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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 0 Parcel—0 J ( Application #
Health Division Date Issued
} Conservation Division �` Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board ca 9
Historic - OKH Preservation / Hyannis
Project Street Address
Village
Owner 0�°i Ff Address 2L / pkrk 6/I/, eM
Telephone X 0 �Sf�
Permit Request Mftr 01Sr10- bl Gd K , 12FAAd WITH Id I)c 16 � 1100H AS
F.
Square feet: 1 st floor: existing proposed �9� 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation �Jr �0� Construction Type n0� Fk
Lot Size o I Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family U/ Two Family ❑ Multi-Family(# units)
Age of Existing Structure 3 *3 Historic House: ❑Yes &"No On Old King's Highway: ❑Yes a No
Basement Type: dFull ❑ Crawl ❑Walkout ❑Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other
Central Air: YYes ❑ 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• N
< w
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ' cCD
01 _n
Commercial ❑Yes ❑ No If yes, site plan review# �a
- _ .Current Use _ Proposed Use �,�
co m
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name P O K V901 r� Telephone Number
Address P10 BOX 6cl License #
&Mtt I Nk Q635- Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 52kll
FOR OFFICIAL USE ONLY
;APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
S
ADDRESS VILLAGE
rF
OWNER
DATE OF INSPECTION:
FOUNDATION e'3)teNcs C-DV, (o ,1,3 S keen
FRAME 3)13 A
INSULATION a -dill
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
a Department ofIndustrial Accidents
. _..p_jj7ce_oflnvestiganons-- - - -- —
600 Washington Street
Boston,'MA 02111
�. www.mass gov/i is
Worker s m Co e ation insurance
ns
P - Affidavit: Builders/Contractors/EIectricia�is/Plurubiers •
Applicant Information j ' Please Print Letbiy
Naine(Business/DT=iz,±ion/rndivi3n�: VQ
_.
Address: I".�� ��• � - •
Ci /state zi L
A ---------------
re you an employer? Check the appropriate bog:
Type of project(required),
l.❑ I hm a employer with - 4. []I am a general contractor and I
2,R�employees ChIl and/or part time),* have hired the sub-contractors 6 New construction
I am a sole proprietor or partner listed do the attached sheet. 7. `�Remodeling'
ship and have no to-ees These sub-contractors have
�P Y 8, []Demolition -
worEng for me in any capacity, employees and have workers',
.[No workers'comp.-ingfr,ance comp.mcrtranre,# 9, []Building addition
required,] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.[� I am a homeowner doingall work officers have exercised heir [] g repairs or additions -
11. PI=bin
myself. [No workers' comp, right of exemption per MGL 12,0 Roof repairs,
insurance required]t. c. 152, §1(4), and we have no
employees.{No workers' , 13.0 Other
COMP.insurance required]
*Any applicant that checla box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they aro doing all work•and then hire outside contractors must submit a new affidavit indicating such
�Contractms that check.ft is box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
en�layees. If the sub-contractors have employees,they mnstproyide their workers'comp,policy number.
Ian an employer that is providing workers'compensation insurance for my employees.-Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Idd.# Expiration Daze:
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 tinder Section 25A of MGL c. 152 can lead to the imposition of crirr al penalties of a .
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine:
of up,to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance-coverage verification
I do hereby certify]under p and penalties of perjury that the information provided ove is true and correct:
Daze:
Phone#
E
only. Do not write in&is area,•to he completed by city or town official
Tow
n:
Permit/r,rcenseority(circle one):ealth 2,Building Department 3. City/Town Clerk 4.Electrical Inspet tor. 5.•Plumbing Inspector
son:. Phone#:
Re . ato _-S.ervices-- - { - gul ry --- ------ - ---
sues.g, Thomas F.Geiler,Director
r�► Buildhlig DivWon .
Tom Perry,Bail-ding Commissioner
200 Main Street,Hyannis,MA 02601
wW.w.town.barnsfable.ma.us
office: 508-862-4038 Fax 508-790-6230
Property Owner Must -
Complete and.Sign.This Section
If Using A Builder
as Owner of the subject property
hereby authorize - ��K �DG to act on my b ehalf, .
in all matters relative-to work authorized by this building permit
Y 6 t-IA a ,
(Address of Job)
Pool fences.and alarms are the responsibility of the applicant. -Pools
are not to be filled or.utilzed before fence is installed and all final -
inspections are performed and.accepted.
S` e of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORMS:DWNERPEPIMSIONPoOLS 62ou
i v rr u yr JL'Pa.JL ua a;a.ivi., 1
THE 1p�
Regulatory Services --= --r- ---
Thomas F.Gefler,Director ,
Building Division
Tom Perry,Buy ding Commissioner.
200 Main Street Hyannis,MA 02601
www.tawn hamstable.ma.us .
Dffi.ce: 508-862-4038 . . Fax: 508-790-6230
HOMEOWNER LICENSE EXEIl2PTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellifm of six units-or less and
to allow homeowners to engage an individual for hire who does not possess a license.Drovided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
persons)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)'k
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner perforating work for which a building permit is required shall be exempt ?rum 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 arc 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 lastpage of this issue is a form currently used by
several towns. You may care t amend and adopt such a fomi/certificationfor use in your community.
Q:forms:homeexempt
i
•
i
&21 ...
aaaac�cc�eCG.t�t
Office of Consumer Affairs&Business R', ulatioq License or registration valid for individul use only
ME IMPROVEMENT CONTRACTORS i fieforg the expiration date. If found return to:
aregistration 109558
�x TYAe Offcq:of Consumer Affairs p ration:: 9121`120 _ . - fairs and Business
Individual. �' 1.0 s Regulation
Park Plaza-Suite 5170
MARK VOLLMER r' Bost"
o ,.1VIA-02116
Y
MARK VOLLMER
1455 SANTUIT NEWTOWN RD'
COTUIT, MA 02635 4— ` '�
Underseo
retary `_
Not valid.without signature
-- — I
husett.s. _
Bo�rt/.of Buil - D E,h:irt
�I ConstructiOI n"Rc,"ulatint ot'public S.
r Cioense• CS 47667 SuPervisorn'V ens Ind t 11 lrUs'
e ,
Ir Cp 30)(64, V VOLLMER
Tu
l T MA 0263,5
C_
�'umcnissio� ` ,
ner
Expiration:
91112013
......._-... Tom' S98
.92
LOT 1l T
t
LOT
a
.116 lot
' e .
A. a 118
11.4 deck #t
IN
c1'
14.0`
36.3
• a 39.5.t
125.00
FLOOD ZONE : "C" y
MA+ RIN
RES. ZONE: RF
- CIRCL-ETHIS. 'MOFt"T'GAGE 2 PLAN IS FOR
BANK USE ONL.V
TOWN:_ C07VIT t -REGISTRY OWNER: iRFNF CHASE
DEED. REF: - 3/05-33' BUYER: } BONNIE A� 51411 TH TRUSTEE OF-AtONA wcoy is: REALTY TRUST
DATE:_ . 4129197 PLAN- REF: tube 167 SCALE: 1'=
,ere y cent y that the
of ui in8
shown: on 'this p lan i •
s located on `tH VANKEE SUR�lEY•
the: ground ,as`shown -and. it oi' PAUL q�y� COMSUL--rAN-r-<s
position 'd'o'es conform to th' a. �, 70 RASPBERRY.LANE..
zonin8 law setback •requireaen't �of B MERITHEw y :MARSTONS -MIULS
No. 3209$ Q MASS 02648 and •do-es not lie within the special 9°�Fs 9F.1gTT
flood hazard area as shown on �aNat iAc�os�
th u..d 'flood iqW dated
_ - is p ld&Mn no made from -an instrment
Paul A. Mer thew R survey, not to,.be used for fences etc ,
8a
r .
8 GO—rViTr I ne r c4rcle, "
PhermoSeaC 2000—Product Specification
�, ' AirPermeance/Air Barrier.'
Therm fills any shape cavity 2000
h' Burn Characteristics
including all voids,cracks, 000
and crevices will be consumed by
ThermoSeal 2 SpT rsT adhering to multiple substrates such as will
but will not sustain flame upon
wood;metal,and concrete creating a removal of the flame source.ThermoSeal
` 'henno.Sea12OOO system with very..little air permeance.With.
ThermoSeal 2000 no additional interior or 2000 will not melt or drip.ThermoSeal
Product Specification y. 2000 must be installed in accordance with
exterior alr infiltration protection is all applicable building codes and a building
Product Name required. inspectors approval should be requested
ThermoSeal 2000 is the registered ASTM E283 Air Leakage prior to installation.
trademark of SprayFoamPolymers.com for Zero(0) ft'/s.ft2 @ 75Pa(25mph wind) ASTM E84 Surface Burning Properties
its 2.Olb high density,closed cell foam Sustained Wind Load `
insulation. , Flame Spread @5" <=25
60 minutes@ ( p )1000 Pa 90m h wind Smoke Developed @ 5" <=450
Product Description � TBD Class 1 rating� Fuel Contribution none
ThermoSeal 2000 is a semi-rigid;partially- ASTM 28ri Oxygen Index TBD%
water blown,2.Olb high density Gust Wind Load Test
polyurethane foam insulation system blown @3000 Pa'(160 mph wind) VOC TESTING
by Enovate®blowing agent and water TBD K CAN/ULC-S774 Pass
which simultaneously insulates and air- SASKATCHEWAN RESEARCH '
seals your building structure. ThermoSeal ThermoSealTM 2.0 qualifies as an'air barrier COUNCIL
2000 is designed to make homes more as defined by ICC.
energy efficient,stronger,healthier,quieter ` x
g >q � ThermoSeal 2000 must be covered by an
and more comfortable.ThermoSeal 2000 is Water Vapor Permeance approved 15 minute thermal barrier or
applied as a liquid spray which expands ThermoSeal 2000 is water vapor permeable ignition barrier,
approximately 15 times its initial mass and and will allow structural moisture to escape.
cures within seconds into a semi-rigid mass. For situations requiring a vapor barrier the A These flame-spread ratings are not
ThermoSeal 2000 fills all building cavities use of low vapor permeable paint on the intended to reflect hazards presented by this t
completely sealing all cracks,crevices,and interior of drywall is an option. or any other material under actual fire
voids where air loss and infiltration are conditions.
most common. Water Vapor Transmission Properties:
ASTM E96 data Compressive and Tensile Strength
Technical Data 1.11@ I" ThermoSeal 2000 has favorable
compressive and Tensile strength properties E
Thermal Performance Water Absorption for high density foam.
Thermal resistance(aged 180 days)R/•in.` ThermoSeal 2000 is water repellent,will
ASTM C518: R6.62hr.ftZ°FBTU not wick,and does not exhibit capillary ASTM D1623 Tensile Strength 80 psi
properties.Water cannot be forced into the ASTM D1621 Compressive Strength 35 psi
Average insulation contribution in stud foam under pressure because of its high
wall: degree of closed cell structure Physical Characteristics
2"x4"=R23 2"x6"=R36 DIMENSIONAL STABILITY
Acoustical Properties,
ThermoSeal 2000 provides greater R value Performance in a 2"x 6"wood stud wall. ASTM D—2126
performance than other equivalent R value 158'F 100% Relative Humidity,7 days
insulation materials which are air ASTM E413 STC Sound Transmission
permeable such as fiberglass.ThermoSeal TBD Volume Change <8%
2000 does not lose R value due to wind,
ageing,convection,air infiltration or ASTM E 90 Class 33 Closed Cell Content
moisture.An R value fact sheet is available ThermoSeal 2000 is considered closed cell
upon request. Fungi Resistance' foam insulation:
ASTM G—21 ZERO RATING
DISCLAIMER:Information contained herein is,true and accurate,but all recommendations or suggestions are made without guarantee.Spray Foam Polymers,LLC(SFP)products are
intended for sale to industrial and commercial customers.Since SFP exercises no control over its customers appreciation or use of the product manufactured by SFP and since materials used
with the products may vary,it is understood that SFP can warrant only that our products,will meet our written specifications.Nothing herein shall constitute any warranty of merchantability or
fitness,nor is protection from any law or Patent to be inferred.Thermoses] must be installed in accordance with all applicable building codes and a building inspector's approval should be
requested prior to installation.All patent rights are reserved.SFP requests that customers inspect and test our products before use,and satisfy themselves as to contents and suitability.The
exclusive remedy for all proven claims is replacement of our materials and in no event shall SFP be liable for any consequential,incidental,indirect,or special damages resulting in any
manner from
the furnishing of the material.
�� Sean , �t°r r
/naw1 �� �� 6 � -30
C
'I'hermoSeaC 2000—Product Specification
ASTM D2856 >=90%
Viscosity&Weights
ASTM D2196 Viscosity
A Side ISO @ 700 F 215±35
B Side Resin @ 70°F 700f 100
ASTM D1475 Weight/Gallon Spr , .rS
A Side ISO @ 77°F 10.21bs
B Side Resin @ 77°F 9.8lbs PO Box 1182
Mixing Ratio By Volume New Canaan;CT. 06840
ThermoSeal 2000 is a standard 1:1 mix Phone&Fax: 800.853.1577
http;///www.SprayFoamPolymers.com
product.Slightly off ratio can produce '
slightly heavier odors and foam
characteristics. Typically a heavier A ratio
will produce a crunchier foam result,and a
heavier B Side ratio will produce a spongier
result.
_Electrical Wirin
ThermoSeal 2000 is chemically compatible Suggested PrelJaration &I ice
with all 14/3, 12/2 and other similarly ThermoSea12000 will perform best when
coated electrical wirings.For knob and tube gradually climate controlled to 77°F the
wiring please seek the approval of your
night before application.While
Iota] building inspector.
recirculation of ThermoSeal 2000 without Product Storage
heat prior to each days spraying is Component A-550 lbs of Isocynate stored
suggested,recirculation of ThermoSeal in a a 55 gallon container outlined above.
Bacterial and Fungal Evaluation 2000 in order to rapidly heat the product is Component`A'must be protected from
ThermoSeal 2000 is not a source of food not is not suggested and may result in a freezing or deemed useless.
for mold,insects or rodents.It has no decrease in catalyst count and product
nutritional value.ThermoSeal 2000 reduces yield.We suggest starting with a B-50 lbs of
the introduction of moisture,food,and temperature of 125°F and a working proprietary forma ated resin ThermoSeal
Cmpone t000
mold spores into the building envelope pressure of 1000 psi. `B'must be stored between 55°F and 80°F
significantly more than traditional
insulation such as fiberglass,cellulose and never exceeding either extreme.
other non-sealants which do not provide an air barrier. Both components temperatures should be at
Product Availability 75°F prior to mixing and use.
Environment/Health/Safety Contact Spray Foam Polymers at
ThermoSeal 2000 contains no CFC's
1.800.853.1577 for sales and availability WA=TY
options.
HCFC's,formaldehyde,or volatile organic When installed properly be a Spray Foam
Polymers authorized representative who has
compounds.Following installation there Packaging completed all training offered by SFP,SFP
will be a 24-48 hour occupancy window Products are shipped in 55 gallon open to
before the odors,emissions and gasses have warrants that the product will meet all
steel drums.At the customers request the P Product specifications outlined in this
dissipated to a habitable level for gallons products may be shipped in 55 ga open
individuals highly sensitive to the materials specification document. i
installed. top semi-clear plastic resin drums.
ThermoSeal 2000 is is not to be installed
within 2"of heat emitting surfaces where
heat dissipated exceeds 185°F.
DISCLAIMER:Information contained herein is,true and accurate,but all recommendations or suggestions are made without guarantee.Spray Foam Polymers,LLC(SFP)
intended for sale to industrial and commercial customers.Since SFP exercises no control over its customers appreciation or use of the product manufactured by SFP and since materials used
with the products may v )products are
Y vary it is understood that SFP can warrant only that our products will meet our written specifications.Nothing herein shall constitute any warranty ofinerchantability or
fitness,nor is protection from any law or patent to be inferred.ThermoSeal must be installed in accordance with all applicable building codes and a building inspectors approval should be
requested prior to instaallllation.All patent rights are reserved.SFP requests that customers inspect and test our products before use,and satisfy themselves as to contents and suitability.The
exclusive remedy for sh proven claims is replacement of our materials anqirt no event shall SFP be liable for any consequential,incidental,indirect,or special damages resulting in any
manner from the furnishing proven
claims
is r
pUTNB Town of Barnstable *Permit# 7r/fit;
p� Ezpir 4��
onths from issue date
i� iX : Regulatory Services FeeMMS,
1639, `�� Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner X-PRESS PERMIT
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 AUG 2 6 2004 GR
Fax: 508-790-6230 �1� BARNSTABLE
EXPRESS PERART APPLICATION - RESIDENT
Not Valid without Red X-Press Imprint
tap/parcel Number
?roperty Address 0,,5
,�
Residential Value of Work Y��o Minimum fee of$25.00 for work under$6000.00
3wner's Name&Address 41FAt
contractor's Named Telephone Number 15_ ._ �— �
Rome Improvement Contractor License#(if applicable) / �
Construction Supervisor's License#(if applicable)
I]Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
Cg�❑ am the Homeowner
have Worker's Compensation Insurance ,
<1 N
[assurance Company Name
workman's Comp.Policy# 20
ea �---
Copy of Insurance Compliance Certificate'must be on file.
CD
Permit Request(check box) to rr►t
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
(Replacement windows. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Own ust sign Property Owner Letter of Permission.
r e nt Contr ctors License is required.
Signature
�/��1�
n
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WIN GERnFICAN M MMEO AS AEATTER OF ofammanol 17<T-0 G m(Its
MARSH USA INC. AI MD e1aHTA YEat THE[a wcArt Ham OTHER THAN 1NompeONDED N THE
AT1'AP BRENDA BOOKER POuar au 1(RTJFWAX DOES NOT MEMO.jl'R tD De ALTR DO COYERADE
3475 PIEDMONT ROAD,N E. AFFORDED Dr THE A011ms DESCAJaD HEREIH.
(4�04 995.2594 OFFICE COMPANIES AFFORDING COVEFU E
( m&SM FAX
A TA30305 , COMPAW
004924RASTR-RMA• RMA A STEADFAST INSURANCE COMPANY
NlDREO r. CQAPIN•t ..
THO AT410ME SERVICES INC. S WA
ORA THE HOME DEPOT AT-?TOME SERVICES
24%PACES FERRY ROAD NW SPA
BUILDING C-8 C AMERICAN HOME ASSURANCE'COMPANY
ATLANTA,GA =9
. CQIAPAVT
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NCMTVSTAN0*Q ANY REQNIVA45 T.TERM OR C 0TIDa CF ANY CONTRACT OR OTAtR DOQtAENT V474 RESPECT TO 1M+I04 THE CERTISICATE MAv&t Ir2JEDOR MAr
PERTAN,THE M31RAWE AFFORDED BY THE POLICES(*=BE'J'HEREIN.IS 9JB+ECT TO A L THE rERMA CONOTIONS MO EXROi9CTN6 ff SJC4 PQ IGES AGGREGATE
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LYE DATEPNIVIVVTI DATEPINIMU T)
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A X G:OMlFFRO&WRERAI LIABIUTr IPR 3757 608-W 02MV04 maims PROOLILTS-COAPiGPA6G S 4,0W.OW
D� LIMITS OF POLICY ARE EXCESS' - PERSONAL&ADYMIIJURT S 4.0W,00D
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ONAWKsttONTMACrOESPRar IOF SIR. SI,000,0W PER OCC- FA01 OCCURRENCE $ 4,0W,000
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�f�efiL,•r1w1 irar(r
..._•ua-.-:..ese.+'�`r.a�•1%'L'��•`s:K- �'`'•a�i3.'�i :w`•-•"--:�•+�'.•.v�ee's. •��' ..��.-�. .tea.
{�:�:n.:..i:.�.s.• .'�i.+.::.:..'.*�.w�.•�.r'::fir:�e.�:..w•W..:.w:•s.+: ✓_s.::c- .c~'Y.�s:�•._�'--'+\i..-+W-iA:•r:�- .•.•....
- ��•:•:.•.u's'�L•1.:r�4�i'-i.iL�.'Jr•!�.•w•l._�.•..._ -w•3 r•..�•w••J.'w-:.i'.• ii:..lra.:u•�-� .•Y.•� .•4-•r-.•iri,C�.�J�>Yi.• _
License or n1bovtion vvMd for individul use only
before the expiration date. If found return to:
Board of bund ing Regabftm sad Standards
One Askburton Plume Rm 1301
Boston,Ma.02109
Not valid wttbout signature —
{ {
Board of$adding Regulations and Standards
HOME HOMOVEMENT CONTRACTOR
RegistrAlw. 126893
ExpiraUon- 8t31Z006
Typo: SuppWmerd Card
6.
i
THE Hvme Depot AlMos #SeMc
• WARK AUQETTE
320o COBB GALLERtA PKWY#20
ALTANTA,GA 30339 �Adudatstrator
1yi
4�KEr Town of Barnstable
.� regulatory Services
# - $ Thomas F.Geller,Director
=gpTBONS
FD- Building Division
Tom Perry, Building commissioner
200 Main Street, Hyannis,MA 02601 .
_- w".town.b arnstable ma.us
Fax: 508-790-6230
Office: 508-862-4038 f
Property Owner Must
Complete and Sign This Section
If Using A Builder
ap, 544 - P ,as Owner of the subject property
��__y�_ ,�L' • to act on my behalf, .
hereby authorize .
in all matters relative to work authorized by this building permit application for,
E—ZI (Address of Job)
Date
Signature of Owner -
Priat Name
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Permit# 7�
Health Division I� �"" Cor CO p Date Issued �'"��_2d�
i Conservation Division Application Fee �Jr
Tax Collector Permit Fee �e 1�
vp IV /Treasurer Q� SEPTIC SYSTEM MUST BE
INSTALLED it �;,,,u._iANCE
Planning Dept.
Date Definitive Plan Approved by Planning Board ENVIRONIv TOWN tRa �, AND
. tuuv,i 101�b
Historic-OKH Preservation/Hyannis
Project Street Address h ('�r
Village
Owner L-L�� Y1a1 -d V' ! ddress C1 1k T+& IV O !Ab
Telephone
Permit Request"Re,tM o v I-a wT ti3
Square feet: 1st floo . existing proposed �"��a+2nd floor: existing proposed Total new €1
Zoning District Flood Plain Groundwater Overlay
Project Valuation , 0?6 Construction Type `
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family d Two Family ❑ Multi-Family(#units)
Age of Existing Structure �-V Historic House: ❑Yes Qhv�o / On Old King's Highway: ❑Yes 310
Basement Type: ®`Full ❑Crawl /0 Walkout ❑Other /
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) [ _
Number of Baths: Full: existing new Half:existing new 0
Number of Bedrooms: existing �,Ie new
Total Room Count(not including baths):existing I ; new First Floor Room Count
Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes �(o Fireplaces: Existing--� New (�1 Existing wood/coal stove: ❑Yes AJIN'o
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
Attached garage:Vexisting O new size Shed:❑existing ❑new size OtherAm ade
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes O'No If yes,site plan review#
Current Use �� Pro osed Use
p
BUILDER INFORMATION
Name
W 0►.r L bd I'1, �-f S �I�l Telephone Number 5 p 9 �- '�Y 22 .]
i
Address License#
n)� I& A) f� C'7 017�, �, Home Improvement Contractor# �
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM T IS PROJECT WILL BE TAKEN TO C,Li.t,8S/Z), /0
ed ctwm
r
SIGNATURE DATE
FOR OFFICIAL USE ONLY
.PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. - r
ADDRESS VILLAGE
OWNER
y DATE OF INSPECTION:
J FOUNDATION
FRAME NAely ®/�:_ '�v'�/
INSULATION Via_��f 0,
FIREPLACE
ELECTRICAL: ROUGH) > . FINAL
' PLUMBING: ROUGH FINAL
GAS: ROUGH i FINAL
FINAL BUILDING
ri
m .
DATE CLOSED OUT Ri
ASSOCIATION PLAN NO. - .
S
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings,Additions $50.00 •��
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
9 square feet x$96/sq.foot= �� 94 1 x.0031=
7• �t` q
plus from below(if applicable) r
AL,TERATIONS/RENOVATIONS OF EXISTING SPACE ti
l
square feet x$64/sq.foot= /a x.0031= '3 s P a Ila
plus from elow(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft.= x.0031=
ACCESSORY STRUCTURE>120 sq.ft..
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf - 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit;
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
projcost
Tom. of Barnstable
�j.ISE Tpie. • ' '
• -� 0� 'gulatory S ervides
" Thomas F.Geller,Director
Builcl�o.g Division
3 ,
�rEb MPy k Tom Perry,Building Commissioner
• 200 Main Street, Hyannis,MA 02601 ,
Fax: 508-790-6230
pffice; 50S.862-4038 ,
Permit no,
Bata
AFb'IAAYZT .
SOME M CONTRA
CTOR LAW
SUPPLEM TO 3MM APPLICATION '
eouvms
mac.142A requires that the"reconstructiou, lt of an&add tioatooany pie ex. tting oowrJer o.cc pied gory
•improvement,removal,demolition,or constru ti
at least one but not more than four dwelling units or to structures whi
b �g containing at ch are adjacent to
registered contractors,with certain exceptions,along with other
such residence orb leas dope by
requirements r \
C�t1(10, Estimated Cost
�' cart L.•� 4..r+
Type OfWozk:
A;� r I
address of Work
nG e-rS l (A
Owner'$Name: � i
,Date of Application:
I hereby certify that:
geistration is not requixed for the following reason($):
C work excluded by law
[]lab Under$1,000 ,
[]Building not owner-occupied
Eawnez pulling On permit
Notice is hereby given that:
0; gS PULLING TSEIR OWN PERNPMT OPtDEALINGMENT WORKDO NOT RM
CONTg kCTORS FOR APPLICABLE xONIB IlYLPROYE
ACCESS TO THE AjajTBAT10N PRO GRAM OR GUAR.ANTX F[TI`iD TINDER M GL c.142A,
SIGNED UNDERkENALTIES OF PERJURY
Ihereby apply for&permit as the agept of the owner;
Contractor Name Reg istrationhl0.
Date
OR
Owner's Name
1
The Commonwealth of Massachusetts
Department of Industrial Accidents
_ 600 Washington Street
v Boston,Mass. 02111
VF'orkers-. Compensation.•Insurance Affidavit-General Businesses
/�
t name:
address: le—
s �^
city i1�7sC l '1 state: L ziR�2[o hone#
.r
v work site location full address): /V �
❑ I am a sole proprietor and have no one Business Type: LJ Retail ElRestaurantBar/Eating Bstablishment
working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.)
❑I am an em to er with employees(full& art time): ElOther
%
� Iyer providing w,�orkers' compensation for my employees working on this job..
am an emplo
conipany name --
sddr'e'ss
city' phone#'
O•C.
Il #'
I am a sole ro netor and have hired the lnd endent contractors listed below who have the followin workers'
compensation polices:
company name•'
address: ::'
.
one
city p
insurance co....'.
x`
VZOMMON, —WHOM
compeny n
address:.
city: _
:phone
insurance co
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that g
Zo
of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verificationhereby certi:&under the pains and penalties o e •ury that the information provided above is true an eorre
Signa - Date
Print name !' Phone# C`96
rial use only do not write in this area to be completed by city or town official
g city or town: permit/license# ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other -
(revised Sept 2003)
I'I ,
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their.
employees: As quoted from the hlaw", 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 ajoint 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 bean 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.cdmmonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter.into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting .
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation..Please
supply company name, address and 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 regardin 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 permit/license number which will be used as a reference number. The.affidavits maybe.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 Departnent's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Dino of IevoSUN Mns
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext.406
pFtHE Town of Barnstable
Regulatory Services
11MMSTABM : Thomas F.Geiler,Director
9 MAss $ a
q,,, s6gq. Aim Building Division
rED MA't
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print m
DATE:
JOB LOCATION:
number s
� qet village,age , / yp/7 �'j
..HOMEOWNER"; r/ /v r_11S 1 < �F� V �7� �l % ./ L `
name home phone# work.phone#
' CURRENT MAILING ADDRESS:__
t12-% ._
-_.-- -
- � 16
city/town state zip code
-- The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units-or-less and
to allow homeowners to engage an individual for hire who does not possess a license,,provided that the owner acts as .
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm.structures. A
_person who constructs more than one home.-in a two-year..period shall not be considered a-homeowner:..Such
"homeowner"shall submit to the Building Official on a form acceptable to'the Building Official,,that he/she shall be -
responsible for all such work performed under the building permit. (Section,109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and r quirements and that he/she will comply with said procedures and
requirements.
Si a re fHomeo_wner
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
u 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."
Marty homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems;particularly'
•. when the homeowner.hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
- -To ensure that the-homeowner is fully aware of his/her responsibilities,many communities require,as:part of the permit application;:-
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by,
several towns. You may care t amend and adopt such a form/certification for use in your community. .
Q:forms:homeexempt
,. t
FILE# A3242 - CENSUS TRACT# 132
CLIENT: 'WILLIAM D. ROUNDS ES . DEED BOOK 3105 PAGE 31
OWNER: BONNIE A. SMITH TRUSTEE OF * PLAN BOOK TUBE 167 PAGE LOT 117
APPLICANT: GERSIN, LEONARD & MARILYN L. ASSESSORS PLAN PLOT
MORTGAGE INSPECTION PLAN
*MONOMOSCOY REALTY TRUST OF LAND ' LOCATE D AT
SCALE: 1"=30' �S MARINER CIRCLE MAY 2, 1997
COTUI�', MA,SSACHUSETI'S
1-0T 115
G'
LOT117
20,951 SF
N
LOT 116 LO
o
LOT 118
DECK
ni
#l68
1 STORY
3
w
0
W
Q
a
TO SANTUIT-NEWTON ROAD 125.00
�/IARINER CIRCLE i
ZONING DETERMINATION
THE LOCATION OF THE ORIGINAL DWELLING SHOWN HEREON EITHER WAS IN COMPLIANCE WITH LOCAL
APPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED WITH RESPECT TO HORIZONTAL DIMENSIONAL
REQUIREMENTS ONLY OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VTI,
CHAP. 40A, SEC. 7, UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY INSTRUMENT SURVEY
IS ADVISED WHEN STRUCTURES ARE SHOWN TO BE ONE FOOT OR LESS FROM PROPERTY OR REQUIRED ZONING
SETBACK LINES.
FLOOD DETERMINATION
THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A
MAP OF COMMUNITY # 250001 0021D AS ZONE C DATED 7/2/92 BY THE NATIONAL FLOOD INSURANCE
v - -,PROGRAM. _
CERTIFICATION
CERTIFY TO WILLIAM D. ROUNDS, ESQ., 01be Mole Raab 95Urbep Co. gm e� �
CCUBANC AND ITS TITLE INSURANCE felt �eibpOttb �*4y�QD
OMPANY, THAT THERE ARE NO VISIBLE
CROACHMENTS OR EASEMENTS EXCEPT ,deb, �Bebforb, INZ( 02745 q CARTER -
S SHOWN AND THAT THIS PLAN WAS REPARED UNDER MY IMMEDIATE 1 -800-993-3302
�RRERVISION. -lax l-800-993-3304 W
r A
GENERAL NOTES:This mortgage Inspectlon plan was prepared for the above mentioned client only as of this date and Is not
Intended or represented to be a land or property line survey. No corners were set. It cannot be used for preparing deed
descriptions,construction or establishing fence,hedge or building!!nos. The land as shown heron Is based on client furnished
Information and may be subject to further out-sales,takings,easements and rights of way. No responsibllity Is extended to the
land owner or occupant. It Is not Intended to be recorded.
,oj 1C loin+�. v' d ) -
i
2_N4
o �Y2. Lv1— 2- P'LY
*C>
v t n -IL
a
tax �, t ,
AJ
0 Q haA) e-,
Gvr` t � l r1
06/18/04 09:06 FAX 617 772 5522 NHP BOSTON 10 002
E, BC CALC®2003 DESIGN REPORT-US Tuesday,June 15,200414..47
Double 1 3/4" x 91/2" VERSA-LAM(g)3100 SP File Name. Todd Smolinsky,Smolinsky Res.;R001
Job Name: Smolinsky Res. Description:
Address; 69 Maronor Clr. Specifier: RAL
City,State,Zlp:Cofult,Ma, Designer
Customer: Todd Smolinsky Company:
Code reports: ICBO 5512,NER 629 Misc:
i'10
I
'72
^�- l5tundard Load-35 prf(1S psf Tnbutery 14-00-OD
h,( i v�. �9k v� ,!�� !. , , `,.. ..^ i 1141
'9• :a ,� ))rr `�^,rl 4`a' '%1 r•P 1 .w" �'h."'• d l � ~ r✓r+, i•
!• I',• •,� ,t '� .qG .i ;r '!f� ',�; �In !r �'Y� i :' t J ,y. .� fd,+ R ! IIjill .
yy �'J '�I'd� +� 1� ,!� ,! ��}y�^I�,�; m��l 1 O�n.`, airy.�'`1�.4 T/J'!+r,�.�+,,/iY�.+,,ra •b ((1� II'!„I 4 "Jet;
iV" 1 U, �ll�h�. A �a'I{UnH� �. I d 'V .T f dlv� 'b _ it.5'0 d
AL
BO B1
2100 lbs LL 2100 Ibs LL
1316 Ibs DL ~ 1316 The DL
Total Horizontal Length-12-00-00
General Data Load Summary
Version- US Imperial 10 Description Load Type Ref, Start End Type Value Trib. our.
S Standard Load Unf.Area Left 00-00-00 12-00-00 Live 25 pef 14-00-00 115%
Member Type: Roof Beam Dead 15 psf 14-00-00 90%
Number of Spans; 1
Left Cantilever. No Controls Summary
Right Cantilever; No Control Type Value %Allowable Duration Load Case Span Location
Moment 10248 fl lbs 63.8% 115% 2 1-Internal
Slope: 0112 Neg.Moment 0 R-ibs n/a I M
Tributary; 14-00-00 End Shear 2965 Ibs 40.1% 115% 2 1-Left
Total Load Defl. L271 (0.531'7 66.4% 2 1
Uve Load Deft. U441 (0.327') 54.4% 2 1
Live Load: 25 psf
Max Den, 0,531" 53.1% 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(L240)Live load deflection criteria,
Disclosure Design meets arbitrary(1")Mabmum load deflection cridwis.
The completeness and accuracy of Minimum bearing length for 80 Is 1-112",
Minimum bearing length for B1 Is 1-112".
the Input must be verified by anyone Member Slope=0,consider drainage,
who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min_end bearing{12 Intermediate bearing
evidence of suitability for a
particular application. The output Connection Diagram
above Is based upon building 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
and the applicable building codes. b 3" fibd
To obtain an Installation Guide or if c=
you have any questions,please call 3l4"
d=2-3 a
(800)232-0788 before beginning 1
product installation.
C ,
BC CALCO,BC FRAMERS,813I6,
80 RIM BOARDTM,SC OSB RIM
BOARD"',BOISE GLULAMTM, ° b
VERSA-LAM®,VERSA-RIM®,
VERSA-RIM PLUS®,
VERSAS'TRAN01m
VERSA-MOO,OO,ALLJOISTO and
AJS'"are trademarks of
Boise Cascade Corporation,
Page 1 of 1
06!18!04 09,:07 FAX 617 772 5522 NHP BOSTON
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
w '
Number. CS 080731
c 7 Pirthdats: 05/10/1972
Expires: 05110/2005 Tr.no: 80731 .
Restricted: 00
TODD L SMOLINSKY
3 DANFORTH STREET
TAUNTON, MA 02700 gdministratoc
06/18iO4 09:07 FAX 617 772 5522 NHP BOSTON 10004
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o CA g -.6:1 b P Qv"�_�.n J_ • S (o_._ .�,c _ ,.� d e ----
3�. c�a_«��. . e.-.` ��n�
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T ,S -��ea,.c�w- s��_P4�� �oU�.._�.o_o.•� ���'�--i-._�� sz.�t 3�'+.%F�a"'r/
F�,V%D.d ..ScGn ��.��� ,�,.��. �e*� • r�S. .Y1ki�CY.e 5a� r
i ��
r` 06i18/04 09:07 FAX 617 772 5522 NHP BOSTON f�005
y
L�.Vr��
l_
/25-00
.e � 7- �
z'O ®c3 a
a
M:
i
PLAN SHOWING
FOUNDATION LOCATION
C O T UI T, MASSACHUSE T T S
OWNED BY: M 4 AU AJ S X 7-/I r2 C add}sTA? LC7
SCALE : DATE: 4 i96Q
NORMAN GROSSMAN------REGISTERED LAND SURVEYOR
I HEREBY CERTIFY THAT' THIS FOUNDATION IS LOCATED
ON 77HE LOT AS SHOWN AND CONFORMS TO THE TOWN -
OF BARNSTABLE ZONING REGULATIONS REGARDING ������N Of F�QsJgcy�
SETBACKS FROM STREET LINES AND LOT LINES . 19,
`J NORMAN
12775
�O
NORMAN GROSSMAN R.L.S. DATE
�1� 4
Assessor's map and lot numbep-- 4-;?,3.
Bpi TNE
Sewege Permit number ....... 8EP"CjSyMjW
......................
.11VSTALUb IN co
M MILE, :
Hopse number ................ .... ................... WITH TITLE 1639-
er"O"61"llITAL C a MAY
TOWN OF BARNSTAftEm-)-LATPONS
BUILDING ' INSPECTOR
APPLICATION FOR PERMIT TO ........................"N.X.............. .... ..............................................
..... ...... ......I......
............................................
TYPE OF CONSTRUCTION .... ..................
............ ...........19......TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
....................................................
17..hy/a.ax�. .....4
Location .................
ProposedUse .............. I)... ............. .. ....... .......................................................................................................................
ZoningDistrict .............e......................................................Fire District .......ce.................................................................
Jydv d a...
Name of Owner q .=—..Aciclress ........ .........
g� �
Nameof Builder ... ...........................................Address .....................................................................................
.Name of Architect ..................................................................Aaaress ....................................................................................
Number of Rooms ............... ..............................................Foundation ......4.w.14.........4 Ae, .10 i.............................
Exterior ------2.. ...........................Roofing ..........6
.. . ............................... ..................................
/7
Floors ........... ...... ... ...674..........................................Interior .............. ...................................................
Heating . ........ //v, / .
a,
.0. .............. ......Plumbing ............... ................................ .... .
.... ...............
............
Fireplace ...............atze ............................... .........Approximate Cost ....... .....
'3---------ig-7 Area ........//Definitive Plan Approved by Planning Boardy--*-'- ........ ....
Diagram of Lot and Building with ,Dimensions �r�
Fee ...........................................
Sul PECT To APPROVAL OF BOARD OF HEALTH
C)
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . . . .... ........ . ....4
Z�—o. ..... ...................................
Dennis Star Construction Co.
22.120 one story
'No Permit for ....................................
single family dwelling
...............................................................................
Location ............68..Mariner iner Circle
ircle
.... ....... ........ .. .........................
Cotuit
. ...............................................................................
OwnerDennis
...Star...Construction C.o
. ........ ...... . ........ . ......
' frame
Type a,f I Construction ..........................................
........................
. ........................................................
Plot ............................. Lot ..........#117......................
Permit Granted .......Ap:ril..-.1.5...............19 80
Date of Inspection ....................................19
Date Completed ........7.................!.........19
PERMIT REFUSED
................ .......................... ........ -19
CO..........wlc.�..................................................
0 ;r�
...................................................
..................................................
..........S.O.—tfn ..I. ...................................................
n
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Approve . ........................................ 19
M
............ .............................................................
...............................................................................
Assessor's map and lot number -
... .....:... ?.. .....
PyOF THE Tp�y
Sewage;'.Permit number ..............::..........................................
r 1 IA"STllDLE, i
House number ...................{.. ............................................. y 2639 0
�'Q NPY Ar
TOWN OF BARN STABLE
.ti
BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO ....................... :...A............. .........................................
TYPE OF CONSTRUCTION ��� - '<�' '
i� �-
.. .. ......... ...............................................
10
................. . .. ' '.......... ..............
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies), for a permit according to the�'�following information:
Location .. .... ,. `Lrr.,?; g�......"(Lr ev `.'': .... / ... ..... .... ....
Proposed Use ................�-I �... ......... ............ ....
p.._
Zoning District ..............................................Fire District .......... A
....................................................................
Nameof Owner i e .......................................... '�(.......:.......Address ....... ................... f.......................
Nameof Builder ? !,..fi.. .....................................................Address ........ ....� ....... .................. .......................
.Name of Architect ..................................................................Aciclres's ....................................................................................
a p�.
Number of Rooms .................r:c.............................................Foundation ....... ..f 1'it..
o
Exlerior .:`l'. ` ..I....: -..f:`..... ...,: �Ef�+�'�r....................Roofing r.......... � .��..G� A:. ....................
Floors .......... ...........l...s..........................................................Interior .................ps...:..... ......................................................
f. j� �'/�'. / 2%J ........Plumbin "Heating ............... ........ ...................... g ...............................
Fireplace ................ J!............ ....................... .............Approximate Cost ..... ......... .!..................................
`/•, r
Definitive Plan Approved by Planning Boardit�_f_ _ 19 � I. Area
:.....,
Diagram of Lot and Building with Dimensions Fee -z
.................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH ��
d
t
T � i
I
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. J '
Name ........................
Dennis Star Con struction Co A=23-59.
No Permit for ....one. story...........
nIe ..dwelling............................... ........ . ....
Location .........68 Mariner Circle
.......................................................
Cotuit
...............................................................................
Owner .............Dennis Star Construction Co.
.....................................................
Type of Construction ....................frame...........
...........
............................................ ...................................
Plot ............................ Lot ............#.1.17...........
Permit Granted ......
Apri-1..15............19 80
Date of Inspection ....................................19
Date Completed .... . ..............................19
PERMIT REFUSED
......................../......... ..... 19
.................
*
.. .......
t
..................Z:...........................................................
...............................................................................
Approved ....................................... 19
...................... ........................................................
............... ............................................................
T 1
17)
TOWN OF BARNSTABLE Permit No. ----------------------___-_---
1 »n.0 Building Inspector
...� Cash ----------------------
OCCUPANCY PERMIT Bond ----—_--------____----
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Address SE3 E, l Y.&IiTUUr-h
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
...................................................... 19......_ _ ......................................................................................................_....._._
Building Inspector
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SCACEA-i(,1o`v) APPROVED BY: DRAWN BY
Bruce ]Devlin DATE REVISE
D"iffn
Xpt�?Q►
774-238-0773
DRAWING NUMBER
APPLICANT TO COMPLETE & SUBMIT WITH PERMIT APPLICATION AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone
- B T WITH
Areas: 1(1 f)1 )11 j'{1PbC/Z(Ir1L' A i'6'C Guirle to fVoorl Colistructlofi hi H1�11 IVitid Areas: 110 mph f-1-ind Zof1e AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone
(a11I , 10 glOotl (:onsfriictboil 1i1 ftrh 1
Massachusetts Checklist for Com !lance 780 CMR 5301.2.1.1
Af�i� aSSaCiItlSertfS Cl1eCiC�ISC. fot' cosh()l(t3.nce (-w CMR 5301-z.1_i_)t Massachusetts Checklist for Compliance (780CMR5301.2,1,1)t
ijNj ass 6� �t l s e� � I�t ®� =o I71 `�nCC (' Q c }t (i 1.2,1 Loadbearing Wall Connections 4. a I sheathing and Building Aspect Ratio, determine Percent Full-Height
Check
Lateral(no.of 16d common nails)...............................(Tables 7}..._..._.._.". :._ .. r i _ From Tables 10 and 1'l and location of wall 'n a 'n Asa •o, d
Compliance Non-Loadbearing Wall Connections Sheathing and Nail Spacing requirements
Lateral(no. of 16d common nails)..-. ------------ (Table 8).___----------------------------------------..._.._.._._ _ b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows:
1.1 SCOPE _. 110 mph Load Bearing Wall Openings (record largest opening but check all openings for compliance- to Table 9) i. Panels shall be installed with strength axis parallel to studs.
Wind Speed (3-sec. gust).._..._......... .....:.....---• " - ..M3 Header Spans __.---•.......----•--------..............._.. . -.._{Table 9}............................. u� , in.5 11' !
ii. All horizontal
nts shall
over and be nailed to
-------- -'-- --•-•------------------
"" ' ~ ' Table 9 ....:___._._ t in.< 1 V iii. On single storyiconstruct construction, shall be attached bottom plates and to member of the double
.--•-- •-- ----...... Sill Plate Spans ---...----•.................•_.....----•-•--...__ .._..__.._.-....._ � - .
Wind Exposure Category-._.,.__.............. P P
Full Height Studs (no. of studs)•--......... •-........ -•-•...---.(Table 9)............................................. . ......
1.2 APPLICABILITY — top plate.
• - slope shall be considered a story)_�_stories 5 2 stories Non-Load Bearing Watt Openings (record largest opening but check all openings for comq'`�nce `-�Table 9} iv. On two story construction, upper panels shall be attached to the top member of the upper double top
[Number of.Stones(a roof which exceeds 8 in 12 p g < 12:12 , Header Spans...... ....... -_._.-..-..._..--.._..._----_.-(Table 9)...._...._---..--- .......... :�`_in. _< 12' � plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist
Roof Pitch - __._._....... - _(Fig 2) ..._.... - -... _ .. Ta t _in. s 12^ 1 --
ans------------- ---- - -------- -- ----- ------ ------- { ble 9)._.._._..._._:.__..______ and lower attachment made to lowest late at first doorframin -`"-
Mean Roof Height --•-
---•-•(Fig 2)----•----------------- ---- --- -----•- 6 3 ft. 5 33' —°� Sill Plate Sp - . - p g. s •
•2_ 'ft s 80' Full Height Studs no_of studs ,-..--.-...•..---•-_-(Table 9)__________________-__._....._ _<� _ v Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d w�a I
Building Width, W ------------------------------------------------
(Fig 3)_.............................•• ..- ft s 80 Exterior Wail Sheathing to Resist Uplift and Shear Simultaneously staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment I o ¢_^ i
Building Length, L -_.... (FIB 3) tAinimu . - 6 8
--- 3: Building Oimens�on, W'
Building Aspect Ratio (LJW) _-___-:- - - —"5 6'g' Nominal Height of Tallest Open
.--•------•••------••--- ----•- -•-
(Fig 4)_..... G -6 M 4
---------------------"..----- - --•-•-...._...._..__.._.(note 4)•-----..._........._...---- . --It-
....... "
a N
Nominal Neighs of Tallest Opening2 Sheathing Type................. _.
Edge Nair,Spacing -•-(Table 10 or note 4 if less)....................... 3 in. �!
9 P g. ....:....... t 4 �•
1.3 FRAMING CONNECTIONS (Table 2 . .------- ---- Fiald.Nai:` S'pacrn9 (Table 10)............................
Shear Connection(no.of 16d common nails)(TaSle 10). _
General compliance with framing connections.._.._
Percent Full-Height Sheathin ..(Table 10 _______________ ______•_._.__-__,--._-_•_ ,C !` � % EDGeRTTFJWF17iATE �±
2.1 .FOUNDATION 5%Additional Sheathing for Wall with opening >6'8"(Design Concepts)________________ 1 FaAa4u MEr�set r�s
Foundation Walls meeting requirements of•7-80 CM 1'04=1 .Maximum Building Dimension, L -Wl•tEN THIS EDGE REM ON
r
MIN
Concrete.................... NominalHei htofTalleztO enin z 6'8" rT6"oxetls�sduatLs
------- --•--- a +
Concrete Masonry _..: _- --- _ ----�- -
note 4 _....__ 7 �. 5 a e
Sheathing Type ( ) ._,,.� __� -
-
Edge Nail Spacing {- ) _ - r
9 ._.._... i able i 1 or note 4 if less ----•-.--_.._ . •.._._. in. 1 , 11Ulm.
2 ANCHORAGE TO FOUNDATION"3 Field Nail Spacing----------_______________________________(Table 11).............____---------_---_..__.__.-.__------_G_in. ----_-- ---- --- -- -_- - ;-_ -----
-2
5/8"Anchor Bolts if or 5/8' Proprietary Mechanical:Anchors as an alternative in concrete only Shear Connection (no.of 16d common_nails)(Table 11)........_._ --._,__.-_-_ --
_. " '
- in ;I .I H
('f ------ ------- --
- ----(','able 4)-------------•-- - „ r r
J
"Bolt Spacing 9 --- -- -.-•-._• ie in_. 12 Percent t- Height-Hei nr Sheathing ..__ i able i i � � • '% `� �� �r r� Aor�t�s
.------. � sT
8oit Spacing from endTjoint of plate -_-_--_-__-_--._..__.(rig b)••=••--- — ° g Opening >6'8" (Design Concepts),---._ ��� � rusiPr4��r
( .g I PANEL
) in. z 7^ _� 5/°Additional Sheathing for Walt with O enin '" "'
Bolt Embedment--concrete.--_._-- ire,; in.Z 1S. Wall Cladding i=A1 EOGe E?DUE3LENAILEDCESPAC�iGDt TAfI
...._.(Fig 5)_-------•----•--------------------••---•--
Bolt Embedment-masonry •... ---"' i 5 -
,
--• Rated for Wind Speed?............. ____. _ ._
F •-•--- ---•- ,r
(Fig ) ...
�r
Plate Washer._.... ° lT a
it �•' a,
5.1 ROOFS 1
,f
3.1 FLOORS i n i `Ve; Nailing
(per 780 CMR Cha ter 55 Roof framing member spans checked?...._._•_______________ For Rafters use AWC'Roan Tool, see BBRS Website) 1�
P )
Floor framing member,spans checked ..........:..___._.._.._...(P f 2°or U3 a far Pa Attachment
Fi 6) ft s 12' Roof Overhang - ....(Figure 19} •--• .=sm�a[ter o , o I i ' "ticai
Maximum Floor Opening Dimension..................:.. . ( g Panel an Horizontal Nai rig
Truss or Rafter Connections at Loadbearing Walls Attie n
Full Height Wall Studs at Floor Openings Mess than 2'from Exterior Wall{Fig 6)......................... ............ Proprietary Connectors W {! II g
- ui
Maximum Floor Joist Setbacks FM 7 �' ft s d -
-------
Uplift.............. _------_------•--------•--•---(fable 12}_..._._._.. .._..__...--•-•----•--•=-.__. U-_` �p1f
Supporting Loadbearing Walls or Shearwaii....-------• (Fig ) Lateral....................................••---•---(Table 12)...._,_._,_._............_......__..._..._...L= �plf
Maximum Cantilevered FI"oor Joists it <� s ......................
Shear (Table t2)................... S= plf
Supporting Loadbearing Walls or ShearwaH....-----------(Fig 8)---------- ----- --- _ _1167 I� I; '� '
•._.,.__(Fig 9)....----•.•-------••-•---._._..•----.:.---.---..--•---•-........ Ridge Strap Con nections,.if collar ties not used per page 2L.. able 13). __.__...__-:-_--.__.T= 'or if � 41------
Floor Bracing at Endwa!ls.._..._---•-------•- - "
(per 780 CMR Chapter 55)............................. .... -� Gable Rake Outlooker..._..__._._..._._........_.........___._(Figure 20)__-_._.__. ^sf1.s smaller of 2'or U2
Floor Sheathing Type ..,..---•-•---------- -------
...-•_,-.,..(per 780 CMR Chapter 55)................:..... in. Truss or Rafter Connections at Non-Loadbearing Wails
Floor Sheathing Thickness ............................ ---- S,Ac
_-_(Table 2y._d nails at ' _in.edge/ fr1 field Proprietary Connectors
.
Floor Sheathing Fastening----------- -----------•------ • _._.................... ti - -"-
(Table.14),_ PAf�iEt
Latoral Ir(no_ of 16d common nails).-(Table 1-4).............._--_--•____________ _____ __110 lb-
......
4.1 WALLS tail t Page
!Nall Heightt -7.4, ti 5 10' " __ ....:. ............... . ....e�...--- � - -, --_ P S0e D on ex
Roof Sheathing Type _(Per jr80 Chapters 59) .
{Fig 1a and Table 5)_._---.._,. Roof Sheathing Thickness"
L oadbearin .walls `' ft 5 20' ... -- ----- - Vertical
CM $ N
•
___- Ft 10 and Table 5}....................Z Roof:Sheathin Fastening (Tattle 2)_: i
Non i:ra 3heaiit w t#s.---_------••- (" 9 - _g F 9 9 for Panel Attachmen t
Wall Stud Spacing ...............-.--...-_...:-.._.._... ._...,_._-•--..(Fig 10 and,Table 5)_•--...._.._....._ f in�S.24°:o:c. Notes: 9
an Horizontal Nailing
Wall Story/-O� ets .........(Fgs 7&8)___.__..___ ----• _ft i_ This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the-requirements o
- --
780 CMR 53t1'1.2.1.1 Item 1_ !f the checklist is met in its entirety
the following metal straps and hold dawns are no
4.2 EXTERIO R WALLS3 � required per the WFCM 110 mph Guide:
Wood Stuff _
(Table•6)._:' c : ( a, in.: -- eGa e Straps e Figure 11
a St p pFigure
Loadbearing walls---- --------------- ft r in
_. Table 5)..-. - I r c_ Uplift Straps per Figure 14
Non-Loadbearing walls.-.--•-=-------------•---------•-------. {
Gable End Wall Bracing' d_ All Straps per Figure 17 ,
Full Height Endwall.Studs-------------•-----•- ...(Ffg 10)..._..,--------------..•._ . e. Corner Stud Hold.Dawns per Figure 18a and Figure,18b
1NSP Attic Floor Length________ _ _ __ _ .__(Fig 11}._____,..___.-_.•........--- = ft ZW/3 t. Exception:Opening heights of.up to $ft. shall be permitted whey 5°!° is added to the percent full height sheathing
7' ft z 0.9W
9
Gypsum Ceiling Length(if WSP not used)..............._(Fig 1'1)._-.__-_-_.-__-•-,---•----••.- — �r requirements shown in Tables 10 and 1'1_
and 2 x 4 Continuous Lateral Brace 6 ft o.c__. (Fig 1)-------------••-- - -• ' i. The bottom sits plate in exteriorwal(s shall be a minimum 2 in_nominal
"tliickness pressure treated#2 grade.
or 1 x 3 ceiling furring strips @_ 16'spacing min_wrth 2 x 4 blocking.g 4 ft_spacing in ertd'jaist or truss bays:
Double Top Plate
.. ................... Fi 13 and Table 6}.-..• 'ft
Splice Length ._•__ --------------------- (Fig
Table 6 .---•-. - --- --- -
Splice Connection(no_of 16d common nails)------------(
DOUBLE TOP PLATE
110 MPH EXPOSURE B WIND ZONE
Table 2. General Nailing Schedule !
.JOINT DESCRIPTION Number of Number of Nail Spacin
.•_-.,.-.._=��..�� _.:`-. ,---_—=.,.ram_.�� _�� �
Common Nails Box Nails l "
Roof Framing i DOUBLE HEADER t j
Blocking to Rafter(Toe-nailed) 2-8d 2--10d each end
d o Rad nailed 2-16d 3-16d each end
Ri 11
m Boar t fit r e (En )
4 REQUiREMENTS AT EACH END Or- HEADER
- - Wall Framing 1, FULL i�
Top plates at Intersections (Face-nailed) 4-16d 5-16d at joints
j HEIGHT MINIMUM
Stud to Stud (Face-nailed) 2-16d 2-16d 24" o.c.
STUD ( HEADER SPAN HEADER NUMBER OF
SIZE FULL-HEiG�HT
` Header to Header(Face-nailed) 16d 16d 16" o.c. along edges :l l �F UPLIFT LATERAL
DOUBLE JACK STUD STUDS
4°0 EXTEND HEADER Floor Framing
3 Wall �� Joist to Sill, Top Plate or Girder (Toe Nailed) (Fig.14) 4-Sd 4-10d per joist Ji
21 2-2X4 1 211 132
TO KING STUD 2-8d 2-10d each end WINDOW SILL PLATE '4 sheathing g ( ):. Blockin to Joist Toe=nailed 3i
_s s must extend , R;: �`` ! '
Z , Blocking.to Sill or Top Plate (Toe-nailed) 3-i> d 4-1�d each block 2-2X4 2 41ro 198
up over �� _•f ,,� �cam;sue_........ .
l *' Ledger Strip to Beam or Girder Face-nailed 3-16d 4-1 d eac jois — ;t� '
header g P ( )
R.
SIX ,:°, �( 2-2X4
_
= ;�•'. Joist on Ledger to Beam (Toe-Nailed) per joist
l ?
e 'L ,9 0 3�8d 3-10d 9st - --- ---- ----- ----- ---- --- -------- 554 264
a,o- ;•r, 3=16d 4-16d per joist i
Band Joist to Joist(End-nailed) (Fig, - 330
;>( 'i 5 2-2X4
2-16d 3-16d per foot I , ill 3
Band Joist to Sill or Top Plate(Toe-nailed (Fig. 14 693
i 11 11 6 2-2X6 3 831
Roof Sheathing Ii i+ ;�l I�i i I 2-2X6 3 9-f0 462
i i 108
Woad Structural Panels 10d 6" ed el6"field 8 2-2X12 3 o NAIL TOP PLATE•, up to 16" o.c. 8d g 528
ortrussess aced » 4° e' ,•------------------------------------------------------------- 9i
,°. ..; .'._: . ,• To HEADER WiTH-! Rafters p -
NAIL SCHEDULE',• Rafters or trusses spaced over 16 o.c. 8d 10d edge/f 4 field
Sd COMMON TWO ROWS OF 16d _ .' _A: ,,,,: _ 3-2X10 3 1,24"1 594
;., Gable endwall rake or rake truss w/o gable overhang 8d. 10d 6" edgel 6"field "•'
AT 3" O.c. "'' ' NAILS AT 3 o.c. Gable endwall rake or rake truss w/structural out lookers 8d �Od 6" edger,6"field ° r 4 ° ' 4 e ,A ° 4 e 4 4 e 4 e e 4 4 r 10 3-2X)2 4 1,385 (0
Gable endwall rake or rake truss wJ lookout blocks 8d 10d 4" edge!4"field 4 ;;• 4'0 4'4 . ;� 4'0 4'0 4 4'0 4'4 4'0 4'4 4') 11' 4-2X10
1,524 126
� a� D D D D q D D D C,i o D D D o,J
(001
" 4 4 4 4 Q 4 4 4
,,��- Ceiling Sheathing
_ =ri: . Noil schedule _ 4 ° a ° a °` sum Wallboard 5d coolers 7 edge! 10" field "o U'o 4'n 4'0 4'4 4 �• n, n,. 4,4 TABLEOJ WALL
OPENINGS HEADERS
ice. aM; 8d common 2 5/6" ANCHOR BOLTS WITH G c, 'D" D 'D D 'D" D 'D D TYP. ANCHOR BOLTS AND at 3" o.c. 3"X3" PLATE WASHERS
j
_ EXTERIOR _ Wall Sheathing
, .. - �,. VIEW OF °° °.4 °° °•4 °° °•4 �° °. � °. 3"X3"X1/4" PLATE WASHER °• a IN *t WALLS
i I
_; GARAGE :, Wood Structural Panels o 4'0 4'0 4'0 4 4'0 4 16 It, 46% 6'a 4% 6'4 416 `� W 1.J...S
I Studs spaced u to 24" o.c. 8d 10d 6" edge,! 12"field � � �
�r OPENING P p D D D O o D
ov.
to
$d *'� 3u ed eJ 6"field d 4 ° OQWall '/z" and 25/32" Fiberboard Panels { } g o Q'o Q 4'n 4'0, r ; ', °o "/z" Gypsum Wallboard 5d coolers "ed e/10"field
4 4 4 4 4 4 4 4 4 4
H O 3
k, sheathing Y :.- .. _ti.:... :_::.. .. . i , • a 4 . , , , , , , , ,
I must extend Floor Sheathing
g5 a
' U over 4 ° 4 ° 4 ° 4 ° 4
p i St O, O, Oe? O, Oe e
header r r a ` a a a °' a Wood Structural Panels
° L a �T*�o ° a° o° o° a° a o �;, or less 8d 10d Wedge/ 12 field \ 4'� 4'0 4 0 4'0 D'o 4 0 4'0 4 0
Greater than 1" 10d 16d 6" edge/6",field
Sheathing
joint dt
{*1} Corrosion resistant 11 gage nails and 16 gage staples are permitted; chock IBC for additional requirements.
approx. Nail schedule
` K a _ •L Lam..
x mid height 8d common
at 3" o.c. - g
Nail: Unless otherwise staffed, sizes given for nails are common wire sizes. Box and pneumatic nails of equivalent
diameter and equal or greater length to the specified common nails may be substituted unless otherwise
prohibited.
SNC�a � C3f" l 1 C ( ` J
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THE ENGINEERED
WOOD ASSOCIATION ,� SCALE: }, APPROVED BY. DRAWN BY
truce �.
DATE: .-
������3. REVISED
s 7 23 '
i
DRAWING NUMBER
Co ^ n