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0168 STRAWBERRY HILL ROAD
,. <. M. a .. -: b .... i. �. _ _ �. ,, ry f .*v ;.. R e _ � _ a i �+ _ F' • S( �. i - �. ;�. � >-, .. '� .. ` .. e V .. t a a K e ... K � - ,. c � 9 e � � fi - .. i .. e t 1 - .. e d s _ � y w o .. - � c - �. .o t � � d Q .:._ _ � - �: _ . . :: 'p :. � _ rK , p��FtHE Tp�� Town of Barnstable I BARNSTABLE. . Regulatory Services 9 MASS. _ M 0 �0 Building Division prfAra 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection S 4 F A71-4�G Location WF . TP-A W PF-e ey 4-IL f2 b Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: loa k seA -60 deep S-A�aD s r,,.' 5 n5 aA- y\ckrf-bw l,Ja I Con4 I r-in"4 30 Q� r, S� I�� ✓toT nu , ec� y0 3 t/ Please call: 508-862-403$for re-inspection. Inspected by Date h h I CAPE COD INSULATION PIDER GIA55 SEAMLESS 5PRATEOAM SUSPENDED HAM GUTTERS INSULATION CEILINGS 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 e Date: ��1�/J� Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. Lien ormed fit' completed the insulation and weatherization work at the property listed belo ape CoXE zz Insulation did this in accordance to the specifications listed on the building x , • -_�p g perrnrt application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Require ents. PropertyOwner Property Village T fl Lxffj A// ie Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) trr � qt (e7 Sincerely hECasJr, President on, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel ca 1 p r�yT / f pplication Health Division Date Issued Conservation Division col Application Fee4' Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �Sll3�'3 Historic - OKH _Preservation / Hyannis Project Street Address Village k we, Owner SC.;;, k%A I e,64JA I Address i&g J t, AD Telephone 'n2; 9, - Permit Request c' `` X o 1,b w Square feet:.1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation i'S�g ooc- Construction Type Lot Size a �s hL Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure a 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 w ' Total Room Count (not including bathe): existing new First Floor 4om Count' (.-) 1 - Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other � Ca , Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal sto1vo1: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing "xi] nem size- u'7 7 Attached garage- ❑ existing ° new size _Shed: ❑ existing ❑ new size _ Other: ® x Oil Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # _ Current Use Proposed Use- . p __- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� IAA-�5� Telephone Number .5'b aS !-,5 q C.�-`St5c) Address /toa 14, cam- <J�) License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I i i ��r f I` FOR OFFICIAL USE ONLY 3 't `'APPLICATION# Iti DATE ISSUED ti MAP/PARCEL N0. s ; t ' x ADDRESS VILLAGE OWNER t t 4 DATE OF INSPECTION: FOUNDATION- C r FRAME fL.Y(f) ® 4I13 LY o Bo Io013 a- I ILVIiqW- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r �� S DATE CLOSED OUT ASSOCIATION PLAN NO. t n GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS: 110 MPH WIND ZONE CHECKLIST OK? 1.1 SCOPE WindSpeed(3-sec.gust)..............................::........................... .............:....:................................110 mph X_ WindExposure Category........................................................... ..............................................................B 1.2 APPLICABILITY Number of Stories ......................................................................(Fig 2)............_1—stories <_2 stories X_ Roof Pitch ........................................................::.:........,.............(Fig 2) ......................_7/12_ 5 12:12 - -X - Mean Roof Height ......................................:.................::.............(Fig 2)..............................._11-ft 5 33' _X_ BuildingWidth,W.......................................................................(Fig 3)............................. _24'_ft 5 80' X_ Building Length, L .......................................................::.........:...(Fig 3).............................._22'_ft 5 80' —X- Building Aspect Ratio(LtW) ...................................................:...(Fig 4)............................_1.09—<_3:1 X 1.3 FRAMING CONNECTIONS.....................................:......................... ...........X General compliance with framing connections?......................... (Table 2).................................................. 2.1 ANCHORAGE TO FOUNDATION Type of Foundation.................................... ...............................(Fig 8)—CONCRETE POURED —X_ Foundation Anchorage Proprietary Connectors Uplift...................................:...........................(Table 3).............................U=�217 plf X_ Lateral............................................................(Table 3)........................... L= 132 plf _X_ Shear..............................................................(Table 3)...........................S= 252 plf X_ 5/8"Anchor Bolts Bolt Spacing...................................................(Table 4)..................................._71_in. X_ Bolt Embedment.............................................(Fig 5)........................................_7_in. _X Washer Size...................................................(Fig 8)..._3 in.x_3 in.x 1/4_in.thick _X_ _ 3.1 FLOORS Floor framing member spans checked?......................................(IRC or WFCM)....................................... X_ Maximum Floor Opening Dimension...........................................(Fig 6).. ..............................—ft 5 12' Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.................(Fig 7)......................................—ft <_d _NA Supporting Non-Loadbearing Walls..............................(Figs 8 and 9).......................................... _NA Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall.................(Fig 10).................................... 'ft <_d _NA_ Supporting Non-Loadbearing Walls or Non-Shearwall.(Fig 11)................................. ft 5 U4 —NA_ Vertical Floor Offsets...................................................................(Fig 12)....................................—ft <_d _NA_ Floor Bracingat Endwalls...........................................................(Fig13 ......................... _NA_ Floor Sheathing Thickness......................:.................................. (IRC or WFCM)............................—in. —NA Floor Sheathing Fastening...............:..........................................(Table 2)............................................— _NA_ 4.1 WALLS - Wall Height Loadbearing walls.....................................:'..................(Fig 14)............................._8'4"ft <_10' _X_ _ Non-Loadbearing walls.........:............... .......................(Fig 14 ..........................._84"_ft s20' X_ Wall Stud Spacing............................................................... ..(Fig 14 16_in. <_24"o.c. X_ Wall Story Offsets(Fig 14).......................... ...............................—ft 520'.................................._NA_ 4.2 EXTERIOR WALLS Wood Studs Loadbearing walls...................:...:.................................(Table 5)...........2x 4�- 8 ft 4_in. X Non-Loadbearing walls.................................................(Table 5).........2x 4 _ _-_8__ft_4_in. X__ Stud Continuity WSP Attic Floor Length....:..................................:.........(Fig 15).............................._8 ft <_W/3 _X_ Gypsum Ceiling Length................................................(Fig 15)........................I.........—ft 5 W Double Top Plate SpliceLength................................................................(Fig 17)........................................_6_ft _X_ Splice Connection(no.of 16d common nails)..............(Table 6).........................................._8_ X_ Loadbearing Wall Connections Uplift(proprietary connectors)........:...............:.............(Table 7)...........................U=-189_plf X_ Lateral(no.of 16d common nails)....:...........................(Table 7)........:.......... ....................._2_ _X_ Non-Loadbearing Wall Connections .Uplift(proprietary connectors)......................................(Table 8)...........................U=_169_plf _X_ - -Lateral(no.of 16d common nails)................................(Table 8)....................:................... 2 X Wall Openings . — — — - GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS: 110 MPH WIND ZONE Header Spans................................... ...........................(Table 9)................._5_ft_6_in.<_10' _X_' Sill Plate Spans............................................................(Table 9)................._5_ft_6_in.<_10' X_ Full Height Studs(no.of studs)....................................(Table 9)........................................_3_ _X_ Connections at each end of header or sill Uplift(proprietary connectors)........................(Table 9)................................ 693 lb. X_ Lateral(proprietary connectors).....................(Table 9)................................_330__lb. _X_ Wall Sheathing Minimum Building Dimension,W Sheathing Type...............................................(Table 10)..............................._FH_ X_ Edge Nail Spacing..........................................(Table 10)................................ 6_in. _X_ Field Nail Spacing..........................................(Table 10).......:......................_12_in. X_ Shear Connection(no.of 16d common nails)(Table 10)........................................_3_ X_ Holddown Capacity........................................(Table 10)................................4360_lb. X_ Percent Full-Height Sheathing.......................(Table 10)..................................._39_% X_ Maximum Building Dimension, L SheathingType...............................................(Table 11)............:................... FH _X_ Edgepacing............:.............................(Table 11)...................,Nail S ............._6_in. - X_ Field Nail Spacing..........................................(Table 11)..............................._12_in. X_ Shear Connection(no.of 16d common nails)(Table 11)......................................... 3 X Holddown Capacity........................................(Table 11).................................4360_Ib X__ Wall Cladding Percent Full-Height Sheathing.I...................... (Table 11)..................................._27_% _X_ Ratedfor Wind Speed?................................................................................................................ X 6.1 ROOFS Roof framing member spans checked?......................................(I RC or WFCM)....................................... _X_ Roof Overhang ................................................................(Figure 26)..............8"_ft<_2'or L/2 _X_ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift..............L.:.......I.. .................(Table 12).......:.......... ..U= 269 plf —X_ . .................. ..... Lateral............................................................(Table 12)..........................L= 176plf X_ Shear..............................................................(Table 12)................:..........S= 77 plf X_ Ridge Strap Connections-Tension............................................(Table 13).........................T=_194_plf X Gable Rake Overhang......................................................(Figure 26)............. ft ft s Z or U2 NA Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.................................................................(Table 14).........................U=_417_plf X_ Lateral(no.of 16d common nails)..................(Table 14).........................................._ X_ Roof Sheathing Type..............:....................................................(IRC or WFCM)........ WFCM X Roof Sheathing Thickness......................................................................................1/2"_in.>_7/16"wsp _X_ Roof Sheathing Fastening....................................................:......(Table 2)....... ..............................6X6_ Iq. � l �r 1 � �4r- � i � ti y �tl( lliG��1ual/w�eLKfJi�f1IJ.Y�al�ifs7eLW J . Dep erct of..Iiidu�strirrll cctrlerrts` ` O,�ce of Iavesttga�wns 4 600:yYaskingtorc Street 7" .mass gov/dia _ Porkers' Compensation Insurance Affidavit:Bm'lders/Contractors/Blectricians/Plumbers Applicant Information Please Print Lezffi1 " Name(susbmssl CGS Address: b Z-kV 1 . • . , City/State/Zip: .o y 0:5 T Are you an employer?Check the appropriate box: -Type of project(required):, 1.❑ I am a employer with 4. .0 I am a general contractor and I employees(fan and/or part time).* ' have hired the sub-contract m 6. ❑New construction 2.❑ I am a'sole proprietor or partner- • listed on the-attached sheet': 7. ❑Remodeling shy and have no employees These t0rs have ' -8. ❑Demolition working for me m any capacity* e�loyees and have workers' -9. ❑Buz7ding addition wo rkers'orkers' comp.insurance- [off•insurance,$' . required] 5• We are a corporation and its 14❑$Iectdcal;epaas or additions 3. I am a homeowner doing all•work officers have exercised their 11. Plmnhing repairs or additions myself [No workers' comp. - ?i�ft bf exemption per MGL. 12.0 Roof repair; insurance required]t c. 152, §1(4),and we have no employees.[No workers' . 131 Other comp.in ore=required] *Any applicant that checics boa#1 must also fill out ihe section below showing then work='compmsatim policy information. t Homeowners who submit this affidavit indicating 1hry era doing all work and firm hue outside contractors must submit anew affidavit indicating such. $Canfractom that cbeck ttus box mast attached an additional sheet showing the name of the sub-antractois and state whether or not those entities have employees. If the sub-contractors have employees,they must providb theirs wor1=1 comp.policy number. 'I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site information Iustuance Company Name: Policy#or Self-ins.Lic.A Expiration Dair: Job Site Address: City/Stawzip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration dafe). Failure,to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a foe up to$1,500.00 and/or one-year imprisonent, as-well as civil penalties in the,form of a STOP WORK ORDER and a fine of up to$250.00 a day against th�violator. Be advised that a copy of this stat ramit may be forwarded to the Office of Investigations of the DIA for insuran6e,coverage verification. I do-hereby certify under the pains•and penalties of perjury that the information provided above is true and correct S.zaatum: �` . Date: Phonn#k414 Official use only. Do not write in this,area,to,be completed by city or town offzcW- City or'T;own: PermitlLicense# Issuing Autharity(dide one): .1...Board of Health 2,Building Department 3.Citygown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: . lot :147'. ! JJ � � +� 1) Aj -40 w ide . x � Q pine Gte� Iscaze 40 Load , �, date l 2 -92 Jhe�owzdat Pi ahowrc 'on this ; 'to Cat on a q tomd ad. aiww►z he�;eoa and f1GG Cape ° ae tGack o f thl :.. wrr. o l3 3 49 ka d)o-t load �. a ► .tab Le; ld yw�.zi�, l 0260/ ' IslUe i p(lan o A 70,t �0 �eC�e d(. t l�ei►uj 20;2l,22 ai �how►� o�c a Plrn 'tern in 'Goo/ 76 Pie yic r F N 2asa i oQ� rt 7 ...4 " .. y �, T -Town:of Bar71 nstable Regulatory Services t snar , • Thomas F.Geiler,.Director MASS i6 ,,•`� Building,Division - Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 , www1own.barnstableana.us . Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:._ -�����y 1P C JOB LOCATION % � Gt" �,�,n•�% Z (�" � 1 �-1--cam... number - s� village s. "HOMEOWNER i.`cJ��i✓I IC--�Lr�.SG-� 1 �t� `-7��� SU SD� ��� Co 3LvS�~ name home phone# work phone# CURRENT MAILING ADDRESS: I°:.� .S La o L7 y•y-/ r�: f i �. - �:.���► L.L. o�l�� city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelhnzs of six units or less and to allow homeowners to engage an individual for lure 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 m 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"ho er"certifies that he/she understands the Town of Barns tab le Building Department minimum insp c o procedures and requirements and that he/she will comply with said procedures and require ents. Signature o Homeowner ' r I 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 Y 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.inue 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 X 21 rvxFpl.i9y r <. Zvh nNr a1 i a z'7F me��� F a �4iy St k. mtrs1tu- 9 1 Sri$ v r r �1 Town of Barnstable f { _ Regulatory Services � Thomas F.Geiler,Director sec k Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www:town.barnstable.ma.us. Office: 508=862•4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This .Sec ' n If Using A Builder I, as Owner the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this uil ' ermit (Address of J b) - **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted.- Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS 6/20I2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION OF BARNSTABLE • Map 02 Ll 7 Parcel�f >f"! Application # ? 1 S S Health Division + S ;F�� j I l Date Issued f Conservation Division C�117�yrt � Application Fee Planning Dept. )a Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address (c, v Q C.D bev vt S4 (�- Village �, 1�,+�-,tl/ t L� Owner V,1 Address ! d ew-q d t ca— i Telephone S�N C)S O Permit Request Square feet: 1 st floor: existing proposed Q 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ®_T® Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total.Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Na v& l AcS Telephone Number 50'9 Address /(o!5' S)a e wa ✓I k41 !LJ'j�pense# s ►i-- Home.Improvement Contractor# Email � � L r/orker's Compensation # ALL,1CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f � ii SIGNATURE via DATE h'. r ti FOR OFFICIAL USE ONLY s APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION (` 0 1 t, 1-A FRAME L'f t51341 S' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i Town, of Barnstable OF1HE Regulatory-Services do Richard V. Scali, Director BARN B�� ; Building Division BARNSTABLE A/� BARN$TABLE•CRRERNLL[•CBNR•IMANXIB MAss. 0 NR0.5fOX5 MINS•OSiERVILLE•N.3i BO4X5L10tF Thomas Perry, CBO , 1639-2014 ArEDN1P�A Building Commissioner 200 Main Street; Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 August 20, 2015 A , John Tedeschi 168 Strawberry Hill Rd. Centerville, Ma. 02632 RE: 168 Strawberry Hill Rd.', Centerville, Map: 247 Parcel: 118 Dear Mr. Tedeschi, This letter is in response to application number 201504905 submitted to remodel the home at the above referenced address. Unfortunately, the application can not be approved at this time for the following reason(s): 1) The property is the subject of ari'unresolved permit(application number 201302697). The above unresolved permit must be finished with all inspections_satisfactorily completed. Please do not hesitate to contact this office with any questions. • • Respectfully, Meu L. aul✓ zon , Local Inspector jeffre lauzongtown.barnstable.ma.us (508)862-4034 �a1��;� �' b GUIDE TO WOOD CONSTRUCTION.IN HIGH WIND AREAS: 110 MPH WIND ZONE CHECKLIST.Tedeschi/Centerville OK? 1.1 SCOPE , P ( gust) .......1110 mph ; —X— Wind Speed 3-sec. ust ....................... ........ `. . _........ ............. , .....:.. Wind Exposure Category x B _X_ r P 9 rY........... .... . :.........:.............._............. ............................................ 1.2 APPLICABILITY w Number of Stories ......................................................................(Fig 2).............._1_stories <_2 stories X- '-Roof Pitch ................................. .................(Fig 2 3—-< 12:12 Y • X Building Width, ......... ..(Fig 3 ....... ... ...... 11 ft) . 5 ' X 80 — Mean Roof Height ........ ...................... ..............:... Building Length, L .................................................................:....(Fig 3)..:............................ 16 ft <_80' -X_ Building Aspect Ratio(L/VV) .:.................... ...............................(Fig 4).......:..................:....... 2_<_3:1• . _X_' 1.3 FRAMING CONNECTIONS ~, General compliance with framing connections?.............. .I... (Table 2)................................................... 2.1 ANCHORAGE TO FOUNDATION Type of Foundation.....................................................................(Fig 8)......:...............Concrete basement —X— Foundation Anchorage Proprietary Connectors Uplift.. .................... .................................(Table 3) .........................U= 217 plf X_ Lateral................................................... ........(Table 3)........................... L= 132 plf _X_ Shear............. .................... ........ .....(Table 3)........... .............S= 403 plf, X 5/8"Anchor Bolts Bolt Spacing'.. ................................... .......::(Table 4)...:..............................._44_in. X_ Bolt Embedment..::......................:::......:........:(Fig 5)........................................_7_in. _X_ Washer Size......................................'... ....:.(Fig 8)..._3 in.x_3—in.x=1/4 in.thick _X_ T w 3.1 FLOORS n Floor framing member spans checked?................... .. .........(IRC or WFCM)........................................ _- X_, Maximum Floor O Opening Dimension................. ... .:.. .............................. N/A—P 9 . .. ................:(Fig 6).........,......... , Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)................................._N/A_ft <_d X, Supporting Non-Loadbearing Walls.................................(Figs 8 and 9).. ......... ........................ Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall..... ........(Fig 10)......................... N/A ft <_d X Supporting Non-Loadbearing Walls or Non-Shearwall.(Fig 11) ... N/A ft <_L/4 X Vertical Floor Offsets...................................................................(Fig 12)................................_N/A ft <_'d _ _X_ _ Floor Bracing at Endwalls .............................................:.............(Fig 13)............ ....:............... _X_ , Floor Sheathing Thickness ............................... ....... (IRC or WFCM) =3/4_in. X_Floor Sheathing Fastening................................................... (Table 2), .....6X12 X_ 4.1 WALLS Wall HeightX a Loadbearing walls.................... ...................... ........(Fig 14)..........:..................T-8:='ft <_10'... X- Non-Loadbearingwalls............ ~°�.... ............(Fig.14) :_T-8„_ft <20r. -X_ Wall Stud Spacing ....... .... (Fig 14) ... ...... 16_in.<_24"o.c. = _X_ e Wall Story Offsets(Fig.14) .... ........ ........... ...... . N/A ft <_20` `. .4.2 EXTERIOR WALLS Wood Studs . Loadbearing walls...........::..:..............:. -....:.. .::..(Table 5)...........2x_6_= 7' ft-8 in. ,• , -X_ Non-Loadbearing walls `................... ..(Table 5)............2x_6__7_ft_8 in. —X— Stud Continuity . WSP Attic Floor Length.................................................(Fig 15)..........................._N/A ft <_W/3 -X_ GYpsum,Ceiling,Length ...:...... ...............................:...(Fig 1.5)........................ ......-16 ft <_W _X-. . Double_Top Plate • - Splice Length.. .......... ........(Fig 17) ....... ....... ........_N/A_ft : ; —X— .Splice Connection Connection(no.of 16d common nails).. .......(Table 6)...........................-......... — X_ Loadbearing Wall Connections Uplift(proprietary connectors). .. ...... ......... .........(Table 7).......:.......................U=-90 plf' X_ _ Lateral(no.of 16d common nails)................................(Table 7) ..................................._2_ 'X Non-Loadbearing Wall ConnectionsX Uplift(proprietary connectors).............. .. ................(Table 8)........... ...........:.U= 169 plf X_ Lateral(no.of 16d common nails)-....... :.:. (Table 8) ...:................ . ........:.._2_ X GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS: 110 MPH WIND ZONE Wall Openings Header Spans.............. ........:... (Table 9) .........2 ft,_6_iri.<_ 101. ' _X_ able 9 :......%._2 ft- 6_.in.:5 10' _X_ Sill Plate Spans........:::. . .............................................R ) Full Height Studs(no.of studs):............ .............. (Table 9)........................................_2_ _X_ Connections at each end of header sill _. ; Uplift(proprietary connectors) ............`:......(Table 9)........... ..... ........416 lb. Lateral(proprietary connectors) ....................(Table'9) ................................. _198_lb. _X_ Wall Sheathing Minimum Building Dimension,V11 i Sheathing Type.............:......... .....,:..(Table 10).....:... ............. WSP Edge — Edge Nail Spacing..........................................(Table 10)............................. ._6—in. _X_._ Field Nail Spacing...... :.:.... (Table 10)............................... 12_in. _X_ Shear Connection(no.of 16d common nails)(Table 10)..::...... ...................::.:....._3- _X_ Holddown Capacity..........................................(Table 10)..............................`_4360_lb. _X_ Percent Full-Height Sheathing able 10 ......... •.57%' X_ Maximum Building Dimension, L Sheathing Type...:. .........................................(Table 11')......... ....... WSP_ _X Ed a Nail Spacing . _ ` _ 9 P 9..................:................:......(Table 1.1)............:....... ............ 6 m. X Field Nail Spacing..... .... .......:...._.?:..::.............(Table 11):...........P.................._12_in. _X_ Shear Connection(no.of 16d common nails)(Table 11)........................................._3_ X_ Holddown Capacity...........:.... :......:.....:.(Table 11)............................._4360_lb. X_ Percent Full-Height Sheathing.........:............ (Table 11)...................'.......x:......_19_% _'X_ Wall Cladding Rated for Wind Speed?............................. ....:.... . .:...::.....:..,....::...............I.... :.............: ....:.:..: X 5.1 ROOFS o Roof framing member.spans checked?..........1................ . ...:....(I RC or WFCM) .._.................I...............' _X_ Roof Overhang . ...... :..... ...:..... .. ` ....(Figure 26):...� ......_8"_ft<_2'or u2_ _X_ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift. ............. ......... ......... ........:.:..........(Table 12)......... .U 170 plf _X_ ......... . Lateral...'. :.............(Table 12)....................1.....L= 176 plf., _X_, Shear. . ...........::................. ...........::..:....(Table 12)......... ..............S= 77 plf -_X_ Ridge Strap Connections—Tension....... ...... ......{Table 13)........................T= 176 plf X - Gable Rake Overhang ..................................................`:....:(Figure 26)....... ft ft s 2'or u2: _X- , Truss or.Rafter Connections at Non-Loadbearing Walls Proprietary Connectors ` Uplift.................... .................. .......:(Table 14) ...°.....:,:...........U=_417_plf _'X_ , Lateral (Table 14)......I... ........._148_ _`X_° Roof Sheathing Type..... .................. .................. . ..,...:(IRC or WFCM) _WSP _X_' Roof Sheathing Thickness...........................................:.......r:.........°........................_1/2_in.z 7/16",wsp .,. —X - Roof Sheathing Fastening................................................... .....(Table'2) ........ ........ .........._6X6_ Generated by REScheck-Web Software Compliance Certificate Project Tedeschi Energy Code: 2012 IECC Location: Centerville (Barnstable), Construction Type: Single-family ` Project Type: Addition Climate Zone: 5 Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 168 Strawberry Hill Rd. Kenneth Sadler- Centerville, Massachusetts KSA design P.O. Box 1149 Hyannis, Massachusetts 02601 508-790-3922 Compliance: 5.0%Better Than Code Maximum UA: 20 Your UA: 19 The%Better or worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code horse. , Envelope Assemblies _ - Assembly OX =. g - - - Ceiling: Flat or Scissor Truss 123 38.0 0.0 0.030 4 Wall:Wood Frame, 16in.o.c. 130 35.0 0.0 0.046 6 Window:Wood Frame,2 Pane w/Low-E ' 7 0.260 2 Wall: Wood Frame, 16in.o.c. 70 35.0 0.0. 0.046 3 Floor:All-Wood joist/Truss Over Uncond.Space, 123 30.0 0.0 0.033 ' 4 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title:Tedeschi . Report date: 04 08 15 ' . Data filename: Page 1 of 8 REScheck Software Version 5.5.0 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. ; . 0=1 _ 103.1, lConstruction drawings and ❑Complies ; 103.2 1 documentation demonstrate ❑Does Not [PR1)1 ;energy code compliance for the ❑Not Observable ;building envelope. ❑Not Applicable ; 103.1, ;Construction drawings and ❑Complies ; 103.2; :documentation demonstrate ❑Does Not 403.7 !energy code.compliance for [PR3)1 i lighting and mechanical systems. } ❑Not Observable s, l Systems serving multiple ❑Not Applicable. ldwelling units must demonstrate a ;compliance with the IECC ; lCommercial Provisions. l' Heating and cooling equipment is; Heating: Heating: ,❑Complies j t sized per ACCA Manual S based Btu/hr Btu/hr '-[]Does Not i on loads calculated per ACCA o Cooling: Cooling: a Manual j or other methods "; _ Btu/hr ❑Not Observable l approved by the code official. Btu/hr F❑Not Applicable , Additional Comments/Assumptions: • • 1 High Impact(Tier 1) Medium Impact(Tier 2) 3i;Low Impact(Tier 3) Project Title: Tedeschi ` Report date: 04/08/15 Data filename: Page 2 of 8 t ,• _"A protective covering is installed to ',[]Complies ; ' protect exposed exterior insulation t❑Does Not and extends a minimum of 6 in. below grade. UNot Observable !,[]Not Applicable ; r Snow-and ice-melting system controls,❑Complies y installed. ;❑Does Not `❑Not Observable: e ❑Not Applicable Additional Comments/Assumptions: 7 1 High Impact(Tier 1) Medium Impact(Tier 2) - =t Low Impact(Tier 3) Project Title: Tedeschi Report date: 04/08/15 , Data filename: r Page 3 of 8 i g b 402.1.1, ;Glazing U-factor(area-weighted 9t U- U- 6❑Complies ,See the Envelope Assemblies 402.3.1, average). 10Does Not `table for values. 402.3.3, e a s 3 402.3.6, ; , r ❑Not Observable s 402.5 i ,❑Not Applicable 9 i e s s s 303.1.3 ;U-factors of fenestration products ❑Complies [FR4]1 .are determined in accordance k " ' � � []Does Not ;with the NFRC test procedure or ,taken from the default table. []Not Observable F ❑Not Applicable ; 402.4.1.1 'Air barrier and thermal barrier []Complies [FR23]1 'I installed per manufacturer's e , k ❑Does Not I E instructions. ' ❑Not Observable ; ❑Not Applicable 402.4.3 ;Fenestration that is not site built ❑Complies ; [FR20]1 ;is listed and labeled as meeting b ❑Does Not ; lAAMA/WDMA/CSA 101/I.S.2/A440 r t ❑Not Observable or has infiltration rates per NFRC , 1400 that do not exceed code ❑Not Applicable ; limits. { s A IC-rated recessed lighting fixtures ❑Complies sealed at housing/interior finish 4 ❑Does Not and labeled to indicate s2.0 cfm leakage at 75 Pa. _ ❑Not Observable S. ❑Not Applicable 403.2.1 ;Supply ducts in attics are R- ; R- ',[]Complies ; [FR12]1 insulated to aR-8.All other ducts I R- a R- IODoes Not in unconditioned spaces or a s, soutside the building envelope are; '❑Not Observable i ;insulated to aR-6. ;[]Not Applicable 403.2.2 ',All joints and seams of,air ducts, ❑Complies [FR13]1 :air handlers,and filter boxes are ❑Does Not isealed. []Not Observable.,. ❑Not Applicable z' Building cavities are not used as ❑Complies ducts or plenums. ❑Does Not r 3 ; ❑Not Observable , -: ti ❑Not Applicable HVAC piping conveying fluids I R- R- ,❑Complies above 105°F or chilled fluids 1 e❑Does Not` below 55°F are insulated to aR- -; a 3 E ❑Not Observable f 6 ❑Not Applicable 403.3.1 Protection of insulation on HVAC ❑Complies [FR24]1 i in Y ".. �P�P� 9• � ❑Does Not, b ❑Not Observable ❑Not Applicable Hot water pipes are insulated to R- , R- ,❑Complies , a11-3. ; '❑Does Not , ;❑Not Observable s' } ;❑Not Applicable T Automatic.or gravity dampers are Y ❑Complies installed on all outdoor air ��': r '.r, ❑Does Not intakes and exhausts. ;.. :y ❑Not Observable ❑Not Applicable E Additional Comments/Assumptions: 1 High Impact(Tier 1) Medium Impact(Tier 2) �§,Low Impact(Tier 3) Project Title:Tedeschi Report date: 04/08/15 Data filename: Page 4 of 8 ti v - + 8 r , 1 High Impact(Tier l) Medium Impact(Tier 2) Low Impact(Tier 3) Project Title: Tedeschi Report date: 04/08/15 Data filename: Page 5 of 8 a. Y ` F VEM :5 All installed insulation is labeled ❑Complies for the installed R-values " w3 ❑Does Not 3 provided. , , 3 ❑Not Observable , - ❑Not Applicable ;. 402.1.1. ;Floor insulation R-value. R- R- ,❑Complies ;See the Envelope Assemblies 402.2.6 Wood ❑ Wood a❑Does Not `table for values. [IN1]1 } f'� Steel El Steel o 11 ❑Not Observable []Not Applicable 1 3 S i 303.2, ,Floor insulation installed per ❑Complies (. 402.2.7 I manufacturer's instructions,and ' u ° : ❑Does Not [IN2]1 in substantial contact with the 3 underside of the subfloor. ❑Not Observable ❑Not Applicable 402.1.1, `Wall insulation R-value. If this is a;; R- R- p ',[]Complies ;.See the Envelope Assemblies ` 402.2.5, }mass wall with at least V2 of the '0 Wood ;`❑ Wood ❑Does Not stable for values 402.2.6 ;wall insulation on the wall- `0 Mass ,; ` [IN3]1 ,exterior,the exterior insulation t,❑ Mass 4❑Not Observable !requirement applies(FRld). ❑ Steel E,❑ Steel p❑Not Applicable f 303.2 (Wall insulation is installed per ❑Complies [IN4]1 manufacturer's instructions. , ❑Does Not + []Not Observable. ;. ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) !Medium Impact(Tier 2) .Low Impact(Tier 3) Project Title: Tedeschi Report date: 04/08/15 Data.filename: Page.6 of 8 wFI . f` � 6I� I .f ME 402.1.1, 'Ceiling insulation R-value. R- R- OComplies ;See the Envelope Assemblies 402.2.1, 0 Wood ;, Wood ,Oboes Not !;table for values. 402.2.2, steep steel sONot Observable 402.2.6 [FI1)1 i ;ONot Applicable i- 9, 303.1.1.1,;Ceiling insulation installed per a OComplies 303.2 r manufacturer's instructions. 4 ODoes Not [F12)1 ;Blown insulation marked every .. 3 300 ft2. []Not Observable = ONot Applicable 2 �3 Vented attics with air permeable OComplies I Insulation include baffle adiacent . t t x .ems-�`,� �Ok�.,es PIo soffit and ea re cents that r r� r �`1 Not Observable s extends over Insulation, s � � � s� `ids �• '✓` ?'' s r: 3 3 nylit A pl-cede ,402.2 4 'Attic access natch and door R- R- OCompties 1F1d31 +insulation�l�=value oftti1 S gL Ces Not l lad aCSnt assesrbly.. i ]Not Observable f I�Not Applicable 1 A02.4 1.2 1Biovier door test C s' `— -- p x 0 F ACH 50= ; ACH-50 = �OCam 11es l'F117;* fach in Climate Zones 1-2,and =CIQaes Not s <=3 ach in Climate Zones 3-8. i c ":]Not ObseRable t I OPiot Applicable 1401,.z 2 Duct tigh-"ness test,result of<=4 : cfir[1100 cfr:/100 ,OCyrrp,ies `s rl ]1 cfm/I00 ft2 across the system or f12 QaEs Not 'pp e `<=3 cfm!100 ft2 without air x i handier @ 25 Pa. For rough-in LlPaot Observable � r -tests, verification may need to ENot Applicable - occur during ;ralriny inspection. r _ u03.2 2 1 :Air handier leakage designated' «n� r r s � ElComplies [[SS .ate r' �-� - �.��' i I 11 « of § t.FI24, 'by manufacturer at<=2.�or I�-IQoes Not f i 'design airflow. , Observable _ ONot Applicable �. tr� Karo ramrnablethermostats OCom lies I g � � rr P t -Installed�n lanced air f�rnacrs. � 'ODees Not t l r �.-..,, - - � ^, � [INut.Observable i ONotApplicable 6 ' �473aZ Heat pump thermostat installed � ��� a ❑Complies L ri on heat pumps. �" � `� Does Not It N^[]Not Observable r r v iNot Applicable -Ict.lalating service hot-water. � '� .�^ ,a 'LJI✓iTmplies. r : �r 5 systemsF��f�automaticCr �� ElDCes NotaCCeSsle`51e F'its'rnelcl Cv?Stro5; 2��` �•"� r�- ew axr v C]Nat Observable ONot ApplicableMpg t a p %mBall tYreCEIartfcai veriulatit3n system g �� v� ElCvrn►7lies t�#� � Fans not part f to red and l stec `� ;� �r� O`x ���sr +*-v Qvf?s CdOt e P- M `-�HVAC eqr 1pment neet efficacy �a+�� �r ' ¢ .M—f f. Observable $peg�and sic Ion. li;n;zs, ILP.Jt3 � � ONbt?�pplicabl � ai z f-c 6 1 _04 1 `753%Cf la�'r"Ips in perr}anent �w �r� 4 '� g t aCEfr#SCGIl25 g s tFl6) �DCes Not fl,:'tures or 755%of permanent ���w� � ���TM �� E] l f 3. rixtures have nigh efficacy iatm^.s 3. Dees not ap l 'to low-voltage EINot Observablel , Hi l:2t rtn I.�,n, ':z� Ei-Not Applicable 9 1 •:High Irripact.(Tier 1) ;''Medium Impact(Tier 2) Low Impact:(Tier 3). Project 7it[e: Tedescizi Report date: 04/08/15 Data filename: Page 7 of., I - W �"� �s_ •;aa�x a�+Y a�.a b3A r:x'-'tTt r i�'A s�. '��7 ...�k� ` 'R' �Yz--s- 5 �3 �'£Fr f.N Ya ,.'�r�.'n �'S ,o+ryra{..aYn "J _Yfe .�4 i��,# 1 .R � R c+� ��F' A aVr �T x"^�� �s r`�,'e`k�..,a �s�'��+..� "F_::�1�w 1._� 4 `s•�n�2 �'t,J�_ .s�x�2 ;� �.si. _3_...,< t�t��. �.�q-•i,_s_?",.,:--`�...���.k�,= 404 1: Fuel gas fighting systems have ElComplies 88 fF3233 ono continuous piiot fight. r" � C►Does Not z ,[]Net Observable l � MR L CIMot Applicable f[ , � ocopi46 rs C7mullariE certificate EGstCd. 8s boes Not r1 . x ENot Observable s . r x � ►Pot Applicable P ---� Lr3 Manufacturer manuals for �4 � � � ,� � Dcomplies r mechanical and.water heating L-Does Not ¢ systems have been provided_ �" :� t � JEJNot Observable Mot Applicable Additional Comments/Assumptions: x .. 1 1 High Impact(Tier 1) �_._ ;Medium Impact(Tier 2) 3 Low Impact(Tier 3) ti, Project Title: Tedeschi Report date: 04/08/15 Data filename: Page 8 of 8 , ff iderncy Certif icate ISO P111 Above-Grade!Nall 35.00 Floor 30.00 Ductwork(unconditioned spaces). z Window 0.26 dater Heater v t _ i 150706 JohnTedeschi 168Strawbe 7-6-15 KevBea>Im 1A Strawberry Hill Rd 4:48pm Centerville,MA 1 of 1 CS Beam 4.13.0.3 kmBeamFngine 4,13.1.I Materials Database 1521 Member Data Description: 1CB1 Member Type: Beam ` Application: Floor Kitchen Ceiling/Roof Header ToplLateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live, L/240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 14.0 PLF Filename: 150706 JohnT Other Loads - Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Back 0' 0.00" 15' 7.50" 6' 0.00" 40 10 Live Existing 2nd Floor Floor(12'Span Carried) Additional Uniform(PSF) Back 0' 0.00" 15' 7.50" 6' 0.00" 20 10 Live Existing 2nd Floor Ceiling(12'Span Carried)(Light Storage) Additional Uniform(PSF) Back 0' 0.00" 15' 7.50" 12' 0.00" 30 15 Snow Existing Gable Roof(24'Span Carried) Additional Uniform(PLF) Top a 0.00" 15' 7.50" 0 100 Live Existing 2nd Floor Exterior Wall Additional Uniform(PSF) Front 0' 0.00" 15' 7.50" 4' 0.00" 10 5 Live Proposed Kitchen Ceiling(8'Span Carried)(Low Pitch/No Storage) Additional Uniform(PSF) Front 0' 0.00" 15' 7.50" 4' 0.00" 30 15 Snow Proposed Kitchen Shed Roof(8'Span Carried) 4V 15 7 8 15 7 8 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF#3/Stud 2x or 4x End-Grain(650psi) 5.500" 3.942" 8967# -- 2 15' 7.500" Wall DFL#3/Stud 2x or 4x End-Grain(850psi) 3.500" 3.416" 8967# -- Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Live Snow Dead 1 3305# 3605# 3785# 2 3305# 3605# 3785# Design spans 15' 0.259' Product: 2.0 RigidLam LVL 1-3/4 x 16 2 ply PASSES DESIGN CHECKS Connect members with 3 rows of 16d common nails at 12.0"oc Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 336754 42797.# 78% 7.9' Total Load D+0.75(L+S) Shear 73751 124511 59% 0.4' Total Load D+0.75(L+S) Max.Reaction 8967.# 9188.# 97% 15.62' Total Load D+0.75(L+S)' TL Deflection 0.5724" 0.7510" U314 7.9' Total Load D+0.75(L+S) LL Deflection 0.3308" 0.5007" U544 7.9' Total Load 0.75(L+S) Control: Max.Reaction DOLs: Live=100% Snow=115% Roof=125% Wind=160% r All product names are trademarks of their respective owners _ Eric Sampson . Koopman Lumber&Hardware Copyright(C)2015 by Simpson Strong-Tie Company Ine.ALL RIGHTS RESERVED. , Estimating&Engineered Wood Product: -Passing is defined as when the member,floorjoist,beam or girder,shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The Sman g g resign must be reviewed by a qudlified'designer or design professional as required for approval.This design assumes product installation according to the manufacturers specifications. 665 Church Street,WhItInSVllle,MA 015t mmknnnmanlumhw cnm 150706 JohnTedeschi 168Strawbe 7-6-15 YleyBe 168 Strawberry Hill Rd 4:48pm Centerville,MA 1 of 1 CS Beam 4.13.0.3 Ion Beam Ergine 4,13,1.1 - Materials Database 1521 Member Data Description:1CB1 Member Type: Beam Application: Floor Kitchen Ceiling/Roof Header Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: U360 live, U240 total 1.000" max. LL Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 14.0 PLF Filename: 150706 JohnT Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Back 0' 0.00" 15' 7.50" 6' 0.00" 40 10 Live Existing 2nd Floor Floor(12'Span Carried) Additional Uniform(PSF) Back 0' 0.00" 16 7.50" 6' 0.00" 20 10 Live Existing 2nd Floor Ceiling(12'Span Carried)(Light Storage) Additional Uniform(PSF) Back 0' 0.00" 15' 7.50 12' 0.00" 30 15 Snow Existing Gable Roof(24'Span Carried) Additional Uniform(PLF) Top 0' 0.00" 15' 7.50" 0 100 Live Existing 2nd Floor Exterior Wall Additional Uniform(PSF) Front 0' 0.00" 15' 7.50" 4' 0.00" 10 5 Live Proposed Kitchen Ceiling(8'Span Carried)(Low Pitch/No Storage) Additional Uniform(PSF) Front 0' 0.001, 15' 7.50" 4' 0.00" 30 15 Snow Proposed Kitchen Shed Roof(8'Span Carried) 15 7 8 15 7 8 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF#3/Stud 2x or 4x End-Grain(650psi) 5.500" 3.942" 8967# -- , 2 15' 7.500" Wall DFL#3/Stud 2x or 4x End-Grain(850psi) 3.500" 3.416" 8967# -- Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying member Live Snow Dead 1 3305# 3605# 3785# 2 3305# 3605# 3785# Design spans 15' 0.259' Product: 2.0 RigidLam LVL 1-3/4 x 16 2 ply PASSES DESIGN CHECKS Connect members with 3 rows of 16d common nails at 12.0"oc Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 33675.# 427974 78% 7.9' Total Load D+0.75(L+S) Shear 7375.# ' 12451.# 59% 0.4' Total Load D+0.75(L+S) Max.Reaction 8967.# 9188.# 97% 15.62' Total Load D+0.75(L+S) TL Deflection 0.5724" 0.7519' U314 7.9' Total Load D+0.75(L+S) LL Deflection 0.3308" 0.5007" U544 7.9' Total Load 0.75(L+S) Control: Max.Reaction DOLS: Live=100% Snow=115% Roof=125% Wind=160% All product names are trademarks oftheir respective owners Eric Sampson Koopman Lumber&Hardware Copyright ist,beam by Simpson Strong-Tie Company meets RESERVED.' Estimating&Engineered Wood Products "Passing is defined as when the member,fioorjoisf,beam or girder shown on this drawing meets applicable design criteria for Loads,loading Conditions,and Spans listed on this sheet.The g g iesign must be reviewed by a qualified designer or design professional as required forapproval.Thisdesign assumes product installation according to the manufacturers specifications. 665 Church Street,Whitinsville,MA 015t wtnnmknonmanlumhpr nnm Town otzkmtable x+ Regulatory Services - �oF �ryy Richard Y.Scak. Director Building bir WOU r KAM Tom Perry,Building Commissioner . 200 Main Street; Hyannis,MA 02601 • ' www town.batnstable.ma_us Office: 508-862-4038 4 Fay 508-790-6230 $o_owrn�x UCEM 1XEMrroN DATE; �"�s 1 �pteasePtint JOB LOCAA=- V number s vMAP name borne phoned walk phone CURRENT MAILING ADDRESS: GirYlm'W!1 d'�it np code The current exemption for"homeowners"was extended to include owner-occupied dwelling of six units or less and to allow homeowners to engage an individual for hire who does notpossess a license,provided that the owner acts as supervisor_ DEFINITION OF HOAMOVrTM } Persons)who owns a parcel of land on which helshe resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,ached or detached strut uses 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 WUjaz petm_rt (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. ., k • t The undersigned 7mineownes"certifies that he/she underkarids the Town of Barnstable Building Department minimnm inspection pro is and that he/she will comply with said procedures and requirements.. , Sign o Homeowner Appmvalof uDdingOfcial Note: Tbree-family dwellings containing 35,000 cubic fret or larger will be required to comply with the State Building Coda Section 127.0 Construction Control. . "' HOMEOWI�R'S E7i�11'le'IYON _ . The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt . from the provisions of this section(SeWon 109.1.1-Licensing of constrac ion Supervisors);provided that if the homeowner engages a persons)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,Roles&Regulations for Licensing Construction Supervisors,Section 115) 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 personas it would with a licensed Supervisor, The homeowner acting as Supervisor is ultinnately responsible. To ensure that the homeowner is fully aware of his/her responsi'brTr'ties,mane 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 issne is a form currently used by several towns. You may care t amend and adopt such a form/certitimtion for use in your community; Q:�WPFILES1h•�RMSlbwldmgpeimitli�slFJO'RE55.doc ' , , Revised 061313 Town of Barnstable Regulatory Services 'dress « Richard V.Scab,Dh=Wr Building Division Tom Perry,Btuldfng Commissioner 200 Main Stu e�$yamis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 Property e Owner Must Complete and Sign This Section If Using A Builder aS Owner of the subject property hereby authorize to act on my bebA in all matters relative to work authorized bythis bulling permit application for. (Address of Job) '"Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted I Signature of Owner Sigaatm a of Applicant Print Name Print Name Date Q:FORMS:owriaRrMUMSmreoor s I � •, . � � DePoflnzatAa�errtr . Office aflmesf9afiorrs ' 600 Wim"Wton Street ' BostmMA02err r . - WWLM r=grrvldrza Workers' Comp ensaf ion Ins-once Aff day&Bm-Hers/C rs0ecfricians/Pltmmbers AppficantTgormiflon Please Print Name f � Address- -v► ' • � o�.io tom— -` •�Crty/StatelT�p: r\. i t,l�t.- Phone#: - F2.[E]]j u employer?check appropriate.bo=�f,, r7. E] of Mna enzployrt wi$i 4. C7 I®n a geoesal eaa�drs and T ( ' oyees(fan and/or part fiaei) * hate hired the ow a sole proprietor or patt aar- listed ou the at<ached sbect �delingndhavenoaiployecsThesesnb--�a� haveeozoh`ticazg fna•mo in mW capacity nmpIoyxs aadhave warless''�.msmm CD =nP.inam•anrr. add>flnn 5. [] We are a corpmmficm and its YO ricalrcpaits or addrhons 3 ` 'I am a hammwnm doing all wade ��have exercised thew• 1 (�• myself No wade cmmp. . Hof�pfrmperMCiL p�c ns or addifions IBEILI ce regnized.j t r.1A§I(4),and we have no �'�Roof rs eppaaks , employees.(No wa:k= 13.❑Otfec• *A=Yxpp�thtd=e mbax#Imosta]sofmalit; =iaabeloq'showlmgtbeffwad=zeeompmsidunp�lic�iafnmatia4 tHameaomeawhosabmkthhdff&VtMC3r gThepaiodomg�IIWadraaIIthrahoevot9de aon:j h )nmfi pafadavrtiadu�g� tb eheek b etbrehed eddffional shedsbowmgtho awe aftbe soh-e�sad sty vvhe arnotEmse efitim Nape theY=MtPw&their Wmk=l wing.po1ieY m®bec I am arc employer that isPn7F* g-iPorker a corrpema dun Aisra-anrr•for=y zzTkye= $elate is the poTuy and job site. . ixformadon, _ Insmmmm Company Name: Policy#or Self-ins.Lic.#: PxpirationDa Job Site Ad mss: Attach a copy of the vPorkers'compensation policy declaration page(showkg tTie policy m=ber and won data). FazZare to s=arr coverage as regahtdunder Sectiaa25A ofM3L o.I52 can leadto&c imposition of crmmuzalpen 4i=of a fins np to$I,500.00 and/or ano-yesr bgmipntancot;as well as civil penal#m iu the form Of IL STOP WORK ORDER and a tme- of Dp to$250.00 a day agatut-thovioldmL.Be advised that a copy of this sbt=c of may be fnrwaded to to Office of Investigations of the D is cavmmgo vmff=±i= I do�hrxeby p andP ofP . tint for u¢ormwuyon provided above is xfrce aid correct S. Ph �# f '� Q07Cfal use o Do not write in this area;to be cornpkied by d&or town ojsdmr Pty or Town: Per33dt/.jCerise - - - g Authority�cir-cIe one):— _ L Board ofHealth 2.BmWogDepartment 3.CRWTawn Clerk 4,LledxicalTnspeetor S.Plttmbing7nspednr 6 Oth&r Coact Person: Phone ' formation and Instructions Massaclmsetfs Getnal Laws chaptW M recces all employers to provide wows'campeosfion for their m3ployew. Pmsuant'ta this sib,an mar ploym is defined as'..every person m the service of anot w under any caA r t ofhfir., e qxm or implied,oraI or wrift=." An.a ploys is defmcd as`art in&idnaI,pa tmmbip,associHfion,corporation or other legal eotity,or any two or more of the&mgomg=gagedin a joint eo ugdscy and incndmg tie legal relueseafeiives of a deceased employee,or the receiver or tros,=of an ini vidnal,partnership,amodatian or offer Iegal erg►,employing employers- However the owne r of a dwellmg hoose bavingnot mare than wee spmimeds and whD resides t�or the Dccapant of the- dwelling house of am&=who employs persons to do m ar repair wof3c on such dwelling house or on.the grounds or buiil ft therein shaIlnot bewnse of such employment be deemed in be an employee." MGL chapf=152,§25C(6)also stairs thataeverysiate orIocal Tires ageacyshaHwUhhold the issuance or renewal of a license or permit to operate a business or to construct bwl nags is the cormmDnwealth for any applicautwho has notproduced acceptable evidence of cdmpfance with the insurances coverage required-" Ad 5',MGL chapter 152,§25C(7)states-Tef6her the Xweahh mar any ofits political subdivisions shall ...... eater into may contract for the pmfmmm ce ofpnb o wmficuulrl acceptable evidence of compli$ncevrfth.the kmMmce., req�e�e�of this cbaplrrhave beeepreser�d in fie conftacinrg ar�outy." .. Applicartis Please fill out the wogs'compensation affidavit completely,by c hecidag the boxes that apply to yopr sitoafion and,if necessal',supply sub-c odm or(s)name(s). addresses)and phone ni— cr(s)along with their oestificab*)of insurance, Limited LiahMty Companies(LLq or Limited Liability Partnerships(IZP)withno employers other than the members or partners,are not rbquired to carry worms'compensaiim m ice. If an LLC or LLP does have auployees,a.policy is rcgain d. Be advisedthatfhis affidEvitmaybe sabmitied to the Deparbneot of Industrial Accidemhfs for comfrmad>am ofinsnrance coverage. Also be sure to sign and datethe affidavit The affidavit should be retamed.to tie city or town that the application for the permit or license is being requested,not the Departmmf of Industrial Accidents. Shouldyou have any questions regarding the law or ifyou are:rcga red in obtain a worla~rs' compensation policy,please call the Department at the number listed below. self-insured ccmipanics should muter tier self-insurance license number an the appropriaiE line. Cray or Town Officials Please be sire that the affidavit is camplese and pd3kd Ieghlhly. The Department has provided a spacc at the botfom of the affidavit for you to fill out in the event the Office ofhwestig�has to contact you rega d ng the applicant: Please be sure to fi11 in the permit Ucemse m=ber which wM be used as a reference number. In addition,an applicant that mast submit multiple pmmitiliceose applitaiions is any given,ycat,neea only sabmit one affidavit indicating cmxwt policy inf mnition(if necessary)and mmdar'Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or mmimd bythe city or tnwn maybe provided to the applicant as proof•that a valid affidavit is on file for time permits or licenses. Anew affidavit must be th7led out each year.Whe;rre a Home owner or cifizeu is obtaiII ag a license or pmmrt not=l&.d to any business cr co=muial veof= (ie. a dog license or pmmit to bran Icaves etc.)said person is NOT regmhed to campletn this affidavit - The Oice of Investigations wouldtikes to thank youia advance fioryour empers irm and shouldyouhave any questions, please do not heshatn to give us a calL The Departmcnfs address,trlephane and;Bm number: _ - DepartmmtofIn 1Acpid.®t% f�U4�asbin�bou 3tre� • BOAX6 MA 02111 Ta#617?27-49W c i t 406 or 1-- 77 IASSAFF Fax 617 n7 7749 Revised424-4)7 P 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ` Parcel pplication Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board y-r —i3 Historic - OKH _ Preservation/ Hyannis Project Street Address y Village i Owner S Address Telephone V�' ►�� Permit Request PAC, ce Square feet: 1 st floor: existing proposed 2nd floor: existing proposed - Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �i Construction Type N Lot Size = —+ Grandfathered: ❑Yes ❑ No If yes, attach sup ing docAent n. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) , Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑-,(es J2 No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other ZZ IZ Basement Finished.Area (sq.ft.) Basement Unfinished Area (sq.ft) c,, w Number of Baths: (Full: existing new Half: existing rr� 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 ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ nr_�w size_ Attached garage: ❑ existing 0 new size —Shed: ❑ existing ❑ new size _ Other: Zoning Beard of Appeals Au orization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Curren{c Use Proposed Use APPLICANT INFORMATION ' (BUILDER_OR HOMEOWNER) - Name ( Telephone - e ephone Number Address ®VL Cv License #_10600 Home Improvement Contractor# L�' Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO T�. SIGNATURE DATE �J FOR OFFICIAL USE ONLY ,X APPLICATION# ~DATE ISSUED - MAP PARCEL NO. r . - ADDRESS VILLAGE a , r OWNER 8 a C 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., Massachusetts - Department ol•Public Safety a Board of-Buililin�- Regulations and Standards, C;onstruption Supervisor License s Licenw` CSC 100988 . t HENRY CASSIDY 8 SHED ROW WEST.)¢ARMOUTH, MA02673 y: , Expiration: 11/11/2013 t " ('uuuuissiuucr TO: 76.20 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 s.. ` Boston, Massachusetts 02116 ; Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2t14 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY di 18 REARDON CIRCLE SO. YA R M O U T H, MA 02664 - -----=— ---. _.._--- Update Address and return card.Mark reason for change. sra i Co zoM us; i I.7 Address �l Renewal �� Employment ( � Lost Card r. C'%/r �f(^a-nunarrtetcrll�r`��jrJdac�t6aeCt . ab�\ Office of Consumer Affairs& Business Regulation. License or registration valid for individul use only ' OMf IMPROVEMENT CONTRACTOR before the expiration date. If found return to: istration:. . Office of Consumer Affairs and Business Regulation 153567 . Type: g rEx ira 10 Park Plaza-.Suite 5170 lion: 12/15/2014 Private Corporation. P. ,•' Boston,MA 02116 - CAPE COD INSULATION `INC HENRY CASSIDY 7. 18 REARDON CIRCLE ? SO.YARMOUTH, MA 02664 Undersecretary of val' witho t nat re �— --- •4 4 .. . The Commonwealth of'Nlassachuselts Print Form Department of Industrial Accidents -_-Y, Office of Investigations � >v-_'' F I Congress___;; 1�,� ss Street, Suite I00 Boston, VIA 02114-2017 www.mass.gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/E lee tricians/Pluinbers A s )licant Information Please .Print Le'ibl Nanic (Business/organization/Individual):Mot.,(, 01rd V MA �- 1 ;ire yitu an employer? Check.tl a appropriate box: Type of project(required): I- I am a crrlployer with 00 _ 4. ❑ 1 am a general contractor and 1. employees (full and/ov part-time). have hired the sub-contractors 6. ❑ New construction ;u1t a sole proprietor or partner- listed on the attached sheet. 7. [] Remodeling ship and have no employees ees These sub-contractors have I P Y' 8. ❑ Demolition working Pitt' ine in any capacity. employees and have workers' insurance.$ 9. ❑ Building additionI No workers' comp. i comp.P. required.( 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.�] I ain a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself'. No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.) f c. 152, §1(4), and we have no / r hJ employees. [No workers' 13. Other_W_ e�fZ�f j�yl comp. insurance required.] ';1ny tJpplicmml that checks boy:It I must also fill out the section below showing their workers'compensation policy information. I h)InCOW11Cls,vhu submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. k,onrractors that check this b0 X must attached an additional sheet showing file Marne of the sub-contractors and state whether or not those entities have crnploycc�. Ifthc sub-contractors have employees,they must provide their workers'comp.policy number. l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and joh site injurrnatinn. lnmirance Company Name: ��V, L C�tG1� I fr✓{V-G(6q li C/ i'ohct— It or SeIf-ins. L1c. #l: WGA oo,5 �Z&5 Expiration Date: itil, tine rlcldress:__.�C/ r GLC'ilr 1 City/State/Zip: Attach a copy of the workers' compensation obey declaration page(showing the policy number aInd expiration date). F I[iiLIIV to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a lirtr up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine ol'up to V-SO a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations ohthe DIA for insurance coverage verification. d do hereby certify n�ler the painsgtidpenalties of)erjury that the infortnatio11 provided above is true and correct. SiRinalure: / Date:. ILI Official use only. Do not write in this area, to be completed by city or town official l.'ita or"fuwn: Permit/License# _ Issuing Authority (circle one). 1. hoard of l-lealth 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 0. Other C''mitact Person: Phone#: GlIentU: 45W Rr�,,. CERTIFICATE I:C:IN il.Jl. ti"G� GIMP TIFICATE OF LVABILITY INSURANCE 11n`1 CPI:I TI-,' L`i:aUE":L)AS A M U11U t In• tr _ :.lea I! 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I Y/N1Y11AJ11 rhlc..IGi i;14 t.�-��OLM N N 1 A C L fJ1t11I AI:0MKI q l UUU f100 'aa,.,iLu•�neu, L".1..u1SGAJ:e..Gn t.hlvl_nvi;l: :I'� II pU(Illll .n•:•�rvt'IIUPI(.)r,.JPI71<P.I IUN;�1¢,luw L.L.uISa;nr:G.r't1u(:vi_inur y'I ll(1ll IllJll 01I 1:rt 1( )N:i I L,OC I\IICINS I VL.I it CL L..i A,I—h AC ORU 1111,AJJ1,i. I �.,�..opn�auly,ll Plara ePeca Ia ruyuUuUl '.Vti �rl,r,':, Cr,tnlJ Irthunnufiun `" i�icllrtl„tl IJTTIGA>IU <41 PrG'hrlutol';i .. !l:�l1111-41t: I ILlldl:, i:.t I,IL (uclvc! tl_; an ,Additional 10au10d unuul l;unuial Liapility whan ro(julrud by wrltton IIltr,lit Or it}tfC;i;Clil:lll. . i r I,rl, lIl lilll.11L.1( _._.._ .... CANCELLATQN l:,,l,u I:LI" llli lAlalll)11 ltlC 9HOULQ ANY OF THE AI9QVE.014'iCkjf.ii;C1 T'flll(.1�,1]k 4ANl hI,LI:II Uhl Ultt THE EXPIRATION DATE THEREOF, NOTICE WILL L1V W`LlvkNeLl IN i ACCORDANCE WITH THE t'OLICV PkOVIL11011;1. ' r . - _ Aul"U812WREl`iie$?NIA'IIVB - - 2U1(1ACOND CORPORA IION,All 1-19111;J lvrl lrvd. Oil 11 TlW ACORU nanla and IUUO art,r ijk(urud Marks ul'ACORD IrStl:tJ�JllrhlU3 • MAY ,A 108283 OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at A � v (Property Address) d-.7.6-vl \-C:n-L-1 C,Ut C Win? (Property.Address). ��S herehV authorize CC\ C"d� � L+1}a (Subcontracts r) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's: Si C ature Date 7 ' I E I r MAR, 2 g: 2013 i t -IQ8263 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 7 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 168 Strawberry Hi 11 Rana Village s y ail Owner John Tedeschi Address 168 Straiaherry Hili Road Telephone 508-954-0550 Permit Request air sealing, attic insulation, install 1 exhaust hose—(insulated) install 6s= ft of R-19 missing to the�eriaPitgr of the "basement ceiling at the house sill Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2104 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑existing ❑ new size _ Barn:;.0 existing ,0 ne size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ OtherZ ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ c. Commercial ❑Yes ❑ No If yes, site plan review# '" f' Current Use Proposed Use u APPLICANT INFORMATION -(BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Ave, Cranston, RT n2gin License # 100459 Home Improvement Contractor# 190979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Erik Nerstheimer for RISE i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION j FRAME INSULATION FIREPLACE .r r ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r y: F G�G The Commonwealth of Massachusetts „- - Department of Industrial Accidents Office of Investigations 600.Washington Street Boston,Mass. 02111 www.mass.gov/dia, _ Workers' Compensation Insurance Affidavit: Builders/Contrac>to>rs/Electricians/Plurnbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): RISE Engineering a division of Thielsch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784=3700 or 1-800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): 1. N I am an employer with 4. ❑ I am a general contractor and I 6, ❑New construction employees(full and/or part time).* have hired the sub-contractors 7. ❑Remodeling 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet.. ship and have no employees These sub-contractors have 8: ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition , [No workers'comp:insurance comp.insurance. required] 5.0 We are a corporation and its 10. ❑Electrical repairs or,additions 3. ❑ I am a homeowner doing all work officers have exercised their myself [No workers' comp. ' ^ right of exemption perm MGL 11. ❑Plumbing repairs or additions insurance required] t c. 152, § 1(4),and we have no 12. ❑Roof repairs employees. [no workers' 13. N Other Insulate comp:insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such: $Contactors that check this box must attach 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 thepolicy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-ins.Lic.#: 3730961-00 Expiration Date: 1/1/11 Job Site Address: /State/Zip: Attach a copy of the workers' compensation pol y declaration page(showing the policy number and expiration(date). 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 year imprisonment as well as civil penalties in the form°of a STOP WORK ORDER and a fine of $250.00 a.day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certi and the ins enalties of perjury that the information provided above is true and.correct. Si nature: r �.: Date: Print Name: Erik Nerstheimer Phone#:(401)784-3700 or 1-800-422-5 65 ext133 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): LBoard of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: A0®R0 CERTIFICATE OF LIABILITY INS-URANCE oPlo 4-7 °ATE(MM(°°Yf1Y) PaooucER THIEL-1 04/13/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303" HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 81*0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, East Greenwich RI. 02818-0810 Phone: 401-886-8000 Fax:401-88571700 INSURERS AFFORDING COVERAGE NAIC INSURED INSURERA: Zurich-American Ins Co.. -- Thielsch Engineering, Inc INSURER8 uaor.lcan Wszont.. &Llab11'l ty Thielsch Group Inc. INSURER North American Capacity Hi Tech Realty Inc. -- 195 FrdnceS Avenue INSURERD: Hartford Insurance Company Cranston RI" 02910 INSURER E; COVERAGES 1HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED i0 THE INSURED NAMED ABOVE FOR THE POIJCY.PERI00 INDICATED.N07W1 fHSTAt,lDING - ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOC.UMENT'IV ITH"RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR W-,Y 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. - LTR JNSRC TYPE OF INSURANCE POLICY NUMBER GATE(MM/OD/YV) DATE(� LIMITS GENERAL LIABILITY EACH OCCURRENCE T 1,0 0 0,000 X COMMERCIAL GENERAL LIABILITY 3730962-00 04/01/-10 01/O1/11- RET� .PREMISES(Ea occurence)_ T300,000 _-— CLAIMS MADE- . 1 OCCUR'" �`a MED EXP(Any.one person).. i 10,000 PERSONAL&ADV INJURY S 1,0,0 6,0 0 0 GENERAL AGGREGATE .s 2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,0 0 0 ,0 0 0 POLICY }' dET LOC - ' Emp Ben. 1,000,000 AUTOMOBILE LIABILITY - X ANY AUTO - 3730963-00' 04'/01/10 01/0 1/11 accideni) g2 000'0,00 ALL OWNED AUTOS BODILY INJURY SCHCDULED AUTOS- - (Per person) , HIRED AUTOS — BODILY INJURY NON0INNEG AUTOS - (Per acclda,rd). 3' PROPERTY DAMAGE ?Per accident) GARAGE LIA81Lf7Y _ AUTO ONLY-EA ACCIDENT S ANY AUTO - - ." ... O7NERTP.64I EA.ACC $ nUTO.ONLY: - AGG > - - EXCESS/UMBRELLA LIABILITY - - EACH OCCURRENCE $ 10,0 0 0 0 0 0 B X OCCUR �CLAIMSMADE U.MB 9263637-00 04/,O1/10 OT/-01/11' AGGREGATE 510,000,000 DEDUCTIBLE X RETENTION $10 1000 WORRIERS COMPENSATION AND - X;TORY i_IMITS,: ER ' EMPLOYERS'LIABILITY ' A :1rg1'PROPRIETOR/PARTNERYEXECUTIVE 3130961-00 04/01/10 01./01/11 "E.L.EACH ACCIDENT s 1,000,000 OFFICEWMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 5 1,0 0 0,0 0 0 , If yes,aescribe under - - - - SPECIAL PROVISIONS below E.L.DISEAb'E.POLICY LIMIT S 1,.00 0,0 0 0 OTHER - - C ! Professional Liab DVL000026"800 04/01/10 04/Q1/11 Prof Liab 2,000,000 D � Leased/Rented Eqp 02UUNTD56*78 04/01/10 04/01/11 1 Equipment 100,000,' OE SC RIP TION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - - - - - CERTIFICATE HOLDER CANCELLATION - _ SHOULD ANY OF THE ABOVE DESCRI8ED 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 THELEFT.BUT FAILURE To 00 SO SHALL IMPOSE NO 08LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR. - REPRESENTATIVES. AUTHORI��DREPRESE ACORD 25(2001/OB) (DACORD CORPORATION 1988 t ! B!y®���ti��• la�It�SUpEDFStN/►ME a Tliie,i�c�h5`Eln. 'inee��� J{4 t nn�,t n�t�i�,=.i �;OP ID 27 t� ,I r I r,, DATE F04 12/10 Also for RISE Engineering, a division of Thielsch Engineering, Inc. . Gaskell Associates,; a division of Thielsch Engineering—Inc. BAL Laboratory, a division of Thielsch Engineering`, Inc., Inc. of Th ielsch Engineering, a division ESS Laboratory, . "CO Engineering, a division of Thielsch Engineering, Inc.,. Water Management Services, a division of Thielsch Engineering, Inc. r f - rag.ei0II The Official Website of the Executive Office of Public Safety and Security (FOPS) Mass.Gov Home Public Safety Department Of Public Safety Licensee COmpiaints; , License Type Construction Supervisor License# 100459 Restriction Ws,IC Name Erik Nerstheimer City, State, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search J4G. VdJ�YJYGO)2«fL �✓�'(-IJAQQn�.�LLGG� _ � _ - ._ .. .. Board of Building Regulations and Sta-ndar l Lkeose or registration val'd'for individol use onl31 HOME IMPROVEMENT CONTRACTOR i. befoi e the expiration date. If found return to: Registrat,on,_, 120979 Board of Building Regulations and Standards ' Ezplrafion 3l25/2010 One Ashburton Place Rm]301 - TYP.Q-__'QPPlemerit Card )sfG la la. 021-0 a-, i. ELSCH ENGINE>E( hNG' .__ K NERSTHEfv1ER=:tip:;: 1 ELMWOOD.4E.``t \NSTON, RI 02910 A to * Not valid without sign Ar•e tt brtp://db.state.ma.us/dps/hCdetaIIS-asp?t)ctSearchT.l\T=rU 1 nnll<n s O ice o nsumer fain usmess e u anon o g 10 Park•Plaza- Suite 5170 Boston, Wsachusetts 02116 . 1 Home lmprove • ontractor Registration Registration: 120979 Type: Supplement Card Expiration: 3/25/2012 THIELSCH ENGINEERING r. ERIK NERSTHEIMER 1341 ELMWOOD AVE_ CRANSTON, RI 02910 �t a Update Address and return card.Mark reason for change. - Address O.-Renewal Employment E Lost Card DPS-CA1 is 50M-04/04-G101216 ✓k Coomvmaoz i�ea�l�i o�✓�aaoczcluaeb4 4 Office of Consumer Affairs&Bu§§iness Regulation `License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: µ Office of Consumer Affairs and Business Regulation Registrati6n�'Z�79 TYpe: 10 Park Plaza-Suite 5170 Expira �_ {12 Supplement Card` Boston,MA 02116 THIELSCH ENC = (y ERIK NERSTHE 1341 ELMWOOD ,.� b.. A CRANSTON, R1 029f _�; y:.= Undersecretary Not valid without signature RISE ENGINEERING Federal ID#0"405629 RI Contractor Registration No 8186 A division of Thielseh Engineering MA Contractor Registration No 120979 CT Contractor Registration N6.620120 1341 Elmwood Avenue Cranston R10291.0 4 (401)784-3700 FAX(401)784-3710 CONTRACT , _ .- Page 9 7 E THIS CONTRACT IS ENTERED INTO BETWEEN RISE a ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Client!{ John G Tedeschi (508)954-10550 03/15/201'0 1082.83 SERVICE STREET BILLING STREET �5 — + 168 Strawberry-hill Road 168 Strawberry-hill Rd , -- SERVICE CITY,STATE,ZIP - BILLING CITY,STATE,ZIP West Hyannisport,MA 02672 Centerville,MA 02632 RF r� i,Y� a JOB DESCRIPTION _ i L tJ RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work __.. will be performed at the rate of$66 per man per hour,which includes materials and testing, 16 man hours.This measure is available for 100% rebate from the Cape Light Compact, $1,056.00 RISE Engineering will provide labor and materials to install a—7"layer of R-23 Class 1 Cellulose added to 92 square feet of floored attic kneewall band joist space. $101.20 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class 1 Cellulose added to 524 square feet of open 2nd floor attic space. $576.40' RISE Engineering will provide labor and materials to install 2 new,finished plywood,kneewall space access hatches.The hatch will be insulated,weatherstripped and held closed by eye hooks. (Wood surfaces will be unfinished. Prime coat and/or paint is not included.) $200.00 RISE Engineering will provide labor and materials to make a temporary access to the overhead attic area thru the hall linen closet. The opening will be closed with materials similar to those existing. $75.00 RISE Engineering will provide labor and materials to install linsulated exhaust hose wVoof mounted flapper vent to exhaust the existing 2nd floor bathroom fan. $100.00 RISE Engineering will provide labor and materials to install 6 square feet of missing R-19 faced fiberglass insulation to the perimeter of the basement ceiling at the house sill. $6.60 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year, v e. RISE, ENGINEERING E,R ING Federal ID"#0"405629 RI Contractor Registration No 8186 A division of'1'hielsch Engineering NIA Contractor Registration No 120979 ., CT Contractor Registration No 620120 # 1341 Elmwood Avenue,Cranston,R102910 (401)784-3700 FAX(401)784-3710 CUNTRACT Page a THIS CONTRACT IS ENTERED INTO BETWEEN RISE 7� ENGINEERING AND THE CUSTOMER FOR WORK AS - ENCINEERINr- - DESCRIBED BELOW CUSTOMER PHONE DATE - Client# John G Tedeschi (508)954-0550 03/15/2010 108283 SERVICE STREET BILLING STREET 168 Strawberry-hill Road 168 Strawberry-hill Rd SERVICE CITY;STATE,ZIP BILLING CITY,STATE,ZIP West Hyannisport,MA 02672 JCenterville,MA 02632 — �'---- z JOB DESCRIPTION p I 1 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Sixty-Four&80/100 Dollars $264.80 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTERES OF I%WILL BE C RGED MONTHLY ON ANY UNPAID BALANCE AFTER 10 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SC DU NG,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY B 7NACES i .. AUTHORIZ G RE.RISE INEE -G CUSTOMER A C AN CE 3i NOTE:THIS CONTRAC MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACC ANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE L Town of Barnstable *Permit# 06-76':�(P)c Expires 6 m,gnths from issue date Regulatory Services Fee -- ` Thomas F. Geiler,Director Building Division Tom Perry,CBO, Building Commissioner l �� 200 Main Street,Hyannis,MA 02601 v o� www.town:barnstable,ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT ONLY Not Valid without Red X-Press Imprint. Map/parcel Number Property Address r' s esidential Value of Work Minimum fee of$25,00 for work under $6000.00 Owner's Name &Address. . f Contractor's Name Telephone Number , Homejmprovement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) orkman's Co ensation Insurance Che one: -PRESSPERMIT lamas ole proprietor ❑ I am the Homeowner APR 3 0 2007 ❑ I have Worker's Compensation Insurance TOWN OF BARNS,ABLE Insurance Company Name WorkmAn's Comp.Policy#. 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/doors/sliders. U-Value (maximum,44) *Where required: Issuance of this permit does not exempt compliance with omer, ent re ulations;i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission, y of the o e rovement Contractors License is required. h 1 :1. Ind .0 C 8jV LOW.. SIGNATURE: Q:Fo=:expmtrg Revise061306 r L The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street " Boston,MA 02111'r wi•vw.mass.govldia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Auplicant Information / Please Print Legibly Name(Business/Organization/Individual,): Address: City/State/Zip:- `� /GC/ls Phone.#: d �- Are you an employer?Check the appropriate bog: :Type of project(required):. 1;❑ I a employer with 4• ❑ I am a general contractor and I 6. ❑New construction . loyees(full and/or part-time).* • have hired the sub-contractors listed on the.attached sheet. 7. ❑Remodeling 2. ' I am a'sole proprietor or partner- These sub-contractors have • ship and have no employees 8. Demolition: working for me in an capacity. employees and have workers' g y p ty. $. 9. ❑Building addition [No workers' comp.insurance comp,insurance, 10.0 Electrical repairs or additions required.] 5. [] We are a corporation and its officers have exercised their 11. Plumbing repairs or additions 3.❑ I am a homeowner doing ill-work . right of exemption per MGL ❑ myself.[No workers comp. 12,❑Roof repairs insurance.required.]t c, 152, §1(4),and we have no 13.0 Othet • employees, [No workers' comp,insurance required,] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees, if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name:__ l-z 44d. Policy#or Self-ins.Lic,#: Expiration Date: - Job Site Address:,�F2(� �/� �J �PJ1/GL r Gity/State/Zip: �.r � 1�/jam Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure jo secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 maybe forwardedto the.Office of investigations of the CIA for insizaace coverage verification. I do hereby certify u e pains n enaltie perjury that the information provided above ' true d correct Si tore: Date: _ Phone 70fj1danly. Do not write in this area, to be completed by,city or town officiate. ` .Permit/License# rity(circle one)alth 2,Building Department 3, City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector Contact Person: •Phone#: Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"..,every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership;association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of edeceased 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 evidenee•af•compl1=4 with:tlie insurance- requirements of this chapter have been presentedto 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-cont<actor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members*or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe 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 Towp 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 fo 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,Commonwwi&of Musach setts Mace of T:vesttattm - . • �f�4��hi��tr�met . to��1�Q�12� • . . TO.#617-727-4040 ext 406 or 1477-MASSA.FE Fax#617-727-7749 Revised 11-22:06 WWW.M83&80V/di0 ti °FTC� Town of Barnstable Regulatory Services BARNSTM9 MASS.I E�,` Thomas F.Geiler,Director c 9� A Building Division Tom Perry, Building Commissioner 200 Main Street,.Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ��h'ti ���G�c��g , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signa e of Owner Date Print Name j Q:FORM&OWNERPERMISSION V - ; � �',e �� . a i•��JVOJ9UJ72OOIWP.LLI NG_.���'u/�CC�GGC(l� t — Board of'Bmldmg egulations a nil.Standit'rd HOME IIV�PROVEJN�NTCONTRACTOR:` `Registration�"�149475 " ,� Y% Expirab i 1%12%2008 't ' �«fi n I a D f ;z. j t I YP A Y' E- j ;,ENSEfW CONt$TRCTION' ERjC ENGELSENf <"� r .. _ . ..'. :£h '�i-a �.��:_���`�� _ '.Ad •'1115trg �,. c`�' � .. i l�� -25 a � � � �-�- I /� � � o �� � � /C� � S�r�.�,� �_� flail TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map y Ptarcel i 1 1 _ Permit# 6 4 1'4(o Health Division w M0 P%✓ i r ' 0O-L Date Issued Conservation Division 0 Q127/I00Z_ Application Fee (�. Tax Collector sEPTECj' � V is �3 ST GE Treasurer _ ��02 3 ® IXISTAL'LED IN COMPLIANCE Planning Dept. WITH TITLE S ENVIRONMENTAL CODE ANL Date Definitive Plan Approved by Planning Board TOWN REGULA-,IONS Historic-OKH Preservation/Hyannis Project Street Address Village C e B_c✓ a Owner 1a w I" c-!& Address ti- LLx1 r2. Telephone�5r4 6t.-I cl alc eec, �' S ciSq iWSD LASL.X. K s 0.Li-c 14.&-4- Permit Request _ b4 w, , L-1 tkoc�t, ©a r k i 0 r� Square feet: 1 st floor: existing proposed 2nd floor: existing 100 proposed [% Total new Zoning District Flood Plain )Sic Groundwater Overlay Project Valuation �QQ. CC--C�, Construction Type tj:C�C;44 Lot Size�� coo r Grandfathered: ❑Yes ;No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure v-s Historic House: ❑Yes -Z�o On Old King's Highway: Cl Yes 211O Basement Type: Ql-uil ❑Crawl ❑Walkout ❑Other C Basement Finished Area(sq.ft.) ®(Le Basement Unfinished Area(sq.ft) r.' Number of Baths: Full: existing new . C5 Half:existing new Number of Bedrooms: existing new C�, Total Room Count(not including baths): existing "7 new First Floor Room Count .� Heat Type and Fuel: ZGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Nrlho Detached garage:O existing ❑new size Pool:O existing Q new.size Barn:O existing ❑new size Attached garage:0 existing ❑new size Shed: D existing Cl new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial ❑Yes No If yes,site plan review# Current Use Proposed Use BUILDER I14FORMATION Name 4+k 'i"-e-A cil; 4 gTelephone Number. So F 01pt. 'FU4 01 c� Address e,,� 14 w /Z ►� License# 570 c;kO3 :51v G S� Gad E Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO `y SIGNATURE DATE ' 011 -w� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDkSS f :�' tVILLAGE ,• OWNER LDATE OF INSPECTION: FOUNDATION 3 1 i-z FRAME INSULATION % r FIREPLACE ELECTRICAL: ROUGH _ FINAL- PLUMBING: ROUGH FINAL _ GAS: ROUGH£. p� �i FINAL FINAL BUILDING C> Ll - DATE CLOSED OUT • .? - ASSOCIATION PLAN NO. � r • Town of Barnstable Regulatory Services BARNSTABLE, * Thomas F.Geiler,Director r MASS. g �prED MA'S a`0 Building Division 'Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date � y AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.,142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: �- •�►s .L�. DY►. rf61)a i 1 ay) Estimated Cost Address of Work: L1-- Owner's Name: J l3�� (���cr c Date of Application: ..O I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ge%;er pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. b - ► meal- Date Owner's Name Q:fonms:homeaffidav l The Commonwealth of Massachusetts Department of Industrial Accidents -- - o ico oflnresffost/ons 600 Washington Street = ,< Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit %%%%%%%�%%%� ffillixXXXXXX: name location _ gb S, qv-1 wrg�e-� phone# �❑ I am a homeowner performing all work myself. ❑ I am a sol re netor and have no one workin in capacity %// /// /��%%/G%%/////%�%%�%/%//%/O/%///i�///%%////i, r rovidin workers' compensation for my employees working on this job.: :: : : ME I amane to e P g ........................:.::::.:::: com an .:name::. d ntv* hon N. Insurance V141. ❑ I am a sole proprietor,general contractor,o oaleowner ' cle one)and have hired the contractors listed below who have the follow .wo. .rs' compensation polices: : .:.:.:::::::.::::::::::.::::.:•::: .:..}.: : }; :m : : : .com an <'name: , 'ait�te n6:'v:n•n. •:}.5:•i:(m::•5::}i:•:n�:•.�}::(N}:•:::ii•::••i5i5}}i}}5i:4:i}'•ii:in�::.�:.;f;;;,5;.,;p:t!4i}:ii5i:•ii;.}}:}ii}}::4:•5}5}:V:}L:B::::::v:p:Lvi}}:vC:::::::::.�n�::::::::n� w:n::•::,..:::::n•:::::.::.:......::::::n•::::...-:::::::::::nw::::.:...::::::::.�:::n::•:::;•:::,;...................;..............:::.�::n:.::i5i::. �:t+v::,::;.::.;:::::::::::n:•::::::::}:::::::.....: ..............:...:..::::::::.:........ .. ... .......................:....::::::::::n�:::::::n�:::.�::::.:}55:�i}i}ii:;iS:J}i55:isi:i^ii}$:^i:i^i?:�i:(:::j;::in•:::>.:n•... mYn•:X. ................. ....................::::::.�::....:::......::::5i::::5::... ...v•.:::':•:}::i::::::............. ......:::.�:........ii+.>:�i(•}:i:4:i::::::;:::::::.}}}}}y.:i'LY:.:.n.,.;........:::.;.. ...::::.}}i}}i:•}:'::(•i}}}:::::.}v.�:....:-::ihii4}}i:P::.S:±::<4:v}:...}::::.:..:..............:v::nv::v.-w.:..... ........n.......... .... ::.;'.�::;:;;.v}?}: ... ...:,:... ii;•n}::•:::::.::.....•:::}5}i:5::is}:}5:}:w::::::n::::......w n•:::._:i::}}5:}:}:}5'::5:<;:i}i':':i::}i:::i:.:?.5:'::;:5;;;�.:ii:i:::^:::::::;:::::;:;ri;::'v;'l::i:':..Q�. c an a dir i>` `> 2 ? if1:1u1'BnCC CO. % Fafhn<e to sacra a covers;e as regidted raider Section 25A of MGL 152 can lead to the lmpo�tlon of criminal penaltie+of o fine up to s1,500.00 and/or one years'imprisonment a,weft as dvfi pensltiea in the form of a STOP WORK ORDER and s lhre of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the an nalties of perjury at the information provided above is truo and correct �SigrJat�ue Date �"vZ `ya O A I C?rint name vL CAS Phone# official use only do not write in this area to be completed by city or town official permit/license# QBuflding Department city or town: QLicensing Board QSelechnen's Office ❑checkif Immediate response is repaired Qgealth Department contact person: phone#; .._. QOther_- (Jetted 9/95 PJ/a 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 o' engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or the fore engag l _ . foregoing 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 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,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 and supplying company names,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 obtaia a workers' compensation policy,please call the Department at the number listed below. I City or Towns ent has provided a ace at the bottom of the legibly. The D Department Please be sure that the affidavit�complete and printedep p space 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 pernut/license number which will be used as a reference number: The affidavits maybe redimed 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 8fflce of Invesdaetlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions S50.00 0, b-b Alterations(Renovations $25.00 Building Permit Amendment S25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 28 square feet x$96/sq.foot a 5 U x.0031= plus from below(if applicable) ALTERATIONSIRENOVATIONS.OF`EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.its >120 sf-500 sf S 35.60 ' >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf-1500 sf .100.00 >1500 sf-Same as new binding permit: j square feet.x$96/sq.foot= _ x.0031= _ STAND ALONE PERMITS'' Open Porch x S30.00= (number) .Deck _x S30.00= v�U._U 0 (member) Fireplace/Chimney x S25.00= (number) Inground Swimming Pool .$60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S150.00 _ (plus above-if applicable) / Permit F / �• f b t 2 3 Iva i ��.t. 45' , pit 1000 y l N tta�ub eivty --a< -13vtM ; I w_ 0.c AljU road 1' pep t i c I p 0 �3 to, �41 r ` No. bedtoor'X�.. 3 .: } gown .C.d. f�' �t . 1 17pow NA /r itow 330 9{d -Peach i„4 carted 233 41 aZ.a 1 DO% £ Capactitq q. pd: 20,2/;220. I i qr 29.a A,t 1. Cape £n�.e.e4i.nd. ,ins: C4As �ad '�_ 49 RatZo�t k6ad 01 140 rS(pa i,uct te) N � � I Nq i P, 1 t: +gat- t Ato f it e, No ScciLe V1 M 1000 �p G (l 1 - J S rp,�,t.. t t ��Rll, n' Owl Sketch Pt7n of Xand ,,n Pganmi dpo•t t, , .9 of to,ta 20,21,22 as .shown on a p.t an � � aol?= t ed -in 'book 76 page ! s £�Ceuat,on� aae opt an ar3ilttg:?d data M.. ri r► feat pit Made 11=3-92 Wit. bun No wa�teA enco� l�e�tc. .Zes:�. 2 ;,rc-ioc pP✓i 1" � y* � . : ; 7n l 9P 2 to 30-¢ p z y.6 p ZB.r 2�9 to to r ti 4 \r .land v ;co cvt4e �IE! e: ae 'tl'QE� �vtg 741AN4 s ; 171 17.� The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: .i :.vim V^V U_ lii I t L-X LA,c-, numb stree village "HOMEOWNER"�� 5�=-L� e �`l�� J.tQla �7 R 10 ! 'as e;(.�3 name home phone# work phone# CURRENT MAILING ADDRESS: 2, I r t L 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 um inspection procedures and requirements and that he/she will comply with said procedur quire ts. .j. Signature of weer . Approval of Bu 1 ing Official e 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 AAq 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:EXEMPTN i +M�> TOWN OF BARNSTABLE 355 PermitNo. ......:......... •�i(it. BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 .Yl ,670• v °°►+' HYANNIS.MASS.02601 Bond .....Ll........ CERTIFICATE OF USE AND OCCUPANCY Issued to John Tedeschi Address 168 Strawberry Hill Road Hyannis , Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i �.!.... . 19..9 3........... Building Inspector o'TME>o, TOWN OF BARNSTABLE Permit No. . 35554 ` BUILDING DEPARTMENT I 'u"T TOWN OFFICE BUILDING Cash ur. �► ` HYANNIS.MASS.02601 Bond .....x,,,,,.... CERTIFICATE OF USE AND OCCUPANCY Issued to John Tedeschi Address 168 Strawberry Hill Road Hvannis, Masse USE GROUP FIRE GRADING OCCUPANCY LOAD - �• x THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .f J> Y. 1 ........... i9—P.......... /zo Building Inspector s r TOWN f) BARNSTABLE, MASSACHUSETTS BUILDING PERMIT. GATE 19 PERMIT NO. APPLICANT �"" ADDRESS (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO "' . t.,�i ,tip'i NUMBER OF (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) i,. . _ ZONING DISTRICT- - (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE j BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i TJ TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: I AREA OR PERMIT t�d VOLUME 4 " ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) f OWNER FI BUILDING DEPT. R J. ADDRESS BY r / 1 r I ' i i FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A-CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN.MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST � �� �./1 CV �� �� '�i i1D�E FRVM vS Rc�'r UILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 S o 2V EIPAELOF HEALTH OTHER SITE P N R IEf APPROV "' WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. At 23 I i i i C l3 j-nd. C 6 ?nd. 4-0 ttwb 401 wide _ o e o td. 2• 0,2I,2 2 0.S aa. Pine C",dt )2oad � o 5cat4e 40 (paLvate)- Date /2l-"2-�-l09 2. ea 4 Jhe Jounda tzon ahow.� on .this plan .i s, located jgtt Cape £� on a gtound ay shown he'ceon and ►xeed' the 49 kaabot road 4e tbaek a�' o j. tke-iYowA, of lga x4table. Ygwv i,., M 02601 Site plan oi Xand in /dyavtnidpoat, M9 96,t gohn SW"ch t /geing. lots 20,2 i,22 as gown on a p•Lan 4"xe des .en book 76 page l : JfA Oro- 2 490 ------------ I 1 i i Q H i t � Joseph D. DaLuz Bu,ildiliq Comm4ssipper. Telephone: 790 6227 V . TOWN OF BARNSTABLE BUILDING DEPARTMENT r TOWN OFFICE BUILDING r . HYANNIS, MASS 02601. .. , DATE: //7If,3 TO:. "�11,� Jo�i,y Tedes ch i �02 I AIS Ter A!!�2c_l op, OG�/sax) O<77� -The /Z;Fwe y inspection 'at /68 °s'Tiv "Verry h.,� wwi5 does not comply with MA. Bulding,� Code No. S 6e,49 9 lFC..Jqrded .d e- &0 /14 ve Co,vve,'S�To� Please contact this /Office for reinspecttolf Than you, Building Inspector, „£ AEMskm ) feu / r s 3�1 el,/D/8 5 ,w1rw4fS oZ se,4L, �S ve �rs �e.v75 Assessor's office(1st Floor): _ Assessor's map and lot nu bef Conservation r SEPTIC SYSTEMMUST BE Board of Health(3rd floor), TAL'le..lE�t�IN COMPLIANCE • Sewage Permit number �t -p�- �M Y H"nTLE J ;DADIy►DL Engineering Department(3rd floor): �` i� L� �N @RONMENTAL CODE AND ,to M0 r� House.number p j -r^ I N' R! Definitive Plan Approved by Planning Board g � APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only , TOWN. OF, BARNST ABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO t .>L"_l.,n 51 ►1<Is'-- F -*,,t_-f ,.4,i tom.Vt c TYPE OF CONSTRUCTION _ LAn ©1) / Q 12= 19 0?2— TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: GL/I�G!/tti Location 110 6e.,r w &4,u, 10d o 00 d I �� Proposed Use e-S.Vc-v%'T^c- Zoning District (C Fire District Name of Owner c L, Address I Z psi®.,i _ D l7 (o Name of Builder _ �` + fit Address_ ._/2 P"71-.- 1�-%-) ( SVL Name of Architect Address Number of Rooms Foundation ✓I C-�-,c��-- Exterior Sin.. `-L C -e-S / Roofing q-C-.( Floors f''W%-L�) C � / t4l-4k Interior Heating vL� >�-101 l,c»��� Plumbing 7 1&t h S. Fireplace Approximate Cost d 000 Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Su ervisor's License TEDESCHI, JOHN i No 35554 Permit For 1 z Story ' Single Family Dwelling _ Location 168 Strawberry Hill - Road - ! Hyannis v i Owner John Tedeschi Type of Construction Frame r _ Plot Lot ` t December 2 ' 92 Permit Granted 1 19• Date of;Cf bpecti6n 19 ' r , t nrMe,, �y a wV, ,� ` 3 19 Te- -4 "} ! / 110' PLAN (107.78' CALC.) PARCEL247/11 D: CENTERVILLE NST S 20.2', / W 2` PARCEL ID: / 0 2,o, 247/115—TOO GAP =_ LOCUS Q / BRB Q� �/V NEW p� r 23.3' 0 r / o N / 59.7 FOUNDATION / I p CRAIGVILLE EACH ROAD 1 � J I g 0, N ` _= _ LOCUS MAP / UPOLE SEPTIC - - - ' LOCUS INFORMATION M / AREA Np� = _ 23.6' F =.. = PLAN REF: 76/1 & 391/39 U274s _= EXISTING - TITLE REF: 22540/192 WIND ZONE 3: EXPOSURE B HOUSE = PARCEL ID: MAP 247 PAR. 118 _ ZONING: RB/WP SETBACKS: 20'-10'=10' #168 = FLOOD ZONE: "C" COMMUNITY PANEL: 250001-0008-D DATED:07/02/92 / `� - - - - - - CERTIFIED PLOT PLAN t I 46.8' - - (FOR NEW GARAGE) LOCATED AT: / - - �� ` W 168 STRAWBERRY HILL ROAD - - - - �, CENTERVILLE, MA. PREPARED FOR ..Q wq Y t JOH N TEDESCHI . / SEPTEMBER 23, 2013 EDWARD IUPOLE // // i STONE N NO. 28 8 63.0' PARCEL ID: w � �o� s o 0. 247/11!8 v AREA=.5 ACRES _r 3 w \\r / �z E. A. S. S62s4, SURVEY, INC. 3j. C.BAS. 141 ROUTE 6A GRAPHIC SCALE F SSAOLTBPOOND7B�UILDING 20 0 10 20 40 B . \ I OQO SANDWICH, MA. 02563 tx ( IN FEET ) �' / BUS:(508)888-3619 CELL:(508)527-3600 1 inch = 20 ft. J 1585 SHEET 1 OF 1 - - - -�� � TOWN OF BARNSTAILE 7013SP25 PM 50 DIV trO'i u 4 i �i 1 t' « Y y n fifi � 9 L 9'O" K 7 s 4 Q o a.a p I�--_i I I 1 I 3 a D I l 1 I I IL________________ _____________________I 1 _P - __________________ 'ice "'""'p`'"1" '" •"- I n z�} I I i 3 a E a I s-I 6 • T.a ♦ ° C� c••�t Ln I I $I .. l 1 s*'s u, 4- « a.•:,,mi -F,P+.:; - a..x3 y:.;,•h"*+- - o as a- sn p - Q✓;'�v_ 0' £ A Iin� n s a C acs Po - ro +3a s R z 3 wi p 11 II x o°pl°s' l° 17 cio n� 0 t d P P 11 S �• o - .9 T y - S 3 ' a -------------------- x - ' y , S 4 � • P p a S 4 p A 4 Overhead poor-M.4-panel r.-.9'_0"x T'_0" P a ------------- • o A 61-GX2/GX255 J -------------- P Overhead p-or-Pia+penal - _ - - Andersen-GX 2 5 f.-.4'-1 1 7/B"x It, 2--------------------- a a C3 m a$o b° S� 3 - t $ s t^ gyp; ZY , o �Nn OE N Copyright 02015 by KSA design— DRAWN BY: x o T o A These plans are protected under Federal Pro jeet# 13 16 PROJECT: 2 2'x 2 A'Unfinished Glaraye ALIA4-ion for: M o A e y Copyright Laws.The original purchaser of this I�ENHETH hA0LEP--IF— plan Is authorized to construct one and only professional Building Designer Z ; p Z one home using this plan.Modification or c t reuse Is prohibited wlthout express written �oHN T�r�E�GN1. N ; permission of the Designer. - _ - O m KSA design,,, Any dl9c the noies.derrors imensond.androe91pt9 A n n m LOCATION: in then-tee.dimenai-na.and-r. p ° PROFESSIONAL BUILDING DESIGN arawinge contamea on these a0ivments O REVISIONS: of COMMERCIAL•RESIDENTIAL shall be brought to the attention m Preliminar pesi ns 4/1/1 q 1 dpe �P+rotwberry Hill F-oad ne vesigne prior to ene commencement Gons+rue,+ion Plcns 4/4/1 % of coon colt.tes theangwhh Gape Cod•MasSachusett5 coretruction constitutes Che a.:ieptance Guanaea5te•Costa Rica - of these documents endi. Genkervillre,Nla disorepancin.errors and/oremisslons' capecodoksadeslgncom•www.keadesign.com become the responsibility of the P.O.Box 1149•Nyanni9•MA 02601•506.190.3922 building contractor. ' Hex,height 10 _ - °e F OOe --------__-----_ _------- - - - ------------ - ------------------ - -------- d-o-a'-o -a-- e e e e e e ° °° -------- ---- ________________________ o 0 0 14 2 • 9151 npm 30n ooa ��3 p�'o crt �mi m ro _nnN a� - Ou O_ 3' u ro i ro p N E rt n k - • a p O� Sian n E Si 3 rmt�� e•n 3� -� �O O�gUr p - N A3 N N 3 ----------------------- IN • • T a .. V ' N A n 9 - p = i N s n e ° 9 f f .t 1• O g3 O W C � h T D N < A Qx m. + e x\C o S14 P x A G 3 0 � N S^` ,••q'�-..?r..- ..�,'�,*ate^ ��.x..t f - o O E d S N Y 0 N 5 + S 1 1 C p U 1L p X 9 41 f ® N O 0 \ •t p X + rS 1 0 J• f A • + y S o ; < A + A m + o 7 E m a el (p lu CJ Copyright @2015 by K3A design— � DRAWN BY: S " 'A Theee plans arepraCectedunderFederal PrQJLm�•�,t I 9 16 PROJECT: Q Q'j(Q 4'Unfinished Garage,�cicli•hion for: M p j Copyright Laws.The original purchaser of this I�ENNeTH h�.fJLE'�-.I�. P plan Is authorized to construct one and only - Professional Building Designer one home using this plan.Modification or ti�3 reus¢isprohibited wlthout express written - JONt.� ����/^/ NI S permission of'the Designer. 11(\/ A Y^.� �}'� %�/ m p + S 1 desi 7t-4,a, Any d9nL nOC¢9,dimen910h9.8 d/0�90n9 O A o m ✓ LOCATION: PROFESSIONAL BUILDINO VE5IGN drsswings contained on these documents + REVISIONS: halleabroughttotheat[entionof p•�' Prellmir Desi ne 4/(/I °l COMMERCIAL•RE5IDENTIAL the oesigner prior.to Lhecommencement O GonsFrUL Fion plans 4/4/I f l08 �4-rAw6,err)/ Hill F-oad O.�Onat ctidrt P1-1;tngwith Gape Cod•Massachusetts construction constitutes Lhe_hptance Guanaeaste•Costa Rica cf these documents and any' Genkervillre,1 (a discrepancies•errors and/or omRalons capecodeksadesigneom•www.ksadesignfrom - become theresporelbll11,of me P.O.Box 1149•Hyannis,MA o2 .39 601•508.T9022 - - building contractor. r I I I I I I I I I I I I I I I I r I I 11 o LJ I I F----- I I I J I I • < s i m. .I I I I I i I • 'O '� � � I I I I I I I I I I I I I I i I I I I I L____' t _ I I I I I rz----- i I I I I I > !1-- --i-T----- R < I I I I _ A 1 I I I I L 1 I I I I I t I I I I r < I I I I I I I I I I I I ' I I I I I I I I Copyright 02015 by K5A design•.,.: - DRAWN BY: i �p These plans are protected under Federal Pr9 jeet # I n 16 PRo�eeT: 2 2'x 2 4'UnfiniS ed M A CopUrIghtLaws.Theoriginalpurchaserofthis h Gara9e Addi}ion for: 1 p plan Is authorized to construct one and only • I�ENNETN 2AI7LE��I�. Professional Building Designer + one sproh Iited withois ut express wriiontten to JO'�,l r�I— ��G./nl � 0 � reuse is prohibited without express written ^ X permission of the Designer. O A KSA design=.a. 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LOCUS MAP / UPOLE SEPTIC = _- LOCUS-INFORMATION / AREA 23.6' a _ PLAN REF: 76 1 & 391 39 U�j�S �N = EXISTING _ f TITLE REF: 22540/192 WIND ZONE 3: EXPOSURE B_ PARCEL ID: MAP HOUSE ZONING: RB/WP 2 SETBACKS:1820'-10'-10' #168 =' FLOOD ZONE: "C" COMMUNITY PANEL: 250001-0008—D DATED'07/02/92 f / ___=-_-_ CERTIFIED PLOT PLAN 46.8' , _ - (FOR NEW GARAGE) LOCATED AT: W , 168 STRAWBERRY , HILL ROAD CEN TER VI LLE, M A. Alw / Fhiq y ry I PREPARED FOR / ` I JOHN TEDESCHI / I SEPTEMBER+ 23, 2013 OF Pvza S / lED STO (UPOLE NE // �/ 0 o No. 2 98 / 63.0 PARCELy ID: I w o ssi ,A 247/1,1.8 13 o' - ::mod 3� \ / AREA=.5_ ACRES I w 9 E. A S. \ 2° SURVEY INC. 4 t c.BAs. 141 ROUTE 6A \ F GRAPHIC SCALE SALT POND BUILDING \ P.O. BOX 1729 20 0 10 20 40 80 \ / SANDWICH, MA. 02563 ( IN FEET ) BUS:(508)888-3619 CELL:(508)527-3600 1 inch = 20 ft. ` _— SHEET 1 OF 1 J 1585 1 I c p m } I 1 I I j 1 1 I I 1 1 1 j I i I � I I I r 1 I 1 1 1 I r 1 I I 1 1 t ' 1 � I I � 1. 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