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0513 MAIN STREET (COTUIT)
i ,,� .�/3 -�-�2.� 1 ` i I�. �� T„ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION: °Map C��� Parcel LP Application#�U[� ���7 1 Health Division Date Issued ,'� ;�. Conservation Division r Application Fee �5 Tax Collector T °` l rf Permit Fee 4 'y , Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board G Historic-OKH Preservation/Hyannis Project Street Address Village C_-4 LA-A Owner s Address SI t-j CL11) r0hi_I ©2 (p i Telephone L� ��L) q CM Permit Request S'XS' c� L c _KILA 9 L1_g 9�4 Square feet: 1st floor:existing proposed 2nd floor:existing 2161 proposed P* Total'-new" - Zoning District Q_ns,,4 e e\ Fi c$1 Flood.Plain K)b Groundwater Overlay N �- r c.:� Project Valuation C� ;L�( Construction Type S s 1,1000t) Lot Size , 5_t:!� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. .7- Dwelling Type: Single Family W"- Two Family ❑ Multi-Family(#units) , = Age,of Existing Structure 1Gl l q Historic House: ❑Yes W-No On Old King's Highw y: ❑Yes UNo Basement Type: WUII ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ® Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 1 new Half:existing CJ new b Number of Bedrooms: existing new D Total Room Count(not including baths):existing new t First Floor Room Count Heat Type and Fuel: ❑Gas Oil ❑ Electric ❑Other Central Air: des ❑No Fireplaces: Existing New Existing wood/coal\c::�' Yes _❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exiswcAttached garage:2existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ` Commercial ❑Yes ❑No If yes, site plan review# Current UseSir\r Pc Proposed Use /� _ BUILDER INFORMATION Name E.�l(f.� L-t�«)O )L Telephone Number QA Address to ( .ems License# CS C)71/ to Ut Eke A- o ZU S:K Home Improvement Contractor# Worker's Compensation#/.( -, y} ZC�7 ALL CONSTRUCTIO DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO rJ11A t SIGNATUR DATE 10 °Zy D FOR OFFICIAL USE ONLY 'l APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION � �fC la ® 6 7 JC FRAME ��R Cox 2-//3Ioe �Q�� INSULATION �o ������� X` FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL �S. GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT C. ASSOCIATION PLAN NO. Y F r� Iowa r Town of Barnstable Regulatory Services a►wvsregie, t. Muss.. Thomas F.Geller,Director �•°r ;A:►��� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.town.barnstable.ma.us 'Office: 508-862-4038 Fa 508-790-6230 PLAN REVIEW Owner: Map/Parcel: )Project Address `ff3'Sil iN�-iTC-r. e • Builder: o.� � � /c The following items were noted on reviewing: q� /(/o •�N d Q-A-09-Nz E .�P!� /�/2 0rZ a v o . Q11V /U ,ls Les-' pic SK l Y r-b . 60 M lk F[ 12"o-ok IW 4-12 as6�el . 3Cr3 Z( o Reviewed b _ Y Date: Q:Forms:Plnrvw Q� ' The Commonwealth ofMassachusetts Department of Industrial,4dcidents Office ofInvestrgations 600 Washineon Street Boston, 3M 02111 , www.mass.gov/dia Workers"Compensation Xnsurance davit;.Builders/Contr.actors/EIectricians/Plumbers Applicant Information Please Print Ledbly Name (13usiness/Organization/Individual): •Address: D1 L �9 1= City/State/Zip: ( Ytf llL9 M A CL21os _ Phone.#: Are you an employer? Check the appropriate box: -Type of project(required):, 1.❑ I am a employer with 4. [v�I am a general contractor and I ' employees(full'and/orpart-time).* have hired the sub-contractors 6. New construction . 2.❑ I am asole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling, These sub-contractors have ' ship and have no employees S. ❑Demolition workin for me in an capacity. employees and have workers' g Y P tY• $. 9. [, Building addition [No workers' comp.insurance comp.insurance, 10. Electrical repairs or additions required.] 5• ❑ We are a corporation and its ❑ P 3.❑ officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions myself [No workers' camp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑Other comp. insurance required.] . 'Any applicant that checks box#I 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 sbowing the name of the sub-con[ractors and state whether or not those cntitics have employees. If the sub-contractors have emplayccs,they must providb their workers'comp.policy nurnbc% law an employer that isproviding workers'compensation insurance far my employees Below is thepolicy and job site information Insurance Company Name: Policy##or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investi ations of the WA,for insurance coverage verification. Xda hereby c fy under the a' sand penalties ofperjury that the information provided above is true and correct: Signature: / Date: � Q -�-Z'T �-- Phone #: Official use only. Do not write in this area,Yo be completed by city or town ofj'lclal, City or Town: PermilMicense# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Towu Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: ✓die -�ianmo�e�ueaCt�i a���vac�uaelta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 140459 One Ashburton Place Rm 1301 Ex p i rati o h:.'.10/20/2007 Boston,Ma.02108 Type Individual CHARLES R CROV.O} {. CHARLES CROVE 776 MAIN STREETi �`y��� �- �� - OSTERVILLE,MA 02655 Administrator Not valid without signature) i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR. Numbed OS 071165., Birthdate 1_? 11970 1' ` "Ex fires: 12/20l2007F Tr no: 12162 a . Restrtcted A G°' . J CHARLES R CRgq / ? PO BOX485 OSTERVILLE, MA 02655 Commissioner 11/07/2007 10:28 15084202791 PAGE 03/03 mawuer/��, a�✓ �'�"' iStration valid for indlvidul use only Liccnac or red. Qoard of Building RcRnlsdone and$tandarals before the expiration date.ff found return to: HOME IMPROVEMENT CONTRACTOR Board of Biallding ItegulatlonS and standards uR®gistrion`.•. 1�10459 One Ashburton Place Rm 1301 EiClyir8t7�ri:'_.(0/20/2009 Tr# 261021 Boston;MR.02108 lg 1 1.., ia4l!dual CHARLES R CR�,V/ , ; CHARLES CROVti;` 776 MAIN STREET ';.• - Not valid without signattt re ._ 11/07/2007 10:28 15084202791 PAGE 02/03 a - Boar o �_uifflngMgulaVionqs"/a�n an ar s One Ashburton Place - Room 1301. Boston. Massachusetts 62108 Tome I Ontractor Registration Reqistration: 140459 Type: Individual expiration: 10/20/2009. Tr# 2MINI CHARLES R CROVO CHARLES CROVE ! I .. 776 MAIN STREET -__---- OSTERVILLE, MA 02655 ,-;,,.I: - _ , --- - _....... Update Address s►nd retuna curd.Mark reason for change. �] Address Renewal Employment rl Lost Card r _ _ it Mar-28-2007 03:08pm From-HUB International NE LLC 5087001407 T-181 P.001/002 F-290 H�VJ I.#t:K 1 jrjt.#^I t Uh LIAI5ILI i Y INSURANCE OP ID Uruc(MrvvuurTTTT) PRODUCER DUNHI-_ 03 28 07 TWIS CERTIFICATE IS ISSUED A3 A MATTER OF INFORMATION HUB Ibternational New P'tgland ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ;437 Station Ave HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR SO.Ya=outh NA 02664 ALTER THE(COVERAGE AFFORDED BY THE POLICIES BELOW. Phone: 508-394-0946 rax:508-760-1407 INSURED INSURERS AFFORDING COVERAGE NAIC# INSURERk AePan OP"I,.lty Inaoranca an. INSURER B: Aoeorsp�Swsloyora Ina.Co. Dunhill Conanies Ltd. INSURERc:776 Main Sheet Osterville M4 02655 INSURERD: COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAvE PEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY eE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is^SUPJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAy HAVE BEEN REDUCED BY PAID CLAIMS. LTR S TYPEOFINSURANCE POLICY NUMBER CYEFFHC GENERAL LIABLITY DATE RAM DATE Mfto LIMITS A �C COMMERCIAL CvENERALUABIL(IY GL001046-02 EACHOCCURRENcE $1000000 CLAIMS MADE �OCCUR 01�27/07 O1�27/08 PREMISES RDDccuronce $50000 MED EXP MY One Person) s2500 PERSONAL aADVINJURy $1000000 GENILAGOREGATE LIMIT APPLIESPER. GENERAL AGGREGATE %2000000 POLICY i LOC PRODUCTS-COMPIOPAGG $1000000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE UMIT $ ALL OWNED AUTOS (Ea aWdent) SCHEOUL50 AUTOS BODILY� INJURY $ _ HIRED AUTOS NON•OWNEDAUTOS BODILY INJURY 5 (Par accldent) PROPERTY DAMAGE $ GARAGE LABILITY (Parawdenq ANY AUTO AUTO ONLY•EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSruMRRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE g DEDUCTIBLE 5 RETENTION S 5 WORKERS COMPENSATION AND 5 EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE WCC5004140012007 TORYLI ITS ER OFFICERIMEMBEREXCLUDED? 01/29/07 0]129/0$ EL,EACH ACCIDENT $500000 It describe under E.L.01-BMW-EAEMPLCYEE $500000 SPECIAL PROVISIONS below MER E.L.DISEASE-POLICY LIMIT S 500000 DESCRIPTION OF OPERATIONS r LOCATION51 VEHICLES/EXCLUSIONS ADDED BY ENDO MENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION -- —1 SHOULD ANY OF THE ABOVE PR6CR1OA0 POLICIRS OF CANGRLLED OrpCRE MF EXPIRATION DATE THFREOF,THE ISSUING INSURER WILL FADEAVOR TO MAIL 10 OAyg yyNTTEN Town Of Falmouth NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,OUT FAILURE TO DO SO SHALL 59 Town Hall Square IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURE I A Falmouth MA 02540 R.TS GENTS OR REPRE5P_NTATIVES- AU D E A ACORD 25(2001/08) C�ACORD CORPORATION 1998 THE�� Town of Barnstable Regulatory Services sn MASS.� Thomas F.Geiler,Directoi 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"ieconstruction, 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: ��-Ge 6�+ (3.tCc -�. Estimated Cost Address of Work: n 11 Owner's Name: Date of Application: . I hereby certify that: Registration is not.required for the following reason(s): QWork excluded by law ,. ❑Job Under$1,000 ❑Building not owner-occupied Downer 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 th at of the owner: I!D DT Date. Contractor Name Registration No.' OR Date Owner's Name Q:forms:homeafdav t'f �OFIHE �y .''Town 0f Barnstable. �"' Regulatory Services s,�xr�szesr�, . MASS $ Thomas F. Geiler,Director FD .. a,� Building Division Tom Perry, Building.Commissioner 200 Main Street, Hyannis,MA 02601 WY W-town.barnstable.maxs Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section Tf Using A Build'er T,- ��73Ln D t , as Corner of the subject property herebyauthorize to act on my behalf, Le in all matters relative to work authorized bythis building permit application for.- (Address of Job J6 -Z2 -C ) Signattue Owner Date Print Name Q:FORMS:OWNERPERMIS S ION zswie asua(evattanezT) . . pmaiptivs pseksget tar due and Ti+•o4=11•RealdentW Balidiag+Hcatexl 'FaseII''F4e1s ' . 1ti'I.AXfMUM . NIINIMUIVI Glazing 0132ing CCUing Wall Hoot . Buaneat Slab 'SeatiaglCaoling Arcar('!.) U-valae= R-v4d ' k value A Value` WLU Pa�mder F�iFmeat Efbcsmcr' R vahm, R yatua 110I to 6500 Hex#lag besm Days' . 3Z°r. • 0.4-0 33 13 19 10 5 Nanasl S Normal 1L 12% 0.52 30 19 19 I0. 35�J8 g 12% 0.50 33 ;3 19 10 fi Iir. 036 38 13 25 NIA NIA. Normal T � TlcrasaI U 15% 0.46 33 19 19 10 6 as JE- 15% 0.44 31t 13 21 NIA,' U AF � a AFVE jy 15% 0.57 30 19 19 10 Narmal •X is% 032 31 • 13 23 NIA NIA N=zl Y 13%. 0,42 31 19 25 WA NIA 90 AME Z 1$'j. 0,41 31. 13 19 l0• 6 12% ff50 3Q 15 19 10 6 ' AFL I. ADDRESS OF PROPERTY: SQUAILE FOOTAGE OF ALL.EXTERIOR WALLS: `CSC 3. SQUARE FOOTAGE OF ALL GLAZING: l 4, % GLAZING AREA.(0 DIVIDED BY'*2): 9. SELECT PACKAGE(Q AA-see cbmt zbOve); ; 1 OTE: OT'HEP,MORE IN-YOLV�METHODS OF DE i'�3vII O G ENERGY REQUMEM7S ARE AVAILABLE, ASK.T1S FOR THIS I OPULATION. 1 BLSDING-INSPECTOR APPROVAL: • YES:. NO; q g��s•flo0303a �� �aicvv! 1L :sz :13 YM PAGE 003/003 Fax Server �4w }yin'. 77, AI��I�II® L 1 F 1 > N DATE(MM100VYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ROBERT E BOUCHIE JR INS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 BOX 400 HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIEd BELOW, CATAUMET MA 02534 COMPANIES AFFORDING COVERAGE COMPANY INSURED A COMPANY CARPENTRY UNLIMITED INC g 60 PLUM STREET WEST BARNSTABLE MA 02668 COMPANY C COMPANY C041ERAIGI<5 D THIS!S ED CERTIFY THAT THE POLICIES UI INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOAY BE ISSUED ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN Co MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT R TYPE OF INSURANCE POLICY NUME40A CY EFFECTIVE POLICY EXPIRATION (MMhDD\YY) DATE(MMIDD�YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE QOCCUR. PRODUCTS AGG, $ OWNER'S&CONTRACTOR'S PROT. PERSONAL&ADV.INJURY $ EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE LIABILITY MED.EXPENSE(Any one person) $ ANY AUTO COMBINED SINGLE $ LIMIT ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per Person) $ ' NON-OWNED AU70S BODILY INJURY $ (Per Accident) GARAGE LIABILITY PROPERTY DAMAGE $ ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ A WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY (UB-4000B40-0-07) 02-21-07 02-21-08 STATUTORYLIMRS N%lll.. THE PROPRIETOR/ EACH ACCIDENT $ iPARTNERS/EXECUTIVE INCL OFFICERS ARE: EXCL DISEASE—POLICY LIMIT $ OTHER DISEASE—EACH EMPLOYEE $ DESCRIPTION OF OPERATIONS(LOCATIONS VEHICLESIRESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CE CAE b>~t3R CANCEF CATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS - WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 475 WHISILE BERRY DRIVE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR MARSTONS MILLS MA 02648 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE � CORPORATI(SN 481 ; . STANDARD LEGEND 8� Iw MAP 22 0 1 ,—�-- • `oQa iem i _t 2 a T # 491 ; 1 ■aawlEe qz MAP 22 . V 505 �►. XwZ27 g _ 134 2 # 24VMWA / . 41T010T1ll6 e � toea/oEa . F'!#& _Mavr+al/xElr j' MAP:21 ( ; o I MA 21 = a rmt ueau so 6 MAN" #-51 . 5 � SITEMAP 1 i 54 T.C.I.OCOiGMIC INFOIILLTI00 SMIAS OYIf N ` ` SCALE:in feet # 511 j 0: 30 - 60 57.5 11NQ1:Q 60 FEET• OFp N �• iy w e . .. ..-... - .,t. .. . r:. .. raor�m•mo.efijnar u[rr pert w.. :tmwroav,aruw�a,n+�w•/4 nay . :,X _ .. naouw��M1s.iuwaacrr.owm®�..�nf _ YA1K1.1CiIQ(M1MI.101.WBQM1 MI, • , - IY®YYw®lo•M1rfY9ni®16• lfq r.m,oa•Yi1�//MaIft T .71 . 4 • t. '3D�TRRe�n Ear/ .T/.M6. OEC'c .. E)a 01, N u5C' Aa.o .-— For.r+ AT.10 ,O oO_7>T APP 2•'14'. i � .vEW.Ta i4�o" IV/PIG r—�0117 S �' �.T.�G,'fj:SCRetrt I _ C'oX'C.PiEitS 77� x4z_ �?._f— :.i_ �E.•. I _Cur/nt, n -cam :i.u'cG ' � i� �' _-... •- !I I +-.�� s :t !�,_ f � C �� f - P,/ 14..g'p.Fc S SUPIe' 1 � —_-_.. 1 1 I. _ I �� ' ;� / d.sdYc?'/'OS/• _.- .k•=...' 6//S,. I ',' - f_ I, _ I EY/ST[N6.:RS L[d - _ I-�� - � - � J f Info ! � 1 - � �.: .. ��2Qi✓Tf ,ELI%/d T.>.O/'.i _ � f �;£aaFrz,��� o _ /* .lAt : : I! C -. - - - . — - - - - .. - .. 02/05/%2008 08:16 15084202791 PAGE 01/02 6F FEB 7: S� DUNHILL COMPANIES, IaTD c EaL G S�a E �Ev Lo pmEnt 776 Main Street, Osterville, MA 02655 Tel: 508-d20-9222 • Fax: 508.42.E-0453 wwwAvAillrealestate.com 1 �. o _ Fax. '1G LD Date. # Pages (incl. Cover): a Messagel: 1-1 � , s, �1�.�:. Sir v�c� ra,\ c7, e_.gr or u-D" 6� 02/05%`4008 08:16 15084202791 PAGE 02/02 Double 1-3/4" x 11-7/8" VERSA-LAMO 2.0 310 BC CAL06 9.5 Design Report US 0 SP Floor Bea - 1 span I o cantilevers o/12 slope mIF601 Build 91 N a I p Monday, February 04,200814:04 Job Name: File Name; SC CALC Project Address; 513 Main Street Description: FB01 City,State,Zip;Cotult,MA Specifier; Customer: i7unhlll Designer: Joe Madera Code reports; ESR-1040 Company: Shepley Wood Products Misc: I a B0,3-12° iz•00-00 LL 960 Ibs 812 DL 310 Ibs 1,3- °LL 96o Ibs DL 310 ibs Total HOrlZontal product Length=12-00700 Load Sumti78ry Live Dead Snow Wind Roof Llvo Ta Descrt tion Load Twe Ref. Start End o ° ° 1 -Standard Load 100 90 115/e 133% 125% Trlb.Unf.-Area(psf) Left `00-00.00 1240-00 40 10 . 04-00-00 Conttols Stymmat value Load Disclosure ° Allowable Duration Case Sp an Location Pos. Moment 3525 ft-Ibs 16.6% 100�/a 1 Completeness and accuracy of Input must End Shear 999 Ibs e 1 -Internal be verified by anyone who would rely o 12.6% 100/0 1 1 -Left output as evidence of suitability forn Total Load Dafl, L/1601 (0.0871 15.096 Live Load Deft L/211a(0.065,!) - 17.0% 1 1 building ldingParticularapplication,de- cept Output here based on 1 1 bulldingCede-Accepted design properties Max Deft. 0.087" $,70� 1 1 and Analysis methods.Installation of BOISE Span/Depth 11.7 "` n/a engineered wood products must be In 0 4 accordance with current Installation Guide %Allow %Allow and applicable building codes.To obtain Beath Su OrtS Dlm, L x W Value Su Installation Guide or ask questions,please 3-1/2� x 3-1/2„ 1270 Ibs n/a 13,8% Unspecified BO Post Art Member Ma spacified call(888)234-0056 before Installation, Bi Post 3-1/2"x 3-1/2" 1270 Ibs n/a 13.8% Unspecified BC CALCO,BC FRAMERM,AJS74, Cautions ALLJOISTO,BC RIM SOARDTM,810I6, Column at Bearing SO analyzed for bearing only, column analysis has not been performed. PLUSS.6OISE o4ULAMTN SIMPLE FRAMING Column at Bedring 81 analyzed for bearing only,column analysis has not been performed. n,VERSA•LAM�,VERSA-RIM PLUS®,VERSA-RIMO, VERSA-STRAND@.VERSA-STUD®are Notes trademarks of Bolse Wood Products,L.L.C, Design meets Code minimum(L/240)Total toad deflection criteria. Design meats.Code minimum(L/360)Live load deflection criteria. Design meets arbltrary(1")Maximum,load deflection criteria. Connection Ilia ram lb d_► r- C co Ln C) a minimum=2" c=7-7/811 b minimum=3" d; 12" a Member has no side loads, to GJ1 r" Connectors are:16d Common Nails .Page 1 of 1 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map U a l Parcel EPYOC Permit# SySTE4f Health Division �`^ 3 INSTALLED ��1'YE to Issued 3 � d � � Conservation Division gY) c�C0 � t . WIT'(; ENVI TITLE S. ee Tax Collector + " Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address + Village Owner V f-P L Address S�/VitT1l(� � 0D�0 t! r Telephone - 7 Permit Request Square feet: lst floor: existing proposed ��S 2nd floor: existing proposed Total new Estimated Project Cost © Zoning District Flood,Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes �, o Basement Type: 'AFull ❑Crawl ❑Walkout ❑Other " Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new o Half:existing new o Number of Bedrooms: existing new O Total Room Count(not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: ❑Gas QOil ❑ Electric ❑Other Central Air: ❑Yes ZNo Fireplaces: Existing 0 , New d Existing wood/coal stove: ❑Yes iXINo Detached garage:❑existing ❑new size 4 Pool:❑existing ❑new size �D Barn:❑existing ❑new size Attached garage:❑existing ®new size 72,4 Shed:❑existing ❑new size D Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes *No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION - Name P�- Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ���� FOR OFFICIAL USE ONLY t _ PERMIT NO. [ DATE ISSUED F _ - .r, s 4 ((Ltd►- :f �., 'f MAP/PARCEL]NO. j ADDRESS i"f~ 1 c. VILLAGE OWNER DATE OF INSPECTION FOUNDATION - - FRAME t°~�O • - ` INSULATIONS FIREPLACE !') 3 t ELECTRICAL:-.` TROUGH FINAL ' PLUMBING:; , ROUGH FINAL ' ` -4 ". GAS: ROUGH FINAL F '° FINAL BUILDING of DATE CLOSED'OUT - ASSOCIATION�PLAN NO. r` 0 The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main`Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner r Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: L-1ZJ4:24 r 7i��Lz y Estimated Cost_ Address of Work: S7� / 41L2 �T a7U- I 4 Owner's Name: / EGM)L L — Date of Application: dL71 , Z I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied 0 wner pulling own permit Notice is hereby given that: \\ OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR DdDJL�LZaf Z)-IA4; Date Owner's e s ` q:forms:Affidav ' M CM&Appawk i ' Table J&Mb(eondaned) { Procriptive Packages for One and Two-Famiir ResidatW Buildlap Aated with Fmii Fueb MAXIMUM MIIVIMUM Glazing Glazing Ceiling Wall Floor Hasememt Slab Head4cooling Am'rA) U-valuer R value' R value' R valuer Wan Pafinetes E pmeu ElScieag, page ltwaluO R values 5701 to 6500 Hadug Degree Dare' Q 125's 0.40 1 38 13 19 10 6 Normal R 12`/e 0.52 30 19 19 10 6 Now S 125's 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 23 WA WA Normal U 150/e 0.46 38 19 19 1 10 6 Normal V 15% 0.44 38 13 23 WA WA 85 AFUE W 1S'/0 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 WA WA Normal Y 19% 0.42 38 19 23 WA WA Normal Z ill% 0.42 38 13 19 10 6 90AFUE AA 19% 0.50 30 19 1 19 10 6 90 AnM 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q--.AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-1980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft 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 R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or.mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages). Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other"glazing. Basement doors must meet the door U-value requirement described in Note b. '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 - The Commonwealth of Massachusetts = Department of Industrial Accidents "" :?_ - Office VIRRY85019 05 34 600 Washington Street : Boston,Mass. 02111 Workers' Comyensation Insurance Affidavit name: location: &A , � city l r phone# I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one work in in any capacity ❑ lain an employer providing workers' compensation for my employees working on this job. compnnv name: address: city: phone#- insurance ca. P011cV# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the folloning workers' compensation polices: comnanv name: address: city: phone#- . . ... : ...... msurnnce ca. o tcv * comnanv name: address: citf: ... phone#i ... .......... . insurance co. :.::..:::::..,..:,.:: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Otnce of Investigations of the DIA for coverage verincation. 1 da hereby ce 'y under the pains and penalties of perjury that the information provided above is true and correct Signature Date —2,Y Print name Phone Econtactper3on: do not write in this area to be completed by city or town ofiiciat permit/IIcense# ❑Building Department ❑Licensing Board ediate response is required ❑Selectmen's Oince ❑Health Department phone#; ❑Other gmma 9;95 P1A7 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 con=--= 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 receive: 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 renews.: of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the . commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The 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 camtact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a refereace number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. 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Y r .. x -n :d _ '.� to ,,,,w., k- .t,°. b �'-:: .s.. i4.. .. ..,.-- ,.. .. •.:;. r. ... .. ,_y _ - .'�s _. t d F ; i 'O M / t - , i C t f t •1.160E MG81.6 Wf MT RMK.IV4.fA1016� ,, i f 't* i \ f r •.J laor[tn M.o.Nsa mi. m.toGv.be ,.. . .:.. t y4� y `r y 'r y t t tm.uruay..w.ow�.--.ft �: t I 11.04Y.11tiO.M.,6R.YM®Qm,i.Iwi 17 _ Z r }` X� ..:�t x-. `` r®�-w "l sweus�e.Ms un 1r_ �p SHE T ° .o AL Ki Department of Health Safety and Environmental Services Building Division • aw ),sass.HAS& . 367 Main Street,Hyannis MA 02601 i659. �prEO Mi►'1 J► Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commission HOMEOWNER LICENSE EXEMPTION n Please Print DATE: JOB LOCATION: L1 f/ i�rn��I `—��U/T_ number street village "HOMEOWNER":—.Dh lb z1"Z name home phone# work phone# CURRENT MAILING ADDRESS: 1 �I /mot -10 S� city/town state up code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures.' A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and roWirements. e � _ S' ate o eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors):provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors.Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require.as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN f; TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION Map Parcel d/ Permit# ` 3 Health Division Date Issued Conservation Division ^ Fee7 Tax Collector Treasurer +4. w1 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address S 3 Y n n s4 Village Co +-(- j M Owner vV Address Telephone Permit Request (dwa_ Q �ZQ rn ruLe 6U ib a s(c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 000 Zoning District ` Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new t Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count - Heat Type and Fuel: 0 Gas ❑Oil ❑ Electric 0 Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No' Detached garage:❑existing '❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# - s Current Use Proposed Use BUILDER INFORMATION Name FRASER GOINSTRR i ON Telephone Number. Address 73 LARAGQN CIR• License# COTUIA 02635Home Improvement Contractor# t Worker's Compensation# AA4-M 119al/', ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Yw1 M Y' q SIGNATURE —DATE-- aU 00 FOR OFFICIAL USE ONLY PERMIT NO.; # - DATE ISSUED, .. . �-r • - _ * .f° _ .. - i g�y, � MAP/PARCEL NO. .� ; - •' •' "' '` •� • -- A 1 �t €";'� to :, 1:$ � � �` ,. ADDRESS VILLAGE e OWNER DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL " GAS: - ` ROUGH FINAL a • ; # ' r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. , 1164 %rvN ar a J —•------- ' r Department of Industrial Accidents 606 Washington Street f: Boston,Mass. 02111 ^ Workers' Co m ensation Insurance Affidavit name, -le A of C PPc A S--C P, location 7 / iW� I G O'n CtOZ city O Ty/ 1�I phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole etor and have no one.workin in any capacity /2� ra Iam an e 1 ding workers from for my employees working on this job.:Y:::::•:::::;::}:?.}:.}:?;.:;.;:<.}:T:•}}}:.:<.:;::;::;:>::<::><:«::::>:,:<;:;. <_.:>....���,�...`;».,;;>, ..��..,::•fie company name address �/x a: ....................... + << < >_ .............,.: .. ............. . 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(favored 9195 PJA) x '-.The Town of Barnstable MAM�:enarr�rw�. • Department of Health Safety and Environmental Services " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date e�d ao4 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: - Estimated Cost OO Address of Work: S ,KJ 5CU Owner's Name: t• food Date of Application: - I hereby certify that: Registration is not required for the following reason(s): Work excluded bylaw []Job Under$1,000 Building not owner-occupied - E]Owner pulling own permit k Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. ate Contractor Name Registration No. OR Date Owner's Name q:fb ms:Affidav .�.%�B T9�17�/�09ZLG�B�f6I6 O��i�'�iGQQff�UQ�d � _ HOME IMPROVEMENT CONTRACTORS REGISTRATION and of Building Regulations and Standards One Ashburton .Place - Room 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 112536 , Expiration .4/06/01 Type — DBA . INNNT ...,,w'M. �8gisttetio�" 112536 z - T FRASER CONSTRUCTION co q Type W:`' DEAN C. FRASER _-__--- , ------ - o — _ 1—TARRAGON. CIR i COTUIT MA 02635 FWD CONSUKTIOR co iDEAN C. Msm . CIR , Goo 7� TUIT.Nfi 42635