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0108 MAIN STREET (COTUIT)
�d8 Ma A) f-h1jAZ;'f I o TOWN OF BARNSTABLE ; s BUILDING PERMIT PARCEL ID 023 009 GEOBASE ID 1160 ADDRESS 108 MAIN STREET (COTUIT) f4° PHONE COTUIT- — ' ��-"` �` ''r~ ZIP k � m.'LOT -► � BLOCK �.: = LOT SIZE DBA DEVELOPMENT : DISTRICT CT PERMIT 85093 DESCRIPTION CONVERT GARAGE INTO MBDRM ADD BATH PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY CONTRACTORS: ALBERT ROY BROWN ARCHITECTS: J Department Of Regulatory,Services TOTAL FEES: $428-99 BOND $.00 tF1E CONSTRUCTION COSTS $85, 120.00 434 RESID ADD/ALT/CONV 1 � PRIVATE 1� O •,:> F �r � ��,�..►� '�'_, � , �c s�'�::z BARN3TABLE, 7r+ �E#. MASS F y R x i639. BU � .r AF'a' �� R R.�F.xf` F ��' �� c A ) �_'i a�• 9 ' BY ` DATE ISSUED 06/28/2005 EXPIRATION DAZE 'HIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- tROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ILLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS IERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS fl 'R 2� 7 3 1 TING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 �8 7C�^ n BOARD OF HEALTH DTHER: L SITE PLAN REVIEW APPROVAL WORK SHALL N07 PR CEED 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. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map —Parcel—OC)q Application# aro ac?, '2 Health Division~ G't '' P Conservation Division Permit# --,Tax Collector Date Issued _ Treasurer Application Fee a w Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address _I C) s-m q r S ?. Village -TU E T. Owner 1 c Hqlt17 S h}+_ i1° (16 Address t® + s T-, ca r-k, Ir, .mlij-s S Telephone a R-4 J!q •- f 7 8O Permit Request (T1110 /1 A ' -- 6 #i u '— C yt,`i r'G 6 !—r� �� 0 0 a h Square feet: 1st floor:existing I,�'oD proposed — 2nd floor:existing 3-�-d - proposed' Total new Zoning District Flood Plain Groundwater Overlay Project Valuation " 110 Construction Type �—vvd Lot Size S 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: Wull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.). Basement Unfinished Area(sq.ft) ' J c Number of Baths: Full:existing new Half:existing p neW— Number of Bedrooms: existing 3 new r4 N T_; 7G Total Room Count(not including baths):existing new ® First Floor Room nt Heat Type and Fuel:t�as ❑Oil ❑Electric ❑Other Central Air: ❑Yes 92ko Fireplaces: Existing New Existing wood/coal st e: ❑Yes U* Detached garage: A ' g ❑new` size Pool:❑ ❑new size Barn:❑exi ❑new size Attached garage:❑ is ❑new size Shed: fisting new size Other: GaSL: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O QUa If yes, site plan review# Current Use s -i cs &-L N (=� 'Proposed`Use -z AAE-5 r•� s y.�t -a BUILDER INFORMATION Name q oti-4,K_ FA,► I i9- C Telephone Number S ` 57 O Qc0 Address -7--Lo /1,Vg*• License# n Ro oZ. S \_ 0 ® ) Home Improvement Contractor# ! S 41-8 Sri-- 7� Worker's Compensation# , ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T-dr� SIGNATURES . DATE ho / FOR OFFICIAL USE ONLY, a-gin, w PERMIT NO. DATE ISSUED » 'j MAP/PARCEL NO. - t ADDRESS --VILLAGE OWNER DATE OF INSPECTION: - FOUNDATION - -- FRAJEM2, INSULATION �►Ns 6 ��10� RW -- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT 7 _ ASSOCIATION PLAN NO. 1/rG V.J 1/1Ma7J rY.�.lrrYJ Grra �y�• Department of Industrial Accidents , _ Office of Investigations 600 Washington Street r` Boston,M4 02111 ,r wrvw.mass.gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/]Electricians/Plumbers Applicant Information Please Print Leeihly Name(Business/OgmizationUdividual):_, / T 646+tE:L0 Address: 7 a— g City/State/Zip: 1+-t 4 ky Phone:#: Q �. E 0 Q Are you as employer? Check the'appropriate box: -Type of project(required):. . 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part time).* have hired the stab-contractors 6.. New construction . 2.V5.Lam&'sole proprietor or partner- listed on the'attached sheet. 7, §�$emodeling ship mdhave no employees These sub-contractors have g, Demolition ' working for me in any capacity. employees and have workers' [No workers' comp.insurance comp,insurance.$ 9• 0 Building addition re aired 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ q ] officers have exercised their . I am a homeowner doing.all work 11.❑Plumbing repairs or additions .m self o workers' right of exemption per MGL- Y � cc�• - - 12.E]Roof repairs 152 §14 and we have no . , , e # insurance required.]fi c ( ) 13;0_Other_F}i ,� tlA�'►�t,[�..,., employees. [No workers' • comp.insurance required.] *Any ipplicaut 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 ittiched an additional sheet showing-the name of the'sub-contractors and state whether ornot those entities have erriployees. if the sub-contractors bane employees,they must provide their workers'comp.polidynumber. I4M an employer that is providing workers'compensation insurance for my employees. Below is the policy.and jab site information. Insurance Company Name: Policy#or Self-ins.Lic,#: Expiration Date: . Job Site Address: City/State/Zip: Attach a-copy of the workers' compensation policy declaration pace'(showing the policy number and expiration date). Failure.to sectrre'coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Off ce of - Investigations of the t)IA-for insurance coverage verification. I'do hereby certify under the pains-a alties of perjury that the information provided aboJvg is true and•correct,' ' Si afore:. • Date: �( � r 8 . Phone#: `? O Q (� - Official use only,.Do not write.in this area, 0 be completed by city or town of ciaL City ar Town: PermitlLicense# Issuing Authority(circle one); :1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector b.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&-deceased employer, or the T (',iyPT nr 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." Addition. MGL chapter 152,•§25C(7)states"Neither the commonwealth nor any of its political.subdivisions shall enter into any contract for,they erformance of public work until-acceptable evidence•of compliance with the inns.nce 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(m)and phone number(s)along with their certificates) of insurance. Limited Liability Companies(LLC)of Limited Liability Partnerships(LLP)with no employees other,than the members orpartners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required, Rp 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-Ent. City or Town Officials. Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant. that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy-information(if necessary)and under"Job Site Address"the applicant should write"all•locations'in (city'or town)."A.cbpy 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 ventuie (Le.a dog license or permit to bum leaves etc,)said person is NOT required to..complete this affidavit -The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions,�— please do not hesitate to give-as a call. The Department's address,telephone-and fax number:- (_1 CoMMoIIWe4 of Massaf, -Itts Depazmmt of kcal A.oeidmts Office Qf Investigations • �����shin��Street Boston" A€.2111 Tt11,# 617-727-490-0.ext 406 ar 1-M-MASSAF`E Fax 4 617-7-27-1749- Revised 11-22-06 • TT Yt Ml.�L,lV 4.�1R CC 1+�GE r Town of Barnstable Regulatory Services * 6T'BL Thomas F.Geiler,Director y Mass. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other rQq�uirements. ��ype of Work: Estimated Cost Address of Work: L ( ^4+1 7-. Owner's Name: Date of Application: S f / —7 I hereby certify that: Registration is not required for the following reason(s): [DWork excluded by law FlJob Under$1,000 7Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ' Date Contractor Name Registration No. / OR S Date er's ame Q:forms:homeaffidav i, f- r I 'i T. License: CONSTCT+ "E ON Number:-�S SUPERVISOR 031802. -' Birthdate �6/15l1y;953 ?cpires D6LISi200g ResEric3ed Tr' no: 25595 ARTHUR 00 26 NANC S PACHECO 4j HYANNIS, LANE _ MA 02601 Commissioner '� ✓� U�omvmoozsuea.�l/ o�„/�ac�ucaetla Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Regis#00 105488 E!Mr, on:7/17/2006 �Y j0dMdual i ARTHUR M.PAEHEW 3_! i Arthur Pacheco _ r 26 Nancy's Ln. � Hyannis,MA 0260 -f 1 �-' Administrator V I �4--7 I 4L�Z� ,s r Results Page 1 of 1 Licensed Contractor Look Up Select the search method: I License Maximum number of matches: 125 Enter Search terms separated by spaces. 131802 Select Search type: r AND OR ,`Search Search Results City/Town Name IFLic. Type Lic. # Restriction Expiration Street State Zip HYANNIS PACHECO, ARTHUR MI1 00 1 126 NANCYS LANE rKiX] Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.usibbrs/contract.pl 5/2/2007 Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: AND OR�Search,� Search Results Reg. No. Applicant Street City State Zip Name Title Expiration 105488 ARTHUR M. 26 Nancy's Hyannis MA 02601 Pacheco; Owner/contractor 7/17/2008 PACHECO Ln. ❑❑ Arthur Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic:pl 5/2/2007 Town of Barnstable. , Regulatory Services H �^B Thomas F.Geiler,Director y MASS. q,A 039 a1� Building Division rfD Mp4 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 ` ,as Owner of the subject property hereby authorize li� to act on my behalf, in all matters relative to work authorized by this building permit application for:. . ILL (Address of Job) oM Signature of Owner *ae Print Name Q:FORMS:OWNER?ERM IS S ION r _ ; ; - Gl G s i j 60 Ci C�e _ rl 1 i c j 1 I � ; I Assessors office (1st floor); ���O 9 SEPTIC 3YS1'E�uM^!M�tlSpT ' gc � � MWi�i1�LI.' :.pf sTO� Assessor's map"and lot number ... 4h . .. ...... ..............:. . Qv ... Board of Health (3rd floor): -• t ' TITLE 5 Sewage Permit number .............(`� 5 � ENv:C-ew..i a ENTAL CO AZLE•AB i Engineering Department (3rd floor): TOWN REGULATIO ,"b 9 0� House number ......:..............................,.................. .............. .:.:.. Definitive Plan Approved -by Planning Board ---------------------------------19-------- APPLICATIONS PROCESSED, 8:30.9:30-AX and �1:00-2:00 P.M. only ' TOWN• 'OF BARNSTAByLE .BUILDING INSPECTOR l APPLICATION FOR PERMIT TO . f �\"........... �, ......................Q,..4�................` .\. ................. TYPE OF'CONSTRUCTION .........." .�?J. ... ^0`! Q......................................................... .........J...........I..................19...---•- TO THE INSPECTOR OF BUILDINGS; The undersigned hereby applies for a permit according to the following information: Location .:.........`..u..SJ......11-..1: .)^'�....5.�... .. ........C.;,C..L. —... ...... ......................................... i o , ProposedUse .........�.A.12:1�..... ..... .. ... ............................................................... ............ ................................... Zoning District f� Fire District ` "g t ...........h..... .. Name of Owner ...)- .................. .1 ."s.! ....:..................Address ..1..�...R...:.�0.�.:� 7 Name of' Builder ...Address .........., c _ Name of Architect ........:..........Address .....:......:::.. Number of Rooms n ......:.................`.....:.Foundation ........1.. .�.:.....:. "` ''�. ... ..................................... . ............ Exierior ... ..................Roofing •••••••... •. . .... Floors ......1N..4�.... .......... .. Interior 'Heating ........ .....................Plumbin .......`... ....g g ......................................... ' Fireplace ..........:....Approximate Cost pp .................................................................... Area ...... Diagram of Lot and Building with'Dimensions Fee ®r.." . . ............... OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules 'and '.Regulations of-the- of.Bar table regarding the above construction. ! Name ....... .. . ........................ Construction Supervisor's license .................................... GOODWIN, E. No 31903 'permit for ...B. Shed uild ......................Tool....... ; z N _ Accessory...to...Dwel.li.n g.............. . . ... . , A Location .......108_L.Main. Stree.t ................. A. -. Cotu11. � .I.. •...... Goo dwin ............. .......... OwnerE....... ......... ............. ... . -. Type of Coristruction Frame....... . ;> .....'.�..... ` ......... ................. Plot;. .... �. . .. - 'Lot' .3..... .. ................. Permit Granted .....`'May.. 1.6.!... 1.9 88 ` s. Date of,'Inspection ...... �.......... .......19 .;,'• l� r Da e C mpleted ........... 4. ..........17�.19 �� n01 4` rvCt Assessot's office (1st floor): THE T Assessor's map"and lot number ....612..., ......... ..,` �oF off` Board of Health (3rd floor): Sewage Permit number �..r ..�. 0 : Z BAUSTABLE, i Engineering Department (3rd floor): 11 s House number ........... 0 39 0 Definitive Plan Approved by Planning Board ------------------------_-------19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABYLE BUILDIH;G INSPECTOR APPLICATION FOR PERMIT TO . �\,H X.. .........�...�. ....<`'. ..... .. ................\`.,...�..,. ``.................. ... TYPE OF CONSTRUCTION .............?.........IJ. ..................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............1.. ..... .,',\,°Cv�..............�................... .. �n> ,........................................................................... . ProposedUse ......... 1,A.......?,v\12.L.................................................................. fi f ZoningDistrict ........................................................................Fire District ........... .................................................................. Name of Owner . ............................Address Name of Builder .....Address .......... Nameof Architect ...............................................................:..Address .................... ............................................................... . Numberof Rooms ............. ..Q........................................Foundation ..... .. ... .A.............................................................. Exterior .........i!.':±.. :...........I.....................................................Roofing ....`: `.,.:A, ..........'................................................. Floors ....... ...............................................................Interior ...... l,\. ................................................. �.l Heating ........... ..f,.1...............................................................Plumbing ......,.. ................................. Fireplace ..............:...................................................................Approximate Cost ............................... ........................ Area ..........:..... Diagram of Lot and Building with Dimensions Fee .:...`;,.... �� ,..U�vr.`............ f A OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of,the-(Town�of'Barnstable regarding the above construction. �. Name .............. }... ........................... Construction Supervisor's License .........:`.....I................... ti - GOODWIN, E. ' A=023-009 ' 31903 Tool Shed No ................. Permit for .................................... Accessory to Dwelling ......................................................................... `f Location .....108 Main Street ........................................... Cotuit ...................... ...................................................... Owner ............E.......Goodwin................................................ Type of Construction .......Frame ................................. ..... ....... .. .. . . . .... . .............. ............ Plot ...........................' Lot ................................ Permit Granted ....Nay...16.:..................19 88 Date of Inspection ....................................19 Date Completed ......................................19 r A.Lessors map{and lot number .........................3?............. SEPyID STEM MUST 8 F THE r , . ... o �C&D LI INSTALLED IN CQMPLIA r �dS- Sewage Permif'number' ........!:}....... . ��..�...............:.... WITH TITLE .5 / NVIRQ ARNSTABLE, i .../.�. ..... 1039 NMENTAL CODE House number :.....:.................::... nea TOWN REGULATIONS °`'�aMaYa�eO TOWN OF BARNSTABLE BUILDING::°, INSPECTO APPLICATION FOR PERMIT TO•.... .. }. ............ .. ...... ..!`!.... ` TYPE OF CONSTRUCTION ..�!" U Vv� ....A . \. .........................160._2.......19R3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to e f Ilowng information: y� Location .................I.. ..`............!... c... ... ............... ....Q.... . .�.. ................U:�.a............................................. ProposedUse ................... v 6. . ...................................... ............................................................... Zoning District Fire District ..... ..�.. Vim. ........... ....... ............... .. ... .. .. .. Name of Owner ... ��` �^00 .Address U �v \� ��. d1�....�.1. :\.. ................ .............. Nameof Builder ..............!......................................� ...........Address .................................................................................... Nameof Architect ..................................................................Address .......................... .. . ................................................... o o ms .......Number .....................Foundation ...... ........ .. . ... . ............................ Exterior ......... .......�^�. ..... .......................:.......................Roofing ....... v. ......A... ................................................. cv`!� M1 a Floors ............. ..v�.. .. ..............................................Interior .....�.\�W...... ................................................. Heating ..................................................................................Plumbing ...... ........................................................... Fireplace ............ � % . .........................................................Approxi mate. Cost ........q ( vV.. .. . Definitive Plan Approved by Planning Board ---------------------------_-----19---------- Area ...... ....................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and 'Regulations of the owb of Barnstabl re r the jabove construction. Name ....... .......... .................... ..... .... Construction Supervisor's License ................ ................ C,90DWIk, EDMUND F. No ... Permit for ...Addition............... -Sinle Famil Dwell ....................g...................Y............. .ng................. V Location .......108...Main... g.e,.�t........................ .......................C 0.t.ull t............................................ Y. Owner ......... ................... Type of Construction .....FrzaMe.......................... .................................................... ............................. Plot ............................ Lot ................................ 0 fiber e r 4 ......19 85 Permit Granted ........... ...... Date.'of Inspection 7:, .W....r ....19 Date Completed .7.� 49.... ....19 Jal 5 cr Assessors map.and lot number _ - , � Z CFTNElO t, Q j,Q Sewage Permit number ............ .`.. ��..�.................... Z 33AUSTADLE. i House number ....1.. .Z...... ........................:............. 9O MA86 t p 039. \00 0 OR TOWN OF BARNSTABLE BUILDING INSPECTO •; jl APPLICATION FOR PERMIT TO ....,..�`y............�.-._..}._...... ...... .. . ..... ........................................ .. I\; TYPE OF CONSTRUCTION ...:..........:....... .......................................... .........................40....a.%.......19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:: Location .................!. V....... .�^1..... ............. ...........:V:.`........... ................................... Proposed Use ................... � �.. �`......�.:� ....................................... ................................................ .... ........ .... t 11 t 11 ZoningDistrict ............\.. .:...........................:................Fire District ...:...6....0 ..1....................................................... _ . �'^� � ''�5�••�� tom- ;� Name of Owner iJMvr � �U U Ad ...�.b.�l. a' `�'\ l � �... ..... ........,. ..... ........... Nameof Builder .....................................................`..............Address .........................:.......................................................... Name of Architect ......................................... ......................Address ...............................:.................................................... .. v V Number of Ro ms ........ . ......W.......................................Foundation ............. .......... .................................................... .. y i i Exterior C. ............... ^'�. ................................................Roofing .....��..�............. ............... Floors ........ ..... u.�.. ..............................................Interior ....` \...... W ...............................Plumbin ........ Fireplace ................ .........................................................Approximate. Cost ...................(...vO.V.................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ..... ............:..... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 71 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ` I hereby agree to conform to all the Rules and Regulations of the Tow of Barnstable rega—rding :tk6jabove , construction. Name ...... . . ............. .... ........... .. .... Construction Supervisor's License ................... ................ I GOODWIN, EDMUND F. . j A=23-09 No 28474 Permit for ..Addition Single Family. DFelling................ Location ....108 Main Street. . . . ........................... ............... . . . .... Cotuit ............................................................................... Owner Edmund F. Goodwin .................................................................. Type of Construction .Frame. ................................................................................ Plot ............................ Lot ................................ Permit Granted ... October 4, 19 85 Date of Inspection ....................................19 J Date Completed :....................................49 20 i IHE The Town of Barnstable t BA MAS,R-LE.� Department of Health Safety and Environmental Services MASS. 039• �0 ATEDMA Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection 15'IL' G Location , X(*-6�/ Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: a ;f JJ Please call: 508-862-440S for re-inspection. Inspected by // A4 G/�ic . Date Z/� / o 7 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ��� Map Parcel ��-��� } ,, � °• �° � c Permit# �SOq3 t .rs. vi i.tt J � Health Diftion 0 0 3 -5�5— Date Issued Conservation Division Application Fee Tax Collector j Permit Fee #37� �9 CY - ....,..__._.dam..,-.._.. -E.+�d,i. is i'L�id Treasurer EXISTING SEPTIC SYSTEM Planning Dept. LIMITED TO_3#OF BEDROOMS Date Definitive Plan Approved by Planning Board - -��`�g"�"'e /��P�/t s/ i��� A,.sler /-Q2,W Historic OKH Preservation/Hyannis �1� S a, Project Street Address %3t Village Owner Address Telephone 2c4rm�mit Request [� Q,4fta/e o1., &J�c-2 , �M 2�? C� 1 Dl�. d eib2mL, 2 AIM.J qu�et s)t flo : existing proposed 2nd floor: existing proposed J Total newer Zoning District Flood Plain Groundwater Overlay Project Valuation *g 7a 6� v 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 *N0 Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) l cl Basement Unfinished Area(sq.ft) (�O? f Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing_ new _1) Total Room Count(not including baths): existing new First Floor Room Count _ Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other �L>rctal Central Air: ❑Yes y No Fireplaces: Existing _� New Existing wood/coal stove: ❑Yes �Vo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size_�Barn:❑existing ❑new size�/ 0 Attached garage:❑existing ❑new size �_ Shed:Coexisting ❑new size [ Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ _C_ommercial❑..Yes No- 1f yes,site plan-review# — -- -- - -�-y- - ---- -- Current Use Proposed Use BUILDER INFORMATION Name �, Telephone Number R e kal Addres cJ l d1ng License# 0_"s 61`�yi Ile- 04q 10 Home Improvement Contractor# 14 4p,��0 Worker's Compensation# 7Ce!o �A667 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE s- FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE a OWNER � r DATE OF INSPECTION: FOUNDATION } • FRAME 1o3 oe-- e INSULATION ®K t FIREPLACE ELECTRICAL: ROUGH FINAL E PLUMBING: ROUGH C? FINAL 4 GAS: ROUGH j FINAL . FINAL BUILDING .2 zp ���?�` "" �'s s"$ Y PAW DATE CLOSED OUT 0 ASSOCIATION PLAN NO. Y •4 _ The Commonwealth of Massachusetts 0 i Department of Industrial Accidents �=1=- F �/- 600 Yi'ashin;ton Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses name: address:: r w k sits location full address: ��`3 I am a sole proprietor and have no one Business Type: • Retail❑RestaurantBar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc,) ❑I am em loyer with em ]oyees(full& art time. ❑Other %//. an [�I am an employer providing vrorkers' compensation foamy employees worlflng on this job. com any name: ::•:.: - address:' ... .. :. '•>`• .J�, ••r ,'� city: bone#• oilex /// /// ❑ I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: com 8DY name: address: _ city:. insurance co. - FM olicv:# 81i"3 company n ,.. . ....,.: . . . ..< . . ..•. •..-.. .. . address ' cliv*t phoni# t insurance co:"' •' Faflure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or. one years'imprisonment as well as ctvil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me- I understand that p copy of this statement maybe forwarded to the Office of Investigations of the DlAfor coverage verification. I do here4certide the pains a penalties of perjury that the information provided above is true and correct DateSignaturePrint na Phone# . .. - �-..ems-��-r•'• •.. - a-.. r"•-� _ast '��' ''�'"�'"�''� ��-. _ � - k' oMcial use only do not write in this area to be completed by city or town official ' city or town: permit/license# ❑Building Department ❑Liceasing Board ❑check if immediate response is required ❑Se]ectmen's Office ❑Eealth Department , Wcontact person: phone#; ❑Other (revered Sept 2003) Y Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the conmzonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to-your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure.that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please , be sure to fill in the pernit/license number which will b'e used as a reference number. The.affidavits may be returned to . the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents office of Il S11gatlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 r Town of Barnstable ti Regulatory Services BMWSTABLE, ' Thomas F.Geiler,Director 9 MASS. 139. ` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: /11r13(�'1Q Estimated Cost 1 . v U Address of Work: Owner's Name: / nn Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. _ SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit-as the agent e o er: Date Contr ame Registration No. OR Date Owner's Name Q:forms:homeaffidav ISO CMR Appeedi:J ' ! v Table JS-Zlb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Hated witb Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Area'(%) U-value; R-value; R-value' R-valuer Wall Perimeter Equipment Efficiency Package R-value' R value' 5701 to 6500 Hating Degree Days Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A NIA Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 25 N/A NIA Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 4!W/i/? fit' 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): O� 5. SELECT PACKAGE(Q--AA-see chart above): V NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J6.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights,:and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum-of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 3 The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned ba-lements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3.4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or-doors is less than or equal to the U-value requirement(0.35 for doors). 43 RESIDENTIAL BUILDING PEPMT FEES v APPLICATION FEE I New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 1330 .� square feet x$64/sq.foot= x.0041= plus from below(if applicable) 12D 5 q g,Ci j GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120,sq.ft. >120 sf-500 sf $35.00 , >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) ed 1 Deck x$30,00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 �.. + V (N2Ul6Q.LL1L O� Bo�of Bu J7. ing Regulatiorls and Standards HOME IMPROVEMENT CONTRACTOR Registrat o' 126560 E iratiG 1/2006 ALBERT ROY BC -0 • RCRT°BROW e 3 -- 34 HORATIO LN CE.NTERVILLE,MA Administrator ✓lie Vomvmaizurea.� a�./�aaaac�ivael7a BOARD OF BUILDIN;O R-,004-ATI"QNS t' License CONSTRUCTION SUPERVISOR ° Nwthber 065525 alga g-27�19 ?� st'pueOF{ ,:6 Tr.no: 14425 x Restrcfed Q(T ? ALBERT R BR01/U; 34 HORAT10 LN C'ENTERVILLE, MA 0263r i Ad'm mstrator i t - Roy LroWn Home Repair Co. Estimate 'Home Repair, Maintenance, Renovations Date Residential and Commercial Licensed & Insured 3/10/2005 Bill To RICHARD SHALHOUB 108 MAIN STREET COTUIT. MA Project Remodel Description Amount LABOR ALLOWANCE TO REMOVE KITCHEN AREA AND LOAD INTO 640.00 DUMPSTER. LABOR ALLOWANCE TO REMOVE OLD HARDWOOD FLOORS AND 1,280.00 LOAD FOR DISPOSAL..PMH LABOR ALLOWANCE TO REMOVE SHEETROCK AS NECESSARY 640.00 DUMPSTER FOR MATERIALS 1,250.00 LABOR ALLOWANCE TO REPLACE WINDOW AND DOOR IN MASTER 3,200.00 BEDROOM. REPLACE SHEETROCK MATERIAL ALLOWANCE FOR NEW WINDOWS 675.00 MATERIAL ALLOWANCE FOR PATIO DOOR 2,250.00 MATERIAL ALLOWANCE FOR SHEETROCK&TRIM 1,477.50 LABOR ALLOWANCE TO REFINISH MASTER BATH AND LAUNDRY 960.00 ROOM AREA..PMH MATERIAL ALLOWANCE FOR MASTER BATH&LAUNDRY ROOM 337.50 LABOR ALLOWANCE TO FRAME NEW BATHROOM IN OLD MASTER 1,280.00 BEDROOM& OPEN WALL TO 5' TO CREATE DEN AREA.. PMH MATERIAL ALLOWANCE FOR NEW BATH 675.00 LABOR ALLOWANCE TO INSTALL STEEL GIRT IN CEILING..SEE 4,500.00 ENGINEERING MATERIAL ALLOWANCE FOR STEEL..2 PCS 1,387.50 MATERIAL ALLOWANCE FOR FRAMING STOCK 900.00 THANK YOU FOR CHOOSING THE HOME REPAIR COMPANY Total Pagel ROY BROWN- 34 Horatio Lane, Centerville,MA 02632 Phone: 508-775-6582 * Fax: 508-775-1836 f plc The All Work Gera eplace Fully gepa'r & ge-Ca'�lk Guaranteed ge_Gr°uti ad Carpet Roofs Wood Sheds & Siding Floors Fences 9°°1 ge�1a Custom Cabinetry Landscaping & Care v�ryo erin� Paint Trim v1°or C & Windows Window Treatments Play Areas 62 .� Roy BroWn HomevRepair Co. Estimate Home Repair, Maintenance, Renovations I Date Residential and Commercial Licensed & Insured 3/10/2005 Bill To RICHARD SHALHOUB 108 MAIN STREET COTUIT. MA Project Remodel Description Amount LABOR ALLOWANCE TO FIR OUT ROOF RAFTERS TO ACCOMMODATE 2,880.00 R-30 INSULATION MATERIAL ALLOWANCE FOR RAFTER MATERIALS 1,275.00 LABOR ALLOWANCE TO INSULATE CEILING 1,920.00 MATERIAL ALLOWANCE FOR INSULATION 2,700.00 LABOR ALLOWANCE TO REFRAME KITCHEN AS PLANNED. PMH 640.00 MATERIAL ALLOWANCE FOR KITCHEN FRAME 187.50 LABOR ALLOWANCE TO SHEETROCK ALL NEW AREAS 5,600.00 MATERIAL ALLOWANCE FOR SHEETROCK 1,890.00 LABOR ALLOWANCE TO INSTALL PREFINISHED HARDWOOD FLOORS 2,475.00 IN KITCHEN AND LIVINGROOM AREA,ALSO OUT TOWARD MASTER BEDROOM..PSF MATERIAL ALLOWANCE FOR PREFINISHED HARDWOOD..PSF 6,682.50 LABOR ALLOWANCE TO INSTALL CARPET IN MASTER BEDROOM 487.50 MATERIAL ALLOWANCE FOR CARPET 975.00 LABOR ALLOWANCE TO INSTALL TILE IN MASTER BATH&NEW BATH 1,800.00 MATERIAL ALLOWANCE FOR CERAMIC TILE 796.50 THANK YOU FOR CHOOSING THE HOME REPAIR COMPANY Total Page 2 ROY BROWN- 34 Horatio Lane, Centerville,MA 02632 Phone: 508-775-6582 it Fax: 508-775-1836 Tile All Work Cera&Replace ulk Fully gelpoUt a�dge-Ca Ca Guaranteed ge,C Carpet Roofs Wood Sheds & Siding Floors Fences �i�d°N e e�� Repla Custom Cabinetry (LaDiidscaping ny1 C°ve�ln� BPaint Trim xoo Windows Window Treatments Play: Areas 'e =i Roy Brown Hom7e Repair Co. Estimate Home Repair, Maintenance, Renovations Date Residential and Commercial Licensed & Insured 3/10/2005 Bill To RICHARD SHALHOUB 108 MAIN STREET COTUIT. MA Project Remodel Description Amount LABOR ALLOWANCE TO MOVE AND/OR REPLACE DOOR TO DECK 500.00 MATERIAL ALLOWANCE FOR SIDE DOOR 3,750.00 LABOR ALLOWANCE TO INSTALL KITCHEN CABINETS 1,280.00 MATERIAL ALLOWANCE FOR BASE CABINETS 2,730.00 MATERIAL ALLOWANCE FOR WALL CABINETS 1,657.50 MATERIAL ALLOWANCE FOR KITCHEN COUNTERS...GRANITE OR 5,000.00 CORIEN LABOR&MATERIAL ALLOWANCES FOR PLUMBER FOR ROUGH 5,625.00 INSTALLATION..FIXTURES ARE NOT INCLUDED IN THIS CONTRACT AT THIS TIME ELECTRICAL WORK IS NOT INCLUDED IN THIS CONTRACT AS YET, NEEDS TO BE DONE AS PROJECT PROCEEDS TO BRING UP TO CODE AND MAKE ANY CHANGES DESIRED A DEPOSIT OF $20000.00 IS REQUESTED WITH BI-WEEKLY PAYMENTS FOR LABOR&MATERIALS AS PROJECT PROCEEDS THANK YOU FOR CHOOSING THE AdME REPAIR COMPANY Total $72,304.00 Page 3 ROY BROWN- 34 Horatio Lane, Centerville,MA 02632 Phone: 508-775-6582 * Fax: 508-775-1836 All Work Ce'�a epla�e Fully gepalr &dge-Calk Guaranteed to ge-Gtou Capet Roofs Wood Sheds & Siding & Floors Fences door 0 COCA,- ge,�la Custom Cabinetry Landscaping & Care ��nyl er�n� Paint Trim floor C°v & Windows Window Treatments Play Areas - Daniel K Braman, .P.F- .. ��►.I t� �"'�CL.�1�-�' -- 189 Harbor,Point.Rd. - CummagW4- MA 626374361 Vacs s G c T 10405 A r 7 ^ C>S) 14.2 02- �JTOG �'6�I�S 4 to,� Lis . W VZ x- G. c --.,C-L..%k-c r=o ej - W a t o o p— 2- 2 x t o v,o.o e. OF DANIEI_E. ry • BRAMAN d 3TRUCTUR e�fss/ �� ® �I E T R. L �p.� a.'a/2z 12' Rvaiz CGtL t " t.e., —7 QGjIC 12.f- lox lZ,, 3oC�PA PIP as Cat . K c,-r. = l(:�S` 7,.r ` 4' e, . 7 t-�c�hy de ,�ts, lc�d,c�5 or d�,,u2hstons � c�M RAMSBEAM V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Main Street, Cotuit, MA Steel Code: AISC 9th Ed. SPAN INFORMATION: •Beam Size (User Selected) = W12X16 Fy = 36. 0 ksi Total Beam Length (ft) = 24 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 016 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 24 . 00 0. 163 0 . 163 0 . 000 0 . 000 0. 195 0 . 195 SHEAR: Max V (kips) = 4 . 49 fv (ksi) = 1. 70 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 26. 9 12 . 0 0. 0 1 . 00 18 . 90 24 . 00 18 . 90 24 . 00 Controlling 26. 9 12 . 0 0 . 0 1. 00 18 . 90 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 15 2 . 15 Max + LL reaction 2 . 34 2 . 34 Max + total reaction 4 . 49 4 . 49 DEFLECTIONS: Dead load (in) at 12 . 00 ft = -0 . 447 L/D = 644 Live load (in) at 12 . 00 ft = -0. 487 L/D = 591 Total load (in) at 12. 00 ft = -0. 935 L/D = 308 RAMSBEAM V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Main Street, Cotuit, MA Steel Code: AISC 9th Ed. SPAN INFORMATION: .Beam Size (Optimum) = W8X10 Fy = 36. 0 ksi Total Beam Length (ft) = 9. 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 010 k/ft Point Loads (kips) : Flange Bracing Dist DL Pre DL LL Top Bottom 4 . 50 2 . 15 0 . 00 2 . 34 Yes Yes Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0 . 00 9. 00 0 . 105 0 . 105 0. 000 0 . 000 0 . 000 0 . 000 SHEAR: Max V (kips) = 2 . 76 fv (ksi) = 2 . 06 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange i -ft ft ft fb Fb fb Fb Center Max + 11 . 3 4 . 5 0. 0 1 . 00 17 . 31 24 . 00 17 . 31 24 . 00 Controlling 11. 3 4 . 5 0. 0 1 . 00 17 . 31 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 1. 59 1. 59 Max + LL reaction 1. 17 1. 17 Max + total reaction 2 . 76 2 . 76 DEFLECTIONS: Dead load (in) at 4 . 50 ft = -0 . 082 L/D = 1314 Live load (in) at 4 . 50 ft = -0 . 069 L/D = 1571 Total load (in) at 4 . 50 ft = -0. 151 L/D = 715 RAMSBEAM V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Main Street, Cotuit, MA Steel Code: RISC 9th Ed. ti SPAN INFORMATION: .Beam Size (User Selected) = W14X30 Fy = 36. 0 ksi Total Beam Length (ft) = 25. 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 030 k/ft Point Loads (kips) : Flange Bracing Dist DL Pre DL LL Top Bottom 5 . 75 2 . 15 0. 00 2 . 34 Yes Yes Line Loads (k/ft) : Dist1 Dist2 DLl DL2 Pre DL1 Pre DL2 LL1 LL2 0 . 00 25. 00 0 . 300 0. 300 0 . 000 0. 000 0. 360 0 . 360 SHEAR: Max V (kips) = 12 . 08 fv (ksi) = 3. 23 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 67 . 6 11. 0 0 . 0 1. 00 19. 31 24 . 00 19. 31 24 . 00 Controlling 67 . 6 11. 0 0 . 0 1 . 00 19. 31 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 5. 78 4 . 62 Max + LL reaction 6. 30 5 . 04 Max + total reaction 12 . 08 9. 66 DEFLECTIONS: Dead load (in) at 12 . 13 ft = -0 . 436 L/D = 688 Live load (in) at 12 . 13 ft = -0. 475 L/D = 631 Total load (in) at 12 . 13 ft = -0 . 911 L/D = 329 ' ACORM CERTIFICATE OF LIABILITY INSURANCE 4TS/31MI/2005 PRODUCER ! t. .THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McShea Insurance .Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE.POLICIES BELOW. Osterville, Na. 02655 INSURERS AFFORDING COVERAGE INSURED Roy Brown Home Repair INSURERA: National Grange Mutual Ins Co. 34 Horatio Lane INSURERS: 34 Horatio Lane INSURERC: Centerville, Ma 02632 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POUCY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE AMID LIMITS GENERAL l UIBILTTY EACH OCCURRENCE $3001,000 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $500,000 CLAIMS MADE ®OCCUR MED EXP(Any one person) $101,000 A MPK34477 05/05/05 05/05/06 PERSONAL&AOVINJURY $300,000 GENERAL AGGREGATE $600,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $600,000 POLICY PRO-- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGELIABILRY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ , OCCUR a CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TATIT TORY LIMITS ER EAPLOYERS'.LIABILITY 886X262-2-02 05/31/05 05/31/06 E.L.EACH ACCIDENT $100,000 B E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1_0_DAYS WRITTEN Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH INSURER ITS AGENTS OR REPRESENT TIVES� 17 AUTHORIZED REP ATIVE J ACORD 25-S(7197) '' CORD CORPORATION 1988 S. 5T1 I 14' 6'6 24'10 11'9 9 I O ro BEDROOM 1. LIVING AREA 2 o (`if J)HALL 04 Q pUd o�00f^ (BEDROOM ON SECOND FLOOR N EQUAL BR 2 N MASTER BEDROOM MASTER BATH KITCHEN AREA (V - 13'9 T 172 12'5 1119 57'1 -I EXISTING FLOOR PLAN ell 0� ge m o� b� � exs ��%�Q r. e�t����gP#®F gEOR°CMS Dlo Gnc� Gt �y 1 h✓LuN, � I/ ( �'+ "'i 7�^e4/.�� G'�f�'c.� t.�/ s� DA i UP BEDROOM #3 NO WORKED PLANNED IN THIS ROOM SMOKE DETECTORS REVIEWED IMPORTANT UPGRADE REQUIRED STATE BUILDING CODE REQUIRES THE UPGRADING OF B B BUILDING DEPT. DATE SMOKE DETECTORS FOR THE ENTIRE DWELLNG WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. FIRE DEPARTMENT DATE NDTE A SERARAI PERhdI I IS REQUIRED FOR THE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING INSTAL CATION OF SMOKE DETECTORS—THE ELECTRICAL PER*DOB NOT SATISFY THIS REQUIREMENT, EXISTING SECOND FLOOR PLAN 39'7 25'2 14'5 UP— UNFINISHED BASEMENT AREA UNFINISHED BASEMENT AREA 3'7 n N ' J BATHROOM cM ONLY WORK TO BED NE IN BASEMENT BEDROO IS TO o REPLACE SLIDER..REPAINT..CL AN UP EXISTING BEDROOM#4 BATH AREA UP— 7'4 8'7 15"1 ,� 12"0 14'5 43'2 EXISTING BASEMENT PLAN sa' 3'10 1'8"4 6'8 V. T5 10'5 24'10 T6 1 V4� 3'3 T 3'5 4'8 6'9-47-r 5'6-T 3'4� 2'2'4r 3-5.4�5'8� _ II FINAL EL SUPPORT... c+� 2X10 RAFTERS 16' MIDATE R-30 m INSULATION-INSTALL 2X6 O ON EVERY O VAULT CEILING E D INST L 2 EWBUILD DIVIDER WALLDO BLE UNG WI DO S CREATENEW BATHROOMLIVING AREA ^ o MASTER BEDROOM �j�, HALL OPEN WALL TO LIVING AREA 8 '���v:::(//// CREATE HOME OFFICE DEN o REPLACE RAFTERS WffH 2X10,..� O AREA w AS NEEDED TO RECIEVE R-30 O W&D N � INSULATION.INSTALL NEW 10' RIDGE BOARD WITH SUPPORT TO FLOOR ON EITHER END..PLUMB WALLS.ADD 1l2' n PLYWOOD TO EXISTING 314 T8 G O FLOOR...FLOOR IS SUPPORTED BY 14'IJOISTS WRH R-30 INSULATION BETWEEN O KITCHEN p EXISTING DECK BUILD NEW DECK SYiB AS STEP FROM R..NO r _ RAILINGS-FRAME WITH 2X8 pi PT..MAHOGANY 'v DECgNG..310'SAUNA TUBES 48• 5-8 6-3 II 21'2 3'5 11'11 k 276 64' REPLACE ROOF SHINGLES WITH PROPOSED, ARCH 40 YR AS WE PROCEED WITH PROJECT CHANGES MAY REPLACE SOMEE WINDOWS AS NEEDED WITH WILL REPLACE SOME WHITE MAY INSTALL SKYLIGHTS IN DOUBLE GLAZED WINDOWS CEDAR SHINGLES AREAS AS WE LIVING AREA PROCEED WILL REPLACE MOST SLIDERS WILL INSTALL NEW HARDWOOD WILL REPLACE KITCHEN WITH NEW DOUBLE GLAZED VINYL SLIDERS FLOORS IN MOST ROOMS CABINETS AT SOME POINT I VOW / I I • � I ,, I i I I 1 i � I I { I i � 1 I Ai I I I j I I I I 4 i � j 1 1. j, � I ; � 1 i - i i i I. y j• , I ,. j.. .. .j � I �I �. .,1. l i I , i 1 I I i j i i I 1 I i I i r , � � I I , , , t i , � i .'��.�/ �'��■ /'�' Y"' , � ' .i i I I ,r/1 1�F�'_( �- � I 1 i I i � I ' �, I' I I �' � I I � � ♦, I I i 1 I I . I t l i i � I � I ' I i j t 7 • US i i I I b I od tsi, ; i I , I I . I , I I V I : , i 1. I AAA.. .I. I ' l I ' I , . I i I i ! V +• 1 i- I i r I , I BC CALC®2003. DESIGN REPORT - US Monday,June 27,200511:24 Double 1.31C X 91/2"VERSA-LAM®3100 SP File Name: BC CALC Project:FB01 Job Name: Rico Description:header between bed rm and bath Address: 108 Main St Specifier. City State,Zip:Cotuit,Ma Designer. Bill Campbell 'Customer ` Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512,NER 629 Misc: 1 Standard Load-,_5 psf l 10 psf Tributary 034"0 BO B1 720 lbs LL 720 lbs LL 551 lbs DL 551 lbs DL Total Horizontal Length-12-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 12-00-00 Live 5 psf 03-00-00 100% Member Type: Floor Beam Dead 10 psf 03-00-00 90% Number of Spans: 1 1 Roof Unf.Area Left 00-00-00 12-00-00 live 30 psf 03-06-00 115% Left Cantilever. No Dead 15 psf 03-06-00 90% Right Cantilever. No Controls Summary Slope: 0/12 Control Type Value %Allowable Duration Load Case Span Location Tributary: 03-00-00 Moment '3813 ft-lbs 23.8% 115% 3 1 -Internal Neg.Moment 0 ft Ibs n/a 100% End Shear 1103 Ibs 14.9% 115% 3 1 -Left Total Load Defl. U729(0.198') 32.9% 3 1 Live Load: 5 psf Live Load Defl. U1286(0.112) 28.0% 3 1 Dead Load: 10 psf Max Defl. 0.1981, 19.8% 3 1 Partition Load: 0 psf Duration: 100 Notes Disclosure Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(L/360)Live load deflection criteria. The completeness and accuracy of Design meets arbitrary(1')Maximum toad deflection criteria. the input must be verified by anyone Minimum bearing length for BO is 1-1/7' who would rely on the output as Minimum bearing length for B1 is 1-W'; evidence of suitability for a Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing particular application. The output above is based upon building Connection Diagram code-accepted design properties Consult project design professional of record or BOISE technical representative for connection design and analysis methods. Installation Member has no side loads. of BOISE engineered wood products must be in accordance Connectors are:16d Sinker Nails with the current Installation Guide and the applicable building codes. a=2„ d To obtain an Installation Guide or if b=3„ b you have any questions,please call �— -- — (800)232-0788 before beginning d=12 4 8 product installation. BC CALC®,BC FRAMER®,BCI®, C BC RIM BOARDTTM,BC OSB RIM BOARD7,BOISE GLULAM- VERSA-LAM®,VERSA-RIM®, 0 ZV VERSA-RIM PLUS®, VERSA-STRANDTm, VERSA-STUDS,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. ' Page 1 of 1 $C CALC®2003 DESIGN REPORT -US Monday,June 27,200511:20 Double 1 3/4" x 16" VERSA-LAM®3100 SP File Name: BC CALC Project:RB01 ,lob Name: Rico Description:Structural ridge Address: 108 Main St Specifier. City,State,Zip:Cotuit,Ma Designer. Bill Campbell Customer. Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512,NER 629 Misc: 12 Standard Load-30 psf 115 psf Tributary 07-00-00 �,n# e k "fir' 4 ,. x ',4¢ '�; r F� r T+1- .2 --.. � & �. � � �- � a . � � sr REF E � x era= Ak BO 61 2048 Ibs LL 2048 Ibs LL 1177 Ibs DL 1177 Ibs DL Total Horizontal Length-19-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 19-06-00 Live 30 psf 07-00-00 115% Member Type: Roof Beam Dead 15 psf 07-00-00 90°% Number of Spans: 1 Left Cantilever. No Controls Summary Right Cantilever. No Control Type Value %Allowable Duration Load Case Span Location Moment 15721 ft-Ibs 36.6% 115% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-Ibs n/a 100% Tributary: 07-00-00 End Shear 2784 lbs 22.4% 1150/0 2 1-Left Total Load Defl. U520(0.45`) 34.6% 2 1 Live Load Defl. U818(0.286') 29.3% 2 1 Live Load: 30 psf Max Defl. 0.45" 45.0% 2 1 Dead Load: 15 psf Notes Partition Load: 0 psf Design meets Code minimum(U180)Total load deflection criteria. Duration: 115 Design meets Code minimum(U240)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". The completeness and accuracy of Minimum bearing length for B1 is 1-1/2". the input must be verified by anyone Member Slope=0,consider drainage. who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing evidence of suitability for a particular application. The output Connection Diagram above is based upon building Consult project design professional of record or BOISE technical representative for connection design code-accepted design properties Member has no side loads. and analysis methods. Installation of BOISE engineered wood Connectors are:16d Sinker Nails products must be in accordance with the current Installation Guide a=2„ d and the applicable building codes. b=3" To obtain an Installation Guide or if -L- you have any questions,please call c-4�� a (800)232-0788 before beginning d=12" • -r—• • product installation. C BC CALC®,BC FRAMER®,BCI®, • • • BC RIM BOARD-,BC OSB RIM BOARD-,BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, • • VERSA-RIM PLUS®, a VERSA-STRAND- -�� b VERSA-STUDS,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 i Daniel E Braman,PE 189 Harbor Point Road Cummaquid,MA 02637-0361 Phone(508)362-6016 July 30,2005 Jeffrey, Building Inspector Town of Barnstable 367 Main Street, Hyannis, MA 02601 Project: 19805 t re: Shalhoub Residence 108 Main Street Cotuit,MA for: Roy Brown (508) 776-5203 On 7/28/05 I made a visit to the above project site; in the presence of Roy Brown; to review your"Inspection Construction Notice" as it refers to structural considerations. The roof framing was,existing but rafters have been sistered to accomodate insulation requirements. Your item numbers are commented on as follows: 1. Gussets are to be placed at kitchen wall to reinforce new rafter cuts.Posting at the ends of the inside end of this wing`will be placed and loads carried tro foundation. 2.&3. Although not structural, these changes should be made. 4. Headers over openings. I reviewed the header designs and find them to be structurally correct. See LVL designs A to D, attached. 5. Valley rafters to be supported by post on kitchen wall end and by 2 LVL's oveer 9' opening. Designed by Shepley Wood Products and reviewed by this engineer. See LVL E attached. 6. Steel beam side connection is structurally sound. 7. Gussets will be provided for new ceiling. I believe that this project as reconstructed with the above considerations will be structurally sound. of Daniel E. Braman, o paaiEL E:fi�ff eRAMaa �. o S7 8 5� ` P� v '0p®�FQISTE� sfORAL 7-3.e�-vim 1NE ipy_.� The Town_ of Barnstable - Department of Health Safety and Environmental Services BAB.NSTABLE. ' MASS u t639� `00 iE1639. Building Division. 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location 108 P)&MAS Ste' Permit Number $5 d 9 Owner SNI-\LA0U6 Builder ROY 8?'OW 1J One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 1 ew,.aere S� © ass i s I 0 CL A 7 Yv3Y Please call: 508-862-493&for re-inspection. Inspected by Date 7W, 65 soisE- BC CALC®2003 DESIGN REPORT - US Friday,July 29,2005 07:47 Double 1 3/4" x 91/2" VERSA-LAM®3100 SP File Name: Brown rico.BCC: F601 Job Name: Rico Description:header between bed rm and bath Address: 108 Main St Specifier. City,State,Zip:Cotuit,Ma Designer: Bill Campbell Customer. Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512,NER 629 Misc: 1 Standard Load-5 psf 110 psf Tributary 03-00-00 ..J.,, BO B1 720 Ibs LL 720 Ibs LL 551 Ibs DL 551 Ibs DL Total Horizontal Length-12-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 12-00-00 Live 5 psf 03-00-00 100% Member Type: Floor Beam Dead 10 psf 03-00-00 90% Number of Spans: 1 1 Roof Unf.Area Left 00-00-00 12-00-00 Live 30 psf 03-06-00 115% Left Cantilever. No Dead 15 psf 03-06-00 90% Right Cantilever. No Controls Summary Slope: 0/12 Control Type Value %Allowable Duration Load Case Span Location Tributary: 03-00-00 Moment 3813 ft-Ibs 23.8% 115% 3 1 -internal Neg.Moment 0 ft-Ibs n/a 100% End Shear 1103 Ibs. 14.9% 115% 3 1 -Left Total Load Defl. L/729(0.198') 32.9% 3 1 Live Load: 5 psf Live Load Defl. U1286(0.112') 28.0% 3 1 Dead Load: 10 psf Max Defl. 0.198" 19.8% 3 1 Partition Load: 0 psf Duration: 100 Notes Disclosure Design meets Code minimum(U240)Total load deflection criteria. The completeness and accuracy of Design meets Code minimum(L/360)-Live load deflection criteria. Design meets arbitrary(1')Maximum load deflection criteria. the input must be verified by anyone Minimum bearing length for BO is 1-1/2.. who would rely on the output as Minimum bearing length for B1 is 1-1/2": evidence of suitability for a Entered/Displayed Horizontal.Span Length(s)=Clear Span+1/2 min.end bearing.+1/2 intermediate bearing particular application. The output above is based upon building Connection Diagram code-accepted design properties Consult project design professional of record or BOISE technical representative for connection design and analysis methods. Installation Member has no side loads. of BOISE engineered wood products must be in accordance Connectors are:16d Sinker Nails with the current Installation Guide and the applicable building codes. a=2„ d To obtain an Installation Guide or if b=3" _ b you have any questions,please call c=2-3/4 -' (800)232-0788 before beginning a product installation. d=12 • \ BC CALC®,BC FRAMER®,BCIO, C BC RIM BOARD-,BC OSB RIM "BOARD " BOISE GLULAMTM, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRANDTM, VERSA-STUD®,ALLJOISTO and AJSTM are trademarks of Boise Cascade Corporation. ROME" � BC CALCO 2003 DESIGN REPORT -US Friday,July 29,2005 07:47 ( ) Double 1 3/4" X 9 1/2" VERSA-LAM@ 3100 SP File Name: Brown dco.BCC:F1302 Job Name: Rico Description:French door header Address: 108 Main St Specifier: City,State,Zip:Cotuit,Ma Designer: Bill Campbell Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512,NER 629 Misc: 1 Standard Load-.5 psf l 10 psf Tributary 01-00-00 BO B1 1039 Ibs LL 1039 Ibs LL 737 Ibs DL 737 Ibs DL Total Horizontal Length-06-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 06-00-00 Live 5 psf 01-00-00 100% Member Type: Floor Beam Dead 10 psf 01-00-00 90% Number of Spans: 1 1 Gable Unf.Lin. Left 00-00-00 06-00-00 Live 0 plf n/a 90% Left Cantilever. No Dead 30 plf n/a 90% Right Cantilever. No =" 2 Ridge Conc.Pt. Left 03-00-00 03-00-00 Live 2048 Ibs n/a 115% Dead 1177lbs n/a 90% Slope: 0/12 Tributary: 01-00-00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 5080 ft-Ibs 31.7% 115% 3 1 -Internal Neg.Moment 0 ft4bs n/a 100% Live Load: 5 psf End Shear 1733 Ibs 23.4% 115% 3 1 -Left Dead Load: 10 psf Total Load Defl: U1351(0.05S) 17.8% 3 1 Partition Load: 0 psf -Live Load Defl. L/2241(0:032") 16.1% 3 1 Duration: 100 Max Defl. 0.053" 5.30/6 3 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(U240)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(U360)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for B0 is 1-1/2". particular application. The output Minimum bearing length for 131 is I41T. above is based upon building Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing code-accepted design properties and analysis methods. Installation Connection Diagram of BOISE engineered wood' Consult project design professional:of record or BOISE technical representative for connection design products must be in accordance Member has no side loads. with the current Installation Guide Concentrated loads are not considered in side load analysis. and the applicable building codes. To obtain an Installation Guide or if Connectors.are:16d Sinker Nails you have any questions,please call (800)232-0788 before beginning a=2" d product installation. b=3,, b BC CALCO,BC FRAMER® 12" ,BCI®, c- a BC RIM BOARD- BC OSB RIM d-12 T � BOARD-,BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, C / VERSA-RIM PLUS,, VERSA-STRANDTM' VERSA-STUD®,ALLJOISTO and AJSTm are trademarks of i Boise Cascade Corporation. C BC CALC®2003 DESIGN REPORT - US Friday,July 29,2005 07:47 Double 1 3/4" x 9 1/2" VERSA-LAM®3100 SP File Name: Brown rico.BCC:FB03 Job Name: Rico Description:Window Header Address: 108 Main St Specifier. City,State,Zip:Cotuit,Ma Designer. Bill Campbell Customer. Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: 2 1 Standard Load-20 psf l 10 psf Tributary 01-04-00 z BO B1 1182 lbs LL 1182 lbs LL 1581 lbs DL 1581 lbs DL Total Horizontal Length-08-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 08-00-00 Live 20 psf 01-04-00 100% Member Type: Floor Beam . Dead 10 psf 01-0"0 90% Number of Spans: 1 1 Gable Unf.Lin. Left 00-00-00 08-00-00 Live 0 plf n/a 90% Left Cantilever. No Dead 80 plf n/a 90% Right Cantilever. No 2 Ridge(W12x16 Conc.Pt. Left 04-00-00 04-00-00 Live 2150 lbs n/a 115% Dead 2340lbs n/a 90% Slope: 0/12 Tributary: 01-04-00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 10011 ft4bs 62.4% 115% 3 1 -Internal Neg.Moment 0 ft-lbs n/a 100% Live Load: 20 psf End'Shear 2660 lbs 36.0% 115% 3 1'-Left Dead Load: 10 psf Total Load Defl. U507(0.189'l. 47.3% 3 1 Partition Load: 0 psf Live Load De& L/1141(0.084'1 31.6% 3 1 Duration: 100 Max Defl. 0.189, 18.9% 3 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(L/240)Total load'deflection criteria. the input must be verified by anyone Design meets Code minimum(L/360)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1'l Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO'is 1-10. particular application. The output Minimum bearing length for 137 is 1-1/2". above is based upon building Entered/Displayed Horizontal--Span;Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing code-accepted design properties and analysis methods. Installation Connection Diagram of BOISE engineered wood Consult project design professional of record or BOISE technical representative for connection design products must be in accordance Member has no side loads. with the current Installation Guide Concentrated loads are not considered in side load analysis. and the applicable building codes. To obtain an Installation Guide or if Connectors are:16d Sinker Nails you have any questions,please call (800)232-0788 before beginning a=2„ b d product installation. b=3 BC CALC®,BC FRAMER®,BCI8, c=2-3/4 a BC RIM BOARD- BC OSB RIM d=12" • BOARD- BOISE GLULAMTQ' � VERSA-LAM®,VERSA-RIM@, C VERSA-RIM PLUS®, VERSA-STRAND- VERSA-STUD®,ALLJOISTO and • • AJSTm are trademarks of i Boise Cascade Corporation. 1 s8'M BC CALCO 2003 DESIGN REPORT - US Friday,July 29,2005 07:47 Triple 1 3/4" x 11 7/8" VERSA-LAM@ 3100 SP File Name: Brown rico.BCC:RB01 Job Name: Rico Description: Structural ridge Address: 108 Main St Specifier: City,State,Zip:Cotuit,Ma Designer. Bill Campbell Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512,NER 629 Misc: 1__10 12 Standard Load-30 psf 115 psf Tributary 07-00-00 �„�'�'.�� r �% ; � ,�'�' ss� 'r ' �. � a" �.C � 1 +1 ���n,� ', ' � �,� �s✓�, g�� S� r^ ` 3 � x�. Ak BO 61 2048 Ibs LL 2048 Ibs LL 1195 Ibs DL 1195 Ibs DL Total Horizontal Length-19-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 19-06-00 Live 30 psf 07-00-00 115% Member Type: Roof Beam Dead 15 psf 07-00-00 90% Number of Spans: 1 Left Cantilever. No Controls Summary Right Cantilever. No Control Type Value %Allowable Duration Load Case Span Location Moment 15806 ft lbs 43.1% 115% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-lbs n/a 100% Tributary: 07-00-00 End Shear 2913 Ibs 21.0% 115% 2 1 -Left Total Load Defl. U317(0.738") 56.8% 2 1 Live Load Defl. U502(0.466") 47.8% 2 1 Live Load: 30 psf Max Defl. 0.738 73.8% 2 1 Dead Load: 15 psf Notes Partition Load: 0 psf Design meets Code minimum(L/180)Total load deflection criteria. Duration: 115 Design meets Code minimum(U240)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". The completeness and accuracy of Minimum bearing length for B"1 is 1-1/2". the input must be verified by anyone Member Slope=0,consider drainage. who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+112 intermediate bearing evidence of suitability for a particular application. The output Connection Diagram above is based upon building Consult project design professional of record or BOISE technical representative for connection design code-accepted design properties Nailing schedule applies to both sides of the member. and analysis methods. Installation Member has no side loads. of BOISE engineered wood products must be in accordance Connectors are:16d Sinker Nails with the current Installation Guide and the applicable building cedes.. a=2" To obtain an Installation Guide or if b=3„ d you have any questions,please call c=4" 8 (800)232-0788 before beginning d=12" • T• • product installation. e=3"' o I o / BC CALCO,BC FRAMER®,BCI®, C BC RIM BOARD- BC OSB RIM BOARD-,BOISE GLULAM- VERSA-LAM®,VERSA-RIM®, • VERSA-RIM PLUS®, e o O Ix/ VERSA-STRAND-, VERSA-STUD@,ALWOISTO and AJSTM are trademarks of b Boise Cascade Corporation. all BC CAME)2003 DESIGN REPORT - US Friday,July 29,2005 07:46 B®lsff- Double 1 3/4" x 91/2"VERSA-LAIVIO 3100 SP File Name.- R Brown_Rico.BCC:171302 Job Name: Rico Description:HEADER Address: 108 Main Street Specifier: City,State,Zip:Cotuit,MA Designw: Joe Madera Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: \" Standard Load-'40 psf 110 psf Tributary 05-06-00 x ��_ �'yw � x� 3 ;; s1 e.r", ate. ,r,•!3 �i"e'' .. "a.:2H, �� �'- a„ �fF.s r�:,k .,...._ BO 61 2016 Ibs LL 1493 Ibs LL 843 Ibs DL 554 Ibs DL Total Horizontal Length-09-06-00 , General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unt Area Left 00-00- 09-06-00 Live 40 psf 05-06-00 100% Member Type: Floor Beam Dead 10 psf 05-06-00 90% Number of Spans: 1 1 Conc.Pt Left 63-00-00 03-00-00 Live 1419 lbs n/a 115% Left Cantilever. No Dead 785 Ibs n/a 90% Right Cantilever: No Controls Summary Slope: 0/12 Control Type Value %Allowable Duration Load Case Span Location Tributary: 05-06-00 Moment 7291 ft-lbs 45.4% 115°A 3 1 -Internal Neg.Moment 0 ft Ibs n/a 1000/0 End Shear 2634 Ibs 35.6% 115% 3 1-Left Total Load Defl. U526(0.21'rl 45.6% 3 1 Live Load: 40 psf Live Load Deft. L/745(0.1,53"} 48.3% 3 1 Dead Load: 10 psf Max Defl. 0.217" 21.7% 3 1 Partition Load: 0 psf Duration: 100 Notes Disclosure Design meets Code minimum(L/240)Total load deflection criteria. The completeness and accuracy of Design meets Code minimum(L/360)Live load deflection criteria. p Design meets arbitrary(1')Maximum load deflection criteria. the input must be verified by anyone Minimum bearing length for BO is 1-1/2". who would rely on the output as. Minimum bearing length for B1 is 1-1/2". evidence of suitability for a Entered/Displayed Horizontal SpanLength(s)=Clear Span+112 min.end bearing+1/2 intermediate bearing particular application. The output above is based upon building Connection Diagram code-accepted design properties Consult project design professional of record or BOISE technical representative for connection design and analysis methods. Installation Member has no side loads. of BOISE engineered wood Concentrated loads are not considered.in side load:analysis. products must be in accordance with the current Installation Guide Connectors are:16d Sinker Nails and the applicable building codes. To obtain an Installation Guide or if _ „ you have any questions,please call b=3 b d (800)232-0788 before beginning c=2-3/4" a product installation. d=12 I e BC CALCO,BC FRAMER@;BCI@, BC RIM BOARD-,BC OSB RIM C \ BOARD-,BOISE GLULAM7°-, VERSA-LAM®,VERSA-RIMS, VERSA-RIM PLUS®, VERSA-STRAND-, i 71 VERSA-STUDS,ALLJOIST®and AJSTm are trademarks of Boise Cascade Corporation. s BONSE- BC CALL®2003 DESIGN REPORT - US Friday,October 14,2005 09:51 Triple 1 3/4" x 5 1/2" VERSA-LAM® 3100 SP File Name: R Brown_RicoROOFBCC.BCC: RB01 Job Name: Rico-Roof Revision Description:VALLEY-VERSION#1 Address: 108 Main Street Specifier: City,State,Zip:Cotuit, MA Designer: Joe Madera Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: 5.8 12 2 TTT1 Standard Load-30 psf 11.5 psf Tributary 01-00-00 BO B1 1260 Ibs LL 900 Ibs ILL 744 Ibs DL 542 Ibs DL Total Horizontal Length-09-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 09-00-00 Live 30 psf 01-00-00 115% Member Type: Roof Beam Dead 15 psf 01-00-00 90% Number of Spans: 1 1 Trapezoidal Left 00-00-00 Live 135 plf n/a 115% Left Cantilever: No 09-00-00 Live 0 plf n/a 115% Right Cantilever: No 00-00-00 Dead 68 plf n/a 90% 09-00-00 Dead 0 plf n/a 90% Slope: 5.8/12 2 Trapezoidal Left 00-00-00 Live 195 plf n/a 115% Tributary: 01-00-00 09-00-00 Live 90 plf n/a 115% 00-00-00 Dead 98 plf n/a 90% 09-00-00 Dead 45 plf n/a 90% Live Load: 30 psf Controls Summary Dead Load: 15 psf Control Type Value %Allowable Duration Load Case Span Location Partition Load: 0 psf Moment 3902 ft-Ibs 45.5% 115% 2 1 -Internal Duration: 115 Neg.Moment 0 ft-Ibs n/a 100% End Shear 1726 lbs 26.9% 115% 2 1 -Left Disclosure Total Load Deft. U250(0.479") 71.9% 2 1 The completeness and accuracy of Live Load Defl. U400(0.3") 60.1% 2 1 the input must be verified by anyone Max Defl. 0.479" 47.9% 2 1 who would rely on the output as evidence of suitability for a Slope and Cut Length particular application. The output End Condition Slope Facia Depth Horiz. LengtlProduct Length above is based upon building Plumb Cut with Hanger to dbl.top plate 5.8/12 6-1/8" 09-00-00 10-02-10 code-accepted design properties and analysis methods. Installation Notes of BOISE engineered wood Design meets Code minimum(U180)Total load deflection criteria. products must be in accordance Design meets Code minimum(U240)Live load deflection criteria. with the current Installation Guide Design meets arbitrary(1")Maximum load deflection criteria. and the applicable building codes. Minimum bearing length for BO is 1-1/2". To obtain an Installation Guide or l Minimum bearing length for B1 is 1-1/2". you have any questions,please call(800)232-0788 before beginning Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing product installation. BC CALC®, BC FRAMER®, BCIS, BC RIM BOARDTm, BC OSB RIM BOARDTm, BOISE GLULAMT" VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND TM, VERSA-STUD®,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 2 BOISE' BC CALCO 2003 DESIGN REPORT - US Friday,October 14,2005 09:51 Triple 1 3/4" x 5 1/2" VERSA-LAM@ 3100 SP File Name: R Brown_RicoROOFBCC.BCC: RB01 Job Name: Rico-Roof Revision Description:VALLEY-VERSION#1 Address: 108 Main Street Specifier: City,State,Zip:Cotuit,MA Designer: Joe Madera Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: Connection Diagram Consult project design professional of record or BOISE technical representative for connection design Nailing schedule applies to both sides of the member. Member has no side loads. Connectors are: 16d Sinker Nails a=2° d b=3" c=3/4" a d=12" • —r • • \� e=3" o o C e o o I —h b - Page 2 of 2 r__ BOISE' BC CALC® 2003 DESIGN REPORT - US Friday,October 14,2005 09:51 Double 1 3/4" x 7 1/4" VERSA-LAM® 3100 SP File Name: R Brown_RicoROOFBCC.BCC: RB02 Job Name: Rico-Roof Revision Description:VALLEY--VERSION#2 Address: 108 Main Street Specifier: City,State,Zip:Cotuit, MA Designer: Joe Madera Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: __IF F TI 5.8 12 2 1 Standard Load-30 psf 115 psf Tributary 01-00-00 BO B1 1260 Ibs LL 900 Ibs LL 739 Ibs DL 537 Ibs DL Total Horizontal Length-09-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 09-00-00 Live 30 psf 01-00-00 115% Member Type: Roof Beam Dead 15 psf 01-00-00 90% Number of Spans: 1 1 Trapezoidal Left 00-00-00 Live 135 plf n/a 115% Left Cantilever: No 09-00-00 Live 0 plf n/a 115% Right Cantilever: No 00-00-00 Dead 68 plf n/a 90% 09-00-00 Dead 0 plf n/a 90% Slope: 5.8/12 2 Trapezoidal Left 00-00-00 Live 195 plf n/a 115% Tributary: 01-00-00 09-00-00 Live 90 plf n/a 115% 00-00-00 Dead 98 plf n/a 90% 09-00-00 Dead 45 plf n/a 90% Live Load: 30 psf Controls Summary Dead Load: 15 psf Control Type Value %Allowable Duration Load Case Span Location Partition Load: 0 psf Moment 3891 ft-Ibs 40.4% 115% 2 1 -Internal Duration: 115 Neg. Moment 0 ft-Ibs n/a 100% End Shear 1652 Ibs 29.3% 115% 2 1 -Left Disclosure Total Load Defl. U384(0.313") 46.9% 2 1 The completeness and accuracy of Live Load Defl. U610(0.197") 39.3% 2 1 the input must be verified by anyone Max Defl. 0.313" 31.3% 2 1 who would rely on the output as evidence of suitability for a Slope and Cut Length particular application. The output End Condition Slope Facia Depth Horiz. LengtlProduct Length above is based upon building Plumb Cut with Hanger to dbl.top plate 5.8/12 8" 09-00-00 10-03-07 code-accepted design properties and analysis methods. Installation Notes of BOISE engineered wood Design meets Code minimum(U180)Total load deflection criteria. products must be in accordance Design meets Code minimum(U240)Live load deflection criteria. with the current Installation Guide Design meets arbitrary(1")Maximum load deflection criteria. and the applicable building codes. Minimum bearing length for BO is 1-1/2". To obtain an Installation Guide or if Minimum bearing length for B1 is 1-1/2". you have any questions,please call Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing (800)232-0788 before beginning product installation. BC CALC®, BC FRAMER®, BCI®, BC RIM BOARD TM, BC OSB RIM BOARD-, BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND'"', VERSA-STUD®,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 2 iB0i$En BC CALC®2003 DESIGN REPORT - US Friday,October 14,2005 09:51 Double 1 3/4" x 7 1/4" VERSA-LAM® 3100 SP File Name: R Brown_RicoROOFBCC.BCC: RB02 Job Name: Rico-Roof Revision Description:VALLEY-VERSION#2 Address: 108 Main Street Specifier: City,State,Zip:Cotuit,MA Designer: Joe Madera Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: Connection Diagram Consult project design professional of record or BOISE technical representative for connection design Member has no side loads. Connectors are: 16d Sinker Nails a=2" d b=3" b 1 � c= 1-5/8" a d=12" • T C Page 2 of 2 Town of Barnstable *Permit# Expires 6 moni s fro i ate Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.to wn.b arnstab le.ma.us Fax; 508-790-6230 ffice: 508-862-4038 - EXPRESSgMI PET APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint parcel Number d a' -rty Address 1 © � i°" esidential Value of Work �0 c) Minimum fee of$25.00 for work under$6000.00 .er's Name&Address Iet Gw"2 io C® Telephone Numbers 7 f 0 6 tractor's Name ne Improvement Contractor License#(if applicable) 1 0 u' isfr�ti�n�t�pervis°T's-b;icEri�e#(_if_aFPbeable) X-PRESS PERMIT vVorkman's Compensation Insurance. 5e�e APR 2 7 2007 proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance urance Company Name G )rkman's Comp.Policy# ,py of Insurance Compliance Certificate must be on file. o rmit Request(check box) y. %--Re-roof(stripping old shingles) All construction debris will be taken to �. .� ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side tv ! ❑. Replacement Windows/doors/sliders. U-Value (maximum.44) O f+t f "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conse lion,etc. ***Note: Property Owner Property Owner Letter of Permission. A copy of the H e Impr vement Contractors License is required. 1GNATURE: i:Forms:expmtrg .evise061306 9 The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations ' d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeElibly Name(Business/Organization/Individual): . .- T Address, `7 City/State/Zip: Phone:#: �O 7'� C Q Are you an employer? Check the appropriate box: -Type of project(required):. p 4. I am a.general contractor and I employees(full an or part-time).* have hired the sub-contractors 6. El New construction . 2. j am-e' ole proprietor or partner listed on the attached sheet.' 7. ❑Remodeling ship and have no employees 'These sub-contractors have g, F Demolition . working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp, insurance.$ required.] 5. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing-all work -11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.E44-oof repairs c. 152 4 insurance required.]t ' �1O'and we have no � employees. o 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. Iam an employer that is providing workers'compensation insurance for my employees. Below is.the policy andjob site information. Insurance Company Name: Policy#or Self ins.Lic.#: I,C- Expiration Date: lob Site.Address:-I 0 City/State/Zip:_ C'd Z y !%, /tee-&-SS Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby Acerdunder the pains.a dpen ties ofperjury that the information provided above is true and,correct. Signature: Date:• `T C711 Phone Official use only. Do not write.in this area, to be completed by city or town officiaL City or Town: Pernait/License# Issuing Authority(circle one): I� 1..Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instr°ucti®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 rereiyP.T nr=he=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-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or.license is being requested,not the Department of Industrial Accidents.- Should you have any questions regarding the law or if you are required to obtain a workers.'- compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. .City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy'information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questiqpE,__- please do not hesitate to give us a call. , The Department's address,telephone-and fax number:- Tlae Commonwealth of Musachusl:w*tts Department of Industeial Accidents Office of Investigations 600 Washington* Street E.ostan,ILIA 02111 Tel. #617-727-4904 ext 406 or 1-$77-MASSAFE Fax:# 617-727-7749 Revised 11-22-06 www.m ...gov/dia RE 'Town of Barnstable. • �� Tp�� Regulatory Services * BARMABLA ; Thomas F.Geiler,Director NAM 9`�AIfD,19;.�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 Must Complete and Sign This Section If Using A Builder I, lif as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for . C� L� (Address of Job) � a Signature of Owner Da e Print Name Q TORMS:OWNERPERM IS SION t Ir LicensO; CONS'RE Ir t NumberS ION SUPERVISOR 031802 k.i Birthdate0�/15/1953 Rrres O6l15l2 `" i 00. Res'trrcted a''`,q '� Tr. no: 25595 ARTHUR M P 00 ACFf�CO 26 NA HYANNCYS LANE NIS, MA 0260�, �.. Commissioner {. ✓1ie Toarrarrcovuuea/l1c a� acleuaet7a Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Regist": 105488 UP ra�tton /17/2006 I _ t1 i�-��,rype inqfridua► ` �I ARTHUR M. 6.- PA ; t = ;<<r Arthur Pacheco x r — 4 1: 26 Nancy's Ln. w<,,4r Hyannis,MA 02601 Administrator V � 71 C' h� ,s I BC CALCO 2003 DESIGN REPORT - US Wednesday,July 13,2005 15:12 Double 1 3/4" x 9 1/2" VERSA-LAM@ 3100 SP File Name: Brown rico.BCC: F603 i Job Name: Rico Description:Window Header Address: 108 Main St Specifier: City,State,Zip:Cotuit, Ma Designer: Bill Campbell Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: 77 Standard Load-20 psf 110 psf Tributary 01-04-00 �z/� � 3/,G� � '� �`aY. �� , � •.M� `" m •, � � xa k` � �2�., �r; �,.ate•_ BO B1 1182 Ibs LL 1182 Ibs LL 1581 Ibs DL 1581 Ibs DL Total Horizontal Length-08-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf:Area Left 00-00-00 08-00-00 Live 20 psf 01-04-00 100% Member Type: Floor Beam Dead 10 psf 01-04-00 90% Number of Spans: 1 1 Gable Unf. Lin. Left 00-00-00 08-00-00 Live 0 plf n/a 90% Left Cantilever: No Dead 80 plf n/a 90% Right Cantilever: No 2 Ridge(W12x16 Conc. Pt. Left 04-00-00 04-00-00 Live 2150 Ibs n/a 115% Slope: 0/12 Dead 2340lbs n/a 90% Tributary: 01-04-00 Controls Summary I : Control Type Value %Allowable Duration Load Case Span Location Moment 10011 ft-Ibs 62.4% 115% 3 1 -Internal Neg. Moment 0 ft-Ibs n/a 100% Live Load: 20 psf End Shear 2660 Ibs 36.0% 115% 3 1 -Left Dead Load: 10 psf Total Load Deft. U507(0.189") 47.3% 3 1 Partition Load: 0 psf Live Load Defl. U1141 (0.084") 31.6% 3 1 Duration: 100 Max Defl. 0.189" 18.9% 3 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(U240)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(U360)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-1/2". particular application. The output Minimum bearing length for B1 is 1-1/2". above is based upon building Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing code-accepted design properties and analysis methods. Installation Connection Diagram of BOISE engineered wood Consult project design professional of record or BOISE technical representative for connection design products must be in accordance Member has no side loads. with the current Installation Guide and the applicable building codes. Concentrated loads are not considered in side load analysis. To obtain an Installation Guide or if Connectors are: 16d Sinker Nails you have any questions,please call (800)232-0788 before beginning a=2„ d product installation. b=3„ b BC CALCS, BC FRAMERS, BCIS, c=2-3/4" a BC RIM BOARD-, BC OSB RIM d-12" � • � BOARD-, BOISE GLULAMTM, T VERSA-LAMS,VERSA-RIMS, C VERSA-RIM PLUSS, VERSA-STRAND TM, VERSA-STUDS,ALLJOISTS and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 iA woisw BC CALC®2003 DESIGN REPORT - US Wednesday,July 13,2005 15:04 Double 1 3/4" x 9 1/2" VERSA-LAM® 3100 SP File Name: Brown rico.BCC: FB02 Job Name: Rico Description: French door header Address: 108 Main St Specifier: City,State,Zip:Cotuit, Ma Designer: Bill Campbell Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: 2 1 Standard Load-5 psf 110 psf Tributary 01-00-00 BO B1 1039 Ibs LL 1039 Ibs LL 737 Ibs DL 737 Ibs DL Total Horizontal Length-06-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 06-00-00 Live 5 psf 01-00-00 100% Member Type: Floor Beam Dead 10 psf 01-00-00 90% Number of Spans: 1 1 Gable Unf.Lin. Left 00-00-00 06-00-00 Live 0 plf n/a 90% Left Cantilever: No Dead 30 plf n/a 90% Right Cantilever: No 2 Ridge Conc.Pt. Left 03-00-00 03-00-00 Live 2048 Ibs n/a 115% Dead 1177lbs n/a 90% Slope: 0/12 Tributary: 01-00-00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 5080 ft-Ibs 31.7% 115% 3 1 -internal Live Load: 5 psf Neg. Moment 0 ft-Ibs n/a 100% End Shear 1733 Ibs 23.4/0 115%. 3 1 -Left Dead Load: 10 psf Total Load Defl. L/1351 (0.053") 17.8% 3 1 Partition Load: 0 psf Live Load Defl. U2241 (0.032") 16.1% 3 1 Duration: 100 Max Defl. 0.053" 5.3% 3 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(L/240)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(L1360)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-1/2". particular application. The output Minimum bearing length for 131 is 1-1/2". above is based upon building Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing code-accepted design properties and analysis methods. Installation Connection Diagram of BOISE engineered wood Consult project design professional of record or BOISE technical representative for connection design products must be in accordance Member has no side loads. with the current Installation Guide Concentrated loads are not considered in side load analysis. and the applicable building codes. To obtain an Installation Guide or if Connectors are: 16d Sinker Nails you have any questions,please call (800)232-0788 before beginning a=2„ d product installation. b=3„ b BC CALC®, BC FRAMER®, BCI®, c=2-3/4" a BC RIM BOARD TM BC OSB RIM d-12 BOARD-, BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, C VERSA-RIM PLUS ,, VERSA-STRANDT"' VERSA-STUD®,ALLJOIST®and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 noisw BC CALC® 2003 DESIGN REPORT - US Wednesday,July 13,2005 15:04 Double 1 3/4" x 9 1/2" VERSA-LAM® 3100 SP File Name: Brown rico.BCC: F602 Job Name: Rico Description: French door header Address: 108 Main St Specifier: City,State,Zip:Cotuit, Ma Designer: Bill Campbell Customer: Roy Brown Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: 2 1 Standard Load-5 psf 110 psf Tributary 01-00-00 � x BO 61 1039 Ibs LL 1039 Ibs LL 737 Ibs DL 737 Ibs DL Total Horizontal Length-06-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 06-00-00 Live 5 psf 01-00-00 100% Member Type: Floor Beam Dead 10 psf 01-00-00 90% Number of Spans: 1 1 Gable Unf. Lin. Left 00-00-00 06-00-00 Live 0 plf n/a 90% Left Cantilever: No Dead 30 plf n/a 90% Right Cantilever: No 2 Ridge Conc. Pt. Left 03-00-00 03-00-00 Live 2048 Ibs n/a 115% Dead 1177lbs n/a 90% Slope: 0/12 Tributary: 01-00-00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 5080 ft-Ibs 31.7% 115% 3 1 -Internal Neg.Moment 0 ft-Ibs n/a 100% Live Load: 5 psf End Shear 1733 Ibs 23.4% 115% 3 1 -Left Dead Load: 10 psf Total Load Defl. U1351 (0.053") 17.8% 3 1 Partition Load: 0 psf Live Load Defl. U2241 (0.032") 16.1% 3 1 Duration: 100 Max Defl. 0.053" 5.3% 3 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(U240)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(U360)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-1/2". particular application. The output Minimum bearing length for 131 is 1-1/2". above is based upon building Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing code-accepted design properties and analysis methods. Installation Connection Diagram of BOISE engineered wood Consult project design professional of record or BOISE technical representative for connection design products must be in accordance Member has no side loads. with the current Installation Guide Concentrated loads are not considered in side load analysis. and the applicable building codes. To obtain an Installation Guide or if Connectors are: 16d Sinker Nails you have any questions,please call (800)232-0788 before beginning a=2" product installation. b=3„ b d BC CALC®, BC FRAMER®, BCIO, c=2-3/4" a BC RIM BOARD rm BC OSB RIM d-12 • BOARD-, BOISE GLULAM-, VERSA-LAM®,VERSA-RIMS, C VERSA-RIM PLUS®, VERSA-STRAND- VERSA-STUD®,ALLJOIST®and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of•1 a t• - G_prSNNu : -= - CCC2 ° _ u w�tia �. SP -YYJ[01:1_� I 31" Ij �r1' _J'Y F.- -.. -II II , � ,n5 5�rsps4 zxa as Pam" Ii Re. I Ii o4r�� '�` o•_c C/G"a,� 3�'b®C, , ��p -I-- -- ' � D I �"t� ;I fir. r - :II �.: ._. I 1, 3•� �Y4 �. I:� 3 ^ ..T=—__ G-a' X 78'•.� 2 O I li o + I t �. �. .._.. i .�E,£EcE•�'�" -- - � :�-•. ' . . .. � Ii skydu>�-.. .....� ��- � j .. i ' �! WItiWpW r?.r7• 7 i I `.�"__TTI J E b � I - _ i. i •� I I i � i i Y ` !I i �j' Dl. z nJ[r.1Y�t-w.lwL-. - 3 �i 6�L� v kNtH_4Roh5._R.m� I h i 31°•.- ' i \i I4--�1I7`9..,.sr.lrn_L Y�� e` J I(al-O.. �I`._ �.. L,..•" 31 - ' � � sl �is i n*I s " sJ L y :c �. I ` � III— �; N kr� nrJL � ✓,� �1—.! _I�-� � EIS: 2/��X 12 r L� I— - - - - o r .c�. .�. .T � 5-7•• 9:.Q•_ - - — G - - Irr FxreriWr, WIII-L, /i �cI4E•c,- -' }/3o�.Dr.o�u.o�ewc ..Ex15?'I Ir+ nr> -'1.1.-✓ATIB�I !. ? - -- 1. NGi PG PA/'I] A:N lam./ram.. DI o X-7 1.0A if<lAW-57CcF j - SCALE:4 If La" APPROVED BY: DRAWN BY�p , .. I - .I- O��I/ "tA,G�✓P7.1 D.Pl DATE: 7_ I - - de(sign HYBnnj:.MR .DRAWING NUMBER BARRYJONES-HENRY DESIGNER / ° I �I — - _. _ 1 � I 4t ..���. ��q_�! 19{.�r. .29 �,.. 7� �k 9A^.4,�c,���`-}---�A•_ �-�t ti -t-"h` y. .-..;, � 1'�' _ r& ilk rb r` to 1c, I I i I Nov L-A�� ' /�g_Qa�.� D, - L 1 f- 2 37�S AIJ � �_:.�� •S��"!PyS�/�p-v ' E � I I .. _i— 1 { _ i � � '�� Q My�'�b[ALL Ih(STd LLf—,D .. � _ � • �� I II I i I I I Mc,.�Siw � , _LZil.f-T'=: S ,A5 ¢141 � O:L _. .__ I � I i I , 1 'ram j • I . � I 1 � F 7"- � .... .. � - I �MOv6 IC I Al 711 I , � j� � � 'I W 57t��T ��- `.• G O;Z it i'r,�M t�." �' _.-. ._f... .. •- 'r- I SCALE: /lL.o � APPROVED BY: DRAWN BY 5pIZ ..�.DQr.O ,1Jµ 111 de(sign r Hyannis:MA .DRAWING NUMBER -1—"'- ---'—_—'--- I�'-•�—.—..., � - BARRYJONBS HENRY DESIGNER �°F R` 1_AM i _ o 3 2 _. _.�Qpr. F j ! I , I 1 zr.+,�oeP lo-1 O�� r. i �U .�,��Fi 1. ! A9pE-o IL x6 GY.6,2 p 8}./:-4V)i`S`.'Phl -. \ i 11 8" r / S T.664 j_A .L�ll eat .- "144 IZ100E I �y a zx rs rl a_ xo �� ,+iAJN Sz Ic .I -m. I APPROVED BY: b - pRAVJN BY )��yv F�c(ZN ..1 mO.Ok-)3 5 rE 1 BCALE: (1-0 / -I\ DATE: 7-/3—O5 -- - -- I e's ign Hyannis.MA D RAWI NO NUMBER _.-' .. -.,. ._._.... .._..... __ i Gt-oPR - Jam, b F 3... BARRYJONES=HENRY DESIGNER oFtHETp,,� The Town of Barnstable BARNSTABLE. ' Department of Health Safety and Environmental Services 7i MASS. e a i639' �0 pTEOMp�a, Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection.Correction Notice Type of Inspection F R (C OT1X�C Location W 0? 1('`�1�` OJ ;S—r Permit Number S Q 9 3 Owner SN8LAQUB Builder AV RROW 10 One notice to remain on job site, one notice on file in Building Department. The following items need correcting: o nc.a r.re , Q �- ,►reb,oc yy 11h CC- N 3 OLY"� ham er UQ r�4e-J U eel �peav� c� ec'd 4r i c�-� o '"7 yv3 v Please call: 508-862-403$-for re-inspection. Inspected by (1 Date 7, �loS I k e � s S . j } i k f F i 0 „ 5��= rJ� _ � f i l I / C J l� SCALE = I�—(�� APPROVED BY: DRAWN BYR . DATE: dest n • ! _�„ �( HydYlY115,MA DRAWING NUMBER BARRYJONES-HENRY DESIGNER ` l V - !. NEW Y I. I - - J" -- t ` ! I V g rrr21!G {%t�171N wA t--I-Sl . j i I SCALE li APPROVED BY:_. DRAWN BY � '-,f r ! - DATE: - - --Pt 1-7 1 t1 W �. 1�•i _ Hyannis,MA DRAWING NUMBER Wlpl� BAR.RYJONES=HENRY DESIGNER �`��� BABISTASLE TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE-OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: Th«—wnder«igned—hereby applies for a permit according to the following informotion: ...£0..d/M.Syr.r.C>..a..rT.u..Lr:..Location Proposed Use Zoning District Fire District .J^c ..Address .ress Name of Owner Nome Name of Architect .TT.Address ... Number of Rooms ./.Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace .•...Approximate Cost Difinltive Plan Approved by Planning Board 19 Diagram of Lot and Building with Dimensions l \ ? V K Yi, 't'£ A 2, 1 \0' 0 r •X i'j \ Y0J9-I/7 /->' f 7- 7..sy£.:.£<^...£2^s; -Tlc'^es. tiT m: \PfT\ hereby agree to conform to all the Rules and Regulations of the Town of Bajmstable rgflordi^^the abg>ye construction.^0.0 fs^AxXAjtuA CJ^ Name Scotti,Arthur -I No Permit for add .:to..sin£lg. .?a .dwe11 ing 10^.SjS-C- Location ^..;./.. Owner Type of Construction Plot ..K2.E.lt...Lot Permit Granted 19 ^7 Dote of inspection 19 Date Completed U.'J.E/..19^/ PERMIT REFUSED 19 Approved 19 /Z A 77^'—^///