALLS _ - POM APFLIF.1ELE -EIOM ALL BEARNS MALLS ABWE • _ n _ _ $'-0AT M04EI6M y-jIq OD C •MO POST ooew W -�_i LA X-Row PO5T w AND V U y - W X-H POST IF.OOD N LOAD BE/WIIG•KILLS 44 -- -------- ------- -- - -- � U \ / I R -I - ------------------- - - - _ _ --------------- . . -- ------- - -- ---- '----- • - - - ------------ - -- ---- --- ---- ------ - 0 ' - -- -------- - o i I s _ - •- - • - _ __ ______�__ _ _______________ I I ' • _ . - - .i • - _ _ _________ ____ ___________________________________ W h �� .. - - - ` • 7100 RAFTERS % \ 2W RAFTERS - U c. c - - rn u- co 0 Gr Sjob no,: TSIB ERIC CEDER HQLM ILA J. G date B NovEsa,Ba 708 (�cc : E ROOF F R A M I NG PLAN +O STRUCTURAL same A,Hvry 5 o A L E, I i 4• 1_-o• � No. 38962 Gs drawn {1 A rev. rev. 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I t i I Lr F T' - TT �1 -T - +---I r d I I - - - _ - -- - -�- ---f-- _ --� - a_---� � - -p._ 1 _ I _ .1._ --; - -F --j--- - - -�----}------1•- — + - •I - 4 i = � i -- I , I I 1 r � , k T i 1 � - 1 I a - -P- 1 1 _�.. '�.t� .r -i �—1• , I ' I � I ! I i � —� , ' I ! I � 1 ' � I r � , ; ' -•t � .i {•— - - � f } , _ —.; r-- --j } i 4 ' - - � - --}- -� - -�- � } ' -} I 1--- } � j 1 I ,- x - � , - + r_ � r .,. f. I I ' , I Ii T � ► r j_ ; � � I 1 � I ' _ I � � i , � �, �. -{ ..1 +. �.. l � �. - _._ -. i , .� t- r Y � .�r L � r 1 � -� I I. , 1' ' - .. - 1 •,. , _ -: r , I .. +_ , NOTES: 1. EXISTING 3 BEDROOM APPLICATION TO REMAIN (NO INCREASE IN FLOW) 2. DATUM: ASSUMED 3. INSTALLATION TO BE IN ACCORDANCE o a WITH TITLE 5 AND TOWN OF a BARNSTABLE REGULATIONS „ 4. EXISTING BARN TO BE RENOVATED (NO Q 3 CHANGE IN FOOTPRINT PROPOSED) Schoo/ 5. INSTALLER SHALL ENSURE GRAVITY FLOW THROUGHOUT SEPTIC SYSTEM t cotuit 6. PLAN ADEQUATE FOR SEPTIC WORK. o D v DOES NOT REPRESENT A FULL OaJ PERIMETER SURVEY. B/ljff j O— G 144.04' LOCUS MAP LOT AREA SCALE 1"=2000't 35,292E SF ASSESSORS MAP 35 PARCEL 30 LOCUS IS WITHIN FEMA FLOOD ZONE C Edge own � — — �—— r LOCUS IS WITHIN AP DISTRICT Exist. 1000 gal. leach ZONING SUMMARY pit (retain) / +48 3z ZONING DISTRICT: RF e 48.06 D'box = MIN. LOT SIZE 43,560 SF; �'('� G\e�j � 6.35% Existing 1000 gal MIN. LOT FRONTAGE 160, MIN. FRONT SETBACK 30 / ST (retain) %, :' 1r +47.9 I '-45 Top septic tank el n 'MIN SICY� 'SETBAC00' 15' / 45.4' MIN. REAR SETBACK 15, R ej Outdoor fireplace 4 .73 Deck SITE IS LOCATED WITHIN RESOURCE 0I +47 83 T� PROTECTION OVERLAY DISTRICT / 22.3' N 4-4 I EHp I xist. / +47.84 4-4�1 47 t5 waterline / 48.42 18" Maple OWNER OF ' RECORD / v A rox' woter1►ne � z— 47 2 DExis weling STEPHEN FRECHETTE AND CAROL RAYNOR 71 HIGH STREET / — 47.86 g COTUIT Patio / Existing Barn i 9— Slab E/ev. 49.4' +49. 3 148.51 REFERENCES �47 77 I Benchmark.- car. patio DEED BOOK 20965 PAGE 25 1500 gal. O Paved Drive at e/ev. 476 � � N Sep tic Tank I 4�_4 7 53 PO +48.56 cn 48.73 '\I 48.45 \ I-47 2(L — — / 48.23 — — — — — — — — — — F a8.23 -+ 1� �-4- 332.70' SEPTIC AS—BUILT OF 71 HIGH STREET COTUIT, MA PREPARED FOR � s off 508-362-4541 ya q� CAROL RAYNOR I fax 508-362-9880 �o`� DANIEL downcope.com © A. OJALA APRIL 14, 2009 r MOW/1 cope eft ineefill inc. ° No.40980P civil engineers "'��(�{ ��°I '�` � 0 land surveyors suv Scale: l 20' 939 Main Street ( Rte 6A) DATE DANIEL A. OJALA, P.L.S. 08-088 YARMOUTHPORT MA 02675 0 10 20 30 40 50 FEET I ,