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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel 690 1,, Application#
Health Division
Conservation Division ��G�Oi� - Permit#
Tax Collector Date Issued"' /O 6
Y
Treasurer Application Feed 00
Planning Dept. Permit Fees kid;
Date Definitive Plan Approved by Planning Board ,` 6���7`0�
Historic-OKH Preservation/Hyannis
Project Street Address 67 q f40Ch6 V_5'
Village C@ N TC_R U&6-
Owner hcl_ ` 1 pl)( ,0 oy • Address '°"L-
Telephone !'f!t 2( 9)0-1
Permit Request D aC fs colus Tx�u TL®
' ck
Square feet: 1st floor:existing104 Oproposed L�C %2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
5-
Project Valuation V/ Construction Type '�
Lof Size 3 Grandfathered: ❑Yes O'No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Z Historic House: ❑Yes ❑'No On Old King's Highway: ❑Yes ❑No
Basement Type: Q�ull ❑Crawl ❑Walkout ❑Other r
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 10 Lf 0-
Number of Baths: . Full:existing 2 new Half:existing I new,..
Number of Bedrooms: existing .3 new
Total Room Count(not including baths):existing new First Floor Room Count �` r
Heat Type and Fuel: Gases ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes 3 0 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 419 Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization Ll Appeal'# ~-- —'"" — Recorded 0- --
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION c cr7 k
N e4 11 0� � Telephone Number SZ) 6 �C�. �G �
Address Ce Wq c License# ®(:y �3 14-
at L � Home Improvement Contractor#
2C� Worker's Compensation# 73 V?CV--5,
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO wyps
SIGNATURE o r DATE
FOR OFFICIAL USE ONLY
PERMI1140.
,
r
DATE ISSUED
`'
MAP/PARCEL NO.
� r
ADDRESS VILLAGE
r
1
4 OWNER
f ,
t
E
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
9
r
FIREPLACE
ELECTRICAL: ROUGH FINAL
s PLUMBING: ROUGH FINAL
GAS: ROUGH / FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
-
Department of Industrial Accidents
Office.of Investigations-
a 600 Washington Street
` Boston,MA 02111'
��� '"•' www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
kPlDlicant Information Please Print Legibly
';a]Ile (Business/orp=ation/im&vid "
Address: ���` s' c�� � ` �.. .' 026t�r3
City/State/Zip: Phone#• �. �1�� . '
.re u an employer? Check the-appropriate :. Type of project(required):
lam a employer with 4. am a general contractor and I
6: ❑New construction
employees(full'and/or part-time).* have hired the sub-contractors
El I am a sole proprietor or partner- listed on the attached sheet# 7• 0 Remodeling
ship and have no employees These sub-contractors have 8. [] Demolition
working for me in any capacity. workers' comp.insurance. g Building addition
(No workers' comp.tinsurance 5• We area corporation and its . 10.0 Electrical repairs or additions
required.] officers have exercised their
.❑ I am a.homeowner doing all work - right of exemption per MGL 11-M Plumbing repairs or additions
myself. [No workers' comp., c. 152,§1(4),and we have no. 12.
❑hoof repairs
insurance required.] t employees. [No workers 13. Other
comp.insurance required.] 2ec
ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: `.
iomeowners who subm it this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such.
>ntractors that check this box must attached as additional sheet showing the name of the sub-contractors and their wormers'comp.policy information.
im an employer that is providing workers'compensation insurance for my employees'Below is the policy and job site
Formation.
ram ,
;urance-Company Name: yy 2 ! '1':c. •
licy'#or Self-ins.Lic.#: r .3 3 Expiration Date:
b Site Address: A�c At> City/State/Zip:L�5P7 iI/C �c� an-
IL
tach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
ilure to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
.e up to$1,500,.00 and/or one-year i3prisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
restigations of the DIA for insurance coverage verification.
'o hereby certi under the pains an enakies of p jury that the information provided above is true and correct':
a � � Date: 57'=- CX '
one#:.
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.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other � � .
Contact Person: Phone#:
Information and. Instructions
achusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. .
Pass �, contract of hire
'ce of another under an
as ...eve person in the serve Y
e is defined
arsuant m this statute; an employe "...every
rpress or implied,oral or written."
association,corporation or other legal entity,or any two or more
�n employer is defined as-:.an inclvidual,_partnership,: .. :, r . . . . .
f the foregoing.engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the
eceiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
wner of a dwelling house havingnot more than three apartments and who resides therein, or.the occupant of the
welling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
a on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
AGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
enewal 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."
4dditionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its-political subdivisions shall
.rater into any contract for the performance of public work until acceptable evidence.of compliance with the insurance
-equuements of this chapter have been presented to the contracting authority.
applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if.
necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)along with their certificates) of
Limited Liability Companies(LLC)or
insurance. Limited Liability Partnerships(LLP)with no employees other than the
members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be retarned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Shouid you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to all out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit(license number which will be used as a reference number: In iddition,an.applicant
that mast submit multiple permit%license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in � (city or
town)."A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof thava valid affidavit is-on lile 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 like 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,fa$number:
The Commonwealth of Massachusetts .
• : -Department of Industrial.Accidents
..Office of IU stigations
600-Washington Street .
Boston,MA 02111;
Tel.#617-727-4900 ext 406 or-1-877-MASSAFE
Fax#617-727-7749
wised 5-26-05 www.mass.gov/din
f
°--THE T°� Town of Barnstable
Regulatory Services
xsres Thomas F.Geiler,Director
i�uss.
A,fo. 16 Building Division
Tom.Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain excep«�.�,Q10"r�;...o--
requirements.
Type of Work: �e�Ce Estimated Cost ���
Address of Work:`-9 T 7 H C)Q
He). /
Owner's Name: v c L 6 L A-)A,, � l o l�` l ct"
Date of Application: ( ^ 0 `
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
7Job Under$1,000
[]Building not owner-occupied
[]Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEM OWN PERIVIIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
'Date Contractor Signature Registration No.
OR
Date Owner's Signature
Q:wpfileshrms:homeaff day
Rev: 060606
I
tKKE ra Town of Barnstable
Regulatory Services
vMASS.' i ESTM
�` Thomas F.Geiler,Director
�A s6g9. ♦0
tED 39 Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize d to act on my behalf,
in all matters relative to work authorized by this building permit application for:
�� l-(Cfild.S SIC /2,C>
(Address of Job)
(aww
Signature of Owrjr D to
ILk' ,6LU !51AW-
Print Name
Q:FORM&OWNERPERMISSION
Na
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Os-02-Os 03:26am From-AIG +Bra 331 slog T`Z00 " P.002/062 F-620
t
PRODUCER THIS CERTIFICATE 1S iSSt.IED AS A MATT£R OF INFORMATION
ONLY AND CONFFRS NO RiGHTS UPON THE CERTIFICATE
END OR
3 6 Main tte Ins Agcy In4 . q��R HE COVERAGE AFFORDED£ER.THIS CERTIFICATE DOES Q THE POLICIES MOW
396 Main Street
P Box
West Yarmouth,MA 02673
r�--�-- COMPMIES AFFORDING INSURANCE
COMP}q14Y A GRANITE STATE INSURANCE COMPANY
INSURED
John Fords
9 Horse Pond Road
weal Yarmouth,MA 02073.0000
INAMEloll
THI$IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED
D ABOVE FOR
THE POLICY PERIOD INDICATED,NOT W"STANDING ANY KSGUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 9E ISSUED OR MAY PERTAIN,TiiE INSURANCE AFFORDED TNe
POUCIIS DESCRIBED HEREIN IS$UDJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTA TM OP I KCE p"V NUMBER PCUCV EFF9 DATE POLICY (FIRATIONDATE
A 0 R6 COWF TIDN LI B
D EAP►DrER3r UA9ILIYY
HE PROPRIETOR/
ARTWAO/SX6CUTNE
FFICPA9 ARE: TAM1111Y W9T$ .� n
NM A EXCL 0 8731385 11120l2005 1 12g/2008
niER $
pvaego Applleo to MAOPOrtUrme OnN• HACCIDINT 100,00$POLICY LIMIT 00 500,0
0
18EA6 EMPLAYM
pESCR1PT1 N OF OP IONSlY CLENSPECIAL ITEMS
CERTIFICA`E HOLDER ANCELLATION
TOWN OF i3AiZNSTABLE 9H0U1D ANY OF TM®A9aV6 DESCRIBED PDLICJE9 Be CANG9 LEo �TH6
DEFT WIRAT0N DAM 1145REOF,ThRINUWOCOMPANyWIWINDEAVORTOW412
BU1LQIhSF
BUI SOUTH 9T DAYS WRnMN0110ETo THE CERTIFICATE HOLPFAWp�bTOTKGLRFT,WH
387 HYANNI MA 02801 FAI WRO TO MNLSUCH NOTICE WAIA IM31 NO OBLIGATION OR UAEILrrY OF
ANY IgNO UPON TM@ COMPANY,ITS AGENTS OR RFPA06WrATIVE9.
AUTHORIZED REPRESENTATIVE
d aszb 'oN 4.,u;2V ;)ninsul ;;1a1;A01 bN,V:E 90OZ 6 'unr
Board of Building Regulations and Stagy
HOME IMP,OVEMENT CONTRACTOR .
Re to 5926
\ = �T 2007
a. vidual
JOHN PAUL FO
JOHN FORDE
9 HORSE POND R. y
, IdV.YAR -OUTH,'MA026 3 Gam``
A�Iminist rat
a
• B�q'RD
f` License. OF BVf
NU �CONSTR(/Cps
1 �bet.0 OT/ONS U�gTjO
B�!tyr S 0g253 UPFRI/jSOR S
`Ekprr �b$11979 4
a\ _NP ' a73'p'y b9JHpO/
UV TrnO 92S3qyRMFRDW `
g �� `HMq
m'►►�ssioner �.1 .
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
l
MaP7 Parcel 0 Application
Health Division K 2 9 10
Conservation Division G Permit#
Tax Collector Date Issued
Treasurer Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address Jr 1 t4OCk WS Na �--, -•A
Village
Owner M> f A1 INORIDIA1 001650 ddress - a- (f CU /Fi aDU
Telephone +
Permit Request T �l�l✓ �. 6Mr qd�
Square feet: 1 st floor:existing Lprroposseed 2nd floor:existing proposed Total new %
Zoning District Flood Plain Groundwater Overlay
rProject Valuations U Construction Type
Lot Size Grandfathered: ❑Yes O"No If yes,attach supporting documentation.
Dwelling Type: Single Family C Two Family ❑ Multi-Family(#units)
Age of Existing Structure tk 21 r Historic House: ❑Yes U(No On Old King's Highway: ❑Yes S No
Basement Type: Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing t new Half:existing d new o
Number of Bedrooms: existing_ new
Total Room Count(not including baths):existing new i First Floor Room Count
' r
Heat Type and Fuel: W Gas ❑Oil ❑ Electric ❑Other i
Central Air: ❑Yes Ao Fireplaces: Existing New_ Existing wood/coal stove: ❑Yes 4<0
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new-size's
Attached garage:❑existing 2(new size k Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plari review#`"
Current Use Proposed Use
BUILDER INFORMATION
Name,�,aInn � Telephone Number SZ>? — 016
Address NBC Poo> Rp License# 0 C( Z5_3
LAM 0LA_ Home Improvement Contractor# 6
Worker's Compensation# 9f
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ;fDU gP 5'^CIS�R &801�o
SIGNATURE DATE
e FOR OFFICIAL USE ONLY
KF
e
i
PERMIT NO.
DATE ISSUED
_ f
MAV%PARCEL NO. i
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION a K q a(o X
FRAME 6014w o J t-r 0�
INSULATION 06 Lk isotnbo ,( 40
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING -/7 1 o
DATE CLOSED OUT .
I
ASSOCIATION PLAN NO.
Inc t,ummunweuun ud irlu�sucnu�'ects'
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legjbly
Name (Business/Organization/Individua-0�✓� __z"Je_
Address: 0(9X1156 PONl> l�
City/State/Zip:YGe t-O A HOT, 2�V3 Phone #:
Are an employer? Check the'appropriate 'Type of project(required):
1.L'vl. I am a employer with 4. am a general contractor and I 6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on,the attached sheet $ r� ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for mein any capacity. workers' comp.insurance. 9. wilding addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] I officers have exercised their 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work I right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.] t employees. [No workers'
` 13.❑ Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information:
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: [L__'_ 1AJ6
Policy#or Self-ins.Lie. #: 3 Expiration Date: 1
Job Site Address;.M Ly.00IPA.5 1TCCt<—' / '� City/State/Zip:centesUt tic /IccS
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$1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties peryury that the information provided above is true and correct,
Signature: L c� Date:
v Phone#: � p 54-2- ®� O
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):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 1�
6. Other i
Contact Person: Phone#:
F
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. �-
pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express lied,oral or written."
xP or implied,
An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, constriction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency:shall withhold the issuance or
renewal of a license or permit to operate a'business or to construct buildings in the coMnm6nwealtb 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 commonwealthn6r any of its political subdivisions shall r
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants ,
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s) of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials .
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom.
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit o'ne affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number: 7
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. , 617-727-4900 ext 406 or 1-10'77-MASSAFE
Revised 5-26-05 Fax 617-727-7749
w-ww.mass.crov/aia
°F'I►Eri Town of Barnstable
Regulatory Services
BAMMBi'E Thomas F.Geiler,Director
1 . A��� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-8624038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. n r j r
Type of Work: PD.D t 1(gN5 R LC '�I'(( � Estimated Cost
Address of Work: � &OC KIN5 00C !gyp Ce/)b!ry i L ef� NC<
Owner's Name: 0B f10 I .rV OLLc' T' "
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
[]Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent o the owner:
7Z6
Date Contractor Name Registration No.
OR
Date Owner's Name
Q:fomwhomeaffidav
r
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition $ 50.00
Alterations/Renovations $ 50.00
Change of Contractor/Builder $ 25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
�. square feet x$96/sq.foot= & x .0041= . -
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
6� square feet x$64/sq.foot= Zx.0041= Z- ®I +s 2
plus from below(if applicable)
GARAGES(attached&detached)
square feet x$32/sq.ft._ 3 6x.0041= ,9 4- . 9 4
t
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $ 35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0041=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving S150.00
(plus above if applicable)
Permit Fee
Projcost
Rev:063004
I
M Cats App dix J
Table J=b(continued)
Prescriptive Packages for One and Two-Family Residential Buildings Rested with Fossil Fuels
MAXfMUM MINIMUM
Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling
Area'(Vo) U-vattmg R-valuer R-value' R-value' Walt Perimeter Equipment Efficiency'
packa$e R value° R-value'
$701 to 6500 Heating Degree Days'
Q 12% 0.40 38 13 19 10 6 Normal
R 12% 0.52 30 19 19 !0 6 Normal
S 12% 0.50 38 13 19 l0 6 85 AFUE
T 15% 0.36 38 13 23 WA WA Normal
U 15% 0.46 38 19 19 10 6 NomW
V 15% 0.44 38 13 25 N/A WA 85 AFUE
W 15% 0.52 30 19 19 10 6 85 AFUE
X 18% 032 38 13 2S N/A N/A Nomtai
Y 18% 0.42 38 19 25 N/A N/A Nomtal
Z ,s% 0.42 38 13 19 10 6 90AFUE
AA 18�/. 0.50 C 3i? '^ 19 " 19 .. 10 6 90AFUE
1. ADDRESS OF PROPERTY: (5 y `A V cV,I®VS & cl< AD
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING:
4, %GLAZING AREA(#3 DIVIDED BY#2): '
5. SELECT PACKAGE(Q—AA-see chart above): Iq 4
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL: r
YES: NO:
q-forms-f980303 a
780 CMR Appendix J
Footnotes to Table A2.1b:
Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and
basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall
area,expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement.
For example,3 fl of decorative glass may be excluded from a building design with 300 if of glazing area.
2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance.with
the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
whole units:center-of-glass U-values cannot be used.
' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full
insulation thickness over the exterior wails without compression, R-30 insulation may be substituted for R-38
insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity
insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between
the conditioned space and the ventilated portion of the roof.
'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER
by R 19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction.
'The floor requirements apply to floors over unconditioned spaces(such as.unconditioned crawlspaces,basements,
or garages).Floors over outside air must meet the ceiling requirements.
The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned
basements must be included with the other glazing. Basement doors must meet the door U-value requirement
d::scribed in Note b.
'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
' If the building utilizes elettric resistance heating use compliance approach 3.4, or 5. If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a
NOTES:
a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural components.
b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with
different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
43
i fa
r
°FINE r°y, Town of Barnstable
ti
]regulatory Services
BAMSTAMX
9 MASS. Thomas F.Geilleer,Director
1639. .
Buff(UIlg DIVIS10111.
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable..ma.us
Office: 508-862-403 8 Fax: 508-790-623 0
Property Mier Must
Complete and Sign This Section
If Using A Builder
A* l !a ,as Owner of the subject property
hereby authorize '::�Wj/`7 r®(� to act on my behalf,
in all matters relative to work authorized by this building permit application for:
UdgA) ' NOZAZ R 96 ct-4ArV.
(Address of Job)
Date
Print Nam
o 1 /ff I/J
Q:F0xMS:0wrr$xPEiu1SS10x -
06-02-06 02:26pm From-RIG qr8 831 8100 T-200 P.002/062 F-620
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO R113HTS UPON THE CERTIFICATE
M K LQvelette Ms Agey Ina HOLDER.THIS CERTIFICATE DOES NOT AMEND, WEND OR
396 Main Street ALTER THE COVERAGE AFFORDED 6Y THE POLICIES BELOW
P O Box 836
West Yarmouth,MA 02673 COMPANIES AFFORDING INSURANCE
COMPANY A GRANITE STATE INSURANCE COMPANY
INSURED
John Forde
9 Horse Pond Road
West Yarmouth,MA 02673o000U
11 Iwo nil,
Thi1S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED AGLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR
THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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 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.
c
LTf1 TYPE OF IK KCE POUCv NUMBER POLICY EM DATE POLICY jXVIftATION DATE
A D EMKOYO�UABILrtv LIMITS
HE PROPRIETOR!
M%gokBIt:XECUTIVE
FFICEAS ARE-
1,cL q ExcL o 8731385 11/20/2005 11129/2008 TATUToAY 6IMIT�
TITER
ovemp Applieo to MA Operotinns Only H ACCIDRNT $ '100,00
E POLICY LIMB S 5OO,C0
16EA6 EMRI I E OO 00
DESCRiPTI N OF OpgjWI0N3N0CLE51SP1M ITEMS
CERTIFICATE HOLDER OANCELLATION
TOWN OF BARNSTABLE SMG=Ar,Y of Nj A90VE DWc418E0 PoUUES Be CAMM=BEI'ORE T14a
BUILDING DEPT WIRATION DATE TF16REOF,TPFINUIN000MPANYWILLENDEAvORTOMAILIA
367 SOUTH ST DAYS IWRITTBN NOTICE TO TILE CM71FICATE IiolnsaNMC0 To TM7;Lr&T,MN
HYANNIS,MA 02601 FAIWRETO MNLBUCK NOTICE WAIA,IMMSF!NO OBUOATION OR LUABILMY OF
ANY KIND UPON TH@ COMPANY,rM AGENTS OR REPAEBENTATME9.
AUTHORIZED REPRESENTATIVE
l 'd 2SN 'ON 4aua5-y anu_.Insul ;1191;AO] uN:��il c 900� ..unr
s +
C�JG�av���✓ ��on5 an C�OR. `\ A
geg CO N.,i�p`
o�Bpi�ding M�N� .;
�•.q Boas Ova _ '
P � 6
�•"��. � HoM�iM,��a�ye2
tea ti.�42001
LFO - �d "`�ioistrator .
JONN p FV ROE
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2
SON ON 613 ,..
9 NORSE OVEN'MP p
pFtM,-
44
BOARD
I License: CONS QF BUILDING REGU
RUCTL.ON LATIOf1►S
Numbei GAS SUPERVISOR
092534
B� tlater 16611979
Ekp��,t•��10672��09 7r.no: 92$34
Rerted
JOHN P FORpE
f9 GORSE POND Rp f f r 4
ARM .
OU
oner
Commissi
I
°PIKE ram, Town of Barnstable
Regulatory Services.
" Bn MASS. ,Thomas F. Geiler,Director
039.
.�`�
i°,fnru.+16 Building Division
Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.m axs
Office: 508-862-4038 Fax: 508-790-6230
PLAN REVIEW
Owner: ('�loz;ar,'Ha 1 s+�., Map/Parcel: 6yZ,
Project Address 579 Ilic , Builder:
The following items were noted on reviewing:
n Praoo g. aarzwe Ie Io-� nlmy'
of va -r l"nCr R2e e+� ���T s�a�h ✓
3 e e� �eaw�s
�aj r eh
5 o� i L36 r� ?
ocR .S co " 40 be e ;nQe
&L A
m `to `js 'r"r- -ro �-
'° j2L,
A 2 ia- L I eX�ior 1� lllv��S �1° ��ih 0 l u
Reviewed by: -{� 4a T°L 6gw
�g�6
Date:
O
0
Q:Forms:Plnrvw
Multi-Loaded Beam[AISC 9th Ed ASD)Ver: 7.01.05
By:Andy,ATA on: 06-14-2006 :2:46:41 PM
Project: MOZIAN-Location: 1
Summary:
A36 W 12x22 x 16.75 FT
Section Adequate By: 17.1% Controlling Factor: Moment
Center Span Deflections:
Dead Load: DLD-Center 0.15 IN
Live Load: LLD-Center- 0.33 IN=U611
Total Load: TLD-Center= 0.48 IN = U419
Center Span Left End Reactions(Support A):
Live Load: z LL-Rxn-A= 7035 LB
Dead Load: DL-Rxn-A= 3220 LB
Total Load: TL-Rxn-A= 10255 LB
Bearing Length Required (Beam only, support capacity not checked): BL-A= 0.73 IN .
Center Span Right End Reactions(Support B):
Live Load: LL-Rxn-B= 7035 LB
Dead Load: DL-Rxn-B= 3220 LB
Total Load: TL-Rxn-B= 10255 LB
Bearing Length Required (Beam only, support capacity not checked): BL-B 0.73 IN
Beam Data:
Center Span Length: L2= 16.75 FT
Center Span Unbraced Lenqth-Top of Beam: Lu2-Top= 0.0 FT
Center Span Unbraced Length-Bottom of Beam:' Lu2-Bottom= 16.75 FT
Live Load Deflect. Criteria: U 360
Total Load Deflect. Criteria: U 300
Center Span Loading:
Uniform Load:
Live Load: wL-2= 840 PLF
Dead Load: wD-2= 363 PLF
Beam Self Weight: BSW= *22 PLF
Total Load: wT-2= 1225 PLF
Properties for:W12x22/A36
Yield Stress: Fy= 36 KSI
Modulus of Elasticity: E= 29000 KSI
Depth: d= 12.30 IN
Web Thickness: tw= 0.26 IN
Flange Width: bf 4.03 IN
Flange Thickness: tf= 0.43 IN
Distance to Web Toe of Fillet: k= 0.73 IN
Moment of Inertia About X-X Axis: Ix= 156.00 IN4
Section Modulus About X-X Axis: Sx= 25.40 IN3
Radius of Gyration of Compression Flange+ 1/3 of Web: rt= 1.02 IN
Design Properties per AISC Steel Construction Manual:
Flange Buckling Ratio: FBR= 4.74
Allowable Flange Buckling Ratio: AFBR= 10.83
Web Buckling Ratio: WBR= 47.31
Allowable Web Buckling Ratio:, AWBR= 106.67
Controlling Unbraced Length: Lb= 0.0 FT
Limiting Unbraced Length for Fb=.66*Fy: Lc= 4.25 FT
Allowable Bending Stress: Fb= 23.76 KSI
Web Height to Thickness Ratio: h/tw= 44.04
Limiting Web Height to Thickness Ratio for Fv=.4"Fy: h/tw-Limit= 63.33
Allowable Shear Stress: " Fv= 14.4 KSI
Design Requirements Comparison:
Controlling Moment: M= .42944 FT-LB
8.375 Ft from left support of span 2 (Center Span)
Critical moment created by combining all dead loads and live loads on span(s)2
Nominal Moment Strength: Mr= 50292 FT-LB
Controlling Shear: V= 10255 LB
At left support of span 2(Center Span)
Critical shear created by combining all dead loads and live loads on spin(s)2 -
Nominal Shear Strength: Vr= 46051 LB
Moment of Inertia(Deflection): Ireq= 111.60 IN4
1= 156.00 IN4
Multi-Loaded Beam[AISC 9th Ed ASD 1 Ver: 7.01.05
Project: MOZIAN-Location:2 By:Andy,ATA on:06-14-2006:2:46:46 PM.
Summary:
A36 W10x17 x 15.0 FT `
Section Adequate By:37.9% Controlling Factor: Moment
Center Span Deflections:
Dead Load: DLD-Center= 0.14 IN
Live Load: LLD-Center- 0.26 IN= U695
Total Load: TLD-Center= 0.40 IN=U454
Center Span Left End Reactions(Support A):
Live Load: LL-Rxn-A= 4050 LB -
Dead Load: DL-Rxn-A= 2152 LB
Total Load: TL-Rxn-A 6202 LB
Bearing Length Required(Beam only, support capacity not checked): BL-A= '0.63 IN
Center Span Right End Reactions(Support B):
Live Load: LL-Rxn-B= 4050 LB
Dead Load: DL-Rxn-B=- 2152 LB
Total Load: TL-Rxn-B= 6202 LB
Bearing Length Required(Beam only,support capacity not checked): BL-B= ' 0.63 IN
Beam Data:
Center Span Length: L2= 15.0 FT
Center Span Unbraced Length-Top of Beam: Lu2-Top= 0.0 FT
Center Span Unbraced Length-Bottom of Beam: Lu2-Bottom 15.0 FT
Live Load Deflect. Criteria: U 360
Total Load Deflect.Criteria: U 300
Center Span Loading:
Uniform Load:
Live Load: wL-2= 540 PLF
Dead Load: wD-2= 270 PLF
Beam Self Weight: BSW= 17 ' 'PLF
Total Load: wT-2= 827 PLF
Properties for:W10x17/A36 -
Yield Stress: Fv= 36 KSI
Modulus of Elasticity: E= 29000 KSI
Depth: d= 10.10,, IN-
Web Thickness: tw= 0.24 IN
Flange Width: bf= 4.01 IN
Flange Thickness: tf= 0.33 IN
Distance to Web Toe of Fillet: k= 0.63 IN
Moment of Inertia About X-X Axis: Ix= 81.90 IN4
Section Modulus About X-X Axis: Sx= 16.20 IN3
Radius of Gyration of Compression Flange+ 1/3 of Web: rt= 1.02 IN
Design Properties per AISC Steel Construction Manual:
Flange Bucklinq'Ratio: FBR= 6.08
Allowable Flange Buckling Ratio: AFBR= 10.83
Web Buckling Ratio: WBR= 42.08
Allowable Web Buckling Ratio: AWBR= 106.67
Controlling Unbraced Length: Lb= 0.0 FT
Limitinq Unbraced Length for Fb=.66*Fy: Lc= 4.23 FT
Allowable Bending Stress: Fb=' 23.76 KSI
Web Height to Thickness-Ratio: h/tw= 39.33
Limiting Web Height to Thickness Ratio for Fv=.4*Fy: h/tw-Limit= 63.33
Allowable Shear Stress: Fv= 14.4 KSI
Design Requirements Comparison:
Controlling Moment: M= 23259 FT-LB
7.5 Ft from left support of span 2(Center Span)
Critical moment created by combining all dead loads and live loads on span(s)2
Nominal Moment Strength: Mr= 32076 ' FT-LB
Controlling Shear: V= 6203 LB
At right support of span 2(Center Span)
Critical shear created by combining all dead loads and live loads on span(s)2
Nominal Shear Strength: Vr= 34906 LB
Moment of Inertia(Deflection): Ireq= 54.13• IN4
1= 81.90 IN4
i
t _
Multi-Loaded Beam[AISC 9th Ed ASD 1 Ver: 7.01.05
By:Andy,,ATA on: 06-14-2006 :2:46:50 PM
Protect: MOZIAN-Location: 3
Summary:
A36 W 14x26 x 16.0 FT
Section Adequate By:23.3% Controlling Factor: Moment
Center Span Deflections:
Dead Load: DLD-Center- 0.10 IN
Live Load: LLD-Center= 0.20 IN=U939
Total Load: -, -TLD-Center= 0.31 IN=U621
Center Span Left End Reactions(Support A):
Live Load: LL-Rxn-A= • 3954 LB
Dead Load: DL-Rxn-A= 2139 LB
Total Load: TL-Rxn-A= 6092 LB
Bearinq Lenqth Required (Beam only, support capacity not checked): . BL-A= 0.82 IN
Center Span Riqht End Reactions(Support B):
Live Load: LL-Rxn-B= 7131 LB _
Dead Load: DL-Rxn-B= 3649 - LB
Total Load: TL-Rxn-B= 10781 LB
Bearing Length Required(Beam only, support capacity not checked): BL-B= 0.82 IN
Beam Data:
Center Span Lenqth: L2= 16.0 FT
Center Span Unbraced Lenqth-Top of Beam: Lu2-Top= 0.0 FT
Center Span Unbraced Length-Bottom of Beam: Lu2-Bottom= 16.0 FT
Live Load Deflect. Criteria: U 480
Total Load Deflect. Criteria: L/ 360
Center Span Loading:
Uniform Load:
Live Load: wL-2= 0 PLF
Dead Load: wD-2= 0 • PLF
Beam Self Weight: BSW= 26 PLF
Total Load: wT-2= 26 PLF
Point Load 1
Live Load: PL1-2= 4050 LB
Dead Load: PD1-2= 2152 LB
Location(From left end of span): X1-2= 9.5 FT
Point Load 2
Live Load: PL2-2= 7035 LB
Dead Load: PD2-2= 3220 LB
Location (From left end of span): X2-2= 10.75 FT
Properties for:W14x26/A36
Yield Stress: Fy= 36 KSI
Modulus of Elasticity: E= 29000 KSI
Depth: d= 13.90 IN
Web Thickness: X tw= 0.26 IN
Flanqe Width: bf= 5.03 IN
Flange Thickness: tf= 0.42 IN
Distance to Web Toe of Fillet: k= 0.82 IN
Moment of Inertia About X-X Axis: Ix= 245.00 IN4
Section Modulus About X-X Axis: r Sx= 35.30 IN3
Radius of Gyration of Compression Flanqe+ 1/3 of Web: ,.` rt= . ; 1.29 IN
Design Properties per AISC Steel Construction Manual:'
Flanqe Bucklinq Ratio: FBR= 5.99
Allowable Flanqe Buckling Ratio: AFBR= 10.83
Web Bucklinq Ratio: WBR= 54.51
Allowable Web Bucklinq Ratio: - AWBR= 106.67
Controllinq Unbraced Lenqth: Lb= 0.0 FT
Limitinq Unbraced Lenqth for Fb=.66*Fy: Lc= ' 5.31 FT
Allowable Bendinq Stress: Fb= 23.76 KSI
Web Height to Thickness Ratio: h/tw= 51.22
Limitinq Web Heiqht to Thickness Ratio for Fv=.4*Fy: h/tw-Limit= 63.33
Allowable Shear Stress: Fv= 14.4 KSI
Design Requirements Comparison:
Controllinq Moment:- M=- 56670 FT-LB
j 9.6 Ft from left support of span 2(Center Span)
Critical moment created by combining all dead loads and live loads on span(s)2
Nominal Moment Strength: Mr= 69894 FT-LB
Controllinq Shear: - 9 V= 10781 LB
At riqht support of span 2 (Center Span)
Critical shear created by combining all dead loads and live loads on span(s)2
Nominal Shear Strength: Vr= 51041• LB `
Moment of Inertia(Deflection): Ireq= 142.07 IN4
1= 245.00 IN4 .
t a
Uniformly Loaded Floor Beam[99 BOCA National Buildinq Code(97 NDS) Ver: 7.01.05
By:Andy ATA ori:06-14-2006 :2:46:18 PM
Project: MOZIAN-Location'4
Summary:
(3) 1.5 IN x 7.25 IN x 6.75 FT /#2-Spruce-Pine-Fir-Dry Use
Section Adequate By:20.4% Controllinq Factor:Area/Depth Required 6.02 In
*Laminations are to be fully connected to provide uniform transfer of loads to all members.
Deflections:
Dead Load: DLD= 0.03 IN
Live Load: LLD= 0.07 IN = U1084
Total Load: TLD= 0.10 IN=U778
Reactions(Each End):
Live Load: LL-Rxn= 1080 LB
Dead Load: DL-Rxn= 425 LB,
Total Load: TL-Rxn= 1505 LB
Bearing Length Required (Beam only, support capacity not checked): BL= 0.79 IN
Beam Data:
Span: L= 6.75 FT
Unbraced Length-Top of Beam: Lu= 0.0 FT
Live Load Deflect. Criteria: L/ 360
Total Load Deflect. Criteria: U 300
Floor Loadinq: '
Floor Live Load-Side One: LL1= 40.0 PSF
Floor Dead Load-Side One: DL1= 15.0 PSF
Tributary Width-Side One: TW1= 4.0 FT
Floor Live Load-Side Two: LL2= 40.0 PSF
Floor Dead Load-Side Two: DL2= 15.0 PSF
Tributary Width-Side Two: TW2= 4.0 FT
Live Load Duration Factor: Cd= 1.00
Wall Load: WALL= 0 PLF
Beam Loadinq:
Beam Total Live Load:, . wL= 320 PLF
Beam Self Weiqht: BSW= 6 PLF
Beam Total Dead Load: wD= 126 PLF
Total Maximum Load: wT= 446 PLF
Properties For:#2-Spruce-Pine-Fir,
Bendinq Stress: Fb= 875 PSI
Shear Stress: Fv= 70 PSI
Modulus of Elasticity: E= 1400000 PSI
Stress Perpendicular to Grain: Fc_perp 425 PSI
Adjusted Properties '
Fb'(Tension): Fb'= .1208 PSI
Adjustment Factors: Cd=1.00 CF=1.20 Cr=1.15
Fv': - Fv'= 70 PSI
Adjustment Factors: Cd=1.00
Design Requirements:
Controllinq Moment: M= . 2540 FT-LB.
3.375 ft from left support
Critical moment created by combining all dead and live loads.
Controllinq Shear: V= 1264 LB
At a distance d from support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus(Moment): Sreq= 25.24 IN3
S= 39.42 IN3
Area(Shear): Areq= 27.09 IN2
' A= 32.63 IN2
Moment of Inertia(Deflection): , Ireq= 55.10 IN4
1= 142.90 IN4
4
Floor Joist[99 BOCA National Building Code(97 NDS)1 Ver: 7.01.05
By:Andy,ATA on: 06-14-2006 :2:46:56 PM
Project: MOZIAN-Location:5
Summary:
SERIES AJS 20/9.5-Boise Cascade x 19.O FT 0)- 16 O.C.
Section Adequate Bv: 11.8% Controlling Factor:Allowable Deflection
*I-joists were Preliminarily designed using the joist manufacturers published values.
If the design does not match the actual joist loading or span conditions in any way,
contact the joist manufacturer for design verification.
Center Span Deflections:
Dead Load: DLD-Center= 0.19 IN
Live Load: LLD-Center= 0.38 IN=U604
Total Load: TLD-Center= 0.57 IN=U403
Center Span Left End Reactions(Support A):
Live Load: LL-Rxn-A= 253 LB
Dead Load: DL-Rxn-A= 127 LB
Total Load: TL-Rxn-A= 380 LB
Bearing Length Required(Beam only,support capacity not checked): BL-A= 1.75 IN
Center Span Right End Reactions(Support B):
Live Load: y LL-Rxn-B= 253 LB
Dead Load: DL-Rxn-B= • 127 LB
Total Load: TL-Rxn-B= 380 LB
Bearing Length Required(Beam only,support capacity not checked): BL-B= 1.75 IN
Joist Data:
Center Span Length: L2= 19.0 FT
Floor sheathing applied to top of joists-top of joists fully braced.
Sheathing or Sheetrock applied to bottom of joists-bottom of joists fully braced.
Live Load Duration Factor: Cd= 1.00
Live Load Deflect. Criteria: U 480 '
Total Load Deflect. Criteria: U 360
Center Span Loading:
Uniform Floor Loading:
Live Load: LL-2= 20.0 PSF
Dead Load: DL-2= 10.0 PSF
Total Load: TL-2= 30.0 PSF
Total Load Adjusted for Joist Spacing: - wT-2= 40 PLF
Properties For: SERIES AJS 20/9.5-Boise Cascade
Depth: D= 9.5 IN
Moment Capacity: Mcap= 3397 FT-LB
Shear Capacity: Vcap= 1160 LB
El: El= 220000000 LB-IN2
End Reaction Capacity: Rcap= - 1144 LB
Comparisons With Required Sections:
Controlling Moment: M= 1805 FT-LB
Adjusted Moment Capacity: ' Mcap-adi= 3397 FT-LB
Controlling Shear: V= 380 LB
Adjusted Shear Capacity: Vcap-adi= 1160 LB
El Required: El-req= 196738800 LB-IN2
El: El= 220000000 LB-IN2
Maximum End Reaction: Rmax= 380 LB
Adjusted Reaction Capacity: Rcap-adj= 1144 LB
Uniformly Loaded Floor Beamf 99 BOCA National Buildinq Code(97 NDS)]Ver: 7.01.05
By:'Andy,,ATA on: 06-14-2006 :2:46:20 PM
Project: MOZIAN-Location'6
Summary:
(2) 1.5 IN x 7.25 IN x 8.0 FT /#2-Spruce-Pine-Fir-Dry Use
Section Adequate By: 127.1% Controllinq Factor: Section Modulus/Depth Required 4.81 In
*Laminations are to be fully connected to provide uniform transfer of loads to all members
Deflections:
Dead Load: DLD 0.05 IN
Live Load: LLD= 0.04 IN= U2632
Total Load: TLD= 0.09 IN=U1098
Reactions(Each End):
Live Load: LL-Rxn= 211 LB
Dead Load: DL-Rxn= 295 LB
Total Load: TL-Rxn= 506 LB
Bearing Length Required(Beam only,support capacity not checked): BL= 0.40 IN
Beam Data: N
Span: L= 8.0 FT
Unbraced Lenqth-Top of Beam: Lu= 0.0 FT
Live Load Deflect. Criteria: U 360
Total Load Deflect. Criteria: U 300
Floor Loadinq:
Floor Live Load-Side One: LL1= 40.0 PSF
Floor Dead Load-Side One: DL1= 15.0 PSF
Tributary Width-Side One: TW1= 0.66 FT
Floor Live Load-Side Two: LL2= 40.0 PSF
Floor Dead Load-Side Two: DL2= 15.0 PSF
Tributary Width-Side Two: , TW2= 0.66 FT
Live Load Duration Factor: Cd= 1.00
Wall Load: .WALL= 50 PLF
Beam Loadinq:
Beam Total Live Load: wL= 53 PLF
Beam Self Weiqht: BSW= 4 PLF
Beam Total Dead Load: wD= 74 PLF
Total Maximum Load: wT= 127 PLF
Properties For:#2-Spruce-Pine-Fir
Bendinq Stress: Fb= 875 PSI
Shear Stress: Fv= 70 PSI
Modulus of Elasticity: E= 1400000` PSI
Stress Perpendicular to Grain: Fc—perp=. 425 PSI
Adjusted Properties
Fb'(Tension): Fb'= 1050 PSI
Adjustment Factors: Cd=1.00 CF=1.2.0
- Fv': Fv'= 70 PSI
Adjustment Factors: Cd=1.00
Design Requirements:
Controllinq Moment: r M= ' ° 1012 FT-LB
4.0 ft from left support
Critical moment created by combining all dead and live loads.
Controllinq Shear. V= 435 LB
At a distance d from support. `
Critical shear created.by combining all dead and'live loads.
Comparisons With Required Sections
Section Modulus(Moment): Sreq= 11.57 IN3 .
S= 26.28 IN3
Area(Shear): w Areq= 9.33 . IN2
A= 21.75 IN2 F
Moment of Inertia(Deflection): Ireq= 26.03' IN4
1= 95.27 IN4
r
Combination Roof and Floor Beam[99 BOCA National Building Code(97 NDS)]Ver: 7.01.05
By:Andy,ATA on:06-14-2006:2:46:31 PM
Project: MOZIAN-Location' 7
Summary:
(3) 1.75 IN x 11.25 IN x 14.0 FT /1.5E-2250F-APA EWS LVL Stress Classes
Section Adequate By: 33.4% Controlling Factor: Moment of Inertia/Depth Required 10.22 In
*Laminations are to be fully connected to provide uniform transfer of loads to all members
Deflections:
Dead Load: DLD= 0.16 IN
Live Load: LLD= 0.26 IN= U649
Total Load: TLD= 0.42 IN=U400
Reactions(Each End):
Live Load: LL-Rxn= 1960 LB
Dead Load: DL-Rxn= 1216 LB
Total Load: TL-Rxn= 3176 LB
Bearing Length Required (Beam only, support capacity not checked): BL= 1.05 IN
Beam Data:
Span: L= 14.0 FT
Maximum Unbraced Span: Lu= 0.0 FT
Live Load Deflect. Criteria: U 360
Total Load Deflect. Criteria: L/ 300
Roof Loading: -
Roof Live Load-Side One: RLL1= 30.0 PSF
Roof Dead Load-Side One: F RDL1= 15.0 PSF
Roof Tributary Width-Side One: RTW1= 7.0 FT
Roof Live Load-Side Two: RLL2= 30.0 PSF
Roof Dead Load-Side Two: RDL2= 15.0 PSF
Roof Tributary Width-Side Two: RTW2= 0.0 FT
Roof Duration Factor: Cd-roof= 1.15
Floor Loading:
Floor Live Load-Side One: FLL1= 20.0 ,PSF
Floor Dead Load-Side One: . FDL1= 10.0 PSF
Floor Tributary Width-Side One: FTW1= 3.5 FT
Floor Live Load-Side Two: FLL2= 40.0 PSF
Floor Dead Load-Side Two: FDL2= 15.0 PSF
Floor Tributary Width-Side Two: FTW2= 0.0 FT
Floor Duration Factor: Cd-floor= 1.00.
Wall Load: WALL= 0 PLF R
Beam Loads:
Roof Uniform Live Load: wL-roof= 210 PLF
Roof Uniform Dead Load(Adjusted for roof pitch): wD-roof= a 122 PLF.
Floor Uniform Live Load: wL-floor- 70 PLF
Floor Uniform Dead Load: wD-floor= 35 PLF
Beam Self Weight: BSW= 17 . PLF
Combined Uniform Live Load: wL= 280 PLF
Combined Uniform Dead Load: wD= 174 PLF
Combined Uniform Total Load: wT= 454 PLF
Controlling Total Design Load: wT-cont= 454 PLF
Properties For: 1.5E-2250E-APA EWS LVL Stress Classes '
Bending Stress: Fb= 2250 PSI
Shear Stress: Fv= 220 PSI
Modulus of Elasticity: E= 1500000 PSI
Stress Perpendicular to Grain: Fc_perp= 575 PSI
Adjusted Properties
Fb'(Tension): Fb'= 2608 PSI
Adjustment Factors: Cd=1.15 CF=1.01
Fv': Fv'= . 253 PSI
Adjustment Factors: Cd=1.15
Design Requirements: ,
Controlling Moment: M= 11118 FT-LB
7.0 ft from left support
Critical moment created by combining all dead and live loads.
Controlling Shear: V= 2795 ` LB
At a distance d from support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus(Moment): Sreq= 51.15' IN3
` S= 110.74 IN3
Area(Shear): Areq= 16.57 IN2 ,
A= 59.06 IN2
Moment of Inertia(Deflection): Ireq= 466.87. 'IN4
1= 622.92' IN4
f
Uniformly Loaded Floor Beam[99 BOCA National Building Code(97 NDS)]Ver: 7.01.05
By:Andy,ATA on: 06-14-2006 : 2:46:21 PM
Protect: MOZIAN-Location'8
Summary:
(2) 1.75 IN x 9.5 IN x 19.0 FT /1.5E-2250F-APA EWS LVL Stress Classes
Section Adequate By:64.4% Controlling Factor: Moment of Inertia/Depth Required 8.05 In—
Laminations
*Laminations are to be fully connected to provide uniform transfer of loads to all members
Deflections:
Dead Load: DLD 0.18 IN
Live Load:Total Load: LLD= 0.21 IN= U1105 Reactions(Each End): TLD= 0.39 IN = U592
_ -
Live Load: LL-Rxn= 251 LB
Dead Load: DL-Rxn=- 218 LB
Total Load: TL-Rxn= 468 LB
Bearing Length Required(Beam only, support capacity not checked): BL= 0.23 IN
Beam Data:
Span: L= 19.0 FT
Unbraced Lenqth-Top of Beam: Lu= 0.0 FT
Live Load Deflect. Criteria: U 480
Total Load Deflect. Criteria: U 360
Floor Loading:
Floor Live Load-Side One: ,_ LL1= 20.0 PSF
Floor Dead Load-Side One: DL1= 10.0 PSF
Tributary Width-Side One: TW1= 0.66 FT
Floor Live Load-Side Two: LL2= 20.0 PSF
Floor Dead Load-Side Two: DL2= 10.0 PSF
Tributary Width-Side Two: TW2= 0.66 FT
Live Load Duration Factor: Cd= 1.00
Wall Load: WALL= 0 PLF
Beam Loading:
Beam Total Live Load: wL= 26 PLF
Beam Self Weight: BSW= 10 PLF
Beam Total Dead Load: wD= 23 PLF
Total Maximum Load: wT= 49 PLF
Properties For: 1.5E-2250E-APA EWS LVL Stress Classes
Bending Stress: Fb= 2250 PSI
Shear Stress: Fv= 220 PSI ,
Modulus of Elasticity: E= 1500000 PSI
Stress Perpendicular to Grain: Fc_perp= 575 PSI
Adjusted Properties
Fb'(Tension): Fb'= 2317 PSI
Adjustment Factors: Cd=1.00 CF=1.03 `
Fv': Fv'= 220 PSI
Adjustment Factors:Cd=1.00
Design Requirements:
Controlling Moment: M= 2225 FT-LB
9.5 ft from left support
Critical moment created by combining all dead and,live loads. '
Controlling Shear: V= 431 LB Y'
At a distance d from support.
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections: ,
Section Modulus(Moment): Sreq= 11.52 IN3
S= 52.65 IN3
Area (Shear): Areq= 2.94 IN2
A= 33.25 IN2
Moment of Inertia(Deflection): Ireq= 152.14 IN4
k- 250.07 IN4
z
I
. Uniformly Loaded Floor Beam(.99 BOCA National Building Code(97 NDS)l Ver: 7.01.05
By:Andy,ATA on: 06-14-2006:2:46:24 PM
Proiect: MOZIAN-'Locatiori:9
Summary:
(2) 1.5 IN x 11.25 IN x 17.5 FT /#2-Spruce-Pine-Fir-Dry Use
Section Adequate By: 33.7% Controlling Factor: Section Modulus/Depth Required 9.73 In
"Laminations are to be fully connected to provide uniform transfer of loads to all members
Deflections: -
Dead Load: DLD= 0.34 IN
Live Load: LLD= 0.00 IN=U61999720
Total Load: TLD= 0.34 IN =L/611
Reactions(Each End):
Live Load: LL-Rxn= 0 LB
Dead Load: DL-Rxn= 710 LB
Total Load: TL-Rxn= 710 LB
Bearing Length Required(Beam only, support capacity not checked): BL= 0.56 IN
Beam Data:
Span: L= 17.5 FT
Unbraced Lenqth-Top of Beam: Lu= 0.0 FT r
Live Load Deflect. Criteria: U 480
Total Load Deflect.Criteria: U 360
Floor Loading:
Floor Live Load-Side One: LL1= 40.0 PSF
Floor Dead Load-Side One: DL1= 15.0 PSF
Tributary Width-Side One: TW1= 0.0 FT
Floor Live Load-Side Two: LL2= 40.0 PSF
Floor Dead Load-Side Two: DL2= 15.0 PSF
Tributary Width-Side Two: TW2= 0.0 FT
Live Load Duration Factor: Cd= 1.00
Wall Load: WALL= 75 PLF
Beam Loading: "
Beam Total Live Load: wL=' 0 PLF
Beam Self Weight: BSW= 6 PLF
Beam Total Dead Load: wD= 81 PLF
Total Maximum Load: wT= 81 PLF
Properties For:#2-Spruce-Pine-Fir
Bending Stress: Fb= 875 PSI
Shear Stress: Fv= 70 PSI "
Modulus of Elasticitv: E= 1400000 PSI
Stress Perpendicular to Grain: Fc_perp= 425 PSI
Adjusted Properties
Fb'(Tension): Fb'= 788 PSI
Adjustment Factors: Cd=0.90 CF=1.00
Fv': Fv'= 63 PSI
Adjustment Factors: Cd=0.90
Design Requirements:
Controlling Moment: M=. 3106- FT-LB
8.75 ft from left support
Critical moment created by dead loads only on all span(s).
Controlling Shear: I V= 639 LB
At a distance d from support.
Critical shear created by dead loads only on all span(s).
Comparisons With Required Sections:
Section Modulus(Moment): Sreq= 47.34 IN3
S= 63.28 IN3
Area(Shear): Areq= 15.21 IN2
A= 33.75 IN2
Moment of Inertia(Deflection)`. Ireq= 209.65 IN4
1= 355.96 IN4
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5. LOT COVERAGE BY STRUCTURES: 2,009 S.F./15,486 S.F. = 12.990
101 TOWN HALL SQUARE — FALMOUTH, MA — 02540 — 508.495.1225 — 508.495.3229 fax
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GENERAL NOTES: CENTERVILLE MA
PLAN DATE: OCTOBER 25, 2005 PLAN SCALE: 1"=20'
1. HOUSE NUMBER: 579
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2. ASSESSOR'S NUMBER: MAP 234, PARCEL 042, LOT 16A �L M � U?'lT
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5. TOPOGRAPHIC INFORMATION COMPILED FROM AN ON THE GROUND SURVEY. LAND USE PLANNING 1 1V EE � COMMERCIAL/RESIDENTIAL
6. ELEVATIONS SHOWN ARE BASED ON ASSUMED DATUM. Sffmg Cope Cod anal Savtheostow Ra"achusetts
7. LOT COVERAGE BY STRUCTURES: 1,652 S.F./15,486 S.F. = 10.7% 15 !� s 101 TOWN HALL SQUARE — FALMOUTH, MA — 02540 — 508.495.1225 — 508.495.3229 fax
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5/26/06 ADD RESERVE AI;E'A
DATE REVISION
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GENERAL NOTES: IN
CENTERVILLE MA
1. HOUSE NUMBER: 579 PLAN DATE: MAY 4, 2006 PLAN SCALE: 1"=20'
2. ASSESSOR'S NUMBER: MAP 234, PARCEL 042, LOT 16A
3. .ZONING DISTRICT: RF-1 CIVIL ENGINEERING t M O T r � WETLANDS PERMITTING
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6. ELEVATIONS SHOWN ARE BASED ON ASSUMED DATUM. CIVIL GI
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7. LOT COVERAGE BY EXISTING STRUCTURES: 1,652 S.F./15,486 S.F. = 10.7% .o No35054 Q
8. LOT COVERAGE BY PROPOSED STRUCTURES: 2,096 S.F. 15,486 S.F. = 13.5% 9o� FeISTEa� �`� Se�vrng Cope Cod and Southeastbrn Massachusetts
/ 3/ONAL 101 TOWN HALL SQUARE — FALMOUTH, MA — 02540 — 508.495.1225 — 508.495.3229 fax
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