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0204 LITTLE RIVER ROAD
I \ r .i � r r V t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION eq Map Parcel t l� Q� TOWN OF BARNSTABLE Application #'- F�7 Health Division 70117 -;i Y 29 P 12: �6 Date Issued t Conservation Division Application Fee r Planning Dept. Permit Fee f yB Date Definitive Plan Approved by Planning Board ' Historic - OKH _ Preservation/ Hyannis Project Street Address o2 o �i L l -4"H e__ P -% ver (fo ✓ ,41 Y\AA PA G 3 S' Village Owner M 4 e) Fr Address o�( kf'le_ Telephone Cq 7 G ) a J'7 dt- S` Permit Request t Ce_A 1 : A, 27 � ,�,,, i►�., �� (o'' c r- J V2 s b N r CQ MNrMu (G �a%r,� �1�e�ks'CD N r.�t �,.�s� �ST.���t,� � �� vJ� U Q� � ��•t�-�4.ti .Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation,$ 3, ,XConstruction Type Lot Size �� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family O' 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �e�-rp 1-t } N so\C,b aJ Telephone Number j_Oy� Address �. V - 1J D IC. }� License# & .1 2 2 1 S l`t:�coAj Y1vl A 6 �i 7 7 Home Improvement Contractor# too 6 Email o6 re, Lv�Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1)-n C /)J,-rion L f J- n SIGNATURE DATE 7 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 4 MAP/PARCEL N0. ADDRESS VILLAGE OWNER l DATE OF INSPECTION: FOUNDATION FRAME { _ INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL j PLUMBING: ROUGH FINAL s w 1 GAS: ROUGH FINAL !. FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 Y Town Ot ENS IZegulatot�T`Services: (HAWasearaaf^ Richir!V.SgA,14 Director, �o, J! I3ercixn;)9a�asii3aa "Tires!Per rya lati ing Gvwiuissiodtr iat} lxim ezt,YiYegui,:b4 766 tYyY"�Y,:t43tiiH•b'd;`i1SIe't$J�t.1!t1�.:tlfi. !y G ` Pwp oy O tter�iist' C;+a p etc and i�n'1'h s,S.0 sx, If U�ang.^ARuildcr . ,Marvin 'Fredber- £, g� Retrofit Insulation 'Ply t:u':f' " MITI.0 .M.at`sc.L tO V"Or6UMOTik011 Dy-MM 4quig pcm-Ut app3u alt-bls 204 Little River Rd., Cotuh MA 02635 (A.ci£less rt1: TD} " tu'l MA e espopsmi(a; cal the a}a ;arc Writ:to lx, sll�cl'� r`tavii ` 11 ccsr 1 r3�L`is inszarsl�zacl':-alI lu 7.: i i3r-- u Z'rint tiarr£� C'zzazt i`az£ i UAW, ' The Commonwealth o Massachusetts . f Department oflndustrudAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FII,ED WITH THE PERMITTMIG Ai1THORITY. Avvlicant Information Please Print L Sibly Name(Businessiorgmization/Individual): Z�C Address: City/State/Zip: S O'L-1e OAd N\tA9 Phone t �� f � L( 010 Are you an employ Type of project(required): employer?Check the approprixte box: l,employer with employees(full and/or part time).' i 7. ❑New construction 2.Q I am a sole proprietor or partnership and have no employees working forme in S. ❑Remodeling any caPacih'.[No workers'comp.insurance.required.) 3. I am a homeowner doing all wort: t 9. ❑Demolition ❑ g myse!£[No workers comp.insurance required.] 4. I am a homeowner and will be o 10 ❑Building addition ❑ hirino contractors to conduct all work on my property. 1 wn11 ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no anployees. 12.[i Plumbing repairs or additions S.Q I am a general contractor and I have hired the sub-contractors listed on the attached sbeet I I Roof repairs These sub-contractors have employees and have workers'comp.m=aumt 6.❑We am a corporation and its officers have exercised their right of exemption per MGI,c. I4. er (.rJ L''i971 /Z,. L 152,§1(4),and we eve no employees,[No workers'comp.===requnrd] 'Any applicant that ched3 z box#1 mast also fill out the section below showing their works'compensation policy information t Homeowners who submit this atndavit indicating they are doing all work and then lure outside contractors must submit anew affidavit indicating such.. �Contractors,that check this box mast attached an additional sheet showing the name of the mib.corrt<actars and state whedw or not those entities have employes, If the sub-contractors have employees,tey must provide their workers'comp.polity number lam an employer that is provi&V workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name:_ Policy#or Self-ins.Lic.#:_ �,J (�of S��.e) O'C) Expiration Date: Job Site Address: �c � - !'E'�L n 2 /Zh, City/State/Zip: v�l f" 41 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under th p and penalties of perjury that the information provided above is true and correct Signature: Date: s r l J-l t 7 Phone#: Off cial use only. Do not wVe in this area,to be completed by city or town offuxaL LBoard Town: Permit/License# orit�(circle one): ealth.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector.on: Phone#: i { k C// 0ff.ce of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,Mass�:Icfi usetts 021,16 Home Improvementc%,ntactor Registration Registration: 160461 Type: Private Comorstion __" ;-�" Expiration: 7/29/2018 Tit 289184 RETROFIT INSULATION INC. ``:; JOSEPH REILLY P.O. BOX 105 SEEKONK, MA 02771 Update Address and return card.bbrk reason for change. scA, a 2OM-OVII ,Address Renewal Employment ❑ Lost Card .. ���amvHtt�+tcv�a�l✓o�L'c�aaracl�uakh• ,_ mice of Consumer Affairs&Business Regulation Lleense or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found tutu rn to: Reg istratlor5.,'1gp4B1 'type;, Office of Co»sumer Affairs and Business Regulation ,;: 10 Bark Plaza-Suite 5170 Expirdtipn_:�/3912018 Private Corporation Boston,MA 0211ti RETROFIT ei— JOSEPH REILLY f44 ROAMAN ST v' '4Ya;'�'S:`''✓ c..c�-4.nc•--�— ` . evalid y FALLRNER.MA02721 , Uiidcrsecretary - ut signature 1 • , y r 1 2 aetment 3e Board,of Budding,Rego oic ,akid Stands-145, r ,y�„�T r s,J re„ ''3"�aDEUdb"o'E59b3 �bllCdLSZ. '�'" a lLtgenS,e CSSL 102TT , x ±JOSEP�I3 RE ' r,M-�tf rt ,CFO Doll Si:ekonl.MArn7,I EX if q� ! A "'..6rQPldP115S1®il@P II i i I �K { AC RETAINS-01 RBLACKI �-- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 811112016 THIS CERTIFICATE IS ISSUED AS A NfATTER 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: U the certificate holder is an ADri,710 AL INSURED,the policy(ies)must be endorsed, if SUBROGATION 1S 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 apdorsement(s). PROGUQER License# 7808�2 coNrACr HUi3 International New England PH P 222 Milliken Boulevard E>K.(508)676.1971 A Nc; 564)6782.750 FaH River,NIA 02722-9$46 E-MAIL ADDRESS: AFFORDING COVERAGE NA1C# iNsiii:i Ec INSURER A:Selecdare insurance Company of South Carolina 119259 INSURER 8:Star Insurance Company 118A23 RetroFit Insulation,Inc. INSURER C: PO BOX 10& INSURER D: Seekonk,MA 02771 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCYPERIOD WDCCAI£D- tCOTWCfHSjANDING ANY REQUIREMENT, TERM OR CQNDITION OF ANY CONTRACT OR OTHER D.00UMEI�ITWI'7HRESPECTTOWHICHTHI13 EXCLUSIONS MAY BE ISSUED. OR MAY BERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECl TOALLTHETERMS,EXCLUSIONS AMID CQl+1D17lONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TER - TYPE OF INSURANCE L EFE P.OLICYEXP I D 5"211POLICY NUMBER MMIDDINYYY MMIDD LIMITS A X CQMMERCIALGENE(2ALLW Uff EACH OCCURRENCE s 1,gd0,00n CIAIMS MADE OCCUR a S21876.53 08/15/2016 081IM017 pREMISE,4 Ee'occ6rrence s 1Dt1,000 MEDEXP(Anyaneperson) S 5,Og0 PERSONAL&ADV INJURY S 1,UOO,000 j GEN%,AGGREGATELIMITAPPLIES PER: GENERAL AGGREGATE is 2100O1000 POLICY 0ECaT Lac OTHER: PRODUCTS-COMPIOPAGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A Ea accident _ $ 1,00.0,000. . /+NYAUTO 1001820D 0811112016 0811112017 soDILYiNJURY(Perperson) $ zi0orED X SCHEDULED AUTOS AUTOS SODILYINJURY(PeraeddeM) $ X HIRED AUTOS X AWNED PROPERTY DAMAGE Poracddent $ X UMBRE U4k OCCUR A EXCESSLIAB CLAIMSMADE 52187653 EACH OCCURRENCE S 1,006,060 08/1512016 08/1512017 AGGREGATE - S. DED X RETENTION 0 $ 1,OOD,QQO WORICERS COMPENSATIOD► O.T}i AFIDEMPLAYERS'LIA8ILTTY STPSt}TE ER ANYf?ROP.RIETORIPARTNERIEXECUTIVE Y!N CO84,r. 08/0212016 08102(2017 E,LEACHACCIDEN7 S 1.0�O,QQO OFFICERIIv1EMBEREXCLUDED? NIA. _ (Mandatory ) EL DISEASE.EA EMPLOY $ 1,000,000 If yes.descime under • O>SCRIFT(ONOFOPERAT10NSbelovr 6LDiSEASE-POUCYUMIT $ 1,000,000 4ESCRIPTION OF OPERATIONS 1 LOCAMONSI VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached iTmore space Is regUlred) t CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUUERED IN $0 Washingtgn Street ACCORDANCE WITH THE POLICY PROVISIONS Westborough,MA 01581 AUTHORIZED REPRESENTATIVE t ©'1988 2014ACORD CORPORATION. All rights reserved, ACORD 25(20114101) The ACORD name and logo are registered marks of ACORD CJ- LOT 8 N N/F POLLARD PARCEL ID: 054/006-004Ar i 5 tO LO 00 " 3 3k LOT 7 28.0' M o= PARCEL ID: 054/006-003 0 �oP 'o AREA=60,433f S.F. N 42.9' 114.7' Q I f o Q 's?#204 °E 68.6' o 0 I G W �I rn m o WA3311 jr a _ I 31.0' E)Q Mp OVEM------- W I N r .o �a°E LOT 6 N/F J STEWART I PARCEL ID: 054/006-001 3 t �o �N O N PREPARED FOR: MARVIN I. & SANDRA R. FREDBERG FOUNDATION (AS-BUILT) CERTIFICATION #204 LITTLE RIVER ROAD, COTUIT, MA. MAY 29, 2008 1 J# 1135FC SCALE: 1"— 60' PLAN REF: 485 61 DEED: 10972 312 PARCEL ID: MAP 54 LOT 6-3 OAOFA�s S MacDougall Surveying ZONING: "RF" FLOOD ZONE: "C" � gOti EDWARD & Associates ��� I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN A. P.O. BOX 2428 EXISTS ON THE GROUND AS SHOWN f STONE C Mashpee, Ma. 02649 No. 8980 10 ph. (508)419-1086 4 fax. (508)419-1087 �-� 5 z� `'" v� � N°s email: macdougall survey PROFESSIONAL LAND SURVEYOR DATE Ocomcast.net TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel DO(>0 Application #C� ®! Health Division Date Issued 1 Conservation Division Application Fee 10 Planning Dept. Permit Fee Mt 7 ` Date Definitive Plan Approved by Planning Board - Historic - OKH _ Preservation/ Hyannis cJv Project Street Address 9d' L-1111 LC 121�1P_ C Village 1, ►t)�`T' 0 Owner r� fA n Slr 5N�T)2 A fR'EXA f2f Address Telephoned ' Z1515�( Permit Request `--O#U IN AOn z® r,� tO 4 Ef 00 - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _lf�k , Construction Type r, Lot Size �OD �,� Grandfathered: ❑Yes ' >11No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 2— Historic House: ❑Yes A No On Old King's Highway: ❑Yes XNo Basement Type: L39 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: 3 existing —new Total Room Count (not including baths): existing _�new First Floor Room Count Heat Type and Fuel: )d Gas ❑ Oil ❑ Electric ❑ Other Central Air: kes ❑ No Fireplaces: Existing/New Existing wood/coal stove: ❑YesXNo Detached garage: 4existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: R.i Zoning Board of Appeals Authorization ❑ Appeal # Recorded C Commercial ❑Yeellel� s No If yes, site plan review # 7 Current Use l09WT► 9z— Proposed Use � $ APPLICANT INFORMATION -(BUILDER-OR-HOMEOWNER) � 9g Name k-i/v I S ��` � �- Telephone Number �� B z_ YSa44 Address G Y License # kP_4J S ki � d Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS_RES THIS PROJECT WILL BE TAKEN TO �O f SIGNATURE DATE r ' r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. 2 "5 ADDRESS VILLAGE 4 OWNER 1 DATE OF INSPECTION: l :; �.�s•FO.UNDATION!�.�_=)a wo.•. t� ,.�`�4... �R FRAME r A,INSULATIONr , ,.. 5 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING :2 DATE CLOSED OUT ASSOCIATION PLAN NO. e Commornymi th of-Uassachmseffs DepartmentofIndm3aidAccidents , torte Oflnvestr afions 600 Waslruigfoa Street Boston,M,4 02111 � a ' YI wv.Ynass.gavld a Workers' Compensafian Insaranre Affidavit:BuildersfContractorsMectricianslPlumbers APPIk-ant Information c 1 Please Print Legibly Name(>I�Organizationllndhidml): Address: CitylStat�elZp: �` 1/ O 2 ' U Phone Are you an employer?Check the appropriate bow T of project r Hire _ -0-. I am a contractor and I 3'1� �' J �� �- l-❑ I am a employer with ❑ 6- ❑New cm traction employees(full and/or part-time).* have hied the sub-contractors. 2_ ] I am a sore proprietor or partner listed on the attached sheet 7_ ❑Remodeling ship and have no employees These sub contractors have S. ❑Demolition w for me.in an c cr �_' employees and have workers' �� y aPa t5 4_ El Building addition • PTo workers' cutup-insurance comp-rncnrarx& required_] 5. ❑ We are a corporation and its 10-0 Electrical repairs or additions I❑ I am a homeowni r doing all work offim s have exercised their 11_.0 Plumbing repairs or additions myself [No workers'comp- right of eimption per MGL 12_.❑Roof repairs insurance required-]1 c_152,§1(4),and we have no employees-[No workers' _ 13_❑Other r comp-insurance required.] "mil'appficwt that chedis boa ill rmst also fill out the section below showing iheir wodere compensation policy infurimtian_ Homeowners who submit this affidavit indicsong they axe doing aft woA and then hits outside contractors must submit a ilea affidz7h inerka3ing mch- tContactors than check this box mast attached as additional sheet showing the name of the sab-comfmctors and start whether ornnt those 89ities have employees_ If the sub-contractars have empIoyees,they must provide their workers'comp.polio number- lam an employer hurt is proi-idiag tt�orkers'conTen cation irLrurartce for my employeem Bdow is the policy and,}ob site informaiiatt Insur-ance Company Name: ,: _ Policy#or Self-ins-Lrc-4- Expiration Date: y� Job Site Address: Z41) ed" 04f 3 City;IState/Zip- P__1)7V tV- y teach.a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as regdn-edunder Section 25A of M-GL c, 152 can lead to the imposition of criminal penalties of a fine up to$1,500.OD and/or one-year iniprisonment,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 Iuve*ptions of the DIA fior i e co cation_ .. - - I do hereby eerh,fy ui pains ss a. MY that the intforruationprotided above is hire and correct SiEmature: � Dite: ?i r i Phone 9: ��� b 4 Use an,l:--Dtr tratfvri&-hFth&UF91t,ta be cartrpletOd City or Town:. Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylI`own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Persons Phone#: 6 Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 stories that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonweaith' or 211y 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,U necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their ccftaficate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with n.o 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 submii<ed to the Department of Industrial Accidents for confirmation ofinsurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retumed 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-insur(-,d companies s,).ould enter their self-ffisu-ante 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 afffida.vit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commnnweatth of Massachusetts Department of Industrial Accidents office of fx ve�stiptious 600 Washingtoa Street Bostou,MA 02111 TeI.9 617-727-4940 W 406 or 1-9' -MASWE Revised 4-24-07 Fax# 617-727-7749 www.mas&govf dia Town of Barnstable Regulatory-Services BAR9 ' tE� Richard V.Scali,Director Eo3.X�� 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, AX4RI11LI Ji&D& , as Owner of the subject property f hereby authorize ,��y9i�S to act on my behalf, in all matters relative to work authorized by this building permit application for: D [mil 1� ffP� /2"c/� T191'-- o z v 3 J (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. ature of Owner Sigma 1�p ant a NIMIld %-D"E Print Name Print Name Da Q TORMS:O WNERPERMISSIONPOOLS Town of Barnstable Regulatory Services ��oFMe roiyy Richard V.ScaIi,Director Building Division * saarrsrAari. Tom Perry,Building Commissioner v� 16 ��� 200 Main Street, Hyannis,MA 02601 pTEb �a 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 ADDRFSS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.1S) 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. QAV,TFILES\FORMS\building permit foIms\EXPRESS.dOc Revised 061313 F�Et �uFde fa Wood Cansfrudiarl irk�figlr Fir d Areas:110 mplr Knd Zane ` . YIassacftusetts Checkl>Lst f0> .Co1=nPI><aace(rsu cLMRs3al )_. - Loadbearing Wall Connections Lateral(no_of 16d common nails) (fables Non-L•oadbeadng WagConnedions Lateral(no.of 16d common.naffs) (Table 13) Load Bearing Wall-Openings(mmi-d largest openingSut check all openings for coniprrance�o Ta 3 9)• Header Spans ---(Table 9 ' i ft n,c 1 V Sig Plate Spans ft in 11 FLA Height Studs (no.of sbids)__ -� __._(Table 9) Non-Load Be M-9 Wall Dpenings fre ord largest opening Wit check all openings for compftance to Table 9) ; Header Spans...... _._______._. -_- `-::(Table SM Plate"Spans..-._:__ --_�.______ _.. r(7"able 9) -._ft. rs 4n-.51z, Full Height Studs(no-of studs)-_ (Table BdadDr Wain Sheathing to Resist Upliiff and Shear Simultaneous , = . _ Minimum-BiAlchng Dimension,W r j Nominal Height of Tallest Opening2 - Sffeathing Type 4)� -Edge Nail Spacing (Table 10 or note 4 if rn F.. Rald,Nai[Spacing---_---+--^-: _:___:(Table t0)--_ ���_ —_ is in , Shear Connection(no.of 16d common nails)(Table 10}: Percent FuIN lei fit 5tieaffrin -.._ able 5%Addrb'onal Sheathing for Wall with Opening>Sr(Design Concepts); Maximum Building Dimension, L. Nominal Height of Tallest OpeMngZ_:_------..................................................... Jc Sheathing Type- -----__ Edge flail Spacing-_-. -___ _.{Table 11 ornate 4 iF Field Marl Spacing- -." �._.r (Table'11).— _ itz Shear,Cannec5on(no.of 16d common naIIs)(Table 11)...... ,_,. F'anant Full-Height Sheathing_ (Table 11) 15%Additional Sheathing for Wall with'Opening> Wail Cladding .. .• .: A z Rat d fw WindmSpeed?_—_ __ ____ _ ____ ��. �__ - ✓ 6.1 ROOFSt- Roaf framing member spans checked?..:�� '_--'-.(For l t rs use AWC Span'Tool,'see`BBRS Web ita) j Roaf Overhang (Figure 19) f3'<smaller of 2'or L13 Ll Truss or Rafter Connections at Loadbe3n 'Walls Proprietary Connednts. rc_ pifl Lateral..... .Shear__. - Ridge Strap Connections,if mHarties not used perpage 21._. (Table plf Gable Rake Oudooker_-_.__ _ :._-(Figure 20} _: ._.-..--^ft5 smaller oft'oc L2 rt Truss or Rafter CaRneLi7ons'at Mon'i db6anng Walls' t Proprietary Connecinrs i . t Uptift�_. - ------- _:(Table 14) U= lb. l Lateral(no.of 16d common nails)--(Table 14)------------------------------------L= lb. d4 . Roof Sheathing Type __---- :._- _ ---(per T80 f--MR Chapters 53 and 59) Roof sheathing Thickness __ _ _in.?7f1r WSP able 2 F Roof Sheathing Fastencng :rotes: . � ��• ���: ._ ,. - •F - t f. ; This�lisf shall be'met in its entirefy,'excluding the speciTra exc4tion noted in 2,-to.comply urifh the requirements of 7B0 CMR53D 1.-1.1 Item 1. ff the checldrst is met in its entirely then the fntla wif7ig metal straps and hokf dovrits arm net . required per the WFCM 110 mph Guide: tt ; a. Steel Straps per FgW- IS. 2D Gage Straps per Figure 1.1 c Uprdf Straps per Figure 14... d_ All Straps per Figure 17 e_ Comer stud Hold'Dox+ns per Figure 113a and Mgure,113b. Exception:Opening heights of up to a ft shall be permitted when 5%is added to the fig--height sheaifring requvwtients s-hdwri in Tables 10 and t t. The bottom sli_plate-in exterior walls shall be a min1mum2 im nominal thick Tess pressure treated#2-g�ade, - 'F �FCC.�iride to �aorl Carrs�I-ztc�iorr ur f;ri,��-ti�rcd ftrear:.t.£�Frcp'II �nrd.�arle � - massichus&tts Check nit fir Com* Panne (78 0 a'1lZs30r2,f.l)` - CompUancc. 1.1 .SCOPE Wind 5pe:ed(3-•sM.'gusf)_ i1D mph ✓ Wind•Exposure Category m Wind Expcx3ura C Engineadn and For Entire Pro ect.......................................C -----s 12 APPLICABILITY - Number of Stories(a rpof which exceeds 8 In 12 slope shall be'oonsidered a story) stDries 5 2 stories Roof Pitch 2}._ ._ ----______ _ i y s 12:12 ✓ Mean Roof Height'_ (Fig 2}__ _______ __-...�___..-__._. fit 5-33- Buili ing Width,W ._ __ (Fig 3) ft _<BV ✓Building Length,L --------_.__ _----- _:_._�_� (Fg 3)_----------------------_-_ ---_-__21 77 fit 5 80' —7 Building Aspect Ratio(LIVV) -_: _ -_-Fig 4) ___ __` :53-1 Nominal Height of TaIlest DpeningT .(Fig 4) s 6'g` 12 FRAMING CONNECTIDNS General complianmvifh framing mnnec6ons_..___.—(Table 2)�-_-_.____. -----_-_- _.__---_ - ✓ 21 FOUNDATiDN - - Foundafion Walls meeting requirements of 78D CMR 5404.1 �n --------•-------------_---•----•-•-•--•-----•------ ----- - -------------------------•----------- ---•---- Goncmte Masonry----------- ----- - �._______: _ ------ --=----- •....... - 22 ANCHORAGE TO FDUNDATIDN1'3 S/a`Anchor Bolis<imbedded or S/a`Proprietary MechaniG31'Anchors as an'altemafive in corim-aa only Bolt Spacing-general................................ _.(Table4)_ '--�--__ ._._�.--_.-- in. - Bolt Spacing from endfjoint of plate__-_ .._ -_. (Fg 5), ---____---------- _ in.<_B'-12". v ----------- Bolt Embedment-Concrete_:_-_____: (Fg 5).. ._ __�____ :_r_-- in.>_7" -% Bolt Embedment-masonry........_____:...___,____.--(Fg 5)-�---;-------__.:__- i L>Is* �•:'/ Plate Fig 5).___------_----_- >-3'x 3"x s1' 3.1 FLOORS Floor'framing member spans checked' TBD CMR Chapter 55) Ma-'dmum FloorO rn Dimension --Fig 6 <I Fur(Height Wall Studs at Floor Openings less Than 2`from Ex EEdx Wag(Fig t3) ..........:...•.---_-.-. M§Ddrnum Floor Joist Setbacks Suppoifing l aadbearing Waifs or Shearwall-_.__:__(Fig 7j._ ------ _____ _ft s d lvlaximum Cantilevered Floor Joists Supporting Loadbearing Walls or ShearwaQ....M_.____(Fg B)_. ft d FloorBracing of Endxralis_-__---_._--_---_ _(Fig 9) Floor Sheathing Type '._W__.--_ ---.------ - _._(pet 760 CMR Crap er 55}__.:......-:._�-------- Floor Sheathinglltidmess _._-_-__---_-:.._. :_,(perTBt)GMR�hapiEr55)_--_. _:-- in_ ✓R Floor Sheathing Fasi_-rung_...._:___.__._ ..__.__y (Table 2) _a nails at in edge(_in field 4.1 WALLS _ y Wall Height. Loadbearing uaIIs_Y____,__.____ (Fig 10 and Table 5) -----.�.--- tr 5101 j Non-Loadbmrhg walls (Fig•1D and Table b)__ _-___ ft's 20' Wall Stud Sparing ------(Fig 10 and Table _in.s 24'o.C. Wall Story Offsets- -__-__ -.___-- {Rgs,7 8) -_-- ft s d 42 EXTEPJ QI�7 WXJA LS= Wood Studs ft: M. Non-Laadbea►ing walls.__._-----____.._.Y. __....__.(Iab}e 5) �_.� __._..:------?x_ ft in._ _ Gable End Wall Bracing 1 :. Full HelghtEndwalf Studs WSP-Attc Floor Len _ 1.1 _._ Gypsum Ceiling Length[rf WSP not used) .�" (Flg 11). '�4,__. and 2 x 4 Continuous Lateral Brace @ B fL oxr -(Fig 11�.._....................._...___. or 1 x 3 celfing furring strips @ 16"spacing trim.wffh 2 x 4 biocidng @ 4 fit.spacing in end joist or truss bays Double Top Plate Spiice Length -- (Fig 13 and Table 6) __._.�__ —ft _ SpCtca Connmfion(no.of 16d common IULLARU p'N\Vrw t vJ'YJVUV'-V - C LOT 7 PARCEL ID: 054/606-003 M AREA-60;433t S.F. $ 42.9' I� 114.7' .., 40'6 c i z +n Q 0 204 V 68.6' N o ry9 ' 31.0' VFJ- (Yto A LLJ I O ice/ �� ' J �►� gp"E -LOT 6 N/F ~ i > STEWART --� - r `PARCEL ID: 054/006-001 PREPARED FOR: MARVIN I. & SANDRA R. FREDBERG FOUNDATION (AS-BUILT) CERTIFICATION #204 LITTLE RIVER ROAD, COTUIT, MA. MAY 29, 2008. J# 1135FC SCALE: 1 60' PLAN REF: 485 61 DEED: :10972 312 � PARCEL ID: MAP 54 LOT 6-3 MacDougall Surveying ` '� ZONING: "RF" FLOOD ZONE:. "C" & Associates, ��~� _- { h P.O. Box 2428' 1 CERTIFY THAT THE FOUNDATION SHOWN 'ON THIS -PLAN EXISTS ON THE GROUND AS SHOWN. £; C�t Mashpee, Ma. 02649 } r ph. (508)419-1086 . . _ s� ,. � fax. (508)419-1087 g � :_ email: macdougailsurvey PROFESSIONAL LAND SURVEYOR `DATE _ "� ftomcast.net in vvlassachusetis - DePar ^�� { c G = •r tu aoard Sudd ng Rea,u'El'On's and -:ar _,s �-nn�t;•uctinn Supc�- isnr icLr;ss: CS-014501 STURGIS STPETER PO BOX 372 - y BARNSTABLE MA 02aticn 630 J••�•" 08/23/209 5 -------------------- w. Office of Consumer Affairs&Business Regulation r Q OME IMPROVEMENT CONTRACTOR ( Registration: 100390 TYPe , E xPiration: 6/16/2016 Individual STUR61S ST.PETER.. . ."..`, Sturgis St.Peter 65 Cindy Lane/P.O.Box 5.72` Barnstable,MA 026 0 Undersecretary Town of Barnstable DIME, Regulatory Services Richard V. Scali,Director „ AB,� ; Building Division fBAMR�NS�IAB'�: Thomas Perry, CBO MILLS•GSRFAVILLF•MRST bUHiRBlF ib �� 1639-]OlA AIEDN'A�a Building Commissioner 200 Main Street, Hyannis,MA 02601 1 www.town.barnstable.maxs Office: 5087862-4038. Fax: 508-790-6230 r May 12, 2015 - Sturgis St. Peter PO Box 54 Barnstable, Ma. 02630 RE: 204 Little River Rd., Cotuit, Map: 054 Parcel: 006003 Dear Mr. St. Peter, This letter shall serve as notice that a stop work order is in effect at the above-referenced address. The reasons for the stop work order are as follows: 1) The work has proceeded past the point of a required inspection for electrical work' done. 2) There has been no electric permit issued for the electric work done. The'stop work order remains in effect until such time as the above violations are brought into compliance. Failure to comply may result in further action taken by this office, including filing a complaint against your construction supervisor's license with the Building Board of Regulations and Standards and the Office of Consumer Affairs. Thank you for anticipated cooperation in this matter. By Order, L. La Local Inspector jeffrey.lauzon@,town.barnstable.ma.us (508) 862-4034 y G� � , TOWN F BARN TABLE BUILDING PERMIT APPLICATION OW O S G �.z OF g RIyST /�L A r� Map :`l�J Parcel 2013 t ' %plicjjation # DO' AN ,rg.• i 1` Health Division !Rate issued Conservation Division �� a, Application Fee D IV Tlln Planning Dept. #' t Permit Fee Date Definitive Plan Approved b Planning Board / pp Y 9 _ �' S�/3//3 Historic - OKH _ Preservation/Hyannis Project Street Address 4�G 9</� Village ? d2(" Owner MA2�_)V� r�C2 59;_Z5�;, Address S Telephone �" Sq Permit Request " Nr2�mj7•/M �! •� 'x9�a S'� � �l�rt� �I//�2� �e� .Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay .Project Valuation /26 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U,"2 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes,�4 No On Old King's Highway: ❑Yes,>0 No Basement Type: )d 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: ®'G/as ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes �"lo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: W-e-xisting ❑ 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 981�✓ -Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Namev/P• cS ' ys Telephone Number Address License # ©Z 4:�c 71kM eS-J�6 Z-43—V Home Improvement Contractor# JJ Worker's Compensation # ALL CONSTRUCTION DEBRIS ULT HIS PROJECT WILL BE TAKEN TO -© L/7/- SIGNATURE DATE �� r 7 FOR OFFICIAL USE ONLY ; M APPLICATION# DA�El ISSUED MAP/PARCEL NO. �Y ADDRESS VILLAGE OWNER • E . t DATE OF INSPECTION: i -FOUNDATION FRAME I INSULATION F . FIREPLACE 4L ELECTRICAL: ROUGH FINAL G PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING � l a, DATE CLOSED OUT E ASSOCIATION PLAN NO.- -"� . rs. / aoac�uuraell ,.License or regrstrat b va d o di d Iw,o 1 {' 't5ftice oo�����ILAfT��rs&B'Qsmess Regdlation P � g "s before the expiration date:'If found;return to 4, HOME IMPROVEMENT CONTRACTOR off, 'e of Consumer Affairs and Business Regulation, � a 66 {` , 170Type: Re istration: 100390 park Plaza-Suto5 Individual Expiration gaon MA 02116 S - GIS ST.P,ETERApr �b� < ,✓ 3. 62. �r 4=Sturgis St. Peter nJ .. 65 Cindy Lane/P O 186x.372 i# 4 of va id without signature Barnstable;,MA02630.— UndersecreK. tary, u- . , Nl ►ssac,busctts- Departnttnt-of Puhli( Ssrtch", ' Bt,tt d of St tnd;irds a Construction Supervisor,License 'License:"CS 14501 STURGIS STPETER I -,PO BOX 372 e E �. 'BARNSTABLE MA 02630 c_ C`xpiration �5123/2k013 Tr# `20698, . Yk*`4:.ae»..b»..(W:•.r,.�,m+rrw'1aa•,wvr.+F:.s......w..r..».s..-+.w,.-w.--w+"..ua«.n.+w-..w-.nw'.+m• .....,- ..n.x . f� • Lw oFE T Town of Barnstable Regulatory Services * BAENMBLE, Mass. g Thomas F.Geiler,Director A i639'"p1� . rEo r�a'� Building Division Tom Perry,Building Commissioner 200 Main Street,�Iyanais,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 as Owner of the subject property hereby authorize d i�'9e S Am-p' to act on my behalf, in all matters relative to work authorized by this building permit aZ.� (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. Lap Signature of Owner afore 'f A plicant Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS 6/2012 THE Tp Town of Barnstable ` Regulatory Services yz� Thomas F. Geiler,Director MACS. p4,,p i659• ,0� Building Division rfD MA'1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwwAown.b arnstable.mams 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 to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a farm currently used by several towns. You may care t.amend and adopt such a form/certification.for use in your community.. Q:forms:homeexempt The Commonwealth of Massachusetts r 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): �/. � ,� AS.1d7 Address: Soy . .� City/State/Zip: © Phone#: Sag` L NS Are you an employer?Check the appropriate box: Type of project(required): 1.El I am a employer with. 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. I am a sole proprietor or partner- listed on.the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. Demolition. working for me m any capacity. employees and have workers' 9. Building addition [No workers'comp. insurance comp.insurance. . required.] 5.. F� We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ 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#l.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 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: + ,6r � �'�- 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 Da for' ce ove ge verification. I do hereby.certify and a pa' and nal 'es of perjury that the information provided above is true and correct .:Signature: qq - Date: L 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: k. 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-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 , a 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. ' towti)."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 sliould 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 021`11 Tel, #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia R ert C---,'u,--m-- _� E r�s & A-ssoda-testg 181 Bow Bog Road Bow, NH 03304 (603) 224-7453 bobcfpe(cr�_comcast.net fax(603) 224-7467 May 13, 2012 Mr. Robert McKenchnie Town of Barnstable.Regulatory Services Building Division 200 Main Street Hyannis, MA 02601 Dear: Mr. Mckenchnie Re: 204 Little River Road Garage Structure This letter provides documentation of my site visit conducted today to verify corrective measures installed in the garage structure as described in the decision for from the Building Appeals Board (Docket Number 11-1074) to include: 5/8" type X drywall applied directly to the underside of the ceiling joist in the garage with the joists abutting the heavy timber beams and columns to be sealed using a 1 hour fire caulk material. Also heat detectors installed in accordance with NFPA 72 in the front part of the garage (motion approved 2-7-12). The drywall is installed, the caulking is in place, and the heat detectors have been added in the front part'of the garage as directed. It is my professional"opinion that the installed systems are in compliance with the Building Code Board of Appeals decision and the building is ready for occupancy with respect to fire and life safety. Should you have any questions, please cont ct me at(603)496-3933. Sincerely, a OF o ROB G CU 7 S N Robert B. Cummings, PE. PRoi cT MA FPE No 39299 ,9N s s o �Ssion�i DIVIS"ll )'Ni ' � A L 1 . F Robert Cummings & Associates, PLLC 181 Bow Bog Road Bow, NH 03304 (603) 224 7453 bobcfpe fax (603) 224J467 October 6, 2011 Mr. Robert Mckechnie, Local Inspector Town of Barnstable Regulatory Services Building Division 200 Main Street Hyannis, MA 02601 Dear: Mr. Mckechnie Re: Fredber9g Property Garage Application #201005402 204 Little River Road, Cotuit, Massachusetts This letter proposes an alternative design for the required separation (Massachusetts One and Two Family Dwelling Code 8` edition section 5309.2 —text repeated below for reference) of the garage from the habitable level above. The garage footprint is 28'x40'. The required separation is 5/8" Type X drywall at the ceiling of the garage and the supporting structural elements. 5309.2 Separation Requirod. The garage shall be separated from the residence and its attic area by not less than 518 inch Type X gypsum board or equivalent gypsum board applied to the garage side. Garages beneath habitable rooms shall be separated from all habitable rooms above by not less than 518 inch Type X gypsum board or equivalent. Where the separation is a floor-ceiling assembly, the structure supporting the separation shall also be protected by not less than 518 inch gypsum board or equivalent. The proposed design is to install the 5/8" inch type X gypsum on the underside of the joists using standard wood furring strips attached directly to the underside of the joists. Fire Stop caulking will be used at the edge of the gypsum board to fill any openings adjacent to the heavy timber beams and columns. The wood joists are supported by a heavy timber structure which employs 8"x8" columns and beams 6" wide and 12" deep. Using Table 601 of 780CMR (copy attached) as a reference for structural framing and resistance note c.2. states that Heavy Timber is allowed to be installed where a 1 hour fire resistance rating is required. The Massachusetts One and Two Family Dwelling.Code makes reference Fredberg Property Garage Ceiling Alternative October 6, 2011 back to 780CMR when providing details/clarification for structural framing other than standard wood stud/stick framing. The installation of 5/8 inch thick type X gypsum is normally associated with a 1 hour fire resistance rating. Also, note that heavy timber structural framing is normally assigned a fire resistance rating of 2 hours when evaluating an existing or equivalent structure provided the frame meets the minimum dimensions of 8"for columns and 6" wide and 10 inches deep for beams (780CMR section 602.4.1 and 602.4.2 — copy attached). It is my professional opinion that exposed heavy timber structural frame (column and beams) meets or exceeds the requirements of section 5309.2 of the Massachusetts One and Two Family Dwelling Code a edition._ Should you have any questions, please contact me at(603)496-3933. Sincerely . s yd0 F fir Robe B. Cummings, P.E MA FPE No 39299 0 Page 2 �J �i..�.rrrrrr�rr.■r.n�.aw+��wr•�a...�s���rrro.i�.ai..�n...+ws�.vri.� MMMMMM -:�.�er: G�� �i'iiiwT s+,. ai. _�Cii�ws, lw1i�� :�rw,:�.�wfl�__il�w�_!�-�•+; :� � OF.� 4401 Will mmmwwwm� Oil IM Fm "IIIIIIA[IIINIII qw-A 1� M um Rim MWENEW IIIIIIIIIINIIIN 20ii4film"Em I —Momd . van R= UN= Will I lit I pl Y , � /sow�!1 s+�si�r•F.w��_�� • �s � � ��. M���B -� ���_.-GAF "� .� +�■ .I?1. • MR Ilk" � �� ir+Aareiirnri�� l L�f i M WIN m!llr �},� llIM3 r c r T. r m t. . r"f�'� Rio .' ��✓ L a ._ _ - --` n: t,� '.� _.Ti ..� _.__.._..__ 10:M-kt ARV) �f lt!�/'�N]- _ _ ••_ _- _ _.._-_ --._..-.__-_..__._.._-..__ •__._-..( .{�I..Y ..' ._- •�.�. YY'.Y.�'�-r 1*2 1 1 txmw ID Q 'i i� tL.`ly_p'f',l^' I�l..�►,l`>_C!t��G ' '..-- I r � ' � � � _�_—�+.'d'� :��+._ .._-__.-.__... ._.._ -_.. .. _�.. olr +�r- I i (.�'t•)_.. : .. ... -- : • ; � +2-' e�ti�,, arm FwezarlT ..._. _. 'k4 p ,s`�e�' y�.-�� ,ey+,�AllLO •` T_t' .' � i�, 1p�t i _.._._ -.: �_-�i _ '�° to rc. : . . _ ._. LO LO co Co I- LO ...��� �^'�•a_Z•�..- ,———� - —•--*--• I t .--i I I ' i , --i—;-�__... _ fir--- -- -._. ..._..... —-:-�- - - 04 �• � � i r ' r m Y LD W CL W4 L-OTL . RAv&Z ¢(Wo Cho-w n°` mo�.- x�. T4 t Weroft" n F 3M ire "f• J 2 S:AA.E{6 P44. 4')P O L.8 Of i $ 3" +. Ito FN4 I?PO 3.o - '��g � 3 HA FrRAC pWMneOL/Ln Ld H m EAR• .. ._ 4WW rr.A x 2 vd- Imo' ef Lo LoLO i ' - m oaf$ ��� - _ _ t A m 4 t!%lLili rt'L%I�K�G(i i d 4 �P�4� �G;C%l�i2� � Lct� Q/I1,Gi e��Q/�Zlu7/J�►fld 071 O l/�y7Jj/—�, Q V WiWi tc�AVOl Deval L.Patrick � Thomas G.Gatzunis,P.E. Governor Q� env / /I /+� Q Commissioner Timothy P.Murray c/ 7////Gti1�000 " Brian Gale Lieutenant Governor ram;/��//ten/�j Chairman Mary Elizabeth Heffernan a9 w //•G/-OO�eY Sandy MacLeod Secretary 00, Vice Chairman Robert Anderson Administrator Date: February 7,2012 Name of Appellant: Marvin Fredberg. Service Address: Robert Cummings Robert Cummings &Associates 181 Bow Bog Road Bow,NH. 03304 In reference to: 204 Little River Road Cotuit; MA. Docket Number: 11-1074 Property Address: 204 Little River Road Cotuit, MA. Date of Hearing: 12-01-11 Enclosed please find a copy of the decision on the matter.aforementioned. Sincerely: BUILDING CODE APPEALS BOARD Patricia Barry,Clerk cc: Building Code Appeals Board,Building Official Building Official i COMMONWEALTH OF MASSACHUSETTS SUFFOLK, ss. BUILDING CODE APPEALS BOARD DOCKET NO. 11-1074 Marvin Fredberg, } Appellant ) V. ) Town of Barnstable, ) Appellee ) BOARD'S DECISION ON APPEAL Introduction This matter came before the State Building Code Appeals Board ("Board") on Appellant's appeal application filed pursuant to G.L. c.143, §100 and 780 CMR 122.1 ("Application"). Appellant sought a variance from'780 CMR 302,with respect finishing a living space within a garage building, constructed with exposed wood post and beam framing system, located at 204 Little River Road, Cotuit, Town of Barnstable, MA. Procedural History On or about October 19, 2011, a Local Inspector for the Town of Barnstable issued the following decision: This letter is to follow up on the above references application for a building permit to finish the second floor storage space (convert to living space) of the new detached garage at 204 Little River Road. Unfortunately, the application cannot be approved at this time. The proposed fire separation does not meet the requirements of the Eighth Edition of the Massachusetts State Building Code 780 CMR according to section R302 "Fire-Resistant Construction." The Board convened a public hearing on December 1, 2011, in accordance with G.L.c. 30A, §§10 &'11; G.L.c. 143, §100; 801 CMR 1.02; and 780 CMR 122.3. All interested parties were provided an opportunity to testify and present evidence to the Board. The following exhibits were admitted in evidence: (1) State Building Code Appeals Board Appeal Application(received November 8, 2011), including related documentation; (2) photographs of exterior of garage building and part of interior showing elements of post and beam framing in garage area. Discussion Appellant discussed proposed compliance alternative to install sheet rock to fully cover joists, as shown in Exhibit 2, while butting up to carrying beams to provide protection to the garage ceiling. Where sheet rock meets the sides of the carrying beams;the joints would be sealed. Conclusion The Board considered a motion to allow a variance from780 CMR R302 with conditions that: (1) a 5/8"thick sheet rock barrier is installed between the garage and habitable space (above) and egress; (2)joints where sheet rock meets supporting beams will be caulked; (3)Appellant shall install heat detection in accordance with NFPA 72 in the front part of the.garage ("Motion"). The Motion was approved by unanimous vote. H. Yacob Nunnemacher Jeffrey Putnam, Chair Alexander MacLeod Any person aggrieved by a decision of the State Building Code Appeals Board may appeal to Superior Court in accordance with G.L. c.30A; §14 within 30 days of receipt of this decision. DATED: February 7, 2012 2 u W aIJ LE �GGCi + d ...........co� '. E'JEIiIG t/GZ _ ��iGL (�//G[!/ 419 � a +/0� Deval L.Patrick / �Q . Z v Thomas G.Gatzunis;P.E. Governor y yp y yp p Commissioner Timothy P.Murray �j :�, - ,�DDllA /�//G/�/eJ.G Brian Gale Lieutenant Governor �i y yp y //� e� //6// AW—leelt . . Chairman Mary Elizabeth Heffernan / / • Sandy MacLeod Secretary -Vice Chairman LLfG(1L(hl7ZrLQ� /G�ltL Robert Anderson Administrator Date: February 7,2012 :. Name of Appellant: Marvin Fredberg Service Address: Robert.Cummings Robert Cummings &Associates r 181 Bow Bog Road Bow,NH. 03304 In reference to: . 204 Little River Road . . Cotuit,MA. Docket Number: 11-1074 Property Address: 204 Little River Road Cotuit,MA: Date-of Hearing: 12-01-11 Enclosed please find a copy of the decision on the'matter aforementioned. Sincerely. -BUILDING CODE APPEALS BOARD Patricia Barry,Clerk 3y , r cc: Building Code Appeals Board,Building Official } Building Official u 41 10t . V S N"!L it J O 'fi}•0 l f COMMONWEALTH OF MASSACHUSETTS SUFFOLK, ss. BUILDING CODE:APPEALS BOARD. DOCKET NO. 11-1074 Marvin Fredberg, Appellant ) V. Town of Barnstable, ) Appellee BOARD'S DECISION ON APPEAL Introduction This matter came before the State Building Code Appeals Board("Board") on Appellant's appeal application filed pursuant to G.L. c.143, §100 and 780 CMR 122.1 ("Application"). Appellant sought a variance from 780 CMR 302, with respect finishing a living space within a garage building, constructed with exposed wood post and beam framing system, located at 204 Little River Road, Cotuit,Town of Barnstable, MA. Procedural History 1 On or about October 19, 2011,.a Local Inspector for the Town of Barnstable issued the following decision: This letter is to follow up on the above references'application for a building permit to finish the second floor storage space(convert to living.space) of the new detached garage at 204 Little River Road. Unfortunately, the application cannot-be. approved at this time. The proposed fire separation does not meet the requirements of the Eighth Edition of the Massachusetts State Building Code 780 CMR according to section R302 "Fire-Resistant Construction." The Board convened a public hearing on December 1, 2011, in accordance with G.L.c. 30A, §§10 & 11; G.L.c. 143, §100; 801 CMR 1.02; and 780 CMR 122.3. All interested parties were provided an opportunity to testify and present evidence to the Board. The following exhibits were admitted in evidence:.(1) State Building Code Appeals Board Appeal Application (received November.8, 2011), including related documentation; (2)photographs of exterior of garage building and part of interior showing elements of post and beam framing in garage area. Discussion Appellant discussed proposed compliance alternative to install sheetrock:to fully cover joists, as shown in Exhibit 2,while butting up to carrying beams to provide protection to the garage ceiling. Where sheet rock meets the sides of the carrying beams,the joints would be sealed. I . r Conclusion The Board considered a motion to allow a variance from780 CMR R302 with conditions that: (1) a 5/8"`thick sheet rock barrier is installed between the garage and habitable space(above) and egress; (2)joints where sheet rock meets supporting b pp geams will be caulked; (3)Appellant shall install heat detection in accordance with NFPA 72 in the front part of the garage ("Motion"). The Motion was approved by unanimous vote. r f� • 1 , H. Jacob Nunnemacher Jeffrey Putnam,Chair Alexander MacLeod Any person aggrieved by a decision of the State Building Code Appeals Board may appeal to Superior Court in accordance with G.L. c.30A, §14 within 30 days of receipt of this decision. DATED : February 7, 2012 2 it i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map" 106 Parcel (��a� Application l Health'Division Date Issued f IXConservation Division Application Fee Planning Dept. _. Permit Fee. vZ 0 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis - Project Street Address f�oq t t TL& R401�tC �P Village Owner PA f2,nbq?-� Address_/7rt9051-(45' ,7 . '5TW4Wf Telephone ��� �' 0) 7 - Permit Request /416 11, &Lag( E:_ 09 DTd-? Square feet: 1 st floor: existing f2� proposed ® 2nd floor: existing( proposed; Total new U > Zoning District 12 r Flood Plain Groundwater Overlay c7 . c�a Project Valuation Construction Type pe`$ r Lot Size�,�T�f?Zb S Grandfathered: ❑Yes ❑No If yes, attach supporting q9cuntation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) --, Age of Existing Structure 5 Historic House: ❑YesXNo On Old King's Highway: ❑Yes [�l0 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ® Basement Unfinished Area(sq.ft) Number of Baths: Full: existing •3 new Ift* Half: existing D new O Number of Bedrooms: '.� existing 6 new Total Room Count (not including baths): existing (a new ® First Floor Room Count 3 Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes �No Fireplaces: Existing 9, New Existing wood/coal stove: ❑Yes No Detached garage:Kexisting ❑ 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 X No If yes, site plan review# Current Use 61 U&.. f16M&q Proposed Use I_An1,60z %261-tlt4A_ ` APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number SVS.> 13AG— 1;`t 3(o Address D5`T `'� J�' 1 O 4;4c-ense # 040 b BOO d`�, 20 Home Improvement Contractor# 1,71 ) 3 7 8 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR,OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL N0. - ADDRESS VILLAGE OWNER - DATE OF INSPECTION: FOUNDATION x FRAME �� (b _ tsk- �'�IhL- to &m4yn. k INSULATION Y _ r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING . ham �4,u DATE CLOSED OUT ` ASSOCIATION PLAN NO. The Commonwealth of Massacb usetts Department of Industrial Accidents �•, Office of Investigations Y 600 Washington Street c L Boston, MA 02111 - www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information � 1= Please Print Le ibl Name (Business/Organization/I Individual): of . Address: -® O City/State/Zip: tik n Phone Are you an employer? Check the appropriate box: Type of project(required): 1, I am a employer with �j 4. (] I am a general contractor and I 6 New construction _... * have hired the sub-contractors employees(full and/or part-time). Remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet. �• ❑ g ship and have no employees These sub-contractors have g• 0 Demolition and have workers' working for me in any capacity.' . employees9. ❑ Building addition [No workers' comp. insurance comp. insurance.I 5. ❑ We are a corporation and its 10.0 Electrical.repairs or,additions required.] 3.❑ I am 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 q employees. [No workers' 13.0 Other �a comp. insurance required.] *Any applicant that checks box ttl must also fill out the section below showing their workers'compensation policy information.,, t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they.must provide their workers'comp.policy number. I am an employer that is providing workers'.compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: (l k AwfdL ►"1� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under.Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c I under the pains ap9penalties of perjury that the information provided above is' rue and correct. Si nature: Date: �,i / w co 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 f pstractio'ns 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;constnrction or repair work on such dwelling house T 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 conunonwealth 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), addresses) and phone numbers)along with their certificates) 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 pennit 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 wre 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 full 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 Linder"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 fill'od out each year. Where.a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i,e. a dog.license or permit to bum Ieave$ 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, - of hesitate to give us a call. Please don 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 1-87.7-MASSAFE Fax # 617-727-7749 Revised 4-24-07 -www.mass.gov/dia DATE(MWDDNM) ,� >1RDTM. CERTIFICATE OF LIABILITY INSURANCE 03123/2010 �, CL, `:`ER- PhonQ:'(508)BB&0207-PCX (S:i:isae-0550 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION o� i I_OA8 CARLSON►NSURA.NCI:AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOX 719 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MA 02fi63 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, ND IC H �O� ,." INSURERS AFFORDING COVERAGE. NAIC# INSURED INSURER A: Granite State Insurance Company, ---._. -- ` POST 8 BEAM OF CAPE 001) NC INSURER S; BOX 355 INSURER C: SANDWICH MA 02563 INSURER D: ..r.._,. INSURER E: COVERAGES THE.POLICIES OF INSURANCE IJS"TED BEL:'V HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDrOON DF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFO:ZDEC,BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MA`•' HAVE.BEEN REDUCED BY PAID CLAIMS. INSR - POLICY EFFECTIVE POLICY EXPIRATION - LIMITS LTR IN TYPE OF -'� —I POLICY NUMBER GENERAL UABILITY L EACH OCCURRENCE COMMERCIAL GCNj=RAX UABI.IIY WWAGE TOPPIOW S PREMISS Ba occurenc CLAIMS MADE[— OC:UR MEN.EXP(Any one parson) PERSONAL B ADV INJURY S GENERAL AGGREGATE S GEN L AGGREGATE LIM T APPLIES N:R PRODUCTS-COMPIOP AGG. s .POLICY JE T .00 - - AUTOMOBILE LIABILITY M COMBINED SINGLE LIMIT. $ ANY AUTO (Ea accldenl) , ALL OWNED AUTOS BODILY INJURY (Per Pelson) $ SCHEDULED AUTOS - HIRED AUTOS _ BODILY INJURY. NON•OWNEO AUTOS - (Per xcldont) $ --••— PROPERTY DAMAGE S _ Par aoaldent GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHERTHAN _EA_ACC AUTO ONLY: AGG S EXCESSI UMBRELLA IJAMUTY EACH OCCURRENCE S OCCUR [^I OL41H3 M r:IE AGGREGATE 8 DEDUCTIBLER S RETENTION$ t Is — _ WORKERS COMPENSATION AND ® W0009886286 12/27/09 12/27/10 TOR-LIMIT 3 OTHER EIMPLOYERT LIABILITYATU- - E,L.EACH ACCIDENT $ 100,000 - A ANY PRODRIETORlPMTNERlE7CEC0TI4$ � � -- OFFICERnaEMBER EXCLUDED9 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yml debatbe under aPEOIAL PROVISIONS W_ ' _ - E.L DISEASE-POLICY LIMIT S 500,000 'OTHER _— I ,,;) DESCRIPTION.OF OPERATIONS1LrrCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL'PkOVISI0N5 -= Paul Pacella is included for co,rarsl IB under the workers compensation policy. = Q Residential General Contmator C CERTIFICATE HOLDER _ CANCELLATION K Iv - S14OUL.D ANY OF THE ABOVE DESCRIBED POUCI6SS� BE CANCEL=Q BEFORE THE EXPIRATION DATE THEREOF: THE ISSUING INSURER WILLENDEA•vVORTO �A`IL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE Town of Bamstable Bu0ft!;DE mrtrnent TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY bND UPON THE INSURER, 200 Main Street ITS AGENTS OR REPRESENTATIVES. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE . (508)790-8230 - All ary)o Anderson ACORD 25(2001/08), v Certificate# 7492 B ACORD CORPORATION 1988 " -- -- -- �I iridrvtdu�`use only' vav, for d return to.. ~~ r or registration If Evan u►ation 1 License a exptrate Affairs and Business Reg 1 Fs _ a a ion before th Consurn. p 1 g pffice of Suite 517 °�usines"� �. , airs TRAC�O� 10 garkYlaZ02116 '. Otfi `"°so'ner CON lV1A Boston, HRME IMPR ,,. Tr# 287647 i �` 129348 , Registrat�on�BE 712011 `�.. _ ExP�rabnAldw�dua r tare. ?yPe"M k� (N� d ithout stgna PauIOacella Paul PacR r t U�deT$eeretary 132 Lombard �- W•Barnstable,MA � �`%/' Niassuchusctte- Department of Public Safcti 40--,"..-,�...Board of Btuld fig Re-ulations and Standards Construction Supervisor License License: CS 68602 Restricted,to: 1 G + PAUL R PACELLA 132.LOMBARb AVE W BARNSTABLE, MA 02668 ` _ 3 �%-�- - Expiration: 8/28/2010 i {'unnnissiuner Tr#f 1661 - i �FIKE rop, 'Town of Barnstable Regulatory Services vEARNMass � B $ Thomas F.Geller,Director 1639. A` 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 Mu st Complete and Sign This Section If Using A Builder I, , as Owner of the subject property MAW t�J Q�vQ�I l P P riY hereby authorize L to act on my behalf, in all matters relative to work authorized by this building permit application for: w (.'aTCc c r (Address of job)" to 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:OWNERPERMISSION. of r� Town of Barnstable "VHE , o ]regulatory Services IARNSCABLE Thomas F. Geiler,Director MASS. 9�A 1679. a��� Building Division TfD MA'I 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 to the Building Official, that he/she shall be responsible for all such work performed under thAuild-ing permit,. (Section 109.1.1.) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION . The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC I , tj .014 .�J.s - --------------- , : \ T I , _ ,��� i�-�V�• b���i MAC LZ� `���jP SRk.`i I--1- _ -- -r -1 --- - 1*� � i i � — -- - —� - - -- _... i : I i I MA�c area I I J 3{F I _. .. . I i � 7-1 I I i L ��"?; .ACT• .1�1�_.5t�t�?�TJ�uJ�..-- - --- - -- -- -��- _. i ' i I �i Dowws 'C � rya i j� i - C�bV�t£ IFS i 9 L I ._5• _�. �12;__��Ogti•= `.to - o ' ���� �-�`DS �-J'� pQ�asG�..._ .�► ?#.�, Cam; I '_M � ; i : q� 7 I i I : I 1 o - — 1 , A ,C — - I _ I I I '--—- I _ a - , ! I I r L _ i _t- __ .;. ..;--- v:•- -: -- - ! � ' - � I I' Imo- ' ' i OLD o- - t -777 I T~- I —GJ L — ! ' I AA I I r I I : r r _ 4R + — I 7-7 � I ' I I YI r r I � i I l xlo C i I I , : , : I I r f _ I I • I r , 1 r J 1 L `0 • I I ! I ■ 1�. ■ ■ ■ C IMIa ■ �■ ■.. ■co .. . ..■. CCN ��� ■i 1®■ ■ ■■ ■ ■■® 1 ■■ ■■ ■NONE a11111I MEN Amu 11 IN No ME MO. ■N 1�_ -��■ei_�..-tee■ � _ _ � r ... � NisROM iNgt1w; ■ 1�� N N ■ ■■■ L. ... \1!� �3i1 N N ' 1 r I I -- --- I ' r . . i. I I : Ti : poo __........... , LA , 1 ------- I 1-' - - -' - - iI , I qoo I , I I y , I _ : 1 J I I I : , I � I I I KY_ i _ I I --f I ; I� � • 1 , I I I • : I 175 Poskus St. Stoughton, Ma.02072 ' June 11, 2010 D W Mr.Tom Perry r Building Commissioner Town of Barnstable, Building Division <r F 200 Main Street =. Hvannis, MA02601 G Dear Mr. Perry, p, As regards the intended use for the recentiv constructed garage on my`property on 20_41Litth2 Riper Rd in Cotuit,my builder,Mr. Paul Pacella of Post and Beam of Cape.Cod, has informed me that the Barnstable Building Department has questioned the permit application for the completion of a bathroom on the second floor. My understanding,as related by Paul, is that the Town is looking for assurance as follows: 1 • 1 and my wife;Sandra, recognize that the completion of the bathroom does not enable this; structure to become a habitable,residential space. t '" • We recognize that the zoning is for,single family and that this structure`cannot be rented or l ., otherwise used as living space. ` • That the original,permit application,while showing the bathroom,only`allowed for the upstairs to be used as storage. As the land owners,we acknowledge the above,-and we recognize that if and when the'second floor should be desired to be improved,that additional permitting and`construction are required to assure that the structure will meet the building codes. further,we declare that it is never our intention to 'rent, m or otherwise use this structure as a separate residence and to abide by the zoning restrictions. 44 Our intentions for this space are based on the fact that 1 am,an avid hobbyist in both wood working and automotive projects and the near term use for the garage, including the bathroom is to allow me to used this space without returning to the,main house for bath facilities. As for any future plans;with the, appropriate permits and inspections;it is possible that the upstairs may be improved into a bonus room with television, recreation,and exercise equipment., I hope this letter confirms that our intentions are to abide within the town;zoning and construction rules • ,; and laws. x" f r ' w f y Sincerely - a Marvin Fredberg 1.7 M ,,41v h, e 175 Poskus St. Stoughton, Ma.02072 June 11,2010 Mr.Tom Perry Building Commissioner Town of Barnstable, Building Division 200 Main Street Hyannis,MA 02601 Dear Mr. Perry, As regards the intended use for the recently constructed garage on my property on 204RLittle River Rd in L Cotuit, my builder, Mr. Paul Pacella of Post and Beam of Cape Cod, has informed me that the Barnstable Building Department has questioned the permit application for the completion of a bathroom on the second floor. My understanding,as related by Paul, is that the Town is looking for assurance as follows: • 1 and my wife,Sandra, recognize that the completion of the bathroom does not enable this structure to become a habitable, residential space. We recognize that the zoning is for single family and that this structure cannot be rented or otherwise used as living space. • That the original permit application,while showing the bathroom,only allowed for the upstairs to be used as storage. As the land owners,we acknowledge the above,and we recognize that if and when the second floor should be desired to be improved,that additional permitting and construction are required to assure that the structure will meet the building codes. Further,we declare that it is never our intention to rent, or otherwise use this structure as a separate residence and to abide by the zoning restrictions. Our intentions for this space are based on the fact that I am an avid hobbyist in both wood working and automotive projects and the near term use for the garage, including the bathroom is to allow me to used this space without returning to the main house for bath facilities. As for any future plans,with the appropriate permits and inspections, it is possible that the upstairs may be improved into a bonus room with television, recreation,and exercise equipment. I hope this letter confirms that our intentions are to abide within the town zoning and construction rules and_laws. . Sincerely Marvin Fredberg L TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0�94 Parcel 00<0 00 3 plieation #a U� Health Division ate Issued l`Z Conservation Division Application Fee Planning Dept. t ' r 't Fee 44 b Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis/ Project Street Address NVSAQ-- 1POP10 t I 0 Village �07 Owner _15" F 1�111 Address I Telephone 011106 — 9 " 01�0s cl —N-0* M* oao qX Permit Request 64165 k L.l1 I[O(� ` 0 4 (C�®ht vnnml 2e`�-iMvve AT AolR Square feet: 1 st floor: existing f 20 proposed 2nd floor: existing 1120 proposed --O—Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (O,000 F5 Construction Type Lot Size �� 3�R F Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ► Two Family ❑ Multi-Family (# units) a wm Age of Asptin'?gre '2-009 Historic House: ❑Yes )(No On Old KingNs'Hi ghwap�❑Yes Alo zg Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other .n, Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) ' Number of Baths: Full: existing- ew Half: existing K neV\t d- Number of Bedrooms: O existing -0 new Total Room Count (not including baths): existing new _First Floor Room Count 16 (7, Heat Type and Fuel: )aGas ❑ Oil ❑ Electric ❑Other C C& Central Air: ❑Yes X No Fireplaces: Existing _New f Existing wood/coal stove: ❑Yes A No Detached garage:X 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 X No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ,sue Name L Telephone Number vX;n; Xk2 l D '- Address License# 0 -7 R �oA Home Improvement Contractor# 6 a` l T Worker's Compensation # (,Nr7(a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �S�U FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. s ADDRESS VILLAGE I� OWNER (fr _ DATE OF INSPECTION: f FOUNDATION FRAMEf2N�S — wo,Ax , r INSULATION 31 6k— OJ tl—' Flab B�j�^�' 5 FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ GAS: ROUGH .FINAL FINAL BUILDING ��d�1 f DATE CLOSED OUT t. ASSOCIATION PLAN NO. _ .• The`Commonwealth of M E ' � •, '. . f_ assacFiicsetts Departmen t of industrial Accidents Office of investigations 600.Washington Street, ,- Bostoi;,MA 02111 www mass.gov/dia. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pllzmbers Applicant Information Please Print Leg4bly Name (Business/Organization/IndMduaI): ��n Address: � '�' City/State/Zip: 6 l�W`� "" one# t FA-re on an employer? Check the a � �� � v ppropriatq box: T e of ro ect re am a employer with 4• ❑ I am a general contractor and I YP P J ( quired): employees(hill and/ohave hired the subcontractors 6 New construction2.El I am a sole proprietor or partner- listed on the attached sheet. ;7.XRemodeliiig ship and have no employees These sub-contractors have ,, g Q Demolition working for me in any capacity, employees and have workers' 9. BLdin addition ' [No workers' comp. ;na,T�nCe comp,insurance.$ ;�]' g ddtilon . required.] 5. 0 We are a•coiporation and its '' 10.❑Electrical repairs'o 11 r additions t 1❑ 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 , ' r insurance required]t c. 152 §1(4) and we have no w 12,Q Roof repairs=. w employees. [No workers' ' ',;13.0 Other comp.insurance required,] *Auy 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 thm hire outside contractors must submit a new afFidavrt indicating such, Contractors that check this box must attached an additional sheet showing the name of the sub-contractors acd state whether or not those entities have . employees, If the sub-contractors have employees,they.must provide their workers'comp,policy number, ' F I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site , information Insurance Company Name: L. -r �� �' k Policy#or Self-ins,Lic.#:_ � L �Q� q Expiration-Date: 3 � R Job Site Address: City/State/Zip U4 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiraijon`date) Failure to secure coverage as required under Section.25A of MdL e, 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 t Be advised that a.copy of this statement may be.forwarded to the Office of Investigations of the DIA for insurance covers a verification ,a g g I do hereby c tc er t e p and enalhes of perjury„that the information provided,above true and correct , Si ature: Date: Phone#: a -------------- Official use only. Do not write in this area;'to be completed by cty`or.town official. City or Town: Pere # mit/L'6ense Fssning Authority(circle one) rt 1.Board of Health 2.Building Department 3 City/Town Clerk �4.Electrical Insp ctor 5 Plnnibing Inspector 6.Other, n t Contact Pe rson: Phone#• i i i HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ' ERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED ' Y THE POLICIES BELOW.THI8 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN HE 188UING INSURERS AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. MPORTANT: If the Certificate holder Is an ADDITIONAL INSURED,the policy(lea)must be endorsed. If SUBROGATION 8 WAIVED,subject to the terms and conditiona of the policy,certain policies may require and endorsement A statement n this certificate does not confer rights to the certificate holder in lieu of such endorsement. PRODUCER Almelde&Carlson Ina Agency Po Box 719 Sandwich,MA 2563 COMPAl IES AFFORDINV i��OuriANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Post&Beam Of Cape Cod Inc P.0 Box 366 Sandwich,MA 02563-0000 z THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 18BUED TO THE INSURED NAMED ABOVE FOR i THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER ! DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 188UED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co LTR Typo OMINSURANCE POLIOYNUMBIR POLICY IFFECTIVIDATE FOLIOYNXFIRATIONDATO RKER$COMPENSATION D EMPLOYERS'LlUILITY LIMITS E PROPRIETOR/ ARTNERSIEXECUTIVE FFICERSARE: I7CL 0 EXCL 0 1 4476246 1 12/27/2010 1 12/27/2011 STATUTORYLIMIT5OTHER i as igeApplla+toMAOpwalma0*. $ 100,00 CH ACCIDENT [$EASE POLICY LIMrr $ 500,00 _ _ _ - •- °`- ISEASE-EACH EMPLOYER 3 100 00 DESCRIPTION OF OPERAT[ONBNEHICLEBIBPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ATTN:BLDG DEPT EXPIRATION DATE THEREOF.NOTICE WILL SE DELIVERED IN ACCORDANCE 200 MAIN ST WHTETHE POLICY PROVISIONS. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE TIKEE Town of Barnstable Regulatory Services �xrrsr�s�, Muea. Thomas F. Geiler,Director 0.19 10� 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 as Owner of the subject property hereby authorize to act on my 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 before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature o t Owner azure of A plicant Print Name Pant Name Date QYORMS`O WNERPERMISSIONPOOLS , 1 �t Town of Barnstable Regulatory Services BARNSfABLE, * Thomas F.Geiiler,Director y MASS. �A i639• ••� Building Division TED�vs 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 ( f zip code t 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 e who does_not ossess_,allicense r '_p J ,,p ovlded 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 theBuii'ding 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 within licensed M Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt 0 Ir 4 fVC Guide to Wood Consh-uctlon In High I�fnd Aj ea : 110 tnplr 1Virrd Zorr.e Massachusetts Checklist for Compliance (780 CINIR5301:2.1.1)' 1 I V Check Compliance 1.1 SCOPE Wind Speed(3-sec. gust).................................................................. .............:::.....:.:........................ 110 mph . WindExposure Category.................................................................. ...................7........... .......... Wind Exposure Category................Engineering Required For Entire Project ......................................... 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories <2 stories RoofPitch..............................:............................................(Fig 2) .......::...................7.............. 512:12 Mean Roof Height ..............................................................(Fig 2)........:.....:.... .............................—ft :5 33' Building Width,W ...............................................................(Fig 3)................. , Building Length, L ...............................................................(Fig 3)..:........:::. ............................... ft 5 80, Building Aspect.Ratio(L/W) ................................................(Fig 4)..........:-.......---............._........... 5 3:1 Nominal Height of Tallest Openingz ...........:.......................(Fig 4) ........... 5 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...............................................................:.............:................................._.........f.... Concrete Masonry.............................. .....:............................. ..................... ......... 2.2 ANCHORAGE TO FDUNDATION"' 5/8"Anchor Bolts-imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general .............................:............(Table 4).................... in. Bolt Spacing from endrjoint of plate ................:........:...(Fig 5)::::............:.::;..:............ in._6°—12" Bolt Embedment—concrete.........................................(Fig 5)..:............... .......... in.>7" BoltEmbedment—masonry..:............:..............:..........(Figs).:::.:..... ......::...................... in._> 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:5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).... .::....._...................,. Maximum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall.............:.:(Fig 7)...........................<.:........................_ft <d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or 5hearwall.:.:. :::.:(Fig 8).......................- ft s d .............................._ FloorBracing at Endwalls........................................:...........(Fig 9)................................................................... ' Floor Sheathing Type :.......................................................(per 780 CMR'Chapter 55)............... ................... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)....................... in. Floor Sheathing Fastening...:..:....:::....................................(Table 2).._d nails at in edge/_in field 4.1 WALLS Wall Height Loadbearing walls...................:...................::..................(Fig 10 and Table 5)............................—ft :5 10, Non-Loadbearing walls............::..................................(Fig 10 and Table 5)........................... ft 5 20' Wall Stud Spacing ...........................................................(Fig10 and Table 5 ._in.5 24'o.c. Wall Story Offsets . ..................:..................................:..(Figs 7&8)....:....................................... ft s d 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls.:........: (Table-5)....................... ....... ft in. Non-Loadbearing walls................................................(Table 5)................:...............2x -_ft—in. Gable End Wall Bracing Full Height Endwall Studs............................................(Fig 10).................................................. ............ : WSP-Attic Floor Length.................:.............................:(Fig 11)............... ...,:..:............ ftz1N/3 Gypsum Ceiling Length (if WSP not used)....:............:.(Fig 11)............................................_ft.>_0.9W - and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11).........................:.......:.........:..:.....:........ or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).............. Splice Connection (no. of 16d common nails)..............(Table 6).......................................................... r AFVC Guide to 1Vood Corrstntctiorl in High 147Md Aieres: 110 nrph 1•Virid Zoize Massachusetts Checklist for ComplifInce (780 Ci.1Rs301.2.1.1)' Loadbearing Wall Connections Lateral (no.of 16d common nails)...............................(Tables 7).................................................... Non-Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans .........................................................(Table 9)..................................._ft_in.s 11' Sill Plate Spans ........................................................(Table 9)......................---......... ft in.5 11' Full Height Studs (no.of studs)....................................(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.5 12' Sill Plate Spans.... ........................................................(Table 9).................................. ft_in.5 12' Full Height Studs (no. of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W . Nominal Height of Tallest Opening2 .................................................. < SheathingType..............................................(note 4)................... Edge Nail Spacing..........................7..............(Table 10 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 10)................................................. in. Shear Connection(no. of 16d common nails)(Table 10)......................................................._ Percent Full-Height Sheathing...................:...(Table 10)..................:................................_% 5%Additional Sheathing for Wall with Opening> 6'8'(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2......................................................................... 5 6'8' SheathingType...................:..........................(note 4)..................................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. Field Nail Spacing...........................................(Table 11)................,................................ in. Shear Connection(no.of 16d common nails)(Table 11)......................................................._ Percent Full-Height Sheathing........................(Table 11)..................................................... % 5%Additional Sheathing for Wall with'Opening> 6'8'(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof.framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang .......... .....................................................(Figure 19) _ft:;smaller of 2'or V3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U= plf Lateral .............................................(Table 12).............................................L= plf Shear............................:..................(Table 12)............................................S= Of Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= pif Gable Rake Outlooker..........................................(Figure 20) ............._ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= . lb. Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 and 59) ........... Roof Sheathing Thickness.....................................:..... ................................:.............. in._>7/16'WSP Roof Sheathing Fastening.............................................(Table 2).............................:..........................._ Notes: 1. , This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. Robert Cummings & Associates,, PLLC 181 Bow Bog Road Bow, NH 03304 (603)224-7453 bobcfpe(a)comcast.net fax (603) 224-7467 July 18,2011 Mr. Robert Mckechnie, Local Inspector Town of Barnstable Regulatory Services Building Division 200 Main Street Hyannis, MA 02601 I Dear: Mr. Mckechnie per. ao��0��c�13 Re: Fredberg Property Garage Applicatiiora #201005402 204 Little River Road, Cotuit, Massachusetts This letter proposes an alternative des n for the required separation (Massachusetts One and Two Family Dwelling Code 7 edition section 5309.2—text repeated below for reference) of the garage from the habitable level above. The garage footprint is' WAY. The required separation is 5/8" Type X drywall at the ceiling of the garage and the supporting structural elements. 5309.2 Separation Required. The garage shall be separated from the residence and its attic area by not less than W inch Type X gypsum board or equivalent gypsum board applied to the garage side. Garages beneath habitable rooms shall be separated from all habitable rooms above by not less thap W inch Type X gypsum board or equivalent. Where the separation is a floor-ceiling assembly, the structure supporting the separation shall also be' protected by not less than W inch gypsum board or equivalent. The proposed design is to install the 5/8" inch type X gypsum to the underside of the joists using standard wood furring strips attached directly to the underside of the. joists. The wood joists are supported by a heavy timber structure which employs 8"x8° columns and beams 6" wide and 12" deep. Using Table 601 of 780CMR (copy attached) as a reference for structural framing and resistance note c.2. states that Heavy Timber is allowed to be installed where a 1 hour fire resistance rating is required. The Massachusetts One and Two Family Dwelling Code makes reference back to 780CMR when providing detailstclarificabon for structural framing other than standard wood stud/stick framing: s Fredberg Property k, Garage Ceiling Alternative July 18,2011 The installation of 518 inch thick type X gypsum is normally associated with a 1 hour fire resistance rating. Also, note that heavy timber structural framing is normally 'assigned a fire resistance rating of 2 hours when evaluating an existing or equivalent structure provided the frame meets the minimum dimensions of 8"for columns and 6" wide and 10 inches deep for beams (780CMR section 602.4.1 and 602.4.2 — copy attached). it is my professional opinion that exposed heavy timber structural frame (column and beams) meets or exceeds the requirements of section 5309.2 of the Massachusetts One and Two Family Dwelling Code 7"'edition.. Should you have any questions,.please contact me at(603)496-3933. Sincerely OF CUMMINGS Robert B. Cummin s, P. 00 PRoTEr-nON MA FPE No 39299 `�O 39299.0 F`SS�4NAL`=���` F f P 4 r Y . Page 2 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS �^ TYPES OF CONSTRUCTION 603.1.1 Ducts. The use of nonmetallic ducts Massachusetts Fuel Gas and Plumbing Code shall be permitted when installed in accordance (248 CMR),when applicable. with the limitations of the International 603.1.3 Electrical The use of electrical wiring Mechanical Code. methods with combustible insulation, tubing, 603.1.2 Piping. The use of combustible piping raceways and related components shall be materials shall be permitted when installed in permitted when installed in accordance with the accordance with the limitations of the limitations ofthe Massachusetts Electrical Code International Mechanical Code or the (527 CMR 12). TABLE 601 FIRE-RESISTANCE RATING REQUIREMENTS FOR BUILDING ELEMENTS hours BUILDING ELEMENT TYPE I TYPE II TYPE III TYPE IV TYPE V A I B A° B A° B HT A° B Structural frame' 3b 2b 1 0 1 0 HT 1 0 Including columns,girders,trusses Bearing walls Exterior' 3 2 2 Interior 3b 2b 11 0 21 20 I/HT I 0 Nonbearing walls and partitions See Table 602 Exterior Nonbeacing walls and partitions 0 0 0 0 0 0 See 780 CMR 0 0 Interior 602.4.6 Floor construction Including supporting beams and 2 2 1 0 1 0 HT 1 0 joists Roof construction Including supporting beams and l'h` 1` t` 0` 11 0 HT l` 0 joists For SI:1 foot=304.8 nun. a. The structural flame shall be considered to be the columns and the girders,beams,trusses and spandrels having direct connections to the columns and bracing members designed to carry gravity loads. The members of floor or roof panels which have no connection to the columns shall be considered secondary members and not a part of the structural frame. b.Roof supports:Fire-resistance ratings of structural frame and bearing walls are permitted to be reduced by one hour where supporting a roof only. c. 1. Except in Factory-Industrial (F-1), Hazardous (H), Mercantile (M) and Moderate-Hazard Storage(S-1) occupancies,fire protection of structural members shall not be required,including protection of roof framing and decking where every part of the roof construction is 20 feet or more above any floor immediately below. Fire-retardant-treated wood members shall be allowed to be used for such unprotected members. 2. In all occupancies,heavy timber shall be allowed where a one-hour or less fire-resistance rating is required. 3. In Type I and 11 construction,fire-retardant-treated wood shall be al lowed in buildings including girders and trusses as part of the roof construction when the building is: i. Two stories or less in height; ii. Type R construction over two stories;or iii. Type I construction over two stories and the vertical distance from the upper floor to the roof is 20 feet or more. d.An approved automatic sprinkler system in accordance with 780 CMR 903.3.1.1 shall be allowed to be substituted for one-hour fire-resistance-rated construction,provided such system is not otherwise required by other provisions of 780 CMR or used for an al low able area increase in accordance with 780 CMR 506.3 or an allowable height in crease in accordance with 780 CMR 504.2. The one-hour substitution for the fire resistance of exterior walls shall not be permitted. e.Not less than the fire-resistance rating required by other sections of 780 CMR. f. Not less than the fire-resistance rating based on fire separation distance(see Table 602). 8/22/08 (Effective 9/l/08) 780 CMR-Seventh Edition 135 780 CMR 6.00 TYPES OF CONSTRUCTION 780 CMR 601.0 GENERAL 602.4.2 Floor Framing." Wood beams and 601.1 Scope. The provisions of 780CMR 6.00 shall girders shall be of sawn or glued-laminated timber control the classification of buildings as to type of and shall be not less than six inches (152 mm) construction. nominal in width and not less than ten inches(254 mm)nominal in depth. Framed sawn or glued- 780 CMR 602.0 CONSTRUCTION laminated timber arches, which spring from the . CLASSIFICATION floor line and support floor loads,shall be not less than eight inches (203 mm) nominal in any 602.1 General. Buildings and structures erected or dimension. Framed timber trusses supporting to be erected,altered or extended in height or area floor loads shall have members of not less than shall be classified in one of the five construction eight inches(203 mm)nominal in any dimension. types defined in 780 CMR 602.2 through 602.5. 602.43 Roof Framing. Wood-frame or glued- The building elements shall have a fire-resistance laminated arches for roof construction, which rating not less than that specified in Table 601 and spring from the floor lineor from grade and do exterior walls shall have afire-resistance rating not not support floor loads, shall have members not less than that specified in Table 602. less than six inches(152 mm)nominal in width 602.1.1 Minimum Requirements. A building or and have less than eight inches(203 mm)nominal portion thereof shall not be required to conform to in depth for the lower half of the height and not the details of a type of construction higher than that less than six inches(152 mm)nominal in depth type which meets the minimum requirements based for the upper half. Framed or glued- laminated on occupancy,even though certain features of such arches for roof construction that spring from the a building actually conform to a higher type of top of walls or wall abutments, framed timber construction. trusses and other roof framing, which do not 602.2 Types I and 1I. Type'I and H construction support floor loads,shall have members not less are those types of construction in which the building than four inches(102 min)nominal in width and . elements listed in Table 601 are of noncombustible not less.than six inches (152 mm) nominal indepth. Spaced members shall be permitted to be materials. composed of two or more pieces not less than 6023 Type III. Type III construction is that type of three inches(76 mm)nominal in thickness where construction in which the exterior walls are of blocked solidly throughout their intervening noncombustible materials and the interior building spaces or where spaces are tightly closed by a elements are of any material permitted by 780 CMR. continuous wood cover plate of not less than two Fire-retardant-treated wood framing complying with' inches(51 mm)nominal in thickness secured to 780 CMR 2303.10 shall be permitted within exterior_ the underside of the members. Splice plates shall wall assemblies of a two-hour rating or less. - be not less than three inches(76 mm)nominal in 602.4 Type IV. Type IV construction (Heavy thickness. Where protected by approved Timber,HT)is that type of construction in which the automatic sprinklers under the roof deck,framing members shall be not.less than three inches(76 exterior walls are of noncombustible materials and. mm)nominal in width. the interior building elements are of solid, or laminated wood without concealed spaces, The 602.4.4 Floors. Floors shall be without details of Type IV construction shall comply with the concealed spaces. Wood floors shall be of sawn provisions of 780 CMR 602.0. Fire-retardant-treated or glued-laminated planks,splined or tongue-and- wood framing complying with 780 CMR 2303.10 groove, of not less than three inches (76 mm) shall be permitted within exterior wall assemblies nominal in thickness covered with one-inch(25 with a two-hour rating or less. mm), nominal dimension tongue-and-groove 602.41 Columns. Wood columns shall be sawn flooring,laid crosswise or diagonally,or 0.5-inch (12.7 mm)particleboard or planks not less than or glued laminated and shall not be less than eight four inches (102 mm) nominal in width-,set on inches (203 mm), nominal, in any dimension edge close together and well spiked and covered where supporting floor loads and not less than six with ,one-inch (25 min) nominal dimension inches(152 min)nominal in width and not less flooring or '5/,Z inch (12 mm) wood structural than eight inches (203 mm) nominal in depth panel or 0.5-inch(12.7 mm)particleboard. The where supporting roof and ceiling loads only. lumber shall be laid so that no continuous line of Columns shall be continuous or superimposed and° joints will occur except at points of support. connected in an approved manner. Floors shall not extend closer than 0.5 inch(12.7 8/22/08 (Effective 9/1/08) 780 CMR-Seventh Edition 133 m III I -saw NN M OI� � � 11� �/YMIll�,2mw Ism mL[ ?3i�' ' rJ�7r.m of ,,. - ,t ME mi �! ' !-..�'� ;�. ' !n mammmlm -I ol iffirOw ffif rpw a, I killiltim !�„ems, .__• c� a� lb • • a ` r Y- 1■ Ii• � �_ �I�IJ���tlll�ii-iL �el�� �I o- e YI s " WFC�l`�I WE»o 2.i:`�I�1W�-�-.�ou-ma�oJ:' ._'1�i3�_�, Cam.) .:--- --:- -- � �2F'- - - -- - - - ---- -----'.__.. . ._:2�b w..�✓��b' o°t-, 2�O:o_.{}-, UFUT-T 21� 132y 3n2 _ : 6v As. opd ul — I I MAx iQ i I i i ; cl : : _ I i r i ''?� .(�XT- .1aP G�.._S.vFI.pST tr•� �._,.. _ _-- �"—� ? 45� — 'L�°n 1:-ML p : x i b Tam 2:-01°lc� ID rosb� 4k'ev: tootsir - 11 i ,(�o�►-m asr_ca_Utz__ __ � I+�`' `'' I �—� �—; � 12 - _ : , i I b v ' +-1 z -- - tA oo4. �.Colu T,. --' - - -- i —-- - k= — _ . ' r1.o�• t:CCc!.� �v�ir �0 don IT, lM A.- — AIT &a 6"Ljc. cfeL N,Cc{, �" Y°f i `•So�T „ u 3M F,re 84rrJerucre& G'�t Z SGa• y0 PJc'. P P D L.D at%PvZ 2� C. f,�t'f 4 3" StJ�• cto ( Pr'!� 3.0 / -gi1 f ___.__� •� x 3 1i R- F,Re Awnc r l o y -- cr,tx� TRW rtf0 pt'�LotiB. c+� _ o Six" vc T1+eu xl � OF ivc Q`rc t 446 pie. OE. atl- - �`� - f L,I CO w 5 cLL4-otwT - --- _ .. i N5T' S g , MT�AL C . .Ii7e# -0 ' offr . . REV, Ot V4 99516 TR C ID A-W -p CO t-1^ q Aouv 050f F,tisotoo 4w'r- ., � � .� ,, •., ,. .. . � � ���" �J� ,;� . e ►.' �� A ��i��i.���� A1� �'� 1�� n r � ���� - ', �+ � '.� . , . J e/' ������_�� ��� � d � O � i®� � �� a �,��� �, � �/ S �- •� a • � I The Commonwealth of Massachusetts William Francis Galvin -... Page 1 of 3 The Commonwealth of Massachusetts William Francis Galvin ' � Secretary of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 a POST & BEAM OF CAPE COD, INC. Summary Screen Help with this form Request Ld gii a:t 11 The exact name of the Domestic Profit Corporation: POST & BEAM OF CAPE COD, INC. Entity Type: Domestic Profit Corporation Identification Number: 000848144 Date of Organization in Massachusetts:. 08/15/2003 Current Fiscal Month / Day: 12 / 31 The location of its principal office: No. and Street: 78 ROUTE 6A City or Town: SANDWICH State: MA Zip: 02563 Country: USA If the business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or Town: State:. Zip: Country: Name and address of the Registered Agent: Name: PAUL PACELLA No. and Street: 78 ROUTE 6A. City or Town: SANDWICH State: MA Zip: 02563 Country: USA The officers and all of the directors of the corporation: Title Individual Name Address (no'PO Box) Expiration First, Middle, Last, Address, City or Town, State, Zip Code of Term Suffix PRESIDENT PAUL R PACELLA 132 LOMBARD AVE http://corp.sec.state.'ma.us/corp/corpsearch/CorpSearchSummary.... 9/16/2011 The Commonwealth of Massachusetts William Francis Galvin -...` Page 2'of 3 WEST BARNSTABLE, MA 02668 USA TREASURER PAUL R PACELLA 132 LOMBARD AVE WEST BARNSTABLE, MA 02668 USA SECRETARY PAUL R PACELLA 132 LOMBARD AVE WEST BARNSTABLE, MA 02668 USA y DIRECTOR PAUL R PACELLA 132 LOMBARD AVE WEST BARNSTABLE, MA 02668 USA { business entity stock is publicly traded: _ The total number of shares and par value, if.any, of each class of stock which the business entity is authorized to issue: Par Value Per Total Authorized by Articles Total Issued Class of Stock Share of Organization or and Outstanding Enter 0 if no Par Amendments Num of Shares Num of Shares Total Par Value CNP $0,00000 151000 $0.00 0 } Confidential Does Not Require Consent Manufacturer Data Annual Report Resident _ For Profit _ Merger Allowed. Partnership Agent Select a type of filing from below to view this business entity filings: ALL FILINGS I_{ Administrative Dissolution Annual Report "', Application For Revival Articles of Amendment Vlew Fllings A New Sea ch I Comments http://corp.sec.'state.ma.us/corp/corpsearch/CorpSearchSummary.... 9/16/2011 The, Commonwealth of Massachusetts William Francis Galvin -... Page 3 of 3 ©2001 - 2011 Commonwealth of Massachusetts Q All Rights Reserved Helg http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.... 9/16/2011 C�/zeoary� h o�C�/ aaC/uisetta i License or registration valid for individul use only i Office of Consumer Affairs&Busi ess Regulation before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOR Type pffice of Consumer Affairs and Business Regulation ; egistration: 1'29348 10 Park Plaza-Suite 5170 i ,' Individual Boston,MA 02116 i xpiration:;�_8E'(7J_:_2013._, 1 Paul Pacella Paul Pacella i 132 Lombard Ave Not valid ithout signature W.Barnstable,MA 02668`` ,. Undersecretary lassuchusetts- D,eliartmcnt of'Public'Safch I Board of Building RLgulation an(J St:ind<<rds Construction Supervisor License One-and Two- Family Dwellings License: Cs 68602 PAUL R PACELLA 132 LOMBARD AVE g `.i W BARNSTABLE, MA 02668 Expiration: 8/28/2012 ('ummissi„ner Tr#: 65 �� ��` �� �''` �.� ��V� �O ° �,� �� � �� ------------- r / r k -�M,a-7ers.ls�a,r��'}�ie_.._._.s•._rc;� Csnra�� s TM r Town-of Barnstable Regulatory Services Thomas F. Geiler,Director 16s9, Building Division p }, rFD 1, Thomas Perry, ClBO,Building Commissioner 260 Main Street, Hyannis,MA 02601 • wwwaown.barnstable.ma.us . 'Office( 508-862038 Faz; 508-790-6230, PLAN RE VIEW o je -AY,2 v r! Owner: �R 13 �� MRP/Parcel, Project Address aOyz, �/s uer . DuiIder: i'�iFG - CIr. n The following items were noted on reviewing: -78o e' r'x tz3o z 16 .. ." sw-��`���tw►�-ode " C CfycA Revie'wed by: Dater 1 twlbert Cumminas & Associcates, PLLC 181 Bow Bog Road Bow, NH 03304 (603)224-7453 bobcfpe@comcast.net fax (603) 224-7467 October 6, 2011, -� Mr. Robert Mckechnie, Local Inspector Town of Barnstable Regulatory Services 'I,) Building DMsion 200 Main Street Hyannis, MA 02601 Dear. Mr. Mckechnie Re; Fredberg Property Garage Application#20100.2/11,0/�®� 0� 204 Little River Road, Cotuit, Massachusetts This letter proposes an alternativedesign for the required separation (Massachusetts One and Two Family Dwelling Code 8 edition section 5309.2 text repeated below for reference) of the garage from the habitable level above. The garage footprint is 28'x40'. The.required separation is 5/8" Type X drywall at:the ceiling of the garage and the supporting structural elements. 5309.2 Separation Required. The garage shall be separated from the residence and its attic area by not less than W inch TYPe X gypsum board or equivalent:gypsum board applied to the,garage side. Garages.beneath habitable.rooms shall be separated from all habitable rooms above by not less than 518 inch'Type X'gypsum board or'equivalent: ; Where the separation is-a floor-ceiling;assembly, the structure supporting the�separatron sltall also be protected by not less than Winch gypsum boars!or equivalent The proposed design is'to install the 5/8°inch typeX gypsum-on the-underside of.the jarsts using'standard Wood,.,furring strips attached directly tq.the underside of the jors� Fire Stop��cauIking will be used' at the edge.of the.gypsurrfi board to fill any openings p& At.';to the.heavy,6 beC beams and;columns The wood Joists are supported:by a heavy timber structure which'employs 8"x87 columns and: beams`6" wide and' 12A deep Using Table 601 of'780CMR (copy', attached) as a reference'-for structurai framing and resistance note,`c 2 states;that 7 Heavy.T'irnber rs allowed to be installed where a 1 hour fire resistances rating is i required The Massachusetts One-and Two`Family Dwelling Code makes reference: a A_ i x , w '.,.✓ - .,.,.v ,4. Lei .Y -,.6 '`:"f7 tt. ,Yw t Fis s.f .-n. r .. -tip; Fredberg Property Garage Ceiling Alternative October 6, 2011 back to 780CMR when providing details/clarification for structural framing other than standard wood stud/stick framing. The installation of 5/8 inch thick type X gypsum is normally associated with a 1 hour fire resistance rating. Also, note that heavy timber structural framing is normally assigned a fire resistance rating of 2 hours when evaluating an existing or equivalent structure provided the frame meets the minimum dimensions of 8"for columns and 6" wide and 10 inches deep for beams (780CMR section 602.4.1 and 602.4.2 — copy attached). It is my professional opinion that exposed heavy timber structural frame (column and beams) meets or exceeds the requirements of section 5309.2 of the Massachusetts One and Two Family Dwelling Code 8t'edition. Should you have any questions, please contact me at(603)496-3933. Sincerely � :Fpq a, sEn7 B. Robe B. Cummings, P. MA FPE No 39299 ^ e y, a Or Page 2 _ i TYPES OF CONSTRUCTION frame are required to maintain a minimum and Chapter 14.Also,Section 706.5.1 has degree of fire resistance.The components fire-resistance-rating requirements for defined as part of the primary structural exterior walls on each side of the intersec- frame, with the exception of Type IV con- tion of fire wall. struction, must also comply with Section There are also several requirements 704. Secondary members (e.g., floor or related to exterior walls mentioned in roof panels without a connection to the col- Chapter 10. Section 1007.7 has fire-resis umn) are not considered part of the struc- Lance-rating requirements for exterior walls tural frame.(see Rows 5 and 6 of the table). adjacent to exterior areas for assisted res- cue.Section 1022.6 has specific fire-resis- Row 2: Bearing walls—exterior and interior. Exte- Lance-rating requirements for exterior walls rior bearing walls are the outermost walls adjacent to an exit stairway. Section that enclose the structure and support any 1026.6 has fire-resistance-rating require- structural load other than their own weight. ments for exterior walls adjacent to exterior Their required fire-resistance rating is exit stairways.. Section 1027.5.2 has established by the higher of two fire-resis- fire-resistance-rating requirements for lance ratings.The first component of deter- exterior walls adjacent to an egress court. mining the fire-resistance rating is based Additionally, this category includes the on the type of construction of the building. structural (load-bearing) interior walls of a The second component of determining the building. To delay vertical load-carrying fire-resistance rating is based on the exte- collapse of a building due to fire exposure rior wall's fire separation distance in Table for a predetermined amount of time, the 602. Whichever of the two requires the structural partitions are required to main- higher fire-resistance rating will dictate the tain a minimum degree of fire resistance. minimum required fire-resistance rating of Primary structural frame elements support- the exterior wall. ing such walls must comply with Table 601, In addition to Tables 601 and 602, exte as well as have at least the same degree of rior walls must comply with Section 705 fire resistance as the supported wall. TABLE 601 FIRE-RESISTANCE RATING REQUIREMENTS FOR BUILDING ELEMENTS(hours) TYPE 1 TYPE 11 TYPE III TYPE IV TYPE V BUILDING ELEMENT A B Ad B Ad B HT 6 Ad g Primary structural framer 3„ Z" 0. (� IiT l 0 (see Section 202) Bearing walls h.xterior'9 3 2 1 0 2 2 2' I 0 Interior 3" 2.' 1 U 1 0 1/HT I U Noubearing walls and partitions Exterior See Table 602 Nonbearing walls and partitions Interior' 0 0 A q U U 0 See Section 601.4.6 0 0 _ , Floor construction and secondary 2 2 T t) I 0 I IT 1 U members(see Section 202) . Roof construction and secondary Ii/2, li,,, 1, W. 1i,., U -HT 1t'' U members(see Section 202) For SI: I•lout=304.8 met. a: Roof supports:Fire-resistance ratings of primary structural frame and hearing walls are permitted to be reduced by I hnur when-supporting a roof only b. Except in Group F-1.II.M and S-I occupancies,fire protection of structural members shall not be required.including prutec•tiun of roof framing and decking where every part of the roof cimsuuclion is ZU lint or murr above any Ilowr immediately below.Fire-retardant-treatLd wood members shall be allowed to be,used for.such unprotected members. c. In all occupancies,heavy timber shall be.allowed where a 1-hour or less fire-resistance rating is required. d. An approved aufornalic sprinkl e•r system in accordance with Sectiou 903.3.1.1 shall be allowed to be substituted for I-hour fire-rrsistance-rated coast rumen.pro- vided such system Ls not otherwise required by other provisions of the code or used for an allowable area increase in accordance with Section 506.3 or an allowable height increase in accordance with Sectlun 504.2.The 1-hour substitution for the Ore resistance of exterior walls shall not be permitted. e. Not less than the fire-resistance rating required by other sections of this code. f: Not less than The lire-resistance rating based on lire separation distance(see Table 602). ' g. Not less than the fire-resistance rating as referenced in Sectlon'704.10. 6-2 2009 INTERNATIONAL BUILDING CODE®COMMENTARY z TYPES OF CONSTRUCTION terials, but with a wood frame floor, interior wall and requires the exterior walls to be constructed of roof construction. The structural members of a build- noncombustible materials. The interior elements are ing of Type IIIB construction are not required to have a required to be constructed of solid or laminated wood fire-resistance rating with the exception of the exterior without any concealed spaces.All of the combustible load-bearing walls. structural elements are permitted to be unprotected Although fire-retardant-treated wood (FRTW) does because of the massive element sizes and the require- not meet the specifications of the code as a ment that there not be any concealed spaces,such as noncombustible material,it is permitted as a substitute soffits; plenums or suspended ceilings. Sections for noncombustible materials for framing within exte 602.4.1 through 602.4.7 provide specific requirements rior wall assemblies of Type III construction.The exte- for the connection of structural members and mini- rior surfaces of the walls must be of noncombustible mum dimensions. An examination of Table 503 indi materials. While the exterior walls are permitted to be cates that the allowable height and area for Type IV either nonload-bearing or load-bearing,to apply the al- construction is greater than that permitted for buildings lowance for FRTW the required fire-resistance rating of Type 118 construction. This distinction is based on of the exterior wall must be no greater than 2 hours. testing that demonstrated that HT structural members FRTW is required to comply with the provisions in Sec- perform better structurally under fire conditions than tion 2303.2. comparable unprotected steel structural members be- cause of charring, which insulates the wood mass. As with Type III construction, fire-retardant-treated / wood (FRTW) is permitted as a substitute for noncombustible materials within exterior wall assem- blies of Type IV construction. Except as noted in Sec- tion 602.14.7, exterior structural members used exter- nally must be noncombustible. GYPSUM While the exterior walls are permitted to be either WALLBOARD nonload-bearing or load-bearing, to apply the allow - WOOD ;;,. ance for FRTW the required fire-resistance rating of WOOD RAFTERS �. FURRED PANELING the exterior W811 must be no realer than 2 hours. AND TRIM - g F RTW is required to comply with the provisions of Sec- tion 2303.2. :.'..: CONCRETE BLOCK TABLE 602.4.Seepage fi 10. GYPSUM WALLBOARD 1-Solid sawn wood members and glue-laminated tim- bers are manufactured using different methods and ._ BRICKS procedures and, therefore, do not have the same di- mensions.However,they both have the same inherent fire-resistance capability. The dimensions noted in _ WOOD JOIST AND FLOOR Sections 602.4.1 through 602.4.7 refer to the nominal dimensions of solid sawn lumber. These dimensions do not directly correlate to the actual dimensions of glue-laminated timbers.Table 602.4 provides a simple Figure procedure to determine the dimensions that are re- quiredCONSTRUCTION for glue-laminated timbers when designing to meet the requirements of Type IV construction.The ta- ble provides minimum dimensions for glue-laminated that Type IV.Type IV construction (Heavy Timber, is wood members for each set of dimensions specified in that type of consuvc•tion in which the exterior walls.are am of the specific provisions of Section 602.4. The require- are ►naterials and the interior building elements ments for glulam were developed to recognize that the _ are of solid or laminated wood without cvnc�eated spact's.'Cl,e ` reduced width of glulam members (compared to tim- details of Type 1V constructic,n shall comply with the provi- bers with the same nominal dimension)shall be offset sions of this section. Him rr,airiant rmalcvl mimm] framing by increasing the depth to maintain similar cross-sec- (:oinplying with Section 2303.2 shall be permitted within exre tional areas. To use the table, compare the required rior.wall assemblies with a 2 Hour rating or less. Minimum 14tinimum dimensions for sawn timber found in the two solid sawn nominal dimensions are required for structures built left-hand columns with the dimensions found in the using Type 1V construction (H'f).'For glued laminated menr two right-hand columns for glued-laminated wood " bers the equivalent net finished width and depths correspond members. For example, where the code requires a ing to the minimum nominal width and depths of solid sawn minimum sawn timber of 8 inches by 8 inches(203 mm lumber are required ass ciNd in Table 602.4. by 203,mm),for a glulam wood member to be used,it This section."provides the general regulations for Type would need to be a minimum of 61/4 inches wide by 81/4 IV (Heavy Timber,'HT) construction; HT construction inches(171 mm by 210 mm)deep. 2009 INTERNATIONAL.BUILDING CODE®COMMENTARY i 6-9. TYPES OF CONSTRUCTION ey 602.4.1 Columns.Wood columns shall be sawn or glued lami-• entire height of the building. The design engineer or nated and shall not be less than 8 inches(203 nun).nominal,in architect must provide details of all column connec- any dimension where supporting Floor loads and not less than 6 tions. As with all structural members, each column Inches(152 ntm) nominal in width and not less than 8 inches must also be adequately fastened to other structural (203 mm)nominal in depth where supporting roof and ceiling members in order to withstand the loads that will be loads only.Columns shall be continuous or superimposed and- placed upon the column. Some typical examples in- connected in an approved manner. clude reinforced concrete or metal caps, steel or iron -.*-Minimum construction requirements and dimensions column caps and timber splice plates [see Figures for timber columns are provided in this section. Col- 602.4.1(1)and 6,02.4.1(2)j. umns are required to be a minimum of 8 inches (203 602.4.2 Floor framing.Wood beams and girders shall be of mm) nominal in any dimension if they support floor sawn or glued laminated timber and shall be not less than 6 loads,or a minimum of 6 by 8 inches(152 by 203 mm) inches(152 mm)nominal in width and not less than 10 inches nominal if they support a roof and ceiling. Timber col- (254 non) nominal in depth.Framed sawn or glued laminated umns are required to be continuous or superimposed, timber arches, which spring from the floor Fine and support positioned on or over each other,through floors for the floor loads,shall be not less than 8 inches(203 min)nominal in TABLE 602.4 WOOD MEMBER SIZE MINIMUM NOMINAL SOLID SAWN SIZE MINIMUM GLUED-LAMINATED NET SIZE Width,inch Depth,inch Width,inch Depth,inch 6 6 5 6 For 51: I inch-Z5.4 him. - ME�E`°cam 003 rG P rNG ``\E t IT\p.5 st c 0.� r Figure 602.4.1(1) HEAVY TIMBER—FLOOR BEAM AND COLUMN FRAMING `'° 6 10 2009 INTERNATIONAL BUILDING CODE®COMMENTARY - - 10 i TYPES OF CONSTRUCTION any dimension.Framed timber trusses supporting floor loads out their intervening spaces or where spaces are tightly closed shall have members of not less than 8 inches(203 mm)nominal by a continuous wood cover plate of not less than 2 inches(51 in any dimension. mm)nominal in thickness secured to the underside of the mem- Minimum construction requirements and dimensions bers.Splice plates shall be not less than 3 inches(76 mm)nomi- for floor framing are provided in this section. Girders nal in thickness. Where protected by approved automatic are the principal horizontal structural members that sprinklers under the roof deck, framing members shall be not support columns or beams. Beams are the structural less than 3 inches(76 mm)nominal in width. members that support a floor or roof.Both girders and {-Minimum construction requirements and dimensions beams are required to be a minimum 6 inches (152 for arches and other types of roof framing are provided mm)wide and 10 inches(254 mm)deep.Both framed in this section. Other types of roof framing included in timber trusses supporting floor loads and framed sawn this section are heavy timber trusses with spaced or glue-lamin5ted timber arches that spring from the members.When the members of a heavy timber truss floor line and support floor loads are required to be at are split and placed on either side of a main member, j least 8 inches(203 mm)in any dimension. such as a web connecting a chord,each component of 602.4.3 Roof framing. Wood-frame or glued-laminated the web must be 3 inches(76 mm)or more in nominal arches forroof construction,which spring from the floor line or thickness.The space between the two web members from grade and do not support floor loads,shall have members must be protected with a 2-inch-thick (51 mm) cover not less than 6 inches(152 mm)nominal in width and have not plate [see Figure 602.4.3(1)), or solidly filled with less than 8 inches(203 mm)nominal in depth for the lower half blocking [see Figure 602.4.3(2)1. The size of the roof of the height and not less than 6 inches(152 mm) nominal in framing members is dependent on the configuration depth for the upper half.Framed or glued-laminated arches for used and is regulated by this section. roof construction that spring from the top of walls or wal l abut- If a building of Type IV construction is equipped with ments,framed timber trusses and other roof framing,which do approved automatic sprinklers under the roof deck, not support floor loads, shall have members not less than 4 the minimum size of the roof framing members is re- inches(102 mm) nominal in width and not less than 6 inches duced to 3 inches(76 mm). Roof framing members of (152 mm)nominal in depth.Spaced members shall be permit- a smaller size will have a lower resistance to fire than ted to be composed of two or more pieces not less than 3 Inches the 6-inch by 8-inch(152 mm by 203 mm)or 4-inch by (76 mm)nominal in thickness where blocked solidly through- 6-inch(102 mm by 152 mm)members required by this rt'<3�I-, ♦,_r w"ter` \✓ - - T _ Jof� Figure 602.4.1(2) COLUMN/FLOOR BEAM CONNECTIONS , American Institute for Timber Construction 2009 INTERNATIONAL BUILDING CODES COMMENTARY - 6 11 TYPES OF CONSTRUCTION section. The trade-off allowing Smaller roof framing nal dimension tongue-and-groove flooring, laid crosswise or members when the building is equipped with an auto- diagonally,or 0.5-inch (12.7 mm) particleboard or planks not matic sprinkler system is consistent with the concept less than 4 inches(102 min)nominal in width set on edge close of maintaining"equivalent risk"for the building. together and well spiked and covered with 1-inch (25 mm) 602.4.4 Floors. Floors shall be without concealed spaces. nominal dimension flooring or 15/.,z-inch(12 mm)wood struc- . Wood floors shall be of sawn or glued-laminated planks, tural panel or 0.5 inch (12.7 mm) particleboard. The lumber splined or tongue-and-groove, of not less than 3 inches (76 shall be laid so that no continuous line of joints will occur nun)nominal in thickness covered with I-inch(25 mm)notni except at points of support.Floors shall not extend closer than SPACED WEB 2-COVER PLATE BOTTOM CHORD OF TRUSS For SI: 1 inch=25.4 mm Figure 602.4.3(1) SPACED MEMBERS WITH COVER PLATE SPACED WEB ._ . SOLID BLOCKING BOTTOM CHORD OF TRUSS Figure 602.4.3(2) SOLID BLOCKING OF SPACED MEMBERS 6-12 2009 INTERNATIONAL BUILDING CODE"COMMENTARY 12 TYPES OF CONSTRUCTION 0.5 inch (12.7 mm) to walls.Such 0.5-inch (12.7 mm) space quickly in combustible concealed'floor spaces [see shall be covered by a molding fastened to the wall and so Figure 602.4.4(1)].Because of the support afforded by arranged that it will not obstruct the swelling or shrinkage adjacent members, continuous joints must only occur movements of the floor.Corbeling of masonry walls under the over supports. floor shall be permitted to be used In place of molding. Wood flooring must be fastened to supports that are perpendicular to the planking. Fastening must not be :•Heavy timber flooring is required to consist of mini- made to beams or girders that are parallel to the mum 3-inch-thick (76 mm) sawn or glue-laminated planks [see Figure 602.4.4(2)]. This precaution is in- planks,splined floors or tongue-and-groove floors with tended to prevent separation of the planks because of an overlayment of 1-inch(25 mm)tongue-and-groove differential movement of the beam relative to the gird- flooring, laid crosswise or diagonally. HT flooring may ers and possible expansion/contraction due to differ- also consist of %-inch (12.7 mm) particleboard or ing moisture or humidity levels.This section requires a planks at least 4 inches(102 mm)in width set on edge '/z inch(12.7 mm)clearance between the wood floor- and secured together, with an appropriate over-lay- ing and exterior walls.This will prevent damage to the ment, such as 1-inch(25 mm) hardwood flooring or a walls if the flooring expands due to rain during con- 15/32-inch(12.7 mm)wood structural panel.Flooring.in struction. This space also creates a potential flue for Type IV construction is not permitted to have con- flames and hot gases. It should be emphasized that cealed spaces because an undetected fire can spread the integrity of the floor assembly must be maintained 1'1W(FLOOR) 76G PLA)"FLOOR OR ROOF- FRAMED OR GLULDLAMINATED MEMBER FLOORS:6■10(MIN.) - ROOFS:6aBIMIN.) SHEET METAL DUCT. PERMITTED INSTALLATION CONCEALED DUCT SPACE CONCEALED SPACE + DRYWALL.MILLSOARD,ETC. - DRYWALL OR SWILAR SmRIG - -PROHIBITED INSTALLATION --------------------------- SUSPENDED CEILING - CONGEALED SPACE - ,. 'PROHIBITED INSTALLATION + _ CONCEALED SPACE - - SLEEPERS FINISH FLOORING PROHIBITED INSTALLATION For SI: 1 inch=25.4 mm. Figure 602.4.4(1) CONCEALED SPACES 2009.INTERNATIONAL BUILDING CODE COMMENTARY 6-13 TYPES OF CONSTRUCTION to provide the equivalent of a 1-hour fire-resistance rating for an exit access corridor wall is,required:It is rating. In addition, the '/Z-inch(12.7 mm)gap must be common practice to utilize a 1-hour fire-resis- protected by a molding connected to the wall so that Lance-rated stud and gypsum wallboard assembly be- any possible contracting or expanding of the floor is tween the exposed columns to form the walls of the not impeded.If masonry walls are utilized,corbeling of exit access corridor. the masonry may be used as an alternate to the mold- 602.4.7 Exterior structural members. Where a horizontal ing requirements. separation of 20 feet(6096 mm)or more is provided,wood col 602.4.5 Roofs. Roofs shall be without concealed spaces and units and arches conforming to heavy timber size sshall be per wood roof decks shall be sawn or glued laminated.splined or mitted to be used externally.., tongue-and groove plank.not less than 2 inches(51 nun)nont" inal in thickness. 11/K-inch thick (32 nun) wood structural +Heavy timber columns and arches that conform to panel (exterior glue), or-of planks not less than 3 inches (76 minimum dimensional requirements may be used on nun) nominal in width,set on edge close together and laid as the exterior if a fire separation distance of at least 20 required for floors.Other types of decking shall be permitted to feet (6096 mm) is maintained, although the exterior be used if providing equivalent fin,rrsislance and structural wall itself must be of noncombustible construction. If a properties. fire separation distance of at least 20 feet(6096 mm)is maintained,the risk of exposure of the wood members s Minimum construction requirements and dimensions to fire from an adjacent building is reduced,and the HT for roof decks are provided in this section.As required columns and arches are permitted to be exposed to for.floors, roofs are not permitted to have concealed the exterior. spaces[see Figure 602.4.4(1)].If the materials used in If a building of Type IV construction has a fire sepa- roof construction are different from those described in ration distance of less than 20 feet (6096 mm), the this section, the roof must have a 1-hour fire-resis- wood columns and arches are to be located on the in- tance rating and be of the same structural properties. terior side of the exterior wall. The noncombustible 602.4.6 Partitions.Partitions shall be of solid wood construe- construction of the exterior wall will provide some de- tion formed by not less than two layers of 1-inch (25 nim) gree of protection to the interior timber members; matched boards or laminated construction 4 inches(102 min) therefore,placing the wood structural members inside thick,or of I-hour fire-resistance-rated construction. an exterior wall is preferable"to placing them within 20 feet(6096 mm)of a lot line or adjacent building with no s Minimum construction requirements and dimensions exposure protection. for partitions are provided in this section. Partitions. 602.5 Type V.Type V construction is that type of construction must either be formed by not less than two layers of in which the structural elements, exterior walls and interior 1-inch (25 mm) matched boards or laminated con- walls are of any materials permitted by this code. struction 4 inches (102 mm) thick if they are con- structed of solid wood. Partitions are permitted to be ❖Type V construction allows the use of all types of mate- constructed of materials other than solid wood if they rials, both noncombustible and combustible, but is have a 1-hour fire-resistance rating.An example of the most commonly,constructed of dimensional lumber, use of alternative materials is when a fire-resistance (see Figure 602.5 for an example of Type V construe- .. - SrAGGI.R.IOINFS 3'GL OF D-LAMINA)F D PLANKS - - - 4"PLANK ON EWE Im NOT NAIL - FLOOR TO GIRDE-R. GIRDER - For SI: 1 inch=25.4 mm. BEAM Figure 602.4.4(2) HEAVY TIMBER FLOORING - R 6-14 2009 INTERNATIONAL BUILDING CODE®COMMENTARY t 14. - J R308.6.9-R309.2 -' q u� HANNING 0 water does not drain as quickly on low-sloped from the garage. Openings from the garage are only 'J permitted into rooms that are not used for sleeping pur �culler that these skylights be properly flashed to poses. Those openings must be protected by the ttt leakage,they must be placed on a 4-inch high installation of a door complying with the provisions of x unless the manufacturers' installation instruc- this section. 13/S-inch(35 mm)thick solid wood doors, indicate otherwise. solid or honeycomb steel doors and 20-minute fire �r rated doors are the only acceptable doors for use in the 91'esting and labeling.Unit skylights shall be tested opening between the garage and the dwelling unit. Aj}ircivc I independent laboratory,and bear a label identi- K. tt1€1liufacturer,performance grade rating, and approved R309.1.1 Duct penetration. Ducts in the garage and ducts �11im agency to indicate compliance with the require- penetrating the walls or ceilings separating the dwelling from gg� 1 itf AA MA/WDMA 101/l.S.2/NAFS. the garage shall be constructed of a minimum No.26 gage(0.48 � mm)sheet,steel or other approved material and shall have no referenced standard, AAMANVDMA 101/LS.2/ openings into the garage. ; NAF ; Voluntary Performance Specitrcation for Win- s ws, Skylights and Glass Doors,includes a separate Ducts are permitted to penetrate the required separa- � ling system for positive and negative pressure on tion(see Section R309.2)between the garage and the. 4 A 11 hts that allows the manufacturer to design and dwelling unit when the ducts within the garage and the, port of the duct penetrating the wall are of No. 26 j? brlcate products that are best suited for the climate in P P g which they will be used. 101/I.S.2/NAFS establishes gage(0.48 mm)sheet steel or other materials accept - }t11 performance requirements for skylights based on able to the building official. Steel ducts are required to jiie desired performance grade rating,which includes help prevent the passage of an undetected fire within rf7lnlmum requirements for resistance to air leakage, the garage to the dwelling unit.See Commentary Fig- n Wo or infiltration and the design load pressures. The ure R309.1.1.Theo enin limitation in the ara a is to f0tlulting performance grade rating states the desig li the ath f sm e t nter a ellin unit ' Ityed pressure used to rate the product, but it also i - R309.2 Separation required.The garage shall be separated filudes Consideration of these additional performane from the residence and its attic area by not less than 1/2-inch 2. characteristics. For skylights certified for only one pe - (12.7 mm)gypsum board applied to the garage side. Garages t <- formance grade, the rating is based on the minimu beneath habitable rooms shall be separated from all habitable requirements met for both positive and negatived rooms above by not less than 5/8-inch(15.9 mm)Type X gyp- slgn pressure. Skylights Certified for two performanc sum board or equivalent.Where the separation is a floor-ceil- w. grades are rated separately for positive and negativ ing assembly,the structure supporting the separation shall also design pressure. be protected by not less than 1/2-inch(12.7 mm)gypsum board Skylights must be capable of withstanding the com- or equivalent. 5 ponent and cladding wind pressures of Tabl xK Numerous potential hazards exist within garages be- `_ ;: R301.2(2)adjusted by the height and exposure coeffi- cients given in Table R301.2(3). cause occupants of dwelling units tend to store a vari- The most critical load on a skylight is determined byRN ety of hazardous materials there. Along with this and the.potential for carbon monoxide build-up within the the climate in which it is installed. In a colder climat garage,the IRC requires that the garage be separated with heavier snow loads and moderate design wind speeds, the positive load on a skylight from the com- from the dwelling unit and the attic with at least 1/2-inch bined snow and dead load will be more critical than the (12.7 mm)gypsum board or other equivalent material. negative load from wind uplift.Theo opposite will be the If a habitable room is above the garage,the separation case in warmer, coastal climates with higher design must be at least 5/8-inch (15.9 mm) Type X gypsum wind speeds and little or no snow load. board or equivalent. There are two primary reasons for providing an en- hanced fire endurance for a garage ceiling located be SECTION R309 neath a habitable room. First, a fire occurring in a ga- GARAGES AND CARPORTS rage may well go undetected for an extended period. prior to activation of a detector or other visual alerting: R309.1 Opening protection.Openings from a private garage Second, the inherent fire load and hazardous directly into a room used for sleeping purposes shall not be per household activities associated with a garage necessi- mitted.Other openings between the garage and residence shall tate this additional level of protection if fire suppression be equipped with solid wood doors not less than 13/8 inches(35 forces are to have a reasonable opportunity to contain mm)in thickness,solid or honeycomb core steel doors not less a garage fire to the area of origin. an 13 inches: 35 mm thick or 20-minute fire-rated doors. than / , " 5 s ( ) h a- The single layer of /S Inch Type X gypsum at the e g ❖`Openings to sleeping rooms from garages are not al- rage ceiling increases the fire endurance of the as lowed,since a person might not wake up in time if there sembly considerably, from 15 minutes for a 1/2-inch was a hazard from carbon monoxide fumes or smoke layer,to at least 40 minutes,or a 167-percent increase 2003 INTERNATIONAL RESIDENTIAL CODE©COMMENTARY—VOLUM 1 U.S. Postdl Service,. CERTIFIED MAIL,. RECEIPT (Dome :f MaiY-Only;No Insurance Coverage Provided) For deliveq informatinn visit our website at www.usps.como r • : W / I r PS Form 3800,August 2006 See Reverse for Instructions ( 5 I Certified Mail Provides: ■ A mailing receipt { ■ A unique identifier for your mailpiece 'a� ■ A record of delivery kept by the Postal Service for two years Important Reminders: `Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. ■ Certified Mail is not available for any class of international mail. '�l • r ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee;a Return Receipt may be requested to provide p7oof of; delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested To receive a fee waiver for+ a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery° ,_ ■ If a postmark on.the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3600,August 2006(Reverse)PSN 7530-02-000-9047 i . ., . SENDER: COMPLETE THIS SECTION 1HOW 3HI OL 3d013AN3 Ao dOi IV U3NOUS 30VId ■ Complete items 1,2,and 3.Also complete A S'UFtu��( •, item 4 if Restricted Delivery is desired. Agent ■ Print your name and address on the reverse X ❑,Addressee so that we can return the card to you. IB. Rece' ed by( ' ted Name) C. Date-of Delivery ■ Attach this card to the back of the maiipiece, �»: rjj..ii or on the front if space permits. f" �� OR D/ live�ddreskiif from item 1? r Yes 1. Article Addressed to: , ES,eVeg deHi 'd ress belo ' 3. Service Type l J . eifle Mail ®Fecpress Mail ❑Registered AR:Aetum Receipt for Merchandise � ❑Insured Mail ❑C.O.D. ` J 4. Restricted.Delivery?(Extra Fee) ❑Yes 2. Article Number, "7O1 470I G1 452k4 76b36 f I (transfer from service fabe j I , r e i F I I; PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 1 r� UNITED STATE SO �SER � '" ^p z 'wee • SPlder: Please print your name, address, and ZIP+4 in this box ° f TOWN OF BARNSTAKS BUILDINO DIVISION _ N 2 It 111lt.M4111+11Jt"I fill 111111.-1.111�11111113t1111TH I:IIIIIfib!lld SINE Town of Barnstable Regulatory Services ,0� Thomas F.Geiler,Director 1639. '6 39 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 19, 2011 Mr. Paul Pacella RE: App. 201105013 Post and Beam of Cape Cod 204 Little River Road . PO Box 355 Cotuit, MA Sandwich, MA 02563 Dear Mr. Pacella, This letter is to follow up on the above referenced application for a building permit to finish the second floor storage space (convert to living space) of the new detached garage at 204 Little River Road. Unfortunately,the application cannot be approved at this time. The proposed fire separation does not meet the requirements of-the Eighth Edition of the Massachusetts State Building Code 780 CMR according to section R302 "Fire-Resistant Construction". If you decide, at a later date,that you wish to go forward with the project you must apply again and provide all necessary documents including those that show compliance with the Massachusetts State Building Code. If this office can be of any further assistance please do not hesitate to call. I may be reached at 508-862-4033 If you disagree with this decision you can appeal this decision to the State Building Code Appeals Board per 780 CMR R122.and M.G.L. c 143: Sincerely, Ili/ Robert McKechnie Local Inspector U.S. Postal Service,. CERTIFIED MAILT. RECEIPT (Domestic Mail Qnly;No Insurance Coverage Provided) For delivery information visit our website at www.usps.come Street,Apt No.; or I - i . . PS Form 3800.F.ugust 2006 See Reverse for Instructions I I Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece `'- ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mailo or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. • For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable po tage to cover the fee.Endorse rnailplece"Return Receipt Requested".To receivb a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the'=mailpiece with the endorsement"Restricted Delivery". ■ if a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. 1. IMPORTANT,Save this receipt and present it when making an inquiry. PS,Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 SENDER: win 1�01 IV . • ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received (Pri ted Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. r YJT� D. Is delivery address differ ' m 1? ❑Yes 1. Article Addressed to: If YES,enter deliv�e�`�ad end .� ❑No 6q A' 0. 3. Service Type C' 5 � t certified Mail ass ❑Registered Return Receipt for Merchandise 6 cz ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7008 3230 0002 5178 3074 (Transfer from service labeQ PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVI6f ' "„.. .___... i'rst-Class M_"a"ir . h. w.i»yfn' . m ���e.,, y Paid • Sender: Please print your name, address, and ZIP+4 in this box • J TOWN OF BARNSTABL8 BUILDING DIVISION 200 MAIN ST. WYANNISr MA GMI 3 D .. Hi} kk ) 1s 3i ( jj f } i 3 llIiitdi;it'?.11!!1111H11l2+11.11HilltillInIIfHIIIJ61iii J • -- - 0F1HE ate,,. Town of Barnstable 0 ' Regulatory Services + BARNSTABLE, � y MASS. Thomas F. Geiler, Director 163 n. & Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 . Office: 508-862-4038 Fax:, 508-790-6230 November 05, 2010 Mr. Marvin Fredberg RE:App #201005402 175 Poskus Street 204 Little River Road " Stoughton, MA 02072 ;.Cotuit, Ma Dear Mr. Fredberg, This letter is to follow up on the above referenced application for a building permit to finish the second floor storage space of your new detached garage. Unfortunately, the: application cannot be approved at this time because of the unconventional fire separation that you have intended to use. According to the Massachusetts Building Code 780 CMR section 5309.2 Separation Required: "The garage shall be separated from the residence and its attic area by not less than 518"gypsum board or equivalent (15.9 mm),gypsum board applied to the garage side. Garages beneath habitable rooms shall be separated from all habitable rooms above by not less than 5/8" (15.9 mm) Type X gypsum board or equivalent. Where the separation is a floor-ceiling assembly, the structure supporting the Separation shall also be protected by not less than 5/8" (15.9 mm) gypsum board or equivalent." We don't see how this product is equivalent., You must'use 5/8".(15.9 mm) type.X gypsum board in this application. If you disagree you can appeal this decision to the State Building Code Appeals Board per 780 CMR 5122. Sincerely, / Robert Mckechnie Local Inspector , eJ� �Pl1T/lJZG+I i d 07 p1M Svev De L.Patrick G (/ G' O.��0��6�� Governor , �U Thomas G.Gatzunis,P.E. Commissioner Timothy P.Mdrray Brian Gale Lieutenant Governor Chairman Mary Elizabeth Heffernan Secretary Sandy MacLeod / Vice Chairman CClflX.(h 97LQ.QQ%�li+?� G Robert Anderson 23-Nov-11 Administrator Mr./Mrs. McKechnie Building Commissioner 200 Main Street Hyannis,MA. 02601 ::R Docket Number 11-1074 x �- Property Address 204 Little River Road Cotuit,MA. 'a NO 7V Hearing Location 1380 Bay Street Taunton,MA.02780 , Hearing Date and Time 12-01-11 10:00 a.m. a Dear Mr./Mrs. McKechnie The appeal for the subject property has been scheduled to be heard on the hearing date and time and location indicated above. A map is enclosed for your convenience. The State Building Code Appeals Board requires your presence or that of your representative at its hearing relative to the above case. Please bring with you a copy of the record, including any plans, sketches, drawings,etc,that will help to give the Appeals Board grounds to adjudicate this appeal. The State Building Code Appeals Board hearings are held pursuant to 801 CMR.1.02 Informal Fair Hearing Rules. NO POSTPONEMENTS OR REFUNDS WILL BE GRANTED. In order to reschedule an appeal case;you must first withdraw the original case and file a new application.-A new application fee will be required.. Very truly yours, THE STATE BUILDING CODE APPEALS BOARD Patricia A.Barry Coordinator Directions to the Academy at Taunton a FROM THE NORTH: From 1-95 South take 495 South (Exit 6A). Follow 495 South to Exit 9 (Bay Street). At the end of the ramp foilow the signs for the Industrial Park Road. You want to stay on Bay Street do not go into the industrial Park. You will go through several sets of lights (passing a BJ's, Ruby Tuesdays, and Wendy's all on your Jeff). .The academy is about 1 1f4 miles from the exit. The sign is clearly marked 1380 Bay Street (you will see a public safety.trailer when you enter the parking area). Once you have checked in with the security guard you will proceed to the 91.1 building - You will seethe 911 sign on the side of the wall in back of the building. Take a left to PARK anywhere in the circular lot. FROM BOSTON: Take the Expressway (93 South) to Exit 4 f Route 24 South. Take 24 South to 495 North .(Exit 14B). Take 495 North to Exit 9 (Bay Street) At the end of the ramp follow the signs for the Industrial Park Road. You want to stay on Bay Street do not go`into.the Industrial Park. You Will go through several sets of lights (passing a BJ's, Ruby Tuesdays, and Wendy's all on your left). The academy is about.1 1/4.miles from the.exit. The sign is clearly marked 1380 Bay Street (you will see a public safety trailer when.you enter the parking area): Once you have checked in with the security guard you will proceed to the 911 building — You will seethe 911 sign on the side of the wall in back of the building. Taken left to PARK anywhere in the circular lot. All visitors must stop at the main entrance and sign in and you will be given directions where to park at the 911 Training Building. LOOK FOR BUILDING "B" THAT IS WHERE THE BBRS APPEALS HEARINGS WILL BE HELD. Handicap parking is available around the-circle near the building and the front entrance is at the' circle.via the handicap ramp. 1380 Bay Street,Taunton,MA-Google Maps G'o- )slc maps Address FROM RTE 1-495 •,Vi"�� ,;onW CHECK IN AT LTERNATE PARKING TRAILER BUILDING 911 PARK IN CIRCLE r� ,,_E NTER HE RE ' AWL - This document contains important information. Este documento contiene informacIon imp rtante. Please have it translated immediately_ Por favor,hagalo traducir de inmediato, p 1An7 G �o Dokiman si(a genyen enfomasyon ki enpbtan. "Questo documento contiene informazioni importanti. Tanpri fe•on moun tradwi 1 you ou imedyatman. Questo modulo va tradotto immediatamente. Este documento contem informagnes importantes. Tai lieu nay bao giim thong fin quan tron g. Deve ser trtduzido prontamentec xn dich ban nay ra ngon ngu cua quy vi ngay. - 1 . M spri ,Ott GS IA2 r7c7 c j4Aj // 6 C(,( r 4 6 o s 7/e � R� C fazr /U F4 �y FORM AM-8 THE COMMONWEALTH OF MASSACHU -TTS 016H26523128 DEPARTMENT OF PUBLIC SAFE ..y 0 McCORMACK STATE OFFICE BUILDIN' , ._.�� 40 00- 1 ASHBURTON PLACE RM 1301 of d 11/23/2011 BOSTON, MASSACHUSETTS 02108-1618 = Mailed From 02108 �t US POSTAGE IIIu1n Ii 11 llu llni�lllll tllll ' - __..: - _ --� Robert McKechnie Building Commissioner 200 Main Street i Hyannis,MA, 02601 50%RECYCLED PAPER Y-•%�••'4.•-•i.e•^r ✓••'�- »•'••�4-•:'- .-_- '9d�9Yl.Y3i� iI�111;1i1,7�'7141J 1}3.Y. lila7791 '�1�E'i4�9,.Y7! 30%PO$T-CONSUMER f `\ � ` . /., ,� /\ ,i � \\ _ - 1u _ \ i A �\ * - a. ,� r. ,_ t� � � r - �� �� �� a .,..E _.._.................................... ........._ a a Jrl u -- h CI -- - ff EE± W . l..�l �� ^✓ '1 I C f b .A 7 i.e.✓ i • :�•. .+''t .., .T:6., S.. 3,6,E i x - UD I I I 1 Pec.k F-T 4 to i I I ►• 1 �� rt _ p S rAh PeGlc E.T 1 i i I j3EAn� �_ I • Fee I(.( ( 1 13 -,+ + ` tl ,psi � 7i ..---------�---'----'------ s° S-g _A 1 ro v NI),41 7 i p °ll�c �r of S z 1 1f E4 _ 1 • 4 1 �� /l��•• ISM- O 9�-0. 1 O - �AV 7� ry _ /)+ •• /11 Q - s�`/ja��s 13,ig �3C Pst�ptrl 2-zt-(. tl J PREroaH i 1ACA6E \ • T p.oat - 1� ) -14 CO 6P i o • ,1 `o M n I wev n IA O r 2-1 fbec-r =31 n,b �' I 36' ru r s ------------ ca) N �/ 0 —3r4 _ i3 1 •o II c • q a — R. - ( t i II,,1 11 i 1 1 STAMS r ofycho of - ! nrno�nnn�� 1 SPEc ' S ._► 2XZ- 7� vGs _fov✓d!'r.'�'�j. � Zf1 1--p Jt- eoG.p..�I i o 3f iuSv(.-t—,1.� wldas 5 •cE�'c; . Cs C`2: Ftnres:rL � Brt G,7ur�04T.'tw! y—•��� C�r+.Git ETA' F/.�iC � !! c;L.4,alflp,�/1 S.'4.'n/G F/1 air ,S./.'..�Lc j •S..OF ------- '{ FGoti 1'.ipr yxYzIZ_ /G a.C , 13 CD x N a 6C E D ' (r d2 X F !i L�.w —i 88 wti�� Srvas (6 0 ,� . — t eF TIES r rcTr 7 I(zGDx AtJ Zoorr is 3 - ZXto 3u,'LTu� QG.4M ;,, r- «G. Tai5r i17 7�._ 12- -_�. o�.__P=- -- F�'�f'2GG.Gsr .e--'� PRoNT wN:rFceb4rz s;nss - `,''yi - - - _ . I { i --77 I I I ! r fijI,II;1j!III.J..-. �t'!�IIL'.. ,'''IIj!I1i��_oIIIIiIi��f ...._�fIII;jII•I: ��IIiIIiII.4_�;It1iIiI!�Ij VS�I,I�''I�(IIII� VVV-!iI!I_ ��i�IIIIII! �'�IIIIiI• l��I�IiII�Ii �iiiII!� �I�iI!1I,Ii . IIiii!iiIIII ���IIiIIIj(Ii -_-I!1IIIiI}fII -.I ic v L iJ 7 T iI.II li I l I I I I I { The Contnionwealth of Massachusetts =__=. �;:w Department of Industrial Accidents �1!" _ office o//nvest/gaUons r, 6lldl H aslrirr�ton Street Boston,Mass. 02111 err..w... Workers' Compensation Insurance Affidavit - An�tcant information• —PAINT le�t�X name: locition• Citv nhonc#! I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 7T., :,"r{'+r ��'.•� 1 am an employer providing workers' compensation for my employees working on this job. cr-nyant•n em - address: city phone#• inur•ince co policy # ,.,.. .,.., ti.. ... -...t: �,,....r•..,..YJSa�1--...KE.R,71!'w..w, Z;!wrwrwq^X 2^ I am a sole proprietor eneral contracto ,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: t A X N G—R— C-lz Q—Ir� V70 (L w. � address: 13 O X. CtS city• ;Ivy®NJ U PWN �1 T3�A - kA v a y S"5'3 nhonc#: -7 S,el' S G 3 O insurance co ptC01Zth 14ART --t t-JS A QJ- 1 policy C L9&4,'�' � � • ._. iK+1,:. 'y�,Qy_....-...y. ;�..Tr�'fi."•6�'T�.. ;iT.'.":..te^T'�[ti�^,�.�.�:r� �C�:TL`..w�a.f-=.RrCr7�:�?'ir•+.�►"�i?'<t ""e"."."r--r _w. -...._..;.tom. ....-_ ...�J.:Y' . - .-,..Ji �iiw:3 uli��iSY132' Y�i•� S' .LLwY.t.Pi company name: address: city: nhone#• insurance co policy# Attach additional sheet ifneeessa is .�3:^ <9? it•{"Z 1F:•e •r, a�. ?�'. *r".�. _ _ _ . .:.�— Failure to secure coverage as required under Section 25A of 11tGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP N1.ORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herehr certifr under Me pains and penalties of perjuty that the information provided above is true and correct. Si_nature. P _Date Print name � Q �. Monet 7®� 3*3 y3 ('o7iial use only do not write in this area to be completed by city or town official city or town:. permitAicense# riBuilding Department Licensing Board check if immediate response is required ❑Selectmen's Office C311calth Department contact person phone#-. nOther ( ised 3,95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovees to provide workers' compensation for their employees. As quoted irom the"law". an emploree is defined as every person in the service of another wider any contract of hire, express or implied, oral or written. An emplorer 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 dwellina 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 employe:-. MGL cha.pier 152 section 25.also states that every state or local licensing agency shall withhold the issuance or rencival of a license or permit to operate a business or to construct buildings in the commoinvealth for any applicant .%•ho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until.acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. ' . . .LYw- '' .. - ' :>.,. 3' •y :5{ c r.. a•., .`:ve ��M _ r•:t..�.,fir — ... .� s„•.w Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies,to;youyr situation and supplying company:nam.es.--address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and datethc'affidavit^ The affidavit should'be'returned t6 the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law, or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at tite bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding tite applicant. Please be sure'to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to _ive us a call. ►^Tau.a.tf�•—,•..,........-.-.�.^�,.,,q+. vnnw@.•-rw• -sA--++w..q�isc+v .•.q.elrlsw! 7- T. ^w+�nwww.+.lYT.rsrt.t![71' rT.rl+^A s�rP+� The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents`` Office of Investigations ° 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 I t CERTIFICATE0 INSURANCE ISSUE DATE(MM/DD/YY) air a a3 3 s .. .�� r r a. ) ) Z ,�t`r:,,= x s...a....?, i,N_s.,.,_.._r.,o »sa,..,,.,;d,.:„ '.,.,s✓,2...,« „,...,,...,,'5.:��Z.'..._...,`n«w v xxaa, PRODUCER THIS CERTIFICATE IS ISSUED eAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE I.-IA 1'i'T" I 1\I:i A C31:1\I CY I I\I C POLICIES BELOW. /I.0 M A I 1\1 r COMPANIES AFFORDING COVERAGE BOX 700 r: UZZAr,r? BAY MA I021.'532 07100 `:.COMPANY LETTER A j�illriYlc./�I111J C/1�UAI...IY COMPANY B INSURED LETTER A L A i\I :: CiA ri L)i\I[_R COMPANY LETTER C GAf11.)N1:::13 C01\1 FOr?M f BOX 98 COMPANY LETTER D - - t M 0 I\I U M E:1\I T 13 I:A C H M A 02553 __ hJ./ _Et_f_f w_0_la_I.) s COMPANY E - - - LETTER COVERAGES # " as<;;u ,km € a 6 r iu d zr. ' s�z& a -: 5 re of_ A• K . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER = POLICY EFFECTIVE POLICY EXPIRATION: LIMITS LTR ': DATE(MM/DD/YY) DATE(MM/DD/YY) A GENERAL LIABILITY ( r-1.)J (j .!�(?�� !i/O 3 (i 6j (I,3 9 GENERAL AGGREGATE $_ 1 (? 000 / / / __.. ..__...._... _ . .......... X. COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ I 1 CLAIMS MADE,)( ; OCCUR._ PERSONAL&ADV.INJURY $1 1�n�? n i�0 OWNER'S 8 CONTRACTOR'S PROT.€ EACH OCCURRENCE is t € FIRE DAMAGE(Any one fire) $X (1 000 MED.EXPENSE(Any one person)`$rj 0 O O AUTOMOBILE LIABILITY I COMBINED SING LE GLE ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY !$. SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS , (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE ;$ EXCESS LIABILITY EACH OCCURRENCE $ .... .. .......... . ................ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM _w _w D7 7��l iu 13�3 8 7 8 +�/(?3/J 0 ?:7 0 3/97 X STATUTORY LIMITS _ WORKER'S COMPENSATION E EACH ACCIDENT 000 ?L . ... AND .. ,.... _. ......... DISEASE-POLICY LIMIT $�•-0 0 0 0 0 EMPLOYERS'LIABILITY ;DISEASE-EACH EMPLOYEE _$"I Q I:? (?0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS P I: I-3 F 013 M I*_D 13 Y 1\1 AIM 1-1) 1 1\I_S U 13 r.I:) 'A S 1'rl'0 V I D 1:-1) f=0 r? 13 Y T 1-1 r: 'T I::I S M S CONO I T 10iVS I N .r.I-IE r'0L. I CY. i\ itn.. • (;R8 ( CERTIFICATE HOLDER ' CANCELLATION k SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR. TO MAIL I DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1... 1 N10 (11013 ri l:D01:?A LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 3 r 1 1_.I._D:; 1 O 1\1 r- D ri I V r_ LIABILITY OF ANY KIND UPON THE CO A Y, ITS AGENTS OR REPRESENTATIVES. CUME3I=HI._Ai\I I:? Ii I 1�^gt;/►. ...R..IT _.F � ... ..-.�.. U-_ THE . � .0 _ . _.... AUTHORIZED RE ESENTWry y IA ACORD.25-S`(Z/90) CORD.CORPORATION 1990 Lino Corredora 3 Fieldside Drive Cumberland, R.I. 02864 Mr. Ralph M. Crossen Building Commissioner Town Office Building 367 Main Street Hyannis, Ma. 02601 J December 24, 1996 Dear Mr. Crossen, Enclosed is a building permit application for a single family home to be built on Little River Road, Parcel 6-3, in the village of Cotuit. The building plans have been reduced. The necessary engineering work has been completed and submitted to the Health Department for review. Applications have also been submitted to the Conservation, Engineering and Planning Depart- ments. i Due to the fact that Little River Road and in particular, Parcel 6-3, is scheduled to have town water in the spring, the drilling of a well for water has been eliminated. As of this date, a fr aming contractor has not been selected for this home. As soonnas a framing contractor is selected, the contractor will fax to your office a copy of his Workmen's Compensation Certification. Th nk you, Lino Corredora Builder, General Contractor r i t i i 1 i �' �lh �✓l��uc/zuoelld e ovzi�zanzuea a Restricted To; 00 69945 DEPARTHENT OF PUBLIC SAFETY 00 - None CONSTRUCTION SUPERVISOR LICENSE Number Expires; 0211511956 1G - la& 2rFamily Homes CS 061498 r 0211512000 Failure to possess a current edition of the Restricted`To:` :00 Massachusetts State Wilding Code LINO P CORREDORA is cause for revocation of this license. 3 FIELDSIDE DR GLrzy .........1 1 CURBERLAND, RI 02864 , l r ., ' '::r'� � �i��ai`i ,«."' '�" t'�`�. °r��'14tllft " 5'.C9k��.:4�,�tad:''�*�r�, *"� 1t11`��:.+ .'. ,', s��?Sn.`�';'�' mow -= IV ------------- A X �'E Yes t Cr lozemazm I ! �> i tk tre s nt t� `3!r i"!c "; I�s#� !.�1(atl= i , 1 , i F' .f_'�?"•.�,3Y;�..`_' '�"-�"__�:�`.:�':���.'' �t6PE�5t1wN�'s � (�itaml WM2mM=mw=Ulwf R Ic NT.s lzkS: i C�C;i' % � ir"C�i'; ,V[tC:',iC.L'r i_ Rcpl-, ASAP r7' (4 1 S Slf� ""'114tis =1�` "int «""'�„7� 'aCSi('•l l}� ' tll w.S d " ;i."1 a c F,,.'il:'. + f:)f'.1 c C+,I?. �{ fFt f,'.{'dr r,� in v'tt'C,- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 054 Parcel 00 Application # Health Division Date Issued —4 v Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address �� �-� Q-� PA Q Village Owner .W I t�N4o98 FWW 94 Address OS S � Telephone , %) " �cl .{ 4 O,(eb" 44 MA (� Permit Request &AgAwo tZ! X . Square feet: 1 st floor: existinproposed 2nd floor: existing �l proposed Total new Zoning District i Flood Plain Groundwater Overlay Project Valuation Construction Type "ii0 �lfL Lot Size(ZO64,J0 . Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family ❑ Multi-Family(# units) Age of Existing Structure lq'16D Historic House: ❑Yes KNo On Old King's Highway: ❑Yes V(No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other 'n Basement Finished Area(sq.ft.) 0 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing ® new Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing 5 new ' First Floor Room Count T Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing A_New 1 Existing wood/coal stove: ❑Yes No Detached garage:Xexisting ❑ new size—Pool: ❑existing ❑ new size _ Barn�A,existing-LJ nqZ' size_ Attached garage:Xexisti ng ❑ new size _Shed: ❑ existing ❑ new size _ Others Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ `s f Commercial' ❑Yes ;(No If yes, site plan review# = �' Current Use S I 1(.M � Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) • POST 11 Name CW Telephone Number( �✓/ � Address License# CS (06 Home Improvement Contractor# 11TT 40 Worker's Compensation # i,1 P� qy�_9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO `SIGNATURE 11 A0 DATEItO/I0 AF ` FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED w MAP/PARCEL N0. I ADDRESS `*- x VILLAGE OWNER DATE OF INSPECTION: 5 FOUNDATION - •- FRAME fik. T ° ly INSULATION FIREPLACE --� ELECTRICAL: ROUGH FINAL Fy ti PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I' �I a.J'Z islc. -7/2 12 - 0 DATE CLOSED OUT — / ASSOCIATION PLAN NO.,--,— wF s Town of Barnstable Regulatory Services srA�c Thomas ". Geiler,Director Building Div ISIOn Thomas ferry, CBO;Building COiDn 'ss'o71er 200 Main Street; HyasL ds,MA: 02601 www.town.barnsta ble.wa.us Fax: :508-790-623Q r 'Officec 508-862-4038 PLAN REVIEW MapTarcei: :��`T ©�i OQ3 rr _ 'Cct Adres dsLa �`y''/�l�(�BY Builder: o UIL The fallowing itexis were noted on reviewing: � , G l� � sG�—em s G fw s'u,L Reviewed by: ' Date: The Commonwealth'of Massachusetts Department of Industrial Accidents Office of Investigations i' 600 Washington Street t 8�5 Boston,MA 02111 rV www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Pleask Print Le ibl Name (Business/Organization/Indivi dual): Address: 6957?5 City/State/Zip: aim, fVA a Phone Are ou an employer? Check the appropriate box: Type of project(required): 4, I am a general contractor and I 1. I am a employer with � 6. ❑ 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. 7.ARemodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp:insurance. 5. ❑ We are a corporation and its required.] 10.0 Electrical repairs or additions 3.El I required.] 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.❑ 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: may_ a Policy#or Self-ins. Lie,#: o Expiration Date: Job Site Address: oz4 � � 4� � City/State/Zip: ?"/�071 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby erti under the a 2s and penalties of perjury that the information provided above is true and correct. Si nature Date: f� 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, constriction 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"eve state or local licensing agency shall withhold the issuance or P � § ( ) iY g g Y 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 pen-nit 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 P complete and printed,legibly. The Department has provided a space at the bottom P 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 Ip® 03/23/2010 00: 12 5088880550 ALMEIDA AND CARLSON PAGE 01/02 ® /�9 CDR® DATE(MMIDDIYYYY) mom m AgORDTM. CERTIFICATE OF LIABILITY INSURANCE 03/2312010 ® PRODUCER Phona: (569)989.0207 Frx: (5:M 888-0550 THIS CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATION ALMEIDA&CARLSON INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.BOX 719 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 'SANDWICH MA 02663 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Granite State Insurance Company POST S BEAM OF CAPE C 00 NC INSURERS; BOX 356 INSURER C: SANDWICH MA 02563 -- INSURER D: INSURER E:. COVERAGES_ THE POLICIES OF INSURANCE U!aT'D BEL:-,Y HPNE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION DF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEI- pY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MA1• HAVE, BEEN REDUCED BY PAID CLAIM8. ILTA TYPE OF INSURANC^�-T—•'—� POLICY NUMBER- POI-rcr ECFECTnrE POLICY E%pIRATiON - LIMITS LTA IN GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENIBRA,LUABi.(1Y OAmAGEToA2NTED S PREMISL3 ea oxurenc - -. CLAIMS MADE[_ 00:UR MED.EXP(Any one person) - PERSONAL B ADV INJURY 6 GENERAL AGGREGATE $ GEMLAGGRE GATE LIMITAPF LIES 1'ER PRODUCTS-COMPIOPAGG.PR $ POLICY gT _ .ac AUTOMOBILE LIABILITY~+ COMBINED SINGLE uMIT ANYAUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per palaon) $ HIRED AUTOS BODILY INJURY >R NON•OWNEO AIrr0S - (Per neCldart) - -- - PROPERTY DAMAGE $ Per acoldent GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC R AUTO ONLY: AGO S EXCESS I UMBRELLA IJABIL.rTY EACH OCCURRENCE $ OCCUR E i;L41HSMd:IE AGGREGATE $ DEDUCTIBLE RETENTIONS -- - WORKERS COMPENSATION AMD W0009886286 12/27/09 12l27/10 S' Tow IL oT"ER EMPLOYER LIABILITY A ANY PAOPIpSTORIPARTNEWEXErurrvIK E.L.EACH ACCIDENT. $ 106,000 oFFICERIMEM9BR IIXCWDED? - E.L.DISEASE-EA EMPLOYEE $ 100,000 II yM,aPEGAL A PROVISIONS Delaw - - - - E.L DISEASE•POLICY LIMIT $ SOOI Voo OTHER: DESCRIPTION OF OPERATIONS/LriGAT-IONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL.pk0VISIONS Paul Pacella is included for co,Para!la under the workers compensation policy. ',,;' k. 0 Residential General Contraotol CERTIFICATE HOLDER CANCELLATION SHOULD ANY Of THE ABOVE DESCRIBED POLICIES' BE CANCEL= BEF•i THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEA_VgRTO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE Town of Barnstable BLIP ng Dc-,saITJT18nt TO DO$0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, 200 Main Street IT'S AGENTS OR REPRESENTATIVES, Hyannis MA 02601 (508)790-e230 AUTHORIZED REPRESENTATIVE Attention: arylo Anderson ACORD 25(2001/08) Certificate.# 7492 B ACORD CORPORATION 1988 e ` 'Office o Coosu°°nrn�Vil - a,rs Business a4ation License or registration,valid for mdividui HOME IMPROVEMENT CONTRACTOR- # before the eipiratibn date. If found return'to: use only Registration ^�129011 Office of Consumer Affairs and Business Regulation 348 Expiration 8/1-7/2011 287647 10 Park Plaza-Suite 5170 TYPe , roiduat Roston,MA02116 Paul Patella Paul Patella 132 Lombard Ave' W. Barnstable, MA 02668 . Undersecretary Not valid ithout signature' ' Massachusetts- Department of t?uhlic Safety Board of Bttil'dkng Regulations and.Standards Construction Supervisor License License: CS 68602 Restricted to: I PAULR PACELLA F 132 LOMBARD AVE W BARNSTABLE,'MA 02668 2 ' Expiration: 81,,28/2010 ('unuuissi„ncr T-r#- 1'661 pow- 77 Offi a oCCon er oa,r/sr� �\ w 2O°' � "V �C business ,aaon License or registration valid for,ndividui use only -HOME IMPROVEMENT CONTRACTOR`w before the dpiratiiOn date. If found return to: t Registrat,ot� �129348 Office of Consumer Affairs and Business Re ulati6n Expiration 8/1�7/2011 Tr# 287647 10 Park Plaza-Suite 5170 g Type wdual2n Roston,MA;02116 Paul P acella Raul Patella 132 Lombard Av. +1 w• Barnstable r 1i -1' MAb2 Undersecretary fL' W• -•-1` 4valid ithout signature a uF 6 6 Nlastiachu+cttti, Department of Public Safety Board of B,.UJI I, Regulations and Standards, Construcfibn Supervisor License se: CS 68602 n 'Lice , Re cted to: 1 G PAUL R PACELLA 132 LOMBARD AVE W BARNSTABLE, MA 02668 Expiration: 6/02010 s Tr#' 1661 ('untn,issiuner �e t s36 r A E,: f Y 1 ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFVICICIENCY FOR ONE; AND TWO-FAM:[L'Y DETACHED RESYDENTIAL'CONSTRUMON (760 CMR 61.00) Applicant Name: � �AC Site Address: Z01 U aoc� 2 - I' print X Town: 'O Applicant Phone: Applicant Signature: Date of Application: g1 to l l o NEW CONSTRUCTION: choose ONE of the folIDvin two'o tions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA-FOR NEW ONE-AND TWO-FAMILY BUILDINGS MA,'GMUM 'MDgDV UM Ceiling or Slab QOption 1: Basement O- Fenestration exposed Wall Floor wall Perimeter U-factor floors R Value R-Value R Value HSPF SEP RXalue R Value and Depth National Appliance Energy R-10 CDnsmaiion Act(NAECA)o: .35 R-38 R-19 R-19 R-10 4 fL.' 1997 as amended,minimums E cater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Optibn 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.(-nrrgycodcs.goy/resrheck/ ADDX` XO1V5:OR A7,T RATXONS.TQ EX[STrNG'ULLD)NGS.OA7ER'5 YEARS OLD* *puildings 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) $L5 F ,. •100 x* 4 — =' ' 6 %o of glazing* (b) Glazing area equals SF b a If glazing is'<.'40%.uge the chart below. ' If glazing is> 40 % rpceed to "SUNROOM".section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIA-L BUILDINGS MAXIMUM NVIlVIUM Ceiling and Exosed floors Slab Perimeter Fenestration -Wall Floor Basement Wall R-Value U-factor p R-Value R-value R-Value R-Value 10 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 includingan access openings). ' SUNROOM—An addition or alteration to an existing bliilding/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 In ormatfon Form found in Appendix 120,P � . . . ' ' . � . � A T.YC Go/de to I-Vo0aCoil strnrti0n hi Lli�� ��ud//r n �u3� �7� iph 1�/xu/|7nne � MaSSaCY`D8offc Checklist for CODIn]^0iD��8 ! VCy�RBO{:l.ii1 � � Check Compliance � 1.1 SCOPE ' � - 11O mph Wind Speed �-�m. gus�----.---~-'----------- ------------'..--' B � Wind Exposure -----------------`----'' ---^------------~---' ��- - YmndExponueCategory................Engineering Required For Entire Project .......................................c --_- 1.2 APPLICABILITY �Number n[8tohem(a roof which exceeds hn12dopexhaUbe considered um/ s�heu ------'Roof Pitch ............ ................................................................(Fig 2) -------- =' MeanRoof Height .....................................................- ....(Fig 2).............................................. �»3' Building Width,VV -----..------------.-,. 3L-------------'� �0y �le,-' �0? Length, L ----------'--------�V-� u}----------------���"� Building` �3�1 Building � RaUoU�VV 0�Q �Q . ----------'._-8_- w^ � ^up�u / --.--_-__'_______ ____� . . , Nominal~ hd |` D"�"�"z (�Q 4�................................................` �G�^ He� o[Ta|�d p...z -----_---._- _____ ' � 1.3 FRAM{N 'CONNECTIONS � �' <�enar�|oump�en�aw�h�en��go�nnncdnns-.-.`---.[Fabo2)---_-^------__------- ���� 2.1 FOUNDATION � Foundation 1 ' .. ~^� Concre�----------________-___'_____^___*~��.,",^=,�,___'_ ConcreteMasonry........................................ ............ ............... .............. ......... � 2. ��2 ANCHDR��E3O FOUNDATION . � S/O^Anchor Bohs�nbaddedor5/� Pnopheba�'/�echnn��AnchpmouanaUamo�voinnonon*�only ' � Bolt Spanng-genea|---�-��--..-----...(Table 4) ---- . .. . --------. �-�in� ' 5 ' k� �u 12^ BokSpocng�omand�o�tofp�� .------'-..U-g .------_-.--.� _ - ' BntEmbodmet-conceto----------`-'UFg -_.----------..---`__ n.�7^ Bolt -masonry..-----`-'-----'A�g SL-�--�---------' in.� �" � � �3^x 3^x�� P1a�VVushe,.�-.-_.---_-----_-,----'(qg5)-.-------------- � 31 FLOORS Floor-framing member spans checked ...............................(per 7OO CWRChapb» 55)----'------- � �� ��1Z k4m�mum Floor Opening Dimension............................... O)---.`---�--------. -_� ^' FuUH�ghtVVaUS�dootF�orOppnngu �sn than 2�omExt�orWaU (�gO)-_-_-------^-- -��- Waxmum Floor Joist Setbacks ' ' . SuppordngLoadboadngVVa�sorSheonxgU._----(�g7)-----_--_--------'. _-'� �d Maximum Cantilevered Floor Joists � ft �d 3uppo�ngLnadbeohng�/a|� orSheanwaU ..............(Fig 8 .....:........................................... .�--' F|oorf]racingotEndwa8n....................................................(Fig Q)......................... = FkmrSheathing Type .........................................................(per 7DO CWR Chapter 55)--!kbk Floor Sheathing Thickness ----------'---' (per TDOCMR Chapter 55)...... ........... � F�or3haa��gF��e�ng-.------------_'.-(7o�e2)..___d nails aijnedgoh��e� � � 4.1 WALLS VVoU Haigh ^ , �' '- and ft �1Cy ��__LuodbeahngwaUs---^------------- -`_---...-'_�� � | ' � w��__,._�__________. and Table -------'-'j��� 520 � �-� ------ ~ and ��, k� ^uc VVaUStud S _-----------'y-� /u ------ `~^- ---- � �� � �� � \�oU Sbo�Spacing ----------.--_--`�(�gm7 &O)............................................. . �42 EXTERIOR WALLS x ' � Wood Studs ' �ww � � Loedbwohng�aAa--_-------'--------.���e 5)-_---._--' ' -_� . Non-Loadbosdng � ----------------�a�a 5)---'.------���� ' �� ft��. �. __-- Gable Wal l Bracing' ` Full ' Endw�| Stud .......................---_-- 1O --_..--------------- ----- . P '` F�orLeng�--_-...---..--_--.'lF� 11)--'-----------' M�VV8 m'^.' � �G ii)-------.----'-.. ��CiQVV � and 2X4 Continuous Lateral Brace @G ft. uz. . (Fig 1i)........................................................ ,_ or 1 x 3 ceiling furring strips @ 16' spacing min.with 2 x 4 blocking @ 4 ft. spacing in end Joist or truss Double Top P|atB � _ Splice Length .........................................................(Fig 13 and Table O)------------ ft ��-_ N ' 1 A1YC Ccrirle to 61%od Corrstr•r-rction irt. Hikh FNiruf Ili-eas: 110 inpli 6Virrd Zorle Massaclhusetts ChecIiIist for Compliance (7s0 cim rz.5301.2.1.1)' Loadbearing Wall Connections ' Lateral (no.of 16d common nails)................................(Tables 7)...........................................,......... - Non-Loadbearing Wall Connections Lateral (no.of 16d common nails).......................... .....(Table 8)....................................................... Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans Table 9 ft 0 in. :5 11' SillPlate Spans ........................................................(Table 9).................................. ft—in.5 11' Q/ . Full Height Studs (no. of studs)....................................(Table 9)........................................... ... �.......� 41-1 . Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans...............:...................................... ........(Table 9).................. ft'd in. :5 12' cJ Sill Plate Spans.... .......................................................(Table 9)..................................Zft c in.5 12" d Full Height Studs no. of studs ............... Table 9 ....................................................... a-- 9 ( )..................... ( ) Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W 8" 1! Nominal Height of Tallest Opening2 ........................................................................ 56 SheathingType..............................................(note 4)..................................................,... Edge Nail Spacing................:........................(Table 10 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 10)................................................. in. L/ Shear Connection (no. of 16d common nails)(Table 10)....................................................... Percent Full-Height SheathingTable 10 ...................................................._% 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest OpeningZ."........................................................................tjVT,<6V SheathingType..............................................(note 4)..................................................... &- Edge Spacing ... in. 9 Nail 5 P g......................................... Table 11 or note 4 if less)..................... Field Nail Spacing............................... •..(Table 11)................,............. Shear Connection(no, of 16d common nails)(Table 11)........................................ ............ Percent Full-Height Sheathing Table 11 .................................................... 5%Additional Sheathing for Wall with*Opening> 6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?...............U t....� ....... ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ....................................................(Figure 19) ............. ft s smaller of 2'or U3 Alt- Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift ....... able 12 .U= plf Lateral......................................:......(Table 12).............................................L- plf �.. Shear............................:.................. Table 12 .......................................S Ridge Strap Connections, if collar ties not used per page 21... (Table 13)................................T= pIf( S Gable Rake Outlooker..........................................(Figure 20) ............. 8 ft s smaller of 2'or U2 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift .........(Table 14).......................... Lateral (no. of 16d common nails)...(Table 14).......................................L= . lb. _ Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 anp 59) .............. Roof Sheathing Thickness `in. z 7/16'WSP ........................................... .............. ............................. RoofSheathing Fastening............................................(Table 2)......................................................... Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b: 20 Gage Straps per Figure 11 c. .' Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. ' Exception:Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-gr6de. I � r Town of Barn-stab-le Regulatory Services Thomas F_Geiler,Director 6yq. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 )vww.town.barnstable.ma.us Office: 508-862--4038 Fax: 508-790-62' Property Ow1.ierMust .Complete and Sign This Section if Using A Builder I, 10 f?,U$LA , as Owner of the subtect.property_ hereby authorize to act on my behalf, is all matters relative to work authorized by this building permit application for. V t7' (Adilress 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 Town of Barnstable �0FThlt ray o Regulatory Services Thomas F. Geiler,Director uxrrsrABLF- Building Division �PrED 'y F Tom Perry,Building Commissioner 200 Mai'II.Str ee _t,._.Hy annis,MA 02601 _ . ._. . www.town.barnstable.ma.us Office: 509-862-403 8 Fax: 508-790-6230 HO'A1lMWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village _ ___..HOM$OWNER": name home phone# work.pbom# CURRENT MAILING ADDRESS: d cityhown state rip code The current exemption for"homeowners" was extended to include owner-occupied dwellings of six units or less and to allow hQzneowners to engage an individual for hire who does not possess a license,provided that the owner acts as Super Visor. DEITYMON OF HOMEWYNER 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 be/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 6r larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWKER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building pemrit is required shall be exempt from the provisions of this seetion.(Section 1 D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hiro to do such wor,that such HomcoWncr shall act as supervisor." Many homeowners who use this exempdan a=unaware that they arc assvn ing the responsibilities of a supervisor(sce Appendix Q. Rulcs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awarmcss bftrn results in serious problems,particularly when the homeowner hires unlicroscd persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisar. The homcowncr acting as Supervisor is ultimately responstblc. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,u part of the permit application, that the homcowncx certify that he/she understands the respansibilitics 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/ccrtification for use in your community. Q:forms:homccxcmpt i Boa-4'2�t7T3t��C-r Qt�S 1 0� t g. CG• TAYLOR DESIGN ASSOC., INC. SHEET No: OF 1 P.O. Box 1313 S Forestdale, MA 02644CALCULATED DATa ? Tel./Fax: (508) 790-4686` ' CHECKED BY L m L.1 T all A&CALE ...... T . ............ : p .. 1�. ..li..�►t ...1.-^0...... 1\0 .M. P t-}... �c n t7. C.�a•Hr hC`+�....; wJ _ ... L p, � qq c,�av .. _.. . ......z t 2 :... ......... :, . . .. 'ems mac.;._- t . . Sic �440 r � I u "'� ........ . . Lila-la .... .Sly , ? t .... ?,s . . � L om .. ' ,Q,.. .......'. Q $r`t t Z. 3 ,...a t � g. oa 8 I JOB cv TAYLOR DESIGN ASSOC., INC. SHEET No. �- of P.O. Box 1313 0Cr � DATE 3- to � Forestdale, MA 2644 CALCULATED BY Tel./Fax: (508) 790-4686 n CHECKED BY DATE Ir c""t.s"s -r 14 SCALE ............... . to ti .. • .. '� 'R-�f ... .k..4... .. eta '►'.. .. .....; # .............. . p .'3;..-8''7. .. . I 4 PSA .::... .... .......... ---- �c M ....... 3 � . .. � ... �. hs,. ? ► k . . .............. v Qk--. . ... .:.• �.A_,�... ' tee,.s ------------ _ ............., .... .. ..., /5-tic,a .... . �- Zr -�L.�:, �.c'� . .. . -+y.c, t .. .. _ r _ �_ Cz .. .. .... � . �idf3 :.T �''-<.+ P A»-r......R�. 4tf .(FkraT .'T�m..::l�-o+.:vGv. �- t'-�A-+ ... 5�064 ..� -ram.-.t �..._ k- 3d �s 3es: ... a r r a ,-a - a • 1 7 +F r`,r r ,:,•`'"''' .e .g:, -^ "Xr file F�drt To6ls-,lrsert :Help w ' bedrooms max. No bedroom permit for garage yet,just bathroom. Septic was designed so that a bedroom could be added to the garage in the future. y? r J i .Check�Spelking '� TOWN OF.BARNSTABLE BUILDING PERMIT APPLICATION.. Map VJ Parcel ©J R `Application#+ 0 O VT Health Division Date Issued f Conservation Division 6�. Application Fee i Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address L> Village Owners r 1�►� Address ' Telephone R7-�4s7 �Z 6 Permit Request pi 0, 30 Ad 6t0w-a"31� � �, Square feet: 1 st floor:existing 66 proposed 2nd floor:existing 6 proposed Total new 0 Zoning District Flood Plain Groundwater Overlay „ Project Valuation 0,6 00 Construction Type W-6 6"� g Lot Size � ob Grandfathered: ❑Yes ®No If yes, attach supporting documentation. Dwelling Type: Single Family Z Two Family ❑ Multi-Family(#units) Age of Existing Structure -46 Historic House: ❑Yes U/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 _,' net Number of Bedrooms: existing new ° c ; > Total Room Count(not including baths):existing new First Floor RoommCount Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other cJ �• A Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal tove: ❑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 Telephone Number Address �� ��r��'U I� License# afu A Home Improvement Contractor# / �✓�3' Worker's Compensation# �i✓�� ���6���y�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��ia a �GY? cti!d2sh SIGNATURE DATE C �� 3 FOR OFFICIAL USE ONLY a AIRPLICATION# DATE ISSUED MAP/PARCEL NO. &DRESS VILLAGE ;F OWNER tt 1 f DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL p. GAS: ROUGH FINAL r i FINAL BUILDING D Zo z a DATE CLOSED OUT ASSOCIATION PLAN NO. :r rr r I r Town of Barnstable Regulatory Services Beary ssgi e.M '. Thomas F.Geller,Director wilding Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta ble.maxs 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW 2G��1�O7e7 Owner: Map/Parcel: Project Address z oy Zl-el- 42ve-400a, Builder: o fir• CT The following items were noted on reviewing: O�LI�,r �us�r ,oc- VAI AhtW /C 6OW-bows kW47- R6 IUIl ¢Ce RE-seSY1,dr- eA-4)55 -ope aREcuz �c+�TcolO s►��-ciFt� , Lttd STwakuz rfr- pp%u�s Pao �a" Pie 7Po C Al-K S301 . 2, 1. 2 - 3 Funt��<oa/ n9o�zs X,i.usr 8E. .�/d' d����r� �vA �xiiuu`n ��oN cENr�e . .. /°�R GvFC�►t �/o,B. ,8u►�/N6 /�P�'�a7'�/�3�vPr /,ar fo �b /..r ,�,`�.l�s�. ��iv6r tr6�r/,tlFr ,fPEcs o c1 YIMS-G Rims At."r ,AE /I tc /vL'g-N s w t c L- ou& V lftf-�-r Gyok�c 0t T® .Y AJ�e '( 16013 s/Y6 5�iFre- tore ACSo dc- Reviewed by: Date: Q:Forms:Plnrvw The Commonwealth of Massachusetts ' } Department of Industrial Accidents Office of Investigations ' ' 600 Washington Street. t Boston, MA 02111 s� °� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PY lease Print Lmxibly Name(Business/Organization/Individual): ) J/ a r a Address: , +v City/State/Zip: Phone.#: Are��onemployer?Check the appropriate box: Type of project(required): 1 employer with 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-tim.e).* have hired the sub-contractors ❑listed on the attached sheet 7. ❑Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tl'• � $ 9. ❑Building addition [No workers'comp.insurance comp.insurance. 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 I L E]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#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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. /f I Insurance Company Name: i�s��G> � ,Ml a/o`' 5 Policy#or Self-ins.Lic.#: (,e/(a{" �66a�> y6� Expiration Date: Job Site Address: O� V tl�� i( 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 ve ' aeon. I do hereby certify under t p ' s nd pe ie perjury that the information provided above is true and correct. Si ature: Date: 165� Phone#: L . Offccial use only. Do not write in this area,to be completed by city or town offcciat 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,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 permittlicense 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 m proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Cornmonwealth of(Massachusetts DeP ent of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSA.FE Revised 11-22-06 Fax# 617-727-7749 www rnass.gov/dia 9784,403240 ; 04:28:06 p.m. 02-05-2008 9 11 w � Town ®f Barnstable Regulatory Services RAft Thomas F.Geller,Director Building Division Tom Perry, BuildingCommisaioncr 200 Main Street, Hymnis,MA 02601 wwa-town,barmstable.mmus Office: 508-862-4038 Fax., 508-790-6230 Property Owner Must Co:replete and Sign This Section If Using A Blazer I, is Owner of the subject pxopctty hereby} authorize_ ' to act on m}'behalf, in all matters relative to wor:authorized by this building permit application for: ev (Address of job) o �D r A � ature of Owner 'Bate ORV1�y rA!c se4 Print Name If Property Owner is apply ag for permit please Complete the Homeowners License Exemption Form on-the re verse side. Q:FORMS!OW ERPERMiSS00N �- DE.C-20-2007(THO) 14, 12 MALCOIM N PARSONS INSURANCE_ (FAk; 17813441425 P. 007l008 CERTIFICATE OF LIABILITY INSURANCE DATE(MPAIDDYYYY, PROOLICE12/20/2007 Malcol (781)344a3200 FAX (7 gl)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 P,O. Box 527 ALTER THE COVERAGE AFFORDED BY THE POLICIES-BELOW. . Stoughton, MA 02072 INSURERS AFFORDING COVERAGE NAIL# wsuReo Michael De uga INSLIRER.A: Associated EPuployers Insurance DBA: Village Craft Building & Remodeling INSURER B: S68 Santuit Road — ---- --- 1---- - INSUREF C'. � COtuit, MA 02635 INSURER ----'-' INSURER IF: - 1 COVERAGES THE POLJGES OF INSURANCE LISTED BELOW HAS°BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUiREMFNT,TERM OR CONDITION OF AN`'CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE A;;'BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY TH:POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.,EXCLUSIONS AND CONDITIONS Or SUCH POLICIES.AGGREGATE LIMTS SHOWN Rif ..Y HAVE SEEN REDUCED BY PAID CLAIMS. INSR• CD' _ OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LIMITS QATF I!,POLICY NUMBER GENERAL LIABiUTV EAC:=CCCURR�NCE S COMMERCIALGENERALLIABP_ITY DANA.iE TO RENTED S I , CLAIMS Ma.pE C�CCCUF. MED EXP(Any one person) S PERSONAL&ADV INJURY S - -- --__ GENERAL AGGREGATE S GEN L AGGREGATE UNIF A.P?LIES PER: - -- - PRO" PRDDJG'TS-COMPIOP AGO S " j POLICY! LCC AUTOMOBILE LIABILITY Aff/AUTO COMBINED'S NGLE.LN1n (Ea a=dan0 i ALL.OWNED AUTOS ...----------__. -----------...---....-._. - SCHEDULED ALTOS BODILYINJ'JP,Y(Perpsrsen; HIRED A.UTC8 ---------------- . BODILY.INJURY " New"O✓JNED AUTOS Per aar,dens) I _ - PROPERTY DAMAGE — $ ---- (Porecedom) GA RAGE LUBILITY UTOpyLY-EAACCfDENT S 4ANYtilo ALITO OTHER THAN EA 4CC S. . AGO EXC!SSfUMBRELLAUAaILITY. EACH(,Y;,^URRENCE71 $ . OCCUR CLAIMS MADE AGGREGATETE - -- S DEDUCT EIL'e --_— j REI ENPON - IWORKERSCOMPENSATIONAND III.CS00611401-2007 12/23/2007 12/23/2008 V.,C 3TATU. jTH. EMDLGYERS'LIABILITY T' v _T I P A 'I.M`'PRC.PRIETC,RJ'PARTNER!°XE"''TNE E.L.EACI-ACCENT S ZOO 000 .F i-_EWPADA.BER EXCLUDED? S Yes nescrite under ' - E.L.DISEASE-EA EMPL.)yEF , 100,000 ECIAL PROVISIGNS trelo:v E.L. )'SEASE-POLICY UN!7 S 500,000 OTHER - I CESC:R IPT 1014 QF VPE:RATIONS I LOCATIONS I VEHICLES I.EXC IUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS — esiden!T •; traetr I s CERTIFICATE HOLDER CANCELLATION - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFURE THE EXPIRATION DATE THEREOF.THE ISSUINO'INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE-.ERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Insured's Copy OFANvKIVD UPON THE INSURER.ITS AGENTSORREPRESENTATIVES. Evidence of Insurance AUTHORIZED REPRESENTATIVE Irvin Parsons ACORD 26(2001/08) OACORD CORPORATION 1988 i 17 FY :str ,.r + s i � �°' �0�►�� ,�J14DINGa���IATION�S' i.�enss Q9�VRUC�T�O�lr,SI,�PERVISO� �� 62, 9 Tr.,no. 29204: gs MI L DELUG,. . 568 SANTUIT.Rp. COTUIT,` MA 02635 i . 5 C �a Commissioner f Expiration " 7;C1 /20Al Q8 .t AGE CRAFTY',' ILD NAG&R DELING p C�ntuga C `�'' "� Utl}�C)Ai137) iyct.i101 v ' 4 ✓/".Cam? T �IZar�� 2x4•TOP. NUTC �., HEADER •I j j•�• MAX. PANEL NAIL'SHEATHING TO •I'� U1• HEIGHT HEADER AT 3•o.c. B.W. I'I • I �• 2-2x4 STUDS •I•I 11• ML SHEATHING APA RATED SHEATHINO •I• T'I' TO EACH STUD 3/8• MIN.--24/C DCP. 1 �� MI• I.I. ' •I•I rI• • :ia rl• •I.I NO FASTENERS 2-2x4 BLOCKNC AT ._.. . O BLOCKING My PLYWOOD JOINT •I• J•I• 8d NAILS A ,I�r----1.1: s s_ 3 o F. ALLPLATFS.' I;I•.._ I1EAUc?Cj &'SiuUS �IMP`x>t� 44 A 5-A a•i i is I•I I I w/41 LT I �}�3/4� APPROVEb D 0OKE10—END ••1 �. WOOD CONCRETE !I CONNECTORS WITH ••I . _ 3500 lb CAPACITY (WIN.) Tr _ 1r FC 3$ N 3-2x PLATES o. J l Il SHEATHING TO'EACH PLATE u 11 • u 1/2'0 A.B. 7' L48EDWENT ,A OF MASS . 11 '� gcy ; 0R, MICttELE 1 � CUpILU o _ 4774 a' O ST UCY�F•'`L _ w _ CONTINUOUS FOOTING OR SLAB EDGE. MINIMUM" LATERAL RESTRAINT PANEL DETAIL pt r o41 MICHELE CUDILO , P.E. Consulting Structural Engineer _._.. ..............._._.___ 123 Cottonwood Lane, Centerville, Massachusetts 02632 Drawn--By: MC _._ _Date:__ -3 y ,o3jo- 'Trawir V6 ru LTAS NOTED Rev _ � ,.., Scole: 0 � �,V File"'Name 'w4� Project No -03 r 1- 2x4 TOP PLATS - HEADER 15' MIN. W ��/� DJ�or�rx' -- - --i• _ J NAIL SHEATHING TO .1.I LL 1/0 HEADER AT 3'o.c. B.W. .LI LI, DS APA RATED SHEATHING I I I•�• THING UD 3/8' MIN, 24/0 EXP. 1 •.I l.l. II ,: II •ia rh • I •I.I • II/.�: II � 'I'I chl' NO FASTENERS 2-2x4 BLOCKNC AT .._. I I• O BLOCKING ANY PLYWOOD JOINT 8d NAILS AT ;�;�-- ��• HEADERS PLATE S ' 41 T 4 x APP D OOKED—END .LI I.I. WOOD CRETE I.I. CONN ORS WRH .1 350 lb ACRY (MIN.) 41, 41 3-2x PLATES J L' NAIL SHEATHING •—��—• TO EACH PLATE /f u u 1/2'0 A.B. 7' IMBEDMENT CONTINUOUS FOOTING OR SLAB EDGE � N fA OF MgSs9 c 02 MICHELE MINIMUM LATERAL RESTRAINT PANEL D AFL pi CUDILO ° No.34774 0 STRUCTUF;At. ' RFr.•IShP� 'S-ONAL p 3�63log = L Crsc�l orr - - MICHELE CUDILO, P.E. - Consulting Structural Enqineer --" 123 Cottonwood Lane, Centerville, Massachusetts 02632 -- Drown By: MC _._._Dote:— ..--D r awl n �o 4:. t.' r1Tt,S7 6� .. .-.,..,Scale: AS NOTED Rev. 0 G.O -YUIT � P''��c -- SK-2. File Nome. (��.____-..Project No::� -65 i �� 4' ' PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 10/12/10 TIME: 13:03 ----------------- TOTALS----------------- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: PAYMENT METH: CHECK PAYMENT REF: 3143 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map w Parcel . ®0 'Application #off 616 D S Y6 Health Division V Date Issued Conservation Division `Application Fee Planning Dept. emit e Date Definitive Plan Approved by Planning Board S 0" J/O Historic - OKH _ Preservation/Hyannis >L✓l� Project Street Address © 14V-4� $ a A Village TL p pda•Q Owner 1�l �HN 8 ' 61 dress 00Fa , S� Telephone -C�5� n 4;(—Ou o Permit Request © rwdg Ll V 1/4(0 6M oveeex 0o O&LA Mo -T, lbf;p-- 4@4A c -� Square feet: 1st floor: existing I proposed h?-Q 2nd floor: existing[12-0 proposed •12: Total new Zoning District Flood Plain Groundwater Overlay \r�' (1 000 5 00 v r - Type ! 1r Project Valuation Construction Lot Size (000t 1'11011_5 W �F Grandfathered: ❑Yes ❑ No If yes, attach supporting documenItation. Dwelling Type: Single Family : d Two Family ❑ Multi-Family (# units) Age of Existing Structure `�bq I I&B Historic House: ❑Yes 4 o On Old King's Highway: ❑Yes &-�o Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other le;LA6 @ r Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)�1 Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing new �0 .) Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: (6 Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes &d/No Fireplaces: Existing New Existing wood/coal ve:;�]Yes o Detached garage: existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑&w size_ ,Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other: co Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 3 z Commercial ❑Yes � o If yes, site plan review# m ca Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name L PA&ILLt Telephone Number/ d Address r4- ROm U �&()W%Icense 0 Home Improvement Contractor# -1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ut, `fit,wy5 .. -ST)orq-)0 SIGNATURE A tv DATE I fl I; a Ito 5 - FOR OFFICIAL USE ONLY APPLICATION# , DATE ISSUED. ' Ja A rF . . MAP/PARCEL NO. ADDRESS - VILLAGE _ OWNER F - DATE OF INSPECTION: j ' ` FOUNDATION ' -FRAME t,11NSULATION FIREPLACE _ ELECTRICAL: ROUGH ` FINAL PLUMBING: ROUGH FINAL GAS ,_ ROUGH, t, rr FINAL G4i:6EINAL BUILDIN �w ud"A::I ?� f 3 ,:---DATE CLOS_ED_OUT-.; ASSOCIATION PLAN NO. 4 f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map Parcel Qo.3 `Application #oD 0 Health Division (L Gw Date Issued ; Conservation Division -Application Fee % Planning Dept. . oDt� Permit Fee (17 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis t n Project Street-.A�ddrpe�ss �Q q t_1 i t p I vgk p_() '`9'' Village Ovuner Address:- .. tt Telephone "� / _ � / Z_ �. � off+ Permit Request y lI`�1�ti �il Ut/V 1� ; 6'# f�=dlu Die OW(o 1 _P b�,_Wkl 00 aWt1)G ;&40 • Jim Square feet: 1 st floor: existing 12-0 proposed'I 110 2nd floor: existing 11 2-4 proposed 1110 Total new r. Zoning District P= Flood Plain_41' Groundwater Overlay (I ocv Project Valuation gB�j - Construction Type• Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation, Dwelling Type: Single Family Ll Two Family Multi-Family(# units) Age f Existing Structure Historic-House: ❑Yes LVo On Old King's Highway: ❑Yes eNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 'e;" a � a Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) r Number of Baths: -Full: existing_ new Half: existing new Number of Bedrooms: existing /new b .. Total Room Count (no2as Type uding baths): existing new I First Floor Room Count / t, Heat T e and Fuel: ❑Oil ❑ Electric ❑Other Central Air: ❑Yes idNo Fireplaces: Existing New T Existing wood/coal st6ve:`;1 Yes ao Detached garage: existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existin`g.� ❑:new size_ ;FAttached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑.Yes ZNo If yes, site plan review# - 1 • Curr'°nt Use t� �� 1 p Pro osed Use'k4-,5 � it� •' Y APPLICANT INFORMATION (BUILDER OR HOMEOWNER) v. w. h I. a Name k X Telephone Number ld�� _. 6r5 (p �0 Address �License# Home Improvement Contractor# � C�a� ► --.. Worker's Compensation # A ALL CONSTRUCTION DEBRIS,RESULTING FROM THIS PROJECT WILL BE TAKEN TO tt SIGNATURE a12USD DATE V f 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:i r {ROUGH FINAL FINAL,BUILDING DATE CLOSED_OUT ASSOCIATION PLAN NO. oF1HE rq,,,, Town of Barnstable Regulatory Services • BARNSTABLE, Masi, Thomas F.Geiler,Director ArFpra Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA'02601 Office: 508-86274038 'Fax: 508-790-6230 November 05, 2010 Mr. Marvin Fredberg RE: App #201005402 175 Poskus Street 204 Little River Road Stoughton, MA 02072 Cotuit, Ma Dear Mr. Fredberg, This letter is to follow up on the above referenced application for a building permit to finish the second floor storage space of your new detached garage. Unfortunately, the application cannot be approved at this time because of the unconventional fire separation that you have intended to use. According to the Massachusetts Building Code 780 CMR section 5309.2 Separation Required: "The garage"shall be separated from the residence and its attic area by not less than S/8"gypsum board or equivalent(15.9 mm)gypsum board applied to the garage side. Garages beneath habitable rooms shall be separated from all habitable rooms above by not less than 5/8" (15.9 mm) Type X gypsum board or equivalent. Where the separation is a floor-ceiling assembly, the structure supporting the' Separation shall also be protected by not less than 5/8" (15.9 mm) gypsum board or equivalent." We don't see how.this product is equivalent. You must use 5/8" (15.9 mm) type X gypsum board in this application: If you disagree you can appeal this decision to the State Building Code Appeals Board per 780 CMR 5122. Sincerely, Robert Mckechnie Local Inspector THE Town of Barnstable Regulatory Services IIA..RN6TAHL.E, • - - - - P Thomas F. Geiler,,Director 'rEoc� BuiIding-Divisiotz Tom Perry, Building Commissioner 200.Main Street, Hyannis, MA 02601 www.town-barostable.ma.us office: 508-862-4038 Fax:. 509-790-6230 Property Owlier must: Complete and Sign.TL'S' Section 'If UsinV;.A Builder 1113 ® Owner of the subject property, hereby authorize PNL, PAQkAL^- to act on my behalf; is all matters relative to wprk authorized by this building permit application for. (Address of Job) ,— 7 Signature of Owner Date Print Name If Property Owner is applying fo'r pe=*t'pleaSe corziplete.=the Homeowners License EXemption.Fo.rm ofz`the reverse side. Q:FORMS:0WNERPERMISS)011 Town of Barnstable ReguZ'atory Services 0 Thomas F, Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main•SYrcct;_Hyannis MA.02601 wwsv.town.barnstable-ma-us Office: 509-862-403 9 Fax: 508-790-(5230 ErO)EOW'N'ER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number s tract 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 hirc wha does not possess a license provided that the owner acts as sup cr yis o r_ DEFINITION OF BO.It sOWWER Person(s) who owns a pared 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 bomc�owncr. Such "homeowner"shall submit to the Building Ofbcial on a form acceptable to the Building Official, that bc✓she shall be responsible for all such work performed undcT the buildine permit. (Section 109.1.1) The undersigned "ho=Dwner"assumes responsibility for compliance with the State Building Codc and other applicable codes, bylaws, rules and rcgulaiions. The undersigned "homeowner"certifies that.be/sbe understands the Town of Barnstable Building Department rn;n;mtlm insp6c6on procedures and requirements and that be/she will comply with said procedures and rcquireme n ts. 5 e Signatiurc of Homeowner ,4ppmval 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 .Thc Codc statrs that "Any bamcowna performing work for which a building permit is requirrd shall be cxcu-pl from the provisions of this sccbgn,(Seetion 109.).) -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work, that such Bomcowncr shall act as super-visor." Many homeowners who use this rxcraption arc unaware that they are assuming the responnbi)itics of a supervisor(sec Appendix Q, Ru)cs&Rcgvlaoons for Liccnsing.Construction Supervisors,Section 2.15) This lack of awareness bn=resu)u in serious problems,particularly when the homeowner hires unlicarscd parsons In this case,our Board cannot proceed against the un)iccnscd person as it would with a licensed Supervisor. The hom'cowncr acting as Supervisor is ultirmtc)y responsible. To ensure that the homeowner is fully aware of hiSACT Prs DTInb0itics, many communities require, as part of the permit application., that the homeowner certify-that hrJshe understands the Tcsponstbilitics of a Supervisor. Do Lhc last page of this issue is a form cun-cnt)y used by scvet-al towns. You may care t amend and adopt such a fom>/certifiea[ion for use in your eorrnnunity. Q:for-rT-G:homccxcrrnpt Dom' IDA 8 CARLSON INSURP.NCIi AGENCY INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE gOX 719 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR NDWICH MA 02663 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.- of� INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Granite State Insurance Company BPOST OX 3 6BEAM OF CAPE C-00 NC INSURER S; Y SANDWICH MA 02563 INSURER C: INSURER D: INSURER E: COVERAGES - THE.POLICIES OF INSURANCE USTIED BEL:W HFNE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED„NOTWITHSTANDING- ANY REQUIREMENT, TERM OR CONDrTION lF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFO:ZDEC. BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE,TBRMS,,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAV NAME. BEEN REDUCED BY PAID CLAIMS. LTR IN TYPE OF INSURANCE^-� —�� POLICY NUMBER POLICY EPFECmi; POLICY EXPIRATION RATPUMMMYJ LIMBS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIA81.11Y Cnr AGETDRENTED $ PREM SEES a oauenc o CLAIMS MADE[— OC:!R MED.EXP(Any one person) S PERSONAL B ADV INJURY S - -- GENERALAGGREGATE s GEML AGGREGATE LIMIT APPLIES I t-R PRODUCTS-COMP/OP AGG. S POLICY 171 PRO — T _ cc AUTOMOBILE AUTOMOBILE UABILrTY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTO 3 BODILY INJURY ` SCHEDULED AUTOS - (Per person) g HIRED AUT08 S NON-OWNEDAVr(.)S BODILY INJURY (Per accident) --- PROPERTY DAMAGE g ---- Par acaldent GARAGE LIABILITY ANYAUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN - EA ACC $ . AUTO ONLY: AGG S EXCESS/UMBRELLA IJAB1LrTY EACH OCCURRENCE $ OCCUR �I OLWIS Mil:IE AGGREGATE 8 DEDUCTIBLE - RETENTION$ •. __ S WORKERS COMPENSATION AM1Ip wc009886286 12/21 f09 12/27/10 we Y UMI _ E►dPLG•YER.4'LIABILITY � - TDRY UMITB A ANY PROPRIRTORMARTNERAECECUTIs� _ E.L.EAGHACCIDENT $ 100,000 - OFFICERIMEMe6R RXCLUDED7 If V",deaarlbe vnder E.L.DISEASE-EA EMPLOYEE S 1 QQrQQQ SPECIAL PROVISIONS Delow _ ! - 'OTHER E.L DISEASE-POLICY LIMIT S 500,000 —I c-Ta DESCRIPTION OF OPERA,T10NS/L1'IGATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIALyPROVISiONS _4 Paul Pacella is included for certgtal I0 under the workers compensation policy. , Residential General Contr'sctor CD g L.v CERTIFICATE HOLDER ' _a CANCELLATION ti ; SI�DULD ANY OF THE ABOVE DESCRIBED POLICEy;• BE CANCELg�D BEFO�THE EXPIRATION DATE THEREOF, THE.ISSUING INSURER WILL ENDEAR TO MAIL 10 DAYS [Attention: own of Barnstable BuiPtlin!�DE•:arrJneM WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE . 0 Main Street TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, annis MA 02601 AUTHORIZED RFPRESENTATWE ACORE 25(2D01/oa) aryjo Anderson Certificate# 7492 B ACORD CORPORATION 1988 i * 9.?E cli 1 i � I r2 _ 1 I , h" r — 4 I Vic Na ' I i I i ' I i ; ! 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A,- r`..';" °.,.�' a���s �" 4f vc: r,ntbltl t,oL��t.o,.�5 / � `✓ —" L tt 3 M,F,re S�Ni erucT,Ch yam_/ _ C.'RY• iL Z �sw. cit l �' PPD 2.D f 3��P�L 2,i Fv C. x 3 MIL F,Re exo7n.rlo / --�'`' j. g�°i�t3n�tncooEa � lP 2nCcaCCA� �PlcI 71. H Lod lbo(f(T C•l't, G^� _ �tio►�E�: xtp Cft —A toAt.+O i, 2 vc TOWod� It �� ON %� �L -I Mot.N1t, FLoo� Al 2 of ivc tli n 2 Pie. T1 . f P Ixt { 44 ro I- _!�.E�\�dt�lbt _D�4�:S i�y►�_ �r_o° SC,oI,� e-T,��--�_..•_..-. '.. HOME I a,rs �3usiness j . MPROVEMENT Aga ahon License CONTRgCTOR or registration valid for individuF use only zN - Registration-� .. before the ek �129311 piratibn`date. If found return to: 'e Expiration �8/1 20 j Office of Consumer 7/ Type Tr# 287647 '. 10 Park Plaza_ Affairs and-Business Regu i rdividual Suite 5170 latron Paul Pacellarj _MITI ; Fsostod, l)2116` r e AMA: Paul Pacella 1 C y� 132 W. Bamstable M l ' {° Undersecreta , Not valid ithout si - gnature - O C I t rl,`Y tt. Bb.frd•tt'gt - Dc'par7 riltlirt�,, ntcnt of , Construe . ., Rc.ul I'rrbli One tion s trios , `S tfc.tj License.Ins n 86T02-Family Dwe rcensean.tl•rr d.r PAUI R P'. llrngs , 132 LOM ACELLA. VV SARn/s ABLE VE. � -. Mq 0266g : Ezpjration• .. 812812o12 �: Tr#: 65 f The Common wealth of Massach usetts Department Of Industrial Accidents OffiCe of nveseigations, 600-Washington Street l ` Boston, MA 02111 sy x�ww:mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricianslPlumbers Applicant Information 1 PIease Print X;e�ibly Name (Business/OrtanizatiorAndividual). Address: City/State/Zip: re you an employer?-Check the appropriate box: Type of project (required): am a employer With 4• ❑ I am a general contractor and I 6 New construction employees (full and/orpatt-tune).* have'hired the sub-contractors., _ 2.❑ 1 am a sole proprietor-or partner- listed on the attached sheet. 7 emodeh ship and have no employees These sub-contractors have g• Demolition employees and have workers' working for me in any capacity. t- 9. Building addition, [No workers' comp. insurance comp.insurance: required.) 5. We are a corporation and its 10.❑ Elechical repairs or additions 3: I am a homeowner doing all work . officers have exercised their 1 1.❑ Plumbing repairs or additions Fk myself o workers' com _ right oftexemphon per MGL 12.❑Roof repairs y p c..I52, §1(4), and we have no f insurance required.) t 13.❑ Other f employees. [No workers' comp.insurance required.] Any applicant lha(chcc5s box#) must also fill out thcscctionbclow showing their workcrs'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new of davit indicating such. tContraetors 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 employers,thcy must provide their workcrs'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Beloy�is the policy and job site iriformafion. 3. _ Insurance Company Name: . Policy# or Setf ins. Lie, #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' comp en.sa.tion policy declaration page (showing th.e policy number grid expiration date):. Failure to secure coverage as required under Section 25A ofMOL 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 hvestigations of the DIA for insurance coverage verification. I do hereby cf.r tinder th pa sand penalties perjciry that the information provided above is trice and correct Si ature; a . D Phone #: : ' Official use only. Do not write in this area, to be completed by city or town official City or Town: FermiULicense # 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 fnst ucizoES Massachusetts Oeneral Laws chapter 152 requiresc al) mploycrs to provide f hire,workers' compensation for(hc�r em°h°yc, Pursuant to this sCatule an employee is defined as ":..every person in the service of another under any contract o express or implied, oral or written." An e�ripMyer is defined as "an individual, partnership, association, corporation or other lcga) entity, or any two or more of the foregoing engaged in ajoint cnlet-prise, and including the legal representatives of deceased employer, or Lbe t 'receiver or trustee of an individual, partnership, association or other legal entity, emp)oying employees, H o',veYcr the ' own.ei-of a dwehing', , having not more,than lhrcc apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do mainlcnancc, cons tniclion or repair work on such dwelling house ed to be an employer.' or on the grounds or building appudcnaot thcrelo shall not because of.such employment be deem L 71.} MGL chaptcrP52, §25C(6)'also states that "everytstate 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 commomvcalth for any table evnmp)iance with the insurance cove rage require applicant who has not produced accebl idece of co d." Additionally, MGL chapter 152, §25C(7) sate "Neither the conunon_wealth nor any ofits political subdwisions shall enicr'into-anyyconlract for theperforrnance ofpublic-work until acccplablc evidence ofcompliancc withflhe insrUancc requirements of this chapter have becnprescntcd to the contracting authority.' Applicants Please fit] out.the workers' compensation affidavit com p letely, by checking the boxes that apply to your sitmat)on and, if 1h their cerlificate(s) of necessary, supply sub-contraetor(s) name(s), addresses)and phone number(s)along 4 th insurance, Limiled Liability Companies (LLC)orLirnitcd Lila bilityPartnerships(LLP) with no emp)oyees other than the members orpartners, arc 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 Departmcni of Industrial Accidents for confirmation ofinsurance coverage. Also be sure to sign and date th•c affidavit, The affidavit should be returned to the city or [own that'ihe application for the permit or license is being requesled,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 br,1DW, Self insured companies should enter their self-insurance license number on the appropriate line, City or Town Off7cials Please be surd that the affidavit is complete andprinted legibly, The Deparlmcnl has provided a space al the bottom of the affidavit foryou to fJ) out in the event the Office oflnYestigations has to contact you regarding the applicant. Please be sure to fill in the permi0hccnsenumber which will be used as a,refcrence number, Lnaddition an apphcurrtent that must submit mu-16P)e permit/licensc applications in any given year, need only submit ona affidavit indicating (city or policy information(if necessary)and under"Job Site Address" the applicanishouJd write"al)]q°Ten rovided to the town)."'A copy of the affidavit that has been officially stamped or marked by the city or towo may p applieanf as proof that a valid affidavit is on file for future permits or licenses. A new affidavitnust be filled �u t each year. Where a home owner or citizen is obtaining a license orpermilnoi related to any businessoreommercia) venture (i,c, a dog license or permit to burn leaves efe.) said person is NOT required to complete this aftdavit The Office of lnvesligabons wou t e o —hyuo�aadva r�`°+�3 ° 'd should yo�haye any questions, please do not'hcs�l'a1c to gwc us a call, The Department's address, telephone and fax number, _ % S } The.Cornmonwealth of Mas`sa'chusetts ."� ] j Department of Industrial Accidents Office of InYestigatjons 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ni 406 or )-877-MSSAFE Fax # 617-727-7719 Revised 4-24-07 Www.tnass.gov/dia ' e RESIDENTIAL ADDITIONS OR ALTERATIONS If located: ❑ North of Route 6 - any work visible from outside - needs approval from OKH ❑ In Hyannis - If work visible from outside - Check to see if it's included in the ❑ Hyannis Historic Waterfront District- if so it needs approval from them Fj If ZBA relief(Special Permit or Variance is required for project: ❑Copy of ZBA Decision ❑Documentation proving that decision was recorded at the Registry of Deeds w/in one year of ZB decision date. APP ATION P KAGE MUST INCLUDE: Map/p el number Approval gn-offs from: Health Conservation (if exterior work) Tax Collector Treasurer Street address Owner's name & address rmit request - full description of proposedproject) , Square footage - proposed project s ' ated project cost omplete Dwelling information for Assessor's Office Builder's information Sig .ture . of n (shows location & setbacks of house) ans—5 sets measuring 11" x 17",fully dimensionlized with foundation, floor plan, cross section, framing schedule & smokes, with a Red S (SB or SH) Worker's Co• p form must include: Insurance Company's name & Worker's Comp. policy numb; . opy of Insurance Compliance Certificate must be on file. oC s Compliance Checklist ps; of Construction Supervisor's License & Home Improvement Specialist's License OR ❑ Ho owner's License.Exemption Form. ❑ pplication Fee ❑ Permit Fee Property Owner must sign Property Owner Letter of Permission. ❑ Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission CHIMNEYS ❑ Need Home Improvement License No plot plan required PIERS'& DOCKS Need Construction Super license AND Home Improvement License Owner cannot pull own permit q-forms/Wdgpermits/perm itch ecklists rev.070610 .10 r„ . SIMPSON GUMPERTZ & HEGER f 15 March 2010 , Engineering of Structures and Building Enclosures , z "Mr.-Marvin Fred berg A _ r .175 Poskus Street A Stoughton, MA 02072 t Project 100198 Code' Consulting; Private Garage Fire Resistance Requirements; Barnstable, MA Dear Mr. Fredberg. 4. We' understand.that you,,are building a new private garage adjacent to a private residence in ' Barnstable`,,Massachusetts;`.:The second level of the garage will be a finished living 'space. You x asked us:#o opine regarding the requirements of 780 CMR 5309.2, which states the following: { 5309`.2 Separation Required. The garage shall be separated from the residence and its.attic area by not less than 5/8 inch Type X gypsum board or equlvaienf 65 9 mm) gypsum�,board applied to, the garage side Garages beneath hafitabI rooms'shall be;'separated'from all habitable rooms above by w` not less #han 5/8:::,inch° (15.9 .rhm) Type ,X gypsum board. or, equivalent. 'Whether the;S60ratlon is.a floor-ceiling assembly, the structure supporting.the } se aration shall also-be.` irotected.b 'not.less than 5/8 inch 15.9 mm sum r _ board:or equivalent. Specifically; you asked whether the.words "or equivalent" in the,code section would allow`for: }r some"'other type.of fire-resistant protection;'auch as intumescent paint. r F _ }Certain"intumescent.`paint `products (e_:g., paints manufactured by Contego or Albi, literature -' attached)-�have:been tested to provide 1 hr fire-resistant assemblies. It is our.opinion that these products;wFren'properly ap'plied;.would provide protection equivalent to 5/8 in. Type X gypsum fi board .and theeefore`would meet the "or equivalent" portion of the code section cited above. Pleasb,hote that the`structure supporting the separation would also require protection. We'are available to discuss any questions or comments you may have. Sincerely yours; N OF ' 0�� ` -• Cyr. . BRIAN 0.1 F1 ?R AI Brian D. Kuhn, Jr. Staff ll -Fire Safety Massachusetts License No:48358 Asgh.com\Offices\BOS\Projects\2010\100198.00-BARN\WP\001 BDKuhn-L-100198.00.ptl,doc. f. SIMP$ON GUMPERTZ&HEGER INC. 41:Seyon Street;Building 1,Suite 500 Boston 4 +. Waltham,;Mass achusetts 02453 Los nngeles main-,781.907.9000 im 781.907.9009 New;York 4,-"' `Son,Francisco -' ••WWW:Sg6.'com 'Wdshington,DC a ' SOUTHWEST RESEARCH INSTITUTE ® t i 6220 CULEBRA RD.78238-5166 -P.O.DRAWER 28510 78228-0510 -SAN ANTONIO,TEXAS,USA -(210)6845111 -WWWSWRLORG CHEMISTRY AND CHEMICAL ENGINEERING DIVISION DEPARTMENT OF FIRE TECHNOLOGY WWW.FIRE.SWRI.ORG FAX(210)5223877 January 31,2005 • • Mr.Dan French Contego International,Inc. 923 Jackson Blvd. Rochester,IN 46975 FINAL REPORT Subject: SwRI® Project No.: 01.10084.01.705e, Screening Test of Intumescent Fire Protection Coating in General Accordance with ASTM E 119-00 Standard Method of Fire Tests of Building Construction and Materials Dear Mr.French: This letter and enclosures are submitted as the final report for the screening tests of Contego International, Inc.'s intumescent fire protection coating. Various material samples with the intumescent fire protection coating were tested at Southwest Research Institute's (SwRI) Department of Fire Technology located in San Antonio, Texas, on January 4, 2005. This report only documents the test on the sample described below.Testing was conducted in accordance with ASTME 119.. The results presented in this report apply only to the material tested,in the manner tested,and not to any similar materials or material combinations.- SAMPLE DESCRIPTION SwRI received one 32-x 32-in.test sample constructed of nominal 2-x 4-in.wood decking attached to a nominal 2- x 10-in. wood framing on November 4, 2004. The sample was received in a ready to test condition with the intumescent fire protection coating applied to one side. The side with the intumescent fire protection coating applied was exposed to the furnace conditions. Selected photographs of the test samples installed in the test frame during,and after the test and are located in Appendix A. INSTRUMENTATION Instrumentation consisted of three thermocouples(TCs)constructed with No. 20 B & S gage, Type K(Chromel Alumel)welded TCs,placed under flexible,dry, felted mineral fiber pads. The wire leads of the TCs terminated under the pads and were in contact with the unexposed surface. The pads were attached firmly to the surface to minimize any heat loss from the sides. Temperature levels were monitored . continuously at 15-sec intervals throughout the test and recorded with computer data acquisition equipment for subsequent data reduction. The location of unexposed surface TCs is provided in Appendix B, Test Assembly Drawings. This report Is for the intormation of the diea ft may be used in its entirely lar the purpose of sec uvg product acceptance tarn duty constituted approval authortlies.This report shell not be reproduced except in full,without the written approval of SwAt Neither this report nor the name of the Institute shall be used in publicity or adverb". DETROIT,MICHIGAN(248)353-2550-HOUSTON,TEXAS(713)977-1377-WASHINGTON,DC(301)881-02M Contego International,Inc. SwRI Final Report No.01.10084.01.705e January 31,2005 Page 2 TEST RESULTS The test sample was installed onto a test wall fixture and tested for 1 hr 45 min 45 sec on SWRI'S large vertical furnace. Ambient conditions at the start of the test were 78°F and 61 %relative humidity. The fire exposure closely approximated the standard fire curve specified in ASTM E 119. The sample exceeded the ASTM E 119 temperature criteria at 1 hr 41 min 15 sec into the test. By 1 hr 45 min the sample had burned through and the opening was subsequently protected. Appendix C includes the temperature versus time curve for the measured furnace average and the standard curve plotted together. The graphical and tabular test data collected is also located in Appendix C. Enclosed please find the photographic documentation of the tests on a compact disc and video documentation on VHS tape.If I can be of further assistance,please contact me by telephone(210)522=39719 by fax(210)522-3377,or by e-mail at ba .badders swri ore Sincerely, ;YAOXO Barry Badders,P.E. Research Engineer Fire Resistance Section BLB/mcg CAwpdaWbadders410084.01.705e Enclosure: 1 Photo CD(Reports b,c,d,e,f)2 VHS Tapes(Reports b,c,d,e,f) cc:Record Copy A-Dept.File(w/o enclosure) Record Copy B-IQS(w/o enclosure) APPENDIX A PHOTOGRAPHIC DOCUMENTATION (Consisting of 2 Pages) THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m A , - I / L DATA :. International, . SwRI Project No..1.10084.01.705e Figure A•3:Unexposed Surface During Test. Figure A•4:Unexposed Surface During Test. Contego International,Inc. A_2 SWRI Project No.01.10084.01.705e .Wes'tern: a Ins 'Y Research-Scale Fire Performance Evaluation of an Open Wood Floor Joist Assembly Coated with Albi Clad FP ASTM E 119-98: Standard Test Methods for Fire Tests of Building Construction and Materials* *.Research-scale horizontal est, modified in that the samplesize was less than 180 ft2.(16 ft2) and no load was applied Conducted For: Albi Manufacturing A Division of StanChem Inc. 401 Berlin Street East Berlin, CT 060.23 WFCi Report #04042(a) Conducted On: June 28, 2004 Report Issued On: August 111 2004 Report Revised. On: December 17, 2004 'C st ird ;Itesearci� :Itty Ligation "G�nsm-ting. _ ;Il�Ioc eta g E1ni vn itigat on .. ... r Albi Manufacturing SSH ASTM E 119 WFCi PN# 04042a TABLE OF CONTENTS TABLE OF CONTENTS ........................................................................ 2 INTRODUCTION ................................................................................ 3 SUMMARY OF TEST METHOD............:................................................ 4 DESCRIPTION OF LABORATORY,TEST FACILITY ............................... 5 SAMPLE DESCRIPTION ...................................................................... 6 -DIAGRAM 1: SAMPLE LAYOUT................... ..................'.............................. 7 ..DIAGRAM 2: THERMOCOUPLE LAYOUT............................................................... 8 TEST- DATA......................................................................................... 9 TEST.OBSERVATIONS................................................................................9 AVERAGE FURNACE TEMPERATURES (EVERY 5 MIN.)........................................ 10. i UNEXPOSED THERMOCOUPLE TEMPERATURES (EVERY 5 MIN.)............................. 10 TEST RESULTS AND CONCLUSION................................................... 11 SIGNATURES ..................................'................................................ 12 APPENDIX A: CHARTS............. ...................................................... 13 CHART 1: FURNACE.TEMPERATURE VS.�STANDARD CURVE ................................ 14 CHART 2: UNEXPOSED FACE.THERMOCOUPLE TEMPERATURES............................. 15 APPENDIXB: PHOTOGRAPHS .......................................................... 16 Western Fire Center, Inc. Page 2 of 23 Kelso, WA '► Albi Manufacturing SSH ASTM E 119 WFCi PN# 04042a INTRODUCTION This report documents the research-scale fire resistance testing of an open wood floor joist assembly performed by Western Fire Center, Inc. (WFCi) for: Albi Manufacturing A Division of StanChem Inc. 401 Berlin Street East Berlin, CT 06023. Mike White of WFO conducted the test-with the assistance WFCi staff Wayne Beres, Logan Byman and Tony Mansur on June 28, 2004. The. 4ft. x _4ft floor; joist assembly -was constructed by . the client's representative at the WFCi lab .prior:to,testing. A description,of the sample. can be found on page seven of this report. - - The',purpose of this test was to evaluate the fire endurance characteristics (ability to contain a, fire)=.:of. ,the- client's open floor joist assembly when 'subjected to a standard firei,.exposure condition (ASTM E119 standard time- temperature curve). This test method is designed to measure:and describe the properties of materials, products, or.assemblies in response to !heat and flame under controlled laboratory conditions and should not:be,used"to ydescribe or appraise the fire hazard or fire risk of materials, products, or assemblies under actual fire.conditions. Western Fire Center, Inc. Page 3 of 23 Kelso, WA r Albi Manufacturing SSH ASTM E 119 WFCi PN# 04042a SUMMARY OF TEST METHOD This is a horizontal research-scale fire test of a 16 ft2 open joist floor construction exposed to the fire (time-temperature) conditions described in - ASTM E 119-98, '"Fire Tests of 'Building Construction and Materials". The principal departure from this referenced standard was a reduction in specimen size, allowing the 'test results to be used only for research and development purposes. The Jest test conditions are also closely described by testing standards UBC 7-1, 1997,: UL 263, and `NFPA 251. A horizontal exposure furnace (described,iin the following section) was used to subject the samples to a standard time-temperature curve as specified in the referenced test procedures. For.this fire endurance.evaluation, the test was to be performed for a fire` resistance period of 1 hour ,or •until failure criteria (transmission of heat or flame) were met. Western Fire Center, Inc. Page 4 of 23 Kelso, WA i Albi Manufacturing SSH ASTM E 119 WFO PN# 04042a DESCRIPTION OF LABORATORY TEST FACILITY The furnace used in the test is a small- _ scale fire burning apparatus, fueled by natural gas (pictured at right.) The ; sample was mounted on to the top of 'x j the furnace horizontally. The exposed surface is subjected to the E119 time- _ temperature curve, while temperature measurements are taken from the e _ G7 unexposed surface, using a _ computerized data acquisition system. The furnace valves are controlled based FIGURE 1: HORIZONTAL FURNACE upon the average of the interior furnace temperature, which is determined from the internal thermocouples. Additional thermocouples are added to the unexposed surface of the specimen to monitor the specimen's temperature. Windows are, provided in the sides of the furnace to allow viewing of the specimen's exposed surface and the taking of photographs during testing. Upon completion, or early termination of a test, the main gas supply valve is closed, and the specimen is removed from. the furnace, allowing for hose stream testing of specimen, if applicable, and allowing for post-testing observations. Western Fire Center,,Inc. Page 5 of 23 Kelso, WA Albi Manufacturing SSH ASTM E 119 WFO PN# 04042a SAMPLE DESCRIPTION , The 4' X 4' wood floor joist .assembly ,was constructed of rough cut (full - dimensional) Douglas fire 2"X10"s to 'simulate a flooring section of an older building. The joists were spaced at 16" on center and the UL-labeled t intumescent material, identified by the client as Albi Clad FP, was spray applied to. a wet film thickness of ,40 mils (applied and measured by. the - client's representative)-to the open joist rarea and bottom 'of floor decking on the exposed side. The floor decking consisted of 1"x4" fir tongue and groove subfloor covered by 5/8" CDX plywood decking. . ,.The overall sample was identified by the client as A2-1. . °rThe unexposed face of the floor-construction was instrumented with 5 : thermocouples to take temperature measurements throughout the test. ,These measurements appear in tabular form in the Test Data section of this ...report and-in graphical form in Appendix A of this report. Thermocouples -1-5 •were,: located on '.the . unexposed face of the wall construction. TC 3 was ,centered ton the sample and TCs 1, 2, 4....and 5 were placed at quarter points on the upper left, upper right, lower left and lower , right corners of the sample, respectively. Western Fire Center, Inc. Page 6 of 23 Kelso, WA �l Albi Manufacturing SSH ASTM E 119 WFO PN# 04042a Diagram 1: Sample Layout " 1 , 1 1 .: s •" - :. 8 is b £ ♦ - • 4. r £ s 2 �.. s ! a r t . I f i a i $ In IIJ n ' 4 '� a+, .,k:.♦ aa£�a '.,a a a & oo.': A. .F .i a - � - .. .. y � s c Western Fire Center, Inc. Page 7 of 23 Kelso WA Y , AN Manufacturing SSH ASTM E 119 WFO PN# 04042a Diagram 2: Thermocouple Layout G g e E G G k � 3 •q E tti� � f r III � f 4 6 S # Western Fire Center, Inc. Page 8 of 23 Kelso, WA < .._ Albi Manufacturing SSH ASTM E 119 WFCi PN# 04042a TEST DATA Test Observations Test Date: 6/28/2004, 9:52 AM Specimen Tested: wood floor Joist assembly coated with Albi Clad FP Furnace: Research-Scale Horizontal Exposure Furnace Cameras: 1 digital still camera and 1 video camera Ambient Conditions: Lab room Temp: 65F Relative Humidity: 41% Observations: Test Time Event h:mm:ss 0:00:00 Ignite Furnace, Start Test 0:00:47 Coating discoloring on joist edges 0:01:50 Joist edges black, joist face brown 0:02:30 Joist face black.and intumescing ,0:04:00 All surfaces are black and intumescing 1 >0:11:55 Minor amount of•smoke escaping from tongue and groove on left side 0:23:07 Cracks forming in the intumescent and flames attempting to attach at 'joist 0:25:00 Intumescent coating turning white or ash color at.flaming locations 0:27:43 Smoke escaping from all perimeters of unexposed side 0:31:23 Joists have attached flames 0:34:38 All cavities.-of sample,are filled with flames and the top of-the furnace ; appears to be a fuel-rich environment 0:44:06 No change; sample--filled;with dark red flames with attached bright. yellow flames at joists 0:55:25 No change 0:57:55 Flames to ;exterior:of=aample at top between sample and furnace seal, flames smothered with Kao-wool 1:00:00 Stop Test Post Test Cavity intumescent"thickness is approximately 2-15/16". Thickness on :joist_ face is approximately 1-1/8", thickness on joist edge is unknown, all burned off Western Fire Center, Inc. Page 9 of 23 Kelso, WA Albi Manufacturing SSH ASTM E 119 WFO PN# 04042a Average Furnace Temperatures (every 5 min.) Time Total % of Standard Temperature . Standard Curve Celsius Temperature 0:00:00 0 0 0 0:05:00 94.9 637.4 556.6 0:10:00 97.6 620.2 658.5 0:15:00 95.9 670.9 718.6 0:20:00 94.4 713.5 761.4 0:25:00 94.6 765.1 794.6 0:30:00 95.5 791.7 821.8 0:35:00 96.0 834.1 844.8 0:40:00- 96.3 r=^ 829.9 864.8 0:45:00: 96.1 = 838.4 882.4 0:50:00 96.3 884.5 898.1 0:55:00 96.6 " = 891.3 912.3 0:60:00 96.7 892.2 925.0. Unexposed Thermocouple Temperatures (every 5 min.) (See diagram on page 8 for locations) Time Tem erature Celsius TC1 TC2 TO TC4 TC5 0:00:00 20.8 21.2 21.2 20.9 21.3 0:05:00 21.0 21.4 21.5 21.0 21.4 0:10:00 23.0 23.0 21.8 23.3 24.8 0:15:00 28.7 28.0 Malf. 30.0 36.1 0:20:00 36.0 35.5 Malf. 38.7 47.1 t 0:25:00 - 43.5 44.3 Malf. 48.6 54.8 0:3000 51.1 52.2 Malf. 57.5 60.2 -0:35:00 .58.6 58.5 Malf. 63.3 64.1 0:40:00 . 64.3 63.1 Malf. 67.6 66.9" 0:45:00' 70.0 66.5 Malf. 72.2 69.4 " 0:50:00 78.1 70.0 82.8 7.8.4 72.8 0:55:00' 90.4 73.5 89.9 86.5 78.0 0:60:00 74.4 56.5 100.8 95.6 38.4 Western Fire Center, Inc. Page 10 of 23 Kelso, WA Albi Manufacturing SSH ASTM E 119 WFCi PN# 04042a TEST RESULTS AND CONCLUSION Charts illustrating data collected from the test are included in Appendix A. Photographs from the test are included in Appendix B. From ASTM E 119: 32. Conditions of Acceptance-Unrestrained Assembly 32.1 In obtaining an unrestrained assembly classification, the following conditions shall be met: 32.1.1 The specimen:shall have sustained the applied load +. during the classification period without developing unexposed surface conditions which will ignite cotton waste. 32.1.2 The transmission-,of heat through thespecimen during the classification period shall not have been such as to raise K the average-temperature on its unexposed surface more than 250OF(1396C) above its initial temperature. The,4',X 4' wood floor:joist assembly,described in this report successfully met the temperature-rise•;criteria- °fora 1A ,hour fire endurance period under ,conditions of this research-scale test.• Temperatures on the unexposed-'side of the assembly remained below , failure limits described above :(with thermocouples 1, 3°`and 4 peaking,at.around 100°C) and no flaming occurred' =on the unexposed side during! the,test:;TThe load-bearing. capability of this assembly was not assessed- in this test. Western Fire Center, Inc. tiPage 11 of 23 Kelso, WA Albi Manufacturing SSH ASTM E 119 WFCi PN# 04042a SIGNATURES Prepared by, Andrew Gillihan Technical Writer Reviewed by, Howard Stacy Manager WESTERN FIRE CENTER INC. AUTHORIZES THE CLIENT NAMED HEREIN TO REPRODUCE THIS REPORT ONLY IF REPRODUCED IN ITS ENTIRETY. The test specimen.identification is as provided by the client and MTG accepts no responsibilities for any inaccuracies therein. VffG did not select the specimen and has not verified the composition, manufacturing techniques or quality assurance procedures. Western Fire Center, Inc. Page 12 of 23 Kelso, WA AN Manufacturing SSH ASTM E 119 WFCi PN# 04042a APPENDIX A: CHARTS w � estern Fire Center,Inc. Page 13 of 23 Kelso,WA AN Manufacturing SSH ASTM E 119 W FO PN# 04042a - n Chart 1: Furnace Temperature Vs. Standard Curve Furnace Temperature Vs. Standard Curve 1000 900 800 700 600 m . —Temperature 500 d —Standard Curve a E m 400 300 200 100 U 0 10 20 30 40 50 60 Time(m) Western Fire Center, Inc. Page 14 of 23 Kelso,WA J Albi Manufacturing SSH ASTM E 119 WFCi PN# 040.42a Chart 2: Unexposed Face Thermocouple Temperatures Thermocouple Temperature Data Thermocouples 1-5 were placed on the unexposed face of the sample.TC 3 was centered on the sample and TCs 1, 2,4 and 5 were placed at quarterpoints to the upper left, upper right, lower left, and lower right, respectively. 120 100 80 " ram, —TC 1 m =TC 2 v 60 —TC 3 e. —TC 4 m —TC 5 F 40 20 0 0 10 20 30 40 50 60 Time(m) Western Fire Center, Inc. Page 15 of 23 Kelso,WA Albi Manufacturing SSH ASTM E 119 WFCi PN# 04042a APPENDIX B: PHOTOGRAPHS Western Fire Center, Inc. Page 16 of 23 Kelso,WA AIN Manufacturing SSH ASTM E 119 WFCi PN# 04042a ,s Photograph 1: Exposed face of sample, pre-test I Photograph 2: Sample mounted on horizontal furnace at start of test Western Fire Center, Inc. Page 17 of 23 Kelso,WA Albi Manufacturing SSH ASTM E 119 WFCi PN# 04042a v l� a Photograph 3: Unexposed sample face pre-test showing thermocouple placement Photograph 4: Coating intumescing early in the test Western Fire Center, Inc. Page 18 of 23 Kelso, WA Albi Manufacturing SSH ASTM E 119 WFCi PN# 04042a J) Photograph 5: Light smoke leaking through the tongue and groove layer Photograph 6: A crack forming in the intumescent coating during the test Western Fire Center, Inc. Page 19 of 23 Kelso, WA I AIN Manufacturing SSH ASTM E 119 WFO PN# 04042a Photograph 7: Flame attaching to the sample during the test Photograph 8: Flame attaching to the sample during the test Western Fire Center, Inc. Page 20 of 23 Kelso,WA AIN Manufacturing SSH ASTM E 119 ' WFO PN# 04042a r. i i Photograph 9: Smoke rising from the sample during the test x � Y K Photograph 10: Sample post-test Western Fire Center, Inc. Page 21 of 23 Kelso,WA AIN Manufacturing SSH ASTM E 119 WFCi PN# 04042a J^� r Photograph 11: Intumescent being scraped away to show char depth .v. �x t A' �; 1 .T .` Photograph 12: Exposed sample with coating scraped away Western Fire Center, Inc. Page 22 of 23 Kelso, WA i „ AN Manufacturing SSH ASTM E 119 WFCi PN# 04042a VL Photograph 13: Close-up of an exposed joist with the intumescent scraped off IN , 7 1 Photograph 14: Measuring the intumescent depth on the side of a joist Western Fire Center, Inc. Page 23 of 23 Kelso,WA 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 00(0 C0 2) Application #(g L� L H alth Division Date Issued L-O S Conservation Division 'h Application Fee Planning Dept. Permit Fee: Date Definitive Plan Approved by Planning Board Historic - OKH Pr eservation Hyannis Project Street Address �� Village ( f 11 Owner_MMI-VIA 4 5" -& FFkQ&eV—Zcl Address � �l Telephone qr7 j�) .1),5FJ — M CJ q ojum�, Permit Request �ll`rCib i l �Q fit' "1�� lD°sjw �� L.► OE Square feet: 1 st floor: existing proposed ZZ 2nd floor: existing It D� proposed (� Total new Zoning District Flood Plain°, Groundwater Overlay ®o Project Valuation 006- Construction Type 4 Lot Size Qd �J�J l� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family ❑ Multi-Family (# units) Age of Existing Structure Pill Historic House: ❑Yes IXNo On Old King's Highway: ❑Yes kNo Basement Type: *ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) /01,00 Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing 0 new Total Room Count (not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: AGas ❑ Oil ' ❑ Electric ❑ Other ADD Central Air: XYes ❑ No , Fireplaces: Existing-New ® Existing wood/coal stove: ❑-Yes ° No Detached garage:existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:0 existing -;Q new size . Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Others u Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# � Current Use 151NU-6 ZAM1 X, WWWI-Proposed Use GIJfo � /ll�,t,� 1'14Cz.� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) NameL elephone Number � �J`J'�J�L� Address P.()_ . �)57S License# �s �D� (00 Home Improvement Contractor# 1401/6q Worker's Compensation # WC !3,,2tk4o B ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE I DATE t NO Ito FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` _ r MAP/PARCEL N0. _= ADDRESS _ VILLAGE OWNER DATE OF INSPECTION: FOUNDATION - FRAME cf(t rzAAA- -- INSULATION Sl o ►r A& FIREPLACE R ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ,r9 k-1 + DATE CLOSED OUT ASSOCIATION PLAN NO. t, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street c Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl t Name (Business/Organization/Indivi dual): Address: o 920*�- City/State/Zip: 4SM+QWkC4k f VVhA Phone #: Are ou an employer? Check the appropriate box: Type of project(required): 1. 1 am a employer with 4• ❑ 1 am a general contractor and I 6. ❑New construction employees-(full and/or part-time).*. have hired the sub-contractors _ _.._ __. 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. temodehng ship and have no employees These sub-contractors have . g. 0 Demolition working for me in any capacity. employees and have workers' 9 Q Building addition No workers' comp. insurance comp. insurance.$ required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am 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),andme have no 13;0 Other employees. [No workers' 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy,and job site information Insurance Company Name: Policy#or Self--ins.Lic.#: C► Expiration Date: �7 Job Site Address: V� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c r under the pasand penalties of perjury that the information provided above is true and correct. Si nature: Dater u l o Phone#: O V ✓ 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#: -l 1 information and. Instructio' ns 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, constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employmentbe 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) slates "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpubiic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out.the workers compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s), address(es)and phone numbers)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 permiUlicense 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 Eiture 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 coxrmercial 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 DeP artment'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 1-87.7-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.inass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR -ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: AAk ite Address: .� print Jlk__ oWI1: '�"�� M/G Applicant Phone: 00 G3-15-3l l Applicant Signature: Date of Application: ITL( (p I(.c3 NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA.. FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Slab Option 1: Basement Fenestration exposed. Wall Floor Wall Peruneter pFUE HSPF SEER U-factor floors R-Value R-Value R-Value R-Value R-Value and Depth National Appliance Energy R-10, Conservation Act(NAECA)of .35 R-38 R-19 R-19' R-10 4 I 1987 as amended,.minimums or reater as applicable Note: This form is not t.equired if you choose either of the two versions of REScheck as listed below. ❑ Option 2: 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.ener yco des;gmy/res check/ ADDITIONS OR'ALTERATIONS,TO EXISTING BUILDINGS OVER.5 REARS OLD* *Buildings under 5 years old must use option 91 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equ4is Formula; (100 x b a) 06 S� 100 x _�t?Q- — 11� % of glazing (b) Glazing area equals 0® . SF If glazing is:< 40% use the chart below. If glazing is > 40 %' proceed 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 Wall all Floor Basement Wall R-Value Exposed floors R-Value R-value R-Value and Depth U-factor ✓ R-Value .39 R-3 7 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 o enin s). SUNROOM-An addition or alteration to an existing building/dwelling'unit where the total El . 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) �FSME rqs, 'down of Barnstable Regulatory Services ` MAM r E Thomas F. Geiler,-Director 94i�Eo;or a��� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA N601 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, ttltil �� 967UtZ-Ca , 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 f or: l/l,� (Address of Job)T 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:OWNERPERMIS SION of z►+e tom, Town of Barnstable o Regulatory Services swxxsTAs Thomas F.Geiler,Director MAca 9� 1639. ��� Building Division ,eTFD �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 mclude 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. 1 1 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 peritiit. (Section 109.I11) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. / Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that:"Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work;that such Homeowner shall act as supervisor." . Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\horneexempt.DOC Boise Cascade Triple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301 BC CALC@ 3.0 Design Report-US 1 span No cantilevers 0/12 slope Wednesday, November 17,2010 Build 440 File Name: Post Beam_204 Little River Job Name: Post and Beam of Cape Cod Description: FB01 Address: 204 Little River Road Specifier: Joe Madera City, State,Zip: Cotuit, MA Designer: Customer: Post and Beam of Cape Cod Company: Shepley Wood Products Code reports: ESR-1040 Misc: 10-00-00 BO,3-1/2" B1,3-1/2" LL 1,650lbs LL 1,650lbs DL 2,170 Ibs DL 2,170 Ibs SL 2,150 Ibs SL 2,150 Ibs Total Horizontal Product Length=10-00-00 Live Dead Snow Wind Roof Live Trib.(in.) Load Summary Tag Description Load Type Ref. Start End 100% `90% 115% 133% 125% 1 Standard Load Unf.Area(psf) L 00-00-00 10-00-00 40 10_ 05-06-00 2 Unf. Lin. (plo L 00-00-00 10-00-00 80 n/a 3 Unf.Area(psf) L 00-00-00 10-00-00 20 '10 05-06-00 4 Unf.Area(pso L 00-00-00 10-00-00 15 30 12-00-00 5 Unf.Area(pso L 00-00-00 10-00-00 15 35 02-00-00 6 Unf.Area(psf) L, 00-00-00 10-00-00 10 02-00-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 13,589 ft-Ibs 56.4% 115% 13 1 - Internal Completeness and accuracy of input must End Shear 4,677 Ibs 42.9% 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl. L/386(0.297") 62.2% 2 1 output as evidence of suitability for Live Load Defl. L/606 (0.189") 59.4% 2 1 particular application.Output here based Max Defl. 0.297" 29.7% 2 1 on building code-accepted design properties and analysis methods. Span/Depth 12.1 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide 8 BO Post 3-1/2"x 3-1/2" 5,970 Ibs n/a 65.0% Unspecified ( ask questions,please call B1 Post 3-1/2"x 3-1/2" 5,970 Ibs n/a 65.0% Unspecified 00)232-0788 before installation. BC CALC@,BC FRAMER®,AJSTM',• Cautions ALLJOIST@,BC RIM BOARD-,BCI@, BOISE GLULAM- SIMPLE FRAMING Member is not fully supported at post BO. A connector is required at this bearing. SYSTEM@,VERSA-LAM@,VERSA-RIM Member is not fully supported at post B1. A connector is required at this bearing. PLUS@,VERSA-RIM@, VERSA-STRAND@,VERSA-STUD®are Notes trademarks of Boise Cascade,L.L.C. Design meets Code minimum{L/240)Total load deflection criteria. Design meets Code minimum(L/360)Live load deflection criteria: Design meets arbitrary(1")Maximum load deflection criteria. Fastener Manufacturer: TrussLok(tm) Page 1 of 2 c Boise Cascade Triple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301 BC CALCO 3.0 Design Report-US 1 span No cantilevers 1 0/12 slope Wednesday, November 17,2010 Build 440 File Name: Post Beam_204 Little River Job Name: Post and Beam of Cape Cod Description: FB01 Address: 204 Little River Road Specifier: Joe Madera City, State,Zip: Cotuit, MA Designer: Customer: Post and Beam of Cape Cod Company: Shepley Wood-Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based on building code-accepted design properties and analysis methods. • �—• • Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable e building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=5-1/2" (800)232-0788 before installation. b minimum=4" d= 12" e minimum= 1" BC CALC@,BC FRAMER@,AJSTM, ALLJOIST@,BC RIM BOARD- BCI@, All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. BOISE GLULAMTM,SIMPLE FRAMING All TrussLok screws may be installed from one side of multiply Versa-Lam beams. SYSTEM@,VERSA-LAM@,VERSA-RIM Member has no side loads. PLUS@,VERSA-RIM@, Connectors are: FMTSL005 VERSA-STRAND@,VERSA-STUD@ are trademarks of Boise Cascade,L.L.C. Page 2 of 2 t ' Boise Cascade Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Wall HeaderT1302 BC CALCO 3.0 Design Report-US 1 span No cantilevers 1 0/12 slope Wednesday, November 17,2010 Build 440 02-00-00 OCS File Name: Post Beam 204 Little River Job Name: Post and Beam of Cape Cod Description: WINDOW HEADER Address: 204 Little River Road Specifier: Joe Madera r City, State,Zip: Cotuit, MA Designer: Customer: Post and Beam of Cape Cod Company: Shepley Wood Products Code reports: ESR-1040 Misc: 2 1 any: � ., .., ... 09-00-00 B0 3-1/2„ B1,3-1/2" LL 360 Ibs LL 360 Ibs DL 167 Ibs DL 167 Ibs Total Horizontal Product Length=09-00-00 Live Dead Snow Wind Roof Live OCS(in.) Load Summary I Tag Description Load Type Ref. -Start End 100"/0 90% 115% 1330% 125% 1 Standard Load Unf.Area(psf) L 00-00-00 09-00-00 40 10 02-00-00 2 Unf. Lin. (plf) L 00-00-00 09-00-00 10 n/a Controls Summary Value . %p Allowable Duration Case Span Disclosure Pos. Moment 1,068 ft-Ibs 12.8% 100% 1 1 —Internal Completeness and accuracy of input must End Shear 422 Ibs 8.8% 100% 1 ;, 1 -Left be verified by anyone who would rely on Total Load Defl. L/1,624(0.063") 14.8% 1 1 output as evidence of suitability for Live Load Defl. L/2,378 (0.043") 15.1% 1 1 particular application.Output here based . Max Defl. 0.063" 6.3% 1 1- on building code-accepted design properties and analysis methods. Span/Depth 14.1 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide 8 BO Post 3-1/2"x 3-1/2" 527 Ibs n/a 5.7% Unspecified ( ask questions,please cal( 61 Post 3-1/2"x 3-1/2" 527 Ibs n/a 5.7% Unspecified 00)232 0788 before installation. BC CALC@,BC FRAMER@,AJSTM', Notes ALLJOIST@,BC RIM BOARDTM,BCIO, ' Design meets Code minimum (L/240)Total load deflection criteria. BOISE GLULAM?M SIMPLE FRAMINGSYSTEM@,VERSA-LAM@,VERSA-RIM Design meets Code minimum(L/360)Live load deflection criteria_. PLUS@,VERSA-RIM@, Design meets arbitrary(1") Maximum load deflection criteria. VERSA-STRANDO,VERSA-STUD@ are trademarks of Boise Cascade,L.L'C. Connection Diagram b d a c a minimum =2" c=3-1/4" . b minimum=3" d= 12" Member:has no side loads. Connectors are: 16d Sinker Nails Page 1 of 1 ,--TM. V16,11R 1 11 n 1N — ,. ER Phona: (6DE)88&02n7 Ffx (S:i:iBBS-055D THIS CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATION N30.lRP,NCf AGENCY INC. k' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE IdA&CARLSON I ; X,719 HOLDER. THIS CERTIFICATE DOES NOT.AMEND, EXTEND OR pNfICN MA 02663 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. -o� f INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: —Granite State Insurance Company POST&BEAM OF CAPE COO NC INSURER B; BOX 356 i SANDWICH MA 02563 INSURER C: INSURER D: INSURER I,: COVERAGES THE POLICIES OF INSURANCE LISTED BEL:-W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED, NOTWITHSTANDING _ ANY REQUIREMENT, TERM OR CONDr,1ON :ir ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFO,'DES pY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.,AGGREGATE LIMITS,SHOWN MA`: HAVE. BEEN REDUCED BY PAID CLAIMS. WSR TYPE OF INSURANCE^-T— POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION LIMITS LTA IN GENERAL LIABILITY EACH OCCURRENCE REaoarD COMMERCIAL GENERAL UABI.nY PEMc� urmno $ CLAIMS MADE OC:UR MED.EXP(Any one person) ----- - C- PERSONAL&ADV INJURY < S GENERAL AGGREGATE S GWLAGGREGATELIMITAPPLIESI'ER PRODUCTS-COMP/OPAGG. $ PRO — POLICY T ,OC AUTOMOBILE LIABILITY�.. COMBINED SINGLE LIMIT $ ANY AUTO (Ea accidant) ALL OWNED AUTOS BODILY INJURY (Per person) S SCHEDULED AUTOS ' - WIRED AUTOS BODILY INJURY NON-OWNEO AUTOS (Pet accldenE) v ' ---••- LPROPERTY DAMAGE $ ent GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA,ACC. AUTO ONLY: AGO 9 EXCESS I UMORELLA IABILITY EACH OCCURRENCE S OCCUR F—Ii1,L41HSMel:IE AGGREGATE - $ y® DEDUCTIBLE $ RETENTION S - ® WG STATU• ETHER WORKERS COMPENSATION AND WC009886286 12/27/09 12f27/10 TORY LIMITS EMPLOYERS'LIABILITY E,L.EACH ACCIDENT $ 100,000 A ANY PROPMSTORIPARTNERIE7fECOTIb$ - � -- OFFICER/MEMBIM RXCLUDED7. E.L.DISEASE-EA EMPLOYEE $ 100,000 If ym�SFECIAL PROVISIONS ISIONund. I - E.L DISEASE-POLICY LIMIT $ S00,000 eRF7CIAL PROVISIONS Delow 'OTHER Q DESCRIPTION OF OPERATION SfL(.'rGAT9ONSfVEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIA"P ' VISIONS';y Paul Pacella is included for coveralls under the workers compensation policy. Residential General Contmator ^.0 _ W CC) —_ _+a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIEq BE CANCEL;L�D BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAyQRTO C-M"A'`IL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE Town of Bamstable BUII]Wng Dc-mrrment TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, - 200 Main Street - - ITS AGENTS OR REPRESENTATIVES, Hyannis MA 02601 AUTHORIZED REPRESENTATIVE (508)790-8230. Attention: ary Anderson )0 An rsO ACORD 25(2001/D8) Certificata* 7492 B ACORD CORPORATION 1988 Board of Building Regulations and Standards i Construction Supervisor License One-and Two-Family Dwellings License: CS 68602 . PAULR PACELLA' 132 LOMBARD AVE " W BARNSTABLE, MA 02668 Expiration: 8/28/2012 ('uinmissiuncr Tr#: 65 r OtfiZe o"T sumet airs justness bz,fafi on."' License or registration valid for mdividui use only,HOME IMPROVEMENT CONTRACTOf before the exptratihn•'date. If found return to: Registration \29348 Office of Consumer Affairs and Business Regulatiori Expiration �8/17/2011 Tr# 287647 ;? 10 Park Plaza=Suite 5170 Types rdividualf_ Bnston,MA;02116 Paul Pacella I� ���k ,� h f _t Paul Pacella ue_ - �:. 132 Lombard Ave;? s �--�,a Y f4t W.Barnstable, MA 02668 Undersecretary ----- "-• ' Not valid ithout si f nature!. g , 'i , /31M5- VAR��gaGEC�R�1ivTG� j i i The Commonwealth of Massachusetts Department of Public Safety _ Board of Building Regulations and Standards } One Ashburton Place, Room 1301 Boston, Massachusetts 02108-1618 N m Phone (617) 727-7532 co Fax (617) 227-1754. e n STATE BUILDING CODE APPEALS BOARD APPEAL APPLICATION FORM DOCKET NUMBER' DATE Q (State Use Only) The undersigned hereby appeals to the State Board of Building Regulations and Standards from the decision of the following person. (Please fill-in the name of the appropriate municipal or state building inspector or other authorit Also,Also indicate if this is a request for a hearing de novo(new hearing)relative to a decision of a municipal app board.) Building Official from the City/Town of: Board of Appeals from the City/Town of: (Request for hearing de novo) State Building Official: Other: Please mark the appropriate box indicating the requested action to be considered by Appeals Board members. . Variance x Order Direction Interpretation Failure to Act Other STATE USE ONLY Fee Received ,> - z Check Number Y ('This section must be completed or the application will be returned.) Has the building or structure been the subject of an appeal by this or any other appeals board previous to this filing? No)4 ; Yes ❑ If,yes,please indicate the date of the previous appeal,whether the matter was heard before a local or state appeals board,the code section that was at issue,and the specifics of the decision (i.e.a variance was granted\not granted). 4 Please take care to submit all written supporting documentation with this application to allow time for review. However,Board members reserve the right to continue proceedings if such material warrant extensive review. Please provide a brief description of the desired relief below. Additional information may be attached if space is not sufficient All appropriate code sections that are subject to meal must be identified in the description. a Please complete the following section completely and accurately. Name of '?,6 C.,,sj VIt� Representing: Appellant: ( ✓ II au Address Lervice Telephone q Fax Number. _� _740 Number. Number. �W;.!/ 1 a LA Address of IL Subject Property (if different from service address): What is appellant's connection to subject property? CAJV . vqj Signature of Appellant and\or Re enta a Please Print Name Legi Y r P return applications to: t Program Manager,Board of Appeals Board;of Building Regulations and Standards=One Ashburton Place,Room 1301 Boston,NIA.02108=1618 5 DESCRIPTION OF BUILDING OR STRUCTURE RELATIVE TO THE MASSACHUSETTS STATE BUILDING CODE(7th EDITION) (Check as appropriate) Do not complete the entire table below for a One-or Two-Family Dwelling;complete only section entitled "Description of the Proposed Work". DESCRIPTION OF PROPOSED WORK(check all applicable) New Construction �( Existing Building ❑ Repair(s) ❑ Aiteration(s) ❑_ Addition ❑ Other❑ Specify: Accessory Bldg. ❑ Demolition El Brief De ription cif Proposed Work: i - 1 w r� • USE GR&P AND CONSTRUCTION TYPE r USE GROUP(Circle appropriate Use Group) CONSTRUCTION TYPE A Assembly A-1 A-2 A-3 lA A-4 A-5 1B 2A B Business E Educational 2B F Factory F-1 F-2 2C H High Hazard 3A I Institutional I-1 1-2 1-3 3B 4 M Mercantile R Residential R-1 R-2 R-3 5A S Storage S-1 S-2 5B U Utility Specify: M Mixed Use Specify: S Special Use THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND Specify: COMPLETE AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index(780 CMR 34): Proposed Hazard Index(780 CUR 34): BUILDING HEIGHT AND AREA BUILDING AREA Existing(if applicable) Proposed Number of Floors or stories include basement levels Floor Area per Floor(sf) ' e��1 Total Area(sf) 2 40 Total Height(ft) Are there unresolved issues with local zoning ordinances? Yes ❑ or Nox. If yes,please explain briefly why this zoning issue is not a factor in the appeal; 6 10't'26I2$i.fl k�`�:3`J 59$5633 u5 ARTS BDE SHOP PAGE 91J01 Town of Bamstable WL Regulatory Services Thomas V.Gaikr,t %r �°'�.► Budding Divisictn Tam Pori, B,Dikhvg Cam➢ aiwr Zf1 Main Sat, Rymmis,MA 0201 Office.- 508-862-4038 P= 508-790-6230 October 19,201 Mr: Paul Pacella RE: App.201105013 Post and Bean of Cape Cod 204 Unte Rivet Road PO Box 355 CutuiR,1►9A Sandwicb,MA 02563 Dcar Mr.Pacella., This letter is to follow'up on the above refemced vp1ication for a permit to finish ft second floor storage space(convert to living space)of the new&vtwbed garage at 204 Little River Road, Unfortunately,the application cam be aMoved at this time. The proposed.fire separation does not met the requirements of the Eighth Edition of dw Masachu s Shane"ding loft 780 C.1r+R,according to section.R302"r1re-ftesistant Constrsctioo'y Nyou dude,at a law dot$,the you wish to go forward with the eject you must appiy apart and provide all rimcamy docutacats mi cludiup,those that show compliance with the Massachusem State Building Code. If this odee can be of any further wee pleasa do net hesitate to call. 1 may be.reeacbed at 508-862-4433 If you disagme with this dedsion)FmLoomappealthisdi6dsionio.? . taupe l ilding Clyde, Appeals Board per.780 CMR R122 and M.G.L.c 143: Sincerely, rA Robert McKerhnie LoW Inspector -�R-",obe rt. C'ua - - sA ssocia �es �L, P' _ g 181 Bow Bog Road Bow, NH 03304 (603)224-7453 bobcfpec@-comcast.net fax (603) 224-7467 October 6, 2011 Mr. Robert Mckechnie, Local Inspector Town of Barnstable Regulatory Services Building Division . 200 Main Street Hyannis, MA 02601 Dear: Mr. Mckechnie Re: Fredber9g Property Garage Application #201105402 204 Little River Road, Cotuit, Massachusetts . This letter proposes an alternative des n for the required separation (Massachusetts One and Two Family Dwelling Code 8 edition section.5309.2 —text repeated below for reference) of the garage from the habitable level above. The garage footprint is 28'x40'. The required separation is 5/8" Type X drywall at the ceiling of the garage and the supporting structural elements. 5309.2 Separation Required. The garage shall be separated from the residence and its attic area by not less than 518 inch Type X gypsum board or equivalent gypsum board applied to the garage side. Garages beneath habitable rooms shall be separated from all habitable rooms above by not less than 518 inch Type X gypsum board or equivalent. Where the separation is a floor-ceiling assembly, the structure supporting the separation shall also be protected by not less than 518 inch gypsum board or equivalent. The proposed design is to install the 5/8" inch type X gypsum on the underside of the joists using standard wood furring strips attached directly to the underside of the joists. Fire Stop caulking will be used at the edge of the gypsum board to fill any openings adjacent to the heavy timber beams and columns. The wood joists are supported by a heavy timber structure which employs 8"x8" columns and beams 6" wide and 12" deep. Using Table 601 of 780CMR (copy attached) as a reference for structural framing and resistance note c.2. states that Heavy Timber is allowed to be installed where a 1 hour fire resistance rating is required. The Massachusetts One and Two Family Dwelling Code makes reference Fredberg Property Garage Ceiling Alternative October 6, 2011 back to 780CMR when providing details/clarification for structural,framing other than standard wood stud/stick framing. The installation of 5/8 inch thick type X gypsum is normally associated with a 1 hour fire resistance rating. Also, note that heavy timber structural framing is normally assigned a fire resistance rating of 2 hours when evaluating an existing or equivalent structure provided the frame meets the minimum dimensions of 8"for columns and 6" wide and 10 inches deep for beams (780CMR section 602.4.1 and 602.4.2 copy attached). It is my professional opinion that exposed heavy timber structural frame (column and beams) meets or exceeds the requirements of section 5309.2 of the Massachusetts One and Two Family Dwelling Code 8th edition. Should you have any questions, please contact me at(603)496-3933. Sincerely, c RMEPRT B. yGN Robert B. Cummi s, MA FPE No 39 9 w _ t 0 Page 2 LOT 8 N N/F POLLARD PARCEL ID:.054/006-004 a LOT 7 g 2&0" n PARCEL ID: 054/006-003 0 �a��b AREA=60,433t S.F. 429' ' g 114.7' s,,,,,,,.,. ., 40 8 z 10 0 I < o Q ;#204• 68.6'Cif O I a � Of U Sal 31.0' DOW o G LiJ y _J t`M i�� ��� ,gyp"E LOT 6 �� ��Qb2 N/F _ I " STEWART _—I �� PARCEL ID: -054/006-001 I i i I iI I . i PREPARED FOR: MARVIN I. & SANDRA R. FREDBERG FOUNDATION (AS--13�1ILT) CERTIFICATION #204 LITTLE RIVER ROAD, COTUIT, MA. MAY 129, 2008 J# 1135FC SCALE: 1"= 80' PLAN REF: 485 61 DEED: 10972 312 _ TAN Frvl�iS,, MacDougall Surveying PARCEL ID: MAP 54 LOT 6-3. & Associates ZONING: R F FLOOD ZONE: C lEDWARD A a P.O. Box 2428 I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN �� STONE Mash pee, Ma 02649 EXISTS ON THE GROUND AS SHOWN t No 28980 p o ph. (508)419-1086 fax..(508)419-1087 J `-Z9 ',gg email: macdougallsurvey -PROFESSIONAL LAND SURVEYOR DATED ®comcast.net iJ f J- . .. - }��.+�w�rrrwr�-..■��aw+�r�-�.+.�r...s�����r,�o�;��.r.�+ws�.vr�s. :� �.. MENRUM ol 40 Sim Will Nil [N6 Ma—I MW MA ■�■1� <W �� stow wsr ;i. vw—,r'riz. y� 11i IM IM 1= nn n ' ■■ n�n■i �■nl����l�I�t(��tif ■■ nli��■�■ inn �.��►d�.� �i!��'��it'�+s �.�. 1� ,"J":'!h W.I �•= �� k �fl+= ill tow- I w'iMill r �' ( � �n��■nnli■■�■�nnln ��'_� _til 0 WERE 'PIA; „ram"�■ P. - * . PAN r�rr `. rs� ■n� �..�. .MaarrR .� �arfr�_�e� `■rr.�ri � �r�i T+" .,, " _ E `�• 'r �1 i, i1 r 1111MII MAW �ii��lC i� ■r�I�H ,. iio" �t Mill �IMI (�'��+" 1i�I:F�; ����'���lil `� �:� r - 1� Fa ► ��llllq ma . IM WRO M2110. 11 SUL I'm NBC IL �� wa-r. � Mr•�Aw oa ry ��R�r�. J. . . 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' ��'' _ _ ,_- ..-.-- --•------------•�-- --- ----.2.2��0.J�1.. ..._•��•a.i-, . 2�v'.4.{�'. mo .410 lei, 41 LIP - •- •-�-�- - - ` '� ice' � � �x-�-4�.�°�' _ 1 ` •-- � -- =--• - --...--,-- ------- - POFA 0 ---_St�`:+r3�_L'�r�N Yr�:�•G��J '-+�]� x _ � �-._.r�_� i � - I � , J --- -� --=- •- -... .. .... ...... ._.. �` cWAtL NIVT ySmut i i 1 -- - - i - ..._ �y -� _ �.4• . . . __._. let ma� 9 — - ----------• a :� - r • i a - QYrw T4 WILD w p6o vk1toltt-S A` Lotwvj -.,;. q 3M 1 P, 4 r Mir- 3LI jilt, 0 ' `IL , } �t�,r. � ���� �t:��;�. -►c ..t �•�. -��.- �.�►•+� �o:___.�. _._�.��ryv-fit - 14 �-- __ i 1 I TYPES OF CONSTRUCTION frame are required to maintain a minimum and Chapter 14.Also,Section 706.5.1 has degree of fire resistance.The components fire-resistance-rating requirements for defined as part of the primary structural exterior walls on each side of the intersec- frame, with the exception of Type IV con- tion of fire wall. struction, must also comply with Section There are also several requirements 704. Secondary members (e.g., floor or related to exterior walls mentioned in roof panels without a connection to the col- Chapter 10. Section 1007.7 has fire-resis- umn) are not considered part of the strut- tance-rating requirements for exterior walls tural frame.(see Rows 5 and 6 of the table). adjacent to exterior areas for assisted res- cue.Section 1022.6 has specific fire-resis- Row 2: Bearing walls—exterior and interior. Exte- tance-rating requirements for exterior walls rior bearing walls are the outermost walls adjacent to an exit stairway. Section that enclose the structure and support any 1026.6 has fire-resistance-rating require- structural load other than their own weight. ments for exterior walls adjacent to exterior Their required fire-resistance rating is exit stairways. Section 1027.5.2 has established by the higher of twofire-resis- fire-resistance-rating requirements for lance ratings.The first component of deter- exterior walls adjacent to an egress court. mining the fire-resistance rating is based Additionally, this category includes the on the type of construction of the building. structural (load-bearing) interior walls of a The second component of determining the building. To delay vertical load-carrying fire-resistance rating is based on the exte- collapse of a building due to fire exposure rior wall's fire separation distance in Table for a predetermined amount of time, the 602. Whichever of the two requires the structural partitions are required to main- higher fire-resistance rating will dictate the tain a minimum degree of fire resistance. minimum required fire-resistance rating of Primary structural frame elements support the exterior wall. ing such walls must comply with Table 601, In addition to Tables 601 and 602, exte- as well as have at least the same degree of rior walls must comply with Section 705 fire resistance as the supported wall. TABLE 601 FIRE-RESISTANCE RATING REQUIREMENTS FOR BUILDING ELEMENTS(hours) TYPE I TYPE II TYPE III TYPE IV TYPE V BUILDING ELEMENT A B A B Aa B HT A° 8 Primary structural frame„ 3., 2,, I Or 1 0 HT I 0 (see Section 202) Bearing walls Exterior'9 3 2 1 0 2 2 2 1 0 Interior 3" 2'' 1 0 1 0 1/HT I 0 Nonbearing walls and partitions Exterior See Table 602 Nonbearing walls and partitions 0 0 0 0 O U See Section 602.4.6 0 0 Interior° - Floor construction and secondary 2 Z l (1 I 0 FIT 1. 0 members(see Section 202) Roof construction and secondary .1 t/l I'' 1 t'' 0 .0 HT 11'' 0 members(see Section 202) For SI: I foot=304.8 nun. a. Rewf supports:Fire-resistance ratings of priniary structural frame and bearing swills are permitted to be reduced by I hour where supporting a rool'onl.v b. Except in Group F-1.1-1.M and S-I occupancies,fire protection of structural members shall not be required,including protection of roof framing and decking where every part of the roof construction is 2O feet or more above any floor immediately below.Fire-retardant-treated wood members shall be allowed to be used for such unprotected members. c. In all occupancies,heavy timber shall be allowed where a I-hour or less fire-resisiance rating is required. d. .4n approved automatic sprinkler system in accordancewith Section 903.3.1.1 shall be allowed to be substituted for I-hour fire-resistance-rated construction.pro- vided such system is not otherwise required by other provisions of the code or used for an allowable area increase in accordance with Section 506.3 or an allowable height increase in accordance with Section 5041.The I-hour substitution for the fire resistance of exterior walls shall not be permitted. e. Not less than the fire-resistance rating required by other sections of this code. f. Not less than the fire-resistance rating based on fire separation distance(see Table 602). g. Not less than the fire-resistance rating as referenced in Section 704.10. 6-2 2009 INTERNATIONAL BUILDING CODE®COMMENTARY • t } 2 t TYPES OF CONSTRUCTION terials, but with a wood frame floor, interior wall and requires the extenor walls to be constructed of roof construction. The structural members of a build- noncombustible materials. The interior elements are ing of Type 11113 construction are not required to have a required to be constructed of solid or laminated wood fire-resistance rating with the exception of the exterior without any concealed spaces..All of the combustible load-bearing walls. structural elements are permitted to be unprotected Although fire-retardant-treated wood (FRTW) does because of the massive element sizes and the require- not meet the specifications of the code as a ment that there not be any concealed spaces,such as noncombustible material,it is permitted as a substitute soffits, plenums or suspended ceilings. Sections for noncombustible materials for framing within exte- 602.4.1 through 602.4.7 provide specific requirements rior wall assemblies of Type III construction.The exte- for the connection of structural members and mini- rior surfaces of the walls must be of noncombustible mum dimensions. An examination of Table 503 indi-. materials. While the exterior walls are permitted to be cates that the allowable height and area for Type IV either nonload-bearing or load-bearing,to apply the al- construction is greater than that permitted for buildings lowance for FRTW the required fire-resistance rating of Type 1113 construction. This distinction is based on of the exterior wall must be no greater than 2 hours. testing that demonstrated that HT structural members FRTW is required to comply with the provisions in Sec- perform better structurally under fire conditions than tion 2303.2. comparable unprotected steel structural members be- cause of charring,which insulates the wood mass. As with Type III construction, fire-retardant-treated wood (FRTW) is permitted as a substitute for noncombustible materials within exterior wall assem- blies of Type IV construction. Except as noted in Sec tion 602.4.7, exterior structural members used exter- nally must be noncombustible. GYPSUM While the exterior walls are permitted to be either WALLBOARD nonload-bearing or load-bearing, to apply the allow- ance for FRTW the required fire-resistance rating of WOOD RAFTERS i:,'•--.:Ilhi .., FURRED PANELING AND TRIM the gxteflII t b realer than 2 hOUfS. 71 FRTW is required to comply with the provisions of Sec- tion 2303.2. ': �_ Of WB must e no g CONCRETE BLOCK TABLE 602.4.See page 6 10. i---IF--}aGYPSUM WALLBOARD Solid sawn wood members and glue-laminated tim= f--f--'-' bers are manufactured using different methods and BRICK� — procedures and, therefore, do not have the same di- ,��;� C mensions.However,they both have the same inherent fire-resistance capability. The dimensions noted in _ _- WOOD JOIST AND FLOOR Sections 602.4.1 through 602.4.7 refer to the nominal dimensions of solid sawn lumber. These dimensions do not directly correlate to the actual dimensions of glue-laminated timbers.Table 602.4 provides a simple Figure 602.3 procedure to determine the dimensions that are re- EXAMPLE OF TYPE III CONSTRUCTION quired for glue-laminated timbers when designing to meet the requirements of Type IV construction.The ta- 602.4 Type IV.Type IV construction (Heavy Timber,HT) is ble provides minimum dimensions for glue-laminated wood members for each set of dimensions specified in that type of construction in which the exterior walls are of the specific provisions of Section 602.4. The require- noncombustible iaterials and the interior building elements ments for glulam were developed to recognize that the are of solid or laminated wood without concealed spaces.The reduced width of glulam members (compared to tim- details of Type IV construction shall comply with the provi- bers with the same nominal dimension)shall be offset sions of this suction. him-miardam [reared w-(md framing by increasing the depth to maintain similar cross-sec- c:omplying with Section 2303.2 shall be permitted within exte- tional areas. To use the table, compare the required rior wall assemblies with a 2 hour rating or less. Minimum fninimum dimensions for sawn timber found in the two solid sawn nominal dimensions are required forstructures built left-hand columns with the dimensions found in the using'17ype IV construction (HT).For glued laminated mein two right-hand columns for glued-laminated wood bers the equivalent net finished width and depths correspond members. For example, where the code requires a ing to the minimum nominal width and depths of.solid sawn minimum sawn timber of 8 inches by 8 inches(203 mm lumber are required as specified in Table 602.4. by 203 mm),for a glulam wood member to be used, it ❖This section provides the general regulations for Type would need to be a minimum of 63/4 inches wide by 81/4 IV (Heavy Timber, HT) construction. HT construction inches(171 mm by 210 mm)deep. 2009 INTERNATIONAL BUILDING CODE®COMMENTARY 6-9 TYPES OF CONSTRUCTION 602.4.1 Columns.Wood columns shall be sawn or glued lami- entire height of the building. The design engineer or nated and shall not be less than 8 inches(203 mm).nominal,in architect must provide details of all column connec- any dimension where supporting floor loads and not less than 6 tions. As with all structural members, each column inches (152 mm) nominal in width and not less than 8 inches must also be adequately fastened to other structural (203 mm) nominal in depth where supporting roof and ceiling members in order to withstand the loads that will be. loads only.Columns shall be continuous or superimposed and placed upon the column. Some typical examples in- connected in an approved manner. clude reinforced concrete or metal caps, steel or iron ❖Minimum construction requirements and dimensions column caps and timber splice plates [see Figures for timber columns are provided in this section. Col- 602.4.1(1)and 602.4.1(2)). umns are required to be a minimum of 8 inches (203 .602.4.2 Floor framing.Wood beams and girders shall be of mm) nominal in any dimension if they support floor sawn or glued-laminated timber and shall be not less than 6 loads,or a minimum of 6 by 8 inches(152 by 203 mm) inches(152 min)nominal in width and not less than 10 inches nominal K they support a roof and ceiling. Timber col- (254 mot)nominal in depth.Framed sawn or glued laminated umns are required to be continuous or superimposed, timber arches, which spring from the floor line and support positioned on or over each other,through floors for the noon loads,shallbe not less than 8 inches(203 mot)nominal in TABLE 602.4 WOOD MEMBER SIZE MINIMUM NOMINAL SOLID SAWN SIZE MINIMUM GLUED-LAMINATED NET SIZE ' Width,inch Depth,inch Width,inch Depth,inch i 6 10 3 10'/r 4 6 3 {i 1/x For Sl: 1 inch-25.4 mm. � ttS SpgE"Pv�•t, . ME FO G� ' Q,pOrr1G `\E Ft S P `` � t OPQ4`�S OaPG E*0.�� � �rtE r 0��PLO . �rGS jq.% ( `P� `E le L qPA GO; Figure 602.4.1(1) HEAVY TIMBER—FLOOR BEAM AND COLUMN FRAMING 6-10 2009 INTERNATIONAL BUILDING CODE®COMMENTARY 10 1 TYPES OF CONSTRUCTION any dimension.Framed timber trusses supporting floor loads out their intervening spaces or where spaces are tightly closed shall have members of not less than 8 inches(203 mm)nominal by a continuous wood cover plate of not less than 2 inches(51 in any dimension. mm)nominal in thickness secured to the underside of the mem- Minimum construction requirements and dimensions bers.Splice plates shall be not less than 3 inches(76 mm)nomi- for floor framing are provided in this section. Girders nal in thickness. Where protected by approved automatic are the principal horizontal structural members that sprinklers under the roof deck,framing members shall be not support columns or beams. Beams are the structural less than 3 inches(76 mm)nominal in width. members that support a floor or roof.Both girders and S Minimum construction requirements-and dimensions beams are required to be a minimum 6 inches (152 for arches and other types of roof framing are provided mm)wide and 10 inches(254 mm)deep.Both framed in this section.Other types of roof framing included in timber trusses supporting floor loads and framed sawn this section are heavy timber trusses with spaced or glue-laminated timber arches that spring from the members.When the members of a heavy timber truss floor line and support floor loads are required to be at are split and placed on either side of a main member, least 8 inches(203 mm)in any dimension. such as a web connecting a chord,each component of 602.4.3 Roof framing. Wood-frame or glued-laminated the web must be 3 inches(76 mm)or more in nominal arches for roof construction,which spring from the floor line or thickness.The space between the two web members from grade and do not support floor loads,shall have members must be protected with a 2-inch-thick(51,mm) cover not less than 6 inches(152 mm)nominal in width and have not plate [see Figure 602.4.3(1)]; or solidly filled with less than 8 inches(203 mm)nominal in depth for the lower half blocking [see Figure 602.4.3(2)). The size.of the roof of the height and not less than 6 inches(152 mm) nominal in framing members is dependent on the configuration depth for the upper half.Framed or glued-laminated arches for used and is regulated by this section. roof construction that spring from the top of walls or wall abut- If a building of Type IV construction is equipped with ments,framed timber trusses and other roof framing,which do approved automatic sprinklers under the roof deck, not support floor loads, shall have members not less than 4 the minimum size of the roof framing members is re- inches(102 mm) nominal in width and not less than 6 inches duced to 3 inches(76 mm).Roof framing members of (152 mm)nominal in depth.Spaced members shall be permit- a smaller size will have a lower resistance to fire than ted to be composed of two or more pieces not less than 3 inches the 6-inch by 8-inch(152 mm by 203 mm)or 4-inch by (76 mm)nominal in thickness where blocked solidly through- 6-inch(102 mm by 152 mm)members required by this . + it Figure 602.4:1(2) COLUMN/FLOOR BEAM CONNECTIONS American Institute for Timber Construction 2W91NTERNATIONAL BUILDING CODE®COMMENTARY 6-11 - 1 J r TYPES OF CONSTRUCTION section. The trade-off allowing smaller roof framing nal dimension tongue-and-groove flooring, laid crosswise or members when the building is equipped with an auto- diagonally,or 0.5-inch (12.7 mm) particleboard or planks not matic sprinkler system is consistent with the concept less than 4 inches(102 mm)nominal in width set on edge close of maintaining"equivalent risk"for the building. together and well spiked and covered with 1-inch (25 mm) 602.4.4 Floors. Floors shall be without concealed spaces. nominal dimension Flooring or''/.,t-inch(12 mm)wood struc- Wood floors shall be of sawn or glued-laminated planks, tural panel or 0.5 inch (12.7 mm) particleboard.The lumber splined or tongue-and-groove, of not less than 3 inches (76 shall be laid so that no continuous line of joints will occur nun)nominal in thickness covered with 1-inch(2.5 mm)nomi except at points of support. Floors shall not extend closer than SPACED WEB 2"COVER PLATE BOTTOM CHORD OF TRUSS For SI: 1 inch=25.4 mm Figure 602.4.3(1),, SPACED MEMBERS WITH COVER PLATE \SPACED WEB SOLID BLOCKING 0 ' s BOTTOM CHORD OF TRUSS Figure 60Z.4.3(2) SOLID BLOCKING OF SPACED MEMBERS 6-12 2009 INTERNATIONAL BUILDING CODE'COMMENTARY I 12 e TYPES OF CONSTRUCTION 0.5 inch (12.7 mm) to walls. Such 0.5-inch (12.7 mm) space quickly in combustible conceaW'floor spaces [see shall be covered by a molding fastened to the wall and so Figure 602.4.4(1)].Because of the support afforded by arranged that it will not obstruct the swelling or shrinkage adjacent members,continuous joints must only occur movements of the floor.Corbeling of masonry walls under the over supports. floor shall be permitted to be used in place of molding. Wood flooring must be fastened to supports that are perpendicular to the planking. Fastening must not be :•Heavy timber flooring is required to consist of mini- made to beams or girders that are parallel to the mum 3-inch-thick (76 mm) sawn or glue-laminated planks [see Figure 602.4.4(2)]. This precaution is in-. planks,splined floors or tongue-and-groove floors with tended to prevent separation of the planks because of an overlayment of 1-inch(25 mm)tongue-and-groove differential movement of the beam relative to the gird- flooring, laid crosswise or diagonally. HT flooring may ers and possible expansion/contraction due to differ- also consist of '/2-inch (12.7 mm) particleboard or ing moisture or humidity levels.This section requires a planks at least 4 inches(102 mm)in width set on edge '/Z inch(12.7 mm)clearance between the wood floor- and secured together, with an appropriate over-lay- ing and exterior walls.This will prevent damage to the ment,such as 1-inch(25 mm) hardwood flooring or a walls if the flooring expands due to rain during con- 15/32 inch(12.7 mm)wood structural panel. Flooring.in struction..This space also creates a potential flue for Type IV construction is not permitted to have con- flames and hot gases. It should be emphasized that cealed spaces because an undetected fire can spread the integrity of the floor assembly must be maintained L'T&G(FLOOR) T&G PLANK FLOOR OR ROOF • FRAMED OR ULILD-LAMINATED MEMBER FLOORS:6.I0(MIN.) - - - ROWS :6tB(MIN.) SHEETMETALOUT PERMITTED INSTALLATION CONCEALED DUCT SPACE LCONCEALEDSPACE L7_ DRYWALL MILL.BOARD.ETC. DRYWALL OR SIMILAR SING III PROHIBITED INSTALLATION j --------------- SUSPENDEDCEILING CONCEALED SPACE PROHIBITED INSTALLATION CONCEALED SPACE SLEEPERS FINISH FLOORING - " PROHIBITED INSTALLATION For SI: 1 inch=25.4 mm. Figure 602.4.4(1) CONCEALED SPACES 2009 INTERNATIONAL BUILDING CODE®COMMENTARY 6.13 ( TYPES OF CONSTRUCTION to provide the equivalent of a 1-hour.fire-resistance rating for an exit access corridor wall is,required. It is rating. In addition,the '/Z inch(12.7 mm)gap must be common practice to utilize a 1-hour fire-resi5- protected by a molding connected to the wall so that tance-rated stud and gypsum wallboard assembly be- any possible contracting or expanding of the floor is tween the exposed columns to form the walls of the not impeded.If masonry walls are utilized,corbeling of exit access corridor. the masonry may be used as an alternate to the mold- 602.4-7 Exterior structural members. Where a horizontal ing requirements. separation of 20 feet(6096 mm)or more is provided,wood col 602.4.5 Roofs. Roofs shall be without concealed spaces and umns and arches conforming to heavy i imbersizes shall be per- wood roof decks shall be sawn or glued laminated.splined or mitted to be used externally. tongue-and groove plank,not less than 2 inches(51 nun)nont final in thickness. 11/8-inch thick (32 nuu) wood structural Heavy timber columns and arches that conform to panel (exterior glue). or of planks not less than 3 inches (76 minimum dimensional requirements may be used on mlm) nominal in width,set on edge close together and laid as the exterior if a fire separation distance of at least 20 required for floors.Other types of decking shall be permitted to feet (6096 mm) is maintained, although the exterior he used if providing equivalent /r`rr mslsrance and structural wall itself must be of noncombustible construction. If a properties. fire separation distance of at least 20 feet(6096 mm)is maintained,the risk of exposure of the wood members -*-Minimum construction requirements and dimensions to fire from an adjacent building is reduced,and the HT for roof decks are provided in this section.As required columns and arches are permitted to be exposed to for floors, roofs are not permitted to have concealed the exterior. spaces[see Figure 602.4.4(1)].If the materials used in If a building of Type IV construction has a fire sepa- roof construction are different from those described in ration distance of Tess than 20 feet (6096 mm), the this section, the roof must have a 1-hour fire-resis- wood columns and arches are to be located on the in- tance rating and be of the same structural properties. terior side of the exterior wall. The noncombustible 602.4.6 Partitions.Partitions shall be of solid wood construe construction of the exterior wall will provide some de- tion formed by not less than two layers of I inch (25 nun) gree of protection to the interior timber members; matched boards or laminated construction 4 inches(102 nun) therefore, placing the wood structural members inside thick,or of I-hour fire-resistance-rated construction. an exterior wall is preferable to placing them within 20 feet(6096 mm)of a lot line or adjacent building with no. Minimum construction requirements and dimensions exposure protection. for partitions are provided in this section. Partitions must either be formed by not less than two layers of 602.5 Type V."Type V construction is that type of construction in which they structural elements, exterior walls and interior 1-inch (25 mm) matched boards or laminated con- walls are of any materials permitted by this code. struction 4 inches (102 mm) thick if they are con- c structed of solid wood. Partitions are permitted to be ❖Type V construction allows the use of all types of mate- constructed of materials other than solid wood if they rials, both noncombustible and combustible, but is have a 1-hour fire-resistance rating.An example of the most commonly constructed of dimensional lumber use of alternative materials is when a fire-resistance (see Figure 602.5 for an example of Type V construe- • S TAGGL R JOINTS - 3-GLIJFD-IAMINATF DPLANKS. 4"PLANK ON LOGf DO NOT NAIL FLOOR TO GIRDER - GIRDFR - BEAM For SI: 1 inch=25.4 mm. Figure 602.4.4(2) HEAVY TIMBER FLOORING 644 2009 INTERNATIONAL BUILDING CODE®COMMENTARY 14 . . J �1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map Parcel- Application # oo. Health Division Date Issued 3 1'611� Conservation.Division Application F II Planning Dept. , {,. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis , r Project Street Address k C C �e - Village Owner Address Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type ' Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑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 APPLICANT INFORMATION 051 � '(BUI DER OR HOMEOWNER) NamePUA - 1 s . Telephone Numbe( G� aJ 31 L j Address _ 0• LES— License# 0 oci 1 C—L� /rT Co �j Home Improvement Contractor# 0 / Worker's Compensation # ra` 3c) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO c.!p • �eMIQ,�(L: SIGNATURE DATE D CJ I FOR OFFICIAL USE ONLY APPLICATION# r { DATE.ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' ti DATE OF INSPECTION: FOUNDATION 1 d 94-4 �1 o FRAME _ F12 O / s 9/j1GtS INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t '`GAS: ROUGH FINAL ' o - FINAL BUILDING AtIl DATE CLOSED OUT ASSOCIATION PLAN NO. .r oFt ►°,�, Town of Barnstable Regulatory Services 9� t'E� Thomas F.Geiler,Director T i6g9. ��m '0 ED Mpg( Building Division Tom Perry,Building Commissioner 200 Main§treet,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-623.0 NOTICE TO THE BUILDING DIVISION.OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, , Construction Supervisor License. # ��`� �� , hereby.certify that I have assumed responsibility for the project under construction, as authorized by building permit# —';issued to (property address) on 3 200 6D The following documents are attached: copy of my Massachusetts State Construction Supervisor's license. or Homeowner's License Exemption form(if applicable). copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) LICENSE OLDER DAT �oFZHEra,� Town of Barnstable Regulatory Services MASS. Thomas F.Geiler,Director 4iATFo�,,,,�ca Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder Iro e as Owner of the subject p p rty hereby authorize /` L- to act on my behalf, in altmatters relative to work authorized by this building permit application for: (Address of Job) q ,G A4Z Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable mop 1HE tp�� Regulatory Services saruvszwer>r, ; Thomas F.Geiler,Director Y MASS. Building Division TFo 1��a Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 wmv.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 to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations; The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section log.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shill 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. f �ttaE lw,� Town of Barnstable i Regulatory Services BAIMSTABIZ • • NA—QR r Thomas F.Geller,Director iOrEo39. ,r"��� 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 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR owner of property located at hereby certify that �-P Z'e is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# �Q o3'ao7 5r 7 ; issued on 3 / 20 d I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. , PROPERTY OWNER DATE q/forms/newcontrowner reference R-5 780 CMR rev:011608 TIONS I p q6 T"00 ,BUILDIN VISOR se; CONSTRUCTION SUPER .' 068602 II ', Number�CS� ; B�rthdale &6T2 60 Tr.no: 352.6 i 73 0812812008 E1xp stAcl* 1 l Li UL R FACE PA BARNSTABLE L BARD AVE A9,. Comm Iisloner 132 OM• . , �-'� / �. - ac `I _, -- .. �T p ecaCCl /�ie t�omvnu�� registration valid for individul use only Board of Building Regulations and Standards License or exp date. If found return to:. i before the expirationBoard of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR one Ashburton Place Rm 1301 Registration 129348 Boston, E:Xpiratiori 81�17/2009 Tr# 132847 Ma.02108 Individual f ) Paul Pacella } — a I Paul Pacella f:, Not valid ithout signature 132 Lombard Ave -' Administrator W:Barnstable,MA 02668 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le bl . Name(Busine Organtion/Individual): \ Address: -© y, 9J� City/State/Zip: t' r Phone.#: e y a an employer? Check the appropriate bog: Type of project(required): 1: I am a e� Y to er with 4. 0 I am a general contractor and I. employees(full and/or p -time).* have hired the stab-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling ship and have no employees These sub-contractors have g, E]Demolition workingfor me in an capacity. employees and have workers' Y P tY• � 9. ❑Building addition [No workers' comp.-insutance comp.insurance. required.] 5. We are a corporation and its 10.E Electrical repairs or additions 3.❑ I am 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 fi➢out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they am doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box mast attached an additional sheet showing the name of the sub-contractors and state whether or not those entitics 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: D {�+t� Policy#or Self-ins.Lic.M Expiration Date: 21® _ . Job Site Address: '94 tiff (ll - rauk�L City/State/Zip: H, 2, 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 Investigations of the DIA for insurance ooveraze verification. I do hereby c under a 'ns- d penalties of perju that the information provided above is true and correct Si ature F 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." I • 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,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. e Please be sure to fill in the permit/license number which will b 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 (ie. a dog license or permit to biirn 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 t6 give us a call The Department's address,telephone-and fax number. The Commonwealth of Massachusetts w Deparlmont of Industrial Accidents office of Investigations 600 Washington Street Boston,MA 02111 TO. #617-727-4900 ext 4-06 or 1-977-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia t� PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Almeida&Carlson Ins Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Po Box 719 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Sandwich, MA 02563-3800 COMPANIES AFFORDING INSURANCE � _ COMPANY A GRANITE STATE INSURANCE COMPANY INSURED r. n Post&Beam Of Cape Cod Inc H P.0 Box 355 Sandwich, MA 02563-0000 eM THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NWED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co.. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE A WORKERS COMPENSATION D EMPLOYERS'LIABILITY LIMITS HE PROPRIETOR/ PARTNERSIEXECUTNE OFFICERS ARE: NCL❑EXCL❑ 8264039 12/27/2007 12/27/2008 FwuTORY LIMITS OTHER Coverage Applies to MA Operations Only. ACH ACCIDENT $ 100,00 ISEASE POLICY LIMIT $ 500,00 ISEASE-EACH EMPLOYEE $ 100,00 DESCRIPTION OF OPERATIONSIVEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE BUILDING DEPT EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL.ENDEAVORTO MAIL 10 200 MAIN ST DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT HYANNIS, MA 02601 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I S I 7 f 1 � t 1►. �• �` ' � fir'�- r . • r - - Street address ❑ Owner's name & address ❑ Permit request - full description of proposed ❑ Square footage - proposed project ❑ Estimated project cost ❑ Complete Dwelling information for Assessor' ❑• Builders information ❑ Signature ❑ Plot plan (shows location & setbacks offhous ❑ Plans -5 sets measuring I I" x 17" fully dim section, framing schedule & smokes, with a ❑ Home Improvement Contractor's Affidavit ❑ Worker's Comp form must include: Insuran number. Copy of Insurance Compliance C ❑ Energy Compliance Form ❑ +.Copy of Construction Supervisor's License OR ❑ Homeowner's License Exemption Form. ❑ Application Fee ❑ Permit Fee Property Owner must sign Property Owner ❑ Projects requiring the use of a crane-must co s Commission . CHIMNEYS , r ❑ Need Home Improvement License ❑ No plot plan required PIERS & DOCKS ❑ Need Construction Super license AND Home ,Owner cannot pull own permit q-forms/bldgpermits/penn itcheckl ists rev.01/09/07 r JOB �o s�► I3 TAYLOR DESIGN ASSOC., INC. SHEEP NO. OF e f✓.c P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY C"? oar fEL./FAX: (508) 790-4686 CHECKED BY OQr L t TTc v �/v T SCALE TA 2TM . . ,40 Z 3a+•�..p �-►- A�.niet- ...._...: . C'.orD�- 7 �Oi''ro�r.� f .. s K L) _.: .......... ............................ ...: ... .. .. ... Q _►ls .. . . ..... i ... ce ...... L .... . . .. ... ... '4F. .�Ctz� z +. _ ..... IWO- .... -b�. D_o _e•.v:. G�• G. .. ..._ �/ ZZ = 1.S c i�c�. .a. ... .. ... ..... . .. . .... . .. ;� _ . .. i JOB t c 2 C wo r r q r�-t FGG TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY czz DATE Cc '-`C\ TEL./FAX: (508) 790-4686 CHECKED BY DATE SCALE .. ..... ` .... ..... ........ �t 1 l$.. ..� t . ........... . .. ... 3 'S rz 4 45t C tz =_ • 4, and .. .. .... ... ' SK N Gxt e .... .......... ........... i t4... ..... _ .. q ........... �. -. .... ..�... .. fP%a 2. ... ........... C�-,•�.S .......... P -4� 4\. , ............. ........... ... ........... ........ .............. .......... ............ : . . . ..: ; JOB a TAYLOR DESIGN ASSOC., INC. SHEET NO. OF�� P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY C� DATE 40 TEL./FAX: (508) 790-4686 '^ CHECKED BY DATE 4 (�t -r-r t.� t��V E^��O A 0 C0-r >t t SCALE . .. 'a;..- A... Lb .. ..... •�, ...... Ce G ...� Q_® .. . ,.. •..... .... IL _. t9 ti .. .17 . _.. . ... .. .. .... o c�. .: . .. ..... _. ... mmI fkL-1 gb klM-1 Waddell i JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. 4- OF P.O. Box 1313 / Y FORESTDALE, MA 02644 CALCULATED BY l fr l DATE 60 TEL./FAX: (508) 790-4686 CHECKED BY DATE SCALE ........... . v`1 c........... 7 _. . _..... .� _. t� _ _.. s _ E z L - o 1 . T'=.r� 7r , s F 4 SIP, C Vt��� 3 4<a �P_S F �. ... 5�2- Z Ito ..... . ...... .... ............. - ._. . .. . ..... 4` tR1, . i acot^,► o 5 Cw.z, . ..g .............1Ft ........ ....... 4f� tt t t . ... IL .... ..__ ._._ .... ....... -IS 7r ... �-©QT� N.e-7 x ..... ... . .. . ... Iq ..........ry ... ........ ............ lz�� ... ...... .......... ;.._ ���,,,✓�-moo JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OF O e P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY DATE TEL./FAX: (508) 790-4686 CHECKED BY DATE SCALE .............. . .............. ................. .......... ............ ............. .......... ............. .. ..... ...... ...... ........... .. . ....... .................................... ............ ..... .. ........... ................ 01--l-................. ..........................- . ......... .... . ........................................ 1p ............ .............. .... . ..... .......... .............- ............ ........... ................ .................... ............. ............ ...... ......... ............... ................. 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J. . ..... ......................... ................ lvc ............ ........... .......... .......... ........... .......... ...... ........... ........... ............. Lz JOB t-2�Gc71�c�-{LC7 ! o7r i � o F C.C. TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY CT T DATE TEL./FAX: (508) 790-4686 CHECKED BY DATE 2.0 Ut !. a A-O C_,DT10 17' SCALE -+.. . ._.... ................... Z..._... !�L- ..� .. IP ..... p .......... ._ zi Psi= .......... . . �... . ....... C'-c_. 44-_ 4 bo4 Sa- z ,. ........ ......_ �, o_z b .... . _. .._. j 7.tR c�....... .. ...... .. .. 67 C � .. . ............. .. .... �c � .. ...., ... __.�,i.�C•1 .. ....._ Jo .- Ev X12 _._..._7os� ;... _5,�.-� 7t�'3 �rc.� 8-�'�_ .. 4;- Xt, i�®g15 V.... ... �o. J P Op THE Tp _ Town of Barnstable O eAxNSTAaLe. Regulatory Services 9 MASS. °639 Building Division pTEO MP' � 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection z o._y, L �r� ,lr Location IC' �� � Permit Number Z ®r o Owner / �2 C--r— Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: ,# QAJ - S&G t tWe /lU SU c..0 7 0-,�U I/v A€�Da"76� o Please call: 508-86�2-4.U384or re-inspectio .t Inspected by _ Date 0 �� WTI C AIVC Guide to Wood Corrstrttctiou hi High I,Vilid Arens: 110 tttph Wind Zotte- �X' n's Massachusetts Checklist for Compliance (78o CAtR 53ut. t.1); �,-sue`=v� Loadbearing Wall Connections Lateral (no. of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections "* Lateral (no. of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)j;T,Gjl401WLALID s�2 Header Spans ........................................................(Table 9).ZY4—�;?.tPA-r .�T�. ft_in. <_ 11' Sill Plate Spans ........................................................(Table 9).............�...................._ft_in. 5 11' Full Height Studs (no. of studs)....................................(Table 9)............. .........�2.V.. ................. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9)............. ...................._ft_in. <_ 12' Sill Plate Spans.... .......................................................(Table 9)............_ ...................—ft_in. <_ 12" Full Height Studs(no, of studs)....................................(Table 9)............. `........................................ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening Sheathing Type..............................................(note 4)............... ......................:............. Edge Nail Spacing.........................................(Table 10 or note 4 if less)... .................... in. Field Nail Spacing..........................................(Table 10)............................ .................... in. Shear Connection (no. of 16d common nails)(Table 10)............................ .........................._ Percent Full-Height Sheathing.......................(Table 10).......................... . ......................_% 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).....`.............. Maximum Building Dimension, L Nominal Height of Tallest Opening2.................................................................... ...._<_6'8" SheathingType..............................................(note 4)................................................:. .. Edge Nail Spacing.........................................(Table 11 or note 4 if less)..................... .. in. Field Nail Spacing.......................................:..(Table 11).............................................. .. in. Shear Connection (no. of 16d common nails)(Table 11)........................................7..... ........_ Percent Full-Height Sheathing.......................(Table 11).............................................. ....._% 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts)...... ............. Wall Cladding Rated for Wind Speed?.............................................................. .......�.�..t�..!''�� -.... P.�.E� 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ..............(Figure 19) ..................1__ft<_smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift...................................:...:........(Table 12)......:.....................................U=2bo plf Lateral...................................:.........(Table 12)...................:..........................L= (oplf Shear........... :..................(Table 12)............................................S=,�z plf Ridge Strap Connections, i collar tie not used er page 21... (Table 13)................</`AA...T= plf Gable Rake Outlooker.................................:........(Figure 20) ... ., _ft_smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift....... ...... .......................(Table 14)............ ...............................U= lb. Lateral no. 16dmmon nails)...(Table 14).......... ...........................L= lb. Roof Sheathing Type..................:........,:............:....'...(per 780 CMR Chapters 58 and 59) S:T?W.EYT Roof Sheathing Thickness................:...:.....:.:........:.....:.......................:............:......5 in. >_7/16'WSP Roof Sheathing Fastening...................::.....::................(Table 2)..................................Ca.."...IPA.........._ Notes: . 1.' This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not. . required per the WFCM 110 mph Guide: a: Steel Straps per Figure 5 b. 20 Gage`Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 ' e. Corner Stud Hold Downs'per Figure 18a and Figure 18b .2. Exception:Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. J �. NOF,tgss i4 Utr F° MICHELE ° �ou�ILo No. 41.'IC Guide to Wood Cmistiwetioit hi Higlh I,Viitd Areas: {•Viral 110 niph Zo ne 34 � STRUCTURAL assachusetts Checklist for Com liance (780 (- IR 5301.2.1.1)' e Check NA F� Compliance I 1. WindSpeed (3-sec. gust).................................................................. ................................................ 110 mph WindExposure Category.......................:.......................................... .............................................................B Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 2 stories 5 2 stories Roof Pitch ....................:.........:............................................ Fig 2 2 5 12:12 ( 9 ) ................................. Mean Roof Height ..............................................................(Fig 2)................................................._ft :5 33' Building Width,.W ...............................................................(Fig 3)................................................ .-;�a ft 5 80' Building Length, L ..............................................................(Fig 3)...................................................�D ft 5 80' Building Aspect Ratio(UW) ....... . .. (Fig 4).... �t!! ............... <3:1 Nominal Height of Tallest Openi z ..... 5 6'8" .. .. ..... ...... .. ...... . . .............................(Fig 4)................................................ 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)..........1 `- ............................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 ✓ Concrete.............................................................................................................................. ConcreteMasonry .................................................................... ............................................................... 2.2 ANCHORAGE TO FOUNDATION" 5/8"Anchor Boltsimbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ..........................................(Table 4)............................................... �in. Bolt Spacing from end/joint of plate .............................(Fig 5)...................................._-, in. <_6 - 2" 12" Bolt Embedment-concrete.........................................(Fig 5)...... ........................................... in. >7„ Bolt Embedment-masonry.................. .................... .(Fig 5)............ ............ ........._.........Ni<I in. >_ 15" PlateWasher................................................................(Fig 5)......................- ...... .........>_3"x 3"x Y<" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)........................�.......... _ Maximum Floor Opqning Dimension...................................(Fig 6).................................................. ,Sift 5 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ V� Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)..........................1.111A.................. ft <-d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)............................f,1m................ ft :5 d Floor Bracing at Endwalls....................................................(Fig 9).................................... ...5r--. ✓ Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).,,�.-.J?.-.t.!...N.. ........ Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55).......................3 " in. Floor Sheathing Fastening..................................................(Table 2).. d nails at in edge/min field CAM 1 104 4.1 WALLS Wall Height r µ Loadbearing walls.......... .............. ..............................(Fig 10 and Table 5)...I...................... ft 5 10, Non-Loadbearing walls................(�c�.cl ......(Fig 10 and Table 5)........................... ft 5 20' Wall Stud Spacing ........................................:...............(Fig 10 and Table 5)................... m. <_24"o.c. ...............................(Figs .W. .A.._ft sd Wall Story Offsets ........................ ( 9 )................................. . 4.2 EXTERIOR WALLS Wood Studs Loadbearing walls........................................................(Table.)..............................2x - ft in. Non-Loadbearing walls ................................................(Table 5)..............................24--u-ft�in. Gable End Wall Bracing 1 1 1 - Full Height Endwall Studs............................................(Fig 10)............. .. �� it WSP Attic Floor Length.................:..............................(Fig 11).... I ........... ft>W/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................_ft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11)............................................................. or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 1.3 and Table 6)....................................4 ft Splice Connection (no. of 16d common nails)..............(Table 6)............................. 9A,SI►W _ ' v_ �X,�� (,�►,(Gg�®�t7 a° (fir�:`.f I KU H I Z -CCR -01 S T 7 I mmNlDU3 X-OCK NG I I i I I j 1 I I I I t i I I I I I I I N E x NAILER J N 1 1 n�yGALE I `Iy�ITALGER£D> t u 1 n I I CAP �.�[. 1 OE �/Y y ➢�T -...a (TYP) - I I -A5T A rt te► f. li I II STEEL Ci]..t)vi , u -31Z 0 1 > ppf+1ASS�C Tr T)r T A TO FOMDJZ OR CONTINUOUS V ALL r OOT LIC G NOTES 1. ALL WORKMANSHIP TO CONFORM WITH AMERICAN INSTITUTE OF STEEL CONSTRUCTION AND ' MASSACHUSETTS STATE BUILDING CODE LATEST EDITION REQUIREMENTS. 2. STRUCTURAL STEEL: ASTM 572 (Fy-50 KSI); Optional: SHOP PAINT -WITH RUST INHIBITIVE PAINT. 3. EXPANSION BOLTS:' ASTM A510 DIA.x6" EMBEDMENT IN CONCRETE; THRU—BOLTS:ASTM A307 1/2" UTA, 4. PUNCHED HOLES IN PLATES = 9/16" DIAMETER. 5. ALL WELDS E70XX ELETRODES. SHOP WELD CAP AND BASE PLATES TO COLUMNS. 6. COORDINATE ALL DIMENSIONS W/ ARCHITECTURAL DRAWINGS, AND FIELD VERIFY WHERE REQUIRED. . STEEL BEAM CONNECTIONS TO WOOD FRAMING MICHELE CUDILO, P.E. j Consulting Structural Engineer 123 Cottonwood Lone, Centerville, Massachusetts 02632 I D Drawn By: MC -Dote: p / 6 /05 D r aw i n Scale: AS NOTED Rev. 0 s_ SK— 1 - File Nome: Project No.Z(D.3 I�A OF 0( ,j© o`er MICHELF CLIML cz. ° No.347?4 STRUCTURAL 2008 GENERAL NOTES AND MATERIAL SPECIFICATIONS: Rcr F� •�`�� FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced 4'o/c,or in concrete piers w/ Simpson ABU-series base FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =35 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load=25.8 psf Exposure B 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of ridge,spaced 48"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 48"(i.e.3 joist/rafter bays)and spaced 48"o/c in joist and rafter plane at all edges,attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. b.Sub-bore where;nails tend to split wood. 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1)and(2). r f �►y 11 Aj �-v /� (,�,� Vi TAYLOR DESIGN ASSOC., INC. SHEET NO. � of P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY C-? T DA TEL./FAX: (508) 790-4686 CHECKED BY SCALE TA ...... o4:-trJ . .. 3 C;,a, <�c . .. ........... 5 ...... ... ........ . .... L .I l2 IQ.00r Q .. _ r op �. l- .. . _.... :..._ .. ... . SQ p Z. 48 b*quo o P. ...i �© ......... ... Ve _. ... ram T,Q,�pr,P 0 r Joe c 2C 1�0 > r PGL TAYLOR DESIGN ASSOC., INC. SHEET NO. G? of � P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY C—T DATE CQ — TELWFAX: (508) 790-4686 CHECKED BY DATE O TTt►C- SCALE _ . .mac C 2 :. .... 3 ......._ ` LO �mo 4kt© .. �,.. .... ,J t��2..t..o►,[L� 14 G*:.x 1 L. 5A•ptir.. ._. t4 Zrt l 3 to 4 � q �. . ...... ►alot z ... . 3 4Ilk er P �.� , � l4 l4, :t:l.?2V ._ i JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. ?� OF- !(-a P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY �—r T DATE 62 TEL./FAX: (508) 790-4686 CHECKED BY DATE /�^` L( T7 LC -R,V E��O l�O `-pTC>, r SCALE ... i.__. .... _ .... ._. - _ , __. �• �� �,- a _. O� �/ . ._... ►-� � Qo 3 •� r oe ;...k ,. i'''-F IT, --. .�,ram► � ,— '- 4c..��- t lq t1 .6d � `� Z8 .7� _ .. .. �G JOB T'siL C-7a&T'1t�7 TAYLOR DESIGN ASSOC., INC. SHEET NO, Q- OF- <a P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY �s T DATE TEL./FAX: (508) 790-4686 CHECKED BY DATE �1'T t`� K-1�`v RC`)41►'U czm.,;1 SCALE Vv- Oak W C7 ........�c o. .. .... Jo�5r S C .... o c _ S C3a• .1 ' _ �at''(7"� a 3,4 t ` 4-4.00A. &n..". t Z C.. 1 l �.. idc .-00 17 11 F.-MAT . 3 . . 4t�io 4 . w � � ?$_»- �4 L •,, �-� 3 x 3 z :-- 717T VIA, -J_ -?--[_ T-1-A k K. f; 7 I- on. �f+�j Q,z! .... pq 1-1 A-4 ` JOB .L TAYLOR DESIGN INC. ; ��``` ASSOC.,► INC SHEET NO. � OF_ P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY CT T DATE TEL./FAX: (508) 790.4686' nn CHECKED 8Y DATE 0 4' �1 rtC�t�`i �C ✓ 'TCJtr SCALE ( k T ^2,.�.o^lL • ..�iti..w 4 its .. �1 t l 4 ©c _.. �...� / \ z = c... 84 1�c-c— ... . ...... ... ..... ! a - ►fit .... .... .... ... ... . . .. 1�44 S...�C..�z _ t 9_. Z7_t-A): .z ...moo..... tJoT vgCfl._. � .. , �_0 4t r " 3 It � .L� " I _ JOB F Q J'D'�c��fl.C7 1 0c� 1 o F C•C, TAYLOR DESIGN ASSOC., INC. SHEET NO. OF �2 P.O. 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FIe} Coil "'.• _ ..__. __ ._., - -- -,� ._ `4 TOP fv�r cwelefc' v 67f6'utfe mlesl� Arun MICHELE > ] 'y.t CUDILO 1 Ro.T STRUCTURURAL qR Wit• i of�b j� 'rr� Are—r� ITS 6k6 wC� r pAop�se 3 Gc�r Ga .. .. _ t " .. _ - eul.[: woo erl oRewe er •- a : z ✓Ya,,V,! 6redbeIrg, 978 A57-7059 • 204 bole Ri,5,r 9�. Cov,. Engineering Dept. (3rd floor) Map Parcel Z9d6 # House# ��` Date Issued % Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) - o Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) 'R A/ l�j r— I �J hr De ve an Approved by Planning Board 0 49 �''® � /,Q P Ile ,O 1 TOWN OF BARNSTABLE 4 �y BuildingPermit Application Project Street Address` ,f, / T71--6- .`?� ;y 2 ", a . . ..j Village' C'o i u d 7' Owner y`No L°o 4-A2e 1b e/z.A 0-CAl I o wvu Address Telephone 3 3 V 33 3 Co Permit Request /V (,c> S 1•1 /6L Af m 'L t/ "60 U S, First Floor W.O $Q,F T, square feet Second Floor g 6 y faAI- square feet Construction Type w o o t� Estimated Project Cost $ �� Zoning District Flood Plain Water Protection Lot Size /• 3 Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ,V a Aj 6- Historic House ❑Yes fjallo- On Old King's Highway ❑Yes III1O Basement Type: Ml ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) iy a Basement Unfinished Area(sq.ft) D Number of Baths: Full: Existing New 3 Half: Existing New O No. of Bedrooms: Existing New 3 Total Room Count(not including baths): Existing New 7 First Floor Room Count Heat Type and Fuel: @Gas @105il ❑Electric ❑Other Central Air ❑Yes &al o Fireplaces: Existing New Existing wood/coal stove ❑Yes Q Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ,v o,v r- OF ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes [ fo If yes, site plan review# Current Use -,V,4--,4—T- Ja.a J Proposed Use Builder Information Name/-%moo P C°o 2 2 4.D u 2 A- Telephone Number 410.( 3 3 4Y 3 3 3' (�q Address;3 R i V"6- License# � '=y i . M 7 � �.0 A-7Y366eL.4.,U a, ,�2 0�$� Home Improvement Contractor# Worker's Compensation# j NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ` FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED- MAP/PARCEL NO. ? f ADDRESS VILLAGE OWNER r t DATE OF INSPECTION: A r FOUNDATION' :..FRAME INSULATION - FIREPLACE ;L.6. ! .. ; "-ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL F GAS: OUGH FINAL r' FINAL ) ` `( DATE CLO u__,y ASSOCIATIOI 'L ( <a —saw � - of EARM AJ= _ The Town of Barnstable sb M!19. ♦e� -. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner I To Whom It May Concern: Please be informed that a Certificate of Occupancy has been issued for v2Q'S` The Town of Barnstable has no further interest in any performance bond for this property. Sincerely, �LJ . bondrele '%r Western Surety January 12, 1998 Agent Code: The Town of Barnstable Department of Health Safety and Environmental Services Building Division Attention: Kathy Maloney 367 Main Street Hyannis, MA 02601 Re: Bond 460612366 - Lino Corredora $1,000 - Street Obstruction - Town of Barnstable Thank you for your response to our December 26, 1997, cancellation notice (original cancellation notice enclosed and a copy of your letter). According to your letter, your department needs the street address for the project before you can cancel the principal's bond. The project address is: 2 t Little River Rd. ;a �C0 ouit; MA 02635 We assume this information will assist you in canceling this bond and terminating our liability as of February 8, 1998, or the earliest time permitted by applicable law, whichever is later. Thank you for your attention to this matter. If we do not receive a reply from this letter, we will assume that our liability has been terminated. Sincerely, / vV RaE. Wenk Underwriting Officer REW Jam Growing Through Service Excellence SINCE 1900 1-800-331-6053 P.O.Box 5077 FAX 1-605-335-0357 Sioux Falls,South Dakota 57117-5077 http://www.westernsurety.c'om ureCompany_ Western December 26, 1997 Agent Code: 20 17537 Building Inspector Town of Barnstable Town Hall Hyannis, MA 02601' Re: Bond #60612366Lino Corredora 3 Field Side Dr. Cumberland, RI 02864 $1,000 - Street Obstruction - Town of Barnstable We have received a request to cancel or nonrenew this bond. We wish to comply with the principal's request by taking advantage of the cancellation provision pertaining to this bond. You are hereby notified that this bond is cancelled and voided as of February 8, 1998, or the earliest time permitted by applicable law, whichever is later. Thank you for your attention to this matter. cc: Mc Alpine Insurance Agency Lino Corredora Underwriting Services / • SINCE 1900• �t 1-800-331-6053 P.O.Box 5077 � FAX 1-605-335-0357 CSioux Falls,South Dakota 57117-5077 http://www.westernsurety.com l RENEWAL CERTIFICATE GENERALI Certificate No: RC: 14375 Type of Policy: in & c Assicurazioni Generali Policy Number: GL001620 GENEM United States Branch- One Liberty Plaza File#• 18473 New York,New York 10006 Broker/Agent#: 38749 NAME OF INSURED: Lino Corredora ADDRESS: 3 Fieldside Drive (Number& Street, Town, Cumberland County & State): RI 02864- RENEWAL PERIOD: From: 2/5/96 To: 2/5/97 REPRESENTATIVE: International Excess & Treaty Managers,Inc. Agent or Broker: Massasoit Office Park Office Address: 400 Massasoit Avenue Town & State: East Providence,RI 02914 In consideration of payment of the Renewal Premium indicated and the statements contained in the Renewal Application filed by the Named Insured with the Company,the policy designated above is hereby renewed by the Company for the period stated, subject to all provisions and stipulations thereof and endorsements thereto, except as stated below. The following changes apply to the renewal of the policy(if none so state): NON Renewal Premium:. $545.00 Issued: Tuesday, January 30, 1996 Authorized Signature: a � v e NO FLAT CANCELLATIONS PERMITTED I TOWN OF BARNST LE CERTIFICATE OF OCCUPANCY PARCEL ID 054 006 003 GEOBASE ID 42565 ADDRESS 20�LSE RIVER ROAD ZIPNE i LOT 7 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 24888 DESCRIPTION SINGLE FAMILY DWELLING (BLD PMT 020146) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety; ARCHITECTS: and Environmental Services TONAL FEES: THE BOND $.00 ,E CONSTRUCTION COSTS $.00 t 753 MISC. NOT CODED ELSEWHERE t * 1ARNSUBLE, • MA83. OWNER POWERS, ROBERT J & 039' ADDRESS CORREDORA LINOr-ED1 J POLE #46 STAPLES ROAD BUILDI "G DTVION�/ CUMBERLAND RI BY _� _ DATE ISSUED 08/07/1997 EXPIRATION DATE I TOWN of BARNSTABLE BUILDING PERMIT .RCEL ID 054 006 003 GEOBASE ID - 42566 ADDRESS 204 LITTLE RIVER ROAD PHONE 2 I P - LOT 7 BLOCK LOT SIZE DBA DEVELOPMENT DICST CT CT� PERMIT 20146 DESCRIPTION SINGLE FAM (SEW PMT 96-681.)° PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT .CONTRACTORS: CORREDORA, LINO Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $310.99 BOND $>00 , CONSTRUCTION COSTS $100,320.00 101. SINGLE .FAIN HOME DETACHED 1 PRIVATE P 44", ,STABLE, MA83. OWNER. CORREDORA,. LINO j039. ADDRESS 3 FIELDSIDE DR I3ERLAND RI BUILD G DJ CUM -IO`Nf BYE DATE ISSUED 12/26/1996 EXPIRATION DATE OW APPROVED NDERW , �, .'' APPROVED -R BE 0 TOWN OF BARNS ,) ABLE AN A TTOWN OF BARNSTABLE IS NS MU � xGAS .9 WIRING ��� ❑ PLUMBING { E.WH „ PLUMB[NG ❑ BUILDING RED, / 1ul F -- BUILDING INSPECTION APPROVALS— PLUMBING INSPECTION APPROVALS ELECTRI AL INSPECTION APPROVALS � I -2-z Cy APPROVED x �',1 IN INSPECTION APPROVALS ENGINEERING DEPARTMENT TOWN OF BARNSTABL + n B U I LD I N G�N R D OF H LTIi a'' I OTHE '� ;SITE PLAN REVIEW APPROVAL "* WORK SHALL N07 PROCE D UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY =� VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 1 „w� A g ASSESSORS LOT 6-4 Q35 3 1 I I 1 a IF 1 I I 1 w II I I II 3 693�oh1E IS 11 ASSESSORS LOT 6-3 11 w 1� I I I � Q II 1 W W It i 2.3 I 1 I 0 6.0 cn cn 11 I I 1 8.0 11 11 o II 1 y 116.2' �'tv 7 9 0 1`1` b3311 11 J � •J� iV .y 1 1 t', ` N 0 22.0 0 N_ �70 off w ASSESSORS LOT 6-1 w FLOOD ZONE _'C__ FO UNDA,TION CERTIFICATION RES ZONE °kf' TOWN.•COTUIT SCALE,1 "=60' PL. REF 485161 ELEV-N/A I CERTIFY THAT THE ABOVL' ),ANKEE SURVEY CONSULTANTS' FOUNDATION IS LOCATED ON �WSA OF Mq� P. 0. BOX 265 THE GROUND AS SHOWN, AND ��� PAUL q�yG UNIT 1, 40B INDUSTRY ROAD ITS POSITION DOES' _ A MARSTONS MILLS, MASS. 02648 CONFORM TO THE ZONING LAW °� �°�� TEL: 428-0055 SETBACK REQUIREMENTS OF �F 4 . FAX 420-5553 BARNSTABLE y��FG�SI�������� — ——- pr ai 11�r�r JOB PA UL A. 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Box 54 °ll'elephone .508-362-3486 l$arnsfable, AA 02630 FAx 508-362-8035 Town Of Barnstable 052515, Tom Perry Building Comm. 200 Main Hyannis, MA 02601 Stpeter Remmno&hng Cusfona Hones.• Desng, &•D,BfEing 1.pouna Pools • Commercial BUILDERS Dear Tom: On 050815 I was present at-204 Little River Rd., when your,inspector served me a stop work order and posted the red citation on the front door. This was followed up with a written notice dated 051215 and received by me on 051415. I an you laced a call to' d you referred me to Bill Amara. Since then I have left 5 p Y calls.to him over a 9 day period and as of this date have not received any return calls. I take these things seriously and at a loss why the town doesn't. Twenty days have ` pas `ed. I feel Ithat enough timerhas gone by and I am resuming work,I have retained another elect"clan who will pull a permit and complete,the;work. CCI ra, ry I would like to meet Bill at the job site and review'what has been completed and -�.give him the reasons why this issue fell through the crack. Tom, I've been doing this kind of work for to long to pull a quicky.I was let down by sub=contractor that I have used for 25+years. I hope this letter will settle this issue. Sincerel n • I : F .... � ,* ryc °08 ,:>•p_ -, tS'��'r.•oclp Tq ry`."?t br`{`wl`..[4.}'1J � - - - - ' - 1t_ _ z ma �...- 71 _ -----.�._ t �� I t - r_'�srgrT+:;�•• I�+'"tyG Vtr�E �,RWci�uS r�YF E I. A 'z, I [ Joky'• f'�' 14s�• �` �a�,Y --- - . '' rig'`' _ �ti"-w'.i�X•,Jttr1 . r y� � , YX'� .tPx':�, 4 sJ"u:Ltt:) �.7�Pd%psi.:. 7:. � �. .. �• 4 i41_01 --i V i 1 y -�a•,�,�4T"Y�o �s'''C>k� Pr?4's::rti'h. �6_.�C��"'sQFY.h�� >�d) .,�a;, z �i �: � � � - � 9,.r��>��r�. - j��+�\� �.. - M'C}..�rx p !4 lbfN :...? 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"C" ASSESSORS LOT 6-4 5 34° l d Q0 c ASSESSORS MAP 54 PARCEL 6-3 43 ( LO CoTUIT EA Y LOCUS MAP � N6 9 103 / �y STK.(SET) 104 T _ 7 / TP#1 10 � �l Q. ,V' TP#2 2�V - Cl' ; l ASSESSORS LOT 6-3 / \ l 11¢ / 0 2 p l AREA=60,433f S.F. l �� / LR / PROPOSED - D' lCID HOUSE l 1 W 60' 40' � 1 /• � � l o / / 9 / / W zz , / PROJECT L OCA TION W W _ — — — DRIVE _ — o° �s I 433 11 204 LITTLE RI VER 'ROAD _ - _ _o l CO T UIT, MA. W _ - _ - - �\ of , — — pROPOSED — _ �— � � of ' ° STK.(S T) �SS9�y 70'02 30 � . � APPLICANT.: 4:1 ,ev 4 y LINO CORREDORA % 105. 0 a y � �� 51 STAPLES ROAD UPOLE fJQST gyp° CUMBERLAND R.L 02864 ASSESSORS LOT 6-1 / EXISTING STK(SET) WELL YA NKEE SUR VE Y CONSUL TA N TS P. O. BOX 265 ;w r UNIT 5, 40H INDUSTRY ROAD HSE F tiIARSTONS MILLS, MA. 02648 NOTE.' — — — 61 R ,�� PH. (508)428 0055 FA X(508)420 555J WATERLINE TO BE AVAILABLE GRAPHIC SCALE *� IN MARCH 1997 r 30 0 15 30 60 120 S' KIM.irk SCALE' 1 "=30' DA TE' 12�26196 1Ti REV.' REV.' { IN FEET ) 1 inch = 30 ft. JOB NO. 51128 SHEET 1 OF 2 i EL. =_104.5' TOP OF FOUNDATION 2G' MIN. 10' MIl j. CONCRETE COVERS ' ` 4"" SCHEDULE 40 P. V.C. MIN. PITCH 118 PER FT. 2"LA YER 'OF MAX CONCRETE CO VER WASHED STONE 6 / � i � i i i EL. =100 4" CAST IRON PIPE (OR EQUAL) MIe1%IMUM PITCH 114 PER FT CLEAN SAND 9 i FLOW LIN MIN.E 110 i EL=97 0- 10" r INVERT i 14 I _ 00 ' EL.= 100--- MIN. GAS 1 IA%VERY , LEVEL 0 00 O 0 0 j0 .0 I BAFFLE �6" SUMP 0 0 0 r1 r — 10 0 00 { I_A%VERY L.= 99.25' IIVT ERT �IA VERY o o _r o I _—i = 94.5 rL. = 99.5' EL. =97.25' EL.= 97. 0' 4 4' (TO BE PLACED ON FIRM BASE) DISTRIBUTION I_A VERY / MECHANICALLY COMPACTED OR 6" OF STOA%E BOX EL 96 5_ 1500 GALLONS TO BE WATER TESTED / �--26' X 12 5' TRENCH FORMATION SEPTIC TANK IF MORE THAN ONE OUTLET _ PLACE ON 6" STONE /@ J . 314 SHED STONE ���� B,5 OI�PTIO%�v o SYSTE/I (SAS) W AG E D�� O� AL S Y S T E M T _ BOTTO_l7 OF TEST HOLE OR USGS PROBABLE T�1�ATER TABLE' ELE1;-_88 NOT TO SCALE ,>\T O r � � OB DER VED h A TER TABLE (12/241/96) ELE V"= 88 _ OBSER VA TION HOLE 1 ELE V=_ 100. 0 PERCOLATION RATE �5 _ Y[AT/ INCH AT _48" INCHES OBSERVATION HOLE 2 ELE V=_ 99__ ,! DEPTH HORIZ TEXTURE COLOR j MO TT. OTHER j DEPTH I HORIZ TEXTURE COLOR i MOTT OTHER 0—6" 0 j ORGANIC j 10 I'R2—2 0-6- 0 i ORGANIC IO YR2—2' GENERAL lUOTE' ' j6"-12" A SANDY, LOAM II0YR6-1 j 6"-12" A SANDY LOAM IOYR6-1 12"-30" B LOAMY SAND I0YR5-8 12"-30" B LOAMY SAND IOYR5-81 i 1) ALL WORKMANSHIP A_ND MA TERLALS SHALL CONFORM TO D.E P. 30"-132 ' Cl r✓IEDIUMi SAND 10 YR7-6 1 PERK. 0"-132" ClMEDIUM SAND 10 YR7-6 i - ' TITLE 5 AND THE TOWN OF _BARATS_T-ABLE RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SET41A(7E. 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO i WITHIN 6" OF FINISHED GRADE, OTHERS T117THIN 12" NO T�'_ATER NO WATER I 4; 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF SOIL TEST WITHSTANDLNG H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS H-20 LOADING SHALL BE DATE OF SOIL TEST 19124196 SOIL TEST DONE BY BRUCE G. MURPHY , R S. USED UNDER OR WITH./N 10 FT. OF DRIVES OR PARKING AREAS. WITNESSED B,: JERR Y DUNNING 4) ANY AlASONARY UATITS USED TO BRING COVERS TO GRADE SHALL DESIGN CAL C ULA TIONS BE MORTERED IN PLACE. PP#8824 g 5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH NUMBER OF BEDROOMS 3 DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO INSTALL TWO (2) ACME GARBAGE DISPOSAL NO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 500- GALLON LEACHING TOTAL ESTIMATED FLOW 6) UTILITIES SHO WN ARE APPROXIMA TE ONL Y, EXCA VA TION CONTRA CTOR CHAMBERS WIT H FO UN FEET ( _II O__GAL./BR./DAY-x —1 _ BR.) 330 GAL/DA Y 4 IS TO CALL 'DIG— SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS STONE SIDES AND ENDS 1 PRIOR TO COMMENCING WORK ON SITE. SPACED ONE FOOT APART. REQUIRED SEPTIC TANK CAPACITY 1500 GAL 7 CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS 26' X 12.5' ) _ _ - SOIL CLASSIFICATION . 1 SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. PERCOLATION RATE . . . . . < 5.- _ MIN.%IN 8) PARCEL IS IN FLOOD- ZONE.--�"C»---- _ .. . . 74 9) LOT IS SHO WN ON ASSESSORS MAP _54 AS PARCEL s=3 `; LEA ,CP�CITY (AREA X RATE) 374 w GAL/DA Y/S F. - w EACHING 74 , G ,. ,. .RE 4- S Rf 26= CAPACITY . X 2 > , t26 ?: ) , .. : . - -- - ... _ . .' .,-,M ._,_:. -_. . .. . ,,..,__ ;�.,•:#. :;�>:' � UMBER �51128�- _1 - .- .r - j 71 � Z $o 1 � Yi � • E7 j:1 is � 1 y �rc'K'�..v.r.wY.:+.tv.%.'Y.:t W:-.n....:.:N.Gc•.�_�_gi'.t.�.v..1:... [.e.�.r/r.•w�f •...`YJ•�.f/.f�.�..!s.r_•!Y.Y.Tnv.�:+�r.�aTM r.�I+fww.tYi�+.a.•`aY..b.c � �j. ++i•w+�.w.wr�.n V.f.•++...,.rA•"�•e4lCt>�1...:.T.�.S.:i�+✓.-4a.r....ora.ltr..��f*Y�.���'.1.PCWy.'L•:,wffTa+.M..R....vsi+�C.t�..a1�.v,Ni:-tJR���w..41 Y.>wnw�:G.N.iM-i<.r..n •. MLX:i�w.1...u�a.c'Lrily R_�..n.r.:1++4h<.H.YNMYdCaulw:stirr. 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REVISED 4ai-vi, lyerlzef- 2 5 7 �ZO,5 5 z h�i5� ..i y,_ { C 2 A s 441 RAWING NUMBER le 11er )lX lZqq Nub . ..wu..4.�+..r.•e...+W,irti:...c.v.�t✓L::YY.c.w..a.PY+w�i'�NGn.�NrMw...Zvi.✓W.��iw.srwf�w.•_r.:..�vgw:..IN..Y�L:OF•.v,.... 9.ri.W.a•M'�F✓YYW.\.�1✓/hiw+r�.��i,•+Y.rJifiP1v��:sw•�inCf•'.`[�+.�a•ti.wa.Yw++r+`A'VMF✓Y+:�f+.M1�^�•<'t••.�r..'a�.Tf^Tri n•w+write.�wWwr.rCYL1•YTa�,v�rM�w.Vr....vn�nu.TVYltV<w..w.�._.- _ +_.. _—_, 1 i .�..�....w...n-. _ _-rr�..+xc.c. n.f+a.:+.:..rvarrc.�+�ara.vow..�wr.wwc•.:avrx�arr:rw:a.a,c��v.ccw rw.w..��r .. ww.a.aw..•.w.4w.;+v.see...vw>•rm�r+�>a•.•-xs.er•wr.....car•ars>'..w.r�.waa+a�s.rsr.s'r t - t - __ _-w.�.+.+.w...-. ___`.w..w.a....r+ww.ws.a.�s.......�rr.wwr�:n:u.a.rw.:rrvw..waa w.uw..�,r.cane.acr•�w�r•ar+.�n..«.wr..v.�n.ww.rrrx•.+.-x•..\w..i...,.-•.a...+.<.....�•anrc -_- :>.r'+'..r+r+`".+'"^�'�+w`.w�'w,x�'+.w S i i a i pogo dd %3 Coy- �for_gac- � SCALE: APPROVED : DRAWN BY #��-Z 7 7 t �. ..:. �..........». .....--..�...»�... » �,.... ..._ _...,.a.--.. DATE: REVISED �w�cr I ,r 1 ov w yY)av'1/'rvl 1,� CIA � (q.74d57-o265Y . � DRAWING NUMBER /�j , r'• � try I tJ�� I 1 = rL fi4 filch f � pvc 3 2.' knavA ✓ f � P 3 i y f Con {�► s nt�s f /n �i,�t��{� co��'•�f� ' w �K� ,.,�►;re ' 4/ v4 1 15 �' ��Py�"of�L9S., 1 `� 1 MICHELE r No.34774 j STRUCTURAL� 1 Al F„i�� j r 2)1 ' l r w.. . yr+yty.vr.iw.,,._.�nrr•�..r i rw1�/N.�•.+'�_•.ucw,.[L.r_.w♦i Mul4i_..V�.r'1.n•w.+rttn..'nl.n.✓..bf,•..u+..'aJ.Y•.�ar!�..�w+�.Y.�warrr]1Y.!.rYf' •� 1 u..�.i.a.rs ar...—�_Mrw.Mr� ••.w.-,.. r w...ww.++ • //•/� /��� / ((/ ..��..•_a..._..e-I....rw'.A..'s..w._+.�..,.r+.a.Jtir1..-.vrL.rv::•v^.t••Y..��.rl'�"�.wr+-.•aw•v.1^f:'I�..•••^.-.�: `.tT,TMrCT+.�f+�w+r+w+�s+_•_+.V1•r.+.'�+.�+!f�.�..RT rTaVc4.1�'t'>•nK_1b1a1%.'•�rcVM+ t�•Y.n�' V�V / /'�� � - SCALE: APPROVED BY: �+�. DRAWN BY DATE: �2— 7aq � �`-Y REVISED R � ' DRAWING NUMBER 204 b-4IC' R 9) C6-tdi " i - i ymo 71- q10_ ; TI � *io porr rfzot� rein*. 4 tea v-,'zpot f 1 7-4� WDO V u _ —i r , or l 101-IL Pull" _ w o �W 'Ik"�� �` '"' i I C•3 ',Klw '11Gu VWf' �i?�"+Y:�9 V`0��'� S"'��'.,J�" oge -77-77 bN a - IZY «{ ,Avo Ato 10 _ r l Y. L a ` lSCALE: � APPROVED BY .DRAWN BY f .. . —. .. rx . K. .... ,.. ._, . DATE: �. O REVISED v•� w \tk r ��' ('� ( I'l ( si DRAWINMBER