HomeMy WebLinkAbout0109 PINE RIDGE ROAD D q "pine ar ,,
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TOWN OF ZARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application 6Z',"
Health Division Date Issued !S S
Conservation Division Applicatior
Planning Dept, Permit Fee l'.
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
r
Project Street Addre s 01
Village (�l'
Owner &ifz k6(tod Address
Telephone Y
Permit Request ►r
it
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain roundwater Overlay
Project Valuation 3 6 ype Construction T Kct.�
�0
Lot Size 2 '6 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Struc re Historic House: ❑Yes No On Old King's Highway: ❑Yes No
YP
Basement Type: � Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq:.ft)
Number of Baths: Full: existing new Half: existing ✓ new
Number of Bedrooms: existing-knew ' .
Total Room Count (not incl ding baths): existing new First Floor Roorp Count
Heat Type and Fuel: - Gas ❑ Oil ❑ Electric ❑ O her
Central Air: ❑Yes CYNo Znevw
places: Existing New Existing wood/coal stove:❑Yes ❑ No
Detached garage: ❑ existing size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size
g
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name �/ / st+ Telephone Number S_0 751
Address 4L License # � � 7
v Home Improvement Contractor# Ff
Email Worker's Compensation # 500 �oo tdz6h yllv
ALL CONSTRUCTION DEBRIS SULTING FROM THIS PROJECT WILL BE TAKEN TO
r �*::�,
SIGNATURE DATE 1j511 Ll6
E
r 4
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE.
OWNER
y
DATE OF INSPECTION:
FOUNDATION Glvl�tS
FRAME 1A u 15
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
,GAS: ROUGH FINAL
FINAL BUILDING Q`I1d
4 -
DATE CLOSED OUT
ASSOCIATION PLAN NO.
_ AWC Guide to Wood Construction in High Wind Areas:f10 mph Wind Zone
I,assachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1
Check
1.1 SCOPE
Compliance
WindSpeed(3-sec.gust)................................................................... ......... .110 mph
.................:.......................
Wind Exposure-Category................................................:................. .............................................................::B
1.2 APPLICABILITY
Number of Stories(a roof which exceeds 8.in.12 slope shall be considered a story) stories.<_2 stories
RoofPitch ........... ...........................................................'(Fig 2) ........................................... s 12:12
...................
4, Mean Roof Height ............:....................................... . . . ..(Fig 2)............................... ft 5 33'
...............
Building Width,W....:............:.................................:......:...,(Fig 3)............. ft <_80'
Building Length;L .............................:................
..........
..... ................................
Building Aspect Ratio(LM) ...............................................(Fig 4).................. ......................
. ........
Nominal Height of Tallest Opening ...................................(Fig 4)............. a<6'g"
................. -
1.3 FRAMING CONNECTIONS
General compliance with framing connections....................(Table 2).................................................. /
2.1 FOUNDATION
Foundation Walls-meeting requirements of 780 CMR 5404.1
Concrete..................................................
Concrete Masonry:........................................
.......................... ...............................................................
2.2 ANCHORAGE TO FOUNDATION1.3
5/8`Anchor_;Bolts_imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only
.Bolt S acm
P g-general ................:................ ........(Table 4)................... in.
Bolt Spacing from endfjoint of plate ............................(Fig 5)........................... m:<_6"-12'
BoitEmbedment-concrete............................. (Fig.S),;................:.:.:....., �in.>T
.Bolt Embedment-mason -�-�ry.............................. (Fig 5)............................................ in.>-15" ./
'..,Plate
-Washer... ..................................:................:....(Fig 5).................... ,..>_,3".x 3"x'/<"
3.1- FLOORS
Floor framing member spans checked ...............................(per 780 CMR Chapter 55)...................................
Maximum Floor Opening Dimension...................................(Fig 6)...................:....... ft<_92'
Full Height Wall Studs at Floor Openings less than 2'from Exterior"
xterior Wall(Fig 6).......................I-
..............
'Maximum Floor-Joist Setbacks
Supporting Loadbearing Walls or.Shearwall.............:. (Fig <
Maximum Cantilevered Floor Joists m
'Su pportingLoadbearingWallsorShea _ -NIA
. ...... ..... ......................................... < d
Floor Bracing at Endwalls................. :.. (Fig 9)..:............:.................
.....
Floor SheathingType YP (per 780 CMR Chapter 55)
Floor Sheathing Thickness ......... ...............................(per 780 CMR Chapter 55) in.
Floor Sheathing Fastening..................................................(Table 2)..._d nails at in edge,/_in'field
4.1 WALLS
Wall Height
Loadbearing walls.......................... .. (Fig 10 and Table 5)..: 2 ft <10, ✓,
. ............. .............
Non Loadbearing walls ...............................................(Fig.10 and Table 5) ........................
.. ft.<20'
Wall Stud Spacing ........................................................(Fig 10 and Table 5)...... in. <_24"o.c.
Wall Story,"Offsets ..................................(Figs 7&8)............................................Q ft `d _..�
4.2 EXTERIOR WALLS'.
Wood Studs
Loadlieanng.walls (Table 5)...................................................... ft �
............................. 2x- -� in.
Non=Loadbearing walls................................................(Table 5)..............................2x.`�-._$ft 7 in. c�
Gable End Wall Bracing 1 —
Full Height.Endwall Studs....................................:.......(Fig 10)......................
.......
..........
WSP Attic Floor Length (Fi
g g 11)....................................... •_!�ft_W/3
Gypsum Ceiling Length(if WSP not used) ...... (Fig 11)::..................................... .:...Z ft
and 2 x 4 Continuous Lateral Brace...@ 5 ft.o.c....(Fig 11)................. .or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays
Double Top Plate
Splice Length ........................................................(Fig 13 and Table 6).......I............................. ft
Splice Connection (no.of 16d common nails).............(Table 6)......................................
vEi -f
� E
AWC Guide to Wood.Construction in High Wind Areas: I1 Q mph Wind Zone
Massachusetts-.Checklist for Compliance (7so crnR 5301.2:1.1)'
Loadbearing Wall Connections -
Lateral(no.of 16d common nails)............................. (Tables 7 ......................................................�
)
Non-Loadbearing Wall Connections
...............
Lateral(no.of 16d common nails)...............................(Table 8).................................-....... -��
Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans ...... .........................(Table 9)..-............................... ft in.<_11'
SillPlate Spans ........................................................(fable 9).................................. ft CC in.<_11'
Full Height Studs (no.of studs)...................................(Table 9)......................................................
.._2,
Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9
Header Spans.............................................................(Table 9).................................. 16 ft a in. 5 12' ✓'
..................................eft O in.__<12"
Sill Plate Spans........................ ................-..................(fable9)
Full Height Studs(no.of studs)....................................(Table 9).........................,..............................
Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously°
Minimum Building Dimension,W � 4
Nominal Height of Tallest Opening2 `6'8"
................................................................
..............
Sheathing Type.............................................(note 4)........................................
Edge Nail Spacing.........................................(Table 10 or note 4 if less).....-...........--:... 3 in.
Field Nail Spacing.........................................(fable 10)..............................::................. I Z in. •�
Shear Connection(no.of 16d common nails)(Table 10).........................................................4
Percent Full-Height Sheathing .... able 10 ..................................:..................Zl%
5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).....................
Maximum Building Dimension,L Y
Nominal Height of Tallest 0 enin z ��1 6'8"
9 P 9 .:......................................................................— e/
SheathingType........:.:................ .........:::.....(note 4).......---......................•.................----�
Edge Nail Spacing ...............(Table 11 or note 4 if less)......:.........:...... in. r/
9 P g..........................
Field Nail Spacing.........................................(Table 11)...........:...........:......................... LZ in.
Shear Connection(no.of 16d common nails)(Table 11)........................................................
Percent Full-Hei-Height Sheathing able 11 .................................................... ✓9 g........................(T )
5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................::..
Wall Cladding
£: ✓
Ratedfor Wind Speed?............................................................. ..................................................:.............
5.1 ROOFS
Roof framing member spans checked? ..,;(For Rafters use AWC Span Tool,-see BBRS Website)
Roof Overhang ..:.....::...::... .....(Figure 19)............. ft s smaller of 2'or L/3
i'
Truss or Rafter Connections at Loadbearing Walls
Proprietary Connectors
Uplift................:...............................(fable 12)............................................U=X plf
Lateral:............................................(fable 12)....-....-....-................... L=� plf
S="2.7 plf
able 12
Shear..............................................(T )............-. ...........................-..
Ridge StrapConnections,if collar ties not used per page 21... able 13 ................T=Mpif �✓
.......(Figure 20 ft<_smaller of 2'or L:/2
Gable Rake Outlooker........................................ ( 9 )•••••••••••••—
Truss or Rafter Connections at Non-Loadbearing Walls ,At,,
Proprietary Connectors `Lr 7
Uplift......:.........................................(Table 14)..................................-.........U 4wilb.
Lateral(no.of 16d common nails)...(Table 14).......................................L Ib.
Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............
Roof Sheathing Thickness........................................... ... ..........................................��i'n.>7/16"WSP
Roof Sheathing,Fastening ........(Table 2)........................................................ —�
Notes:
1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of
780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not
required per the WFCM 11.0 mph Guide:
a. Steel Straps per Figure 5
b. 20 Gage Straps per Figure 11
c. Uplift Straps per Figure 14
d. All Straps per Figure 17
e. Corner Stud Hold Downs per Figure 18a and Figure 18b
2. Exception: Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing
requirements shown in Tables 10 and 11.
3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade.
GJ-�� CcAf�
CC��t ii VAr))�(',ur,
4141s
f IG
AWC Guide.to Wood Construction in Nigh Wind Areas:110-mph .mind Zone
Massachusetts Checklist for Compliance(780 Cmx 53011.2.1.0'
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' FHAdARa MEMBERS
� EDGER+tiFRhAFD4l'rE
MK
1�1
STAGGERED 3'MM+I
NAIL PATTERN PANEL
PAW-EDGE DOUBLE NAIL EDGE SPACING DEML
- Detail
Vertical'and Horizontal Nailing
for Panel Attachment
I
AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone.
Massachusetts Checklist for Compliance (780 CM R 5301.2.1.1)i
4.
a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height
Sheathing and Nail Spacing requirements
b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows:
i. Panels shall be installed with strength axis parallel to studs.
ii. All horizontal joints shall occur over and be nailed to framing.
Ili. On single story construction, panels shall be attached to bottom plates and top member of the double
top plate.
iv. On two story construction, upper panels shall be attached to the top member of the upper double top
plate and:to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist
{F and lower attachment made to lowest plate at first floor framing.
v. Horizontal nail spacing at double.top plates,band joists,and girders shall be a double row of 8d
staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment
.`WHEN THE EDGE RESTS ON
di3RtiA=E15Esd MAILS
AT 5b.m
11 11
1I a 11 1
w
11 r
u Ir
1 n u
N 41
1 11
11 /l
- Il 11
1 I„ itCD
I r a
IIy 1
10
11
. 11 IL
11 .3 I;
11 Q li fi W 1 -
i1
u r
• { � 11 r1 11
't
NAILSPACWG F 1 t
• PANEL a �, ,
v
See Detail on Next Page
Vertical and Horizontal Nailing
for Panel Attachment
,� � - Deparfineritoflndurfrial�icc�enLr
Office oflmestigations
600 lW irshhvb 'n Street
Bostory AM 02M -
www.m=s govldmc
Yorkers' Compensation Insurance Affidavit,Bmiders/Contractors/Electricians/plmnbers
)UPURcant Information Pleas eFerret Le -b
-Name(B�css/orga�fion/lnaividual): '' � -
Address:
Phom
Are an employer?Checkthe appropriate box:
,,�� 1 Type of project(regm1 ad):
1. I am E euploper With / 4. ❑I am a general contractor and I
cmp*=s(M and/or--p—art-ti—).* have hired the sub-cortractais 6 ❑New cmatracfi o n
2.❑ I am a sole proprietor or pmt=- listed on the attached sheet 7. ❑Remodeling
ship and have no employees Zee ors have '
8. (]Demolition
working for me in any capacity anployecs and have work=1 Burl. addition
. [NO workers'comp.Msmanr_^ comp.insm-anr_.•t 9 ❑
req,,hMd_] 5. [] We are a corporation and its I0.❑Eiectricalrepairs or additions
3.El am a homeowner doing all wank offices have exercised their 1 L E]Phra,mg repaks or additions
myself [NO wak='eon. . rightofexemptionperMGM 12-ElRoofrepairs
incn mcm required-1 t c.152,§1(4),Had we have no
employees.[No workers' a❑Other
CZIIIP-awrance reqnfimd j
!AnYIPPB dthatchc;sbox#1mastalsofmottthcsectionbcluwshawhgtheir;;Arai'...P=SzfiaapoIiGYin&maliva
t Hbmeawn=s who sabmitthis of &Yk mdi-fiag ihep—doing aII wo&and then hire:mb ide mmfmca ffiLSt submit anew afndask indicafin =h.
�Coahacims�ebccictbis box mast ailnebed an additiunaI shertsbuwingthe name oftbe sale-camhacmts emd stab:whet5anrnotthose editirs haPe
CMPIoyecs.Ifthe sub-matmctnrs hm cmPbPC-,.thY mast laoYidc their WMJ=l ea
PAY z®bcr.
I am car employer that is prm;i&=g workers'eorrrpensa on' anre for mp envLeyeer, Belay it the policy arzd job site
ixformafinn.
Insurance Company Name: /
Policy#or Self-ins.Lic.#: FxpirationDatc: (i
lob Site Address:
�-
Attach a copy of the Workers'compensation policy de 'an page(shoving the policy ntnnber and exph7rt3on date).
Ymhre to scarce coverage as required reader Secffim2$A ofMGM e,152 can.leadto the impositim of craninal penalties of a
fim Up to$1,500.00 and/or one-year iunprismm not;as well as ci72 penalties ill the fora of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this sbtmnm tmay be Emwarded to the Office of
Investigations of the DIA ft hmmx=coverage verificaSan.
I do hereby certify avzs nfpe1 jury that the b7formadan provided above it Y5-ue correzt
S' Date:
Phone ff
Q,ficid use only. Do not write in thrs area to be completed by cifj►or fayvrc a�iriuL
City or Town: permit/f.irPi,ce#
km&g Anthority(circle one):
. L Board of Health 2.BufflingDepartramt 3.City/Town 4,Elecizicallnspecfor S.Plumh_.i.ng._Inspector
nspector _. ..._-•-. _
6.Offer
ContactPerson• Phone '
¢formation and Instrueflons
hfiww,h seffs Geigeral Laws chapter I52 reggaes 4 employers to provide warl-='WIPPemsafton fur thW empIoyees. -
m ttD this stafute,an rnrploym is defined as"_.every person.in the service of another under any cordraet ofhire,
caprnss or implied,oral or writtc ."
An.az ploye-is defined as"au individual,pmtorrship,association,corporation or other legal eE ft or any tym or mcwc
of the foregoing engaged in a joint enterprise,and incladmg the legal representatives of a deceased employer,or the
receiver or trustee of as individoal,p �p,association or other legal entity,employing employees. However the
owner of a dweIlmg house having not more than three apaciments and who resides therein,or the occupant of the .
dwelling house of ano$ier who ernploys persons to do mainteuam ce: c1,eta t;on or repair work on such dwelling house
or on the grounds or Molding apprnicnarit thereto shall not becanse of such employment be deemed to be an employer."
MOL chapter 1.52,§25C(6)also states that"every star or Iocal licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
appiicaut Who has not produced acceptable evidence of compliance with the insurance;coverage required."
Additionally,MCM chapter 152,§25C(7)slates`Neitlmr the comma awcalih nor ally ofits political subdivisions shall
enter into any contract fur the performance ofpnblw woikuntil acceptable evideace of ca mpliancovith.the insurance.,
___.. requirenie�s of this chaplxrhave tem p rese rated in file contacting aruthority."
Applicants
Please fill out the wail='compensation affidavit completely,by checlrmg the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s), address(es)and phone numbers)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other than the
members or partners,are not required to carry workers'compensation h srarmce. If an LLC or LLP does have
employees,apolicy is required. Be advised lhatthis affidayitmaybe submitted to the Department of Industrial
Accidents for confirmation ofmsuraTce coverage. Also be sure to sign and date the affidavit The affidavit should
be retume:d to the city or town that the agplicafioa for the permit or license is being requested,not the Department of
Industrial Accidents. Shouldyou have any questions regarding the law or ifyou are required to obtam a workers'
compensafionpolicy,please caIl the Department at the rmmber listed below Self-insured companies should eater their
self-insur nce license number an the appropriate line. `
City or Town Officials -
Please be sore that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fM out in the event the Office of Investigations has'to confacfyou regarding the applicant
Please be sure to f M in the pevmit/license number which will be used as a reference number. Iu addition,an applicant
that must submit multiple permit(Iicense applit:�tions in any given year,need only submit one affidavit indicatilug current
policy fi forzIIation(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of thaaffidavit that has been officially stamped or marked bythe city or town may be provided to the
applicant as proof that a valid affidavit is on file fur f zture permits or licevses. A new affidavit must be filed out each
year. Where a home owner or citizen is obtaining a license or permitnot-re7atcd to any business or commercial vent ue
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like t D thank you in.advance for your cooperafion and should you.have any questions,
Please do not hesitate to give us a call.
The Department's address,telephone and fax number.
TI.�e CommMw.tti-of J&ssachuseilg -
Depa dment of In&,9rialA=identa
mice oil[ ttVIE �gOUD=
EU4�i a�in�tan Street '
Bos#a,YA oil 1I
Te,1,#617 727-4900 oxt 4€6 Or 1-&77 SAFE
Fax#617-727 7744
Revised 42407 WW m ec V/di$
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Massachusetts Department of P,ubllc Safety
Re d 9
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B of Building
Board gulations.an t
Coristh'Ct'io'n SqipqrViipr t,
License e:,CS-050i214
S,
NUCHAEL-D]ELUOA
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568 SANTqT
'K
COTUIT MA '
D,FiK K4
Xpira ion J,
�'07/0912016
CoM missidner.
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............
I 111..'�A 0 P,-`"'i-,
OPIC o Cf Consumer Affairs Vlss:,Regulation
M
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IMPROVEMENT CONTRACTOR.
r
Type:lstrat�i,yi: 8 a
�9554
lratj;� _._7Jf#b.dA6_. DBA
xp j!
VVIULAE CRAFT B� in ,REM 'DELING
MichaeI Deluga
568 SANTUIT,RD.'
COTUIT,MA 02635 Unde k F
4
10�
4
... ........Lice nk.e,qryegisq n
tio
J.?
yaljo for jndY' ul use only
before the expiration date."
If found return to:
06nsumer Affairs Business Re
Ofr We 0
and gula*tjoh'
4a-i Suite 51704*
10 Pf r4 rl
T. j
Boston,MA'02 I H*
Not Valid without st ature
• 0
I I
ppTFKET Town of Barnstable
. Regulatory Services '
BARNSI'ABLE,
y MASS. Thomas F. Geiler,Director
�E7 i639
Argo►��` Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
kri czj
as Owner of the subject property
hereby authorize ( �V to act on tny behalf,
in all matters relative to work authorized by this building permit
(Address of Job
Pool fences and alarms are the responsibility of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
r
Signature of Owner Signature of Applicant
p_rin.tN.ame
161/5
Date'
Q:FORMS:OWNERPERMISSIONPOOLS 6/2012
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSUR�NCE POLICY
INFORMATION PAGE
Associated Employers Insurance.Company
54 Third Avenue, Burlington, Massachusetts 01803-0970
(800) 876-2765 NCCI NO 40959
POLICY NO. I WCC-500-50061 1 4-20 1 4A
PRIOR NO. LWCC 500 50061 14 2013A
ITEM
1. The Insured: Michael Deluga
DBA: Village Craft Building&Remodeling
Mailing address: 568 Santuit Road FEIN:**-***2146
Cotuit, MA 02635
Legal Entity Type: Sole Proprietor
Other-workplaces not shown above:
2. The policy period is from 12/23/2014 to 12/23/2015 12:01 a.m,standard time at the insured's mailing address.
3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the
states listed here: MA
B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A.
The limits of liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident
Bodily Injury by Disease $ 500,006 policy limit
Bodily Injury by Disease $ 100,005 each employee
C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B
rr � rr
D. Thilolicyiincludes these E�dors�tents and Schedles: IEE SCHEDULED]
4. The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans.
All information required below is subject to verification and change by audit.
Classifications Premium Basis Rates
Code Estimated Per$100 Estimated
No. Total Annual Of Annual
Remuneration Remuneration Premium
INTRA 355380
INTER SEE CLASS CODE SCHEDU E
Minimum Premium $500 Total Estimated Annual Premium $2,923
GOV GOV Deposit Premium $768
STATE,CLASS
MA 5645 State Assessments/Surcharges
$2,575.00 x 5.8000% $149
This policy, including all endorsements is hereby countersigned b �v " ' 10/24/2014
p y, 9 � Y 9 Y � _
Authorized Signature Date
Service Office: Malcolm& Parsons Insurance Agency Inc
54 Third Avenue 6 Freeman Street-P 0 Box 527
Burlington MA 01803 Stoughton, MA 02072
WC 00 00 01 A(7-11)
Includes copyrighted material of the National Council on Compensation Insurance,
used with its permission.
Assessor's map and lot number .... . ........... / �37,C SYSTEM I M ST B1
14 1 E O Ci_E _�E
Sewage Permit number 0�..:....... .'.� 7�3-..................... SA11TA, Y COD i 1'0 P1
REGULAT G 'S.
yo`THE r TOWN OF BARNSTABLE
i 89S19TAILS. i
O
16 9..,� BUILD-I;NG INSPECTOR
�10 MPY a'
APPLICATION FOR PERMIT TO ........ ......... ...................................................
TYPEOF CONSTRUCTION ...............WPow„' .qh-....................................—....................................................
i . � kU .Y.......3g.............192
i TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...........................l..t ...1.`�.�GE...1�.�.................... A. U.(. ........./ 1!� �5:........:..........................................
ProposedUse ...............`S ...........................................................................................................
ZoningDistrict ............�....~.............................................Fire District .................l...v.......................................................
Name of Owner RCA)bc F 4,PNAVD Ne !.� D!4.�1 �:. tQR..�/.!V��'T4N. ............................MASS y
" ....................................................................Address ..
A� TCt /G ,u�Tnv /ASS' 02/7y
Name of Builder ....RE/VE Al2N D ..Address DAY ST
....................... ....................................................................................
Name of Architect ..4...�RM.a.v�...Te..............Address ...DA y.S.r...A.Rk.iiu6-Tov.. .... . ..... ...... ...... ... . ... ... ..... ............... ,......q..,.s.s.....o...z.../...
s�
Number of Rooms .......lP.....[`4/K. .....................Foundation .....`....U2E..-�.... d�vG/lE�4c...:, �? f�/3 U
.................. ... ..,,
Exterior ....A6.D.b..:rHWO:.......A(!6�4..:12.... ..w...Z?. �SPi�/t...Z.... N/...G,4. ..• �Fs � >' oa ............Roofing ..... . . � N f........................................
Floors .......PaR—P....................................................................Interior ........................................................
`
/
Heatinge4. Ee''e!�. Qi4s ,a�eD...................................Plumbing ............... .........:.....................................................
Fireplace .../ ietei<................................:................................ .Approximate Cost .........� ��e. .............................
7?.2 S.
......
Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area ..........................................
Diagram of Lot and Building with Dimensions Fee ......... .7.. ................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
IDD1
tN
r 1g0�
z
I
3S'
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. l'iN� RI�G� 2DA)
• Name .... ` .. .. .. .. .. . . ..... . ...............
Arnaud„ Rene E. Jr.
i
No .... ...... Permit for .......a"..sUry........
frame dwelling
`
Location ...............................................................
�09 Pine Ride Road
........................... otuit ...........
Rene E. Arnaud, Jr. '
Owner .................................................................. b
Type of Construction .................. ry............. �.
.............................. ...............................................
Plot ......................... . Lot ................................
U9U
Permit Granted ........A ... �....... 19 73
Date of-Inspection ....... . . ...... ..... .........19
f
Date Completed ........ 19
7
PER EF SED� �G
L
...............................
... r ..
................................ .........................................
.... 'F
....... �......�. ..........................................
............................................................................... l�
Approved ................................................ 19 ,
............................................................................... aft
y
°FIKE rpm Town Of Barnstable *Permit#�
1. Expires 6 monthsfro i ue date 7
Regulatory Services Fee
2ARNSTABLE, Thomas F. Geiler, Director �
v MAsa $
�p 16.9. Building Division
'Fv a Tom Perry; CBO,. Building Commissioner
200 Main Street,Hyannis, MA 02601
www.town.bamstabl e.ma:us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address L� C �GL` 67&// T
P �Y
Residential Value of Work /'aOO Minimum fee of$25.00 for work under$6000.00
Owner's Name& AddressC.y�' d' �/
Contractor's Name Telephone Number
Home Improvement Contractor License# (if applicable)
❑Workman's Compensation Insurance
Check one: wPSS PERMIT
❑ I am a sole proprietor
I am the Homeowner .
❑ I have Worker's Compensation Insurance JUL 1 5 2008
Insurance Company Name TOWN OF BARNSTIABLE
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) . 7-
P_Re-roof(stripping old shingles) All construction debris will be taken to r/Ulv ZllCCI
❑ Re-roof(not stripping. Going over existing layers of roof) .
[] Re-side .
❑ Replacement Windows/doors/sliders: U-Value (maximum..44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic, o rvation
***Note: Property Owner must sign Property.Owner Letter of Permission.
A copy of the Rome Improvement Contractors License is required.
SIGNATURE:
Q\WPFILESFbR M u'd'mg permit forinsEXPRESS,doc
Revise020108
f
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, AM 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
A hcant Information Please Print Le bl
allle(Business/Org�mization/Individnan: 90Cc
Address (� i ry� /�r>
City/Sfate/Zip:=:r-, C y!( /"l A 02& 5— Phone.#:
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.E] I am a sole proprietor or partncr-
listed on the attached sheet 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working far m employees and have workers'
e in any capacity. $ 9. ❑Building addition
[No workers' comp.-nin -Mce comp',ncrTrance. 10. l airs or additions
rt�uired] S. [] We are a corporation and its ❑Electrical rcP
'� officers have exercised tbcir I LE ]Plumbing repairs or additions
'0-3. Fam=a`-homeowner doing all work
-- -� " right of exemption per MGL
���`"'sel�[No wor-kegs=co : 12.0 Roof repairs
c. 152, §1(4), and we have no
incancezequued]� 13.❑Other
employees. [No workers
comp,insurance mquired J ,
*Any applicant that chmlm box#1 must also fill out the section below showing than wm+='co Pion policy infanMtianz
t Homeowners who eubrdt this affidavit indicating ifiey am doing all work and than hire outside contractors must submit a new affidavitindi�g each
tcontractnts that cbxk this box umst attathcd an additional shact showing the name of the sub-cnntracton and state whetbcr or not thost entities have
anployas. If the sub-contacbu s have employees,they must pruvidt they workccs'comp.policy number.
I am an employer that is providing workers'compensatiors insurance for my employees Below is the policy and jab site
information.
Insurance Company Name:
Policy#or Sclf--ins.Lic.#: Expiration Date:
fob Site Address: City/Sb&zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as requited yndcr 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-yoar in3prisonment, as well as civil pcnalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day aDvaimt the violator. Be advised that a.copy of this statcmcrit may be forwarded to the Office of
Inyrztiwations of the DIA for ins,r r.coverage verification. - -
I do hereby ceTZ 71e pains• penalties of erjury that the information provided above is a and correct
c: -DatL-__ P
-------/
Phone
O facial use only. Do not write in this area,to be completed by city or town offtciaL
City or Town: Permit/License#
Issuing Authority(circle one):
L Board of Health 2.Building Department 3.City/Town Clerk .4.Electrical Inspector S.Plnmbing Inspector
6. Other
Contact Person: Phone#:
Town of Barnstable
�pf HE Tp�y
Regulatory Services
Thomas F.Geiler,Director
BARNSTABLE,
MASS.
Building Division
pTFD ��a Tom Perry,Building Commissioner
.200 Main Street, Hyannis,MA 02601
R'ww.town.barnsiable.ma.us
Office: S08-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
7 Please Print
DATE: G 1 /o'Z•-00
JOB /LOCATION: l/ //C/� /I�GE- �� (�o To (/
nAc r ,r street // �'�/ �•-- village
4,4&x0o"HOMEOWNER": RC 5 oy
name /�home(pphone# work phone#
7
CURRENT MAILING ADDRESS: t/ �X ! ! /
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.L 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
require ts.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be.required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1,1-Licensing of constiuction 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 responsrble.
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 forrJcertification for use in your community.
tt
oF�KEra,, Town of Barnstable
w
Regulatory Services
H"NSTAE� MASS.iE� Thomas F. Geiler,Director
Qjp i634. .
rfo,3,.ta Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using .A Builder
r , as Owner of the subject property
hereby authorize to act on my behalf,
in all.matters relative to work authorized by this building permit application for:
(Address of Job)
Signature of Owner Date
Print Name
If Property Owner is ap mg for pe 't lease complete the Homeowners License
Exemption Form on the xeverse side.
i
TYRASPHALT 24'-0•
!!!/ ROOF SHINGLES
24'-0' !�5/8"COX PLYWOOD SHEATHING -
SOLID 2 x 8 BLOCKING IN THE OUTSIDE 2 x 6 RAFI"ERS !�15N FELT PAPER Y-6'
TWO RAFTER&CEILING JOIST BAYS e
/ @ 48"D.c.,ALLOW SPACE FOR AIR WIND WASH SIMPSON H2.5 HURRICANE CLIPS
/ FLOW ON
SHEATHING
E UNDERSIDE OF ROOF BARRIER f` ,/�TO"WIDE ICE/WAiER SHIELD
{ C ALUMINUM DRIP EDGE
————
__ ,x 8 FASCIA BOARD .
i. -------————————tx 4 SOFFIT BOARD x
1 CONI VINYL SOFFIT VENT
1 x 3 SOFFIT BOARD I 'I �DROP TOP OF WALL
TYP.2 x 6 WALLS - I T 3/4"CROWN .I I - AT ENTRY DOOR
II_M1 1 x 6 FRIEZE BOARD
DETAIL AT. !/VALE
L I TYP.B"CONCRETE I I
- SCALE:1/2"=V-0" I - I FOUNDATION WALLS I I
1 - - W/8"x IS'CONCRETE
INSTALL 5/8"SIMPSON 1'IHEN HD ANCHORBOLTS AT I I FOOTING TO 4'0"BELOW
24"D.0.MAX.W/SIMPSON BPS 518-3 BEARING PLATES Wl I I GRADE KEY -
6" 9" PLACE DOLTS WITHIN 6'-15'OF EACH CORNER AND TO A 8"MINIMUM DEPTH.BOLT LENGTH IS 10•.
4 I o 1 Q
C I I GARAGE a
• I I (5"CONC SLAB I I
r] PITCH 2'TO O.H.DOOR
Wl 6 x 6 W WF EMBEDDED I I
f I ON COMPACTED SOIL)
A
G2 I C I . I I G
DROP TOP OF WALL f
AT O.H.DOOR
f L---------- I ,.
JJ — —
4K,2J 4K.2J Y -------- ---------- .�.�
—_
z 2-P.T.2 x 6 SILL W/SCALER
2-2x 12 HEADER — �.. ---------------------- ————
----FASTEN WALL STUDS FASTEN WALL STUDS CONC.
TO HEADER W/SIMPSON TO HEADER W/SIMPSON k ' APRON
CS16 STRAPS 18"LONG
4'-0' ,6'-0 4'_6" ANCHOR BOLT DETAIL
24-U TYP. ROOF CONST. �fl
CONT.RIDGE VENT 24'-0'
ROOF FRAMING PLAN 28'CDXPLYWOODFTERS @ ROO. :-
AS CDX PLYWOOD ROOF SHEATHING ®U N®AT I®N PLAN
-ASPHALT ROOF SHINGLES 3`
2 x 6's �.c. -15LB.FELT PAPER _ - -
NOTES: I -SIMPSON H 2.5 HURRICANE CLIPS 12 AT ALL RAFTER ENDS NOTES:
1. 2 x 8 RAFTERS 16"O.C. ICE/WATER SHIELD AT BOTTOM I A'VOTES
3.0.OF ROOF
2. USE SIMPSON H2.5 HURRICANE CLIPS WINO WASH BARRIERS
B� I _ALUMIN DRIP EDGE 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS
AT ALL RAFTERS ENDS , a y� 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS,
3.)VERIFY GUTTERTYPEJLAYOUT 'V STS ORAG '� l-'" DETAILS,&FINISHES IN THE FIELD WITH OWNER
W/OWNERS �, / Sre'PL
J 3.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GR.
TOP OF PLATE 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS
---- - STATE BUILDING CODE 8TH EDITION AMENDMENTS&IRC2009
_ tz3 STRAPPING. 2-2x 12
—@ 18 D— — --- CONT.SOFFIT 5.) 110 MPH EXPOSURE B WIND ZONE,1.00 ASPECT RATIO
TYP.WALL CONST. f VENTS
1.2 x 6STUDS @ 16"o.c. '4K,2J STUDS 4K,2J STUDS 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO 8E INSTALLED
2.1/2•PLYWOOD SHEATHING i. FASTEN W/CS16 - _ FASTEN WIPS16 VERTICALLY OR HORIZONTALLY W/BLOCKING AT EDGES,WEDGE/
3.W.C.SHINGLE SIDING STRAPS - STRAPS - 4
4.TYPAR EXTERIOR VAPOR BARRIER GARAGE 1L"FIELD NAILING
I I 7-) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD
(5"CONC.SLAB 2-SEALER SILL 8,) SEE CERTIFIED PLOT PLAN FOR ALL PROPOSED&EXISTING DETAILS .
PITCH 2'TO O.H.DOOR
W/Bx 6 WWF EMBEDDED
ON COMPACTED SOIL) 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION
_ TOP DF FDuND. OF ALL SIMPSON COMPONENTS
10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS.
TYP.WCONCRETE � SECTION (a GARAGE TO BE 3000 PSI -
FOUNDATION WALLS A Q 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS
FOOTING T04'D"BELOW 8•CONCRETE �r.�/ ON SITE DURING FRAMING CONSTRUCTION
FOOTING �3'
GRADE w/KEY NEW
12.)SEE THE 110 MPH CHECKLIST FOR ALL FRAMING DETAILS
4 COTUIT BAY DESIGN, LLC , \E s Y DETACHED GARAGE Ro THE DESIGNER
DRAWINSMA IORT BE OSTAR IFAN SCALE : DRAWING No.:
ERRORS OR OMISSIONS ARE FOUND ON
THESE
DRAWINGS PRIOR TO START OF
CONSTRUCTION.THESUILONGCLL BE RESPONSIBLE FOR THE DNTRACTOR 1/4" - 11-01,
W R ROAD NY IN
THESE DRAWINGS FCONSTRUCTION"
43 BRE'-STE'` '`O'`® �w\� f1( GOMMENCESWITHOUTNOTIFYINGTHE
ARNAIJD RESIDENCE I 2
DESIGNERSEDOFANYEESOLELYFORTHES DATE
MAS H P E E.,MA. 02649 a DRAWINGS ARE SOLELY FOR THE S,
OF THE OWNER NOTED.ANY OTHER USE OF
PH. (508)274-1166 THESEDHAWINGSREQUIRESTHEWRITTEN 5/14/2015
FAX(508)539-9402 109 PINE RIDGE ROAD COTI'1 IT, IVIAGONE;E�� ��I� T° 'E�°"
ACT OF I9A.
ZONE: RF
MA P/BL OCK/L O T.• 0181OJ81 LOT COVERAGE CA L CS.
WIND EXPOSURE CA TEGOR K B LOT AREA = 28,000 s.f
RESOURCE PRO TEC TION 0 VERL A Y DI S TRI C T
EXISTING STRUCTURES
1,226 s.f. = 4.38 9
PROPOSED STRUCTURES
1,802 s.f. = 6.44 9
a
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C.B. fnd. LOCATION OF EXISTING SEPTIC
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CERTIFICATION LOT 106 �O ° l�
On the basis of my knowledge, information, and J I
belief, l certify that as a result of a survey
made on the J
round on 04 06 2015, l find that: O , O 1 I I O
g i i � � , , CERTIFIED PLOT PLAN
The structures) are located on the site as shown. SHOWING NEW GARAGE
� � � I I
The title lines and lines of occupation of the L 0 T 227 / I FOR
site are as shown hereon. RENE ARNA UD
The site is situated in Flood Zone X 28,000 s.f.
(Panel No. 250001 0752 J Date: 0711612014) /l PRISCILLA ARNA UD
J
�/a.�/a�/s PL��Q��qss �/ // 109 PINE RIDGE ROAD
Date:
CO TUl T
GARY
LADRl B. fnd BA RNS TA BL E, MA SS.
N .40039 /
L as4�5�4 � Scale: 1 =20 Date: 0410912015
N,j 4020 a8,
ary S abrle, P.L.S.
LOT 98 ¢O'
�O°°°' Warwick & Associates Inc.
DRAWN 6Y.• GSL DATE 0410912015 GRAPHIC SCALE 63 County Road Box 801
20 0 10 20 40 8o
CHECKED 8Y SHEET 1 OF 1 North Falmouth, Mass 02556
P. �Land Projects 2004 SC15001�dwg\SC15001CPP.dwg ( IN FEET ) (508) 563 — 7777
1 inch = 20 M
ZONE: RF
MAP,/BLOCKILOT 0181OJ81 LOT COVERAGE CALCS
WIND EXPOSURE CA TEGOR K B LOT AREA — 28,000 s f.
RESOURCE PRO TEC TION 0 VERL A Y DI S TRI C T
EXIS77NG STRUCTURES
1,802 s f = 6.44 9
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(DMGD.) /` ' SYSTEM FROM AS—BUILT 77E CARD.
LEACHING
CER77F/CA 77ON P/T O
LOT 106
On the basis of my knowledge, Information, and
belief, l certify that as a result of o survey s� Cb » �
made on the ground on 46/19/2015, l find that. CERTIFIED PL 0 T PLAN
The structures) are located on the site as ! SHOWING EXISTING shown. ! ! NEW FOUNDATION
7he title lines and lines of occupation of the _ LOT 227 I ! FOR
site are as shown hereon.
'�•/ ! ! RENE ARNA UD
The site is situated in Flood Zone X 28,000 s f. !
(Panel No. 250001 0752 ✓ Date: 0711612014) PRISCILLA ARNA UD
Date. G/22 to/rS— 4 `"Of �� 109 PINE RIDGE ROAD
c ARY 7� CO TUI T
S.
BARNS TABLE, MA SS.
IABRIE a
s « — Scale: 1 "=20' Date: 0612212014
Gary S Labrie, P.L.S.
L 0 T 98
°°°D" Warwick & Associates Inc.
ORAfHV BY.• csz DATE 06/22/2015 GRAPHIC SCALE 63 County Road Box 801
20 0 10 x0 40 !0
affiCKED 17 SHEET t OF t 63 North Falmouth, Mass 02556
P. Land fro is 2004 1SC15001 WWg jSC15001CPP dwg ( IN Fm ) (508) 563 — 7777
i inch m 20 &