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0571 STRAWBERRY HILL ROAD
'fir 0 o IL p ' rl P' o p 10 1 zV _ - t li 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r Map Par U `� Application # —1 Health Division �b Date Issued Z Conservation ivision �' Application Fee Planning Dept. Permit.Fee Date Definitive Plan Approved by Planning Board 6 Historic - OKH Preservation / Hyannis Project Street Address k ` 11 Village P v�le/f Ur 1 A_ Ownerh L�S Address Telephone Permit Request e ap" Square feet: 1 st floor: existing proposed 2nd floor: existing_proposed Total new334 Zoning District Flood Plain Groundwater Overlay Project Valuation j,/ odd . Construction Type L. k) Lot Size s. a' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family r Two Family ❑ Multi-Family(# units) ' Age of Existing Structure S-(, Historic House: ❑Yes Wlfr o On iiOld King's Highway: ❑Yes No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Ci Basement Finished Area (sq.ft.) /1/a ;Q e Basement Unfinished Area (sq.ft) Number of Baths: Full: existing�Z new Half: existing new Number of Bedrooms: CJ existing —new Total Room Count (not including baths): existing new C3 First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other�� Central Air: ❑Yes ❑ No Fireplaces: New hi Existing wood/cBU'L�ol ��Hi I No Detached garage: ❑existing Vnew s e_Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size — Other: NOV 3 02016 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ TOWN OF BARNSTABLE Commercial ❑Yes ❑ No if yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION .(BUILDER OR HOMEOWNER) Name ✓� Telephone Number �i �� �� (V - Address 1. License # n('Z& Home Improvement Contractor# f Email e_3 goq I Worker's Compensation # A) J�- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE " l :t y FOR OFFICIAL USE ONLY !' APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE T OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING lAit'lli DATE CLOSED OUT ASSOCIATION PLAN NO. The C r�rr� s Lh7als��ea�Jt ar meNt of r.�s�AcdZ=ty Offim O limes n it"t ' 688 WashbVton Street Bastaa,MA MU MVMMaMgflf/F Q . War-us.' CmapensfikmI ce Af EdaviL BeazfCAm e AppHeamt Infbirmaf%nn Plme Pk� Named Ar&ems Are�:crII an empIaper?£�eckfice agpr a b63± = Type of project(re��_ L❑ I a�Pl�vzith ¢ El ama geaesal saaftsc�r aau�I 6- ❑New oaa • yew( a�dlur gartim� * bad laise fife sg 2. I am a sale arpartnw- fisted e�fbe ai fipd sheer ?- ❑ _ ship and finne no empluyem Tbm--sob-consactms haze 8. Demaldi�u ` Wottiog :ffir me is any capacity aadbave ems' 9. ❑Buslc�adriifi� +s+vx�nrw -1 5. p' W�a cmponC=and its 16-L E(eclbiml repaim or ad6fmm 3.❑ I am.a fiQmeo�d*g ag vamk of aers have R d 1 L❑Fl n ff3iU epaim of a tfidcm ' mywlf[No waffiae 0=3F- might of ifla per MGL Imo❑Roafn�ais ins m=rexllimd j i m M§1{4�andWe have za3. . emplayem[go waAm& I3-0 Otfier cam inmxm ce mquireA] � Y �SsLcbeclsT�mc mast alsoSIlo $�mcraabdow file'swodcne mmfl ParkTi ML #l�omeoaenga•c�sul�t c�ris tea`ir�g stepme 3�egg aad.�I�a�id$c �st�ahmit snesv��mdia�.br�s�cii . =car saaddiSmal Sheet SbVMjngftn�oftheSMb-a Z3d StdP-VdT2dIMC3rnottiase 10M onplayem Pam W- I am ma eutplaYsr f7►af is prm� g t� rkexs'caarp�tsm`fon irtsrtraeravr eatPfa3 $efoty is i�itspacy jalfii wits 7nF.rrranra��'�t�'a� ' 'Pa-ficg.11L or°,self--m€7ipi�tiaaDafe k Job Site A&fi-ess ." C igJSta p- Af#ach a copy of the warners'computsaf i---mpoUcy dedamfim page(showing the P'orICY amber and eXPiralioa date). Failnm to sew cavmmge as reauinAunder Sew 25A o€MGL c�152 cau lead tg fisa impositiau of crimin-l pe-mMes of a fine up to$�Sa��U agdfar�e-�srimprisoame�8s�reil as civs7 peual5�s m S�f�sm of a SAP�T(3I�f IgDERaad a f� of up hs$250M a dap agntast ffie violdm Be a&ised ffid a cagy of fins stag my be fa wu&d is fbe Office of Imve s offbe DI fx fiis=am cavuaege verificalion_ IA7 tiff* ' `� andpsrsQt�t'eS Offer xuy biattim inarma€iatapproidWd ahmv is fra and correct Offid as--anTy. Da not mite in ffm�;=aa be wznpfeta by cdp arf aim offidd City or'yawm Ferm ft iceme Issuing ty(Cimk0e): L Sward of ngalth Mw Did-Mag Dept 3.CdylrawR aerk 4-Elecfrical Emspwc S.Phmbbg bTe ►r. fS.OtMer Coact Per== Phom 9-- w �/:K= .■lm..�/A - ■ ■..■i� �•t•1 w 1 �nI■ •':+R t■ al ■• ■- ••■7•.1%R r•laat■�11.1:■■•ls Itl a a .Ital/ • �a! •YUI I. 1■al rUa6 ..■ �•.n • ■AIlm�■ : - ■•'R•■ a. is - r • :Bi•i■� rn■� .n rtl■It■:r •/ /Bi �••S R •I ■ala■ �/ ■1■: •I ••■Ia■�■ • Ji.. 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Signature of Owner ignature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS ... .......—......__..._..__ ...� „carte:ipa�r�nwacureaGlh a�'C�/!/�actircaeCGs :A_Office of.ConsumerAffairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: a Registration:, p111 Type: Office of Consumer Affairs and Business Regulation Expiratio _ Individual 10 Park Plaza-Suite 5170 _ t z Boston,MA 02116 EARL BROWN _ _: t .j EARL BROWN y 76 HOLLY LANE ��� —=` %% CENTERVILLE,MA 0262 '` dersecretary Not valid without signature Y Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-004650 Construction Supervisor EARL E BROWN .. j 76 HOLLY LN , CENTERVILLE MA 02632 - Expiration: ' Commissioner 04/13/2018 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l 7 Parcel f 9 Application _/( Health Division Date Issued. � Conservation Division AWJ �j �Q� Application Fe. Planning Dept. Permit Fee ' ' 7 ' Date Definitive Plan Approved by Planning Board ;O� Historic - OKH _ Preservation/ Hyannis Project Street Address Jl'i`c. LAe yi',,� Village ao Vt , P Owner Address Telephone n (� Permit Request � C�+bl��l�lP a �. rbcl i-f/1 c�oCdC CA-IV Ljwn 2 u 0-y" Square feet: 1st floor: existing gproposed 2nd floor: existing proposed tl IL^Total new 1 S Zoning District I — I ° Flood Plain ��� Groundwater Overlay � Project Valuation V ®B —Construction Type Wc3v fnyvvw-e ti Lot Size d a 3 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U/— Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes al o On Old King's Highway: ❑Yes Flo � I Basement Type: W4,1I ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) /no Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing Onew Total Room Count (not including baths): existing S new _First Floor Room Count Heat Type and Fuel: was ❑ Oil ❑ Electric ❑ Other Central Air: 3`�es ❑ No Fireplaces: Existing New O Existing wood/coal stove: 0 Yes ®'No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: 2 existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ® No If yes, site plan review# Current Use IG1� SP Proposed Use Scam-2 APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) ; Name t:a r —,VDT:® L, Telephone Number '7_7 q wt L`067 Address 4 License # C r (o Home Improvement Contractor# 17 3 C j Email e I C10g0 , ��'� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE S / FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r 4 Fr+OpmM! COLONY-INSULATION,INC. 28 Jonathtia-Bourne Drive POOM04 MA 02659 ToL 50&50&6049 li'X 6WM4-6117 Proposal Submitted to: Phone: Date- E.J. Brown Construction Management 714-487-4867 May 20,2016 76 Holly Lane ej904@comcast.net Centerville,MA 02632 Job Location: two additions 571 Strawberry Hill Road Centerville, MA We submit specifications and estimates for: Insulation: Description Tyne R-Fax or Ceiling Kraft Faced Fiberglas w/PV R:49 Basement Ceiling 9"Kraft Faced Fiberglas R:30 Exterior Wall 3 Y2"Unfaced Fiberglas w/Poly R:13 &2"Closed Cell Foam R:13 We propose hereby to furnish material and labor,complete in accordance with above specifications,for the sum: Two Thousand -Seven Hundred-Forty-Five Dollars(S 2.745.00) Payment to be made as follows: $ 1.395.00-Upon Acceptance of this Proposal& $ 1.350.00-Upon Completion of the Job. A!f material is guarmtteed to be as specifted. All wvok to be completed in a 1 workmanlike manner according to standard practices..Any alteration or deviation from above specifications involving extra costs will be executed. only upon written orders,and will become an extra charge over and above mith the estimate. All agreements contingent upon strikes,accidents or delays 7�4 11 -11-00, beyond our control.Owner to can fire,tornado and other necessary incur- Note:This proposal n1WWw11hdravm by us if not once.Our workers we fully covered by Worker's Compensation Insurance. accepted within 9_days Acceptance ojProposd-The above prices,specifications and conditions Signature we satisfactory and are hereby accepted.You are authorizes to do the wwk as specified.Payment will be made as outlined above. Default,If Customer faits to make payment within thirty(30)days from the date of Signature Invoice.they shalt be in default.A customer in default will be responsible for all Legal fees(33°A of debt)and costs in the collection of this debt.Interest shall accrue at the rate of i %n%per month of the unpaid debt(19%per mum.) N, 2012 IECC Energy Efficiency Certificate 'Insulation Rating R-Value Above-Grade Wall 25.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling/Roof 49.00 Ductwork(unconditioned spaces): D. Window 0.27 0.49 Door 0.27 0.49 CoolingHeating & Forced Hot Air 82 AFUE Cooling System: Water Heater: Name: Date: Comments REScheck Software Version 4.6.2 Compliance Certificate Project EJ Brown Construction Management Energy Code: 2012 IECC Location: Centerville (Barnstable), Construction Type: Single-family Project Type: New Construction Orientation: Bldg. faces 0 deg. from North Conditioned Floor Area: 290 ft2 Glazing Area 15% Climate Zone: 5 (6237 HDD) Permit Date: Permit.Number. Construction Site: Owner/Agent: Designer/Contractor. 571 Strawberry Hill Rd El Brown Construction Management Colony Insulation,Inc Centerville,MA 76 Holly Lane 28 Jonathan Bourne Drive Centerville,MA 02632 Pocasset,MA 02559 performance alternative Compliance: 0.2%BetterThan Code Envelope Assemblies Assembly Gross r Area Cavity Cont. U-Factor UA— Perimeter Ceiling 1:Fiat Ceiling or Scissor Truss 290 49.0 0.0 0.026 8 Wall 1:Wood Frame, 16"o.c. 200 25.0 0.0 0.053 8 Orientation:Back Window 1:Wood Frame:Double Pane with tow-E 50 0.270 14 SHGC:0.49 Orientation:Back Walt 2:Wood Frame,16"o.c. 100 25.0 0.0- 0.053 5 Orientation:Front Wall 3:Wood Frame,16"o.c. 200 25.0 0.0 0.053 9 Orientation:Left side Window 2:Wood Frame:Double Pane with low-E 10 0.270 3 SHGC:0.49 Orientation:Left side Door 1:Solid 20 0.270 5 Orientation:Left side Wall4.Wood Frame,.16"o.c. 200 25.0 0.0 0.053 8 Orientation:Right side Window 3:Wood Frame:Double Pane with Low-E 10 0.270 3 SHGC-0.49 Orientation:Right side Door 2:Glass 32 0.270 9 SHGC:0.49 Orientation:Right side Floor 1:Ail-Wood)oist/Truss:Over Unconditioned Space 290 30.0 0.0 0.033 10 Project Title: E) Brown Construction Management Report date: 05/31/16 Data filename:\\BOOKKEEPER-PC\Users\Public\Documents\COLONY1REScheckiBrownE)-5.20-16- Page 1 of 9 571StrwbrryHllRd-Ctrv1le.rck I Mechanical Equipment Description Forced Hot Air Gas 82 AFUE Compliance Statement. The proposed building design described here is consistent with the building plans,specifications.and other c culations submJ1244Tift the permit application.The propose Oding has been SwAgned toineet the 20121ECC requirements in R Sr k Versi �4.6.2 and to com ith the ma story s list �REk spection Checklist •Tile") gn re Date T s Project Title:E)Brown Construction Management Report date: 05/31/16 Data filename:UBOOKKEEPER-PC\Users\Public\DocumentslCOLONY\REScheck\BrownE)-5-2a-16- Page 2 of 9 571StrwbrryHllRd-Ctrvlie.rck t CREScheck Software Version 4.6.2 �(j 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. Section Plans.Verified Field Verified 0 Pre-tnspecti n/Ptan Review. Complies? Confinents/AssurnpHons &R .ID Value; Value.,. 103.1. :Construction drawings and jOComplies 103.2 documentation demonstrate IODoes Not (PRl)i energy code compliance for the building envelope. • . "<` 'ONot Observable A: :.IONot Applicable 103.1, :Construction drawings and - ;OComplies 103.2, documentation demonstrate f..: .. .; } �:.°•- :ODoes Not 403.7 :energy code compliance for j,' ' :' ;;;'a'•:::.;. ..:: (PR3)1 :lighting and mechanical systems.1 :ONot Observable Systems serving multiple ; , ' _.;' UNot Applicable ; :dwelling units must demonstrate compliance with the IECC Commercial Provisions. s 302.2' :Heating and cooling equipment is' Heating: ; Heating: :OComplies 403.6 sized per ACCA Manual 5 based 6tu/hr Btu/hr 11Does Not (PR2)z :on loads calculated per ACCA Cooling: Cooling: QNot Observable Manual j or other methods_ Btu/hr Btu/hr :approved by the code official. UNot Applicable Additional Comments/Assumptions: I 1 lHigh Impact iner 1) 12 IMedlum impact(Tier 2) 3 low Impact(Tier 3) Project Title: Ej Brown Construction Management Report date: 05/31/16 Data filename:%\BOOKKEEPER-PCWsers\Public\Documents\COLO"REScheck\BrownEj-5-20-16- Page 3 of 9 5715trwbrryHllRd-Ctrvlle.rck Section d Foundation Inspection Complies? CommenWAssumptlons 303.2.1 :A protective covering is installed to :OComplies 11`01113 :protect exposed exterior Insulation 'ODoes Not a :and extends a minimum of 6 in.below ONot Observable grade. ONot Applicable 403.8 :Snow-and ice-melting system controls OComplies IF012p .:installed. Oboes Not UNot Observable: :ONot Applicable Additional Comments/Assumptions: i 1 High Impact(Tier 1) 2 JMedlurn Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Ej Brown Construction Management Report date: 05/31/16 Data filename:\\BOOKKEEPER-PC\Users\Public\Documents\COLONYkRE5check\BrownEj-5-20-16- Page 4 of 9 5715trwbrryHllRd-Ctrvile.rck Section Plans Verified Field Verified # Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions &Re .10 402.1.1. DoorU-factor. U- U- 13Complie5 ;See the Envelope Assemblies 402.3A ;ODoes Not ;table for values (FRl)1 ;[3Not Observable UNot Applicable 402.1.1. :Glazing U-factor(area-weighted U- : U• :OComplies ;See the Envelope Assemblies 402.3.1. 'average). ,Oboes Not table for values. 402.3.3. 402.3.6. :ONot Observable 402.5 UNot Applicable [FR2)1 303.1.3 U•factors of fenestration products ;]Complies (FR4)1 •are determined in accordance 1 i. :oDoes Not with the NFRC test procedure or .[Not Observable t taken from the default table. l:. 'ONot Applicable 402.4.1.1 Air barrier and thermal barrier ;]Complies [FR2311 installed per manufacturer's ;ODaes Not Instructions. tQNot Observable ;]Not Applicable 402.4.3 :Fenestration that is not site built .` [ ]Complies [FR20)1 is listed and labeled as meeting 1 -ODoes Not -AAMA/WDMA(CSA 101/1.5.2/A440�-- - RQNot Observable :or has infiltration rates per NFRC ; •. •400 that do not exceed code ;ONot Applicable ..limits. 402.4.4 X-rated recessed lighting fixtures,; 'OCompties [FR16)2 :sealed at housing/interior finish •. ;]Does Not and labeled to Indicate s2.0 dm ` 1QNot Observable leakage at 75 Pa. It :QNot Applicable 405.2 All ducts in unconditioned spaces; R- ; R- :OComplies (FR25)1 or outside the building envelope ;❑Does Not Are insulated to aR-6. :QNot Observable ;]Not Applicable 403.2.2. :Ail joints and seams of air ducts. ; :]Complies ' [FR1311 ;air handlers.and filter boxes are \Oboes Not :sealed. �: t ;]Not Observable ;]Not Applicable 403.2.3 Building cavities are not used as ; ;]Complies [FR15)3 ducts or plenums. 11 `Oboes Not It`lUj �,', ;QNot Observable. ; .1ONot Applicable 403.3 ;HVAC piping conveying fluids R- R- IOComplies (FR37)= :above 105 QF or chilled fluids TODoes Not below 55 OF are insulated to zR- ipNot Observable .3. �ONot Applicable ' 403.3.1 ;Protection of Insulation on HVAC % ;OCompUes [FR2411 !piping. {• - ;]Does Not i ,]Not Observable 'ONot Applicable 403.4.2 • ;,mot water pipes are insulated to R- R. .]Complies (FRls)2 a11-3. UDoes Not :ONot Observable :ONot Applicable 1 High Impact(Tier 1) 12 IMedium Impact(Tier 2) 13 ILow Impact(Tier 3) Project Title: EJ Brown Construction Management Report date: 05/31/16 Data filename:\\BOQKKEEPER-PC\Users\Public\Documents\COLONY\RESchecktBmwnE)-5-20-16• Page 5 of 9 5715trwbrryHllRda f mlle.rck r . . 5ectlon Plans Verified-. .Pleld,Verified : :.: Framing.f Rough-in Inspection CompllesT,:: Comments/Assumptions &Rqq.lb Yalue value 4035 ' (Automatic or gravity dampers are ::':::; -.- :` ;pCompues (FR19)? :Installed on all outdoor air ;pDoes Not Intakes and exhausts. ' QNot Observable `: .'Mot Applicable Additional Comments/Assumptions: 1 1HIgh Impact(Tier 1) 2 1 Medium Impact(Tier 2) 13 1 Low Impact(Tier 3) Project Title:Ej Brown Construction Management IReport date: 05/31/16 Data filename:11800KKEEPER-PC%UsersiPublic%DocumentsICOLONYkREScheckkBrownE)-5-20-16- Page 6 of 9 571StrwbrryHllRd-Ctrvlle.rck Section.' Plans Verified Field Verified A Insulation'Inspection Value Value Compiles?. CommentslAssumptions. & .ID 303.1 :All installed insulation is labeled {[Complies VN1312 or the installed R-values [Does Not. ;Provided. [NotObservable j Not Applicable f 402.1.1, ,Floor Insulation R-value. R - i R :[Complies ;SeetheEnvelopeAssemblies 402.2.6 ❑ Wood ;❑ Wood :oboes Not ;table for values. [IN111 ;❑ Steel ;❑ Steel bNot Observable t ;13Not Applicable 303.2. ;Floor insulation installed per t[Compoes 402.2.7 'manufacturer's instructions,and ;❑Does Not iIN211 ;in substantial contact with the i ;underside of the subfloor. } i❑Not Observable ❑Not Applicable 402.1.1, :Wall insulation R-value.if this is a: R R• ❑Complies ;See the Envelope Assemblies 4022.5, ;mass wall with at least 1h of the ❑ Wood ;❑ Wood :Oboes Not tablefor values. 402:2.6 :wall Insulation on the wall ;❑ Mass ;❑ Mass ;[Not Observable tIN311 :exterior,the exterior Insulation :requirement applies(FR10). ❑ Sleet fe9 PP '❑ Steel ;[Not Applicable 303.2 :Wall insulation Is installed per [Complies tiN411 :manufacturers instructions. ;.:`: ,' ' :: '[Does Not .4_ti. .: ,' A,_:. ". IONot Observable !❑Not Applicable Additional Comments/Assumptions: I i High impact(Tier 1) 12 IMedium Impact trier 2) 13 1 Low Impact(Tier 3) Project Title: E)Brown Construction Management Report date: 05/31/16 Data filename:%\BOOKKEEPER-PC\Users\Public\Documents\COLONY\REScheck\BrownE)-5.20-16- Page 7 of 9 571StrwbnyHllRd-Ctrvlie.rck section Plans Verified Field Verified Final Inspection Provisions Value Value Complies? Comments/Assumptlons & .ID 402.1.1. ,Ceiling insulation R-value. R- R. :DComplies ;See the Envelope Assemblies 402.2.1. Q Wood ;Q Wood :DDoes Not ;table forvaN,es. 402.2.2. ❑ Steei ;❑ Steel Not Observable . 402.2.E ;[ (Fill' UNot Applicable 303.1.1.1.:Ceiling insulation installed per �OComplles 303.2 'manufacturer's Instructions. I ;ODoes Not IF1211 ;Blown insulation marked every 1 ' 0 :300 R2. lONot Observable DNot Applicable ; 402.2.3 :Vented attics with air permeable ;j . : ;OComplies (F12212 insulation include baffle adjacent `;DDoes Not to soffit and eave vents that . _- DNo f Observabie:extends over insulation. I ' ;• 'ONot Applicable i 402.4.1.2 :Blower door test @ 50 Pa. <=5 : ACH 50= ACH 50 :OComplies IFI1711 :ach in Climate Zones 1-2.and ;[Does Not c=3 ach in Climate Zones 3-8. 'ONot Observable ;ONot Applicable 403.2.2 ;Duct tightness test result of<=4 : dm/100 cfm/100 :OComplies IF1411 ;dm/100 ft2 across the system or ft _ ;DDoes Not <=3 dm/100 ft2 without air ;QNot Observable handier @ 25 Pa.For rough-in tests,verification may need to :ONot Applicable :occur during Framing inspection. ; 403.2.2.1 :Air handler leakage designated :.';[Complies IFI2411 !by manufacturer at<=2%of i ' ;[Does Not design air flow. :QNot Observable �ONot Applicable 403.6 :Heating and cooling equipment ,. i;z".;_.,: ;[Complies IF1511 ;type and capacity as per plans. ;DDoes Not ;ONot Observable } :ONot Applicable 403.1.1 ,Programmable thermostats I . : . ;DComplies IF19F :installed on forced air furnaces. S. !Opoes Not VNot Observable j ;[Not Applicable 403.1.2 ;Heat pump thermostat installed : • 10Complies IFI10)2 :on heat pumps. DDoes Not :;QNot Observable ;[Not Applicable 403.4.1 ;Circulating service hot water : .[Complies IFI1112 'systems have automatic or :.. :'DDoes Not 0 . ;accessible manual controls. -jQNot Observable ;DNot Applicable 403.5.1 !All mechanical ventilation system; jOComplies IFI2513 ;fans not part of tested and listed DDoes Not HVAC equipment meet efficacy :pNat Observable t :and air flow limits. f 1 ]ONot Applicable 404.1 :75%of lamps in permanent [Complies IFI611 'fixtures or 759E of permanent {DDoes Not :fixtures have high efficacy lamps.; j .IQNot Observable ;Does not apply to low-voltage lighting. : ,[Not Applicable 1 IMIgh Impact(Tier 1) 12 IMediurn Impact(Tier 2) TTFLow Impact(Tier 3) Project Title: Ej Brown Construction Management Report date: 05/31/16 Data filename:kkBOOKKEEPER-PC\Users\Public\Documents\COLONY1RE5check\BrownEj-5-20.16- Page 8 of 9 5715trwbrryHllRd-Ctrvlle.rck Seaton Plans Verified Field VeNfied if Final inspection Provisions Complies? Comments/Assumptions &Re .ID Value Value 404.1.1 :Fuel gas lighting systems have OComplies IF123I3 :no continuous pilot light. :QDoes Not JONot Observable ' fONlot Applicable 4023 :Compliance certificate posted. p OCom lies IF17P .iODoes Not l �ONot Observable ONot Applicable 303.3 'Manufacturer manuals for OComplies F 118 :mechanical and water beating Does Not � provided. , ;systems have been pro ed. ; Not Observable ;ONot Applicable Additional Comments/Assumptions: I High impact(Tier 1) 2 Medium impact(Tier 2) 3 low Impact trier3) Project Title: EJ Brown Construction Management Report date: 05/31/16 Data filename:\1BOOKKEEPER-PC1UserslPubiic%DocumentsiCOLONY1RESchecklBrownEJ-5-20-16- Page 9 of 9 571Strwb"HIlRd-Ctrvl le.rck „yam ____r.__.__ _______.___ a •- ___ __ _', ________ _��� ANIC Guide to Wood Construction iit Higli lend Areas: 110 ntph Wind Zone Massachusetts Checklist for Compliance(7s0 CMR5301.2.1.1)r Loadbearing Wall Connections Lateral(no.of 16d common nails)..... .............:.......(fables 7)........ ..._..... ✓ Non4madbearing Wall Connections Lateral(no.of 16d common nails).._._...................._.(Table B)._-..................--_..................... ....'a ; Load Bearing Wall Openings(record largest opening but check all openings for conipfiance to Table,9) .....................__._..._.._._.:.........._. able 9 ........... ft(o in.511' ✓ Header Spans (T ).......:.......•--..... Sid Plate Spans _......_._...:_..._....._...._._.._..........(Table 9).............._....._........... It,�In.511' tl- Full Height Studs no.of•studs .... able 9 Non-Load Bearing Wall Openings(record largest opening bUt check all openings for compfiance t9 Table 9), , Header Spans......................r...._._..:.............._.........(Table 9).....;.:....::.:-----.......... ft in.517 Siff Plate Spans...._._.............:.._......_....._.........__..(Table 9)......._: ........... ft in.5 . Full Height Studs(no.of studs).._..._.._-_—_(Table 9)... ..... _._..._ . __..._...... Exterior Waq Sheathing to Resist Uplift and Shear Slmultaneousfy4 Minimum Bolding Dimension,W Nominal Height of Tallest Openingz ....................:.. ....:.i al......... ... 6`8' SheathingType........................................(note 4):�, .. ........ _.. _ ✓ Edge Nail Spacing---......._. (fable 16 or note 4 if less)...._.. . .... ......... in. ' Feld Nail Spacing...................._.......•..._....(f able 10).........................-.-_....... in. Shear Connection(no.of 16d common nails)(Table 10)... ...... ..................................... Percent Full-Height Sheathing.._.._:___.......:__(Table 10)......_.........:........._.................../06- 5%Additional Sheathing for WWII with Opening>6W(Design Concepts).................... Maximum Building Dimension,,L Nominal Height of TaDest Opening2.......................... .. 44 6'B� ......__._.-•_.-_:.. note 4 ::_.k .. .?�.._...:.._........._ Sheathing Type.- •--.. _.. ( )._. Edge Nail Spacing .... ...... .._._ R or note 4 If less)......................... Field Nail Spacing ........ _...__ .:.(Toble 11)....-...._._.............._.__....._ .` ✓r °• Shear Connection(no-of 16d common nabs)(Table 11). Percent FulkHeight Sheathing..._...._....._—((able 11)__.. % 5%Additional Sheathing for Wall wlh'Opening>6'8'(Design Concepts)_......_...... Wall Ctadd'mg to Rated for Wind Speed?._:.._.......:............s.. r.L�.......5.4����.� 5.1 (ZOOFS .�...._:�.. ' . Roof framing member spans.checked?.... :._r ..:(For Rafters use AW Span Tool,see BBRS Webs'r1E) Roof Overhang ................ (Figure...... ......._............ 19 1 ft 5 smaller of 2'•or L13 v' Truss or Rafter Connectlond at L.oadbearing Walls Proprietary Connectors , Upldt............_.... . r ..(Table 12)................................ .......L.120plf Lateral. ....... ......._... . .(Table 12)...._.... ._.._....... p Shear._---'- .......(Table 12)............. •._...5= 7?•�tf Ridge Strap Connections,if collar ties not Ased per page 21... (Table 13)•.e©aosi �.�...C_T= pit Gable Rake Oudooker.................:...........:....:.......(Figure 20)....��'_ft 5 smaller of 2'or L12 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors, Uplift__--..._....................._.__..__--..(Table 14).........._ Ok ... .._U= lb. Lateral(no of 16d co mon'na .,(Table14)............. ....�............L= lb. Roof Sheathing Type_...._. .: .. �? j) (per 7$0 CMR CtApters 58 and k............ - -,-`::� _,� ................ Ain z 7�/16'WSP Roof Sheathing Thickness...................:......_._._...:..... :....... Roof Sheathing Fastening._............._.....................:(fable 2)___.......�. ......................Xac....._ Notes: j •1. • This cheddist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR.530121.1 Item 1.If the checklist is met in its entirely then the foilowing metal straps and hold downs are not. required per the WFCM 110 mph Guide: a. .Steel Straps per Figgre 5 , b. 20 Gage Straps per Figure 11 c Upfdt Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b. Z 'Exception:Opening heights of up to 8 fL shall be permitted when 5%is added to the percent full--height sheathing 'requirements shown in Tables 10 and 11. , 3. The bottom sV plate In exterior walls shall be a mhtnum 2 in.nominal thickness pressure treated#2-grade; AFYC-Guide to Wood Construction ui High �rindAreas:II0 fliph fflindZone Massachusetts Checklist for Compliance(78o cR'mRs3oia.m)' - Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust)._...._._......_.............»....._..._.___.._......_.............._.............. .....110 mph; Wind Exposure Category..--.--_..... B Wind Exposure Category................Engineering Required For Entire Project........................................0 12 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)�_dories S 2 stories Roof Pkrh ',_(Fig2 % 512:12 ✓ Mean Roof Height-_..............._...._.__.........._._...._..;._.—(Fig 2).................._.................... ft 5'33 Building Width,W__...._...__.._..._..........»..._.._...__..._..(Fig 3)_.._._.--........._._..........._..:._. it 5 BO' BuildingLength,L ......_.._.._._..__......_._........».___.._...(Fig 3)---_-_------..__----__-_-----------------_ ft 5 80' Buldirig Aspect R�fio(LAW) .............._.....__...._......_..._._(Fig 4)__.__.....---._...-•---...._:..._.....: 'f. <3:1 IV- Nominal Height of Tallest Opening? .................11=._11:1 -.(Fig 4)-----------__----_--_-.-___-_-__-_-_-_.. 1.3 FRAMING CONNECTIONS / General compliance with framing oonneCtions-...__.....__.(Table 2)................................................... ..... ✓ Z.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete:.................. ....................:........................:................................................ Concrete Masonry........ ...__.».... ......................._._..._.._._.__...........•---..__................ 22 ANCHORAGE TO FOUNDAT10N1a - 5/8'Anchor Boltsdmbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing• -general ...........:. able 4 ......._-_. •W, (T ).........._.. ..... .___ in.............................. . ..... Bolt Spacing from endroint of plate.......... (Fig 5)• --..._.._.................._4.6 In.S 6'-12'. Bolt Embedment-concrete._.»..._..__..._.._............(Fig 5)..........................:---._... in.Z r , Bolt Embedment-maso (Figr_.......... in.t 15' PlateWasher..:......_............_...._...._...__...._..._...(Flg 5)......_..___.....�............-_._i 3-x 3-x VV 3.1 FLOORS _1 Floor•framing member spans checked ._.(per 780 CMR Chaper 55)...F ���:.�.��.5....:........ / Maximum Floor Opening Dimension...:....._............_....._.. Fi 6 P.!A....._._......... it S 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:......��:..*..................... Mt udmtim Floor Joist Setbacks n. Suppoiting Loadbearing Walls or Shearwall...._-_...._(Fig 7).......................X ...._.._..._.._.T ft s d Maximum Cantilevered Floor Joists Supporting L_oadbearing Walls•or Shearwrail...........(Fig 8)__»._........._....... T.._......:._.._ft s d FioorBracing at Endwals;._...................._._......_.._....._..(Fig 9)_....._._._..........._..._.:......---._.._- ...._. Floor Sheathing Type ..Z3iZ.....lA.)::1�..:_t_:�G.T.._....._(per 780 CMR Chapter 55).................._.._.._..... Floor SheathingThidmess...........a_......_.._......_...._:.....(per 7B0 CMR Chapter 55 3 in. Floor Sheathing Fastening_........................__...................ffable 2)_4jLd nails at (pin edge/la,:m eld 4.1 WALLS Wall Height f Loadbearing waits._.._...,........__........__.................._.(Fig 10 and Table 5)..........__.._......._ ft 510' Non-Loadbearing walls.._........:.-..._...._....._:...__._.(Fig 10 and Table 5). ..».. _ft's 20' Wall Stud Spacing .......»................:..........................._(Fig 10 and Table 5)_-�.�...-.......44-Ln.<-24'o.c. Wall Stott'Offsets ........__..._....................._...............(Figs 7&8)_................ �.�::........_....._ft s d 42 bCTERIOR•WALLS Wood Studs Loadbeariag viral ._.................._................._._.._......(Table )........_................._.. - `Zft in, Non-Loadbearitig walls.__.._............ ..........._....».: able 5 sue- Q Gable End Wall Bracing' Full Height Endwrall Studs._....___.. Fig 10)_._... .....__........ ...._..» _:....... WSP•Attle Floor Length._�__._....-.... _:......___.....(Fig 11)__......�. ,...._._......_... ftzW/3 'Gypsum Ceiling Length(If WSP not used)...-:_-.........L(Fig 11). _.. ..._....__.............. : ..�. ft z 0.9W and 2 x 4 Continuous Lateral Brace @ 6 iL o.G-(Fig 11)._T_ T-.F.kd_-_t.__A .4 or 1 x 3 ceding furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 fL spng in end Joist or truss bays-1% Double Top Plate Splice.Length -_.._.-_.(Fig 13 and Table 6)..._ _Q.s .11' h._ft Splice Connection(no.of 15d common narls)..............(Table 6)..._..._._-__-..._. ... .._..._-....._...... AWC Guide to Food Corwructiorr in High Wind Areas. 110 ntptr 1•Yrxrd Zone Massachusetts Checklist for Compliance(7so CIAR 5301.2.1:1)' 4. a. From Tables 10 and 11 and location o,wall shi athing and Bulddng Aspect Ratio,determine Percent Full-Height Sheathing and Nall Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be Installed as follows: L . Panels shall be Installed with strength axis parallel to studs. 1. Al horizontal joints shall occur over and be nailed to framing. 1L On single story construction,panels shall be attached to bottom plates and top^member of the double top pith. iv. On two story construction, upper panels shall be attached to the top°member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nal spacing at*double top plates,band joists,and girders shall be a double row of 8d staggered at 3 Inches on center per figures below:Vertical and Horizontal.Nailing for Panel Attachment S. Glazing protection:a)new house or horizontal addition—required if project is 1 mile or closer to shore(generally,_south of Rte.28 or north of Rte.6) b)vertical addition—not required unless then:Is extensive renovation to the first`floor c)replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual(WFCM)for 110 MPH,Exposure B may be obtained from the American Wood Council (AWC)website. t . _• _ �" • - ...� a .. _ .. ¢ - * , VA-ENM SEDG'EREMON FMMPM USEBd WAILS l►T6'ha: F 11 I t At it 11 I I /7 1 1•. • 11 Ili f 1 ` , t ii .. � !1 it �' 1 '• •� ' .. � If �1 CL AL f: 11 l! 1 1 I LJ� •�I �� 1 I( U 1 EDSEti[1E TE ll l.k ;I .1 19 _ t S � u� It it it ;w rain+ . aoil9LFs�ca_ " ..sr Shaw. - W;WACJNCi Aul�1 pA776iN ` pig See Detail on Next Page ` ± Detall Vertical and Horizontal Nailing Vertical and Hotizontal Nailing for Panel Attachment _ for Panel Attachment C�"/ke`�p'aor�.zo�ccuea.��/rC�/Gjaoac�c,�iaiaeGt . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:t171 1 . Type: Office of Consumer Affairs and Business Regulation Expiration^ 1 . Individual i 10 Park Plaza-Suite 5170 Boston,MA 02116 EARL BROWN t?N F,. -, it EARL BROWN 76 HOLLY LANEf$� CENTERVILLE,MA 02632e ' Undersecretary Not valid ' hoot signature Massachusetts Department of Public Safety " Board of.Building Regulations and Standards License: CS-004650 Construction Supervisor EARL E BROWN 76 HOLLY LN CENTERVILLE MA 02632 Expiration: Commissioner 04/13/2018 ` C s Ile �VE Town of Barnstable Regulatory Services 0 BAMST"M� Richard V.Scali,Director # , i6,59• Building Division Toni Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 ,ar Fax: 508-790-6230 a Property Owner Must Complete'and Sign This Section If Using A Builder - , I; t as Owner of the subject'property ii 77 , hereby authorize l t� i�d ✓� to act on ray behalf, in all matters relative to work authorized by this building permit application for: S (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. Signature of Owner Signature of Applicant I a2t-—6t Print Name Print Name n Date j QTORM&OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services ox'THE � Richard V.Scali,Director Building Division Si Tom Perry,Building Commissioner Mass. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ep rvisor. 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 Rermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, i bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner 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 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 to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 The C aarrveah*ofHa3madh Depmrtment a}• strid Acddexft ' Office of Mars. 600 FFaskhwm Strew Boston,MA 02HI - Warkrs' CbmveBS3tioII IusmranC£ wit:Buflders/CuII T *'ic Lms hers pp i Iufarm�f u Please Print E�e�I'1TY 1Tsme �d` Igo c� Addrt Cifyf g PIwae '7 7 -Zr Are ym an employer?Checkthe appra " e bay Type of project{required}: I_❑ I am a employes wifiL 4. ❑I am a general contractor and I 6_ ❑New t:tiron , (fall andfor part-lime)* Itave hired 9e sub-cps 2. I �ar pxoetos orgartuer- d cmitte aft�ed slxeet` ?- ❑Reffio8elmg slap and have no employees These sob-co� have $ ❑Demalifrfln making f iime in any capacity emplo�ew andhave,worms' 9_ addition jl+Tc wo�3'�.Trzsumn 0 COOP. �-1 I ❑ We we acorpmaticaandits l IIe icairepairsora aus 1, 3.❑ I sma homsoumer doing all work officers have exercised,f iu w IL[]Plmabingrepaim or addi#ions. �Z 6 b�� CAj e- Mysd€[Nomorloets comp �§I{ we 1?.❑Bflafrepaszs in�,�,�re�d.j i I3_❑'Other employem[NO was' c=zP-=Mrance nquiru&] •dap Esc cbedsiws�l a�also finouttire sechoabeTna�s�g�eirwo�rss'��aupaF�cgi�ao� #�eoara�c Wlm suit bus E idaet mpg =d&mbim mmide ca amst evvhmit a aew aSd amdi sarh. fCaauaceo68ast c3�ecf t}gz 6mc must ate as sdditi®al sfaeer s'Sou%ag tLea�of the sQui stsfe tchethe�arnat these er�itieshsa� e gbyem Ift mm&c==dnmkzva=Tlayem,de}'mustF=de&w aadametozIx1301ky M lam mt euipysr t7iatisprctssir7itrg�vvrkers'co�reasrdintt irtruraacs jor emgla}fee Selmv is f1TtsPa�GF mzd jab srte is,jorra�liara. . Is-m ance Company N=e: P¢ficy 44"or Self-ins..Iic_Api�iaaDafe=_ Job SiteAddres CifylStafel.rg Attach a oopy of the workere compensationpacf declasa4iaa page-(showing the policy nwmber and ezpnatioa date):. Fail=to seam coverage as required under Seta 25A of MGL a 15-7 am lead to tie imposition of coal peoald of a fine up to$l50a OU amVm-one-•gearimpFisontneuk as Well as civil p—hies is the farm of a STOP WORK ORDIR and a fine of up to$MW a clay agaimstffieviohdor. Be advised thaf a copy of this statement maybe fnrvarded to thie Office of hrvves s offhe DIA.for h3sumaw age vedficafiaL Frfa bersiry firs pmatgxs vf thattfia irtfinewzufiaaprmiiW abm is.bare imd wrrect 4io R�t,tn� Date: Pbme ik O use only. Do not in f€ds act fir be compked by city arfoirff ojoiciA City or Tam= Permit &eme# FssMing Attu-*T(Ch-de-one): I L Board of Uwl* I Rmffirmg Degartmeut 3.tSfytTo n.Qxk 4.IIecfticaI hx S.PkmM mg bspeci®r C.oIhW Coact Persca: Phow P: 6 iI: �= Jn1•tea•' �•~ .•.t•ti• �•.It�+ _I �[l1■ • �.R 1. ■1 • •- •••lr li'R r•1■■1■�!■ :t■•1■ t•I s\ 1 if•tl• • �- '■1 •.••I ■• t■ 1, vn■li' ... 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I• Y.1/■■�/ •/ 11.Ir.•� _.r• M:.•. •1 •• .•. • [■■. 1 .• aI- U7 t■1/tt - ■Nr■1 l el rift • :e •�\N - s•.■ - •••t i! • Mt./i!■ •.Y■/11■_ ►i1■�- •I ■ii/a■1 ■• - :■i. l■ .1■ ••Y It r`. • rollsts.i' w• •i1.1•t1 - - •s• ril• - • •i1rt1 1 1\ ■•nt ■ � /\ • a •w■•:1•■11 -••/ • .� !■ ■■.n ••t Ie ■ .•.r •1 •■t r••■is •Is•tt ..■• ■■• • •. 1_• ..■• •/w\•I. /•ata trt:•t a t t1��29t•- ► t:•■ t, ,�!i ��...4nn• 10 t t ►� Js � Town of Barnstable Regulatory Services B&AAMN Thomas F:Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 -PERNftT# 7� FEE: $ , QD . SHED REGISTRATION D 120 square feet or less Location of shed(address) Village Property.own ' name r Telephone number 1 Size of Shed ap/Parcel# Signature 0 • Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMIVIISSIONS,THERE MAYBE A REVIEW PROCESS AND APPLICATION FEE.PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN EC3C T1QN of PRC) PERTY L.1N.F=Sr--MAY Now E ACCU ATE STANDARDLEGEND NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY •. EDGE OF DECIDUOUS TREES _ - EDGE OF BRUSH ORCHARD OR NURSERY — EDGE OF CONIFEROUS TREES Y - --•..' MARSH AREA EDGE OF WATER DIRT ROAD DRIVEWAY PARKING LOT 9I��—PAVED ROAD -- — DRAINAGE DITCH ————— PATH/TRAIL PARCEL LINE M 249 YAP ItoE MAP# t 21 E PARCEL NUMBER l #1860 E HOUSE NUMBER 1 2 FOOT CONTOUR LINE to 10 FOOT CONTOUR LINE Elevation based on NGVD29 1 `•�4.9 SPOT ELEVATION STONE WALL %k FENCE RETAINING WALL —I—? I— RAILROAD TRACK 1 STONE JETTY Poop SWIMMING POOL PORCH/DECK � '' \ / ❑ BUILDING/S STRUCTURE - C� N =r= ' DOCK/PIER HYDRANT e VALVE O MANHOLE o POST OFF FLAG POLE T O W N O F B A R N S T A B L' E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T v SIGN ® STORM DRAIN IN PRINTED SLUE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The lames ❑ TOWER 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD o UTILITY POLE 0 )0 20 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Plonimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards : I INCH=20 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2002 Town of Barnstable Assessor's tax maps. LIGHT POLE O EiECfRIC BOX t ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, �7 t Application"#Map oz Parcel Health Division Date Issued. Conservation Division Application Fee A Planning Dept. - Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address w,JS-ed"p-11 Village e �4e_t V' s Owner i Cz V �` �© ( P cress .S ► ft Telephone ©� a 3 N. ,=J Permit Request v\ WX 4se�► Square feet: 1 st floor: existing!��proposed t— ®r: existing proposed '/°� Total new Zoning District Flood Plain N1 A Groundwater Overlay N X Project Valuation S OCO> "' Construction Type V 0,0'4 P✓C'%^A-t g1 r1— Lot Size� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure C Historic House: ❑Yes .4No On Old King's Highway: ❑Yes 4lo Basement Type: $,Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ei �s Basement Unfinished Area (sq.ft) 1Rf Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: D existing Onew Total Room Count (not including baths): existing new (� First Floor Room Count 4 Heat Type and Fuel: UkGas ❑Oil ❑ Electric ❑ Other Central Air: d-Yes ❑ No Fireplaces: Existing New } Existing wood/coal stove: ❑Yes SNo 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) Named 6 Loy-,.' Telephone Number Address License Home Improvement Contractor# 1 � 1 Email -(((R) eA /YX_01 S , V\JWorker's Compensation # 1�1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO LPJAAX 44, SIGNATURE ATE 1 FOR OFFICIAL USE ONLY 1' APPLICATION # DATE ISSUED ' MAP/PARCEL NO. r , [ y ADDRESS VILLAGE OWNER DATE OF INSPECTION: '+ FOUNDATION i FRAME INSULATION j IZjik- 2 /14 ' f FIREPLACE _ ELECTRICAL: ROUGH FINAL A PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 4 DATE CLOSED OUT ASSOCIATION PLAN NO. 77re Comrlr0171vedth of massracilusetts Deparbm art o,f Industrial Accidents - IL O f ice of Investigations Investigations i - 600 Washington Street " Bastion,M4 02111 b1?ft't'1?117fis£gfJf'�[�711 s . Workers' Campensation Insurance Affidavit:Builders/ContracturslEIecEricians/Plumbers Applicant Infmrmaion Please Print Le-tub Narrie�S ssAOiganizationflod ual}. N �® EnJ ✓1 Address LvXA . Cityrftatelig_ 1, Phone� ^ C Are you an employer?Check the appropriate bo • ' Type of project(required): I_❑ I ant a employer with 4. ❑I am a general contractor and I' G. ❑New construction yees(full.and/or part-time).* Have lsired.the sub-contractors 2. I am a sole proprietor or gartuar- listed on the attached'sheet. 7.- odeling ship and have no employees These=b-contractors have g-,❑Demolition worldng for mein any capacity. employees and have wodoers' [No vutsrkecs'comp.insurmce comp-ensaxanv--1 g. ❑Building addition r d_ 3. ❑ We are a corporation and its 1'0=❑Electrical repairs,or additions e , officers have exercised their 3.❑ I am a homeau�er doing all vr�orlc 11_❑Plumbing repairs or additions sel€ o workers' right of ememgtion per MGL �` � - - 12-❑Roofrepairs inm ante requi.ed.j T c.152, §1(4h and we have no ' employees.[No workers' 13.❑Other - camp.insurance inquired.], ;Any appticaut&at checks box 91 'a so M ootthe section below showing their woxkeW compensation policy iafocntation- Homwvmers who submit this RML-nit indfratmg they axe cuing all work=4 then hire outs a contractors anal submit anew affidavit indicating such. fC'autractors that check This boar must attached as additional sheet shooing the name of the sub-conuzctm and stage whether or not those entities have employees.Ifthesab-coatractoeshave employee%they mustpmuide tmir workers'comp.policy nuosber- I a!!!au e!ltplq—er that isprmading ivarkers'Golnpematirr!!inmirance for my¢nlpIo}nees $etoav is the policy and job site information. Insurance Company Name: Policy#or Self--ins.Lic.#: ..Rkpiration Date: Job Site Address: Citylstate/ -. Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.under Sermon 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$U.00 00 and/or one-year imprisonment,as we11'as chil peaslties.in the form of a STOP WORKORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations.of the DL4 for insurance coverage verification- I do hereby G t dallies a,fear wy,that the informahon pro i&d abmre is fta raid correct Signature: Bate: f l Phone Official use only. Do root write in this area,to be-winpletod by city ortown aiciat 'City or Iown: Permitffikegase# ' Issuing Author€ty(tmrIe one): 1.Board of Health 2.Building Department 3.City{rown Clerk 4.Electrical Inspector S.Plumbing inspector', 6.Other Contact Person: . Phone#: G r Information and Instructions, Massachusetts Geheral Laws chapter 152 requires all employers to provide workers'compensation for their employees. pto this stye,an err ployee is defined as.- ..every person in the service of another tinder any contract ofhire, express or implied,oral or written.." An employer-is defined as"an individual,parinmmb!P,association,corporation or other legal entity,or any two or more of the foregoing engaged is a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trastee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelliag house having not more than three apartments and-who resides therein,or the occupant of the - dwelling house of anofer who employs persons to do maintenance,construction or repair work on such dwcEag house or on the grounds or building appurtenant t 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,MCrL chapter 152,§25((M states"Neither the commQnwmaltlh nor ray of its political subdivisions shall enter into any contrad for the perfozmance 0f2ublic work uatul acceptable,evidence of compliance with the fi s,„-a,ce. regmremerlts of this chapter have been presented to the contracting azzfhozrty_" Applicants Please fill out the workers'compensation affidavit completely,by checlong the boxes that apply to your sitnaiion and,if necessary,supply sub-contractor(s)nsme(s), address(es)and phone nunnber(s) along with their certificates)of sn u-a„ce. Li mit-Pd Liability Companies(LLC)or Limited Liability Parineiships(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 aff davit may be submitted to the Department of Industrial Accidents for conformation ofinsur�ar ce coverage. Also be sure to sign and date-the affidavit, The affidavit should be rt:tuned to the city or town that the application for the permit or license is being rt;quested,not the Department of „ , Accidents. Should you have any questions regarding the law or if you are requm ed to obtain a workers' co P compensation olicy,please call the mr Department at the number listed below. Self-ins companies should enter their I self-mere license number an the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. T$e Department has provided a space of 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 penmiWlicense number which will be used as a reference umnben In addition, an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating Current policy mrornation(if necessary)and under"Job Site Address"the applicant should write"all locations in (may 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 Penns-or licenses A new affidavit most be filled otrt each year.Where a home owner or citizen is obtaining a license or permit not relattd_to any business or commercial venture (i-t. a dog license or permit to barn leaves etc.)said person is NOT required to complete this affidavit The Office of Ines would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to givens a call. The Department's address,telephone and fax number. The comanwedt]E of Massachustft% a , Deparimant of Izaduirial Accidents t. OfCICe of jvestigatiaa 6Q��a�ingtou Stet Baston.,MA G 111 TfI#617'27-4900 cxt 406 or 14 MASS, F- Fax 9 617 727 7M Revised 42407 .ma..sF gavfdia I AWC Guide to Wood Construcdou im Higli Kind Areas: 110 szpk 1f'77hd Zone Massachusetts Checklist for Compliance(780 CMR53011.1-1)' Loadbearing Wall Connections Lateral(no.of 16d common nails)._..._....................(fables 7)................................__ »_ Non-Undbearing Wag Connections Lateral(no.of 16d common nails).._._.........».__...._..(Table 8)._.....__..._.»......_.............._....__. Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)Header Spans ----—-------------___..........:..:..»..»..».(Table9).................._......._...._ft in.511' Sig Plate Spans 9)_............_....._..........._it_in.511' Fug Height Studs (no.of studs)....»....._...-.... ........:.... (Table 9)..:........».».._._.....»..._..,._....».....» Non-Load Bearing Wag Openings(record largest opening WA check all openings for compliance to Table 9) Header Spans....................._....»._...».:.:._.».._....». (fable ).:.....»...........:,.»........_ft_in.s 12' . Sig Plate Spans....»._»....».....:.._._......_.._.»._....»».(fable 9)........»:..._.»...»._......._ft_in.s 12' Fug Height Studs(no.of studs)..._....»....._._.__.».....(Table 9)....................._................_.... Exterior Wag Sheathing to Resist Uplit and Shear Sfmultaneously4 _ Minimum Bwlding Dimension,W Nominal Height of Tallest Opening2 ........................................................... BlEr SheathingType........................................(note 4):.-4._......................._...._......._ • . Edge Nag Spacing..... _. .......(fable 10 or note 4 if less).......... in. FeldNag Spacing..............._._. ..._....(fable 10)..---... .._. . .__......»».... in. Shear Connection(no.of 16d common nails)(Table 10)... - ...:—.................................... Percent Fug-Height Sheathing.._.»:.».......: .(fable 10)......_.......................................... 5%Additional Sheathing for Wail with Opening>6'8'(Design Concepts)....._............. Maximum Building Dimension,L Nominal Height of Tallest Opening2...-........».:...............................:......................»__<6'6' SheathingType........_......_...........»...»._...(note 4).............»....»..»_._.._....»_.»_...... Edge Nail Spacing.........»...............—__-(Table 11 or note 4 if less)...._...-............. in. Feld Nag Sparing....._..»........._»..».:.._....:..(fable 11)...................... .....»....,_,....... Shear Connection(no.of 16d common nails)(Table 11)......._..........._.:_....:.»..»......._....... Percent Fuff Height Sheathing»--- .._...»...._(fable 11).........._... ......._...»...._..._...�.»...._% 5%Additional Sheathing for Wall wkh'Opening>B'8'(Design Concepts)-......-..__:.. Wall Cladding Rated for Wind Speed?.»...».»........._........._..........».....-...............»..........:....... .._....»..........:.»._..._».» ' 5.1 (tOOFS Roof framing member spans checked?...........:...__.....(For Rafters use 11WC Span Tool,see BBRS Website) . Roof Overhang ..................................................(Figure 19).:..........._ft s smaller of 2!-or U3 Truss or Rafter Connections at Loadbeadng Wags Proprietary Connectors ` Uplift........._._................-. .:.„... able 12 ...........................................a U= plf Lateral............. ......._..�.... .(Table 12)... ..._...--.._ ......_.._....L= pif ' .(Table i2). ........ ......»_.. Ridge Strap Connections,If collar ties not used per page 21... (fable 13)..._.».....................T= plf Gable Fake.Oudooker...................—......._..»_(Figure 20).............. ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift»----..».:...:.......:......_._..._»».(Table 14).........._..._:»....»._.__-------_U= lb Lateral no.of 16d common nags able 14 Roof Sheathing Type_--------- 780 CMR Chapters 58 and 59)............ Roof Sheathing Thickness...:.:........:..............__:..:._..:::».......... _._.......... ................_in.2:7116'WSP Roof Sheathing Fastening ».....................:..........,........(fable 2)..............._...;.........., ._.....».........• ° Notes: - 1. • This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR.5301.2.1.1 Item 1.If the checklist is met in its entirely then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figpre 5 _ b. 20 Gage Soaps per Figure 11 m Uplift Straps per Figure 14 qL All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2 'Exception:Opening heights of.up to 8 fL shag be permitted when 5%is added to the percent fuMefght sheathing - 'requ'uEnienLs shown In Tables 10 and 11. 3. The bottom sill plate in exterior wags shall be a minimum 2 in.nominal thickness pressure treated P-grade. A FYC•Guide to Wood Construction ui High end Areas:110nzph Mind Zone Massachusetts Checklist for Compliance rin chTR53012.1.1)i L1 Check Compliance 1.1 SCOPE Wind Speed(3-sec. 110 mph Wind Exposure Category.._.--._......».....--_......._.____...._..............._-................................................... B Wind Exposure Category................Engineering Required For Entire Project.......................................0 12 APPLICABILITY Number of Stories(a roof which ewceeds 8 in 12 slope shall be considered a story) stories s 2 stories Roof Pitch....._.....»......:._._...:»_...._.»..._........__......._..._(Fig 2) ..»...».................................. s 12:12 MeanRood Height•_..............._...._._............_:..:..._..;..,..._(Fig 2)_........................................._ ft s'33' Building Width,W_».....__.__..»..._.........._..._.._...__..._:..(Fig 3)................................._»:._._ft s B(r Building Length,L .:........_.._.................._..........___.._.._(Fig 3).._.__.-..............._............._....:___-ft s 80' Bulding Aspect Ratio Vw) ....................»..............»..._...(Fig 4)_-_..--_................_..____........._.. s 3:1 Nominal Height of Tallest Opening ..............._.�; ._..�_..(Flg 4)....»_._»__.............---_----........ s 6'B' 1.3 FRAMING CONNECTIONS General compliance with framing connections_....._....._....(Table 2).......................................................... Z-1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...........................:.......................:.................................................. ................... Concrete Masonry........ »._..._..._.._...._.............._..__.........._..... 22 ANCHORAGE TO FOUNDATION"s 5/8'Anchor Bolts4mbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt SPecing-general (Table 4)......._.._..................._-_._.__ in. Bolt Spacing from endrofnt of plate..--_....._..._.......-(Flg 5). __...-_................ In.s 6'-12', Bolt Embedment- (Fig 5)......__............_......:......:....�...._ Bolt Embedment-masonry......................._._-_.....:_(Fig ....................... in.Z 15' Plate Washer....................._...._....------..__._._...._..(Fig 5)._..._..__._....._...................._z 3'x 3'x'/' 3.1 FLOORS Floor•framing member spans checked ..._...._......._._...._.(per 780 CMR Chapter 55)...........».............. ...._ Maximum Floor Opening pimension._:.._.._..........__. ..(Fig 6).....____...................... ' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:.............:...................... Mhdrrrum Floor Joist Setbacks Suppoftfng Loadbearing Waifs or Shearwall...._._....»(Fig 7).................. T ft s d Maximum Cantlievened Floor Joists Supporflnb Loadbeadng Wals*or Shearwall_.._.-_-..._(Fig 8)___..........................._.......... ft s d FloorBracing at Endwals........._.........._.._._...._».._....._..(Fig 9)_....._._.._ ............. _...._. Floor Sheathing Type ._....._............_...:_..._........_.._...._(per 7130 CMR Chapter 55)............................ Floor Sheathing Thickness............._......._.._»...._...._.:..._(par 7B0 CMR Chapter 55)....................... in. Floor Sheathing Fastening_..............................................(I•able 2)__d nails at in edge/_in field 4.1 WALLS - Wag Height - LoadbeadW walls...._"....... (Fig 10 and Table 5)........-_-_.._......_._ft s 10' Non-Loadbearing walls.._.......:......_...._......_...._._._.(Fig 10 and Table 5)............................._ft's 21Y Wall Stud Spacing ......._..__...........:............_.............(Fig 10 and Table 5)....._......._..._In.!;24'o.c. Wag Story Offsets .---_-__---_............._....__................(Figs 7&8)._.....--........................._»_ _ft s d 42 l:•DCTEmoR WALLS Wood scads Loadbeadng wale._._._............_................._._..__.....(Table .............................mac --ft—in, Non-Loa0eadng walls._._._ .........(fable 5)........................_....2x - ft In- Gable End Wall Bracing r _ — — Full Height Endwall Studs..._....__..._..» ._._......_..Fig 10)_.-.... ..._....,.....__......_........_ _:....... WSP•Aft Floor Length._-_-._..::_....-_-..-----_.....(Fg 11)�_...__.»........... ......_.. • ftkW/3 Gypsum CaIling Length(if WSP not used).............. :.(Fig 11)__......._... ................» _ft Z 0.9W - - and 2 x 4 Continuous Lateral Brace @ 6 ft.o.m-(Fig 11). ..: .............................__.._.. . .. or 1 x 3 calling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft.spaang in and Joist or truss bays Double Top Plate Splice Length .._..._:....._:._..._....._._...._..»._.._.-(Fig 13 and Table 6)................._......._._.._._It �I Splice Gonnecfion(no.of 16d common nails).._...._....(Table 6).......__._»........»..........._..�...._-.... ' fI FY'C Grcitle to /Y'oad CorrSflllCtlolr IJl HIaII Was: r10 lnd ArG' mplr 1•Yrrrd Zone Massachusetts Checklist for Compliance(7s0 CIAR 5301.2.1. 4 a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nan Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116'and be installed as follows: L . Panels shall be Installed with strength axis parallel to studs. 1. All horizontal joints shall occur over and be nailed to framing. III. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. . iv. On two story construction,upper panels shall be attached to the top.member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nag spacing at'double top plates,band joists,and girders shall be a double row of ad staggered at 3 Inches on center per figures betow:Vertical and Hoftntal Nailing for Panel Attachment S. Glazing protection:a)new house or horizontal addition—required if project Is 1 mile or closer to shore(generally,south of Rte.28 or north of Rte.6) b)vertical addition—not required unless there Is extensive renovation to the first"fioor c)replacement windows—needs energy conservation compliance only(chap 93) ' 6.Wood Frame Construction Manual(WFCM)for 110 MPH,Exposure B maybe obtained from the American Wood Council (AWC)website. YVFIl3IMW EDGEF9=ON i 4�1DiGUSEedNAlIS AT61ac • n 11 , 11 t� ii'. r ■ ,090 0 I 14 t• ■ N _ 1 ■ 1 i t it 1 r C 1 F 1 1 1 i a /r It 11 ■r v z r o Ali7t .It d a lu al ►r r 1 I FRALOWMt3MBERS Q :I it r �,/ i■ Ij j1rr I i EDGE TE 11 Lk . IV I IL • It it� � 1 � 3/8� Il ll 1 I �ECk 1 1 H ooaJea>= L STAGnffM �Mw ArWSFACM ; rwLPATTERN � PANM PAR L PAWL EDGE DOURE NALEDGESPACM DML • See Detail on Next Page' Detail Vertical and HDTIZOnlal Nailing Vertical and Horizontal Nailing for Panel Attachment for Panel Attachment Town of Barnstable -� "0 Regulatory Services • a�xxsr�s�, • , MASS. Richard V.Scali,Director o59. ►�� Building Division Tom Perry,Building Commissioner 200 Main'Street,Hyannis,MA 02661 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 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) **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 bwner Signature of A licant DID � �rrC.Sz _ v- .c,— 1 J eve C�'rp,5 rS ,v` 6 Print Name Print Name - I IhD) is ti Date Q:FORM&OWNERPERMISSIONPOOLS. Town of Barnstable Regulatory Services dF Richard V.Scali,Director Building Division . e Tom Perry,Building Commissioner � 6;y z . 200 Main Street, Hyannis,MA 02601�Fo www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION .Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for homeowners was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as su ep rvisor. 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 buildingpermit. (Section 109.1.1) The undersigned'"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official 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, articular) when the homeowner hires unlicensed persons. In this case our Board cannot P �P Y 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 to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forrns\EXPRESS.doc Revised 040215 Massachusetts Department of Public Safety Board of Building Regulations and Standards �e�po�nrirr�a�nusecr,����� �Construction Supervisor Office of Consumer Affairs&Business Regulation License: CS'004650 OME IMPROVEMENT CONTRACTOR ��i'' », Registration r!')173111 Type: EARL E BROWN Expiration;-*246 Individual. 76 HOLLY LN _ CENTERVILLE MA � EARL BROWN {��" �srh r wf rJiu EARL BROWN ✓..(... 76 HOLLY LANE Expiration Commissioner 04/13/2016 CENTERVILLE, MA 0263 Undersecretary ' s e- VlAe 4 * existing 2x1 o joist -uR'tt; , � 3�u ti ✓�. s�+kd :�a ti Gv i�" p J# '� Fbu exatingfiberglass krsthtion existing 2x4 h-dnrRg �. r�19 s Y new r 13 filer g+.Bss in on exfSCRg CORCrBtB fOURdBUOR new 1/ dr}+va r T Read vbm t • � 7 1 w�er�� � existing 200 joist existing fiberglass insulation existing 2x4 framing: , :j new r 14%fiber glass insulation 0 o ° existing concrete foundation " r new 1/2"drywall f, new vinyl flooring! —existing concrete.slab l � existing 2xl O joist _ Ir 7-i'l - kisOation` sf`3nrt,.R�V'r - r fs w. a �j PRI, existing Concrete foundation f new 1/2'dryna e 1 slab , t + Commonwealth of Massachusetts (� Sheet Metal Permit Date: ` ° ( � Permit# ZQ!56,5,� Estimated Job Cost: $ �. 5® e "itee:$ Plans Submitted: YES /lY0 �, Plae� e d: YES• NO / Business License# p`�Q App 11 't1Lice s &2015 Business Information: Property Owner/Job LagZ S Information: 1 1 _ Name: otTtlShQ `teQ�iN COt71to Name: E. cow to I J Street:617 W h%T{S Street: 57 1 City/Town: S c� . Q V-y,1 w City/Town: Telephone: 50 ( q 0 Telephoner �' 7 - O b 7 Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 /M-1-unrestricted license J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family ✓ Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. ---'Over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: a/ HVAC Metal Watershed Roofing _ Kitchen Exhaust.System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: 4,c� COA) cva INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes ZNo If you have checked Yes,indicate the pe of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments . .Type of L' se: By Master Title ❑ Master-Restricted City/Town ❑Journeyperson .Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: L 0 Fee$ ❑ Check at www.mass.gov/dpl Inspector Signature of Permit Approval ' . �o;C.OMMONWEALTH OF MASSACHUSETyTS ,", ' sOARo OFf SHEET M>_TAL WORKERS ISSUES THE F0LLOWIMG L'tCENSE AS A BUS I NESS me �z JASON D DEFOREST SOUTH SHORE HEAT I NG COOL.I N.GLNC 51 WH I TE,S J �4 S YARMOUTH MA 102664 2z6 o2./0. 188o86.. '.. } Fold,Then Detach Along All Perforations, s - �..Y,.M COMMONWEALTH;OF_.MASSACHUSETTS e o 019081 1 o - , BOARV Of SHEET METAL.:.WME ORKERS z z ISSUES` THE' 'FOLLOWING L1 CENS,E w x ... a AS A MASTER UNRESTR%I�CT°ED�eI:. r r $OItTH SHORE HYG• AND CL'G I �] JASON�,F1 .bslb 1ST > r .: -S'OUTH'SHORE` HYG AND C1.G �,� �;:>>�� '� Ul � 57 WHITES PATH? : h' 5 YARMOUTH MA 02664 123`4 _ 4030 09/�8/1 325Qll . . .. . . . . . .. .. . ... . . The Co moreiv'alth`of acltuset s Dejiaent®fl�ilustriall4cctdeva�r' ®ffice of Invesixgataorrs 6YasDrirzgtan Street . . ,Bostot�.ttgA OZ111 ' � • _ , »�wfv mass govYdia ... b Workers'Copapensataon his' "'"AM"A ti 09: Builders/C6xitrsictorslElec646ia s(Pluon�iea`s A licant Information .—Please Print Le r Name(Business/organizarionl3ndividual): cl Address: L _ Q.\ �� City/State%Zip: J -aU� Phone# A) Are you an employer? ck the`appropriate:box _ . ,,_, Type of pro,ect(required) 1.Lam"I am a employei with� 4: [] I am'a general contractor i6ii 1. employees(full.and/or pail-lzme):# have hired the sub=contractors' 6 construction hsttrd on thVattached sheet' 7 ( eiiiodeting' 2.❑ I atn a sole proprietor or Partner= F ship and have no employees These sub-crontcactors have g ❑Demolition wor for me u an . ac employees and have workers'' ' Y - rtY .,9 1]Building addition, [No workers' insurance comp,*s*a use#' ., comp ... rd' u ] 5. (] We are a corporation and its s 10❑Electrical repair's or additions - officers have exercised their' .` 3. i I am a homeowner doing all`work 11 ❑Phmibing sepairs,or additions n of exem on er Mr , myself.1No workers Corp- Pti P :121]Roof repairs . insurance regtare'd j t c 152,§1(4),and we have no. 1ID emplo ees. o workers' Otl►er comp:insurance required]' °Any applicaat that checks box trl must also fiht oatthe section belowshowMg t}ieir workers'compensatton policy utfotmatton t Homeowner,who submit this affidavit indicating they are doing all v tirk and t]en hire outside contractors must subuut a`aew affidavit mdicat<ag such, lCoutactom that check this box must attached as addihoaal sheet sbowing the-name of ttib sub cautractors and state whe&ier of not4hose:entides have, imphoyees. If the sub-conkactats bava empioycx c,they mtuttJ,db thar ivd k i comp.policy number;. . Fain an eatployer that isprovuting workers compensation insurance for;my employees ,below"is the policy and job site ' iriformgtion. Insurance Company Name: .. - Policy*or Self-ins.Lic.# UV l3 Q(�0. ;._ 4Bxpiratian Date Job Site Address: 51 ( aaw M. r '\�l"- _ city ` Attach a copy of the workers'ecompensatto pohcY declarat<ou page(showing the policy number and expiration Faihne.w secure coverage as required under Section 25A of MGL c B can lead to the imposition of criininal penalties of a: sfiue iip 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, $250.0,0 a day against the violafflr. Be advised that a,copyof this statement may tie forwarded to the Office of Iuvestiaations of the DIA for+nsur ce coveraee verification. I do hereby certify unti the pains nd penalties of perjury that the*forneaiion provided above is true and co'r eci» S1 tuts: '.Date: CA Phone k O fficaal use only DoWat wrrte.rrt ihu area,to be completed by city,or town official ., . • , City "„ or Town: _ � PerffiitlLicense ;Issuing Authority(circle one)` 1 Board of Health 2 vBtuldmg Department,S3 CiiyJTowu Clerk 4.Electrical Inspector 5 Plumbing Inspector ' _. 6.Other Contact Person . - Phone#+ fi '� To: Page 2 of 19 2015-08-27 15:55:57 EDT 18666769319 From: Eagle Insurance Group, LLC : . A4 0RD� CERTIFICATE OF LIABILITY I DATE(MM/DD/YYYY) INSURANCE 8/27/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON'THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED;subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTMDeLeoNAMEagle Insurance Group, LLC PHON9-5250FAx C ANo'(866)676-9319 Ten Commerce Way ADDReo@eagleinsurancegroup.net Suite 3RS AFFORDING COVERAGE NAIC 9 Raynham MA 02767 , INSUn America Insurance 41343 INSURED - INSURER B:Crum & Forster Insurance Company- South Shore Heating & Cooling, Inc. • - � INSURER C:. _ /MacFarlane Energy, Inc. INSURER O: 95 Bridge Street Dedham MA 02026 INSURER E: -"-". INSURERF. _ _ COVERAGES CERTIFICATE NUMBER:S•Shore Fuel-15/16 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,'EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS:'_ INSR LTR TYPE OF INSURANCE POLICY NUMBER pPOi�pp� MM�D�!EXP � LIMITS ' X COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE 5. 2,000,000 A CLAIMS-MADE rx-1 OCCUR DAMA GE loPRESES EaRENTED oc ilrrence 5 •100,000 EOGCD000093015. 7/l/2015 7/l/2016. MED EXP(Anyone person) S e-xcl PERSONAL&ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ' GENERAL AGGREGATE $ t';` 2,000,000 X POLICY�PRO-. L_J .. JECT �J LOC PRODUCTS•COMP!OP_AGG S .2,000,000 OTHER: Employee Benefits- S 2,000,000 - AUTOMOBILE LIABILITY **N:CS90 included** - COMBINED SINGLE LIR11T S - 2,000,000 Ea accident _ A X ANY AUTO _ i BODILY INJURY(Per person)' S_ ALL OWNED SCHEDULED - - _ AUTOS AUTOS EAGCD000093015 7/1/2015 .7/1/2016 BODILY INJURY(Per accident) S �( NON-OWNED �PROPERTY DAMAGE , HIRED AUTOS X AUTOS **)NDf9955 Broad Form � � ", per accident S Pollution Endt Included** Medical payments S - X UMBRELLA UAB OCCUR - EACH OCCURRENCE S $ 000 000 B EXCESS LIAB CLAIMS-11ADE - AGGREGATE S 9,000,000 GED X RETENTION$ O �581-1056307 7/l/2015 7/1/2016 S - WORKERS COMPENSATION - _ X ' AND EMPLOYERS'LIABILITY Y/N a. - STATUTE ERH PER ANY PROPRIETOR%EXCLUDED? E.L.EACH ACCIDENT S 1,000 000 A (Mandatory 116 H EXCLUDED? a NIA (Mandatory In and EKGCD000093015 7/l/2015 7/1/2016 E.L.DISEASE EA EMPLOYE $. 1 000 000 fi yes,describe under _ k DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT S i 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Note that Kung-Po Tang is covered as an insured on the above-captioned policies in his capacity,as an, electrician employed solely by South Shore Heating & _Cooling. - Insurance coverage is limited to.the terms, conditions, exclusions,,other limitations and endorsements.- Nothing contained in the certificate of insurance shall be deemed to have altered,.waived, or,extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE r TOWri Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA •02601 ,. r AUTHORIZED REPRESENTATIVE Michael Cox%DEMISE k ' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) • The ACORD name and logo are registered marks of ACORD INS025/nl ann Town of Barnstable i Regulatory Services Thomas F.Gefler,Director 16 Building Division Tom Perry,Banding Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.as Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usk A Builder >y iJ ir`0 t�J N roect bj as Owner of the subject) property hereby authorize 5 0V Sc-A 9 r ��(i 0 to act on my beh4 in all matters relative to work autho zed by this building permit. C, (Address of Job) "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. 2Z, Signature of Owner SiAture of Applicant. ?rowry TaSort '%) e Fyres-�- Print Name Pant Name Cl Da QYORM&OWNERPERMSSIOM'OOLS �' ® ' I w hore j ' Duct Leakagd'iest Form Customer Information: Test Conditions: Name: Address: ;Date: 5 P Time: >- City: ty-Ee r`V t if Indoor Temperature 0 0, �)' State/Zip: �. Outdoor Temperature(F): o . Phone: 36 7 7 y Email: Floor Area(ft2): System Airflow(cfm): Cooling Size(ions): Building Address: (if different from above) Heating Size(btu): Street: Primary Location of City/State: Supply Ductwork: � y Primary Location of �. Return Ductwork: . Comments Total Leakage Test Depress Press Outside Leakage Test Depress. Press Test Pressure: (Pa) R Test Pressure: (Pa) Baseline Duct Pressure(optional): '(Pa), Duct Flow Ring" Fan Press Flow Duct Flow Ring Fan Press Flory ' Press. a Installed a) cfm -'' Press. a Installed a cfm' r s Fan Model/SN:- Results• Fan Model/SN: �V C`lam 1�1(z%Te yt P Outside Leakage(cfm): S QK Le)' Ll Outside Leakage as% Results- System Airflow: . Outside Leakage as% Total Leakage(cfm): 3 �' .•� Floor Area Total Leakage as System Airflow: Total Leakage as Floor Area: Load Short Form E Job: ';ksoufhI Entire House By: Feb 18,8015 �ho►r Y . r e For. EJ Brown Htg Clg. Infiltration Outside db ff) 20 92 Method s Simplified Inside db(OF)' 70 75 Construction quality Average Design TD (OF) 50 17 Fireplaces 1 (Average) Daily range, - M Inside humidity(%) ` = 30 50 ` Moisture difference(gr/lb) 21 45 HEATING EQUIPMENT COOLING.EQUIPMENT Make Lennox- Make Trade ELITE 90 Trade Model EL195UH045XE36B Cond AHRI ref no.4674932 , Coil. AHRI ref no. Efficiency i.95AFUE Efficiency 0 SEER Heating input -. .44.000 -Btuh Sensible cooling tuh ' Heating output V 42000 Btuh Latent cooling 0 0 :Btuh Temperature rise 65 OF Total cooling 0'Btuh " Actual air flow - 585. cfm Actual air flow � _ � 585 cfm' Air flow factor 0.036 cfm/Btuh Air flow factor 0.043 cfm/Btuh Static pressure. 0 in H2O Static pressure 0 in H2O : Space thermostat Load sensible heat ratio 0.79 ROOM NAME Area Htg load CIg'load Htg AVF, Clg AVF (Btuh) (Btuh) (cfm) (cfm) Kitchen/Dining 171 5124 3935 f 185 170 Bath 45 • 209 110 8 5 Bedroom2 132 2330 2106 F 84 91 Bedroom1 168 3214 3003 116 1310 Stair 27 Living room 297 5323 4367 192 '189 Entire House d 640 . 16199 13521 . 585•. 585 Other equip loads._ 0 0 . Equip. @ 0.97. RSM; 13116 Latent cooling 3554. TOTALS • -ry 840 16196 1 16669 585 ,1 '585 Calculations approved byACCA to meet all requirements of Manual J 7th Ed. ppA���. wr°ightsoft" Right-SubG Unkersal 2012 12.0.03 RSU12524 - 2015 Feb•1816:31:31 AC,t,PF C*.Ws--mUasonlDaarhentslYorklDetmlEJBrowniup Calc=MR FrontDoorfaoes:B "" Page1, i drat floor u _ 1 O,x 4 93 cfrn x-4 . r ty.,xlO-Lt OK-'5tar- � .91 cfm I •3x10 1 �66 8-din p Kitchen/Di riin Bath 4;x 10 .93 cfm Bedr om2 let p• . y.< n l T" 7 D 4x30 T' - i� - '200,cfm , r} r _ 185 cfr•n • r R y Living room `7 BedrO m1 A 12 x�6 i' , 9 2.x.4 • .Dom#: Performed for: Scale;'9/� _ ,a„ EJ Brown Page 1 RightSuite®Universal 2012 12.0.03 RSU12524 2015 Feb=18 16;32:34 ---DocumentsWbrk\Demo1EJ Brown::.. Town of Barnstable 5� c � o � Regulatory Services snstsrasrs. azasa Thomas F.Geiler,Director Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Our rec rds indicate that we need the following checked items. urrent License Updated Workman's Comp Affidavit (be sure to check a bdx On and sign form) Certificate of Workman's Comp from Insurance Company (if you have.employees) Please call if you have any questions. Thank you, nnifer Engelsen Division Assistant (508)862-4026 � L C&-fe , � - �- Jar Town of Barnstable *Permit oFTME Expires 6 mon rores Regulatory Services FeeMAM T * snxxszasr,E, • 16 9. Richard V. Scali,Director z63 �� �EDMA�p k Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us } ` Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �� � Not Valid without Red X-Press Imprint' Map/parcel Number g Q Property Address Cc.u) ❑Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address t:� C,f` (`d C,y , C'n V t It Contractor's Name J'O (A)A Telephone Number -27 f� C/8'7.� C/k6 '' Home Improvement Contractor License#(if applicable) -1- ) ) Email: �S q ® y Construction Supervisor's License#(if applicable) CS ^. 0 0%SO ❑Workman's Compensation Insurance Checkone: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance AUG 3 j'201 Insurance Company Name To AI O R g,qIVS TA8 LE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. . Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ° ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value " (maximum_ .32)#of windows #of doors: Smoke/Carbon Monoxide,detectors 4 floor plans marked with red S and inspections required., Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. copy of the Home Improvement Contractors License&Construction Supervisors License is, eq fired. y � SIGNATUR - Q:\WPFILESTORMS\building permit formsTYPRESS.doc Revised 040215 Tlie Comrlroyrfreakh of Massachusetts Massachusetts p Deparkrrerrt of Industrial Industrial Accidents F} .�O � �7TI�s �t7 atrO7eS 11� 600 Washhfgt=,S tteet Boston,AM 02111 w , Mrorkers' Campensatim Insurance Affidavit:$mldersiContracturslElectricians/Plumber's Applicant Information j Please Print I.e�ibIY Name(Busm mPDrgmizaEim ad dnaly fCe Address: l - , l o 4 City/statt:l : Phone Are you an employer?Check the appropriate box: Type of project(required): I.❑ I am a employes with 4 ❑I am a general contractor and I ,._,�loyees(full ancll`orpir#-time). * have lured.the sub'-coutractars 6. ❑New construction 2.52 I am a sole proprietor or partner- d an file attached sheep ?. ❑Remodeling ship and have no employees. These sib-contractors have g_ ❑Demolition woddng for mein any capacity. employees and have workers' [No r,aricers' camp.insurance comp.iasuranmi 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10❑Electrical repairs or additions 3.❑ I am a homeoramer doing all work officers have e=Msed their I L❑Plumbing repairs oradditions myself workers' right of exemption per MGL �' �o - 12.❑ ofrepairs insurance required.]F C.152,§1(41 andwe have no employees-[No workers': 13.f_1 Oilier ��/1•(.c? ��--� comp.insurance required.] 'Any appEcantfat checks loos#1 mast alsa fill out the sectionbelow shoving theirwaikere ca®pensafiau policy in5nnstimL I liameoarners who submit this dfilmif iad'irating tLv-y ale doing all waal and then him a'utside contractors mast submit a new affidavit indicate such- fCaniractoas that check this boa must attached an additionst sheet showfag the name of the sub-cant wu ss and state whether or not those entities have employees.If the sub-contacturshave employees,they mnsrpmvide then worken'comp.palicg number. r I arrr are ernplayer Elsie is pra}zding�uarJrers'carrtlrerrsai<zarr ieesurar2ce for�i}*enrplgy�ees Below is flto policy and jobs site itlformadon. Insurance Company Name: Policy#or Self--ins.Lic.#: Expiration Bate: Job Site Address City/State/Zip. Attach a copy of the workers compensationpolicy declaration page(showing the policy number and respiration date.). Failure to secure coverage as required.under Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,500:00 and for one-year imprisonment,as we11 as civil penalties.in the fonta of a STOP WORK ORDER and a f ne of up to$250-00 a day against the violator. Be adtdsed that a copy of this statement maybe forwarded to the Office of Isrirestigatiom ofthe DIA,for insurance coverage tierifica ion- I do hereby c eertd the eaWes ofper,jury that the in ormalioraprm dedabove is Mid correct Si e: Date: C S Phone 7 1 Official erne only. Do eiot 3wits in this area,to be coenpletal by city or taiga official City or Torn: Permitff icense# Issuing Author*(circle one): 1.Board of Health 2.Bulb Department 3.C tyfrown Clerk 4.Electrical Inspector S.Plutbing Inspector b.Other Contact Person: Phone it: Information and Iastxncfions hfacsacjrwetts GeiaeralLaws chapter 152 requires all employers to provideworkers'compensation for their employees. parmjznt-to this statute,an mrpIayee is definei as."_.$very Person in the service of another under any contract of hire, express or implied,oral or writjem" i An employe is defined as"aa individual,p=t ership,association,corporation or other legal entity,or any two or more of the foregoing engaged ina joint en ea enterprise,and including the legal representatives of a deceased employer,or the receiver or trash of an individual,part a= ip,association or other legal entity,employing employees. However the owner of a dw•el7ing 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 bu1ildmg appurten arm 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`Weither the commonwealth nor;�qy of ifs political subdivisions shall enter into any contract for the performance ofpublic wo&until acceptable evidence of compliance with the incuna„ce.. requa-ements of this chapter have:been presented to the contracting aufhodty." AppHccants Please fill out the workers'compensation affidavit completely,by che, l the boxes that apply to your sitnation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificates)of 7n=an ce. Linuted Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or par aers,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is requirecL 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 retru ned to the city or town that the application for the permit or license is being requested,not the Department of n , A_midenfs. Should you have any questions regarding the law or if you are regan td.to obtain a workers' compensation policy,please call the Department at the number listed below; Self-insured companies should enter thew self-insurance license number on the appropriate line. City or Town Officials . t Please be sine 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 pennit/Iicense number which will be used as a reference number. In addition, an applicant that must submit multiple pemitllicense applications in any given year,need only submit one affidavit i n caf=current policy inf�=ation(if necessary)and under"Job Site Address"thie applicant should wz "all locations n (city or town)-"A copy of the-affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as rroof that a valid affidavit is on file for fotom permits or licenses. Anew affidavit must be.filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit cooperation and should you.have any gnesiions, The Office of Investigations would like to thank you m advance for your coop Y . please do not hesitate to give us a call- The,Department's address,telephone and fax number. The C-GmmMWfM111r of Massachu-sx-tfis ' DepartEaent of Iaduat dal Accidents Gffice of f vesf otiolai ��4-T�ashingtan St-�f Boston MA GI 111 TeL 4 617 727-4900 Qx- 406 car 1--977=MA.SSAFF, Fax#617-727 7M Revised 4-24-07 ww mas�;_ggWdia .j EAHPrsrASLE 9� 16 ,0�' Town.of Barnstable prED MA't A Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �c.S` �� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ignatute of Owner Date Print Name h - w�. If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. ` Q:\WPHLESTORMS\building permit forms\EXPRESS.doc Revised 040215 Town of Barnstable Regulatory Services 1HE rqy� Richard V.Scali,Director Building Division r r ti snaxsrnsrE Tom Perry,Building Commissioner Mass. v� �e3y. `�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS: - city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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 Rerformed 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. r The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner,performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons: In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 f Massachusetts - ` - Department of Public Safet y Board of Building Regulations and Standards r Construction SupervisoreO�nr"O '""n� �c/ Oac�uroetld Office of Consumer Affairs&Business Regulation License: CS-004650 OME IMPROVEMENT CONTRACTOR - Registration:; 'T7;311 I EARL E B � Type: BROWN = __ Expiration- &_ Individual 76 HOLLy LN CENTER V1LLE CIA ' ^= EARL BROWN i< .' `3✓ • �� _ a art; EARL BROWN r 76 HOLLY LANE ��*` —mP Expiration y4°Commissioner 04/13/2016 CENTERVILLE,MA 02'eki}' Undersecretary Town of Barnstable Building Department - 200 Main Street *Q uss. ' Hyannis, MA 02601 9pArE1 A�� (508) 862-4038 Certificate of Occ'upancy Application Number: 201500257 CO Number: 20150190 Parcel ID: 249014 CO Issue Date:. 09111115 Location: 571•STRAWBERRY HILL ROAD, Zoning Classification: SPLIT ZONING Proposed Use: SINGLE FAMILY HOME Village: CENTERVILLE Gen Contractor: BROWN, EARL JR. Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: 9111115 Bui m e artment Signature Date Signed TOWN OF BARNSTABLEidi tg 201500257 , * BAxxSTABIZ, Issue Date: 02/02/15 Permit 9 MASS. �pr16 39. A�� Applicant: BROWN,EARL JR. Permit Number: B 20150196 Proposed Use: SINGLE FAMILY HOME s Expiration Date: 08/02/15 Location 571 STRAWBERRY HILL ROAD Zoning District SPLTPermit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 249014 Periniff ee$ 51.00 Contractor BROWN,EARL JR. Village CENTERVILLE App Fee$ 50.00 License Num 004650 Est Construction Cost$ 10,000 ItI t Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMODEL KITCHEN&BATH,NEW INTERIOR TRIM,REPLACE FRONT THIS CARD MUST BE KEPT POSTED UNTIL'FINAL DOOR,REPLACE 4 REPLACE WINDOWS,NEW SIDING IN REAR INSPECTION HAS BEEN MADE. WHERE A' CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: WARD,FRANK M TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 201 BRIDGE STREET INSPECTION HAS BEEN MADE. OSTERVILLE,MA 02655 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT'TO OCCUPY,,` !P y STREET ALLEY OR SIDEWALK OR ANY PART THEREOF EITHER ORARH,Y 0 R T Y 'ENCROACHMENTS ON PUBLIC PROPERTY NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,,MUST BEAPPROYED BY THE NRISDICTION,; STREET,OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THB DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERM[T DOES NOTNRELEASE THE APPLICANT FROM.THE CONDITIONS OF'ANY APPLICABLE SUBDNISION RESTRICTIONS ?� MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED,AT—T-HE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE•PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS-NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED.CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND!'(as see forth in MGL c.142A), 111, I ® g, 11111 r,a... BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 24 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health 6Coss44Ai COA441 K S ad s s o 04- Town ®f Barnstable •ram . Sexvtces Fee � ator�' - nomm F.Geier,� r 13uRding DtvidOu Tee►Pwq,cm spa:Co y MAY 112015 y Nst YaS'd w�4koai Xd X _ J Y1�itb of�VOdt �� _ 14 immm im off$3&001br work antler 36000.00 Ike coo 0(if appficable)—°W Iasai p Y1�tvs'9�atl�°=cemau Ivaco WNW=01 camp.Pal*M cop a<Iwaiwm complwM- to mast sceompaay each permmlt Petii# ;j jd- ROW)� old ? AR�dew wM be i�sl w to..�li oitir�osae tasil�ed}toot ems. CAS ow of root) #of doors WUdovWdo=Wsiidw&L=Vesno 33)#otwWdaws ® G`Kt=bftq dde dehxfta 4 ftor plow mariod with red 8 arrd iospeeftm regairmL �eMieaM cl I i H'h'it Perm regato�sd. �o0w Lava dgwftw qc�atsf&oc�s,8 o EiiwRerl+y�nnravaLi�e,sta tW l otiiett pi�4t doa mot ama+ocaoca�asoo ***Noft propltty Owsw�t Ap Pxopsrty O°sr Letter of 8orwAsdoa. A mmw d ow atom Impro t Coate Llomm&Cous&ue&a Supervisom Liesase it I ram. SIG?tA'TvR2i ch Town of Bar-tstalble ID Regulatory Services netinab p.cvWW1 DirwWr . Building DWWon 'Td�aawas Parrp,CBS Banding Comnab loner 200.1Maiz Streak'Hyano b,MA 02101 www.tovmbernstable ma.us Cffla: 544= 4038 - Fax: 508-790.6230 proper' Owner dust Complete and Sign This Section If Using A Bader ' i � � ,�, ; as Ovmer of the subject'property property heseby luthorixe to act on my beh#J4 is all maetm rsk*e to work sudmdomd by this buftdiug permit application for (Addme of Jab) I of OWM to r Punt Nsma If prop"owner Is applying for peraa 14 please.complete the Homeowners U061tae l:Xemptlon Form on,the nVerte 11dee �--\ �'ne Carr:rna�;vrealc'h afhzrssacF:r:.^etas . Depart".ert oflndustri�rl�4ccla'z,�ts Oifcce of Investfgatiox.s 600 Workington Street Boston,MA o2111 9 Workers, Cc�m www.tnass govldia pensatlor Insurance Affidavit. Bailders/Contractors/-`Iectriciaas/Plumbers iicnnt Info mat:ian Please Print�,e�ibfY Name (Business�/ArgLnl a ioNindividual):_ " Ad&as5:_l� City/State/Zip: i� I��'.� z; & Phone#: q A.ro ott an employer? Cherk the appropriate box: l. I am a empicyar with 4. C3 I am a Type of project(required). employees( . genital contractor and I (full and/or part-time).+ have hired the sub-contractors 6. ❑Now eonstructioa j 2.[ l am a sole proprietor or pa.-tner. listed on the attached sheet t 7, ship and have ao atn is ees ^ ❑Rmodelia� p Y This sub-contractors hive �. []Demolition working fort'Me in nay capacity. workers' comp,insttmoe, l 'No workers comp. �. Bulldiug addition ` required,j insurance �'e�C a corporation and its I OfEOtrs have exercised their IQ•[j Bt-„ottical repairs or additions 3.❑ I WM a hDMOoWnei do' all work ` right of exemption per MGL. 11. lunabiag raptlirs or additions I .7 mYnstzr acNO workers,comp, c, 152, ¢i(4),'and we have too rcqu ed j io 12. Roof rapal. imp Yacs.[No wori,�s' comp.in ushce required.) 13.0 tamer `�+n9 apPtlaanc that ehc lZ box A l sire st aloe fit!auc the stIon bake sbowmg ataa.rorkerr ®era `13oaskowrraes%vha"baUt this aMclEvit i"cating they are doing An wort oats an Wm Mbide sanh�eatata must asri�i u GM a>a,devit indicadAl such. Coniraetors that eL-0 tare boa must attached an add:'tiand sh:et sh owing Cse reatne oftba sob-conCa rs and fhalrwoth a'aapsp,poI}er wormagm Far„an employer Chat Le providing workers'eonrperrs n tx;acranee or i�ormattort. f trfi errePloptes: lgrlow!s the pa[iq artd Job sate � Lnsuranee Company Name: Policy#or Salfins.Lie.#; ` E4itatlaa I?ata: .Tob Site Address:_ Attack a copy of Eve vrori workers, co>tAueasatloti Policy declaration ggge((showing the pallcy number and expiration date), fire up to Failure to secure coverage as required under'Section 25A oflvtGL c, 152 can lead to the imposition of orlminal penalties of a S 1,500.00 andkir aa®-yYar lmprisonasent,as well as oiril pe Of up to 50,00 s day$dsi nalties in the form of a STOP WORK ORDER and a us;e t�st the violator. Be advised tLat a Capy of thus statement MAY be forwarded to the office of In"Ititations of the"A for insurance coverage veri5ratio1L I do kueby certc;fy urt er thepatrss andperalttes vfpvA y that the wornw1on provlsfedabeve it true and carte^ a C te: Phom O!)'teiat,kee arslTa DO rtor write tra this area to be to Mpieted by city or town o,�lclai City or TOtM.: q + d Issuin t�tatilori PermttlLiaasse� g {circle cne); !f 1. Eoard of Health 2. £uildingLepart`m.ent I Ot3/ o�swa Clerk 4.glectrical Inspector 5.Pluntbingl$spector It 6.Other i . !� Contact Person: Phone A: FraTlt:l'irstny C+edddia FaticlU. ..�'�_. DAVID-2 OP ID:►G •"� OATS firHIMNYT?) CERTIFICATE OF LIABILITY INSURANCE a�r26rrc,s THIS CERTIFICATE IS 18SU0 AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIS K73 UPON THE CERTIFICATE HOLDER.THIS iCERTIFICATE DOES tool AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT, If the Dartmeata holder Is an ADDITIONAL INSURED,the POIICY(tes)must he endorsed. It SUBROGATION IS WAIVED,subject to the temta and conditions Of the potiCy,certain policies may require an endorsement A statement On this ceillficate does not confer rights to the eertl0oste holder In Ileu'of such endorsement s PRODUCER FMiue: Northwood Ins.Agency,Ina. c $�SOB-T71.1632 cAx.Nor.SQB-393-2985 $40 main atre�,quite 8 Ifyannis,MA 02801 - �19URE 8 AlrpoloHO COVERAGO I NAIC I NWJMA:Travelers Insurance Company David Cox,Inc. INSURER®, P.0.Sox 401 -NWMIC: -- 8 Ya rm oath,MA 02OU INSURER D: BR E INSURER F CO AG CERT114CATE NUMBER: REVISION NUMBER: THIS 1$TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELONr HAVE BEEN ISSUED TO THE INSURED �}AINED ABrJ!!t FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT YY" RESPECT TO WHiC1-q THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCR13ED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN!NAY HAVE BEEN REDUCED BY PAID CLAIMS. L TYFO OR r0iA NCE i POLGYA�R Ii LIAT s EILAI,10',S,�A" ii LL"LI I 7 0A4/2015 O3M4208 S 1,030000, 004 ©Occ"r 6B1481M96 i PRE T iME�EN? A.n anaPaonl g 3,oc 07M 00X Business 3 !�PSUNAL4 AD'i NLFY S 10,GEhERptAL�REGdTE S 2,000,PPll-5PF� �01dfiQP A y 2,000,JL AtJi0M0aILlLUBIiJTY tEearcidantS � • ' I I I - I BODI_v 1N,URY(Per person) ANI AU-0 A%OS NED I sLc�,nt�r.SOL�Lec 1 I} BUGI_Y IN..iJRY(P`r accidan l), NON•CVJN@D ! 1if i i PK.�rridrnb �; HIR50 AUTOS AUT09 I i5 LiMaRiLLA IIAa LveG'JF 11Yells WB C:AItdG FAgD'I ` ! AGGREC ATE "> peD Z=rEN'I NE cR S 5 ATUTE i AND F^0YERY'LIAOLITY y t N A AWPROPRiCTQR,PARTNERr CUTvm �1 i1011TMB.I.FOLLOW FROM 00 !07N8/2014 07116/20t5 a:. EaCrAccn)ovT_ 5 100,00 OFfICEW1EV8-RgK:_uDED" L_ J NaA THIN 5 DAYS 1 cL DI�"EAEaPL7YEE 5 100, OJ mdebry In NM} 1 e.desUl00 I.My ` 0J L.£� L _.— QfispRI�TI OF 'ATIONS k1elOW D SEq'i-c-P4Lt_'!LIMIT r, 6DQ j y 4 j ONORPTleN OF OpERArOM I LOCATIONS I1EHIOLIS(AtORD 101,AcIdbonal Remarks Schedule,may I+e ettntded IF more apseo!a requlredl T FI L R CANCELLATION TOWNSAR ONO"ANY OF THE ABOVE®[eC 19111D 116061001111189 CAN09"WO BEFORE THE EXPIRATION DATE TNEREor, NOTICE WLL N DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PRO SIONS. 230 Main Straat Hyannis,MA 02001 AUrMO H71C RSPRESENTATIYE 01998.2014 ACORID CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marke of ACORID ' 1 a ry a�F�anxnrc�rr'f/'o 4 rJJllc✓It�Je��J License or registration valid for lndivldul on only Otfite of Consumer Athlro&BUSW*ss Reaetatloa MAPROYEAIENT CONTRACTOR befirre the a:p#rstbn date. It found return to: 100487 Type: Office of Consumer Affairs and Bushtess Regulation 1p�; g/Zp1g Private Corporatiuo 10 Park Plaza-Suite$170 Boston.MA 02116 DAVID Cox,INC. David Cox 10 LAVENDER LN W.YARMOUTH,mA 02673 Undeneereterryy Not valid without signature Massachusetts -pepartrnent of public Safetv Board of Building Regulations and Standards Con%truction Superri%or License: t0lf9637,/ , D1D AV vR COX 7 n SoDVA401 1"i•• ~� South Yartuouth tN[A 0 t6A WWS Commissioner TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �ica # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee _oc Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address i e Village _ �eu-V► 11 Owner r 6 ` j I �'f^O c.JV� Address Telephone ' y �/ '�- �� 8 G `1!i Permit Request ke M 0 olLe lh�ey 10 Square feet: 1 st floor: existing proposed :15t 2nd floor: existing proposed Total new Zoning District - ' 7 Flood Plain Groundwater Overlay Project Valuation _ 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 3- o On Old King's Highway: ❑Yes 3 o Basement Type: 2/Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)8�f Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new \ItA L �`^�' — Total Room Count (not including baths): existingFiew �'' First Floor Room Count Heat Type and Fuel: ®"nGas ❑ Oil ❑ Electric ❑ O er Central Air: ❑Yes S No Fireplaces: Existing New Existing wool/coal stove: O es L`f No 4 ; . Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: xisting nev1 size_ �/ Attached garage: ❑ existing ❑ �new size _Shed: 'existing ❑ new size _ Other: • Q � Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# , Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I�D coy� Telephone Number Address License# ` 56044 (a EQ C C r V' r Oa(o Home Improvement Contractor# Email E _T q D�@ l C (2p&J Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO cA SIGNATURE DATE &Ah S_ FOR OFFICIAL USE ONLY APPLICATION# bATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE d OWNER DATE OF INSPECTION: 1 FOUNDATION ` FRAME INSULATION zliq ix Y FIREPLACE ELECTRICAL: ROUGH FINAL { PLUMBING: ROUGH FINAL GAS: ROUGH. FINAL FINAL BUILDING ZI-)IS :z DATE-CLOSED OUT ASSOCIATION PLAN NO. 6 #WavhZ ow S, —eet ffvstan�,d�i 02 Warkacs' R-rriMersfC�anuactGr&UectdcianvMu- bez�i Appli zat Infarmafi se I�cinf Addits,- fStat.,m - 1 1 ° CIVA Are yirn =employer?Check the aK=T ' o h El I am a employer wife I Tye of pro ecE{r = �_ am r�ont=aictor and �_ []New won ❑ ayees{talc andforpaitime�* havr=lxired-tbe 2_ I am a sole progaetar orpartner- Listed OU the atta<-hed shy 7- �g ship and have na employees 'These soh-oontacters have g- ❑Demalition wud ng forma in any capadty- employees and have W.Acers' 9_ ElBuilcimg addifian • [I�i7-W�C2S' caII1�7_+a¢t�ranre Comp_m�rr-,�r� - 1 5_ ❑ We,are a carporafianand ifs 10-D�dl:ical rf�RTtY or ad�ions �-❑ I am a home caner doing all waxti afbrecs ham exercised weir 1 f�]Plnmbmg repair or$dditions myself.[No'WorkM'=21p- ti •ofexemption per MGL 12-0 oafrepaiM i-nor nr.� ed,I-F c-15Z'§1(4.and vie hrmaD employees_INCY l3_❑Other comp_in=—m requi�j to Buy sup ncafotchecksbartlmaskalsofiIlouti�sectionbelawchawingihen-wo�e�lcomnenssfiauporicS-9. uL �Tir,,,.>,m,,,�s air,>-rbn Y�hLis s.�cL,:u iu�•g fey a��mg=II�c^�-—*�the h�*e arfsic�contractrns smu[submit s aec�amd�.�t mn3carmg s�rh CIS�11.4f CbEClC THIS lll�l.N'lLCt StiECh£d ffi irirTifi rtnsrT S�eeY S�Ib11-FIIb lixP T7IDnE of�e SAY- m�5IF7P�S'17P1'11PS LKTIDT:$�95E 13.E - Emplz�. Ifthe snb{an:bmct=lave empl ;daT imxst provide thee-warbns'comp.poHLy number- lam art ernpL7ye•fhntis pr iditzg worirers'c-ompensrrfian inmzrartce for my employees. BelotF is fhe paHcp mid job sits zrrfar�Qizcrn. - TLamxmn_e ComganyName_ PoFu y 9 or Self-ins-Lic-4-- FxguatiarLDate= Ioh S-rie CityfStai elTsg` Attach a copy compensation policy declaration Page-(showing the policy nuns er xnd ezgiration Este}: Fail=to Secfioa SA of MGL c 152 can lead to the iffiposition of r-Eimiaal Penalties of a finE np to L500.0D and/or ans yearimpris ,as well as c geaalfit�m fire fmin of a STOIC WORE:ORDER-and s fine of up to$250.00 a day agaihst the violator_ Be advised that a czgy of this pmf may be fx arded tD the Office of Live:g gstiom of the DIA for coverage vezEEcaian- T eta her'st, s ividpsr ahbky of` urp fhaffhe iRj,0rnznt67n pren�d ab a is hua and carrset natum: 73ate / �Phone- fci�acsa rrnF�. ;�rra€tPrcSx iff flits area fa bs catrcpieted by caiy car•frrfFn�,�i'cinL t`FtT or To-en: # Fc�AaLffi@IILy(circle 4rIEy: L Bo,-cc d�f$ealtd[ 2.RwIffing Deparimcut Fawn O=k 4.Elect cical Easpmtor S..Phmmbhig:bLTtctor 6.Other Coact Per a P3 o-ne Massachtr-setfS General Laws chapter 152 Mgoi es all employers to provide workers'compmsafion far their employees. Pm-s�to this stElta e,an anplayne is defined as°`_-every person in the service of another tinder any cc lr act�of, iie,_,. express or iroplia� oral orwrifit�n_" . An anprgy Er is deemed as'an iadivi±nl,par fnea hip,association,carporation or other legal entity,or any two or more of the foregoing eugaged in a joint eutog3risa,and including the legal represmtaHves of a deceased employer,-or the receiver or t ustee of an individual,partnersh p,association or other legal.entity, employing employees. However the owner of a d:weIling hawse having not more than threw apa lmeIIts and-who resides therein, or the occupant of the ce,constr�-tction-or re an-work on such aweIling house d house of anafher who er�loys peasans to do maintenau- p we buil utmanf thereto shall not because of such loyment be deemed to be�aa employer." or on the ands or ding �P � aPP MCrL chapter 152, §25C(e7 also sus that'every state or lacal licensing agency shall withhold fine issuance or renewal of a Iicn e or permit to operate a business or to construct bnildings in the commonwealth for'try applicant Who has riot produced acceptable evidence of compliance witli 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 fhe perfoIInance of public work un acceptable evidence of compliance v ith the,, Trance requirements of this chapter have been presented to that contracting authority.' Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to ycur situation and,if necessary,supply sub-contractnr(s)name(s), addresses) and phone number(s)along with their u-,rbLEcate;(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no crap oyees other than the members or partners, are not required to carry workers' compensation insurance_ H an LLC or LLP does have employees;a policy is required. Be.advised that this affidavitmay be submitted to the Department of Industrial Accidents for canfrmation ofinsn-anc-coverage. Also be sure to sign and data the affidavit The affidaAt 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 seIf-ro s=:e license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete.and prated legibly. The Department has provided a space at the bottom of the affidavit for you to Ell out in the event the Office of Investigations has to contact you regarding th e applicant Please be sure tO 511 in the permitllieense number which will be used as a reference number. In add_id on,an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under'lob Site Address"the applicant should vrrite'aIl locations in (city or gown)."A copy of the affidavit that has been officially si�nped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fuize permits or licenses- A new affidavit must be idled out each year.Where a home owner or citizen is obtaining a license or permit not ielated to any business or commercial Yentas a (Le.a dog license or permit tD bum leaves etc.)said person is NOT regtmed 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 d-o nothesitDtte to give us a call. The D epa dm mf s address,telephone and fax number: 'fie CamEaaaWc�althL ofMassac s Dgnzt: =at 4f Inaiffc Fat A ide f� + of jive tia•nEi 6�GG'Washington Stula Bastaa.,MA G21II Tel.t 617` 7-4 Fay# 61' --127-7745 Revised 4-24-0 T r THE ram, Town of Barnstable w Regulatory Services �BLARNS�LF, Richard V.Scali,Director 165 A. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder , as Owner of the subject property hereby authorize Eac g-' ro C'Jy\ to act on my behalf, . in all matters relative to work authorized by this building 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._ 70 afore of ignature of Applicant Print Name Print Name Date Q:FORMS:O WNERPERMISSIONPOOLS Town of Barnstable Regulatory Services TKE r, Richard V_ScaIi,Director Building Division xnaNsrnsM Tom Perry,Building Commissioner 16 ��� 200 Main Street; Hyannis,MA 02601 '°rEo rat•' � www.town.barnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number str,et village 'HOMEOWNER': na_-ne home phone# work phone r CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building-permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations_ _ The undersigned"hcmeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Offcial 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 persou(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 &ReguIations for Licensing Construction Supervisors,Section 2.1S) 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 Iicensed 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 r ��ie�pomvnron�ueall�i oy°�'�aa�acl�toeCt�t OfTice of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: MPExpiration. egistration: 73111 Type: Office of Consumer Affairs and Business Regulation _ 10 Park Plaza-Suite 5170 � Individual _ EARL BROWN a - �3 Boston,MA 02116 'IW� r EARL BROWNF= 76 HOLLY LANE CENTERVILLE;MA 02632- Undersecretary Not valid hoot signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor= • License: CS-004650 S r,, EARL E BROWN` 76 HOLLY LN CENTERVILLE MA �G Expiration 04/13/2016 Commissioner ' t it c! 1 ,j. is j h �E? DENT C P11YC_ ; �TM A CpMM EALTH s Q ? 4Dapt4 Mpgg.02 =' MAssAc►+usETTs ! M LICE E rl--' p"yS4TR� SUP ER EXPIRATION DATE < of g1"i TE »p LIC NO�i sa"n 0130,1199 IF 1 RESTRICTIONS. 0 0 � ny fir€t s i $it � �i 26-309 3 +�pR�lOU.T'H 19p` 02b7 } S 031 ONLY) FEE: USTING OPR O PHOTO I i1 00.00 NOT.-.,VALID.UNTIL SIONED,BY LICENSEE pMM15910NERYT STAM SIGNATURE OF THE _ J i HEIGHT: ! a DO+�B: {$ * .1,,2105.11 9i SIGNATURE OF.4! Si @E DOCU r0M CARRIE M�SION TH6 MENT MU ,OF q x t;,y�� G D E ER OV TH P AO 3I�7Ii l� SHE N04DER WHEN E TION �r ?a �, Y 1 z a 1 TH19 OCCU >EO. IN OMERS ��IGNT.iTNUMB PRINT ...y M'v` i.:.,_ •—�.,a. n i �`i � ✓�"Vi M�taX-o�tu�ea�o�✓v�craQaC�Ktde%�4 - .. HOME IMPROVEMENT CONTRACTOR t Registration 100909. Type - INDIVIDUAL Expiration 06/24/94 Donald Harkenrider Donald J. Harkenrider 20 Eileen Street ADMINISTRATOR YdYW0Uth MA 82615 i • e i 4 Assessor's office(1st Floor); Assessor's map and lot number g' D/ `o*THE i Conservation t `w e w Board of Health(3rd floor): Sewage`Permit number sea»Tant � rua Engineering Department(3rd floor)•: �o oesq. \�d' House number �p Y0 r• Definitive Plan;Approved by;Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE � I e BUILDING INSPECTOR t APPLICATION FOR PERMIT TOp �C3 TYPE OF CONSTRUCTION 19 ��- TO THE INSPECTOR OF BUILDINGS: The undersigned her y applies for a permit according to the following information: Location �•i Proposed Use Zoning District Fire District Name of Owner ¢g P^-)eS Address Name of Builder 6� �l��fll�.a�eio��t'_ Address c� L e491, .j 7, C��y2 y,r Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost l2ee• m� Area l �f eA C 4,4&5,:n- I � 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 re arding the above construction Name ^' C0� Construction Supervisor's License i K.IPNES, KEN V. `a No 3 5 310 Permit For ReROOF a Single Family Dwelling Location 571 Strawberry Hill Road C'C h4e Owner Ken Kipnes Type of Construction Frame L Pot Lot - Permit Granted ;August 20 , .y 19 9 2 i ! 'Date of Inspection 19 ' Date Completed/Z�,�/ .Y 19 F t n i, Ar Ined Plot. pian in* e9MA Address : 571. Strarwberr Hill Road Pre_pared ,.For Patricia Perris - s Mom: 24s Lot' 014 zoning Disrfcf:.so>t RD-1 & s Baxter, Nye En & Surve Oved6ys .NP, RPOD, SWeering ,yang Community Parcel.Number 250001 0564 Effective Dote 07-16-14 Registered Professional FJ.PM. MOP Zone: 'x (un-shaded) Engineers and Land Surveyors Man Refamm Ph Book 219. P Book 78 North Street, 3rd Floor . Deed Refemce: 111 & Pfon i49 Page i3A Deed Book 29179 Page_154 HyanniS, AAA 02601 Owner. Patricia M. Perris & DorothyBen-Gross ,1� Phone (5W) M-7502 Fax - 20f6-010 ( }-771-7622 Scale : 1» _ .2Q' Dote : 04-07-2016 Ly Q l coCD ` co �-• N/F*JILL'CONNOLLY D DEED BK 14925 PG 262 . PARCEL: 249-015 c { 4 { 100.00' (PLAN) �o nn. r95.84' .CALL. � �cE o a I PARCEL 249— 14 0O 9#660 S.F: AC c . _ N/F RANDY S 8c AM MAW PEACOCK DEED LAC 15020 PG =7 t PARCEL, 249-02i Q Z - - - - - - EXISTING N c N a p -- Co CCUO --- . Ib a DECK { v {. won r N/P EDWAM'B JR & SHED _ I STONE y UAIiIAt W 0 StitMAN ;. DRIVE Dorm Lac 5417 PG 142 { P� 249-� 100.00' (PLAN) { N/F EDWARD t3 Jt & { { MARIANNE O SUWVAN DEED BK 25524 PG 218 PARCEL 249-013 7}�AT TO THE BEST OF MY-KNOWLEDGE THE EXISTING STRUCTURES 'SHOWN HEREON"IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A .SPECIAL FLOOD-HAZARD AREA; . �OF T PLAN 1S NOT T4 BE RECORDED NOR IS IT . BE USED TO ESTABLISH ,PROPERTY LINES. L PRossIONA1 LAND SURVEYOR N (� BAXTER NYE ENGINEERING & SURVEYING �a sC DATE Nam, �LL ONNOLLY i C ' f DEED BK 14925 PG 262 1 Sao PARCEL 249-015 1 c 100.00 (PLAN R 99. 95.".(CALC.) i o _ N ig-4 W15" ,� E w 14.0 I t w i tJ r (� S'EP11C SYS7Fa1 9 �' $ t NOV X99.5AC W isoo cAuvtr \ , - 1 Q 1 SEPSIC TANK \ 8.3 1 1 B.F. \ 1 �7. 1 94,65` PAS 249-014 AREA':= 9 6 1 60t.MSTM S.F. 99.5 �' ,gyp PA710 . OUT D G. I INV. Z D--WX ,. 0571 ' 1 0 COMING OECK.do Q PA710 TO 8£ RED ovo !ANDY S & FAL SILL / I RIE PEACOCK N t ' EL. 1.02.s / I 15020 PG 227 .. + t L `249-021 xq( .l cc �Z2' is• ----- c c 1 BMHMARK 2'x3'x32' 1.EACMG NO" �.. I ' oy - . �7 m i IQ APPROXIMATE SFE SEPTiC O w EXISTING No'E a s \ y I WG i SEPTic(To �� 1 oy / ub oy 1 8 � & MARIANNE 0 'I :� � .� p 'SULLIVAN BK 5417 PG 142 1 14 ICEL 249-022 1 y 7 x 99 1 STOP 23.2' DRIVE SARI( Remo eta -- x , 4 , , r .. , 6 s n - Na®em Akhter, PA, °. 0it Structural Engineer 34W 1560 St _SKatreet, lvertandPak,K - - email.soitanaeem®aotcom . 2�,Q, Phone:913-685a2pt5 9/-0%a" - �4" ,R t 0' 5 ` 41,641 10 y.... .. .f.. f , :-y: The Shed Place , 1 P O Box F2430 . r� . ..:.. 2 Z.a Ma5h . a•a.6 a ,pee, AAA 02G49• x w 1 I + atrl;is .1' +c Perils trawher` _ r � 57I S ry t111( Road , , + �o Cen tervllle,:Ire : MA 02632 n` ° 1 s fl oor� �i e T 00 ow r NA 1 ads QOOt �. 8`I 6 S. >i t , , GA RAGE o r yV, DRAWN BY:,` ., r, t , , y, ` RAFTING. ONCEPTS f. ARCHITECTURAL`ORAFTING JOHN ESH .- A ' 717-Q�i2-5Q53 24t7o" John@DtafttngConceptsLLC.net . � SCALEc -A5 NOTED Engineered Shear wail SHEET TiTLE,: O r .Pi an . u � n Floor Pian SCALE: 3/it6. I -O } F'ROJICT NO.: , 8.M.NR'EM a, Atttt t� D4 GO-16 - a , • Nasem Akhter, P.E. - It Structural Consulting S u inner r; 34 W 156a Street,Overland Perk,KS 6622 ` _. O" email; �RW PA nc,:y13682015 . 4'-6n BUILDER; - - - - .. __ - --.- --------- .. ---- - The Shed Place - - -_ _ti o _ 4. 4, .................. . ... .... __ _ Mashpee, MA 02649 __._ _..__._ e a c , , PROJECT: Patricia-1 , Perrls' s Strawberry Hill Road a , tervlile, MA.02632 Gen � • ' 4".CONG. SLAB A60VE 1 0 1. l4 .0 FIN U AL 8 16/16 E.S. 1 Conc.Poured Wall ' 1 4 Min.3000 0-S1 on _ G'x 12416 Footing r Min.3000 r51 ' ► DRAWN B1`: 1 1 eres:............................ RAFTING C3NCEPTS, , C ARCHITECTURAL DRAFTING JOHN E5M 10 717.442-5053 t SCALE: A5 NOTED F0IJ1CIonI n E SHEET TITLE: 5CALE: 3/ 1 G Foundation Plan B. PROJECT NO::. G. D4GO-16 n5.. Naeem Akhter, P.E. Consulting Structural Engineer ". tree Overland Park,KS 6622 .. _ 34 W 1S6*3 � 4 ca� I Roof Gori` c ion email:BOnaeaeemC80l,com T ' r tmuous Ridge Vent Optimal Phone1913-68SZODS Min. 25 Yr.Asphalt Shingles on 15#Felt /16•or 5/8'OSB or CDX Roof 5heathmg r£ 7 Overall Height 2 x 8 5PF p2 Ridge Plate r,, 2 x 6 5PF N2 Rafters @ I G,O.C. 2 x 6 sf'F BUILDER: 2 N2 Ce'lmg ties @ 48'-O.C, t3 The Shed Place . - Mean Roof tlught 'P:O. Box 2480 } Ma5hpee, MA 02649 RT3A Hurricane Ties @ Ea..,Rafter T is oof Oveehania PROJECT: 10'O.H.w/5ofht _ 1 x 6 PTO Fascia Patricia Perm ` N 57.1 Strawberry fill Road 0 111e.,MA.02632 c . TYn�cal Pxterior:Wall ConstructionCentel V v Vmyt Siding Over 1. sa p 7/16'05B OR CDX 5heathm4 OR 5/8'Wood Dura4emp Siding FINAL o0 2 X 4'5tvd Wall @ I6'O.C. 2 x 4 P.T.Wall Plate w/ I/2'x 7'STB2-50700 51mpson 5trombolt 2 Expansion Anchor _ @ W-O'O.C.Maz: 12',F.rom Comers t 50hces Aopro4.Grade • '• Approx.Grade a - •�4 DRAWN 8Y: 0 t Lvoicaf Floor •' 4'Concrete 51ab '� 'o Tvcncal Foundati�in •v° w/Wire or Fiber Mesh e.6 8•Conc. Poured Wall , RAFTING Min.3500 P51.51ope To Door. tt�. Min. 3000 PSI On ONC�f'f CJ 4'Crushed Stone f 6.4 x 12'Conc Footing ARCHITECTURAL.DRAFTING . Min.3000 P51 JOHN ESN 717.442.5053, John@0eaftin0ConcepfsLLC.net' Cv I®rT, SCAM: A5 NOTED 5CALE. 3/1 Gil SHEET TITLE: , 5ectlon A . s.M. PROJECT NO,:r D460- 16 to 1 4 41 m Naeo '1 Akhter, PEE. !I NOTES: Consulting Structural Englneor 2 X 4 STUD (IYP.) 34 W 156"Street,Overland Park,KS 6622 INDIVi,,DUAL PIECES OF WOOD STRUCTURAL PANEL MAU:sotlaaaeem@)aol,com SHALL NOT BE LESS THAN 2--0" IN LEA5T DIMENSION Pdohe:913.685.2015 F.. NOR(8) 5F IN AREA DOUBLE TOP PLATS ' RE-TIGHTEN.BOLTS BEFORE CLOSING BUILDER: "X" INDICATES EDGE NAILING .SEE SHEAR PANEL OF 4" NAIL PANEL TO FRAMING W/8ci NAILS, The Shed Place P.O. Box 2434 Ma5hpee, MA 02G49 (2) PLY 2 X 4 P05T ATf EACH.END OF SHEAR WALL PANEL PROJECT: Patricia Perris ;, 57 i tracaberry Hil l Road 7/I G"SHEATHING Centerville, MA 02G32 . FINAL 8/I.G/16 E.S. 51MP50N'HDU2-5D52.5 AT EACHEND OF PANEL ANCHOR BOLTS DRAWN, SEE PLAN 518" VIA, EPDXY ANCHORS MlN. 7" EMBEDMENT BY: MIN. OF (2) PER PANEL DRAff NG ON C EPTS ARCHITECTURAL DRAFTING ` JOHN ESH ` 717=442-5053 s 2 X 4 P.T. SILL PLATE 8"CONC, POURED WALL John®Draft+ngConceptslLC.ne! 5/8" DIAMETER THREADED ROD EXTEND INTO SCALE: A5 NOTED FOOTING Q EA. HDU LOCATION tYP. FOOTING SHEET TITLE: SEE FOUNDATION PLAN COUPLING NUT IF NEEDED Shear-Wall' PROVIDE NUT AND'WASHER AT 607TOM ROD PROJECT NO.: En6jmeerea D4GO uCALEs I/41 1 0_p11 . .a C/ST@'� ♦ a �8a/OVAL���` Neeem Akhtert P.E. Consulting Structural Engineer 34 W 156"Street,Overland Park,KS 6622 _ emaU:960anaeemCadcam . - •Phode:913.685.2015. • 12 g BUILDER: The 5he&Place P.O. Box 2480 Mashpee, MA`02649 t _ w 1 on - P ROJECT 01 Op Patricia Perris Y 3 571 5t'rawber N Hill Road•F a �• Centerville MA 02632 t. FINAL 8/16/I C E:5. DRAWN BY: RAPT�rvGolvc !PTs` ARCHITECTURAL DRAFTING JOHN ESH frontf-I e./ V a t I V i i 7I 7.442.5053 John(�$D�aft�ngCoocept9LCC.net • • 5 A C LE.. -f 4 P-. 0111. LE C : A5 NOTera SHEET TITLE:' Front Elevation J 111--NNO 9.M. PROJECT NO.: r_ Naeem Akhtsto P.E. Consulting Structural Enginger 34 W 156*Street,Overland Park,KS 6622 emaU:sofianaeem@aol,com - Phone.913.68S•2615 BUILDER: . , The Shed Place P.O: Box 2430 L Ma5h pee, MA 02649 PROJECT: Patricia Perris 571 5trarwberry Hill Road Centerville,'MA 02632 I,_On01 1 4-s i, _ OB ,s FINAL ,:, 8/16/.j 6 • E,S a _ __ _ _ _..__ _ _ _ _ _ __ _ _...._ ..._. _ _ _ _ __ __ __-_. .. _ ._ ......_...... DRAWN BY; RAFTING ONCPPTS V' s ..w. s ., s s Y ARCHITECTURAL DRAFTING ' s „ . '�. .'�� �. s s „• s JOHN ESH 717.4a2-5053, ' '. r, John(a$OraltrrigConCeptsLCC.rtet , y SCALE: ht et ,-, ion A5 NOTED V a SCALE: 1140 ` f I'011 5HEET TITLE:. Rszjht Elevation r 8.M. E PROJECT NO.: 0 o. D460-16 , r • « � Y . < IVaaeem*AkhteraP.E. Consulting Structural En litee XW 156 Street;Overland Park,lK$6622 `sofiaaaee w emaU: m�a aoi.com Phone:913.69slo15 r I yy�M��syy BOLDER: i x , , The'5KW Placir e n je ,� � «. ., � .. � .:.tl �: •..ter .x .k w. ^ P.o eaX 2430 sh pee, MA 0264 9 Y , • p oil r: r Patricia Perris ,� t 571:.'Strawberry`HIIk:Road:� Y. , - ent : w x. • , FINAL x .. . - .. . + f i e + f e r, « t a. n , , ♦ e ^ • i •n RQ?�tYl -. .« , ,. y.. F�Pf�AffItJG�� O WN BY: NCEPTS ARCNfTECI URAt DRAFTING JOHN ESH a r levatio' n , 7-442 Re E SCALE: . 1�4�� f . o�arc�ny. Go „ SCALD: A5.NOTED e' 5HEETq'TITLE , - Rear elevation , , 1 .PROJECT NO. s D460-16 , �e eesm.Akhter, P.E. Consulting Structural Engln"r . 34 W 156"Street,Overland Park,KS 6622 email:sdflanaeem@gol.com F . 4 Pdode:913-685.2015 BUILDER:. The 5hed Place P.O., Box.2430 pee MA 02649 . Mash , . PROJECT: Patricia Perris, 571 Strawberry Hill Road Centerville, MA O2G32 FINAL 6/I GI I G E.5: DRAWN BY: �ONCEPTS Y ARCHITECTURAL DRAFTING, JOHN E5H 717-442-5053 . John@DraFtngConceptgLlC.net Left E I evOtion SCALE: A5 NOTED SCALE: 114" -= P-O"` SHEET TITLE: Left Elevation PROJECT.NO.: • �. a D460-16 NA a .. . '. - •fib .,:�. s n " , ¢ e 44 ` .- FASTENER SGNeDULE FOIE STRUCTURAL:P"►EMBERS . Naeom A►khtor,P.E. DESCRIPTION OF t'3 I i G ELEMENTS AND TYPE SPACING"OF I: 'ALL CONSTRUCTION SHALL COMPLY WITH OF FASTENER FASTENERS t�ng S Engineer u Lq N EL E . g Consul mural : 2009 INTERNATIONAL RE$IDEN71A1 CODE, ,: Stree _ ark,K5 6622 BUILDER MUST VERIFY ALL DIMENSIONS A „ etmalk sof eaee(m a l.com ' 'ACCURACY BEFORE CONSTRUCTION; CEILING JOISTS TO PLATE,TOE NAIL, S (3)8d. � 3: WRITTEN f Phone:913485-2®15 D MEN510N5 SHALL TAKE PRECEDENCE CEILING JOISTS NOT:;ATTACWED TO PARAL.LEI RAFTER, " OV l3)'YIOd a --- ER SCALED MEASUREMENTS. LAPS OVER'PARTITIONS,:F4GE NAIL'. r 4,i.:' 4, :WINDOW)WI) NQ DOOR,'SIZES AND LOEAT10N5',.MAY CO R'T1 FT VARY, i-LA ERA ER, FAGE,NAIL l3)-10d ... I,. - ' 5, ,ALL 57RUCTURALEUMBEaSHALLBE RA ?ERITO'PL.ATE.TOE NAIL <+„.. •, „r - # `::. BUIkC)ER: k, r (2) *d „ -PIN SPRUCE -a m E.F R#2.OR BETTERr UNLESS, ;'ROOF AFT 1 "RAFTERS TO R DGE,VALLEY`OR RAFTERS,TOE NAIL (4)16d RWISE NOTED.:: ,, " _- F ' :. wLT-uP:coR " hed'Place. 6 I APPLICABLE..WHERE GARAGE IS ATTACHED 7 P Nt3:BTUDa, IOd: . O. 24 O.G`, , The 5� a+ r: DWELLING UNi7:Al j)HR.FIRE SEPERATION r. BUILT-UP HEADER TW Pt C 8 O B a. o, E Ibd O.c.ALON*&A:EDGE Box 2430 $htALl BE PROVIDED.fp LAYEIt'112"DRYWALU, CONTINUOUS HEADER t0 S D T DOORS BETWEEN TU <..OE.NAIL _.. h/la ETWEEN AREA5 TO BE 20 MIN.C-LABEL:; l41.13d_ '-- e. M :$ .. DOOR WITH`'FIRE-CODE JAMB. DOUBLE STUDS,FACE;NAIL` " • IOd , +,, . ` 24 O.G. sh MA z . 0 64J 7. ANY WOOD IN CONTACT WITH MASONRY TO BE ' DOUBLE Top-PLATES.-FACE NAIL.'a jpd u PRESSUP,E=TREATED WOOD.` .; , PROJECT: ti .24 :O.C. 6. GRADE MUST 5LOPE AWAY FROM.STRUCTURE:. DOUBLE TOP PLATES MINIMUM 48 NCH OFFSET OF.END JOINTS, 9. ' .WOOD FRAMING TO BE MIN.8"F l8 " ROM GRADE, FACE NAIL^1N LAPED AREA, h )i6a• LEVEL.EXCEPT AT DOOR -,- so Patricia Perris LE-PLATE TO JOIST OR I5LOCKING,fACE NAIL 1 10._WOOD TRU55E5 SHALL BE DE5IGNED BY A, „ . REGISTERED ENGINEER.BUILDER MUST t, SOLE PLATE 70J0113T OR BLOCKMG AT B AG :WA * 57 I..5traWber 1.11II PROV DE R ta? LL PANELS F3) 16d Ib O.C. Road CUT-5HEET5 TO CODE OFFICIAL PRIOR TO a:. T-OP._OR SOLE PLATE TO,STUD.END NAIL '. Cent i INSTALLATION. l2) 16d ee• ervl I MA Q'2632`.;; I I. WALL BRACING PROVIDED BY C5-W5P AND C5- TOP PLATES,LAPS AT CORNER&'AND ANTERSECTIONS F t G. FACE'NAIL t2J Idd., OR,C5,PF METHODS AS PER IRC SECTION 602.-1,0 JOIST TO SILL-OR CsIRDER,°'TOE NAIL -'.i l3)Sd x G t „ t t$, TEMPERED GLAZING REQUIREMENTS: " RIM.:J016T-TO TOP'PLATE TO NAIL ` h, • E L(ROOF APPLICATION ALSO) ,,, :, (I).IN WINDOWS DOORS'WI r` THIN(I 6 INCHES r 5 `FI NAL -..,. - r , — �' .. e ,. ' � .;t - ••, .. .;•, .. r, NAIL EACH LATER As FOLLOWS: 4. E,✓< OF WALKING 5URFACE BUILT=UP GIRD S'AN ER D BEAMS,2-INCH L:UM®ER LAYERS IOd c.AT row.am sorron, '.1N A(2), ANY INDIVIDUAL PA �. ANo VAG&MED:TWO NAIL$T m4c" „ PANEL GREATER THAN y. @IDS.AND A WOOD'STRUCTWBAL PAN",SIOKOOR,ROOF.ANO INTr OR WALL&W"THINTO FRAMING AND PARTIGLE90ARD.WALL SHEATH.. ,. .. _ c: (3) IN WINDO WS WITHIN(24):INCHES OF ANY r. _ .:. ING #'��u' �ed COMMON NAIL f81JBFLOOfB,WdLLT .,•� v- .- s OPERABLE DOOR WHEN DOOR I ^, Iw TO FRAMING _ IS CLOSED ,. , ,. : . `.. . 2,w ea caMMON NAIL rtxooP) - , , P051TION x -. • '. " (4) IN PANEL5 WITHIN'STAIRWAYS,LANDING AND 32 conryoN iJALL RAMPS AND WITHIN 3G INCH 6`' �` 12 ( ) E5,HORIZONTALLY , Ls GALVAN zFD ROOFlNG NAp r srAPle OALv<NlzeD; - 'a F. � z GYPSUM SHEATHING ,.Low.I . 1 DRAWN O_!hALKiNG 5URPACE,VNL€55 PROTECTE WIT } ,S ecREwe,TYPE w.OR s ly BY: BAR5 8"O.C.CAPABLE F a -:: r `:,• ... :..... ' ' O WITHSTANDING 50L8. `s .,.F'..- •.,. .. .. '- ,. . " !}.",GALY<iN13D RODFMCt NA4,,STAPLE GALVANIZED; - _ PER LINEAR FOOT a GYPSUM SHEATHING ., :. i.1,'.LONG.If 9CREW8,TYPE W ' "t (5) IN PANELS ADJACENT TO STAIRWAY,WITHIN (GO)INCHE5 HORIZONTALLY OFT ; 'ALTER ATE A C�R�Af�TING HE 13orTOM E TTAC{-IMENTS"'TREAD OF ASTAIRWAY IN ANY DIRECTION ANDy ., ON wriEN m NOM:d'IATERIAk.' DESCRIPTION OF PApTENER'AND LENGTH SPACINCt OF FASTENERS E PANEL 15 WITHIN(Go)INCHE5 OF THICKNESS(INCH I ARCHITECTURAL DRAFTING�� ES) THE TREAD NOSING,'EXCEP7ION:`IF A !INCHES) k H NDRAIL . ., MEDIATE SUPPORTS t. OR GUARDRAIL IS PROM f „ .' i :, " (INCHES). (I DED.D STANCE CAN BE NCHESI . REDUCED TO 0A)INCHES FROM RAILING TO WOOD"IPWI uRAi -ANEIs,WMFLOM Roo AND MTERIOR WALL&IEAN!NX TO RRAMIN6 AND PARE cL oev¢o SH 1_ WALL EAT"NCs TO FRAMMG - OH ADJACENT GLAZING.APPLICANT SHALL PROVIDE- a •: r, w• _: ;, - 7 1 7-442-5 5(. CODE.OFFICIA _ STAPLES IS,GA.114 :' 4 8 t, „ L,WITH GUT SHEETS PRIOR TO w h n�Dr aftin9Concep sLLC.ne CONSTRUCTION UP'TO a t NAIL 2p Jo STAPLES;llo CaA. .� 6 , SCALE:. < STAPLES 14 64:(2 a �< _ A5 NOTED r M":'AND a" ,STAPLES 15 GA.f1 , , 3 k, n , r ,• e.u 'SHEET TITLE;. TAISLE R60?.3/3)REQUIREMENTS FOR U)OOD ESTRUCTURAL` n . O RESIST WIND PRESSURES •,., e " General Notes :MINIMUM NAIL MINIMUM MINIMUM MAXIMUM 4I "MAXIMUM WIND SPLtED` WOOD NOMINAL PANEL.NAIL SPACING, OF WALL STUD, (MPH) STRUCTURAL PANELL. gPAGIwCP I F.DGEB FIELD-: PROJECT NO.: 'air E PENETiRATION;, PANEL SPAN THICKNESS WIND EXPOSURE CATEGOR f ' T (INCHES) RATING ltnelT�e)"_ '/fncfi®*) (INCHES O.C.) (INCHES O.G.)- - 6d COMMON I.5 24/Q 3/8 I � ;c p D�i60-16 '12.O,x0.113? ` 6' 2IIO 90 '.9v u.' 'FIo.- 8d caMltioN 16 6 t2 130 ,''il0 I05 (2<5"X OJ31") 24/16 24 6 12 , rZ , #t _ c + Certified .Plot Plan in BarnstAble, Address : 579. Strawberr Hill Road Prepared For : Patricia Perris Assessor's Map: 249 Lot: 014 Zoning District: split RD-1 & RB Baxter Nye Engineering & Surveying Oveda.m..►RP, RPOD, SWEP Registered -Professional Community Panel.Number 250001 0564 J, Effective Date 07-16-14 Engineers and Land Surveyors F I.R.M. Map Zone: X (un-shaded) 78 !North Street, 3rd Floor Plan References Plan Book 219 Page 111 & Plan Book 149 Page 13 Hyannis, MA 02601 Deed Refernce: Deed Book 29179 Page 154 Phone — (508) 771-7502 Fax — (508)-771-7622 Owner. Patricia M. Perris & Dorothy Etlen-Gross Job Number. 2016-010 Scale; 9" 20' Dote 04-07-2016 i 1 N/F JILL CONNOLLY DEED BK 14925 PG 262 PARCEL 249-015 • � �o �aOr i �o l 100.00, (PLAN) �o j a 96.84' CALC. . El 89°4815 E M N � m "� c . a EARCEL 249-014 moo` c t 9,660f S.F. AC I Y 28.3' 1 N/F RANDY S & Icc ANN MARIE PEACOCK v, 1 DEED BK 1502D PG 227 '�o PARCEL 249-021 _z XIWEWN E rn ao 1 --- - EVN v Q DECK E 28.9' 0N O �Lp I mom CRUSHED oy t N/F EDWARD 13 JR &_ SHED I STONE MARIANNE 0 SUUjVAN DRIVE DEED BK 5417 PG 142 23.2' - PARCEL 249=022 'aa'o,S $946,1 L W O 99.37'.(CAIC.} 1 100.00 (PLAN) N/F EDWARD B JR & MARIANNE O SULLIVAN DEED BK 25524 PG 218 PARCEL 249-013 I CERTIFY THAT TO THE. BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON IS LOCATED IN RELATION TO THE MONUMENTS 'SHOWN AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. �H OF THIS PLAN IS NOT TO BE RECORDED NOR o� E � 0 IS IT TO BE USED TO ESTABLISH PROPERTY LINES. M., o MALLON j N0.48W7 REGISTERED PROFESSIONAL LAND SURVEYOR N BAXTER,NYE ENGINEERING & SURVEYING DATE. N 'F .ALL CONNOLLY 1 DEED• BK 14925 PG 262 i PARCEL 249--015 p `� 100.00' (PLAN) 95.84' (CALC.) 99. 9 N 89'46'158' E 1 � S i \ O .- 1a0 IN v O . o �71&.SYSTEM 7 NOTE 3 j x 99.5 -: I ALICL AC I � . \ \ W ` 1.500 GALLON '. �•' % i 1!8.3' $ Z 1 SEp nc TANK W 1 H n. I ass PARCEL 249--014 1 cc1 F rx3•x3r 1.EAcwNc TRErrcH h`' j I , AREA = 9.660f S . 1 j w / EXISTUdG C 7- MlV. OUT DWELLING99'.5 1 N PA710 EL. 98.25T1 N d MA I Z 0-80X W.0 OQS71NC OECK dt a 1 ... ( PAT10 TO 8E , � � ' / REMOVm � I 1 ;ANDY S & TioN Ei.i 25 I , RIE PEACOCK 1 cc , 15020 PG 227 1 1 :L 249-021 x 7 I 13C 1 1 1 252' 1 BENCHMA0t1C �. WATER GATE Oy, =99.85 EL rx3' r. 1.EAC1 Ic T i i� APPROXIMATE SEE SEPIC oy w I WG I EXISTING NOTE 3 �Pw W w SEPTIC(� ' 1 ) oy 1 99.61 I oy O.o °.y 0 I 1 B JR & MARIANNE O I Oy I SULLIVAN ( ° y' BK 5417 PG 142 cR,SHMI � ' ;CEL 249-022 STONE I rr.r, x 99 OIOVEpa ,QQ jBENC—HM—ARK---kig CONCREW BOUND I a Igo ry 'ppp] Ln_ CD O a` 00 m Oo 1.5©" a - } f P f t ' O .00*0 1 n09'E r • a CD ti� a i //yyam� a t i �� 1 - - - __ .- - - . .. G ", - ! 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