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Town of Barnstable
Building
Po ,his Car4"SO That it is Visible From the Street Approved Plans�Must be Retained on job-and,,this Ca'ed Mustbe Kept,;
rn�e R �.
[Posted Until Final Inspection Has Been Made:. Permit
;Where a Certificate of Occu anc is Re wired;such-guild shall Not be Occupied until a Final Inspection has been made
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Permit No. B-19-2809 Applicant Name: James Curley Approvals
Date Issued: 08/29/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 02/29/2020 Foundation:,
Location: 17 JOAN ROAD,CENTERVILLE Map/Lot: 228-085 Zoning District: RC Sheathing:
texrvs-w.uwuvurs� ..rwo®.u. w,n.xa�..� • .
Owner on Record: WEBB,AARON N&SAMANTHA Contractor Named JAMES P CURLEY Framing: 1
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Address: 17 JOAN ROAD ) Contractor License CSS,L-099138 2
CENTERVILLE, MA 02632 Est Project Cost: $ 11,000.00 Chimney:
Description: Strip and.re-roof approximately 25 square of asphalt roof shingles. Permit Fee: $56.10
Insulation:
Project Review Re - Fee Paid:¢ S 56.10
J q er Final:
Date: 8/29/2019
Plumbing/Gas
Rough Plumbing:
g
.: _ Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within six months afterissuance.
All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted.. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be' in compliance with the local zoning`by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road.and shall be maintained open for public inspection for,.the entire duration of the Final Gas:
work until the completion of the same. `"
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the-Building and Fire Officials are provided on this-permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing Rough:
2.Sheathing Inspection i_m ...., "'"".
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Fire Department
Building plans are to be available on site �F- Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
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Town of Barnstable *Permit4_
Regulatory Services Few 6 monshs from issue date
a ra.►esM � Richard V.Scali,Director
039.
Building Division
---- --- - - PaulRoma,—Building missioner
200 Main Street,layannLs,: ? 601. (� ,
www.town.barnstable.ma.
Office: 508-862-4038 C�� Fax: 508-79.0-6230
EXPRESS PERAUT APPLICATION - RESIDEN NLY
4M Not Valid without Red X-Press It*rint
Map/parcel Number
Property Address �, �p! � vi`(
esidential Value of Work$ Ml inimum fee of$35.00 for work under$6000.00
Owner's Name&Address V v l7
VV 1 d
Contractor's Name I� Telephone Number � q 9 62 -!W
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)�/ , S Q - c2-
[ Vorkman's Compensation Insurance
(( �- Check one:
.❑ I am a sole proprietor
❑ I am the Homeowner
'KI have Worker's Compensation Insurance CIDO i> LA,0
Insurance Company Name I-
Workman's Comp.Policy#1 P.-n 6 2- k63
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-side
Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows.
#of doors:
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permissio
A copy of the Home Improvement Contractors License&C stru 'on Supervisors License is
require .
SIGNA
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Are u an employer?fhecktheapprepriateb Type of project(regnired):
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A:f#ach a copy of the workers'compensationpolicy-declarafum page(showing the poficy number nand e xpiration date).
Fad to gem=coverage as r equiredunder Section 25A of MGL e.152 can lead to the imposition of criminal peoalties of a
tine up for$UGtD 4Q anNos one-gearimprisotmad.Ets well as cif penalties is ffie farm of a STOP WORK ORDDERand a Rna .
of up to$25-0-0 a tray a„ainst tip violafor. Be advised ffid a copy of this statemed maybe forwarded do the Office of
Iff vesgatioas oftl o DI&for manca<coverage ve .an-
'�tfrr Ftet-a£iy a� r�g�rgr�tbattite�farvaa€zvuprmrlcd abct�ig trots acid carrec�
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My or Taws: PermftfLieense;9
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L.Baardofffegffi r.Buffrmg Deparfineat 3.CdYfrORR Clerk 4.Efedrical Ikmpector S.PkmMmg BLTector
6.at3Kr
c'oniact Person none#:
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laformatiou and lastructions
xfi,,Sa CCterI1.WWS MrUj3i=2a CMplDy=m campmsaflon:ffirffif�a cmPIOY=s-
Pisxsaa�ia �ys'si ,an a Iope�is drfined as¢_�eaYFe�soa m�e seavice of mofiW Mder auy c`onxart ofyn-rs
MqlMW or ii¢plied,'oral arm"
An e Trryer is ddmed as` nind'lvidn4 p n . b� mP or ofher legal earl fy or anY o Q man: .
of fr�egoing a3 aadmalndmg the Iegal.,=nb&cs of a deceased emplayer,ar f c
re�e3vra or twee=of an uffYidnal,pzXfn p.assDChfi—Cr oflerlegal mtjfY,ezqL)ying=Plop- $owever the
owner of a dwelTmg haase bavmgg'oat mare Ibm ii+ree Pm�fineds=d WhD resid= .ar file O. ofii�-
dwaIImg hD'MO c f muffim who employs p==tD do md&=Lcc,cm emc rsn arzrpair wmk an sash dweIIiag house
or on.fie grauads of bm7dmg gjFmM a lfi. sbaIlnotbexanse of such esaplopmentbe deemedtn be an=PlayM, "
MQ.d3apb=I5-2,§25C(6)also stains that"eYeip rime ar local ficetssnzg agency skaII withhold tine Kati r�or
reaeW-aI of a Tcense or permit to operate a Trasmess or to cons-hurt b olZdmgs is the commonwealfi for any
applicant•�bo bars notprodnced acceptable addeince of corgpTiance i the ism-aac�eo Pexager -�
Adffi ;6 A fTv,MCrL rdnlpir�ISZ,§25( sfsfe, Nedh= e _ nor ing of1spoIt=l sub�ans Shan
ntn my cantmd fort c perEmmmm=ofpnbhr-WDlk acc:epiable evidmm of camP7i4acl5 fii$e msm' "
reg=CMe[Zr2-3.of- iU In the car*Mz ing.MffiDl�ty:"
AppHcaats
Please foi oi:± the wD b=l compmsafiDn affidavft complefety,by g the=boxes fhaf apply to your soon anc�rF
nec;ess y,mpplY s ;7= r�,,s,),name(s)). addresses)aadphoncnumberCs)alang with the•s�cate(s)of
m�.ce
ins . �bflit pmnes(LLC)or L=t'PdLbbffitY'P s(LU)'Vlf'==:IPIDyeM of ter ffim 0
members=parness,arenat ibqaiEd to cagy wadxxe ensafian filvi . If m LLC or 11 P does bave
empIoyees,apolicyisx BeadvisedthdfisafbdwfkmaybesubmitbndtnfheDeparfinentof T-n strbl
Acmdex¢s far cD�ma7Un of nice cove$ag� Also be sm-e t9 sign and dafe the aiidavif: The affidaYit should
baTvft nedto$ecityarf gufatfbeapplicatiaatArfhepeaaitorH=oseisbeingrmtmstAuotffieDeparEmenfof '
Tr a1 A Odds,t S wnldyDn hmYm any questions regarding the law or ifyDn are regIIn ed toobtain a wozla as'
compensationpofioy,pke call ficDepartmedatfiien=l)=listedbeJnw: Self-insrnEdcainpanicsshoulden,'nrtheir
self i*+crnan ce I1ee�se nrmber as ffie apprapaate line;
City or Town OfU a7s -
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Please:besux$ fieafbdaYitis cauiplefeandprl legibly_ ZheDepaimenthasprovideda-SPa off==bottom
of ffie of fida'Pjt for yDnfD fill Dnt mule eYent the Office ofTlMs6g afitmc bas to CDlbatyamicga :b iffm BPPH=Mt
Please:besmetn fllmtizepe�itltic®sen�beawhir�i Ibevsedasare ceM=bcz Tnafdifion,Elm aFPb•CM]t
that must sabnat m ihiplopeR-,t't''==BPPIY: i m any&L a Y-ear,need.only sahn�one affidavit m&mtng coa=nt
policy fi j ft ,-r,a± [f as ne�y)and unde. "Tob Site R d tess�°tie applica t should vmf.e'all lacafDns is (may or
.town)»A copy of tbmafHk itfhathas beeal officially stamped crmaa3Cedbythe city ar town may be provided to fhc '
appach
licmA as proof that a valid affiday.�- an file for faf u P.-cm or rloeD m A n0W af5ff&vitmirsE be bIled out e
year.�1liere a home owner or citizra is D a Ilcease or peamitnot re7aind to aay business ar cammea�al verb -
(ie,a dog license or pcmff t o bum leaves said person is NOT rr,�ed to complete this affidaYit
Tbo Office:of Tn s wouaIfie to tick you in aarmca for yourr cooper,- an ion d sbouldyon have an 9m Z0=.
please do nothesit n to&C M a caM
The Depart s address,trdephune and COMMOMqWl*Of
Depart nmtQflidrztdalA Jz
a =1&oil
T�L TIP 617-7274 wt406 or 1-WT M S
Fax#617'2T'774
Revised 424-0T
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Town of Barnstable
Regulatory Services
dE Richard V.Scali,Director
Building Division
r HARNS+u. t .Paul Roma,Building CommissionerMASS
.
1"96 �� 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax7 508-790-6230
HOMEOWNER LICENSE EXE1V7110N
Please Print
DATE:
JOB LOCATION:
number sheet v►71sge' ,
"HOI FMWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
eityhown state zip code
The current exemption for"homeowners"was extended to include er-oc ied dwellingsof six units or less and to allow
homeowners to engage an individual for hire who does not possesea
license,provided that the owner acts as supervisor.
DvEFIINTTION HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or' tends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to h use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeo Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be re o ible for all such work Rerformed under the boil ' ermit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility fo co' fiance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she erstands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will co ly with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
r . .
Note: Three-family dwellings con g 35,000 cubic feet or ger will be required to comply with the State Building Code
Section 127.0 Construction Control
HOMEOWNER'S ON
The Code states that: "Any hom owner performing work fohich a building permit is required shall be exempt
from the provisions of this section(Secti 109.1.1-Licensing of consfruction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such rk,that such Homeowner still act as supervisor."
Many.homeowners who use th' exemption are unaware that tli y are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regalations or Licensing Construction Snpe'. ' ors,Section 2.15) This lack of awareness often
results in serious problems,particular when the homeowner hires unli used persons. In this case,our Board cannot
proceed against the unlicensed perso as it would with a licensed Supe ' or. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeo r is fully aware of his/her responsib - 'es,many communities require,as part of the -
permit application,that the homeowner certify that he/she understands th responsibilities of a Supervisor. On the last page
this issue is a form currently used-by several towns. You may care to amend and adopt such a form/certification for use in
your community.
Q:\WPFffiES\FORMS\building pmmit forms\EXPRESS.doc
06/20/16
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Town of Barnstable
` Regulatory Services
WAM Richard V.Scan,Director
Building Division.
Paul Roma,Baildnng Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.maus
Office: 509-862-403 8 Fax: 508-790-6230
Prope Owner Must '
�P ..r
Complete and S' This Section
'�
If Using A Builder
,as Owner of the subject property.
hereby authorize l t o act on my behal f
in all matters relative to work aulho=ized by this building permit application for:
ry
Address o Job)
**Pool f and alarms are the.responsibility of the applicant Pools
are of t be filled or utiYized b foro- fence is installed and all-final.
pe - ns are p e and accepted.
Sigaatnre of Applicaa
--� -§, - fete
are � �
Print Name Print Name
k
k
r
Date
Q;FORMS:OWNER PMUMsIONPOOIS
Massachusetts Department of Public Safety
��reanr•�nnnrrfea���oC�llrz�ar.�iu.e/lt Board of Building Regulations and Standards
�\ Office Of.Gonsamer Affairs&-Rosiness Regulation
License: CS-059182
HOME IMPROVEM-NT CONTRACTOR. Construction Supervisor
Registration 1%939 Type:
Expiration: 9I1at2fl17 Individual LAUREN F STAPLETON
LAUREN F.STAPLETON 414 PHINNEYS LANE 43 M �.
CENTERVILLE MA 02.632
LAUREN STAPL€TO.N
414 PHINNEYS LN.
CENTERVILLE,MA 02632 Undersecretary { .tin �. Expiration:'
;
Commissioner 06/03/2018
. I ,
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TRAVELERS J WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
CHANGE DOCUMENT WC 99 99 98 ( A)
POLICY NUMBER: (7PUUB-2E86759-4-17)
CHANGE EFFECTIVE DATE: 05-09-17 NCCI CO CODE: 13579
INSURER: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
INSURED'S NAME: LAUREN F STAPLETON RENOVATIONS
LLC
This change is issued by the Company or Companies that issued ttie policy and forms a part of the policy. It is
agreed that the policy is amended as follows:
An absence of an entry in the premium spaces below means that the premium adjustment, if any,.will be made at
time of audit.
ADDITIONAL PREMIUM $ RETURN PREMIUM $
ADDITIONAL NON-PREMIUM $ RETURN NON-PREMIUM $
THIS POLICY CHANGE WAS PROCESSED PER A REQUEST RECEIVED FROM YOU
OR YOUR PRODUCER.
THE FOLLOWING ENDORSEMENTS ARE ADDED:
_ W20P1G15 MASSACHUSETTS POSTING NOTICE
WC89061400 POLICY INFORMATION PAGE ENDORSEMENT
WC999998 A CHANGE DOCUMENT .
WIAC2H95 TELEPHONE REPORTING STUFFER {
�`— WIAM3K96 FINANCE COMPANY ACKNOWLEDGEMENT
, t
THE FINANCE COMPANY IS ADDED: `
FIRST INSURANCE FUNDING CORP
450 SKOKIE BLVD, STE 1000,
NORTHBROOK, IL 60062
CONTRACT NUMBER: 10708378
THE INFO PAGE SCHEDULE(S) ATTACHED REPLACE THOSE ON THE POLICY.
a�
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DATE OF ISSUE: 06-01-17 HS CHANGE NO:001 }PAGE 001 OF LAST
POL. EFF.•DATE: 05-09-17 POL. EXP. DATE: 05-09-18
OFFICE: DIRECT ASSIGNMENT 701
PRODUCER: 75NHN
003214 COUNTERSIGNED AGENT
TRAVELERS/�� WORKERS COMPENSA\ION
AND
EMPLOYERS LIABILITY P
EXTENSION OF INFO PAGE-SCHEDULE WC 00 00
POLICY NUMBER: (7PJUB-2E86759-4-17)
INSURER: TRAVELERS PROPERTY CASUALTY COMPANY OF 'AMERICA
13579-MA
INSURED'S NAME : LAUREN F STAPLETON RENOVATIONS
LLC
RATE BUREAU ID: 000762031
PREMIUM.BASIS
ESTIMATED RATES ESTIMATED
TOTAL ANNUAL PER $100 OF ANNUAL
CLASSIFICATION CODE REMUNERATION REMUNERATION PREMIUM
LOCATION 001 01
FEIN 263769968 ENTITY CD 001
LAUREN F STAPLETON RENOVATIONS
LLC
414 PHINNEYS LN
CENTERVILLE, MA 02632
SIC CODE : 1751 NAICS: 238350
CARPENTRY - CONSTRUCTION OF
RESIDENTIAL DWELLINGS
EXCEEDING THREE STORIES IN {
HEIGHT OR COMMERCIAL
BUILDINGS AND STRUCTURES 5403 IF ANY 11 .00
DATE OF ISSUE: 06-01-17 HS ST ASSIGN: MA SCHEDULE NO: 1 OF MORE
AW
rRAVELERSJ WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
r EXTENSION OF INFO PAGE—SCHEDULE WC 60 00 01 ( A)
` POLICY NUMBER:'.. (7PJUB72E86759-4-17)
PREMIUM BASIS
ESTIMATED RATES ESTIMATED
TOTAL ANNUAL PER $100 OF ANNUAL
CLASSIFICATION CODE - REMUNERATION REMUNERATION -PREMIUM
LOCATION 001 01 (CONT'D) $
CARPENTRY — CONSTRUCTION OF
RESIDENTIAL DWELLINGS NOT d
EXCEEDING THREE STORIES IN
HEIGHT F 5645' 50000 , 8.1 1 4055
950 MERIT RATING MODIFICATION (9885) p $ % 203
TOTAL ESTIMATED ANNUAL STANDARD PREMIUM. 3852 „
EXPENSE CONSTANT(0900) 338
�— 0.0300 TERRORISM (9740) 15
a� F. 5:60%`MA WC SPECIAL FUND AND TRUST FUND 216
TOTAL_ ESTIMATED PREMIUM 4421
DEPOSIT AMOUNT DUE 4421
r
DATE OF.ISSUE: 06-01-17. HSt ST ASSIGN: MA SCHEDULE NO: 2 OF LAST
oos2ts
D
Town of Barnstable *Permit#
Expires 6 monthgrom issrylate
�g PERMIT
Regulatory Services Fee �j - OU
X-PRE Thomas F.Geiler,Director
MAR 14 2006 . Building Division
Tom Perry,CBO, Building Commissioner 6 \
TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 �2
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address Z 7
[Residential Value of Work S Z" . Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address 2�j e E Gc �Grr
/7 /-
Contractor's Name j&�IJ' , jnl.�
Telephone Number 5-3z Y 3
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
4rkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
F I have Worker's Compensation Insurance
Insurance Company Name �1 �Ct f//
Workman's Comp.Policy# &J lb yzl g,?S ,l y
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improvement Contractors License is required.
� I
SIGNATURE:
Q:Forms:expmtrg
Revise071405
} Island Sd' andRoofing
i
x� i• t y
a division of R LTCowtnxtion,Inc.
December 1 2005
Rebecca Perry
17 Joan Rd.
Centerville, Ma.
We are pleased to submit the following specifications and estimates for reroofing.
Strip existing 2 layers of asphalt shingles and flashings.
Install new aluminum drip edge and pipe flashings.
Install 3 ft. Ice & Water Shield to eaves, valleys, interwoven w/ step flashing on cheeks,
skylights and chimneys.
Install Typar 30 roof underlayment to remaining roof
,0 Install X yr .. Certainteed Seal King shingles.
Install continuous ridge to all ridges
Clean up and haul away all debris to landfill.
We hereby propose to furnish materials and labor—complete in accordance with the
above specification, for the sum of: $5100.09
FIVE THOUSAND ONE HUNDRED DOLLARS
Payment to be made as follows.
Payment in full due upon completion.
All material is Quaranteed to be as specified. All work to be completed in a workmanlike manner according
to standard practices. Any alterations -or deviations from the above specifications involving extra costs will
be executed only upon written orders,and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents,or delays beyond our control. Owners to carry fire,wind
damage and other necessary insurance. RLT Construction, Inc. carries General Liability and Workers
Compensation Insurance. Certificates of Insurance provided upon request.
ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are
satisfactory and hereby accepted. You are authorized to do the work as specified.
Payment will be made as outlined above.
Date of Acceptance: 21 s Signature
Start Date: Signature f .
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ast>an ve, n ,Massachusetts 02563
7efepfione 508.420.5243 and 508.833.5249 • Fax 508.833.-O098 • E=iCcaperoofer@caperoofer.com
Vide) /776
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N The Commonwealth of Massachusetts
Department of Industrial Aecidents
Office of Investigations
600 Washington Street
.= Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/organization/Individual): �V, C /°d/YJ'T_ PUT
Address: 3 / C/"r�
City/State/Zip: �P �t/l�/�l Phone#: ` �7 0-
Aree T u an employer? Check the,appropriate box: Type of project(required):
I am a employer with _ 4. ❑ I am a general contractor and I 6. ❑ New construction
employees(fall and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet$ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. 9. Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.[] Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12&�oof repairs
insurance required.] t employees. [No workers' 13.❑ Other
camp.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
lContractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,yob site
information. /
Insurance Company Name:
Policy#or Self-ins.Lic. #: 9�1 / Expiration Date:
Job Site Address: QjI2 /TAU / 7`T�G�� 11 Q ,��� - City/State/Zip: T/L
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 ®f
Investigations of the DIA for insurance coverage verification.
I do hereby certify unde pains an enalties of perjury that the information provided above/is
true and correcz
Signature: A AVX444 Date:
Phone#:
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 1
6.Other
Contact Verson: 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 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 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
ili Companies LLC or Limited Liability Partnerships LP with no employees other than the
insurance. Limited Liability mp ( ) rtY iP (L ) emp y
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 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:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
T el. -617-727-4900 ext 406 or 1-1077-MASSAFE
Fax -617-727-7749
Revised 5-26-05
ww-vv.tnass.gov/caia
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ma Parcel ° �
P��— � -fz �- � � r_ Permit# ���. `�
; .3(C
33 �,;�,�
Health Division c a0� p'0-2s�°'"��' - - Date Issued 1- 2 0 - 6 4
Y IT
Conservation Divisions %�/el® �ob.. Iz/a.3/cam 6y` Application *Fe �Tax Collector 04 Permit FeeL)
Treasurer / /( (� t ._ P T8 �'S
M-STALLED 6N COMPLiANC,
Planning Dept. TM2 5
ENVIRONMENTAL C®4.,
Date Definitive Plan Approved by Planning Board T®, �RECEI!.. I
Historic-OKH Preservation/Hyannis G�(�
ff rSTd ]]
V��e��e ��9� ow 14✓'^'e,
n �
Project Street Address 1,'11 IAIL� IG
Village r 4Le.
Owner � le.C��2�.� ��,�jr`tl Address
Telephone
Permit Request b A
ZCAA
JaAaAA,
i <Se
Square feet: 1st floor: existing_(y0( proposed 2nd floor: existing $% proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation tq9(88. " Construction Type
t
Lot Size _3 1(9-AC42AE Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family TwoTwo Family ❑. Multi-Family(#units)
�t Age of Existing Structure 2 Historic House: ❑Yes 54 No On Old King's Highway: ❑Yes No
Basement Type:XFull ❑Crawl ❑Walkout ❑Other '
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing .2.. new Half:existing new
Number of Bedrooms: existing_ new -
Total Room Count(not including baths): existing 2) new —' First Floor Room Count
Heat Type and Fuel: ` Gas ❑Oil ❑ Electric ❑Other
"'Central Air: ❑Yes , N(No Fireplaces: Existing I New Existing wood/coal stove: )<Yes ❑No
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size
Attached garage4 existing V new sizeLq x Ap Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
... BUILDER INFORMATION
Name yj1u�� 6�42_J-1 Telephone Number
Address License#
V 1 Home Improvement Contractor#
Worker's Compensations#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE / l 6 to
s FOR OFFICIAL USE ONLY r
LF -
PERWT.NO;
DATE ISSUED
MAP/PARCEL NO. M
w
C� ADDRESS VILLAGE -
OWNER
_. DATE OF INSPECTION: 4'r
r FOUNDATION D K 62-I3-D4-42�k
t FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL --
t • GAS: ROUGH' FINAL
+ FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLANKNO.
f
t
The Commonwealth of Massachusetts-
u=) ( Department of Industrial Accidents
F 600 Washington Street
Boston,Mass. 02111
Workers'Com ensation Insurance Affidavit-General Businesses
name:
address
city state: Zip: phone#
work site location(full address):
❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment
working in any capacity. ❑Office❑Sales(including Real Estate,Autos etc.)
❑I am an employer with employees(full&part time). ❑Other
U I am an employer providing workers'compensation for my.Pmployees worldng on this job.
company Ilame:
address:
city: phone#r
insurance.co: olic #
I am a sole proprietor and have hired the independent contractors listed below who have the following workers'
compensation polices:
address...: ;
city phone#.
insurance co.
comoany
address:
city:.. phone#:
insurance c6.. olicv#
ON.
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as well as civll penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that s
copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification
s
I do hereby ce i der the pains and pe ies of perjury that the information provided above is toie and correct
4 . .
Signature - Date ( O Lf
Print name Phone#
ffici2l use only do not write in this area to be completed by city or town official
cityMIME
ermit/license#or town: p [)Building Department
check if immediate response is required ❑Licensing Board
❑ p q ❑Selectmen's Office
❑Health Department
contact person: phone#; ❑Other
r (revised Sept 2003)
v
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", 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 be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall vdthhold 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,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please
supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted
to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the
affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being
requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law'or if you are
required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the pernrit/license number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
owe of Immstlgawns
600 Washington Street
Boston,Ma. 02111
fax#: (617)727-774.9
phone#: (617) 727-4900 ext. 406.
oF�NE, , Town of Barnstable
Regulatory S ervides
va sr erg,$ Thomas F. Geller,Director
1639. k,� Building Division
lfD►,1A't
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
• Fax: 508-790-6230 I
Permit no.
Date
AFFIDAVIT '
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversions
-improvement,removal,demolition, or construction of an addition to any pre-existing owmer-occupied
building containing at least one but not more than four dwelling units or to structures which are adj acent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: � Estimated Cost
Address of Work:
Owner's Name:
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded by law
[]Job Under$1,000
[]Building not owner-occupied
`,Owner pulling own permit
Notice i$hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME EYIPROVEMENT 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 Name RegistrationNo.
OR
o -
Date er's Name
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings,Additions $50.00 ��•
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE woRKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
GARAGES(attached&detached) pp o
W square feet x$32/sq.ft._ x.0031=
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x r0031=
m -q eix-o- ,P—
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 T
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
proicost
I
h
Town of Barnstable
THE,
Regulatory Services
swxxslaB> . ; Thomas F.Geiler,Director
MAW
039. .0� Building Division
rfc " 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: I d"►
JOB LOCATION: I 1
number street --7 village
"HOMEOWNER": 0 �C�—„ ��� G � \
name litme phone# work phone#
CURRENT MAILING ADDRESS: <070 cz-✓l
Poo
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
01
Si ature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control. .
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1-Licensing of 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
FROM 3RRDENS BY REBECCR PHONE NO. : 50B 778 4326 JRN. 20 2004 05:45PM P2
ROBER"T M. DESRQSIFERS, P.E.
Structural Consultant
P.Q.Box 649 Middleborough,MA 023446
Tel. NS-946-3%1 FRL NS-946-1653
DAM FU
7 Q/, '' BY
Grid/. _ �..��„� ....
_. fi ._ W � .
Vp
90
JAB
—}-
24,
`pf�METp�� The Town of Barnstable
arP p�
BARAS: E,II : a Department of Health Safety and Environmental Services
MASS.
9�p q `00 ,
rfOMP�p, Building Division
367 Main Street,Hyannis,MA 02601
office: 508-862-4038
Tax: 508-790-6230
r
PLAN REVIEW
Owner: Map/Parcel: 22 C� V b
Project Address: �C6Q Vl Builder: _ l ) np-Y-
The following items were noted on reviewing:
l 1r i
b-k�
9 d a 'QV1 0ti
DUO I' s \4(-)Yaoo- Divearrescejl-
("U
e--
O'K 9k-.
Reviewed by:
Date: -1
#uildinglormsseview
S 87°19'19"E #'
s a 73.82' S0, N 87°35' "
• t Wa
54.
F o .� HSE.NO.17, `o° �` BLOCK
LOT 11 ono
{.
35 'n ► � r ,
'►. �a w LEACHING ----- f.
h PIT 60.2' `
0
X
'y
I'
PROP. 914. EXISTING w
.o I ADD. DWELLING
i °pp Q N N N -C
O
R M
y I W2.9 s o °
�.
A 1
---r
ti 36.2 240' A
Z
- it
19.6� '
b
60
130.00'
I certify that the dwelling shown on N 88041'10"W
this plan is as it achrdl n the PLOT PLAN.OF LAND
ground and that ot{r�n of JOAN ROAD LOCATED IN
Barnstablezo ' sB v ' ,CENTERVILLE,MASS.
yard setbac L"VID^ 'rP r PREPARED FOR
REBECCA PERRY
0
date. an. \ ?`.:1ST �''` /t4 DATE:JAN: 15;2004 SCALE: 1"=20'
t
CAPE & ISLAND
joanrd 'a�t. 1.., S ENGINEERING
''° � ,e -=MASHPEE,MASS.
JHIN—ZU—EUUrI IUtr IU;d1I HP1 botoI I Lumbor Uompany I'AX NO. bUd ill( 2898 P. 03
w . 31
gyp..,
f O'✓ � . At4�{I!M14••9iy I I I. �- ' .I I
R
a... " to VERSA-LAIC° Products
An Introduction
` r5M When you specify VERSA-L,AM'9 laminated veneer
�. '1r� g quality utto our
headers/beams, you are building q ty y
design. They are excellent as floor and roof framing
supports or.as headers for doors, Windows and
era a doors and columns.
g
- g
� Because they have no camber, VERSA-LAM L.VL
products.provide flatter,quieter.floors, and.
consequently, the builder can expect happier
VERSA-LAM customers with significantly fewer call.backs.
LVI. T t'
.p,ivi® AIVI A, CHI ' TURAL SPECtFfCAT101US
VERO �. all
Scape: . This wot�c:includes the comeaemss �►aown factiired iri planevalu ed fo rfabrication by the u-
and lns%ilation.pf all vE.RSA 1.AM b .....;,:. ..: , ,
on the,drawings, heratn specified and necessly to ', - governing.code evaluafaon service and under the
supervision ofi a thlird party ms coon a encji listed
eic
l-64
complete the work evaivatton seniice
by the correspo;tding
Materials :Southern Ptne:veneers,Jaminated m Storase aind ynstailation: VERSA-lAM9 beams, if
a.pr®ss wtth..a11 grain:parallel uulth ttte length of
the:rrtember Glues used to laminatiot�are phenol• 'r :st0ace a maxtm mtt of}'45 ft lapaitoSeams sh lI be
fiorrriafdeh de;and ispcyanate..,exWrlor-type P d.......,
„skored.or�a !ry,revel surface artd protected from the
adhesives whO cornplY with AS'�M 1 5 as}hey.they shaft ba,handled with care so they,are
esign y VERSA Ash beams sh'. be siz+rd aid hot damaged
detailed to fit.the dimenslo'r>S.and�toads 1pdtcated pan VSRSA-f AM`°.;beams are to be installed.0 In accordance
tlie:plans.,:Afl:desigris shali`be lrt accordaracs with x
.allowagle values.doveloped in accordan Q t t on�M Produ"ct's installation G ide temporary.coast faction
ga56 and`Nsted lnahe governing cod . .•
•service's report and.section,properttes based,aapes rs...' iln t ermitt d Sreckion b acing shalldbe prov+ded toB
standard engmeermg pr;nciples,:Venfication.of.d . fg .
complete calculations assure adequate J WMI s port for the individual
the VERSA LAM°.bearns..by. y heat 's;and the;entire'•systt6m t�rltil the sheathing
shall$e avarlaplepiin aeques ` I;Ymaferlai laas;been-applied
Dra}niings. . Add'Itional dr�wings ShQw+ng.'layautend fiCodes.,' VERSA LAMS beams shall be evaluated by
t-and lament in,the
detaill.necessary.for detc�rmintng f. .. .. .
buildings are;.. . not}io.be provided by,the.suppii ," a:rnodet code.evaivatian service.
Allowable Hal+" s in V
IAA►- AIUI® F3eams
Sea Note 3
Notes ; rh i
143"'Fp31
1.Square and rectangular holes are not r
I. I
permitted. a are oePtr
2.Round holes may be drilled or cut with a r
hole saw anywhere within the shaded area
of the beam. -�-- 114 spank hitermedia!e searing
3.The horizontal distance,between adjacent End 9earin}7
holes must be at least two times the size of
the larger_hole, to holes h,Do not drill,more than three access holes to any fear foot tong 6.aceessti nlyU the s ze and location of holes driilledy or for wiring
section of beans. fasteners are governed by the provisions of the Natiatlal
` 5.The maximum rcund hole diameter permitted is: ),Sign Specification`tor.Wood construction.
7.Seams deflect under load. Size hoes to provide clearance
'Ya° where required.
5'1"` B.This hole chart is valid for beams supporting unlfoml load only.
oads For beams supporting concentrated ln for beams with
ou ^� lr:,roar holes,contact Boise EWf'Eng!neerig,
JAN-20-2004 TUE 10:36 AM Botello Lumber Company FAX NO, 508 477 2896 P. 04
_ _. � - � '__ -- _F�..-•i7> �rpr,•,34'3�� �� � ti�.2 � ��:�"1'L�.�p7E^.d�'�`t p'��'S,-,t j eA � ."1
•�.5••'f:Ij�. .i r M1.'A � „J, h44PP ,,,,�' . aGs �1i�,[
3 i k of rr ki',&qt
. .. • ...• �n:�r��=�..��:'� ° Load Duration) Snow Loa
Mffb SP and 3080Fb DF (115IO 1
KEY TO TA13LE: Top Figure=Allowable Total Load(plfl Middle figure�Allowable Live Load IP fl
Bottom figures;=Minimum Required Sealing Length at Find!Intermediate Supports[lnchesl
Triple Ply Quadruple Ply
pnuble Ply 1�1a"Width-3100 Fb SP 1sh Width•3100 Fb SP
Single Ply 131i'Width 3100 Fb SP or 7"Width•3080 Fb DF
0csft3n 1�14"Width•3100 Fb SP or 3112"Width•30t30 Fb pf or 5t(`"Width 3080 Fb Df "
cIlOSipan 14" dth 1100" 14" 7+i<" Bth' 11r1e" 14' 115" 18" 24" 97h" �11T1a" 14" 16" 18' 24" 11rh+" 14 16" is- 24
ltti y!
a03 1246 1068 tn' 1765 . 2446` 32?6 4131- 5041 a1bU.,, 10464 39 0 �,49ii c196 7671 A153 15a0T 8566 8281 iDq 12201 20629
6 I.V . .3 i 4.1 4 216.2 6:1 f6.4 9217,7 10,6111 2519,1 3.3.14.1 4 2!5;2 5,116,4 6217.7 G'914P 3'45D6'1 4 �5 2 5.16 f6A;a 161 117 t21B9
1613 2,6f3.1 3". 14.2 4315.3 8,3 2513•1 ,
5.
69A 974 it$6 1414 116 1717 2263 _2T18 . 332t 3916 8D9d 257fi 337A 4169 $9a2 `.�73
a 8 402
J:6!3. 2413 3,1!3,9 3A 14;a l.s 13 2a(3 313.8 3,8I4,7 4 517SA 6.318,c 9 201 QpD 2572 3 31391 4 37090 6 4320 B'0443 3 3429 3 41$7 4 41466 5Tf 616 869D30
325 631 879 : 10115 862 12D7 1716 2092, 24 3 2880 1667 l
4a4 11t1
10 24l6 {
3741 1666 2201 2TE3 3'48a �15 68tZ 3063 .3724 4386 6061 74lV
1.5f3 22f3 313d 3.614k 1,613 2.1!3 Z913.5,3f16�1.4 42'� a,9�le`1 7,319.1 2.f19 12913.6 3S14A 4216,2 4Sf8.1 1,319.1 2,Bl9,6 3ar14,4 4,2f62 4,Bi6,1 7;3lB.1
P4t,: 626 119 941 4
3B" 1046 153J - 1253
11 185 41d 371 836 1,7
1,5l3 213 2,9i3,5 3.5144 1°13 I,B13 2.9193 35r43{4.15l66A,1 4Z1T0 33014 11212 2ZOG96 326163 429531 43a',59 74970 ZZ6T86 35�3 4'3A37� �4653g 76521
167 42d 674 663 31$ :948 1339 i .1a71 1 A66 1064 2512 '
12 143 322 628
28$ 643 1269 j , 'S.9 6.71$! 2,713.4 3A!d,3 416 4,$i 5,0 6,i r 8.4
c 178$' 615. 2973 ,71 t709 2281 2679-.• 3mO 4480 2218 3D5D 9512 4170 6945
5,5i3 1.?!3 1,7!3.4 3.514.3 1,513 1,713 2.T13,4'34!43 4!5 4.616,9 $.1104 1.T!3 2T13,4 3A14,3 df5 4�` 1D76
lay 333 6796� g66 1139 1.26, ,
22a 9D8_' 3 �> T59 1482 r 4 i� 9P,192 Zb13,J 3A142 9.A14S 45157 6518.2
13 112 §253 494 3To� 6381
i 1 1471} 2D1O Z461 2a22 4Oa3 : 1961 81 „"3268
1.613 .1413 213.2 3.4143 1,513 1,6!3 26131 34142 391d90 9 4516.7 fi6l82 L613 2,b131 3,4�d,2 39 49 T 1682. 2503 '
118 2ti5 49 i 676 631 981" -13dD 1934 r 186J 2696. 609 1187 1944
14 80_ 2D3 396 ` 548. 10C 4d5- 151 . 1ZG6 2332 3004• 34.61 4930
2.313 -3i4 Lb f 3 t,6 f 3 ^s.3 f 3 3�;4 3.91"4,9 4.5 a9 6,410 1.51.3 2313 3,2 l 4 3.914,9 4 5 f 5,6 6A l 8 2 3l3 3214 3,9l4,A 4,6l 5 6 6.a f 6
1513 1:1.5!3 845 1269" `1749 2253 2566 3608 > '
9$ _215 °423 637 18B 43c .848 1158 '1602' 1130. -20 1206 }2148
&3 ' 1054 494 D66' J59)
16 73 1y5 322 627 145 329 454J
life 2.2!3 3 l3.7 1613 1�513 � 2,2 i 3 313 7 3b 14 8 4 A!9,5 eat 7.S 1�93 042 31634 3197a 6 a 24036. s•9g06 19AO 2446 3.�r.� 4.4 f�5,6 6.317.8
1.5 13 1a 1 352 I 6S6 1D23 1318 1612 227� 1060 173T 2583
71 J75 347 615 t6d 888 16 4D? 795 1363 1944
16 54 130 2$5 q34 121 271 5302917 4209
,5l3 1Sl3 tQl3 Z,8l3,6 Jb!3 1.5.13 J.913 2,813,6t3.df4.5 4.d��fi4 6'�1�7 1.51
`18663 2135T5 3'17405 4'2t334 63t677 '155 2.86 B6 3.2�5�4.4l5.4L1:7
1 j 895 IL 1166 1 8fi4 144
63 f .146 28fl 456 12,1 2O2 677 _ 339 083 JOBS IV
17 50 113 2"C1 382 171 , 225 442 724 103'
1 + 'AD a2 4't2A93 019 i 0l 13fi73 1713 2,51 3.3 1.4 t658 $184@3 5:1118 1 A7 3 21509 3. �2 42 25 ,6 39210
15!3 1.713 2,fi 3:3 1.513 11;6,3 1:113 26 f 3,3 915 1366 1944 14d 1220 1821 2693
63 1Y 2d2 404 1c6 245 411 199 1
1a $2 95 1$6
15 6 i 191 l 312 610 1 A10 1296 2Ba o l 517,6 1.613 2 513,1 3.214 415 857D
J,5;3 1,513 1.5r3 5613.1. 1,513 1.513 1-0iG3 Z076' 3D344 1461 4.15 6105 13103 1.6,53 21017) Imi 1740 2761 82 1037 155 135, M
44 iC3 • ZJS 339 Be 207 243 ` a15 770 1i6t 663 1
J9 38 ( B1 I 1.6 2F9 72 162 316 ' S19 774 1102
` 938 1049 1T24 234 625 865 1257 { 15?3 ZbB7 643 1889 SO 1327 1189111
31111
1,513 1.513 L6 f 3 2.213 L5 i 3 1,613 1513 2.213. 313.3 3,814.7 5.61 T:4 1,613 15!3 2.2 f 3 3 f 39 3E f 4.7 4 5,9l7,4 1513 22 l 3 9 f 3.8 3.I'll
7 6 9
j16 230 75 176 360 679 2c5 407 BG7 Be6 1418
36 as
20 31 0 l +,3a 222 $2 139 271 440 $64 845 a i295 2241 626 406 663 1298 1728 2569
1.fi!3' 1513 11.613 2;3 1.613I 1,613 1113 � 213 2649a 3Bf4;5 6,54 9!�79 1'1953 13g03 2�!T 2•�793i3,MIS 5,9l73 t-5f3 a 2 �b 3.'e�6 5,9
27 6a 13D 216 65 13O 2a0 432
161 3D6 601 T48 1066
22 52 1 161 45 1O4 204 3�4 499 710 7_ 1 G i 3 1,b!3 1,613 2.5!Lt 3.Sd 4' 6,617 1.5!9 ' 1,913 2613.1 335 1 5
23
ff gB 1D0 320 dAa T11 1252. 147 291 404 745 { 14fi1 1018 3A5 66A 1999
1,513I 1.f3 t.6t3 1.$13: 1,5f3 -1.5.'s '1Ff3 1b13 2.5!3,1 3S!4,1 5,61 314 515 1 168 1094
20 49 90 166 4J 267 3a4 641 •' 12i 230 .51 5T6 1920
24 18 40 79 129 38 BG 15T 4 1112 Z123
112 230 364 691 634 1595 306 512 T74 660 2D39
1.519 t.519 1,613 1.5l3 1,613 t.51S 1,519 2.113 2.913.7 6.iQ663.4 1w+3 1,6!3 1.513 2.1 3 {2°f3.7 5.1i6,$ 1.613 1.613 2,135 �13 2.9l3.7 6.118A
1. 52
15 31 j 51 6 3c. 15 163 266 : 31V 555 1 166 31. 40 645 J-29 247 A
26 14 32 ez 1Dt 29 83 124 202 302 433 ".D20 65 ea3 t621
4.7l6,9 1,613 1.513 15f 3 11!13 ,21111 4,1170 17 0 9 168 43 2 BI 3,1 4,7
� 662 131D 240 4a6 4D4 B55 t833 .
1.5!3 IsI3 1.513 1.613' 1,513 1613 1'6'3 1�ipt3 1.386173 .24421 .513 01 1a0 3r3 460
11 29 60 101 23
4g 81 23 54 99 162 242 344 Olt 76• 1�513 4 15!3 1513 2V3 4.d2!5,5 1s!3 13513 1.bi3 221i3 4,y�fi.5
.d 11 1 2ri fib 1.3 243 .5 533 1ISO 19', 324 413
1,613 1,5 i 3 ' 1.513 1,611 1.513 1.613 16!3 1.62 1113 235E 9.4 S,.6 LU 560 1327
j 0 23 { 43 0l 17 4a 96 162 24G 366 : 753 W 19S 295 42rJ D56 iD1 293 .51
Y d1 8J 132 107 260 651 82 5l3 1.513 t°J3 a.115.1 1613 1F!3 1,6t3 ,1,913 4.1!5,1
1f3I 1 1,9t3 4.1!6,',� 1,513 11.613 i
1.513 is 13 1«13 t fit 3 16 le pres0'an
Roaring Lengths are bwsed on the OfOv mti
•Total Leed values eto Dr11..ed Dy ehoar,fit�m de5lgr value futpendicuip+to gro'n ter the beam and the Tcte;Load vaPue sNo�1 Omar
u Cr1 or gai+o Jcn aqua'to L!16C, Tote;Lola values Teb,e valurn for Minimum Requ&,ed
are the eapwA.y of the beam in oddilion to Ile mvn rvelgh! deritin cane derelione,SUWI as 8 Yis pro dedcip O
r matenai,may warrerl lonaor bo"dng IC Mtha,
ad by aolleel(,m equal to L1240. Tadte values ar aurae mp1 euPPOF1 is provided a U file ruit width ly a bmam•
• Live Load values are li n beEhs only,
1 yh"membf m deeper then 14 tr541es era W be used as mt411pro•p1Y s.lbto to
both t'ne Total Load and Live Load veivae must be dre ad �t!herc a Live oed value to not Ti51a tebl0 wus dealaned 10 80f to albtosd range 01 IeGpA-aiicln with t may tlo eC CALF
:hawn,t0a Taal Load v3lu?volt c"trot.
+o either almplo cr mui ipW ePan bb-t;, Eaen is measure cch:ar to canter exceed 11+a f toitsli3Pie cf this fable by eaatyz n8 a sp
'fable values apply•
or Analyzamultp+ _14 e wt tearp with the Fie CALL"software 0 the tergth Of any veil ;0.
auppor�. P.
6 Sr lase than half the iohgth o;an edlpcen,elan-
„ Teb{pveh ae aasuma thatlaleLaf�uppon i0 pfovieed Maeet eupp=n and eontiruewly alcr9
80F n CIF 125%, Load Duration) Nonsnow Load
3'10OFb SP and 30 b od l
KEY TO TABLE: Top figure=Allowable Total load(pif) Middle figure=Fllowabie L!ae L (p n
Bottom figures=Mi.nimum:Required Searing Length(inches) 1 quadruple Ply
Double Ply Triple Ply 1314"Width-3100 Fb SP
Single Ply `1414"Width-3100 Fb SP 1314,Width-3100 Fb 5P
Design 1314"Width-30,00 Fb SP or 3tl�"Width-3080 Fb OF
or 5114"Width-3080 Fb OF or 7"Width•3080 Fb DF
Stan -0114,
7tf4" 9'li`i 1171e"� 14" . 7t14" 911:",11r!®" 10" 16" 18 2476 1 Q'6 0 163�11titi r 64,7 1 0948 D65 1f 29' 951, 1D9 5' i3265' 22753"
91i i 1353 1 *4 i 2255 19D0 Vl'2i6D 3564 j 442i ` 5496 6032 '
s l `
7 it-4
213 "[.713 A _714.6 4,E 1 B.a i,913 12,713.4 3,fi 14,5 015,71 55!E 9 .6,718,4 1131 i4. 2'!3,4I9.5145 V 4515.7 5,5,T.D 6,6J$s4 1 i 09 0�348995 4 9Dar7 fiT2230 60515 11i9253
6i0 Blip• ( 1246 ! 153B 1279 1667 245D 3022 3612 4257 -6626 .601 35T6 4533
g ds2 I 9E6
1.1 ill 2.613.2 U 14.2.14 152 1,T 13 i 2S i 31 3,51�.1 4.115.1 4.91E60,1 5,717.2 B.^11111,2 2513.2 37971 i�341 1,r'4034 i 546562 8 7006 2 3.37301 4 46511 h 53191 5 6265� B,D�12
32B V OB3 04 t•,53 52 137i, i6ar. 2276 ?fi 1fi5T
10 �41cp 1- • .4s4 .I h11 t gOS0 4769 5fi32 8137
1.513 1 2313 3214 !3.9 i 4,fl i,f 3 2.313 9"13,9 '3 6Al256 423947 51Z7686 I4059fl ?66$ 3Z400c 30373 4 35T674i1498 7 61D3� 3 3331'B +,8 J 4,0 4.616,7 6,319.0 7.919,8
244 652 041 •� if30 456 1104 i66s - 1253 � 2,4b � ': I 3262 -•
yj 1B0' 418 M ! 371 635 1931 s a g5: 2.1 l 7 4 415,fi 5.116.4 7,619b13,112,1119 14,7 4A l 6,S 5,i 16.A ?.&l9,5
2i413 i 3.213,9 U 1 d,6 i,613 i 2.1!3. 3,t 13,9 39 f 4,i 4A 1.5 5. BA 7,11 i
�� Z164_ 2739 . 3212 3714 54'06 2512 (eU 4252 4952 7207
1469 1824 12141 2476 36C4 . 1272. !
i61 424 1 733 92B 3743 126G ` I ,. .. b65 f 1504' '
12 143 I'.322 1 529 1 ' i j
1.7!3 31.3.7 131614,7 1513 i,713 3 i 3,7 3,i!4.6 9,3 i 6,4 516,3 T,3!E,1' j,713 316�9 3.8 0 4,2914 4 33bi i,40501 2476 3 3317 6 1.3 38 5A 4482 VU i Sdfl7 i
6S6 123$ 1fi66 1�3 2341 9234 09B 1 19T8 3236
1 146 3t3 Ear I 044 24 I :, 749 1462 242fl i
13 1}2 253- 494 ,` BID Yc5 lips 989 'D16'I
3 �2 7 t :4 l a T 1 i E 4;316.3 4,8 f 62 7110,8 1.013 2719< s.T l4,8'4 315,3 4.919 2 i,118812.713.4. 3A l 4 6 4:3l 6 3 A,916 Z T.t
1.51'3 '!,519 11.813;4- e714.6 1,5,3 lw J 1n 2151 2666 30H 4306 Zp06 2818 3566 4p92 SBE4
116 26S 622 734 233 5's1 i0g3 1468 il9 20rB 2E32 l66 +
11 f 4 90 203 .I 355 firs 1 100 405 l91 ' 1208
61.8 1/BT �94a 1582 2693
1' 1,513 5,519 26J3.1 3514,41 1519 1.613 i25i3,1 "s$!a3 41163 491.6.1 T10,7 'Sf3:j25f°,1 3.614� 4?t5345J6,1 7i0.7 2,513,! 3.514,3 4215.3 4,9 1 3755 716,7
t 94 216 423 639 1B6 430 s4B 1266 1634 1862 2632 045; 1269 1903 2451 26Z3 40r2 12N9 21 32 08 314� 3165 5363
15 73 165 �. 322 i 1,27: ''i46 j. .3ie 6E3 ' 1054 1679 4fl4 965 1501 236Git
1,E13' i5f3.1 22l9 3,314,1 I'S13.� 1b13 2213. 311A '4.Y152 d,B19 681$'.5 1.fiJ3 2213 3214 421 2 L614 8C�65 fi 4Zg682 4485 64940
1 r,%" Mir 362 E95 11 3 . 1434 174$ 2470 SZ9 . ip42 130 •21" 106D. 1737 2553 _
P Ii 176 3q 40,. :796 13D3, 1944
18 60 tab .265..1 434 :121 , 271 .630 . 908.. .119$
1613 1.513• •i,913 313,E 15f3 Ib13 .1919 313A',39►4,9 4,i.15e. 67l6,4 14583 1�8�13 3+427 .31�3? 4. g 0,7 64 1A 31Bo9 '32539g 43174e 614579
4 �
63 r 92 ` 377:. 752 1269 158T � a 8B4 1440 2161 3D76
s .• , . i46 209 2
476 iC7 yog` 699 . 10B6 611 2396
17 50 113 221 a62.. .101 228 442'. 72r r 1081
. .- I'D 1,513 1.713 28l9,4 1613 17l3 i.7l3 Z799<� 31 3d� 464147 921333 .13673 1T27 211994 3y696$ 42 20� 86�803 i.a7�l3 2,;6994 3, 0 42821T 6-02893
53-, : 122 •242:i .404. ,108-.. � .4 `;s1fi r 1366 �944• T44• 1220; •.1821° .2593
18 42 9B 186'
306 BB,. 191 372.' 61D-m•' DID -ice 2s9;ti ,
1,bl3 1.513 t,6i3 25191 i519 1,513 t.5iD3 Z67B,t 313193 4,9 �A 8.4h92 i � 163 2, 11� 3'1�t93 41BD04 82995? ;213 Zbl�51 3w4B 4�154 D, l2
t;' qq" tp3 206: 339' 49 207 .41 633 109T;' 1546 c204
::11C2 243' 476 7Ts 1+�. '1653:
36;. '.'61 ' ' 2S0 :. 72 ;J02 31E. 51B':.• 774 F s69 .13f>! 1T12 2815 tidl '1158 i139 71&1 ZTb3
1bI9'i 1'513. �1:6f3 2219: 1,5.l3 .14J3 t f9 2y1s 33f4,1 4'11421 19761 i. a3 U 26698 8,514,1 4.1 it.1 `6,5l9,1 1613 2113 3al4.1 4,1l6,1 6.51.B,i
36 .. ..itB•.;. ,'1i6': :'2�:;' : 76 ' y,.175. 350 ; ':s7�.. 21)b `407 667 996 _1116 r 543 BOP i327 .9lp
59 138 222:•: oZ 139 271 446 684K.. . B45 3252
, . .
5'i 3..,1519 •1 S 13. '.213 3.6 J 3_ `1 fi f 3. 151'9 `113: •3 C9,T 9.914.9 6,4 f B. 19b3 .13903 �7 ,213. 3974T399 3.2 9 2439 16233. 2B1�3. 311361' 31958 fiA 18
i 61B 029 1826 99T 142p _..
27. 66. 130 21E aS 13D.. 260 4$4 3p6. 601_._. 74fl :,1f166 400 869
23 .`L 52 '.1A2 _151 _ 40 IN 2D4 33d_.. 499_:71p_ .:.
" 14Tf{ lbl�3 1.5f9 1,413 1.613 -1.519 1513 1:613' 2513,1 3?114 013635 '147V ,2079. 1443 27451 V".tOB7q 620446 1�3 16�3 2.61 .1 3.5a�4 627256
�93 2D 1944 314 515 .7s0 1094•.. 2fi93
kl 98 I '� 3B : 44T.; 3296 . ,121 .238.. ..38fi ?.570 : 6
li 79 5 29,° 36 prd q Zw`Z 4.
--
t 1730 306 612 774 11t2' '2315'
�` 1,5f3 .Lfif3 1.519 � 16f3' 1,513 .176f3 ' i6�+9 1�3 238�3 29�187 ,SBA 1�`3 f2aD3 1g5�13 2,�'3 2,a�7 6;617 1,613 1,513 Zt13 2.9i ,
37'• �1 i26 3D 304 463. firs 1529 2d7 4fiS 6D4 8E0 2039
1 iq :92 tit 101 2B 63 1 "124 202' 3A2 . 456 1023 95 195
',8D 303 48p 682 1492. 2aD 4A6 614 B09 1900
1513 1519'� 1,613 ' 151a. .�fi13. :1,619 j 157.3 111S iIB13'.2513.1 .5.21015 r.6f9 1513 +613 1.613 2,519,1 5;2lBfi 1.613 1,513 1,813 fill
2,B 3.1 5216,E
t 3fl7' 442•' 965 67 1 t9B 324 Am fiB0 '633
11 60 10i.: 29 aB 120'' ' 22
99• ':92. 1 242 3�4 !118 76• lab 243 9fi3 S17 1224. 16
¢: 28•. _ .11,. 25 . 49 ' 01 .. 23 51 i 12 191 •"324 493 7111: 1723
2 13
{{ 1' B 36fi Bel 68 143 2a3 37D °33
1413 1.5J9 i 1,5f9 j.6i9 1,13 1.E13 '.1415 1,613 1.fi'19' 22f3 4.810: 15l3 1:6f3 123 t7 22t3 b232 •150'3.,'12�3 '1 323
3 2660 4327
B 4s 61 ll.. 40 96 15Z da
*, 3J 21 ae Eli q1 $B 132 197, 284 664 02 121 196 291 429 990
4.t, 1.6J3 .1,513 t i.o13 t,6 3 1.519.• ib13 ',5J3 •.,519 1.613 1.9l3 4.515,E 1:513 I'M 1513 t,513 13l3 4,516,$ ta'13 1,Sf3 1.6J9 ':1.p13 4,516,b
resolail
iGO On the
design value perpi,ridiatar W grain for the bear,and tno Total load value shown. Oiltar
7 Total Load veivan ero 10110 by shear,into+da9aedo,equal to U1D0. Total Lead dmala values for Mlrtlmunl rRequired
to ar In or 1110Searin L art materstanoft are b m y vr�arj"orr besting longths;
i ors the eapsdty at iha beam in a4dii0n 10 Its own weight, design consideia'Jons,such as H waeker cupp
• U.load vafuea are 1'onited by deAoeDort e4ueiifl 1J2411,
Tablo values WWII*►pet euppert is provided across the lull width of the beam.
174,member:deoper than 141nches are to be teed es multiple Ply Donors anty,
6olh tno TotalLoad and Live Load vstua''nunt to shacked. ° a LNe Load value Is not • This table was de i9ned to apply to a brood range of applications. 1t mcY be porslblo In
�. .1 :how, llte ToW Lead vetue will coatml• a 5POCI,k aPpllCation with the SC MC"
.Tap o veium apply to either simple of muidpia span booms. SPan re measured cantor W canter exceed the 6m{Ialicns eT dtlH table by analyzing
or supports. An l"Multiple spit,bcems with tt+e SC CAlC•saltwarH d the 1prgth of any epywero.
li span,!G less tw.h1w the icnp of an adjacent span,
!: provided al each support end carttinucus!y along
t; Table vahws sesame that lateral euppct'•k
the compreselae edge of the beam,
t - I"S ry il.�1y�fi,� t^I h ��"jl:�♦r�'-L 1 tl r { y .
�' � � ' 1Y ! M ��0 Q•�'q! `} I 1' �G!'� -II J / 4 r �� 1
�-ia °�' , J: 1. t r i. j�' al{�y �� ,1��; 1 a laq$'tJib i SJ`.n:,:j j..:•..�}�1';d;" •'. I....r n_... . ..
I a!+ 3Y. �.7 i184 1058 6.3 7 '91/4 16.6 12$03 26373 461.7
1851 '2486 .24.3' 7 91i2 17.1 12635 27736 500.1
1°14, 77n .' 3.8 2453 ` : 41B9 55.6 7 111/4 20.2 14963. 38171 830,E
` •1'/4 9°14 `'4.5 ,.313Q.' 6636. 1.5.4 7 1171e 21.4 16794 42276 976.8
310p Fb Sf? '14 9'1:' 41 3214 6979 125.0 3080 Fb OF 7 14 25.2 18620 57694 11600.7
1'!4 11 1+. 5.5 : 3806 9805 207:6 7 16 28.8 21260 7424 6 2389.3
1314; 11'la 5.8 J -`4018 1t]638 "�244:2'.
6.9.. .'4737 ..14517 • 400:2. 7 18 32.4 23940 92746 3402.0
'1'l+ 14;: . ... . . . 7 20 ._. 36.0 26600 1131'69 4666.7
1'la 16.' '. 7.9'"; ; 5413 . ;18682 597.3 7. 24 43,2 31920,° 159695 8064A
6090 ' '23337. :850.5
:��/4` • .'24' 11.8' 8120` 40183 2616.0
1 512 4,9 3858 4939 48.5
3 12. i
3'IJ2. VA 6.5 4821 8323 1111.1 "' •,
2 0.8. .
3
8 sP.
1 61 131 7 o Fb 3 51� F 310
3tJ2 9 /4 B• Grads 3100 Fb'.SP 3080 Fb DF 2200 Pb D.
37�g' 9tl2 8,5 6318 13B68 250:1 [wodulus oP Elastl;ity,
3D80 Fb DF 10.1 7481 19086 a15.3 E(x 101 psi)"ti ` .2.Q 2.0 1.8 2.0
:g1JZ: .:.11?/8 .10.1 7897 21138 488.4 Bond{ng, mrl .. 310D 3080 2200 3100
3)12: 14. 12.6 9310 29847 800.3 Fp(psi)
Horizontal Shear,
31l2. a6 14.4 10640 37123 1194.7 ,. F„(psi} ati ;29p 285 285 290
3t/z.. 1a.. 16.2 11970 46373 1701.0 Tonslan Parallel to Grain; 2100 1600: 2250
a,m� ..2250
31/z` 20 18.0 13300 66584 2333 3' Ft(psi)
1 1 5237 6786 63 3 Compression Parallel to Grain
72 8 =}: Fcll(p.i)m '3000 v 3000: 3000 3000
51lA; 5112 7 4 5486 '7408 compression Perpendlcutar
a�(a �aJq J:8 7232 12484 !68 7 to Oral" Fcl(p i)°tl°' :850 °90Q 900 850
5Vd" 9t1,4;. 1.2 5 9227 19780 ' 346 3 1'This value`cannot be atltusted for load duration
12:8 8476 .20802 3751 2:Thls value ls'based an'a load duration of,100°k and may be ad}uEtad for other
load.durations
jai(-0. 1�ti1h 152 1122Z 2a628 622 9 3 1=ilier stress banding vague shall be muiuplled by the depth factor,(121d)'�where .
3p8011?F, 5flq 1j7Je 18 4 11845L 3-17g7 732 G d=member,6epth nl• k `
13965 . 43271,: :1200 5 4 Stress appttod porpendicuiar to the glue{inas. (4/L)118 where
^' lq;:. •%1:4' yes 5,Tension value shall be multiplied by a length factor, 9 tiUs
4` ', 54l4 1t3;'. 216 1596Q:' 55666. ,1 92,0 6.SV smember length s applied paral el to the glueiinoosmembers less than rot r feet long`
24.3. 17955 69560 2551 5 •. pesltln properties are limited to dty conditions of use where the maximum }k
?;p 20`:r•.: :2T:0` 9950 84877 300 0 moisture content of the material vn l not exceed 19%::-: c}fl for a
--- - Fastener valuer,are os providod.to the National Design Spe cation® sawn
32,4 23944 119771, 6048.0
.•�° .,.:: .. ' Hclficgravlty of 0,50,
.:.•. . ..' lumber with&sp
11JEA 0
■ s
Nailing Parallel
to Glue Lines
n� VCRSA•RIM` VERSA-LAM SP VERSl4•LAht'DF ' All products (Narrow FadR)
( 10
( � p 3/1)
Nail Srze 1 fie) (1A°} Znd
` tjfihn41 I� fi li�or.)' ttncne6) n�neal' Iin ,ea1 t>ii L] (in l
ad f3oX : 2 2
.1 , 2
ed cflmmon} 4
3 •3' 2 2 1 2 1
10d`8 92d box )
16d Box 3 ..` :
'�: ..4 3 Z Z
n�&12d Corriman
i fid Suikef. ; .8
6 . .. ,3 z: '•_ . Nailing
16d'Comrr►on 6 4 Perpendicular
Siml1son A35F ' Y 9
lies. to Glue dines
. _ t3dx 1 z".Nai4s
Simpson�TP4 (wide Face)
• 1.-A +hp rI must be offset at least A inch.
.-.. . .._ �.-----J"--- — tr-r r'+m '^t!$S�`�"-�${�h`t'i�ry�fat�•r v�f°'L"`'y�'�'�' �i�b 'S{�rlj s•. u '+ 1' .
M.
i .� C,bE 7ti I `'+, �'d +¢� tiC{,17d t� "i'r.�,r`�M 1.krr• u. ,
Bt am 1
3 e
• m connector oI
go
Ct
Besting at exterior well t3eadrrg(ardcor or iafndowheader r
Strap per crock if top
1 ( � Fla►e Is not contiruaus VRSp•t t�14
1 f av6r header. WL han;ur
Clip
Engle ivloi=Sera i j.�
�I barrlsr i
Trimmers
Scam tp masonry(or concrete)wall
Da NOT bevel cut VERSA-LAM"beyond inside F3aam'framing in.o wall, wood top plate mast be
Bearing at column 4
face of wall without approval from 6olse is ? 1
1 Engineering. Tie strap tiLish with Inside of wall
VERSA-LAM"
column b I y
Note:Use same r Note;W lung V 1
NOR values ab for permittsd for Moisture
Douglas FU•Lsrch.
standard barrier
connections,
r � r
SIDE-LOADED ADD APPLICATIUI�S' Designing Connections for
Multiple V ERSA-LAW Members
1z pla.Yhrots Ula Throe h Bait"i %"an using mult plo ply VERSA LAMm beams to create a wider msmbar,
Nallad 2fo1+: 2rowe
2 2 fovea o e. the connection of the pBas is as critical as.detertnit�ing the beam size•
2 Irks f tid rcws 1Bd' ' 2.rows 2 rcyas >ro ct , 12`p o '' en the inside piles
Nwriw►of .Sprkera S�Ikt's 24"o G �g t2r.a C 4d U.o c prod
mere12"o rw oared use rod'. eta y ,�, ,• t�,. When side loaded beams are not convened prop y,
r�
not support their share of the load and thus-the load carrying cap
505. 1 Q t0 2t)24 560 `1120 !, 245 s kin example
ttsa full 0 d ro a m ltipie ply VERSAoi•L.AM°tllowing foor beetm-
2 470 705 �420 BAU .. 1685 . ltaw to size n
7a5 1'S15 rtm n sidentlal floor load
3a 350 525 .':' 376 :9 0 '7�5 1�95 . Given t3eam shown bet Given;
is eu{�pfl �I
1345 0 st dead load)end i spanning 16'^0
aL edule 335' 67D, (40 pat lhra load 1 :r M
depth is limited
d to 14
►iongerS not shown
nt use to schedial'+3 65 1715.., ry1A 112
r ry "( •. Yam;!.•i
L I .... 1914"�c?A".•Vi=RSA-LAP. 14' _
, t
s .,
f
' for clarity
• � -1p�";pIa.711ieuf�hBoltt't•._�'.r'' '�':;;§fs"•Dta 11trou9h soltrr.a : r
Nailed
roo 16d. j)I—a � �tom' Net: •�.Td° :
3 JmVe 1 Sffe 24"c a ' 1T o e �, e
fmbora.,'S4np G' 1�"A•C g"Eta alUd 6n.fir 'a a red g" eo red B`sl ered a"eta Bred t
755`.. 10 0 1515 840 1120 1665
2 aD5 840 630 84A 1260
'am 525 705 565 755 1135
580 745 1120 Support Me
4et use bolt schedule 505 670 .1010 Find: A mufgpto 1'le ply VERSA °that Is ade�uato 10
1, oo nVrduea aPf41 w t7Mmo<Oa to tFxt o>�'omt IcAN6UA6ME end 2'!:"ior'1°^bs!la,eoU twigs daU ba the taros 3smemr e6. design loads and the T7tat71ber's proper connection schedule.
the WL
e+an d etQ21.18rt(Grade 5 cr hiaiwrt A W WW nc!� s m both etch+of n three member
o eamard Cut waWtisr.�Tdl t:e bC'mwl)ft wopd and tr*cod '.`. 2, ��edtxd�n Pi?ly 1, Calculate the trlhutsry width that beam is supporting,
!IeaC slid tafAVppn Cte axd and l re it File r once iron the n 14412 + 1811 2 16
edge of the beam to halt noise nvs.be al iesst 2 fet'M'balm. B. 7"wWe beams meet 10P iO q warred Itmn ecl!1 sides. 1 33 35 of.1=sG or tic CAI.C°to ebut beam.
TO -LEA A P lC IO z, Use PLF fogies pager.. ,,..
A abler f z 1 Wf_., -I.ANf"310rJ Is found to
oaded beams and begins with Bade loads with less than those shflwn; adequataiy support the design loads, _
FOf t0 -I ;° " • " one side
a t)0 h 3. calculate
file max{mum pif toad from
De 1h 117h4&less 2'ri7ars 96d hoiu'sinkt3r naffs 12°o a 1;00 It (the right lido in this case).
I .12"o c+ Max,Side Load=(IV 12)x(40*I psf)=450 pif
(2j�alq"plies• Depth 14 •:18° 3'roui ifid' xlsln 9'r nabs 6A0 {
4 roods i6d.boitlsinkei halis C�12r o,C.. 4. Go to the Muhlple Member Connection Table,Sido•Loeded.
pe th-24° .300 1f Applications,l'1�"VERSA-LAW,3 membt rs
De th 117iu"8,less 2 rows ied boxlsll!tieI flails 12r o 1c.o. �50 ( 5,.The proper connection schedule must nave a capacf!Y greater than
(3)1st1"Plies° De th 14"•18°' 3 rows I6d boxlsinkef bails. `12°o'c' 600..8 the max.side load:
Qe th=24" 4 tow918d boxlslnksr nails ' yed 33$ d. Na11ed:3 taws 1£,d slnkefg @ 12°o.c:
505 f .' 525 pif is greater than 450 pif OK
(4)1SW piles De th 18 61 Ides. 2 rows!!2">�nits 24".o.t. eta Bred Soli,,:IW dlarneter 2 rows @ 12"skn9gered'
De th=29 3 rows 1,$'bolls 24",o:c.'ate eyed evs S° 855 765 plc is greater than 450 pif OK
{2}31rz°plies De th i8"&less 2 rows'h"bolts 0 24"'a.c; ski ore
as Of
De th 2r -24' 3 Wst�1`bolls 24"o,c.,eta eyed eve 8 ���are oozed tmmn ua
3.Ueo u!'owW Tad takes ET 9C CALC' 1g37 tyos.
1,$oom:wider then T meet be:des%041 by the eoGwara to stm boenw � ti,ti maY bs 8.Coat>{C Bois em E ��1 >tN.
-.^4 a ramd. A.An 046AVB ant rpm,* G 10.5 t for 11 w<4h ' Inlomtelum aR sUunturnl
675" 7833
478
111180010334w9 was
(508),7 7 m 9 00 ■ gyp
,
AX.
_ 546 St'
.� STAI`11
. . A
MS
LANGE BEAMS WIDE FLANGF_ BEAMS 1 B
Flange
Flange Web 'Weight DEPm Web- SeCIieD
Ffanpe 'Weight' III Thick, Thick Nombe
h1 Depth gyeb ` el Thick. Thick• Section ei of
_ f Section per p
of Thick-`Thick. Number ?oat +Section!Width nese asss Number Fool Section Width cress ness .
t i5ectlan Width I nesa ness fb, In. In. in. lo• C15
tb. Is. la, in. la.
In, In. in. in• W14 x 53 1 aC S24 IZ1D2 'h ' jlho
8.
32 25 13 1'A "./,a 48 131/4 8 , sh.f s/sa�: 105.0 241h' 74
46 241v 127l1 lt4s 64 13sh' 6 _. ,/s. s/ie C12
31 1 20) 1.2% lsho °� 1 6s11 V> she .. S94 x 100,0 24 71/i 74 'ti
.17 24u4 123k '/� °/s W14x 38 14/a 't N*..90 0 24'
+/° 34 61li ' 'It6, B0 0 24 7 %
t04 24 123A- W4 14, 1/< 1� ,h
6
94 �4'h g'k 'h '/t 30 13�' 7 V4 S202t11/4 T/i 'sVie 11ha C10
a 24'A. 9. 1/4 'h W 14,>< 26 1314'.5 1 �16 '/i ,',r4+ c 06 D 20'/4 7 1eha 11b6
„ , 22 131/4; 5 Fe
76 23►0.. 9 h6 �6 17 n
ei,6 '/16 W12 x 490 141/6 12110 +h6 S20>i 75 0 20 614 /i6 4
68 23'rl 9 170 14`, .- 12% 1a/ta . 1S/16 Y 66,( 20 p 6+/4 111,6 h
Cti
62 2314 7 the T1ta 152 134 121h Is/o
1 - 916 x 70.1 :16 6Vi 11/16 11/16.
65 231 e 7 /; Jr 136 13/e 54.1 1B 6- ; •i1ha .'hs pe
147 22 12112 1'!e 14 1, 121/e:'.,jl� . "As s
132 211,8. 121h 1+A6 sh 106 1274 12'li.. 1 s4 S15 x 5p•0 15 = 5k °/a IN
2is)e 121/e ,ah6 s4.. 114 6hs 12.8 15' 51h s4 1hd
111 21`h 121r1a 74 V16 86 "1214 1214 1 '
671121h 12/°.. 11h6 h S12 i 50.0 12 6'h '111 "1ia
101 211/0 !2'/4 11/16 Ys 72 12% 121A ,7/+ lh 40.8 12 5W 'lh6 'Ai Ci
83 21a" 81/o 's/ta 0/11 72 12114 s
12 „ U116 1La 5116 °11b' 'Ada
"k 'i7 t2 /e ?� S71 x 3 . 12 °
7: 65 121Jn 31.6 :12 5 /,a 1�. C
83 21' Bua 17/la
73 2111, 8114 11e ne
60 2114 Bv4 "h6 '/la . 'W12 x 58 S10 x 95.0 10 5
62 21 8114 64 34 53 12 10 0/16 1A
26.4 .10 45le 1h %6 C
W12 x
5712t E'r� 1/a "50 12'/4 81/6 s4 ale
1.0 45 12 8 %6-'"_ SSx 23'A 8 ':4vk /16_, �1j6 "
50 1 20% 6'12 9/16 'A 18.1 8 4 7ho '14
�204 6'.h 'h6 ?a40 t244119 11'/4 1'r10 1/a W12 x. 35 121h 6-1a1" h V:6 6 . S7 x 15.3 7• 3% : % ,/4
s 3p 12% 8'h /,o h
106 1 16,4 111/4 'she 12V4 6 xu4 S6 x 17.26 6 35/e 1/6 'Al
97�18% 111re INl 6! " �� i6 —_— 12.5 6_ 3a 14
1 4
83 18; 11h 14
761gY4 ?i16 9 12% 4 °!a V4 S6 x 10.0 5 3 s/10 1/1D
16 12 a v4 1l4
?sJa ,1/,6. 1h 14 JA% 4 Wi 1/tc S4 x 0.5 4 2� s11a c11f
71,t$'h 1
66 18116 76/0 1/4 /16 1 1/4 7.7 4 2% °/l6
1 !-01l6 1/e
60�18'p 711° h6 16 , '! g 2rh 1
55 18116 7111 slo 1/e Wig x 100 11 0 101h i 4 "Ak S3 x 7.5 '/4
who 18 71h °h4 'A 86 1014 10Y1 t 4 5.7 3 214
6 10'/4 r/fi 1/246 8 6 3/1 77 68 1014. 10'h 11, 1h
1h
iIIN 6 'h '116
8C t0'h 1014 t1/16 1/16
17% .6 'h6 'h6 a 1/1
10 16
54 101h 1n � she
i
rS <. FROM GRRDENS BY REBECCR PHONE NO. 508 77B 4326 DEC. 01 2004 04:53PM P2
1HERMAOTWO
1, flooas
1 General Information
7NE DOOR SVDTFM YOU CAN BEUEVH is
SPECIAL CASES
• WaraockHerseyCerdf:edDoorMachiner
Therma-Tru ships slabs with special identifying ink stamps as a required part of a program
for those distributors who are registered with Warnock Hersey as Certified Door Machiners,
specifically for Therma-Tru doors. The Therma-Tru applied ink-stamp allows the Certified
Door Machiner to perform secondary machining operations and to apply Warnock Hersey
labels.
There are 20-minute door and 90-minute door ink-stamp options.
Ile
THERM A-TRUE Warnock Ham►
db XX EASTERN
THERMA-TRU" VYai k"moy
XX WESTERN ��"'�•
Either of the above stamps,identify for a Certified Door Machiner that the slab may be
machined and labeled under his licensing agreement. The completed door is labeled by
the machining distributor with a 20-minute Warnock Hersey label.
Xc THERMA TRU' We► ►
EASTERN
THERMA-TRU' WamockWrwy
X WESTERN W"-
Either of the above stamps, identify for a Certified Door Machiner that the slab may be
machined and labeled under his licensing agreement. The completed door is labeled by the
machining distributor with a 90-minute(1-1/2 hour)Warnock Hersey label.
Page 2 FIRE I lesued: Dec2WO Product Manual
General information
Themes!a.a al Wiwi 4ada ark at rharma.Tnj Corp.
9 XW'nwma TN Corp,
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c MASSACHUSETTS
�. �� COMMO '� OF
DErAM'MENT OF INDUSTRIAL ACCIDENT'S
600 WASHINGTON STREET
BOSTON, MASSACHUSETTS 02111
fames J Ga=oei
c.rrm!ssione, WORKERS, COMPENSATION INSURANCE AFFIDAVIT
(licensee/permi ttcc)
with a principal place of business/residence at:
I �
(City/State/Zip)
do hereby certify, under.the pains and penalties of perjury, that:
[ J l am an employer providing the following workers' compensation coverage for my employees working on this
job.
Insurance Company Policy Number
[ J I am a sole proprietor and have no one working for me.
( J I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below
who have the following workers' compensation insurance policies:
Name of Contractor Insurance Company/Policy Number
?game of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
I am a homeowner performing all the work myself.
NOTE: Plcasc be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
dwelling of not more-thin three units in which the homeowner also resides or on the grounds appurtenant thereto arc not general.))'
considered to be employers under the Workers' Compensation Act(GL C. 152,sect. 1(5)), application by a homeowner for a license
or permit m2y evidence the legal status of an employer under the Workers' Compensation Act.
1 understand that a copy of this statement will be forwarded to the Department of Industrial Accidents'office of Insurance for.coverage
verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition ofSUminaJ penalties
eonsisong of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penahies in the form'of a Stop Work Order and a
fine of S100.00 a day against me.
Si ned this day of ��(%��- 19
Licensee/Permirtee Licensor/Permittor
rel
i
��N_
The Town of Barnstable
11c.:1111 ti� t� :IIId }.nNir��nnit'rttal 1 �
FDµA�A })ulidl,11<1 Divisloll
367 Main Street,Hyannis MA 02601
Office: 508 790-6227 Ralph Crvssen
Fax: 508 t5-3344 Building Coauuissioner
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MG L c. 142A requires that the-reconstruction,alterations,reno%ation,repair,modernization,conversion,
improvement,.remomal, 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,,%1th certain exceptions,along with other
requirements.
�- o 0
T}Pe of Work: Est.Cost � (Do
'
Address of Work: ec� CaAACA SXI Le Q� .
Owner Name:
Date of Permit Application: w)Z- I 9
I hereby cerdfv that:
Registration is not required for the following reason(s):
Work excluded b�•law
Job under S 1,000
Building not owner-occupied
_'Owner pulling own permit
Notice is hereby gi,.-cn that:
OWNERS PULLING THEIR OWN PER,%/,TT OR DEALING "qT H Ui\REGISTERED CON- RACTORS
FOR APPLICABLE HOME IMPROVE',ffl`rF WORK DO NOT HAVE ACCESS TO THE
ARBITRATION PROGRAM OR GUARA►� FUNT)UNDER NIGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hercbs zppl,, for 2 permit as the agent of the o\vncr:
Pn h�,,A A A iQ A AAA==:-
Date Contra r nam Registration No.
OR
to) :��l
Date Owner's name .
f ,
Y •
r
r
TOWN OF BARNSTABLE
BUIILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DATE 01 oZ
JOB LOCATION ` �3-6 G n f201
Number Street Address Section OT Town
"HOMEOWNER" � _ '�`� - —.
Name Home Phone Work Phone
PRESENT 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 such homeowners to
engage an individual for hire who does not possess a license, provided that
the owner acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to
reside, on which there is,. or is intended to be, a one to six 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, by-laws, rules and
regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department minimum inspection procedures and
requirements
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three far„ily dwellings 35,000 cubic feet, or larger, will be
required to comply with State Building Code Section 127 .0, Construction
Control.
KISC5
v .
y • .
ROME 0','NER'S E�E�fPTION
The code state:, that: "Any Hone Owner performing work for
Permit is required shall be
(Section 109. 1. 1 exempt. from the provisions which a building
- Licensing of Construction Supervisorsf.this
Home Owner engages a person s section
Owner shall act as supervisor«for hire to do such work ) ; Provided that if
that-such Home
Many Home Owners who use this exemption are, u
the responsibilities of a supervisor see Appendix
that 'they -are '
for Licensing Construction Su ervisors PPendix Q assuming
awareness often results in serious Rules `and Regulations
SectionThis lack of
Owner hires unlicensed persons. Problems, particular this )
against the unlicensed person as it would with Our Board cannot'when pro Home
Home Owner actin licensed'. su a Proceed
g as supervisor is ultimately res ons' P rvisor. The
To ensure that the Home P ible.
Owner is fully aware of his/hert'responsib'
many communities require
Owner certify , as part of the permit a responsibilities
On the last y that he/she understands the res on PPlication,.. that the ;Home
You page of this issue P sibilitiely s of
may care to amend and adopt1suchfarform/Certificaton for e supervisor.
community. usedy several towns.
r use in your
l
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• � ! i I i j l � I i ! � �
i � I III
Assessor's Ace(1st F ): _
Assessors map and to m — C PEPTIC SYSTEM MUST'BE p`TMc to
Conservation EN`7._i�LLED IN COMPLIAN Board of Health( loor): WITH TITLE 5
Sewage Permit n r � r 5 ® J — r�p �,gq AUsTAMtZ
a-'M4V! ONVIEN,TALC01�� riva
Engineering Depa en (3rd floor):' �r�� tr� ���,t s ,3TI x °o 1639.
House number ,to asr
Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30 1-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF. BARNSTABLE
BUILDING DIVISION
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION _ 4?A0\JACr,7,hd�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit aacccordingglto the following information:
Location
Proposed Use
Zoning District C Fire District D
Name of Owner Address l'I
Name of Builder_m w/ bu,18 p, Address
Name of Architect �''� Address --------
Number of Rooms Foundation
Exterior Oil �Q Roofing
Floors (C}Ul-Pr Interior cL�/ G I vv�L.C.._
Heating Plumbing
Fireplace Approximate�Cost V V
Area ' C �9 eZ7_
Diagram of Lot and Building with Dimensions Fee �1
1 ab'zL 3
li,l cv3,z�
Iv9 ta,l
OCCUPANCY PERMITS REQUIRE v
�)00_n mil,
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable'regardng the abo construction.
Name
Home Imrpovement Contractor Registration# Construction Supervisor's License# ✓,�
No-' Permit For dormer r
Location 17 Joan- Road
' Centerville - ri
Owner. r RebeccaI Perry
F + 'T ct frame
Type of Construion
I i r
Plot' Lot
Permit Gran+}ted October 27-. i9 f94
Date of Inspectiony�{
Date Completed 19
LZZ
oh
i f i
.. "+ i 1 R f f i 1• #
Rebecca Perry
17 Joan Rd
Centerville , Ma 02632
Gloria M. Urenas January 4 , 1994
Zoning Enforcement Officer
Town Of Barnstable
367 Main Street
Hyannis , Ma 02601
Dear Gloria,
I reciever your letter dated November 24 , 1993 concerning
the operation of my business from my home .
As we discussed , I was unaware that there were any zoning
regulations that prohibit me from operating a business from
my home . Now that you have made me aware of these regulations ,
at your suggestion I have rented a garage to store my tools
and working equiptment .
I will continue to go back and forth to work in my truck.
I hope the neighbor that you have recieved the complaint
from will come to realize that not everyone in the neighbor-
hood will always live up to the standards that have apparent-
ly been set for us .
I apreciate your help and understanding .
Sincerely ,
Rebecca Perry
.Q
The Town of Barnstable a
lA((f7AtLi . Inspection Department
367 Main Street, Hyannis,,MA 02601
508-790-6227 Joseph D. DaLuz
Building Commissioner
November 24, 1993`
Ms. Rebecca Perry
17 Joan Road
Centerville, MA 026.32 `. , y
RE: A=228 085 a
17 Joan Road, Centerville
Dear Ms. Perry:
This office- is in receipt of a complaint. alleging µthat you
are operating a business from your dwelling located at 17
Joan Road, Centerville.*
Please be advised that your dwelling is located in a
Residence C zoning district and business use is not allowed.
Please contact this office' immediately, re the above matter.
Ver truly yours,
Gloria M. Urenas
Zoning, Enforcement `Officer
GMU/gr
cc: Complainant
2
TOWN OF BARNSTABLE �'0
• BUILDING DEPARTMENT
.� COMPLAINVINQUIRY REPORT
Date Rec'd B Assessor's No.
Last Name First Name `
ORIGINATOR Street ,
• It � .
Village State Zip
Telephone: Home Work'
y A .>`4 _ _
Description:
_ COMPLAINT
INQUIRY
Requestor's Signature
COMPLAINT Street Address /
LOCATION
OFFICE USE ONLY
INSPECTOR'S Date Inspector
ACTION/
COMMENTS •'71y� - �J`�C3 �ic•;O�-,� 6 ,73
7(D x
FOLLOW-UP
Yv� >
ACTION
ADDITIONAL
INFO. ATTACHED
COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR 114(
PINK - INSPECTOR (RETURN TO OFFICE MGR.) G � GZyC
MISC1 / �� 7�e 141
G✓v/7���i.� ��7�^ZCi L'WC.i / Gil.��
e�
clze lzll--Irlt� 0,16-
-9 C/
d ��ey Cyc /.arc
410 Ian
17
G1 (2
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DED 7 h Tb i' p' S C is•Eu � - -•c— 7
LCJC 1. JC3r,{'d FiOAI.E C: � � 1_D '� �Eti, �Ec:SE_D' �.C? r••.i_.s ,..�t';+.�!•.; .
----MAILING ADDRESS-..__....__._,_.-, PCA 1011 PCs co YR E_%'E_ Pr^,rtCW _ E
PERRY, REBECCA MAP AREA 49I.EC Jl' MTG 0000
17 JOAN R'D SP 1 SP2 SP3
I 1 t 1 30-rJ FT 1140 �
CEN irERVILLE MA 02632 AYE 1960 EYB 1975 OBS COE"J,^rT
0000 LANE! ._-.?30 , I rip 6 000 0 T'rIEr--,
----LEGAL DESCRIPTION_..,_._..._ TRUE MKT 97: 00 REA CLASSIFIED
1 29, 300 ASO LND 29300 0 ASO .IMP 68000 ASD- OTH
#BLDG(S) -•CARD-..1 1 ,'•0, c !?E_D DESCRIPTION TAX YR C::URRE:iJi"r._:.. EXE:M - TAXABLE-- ._
#PL. 17 JOAN RD CEO; I"r».(-VIL.L.E TAX EXEMPT
#RR 0801 0130 D R'ES I LSE NT L 97300 9 r3r_-D,_D. 27300
OPEN SPACE
COMMERCIAL
IINDUsTR I AL
EXEMPTICNS
SALE 01/22 PRICE 105000 ORE C 1 .C568 AFD
LAST ACTIVITY 01/13 93 PCR Y
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