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0094 CHILDS STREET
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Jrt'#D'�% .-.. •.," m ;.5'y:"' .tf'x lip: xt'U '� � •x, p'� .;v� 7frt'4'"' eF y "�"'.aW � u ° a � p a ° ^ ^ ° ° foi ° o ° 9 > TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN OR BARNSTABLB Map Parcel ,111 �� e Application # ��� 693 Health Division Date Issued' P ic Conservation Division Application Fee Planning Dept. -' }rt(O°j Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address C S Village (7�,w Owner Address Telephone 5_0 a—7 J_)— 22F6 y Permit Request �'� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 b°Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name, p � Tele hone Number C� Address / C S License # Home Improvement Contractor# Email ��` "O�'�`' �'�. "`' Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� I , FOR OFFICIAL USE ONLY ; r -APPLICATION # e z DATE ISSUED MAP/ PARCEL NO. ,x ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ! FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f` t DATE CLOSED OUT ASSOCIATION PLAN NO. :F k I ,. 77ie Commoniveakh of-Massachusetts F Department o,f 1'rrdmwial Acciderds - - Off we o,f Ir tigutions � 600 Washington Street _ Boston,41A 02111 wrva massgovIdia Workers' CompensatiGn Insurance Affidavit:Builders/Contracturs/EIectrkians/Phunbers Applicant Information Please Feint Legibly Name(k3ussmessflO7ganb'ationlLt�itr��hL1}. --��"^' /11 Address t;ityfStatel j12_11 A 02 aLphal Are you an employer?Check the appropriate box: ' Type of project r 4. I am a general contractor and I � e ] (required): 1.❑ I am a employes with ❑ � 6. New construction employees(full anNor part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees - . These sub-contractors have 8.,❑Demolition employees and haveworl�s' w for 7Y1P in an capacity- °fib �' 9. ❑Building addition [No wmorlmrs' Comp.insurance comp.mcttranm$ required] 5. ❑ We are a corporation and its, . 100_❑Electrical repairs,or additions 3.*I am.a homeowner doing all work officers have exercised blare 11_❑Plutmbingrepans or additions myself [No wocke s'comp- right of exemption per MGL 1?_❑Roofrepairs insurance required.]s c.152, §1(4h and we have no f employee's:[No workers' 13-❑Other comp'_insurance required.] #Any appFicant that check box#1 nmst also fill out the:secdou be7aw showing#heir workers'compensation policy iufbMMUam Mmeoauaers who submit stir affidat,F iaaiti=g they are doing all viral=4 then hie autside conttsctnrs mast submit a new affidavit iadicatiag sach- =Contactors that cbeck This boat must attached an additional sheet showing the name of the sub-contmtm and state Whether at oat those en ices have employees.If the sub-contractm have employees;they must pmvide their vrarken'comp.policy m®ber. I am an employer that is prmidirg workers'congmnsaffan irmirance for my employees-Below is thepoiicy dead job site infornzatiom Insurance Company Name: Policy 4 or Self-ins.Lie.4: Expiration Date: Job Site Address: City/State zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c, 1572 can lead to the imposition of criminal penalties of a fine up to$1,50D 00 and/or one-year imprisonnunt,as well as civil penalties in the form of a STOP WORK ORDERand a RM of up to$250-00 a day against the violator- Be advised that a copy of this statement maybe forwarded to the Office of Investigations ofthe DIA.for insurance coverage verification. Ido hereby teeth; l ii)rder at tabYes o pedujy thatthe informatiozi prmided abm is hwtphd correct Siienature: Date: Phone OBacial use on£y. Do not avrite in this area,to be camptetced by txty or taorn official, City or Town.: PermitUcense# Issuing_Amthority(circle one): 1.Board of health 2.Building Department 3.C itp Town Clerk d.Electrical Inspector S.Plumbing Empector 6.Other Contact Person: Phone#: 1hnformatzon and last-uction s Ma�sachusetts Geheaal Laws ehaptea 152 requires an employers to provide workers'compensation for their eulpIoyees. pursaantto this side,an employee is&-tined as."_.every person in the service of another under any contrast of hire, express or implied,oral or wr m -" An ezrcployer is defined as"an individual,partnership;association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint eutm?rise,and mchiding the legal representatives of a deceased employer,or the receiver or trastee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more tbaa three apartments and who resides therein,or the occupant of the - dwe house of another who Toys persons to do maintenance,construction or repair work on such dwelling house dwelling � or on the grounds or burry app thereto shall not becanse of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every s"or local licensing agency shall withhold the issuance or the colnmaawealth for e or permit too operate a business or to construct buildings m �Y renewal of a license p p f� e insurance.roves e re ed." t o has not produced acre table evidence of coin fiance with the msnran g qua' applrcan who p F F Additionally,MCrL chapter 152,§25C(7)states"Neither the commonwealth nor nay of its political subdivisions shall enter intD any contract for the perfoml.aace ofpublic work until acceptable evidence of compliance with the in urn ce._ regTlirenients of this ebapter have Been presented to the contracting aufhozity." Applican-t_s Please fill out the workers'compensation affidavit completely,by checlong the boxes that apply to your situation and,if necessary,supply sub-contractnr(s)name(s), address(es)and phone number(s) along with their certfficafe(s)of insurance. Lfi itzd Liability Companies(LLC)or Lmmited Liability Partnersbips(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insmsance. If an LLC or LLP does have employees,a.policy is regnired. Be advised that this affdayh may be submitted to the Department of Industrial Accidents for conformation of insmmce coverage. Also be sure to sign and date-he affidavit The affidavit should be retuned to!he-city or town that the application for the,permit or license is being requested,not the Department of L daztrial Accidents. Shouldyou have any questions regarding the Iaw or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-hmm-,dcompaniesshould enter their self-mom=ce license number on the appropriate lime. City or Town Officials t Please be sure that the affidavit is complete and pried legibly. The Department has provided a space at the bottom of the affidavit for you to fill out i a tie event the Office of Investigations has to contact you regarding the applicant Please be sure tD fill in the pennit/licrose number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license,applications in any given year,need only submit one affidavit indicating current policy inform anon(if necessary)and under"Job Site Address"the applicant should Ovate"all locations in (city or town)_"A copy of theaffidavit that has been officially stamped or m kDd by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for future permits or licenses A new affidavit must be fled out each year.Where a home owner or citizen is obtaining a license or permit not relatr-d to any business or commercial venture (i..e. a dog license or permit to bun leaves etc.)said person is NOT required to complete tiffs affidavit The Office of Invesiiggations would I1ke to thank you in advance for your cooperation and should you have any questions,. please do not hesitate to give us a call The Department's address,to lephone and fax number Tht CG�mwcethof Massachmatts •Degaztment a-f Iadnsf d Accidents - Office of I vegtigatio-u% �R4�asbi�tQn t ��tr�I�fA EI�11� Tf,-L 617 727-49W�xt 406 or 1-977-MASSAFE Fax 9 617-727-7M Revised 424-07 .mas,5_ga rldia 3 Town of Barnstable $ Regulatory Services t a"H Richard V.Scali,Director. Building Division, Paul Roma,Building Commissioner ' 200 Main Sheet,Hyannis,MA 02601 www.town.barnstable-mans Office: 508-8624.038 , Fax: 50&790-6230' 1v f .3 Property Owner Must Complete and Sign This Section -� If Using A Builder as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for. . (Address of job) ' **Pool fences and alarm . 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. Signature of Owner Signature of Applicant Print Name Print Name Date QYORNMOW NERPERMISSIONPOOIS t Town of Barnstable Regulatory Services cIF Richard V.Scali,Director Building Division Paul Roma, g Buildin Commissioner au►as. z"q. 200 Main Street, Hyannis,MA 02601 Md www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXF1VIPTI0N DATE: Please Mat n� 1 JOB LOCATION: (� 1' �V ��1�►�r� v. ` number street village "HOMEOWNER": w name i� home phone# work phone# CURRENT MAILING ADDRESS: cityhown 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` meownei"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedure re ents and that he/she will comply with said procedures and requirements. 7 S of Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building.permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire-to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this-exemption are unaware that they are assuming the-responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:IWP=S\FORMS\buildmg pemvt fomu\EXPRESS.doc 06/20/16 �. 4 i i � i YOU WISH TO OPEN A BUSINESS? =` For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law- DATE: Fill in please: APPLICANT'S YOUR NAME/S: f�P"a a 1 a } ' BUSINESS YOUR HOME ADDRESS; i TELEPHONE # Home Telephone Number a�-� 7 �7 " 176 f% NAME OF CORPORATION: - t" yl NAME OF NEW BUSINESS 7Yrlea" o%"-t3 - TYPE OF BUSINESS IS THIS A HOME OCCUPATION? X YES ADDRESS OF BUSINESS 1 MAP/PARCEL NUMBER y� l ( (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to m-ke sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO ER'S OFF �ie MUST COMPLY WITH HOME OCCUPATION This indivi al h reinfo anirements that pertain to this type of busines . MULES AND REGULATIONS. FAILURE TO Aut orized Signatu COMPLY MAY RESULT IN FINES. C MMENT 3 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. v Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Towil of Barnstable of F Regulat® Services 'b Richard V.Scan Director 0 �� _ Building Division ELkRN16& Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 = Approved:,'. Fee: Permit#• a,7'IS 0, D HOME OCCUPATION REGISTRATION Date: Name: taVv� �jdV� . Phone#: Address: 96 C,1'.1 l� S J Village:Call�zl I1 V Name of Business: .( -ems`' L' �w���� Type of Business: Lam-- Map/Lot Z INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling- there shall be.no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions:' • The activity-is carried on by the permanent residenf of asingle family residential dweltirig unit,located within that dwelling unit { • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. ®. There is no exterior storage or display of materials or equipment.' • There are no commercial vehicles related to the Customary Home Occupation,other than.one van or one pick up.truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant Date: Homeoc.doc Rev.103113' ' G"r�m I� ALTERNATIVE r o� �o12zfjy WEATHERIZATION Date / a Town of Barnstable Building Division 200 Main St-- Hyannis, MA 02601 f. ... .. The insulation work at ,. has been completed in accoref nc :;wv�t1K.780CMR: P . F Regards; 4 othy Ca - President C5L 105454 F 58 DICKINSON STREET j FALL RIVER,MA 02721 j (508) 567-4240 j ALTERNATIVEWEATHERIZATIONOGMAIL.COM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # o Now Health Division Date Issued Oki h V Conservation Division - Application Fee Planning Dept. Permit Fee Q Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 2L Village ce"Acruille Owneri'C'- Address Telephone -7 2 — Z- Permit Request fl Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new9v Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new == f$�n V) Total Room Count (not including baths): existing new First Floo i om Coura erg, -n Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other 00 Q Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wo d/coal se: MYes 0 No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: existing❑ A size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use _APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �✓`�=� `y Telephone Number 1l n Address- �14 `D`S �� License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t " k: MAP/PARCEL NO. ADDRESS VILLAGE m r . OWNER DATE OF INSPECTION: 0EOUNDATL.QN 4 FRAME "P/cT:f-* 0►c . 1c. '?!! 1 S II 5' (A INSULATION 6 c•p!dlt a.-- f FIREPLACE i . ELECTRICAL: ROUGH FINAL - zy PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town ®f Barnstable Regulatory Services OF THE Tp� do Richard V. Scali, Director Q BnRr,srABiE Building Division BARNSTABLE MASS0.noMs isx°wt° xHe e� �cb i639. ,0 Thomas Perry, CDO 1639.2m4 ATED �a Building Commissioner 575 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 October 7, 2014 Keeley Anderson 94 Childs St. Centerville, MA. 02632 RE: 94 Childs St., Centerville, Map: 249 Parcel: 134 Dear Property Owner, This letter is in response to building permit application number 201406001. Unfortunately, the application can not be approved at this time because the application as submitted is incomplete. The following items must be submitted: 1) A completed Mass. Checklist showing compliance with 780 CMR or plans stamped and signed by a Mass. Registered architect showing details of compliance. 2) Specifications for all engineered lumber to be used. Please do not hesitate to contact this office with any questions. Respectfully, L. Lauzon _ Local Inspector e� ffrey.lauzon@town.barnstable.ma.us (508) 862-4034 . 60# ��lu/y Hie Coanmmnwarlth of assachasefts Deparrhnent of fides /Accidents ofInvesligations __ 600 Mashington My-eet B,ostara,M,402111 wn7v.anazmgm/diva Workers' Compensation Insurance A fidavit:Builders/Conti-acfurs/E;ectricians/Plumbers Apy&,ant Information Please Print Legibly Name(BusinesslOrpnizatiouffiaavidaal)_ City/Stav/Zip: C '`I Phonei, Are you an employer?Check the app.rapriate box Type of project(required): 4. "I am' s cnnfractar and i yI� � J �� �" 1.❑ I am a employer with ❑ g 6_ ❑New constn� employees(full andlorpact-#ime).* have hied the sub-contractors �_❑ I am a sole proprietor or partner- listed on the attached sheet_ 7- ❑Remodelingt , strip and have no employees These sub-contractors have S_ ❑Demolition. w for many c ci �. emplayees and have workers' orking y apa. tl 1; 9- ❑Building addition LNo workers'conip.insurance comp-t�'ra�, required_] 5_❑ We are a corporation and its 10.0 Rectxical repairs or additions 3,M I am,a homeowmr doing all work offims have exercised their 11-❑Plumbing repairs or additions myself [No workers'comp_ right,of exemption per MGL 12 0 Roof repairs insurance required.]l e_152,§1(41,and we ha-%m no employees-[No workers' 13'❑(}then comp.insurance required-]; 'lorry atxplu�at fast cbedcs boa#1 mast also fin out the section below showing&dr wad EIs'compensatioar palicp infra ffhmeODlnerS who submit ibis affulrot indicating thray are doing all wodr and IMa hie outside contractors mast submit a nea;atfsd3rit mrbraf- Md +Lco nitmcturs thst Aw-11 this bmc must attached an additions/sheet diowi3b the name of fliemb-onnftwiors and stsie whether or)mot tanse enfif�have ) mployees- Ifthe snlrcoatmctors hace easployees,the}r must p=vide taeir workers'comp.policy number. lam an omployer ihatis prmidbW tt�orke-rs'c-omporLvalion irirurarece for myr etmpIoycos Below is the po8c}atcd,}ob site informalialL Insurance Company Name: Policy 9 or Self-ins- Expiration Buts: r Job Sits Address: dity/State/Zip: Attach.a copy of the workers'compensation policy declaration page(showing the policy number and expiation date). Failure to secare coverage as requiredunder Section 25A of MGL c. 152 can head to the imposition of-criminal penalties of a fine up to S 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 S250.00 a day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of Im estigations of the DIA far insurance coverage verification- under do hereby cc under pains artd pona fped47 thatthe in,jorrr:ation pratided abet c is flue and correct `SiEnature �' Bate: Phone#: ©,Ec at use only. Da not tvrite in this area,to be completed by Gif}:ar town afficiaL City or Town:. PermitUcense# E ning Authority(c rrk one): 1.Board of Health 2.Building Department 3.Cifyffown Cleric 4.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9-- 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other Iegal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a-deceased employer;or the _ receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein;or the occupant of the - dwelling house of another who employs persons to do maintenance, construction or repair-work on such dwelling house -- -_ - or on the grounds or building appurtenant thereto shall not because of such employment be-deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or 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 applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance vith the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their cer%ificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Indusfti-a_l Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit 'IZre affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a vrorkers' compensation policy,please call the Department at the number listed below. Sell'-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a spar: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 BE in the permit/license number which will be used as a reference number. In add-ition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations ilz (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of M613.sachusotts Depattnent of Industdal Accidents Office of kvest gatxoas 600 Washington Street Boston,MA G2111 Tel.#617-727-49GO ext 4-06 or 1-9 MASWE Revised 4-24-07 Fax## 617-727-7 749 www.mas.5_gov1dia Town of Barnstable Regulatory Services oFTME Richard V.Scali,Interim Director Building Division Tom Perry,Building Commissioner MAM � t639. A�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 7/p// Please Print DATE: r f JOB LOCATION: Ke ber street village HOMEOWNER»: 01eL lnv� name t home phF# work phone# CURRENT MAILING ADDRESS: CLav4Qj-1A-) e_61� 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 proce ures a d requirements and that he/she will comply with said procedures and requ' pents. -Signature of Hggeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. ®BoisecQouble 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\...FAMILY ROOM GIRT Dry 3 spans No cantilevers 10/12 slope Friday,October 17,2014 BC CALCO Design Report Build 3272 File Name: BC Job Name: Description: Designs\FAMILY ROOM GIRT Address: Specifier: City, State,Zip: , Designer: Customer: Company: Code reports: ESR-1040 Misc: I � 08-02-00 08-04-00 08.02-00 BO B1 B2 63 Total of Horizontal Design Spans=24-OMO Reaction Summary(Down/Uplift) (ibs) Bearing Live Dead Snow wind Roof Live BO 1,509/176 431 /0 131 4,051 /0 1,205/0 B2 4,051 /0 1,205/0 B3 1,509/176 431 /0 Live Dead . Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area(lb/fM2) L 00-00-00 24-08-00 40 12 10-03-00 Controls Summary value %Allowable Duration Case Location Pos. Moment 3,468 ft-Ibs 24.8% 100% 2 21-01-01 Neg. Moment -4,143 ft-Ibs 29.7% 100% 4 08-02-00 End Shear 1,471 Ibs 23.3% 1006/0 2 00-10-06 Cont. Shear 2,220lbs 35.1% 100% 4 07-02-12 Total Load Defl. U999(0.076") n/a n/a 2 20-09-09 Live Load Defl. U999(0.063") - n/a n/a 7 03-10-13 . Total Neg. Defl. U999(-0.039") n/a n/a 2 12-04-09 Max Defl. 0.076" n/a n/a a 2 20-09-09 Span/Depth 10.5 n/a n/a 0 00-00-00 Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum (U360)Live load deflection criteria. Design meets arbitrary(1")Maximum total load deflection criteria..r Minimum bearing length for BO is 1-1/2". Minimum bearing length for B1 is 2". Minimum bearing length for B2 is 2". Minimum bearing length for B3 is 1-1/2". Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min.end bearing+ 1/2 intermediate bearing Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 �BoIsec0euble 1-314" x 9-112" VERSA-LAM® 2.0 3100 SP Floor Beam1...FAMILY ROOM GIRT Dry 3 spans No cantilevers 1 0/12 slope Friday, October 17,2014 BC CALC®Design Report Build 3272 File Name: BC Job Name: Description: Designs\FAMILY ROOM GIRT Address: Specifier: City, State,Zip'. , Designer: Customer: Company: Code reports: ESR-1040 Misc: _Connection Diagram Disclosure Completeness and accuracy of input must b d be verified by anyone who would rely on a I output as evidence of suitability for e �e • particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of BOISE engineered wood • • products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=5-1/2" (800)232-0788 before installation.\n\nBC b minimum=3" d=24" CALC®,BC FRAMER®,AJS-, ALLJOISTO,BC RIM BOARD-,BCI®, Member has no side loads. BOISE GLULAM-,SIMPLE FRAMING Connectors are: 16d Sinker Nails SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUDS are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 013olseCascad0ouble 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beaml...REC ROOM GIRT Dry 3 spans No cantilevers 1 0/12 slope Friday, October 17,2014 BC CALCO Design Report Build 3272 File Name: BC Job Name: Description: Designs\REC ROOM GIRT Address: Specifier: City, State,Zip: , Designer: Customer: Company: Code reports: ESR-1040 Misc: 1 06-1 aoo 0 06-10-00 . 06-10-00 BO 61 B2 B3 Total Horizontal Product Length=20-06-00 Reaction Summary(Down I Uplift) (ibs) Bearing Live Dead Snow Wind Roof Live BO,3-1/2" 1,411 /158 404/0 B1,3-1/2" 3,536/0 1,048/0 B2,3-1/2" 3,536/0 1,048/0 B3,3-1/2" 1,411 /158 404/0 Live, Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 20-06-00 40 12 11-00-00 Controls Summary Value %Allowable Duration case Location Pos. Moment 2,431 ft-lbs 17.4% 100% 2 03-01-06 Neg. Moment -2,939 ft-Ibs 21.1% 100% 4 06-10-00 End Shear 1,185lbs 18.8% 100% 2 01-01-00 Cont. Shear 1,820lbs 28.8% .100% 4 05-10-12 Total Load Defl. U999(0.035") n/a n/a 2 03-04-01 Live Load Defl. U999(0.029") n/a n/a 7 03-05-00 Total Neg. Defl. U999(-0.018") n/a n/a 2 10-03-00 Max Defl. 0.035" n/a n/a 2 03-04-01 Span/Depth 8.3 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim (L x W) Value Support Member Material BO Post 3-1/2"x 3-1/2" 1,815 Ibs n/a 19.8% Unspecified 61 Post 3-1/2"x 3-1/2" 4,584 Ibs n/a 49.9% Unspecified B2 Post 3-1/2"x 3-1/2" 4,584 Ibs n/a 49.9% Unspecified B3 Post 3-1/2"x 3-1/2" 1,815 Ibs n/a 19.8% Unspecified Notes Design meets Code minimum(U240)Total load deflection criteria. . Design meets Code minimum(U360)Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 I ®BclsecaseadOouble 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam1...REC ROOM GIRT Dry 3 spans No cantilevers 1 0/12 slope Friday, October 17,2014 BC CALC®Design Report Build 3272 File Name: BC Job Name: Description: Designs\REC ROOM GIRT Address: Specifier: City, State,Zip: , Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure �{b d Completeness and accuracy of input must L be verified by anyone who would rely on a output as evidence of suitability for • r• • particular application.Output here based i on building code-accepted design c properties and analysis methods. Installation of BOISE engineered wood • • products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2° c=5-1/2" (800)232-0788 before installation.\n\nBC b minimum=3" d=24" CALC®,BC FRAMER®,AJSTm, ALLJOISTO,BC RIM BOARD-,BCIO, Member has no side loads. BOISE GLULAM'"' SIMPLE FRAMING Connectors are: 16d Sinker Nails SYSTEMS,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUDS are trademarks of Boise Cascade Wood Products L.L.C. Page 2 of 2 ®Boise Cascade Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Roof Beam1ROOF BEAM Dry 2 spans No cantilevers 1 0/12 slope Friday,October 17,2014 BC CALCO Design Report Build 3272 File Name: BC Job Name: John Andersen Description: Designs\ROOF BEAM Address: Specifier: City, State,Zip: , Designer: Customer: Company: Code reports: ESR-1040 Misc: �o 12 a I I 1 12-05-00 12-05-00 , BO B1 B2 Total of Horizontal Design Spans=24-10-00 Reaction Summary(Down I Uplift) (lbs Bearing Live Dead Snow Wind Roof Live BO 1,304/186 1,917/0 2,762/0 B1 3,725/0 6,392/0 8,498/0 B2 1,304/186 1,917/0 2,762/0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 1150/6 160% 125% 1 Standard Load Unf.Area(lb/ft^2) L 00-00-00 24-10-00 15 30 18-03-00 2 Unf. Lin. (lb/ft) L 00-00-00 24-10-00 240 120 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 12,304 ft-Ibs 33.5% 115% 14 04-11-05 Neg. Moment -19,318 ft-Ibs 52.6% 115% 19 12-05-00 End Shear 3,901 Ibs 28.6% 115% 14 01-00-12 Cont. Shear 6,641 Ibs 48.8% 115% 19 11-03-06 Total Load Defl. U777(0.192") 30.9% n/a 18 19-03-05 Live Load Defl. U1,149(0.1 W) 31.3% n/a 35 05-08-09 Total Neg. Defl. U999(-0.01") n/a n/a 14 13-07-11 Max Defl. 0.192 19.2% n/a 18 19-03-05 Span/Depth 12.5 n/a n/a 0 00-00-00 Cautions For roof members with slope(1/4)/12 or less final design must ensure that ponding instability will not occur. For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow surcharge load. Notes I Page 1 of 2 f ®Boise Cascade Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Roof Beam1ROOF BEAM Dry 2 spans No cantilevers 1 0/12 slope Friday, October 17,2014 BC CALC®Design Report Build 3272 File Name: BC Job Name: John Andersen Description: Designs\ROOF BEAM Address: Specifier: City, State,Zip: , Designer: Customer: Company: Code reports: ESR-1040 Misc: Design meets User specified(U240)Total load deflection criteria. Disclosure Design meets User specked(U360) Live load deflection criteria. Completeness and accuracy of input must Design meets arbitrary(1") Maximum total load deflection criteria. be verified by anyone who would rely on Minimum bearing length for BO is 1-1/2". output as evidence of suitability for Minimum bearinglength for B1 is 3-15/16 particular application.Output here based 9 . on building code-accepted design Minimum bearing length for B2 is 1-1/2". properties and analysis methods. Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min.end bearing+ Installation of BOISE engineered wood 1/2 intermediate bearing products must be in accordance with current Installation Guide and applicable Calculations assume Member is Fully Braced. building codes.To obtain Installation Guide Design based on Dry Service Condition. or ask questions,please call Deflections less than 1/8"were ignored in the results. (800)232-0788 before installation.v,\nBC Fastener Manufacturer: Simpson Strong-Tie, Inc. CALC BC FRAMER®,A ALLJOIST®,BC RIM BOARDRD ,BCI®, BOISE GLULAMTm,SIMPLE FRAMING Connection Diagram SYSTEM®,VERSA-LAM®,VERSA-RIM b c PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUDS are a trademarks of Boise Cascade Wood • • • Products L.L.C. c S a minimum= 1-1/2"c=4-7/16" b minimum=6" d= 12" e minimum= 1" Calculated Side Load= 1,181.3 Ib/ft Install Screws with screw heads in the loaded ply. Connectors are: SDW22500 Page 2 of 2 NIA P, J A WC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' Q Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust)...................................................................................................................110 mph Lr WindExposure Category.................................................................. .............................................................B 1.2 APPLICABILITY ✓ Number of Stones ..............................................................(Fig 2)............................ stories s 2 stories Roof Pitch .......... (Fig 2) ....:...................................... s 12:12 ............................................................... MeanRoof Height ..............................................................(Fig 2)................................................._ft s W. Building Width.W..............................................:................(Fig 3)................................................—ft s 80' BuildingLength,L ..............................................................(Fig 3)................................................ —ft s 8a Building Aspect Ratio(L/W) ...............................................(Fig 4)................................................. s 3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ s 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2).......................................:.....................'. 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry.................................................................... ................................................................ -44A 2.2 ANCHORAGE TO FOUNDATION'•3 518'Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only ✓ Bolt Spacing-general..........................................(Table 4)............................................... 3S in. Bolt Spacing from end(oint of plate ............................(Fig 5).....................................fit_in.5 6"-12" Bolt Embedment-concrete........................'...............(Fig 5).....................I............................B in.a 7' Bolt Embedment-masonry.........................................(Fig 5)............................................ in.a15" Plate Washer...............................................................(Fig 5)..........................................;....z 3'x 3'x YV 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension....................:.............(Fig 6)............................_ft s 12'or U2 or W/2 ✓ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)....................................................—ft 5 d N�A Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)....................................................—ft s d PJA Floor Bracing at Endwalls...................................................(Fig 9)........................................................ . Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................................... v Floor Sheathing Thickness.................................................(per 780 CMR Chapter 55)....................... in. yL- Floor Sheathing Fastening..................................................(Table 2).. d nails at in edge/_in field L/ 4.1 WALLS Wall Height Loadbearing walls.....:..................................................(Fig 10 and Table 5)........................... 6 ft 510' ✓ Non-Loadbearing walls.............::`.................................(Fig 10 and Table 5)...........................�' ft 5 20' ✓ Wall Stud Spacing .................'., ..................................(Fig 10 and Table 5)...................IV in.s 24"o.c. Wall Story Offsets ..... ..................(Figs 7&8 ............................................—ft s d 4.2 EXTERIOR WALLS3 Wood Studs / Loadbearing walls........................................................(Table 5)..............................2x - 7 ft in. i/ Non-Loadbearing walls............ ..................................(Table 5)................"A.$......2x 17 ft o in. Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10).................................................. ............... WSP Attic Floor Length................................................(Fig 11)............................................. ft M13 S Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................_ft z 0.9W _I 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)............................................................ Double Top Plate Splice Length ..........................................-...........(Fig 13 and Table 6)............................I........ ft ✓ Splice Connection(no.of 16d common nails)..............(Table 6)..........................................................� /� j -dl e , W.- �2 A WC Guide to Wood Construction in High Wind Areas: I10 niph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Loadbearing Wall Connections ✓ Lateral(no.of endnailed 16d common nails)..............(Table 7)...................................................... Non-Loadbearing Wall Connections ✓ Lateral(no.of endnailed 16d common nails)...............(Table 8)........................................................ v Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans. ........................................................(Table 9)..................................-7-ft 0 in.s 11' ✓ Sill Plate Spans ........................................................(Table 9).................................._ft—in.s 11' _1110 Full Height Studs (no.of studs)...................................(Table 9)............................................... v Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9).................................. 7 ft 0 in.s 12' Sill Plate Spans...........................................................(Table 9)..................................,ft_in.s 12" Zp` Full Height Studs(no.of studs)....................................(Table 9)................................................... ....._ t! Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W ✓ Nominal Height of Tallest Opening. ...................................................... . ... ...• If-_e.6'8" Sheeathing Tyype. g.........................................(note 4)............................... j�.-.....I� (Table 10 r note 4 if less) Field Nail Spacing..........................................(Table 10)................................. ..............._12,"m. Shear Connection(no.of 16d common nails)(Table 10)........................................................:z4t Percent Full-Height Sheathing.......................(Table 10)....................................................Le_ff. 5%Additional Sheathing for Wall with Opening>68"(Design Concepts)..................... Maximum Building Dimension, L Nominal Height of Tallest OpeningZ...............................................................d........_s 6'B" Sheathing Type..............................................(note 4)................................GR+X•-•�2..... ✓ Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ Field Nail Spacing..........................................(Table 11)................................................. Z in. T Shear Connection(no.of 16d common nails)(Table 11)..................................................3 .. * Percent Full-Height Sheathing.......................(Table 11).................................................... % ,q 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)..............EL ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift............................................:...(Table 12)............................................U=a1'1 plf 4- Lateral.............................................(Table 12).............................................L=17 L plf Shear...............................................(Table 12)............................................S= 71 plf Ridge Strap Connections, if collar ties not used per page 21.....(Table 13)..............................T= pif Gable Rake Outlooker.........................................(Figure 20)..............s S ft s smaller of 2'or U2 ✓Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)...................-........................U=-417 Ib. ✓ Lateral(no.of 16d common nails)...(Table 14).......................................L=176 lb. V7- Roof Sheathing Type......................CV.X...Soli'............(per 780 CMR Chapters 58 and 59).................. Roof Sheathing Thickness.......................................................................................f�in.a 7/16"WSP Roof Sheathing Fastening...........................................(Table 2)......6.cl.......6 -dc. .edyr.....:(a."Pt 6alc1d Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 e. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a 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. &te, MA P 3 AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7s0 CMR 5301.2.1.1)' 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7111V 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. iii. 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 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 the Figure, Vertical and Horizontal Nailing for Panel Attachment 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel AppJ�ation Health Division r� Datwssued �O Q Conservation Division , Appation Fe Planning Dept. Per-iit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Jv Project Street Address � s . Village Owner Address Telephone &O yy� Permit Re(�ry/yuuest I' n- Ce-1 tl h e ' 4. C; J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District �1 Flood Plain Groundwater Overlay Project Valuation "� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) , Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing L„ 6 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION '(BUILDER OR HOMEOWNER) Name T Telephone Number - Address / ��� � `��L� �I. License #�� � 1 aV Liv -1' LA 7 � Home Improvement Contractor# 7 0 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING F,RO THIS PROJECT WILL BE TAKEN TO Cjaoo� &K SIGNATUR DATE r. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: + LFOUNDATLONkz 03 wF €3F :-i FRAME z 'INSULATION, FIREPLACE ELECTRICAL: ROUGH FINAL - - - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. A66 o® CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s): PRODUCER CONTACT NAME: VIVEIROS INS AGENCY INC. PHONE FAx 375 AIRPORT RD A/C No Ext: C'No): E-MAIL FALL RIVER,MA 02720 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:ACE AMERICAN INSURANCE COMPANY INSURED INSURER B: ALTERNATIVE WEATHERIZATION INC INSURERC: 1446 STAFFORD RD FALL RIVER,MA 02721 INSURER D: INSURER E: INSURER F: CERTIFICATECOVERAGES NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED: NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUB POLICY EFF POLICY EXP LIMITS LTR INSR HIND POLICY NUMBER MMIDD MM/D GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS-MADE OCCUR PREMISE occurrence MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ POLICY PECT LOC - $ UTOMOSILE LIABILITY a aBI�EEO SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED $ AUTOS AUTOS BODILY INJURY(Per accident) HIRED AUTOS NON-OWNED AUTOS QPERTY AMAGE $ $ UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X WC STATU-I OTH- AND EMPLOYERS'LIABILITY yyy M TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N 6S62UB 04-05-2014 04-05-2015 (Mandatory in NH) 56918901 E.L.DISEASE-EA EMPLOYEE $500,000 It yes,describe under DESCRIPTION OF OPERATIONSI E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION NATIONAL GRID SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 40 WASHINGTON ST CANCELLED BEFORE THE EXPIRATION DATE THEREOF, WESTBOROUGHNA 01581 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE JOIN J.LUPICA,President ©1988-2010 ACORD CORPORA 0 .A g is reserve . ACORD 25(2010/06) The ACORD name and logo are registered marks of ACORD f Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration •Registration: 175683 Type: Corporation Expiration: 5/29/2015 Tr# 241009 ALTERNATIVE WEATHERIZATION, INC. TIMOTHY CABRAL 1440 STAFFORD RD. FALL RIVER, MA 02721 —. Update Address and return card.Mark reason for change. sca 0 zonn-os,„ ` Address I; Renewal J Employment t Lost Card r•%�r�r.,irn�wrrrc•rr�/�r�^l(rr,;at�,t:r•//' Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to:tOME IMPROVEMENT CONTRACTOR WqMxplratlon: IRegistration: 175683 Type: Office of Consumer Affairs and Business Regulation 5/29/2015 Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 ALTERNATIVE WEATHERIZATION,INC. , TIMOTHY CABRAL f j' S--. 1440 STAFFORD RD. FALL RIVER,MA 02721 Undersecretary N t valid�+wi h out signature ul ^Oo;...^_: :_.ti.S:. _ =ter• - _ +nai-ttrtiun�u1�cP�i.n; _e^s e: C8 905454 TLM07HY CABRAL 58 IDICIaRINSoN ST Fall 111 er MA 02'-121 05/0812015 N Print Form The Commonwealth of Massachusetts Department of Industrial Accidents i;a rr Office of Investigations IJ x 1 Congress Street,Suite 100 Y '`u _� , Boston,MA 02114-2017 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual):ALTERNATIVE WEATHERIZATION,INC. Address:1440 STAFFORD RD City/State/Zip:FALL RIVER, MA 02721 Phone #:508-567-4240 Are you an employer?Check the appropriate bog: Type of project(required): 1.0 I am a employer with 8 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' 9 con insurance.: . ❑ [No workers' comp. insurance Building addition P• required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4), and we have no 13.❑✓ OtherINSULATION employees. [No workers' comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:ACE AMERICAN INSURANCE CO. Policy#or Self-ins.Lic.#:6S62UB513918901 Expiration Date 4/5/15 Job Site Address-9,q a i- lots 154--- City/State/Zip: e r\;i e- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi undeAbRains a alti.. er' that the in ormation provided above is true and correct. Signature: Date Phone#:508-567-4240 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): i 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i OW 1ER AUTHOROT" FORM" : (O.Wh6es Na ) . ownetof the property-located.at (Property Address) (Prop Addre$s) 1 hereby authorize: (Subcontractor) an authorized>subcontractor for RISE Engineering;tgad on my behalf to obtain a building permit and to;perform,_work on-my property. 'Owner' rgnat e IVE Town of Barnstable .Regulatory Semees Thomas F.Geiler,Director 9� 03F Buildr0g Division Tom Perry,Building.Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma,us Office : 508-862-4038 Fax: 508-790-6230 Property Owner,Must Complete and Sign This Section If Using A Builder Q-A' as Owner of the''subject pro perty -7 hereby.authorize �h l� ao act on mp 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 Print Name Print-N Date �SHE' ti Town of Barnstable �.. Regulatory Services rEg` Thomas F.Geiler,Director %6;;� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number . street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state - zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow Homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. I \ VMMEOWNElt'S EXEMPTION u The.Code states tlistr� Any homeowner performing work for which a building permit is required shall be exempt from the provisions of tliis section(Section 109.id1,-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 thai 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 Iast 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. C:\Users\decollrkWppDataV-ocal\Microsoft\windows\Temporary Internet Files\ContentoudooklQRE6ZUBN\FDPRFSS.doc Revised 05301.2 Qy�*THE Tp�� TOWN OF BARNSTABLE r S BAEHSTAnLE, i 1 M6 BUILDING INSPECTOR •Fp MPY M• APPLICATION FOR PERMIT TO .........C. !!!S. cic ..... w....,.............................................................. TYPE OF CONSTRUCTION � .440 .........100.am^'1 e.................................. i ......................... TO THE INSPECTOR OF BUILDINGS: 4 The undersigned hereby applies for a permit according to the following information: R f Location zo /�.,. Q ��0/5.....S.fi....i.......C�:a�.��11 t/i����...'�.is�.@........................................ .. ..../.................. ........ ProposedUse ...........................................................:.:......f../A !/r®...................:..................................................................... Zoning District Fire District ......... .e&?. 4..4P.-T 5......... ...... Nameof Owner ......................................................................Address .................................................................................... Name of Builder .. -J.1 .Address ........y..:C :r..c s.... ........................................ Name of Architect 1;!�;?L�a4... ....!\.v..N.ni:Cj.S.TR...Address .Z�Y...CAf.lr��...5� ........................................ Number of Rooms .......... ...................................................Foundation .......r........!...ec. .... ...-.. ............ Exterior ................ 2........:1K � V.q. e.....................Roofing ........�.'�.. .!?Yl.!f ................................................... Floors e4 :5: :pf,5!................................................Interior ..........S.F/I. :��'`R..��.��.......................................... Heating .................. ifs' .� ......................... C'_�� - 9 .�.,l�.. f .� ............Plumbing ................. .. .... �. Fireplace .............Approximate Cost .............................. Difinitive Plan Approved by Planning Board ________________________________19________. Diagram of'Lot and Building with Dimensions — A =— — y o' I. �� i NA cUr'O e°-D r�I'.--fHOD Or tea , U LY, SE WA O D1 '05AL n SAPS .,A�,Y �A I HOD APPROVED AND RAINA0 15 BOARD OF A LICENSED INSTALLER MUST OBTAIN SEWA( PERMIT. AND INSTALL SYSTEM I hereby agree to con?orPtd'LWL0Q- RLSflIpncd§gg iNMeik9QV Barnstable regarding the above construction.. Nib 0SN3011 y Names.. ..... ... Cam✓. ! � �. S Runnels, George W. Jr. 12612 1 1/2 story, No ................. Permit for .................................... , single family dwelling ............................................................................... ��. Childs Street Location. l.. .......................................................... Centerville ............................................................................... i . Owner George W. Runnels, Jr. frame Type of Construction .......................................... .................................................................... ........ 1 t Plot ............................ Lot ....... ... .................... k Permit Granted ...... ...... .19 69 Date of Inspection .��'...��- g .19 Date Completed ... ....°'" ..,&P...'..7P.19 , { PERMIT REFUSED ................................................................ 19 , ................................ ........................................... + Ii ............................................................................... ............................................ ............................... I i Approve . ............................................. 19 1 ............................................................................... ............................................................................. + WEED REF aso=Pee_ LOT II LAN REF. h O IIIDDDDDD te.• oP-2s=off--------- 129.91 Off] i IUi PO Rl'A+Rl1' ASPHALT DRIVE a, ANY CONSTRUCTION THAT INCREASES LIVING SPACE ~ gq6 BEYOND 1200 SQ. FT. PER LEVEL MAY REQUIRE THE b . INSTALLATION OF ADDITIONAL SMOKE DETECTORS. NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL tj PERMIT DOES NOT SATISFY THIS REQUIREMENT. LOT 9 SMOKE DETECTORS REVIEWED � _ ° °-`•`rs —to 129.91 —I 3 >. J 7 e Site Plan r+o .F•E,� MR hABBUILDING DEPT. DATE LOT 7 _..A.VP to1J.._.. -p :_::_: ...._.-_ .. .- __. _..-. - in-W. y4„ FIRE DEPARTMENT I'o" BOTH SIGNAMIES ARE REQUIRED FO PfAMIT71NG p O "or W.INDO�I AKD..DO.OI ': Gll�iiUC Ot O 21Pf101r.— -3� -�tcvci7arE41 i © WIMpUn+u-ty-`//NAI:FP�-E-0=.Y,�.'H Nr6N /.NVE¢SEr4- C1rJ 28-2-- 7;! Y=&":..x 4 0....:. AAD03EA: ?W ti#NICE guy i+ l�.w,Er,,,�-{-�rtTG2T41YMF'IJT-- ��'��"'�•'f-^-- :PIE) 6 �.i (.'�i^�. &w V6tsr4 15PD LOGB.. �_ 3gg='rh'6--wkpwS 70.D"X 6 .8�- 4 JSr N1 wtrg ic4e II II ISK SK ISK F7 . 1—_ �7.-SIT-_4IDK5i�m+TER -' I i W, General Notes: G ;• 1.All work[o be performed in accordance with Massachusetts State Building Code,780 CMR, II Illl II -' Eighth Edition,IBC 1009,and applicable codes included by reference.Framing to be in -- KEHk>:it :3tZO R-- - xslxnvc - - GI"- u- accordance with the American Wood Council Wood Frame Construction Manual,110 MPH .... __ �t. .� ��-�_._.. � � Zone.All work to be as approved or directed by local authorities havingjurisdiction. .. � _Nord. 'mww.tsro r.,rnmuy -_t�ts>�z kvrf4 p IEG►lL=-RCOF�I O + z dto g inspections amhonhec having _ 2 Contractor to may be all permits an arrange for ins c-ns by Inca] '' vin .__EXISSINL.. -4AR64 "Q 190h1 YOOM" D Jurisdiction,as may be required. G 'l lone - 41T'L�- 3.Work to be left in clean condition,ready for use and occupancy.All debris to be disposed off Osite in a legal manner. 4.Contractor to install or upgrade all plumbing,electrical,heating and venting systems as required,per code.Install and upgrade all fire protection systems per applicable codes,or as may - be required by local authorities having jurisdiction,including smoke and carbon monoxide detectors: _. . J _ --- - °r Andrejs R.Strikis - LQQR.. Architect ' 85 River View•Cane,Centerville,MA 02632-Telephone:(508)790-0920 Floor Plans a 1' 194 Childs Street,Centerville,MA 02632 ' j i It 1'� I I - ' i I � I A Tom_..' em A I N 1� M 0 nEJ u _ FFFI `l - r -:._-..:.� NEQGSG.hIStabI=�EYaND ! . 0 Tj_ p p Imp- - �77-❑❑ �� — � ® - --- '� H-BI Andrejs R.Strikis Architect r--T 85 River View Ian.,Centerville,MA 02632-Telephone:(509)790-0920 110 -r- -- ... - - - e to Childs Street,Centerville MA 02632 El v I94 ,C A2 .1W,I'L O i 61231i4 :FELT OR :.. �.R3f1rr6--SLIIIF" Ltd'_.'..WATER.:E-.II:E::'Sf#iElA=KXC.':JALLe{5 , _ - '"AND EhVES - ARGH 17 ELTURAL SSPNAI-?.�+NING LES __:N4INE-VENT 2>•.14. L-Il__O::G 9 Y-� I ' EX73TINO-tm+AF:- � _."._... PJ_AY£�SEW-NI::KIATGN�.IQST({#G`1J . _ ._.. $,Y[SnF1�lAtiGSakRA FINISI#;TXP-" � _6yG PQSi-QF19HA:_-_ _ - C._ . ' YbF�4.L:FA7E1:G: P1A.N� _. _...:ztr-y'pvv=u_;GdL:H7-E:Lti '. -:P�E 1.lriOtl - eTi _..WALC --IYPCGSL= :,tYRIcaL- �_ --H>:IIU-rim3LY _Bpaar_ - ULS•ridR Y2 LDK 59FAT-vagGI 6 O -yt.ITcpESI_.-: AT;.CDU9TEF- �ausswtzFP;-.cEQAtr_=�iAIr.I G,L-E3: 20V:'.tiNIf0:R:0o2r",YP- . NI -l'SsfCED .-G711ER+- : E«=- _.'A14'::'.FLOD-Z,:.-FTSRC.WDGD . Za[o'_17II6E1C;::BOLTER:- -:':fF�Le£ f(g•.DtA soL74• 14 a.c_�,_STAgG E-T. �'. n� _I =783:�-ZOO_ _ _ - a •I• -.e !� __. _ _ = GT awLtvari _. __ l vaeag sass TYr _ tFxcEy::. __ I ^ . T •.__ _SHND=G9'URfE - n Q� �.. .... __ 11^^cc'' D',� ___...__1(:'-�- -_ c1f111_IG_.1Q_RtMlilll.-..-__(:E%LEY�-k3�OSED�" "GR6➢yL:SCALE-. -. _ d..YERT 48 . G NIL..POL'fETMYLc.IaG-' Ia VI. .l- -U-L/1�� - _-L�6.:807)'.:..:.• �laAf7lllb.:._80RR14R._" � __ ��L�f--'�-7't'_�:1�Qo - - u I I' =StP�t.AL�SEtfaFOtzC\NG_:[B_11'G�_E[zW1D_:WP:VL a _ '—�QI-.':.(•Y,1 F�.._..".M.ATr.14...,:A.Ld--71FAENSIQNf.?0....GX�.S.SIN.Sa::::Ga:KRA4G�"E-{12.td-4—_. I I ' EX jZZI _- I • I ��-1Gr �B VEUT_aP-EMWLi.TYP , ; j �R' � -_ i707r.`�TY�W _! ; p 1 ►I'r\L' I __ 1 I � C i I I 1 I , . I ________________ I .F��cF' WItF1_ ---Fox- %a w—"_ I• '�'%8' .Lq_-pig - ..WE1L-Jt3-Rfe4�_. � F�T.1QA71Qh1�_F22TL�1G---PLC►_---- -��[�t2y�,.,-��.-t�ir1N�_;�L�N_=----- -�o�� F�A�1;i]f.t�l-G--PLAN_._ __ _ 1+ Andrejs R.Strikis Architect .". _._". ... .. 85 Ai—View Ian,,Ccit—We,MA 02632-Tel hone:(568)790-0920 Sections and. Framing Plans A3 94 Childs Street,Centerville,MA 02632 Ai FIOTED 6�El,11q I�Pif ' t . fit, M� .. PARCEL 3. - REFERENCE DEED: 28378-208 5850 421 I OIIW REFERENCE PLAN: 166-25 I I LOCUS IS NOT IN A SPECIAL I I I FLOOD FIAZARD ZONE I Ya'y L t49.7 I I ,w I I ZONING DISTRICT: RD_I cn rrlJ:; o I I OVERLAY DISTRICTS: " p - +50.1 Y. .; WP, SALTWATER ESTUARY# RpOD I ! I 7 t+50 7 : I I REQUIRED BUILDING SETBACKS: +50.9 A s 33.0' FRONT 30' U rn I s k ID SIDE# REAR 101 TOTAL COVER B Y EXISTING STRUCTURES. — INCLUSIVE ,� 1 t I� 3 I •" -.a IV OF ADDITION F I --Z E 20 Y. RIVEW , IV I _:: pQVED,D A'. v _'?•n:�*� ._f.. .:.. -'S.. x...L ..'i'e .- .....h.:.. .. : ., ,. k'. r n Old , TO THE _ I . 2� ST OF +50.5 n „> KNOWLEDGE, �. ,.: r +5, AN'INSTRUME « . r. y,s F z ADDITION 0.5 1 � N °z� ��+ ,, _.mI.-, `,, , I THE STRUCTURES SHOWN HEREON ARE f ry d UNDER a. r� m 4'aa• ram' sr tl: THEY EXIST ON THE•GR Co OUND, 1"49� r g":'a" e�r u) 00 .aEglt I� \".' � 7�+g.$ ,� �r., a IYT ,�,F. j ,,uyt 3:£•' 4 3 J�` 'I — I -- . y i w '�i•' g+'F' �� {' z 3'<,e °'•t.4rd _ snr„ 'w 5 �r. F. t` '�'� •ria {h Y',i 'K , I . � Cn+ 0.4 3 / rl kA r a� a � DWELLING#94 O O 4-49.8 i , 4 IH� - I i� STEPHENC y� m J. hv r I DOYLE r ► �'I� O r �7h � ? -I I 4 �U N O. 37559 i ' s •"'Uj �S�,I �5,#T, s R µ�'_i'rt. �^f"i - jI. I I S, `f . ��ry�i•F� ,S l O gg u.E yc ' ytmyy. ty, ..t '•re�.,.+ra.'r'�b�- i,. .,.. sY.. .. .,.,-50 �. , •a✓. `� Y x t' •S r v F4 'v : .y / G t :..tau n• .. ,, ,,Y ,�,. P, l , ,', .';; , ,p. ,. LOT3 '� �� Ii " ; ' e �' ' �L��° ������;:�} �-�•,�� - .�. , �..: : .*�.�.xi h• �- �- � O LAND N r .ate +4.• ,... �`K, '�., .�.,3"^tfm.nr,,.. ,' o- !>.-: .. -.... a ea _5 a 3h. ..r a f. .,µ � '';j..,, e 1...3. « P •iY+ gip{. ^':''r,' - .� �r PREP ALO BED FO p ,L m '_ X, ;It p. .. .� EET y' yy ... •- , ...' a ,. :.< N .,,ry :.erz.: «s - ,,: -.. - , --;e ,�..,.; }.r." NTER ILLS TR �. ,. _ a P � I .I•� ,� � N ,..��. ,� , �x`�:r.�.�.� �,,. � errs w. , w:, ari» r DATE: NOV �' . � if, R 13 201 s - 1 r , , .. S '"j ♦t.: . .F#..:C .•..,, «,.. ,. I O •. •t"- '.F"„`; y.. 4 .)i�'* ..54• tilu'• '$`p '�� 'S �w.: s, N 4 i;n Y • a .w.. 4 >. r• •. ` .... 1 n .- .:. -±• J : 'ri ,j "",F 'IL !42 441112 Y ,v :' P 2 r Nf :•y ,.-.,... a -,, ,. "le:,.... '$r.. ° '«. ,k'" ,,` P+ 1yi{ '..{ �ty'+�,. 11 1 w .,,, - SCALE, I = e . . F 20 : _: . . , • • w� t; -; r .t:. c" ..•„_ "p >. .. , , _. .... �: ,,�' � i^' - '�f I .Sa m 4? T'Y. �".',aft '✓�'�-•' - ° w, c ,, .... :.,.., :..✓F... .. "- :: � ;,. ..:. «, -•. .. ::: 7^". N 1 .y°.�1�•.• rS.v, a :_ .:9 „r+•y. .. r,. ,..„, -�:.._ ^... r, -.,.., -.. ." - i n1. r, - s".ti✓^ a dw?' {!Y:3...,R w. y, }. ,<.Y. - ,. • k ""F.` F�'� a fr.': f t*a�; xWi,. ":>{L: + :e,,,ir R ...: ++ "^t" rr ...: _, «.: .... _ '..{ 'r r :• ,y ., , a:a'+=... + 't_, i�.;._ _'1 ...�.ds ,,s: Mn LAN 49:3.- w-.." "3�.' •`} 'r7.."tee> REVISIONS: y w .y,i*. - _ I - ,, I.y- ,r•,.iu. "'.,t« ,3:r:.t,I'• ^::`i-r r'. i r3: a� ,: k,s...., y , .,, :, : , ,. �... .,. '., 13`. r' „r,..°, 3yd .x'"" & '� :u; q `"• y.e.'a, �C ,�. -r�p�:r�``r{4ay' ',/4 -y ' .,. ..,.-<f • ., 9,•c. .:'- .. .... ,K. ..... r. ,. :.. ..- s ." �., _ A.,re„,.,r"F4 a� Y y: ... :�+ -,.,.."°''a«..,. . . :.:. .. .:>• •' .., :. „ .. -", ,,.�.,F _.,,. .,�. 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'�wks�r s`a.. �. 4 a LEGEND LOCUS n ?A#V ST 78 PROPOSED CONTOUR u, . &'Ljjjjjjjjjjjjj;�� a' PB 166-PG 25 EXISTING CESSPOOLS (RECORD LOCATION) S J TO BE PUMPED & FILLED WITH SAND 79 PROPOSED SPOT GRADE St pine EXISTING CONTOUR Ln 5040 1 T50°E IS a �+ TEST PIT � £ Carlotto I54.00' —1 0, ',�'t'A' -W- -- - EXISTING WATER SERVICE ' � 0/rf loan z ----,;,3 ILA' EXISTING OVERHEAD WIRES ° APN 249 -134 - BENCHMARK 20,406±5f L000S• MAP N.T.S. + 'oo +/0 GENERAL NOTES: lJ �� ° 1 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL - N BOARD OF HEALTH AND THE DESIGN ENGINEER. PROVIDE 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ;•CLEANOUT OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY .APPLICABLE LOCAL RULES AND REGULATIONS. '7►n N - 3- THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 1/2 STY r. - _ Z / ; TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE - -� WD. PRNI 4? N DESIGN ENGINEER. T.O.F 101 62 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING �p /,0 -' f 7� FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 1 °" i - _ CID ENGINEER BEFORE CONSTRUCTION CONTINUES. k I + 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 0/ 100��� O" 1 6: THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 'PROPOSED OR THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF `• SEf?T1C TANK HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. } O `.:; INSPECTION N s� 22' 7. WATER SUPPLY PROVIDED BY TOWN WATER. PORT 8. THERE ARE NO' PRIVATE WELLS LOCATED WITHIN 1 50' OF THE S.A.S. REMOVE 14' OAK 13 'PINE TREES r ------- - -.� 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED �- & TO A CONDITION AGREED. UPON BETWEEN OWNER AND CONTRACTOR. \ PROP. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY } l_ D-BOX THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING S PROPOSED A-S. CONSTRUCTION_ 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS �;, 19P IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES .OF. THE S.A.S. 154.07 ` ` ` . _ AND REPLACE WITH CLEAN FILL AS SPECIFIED, IN 310 CMR 255(3). 3I I �4 N040 17'S0"W_ vu. ",- 12, SUBJECT SITE LIES WITHIN A ZONE 2 ,-- - a .. .. ___.____—RQ._• ... . _ �� rP, _._+_ _.__._ ��� _ �� PROPOSED SEPTIC SYSTEM UPGRADE ,0 �O �O F ?L'.F {••I):_ r 1'f ,,`ffP,,lf�l.,T 1919 o PETER T. o o,�. 00 �� M CIvLEE a 94 CHILDS STREET, CENTERVILLE, MA No 35109 Prepared for: Timothy O'Keeffe, P.O. Box 476, H annis ort, MA 02647 BENCHMARK: - o P y y p CHI LD5 STREET WATER`5r1uT-61=F AT HYD. �cREG�S1F�F ��� Engineering by: Surveying by: SCALE DRAWN JOB, NO. FLOOD PLAIN DESIGNATION EN -Panel No. 250001 0005 C '�� ELEVATION = 100.08 EngineerGngWorks Hood Survey Group 1"-20' P.T.M. 111-07 Community-Panel y (ASSUMED DATUM) 12 West Crossfield Road P.O. Box 1724 DATE Map Revised: August 19, 1985 cy,> -�' `�J'1 Forestdole, MA 02644 Mashpee, AAA 02649 CHECKED SHEET NO.(508) 477-5313 (508) 539-7799 2/1/07 P.T.M. 1 of 2 Zone .,C.. 0 �Sr Q m O n , 31, d PINE STREET LOCUS MAP I DENOTES SPOT GRADE I ' A55E55OR5 MAP 249 PARCEL 134 DATUM:ASSIGNED +49.9 i REFERENCE DEED: 28378-208 REFERENCE PLAN: 1 GG-25 129.91 I I I I LOCUS 15 NOT IN A SPECIAL 5550 42' }0°W FLOOD HAZARD ZONE I ! ZONING DISTRICT:RD-I I ` , t49.7 w I I OVERLAY D15TRICT5: i " '�"- v, I I WP,SALTWATER ESTUARY RPOD I -.+-. I 0 +50.1 REQUIRED BUILDING SETBACKS: I Q I +50.7 i ' FRONT 30 I I +50.9 �.---------� 0' SIDE*REAR I O' TOTAL COVER BY EXISTING STRUCTURES INCLUSIVE OF ADDITION = 16% I I PAVED DRIVEWAY I ! I I HEREBY CERTIFY THAT,TO THE BEST OF MY 4.5 KNOWLEDGE, BASED ON AN INSTRUMENT SURVEY, +50.5 THE STRUCTURES SHOWN HEREON ARE A5 ADDITION "+50.5 I I ER ! ! THEY EX15T ON THE GROUND. I 03 ' CONSTRUCTION I +50.5 I i I v t49.6oi +50.4 ! ! oO Ipj STEPHEN DWELLING#94 �49.8 J. ,,. -+ n DOYLE c I - o NO.37559 rn I S +►�� I 7 I rnI ► + PLOT PLAN OF LAND I LOT 9 I I PREPARED FOR I I I I 20,OOGt S.F. 1 i #94 C I LD5 STREET ! i I ►�� CENTERVILLE, MA55ACHU5ETT5 I I I 1 I {h49.4 I+49.6 I DATE: NOVEM13ER 13, 2014 i ! I ' N850 42, }O"E I ! SCALE: 1" = 20' i I ► 29.91` I i PLAN REV1510N5: I I I i I t49.3 I i I i i I 0 20 40 I�� i� Feet STEPHEN DOYLE AND ASSOCIATES SCALE: 1° = 20' 42 CANTERBURY LANE EAST PALMOUTH, MA55ACHU5t775 0253G TELEPHONE: 508 540-2534 SJDSURVEY@AOL.COM