Loading...
HomeMy WebLinkAbout3826 MAIN STREET .-a . . TY • .• • • • rY. � ' ►.� Town of Barnstable _ �;; IlldIlng !Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept BARNSTABLE. = aAss Posted Until Final Inspection Has Been Made. - Permit ib39� ,�" 11 ll Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1156 Applicant Name: Kevin Werner Approvals Date Issued: 06/04/2020 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 12/04/2020 Foundation: Location: 3826 MAIN ST./RTE 6A(BARN.), BARNSTABLE Map/Lot: 335-018 Zoning District: SPLIT Sheathing: Owner on Record: Kevin and Graham Werner Contractor Name: Framing: 1 Address: 79 Bretwood Ln. Contractor License: 2 Centerville, MA 02632 { Est. Project Cost: $50,000.00 Chimney: Description: Renovate kitchen. Renovate 1st floor bath. Renovate 2nd{`floor Permit Fee: $305.00 bath. Finish basement room. Replace exterior doors. Fee Paid: $305.00 Insulation: i Repair/replace exterior trim. Rebuild existing deck.Add 1/2 bath to Date: 6/4/2020 Final: detached workshop. Separate permit needed,for detached structure. / �. �w17 Plumbing/Gas Reviewers Note: bathroom in barn permittedon B-20-1165. Rough Plumbing: Barn/workshop is a stand alone structure.RMCK —ThFinal Plumbing:Building Official Project Review Req: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz months after issuance. All work authorized by this permit shall conform to the approved application and the approvedconstruction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and-shall-be-maintained opera for public inspection for the entire duration of the Electrical work until the completion of the same. f Service The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: ____-- 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection — 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Person cting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: .61r_ Building plans are to be available on site e4Z) All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT � . _ Town of Barnstable • it: uilldRng rPost.This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept *'" {Posted Until Final Inspection Has Been Made. Permit t63p �6' li ll M+6 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied'until a Final Inspection has been made. Permit No. B-20-1421 Applicant Name: Richard Tavano Approvals Date Issued: 06/05/2020 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 12/05/2020 Foundation: Location: 3826 MAIN ST./RTE 6A(BARN.), BARNSTABLE Map/Lot: 335-018 Zoning District: SPLIT Sheathing: Owner on Record: Kevin Werner Contractor Name: RICHARD J TAVANO Framing: 1 Address: 3826 Main Street Contractor License: 6653 2 Barnstable, MA 02630 IT Est. Project Cost: $7,000.00 Chimney: Description: Installation of gas furnace Permit Fee: $85.00 L Insulation: Project Review Req: Fee Paid:1 $85.00 Date: 6/5/2020 Final: ________., Plumbing/Gas Rough Plumbing: _ _._ .. ....,_- -„— \Building Official / Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within-, months afterissuance. All work authorized by this permit shall conform to the approved application and therapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. I 1 Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: / Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection ^.—.--`--`* 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "P tracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site "Lb All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: c_____ 'C.J • 004E/0 .� ________ _ ..... _ Town of Barnstable �:' llIlll�IIln g • wuuvsreet.¢, ost This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept 1 • MASS.fb Posted Until Final Inspection Has Been Made. Permit s¢ 4� 111it Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1165 Applicant Name: Kevin Werner Approvals Date Issued: 05/11/2020 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 11/11/2020 Foundation: Location: 3826 MAIN ST./RTE 6A(BARN.), BARNSTABLE Map/Lot: 335-018 Zoning District: SPLIT Sheathing: Owner on Record: Kevin and Graham Werner Contractor Name: Framing: 1 Address: 79 Bretwood Ln. Contractor License: 2 Centerville, Massachusetts 02632 Est. Project Cost: $5,000.00 Chimney: Description: add 1/2 bathroom to detached workshop Permit Fe $85.00 Fee Paid:I $85.00 Insulation: Project Review Req: Date: 5/11/2020 Final: „4 ,..e-,f ',‘--«g Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within.six months after4issuance. All work authorized by this permit shall conform to the approved application and the:approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. I w ✓ I The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: ` Service: 1.Foundation or Footing �`� 2.Sheathing Inspection �� Rough: 3.All rirepldces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: 4. Building plans are to be available on site Fire Department ," All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable Permit:2 1 v l/ b �7 .r Regulatory Services Date: q,,,,Itoq tpi ; Thomas F. Geller, Director (4-,HE .,ass,. ti� T Building Division Fee:�S ,op •* BARNSTABLE. * Tom Perry, Building Commissioner 9 MASS. 1639. <� 200 Main Street, Hyannis, MA 02601 �pTFv �a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: HCZj( /—1, /42 ik! IAl Phone: 3 6 g - Q3f3 Install at: 3 a(, M cam:.,, C 4 ) Village: Ci,t i'f 4-q 4 i Map/Parcel: 33 . ® i Date: '3 if3 (O q Stove A. New/4 B. Type: Radiant irculating C. Manufacturer: To 4 cam. I Lab. No. D. Model No.: Chi A. 1LExisting (If existing, please note date of last cleaning) B. Flue Size 6 �f C. Are other appliances attached to Flue? A/e) D. Pre-fab Type and Manufacturer 5 / / `v /( I`t e.-w. ( f T ,5 E. Masonry: Lined/Unlined Hearth 4`, . A. Materials: Cou c ' e o ece i .i , .-.,12. B. Sub Floor Construction: ca)' IN) Installer . f z. Name: Address: :..__ / Phone: , Location of Installation: H.I.0 Registration # f Construction,Supervisor# OR check 1.Homeowner Installi g, no license re ir-c: APPLICANTS SIGNATURE l//q/l��(- i r" �G APPROVED BY: i, Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection, photographed, and approved by the Building Inspector Q:forms:stove. Rev 103107 f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 33s, / Parcel D/ - Application# UC008.0r '! D,� Health Division ✓ Date Issued 2_ _ a Conservation Division fIa Application Fee Tax Collector Permit Fee ec) &50 Treasurer Planning Dept. . \? Date Definitive Plan Approved by Planning Board - Historic-OKH Preservation/Hyannis- Project Street Address 3 3 to �, �e � (6 � Village rF�-\r-vt6 N0 e, Owner ) (a.X /-/- /.(ust-%,-t, .. Address 3 fsG /`-f'a.,K r‘,,f) Telephone 6 D42',56-2 - 5''383 r Permit Request4' atu� �'Z 13ee ....� CJ,,..�l r a c ; Tr c.d.., >;:1,-(6, r r t \u,v,-2r Ott' ��rC�JeiI . ? ,vii: 13 a4%a. i`- / h.�J s-c Lcc P/ 2 o k-rl U/ ,( I 11) l� 1,,� / e44iJc- -'111 wsot( S1✓C) r� LAW; Ji.D aft+ ' /S b�4b4k Square feet: 1st floor:existing proposed d floor:existing proposed. Total new C Zoning District /2 F • 2 Flood Plain fr �,N ' Groundwater Overlay 1 Project Valuation /�7-,ravei Construction Type w a_.- 2,t Lot Size 2-9`7 4 c Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family $1 Two Family ❑ Multi-Family(#units) Age of Existing Structure U S-1 it w x - //S3• Historic House: ial Yes ❑ No On Old King's Highway: A Yes ❑No Basement Type: ❑ Full ❑Crawl Ca Walkout ❑Other Basement Finished Area(sq.ft.) 4' 2 Basement Unfinished Area(sq.ft) ?l/Z- Number of Baths: Full:existing I new 0 Half:existing 2 new O Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing 6 new O First Floor Room Count .3 Heat Type and Fuel: jia Gas ❑Oil ❑Electric ❑Other Central Air: U Yes al.No Fireplaces: Existing 0 New_ Existing wood/coal stove: ❑Yes a No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing 4 new size2°.k4" Attached garage:❑existing ❑new size Shed:CO existing ❑new size/ox/6 Other: 1 '= Zoning Board of Appeals Authorization ❑ Appeal# Recorded d CI , _ 61 Commercial ❑Yes . No If yes, site plan review# W Current Use re s'o ",:1 Proposed Use •Pn a ( :,. BUILDER INFORMATION ,tz" ice, Name 1 Ce X 1, a.. ,'14. Telephone Number acO F'3C o? - 93 d',3 Address 3 6v2 /('f c,•u (64) License# C i,a.w,k..0.1 i,...t1 MA p 2 6 3 ?• 0071f Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i-et Jr -&t..- L cA......5 /E SIGNATURE ( 4_ //. 54/.-e--, t- DATE j/Ce. 631— i FOR OFFICIAL USE ONLY ~' APPLICATION# DATE ISSUED _ - f MAP/PARCEL NO. c t ADDRESS - • VILLAGE 1 OWNER • f DATE OF INSPECTION: • FOUNDATION ©.- —f e 8- ei-y „eozs ,- t • OCR Ca-SD -� FRAME O� `r —� -0 Y -- /" �-r,� ../or/ . INSULATION P(G- f 1 ` , "-o8 , is FIREPLACE ELECTRICAL: ROUGH FINAL . N PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I DATE CLOSED OUT . ' ASSOCIATION PLAN NO. - - r _ _ F: ,, Y I } OF BARNS TABLE Max H. Kumin 3826 Main(6A) " NOV 12 PH 1: 03 Cummaquid, MA 02637-0074 508-362-9383 DIVISION November 12,2008 RE: Permit for Electrical Work for New Barn at Q826.Main�(6A)i Thomas Perry Director,Building Division Town of Barnstable 200 Main St. Hyannis, MA 02610 etrn Dear Mr. Perry: �‘ Pursuant to instructions from your staff this letter supports my application for an kt) . electrical permit for separate service to a new barn I am constructing at my residence. This project was approved by the Old King's Highway Committee on April 9,2008. A Building Permit(Number B 20081060;Application Reference 200802423)was issued on May 22,2008. The attached plot plan is part of this letter and illustrates the dilemna, and expense, I would face if the barn were to be serviced by an extension of service from the house. The house is currently served by 100-amp service from the street. The service entrance is on the west side of the house, at the junction of the original (built approximately 1852) stone foundation, and a subsequent concrete foundation(date unknown). The service panel is on the west side of the basement,with its wiring concealed by interior walls. The barn is on the east side of the property. To upgrade the service entrance to the house,run the service through the house and then to the barn would be inordinately expensive. It would require construction work inside the house as well as a wiring run from the house to the barn approximately twice the length of a direct connection from the street(please see attached plan). The barn is a workshop intended to build, store and maintain my fishing gear. It is not habitable space and it will not be used as a residence. If you need any additional information please contact me. • Sincerely yours, et/ � -�G � 1,4 1,, Fyn,`: ro' »x.atTivtliailgalittNift -._.--._--_-..-.__ \ / _-----._.__ i;:it.„......q...--,.,,,A,,-„,r ...„. ,c, ,.,....i ,,,,‘,.. „...„„us..., ' WrliVt.„, ,,::4 :';',4i,,:it4,44'' 14, '``:4";.*W''', 4 ,44,' 3 3 014poi, t� J '. ((\ ‘1`. '1'. \i' :. _ � �� r� .... _ �: des G (yam' (�, J i' r �y 335019001 ` ` #3850 lc X 11 it ‘ ty q- -9 . X \ .4, izi ,,'.. -, RQ -/ , /../ , Le.I.NN'.'- 6 1 ... o ` r '` filittl,V7Wtifgfitk—,':1W At1N.U4',',4,**1'':',..-.. ,,,n4,4. let" P ate.;. / ` ;yea �Q� P ` I4t.t...„''4'4(4.1.44.4,0..:„.,44,4,•4:,•.4.,A'.,4%,,73,a1,,r;`'-;,'4,s;,,',4-.,m':,,5p c,,%,4,;6,,t,>i *,,:i.• ';. ,,;- J R /gyp , j.1., h'x `S.V'J 1 y14 ,,I, .14.--044-0-0fretkovio• ',01."4 1.4%,426.4*%5' ,,,.. X 1:444-4i;':',-71.4,47'45: 05"?f1„4.4' r itili . . i' y y ., .• ilk' X.• x ff# J Q,3Fr. � � 4•01k1 335008001 4 t>' SF' #384 �` , , A ,14,D 33500• 41 may` i , a 1 NOTE:PARCEL LINES MAY NOT BE ACCURATE. The DISCLAIMER:This map a for planning purposes only. It ,� ' z5 yen parcel lines on this map are only graphic representations of may not be adequate for legal boundary determination or i` 011�0 'rky^; 0 5 10 20 Feet Assessor's tax parcels. They are not true pmperry regulatory interpretation. This map does rat represent an 35 s<<«, 3 15 - • boundaries and do not represent accurate relationships to on-the-ground survey. 3$ physical objects on the map such as building locations. / # ; 1 inch equals 50 feet 'UNREGISTERED LAND FILE NUMBER: 61340 DEED B00K•3597 • PACE:274 ATTORIIEY: BOURGET k KENNEY PLAN BOOK•371 PACE:50 LOT(S}I LENDER: FIRST UNION MORTGAGE CORPORATION PLAN NUMBER. OF • OWNER: ROBERT &GRACE ROCHETTE REGISTERED LAND APPLICANT:MAX H,KUMIN REGISTRATION BOOK• PAGE: OATE: 04/05/93 SCALE. 1'=80. ___ CERTI£ICATE_OEJITLE: __ ____ FLOOD HAZARD INFORMATION PLAN NUMBER. LOTS} FLOOD MAP COMMUNITY NO.250001 ZONE:C ASSESSORS MAP PANEL:0001D DATED: 7/2/92 MAP:335 BLOCK: PARCEL: 18 MORTGAGE INSPECTION PLAN IN BARNSTABLE 37.42' NiF LEWIS i / / ' NA SPOHR / ` / w. AREA / x. ,�v. 119,375 S.F.f / 3 OR I 2740 ACRES / . 1 0 / / o . • i i N/F' SIMPKINS • sxlu' / 5pt�� . /// • CONCRRETL jjI 3A� r / I ./�Q k • 111.5? 15840'4 ).. ' MAIN STREET ( ROUTE 6A STATE HIGHWAnYAn)j�;�p�p}�II THIS IS THE RESULT OF TAPE MEASUREMENT. NOT THE RESULT YI{eYI(USE ONLY OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLEpoo. INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. f( DES LAURIERS &ASSOCIATES INC. ST EET A MA 02 THERE ARE NO DEEDED EASEMENTS OR ENCROACHMENTS WITH W WEST LPOLE, MA 02081 RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN. TEL.:(800)287-8800(508)668-5010 FAX.:(508 668-4512 THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN A-SPECIAL FLOOD HAZARD ZONE. 0011 DF• AP ROBERT G„` THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER i EDwERT >yY WAS IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN 8 BISSONNETTE `"EfF•Qe-e/mEr•heet S•NtilETfB-(Wl4H—RESPECT TO—sTR_UOTURAI Na 31330 SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION r• ENFORCEMENT ACTION UNDER MASS. C.L. TITLE VII. CHAPTER 40A, �4'yi,SURVE��e' SECTION 7. � �� . GENERAL NOTES: (1) The declarations mode above ore on the basis of m�Yarmat� and belief as the result of Y o mortgage Inspection tape survey mode to the normal standard of core of registered land aaverors practicing in Massochusetts. (2)Declarations ore mode to the above named client only os of this date. (3) This plan was not mode for recording purposes, for use in preparing deed descriptions or for constructions. (4).Verllicotlons of property tine dimensions. building offsets, fences, or lot configuration may be accomplished only by an occurote Instrument survey. I A Town of Barnstable �P�pp'tHE Tp� ft) ' ti , 4 „ Regulatory Services t BARNSTABLE, « Thomas F.Geiler,Director 9 MASS. �b,04106 39• 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: b/s /67� JOB LOCATION: 3 ‘ Ct%111 ( /4-) Cu k.ka Gct, e- , rl. number street village "HOMEOWNER": ....Mcoo_•. tlt -v,, So'•3Ga2•5'J f3 ?�7' K7' iiiiff r name home phone# work phone# CURRENT MAILING ADDRESS: i a .a0 x ?I C(kw.i.,.,cz_q to A M,- 0zo3?- city/to* ' 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 Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re uirements. . eili.;--� Sign ture of Homeo etrrfr� 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. { a Q:fotmsihomeexempt 1 °FtHE 14- Town of Barnstable • Regulatory Services • HARNWLE, �, Thomas F.Geiler, Director 4'"Pepmot' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must . Complete and Sign This Section If Using A Builder I , as Owner of the subject 1 property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date • Print Name If Property Owner is applying for permit please complete the.Homeowners License Exemption Form on the reverse side. OWNERPERMIS ION Q:FORMS. S f • BOISE' Single 14" AJSTM 20 MSR Joist\2ndFloor\DR1 BC CALC®2.0 Design Report-US 1 span I No cantilevers 10/12 slope Friday, October 17, 2008 11:03 Build 27 6 16"OCS I Repetitive I Glued&nailed construction File Name: Kumin Barn Workshop.BCC Job Name: Kumin Workshop-Barn Description: 2ndFloor\DR1 Address: 3826 Main St Specifier: be , City, State,Zip: Cummaquid, Ma ' Designer: Customer: Company: Shepley Wood Products Code reports: ESR-1144 Misc: 11111111111111111111111111111111111111111 • wziwi"J//�3 / a MY b%/ i 7xfi' q �:'. ... . ... .:� .,:;,.�� ,a�,.5irr,<�y.�.a=. ���,,,� _ ..:�'�.;u.�„ ,,,,, '� ... HM a �, � 19-09-121 BO,4-3/8" B1,4-3/8" LL 528 lbs LL 528 lbs DL 132 lbs DL 132 lbs Total Horizontal Product Length=19-09-12 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 19-09-12 40 10 16" Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 3,075 ft-lbs 58.0% 100% 1 1 - Internal Completeness and accuracy of input must End Reaction 636 lbs 45.9% 100% 1 1 - Right be verified by anyone who would rely on Total Load Defl. L/658(0.351") 36.5% 1 1 output as evidence of suitability for Live Load Defl. L/822(0.28") 58.4% ' 1 1 particular application.Output here based u on building code-accepted design Max Defl. 0.351" 35.1% 1 1 properties and analysis methods. Span/Depth 16.5 n/a 1 Installation of BOISE engineered wood • products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide orBO Wall/Plate 4-3/8"x 2-1/2" 660 lbs n/a n/a Unspecified (800)232-0788 k questions,before installation.please call B1 Wall/Plate 4-3/8"x 2-1/2" 660 lbs n/a n/a Unspecified BC CALC®, BC FRAMER®,AJSTM, • Notes ALLJOIST®, BC RIM BOARDTv,BCI®, BOISE GLULAMTTM SIMPLE FRAMING Design meets Code minimum (L/240)Total load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM Design meets User specified (L/480) Live load deflection criteria. PLUS®,VERSA-RIM®, Design meets arbitrary(1") Maximum load deflection criteria. VERSA-STRAND®,VERSA-STUD®are Composite El value based on 23/32"thick sheathing glued and nailed to joist. trademarks of Boise Wood Products, L.L.C. Page 1 of 1 BOISE- Double 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor Header1FB01 BC CALC®2.0 Design Report- US 1 span I No cantilevers 10/12 slope Friday, October 17, 2008 11:03 Build 276 05-00-00 OCS File Name: Kumin Barn Workshop.BCC Job Name: Kumin Workshop-Barn Description: FB01 Address: 3826 Main St Specifier: be City, State,Zip: Cummaquid, Ma' Designer: Customer: Company: Shepley Wood Products Code reports: ESR-1040 Misc: 1 ® 11 ® ® w ! 11111111 .411 , „i1 ® , 1 , ,4. „ , 11 , 1 „ 1 ® 111 , 1 �ir t d , � fili: „, 04-00-00 BO,3-1/2" B1,3-1/2" LL 400 lbs LL 400 lbs DL 128 lbs DL 128 lbs Total Horizontal Product Length=04-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 04-00-00 40 10 05-00-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 414 ft-lbs 1.4% 100% 1 1 - Internal Completeness and accuracy of input must End Shear 143 lbs 1.5% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. U72,846(0.001") 0.3% 1 1 output as evidence of suitability for Live Load Defl. U96,083(0") 0.4% 1 1 particular application.Output here based Max Defl. 0.001" n/a 1 1 on building code-accepted design /Depth 3.0 n/a 1 properties and analysis methods. SpanpInstallation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide orBO Post 3-1/2"x 3-1/2" 528 lbs n/a 5.7% Unspecified (800)232-0788 ask questions,b,before installation.please call B1 Post 3-1/2"x 3-1/2" 528 lbs n/a 5.7% Unspecified BC CALC®, BC FRAMER®,AJST"', Notes ALLJOIST®, BC RIM BOARDTM' BCI®, BOISE GLULAMTM SIMPLE FRAMING Design meets Code minimum(U240)Total load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM Design meets Code minimum (U360) Live load deflection criteria. PLUS®,VERSA-RIM®, Design meets arbitrary (1") Maximum load deflection criteria. _ VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, Connection Diagram L.L.C. �CT . I. .1 . a minimum=2 c= 10" b minimum= 3" d= 12" Member has no side loads. Connectors are: 16d Common Nails • Page 1 of 1 BOISE- Double 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor Trimmer\FB02 BC CALC®2.0 Design Report- US 1 span I No cantilevers 10/12 slope Friday, October 17, 2008 11:03 Build 276 01-00-00 OCS File Name: Kumin Barn Workshop.BCC Job Name: Kumin Workshop-Barn Description: FB02 Address: 3826 Main St Specifier: be City, State,Zip: Cummaquid, Ma' Designer: Customer: Company: Shepley Wood Products Code reports: ESR-1040 Misc: 1 1 1 I 1 1 ! 1 1 1 ! i 1 , 1 1 .1 ,1 i 1i1 1 1 1 1 1 V , 1 1 .1 1 1 1 1 1, 1 11 �r ;,�,- �°.�artt. >�,. FxXL„1ds�w, .. ,,,i, a ,�,,,,,, .r * ,� ,„ .�.'_.ws ..,,., ..<„ sir,��a ,�� �, 7 a �,. s� �� T 20-00-00 BO,3-1/2" B1,3-1/2" LL 648 lbs LL 552 lbs DL 317 lbs DL 287 lbs Total Horizontal Product Length=20-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 20-00-00 40 10 01-00-00 2 Conc. Pt. (Ibs) Left 07-08-00 07-08-00 400 128 n/a Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 5,304 ft-lbs 18.3% 100% 1 1 - Internal Completeness and accuracy of input must End Shear 872 lbs 9.4% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. U1,103 (0.213") 21.8% 1 1 output as evidence of suitability for Live Load Defl. U1,628(0.144") 22.1% 1 1 particular application.Output here based Max Defl. 0.213" 21.3% 1 1 on building code-accepted design Span/Depth .21 Na 1 properties and analysis methods. p P Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide orBO Post 3-1/2"x 3-1/2" 965 lbs n/a 10.5% Unspecified (8 0)23sk -078 questions,before installation.please call B1 Post 3-1/2"x 3-1/2" 839 lbs n/a 9.1% Unspecified (800)232 0788 BC CALC®, BC FRAMER®,AJSTM, Notes ALLJOIST®, BC RIM BOARDTM, BCI®, BOISE GLULAMTM,SIMPLE FRAMING Design meets Code minimum(U240)Total load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM Design meets Code minimum(U360) Live load deflection criteria. PLUS®,VERSA-RIM®, Design meets arbitrary(1") Maximum load deflection criteria. VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, Connection Diagram L.L.C. fbh d-►I a 1 I 4 • _• • -� / I i\ � • a minimum=2" c= 10" b minimum= 3" d= 12" Connection design assumes point load is `top-loaded'. For connection design of'side-loaded' point loads, please consult a technical representative or professional of Record. Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are: 16d Common Nails Page 1 of 1 BOISE Single 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Roof Beam\RB01 BC CALC®2.0 Design Report- US 1 span I No cantilevers 10/12 slope Friday, October 17, 2008 11:03 Build 276 File Name: Kumin Barn Workshop.BCC Job Name: Kumin Workshop- Barn Description: GABLE END HEADER \ Address: 3826 Main St Specifier: be City, State,Zip: Cummaquid, Ma' Designer: Customer: Company: Shepley Wood Products Code reports: ESR-1040 Misc: . io 12 I 2 I I III : iIII � ii .. I i : I 9 y1i 4. v„7 ,7 v � � v v � ® � „ W ® ' 04 �:^.*s1. y'%1'' ,. . u. Y.% • , �=. „Stu., v� � -F, r�:er„s� 16-00-00 BO,3-1/2" B1,3-1/2" DL 647 lbs DL 647 lbs SL 960 lbs SL 960 lbs Total Horizontal Product Length=16-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. , 1 Standard Load Unf.Area(psf) Left 00-00-00 16-00-00 15 30 03-00-00 2 Unf.Area(psf) Left 00-00-00 16-00-00 10 10 03-00-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 6,064 ft-lbs 49.6% 115% 3 1 - Internal Completeness and accuracy of input must End Shear 1,349 lbs 29.7% 115% 3 1 - Left be verified by anyone who would rely on Total Load Defi. U345(0.54") 52.1% 3 1 output as evidence of suitability for Live Load Defl. L/578(0.323") 41.5% 3 1 particular application.Output here based Max Defl 0.54" 54.0% 3 1 on building code-accepted design /Depth 0.54 n/a1 properties and analysis methods. SpanPInstallation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide orBO Post 3-1/2"x 1-3/4" 1,607 lbs n/a 30.4% Unspecified (800)232-0788 ask questions,before inplease call p installation. B1 Post 3-1/2"x 1-3/4" 1,607 lbs , n/a 30.4% Unspecified BC CALC®, BC FRAMER®,AJST"" Cautions ALLJOIST®, BC RIM BOARDTM BCI®, BOISE GLULAMTM SIMPLE FRAMING For roof members with slope(1/4)/12 or less final design must ensure that ponding instability SYSTEM®,VERSA-LAM®,VERSA-RIM will not occur. PLUS®,VERSA-RIM®, For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow VERSA-STRAND®,VERSA-STUD®are surcharge load. trademarks of Boise Wood Products, L.L.C. Notes Design meets Code minimum (U180)Total load deflection criteria. Design meets Code minimum (U240) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. User Notes NOTE: THIS DESIGN ADDRESSES THE ACTUAL SITE CONDITION OF TWO 1-3/4" MEMBERS WITH A SPACER.THIS DESIGN PROVES THAT A SINGLE 1-3/4" MEMBER SUFFICIENTLY CARRIES THE LOAD. Page 1 of 1 ':// L& t r\ . 3 6 /`' nt, (G-4J ,f Shed Roof Construction 10' X 20' open to N,width of opening 16',height 8' roof 4.25:12,2 X 6,rafters 2 X 8 Twelve 5/8"anchor bolts 28"o.c.,w/in 8"endwalls,corners Four holddowns, Simpson MTT28B (allowable T=4455 SPF) Rafters to N gable wall Simpson H10A(allowable uplift 1015 SPF) Hurricane ties Simpson 2.5 (allowable uplift 365 SPF)at MWFRS stud-rafter connection Sheathing 1/2"CDX 3"o.c. fully-blocked Uplift: p=gGCp -q.(GCp,)lbs l ft2 q=0.00256KZKcKdV 2I =13.601bs/ft sq. _ ,) % 'A C. 0 (74Le6. 3) / / _ d. �,� (1 IZ 6: Ad -,C - O. ?� (%ECG C/ / rfo:._ 5: 9 v p=(13.60)(0.85)(0.8)-(13.60)(±0.55) = 3,346-202 = 3,144 Total uplift, lbs (net positive pressure) ,./ North Gable Wall Construction Height of ground floor 9'4",upper floor 8',roof 10:12 Width 20' 2X6 Ten anchor bolts, 5/8" Simpson SSTB16 embedded min. 12 5/8"in 3500 psi concrete(allowable T=4420 lbs) Four holddowns Simpson MT28B (allowable T=4455 lbs in SPF) Four Simpson Strong-Tie 1/2" TR systems from concrete to upper-floor top plate (allowable T=4340 lbs,allowable Shear=16301bs,allowable lateral=4651bs). Each tie rod anchored into Simpson SSTB16 as specified above. Bearing plate and nut at sill,take-up washer at top plate Segmented wall construction ground floor,holddowns/TRs at end of each full-height sheathing segment,total L full-height sheathing 10' Simpson Ties MSTA24Z(allowable T=1455 lbs) at all MWFRS connections Sheathing 1/2"CDX,3"o.c fully-blocked,inside and out, 1260 plf(segmented wall construction) Ground floor shear load = Vroof+V floor H=112"/96"= 1.17. 10:12 Roof 204 plf. Flom-184 plf Unit lateral load roof=(204)(1.17)=238 plf(adjustment for wall height) Load into ground floor=(238 + 184)(20)/2=4220 lbs Minimum length of full height sheathing: 4,220/1260=3.35 ft. plus 5% adjustment for 8' door opening= 3.52' Minimum aspect ratio: 112"/3.5 =32" Uplft=T= Vh/Li =(4,220 lbs)(9.3')/10' =3,924.6 lbs Upper floor shear load= Vroof ti (204)(20)/2=2,040 lbs Minimum length of full-height sheathing 1.62' Minimum aspect ratio: 96"/3.5 =27.5" Full height sheathing 3.75' (2 X 22.5"). Shear strength supplied by four Simpson Strong-Tie rods, 1/2" total allowable shear(4 X 1630)=6,520 lbs. DocsBarnNgable r AWC Guide to Wood Construction in High .Wind Areas: 110 mph Wind Zone r Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' • IA Check . • • • - Compliance 1.1 SCOPE _ Wind Speed (3-sec. gust) .... 110 mph Wind Exposure Category • rB Wind Exposure Category Engineering Required For Entire Project C • 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 'stories <—2 stories Roof Pitch (Fig 2) / _ 12:12 4r, Mean Roof Height (Fig 2) .�/ ff 5 33' Building Width,W (Fig.3) 'ft <_80' Building Length, L (Fig.3) •ft•<—80' Building Aspect Ratio (L/W) (Fig 4) - <3:1 ' J tik. Nomirrrl Height of Tallest.Opening2 (Fig 4) <6'8" el`Oct 1.3 FRAMING CONNECTIONS ' General compliance with framing connections • (Table 2) 2.1 FOUNDATION . Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete r Concrete Masonry 2.2 ANCHORAGE TO FOUNDATION''a. . • , ' • • 5/8"Anchor Bolts,imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general : (Table 4) -.)t in. Bolt Spacing from end/joint of plate ' (Fig 5) in:<6"-12" _ Bolt Embedment—concrete (Fig 5) ? in. >7" Bolt Embedment-masonry . (Fig 5) in. 5 Plate Washer (Fig 5) >_ 3"x 3 z " ,-,.3.1 FLOORS • Floor framing member spans checked (per 780 CMR Chapter 55) Maximum Floor Opening Dimension • (Fig 6) /f ft<12' • Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) • Maximum Floor Joist Setbacks ' Supporting Loadbearing Wails or Shearwall (Fig 7) -' ft•<d Maximum Cantilevered Floor Joists Supporting Loadbearing Wallsor Shearwall (Fig 8) (• ft <d Floor Bracing at Endwalls • (Fig 9) Floor Sheathing Type (per 780 CMR Chapter 55). Floor Sheathing Thickness a !� 1 a` ;).. . ..44 ect (per 780 CMR Chapter 55) 0. in. ' Floor Sheathing Fastening C�,,,e ��r - (Table 2)../0 d nails at in edge/ in field 4.1 WALLS • Wall Height • • Loadbearing walls. (Fig 10 and Table 5) i . ft < 10' Non-Loadbearing walls (Fig 10 and Table 5) °�' ft <_20' Wall Stud Spacing (Ag 10 and Table 5) f. • in. <—24'o.c. Wall Story Offsets - (Figs 7&8) 6 ft <_d ' 4.2 EXTERIOR WALLS' • Wood Studs • Loadbearing walls (Table ) 2x ,� - ft in. Non-Loadbearing walls (Table 5) 2x - ft_in. Gable End Wall Bracing Full Height Endwall Studs " (Fig 10) ' 0 /' WSP•Attic Floor Length • (Fig 11) ft>W/3 ` Gypsum Ceiling Length(if WSP hot used) • *(Fig 11) _ft z 0.9W • ` and 2•x 4 Continuous Lateral.Brace @ 6 ft. o.c... (Fig 11) • or 1 x 3 ceiling,furring strips @ 16"spacing min._with 2 x 4 blocking @ 4 ft..spacing in end joist or truss bays Double Top Plate ' Splice Length • (Fig 13 and Table 6) R ft Splice Connection (no. of 16d common nails) (Table 6) • 76 • ft , AWC Cuide to Wood Construction in High Wind Areas: 110 nip/r Wind Zone Massachusetts Checklist for Compliance (780 Ci14R 530.1.2.1.01 Loadbearing Wall Connections j ' Lateral(no. of 16d common nails). (Tables 7) Non-Loadbearing Wall Connections • Lateral (no.of 16d common nails) (Table 8) Load Bearing WaJI Openings(record largest opening but check all openings for compliance.to Tab 9) Header Spans (Table 9) J ft in.S 11' Sill Plate Spans (Table 9) b, ft in.s 11' . Full Height Studs (no. or studs) (Table 9) Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9). Header Spans (Table 9) 3=ft ' in... 12' Sill Plate Spans.. (Table 9) S—ft T in.s 12" Full Height Studs (no. of studs) (Table 9) -.i Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 . Minimum Building Dimension, W ea Nominal Height of Tallest Opening2 6'8" 1\ Sheathing Type (note 4) e.:5,k Edge Nail Spacing (Table 10 or note 4 if less) 13 in. • Field Nail Spacing (Table 10) "" in. Shear Connection (no.of 16d common nails)(Table 10) . Percent Full-Height Sheathing ' ' (Table 10) - a 5 % 5%Additional Sheathing for Wall with.Opening> 6'8"(Design Concepts) i Maximum Building Dimension,L t a, 1 Nominal Height of Tallest Opening2 I.. <6'8` Sheathing Type (note 4) rs° «`'Z Edge Nail Spacing (Table 11 or note 4 if less) in. Field Nail Spacing • (Table 11) in. Shear Connection (no.of 16d common nails)(Table 11) ;/ . Percent Full-Height Sheathing (Table 11) • .. v`" /o 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts) Wall Cladding , Rated for Wind Speed? ' IF 1 ROOFS. . Roof framing member spans checked? (For Rafters use:AWC Span Tool, see BBRS'Website) Roof Overhang (Figure 19) 5 "'ft s smaller of 24 or L/3 ' Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors • Uplift (Table 1.2) hit°4 U=76 LSplf Lateral • (Table 12) L= plf Shear (Table 12) • s=� , plf Ridge'Strap Connections, if collar ties not used per page 21... (Table 13) T=11l Gable Rake Outlooker (Figure 20) C ft s smaller of 2'or L/2 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift (Table 14) U= lb. Lateral(no.of 16d common nails)...(Table 14) L= . lb. . Roof Sheathing Type , (per 780 CMR Chapters 58 anti 59) Roof Sheathing Thickness /i in.z 7/16"W4P,. . Roof Sheathing Fastening (Table 2) es: . This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR•5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide:. a. Steel Straps per Figure 5 • - b. '20 Gage Straps per Figure 11 • • c. Uplift Straps per Figure 14 ' d. All Straps per Figure 17 ' • e. Corner Stud Hold Downs per Figure 18a and Figure lab ' Exception: Opening heights of up to 8 ft. shall be permitted when 5%is added 10 the percent full height sheathing - requirements shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. „ • � The Commonwealth of Massachusetts • • • ___ • Department of Industrial Accidents . . 1=itir== Office of Investigations ;:d1= - 600 Washington Street C 3�6�eE= Boston,MA 02X11 • �.�'y� wwvw.mass.gov/dia ' ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers • Applicant Information / f .Please Print Legibly Name(Business/Organization/Individual): . •Yak 6 Lk • . • •Address: 3,016 M a 4c• ((A) - = City/State/Zip:Ck A.I..7 r r1/4•1 f oky 3? Phone.#: ci of•�3 o • 93 de-3 Are you an employer? Check the appropriate box: . :Type of project(required):. • 1.0 I am a employer with 4. 0 I am a general contractor and I 6 [ New construction . employees(full and/or part-time).* • . have hired the sub-contractors . listed on the•attaclied sheet: 7. 0Remodeling • 2:❑ I a'sole veoprietor or partner- These sub-contractors have g, [�Demolition . • • ' ship p and have no employees • and have workers' 'vrorking for me in any capacity. employees9. 0 Building addition [No workers' comp. insurance.$•comp.insurance 10.0 Electrical repairs or additions ( required.] 5. 0 We are,a corporation and its '3.[I I am a homeowner doing all work . • officers have exercised their . 11.0 Plumbing repairs or additions ' • myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance,required.]t c. 152, §1(4),and we have no • employees. [Na workers' . 13.0 Other comp.insurance required.] • • *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. • t Horneowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. • • •• I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. • Insurance Company Name:. • Policy#or Self-ins.Lic.#: • Expiration Date: r— . Job Site Address: City/State/Zip: • Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine • of up to$250.00 a day against the violator. Be advised that a copy-of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. • I do hereby c rtify under the pains•and nalties of perjury that the information provided above is true and correct. Si ature: 14V . ....- • Date: Phone#• � "7 ) f� Official use only. Do not write in this area, to be completed by,city or town official City or Town: ' • Permit/License# Issuing Authority(circle one): . • • • .1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other • Contact Person: • . - •Phone#: • O o II co 74 • W 50'O" Q a a U - 10'-0" / 40'0" • y 12'0" i' 12'0" 1 m . n In_k? CO • 1 a th h ' . o - FILL CO``��II�yy77 l� Gn U VLFV V Jf ILV \ st N� • f� OINT NFY I�J�FfLALGk]71N�f0%atp VE�F E IN FELP CN FgA OARING fO LGYE 6 j:. W W N I re - y Z a co q x o °' °' WO�KSHOp AP.�A 4.1 UP--II \ 8 • it • FQ NPAPCN OP.OPS OOWN 48"A11115P0N( FILL FEICNf F01w4OA11c7 -7'9"X 8" ® I a k) h - V<RIFY IN FILLO ACCCRI7ING 10 AOPL . VERIFY IN FIELD ACC0476N6 10%OFC I - ` m' a 1-n I @ g• I W 00 \ J - 1 .‘<xakx,.,oxxx u.Kxwwa xxrnwaxzL..,(K,xY 6 . ')) • 30689-CITE o.' 12'-0" 12'-0" 2'-9" 37'-3" . I 10'0" 40'0" 50 0" - 0 • 1ST FLOOR PLAN 0 WINDOW 5QQEDLLE s— Q1Y FLOOR 9IMEN51GN5 P./0 PESCRIP110N COPE MANUFACILFIR COMMENf5 c II 2 8 29 5/8"X40 7/8" 50 I/8X91 1/4 •9GL13LE KING 2452 AN7ER%N pp 4 6 2 28 5/8"X28 5/8" 28 7/8X28 7/8 AWNING AW 291 AN12ERSN en 5 2 55 9/8"X90 7/8" 54 1/8X41 1/9 PGt81 E HMG 2852 AN17ER`EN W • 1 2 591/4"X927/8" 60X95I/4 MLLLE17UNIf 2442MILLION AN9ERS1N F J I I 991/4"X52 7/8" 60X951/4 MU-LEP UNIT 2492 MILLION AN9ER5EN 1 1 72X80" 75X805/8 Q-112ER-GLA55 p 0 Cl) v 40'-0" J - 4'-0" / 5'-0" - 31'-0" • d 2 AW 251 AW 251Ci S d E cn s: r S` N Z O U 1 N _ W • N W 0 N N N Z t a N . M cp Ir 3 r W CO O to O � ,33 co 0 1_ N \ m PAE.PJG SYSiEkt—� N \\\vim A "; m NAq'E FL00z F NECESSARY f0 1N PKOVDE IVINOOM FOR.5IAJKWAY I m 1 K) li Er.) r$ d .'.8<s�1;.a�.P�:i�3EI,' IC'2:.•md2'•es21 '''IE �''L•a'`.'IS3.e3r'i2'a''ersszfiso'I•Nion.assssMiOi:".z''I Iustazaar'' e�d�.$ ,cp AW 251 AW 251 AW 1 251 AW 251 -r ' 40'-0" 0 2ND FLOOR PLAN 0 °O n AA As 4/6PA' bh''' ' 0 0 v CI CI co I 'I��� ,I , III "1 Ii 1 i 1 ' I .. li ' 1 ` ti � ti r l l I .I7-' I ' I I I• I I 2 I `` I• • I Il / .. it&. 0 1 I. I I I 1 1 I I 1 l 1 _ .■l=1 ■■. ii■■► 7 I��I I 1 I I I !',M I I I 'I .I rl ill I i.MMIIIIIIMMIlh. E ��siJfesT --_ - 1 1 I f I I 1111 W I W I I I I I I 1 1 n I w.I> i �rT.4� F>' �'i�1��,� >•ti�"l� i� ',l>' >�>� >'1tO II �1ir;ij 1 ((( I I 1-- ` �, 1J ' ' \ , l` . I1 116 1 • z 5r' > �,� >7 .� 2.)' 'ty � 1J ,,' 1z 1 ,-. I I I I 1 111 •y 'fir rj tir > ,1 '-l> > } 11 '�>' �r . 4� I�I I Q 1>.��r1 l> s-/'V.ti> ..>.,'-'1.'1;'�r. , '-1 .'1> .�. ,t''1.'t> .I' �� 1 1 1 1 1 ��1 11 11III I I(i I .1. 111' �. u, 1J 1(� (4 ] J) 1111 t0 • ' +...... ir P1=1 ;� ' .L � .['�; J_�J'�.�.I 1�1� � 1' 1 1 �����J.I; ,lt �� _ '1'I J. (. I , � II� ■■■ ■�■ r I I I I I I I� �,) �,1 1�� 1 �I IL ' 4' ------ ■ - . 1tI Ir It1 r l 5 rlIIII I t)I 1 II L I [�� I) . . . . vm `]l)I JJJ ((lr�(S] ((l]f jr1 (lg • Ip 'II11 [�(I ,I.I I,rildI ICI : l 1 I - I '�c v_s1 O REAR ELEVATION 0 FRONT ELEVATION 0 O II co r.q.r ...... srr...rm...rrr...r.rr.rm\.ir.rr..emir..r....x....rmen....r...m.r .r...E.m. .rs.r.r ..•.r.r s.rri..rmgwssrr ..m.w. .r.rssrrrr...s.rw.mis.rrlr..IsmrN...wm...r . W srr...r..s srrm..Is.rrr�r..r..rm.s...... .s.rs.rrrs.rr�r..m....sr...s.rrrm...rtr�r�r�.ir�r� ommmu �s.rrimr�srrrmrmmsir�rsossrrlrslsirmrlws�rmrnssrr�r.rs W _I r.rsamsrmmirsrrrmilr.rsmmrrrr.mer.srrrsionr..rmomsmmr..nsmssmmrmirmms.rrrr.rsmorr.r.rs.rr I- Q mm.sinurmrmiti.Iran.ommrammrr.�r�..�I�rmr.rnmor�.r srs�r�s�r..r�s.rr�r.rsmirr.srr�r.rs�rm..rs�r�r�.Isr�rmms�r�.s�smrmrrmsrrr�r�s�r�r.�s.rr�r�.Iors.r.r Q U r...smsiroormmoirmrmmssinrmr.r.irmiir.sm.rrrmrsmsirlrsssssrrmrmmsmorrmrmssrrmr.is p CO ■�rrls norrrmossrrrmororsmmorrrrrsmmirr.r.o.mu rrrmem.mmr..r.r.umrmiorsmsomromr.rsrr rmrmmismonr rii���rrri�r�_mi_rmmimmr_r�r�wirmrrs`r�rmEsmos �ir�r��ir�rmmiir�r rrr.rssrrs.r.rs�..ram rmorrr rrr���srrrrs�r�iNsormo�rrrnmmrrir��rrr�r.rsmrrmr.rsmors.rlrs..r mirr.mrmr=mi.ur musrsoutrmmr.rsimuronirmmismarrrmmissrr.srmmsrrr imesrrrlem..isismorm..rsirmio r=mIirmo r=mIimrono rr.ssrrmi r.omsrrrm.rmm s.rrs.rrrsumrnsrmmeIrrrm.Isrrsur.M.ximrrrmiff.=ummrsmIirmoormm.mrrrsmi.mi rs.r.rsmeri.rsmonsmrmtr.mssr rrr.sasir.s r..r.rsamwtnimsmoer..rrrslerr.r.rsmmrmrmmsmor.srmmsmiers.rummsmm rmor.r.mwrmmrrrsmmrr rrrs rmiffsupormrrmxirwrnoiszirmigrmoiniirmrmmamwrmorrtm`rmrrnorirmrammuirimmrmoiirmrmomir d I.s�r... ..r..rrm.r�rri...rrrr..�r�rrr.m.rr.rr��r�rr.�r�r�1�r�r�•ir�r '� s� .r.srr .rr r s...m. �s .I .rs...i ...rsr.sr.rs. .err l...I...s... .Irrr•�r.Irram.. rsr.�r.mr Iirmlrmssrr...m.s...r...=.s.s.rlrmerssr..r..s..r..r..suer..r...slir.sr.rssrr.r.rs r...s�rs.r.rs.rs.r rrs.r�.r.�s.r..rrrs.r.rr�•.r rr�•.r�r�•.r rr�E.r rrr.•.r.r. r...�s�r.... ssrr.sr�.`r.r�s.r�r. ssrr�r�s.rr�..rsrrrs.rrs.rr.sr�s�r�r O ■...mrs—r••.—ar r—sir—rrm.rr_r—srrr..r—.—__..•ssrr..r—s—ram.--s—r_r—rs.r. sir . .m.mmem.sir...r.rsir .r.Is....rlrm.s.rlrmesirrrs..s.rror....s.....r. rrrIssrrsr.rsm.rr.r......r.sr..ssrr...r.rs.rrrs..s.rrrrrs.rrr�s.r.r.rs.m.m.0 r.�s.r.m.m.,irrsrUs—r..Asir.....N. s.r.s_r_r. r...s..r.srr.sirrr.rsm..r.sr Q ■.r......I...r.....m.r...�.�r�.�I.....rs r. ...ram■it....s....r�Irrr s.r.rs.rs..m.rrr.ms�r�r .,s� r. � r . r .rsomrr. s�r� � r r.�srmw .rsmr�r r �r.srrr.osomr .rr � r .m .sr.m .r g rrmonimmormrmmommumrrmmommemerimmomommrrsmonn.mr.mismiwrrrmmimmumrrimuimmommrrssonomm.rsmom_ f 11.IIII■IIII.II.IIII/IIII.I■IIII.IIII1■II.IIIIIIII.I.IIIIIIIIIIIII.II11 mumI.IIII IIIIIIIIMIIIIIIII.I.II.II.IIIIIII.■.I.■III�MIIIII.IIIIII■IIIIIIIII.III .. ■1III ■■ MIME I- •/•,/.•IUuUU•N•1_1UUR••__U._/_IU_I........_._11.._/_/.__.__/_.__111 ■■ mu.. .....■■ /u•i1 W II■IIIIIIIIIIIIIII■I1II■IIIIIII.IIIIIII/ IIIIIIIIIMII■IIIIIII■III■■III.■I.II III■I ■/ NI II.IIII■IIIIIII.IIII/IIII.IIIIIIIII.IIIIIII/I/II..■■■■II/INIMM�MIIIIMIL I••U 1.//11 1" 1I/II■IIIIIIII■.I.IIIIIIIIIIIII■■■II MUINIK IIIIIIIIIII/IIIIIIIII.II.II■■IIIIIIIIIII���IIII. tn 111•IIIIIIIIIII.II.IIII.I■IIIIIII.IIIIIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIII/IIIIIIIIIIIIIII/III.IIIII.I : Z IIMIIIIIIIIIII.IIII■IIIIIIIIIII.IIIII.IIIIIIII.IIII■IIII.IIIIII.II.IIIII.■■IIIIIIIII/ IIIIIII Q II■IIII.III■II■II■I1.IIIIIIIII.IIIIIIIII■1IIIIIIII.IIIIIIIIIIIIIII.I■■I.IIIIIIIIIIIIIIIIIII■II. II■II.IIIIIIIIIIIIII■IIII.■IIIII.II.IIIIIIIIIII..I.IIIIIIIIIIIIIIIIIIIIIIII.IIIIII.I.IIIIIII II■IIIIIIIIIIII.I.II.II.IIIIIII..■IIIIINIIIIII.(IIIIIIIII.II■II.■IIIIIIIIIIII.I.IIIIIIIII.■\_ co 11II1IIII■IIIIIIIIIIIII II.III II II.II.I IIIIIII•IIIIII.II.II■IIII IIIIIIIII■MEI.I■II II..III1I■1.■I.I r.,/■■(IIIIIIIIIIIIIII■IIII.IIIIIIIII.IIIIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIII■II.■■IIIIII.IIIIIIIIIIIIIIII�, co I IIIIIIIII■II IIII.II II■IIII II I.IIIIIIIII.III■IIIIIIIIIIII/IIIIIII■■IIIIIII(MINI I.I IIIIIIII.IIIIII.II r�- II.IIIIIIIIIIII.IIII■IIII.III/IIIIIIIIIIIIIIIIIIM/■II■IIIIIIIIIIIIIIIIIIIII.III■II.II.IIIIIIIIIIII.II1�Is�_1I II■IIII■IIIIIII.IIIII.IIII/����/■IIIIAIII.II.IIII III II.1■IIIIIIIII III■IIIIIIIII IIIIIIIII■IIII.IIIII./Ire_ —1__IM 1_:I/EM/ /_/ MIIIIM 1N/MM1N11�/M//�IMM/ /E/I/�I�/IIMII /��IMMIIM/MM1M�/S/MM1/AIM/IMIIII/iM///��MOMM\ 0 - /�/III.IIIIIII/1III.IIIIIIIIIIIII/MIIII.IIIIIII//1I.II■I.IIIMIIIIIIIIIIIIIIIII�I�/\ Fr��-1 IIIIIIIIIIIIw1IIIII.IIII/./II/IIIIIII■.I.IIIIIIIIIIIIIIIIIIIIII.IIIIIII/I1.IIIIIIIoIII N.I - .IIIIIII■(MINIIIIMII.II.■.IIIIIIIIIIII.IIIIIIIIIIIIIII■II/IIIIIIIIIIIIIIIIIIIIIINNIIIIIII IIMINIMI�IIII�IIIMIMEI�I�IMI�NSINIII/MIIII1M/IIIIIMIM�I�IMI�II��I�IMI�I��IMMINIIIIII MIE .. IIII.IIIIIII_III/II.I1III.IIII II.II.II1IIIIIIII IIIII..I.I■IIII II/1IIIII I III/I II1.III .III.IIIIIIIIIIIIIIIIIII/IIIIIIIIIII.II.IIIIIII/III.I..IIIIIIIIIIIIIIIIIIIIIIIMIMIIIII - II II I I I IIIIIIII IIII.I.II I IIIIIII III III III IIII I/1IIIIIIIIIIIII.II II IIIIIIII II IIII■IIIIIII.IIIIIII.IIIIIII.I.IIIIIIIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIII.IIIIIIIIIIIIIIIIIIIIIIIMIIII 0 II.II.IIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII.(IIIIIIIIIIIIIII■/IIII.IIIIII.IIMIIIIIIIIIIIIIIII.. !.III.,I1■IIII—I■IIII..I.IIIIIIIIIIII.IIIIIIIII.IIIIIII■I.II.II.IIIII..I.I-III—II-II■ L IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII■IIIIIIIIIIIIIIIIIIIe.YII III.IIIIIIII�III plIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII,../II .. r �--� - - - - - -•/IIIIIIII.IIIIIIIII.IIIIIIIIIIIIIII/IIIIIIIIIIIIIIIII�IIIII s i �Il101MME il�ii/il��i/iMIi/i�Iiii�l10ilill1111�Iiil�iiiwili�iii Ft III IIII IIIIIIIIIIIIIII■IMMI IIII■II(IIIIIIIII II IIII■III IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIII�IIIIIIIIIIIIIIIIII••III — ■III IIIIIII I I IIIIIIII■III IIII IIII IIIIIIIIIIIIIII I IIIIIIII III II IIIIIIIIIIIIIIIIIIIIIIIIII.IIIIIIIIIII■IIII..I1MINIIII.IIIIIII IIIIIIIIIIIIIIIII(IIIIIIIIIIIIIII.II.IIIII.III.rIII1 IIMIIIII IIIIIIIIII.I.I IIIIIII I II I....I.II IIIIII.II.I IIIIIIIM IIII I1.I IIII..I.IIII IIIIMMII.II IIIIIIIII■IIII.II•111IIIIII1111111II11 O RIGHT ELEVATION ., 5 9 o II Ca v M FW- J Q U milimmummmmommonimmoinimmommrimmomommemmumminmommommommimimemaimmanimaintionimmimumeememmimilmimemsome wommummommimmissamomurimosimmommommemimemmumommoimmilinimumumwomemommommmummommummuommimmommisormwomolim •.r... .•..r. .m.■umm■ .._imam■m.rr�o■rrrm�■r.■■um■m■.rm�■�rommim■mmrrnim■1 remormisimennommuismaimmimommimmummionsommommuumummomnimmummoiamon mommommulimmormommmonimmsommommrrm.r■.•..r.r.■•. .r■■•..r....•..r.r..err....rr_.�■•..r..._. _....•.rr.r..L 1 m.� .......r �.. •...... ..fir:.:�'�r::r. . Q ....... ■.... ...............•..........■.............•.......i..■................n 0 ...r■■ ....r•.....r.■.....r.. .. .r■■.....r■■ ......E .....r.■. .. .r■....r.... I— imm.m.r.■i.em.om■mmram...■im.mo.i■mm.mon.am■•..m....•..m.r..mm.om.r..mm.m.r.■•..em... mmummrir•��no.ar•srn�m•m.��rmr•urwriim.umrntom.owirmEmimm`giun om mormr•mr.... W I re ■i..■ ---_—'WNW_____..1NN...•m.I..--_—_-1a1.•I -_--_ ■..•....•■...1...•ImeI.....M.....I m 1...... mom! . ..... .1=1.....1....•....1..1........■■ 2 -i• INIM •■ I.�•. ■■ I.,................1 ■■ ....• ■ 1•..1■.1........•..1l1...•.1•.....1 A Q 1.1...1 1.... ..1MI1.....M.... MIME ■111■..............1..1..1....1.. �Y 2 MIMI -. I.Iu •. MIIMMIi•MMMi1.ii -• ! uI • .iii..i I.•I...i i..... .....i ...•I. co sommom------J....L-----J.■..1■�1..1....IL------••"L-- - --'1=1.1...l.........1............. co mommummumuniumminummiummom el 1.1...■1.....IIIME ....1....1IM1..... .........1.MM1....1.1....1M...............1..1..1....•.. ■....1.■..1 NII 1...11 ......1..1....11.1.■.1..11...1..1=.1 MI M M IN■1..1.■1....11.....•1.II M M..1■ IIIMMMMMIEMMMMIMMIIIIIIIIIMMUMMIIIIIIIIMIMIIIIIIIIIIIMMOIIIIIIIIEMMMIIIIIMMIMIIIMMIIIIMMMIIIIMMIIIIIIIEUMIEMMIMIIMIEMMIIIIIIIIMMMIIII ■iM.EiiIMMEMMiiiIiIMEIMMIIIIIM i I EMEMINi�isINlieMii.IIl�ilIM.i�iiiMIZIIMii�.�i i�1M.Ii.MINiiM.i Fri .il=IIIMIM .■..IHIIM •....1..I....1�I. IIIMMM ......■1■.1...1..1....1�IIIMMM�....1....1..1..IIIIMI 1. Fli i��i............ .1IIIII.....■I..........I.l1....I.I....1M1...1■.........■1.....1....1..................■ ■ .1.1...............1■ INIM .1....1M.1...i.1.......1. UIIII ...1...■......1.MIIIII ..1IIII1...11MI.1...1 ■ii i�i iMI1�.i.1 I M.I�i.M■iiii�IIMIM MIII .MIAI'i.Mii.i�iiMlilIMiMIIIMM I�MMIMIMMIIIM iiiI.i iINii.M�■.Mii�i1 ..i.MM.....•.■u.1..1...■...IIIIME ......■....1.1.....IM.I.......I. 1..IIIIIB ...1NI....•..........�1��1..1111M11. kkk • /TINT.■IIII ■1.....•.•IIIMIM II..MIIIMM...■�.........I..1...••I.....IIM1.■.•.M..■...•..I.r.•••........... ......■..= .......—.......I-I■....-..■......I■-.......1....I-I.....-.........,.-1..I....1.......I Q I.11...�I.......1.�I......I.•..IONI.•... ....•....,....■,.........................t�1.■ o,I i ■1.�I.•O .•I....ICIMEMEMINNIMIM ..I.M...IMIIMMI...... MINII.......IIMI.....�.........I.I 1..■II.iI......■1MI..I....1t......•..•.........IIMI.....IIIII..■......1.M...........IIMI■. .. •uuu•iMi.iuiiu1 .•u. MIIIVA.i-uI.i.iIMiIEu•••••IMIINNm a.�i'....ii. .......i1......uI A1-71 s if •1.............ma. •u „I .INLJ..UU. •MIII.IMMII. .II••.•UUU•U•UU••••IIIU..UI.U.. sY mI 1.ens.immI..•....1.•I.• „. 1..I..1.�.�1� ■.1..I..,..--.................r..r.—... ■1..I.. I .......1�1■•.•• .1.••I..I....I........... •I■....•.........I..I....I I.•.•.MIIII■.•.•..1.IMI.■ ••1.•.••J.•■...•..1.III..•1.1 ■1.IIIII.•O••I.•..111111.•.•• ..I.1MI...•..I.IIMII •..•..I 1...•.uI■.•....I.IMI.■ 1...•■••.••.I....IMI.....•■ IMMENNIMMO 0 LEFT ELEVATION 0 e- RIDGE VENT C II CO Zi. I X8 LEDGER BOW j / \ LL1 J C0.LPY.11E5 a 52"O.C. ��/ �. Q V \\\ 12 0 (n 2 X 10 RAMPS @ 16"0.C..., ` \ \N�P. 11" ill \ /AgVit 7 RA Afi ua7 1 10 MATCH EXISTING . f/ HATI-VERIFY IN FEW 2 X10 CUING ', 15 J01515 16"O.C. R-'.O INSLLArcN l''� j Q ii III ' . . C.)O - :r cfJ W 925/8"-2X6 _� ^ i=r W Z R-19 W5A,A710N = a 2 co fV 00 __ 1TI• _. _. Ii 1 21/2"X 14"AJ5-20 Mld 1-J01515¢16"OL. — Cn 1045/8"-2X6 _�� E. of SilIDS 16"O.L. =C) 33 1 08 �6"PaPP0 CGNCEVIE 5-613 a /— ' \2"FOAM IN5LLATION 5'10"X 8"P0F.YO..,.. W.OWD PERIMETER CGN�CRE7E FO,NDA710N• —� • ,I 16"X9"PaF.ED I5 : CGNCRYtE r00111,1, • _ _ 0 CROSS SECTION A 6 . O r ' CD !! W gilrartii rnoriiirrMl■roimr ErEmu I �■r� ir alir�rir�ir r < 0 a (q NilowiiiiiirrrMEMEmorrlimrm__rrrmin� ommemM EE�r rr �r��� r rsmorrrsi um N�rrmiimMismor .111 I-■'I..I■III■III EME III■EI.I MEIIM..I■I■I.Ent I aG 11 it = U jr E6 !-- CO Z f a N ice■■ ■•s•iUUU.1.uo•_ ���.s . CI .4 2%BCUING JOISfS e 16"O.C. - 01 o ig f 0 O CROSS SECTION B . co II c.o. F„. . , 1 , 1 uj 0 CO .----•--10,:.we ....."" -42•741:: ____ A 3 le lex - .°' " 42......, °"''' (2 - , z. r `10,....._ c..........- . . , N M • ci a • a . . m . , f.....e, , C.) I-. ' i 4.4 • ' . , : a .. -.- _ . . z , .,,.. . .:(. . E? b g P 11 to C•1 b . .._ c.i r:14• fg .. g . 0 g 1,- . E,t - . .__ 4 .7-1-- 1 2. ii \ L- 10-0" ..,--' 281-0" . • 3EY-0" -let/ 6 7.0- c' 0 FOUNDATION PLAN * i ... 0 oZoo --?- ci . 4/4 7 29 °‘/If- 9 o II o 38'O" w a a 10'-4" - 27'-8" w I I 1 7 I 1 0 I ° 1 I 'v • I ' I • I 2 I I .° :' I I • I pi : 1 w 1 ,i I I • I pt . I z o I - 1 ` I o 2 o ICI ;' I o ecl 1 1 ,. 1 P. 1 I 1 1 1 1 • 1 ':1 1 . ��H 1 ma • o 71 sl 10'-0" / 28'-O" ' 38'-0" O FOUNDATION PLAN 1 4 ,p TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION J J Lv ,„„1 Map ._3� Parcel 018 Permit# 6' 6 7/ 6 Health Division ?.S � � / V �C Date Issued /3/`a 3 Conservation Division /3.2J'OJ' Application Fee 0 Tax Collector a0OR - D k - fit- 109/03 Permit Fee i eh Treasurer 0 k- IV t- — ii30/03 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3%2 L n \11 5. 27, Village C t`),( C}l V i a L / . Owner m A\ K t M kil Address i2 L, Vic", r' 5 Telephone `5 D% 3Ln Z - 13 ,3(� • Permit Request Jh ( 1 La 3�v.s-�J . / YV Square feet: 1st floor: existing 1 LP 0 proposed 2nd floor: existing proposed / Total ne o Zoning District Flood Plain Groundwater Overlay F/ 7i Project Valuation 3` A0G. Go Construction Type 0, w -77 Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting do umentati:i. Z ti Dwelling Type: Single Family ( Two Family ❑ Multi-Family(#units) r Age of Existing Structure 740 Historic House: ❑Yes a No On Old King's Highway: *Yes ❑No Basement Type: 4Full ❑Crawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing -/ new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: A Gas ❑Oil ❑ Electric ❑Other + Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ONo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing lnew size/ox/C Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial 0 Yes JNo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name S \j �?m '/ �,C -cI ?(bCd L)C -S Telephone Number 5O 430 - 2 --5U Address 25-5 00-eel1 Af1 (Zol . License# CD l 3 7cto sc— A\ (w-Zh \'M, Home Improvement Contractor# 1 % QV— Worker's Compensation# CO— j' U ( 7 Lv7 X I j A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P,\__. 4k-{\--,o,,i (L.`)-y,ei `f ht1 c f SIGNATURE :C.` DATE s t .. — �. FOR OFFICIAL USE ONLY • . PERMIT NO. • DATE ISSUED t v j MAP/PARCEL NO.L... i r -, M i J / 1 I / 1 ADDRESS VILLAGE OWNER I �-. • �_ . '4,/ DATE OF INSPECTION:1 / ' •FOUNDATION SC1 A/4 • id Y e S s/Sya ©/, ✓C%'�' , FRAME -INSULATION • FIREPLACE • L3 I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ? /' . I GAS: ROUGH FINAL r FINAL,BUILDING • ' ' . r /c /! ✓' t". 4 - I l ' ,DATE CLOSEDT- OU ') - �rl t it`f1✓) ASSOCIATION PLAN'NO. r• J I. Commonwealth of Massachusetts • _....r---_:.. Department of Industrial Accidents \;.. - _ Office ollnyestigatioos 600 Washington Street '22—_ `, _ Boston,Mass. 02111 '� `3� Workers' Coin ensation Insurance Affidavit lame: 6 .X i t.c.w�k I location r_02 • �t r't 67;7 /� f 190 dr . ci C-C�_ w.Ct ix c phone#�1��'' ..7 07 P.�,� I am a homeo r performing all work myself. [] I am a sole r rietor and have no one workis in capacity rf orkers compensation for my employees working on this jab. r }r y}::.;: :; .:vii;r:: an employer rove I m•P....:::::.r:.,.....: :•:,:::::::•:rr::-i•:::isK:Kr::::.:•.::•:r.::.:,•:i.x:::::..:....: :•:::::x:::...v•...:r: :„;.A:::::.}:{.;�.:-•::{:::::••:...:: ..::::. I am P oyer • ....,.......... ........u....•................n r.....:......... ....m:nv:........::::w.v:........ ..... ....; :.vrn•::{•}::•::v,;... .:........... ........... ..... ....... .......r.n• ............. .r.....:.......... .+............ ..:........ �............ ...:::•. . .... • }Y.ii:;:iiri:L?4-4:•ir:::.i.±;??v.'•}:{{i•}?:': • • name: :::::.:.... :::i•}}:<}:.:::K:::...•?:::w::: .,::..... cam ..... . ...... .......... ,.::::•::r:..:.r..s.•::Yr:::::.}. :.:.:... .i:?•:;:.}:::.}:}: .7.:, ...... ....... ....... .......r.. .r............n....::J.r...............:..:::r.:.,.:.......:::r....:.......:.:.�... ...: .......... r.r::.:..L::.:•:i•:.,•::....,:. .r.::•:n:{..•..•.: .t�.{.•i::;�i`:{ .... ..... ..... ...n.. .--:-.....:::...............n....•::•::::::::•• ............ ::•.:•v:::::.vv\.:::.v:.v.}:•}}'L•::•::•:::... ....-:..-.. 'ti}:�`{:{:• .. n•{ti:;:;:.: .n...• r...:...... .....n• .:......n.. :............ .............. .:,w;::: .}; ...... v. •:•Yr:::::::.....:: :v::rY:.v:.. rr. ....:. .n. ....... .....: ......:...:........:r...4...............:.v...v nv:•.,:�{{:w,v:nv:•..\:}:.........x:v..•:.v, >?y?n........n•:.::.. '•ti?}:t•:L{•.Y,.}i;.}:t{. .. .r. ....:....n....n• n. .. .............r..n........• ................. ,..r.... ..n.:... r.....v....... n..x:::nv::;}.v:{:.;.;v.{.n...v:....... • l:w:•:n..nn?•:: .........s...-:n.. ...,,,,,,.•vx.:............:•:r.............:::.:.........}...:... •••.•. v:::::::•ti:;}n•:::.v.....:........... .. .. ............ • ............,....:•...................:... .. ......... ...::..;....... ..:::.:?•}:;•}::..;}•;{::.}•;}}?}:rY�>:•::.;•+a:•:•}YL:i;:n:�;.y:::::.}.:.-r.:;,.},•;•;{c-•;�.�.};,ii.}•.L:i;};;r .... .r.. r.... .4....... ...... ...,..n. .... r.....:...v.....:::.. ., ..}. }::tii•}i:..::.:i:.}:�Y.:v .............nnJ....r.•• .......:... ..�.......,.n.•... ........... ....::v:}::::w:.v: ,...:...rv?.:.:::::••.. ••:w.:.a•.•n:'�'+:+{;L.vv.: .... n....n• .. ... ......r...... ......... ... , :v•:•,vv:n........ ......\.....n..., ..:.lv:..n:{'{7,•}:v{w):lri:.i:;.;::}::: .. .n.... ...... .:....,... .............••::.:................n;;...;...:.........•w:: : ::v•.:•:•.,.....••::: Q e.�. .:;•,•:::.....:.v::f.•.vvn•........,....:Oh... r ...}`•:.••: .., ..... ..;...}:•is•}:.v:•:. .t••}:v:{•" .... r•::.:::.u,•;•: F.. "::.rat},: Li ............. ......:..... •..........:•.:....... .....;, ........... .:•::::.:•.:}:••.4...:.,..:••:.r: :::5i�;? �;''•'+;::{:•,•` : n•:.:?rti:•:i.Yii.y i;•':$«� ... ..::.,.::.:.v ...•n:•::::•::::.::::•::•::::::::+v:.n:•.v:::::.::v:::.v...:.:.......n..... :.... .,v :^::N::w:.•r•.•:. ,.4::::•} ........ ..... ..,...... ......... ..... .......................: :.v:::• ..... ..R}:::n•:::::.{•:•r:•:•:.,:•{:.w.;4:}•?}•,v,:{k X;.{::n••.;•};'+C:;.,;f..:•:..:v••. .. ... .. .... ... ....... ..................J...,.................. ..:::}:•.'•?4:•}}}}:4:,;::Y}';.}:mow::n•. ..,t•:n•:r.w,vn?L.......:.v:•:::v:.n••.vw::nw O: ?4:?4i}:?•}}:}'i $}'n}?.v.yr..::::::nyL<:`•}}.r•;•.}}v:n}:}•..:y:::::.}•.:}ti;nv.v{w::::y;:::'?::::.}•::::::;...• ...... ..... ... . ... ... :..d jiti{i:i`::t:ti�{ri t� ::•,'1`.'v;::;:{:�{f,�{�•.:.:;{:.}:•::>.:i: `i:?>:%:f:i i ..i%;y:i%#2.:.?:2$: %Y:..?'•vt.i.:.:�%:. r : .^.. :% ':%: ::.:`::.;,i..y.t. ��O/�/O/OI/�/ �/�G/ /OB%/�l/�/ ��/ m a sole///��//// generale/ ontra,G or,4' :� am a sole proprietor, contractor, r omeown.. ericircle one) and have hired the contractors listed below who • have ensation polices: wY,M{.: . ,:>}r 7:h: •<v4::.:{•;} n workers' P -}��� wi ...................:.::::::::n.:::. : .r.}::<•;4}:.Y};?.;::>r:rir:;;:..:::..:}:;;•.;'?.:.::.:}::. :ny:;:}}}.r.r::.:�:.........::. >:::.}:. {•,,, . folio the g .................:.n..�.�:::........:.:.r:::::::::...........:.. ...:..�.::::.:..........,.... . :..,..}:::n.:r::.,:.::.:v.::.n::.;.::.�:::......... i.............:. �•• ,:�:::•:::<: ...... . ............n.....•: :................• ..................... .::4:4?:?4:•� ........... ......::: • :v.•r.............. n..:•.w::::r}•YL?•i• +rr^"• .:i�4 .. ..r..r. .......... ................ .......... .... ......... ......................::::. :.:......... r....:;. •'• }.....:.:+. 4,,• ..v}:••vr:•.:; vxX::4:...... • e. ...:.....:.:.:.::.}::.::•::.::::::7•:::n•...:..r.r.,,••n•:•.YY:?::{.:,{.}::••.•:::.,} }}:•}::i?i•>.?•.i••:.,•.•:::}•}:•7 •:n}.:,.;s„., .;:x„:••r„„:„. :.:: temp ••• • .... ..... .:........ ...�.:....r::::•:::::::::;:n•.�:::::•::: r...::...::::::n•::::::•{:{::;<•Y}:•}:•: � ... ......:.:.. ...............................: ...r................ ..... •:•}}:•}:::..:.:.:..........::r:r..,........r•::::::•.:.:,..:..:.,•:r.•Y:•}::4::•}>y:4}}Yc;•}••?•xL•}::•...r: :}#:'.; �.�• ......... rr.•..... .rr ..n.... ....f....r. ,.r.......... ................ ..•.........::..:......... ...:.,..:•: .:•.:wE...n....:..�. ..r:. $:,•.f+ :r..r.. ... ...r..............r...... .. ............... .n... ..r.rn ................., ... ....•..... .........: ..n..r.....r. {ri+•i+ Ti:'?b .Yv??$' :�tii ....r.. ...rrn.....:............r. .Jr.:. ,.............. .. ..... :.. . ... , ,...r.....:...... ........ ....,......., :::•::::n•:r.•.:+C n•::•...:.n .'�...... ......u. .............• ...... ......... .,.....r..n.... ::.:•...r,.... . .......: .... .......... :....... ... .......Y'.. {...r,........:...;.:}.:.:i•.ii`v':L i'ivv%•`.'<i: `'::44}r.•., •;•`.•}i}:. ...r. r... .... .. rn... ...... ........... •.....:...• .: . .. ..... .....................:::: ::}r...•+ 4 ::.vx:r.v.:vn-v::.::n...,:, ?'?i;i}y.rn!{v:%:�'Jh......n:•::-. •r..r...:.v::? :r... r;... .... .;..+.v:.::,......,:i.:r.. .. ..::::.v::.• •. ., .,..::�:::. ......••:w::::....••:••::::::::• •• :::k ;::...:.: .......... .\:{:..:.. L:::::........ n•...r.q.:.., ... •�iix vi:}}}n:'n 4:;.�4}:iv'v::r• .... ..................:::•:.........:::•:::•.:............:::..:..........::::::r:.:::..:..........r:•:.+:•r..,.....:.::^...}..... .; , . ..:: .. ••4:r.. •:,� ••< 7 •..�� rrf:-+� M;;x:;•r,.:t:� :•:;>: :. ... .... ... r.... ...............}.,...., r.:..,...... .....::•.........:::•:•.v:•} :ti•: v:;... :. -.•l ,}?`r:.iSr: : ,,, :>wYr`:}.}L}::: ...rv :Yv...{•: .` •......: n:.r .. �.: v.... r..v.. :...........rr,.... :.}•: }:::N•} M•:.4}:.+• ....:.. 7...x..r..r•i.......i•.. /,• ::....r r. •...•......•.....:.............. $:.,•. y:: :.}:•�;, .r..... .. ... .r...... ..r...:...r...... ......r.... .,........ . ......r...... ... .......... .....r.......,•:::.:�::.::.r :: . :::': •hi �y� �.{,.,•3::.K •:."F.x•.�.:n;{,:} •.ism; . ............ ............... ...... ..rnv::vw::.,.v:r.:..:•.v:::r. ::...::..Y...'••..v.::S•::.. :x:+ .:•,{'r r :r},..r,.r `'t'3,i•'}'/ti ;�4`• ....,..........}.v:.„......n; .}::...n.... . :::::.....n.r.....• .:: •....n...nr...v::}:4:?.: .. .v .... ....? ... .<: I.:... .r... ... .r, .... ..v..... ........n... ...:...... .......w..... �n.....,... r.n:.•:• }{::. ...n.. ... ... ..: :rn... .....n.... ........ .. .. ..::.vn}}5::::::v.:. {4:. nJ .. .4:.}•:• {,:{�,�•.•.•,�:,,v,�• . :L.........v:v:J...... ..{.,. .f{• :..•. ......::::::. ........n::: ,........:::m::::i v..i..r. ....: {.,•..:.......•}r:.v:::4:•: .�... :..:•'�' ' is;: :i?:,.. ....r... .:,.,•. ..nr......•}:.,i•}:•}}:{•:.:.:}:f'.}::•}:.r:•::::.•}.:: ...,:,...:•::.,>:•:4:.:?r.... ,,,,.,.} aunt! },::: ;.................,:. :r}::.}}:4•:.<:, ....... ......................................................:.::..vv.:..a:.:.n nr...t...........n:.....:...........:....•.....w.........:..::....:v......r....:.n:.:n..:.:..v•.:......:.r..:....am........:.:.........:.....:..r....n:..w......:...:...:........:.:...•:.....v...:.....::......:....:.:.....:....:.:......:......:.....:....:.•.v..:......:v..:...::....::....:.......v...•:v....�..J..:.::....:.r.....:.+.:...: :....:.n.....:.•,..}...•..:.:...::.:.n.:..�.:...v........•.::.......;.....•......•.......•.:}.n:.....:.....:......:.....•..:.J..x:v...v..::..r::...::.::...vv.....:n:::.::vr.::..:::..:::.:..::..?.v.•t..•:.n..v•.:v•...:v:.,.::v.::v.:..::.v..:v.i..::..::::i.:n:�•v.:•:.:..nv.:..•:.::..v.•:.v:n.v.,.:..:,.:•.r•;�:•;::::�.::•J:�.•}r••.•::'..:•.r.:..:•:.::•.:r:.L.:.:.,.:::. ..::.{4.L:.}C.i;Y.'?:.•:^i.::•.::,,..nr...:,nvw.:}:..,.:n.4•r:::.}hn:,+t::v•:n•r.4':•'..:.:.:•r.::•..:•:}.:..:.::i.•::ns;:}:}...r:.:•:. .:}:'...}::::v.::4 n.inn.?.•:,.'n?.:?:\r.:•.::C.::-.:v;n{.:..:..:,y.::.t:+:.•}..v'v}.:n;•.`:k,}f:'+:.ir:.rw r'i:i:+'•4:'?•.'.i:/.,'4•-r;::.r::':::y..i:y7.:..:.t�.. ..,....:.:::::..{:::::::::::t4?•}:•}:•Y:4}}:+:i:vi:Y.i.w.,,,,r....;}..n.{•..•}..•.r •....n...;;:?•i'v:nv:.:{.},4,:Y;.'{i •}{•v:�?\nr•u}:• 4yJ;•< ,•.;.• ,:�}n;:p:•:.:i xv.pvr.}i�{.Ytr.:n ::.{}.}..w..... : ......................................n.• ...:rr..:........,.:.:v....:..:,..•. ..........:..r.....r.*:.:':.......,r.......:...vv....v:.:x.:..:rw.n...... ... X'X':' #. r::nx.:•::::•::}}:•?rh?::.•:v.:.r.vw:::r:::::•}..::.:;:r}L4;it:•....:... ;;,;{\.r.....;••.,..............•............ .'''°:........... ..r•..r.• ...... .........:......... ........:...:::..nvt{{•::•..•+}i.s •�> }..••{•:•: ;;:�.::•}}: •};L}:.::,::::..?.•.:.n;::n:•:::::.::::::n:.:v.:':............}...... r.... ....... ....... r ........... ............... ...........v ? , . ;{ : r5 ... ..n..J. :}:?.............. .............: . . .: v:•::.v:::::v}4;4}:i??4;•:}i:?L rii;:•�:::w} :. .....:.....}.}.}.:.{.{.:..{.+rn.•f..r•..:4r' .+}.:+.,v+:it:t::•:r.?4::;vv:v.::•.:J:.n}:y(ik:k:•:4•;7.4K`..':4:}Y:v4}�;:{:^,v.;•''4•ti}}.•:7i1;.Y.?}wv };.. . .:76am . ::::..:. . .r: n . n. ...,.......:::.:.::.... ............r......r. ...;.v.. ...... v:: :}fi}:•y.., •u..v. x....v.n...... ..,d n}i? : {:r.4::•1,.•. . r .... ......:.. .... ... . ..............t.:....:.............. .::n:::w:.•w;r. :i ;yr.4::::r }%;:.- ............................ .::.{•.:.0.....:...: :•.:.:.:.}.}}..:...::......:::..........n•::::.:•}•:•.::.::?:•:4}}:•:;;•}•:::.�.}}}::ii::iiris?iii:.::}}}}:4}}:•:Z•:. :::::•:+ ...... .. '..... ::*'.. : .....:•n....,• .........r........ .. ...:...:...... ..:.: ;;...... . .v r.•:::?i:;:::::::::::::::::•v::•r YC'• R:1•{.;y:Y::v s.. .................:::.............•:.•..:.. ..................... :v:••}:•:•.:v.v::.}}4pF: w•'•r::?? i<^•}•}hLy.; ......... . ...... ...... ............ .................:: ::::.:..........:{.::....:.:... ...•::• .t;<:::�:;>:?•:4::•: .. n•.:;}••;•;:zx:�•}}}::;;.}i',•::;:};.::..,}:::.:�sir }:v i; Y.::i:;:'r'?{r::;?.v..}}.'.n......•}.: : r.;:4}•:ry}::.... ✓:/; }r }•::•t ii:ity:ny:v: '• i4 : :if//./////////./G.-// ^:`i•:•:}:•i:•: vr. +.•: •} ?...... .... :� : ?r : ^:45} } L ;%:}•°L•}:•:ti;.•:;•:4;?•iii:r:i;.}.Y}::.r,:?;fi::..: : o ;. :#4;ii:'}.'6: ;}}i.;?:::.:.::n,i•4;: :•.•:i; v?:v r:.: •}::.r,.:•:: {.;....r•::., :: ..,:.}}r.r: .r..+.:•;::•::•.:::n•:::.•.i:}}:•}:<}}}}?:?•i.. v}• :••:.::??:•.}.}:•:.•:.n:::.,?:... ...... } n{•:•.•••+.}i{:}: :}?:::: .*•:r: ::.:.;: ••::: :. • nw. :•:::••• . { • • , w iarance.co : v ,500.00gadr • n to secure coverage as required under Section 2Msi can imposition criminal penalties up one years'hnprl+onmend as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100A0 a day against me.I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. • I do hereby a fy under the pains and penalties o perjury,that the information provided above is true and carted i,/1/7 e -1✓2 Date Signature G' . • "'Me (—i�-a. , Phone# 5rii 4 n -28"z� Print name��(\fY�- _._. ofgdal use only do not write in this area to be completed by city or town official peradt/Iicerue# ❑Building Department dty or town: OLicensing Board ❑5electmen's Office = 0 cheskif immediate response is required ❑Health Depaztment contact person: phone#; 0 er =- (mvised 9l95 PIA) I Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the `law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an.employer. chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal MGL who has of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants ti ''` Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and any names, address and phone numbers along with a certificate'of insurance as all affidavits maybe supplying com P submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and ;_ date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensations policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. • The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 • /�oFt�E, , Town of Barnstable •47 \� Regulatory for Services BARrrszn. Thomas F.Geiler,Director reD a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 /w Fax: 508-790-6230 Permit no. `1 6' 7 �` Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION - • MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: -,SNIN,s._A Ccx-\.S\c-(UC,\-i or) Estimated Cos `� 7'dC� Address of Work: 2� '�(1a:� S� - Owner's Name: M(r w� Date of Application: I hereby certify that: Registration is not required for the following reason(s): ElWork excluded by law ❑Job Under$1,000 ['Building not owner-occupied El Owner pulling own permit • Notice is hereby given that: OWNERS PULLING'113EIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. /09 OIt Date Owner's Name • The Town of Barnstable Regulatory Services • Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: / l/ JOB LOCATION: .3 02 Afai K 44- re"--e Ga..c cc_ number street f village "HOMEOWNER": /fix 1/' /'l to .� O�j/r�- C3C3 name home phone# work phone# CURRENT MAILING ADDRESS: /4G 7<-1 • el 's .d`(1- GZ‘3 city/town( state zip code • The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the • Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said pro dures and re uirements. Signatur f omeo • • 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. l - UNREGISTERED LAND FILE NUMBER: 61340 DEED BOOK:3597 PAGE:274 ATTORIaEY: BOURGET &KENNEY PLAN BOOK:371 PAGE:50 10T(S).1 LENDER: FIRST UNION MORTGAGE CORPORATION PLAN NUMBER: OF OWNER: ROBERT &GRACE ROCHETTE REGISTERED LAND APPLICANT:MAX H.KUMIN REGISTRATION BOOK: PAGE: DATE: 04/05/93 SCALE: l•=80 CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER. LOT(S): FLOOD MAP COMMUNITY NO:250001 ZONE:C ASSESSORS MAP PANEL:000ID DATED: 7/2/92 MAP:335 BLOCK: PARCEL: 18 MORTGAGE INSPECTION PLAN IN BARNSTABLE 37.42' N/F LEWIS N , • I • N/F SPOHR / 1 AREA / � ��e 119,375 S.F.± / 3 OR / 2.740 ACRES / I oL 1. I o I ry N/F SIMPKINS sx[o� iI i> ✓� I% 5? �v j DWELLING STORY i C. CONCRETE jjI /I eoupp 11/52 1 158.40' /..MAIN STREET ( ROUTE 6A STATE HIGHWAY BANK USE p[/� THIS IS THE RESULT OF TAPE MEASUREMENT. NOT THE RESULT NBANK USE ONLY OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. /\ DES LAURIERS & ASSOCIATES INC. 130 WEST STREET • THERE ARE NO DEEDED EASEMENTS OR ENCROACHMENTS WITH WALPOLE, MA 02081 RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN. TEL.:(800)287-8800(508)668-5010 • FAX.:(508 668-4512 THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN + `�--Or`• y A SPECIAL FLOOD HAZARD ZONE. '�� at' ROBERT 4\\ THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER N$ EDWARD BISSONNETTE IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN SS ET EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL 'SETBACK REQUIREMENTS ONLY). OR IS EXEMPT FROM VIOLATION ! -• .1;: 0 ENFORCEMENT ACTION UNDER MASS. C.L. TITLE VII. CHAPTER 40A, 44yr SURVEVO• . SECTION 7. „ .-ad �� A GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, m'lormallon, and belief as the result of o mortgage inspection tape survey mode to the normal standard of care of registered land surverors practicing in Massachusetts. (2)Declarations are mode to the above corned client only as of this dote. (3) This plan was not mode for recording purposes, for use in preparing deed descriptions or for constructions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by on accurate instrument survey. 0'.Asses ?-�� Parcel ,/,g._'\mit# 7113 (, A @emseremrerneektimpftregio) Date Issued —f 4—9- q Co ) Fee tf,o7 d) Engineering Dept.(3rd floor) House#. 3' f7Z it0-( (TciHE rq � ' �. SPABLE.ARS19 67q. ��� 0 MP�� I TOWN OF BARNSTABLE ' Building Permit Application . . Project Street Address 3 2,R4 • j J g./,;/;S'i g� 4% '_ . Village 72/!7-fci Gi Owner J77i4-A hi ,/'C WU/k) Address Telephone , • Permit Request de.c3-p, ! • (&1�.p-v p '�Q.:OC/ S72/y1. S V'i.:ti/1 - 76 C'oC& RA ` a.r7,t,ccou4)<24 rzC II . ' V k First Floor square feet . Second Floor square feet Estimated Project Cost $ ,5(171?j ---. Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway l q9 6 0/0 Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name -€t4)-&kJ C E✓2 c. SQf Telephone Number V $- a D/' o� . Address �+ -7 I J 0q2 c Z a- 0 0/ License# ' 5 7 C .2 o %` 744 . Home Improvement Contractor# //. .S 3C Worker's Compensation# C4�'/Vot a 333 077 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 SYI G) t )Y? S4- h 2e SIGNATURECL)e.c. .... CYDATE 7 /?/ 6 BUILDING PERMIT,DENIED FOR THE FOLLOWING REASON(S) 9 ? I 4 FOR OFFICIAL USE ONLY PRM N _ _ r `' DATE SSU 121 • i . , - = f — • .. MAP/ AR • EL NO. • t i t , - • - ' 1 _ - F 3 i t sE ; f I t , , t t ` t I ADDR SS S i VILLAGE ? 1 `t i -t I a OWNS . a F ° , i • i ~ .,J .; $ Y ° ' . r 'i ; t i II F I E - . _ - ' - I 07 DATE F I1SPECTION: ` I _ i s i 1 t , I p FOUNDATION 4 r •r c _ — — ; .. - e i I v . ' f - f 1 e, �' 4 j .r I i 1 . , 1 .. q- - FRAME i ' . , _ t t INSULATION t i 1 . r j FIREPLACE s t j , i I • t , w - t ELECTRICAL: ROUGH • FINAL ` t i ' . I it PLUMBING: ROUGH FINAL — I F .. _ 'GAS: I ROUGH FINAL t e ? FINAL BUILDING q.7 '� c i t` , i t , f ' _ j ' DATE CLOSED OUT ° t I tP. ; ! ASSOCIATION PLAN NO. I - ° t I i f •+ , , f 4 e f ° I , j 1 i i i ' j j .;4 i 1 , Assessor's map and lot number 3 15-7" --7 /e ' ' , ' . • 0 A i/i . ..._ ,09.._ ,?..f- ... ,c, A -,.. L I:6e ("eivY5 0 SEPTic sys vp!77 re Se ge Permit number - ,Ot(--'7 . 4 el.Len.e.../... : . 'INSTALLED 1 41 1".11* 3E • ' - House number' --1-vcR2 6 Rt.6A . , . WIT ltirii*, "CE gitivmovficm ,,s1.4.44.a.. 0 . ...• '1';'•I '' . • ftWiLtii• ' AND • "110 - - , ' TOWN OF BARNSTABLE • BUILDING INSPECTOR : . . APPLICATION FOR PERMIT TO Add to dwelling • . - TYPE OF CONSTRUCTION WO 0 d , • , . - April 27 ,1985 14 . • TO THE INSPECTOR OF BUILDINGS: , The undersigned hereby applies for a Permit.according to the following information:. A Location 3826 Rt.6A Cummaguid, MA. Proposed Use living space . . , . - R_F 2 — Barnstable Fire District Zoning District Fire District Robert •Rochette - Name of Owner Address *amg ao ab.ove Name Of. Builder Stanley--E. St. Peter Address 369.1. N.41-1,.,St.r .Pt .13Ar.rkata:ble . Name of Architect None Address * Number of Rooms '1 Foundation 8" ccinuTte lanka W .C . shingles Exterior Roofing aaphAlt plywood , Floors Interior • - Heating Plumbing 3000.00 . Fireplace ' none Approximate Cost . i 7 p. OP Definitive Plan Approved by Planning Board. 19 . 'Area ' .,e 4, . ,.. Ss Diagram of Lot and Building with Dimensions Fee /(•-'/A SUBJECT TO APPROVAL OF BOARD OF HEALTH , . • . . . . . . ... . "-' '' .-----------------7, ^ 1 • . . . ) I. • 3 0 kfr . •, • . i ,--d . y , ,i . . , . mil'I— -----' 7 ke,e4CA • , i• _ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . I Name . .. . , .,1"f'; • . . Construction SuPervisoes License Oa° 13 V‘ - . F d ROCHETTE, ROBERT • No 27812. Permit for ADDITION } Single Family Dwelling i , - s ' a fT. . - Cu aqu L ` - •. . # Owner 1Rbert...EocJ tt ? • - 1 Type of Construction, ..Frames i. 4 _ Plot Lot - ° • ' FPermit 'Granted April_•2 9, - .19 8 5 - • 'y� Date'of`Inspection, 19 i " k• , . - ,4 Date' Completed 1.9- , ` r ; i k - • 1 1 1' . � . T�laP 335. Lot # 18 �K Ok f RZ4 �3 'r-"5• ' Assessor's map and ,lot nu i er cF THE to • Sewage Permit *number .... ' a''�. p.„.... ..0)./..-, ' '2 4, ,,,,a..: % 3826 Main. t. Rt.6A. ' t BAHHSTODLE.I• House number �' rues CD 1639. 1 O IIPy% TOWN. OF BARN TABLE• V . BUILDING 'TINSPECTOR Mass. License ##000346 . APPLICATION FOR PERMIT'TO .....c.QAat'1Q.t..Ads3.i ton:.tQ..th e.1Lu a.g TYPE OF CONSTRUCTION Wood _ March 22$ 19.$3.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 Location 3826 Main $txeet..11t... .614. Cummagjaid.,. Mazaanhuse.t.ts . Proposed Use . Living area • Zoning District R F-1 Fire District Barnstable , • Name of Owner Robert Rochette Address Same' Name of Builder Stanley. E. St. Peter • Address 5.691 Main StX.ae.t....13a,rnatable?..31a.. Name of Architect Address • Number of Rooms Two Foundation Coro 'ate..1.?,Q0ks Exterior White cedar shingles Pine trim Roofing ..........As??k11,t..ek ing1.ea • Floors Plywood Interior drywall Heating Plumbing - Fireplace V Approximate Cost 64.00.40 Definitive Plan Approved by Planning Board 19 - Area i�`."..,� a#1 Diagram of Lot and Building with Dimensions • Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r . . • a .. a. a. ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS . I hereby agree to conform torall the Rules and Regulations of the Town of Barnstable regarding the above construction. - - Name 4�f7 . . .X/ '.... .... .... . • Construction Supervisor's License 0 O'a y. .ROCI3ETTE, ROBERT I . . . . . ' _ No 24894 Permit'for Build Addition ` ' 1., i Single Family Dwelling , Location 3826 Main Street Rt.g 6-A I . i ' ' Cummagui. 4 • I Owner Robert Roche-te . . •j • 4 c - G 1 _ • , Type of Construction came : ' , . Plot. Lot' . t a- y : Permit ran'Granted March -3 Q t 19 8 3 j� . • (i - . Date.of'Inspection 19 ;, Date Corn p feted w ��� 19 s S . i ,+, . � _r Ir rf E .. +. Jam - - . • - _ . ` ' - ' . " �, . _ - , / J . 1 . - - e a el f r a' Milbple Member Beams Mutttple Member Bums Jolet hanger E� dE V_ Side Loaded Connection ewe Loaded Connection REVISIONS: BY: 13fa vane Lem Ns••ebadne pare T..Irfrtia, wN2st(e4a.l rbnemN a:d/JS'lbstaells eearngWenBelow VTdiaBolt(b) /W'Veream uee9'pmin.Mee•nc II e•es.«wgass•(tedns6 'Soo Mulmim,aanermpnwM ENE a—o�--o • �:`.�=:�4.ni° 1r'oo teal common mile I III a1•r(eaadearroe ` 4t g IIIm r' �m 1 sae trees I ie:p«n1a LT IIII — MIloard 20 MO W -250 r'min.' rr • p 330 _ Ir1)Nell pattern er 3-piece membeetglhy DB incre }( abwsm bealMp MlowVI • e,:wMa:..m..:,w,e.a"..en ) 1.ra•(eq wr«Post Below Post Above roof°end by288 for non-snowroots where OWN.rsaSa Versa-Lem LVLbeem Wiblos coda agave. ® O Multiple Member ConnectionN.T.St Multiple Member cConnecti N.T.S! F13-D Attachment at End N.T.S. F13- n Panels at Interior Bearing ®" Post Load Transfer Rim NBoard.T.S. GID LVL Header Opening peni S I� Exterior End Wall SN T S D• • Post Above&Below iCI ,. v _ ° Co r _ - Zc ytlJjLL , _ Z W m F L _ A , - - 4 J J _ . , ., , . immim••••b...). _ f _ _. B2(2) c _ 2 e • aH hL. F�Y , _ - DR1 - - - A,. - - - Notes: • - Shop drawings,typical detail* - and framing plane.outlining • Installation procedures and unit - identification mark.,shall be 1 • submitted for approval by the ,. .•- project architect and/or engineer. - :, - Exact quantities and lengths are K', ' - the responsibility of die contractor. Con tor is to verify ail B1(2 B1(2) and joa.at their exact loune a.- 1 The floor system(I-joist,LVL)are - - designed for floor loads only. Roof loads from rafters.bracing, and beams must bear on exterior H1 wags end interior wails with bearing - �1 1 1 1 1 1 1 1 1 1 1 1 . 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I_ 4 - straight through to a bating.Any .. - , r 1 B2(2)l 1 mon loads naMed by tine floor system must be so indicated on the framing _ H2 < ..v plan submitted to us for takean. .. - product to be stone,handled and " _ r L Installed in accordance with + • i _ nuhetureYe recommendations. 2 .: 2 2 . . III I II: III s E �m ,. 2ndFloor Al ' 4 • START FRAMING HERF - ° - _CO o 14"AJS 20 MSR p o`o a m 18"OCS III .c ov m { - x..E. 4 C 2nd`Floor x 2_ 1/2" = 1'-0" • r .. 2nd Floor Framing Schedule-Nomineaxed 2nd Floor BC FRAMER®2.0 Ae.aeory Sehado/a Tag Qty.Desulption - Length • /„=1,-0„ `' SCALE: 1 Teti Qiy MenufecWrer Product Description + I 28 14''AJS^'20 MSR 20'Of - HI 2 Simpson Stront.Tia,ins HHUS410, '1 2 3 14"AJS"'20 MSR 00• DATE: 8/12/2008 1 H2 4 Simpson Strong•Tle,Inc IUS2.58/14 / _ 3 3 14"AJS.20 MSR 4'0" BY: be f B1 4„ 1.3/4"y14"VERSA-LAMa2.03100 SP 200- • _ FILE: Kumin Barn Workshop.bcf • " . - B2 4 1-3/4"n 14-VERSA-LAMA 2.03100 SP IT Of • , il 4 TL• I-1/8"a14.BC RIM BOARD•. 104•0' DWG: SHEET: 1/1