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0037 JACKSON AVENUE
k 4% r Ab 1fi a, m AC Jvc. b. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 22,6 Parcel I30- 002 Application #o d o S Health Division I Date Issued l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board OK �JiS�13 Historic - OKH _ Preservation / Hyannis Project Street Address 377 M Son Ave Village GeAer4 ale. Owner Terrti k�hv c.n Address�37Icsoh pvc, Ce..6Y I le Telephone d 17— SN9 —313 S •'Permit Request Neu., aAdi Via an lbrAn siAt 0 eat -is Horne_ mYsx_ r chtiyeAlo,n s DaCiC`��. �'I�� %;�- hash l ��f 4i,,�As -e Rove- .Square feet: 1 st floor: existing 176 proposed 4 to 2nd floor: existing 59p proposed °"t7 I0 Total new 620 'Zoning District Flood Plain Groundwater Overlay Project Valuation I&Ooco Construction Type WooeL Lot Size SSS SF Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Crlo On Old King's Highway: ❑Yes 3 No Basement Type: YFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 9l6 Number of Baths: Full: existing t new 1 Half: existing d new Number of Bedrooms: 3 existing o new Total Room Count (not including baths): existing S new First Floor Room Count Heat Type and Fuel: JGas ❑ Oil ❑ Electric ❑ Other Ceptral Air: 2rYes ❑ No Fireplaces: Existing DNew Existing wood/coal stove: YYes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑ existing onew-4 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 ►-n APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (st', &Lrk Telephone Number 41419 Address 3S6 hgaj Lena ne License # ,5— O 77 S y6 CG.r4GrV. lie MA 02632 Home Improvement Contractor# l36S2Z Worker's Compensation # Wa-4 L ,SW 7W/-2013d ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 13Ortr _ Lanai-�'� II SIGNATURE DATE elm 3 FOR OFFICIAL USE ONLY APPLICATION# , DATE ISSUED MAP/PARCEL NO. -` ADDRESS VILLAGE 4 OWNER DATE OF INSPECTION: _ FOUNDATION ® �➢� FRAME INSULATION 1. FIREPLACE ELECTRICAL: ROUGH FINAL r. M1t PLUMBING: ROUGH FINAL A` GAS: ROUGH FINAL FINAL BUILDING Y DATE CLOSED OUT Y ASSOCIATION PLAN NO: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations i 600 Washington Street Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ( ► ' 161 e.-1 l braS 9? v_ Q.L G Address: 3S 6 &..y L-c--ne City/State/Zip:. nCry� ���� D 632 Phone#: � S�oB' ys�' 9y y8 Are you an employer?Check the appropriate box: Type of project(required): 1.[i1%am a employer with Q 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or 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 g, 0 Demolition. working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers'comp.insurance comp. insurance.$ required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ 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 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: .Policy.#.or Self-ins.Lic.#: wGE-SCUD—So 79"-Aol3 A Expiration Date: Job Site Address: -S7 71c eAson W V C City/State/Zip: �Gr�Gr1r`��c Ityri 0OZ63 Z .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..certify under the pains and penalties of perjury that the information provided above is true and correct Sip-nature: — ?, :A� Date: 41 6 1.3 Phone#: SOS" tiS/ -- 9 yy8 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 6. Other Contact Person: Phone#: 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 or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more . of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee.of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on.such dwelling house or on the grounds or.building appurtenant thereto shall not because of such employment be deemed to bean employer. MGL chapter.152,'§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 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 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 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 maybe 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: a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia � Check Compliance 1.1 SCOPE 1.2 APPLICABILITY Number of Stories(a roof which exceeds a in.1 2 slope shall be considered a story) stories- :!�2 stories 1.3 FRAMING CONNECTIONS 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 2.2 ANCHOR.AbE TO FOUNDATION" 5/3"Anchor Bolts,imbedded or 5/8"PrDpdetary Mechanical Anchors as an alternative in concrete only Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Wiximum Floor Joist Setbacks Maximum Cantilevered Floor Joists 4.1 WALLS Wall Height 4. � VV 2 EXTERIOR- Wood Studs ' ` ` 5) �« 6Oft 0 in, _n -_-----'~walls-... ... ` . --_' -_- _-_in. -_-_ Gable End Wall Bracing' 1 -'---�-.--.'----------.`-�--- VV3P,�t�F�orLang�-_--'_I:_--�._---_-(Rg11)_-'--'-----_--_- ft�J�3 Gypsum Ceiling Length(if WSP not uaed i1)-_--._-`_''----�'___ft�D�VV and 2x4{�ondnuouaLabe�dB�ce��Gf�o.� .. �ig1i ............................ ........................... -. . or1x3 ceiling funinQs�po�� 1G^apoc�gm�.v��2x4b�ck�g��4fLopoo�pin end� �� orbnsobays ___ N � � DoonTnpP�b* - Splice Length ................. .................................(Fig 13 and Table G)...................................._ _ft | SoUce Connection (no.of1GdCommonna8mL.---..(Tab�G)-_-------_-.--_---- to ��� ' ATVC Guide to I•Vood Construction ht High fVind Areas: 110 rirph IVind Zofle Massachusetts Cheddist for Compliance (7s0 CA°1R5301.2.1J)I Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans .........................:..............................(Table 9)................................... ft S in. < 1 V Sill Plate Spans ........................................................(Table 9).................................. a ft 2 in.S 11' Full Height Studs (no. of studs)....................................(Table 9)............................................---........ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.......................................................... .(Table 9)..................................eft 6 in.<_12' SillPlate Spans............................................................(Table 9).................................._ft_in.< 12" Full Height Studs (no.of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV Minimum Building Dimension,W Nominal Height of Tallest Openingz ............................................................................... <6`8' SheathingType.............................................(note 4)....................................................... PIN Edge Nail Spacing'.........................................(Table 10 or note 4 if less)........................ 3 in. FieldNail Spacing..........................................(fable 10).............................................--..12 in. Shear Connection(no. of 16d common nails)(Table 10)....................................................... Percent Full-Height Sheathing........:..........:...(Table 10)...........................;K.-.Z................_% 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2........................................................................b _<6'8' SheathingType..............................................(note 4)..................................................... s Iti Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ 3 in. FieldNail Spacing.......................................:..(Table 11)................,........................,......._11 in. Shear Connection (no. of 16d common nails)(Table 11)......................................................._ Percent Full-Height Sheathing........................(Table 11)..............................95"1....:......._% 5%Additional Sheathing for Wall with*Opening>6'8' (Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ............. < ft s smaller of 2'-or V3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors r Uplift................................................(Table 12).............................................U= plf Lateral..............................................(Table 12).............................................L= pif Shear............................:..................(Table 12)............................................S= Pif Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= pif Gable Rake Outlooker.................. .......................(Figure 20) ............._ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.......................:........................(Table 14)............................................U=_lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= . lb. Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 and 59) N...Ov Roof Sheathing Thickness.....................................:..... .............................................. in.>_7/16'WSP Roof Sheathing Fastening ..........(Table 2)...........Be(...n.b."... 1A Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR-5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17. e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft shall be permitted when 5% is added to the percent full-height sheathing re-quiren ents shown in Tables 10 and 11. , 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated P-grade.' °FEE T Town of Barnstable Regulatory Services * snxxsresr.E, Mass, Thomas F.Geiler,Director 0 9. 16 �iOrEn r,,v'�a 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 Property Owner Must Complete and Sign This Section If Using A Builder I, TGY`(`y keY\.,n vi , as Owner of the subject property hereby,authorize iLv1 c,&— ��c6L I-1.0 to act on my behalf, in all matters relative to work authorized by this building permit 37 71�cltsor Av c, Cc,,� y l)1e, IY>'� 0.2.b 9 Z (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 inspectio s are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Hjt6t 13 Date Q:FORMS:OWNERPERMISSIONPOOLS 62012 ITti Town of Barnstable Regulatory Services saxrtsrasLE, Thomas F.Geiler,Director Mass. 9� 039. � Building Division �erFO µA't p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ' Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied 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. I f 1 t DEFINITION OF HOMEOWNER I 1 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 - t 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. Q:forms:homeexempt v Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-077846 MICHAEL B GAWARD 356 Bay Ln Centerville MA 01632 Expiration Commissioner 03/23/2014 Lee �pc�nn�aacaeueta��l o C�/f�aa�ac�ecaeC� . Office of Consumer Affairs&Busidess Regulation f License or registration valid for individul use only ' ME IMPROVEMENT CONTRACTOR ;j. before the expiration date. If found return to: ',egistration: ;136522 Type: =! Office of Consumer Affairs and Business Regulation= u 10 Park Plaza-Suite 5170 - xpiration ;8/1/2014 Individual Boston,MA 02116 MICHAEL BENJAMIN GASPARD MICHAEL GASPARD 225 Gosnold st Hyannis, MA 02601 Undersecretary '� Not valid without signature i. s MICHGAS-01 SPURDY ACORO' DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 4/16/2013 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: Mina Vaughan ROgers&Gray Ins.-Dennis Branch PHONE FAX 434 Rte 134 ac No Fdt:(508)398-7980 vc,No):(877)816-2156 South Dennis,MA 02660 E-MAIL ADDREss:mvaughan@rogerSgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:NATIONAL GRANGE-Main Street America INSURED INSURERB:Associated Employers Insurance Co. Michael Gaspard LLC INSURER C: dba Renovation Specialists 356 Bay Lane INSURERD: Centerville,MA 02632-3308 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION 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. I�TRR AODLSUBR TYPE OF INSURANCE I SR WVD POLICY NUMBER MMIDD CY EFF MM/DD EXP LIMITS . GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY MPP6672B 5/17/2012 5117/2013 DAMAGE TO RENTED 100,0001 PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO_ RO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS PER ACCIDENT $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE - AGGREGATE - $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS LIABILITY Y/N TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE N/A CC5005079992013A 3/6/2013 3/6/2014 E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) "Workers Comp Information-Proprietors/Partners/Executive Officers/Members Excluded:Michael Gaspard,Sole Proprietor- Terry Kenyon,37 Jackson Ave.Centerville,MA 02632 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Addition & Renovations 37 Jackson Avenue Centerville MA CALCULATION FOR W10x22 Assumptions Loads: Live Load—Sleeping Rooms 30 Ib/sf Live Load—Other Rooms 40 Ib/sf Roof Snow Load 30 Ib/sf, Weights of Assemblies: Roof Roofing 3lb/sf Sheathing 3lb/sf Ceiling 110lb/sf 2X8's (M 16" 2.5 Ib/sf 18.5 Ib/sf Floor(Tile) 2X12's @ 16" ' 4 lb/sf - �-► Deck- ° 3lb/sf Ceiling 10lb/sf s .Finish Flr 10 Ib/sf 27 lb/sf Z Floor(Wood) 2X12's @ 16" 4 Ib/sf Deck '3lb/sf Ceiling 10lb/sf Finish Flr 3 Ib/sf 20 Ib/sf Wall GWB 10lb/sf GWB 10lb/sf 2X6's (aD_ 16" 2 Ib/sf 22 Ib/sf TERRY KENYON AIA, LEED AP 6 April 2013 45 Appleton Street, Boston, Massachusetts 02116 Page 1 of 3 Addition & Renovations 37 Jackson Avenue Centerville MA CALCULATION FOR W10x22 Uniform Load W on Beam per Linear Foot Roof New- 5.75' x (18.5 lb + 30 lb) = 279 Ib/ft Existing - 9' x (18.51b,+ 30 Ib) 436 Ib/ft o. 2Id Floor ` New 5.75' x (20 lb+40 lb) = 345 Ib/ft Existing 9' x (201b + 30 lb) =450 lb/ft 2"d Floor Wall 8.33' x 22 lb = 183 Ib/ft. w= 1,693 Ib/ft Reactions (R) 15 R1 = (755 x 12) + (15,237 x 7.5) + (3 x 755) R1 = 9,060 + 114,277 +2,265 = 125,602 = 8,373 lb 15 15 R2 = 8,373 lb Sheer(V) ` • .- 4 ' V1 = 0 r f. V2 = 8,373—0 = 8,373 V3 = 8,373—755 = 7.618 V4 = 8,373— 15,237—755 = -7,619 V5 = 8,373- 15,237—.755-755 =-8,372 y V6 = 8,373— 15,237—755:755 = -8,372 Maximum Moment(M) i r - M = (8,372 x 7.5)—(755x 4.5)—(7,618 x 2.25) =42,260 ft lb = 507,120 in lb Section Modulus (S) S = M/f= 507,120 = 14.09 136,000 - A.I.S.C. W10x22 S = 23.2 TERRY KENYON AIA, LEED AP 6 April 2013 45 Appleton Street, Boston, Massachusetts 02116 Page 2 of 3 j l •• IN Addition & Renovations 37 Jackson Avenue Centerville MA CALCULATION FOR W10x22 755 Ibs 755 Ibs ar1,693 Ibslft R1 R2 - 15,2 71bs 3' 4.5' 4.5' E 3' 3 LOAD DIAGRAM 8,373 7,618 V1 V2 V3 V4 V5 V6 .7,619 SHEAR DIAGRAM 8,372 + TERRY KENYON AIA, LEED AP 6 April 2013 45 Appleton Street, Boston, Massachusetts 02116 Page 3 of 3 PROJECT NAME: C ADDRESS: ':3 rl O« _ PERMIT# PERMIT DATE: d2l 1'5: 1 1 :3 M/P: 13a LARGE ROLLED PLANS ARE IN: BOX 105 SLOT n3 Data entered in MAPS program on: S �4 BY: 1�lk� q/wpfiles/forms/archive ..d • - i rw t 1 „ r f •:-a 1 F ., .t Y' 3 `:�'.. • .rF {..:�, i k ! 1' .� .. _t _; $..,.$ p AI° .3�, k :.,i x1 :.D 4� r , rY 7 y ! e . v w M , s>MMM re ;- `e • n ! _ �, .} � a e •ter �., � y - -, '¢ �►7' � � a n tit' � d�(y ^'3,'r ��� - _ iT'• Y r, � i v I� ° `� '' „'- 4.,yam e �,����,}"5�,. .:-...w a �� .-t�= •r . : .*�, _4, xk ' e e• w *' '.. ,� a,.. �. v t Y iy'/F, A�.:. +•.P'�L�`!:' � � �p =•��y, •-.p.� ,T '•a 4 �+iY w w _ a V _� « F�,�`+ ,,.• .. 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F �.�r ,'� t'�* _ /j¢- .t � ^5. � ih :�.-"' '/ti,,.'y,;. r1�..� �ti...�:" 47�;#.. j!.} + .yam _ X' tea• r —rp 1 �j r. i 'M43 T "�1 $i , .. t, ,�b �~ ••�•�t fr+f .•->:v'-i, 4a wF"' 'n7 . ,� -a "'�, .' `1/j'liL1F .. r �.. ` 4 Wa�1' �. . ��' a/' •�,+��•� 's _ w s '{ F� �C e F �f"•� '�'\y �..y�.�:� ,(-� y�,pal 11�; ti�� �?t�r. _ i.4�. �ti � +rt;Y t 7� Y-t .r p� I �"Ya �6., � '�,`ly°,5 ��"�- �i, � i ? .�\ .,,.•�,-�R '� �'} �A � r��t.�..s \ ` R �� s ► }L .3. -;w,lltti. 'rl Oki I�iT'jt'' �,r,' d� •t � �' ^ r�``� Aa� �:�.:� ' .� ��N r' 't"E�bit- SM t�. +li�?M•�l��; y�oFj T Town of Barnstable *Permit# � �- ri' �w Expires 6 months from issue dote BARNsTABLL = Regulatory:Services Fee 16a�. �e� Thomas F.Geiler,Director �e� �f CIOQED MA{� O�, � � Building Division / Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w L/U Office: 508-862-4039 Fax: 508-790-6230 nT EXPRESS PERMIT APPLICATION -P E"' R I u. Not Valid without Red X-Press Imprint NOV 2 , 2001 Map/parcel Number TOWN OF BARNSTABLE- Property Addres Y, Q csidcntial � OR ❑ Commercial Value of Work i Owner's Name &Address Q��� — ex.- t �� Contractor's Name�/ y�� J � �� ,t c Tel Number, -� �/� f j•jr Home Improvement Contractor License #(if applicable) 7.1 `� Construction Supervisor's License #(if applicable) a,zGr q.4 QWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �have Worker's Compensation Insurance Insurance Company Name TAACSac►�^�� , - �o t Workman's Comp. Policy Permit Request(check box) ErRe-roof(stripping old shingles) ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ; ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. S ignature� cxpmtrg � w Assessor's affioe Ost floor): / oFTHETo Assessor's map and lot number ..... C2-:.�-3.C1..:.C7Oc? �� �f Board of Health (3rd floor):. 3 Bed I,.-M5 Sewage Permit number � .?.....j..j..Z-4 ` SEPTIC SYSTEM MUS 9HaggpDLE, S Engineering Department (3rd floor): # 37 F-JS INSTALLED IN COMPLIA - '�b o. 0� Housenumber .................................................................... a� WITH TITLE 5 0 M APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only; ENVIRONMENTAL CODE AR"D TOWN OF BARNS ffi ft TIONS BUILDING INS-PECTOR ; APPLICATION FOR PERMIT TO ......construct a new single family residence TYPE OF CONSTRUCTION ....w.oad...framp...................................................................................................... ...Oc.t.obe.r...2.3............19.86.- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: `�-IyaNtvs .. ot.. 12..�.:den+ ��le -Ave....&..Ja;c.kson,.Ave.. ". .`= -. .:.Ma.�:....................... Location ........... Proposed Use .........s:ingle...famijy...re:sidenc.e...................................................................................................... Zoning District ....RB..............................................................Fire District .Cent.erville./Osterville F.D. ` Name of Owner T.erry....C.....&..Br.e.da...R.....Keny.onAddress ..4-5..Appal.eton...St....,...Bast.Qa.,...Ma......... Name of Builder . .i a i................................. ".......'...Tarry...C......Ken�r.on........................Address ................................. . ..... Name of Architect .Te.rry..C......Kenyon................ .......Address .....�....... .� .. Number of Rooms ..SiX.........................................................Foundation .......rein.f.a .c.e.d....C4x1.o.oxwxatie.................... Exterior .........wood...shing;.la...........................................Roofing .............WoO.d...Sb.J.agl.e....................................... Floors ...........wood.................................................................Interior .............wood...st.ud.,....dv..yWa11...W/....SAIM. Heating .......gas,....L.O.rce.d...hot...air........................Plumbing ..........PVC.yC.Qpper............................................. Fireplace .......f.L1tu.r.e...........................................................Approximate Cost .......$8.5.,.0.00............ 0 Definitive Plan Approved by Planning Board ________________________________19________ . Area ...... t.... Diagram of Lot and Building with Dimensions Fee ?��'02'�t/......... ... .. .. . ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ^ l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . 17................. Construction Supervisor's License ..... .. .. .... ......... IZ7- KENYON, TERRY C.*Y-W- '10531 Pe No rmit it for ....................................clry . .............. erm Two S Single F.arrt.LIV Dwe'L ling . .......................................................................... Location Lot #12, 37 Jack son Aveylule:�. ................................................................ Hyannis .....................................................................I......... Terre C. Kenyon Owner .............-................................................... Type of Construction .................Frame......................... ............................................................................... Plot ............................ Lot ................................ Permit G 1.4arch 23 , 8 7 Granted ........................................19 ' q . I Date of!Inspection ...... /'tl .........19 v 7 Date Completed ........j..... .......................19 .?j . �° U • �,4 Assessor's offioe (1st floor): _Assessor's map and lot number -- ��n.-ra�1 yoFTHEto�♦ Board of Health (3rd floor): _ Sewage Permit number ......................................................... Z B9$35TGDLL Engineering Department (3rd floor): # 37 F.1� rasa House. number .............................................. °0o�1a3q. 0� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only I TOWN OF BARNSTABLE - , BUILDING INSPECTOR 2ST v APPLICATION FOR PERMIT TO ......construct a new sinjgle...f Ipil, residence TYPE OF CONSTRUCTION ...m.n0d....f.r..2m?..................................................................................................... .........oclt.ohelr...2.3............19 B.F.?__ TO" THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following" information: �ynti,iv�5 Location dot #1.2 , Centervl-Ile Ave. & Jackson Ave,. .. Gef+ NIa., Proposed Use .........single...family...residene.e......................:............................................................................... Zoning District ....RB........................................% ..................Fire .District .Cei1t2Z'V711('�Ostervl� lE' F.D. . ............................................................. Name of Owner `'e.r ...... :..T...&..Bl''F'da..: Address .45...A.... let[?n...��'..�..:....�Ca��1�c)X1 MR, 11 n 11 n it t. ,Name of Builder ....r.)'P...nr'y..r......K.Pii.V.on........................Address .................................................................................... r Name of Architect ....CP3tyl?ifl........................Address .....i1............."...............t 11 11 ................... ......................... Number of Rooms .9.1-X......................................................:..Foundation .......rP1XIf<a. C d..q!nlqgPt� e-te..................... Ex,erior ........W.O. ge................................:...........Roofing .............W!DQA...shy:aagle........................................ Floors ..........Y.O.Rd..................................................................Interior ............1nTDQA..�ttm .,...duwqll...!nl./...Sk m ''�` fi f'i�1'7*f? Heating :........._...:.. ....::.::............�....,...�? .�*..�.�.`.........................Plumbing x, a': -ea4a�r(�E?' p f' a tia ................................Approximate Cost ....... ..5 OOO Fireplace ...........1..._a....".!'........>:..-............. � Definitive Plan Approved by Planning Board _______________________________19________ . Area ...... ........ ........t.'.. Diagram of Lot and Building with Dimensions Fee ' r SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � �, � Y w.._r fir„ � �` ' Construction(fSupervisor's License .....,..,................:...:...... t� KENYON, TERRY C'. A=226=-130-002 - 13 0 - a No 30536 permit for .......rwo StorX Single Family Dwelling Location Lot #12, 3.7 Jackson Avenue - .....................: .....G...0 Owner Terry C.. Kenyon .. .......................................... Type of Construction Frame...... ............................. Plot ............................ Lot ................................ Permit Granted ...........i✓arcn...............23 ..........19 87 ...' Date of.Inspection ....................................19 Date Completed ......................................19 r Yo/, ow -}. l �-f s $ ��. �r rl:''lf tiY�.• n e J} r �2.� .t.(.tr_5�_-.i.1 ._ ..:1 ,.� pc n�?`i�(�t r � s .�� r��ia'�t�sr:•�>r�ti��r.�..�•k=l„-a•�v • Ile .. .. . .a ....... i _ 3 ; ,t { 1.4 tj 1 .J4GPI-�•..r�Yr�- �-i- .1 r• + !4.0,-AJ-1R�U1 L L�'. . .PY T,U�tT TyE��A./�//T.L�✓ �oG.4T S.�/OWit�iyE�2EO.1/OOM,�L YS �//Thy SCA L " j' AQA71 Tf/� TowNaF �LAA1 .2EF'E�2E.UG'� jLOCA7'E'l-> Jy/T�//it/ T.y� F.LOctaPG4/y Z� ;oA7o 60 rtiis P.C.4iv�s ,va7 BASE"o a,,i,4.,,t/ ,eE�/sTE.e� l W� sufeYE'y /N.S7-.21�iL1.E�t/T",s'v,2YEY 7-/7'E UST�2Y/.C.C�a �l.4SS. - s�L� �-a oEr�,��ivE ,��-L/.vas f4O.�.�./C,QN7" T y ,�/��/�:••�� y? �x .rv-+"•`1;:� ..r ...� .. •-•-s-•--"L, .«.+w._.'7aN.+YKy4N "'F'+l*r '.o,,kMwwe+.-.',: :7?i`�Im"✓w'"+.tdr++,n+-.+.zney,+a^*.�.,-r,',,w"9^wv.-•+*>n. r-«-.. r.. .}- a.. .. .T.s. ....�r _� i TOWN OF BARNSTABLE Permit No. .....30536 BUILDING DEPARTMENT F a.aan I TOWN OFFICE BUILDING Cash ................ HYANNIS.MASS.02601 Bond ........X...... CERTIFICATE OF USE AND OCCUPANCY Issued to TERRY C. KENYON FF Address lot #12 37 Jackson A-4uue, Centerville USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. , ....................... Jne 6 ..... 19.$$........... Building InspectorC TOWN OF BARNSTABLE BUILDING DEPARTMENT ! sesasr : TOWN OFFICE BUILDING rua 1639. `� HYANNIS, MASS. 02601 �0 YAY M. MEMO TO: Town Clerk FROM: Building Department vl DATE: An Occupancy Permit has been issued for the building authorized by Building Permit #✓.� p `" .. . .....................:....................................... .............. _. issued .to .....e .!:!'. ............ ................................. .... ......... Please release the performance bond. -' TOWN OF' STABLE, MASSA'CHUSETTS " A=226-•13.0--002 DATE _ Ai lrCa1 _19 R7 PERMIT APPLICANT - rP r-r�' c:_ KPII on ADDRESS 4 A =1 cn, c)n -<;{- • '� - Bpai-On :' �kOwnCz". (STREET). l- (C'ON.TR'S LICENSE) PERMIT__70 NUMBER'.OF 'i��_1. STORY v Y WELLING UNITS" (PROPOSED E) AT It ZONING Lot #12. 37 Jackson Avenue, HyriY�is R$ .":INO 1. ...(STREET) ZONING DISTRICT_ BETWEEN AND (CROSS STREET) ('CROSS STREET)." SUBDIVISION .SOT, LOT - BLOCK BUILDING IS TO BE FT.'WIDE BY. FT. LONG BY FT. IN HEIGHT,AND SHALL CONF,ORM IN CONSTRUCTION - TO TYPE - USE GROUP BASEMENT WALLS OR FOUNDATION: - )TYPE) REMARKS: i;Ta RFi--1 1 74. - Bond :. AREA-OR 1284 Srf 7 85 OOO• OO PERMIT VOLUME _ ft. ESTIMATED COST . 102 OO .)CUBIC/SOIJARE FEET) - .OWNER iT'i�Y YC7• (' Kenyon ADDRESS BUILDING DEPT d S Ai�nl ci nn �;fi reset (3t7 tt'Ciil, °lrH BY .. .. - , N(79P^ PPOVE.D B TH c R! i 10 L A _ ` . 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VA�,If�NLC SVMMR'UI FIG - 105.0 - toob CZ93 1-.I Pr► w . e T7aNK . c4 n.lOt.oS ��.:o ,-.L t'kZ, L�ML FF ".0 vn-" 3' oop1y Z r(�d ' �iLo36t.1KD RI6H WA.TV, S;rox, Ori TUP .a 6 � � zys� ._ �tif�`'g - PRuF t U; o� Yt�PvSt.� �._' ,Y., ..�. -�� WATt✓CL�.+..�l4:iS •'' � s s.'15� NV r, LER.T11=Y TNAT TI}G- PRoP, FNl%j. - HELE�n! C.a�1P��lS W►Tt•i -t`}1c S►DEL�NE Au0 .. --�.. _. s�it3Acx- I��av�r_�MEN� of- TNG -MWN of p�1 P�A��I of nlD S S fZIZY 3rDA cNYo� Pya OF 41qs�� PETER ;. 5UAlF AS nimicj> Jutl Ails vv SULLIVnN �' - ��� I No. 29133 " tw<TE'-c 14Y11 �°�ssoNAiENG����' L�-NT�'SVP`1JEYO�S � GIV1V Et��Nf���.' • O STD Z\)I .E ASS 1 K•K.-FEI , SE Y H OF P.7ER yc i� �'JILIVAf� •v—�T'� \c�p Wp. 2R7,33 -c ?FC/STO'l ,PSSIONAL EN�'�rE LOT 13 . rP LOT l l IV ram► LOT I z Fi 14r -To s,F. > > (cl.fs � yb•o �► s •yaev L t� pWE1.1_INe F{ )w bt FFu55012 5 49.ILZ BU( c oILI +1- �K IOZ .7 I r 10 4-.ao' - S • ?LAP L44, :*1,343� : i -0.. N) REQv�—�T 1Nr, VP�R�Aa�[E Prs sNo�N►� RE: F ILLIK` MkP,&INNk- ,LOT-S CaY-trw) = PROPOSED c IO.S ' Fll.t. - \� EL._102$ FILL ILL — - - Ili 5 .. r I C I=)k e IN VNs�1�BI.,E•. , WE .0 ;Svl't��� mAz �PAL 7 O S\ Ko Itz Dw hi EL = L5 EX1S71NG C, °��t�t_S I�l�t'o`=�1� (-+>1 EM , S'EQVES�I�D vA.F�\\NBC I PLOT PLAN OF LAND CLIENT FILE NO. 2376 DEED REF: BOOK: PAGE: OWNER: TERRY& BREDA KENYON PLAN REF: BOOK: PAGE: ADDRESS: 37 JACKSON AVENUE LAND COURT CERT. OF TITLE: 108649 CENTERVILLE, MA 02632 LAND COURT PLAN: 8923-C ASSESSORS MAP: 226 LOT: 130-002 ZONING DISTRICT:RESIDENCE B DISTRICT REQUIRED SETBACKS FRONT YARD=29 z SIDE YARD=10' REAR YARD=19 MAX. BLDG. HEIGHT=30' � cc \ (4p•W1O 4 4, q ,r "Our. r) _ E 0 �pGF 00 0Ap ss� �gVFM�NT a 1g�1 p?pAF MAP 226 LOT 130-002 v, \ MAP 226 14,570 S.F.± N LOT 131 10 1 S4-( 5�1 1g N �V pROpo%) 1), b N 40 SFO gOOi s�(typ) N M #37 T10/V 2591 EXISTING DWELLING z O 256, OFcK � M 4 PROPOSED ADDITION �0 EXISTING SEPTIC TANK O'l EXISTING LEACHING CHAMBERS 0 CV) � �o MAP 226 LOT 132 SHED 0 0 0 EXISTING MSTRIBUTUION BOX N84031'50-W 98.41' i MAP 226 LOT 130-001 1 hereby certify that the lot comers, dimensions, and setbacks to the JC ENGINEERING, INC proposed additions as shown on this plan are correct and were based on a field instrument survey. Conformance to the Town of Barnstable 2854 CRANBERRY HIGHWAY By-Laws and Regulations shall be determined by the Zoning EAST WAREHAM, MA 02538 Enforcement Agent. TEL. (508) 273-0377 FAX. (508). 273-0367 DATE: APRIL 1, 2013 SCALE: 4" = 20' OF 61 SS s JOHN L. cp CHURCHILLJR. x� , o No.48066 o A REVIEW OF FLOOD INSURANCE RATE MAP COMMUNITY PANEL_ NUMBER 255001 0008 D DATED 07/2/92 HAS BEEN `�ss,� isTE o 5 CONDUCTED AND TO THE BEST OF MY INTERPRETATION,THIS DWELLING IS IN FLOOD ZONE C AND IS NOT LOCATED Date Profess' nal-Land Surveyor WITHIN A SPECIAL FLOOD HAZARD ZONE. JOB#2376 t