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0049 SHUBAEL GORHAM ROAD
�. � � M . _ ,, ..,. � .' !j+ � i �.. 5. � � - ". .s ;. :. .. .� .. ,; ,: x ... .�' �. t .. .. _ � � .�: :. .-'. .. - �. - - _ � �. .. - .. � - .� �,. .� :i m .. �- y _ �. - � - e r - v. ,� e .� 'I Y .. .� , .. r � _ -. ..... .. �. � .. ttt .. ..' � .: .. a �, u�-�-� �13��c�� b}� �1"E Town of Barnstable Regulatory Services BMWSTABLE* MASK ' i Thomas F.Geiler,Director' iOTEp MpI0. Building Division ' Tom Perry,Building Commissioner ` 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July Resolution Energy, Inc. Attn: Richard Fournier 49 Herring Pond Rd. ... Buzzards Bay, MA. 02532 F f. ` RE: 49 Shubael Gorham Rd., Centerville, Md. Map:.171 Parcel: 135 A - Dear Mr. Fournier: ' This letter is in response to application number 201304092 submitted to install insulation , and air sealing at the above referenced address. Unfortunately, the.application cannot be approved at this time because Resolution Energy, Inc. doe's not have a home improvement registration in the name under which it operates. This is a violation of Massachusetts General Law. Please arrange to comply immediately or a complaint to the Massachusetts Office of Consumer Affairs may be filed by this office. Do not hesitate to contact this office with any questions. Thank you for your anticipated cooperation. Respectfully, `. e . Lau n i ocal Inspector (508) 862-4034 j effrey.tauzon@toawn.barnstable.ma.us , �t: No ��1C�. � �. � _ I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map""171 Parcel Application #_ � Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address 7 9 ,.Sh uha e I b rh Village CAif171-c ry1 t�L Owner Address 4�0 29t/ oih,4rn as Telephone Permit Request �S hbu � �6 6� .Q.Dattk� ?7 al Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ,Project Valuation 3!�p0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including bath:): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes U No Detached garage: ❑existing ❑ new size Pool: ❑ existing ❑ new size _ Bares existinEJ❑ rLyv size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Otherr Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r Commercial ❑Yes ❑ No If yes, site plan review # Ina Current Use Proposed Use A a APPLICANT INFORMATION (BUILDER OR HOMEOWNER) IS, ` Name i ch an C( J'In l er Telephone Number �c�cF Address /4CCZiCJ 100,q44,iaJ License# CS 647 >Vll+ U) I'J� Home Improvement Contractor# 1 5 3 ` Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT�WILL BE TAKEN TO q P t actq SIGNATUR DATE i. -, FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 4 MAP/PARCEL NO. ADDRESS VILLAGE OWNER s a DATE OF INSPECTION: !FOUNDATION. FRAME INSULATION FIREPLACEAY `' 't ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l Parcel 3 7 Application # Health Division Date Issued Conservation Division Application Feed Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 3 Historic - OKH _Preservation / Hyannis :y.Y,.� ya.z Rt Pro ect S treet Address Village 'Owner � Telephone Permit Request �r� Aet 3 ko.rct,7z -4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ' Project Valuation D u �' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement"Type: ❑Full 0 C"rawl ❑Walkout ❑ Other-_ ' 1 , Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes .0=No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No ' 1 Detached garage: ❑ existing--❑•new size Pool: ❑ existing',❑ new size — Barn:-"0 existing❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size Other:" Zoning Board of Appeals Authorization J.,Appeal # Recorded ❑ � .3 s A Commercial ❑Yes ❑ No If yes, site plan review# J Current Use Proposed Usen APPLICANT INFORMATION , ,..,Y -(BUILDER OR HOMEOWNER) - Name 1 <.17 CL,l c/�� C?1�n �i Telephone Number Address �l�i r r� ! 'S (r�C n�� Z License # (`S T C � I 1 < < V � 1, 1 . Cct-) ;v_)/� CIa I' %d Home Improvement Contractor# > > aWorker's Compensation # ,. 1/6, f �l %J- 01 ` �( '-- ALL CONSTRUCTION DEBRIS RESULTING FROM THISPROJECITWILL BE TAKEN TO ' SIGNATURE !f / �- 'DATE FOR OFFICIAL USE ONLY " APPLICATION# DATE ISSUED E) MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: -FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 i ��e�anr.�ua�cruea�.(✓r o�C�/l/l�cuae�r%;ems -� Office of:Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACT t istradon: 175793 Type: 1 f, ` piration 6/10/20W Individual RICHARD FOURNIER 1 RICHARD FOURNIER.;' 13 WILLIAMS ST APT 722 Q�w FAIRHAVEN,MA 02719 Undersecretary • 1 i 3 5 t aF�.Svss 1ie9tIdint onstruction Supen-isor�, License: CS-081174 jfyf' t RICHARD?FOURNRR�, 105 CENTRE ST FAIRHAAN MA 02719, J.�w.• _Xpiration Commissioner 03/29/2014 j� f� j 1S i.� 1 i The Commonwealth of Massachusetts Pnnt,Form _ ' - . Department of Industrial Accidents Office of Investigations ' I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):. /t l,�-f �n r Address: �� 14e inc, A.,'/ 2c( City/State/Zip: 601-e.ctrdS 64�, MA CdS3a-phone#: Are yo employer?Check the appropriate box: Type of project(required): 1.2Tam a employer with 4. ❑ I am a general contractor and.I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance. 1 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.El am a homeowner doing all work officers have exercised their 1 Ln Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roaf repairs insurance required.] t c. 152, §1(4),and we have no - employees. [No workers' 13. Otherr)l�tP(L 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. tContractors 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.#: V-79-b 1 6 Expiration Date: 4o//Ld X 01 L/ Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 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 D insurance coverage verification. I do hereby c under a sins and penalties o er'u that the in ormation provided above is true and correct' Si atur :Ef ---- - --- - - - Date - - ?.L- — --- -- Phone#: Official only. Do not write in this area,to be completed by city or town officiat 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#• ACORD CERTIFICATE OF LIABILITY INSURANCE PDATE(MM/ODnYYY) 6/17/2013 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 pollcy(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: Applied Risk Insurance Services, Inc. PHONE ppX 10825 Old Mill Rd A/C,No,Exe: (877)234-4420 (A/C.No): (877)234-4421 Omaha, NE 68154 E-MAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMERID# INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA Continental Indemnity Co. 28258 Resolution Energy, Inc. INSURER B: 49 Herring Pond Rd INSURERC: Buzzards Bay, MA 02532-2226 INSURERD: CTL 1273 751101 INSURERE: INSURER F: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF POLICY EXP LTR TYPE INSURANCE INSR WVD POLICY NUMBER MM/DD/YY MM/DD GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑❑ EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS MADE❑OCCUR $ ---one on) PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT- P ODU TS-CO P O G $ , AUTOMOBILE LIABILITY LOC $ ANYAUTO ❑❑ COMBINED SINGLE LIMIT Ea accident $ ALL OWNED AUTOS BODILY INJURY Perperson) $ SCHEDULED AUTOS I30DIL I re ; o $ HIRED AUTOS PROPERTY DAMAGE Per accident $ NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS MAD EACH OCCURRENCE $ E ❑❑ AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N X I ER A OFFICER/MEMB ANYPROPRIMBER EXCLUDED?R/PARTNER/EXECUTIVE Y N/A ❑ 4 6-87 2 47 9-01-01 06/14/2013 06/14/2014 E.L.EACH ACCIDENT $ 500,000 (Mandatory in If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 SPECIAL PROVISIONS 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) CERTIFICATE HOLDER CANCELLATION RISE Engineering SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1341 Elmwood Ave BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED Cranston, MA 02910 IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Project Manager AUTHORIZED REPRESENTATIVE 1783118 ACORD 25 (2009/09) ©1988-2009 A ORD CORPORATION. All rights reserved JUN-17-2013 07:04 AM A P A 7745626937 P. 1/ 1 rrl' Praha- 792 ,vu it i� Qrm N► Subject qro P'I� V il;,..,. t',; ci' _ ' 1. E` Ir i. �' ,' I1'1 .ale n"liit:CEW(S �)Lfz urized by -this bullcjia-19 i)ek"'"i.'i' -'Oplication. 3 1 f.Oa i n s a 1 l Li jll �:tt. 4; TOWN OF11ARNSTAPLE.BUILDING.PERMIT APPLICATION Map- 1111 Parcel.' ' Applicati6h, "Health Division n Date Issued 'Conservation Division Appljicatiob Fee Planning'Dept.' -.:Permit Fee. A" Date Definitive.Plan Approved by Planning Board Historic =OKH Preservation Hyannis 4-k Qk� \ k) Project Street Address f\ (S 0, P V A N-N Village Owner Address Telephone Permit Request Qiy\0-V-e-- vJ \,mo�L k1"Aq4Sa v-k Lg) 1L t�k Square feet: 18t floor: existing VMproposed C> 2nd floor: existing proposed Total new Zoning District; Flood Plain Groundwater.:Overlay Project Valuation 0 Qe> Construction Type w rk�-0,A Lot Size Grandfathered: Ll Yes L3 No If yes, attach supporting documentation. Dwelling Type: Single Family ,,,* Two Family Q Multi-Family (# units) Age of Existing Structure Historic House: LJ Yes ANo On Old King's Highway: L3 Yes No Basement Type: ),Full Ll Crawl LJ Walkout U Other Basement Finished Area (sq.ft.) � Basement Unfinished Area(sq.ft) \'N.Zk_6 Number of Baths: Full: existing; new Half: existing new Number of Bedrooms: existing b new Total Room Count (not including baths): existing newer_First Floor Room count Heat Type and Fuel: ALGas Q Oil LJ Electric Q Other Central Air: LJ Yes 4t No Fireplaces: Existing wood/ 0?: L] _� New C) Existing al sto = ❑4-es XNo C:2,11 rn ZZ Detached garage: Ll existing U new size—Pool: J existing J new size Barn: J ixisting nei�, size_ N' co Attached garage: %existing LJ new size —Shed: LJ existing L3 new size - Other:8`1 — > .&4 Zoning Board of Appeals Authorization Ll Appeal # Recorded Ll CD to Commercial LJ Yes No if yes, site plan review # Current Use S t V*A Q Proposed Use A APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 5 OS-4 W�- 'Yk(0 Address C1,A 0 License # A, A0 V Home improvement Contractor# � 0 r S Worker's Compensation # :I 27_U -I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO QA_5_5`,_\K SIGNATURE DATE A FOR OFFICIAL USE ONLY 1 =- APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME I I is-.A�- INSULATION A60 11)1 F &,W- FIREPLACE ELECTRICAL: ROUGH . ,FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL rl FINAL BUILDING 7 - p DATE CLOSED OUT - ASSOCIATION PLAN NO. Vie Commonwealth of Massach.usetfs Department of Industrial,4ccideats Office of In-vestigations 600 Washington Street Boston, M-A 02111 www.mass.gov/dia Workers' Compensation Xnsrtrance Affidavit: Builders/Contractors/EIectricians/P.lumberg A licant Information Please Print Le 'bl Name Address: 3 % , City/StateJZip:C�►.� f,.r� _ Phone.#: 3 �ro Are you an,employer? Check the appropriate box: Type of project(required): 1.L9;-1 am a cmploycr with o — 4. ❑ I am a general contractor and I 5 ❑New construction employees (full and/or part-time).* havc hired the mob-contractors 2.El am a soli proprietor or partacr- listed on the attached sheet 7. ❑ Remodeling The su se b contractors have g. Demolition ship and havc no employees working for mn in any capacity. employees and have workers' 9 Building addition [No workers' COmp.•insn=Ea c t omp.insurance. 5. [] We arc a corporation and its 10T[ Electrical repairs or additions regtttrcd ] officers havc exercised their 11.0 Plumbing repairs or additions 3.Elm I am a honowncs doing all work myself[No workers' comp. xight of exemption per MGL 12 ❑Roof repairs c. 152, §1(4), and we havc no in=ocz.required_]t employees. [No workers' 13.0 Other comp.insuranc.required] *Any applicant that chce5a box#1 rmut also fiIl ovt the section below showing their workers'cornprnsaljon poficy infmrnatitrtn t Homcovmcn who submit thin affidavit indicafmZ they arc doing all work end than l irr.outside contractors must submmt anew affidavit indicating such. tc-mtxactors that cbomkthis box must adar-bcd an additional sbcct showing the name of thc sub-ctntracbrs and state wbctbcT ar not those entities havc cznployas. If the sub-contractors havc anployccs,they must provi dt tbcir workers'comp.poll c7 nrunba. lam an employer that is providing workers' compensation insurance for my employees. BeLcry is the policy and job site information. Insurance CompanyNsmc: q Policy#or Sclf-ins. Lic. #: c p o ` `,&\L ExpirationDatc: Job Sitc Address: L{a( V �r� .� U e Qa4%\_Ih IVY City/Statc/Zip: Attach a copy of the workers' compensation policy declaration page (sbowing the poLicy number and expiration date). Failure to secure coverage as rcquircd under Section 25A of MGL c. 152 can lead to the:imposition of rrimi,ial pmaltirs of a 5na tip to 51,500.00 and/or one-year imprisonment; as will as civil penaltits in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against thq violator. Bc advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' cc coves e verification. I do hereby cc u der th a' 4,7 =u ' information provided abaNe is true and carrerl Si attne: Datc: d� Phonc# Z� 4AQ-9' 3 LV Ce O lcW use only. Do not #rile in this area, to be completed by city or town offtciaL City or Town: Permit/License# Issuing Authority(circle ane); I. Board of Health 2.Building Department 3, City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: ivfassaehusetts Genera) Laws chapter 152 requires all emp)oyers 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-" tin employer is defined as "an individu.4 partnership, association, corporation or other legal cnYity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a dcccascd employer, or the receiver or tr ee ust of anindividual,pattacrship, association or other legal entity, employing employees. However the owner of a dwelling house having not more than thrcc apartments and who resides thcrcin, or the occupant of the 3w,11ing house of.another who employs persons to do maintenance, construction or repair work on such dwelling house )r on dm grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." vjGL chapter 152, §25C(6) also states that"every state or Iocal licensing agency shall withhold the issuance or -enewal of a license or permit to operate a business or to construct buildings in'the commonwealth for any rpplicant who has not produced%acceptable evidence of compliance with the,insnrance coverage required." additionally,MGL ohapter 152, §25C() states 'Neither the commonwealth nor any of its polip subdivisions shall :rater into any contract for the perr"ormancc of public wor3c until acceptable evidence of compliance with the in�aance cquircmcats of this chapter have been presented to the contracting authority.. LPPlicants Icaso fill out the workers' compensation.affidavit complctcly, by chrcking the boxes that apply to Your situation and, if 1 mb-eontracto s name(s , addrcss(es) and phone numbers) along with their certificafc(s)of cccssary,DPP y � ) ) mu-ance. Limited Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no-cruployccs other than the ambers or partners, arc not required to carry workers' compensationnarrance. If an LLC or LLP dots have mloyecs, a policy is required. $e advised that this affidavit may be submitted to the Department of Industrial ccidcats for confirmation of insurancc covcragc. Also be sure to sign and date the affidavit The affidavit should returned to the city or gown that the application for the perosit or license is being requested, not the Department of idvstrial Accidents. Should you have any questions regarding the law or if you arc required to obtain a workers' ,mpensation policy,pleaso call the Department at the number listed below. Self-insured companies should enter their l£insurance license number on the appropriate line. ity or Tow-P Officials cFse be sire that the affidavit is complete and printed legibly. The Department has provided a space at the bottom 'the affidavit for you to ,fill out in the cvcat the Office of Investigations has to coatact.you regarding the applicant- rase;be sure to 5Il in the permit/license number which will be used as a reference number. In addition, an applicant it mast submit multiple permit/liccnsc applications in any given year, nccd only submit oap affidavit indicating current liey information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or Wn)."A,copy of the aff davit that has.becn officially stamped or mazkcd by the city or town may be provided to the plimat as proof that a valid affidavit is on file for Ntarc permits or licenses. A new affidavit,must be filled out each ar..Where a hDme owner or citizen is obtaining a license or permit not related fn any business or commercial venture a dog license or permit to burn leaves etc.) said persop is NOT required to completz this affidavit c Office of Investigation would hIL to thank you in advance for your cooperation and should you have any questions, ase do not hesitate to give us a call Department's address, tcicphone•and fax number. Tba Com'aonW"Ith of Massachusetts Dq)az eat of Industdal Accidents r Office of Investigations _ - 600 washi.ngtan Stmet Boston, MA 02111 Tel. # 617-727-490.0 ext 4-06 or 1-V7-MASSAFB Fax # E17-727-7749 11-22-06 wwW.ma_SS.goV(dia r ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: 1C ,Sly Site Address: Town: Applicant Phone: a - 3 Applicant Signature; Ul�r%�124i� Date of Application: Of— NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107,1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM _ Ceiling or Basement ISlab .Option 1: Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wall R-Value AFUE IISPF SI IR R-Value R-Value and.De th National Applimce Energy R--10, Conservation Act(NAECA)of 35 R-38 R-19 R-19 R-10 4 ft. 1987 as amended,minimums or greater is applicable Note: This form is not required if you choose either of the two versions of REScheck as.listed below, ❑ Option 2: REScheck-Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107,3,2 RE'Scheck--Web which can be accessed at http://www.energycodes.gov/`reschebld :ADDITIONS,OR ALTERATIONS TO EXISTING.BUILD;rNGS.O.VER S,'YEARS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above, Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b = a) � SF 100 x \71(0 % of glazing (b) Glazing area equals_ (o_SF 6 a If lazing is <,40%o use.the chart below. If glazip .is>.40% proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter 11I Fenestration Wall Floor Basement Wall 9 Exposed floors R-Value U factor R-Value R-Value R-value R-Value and Depth .39 R-37 a R-13 R-19 R-10 R-10, 4 feet R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and including any access openings)... SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition, Note:. Owner to fill out Consumer Information Form (found in Appendix 120,P) A PVC Guide to hVood Co►r.ciruclion in Nigh Whid Areas: 110►nph !;mind Zo►►e of Massachusetts Checklist for Compliance p8oCn'1R5301.2.I.ljt Loadbearing Wall Connections rr Lateral(no.of 16d common nails)...............................(Tables 7)......................., .... ..... Non-Loadbearing Wall Connections c, Lateral(no.of 16d common nails)...............................(Table 8)..... ................................................... -x` Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9).................................. . ft 0 in.<_ 11' V_ SillPlate Spans ........................................................(Table 9).................................. a, ft din. 11' u Full Height Studs (no.of studs)...................................(Table 9).............................................. .....<Z ►0 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans...... ......................................................(Table 9).................................. C?ft Ca in.s 12' 1! Sill Plate Spans...........................................................(Table 9).................................G ft in.5 12" Full Height Studs(no.of studs)...................................(Table 9).........................................................2. V " Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W Nominal Height of Tallest O enin ..... G..a s 6'8" Sheathing Type................. .......:.................(note 4)...........................a......................!ram"o L59 Sty' ATT&Cjjg� Edge Nail Spacing..........................................(Table 10 or note 4 if less)....................... in. cSL�I E��T Field.Nai!Spacin ......................... Table 10 ................_...........................:.... in. t/ Shear Connection(no.of 16d common nails)(Fable 10)..................................................: o Percent Full-Height Sheathing......................(Table 10)..................................:..................A/o 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)^................... Maximum Building Dimension,L Nominal Height of Tallest Opening2 ' Sheathing Type.............................................(note 4).........................................!ft 2 y+.r s e "'Ed a Nail Spacing ... t able 11 or note 4 if less rField Nail Spacing.........................................(Table 11)......................................................................... in. Shear Connection(no.of 16d common nails)(Table 11) .... v Percent Full-Height Sheathing.....................: able 11 ...... ................... 9/0 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).' .......... N� Wall Cladding Rated for Wind Speed? 5.1 ROOFS Roof framing Overhangi member spans checked?...................••••(For Rafters) smaller use A C Spa BBR or a site)& 15rf 1JL Roof ........... . . . . . .... . ...................... F 1 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)................................:...........U t23fo plf, Lateral.............................. Table 12 L=t plf 7` Shear..............................................(Table 12)........................... ...............S— Of _ Ridge Strap Connections,if collar ties not used per page 21... able 13 .T=Nbt plf g P P P 9 R ) Gable Rake Outlooker.................................... ' .:.:(Figure 20)............. ft<smaller of 2'or L/2 /� A"• Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors �/A , Upliftt..:.....:......:. ......... :....:.............(Table.,14).............................................U=_:Ib. ✓ Lateral(no.of 16d common nails)..(Table T4j.......... Ib. tJ A 1/ ..L Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59).......... 1EXt-5T_1ALj Roof Sheathing Thickness..............:......:........................... ...................: ............. '�`in.>7/16"WSP Roof Sheathing Fastening_..........................................(Table 2).................................. ..................._ ' 4. . 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 20 Gage Straps per Figure 11 C. Uplift Straps per Figure 14 d. ` All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure.18b ' r 2. Exception:Opening heights of.up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. t. - l 4j, _ 4 ° APPLICANT TO COMPLETE &. SUBMIT WITH PERMIT APPLICATION AJl,'C'Guiticr to Ifood Construction in Fti-h IGittd Areas: 11011tp/c Yvind Zone Massachusetts Checklist for Compliance (78n cmi4QLi. i j':-- Cal Check Compliance 1.1 SCOPE Wind Speed(3-sec. gust)......... 110 mph ..................................... Wind Exposure Category............................................................... ........................................... ••--•• ••1.2 APPLICABILITY EXIs_ + iv Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stones 52 stories f I RoofPitch ........:........................................:.....................(Fig 2)-.............-:.................-....-.. 5 12:12 (4 r Mean Roof Height .........................................................(Fig 2)...:.......-....:.................,............17- ft 5 33' BuildingWidth,W ...........................................................(Fig 3)...-........................................... 1q-ft 5 80' Building , L ............................... Length,9 .....................(Fig 3)...............................................TT ft 5 80' ER Building Aspect Ratio(L/W) ................ .....................(Fig 4)..............................................Q 8< 5 3:1 ar Nominal Height of Tallest Opening2 ...:.............................(Fig 4)..............................................69 5 6'8" r= 1.3 FRAMING CONNECTIONS General compliance with framing connections................:.(Table 2).............................................................. �f 2.1 .FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 >` a' Concrete..-......... `................................" ,." .:.:........... ls ild "rl Concrete Mason ' 2.2 ANCHORAGE TO FOUNDATION3 5/8"Anchor Bolts imbedded or 518"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing general ............. ...........................(Table 4 Bolt Spacing from endroint of plate ..........................(Fig 5)..:................:.............-. in..s 6"—12" r '.' Bolt Embedment—concrete.......................................(Fig 5)..... :...-.:......................-....._....._in. z 7" . Bolt Embedment—masonr y.............. (Fig.S)._......:......_._......._................ in. � 15" .i Plate Washer........................•-----•-........:..................(Fig 5)........ .......-----..Z 3"x 3"x% a" it . y< i 3.1 FLOORS Floor framing member spans checked ..._.. ._..... :...(per 780 CMR Chapter 55)......:..........................• a Maximum Floor Opening Dimension. (Fig 6)................................................._ft 5 12' c; A ' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... P r/A t.' Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall .....::.;...(Fig 7)................ '...._ft _5 d.............. c Maximum Cantilevered Floor Joists z` Supporting Loadbearing Walls or Shearwall 9 8..(Fig ')...----- ........................... ft 5 d N A Floor Bracing at Endwalls.......:.. ......... (Fig 9).......: .: ...:........: ° 1 Floor Sheathing Type ................................ .. :...(per 780 CMR Chapter 55)................................... - , 'r Floor Sheathing Thickness ............................. .............:(per 780 CMR Chapter 55)....................:7/4t'in. , 7 Floor Sheathing Fastening............................. ...................(Table 2).._d nails at in.edge/_in field SEE ^:T—I CWED 30ECT 4.1 WALLS Wall Heightt. Loadbearing'.walls:..........:.................. ..............::......(Fig 10 and Table 5).......................... ft 510, Exull Kj Non4Loa-A3bea-riijt wEikls........ (Fig 10 and Table 5 ft 5 20' a�..................... ( g ).........._.......... Wall Stud Spacing ....(Fig 10 and Table 5).................._in. 5 24"o.c. F• Wall Story/GN#st s ---............................................(Figs 7&8).........................................._ft 5 d 4.2 EXTERIOR WALLS' Wood Studh3 g (Table 5) _ Loadbearing walls.................................................... ..........-._..........'......2x - ft in-t=?Ck5r Non-Loadbearing walls.............................................: Table 5 ......2x -_ft_in. Gable End Wall Bracing' - ey Full Height Endwall Studs.........:................................(Fig 10)............................................................... WSP Attic Floor Length..............:..............................(Fig 11)............................................ ft zW/3 Gypsum Ceiling Length(if WSP not used):................(Fig 11).........................................._ft 2 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c... (Fig 11).................. :................................... or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays .Ee Double Top Plate lJ(.( �< .......... ft t Splice Length (Fig 13 and Table 6)..:...... - . ►.!�1(l-d LA Splice Connection(no.of 16d common nails)............(Table 6)........................::........................ .... fi ,r oFZHErgl Town of Barnstable Regulatory Services �auvesiE.� Thomas.F. Geiler,Director J. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder sN\V SZ , as Owner.of the subject property hereby authorize \�\-k \' . /i-'r� to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable �pP THt:ray y�� o Regulatory Services 4 Thomas F. Geiler, Director i � saxrrsrwBre, � - y, MAss. �+ Building Division �TFd '�a Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 v ww.toFYn•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. 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?permst. (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, j Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section lo9.1.,1-Licensing of construction Supervisors);provided that if the homeowner engages a parson(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 parson 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 Wshe 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 forrn/certifrcation for use in your community. M .P 'Z• 'yam�♦ ..f Blocking to Rafter(Toe-nailed) 2- 8d 2-10d each end Rim Board to Rafter(End-nailed) 2-16d 3-16d each end ` p Platea i 16datx�oint Stud io St�ld= (Face nulled) 2 16d 2 16tl -�4"o cF . et t li eadet ifs aye rya fod 16d 1 ti 1 +ir to `d e u m y yp Joist to Sill, Top Plate or Girder (Toe-nailed) (Fig. 14) 4-8d 4-10d per joist Blocking to Joist (Toe-nailed) 2-8d 2-10d each end Blocking to Sill or Top Plate (Toe-nailed) 3-16d 4-16d each block Ledger Strip to Beam or Girder(Face-nailed) 3-16d 4-16d each joist Joist on Ledger to Beam (Toe-nailed) 3-8d 3-10d per joist Band Joist to Joist(End-nailed) (Fig. 14) 3-16d 4=16d per joist - Band Joist to Sill or Top Plate (Toe-nailed) (Fig. 14) 2-16d 3-16d per foot Wood Structural Panels —rafters or trusses spaced up to 16" o.c. �'8d 10d 6" edge/6"field � n� rafters or trusses spaced over 16" o.c. 8d `. 10d 4"edge/4"field - gable endwall rake or rake truss w/o gable overhang 8d ' 10d 6" edge/6" field , . gable-endwall rake or rake truss w/structural 8d 10d 6" edge/6" field outlookers gable endwall rake or rake truss.w/ lookout blocks 8d 10d 4" edge/4"field ' iif '" xn �'„y L4ryt x^ k 3: ..rL t�.t a t r ..e .✓' SSA-.i rt atvi i��.,+ ' Y,+:.X 55M .,.-.s�'! w r .r i. 4 pie y . 7 .r.S y�3 � r,ff zfitr,�'¢,. .;�,"'�[��5}.�'. S' , 5,r ..i 7..+�i 5... k.......M ..:.R.kA"•r..rk Rou fa>, f'YF.,.. S,.,�`. £as" '�''' �; a Wood Structural Panels , I spaced up to,24" o.c: ' 8d 1,0d'. 6" edge/.1:2",field 1/2"and.25/32"'Fiberboard Panels 8d1 3" edge:/6" field: 1/2" G — YPsucn Wallboard 5d coolers, 7" ed 10" fie 9e . : Id... Wood Stru Aural Panels 1°or less 8d 10d 6" edge/ 12.;' field 9:rea#er than 1" 1 od 16d 6" edge/6''`field : Corrosion resistant 11.gage roofing nails and 16 gage staples are permitted,check IBC for additional requirements. ails:Unless otherwise stated,sizes given for nails are common wire sizes. Box and pneumatic nails of equivalent ameter'and equal or greater length to the specified common nails may be substituted unless otherwise prohibited. AMERICAN FOREST& PAPER ASSOCIATION l Xt . ,CORD CERTIFICATE OF LIABILITY INSURANCE 09/02/20 8' PRODUCER 508-398-6033 - FAX 508-760-1667 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 519 Station Ave HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. So Yarmouth MA 02664 Cynthia Jenks INSURERS AFFORDING COVERAGE NAIC# INSURED Dean Stanley INSURERA: St Paul Travelers 39357 359 (apt Lijahs Road INSURERB: Centerville,, MA 02632 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDIN 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD1 TYPE OF,INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE fMMIDD[YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $' COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE El OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PROECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: qGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FI CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 7PJUB7699814 08/31/2008 08/31/2009. WC STATU- OTH- EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE O IGINAL TO FOLLOW FROM E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? CARRIER E.L.DISEASE;EA EMPLOYEE $ 100,000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER Dean Stanley excluded for Workers Comp DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Insurance e: 96 Hawser Bend CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of Barnstable BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Building Dept OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Attn: Jen AUTHORIZED REPRESENTATIVE Cynthia J Jenks ACORD 25(2001/08) FAX: (508)790-6230 ©ACORD CORPORATION 1988 ✓lie T�ai?vrrearuueat� o�✓lac�uae Board o:Ru,l;liun Reeu;afwns and Staudarcls License or registration valid for individul,ilse only } H0111E IMPROVEMENT CONTRACTOR b.cfore the cxpiratioii date. If found return.to: , Board.of Building Regulationsaria Standards F:eg,stration: 132149. One Ashburton Place Rin 130 i'`-. Expiration: 11/28/2008 Tr# 125453 , Boston,111;i:02708 Type:, individual DEAN F. STANLEY f: DEAN STANLEY 359 CAPT.LIJAH RD` CENTERVILLE; MA 02632 Not valid without signatur i x ✓�ie �omvmanwea� a�✓�laeQac�iudeCt6 >; tions and Standards a: Board of Building Regula 'Construction Supervisor License J Liven e CS 35037 i Tr# 12342 j �a Ezp�ration �91.2010 Restriction 00- a DEAN F STANLEY r \ _} � - 359 CAPTAIN LIJAH�2Dw CENTERVILLE`MA 02632 Commissioner b v, T T Town ,of Barnstable '-Permit# �oF °wti Expires 6 months rom � to Regulatory Services . Fee - ruvsTasca Thomas F. Geiler, Director MASS. Building Division l t6A. F pr�b � Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.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 Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name.& Address Contracltor's Irafine Telephone Number Hom pe.Im ov,ement Contractor License#(if applicable) rkman's Coinlrp nsation Insurance IMPRESS PERMIT Check one: . ❑ I am a sole ro wprietor SEP + 4 2008 I am the Hom t� ner I have Worker's Epmpensation Insurance TA�L� TOWN OF BARNS TABLE Insurdi, e Company Name Workman's mp. Policy# Copy of Insuran Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stepping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) XRe-side `—�_ /�'v`{ �� E,j7 Replacement Window)doors/slid s. Value (maximum..�4) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Fidt Sib .! j�t..,.. 'Note: Property Owner must sign Property Owner Letter of Perm' - A copy of the Home Improvement Contractors.License is required. j. SIGNATURE: Q:\WPF[LES\FORMS\building permit forrns\EXPRESS.doc Rcvisc020108 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 . `- www.rrtass.gav/dia • Workers' Compensation Insurance Affidavit: Builders/Contractors/FIectrician.s/Plnmberg Applicant Information • Please print LeiblV Name, (Busin rI0Tja i7'afion/lndMau3n: Address 'Sr�9S,Fi�r,knnf� City/StatelZip: yiA 0,o4/ ,Z Phone.#: L n employer? Check the appropriate bma Type of proieef(required): a employer with 4. ❑ I am a general contractor and I 6 ❑New construction oyees(full.andlorpurt-time).* �Ve wed the sbb-contractors a-sole proprietor or partacr- listed on the attached sheet 7. ❑Rrmndcling and have no employeesThese sulr-coniiactars havo g, ❑Demolition employees and have workers' Buildin addition ing far me in any capa�ty. t9. ❑ gworkers' comp.mi'�^re comp.incrirance,5. [] We are a corporation and its 10.❑�Elcctrical repairs ar additions rredofficers have exercised their 11.❑Plumbing repairs or additions a hommwncr doing all work elf[No workers' comp. right of exemption per MGL 12 ❑goof repairs once r t �. 152, §1(4), and we have no �] employees. [No workers' 13.0 Other comp,Tncnranco required.] *Any applicant that checks box#1 must also fin out the cm-6m below,:bowing their workers'coapmcaiion policy information. t Han=woas who subunt this affidavit indicating they are doing ail work and thm hire outside mntractmrs must subrit a new a-15davit indicafing such. Tczntractmis thatcbmk this box nmst ati3Atd an addit im4 sheet showing the name of the sub-=ft ar;tmrs and stain wbdbm or not those enfi4a have employers. If the sub--onh2r-bmv have employers,they must provi&their wo+m-s'cvrnp.policy ntahbcr. I am an employer thaf is providing workers'compensation insurance for my emproyees Below is the policy and job site information. co CompanyNarn Policy#or r ins.Lic.#: Expiration Date: Job Site Address: City/5tatc/Zip: Attach a copy of the workers mpensation policy declaration page(showing the policy number and expiration date). Failure to sccurc coverage as re tmdcr Section 25A of MGL c. 152 can lead to the imposition of criminal penaltics of a 5na�to $1,500.00 and/or onr-year inaprisonmant,as well as civil penalties in the form of a STOP WORK ORDER.and a fi of up to S250.00 a day against the violator. Be advised that a copy of this statcmtrit may be forwarded to the Office of Investigations of the DIA for inmr•anm coverage verification. da hereby,.certify under the pains-and pen.aLdes of perjury that the information provided above is true and eor=4 e'er Si c: Date: — Phone#� 571� y�o2. -2 - O facial use only. Do not write in this area, tb be-completed by 6ity or town ofjx aL City or Town: Permit/License# Isguing Authority(circle one): I.Board of Health 2.Building Department 3. City/Tovrn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Phone#: Town of Barnstable �OpSHE rphy Regulatory Services • Thomas F. Geiler, Director R"ARNSTASLE. y MASS. $ . 1s.9. Building Division PTfD '�a 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 G Please Print DATE: 02 �O JOB 9 LOCATION: ��/ �f //�/IC�7 /�/li (feII1`�i'l1 e number street village "HOMEOWNER": ryQ� 'TI �fl ee B✓1 ✓/� 3 �i�'o23S%2 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. 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. XSi-jn—at-,.of Homeowner r 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 pmon(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 award of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hc/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 forrn/certification for use in your community. � , •vim pTHET Town of Barnstable o ti Regulatory Services MASS." Thomas F. Geiler, Director f1)�,�a Building Division Tom ferry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign. This Section If Using A Builder 7 , as Owner of the subject property hereby authorize to act on my behalf, in all.matters relative to work authorized by s building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Foam on the reverse side. 4 of s"F.row Town of Barnstable *Permit 0.60 Expires 6 nronths ro issu a Regulatory Services Fee i Y IARNSTABLE, : Thomas F. Geiler,Director v Muss. 16y..g. Q,� Building Division rFo rna� Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not.Valid rvithout Red.\-Press Imprint Map/parcel Number Property Address !�n QA C O V `- le cf v Residential Value of Work a odd inirnum fee of$25. 0 for work under$6000,00 Owner's Name &Address "__�C5 VA-P4 NPIA Q�eN&Q_ -e �kA Contractor's Name s \ Telephone Number S I_V '3`-E(6 Home Improvement Contractor License#(if app cable) ❑Workman's Compensation Insurance Check one: X-PRESS PERMIT ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensa ' 1 surance SEP 10 Z�OS Insurance Company Name `1 \�r TOWN OF BARNSTABLE. Workman's Comp. Policy# Copy of Insurance Compiian Certific to must be on i e. Permit Request(check box). ❑ Re-roof(stripping old ingles) All co n debris will be taken to ❑ Re-roof(not stepping. Go' g over existing layers of roof) ❑ Re-s Replaciernent doves/doors liders. U-Value (maximum..44) *Where required: Issuance of this p it doe not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign.Property Owner Letter of Permission. p1sltae A copy of the Home Improvement Contractors License is re Z S I GNATIIRE: - Q:\WPF[L£STORMS\building permit forms\EXPR£SS.doc Rev1se020108 I Town of Barnstable EVE P Regulatory Services • annxsrwst.E, • Thomas F. Geiler,Director ' � Building Division Leo► Tom Perry,Building Commissioner 200 Main Street, Hyannis,M.A.02601 www,town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623( PERMIT#ndQZ� /o;k3 FEE: $ �V e► 7,01,07 SHED REGISTRATION 120 square feet or less Ce,�46?n v Location of shed(address) Village 00 Property owner's name Telephone number r ,-6 X- Size of Shed Map/Parcel# . Sig4 re Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required). Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANARD,-- A PLOT PLAN ir°-," I ni�l Q-farms-shedreg REV:042506 Le— 49 Per S S4C) Jr.2C 95 6 USA- 1 (DC)� 6d - . TANK C)C>c, GAl- . C> TC)-r,&L- ESIGIJ = 425 L,&t 14 Fz-L-O,kl 3W 6-FD- I 4-1 iki SMIQ 0 IZ LE6� 'NA Tor 1=�4 x, i c>c>.c. 775C, luv. L LoA+u I -d 4 1w. -Box Sepric t o a:. INV. T oNK 000 Iwv. ..A rr" C-E t7-T«-t in P Lc!:),T- PL.4.V-1 Gc AL WATe)z I?-ca��-j ca, c-t::iz T I v:- -I TOA.7 Ti-Ac-- FcL)Qt)ATt(-%l-,J 5"c)%AJQ WIT 077 Oi= Li A.'f L ...... Cl rl-A" "C)T A,P r?I-t PINE HARBOR WOOD PRODUCTS 326 Yarmouth Rd. 259 Queen Anne Rd. Hyannis, MA 0 PINE HARBOR Harwich, MA 02645 WOOD PRODUCTS (508) 771-5007 07 (508)430-0-2800 800 Fax(508)771-7070 Fax(508)430-1115 It's all about the wood 5M Sales 1-800-368-SHED www.pineharbor.com Customer Service 1-866-SHEDKIT SOLD BY DATE INSTALLATION DATE 20 NA ADD RS PHONE#'S CITY ✓ ❑ ❑ DESCRIPTION AMOUNT SIZE < ` STYLE .' SHINGLE OPTIONS F> e � f LEFT GABLE RIGHT GABLE LD FRONT Fjj1� y` 0 1 SUBTOTAL �' CJ LOCO TAX 73 BACK DELIVERY TOTAL 7 n � FULL CHECK # CASH DEPOSIT ° Q� V i'� MC/VISA OTHER BALANCE Permits & sitework are the responsibility of the homeowner. Please check with /90 your local building department regarding permit requirements, setbacks and other regulations that may apply. If you change, postpone or cancel a delivery we require at least a 5 day notice. I L/o/ (:Yaw CUSTOMER SIGNATURE - I TOWN OF BARNSTABLE 21431 � e Permit No. ------•------ -• I Building Inspector Cash $424.00 i j 2i�ti sae�nnr. _ _--- 'Oo --- '+OYPy OCCUPANCY 'PERMIT. Bond .-_,__ - "No building nor structure shall be erected, and no.land, building or structure shall be . used for a new, different, changed, .or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Alan Stall Address Centerville lot #136 49 Shubael Gorham Road, Centerville Wiring Inspector e �d�� �._. Inspection date Plumbing Inspector t}/'{yj/J� ^n wa!G-b Inspection date A iiTiK�-A-al.4 A.A/ `t Gas Inspector � � #^� � Inspection date Engineering Department 1��L / '{>4Gl ale 0:,e�"- Inspection date 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. 1. ............_ 191;L ..........dG . ` ` r Building Inspector s - ., C� SIGhI ►..lo Gar.�a�� �Ri uti�� L�e k1 PtT 33U G•P•V• 33o,. IS G % = 4-9 5 6.P.V. 4-4 1 i 3 F12a peo P, USA- E UOb 6,6.E . -M �. .a r4AJK 0-80-1 N IT .=J PoS,a.E_ t�IT - usE l ocoo G _ M p TOT,d L -o E:SwN = 425 CxP. 00( .4eA t�f�GL7t.�TEO� 1Zl�TE l���u ZMtIJ� Otz Lar.<i�,. rl l� V r , w TEST CI I S�1� , �,to•=� �_ Tot' Fwo n loo.o 9 9 �;; - o ice.. i. ��.�iI/.� n / - =',' 1►J V` �E��O lo�+v{ �Ppe I o00 A + 4'Ppp S��sa►L, f -sox SEvric to � . T-A 1.4 K tiwv. t l GAL. 9�•Z RG+,LL LeAcN P�T WiTu •i WASNED STowtr,— 140, fJ ` ate C_ ZTty--►aiD PLC:)T PL.AS " C-i..;8(, PI uo o WATEX-. I ct7ZizTIE=-( THAT TI�Gr�pU�1D(arlol.J SNow►J PLA►�l lzt=hl_�E�.IG� t-IC;E:t �►J CO.A/%PLIOG W 1TU TI-A` L OT Isco AWL-> 41;ErTL,;�.tV VcQ�lc�� c►.1T.; of T�+C; -�'aw►.� O[= �A.2►.1S`TA`13L� (�.. �. 3©(o PL. 22 VA`rEl �'^ i� a c �-- Gi Ca.+ ati...—�_ Q/S. 3�TL1 C. WY� I"r _ _ _ _ _ (Zc G E S rc_�,e.D �:/•;►�.!r� 5U a�.v.��`y'�iZ.4 tJ OT II A••>GV) vt• t pu os-TCV-V%L.� � ltJSr�'c.J:✓�C�1„1 i• /il)i��/1.=�' � •`(1�i_: c;.:F�', .��i 71•IGtall� - A.V-�{}i_E C_l�.ti�ET_ �44A.Lj__ (►J�,a Asrssor's map and lot number ... ✓..' . .1.` .�C...7.` =-� 7 2 THE 7 � Q�oF toy Sewage Permit number ..... ....... ..........��..f......................... Sol MOM MU ♦� 1WWWAIUMM IN COM . House number ......... qA. ♦ T�nLs, WITH TITLE 5 '�O Mb 9. ENVIRONMENTAL COME Y a TOWN OF B.&ANSTA L ULATI®Ns r�- y BUILDING INS=PECTOR APPLICATION FOR PERMIT TO ...... ... .. ............ ....................................................................................... :.. TYPEOF CONSTRUCTION ......... ....r4:..::...................................:............ .. ..:............................................ .... ...... .....`....................192y. TO THE INSPECTOR OF BUILDINGS: { The undersigned hereby applies for a permit according to the following information: Location ....... �.. 13. ...... ?! •.:.......'s .,�T- ...........................................:........:.....:...................:................ ProposedUse .............................................................................................................................. Zoning District ............................... ..:..:.................................Fire District ........................ ..................................... Nameof Owner . ...... .......................Address .................................................................................... Nameof Builder .........................Address........................................... .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Ro ms ... ..........................................................Foundation .:........ . ................................................................. Exterior . .................. ...............................................................Roofing ............ ....................................................................... Floors ............................................................Interior �............................................... 1-/ Cv Heating ......%............................................Plumbing .................../ i �-' ........................................... Fireplace .........................Approximate Cost ... . Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ? 3 �Q Diagram of Lot and Building with Dimensions Fee t...�....................... .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ��� 06 S hj( �o21a� �� IS ��`� wex+silN� Fita ��S«E . L I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ................................................................ 21431 Small, Alan A=171-135 ...21431. Permit for ..Me..S.tQry..dwelling .................................... . ............................... Location ....I Q.t.#13.6..slul 7Ae L GQ rham. ........................Q.elatqxvillp................................ Owner ........4144..$ U.................................... Type of Construction ......frame......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ................JUI-Y.....5 19 79 Date of Inspection ....................................19 .. . .. .. ....... ..Date Completed ...'11171?1.............19 Arh PERMIT REFUSED ............. 19 ................................................. .......... ......................................... ...................................................... ..............................................I... ,ApprqWM r ...................................... 19 M ............................................................................... ... ..... ...... . . .................................................... OW Assesso'r's map and lot number,--.,.... ......... ... .. ... ........ �1 �.. ..... THE r0� Sewage Permit number .... ? ........X��......................: BARNSTADLE, i House number .......... .... ...!.......... ................................. '0oo�YIL b 9• 0� TOWN OF BARNSTABLE BUILDING INSPECTOR /:C APPLICATION FOR PERMIT TO ....................:::....................................................................................................... TYPEOF CONSTRUCTION .........:........................................................................,.................................................. u ....... ........ ...........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ .... .: . ..........1.............-..... .... ....................................................................... .......................... ... ,�. Proposed Use ))uLA,4,t"- �_: . ZoningDistrict ........ .......................................Fire District ................................................................................ AIN Name of Owner .. .............................'.`.. .a.........................Address .........�.: -t.{:..:. ..................................... Name of Builder .....................................Address Nameof Architect ..................................................................Address .................................................................................... r` Number of Rooms Foundation •="'.^ Exierior z' �'�'......_ r� /.i_. . '. ...................�...............................................................Roofing ..............:�................................................................... Floors Interior ... ..:,:-�� { --Pr. ' -' .................................................................................... . ................................................................... 'i Heating �r... ) Plumbing ' ...... ......... ................................................. Fireplace ,rl i v, .�..� ; +`.................................................Approximate Cost ....�..'�..::. .�....................................... :.:..r.,;r........... . Definitive Plan Approved by Planning Board ---------------------------------19________. Area .. r.... `.............. ........... Diagram of Lot and Building with Dimensions Fee n SUBJECT TO APPROVAL OF BOARD OF HEALTH �f�L)40 0 S ��Ja^al�L, a&14A � IS C1 t Xi3�� Ny Rur.rQSk . _ ..�.�./ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ........� ................ .C�....�f •�.✓......... ................ , 21431 Small, Alan A7-l7l-l35 � / 2l��l � No -----.. Permit .gg�..�����. ng ^ �~ �/� ����'���������''�''�`.............................. .�0%±uaD.fld-.. � ----'---^''^^^~^~~~ ..............r------ Owner :~la� mv*+ll Permit /0007 Granted .. ' Date of Inspectiln ....................................19 Dote [ompl PERMI, REFUSED MI, EFUSED -- . ' ................................. .............. � � -------1r -'---------^-' ' '---'-'---' ~''-'-'^--^-~^^---'' � ----^-^~^' -----^'-'-^-^'^---^~' Y ' � \ � lV Approved ---------------- ' '-------------'~^'~---^~~^'---' ----^------'-------^^-^^^--^^'' � 6 APPLICANT TO COMPLETE.b SUBMIT GITH PERMT APPLICATION AllC•Goir/eInfY/ur/Con't-Ifinuin11ighK7nr1,4--://0nphH'dZmrd I PVC Guide tnI Food Cen,w-ctionin High WindAreos://0uphn7ndZone Massachusetts CheelllistforComplia nee(780Ca1R53$1.z.1.q' MfssachnsettsCheciclistforCnmpliance(tsochths161.;.t.l)' 0 Chat ) - Loadbearing Wa0 Corv;ections.. .. .. ' I Complimxe Lateral(an.of 16d common nails)............:................(fables 7f---..,____------_.__._.... ''-"i; :•.. ._. _......._. _.._. 1.1 SCOPE .-Alladbearing Wag Connections - peed( oust)-! :' ,- Lateral i6d common oath).............__............. able B)._.__._._._..__.___.._..._._.._._._... 2.6 JUt Ifs Ib'r).i.. __..—. -__-- _- WindE 3-Cat t_..._.................................__......._.........._........._....__........_..:..._..710 mph I Blocking to Rafter T_ I Wind Exposure Category......._......................_................._..... ............_......._...................._. ....B load e.deBearing Wall Openings(record largest-peeing but check a0 openings br----compliance to Table 9) a (oe-naled) """-': =' "Header Spans (Table 9 _ _ Rim Board[o Raker each end ...._ _. . ( -- )......__...._.._..._-....�.; k:"rind lT (Endytailed) ' I 1.2 APPLICABILITY - , Sig Plate Spans ...... ...-,_................................_.(Table 9).........._......_ fl_In.S//' 3 of ea end - -�. Number h Stories(..roof which exceeds..in 12 slape shag(Fig considered a sbry)_stories 5 2 sto es i • Fug dHeightBear Studs(no,of studs)__... able check Roof Pitch.:......... ..................._................................(Fig 2) .. ...... s 7212 i Non Laad Bearing Wag Openings(record largest opening but check all opera gs f cempran-to Table 9) Mean Roof Height..........................................................(Fi 2... .. .... -- Header Spans.....................................................(Table 91..................... _ fl..:In.512 7P�-Kiel S I IpIA,.. (Ida, a`eyadlle(t) ."4 i6d. t......_.__- _ ..... 1 .::'I.MI1. :r L7 - 71 q ._.. .._._.i. Building Width. - .. ... 9 ) .... .._ns33 Sin Plate ...._.._.._..... -. 1'Wrl'ibS .r _ 5-16d �aYJ'oliltt{ F(X.ry 1 -1 4.1.0 ..:..... ......... .........(Fg3). Pans... ...._ ..... (Table 9....... _.k_1 in.S.tY _ _ ..(FaOesnaile ............. .. n s 80 ... ) .. "216d 21�d `24?tl ._.. Building Length.L..........................: ............(Fig 3)... .. .. .....:,ft 5.80• Full Height Studs(no.of studs) .. ..................(Table e) ........ - ._.:... ..._.....: .. G,r!7'w.Idr(Q ilea(1et^AF$t,�e-:,IIYpi�. R ) BuildingAspectR,do(L/W) ........ .......... -.' Exterior Wall Sheathi IOR,,I,tUlift and Shear Slaminmeousl 16�...(FI99). S37' tig p YNominal Height of Tallest Ope ing ....... Minimum Build( Dimension,W - .. (Fig 41.. .. ... �............ 56.8. .. � agNominal He1gM of Tallest Opening' ..... ........ ...... .6'8' / Joist t I - 1,3 FRAMING-CONNECTIONS - ShealNng Type..._...... .. .... ........(note 4......... - - - o Sill,Top Plate or Gird palled)(Fig.i4) 4-8d 4-10tlper jotstGeneral compliance with f mm9 connections...... ..._(Table 2),.......... ....._. I • Edge Na0 SPatlng............._..................._.;Table 10 or note 4 Hle s)....... I Blocking to Joist(Toe-nailed)er""" "-'"""' F e Nag Spada._.... .....:_... ... Table 101.... .. .... in: Blocking to Sill or Top Plate(Toe-na led) each n _....... .....___.... .... _ 3-16d 4-16d 2.1 FOUNDATION - e d Foundation Walls meeting requirements of 780 CMR 5404.1 Pace Heght Sheaths ._ ._....... Table 10) . / Lodger Strip to Beem or Girder(Fan¢-nailed)nIFW 4i6dConcrde.. ............ ....._.... ..... ....... ... ........ - 5%Ad'lima!Shea hing(or Wait with Opera g>WS'(D lgn Concepts)----- _ Joist c n Ledger to Beam(Tae-nailed) - ach bloocConcre e Masonry. _....... .... ............ — Ma mum Buildin gD mensbn,L — 3'8d 3-tOd,. a I""' -""""""".. Nomina a ht of Tallest Ope Band Joist to Joist(ErM-nailetl)(Fig.14) ..er jdf tl19 mpg_......_...._................ ..... 6'8" nst 2.2 ANCHORAGE TO FOUNDATION'S ( Sheaihtag Type.......... ....._.._........_(note 4)......... ..... Band Joist to Sill orTop Plate(Toe,nailed)(Fig.5/8'Anchor Bolls imbedded or S/8'Proprietary Mechanical Anchors as a ft 1 in concrete only e Edge Nail Spacing...-_._......_.........._.....(Table 11 or role 4 if less). _......_.._—in. oBoll Spacing general ............ (Table 4) ... In t).I�•i .- Field Nag Spacing..__................_........(Table 11)_. ......_..._..... M.Bolt S do norm eM! t o/ I t pa g tom ilea ....... ..(Fig S) . .._. ....... m56' fz no.or 760 n able tt)...._.._...._.. _ -Boll Embedmenl-rnnoele. .. .........F 5. Percent Fugaieight Sheathingmmirron .s(Table// _ ---�. SlrueNra Petrels .- a1 f9 1. ..... .... .._............. woo..BollEmbedment mason ......... - —1m27 S%Additional Sneatn br WeO olio ninl6'B- - 14) 2-16dry..:. .... .(Fig 5) ........ ... .__....._m.i 15' - mil OPe g> (Design Concep6)....._........... rakers or Inlssea spaced uP l0 16'o.c.PWte Washer._..........._....._........._..........................(Fig 5)......................__._. - wan Clt edfar - rakers or trusses spaced over 16'o.c. Bd Ind.......-....z 3'xrx%' � 1� 6 edge/6.geld Rated br WiM Speed?_.. _........_....._....._.... - (�'3d-FLOORS -� � -�� .-.. - . ����.-.-...- gable entlwall lake or rake truss w/o g 4'edge/4'field Floor frami g 'ember spans checked (er 7B0 CMR Ch 5.1 ROOFS'. Roof fmming ember spans checked7....... ......_(For Rakers use AWC Spon Tool,see SBRS Web ile) II k t ! a e ov10d 6-edge 16-field Maximum Floor Opming Dimension :(Fig 6)....:. _.. . 517 Roof Overhan r r to a russ w struct Sol 7F.1 HeightW¢IIStudsalFborOpenngslessthan2 fromElerlorWall(Fig 6), -, 9----------..........................:..........(Figure 19)......./ 11 s smarter ol2'or:U3ouklookersnaeke o urel a Od 6'edge!6'f eld ft 50 f' Truss o Raker Conn ctions al Loadbearing Walls - qr gable endwall rake or rake truss w/lookout blocks Maximum Floor Joist SetbacksSupporting Loadbeanng Walls or Sheamail...............(Fig 7). - Proprietary Connectors 4'edge/4'geld Maximum Cantilevered Floor Jdsls � � """— Uplift ... ..... Table 12........ _ U :pit 11ILL. •..--... i 6uPpoingLoadbearingWalisorShe—iI............(Fig 8).._ ..... ......._. ftsd ii l Lateral ......._.... ..._....(Table l2}.......... ..._ L, -�PFlourBracing at E dwails -""--" ....._.. .............:......:. ...'(Fig 9).... .._ ... ....._..... ........alluu1Lc4,,,f1Ol - - Spear ......_.. .(Table l2).._._.. -.S—ptl �9 . ...... ....... .................(per ISO CMR Chapter 55)_.... Ridge Strap Coanedims,it collar lies not used per page 21..(Table I _ _..T L plfI '• Floor Shea thin T 3/4•-f445ug,-tll'X)IG FloorSAealhing Thickness.. ,._..... ..... .....(per 780 CMR Chapler55) :'in. Gable Rake OUltooker....____...._................(Figure 20)_ ..... ft5smallerol2'o L2 Floor Sheathing Fastening.. ....... .. ..... ...Table 2).. dha_in edge/ In field Tn,ss orRafler Connections al Nm nsdbean tq Walls Wood StmoNral.Panels sic .-i., , .. Propnetary Connectors4.1 WALLS _ '_ uprd! ....__.._...._..... .(recta f4--...___. _ 1i- b.N/' t studs spaced uP to 24'o.c. 6dWall Helghk - - Lateral(no of 16d-a—naps)..(Table 14)......... 1=1b tOd 6 edge/12'field Loadbe i Its' .............IFi t0 and Table 5 ft 5 t0' ' Roof Sheathing Type "--'-'-"' i/2'and 25/32'Fiberboard Panels ti ` ) !! Non-Lomtl6rs •.... 9 ) .. ..... (Per)8o CMR Chaplms 58 and 59) .... 8d - 3'edge/6'field ill. ...... .............(Fig 10 and Table 5) ..._. ft 521Y Roof Sheathing Thickness.... _..._..._................ .... .,.,._, In.2 7/16'WSPWallStud Spacing .._ ._.................. (Fig 10 and Table 5 'n 5 24'o,c. - Roof SA thing Faslemrg... _ ....(Table 2 5d coolers- 7/2 G sum Wallboa d WaflSIc ets ( ) ... — ea ...._ ..-.... .._.. f ... _..___._..:........ 7'edge!10'field rss ___ ............'.Figs 7 8 8).... .- . fl 5d Notes:s - 1. Th(s cheddist anon be met in its enikery expnidirg Ua speafic,exeeption roled v,2,to cemply olio Ina uiremenls of 4.2 WoodEXIE tudWALLS _. 780 CMR 53072./.1 Item 1.11 Ne checklist bl met in its engrerylh¢n NeIMlow'ug metal sbaps and hold downs are not Wood:SlruoluralPanEWaotl SIud4 a par the ph tt.niz� - . Loadbe g 71 -- (Teble'5) _... s ¢d Steel S Wps pr Flgu Gwde 1'or less6ablon-Loadbeanng waifs (Table 5) 2x_- fl in t onub 20 Gage Straps Per Fgure 17 .,greatelOtl 6 etlge/12 geld - - Gab la End Wall Bracin ' 6'ed 9 +' c. Upbfl Straps per Figure:14 - ge/6'field Fug Height Endwall Stud (Fig 10).. d. All Straps per Figure 17 Corrosion resistant t l WSP Attie Floor Len to ..- 9 .. IFlg 11).. - ...._ R 21N13 a Corner Stud Hold pawns per Figure 18a and Figirce 18b9 9 0o g nil gage staples are permitted,check IBC for adtlltianal rqulremenls. Gypsum Cedirg Length(il WSP t ce d) f.,. (FI 1t k a e9W 2. cept o Opening heights of up to a-ft shag be permitted whey,5%is added to the pe cent rull-height sheathing a a r fin nails a 16and 2 x 4 CaMmuovs Laloal Brace 6 A o.c (Fg971'i , .. ........ ......... Ex n r ails Unless otherwise stated,sizes 1 iw nails are common wire si Box end or 1 x 3 ceitin furnn tri 16-a nrn.wilh 2 x 4 blocks 4 f.s The bemenls s own in awes t0 and 1/. meter and equal or greater lea th to the e pneumatic nails se eqivalent Double Top Plateg g s ps pacing rg(� pacjng in end joist or puss bays 3. Toe bellom sill plate b exterior warts shall be a minimum 2(n.nombal Nickness pressure treated N2-grade. 0 9 pacified common nails may be substituted unless otherwise prohtDited.t S lice Len Ili - -p 9 .... .. ..Fig l3 and Table 6) ,..!lr: 1SpliceCo 1 ... ...._ ( : fl(fro. t i6d mmon nails)...... (Table 6).... ... AMERICAN FOREST&PAPER ASSOCIATION re0 tl CI J .,O IxIJ Il. C-xi'STI' - I - Y f -I �� fxs brA 'I` I -.:14 i - �I 1 I .�- �-:$ •4 hi.t.nc. -� .I 1 1 C3$\v l 14y5\T/ i ___;vwl'jG CL-On,:Si ll)1'i lli US\y I NN E c)" /E'T 4E� . -fGP 5 fLP cyt 1 - i tart l ' Fls'_k'.i1, PLAN�.q'�:.1'-0.•` ":: I l/K El£?/�C1t.1N / \ SEC- { �R UCE MUN DES[q% ¢n�'�-•�<'� °acid a'�n�sz 9,t,e� . •20 • so _ pa+wino weueen