HomeMy WebLinkAbout0014 MAIN STREET (HYANNIS) (2) Town of Barnstable
Building Department - 200 Main Street
BARNSTABLE, * Hyannis, MA 02601
MASS
9�A 1639. . 1508) 862-4038
rFD MA'S A
Certificate of Occupancy
Application Number: 48606 CO Number: 20070007
Parcel ID: 342029 CO Issue Date: 01/17/07
Location: 14 MAIN STREET (HYANNIS) Zoning Classification: MEDICAL SERVICES DISTRICT
Proposed Use: RESIDENTIAL
Village: HYANNIS
Gen Contractor: MASSE, MARCEL Permit Type: RC00
CERTIFICATE OF OCCUPANCY RES
Comments:
Building Department Signature Date Signed
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TOWN OF BARNSTABL•E
BUILDING PERMIT
PARCEL ID 342 031 GEOBASE ID 24953
ADDRESS 21 MAIN STREET (HYANNIS PHONE
HYANNIS ZIP -
t ,
LOT BLOCK LOT SIZE _
DBA DEVELOPMENT DISTRICT ''HY '
PERMIT 47464 DESCRIPTION: RECONSTRUCT ION OF 1ST 'FLOOR. FLOOR
PERMIT TYPE BREMOD TITLE - •RESIDENTIAL ALT/CONV
CONTRACTORS: MASSE,_ MARCEL 'Department of Health, Safety
ARCHITECTS: °and Environtnental Services
TOTAL FEES: $27.90'
BOND - - $.00
CONSTRUCTION COSTS. $9000.00 M
434 RESID ADD/ALT/CONV 1 � PRIVATE P ABLE.
MASS.
B :1l i117
DATE ISSUED 07/17/2000 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART,THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER.TWE BUILDING CO,Dt.MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF'PUBLICSEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION'RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE.RETAINED ON JOB AND.,.. s ''
1.FOUNDATIONS OR FOOTINGS THIS,CARD KEPT POSTED UNTIL FINAL IN
SP
2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN APPROVED
4.FINAL INSPECTION BEFORE OCCUPANCY
_ _ : ._ TOWN OF BARNSTA
• ❑ GAS ED WIRIN
BUILDING INSPECTION APPROVALS ' PLUMBING iNSPECTLON.APPROVALS_ _y: I CI RLU M BI N G EIBU I L
F
Now
2 > 2 2
a:
3 , . _ 1. HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 . BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
ow
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A nry1:+x r
WORK SHAD ROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRU.CTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
TOWN OF BARNSTABLE Building
pplication Ref: 48606 i
IARNSTABLF, ssue Date: 09/13/00 Permt
9 MASS.
039• Applicant: Permit Number: 48606
ArED��p
Proposed Use: RESIDENTIAL Expiration Date:
Location 14 MAIN STREET (HYANNIS) Zoning District MS Permit Type: RESIDENTIAL ADDITION/ALTERATIO
Map Parcel 342029 Permit Fee$ 46.50 Contractor MASSE,MARCEL
Village HYANNIS App Fee$ License Num 056524
Est Construction Cost$ 15,000
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
PLACE MOVED BUILDING ON TO NEW.FOUNDATION THIS CARD MUST BE KEPT POSTED UNTIL FINAL
INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: MAC ADAM,DANIEL BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 14 MAIN ST INSPECTION HAS BEEN MADE.
HYANNIS,MA 02601
Application Entered by Building Permit Issued By
° E S NO RIGHT TO OCCJPY�NI'STREET�ALLY�OR,SID�WALK OR�ANY�P..§RT,'THEREOF;EITHE �'I;EMPOR�ARILX�ORP�ERMANENTLY�?
EI�CROAGHEMEN`CS"ON PUBLIC RROPERTY�NOT#SPECIFiGALLY��PERMIT�TED�UI*115EI2,THE BJILDII�G CODE;�MLTST,BE APPROVED'BYTHE JURISDIG�TION:
Wy � r„ .::., s ^r „�,< f ,. .::; � ,•,.`�' � � cy:�.,� �z 5.:;3a s�.,r`§.g?�"�.u �� d;' � %<�v..sr ,, ., �.� Via= .s.:, 4�,� .:,,'ems.a ..:
ET�OR ALLY GRADES�AS WELL�ASxDEPTH AI�jDLOCATIO,N OF PUBLIC�SEWERS Iv�AY BE-OBTAIN D�FROM THE DEP�ARTlv1ENT OF;PLII3LIC V�I�ORKS ;?
<THE ISSUANCE OF^THIS PERMIT`DOES NOT„RELEASE�THE APP.LICANT�FROIVI'TH$TCOI�DITIONS®F ANY APPLICABLE SUBDP7ISION RESTRICTIONS`
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS.
2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION.
4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH).
5.INSULATION.
6.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 set forth in MGL c.142A).
® VA
°
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 Rival►
2 14. 2104
�r
3 ��%f 1 -°�-�- O ( 1 e ting Inspection Approvals Engineering Dept
Fin ' IS FIR R�61
�� BUR U" Board of Health
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�5I�; EX1. °��
b TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map-5 f� Parcel Application#
Health Division
Conservation Division Permit#
Tax Collector Date Issued LA
Treasurer Application Fee
Planning Dept. Permit Fee �—
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address N }M aVillage
Owner s
Owner �r�, e \ M� JAvy`S Address
Telephone Soy -7C4,6 (o o g 7
Permit Request(n
6
Square feet: 1st floor:existing 1000 proposed 9016 2nd floor:existing 1r)oo proposed d4>14 Total new_Y_03a_
Zoning District Ms Flood Plain ------ Groundwater Overlay
R
Project Valuation ;)-S r^r;Qq S- Construction Type i,,jnog Src_m-.Q_ € -
i -•� m
Lot Size - -7 Grandfathered: ❑Yes ❑No If yes, attach supporting dodumentat'i'-h.
__:1 PQ
cr,
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) c
Age of Existing Structure I?V vrs Historic House: ❑Yes �0 No On Old King's Highway: ❑Yes .,Mo
us
Basement Type: A Full ❑Crawl ❑Walkout ❑Other A,
Basement Finished Area(sq.ft.) RSo0 .5.� r ( ',��� AAJ,i y Basement Unfinished Area(sq.ft)
,NO A) Pj v°•� /
Number of Baths: Full:existing new 3 Half:existing new -3
Number of Bedrooms: existing new
Total Room Count(not including baths):existing Co new �7 — First Floor Room Count
Heat Type and Fuel: $1 Gas ❑Oil ❑Electric ` ❑Other
Central Air: 4 Yes ❑No Fireplaces: Existing New J2 Existing wood/coal stove: ❑Yes No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:*O existing ❑new size lox It ' Other: _
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes No If yes, site plan review#
46 / 12,
Current Use Proposed Use _e
BUILDER INFORMATION
Name ��A�� M Q_ Telephone Number S a Fs - 7iA 6 6 6q 7
Address a i License#
tv�lC, pV\ d kol Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE WI DATE Z �-
FOR OFFICIAL USE ONLY
ERMIT NO. _
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE'
OWNER ;
-1
DATE OF INSPECTION:
FOUNDATIONrr
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
c '
DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
TOWN OF BARNSTABLE
BUILDING PERMIT
s ,
PARCEL ID 342 029 GEOBASE ID 24951 ,
ADDRESS 1.4 MAIN STREET (HYANNIS PHONE
HYANNIS ZIP
LOT BLOCK LOT:.SIZE
DBA DEVELOPMENT DISTRICT HY VF
TT t
PERMIT TYPE BADDI TITLEIPTII�N BUnILDINGLPERMITTADDITIONR TITS
CONTRACTORS: MASSE, MARCEL Department of
ARCHITECTS: Regulatory Services
.j
TOTAL FEES: $1, 168.00
BOND 00
ONSTRUCTION COSTS $258,048.00 r
434 RESID ADD/ALT/CONV 1 PRIVATE •
# 13ARNSPABLE, +
MASK.
�Fp�Cl
BUHDI7 D ISION
BY
DATE 1SSUED 12/01/2004 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMAWANTY.Cu.
CROACHMENTS ON PUBLIC PROPERTY.NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.S i AMOK
' ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTKtS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR O'ALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATI
1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOB
2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
• , • -.1 REV a
.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 2
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARD OF HEALTH
f
OTHER: SITE PLAN REVIEW APPROVAL -
..
7
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
f^` THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
"ON. NOTED ABOVE. TION.
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Department of Industrial Accidents
Office of Investigations
a d 600 Washington Street
Boston, MA 02111
k www.mass.gov/dia '
Workers' Compensation Ihsurance Affida-Vit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LeLyib1Y
Name(Business/Organization/Iudividual): . t d
Address:
City/State/Zip: N n s 6- . cot Phone A S a d 70A-6'- (o o C/-I
Are you an employer? Check the'appropriate boa: -T)pe of pioject(required):. .
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(fall and/or part time).* have hired the sib-contractors 6.. New construction .
2.❑ i am a.bole proprietor or partner-
ship listed on:the,attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have g• ❑Demolition,
working for me in any capacity. employees and have workers'
[No workers' comp,insurance ' comp,insurance.$ 9• ❑Building addition
d.
re q uire 5, ❑ Vice are a corporation and its 10.❑Electrical repairs or additions
] officers have exercised their
3. I am a homeowner doing.all work 11.❑Plumbing repairs or additions
myself [No workers' comp. right o£exemption per MGL` 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13:❑Other
comp,insurance required.]
*Any applicant that checks box K must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affida7vit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
lContractors that check this box-must attached an additional sheet sbowing the name of the'sub-contractors and state whether ornot those entities have
employees;If the sub-contractor's have employges,they must providt their workers'comp.polidynumber.
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•A Expiration Date:
Job Site Address: City/State/Zip:
Attach a•copy of the workers' compensation policy declaration page'(showing the policy number and expiration date).
Failure.ta secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER.and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DNA-for insurance coverage verification.
I do hereby certify under the pains-and penalties of perjury that the information provided above is true and•correct,'
Si ature: Date:
Phone#:
Official use only,.Do not write.in this area, to be completer`by city or town ojfzciaZ
City or Town: Permit/License#
Issuing Atthority(circle one):
L
ard of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
heract Person: Phone#:
Information anal. Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
pursuant to this statute,an employee is defined as"...every person in the service of anther 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
TeceivPr QL t`ee•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."
MCTL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renev�al•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:"
'AdditionaIly,MGL chapter 152,-§25C(7)states Neither the commonwealth nor any of its political.subdivisions shall
enter into any contract for,the performance of public work until-acceptable evidence of compli wi
th ith the in-surance
requirements of.this chapter have been presented'to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,'by checking the boxes that apply to your situation and, it
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies*(LLC)of Limited Liability Partnerships(LLP)withno 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, B.e advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit.or.license'is being requested,not the Department of
Industrial Accidents,; Should you have any questions regarding the law-or-if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below, Self-insured companies should-enter their
self-insurance license number on the appropriate-line.
City or Town Officials.
Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant,
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant.
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy-information(if necessary)and under"Job Sile Address"the applicant should write"all•locations'in (city-or
town),"A-copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses, A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial veutute
(i.e. a dog license or permit to bum leaves-etc,)said person is NOT required to..complete this affidavit.
The Office of Investigations would hke to thank you in advance for your cooperation and should you have any questions,-
please do not hesitate tc give us a call,
The Department's address,telephone-and fax number;
�,,CD-0=w1w�aIth of M=ach=Ats
Deputmmt dl.dastdal Aocidl=ts
Office of Investigations
Boston,MA 0.2111
Tf,-I.# 617-727-490.0 ext 4.45 ar 1-o f 7 M-ASSAFE
Fax 41 617-727-7 f49.
Revised 11-22,06
. x�w.i�ass.gQ��clia .
°FVE�� Town of Barnstable
Regulatory Services
AS& Thomas F.Geiler,Director
16.59.
'°lfo MA Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
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: Z M40 \ Na A A"a„�, Estimated Cos
Address of Work: LI CA 4"n C ,r sn o,I
Owner's Name: n, ,A 1f o. / da o.ti
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑ `b Under$1,000
uilding not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD 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.
OR
IN4 0
Date Owner's Name
Q16=1omeaffidav
February 16,2007
To Whom it May Concern:
SUBJECT: POWER OF ATTORNEY
The purpose of this letter is to support the rights of the power of attorney given to Kevin R.
Gadsby on my behalf as per the MA Power of Attorney. Due to a pressing family crisis I am not
able to be engaged in certain financial duties related to the businesses Forest Keepers and
Common Ground Caf&as well as obligations to the property I own at 14 Main Street As per the
Massachusetts Power of Attorney full rights have been delegated and granted to Kevin R Gadsby
on my behalf to make decisions as deemed befitting the nature of the businesses,bank accounts,
mortgages, and real estate in my name. He has been given full rights and permission to act on
my behalf in all areas as stated in the MA Power of Attorney. There are four subjects in which
Kevin R Gadsby has been granted rights to act on my behalf.
1. Real Property transactions
2. Tangible personal property transactions
I Banking and other financial institution transactions
4. Business operating transactions
Thank you,
Daniel MacAdam
DBM
14 MAIN STREET
HYANNIS, MA 02601
MASSACHUSETTS POWER OF ATTORNEY
I, DANIEL MACADAM , of 14 Gamp St., Hyannis, MA hereby
appoint KEVIN GADSBY , of 35 Warren Ave, Plymouth, MA as
my Agent (attorney-in-fact) to act for me in any lawful way with respect to
the following subjects:
Real property transactions. To lease, sell, mortgage, purchase,
exchange, and acquire, and to agree, bargain, and contract for the lease,
sale, purchase, exchange, and acquisition of, and to accept, take, receive,
and possess any interest in real property whatsoever, on such terms and
conditions, and under such covenants, as my Agent shall deem proper;
and to maintain, repair, tear down, alter, rebuild, improve manage, insure,
move, rent, lease, sell, convey, subject to liens, mortgages, and security
deeds, and in any way or manner deal with all or any part of any interest in
real property whatsoever, including specifically real property lying and
being situated in the Commonwealth of Massachusetts, under such terms
and conditions, and under such covenants, as my Agent shall deem proper
and may for all deferred payments accept purchase money notes payable
to me and secured by mortgages or deeds to secure debt, and may from
time to time collect and cancel any of said notes, mortgages, security
interests, or deeds to secure debt.F-i C I
Tangible personal property transactions. To lease, sell, mortgage,
purchase, exchange, and acquire, and to agree, bargain, and contract for
the lease, sale, purchase, exchange, and acquisition of, and to accept,
take, receive, and possess any personal property relating to or utilized by
The Forest Keepers business, The Common Ground Cafe, or the
household residing at 14- Street, Hyannis.
Banking and other financial institution transactions. To make,
receive, sign, endorse, execute, acknowledge, deliver and possess
checks, drafts, withdrawal receipts and deposit instruments relating to
accounts or deposits in any and all of my Bank of America accounts
situated in Massachusetts. To pay all sums of money, at any time or
times, that may hereafter be owing by me upon any account, bill of
exchange, check, draft, purchase, contract, note, or trade acceptance
made, executed, endorsed, accepted, and delivered by me or for me in my
name, by my Agent. To borrow from time to time such sums of money as
my Agent may deem ;proper and execute promissory notes, security deeds
or agreements, financing statements, or other security instruments in such
4
form as the lender may request and renew said notes and security
instruments from time to time in whole or in part.1. 11 I
Business operating transactions. To conduct and otherwise transact
the affairs of business ventures of whatever nature or kind that I may now
or have previously been involved with in, around, or relating to my
operations and businesses in Hyannis, MA.
THIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL
CONTINUE FOR 120 DAYS BEYOND THE DATE OF ITS EXECUTION.
Choice of Law. THIS POWER OF ATTORNEY WILL BE GOVERNED BY
THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS
WITHOUT REGARD FOR CONFLICTS OF LAWS PRINCIPLES. IT IS
INTENDED TO BE VALID IN ALL JURISDICTIONS OF THE UNITED
STATES OF AMERICA AND ALL FOREIGN NATIONS.
I am fully informed as to all the contents of this form and understand the
full import of this grant of powers to my Agent. i. i 1.I1 agree that any third
party who receives a copy of this document may act under it. Revocation
of the power of attorney is not effective as to a third party until the third
party learns of the revocation. I agree to indemnify the third party for any
claims that arise against the third party because of reliance on this power
of attorney.) I
n -f-�
Signed this day of 720 U (�_►. 1_ ►-►1e i
[Signature of Daniel MacAdam]C"i
CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC
COMMONWEALTH OF VIRGINIA, i !COUNTY OF X. -, ,. ,This document
was acknowledged before me on( 2_�� [Date] by
CUCe [name of principal].1
[Notary Sea4 if any]:
Signature of N Publi�for the
Commonwealth of Virginia. My commission
lrh- expires: 11 ;3,0 ?
ACKNOWLEDGMENT OF AGENT
BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT
ASSUMES THE FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES
OF AN AGENT.
KEVIN GADSBY
[Typed or Printed Name of Agent][_'
[Signature of Agent]
PREPARATION STATEMENT
This document was prepared by Brian Fenster.
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CONSTRUCTION;
OAALITY BuILOtBS Sluct 1984> - -
Steel Design-14 Main St. w18x35
Dead Load .25 psf 1 kip=1000 Ibs
Ambr6se.1 B.22.1 or 5 psf
LRFD TB.7-5 j psf Ob = 0.9
j30ll psf Fy = 36 KSI
E _ 29000 Kips
Live Load 30j psf
Ambrose TB.22.3
Tributary Area(T.A.) 11 ft
Length(L) 30:2 ft
1) Find plf for live and dead loads
w=T.A.x TL(LL or DIL wLL = T.A. x LL = 11 ft x 30 psf = 330 plf = 0.330 K/ft
(in K/ft or plf) for LL
w D L T.A. x DL = 11 ft x 30 psf = 330 plf
Plus estimated weight of beam pIf
365 plf = 0.365 K/ft
for DL
2) Determine Load Combination (COMB.A 4-2)from LRFD 2-6
wTL 1.2 ( wDL ) t 1.6 ( wLL )
wTL 1.2 ( 0.365 ) + 1.6 ( 0.330) _ 0.966 K/ft
3) Find Total Load (for Concentrated Loads consult LRFD pg.4-189)
For Simple,Uniform load W. = w x L = 0.966 K/ft x 30.2 it = 29.1732 Kips
4) Find Moment Mu = WL = 29.1732 x 30.2 ft 110.129 K-ft
u=req• 8 8
5) Find Z req. Zx req = Mu 12 = 110.129 x 12 = 40.7885 in.3
Ob Fy 0.9 x 36
6)Try >• W 18x35' BF=E7 0 b M p= BO Zx = '. 66.5 Lp = . '5.1 Lr
check LRFD pg.4-(15-21)
1f unbraced Lp<Lb<Lr Mn =Cb [ ObMp BF ( Lb Lp )]
Cb=1.0
If braced at midspan %Mn = 1 [ 180 6.95 ( 30.2- .5.1 )l 4343.56 K-ft
Cb=1.30
If braced at ends
Cb=1.14
7) Find Deflection due to LL Def due to:LL < span = 3.0.2 ft x 12 = 1.006667 in.
allowable 360 360
WILL= wLL x L 0.528 K/ft x 30.2 ft = 15.9456 Kips
LRFDPg.,4-24.': 'Ix= 51lin.4
DEFinax,. = 5 x W ( L in. x L in. x L in. )
384 x E x
5 x 15.9456 ( 362.4 in. x 362.4 in. x 362.4 in,
384 x 29000 x 510
0.668153.in. OKI
53 Ma iri Street -Tlyan.outh;Massachusetts 02360 - 508-747-54.47 ph/508-747-1771 fax
2251 Dorchester Ave.-Boston,Massachusetts 02124 508-747-5447 ph/617-696-0899 fax
www.bojconstruction.coin
Frc
c,
C_O_NS_TR_U_C_T_I ON
-' QUALITY BUILDERS SINCE 1984Y
Steel Design-14 Main St. w18x35
Dead Load D
psf 1 kip=1000 lbs
Ambrose TB.22.1 or psf
LRFD TB.7-5 psf Ob = 0.9
30� psf Fy = 36 KSI
E 29000 Kips
Live Load r73Uj psf
Ambrose TB.22.3
Tributary Area(T.A.) 11 ft
Length(L) "30:2 ft
1) Find olf for live and dead loads
w=T.A.xTL(LL or DL wLL T.A. x LL = 11 ft x 30 psf = 330 plf = 0.330 K/ft
(in K/ft or plf) for LL
'wDL = °T.A. X. DL = 11 ft x 30 psf 330 plf
Plus estimated weight of beam 35 plf
365 plf = 0.365 K/ft
for DL
2) Determine Load Combination (COMB.A 4-2)from LRFD 2-6
wTL = 1.2 ( wDL ) + 1.6( wLL )
wTL _ 1.2{ 0.365 ) + 1.6 ( 0.330 ) 0.966 K/ft
3) Find Total Load (for Concentrated Loads consult LRFD pg.4-189)
For Simple,Uniform load W = w x L = 0.966 K/ft x 30.2 ft = 29.1732 Kips
4) Find Moment Mu = WL = 29.1732 x 30.2 ft = 110.129 K-ft
u=req. 8 8
5) Find Z req. Zx req = Mu(12) 110.129 x 12 40.7885 in.3
Ob Fy 0.9 x 36
6)Try->. Wa8z35j BF=E7j ObMp= '18¢Zx ==6 51Lp 5.1 Lr = 148,
check LRFD pg.4-(15-21)
If unbraced Lp<Lb<.Lr Mn =Cb [ ObMp BF ( Lb Lp )]
Cb=1.0
If braced at midspan Mn = 1 [ 180 6.95 ( 30.2- 5.1 )] 4343.56 K-ft
Cb=1.30
If braced at ends
Cb=1.14
7) Find Deflection due to LL Def due to LL < span _ 30.2 ft x 12 = 1.006667 in.
allowable 360 360
WLL= wLL x L 0.528 K/ft x 30.2 ft = 15.9456 Kips
LRFD pg,,4=24 Ix= 510 in.4
DEFinax = 5 x W ( L in. x L in. x L in. )
384 x E x
= 5 x 15.9456 ( 3624 in. x 362.4 in: x 362.4 in. )
384 x 29000 x 510
= 0.668153 in. OKi
53 Main Street -.Plymouth,Massachusetts 02360 - 508-747-5447 ph/508-747-1.771 fax
2251 Dorchester Ave.-Boston,Massachusetts 02124- 508-747-5447 ph/617-696-0899 fax
www.bojconstr•uction.com
F
i
CONSTRUCTION
01AL1 I•Y Bu nDEei Sn+c r. 1984 _
Steel Design-14 Main St. w18x35
Dead Load 25 psf 1 kip=1000 Ibs
Ambrose TB.22.1 or 5' psf
LRFD TB.7-5 psf Ob = 0.9
:30= psf Fy = 36 KSI
E = 29000 Kips
Live Load ,30 psf
Ambrose TB:22.3
Tributary Area(T.A.) 11 ft
Length(L) � '21 ft
1) Find Of for live and dead loads
w.=T.A.x TL(LL or DL) wLL = T.A. x LL = 11 ft x 30 psf = 330 plf _ 0.330 K/ft
(in K/ft or plf) for LL
wDL = T.A. x DL = 11 ft x 30 psf = 330 plf
Plus estimated weight of beam a $35,plf
365 plf 0.365 K/ft
for DL
2) Determine Load Combination (COMB.A 4-2)'from LRFD 2-6
wTL = 1.2 ( wDL ) +. 1.6_( wLL )
wTL 1.2 ( 0.365 ) + 1.6.( 0.330 ) = 0.966 K/ft
3) Find Total Load (for Concentrated Loads consult LRFD pg.4-189)
For Simple,Uniform load W w x L = 0.966 K/ft x 30.2 ft = 29.1732 Kips
4) Find Moment Mu = WL = 29.1732 x 30.2 ft = 110.129 K-ft
u=req. 8 8
5) Find Z req. Zx req.= Mu(12) = 110.129 x 12 =. 40.7885 in.3
Ob Fy 0.9 x 36
6) Try-> W,18x35 BF= ' 7 ObMp 180Zx _66:5Lpf. 5],aLr _} 14;8,
check LRFD pg.4-(15-21)
If unbraced Lp<Lb<Lr Mn =.Cb [ ObMp BF ( Lb Lp )]
Cb=1.0
If braced at midspan Mn = ' ;1: ( 180- 6.95 ( 30.2 - 5.1 )] = 4343.56 K-ft
Cb=1.30
If braced at ends
Cb=1.14 -
7) Find Deflection due to LL Def due to LL <. . span 30.2 ft x 12 1.006667 in.
allowable 360 360
WILL=' wLL x L . = 0.528 K!ft x 30.2 ft = 15.9456 Kips
LRFD.Pg.4 24 Ix=, 510,in.4
,DEFina.k 5 x W ( L in. , x L in. x L in. )
384 x E x
5 x 15.9456 ( 362.4 in. x 362.4 in. x 362.4 in. )
.384 x 29000 x 510
_ 0.668153.in. OK!
53 ain..St1-eet - Flymouth,\9assa husetts 02360 - 508-747-5447ph/508-747-1771 fax
251 Dorchester Ave.-Boston .Mi1SSachi1set1s 02124- 508-747-5447 ph/617-696-08N.fax
%v,�,•,,N•,bojconstructio.Ti-cqm .
8 Maximum Floor Spans — Simple Spans
Allowable Stress Design-100% Load Duration
Glued and Nailed Subfloor
Minimum Code Criteria Improved Performance
U360 Live Load U480 Live Load
U^'dDpsd
ALL,lors7" Load� 12" 16" 19.2" 24" 12" 16" 19.2" 24"
Notes: 40/10 19'-5" 17'-0" 15'-6" 13'-10" 17'-7" 16'-l" 15'-3" 13'-10"
40/15 18'-9" 16'-2" 14'-9" 13'-2" 17'-7" 16'-1" 14'-9" 13'-2"
1. Spans are for simply 9Y2" 40/20 17'-11" 15'-6" 14'-2" 12'-7" 17'-7" 15'-6" 14'-2" 12'-7"
supported spans, 40/30 16'-7" 14'-4" 1 T-1" 11'-8" 16'-7" 14'-4" 13'-l" 11'-8"
2. Minimum end bearing length
40/10 22'-5" 19'4" 1 T-8" 15'-9" 20'-11" 19'-2" 17'-8" 16-9-
is tY2",except for bold _ 40/15 21'-4" 18'-5" 16-10" 15'-0" 20'-11" 18'-5" 16'-10" 15'-0"
spans which are A" 11%" 40/20_ 20'-5" 1T-8-8" 16'-1" 14'-5" 20'-5" 17'-8" 16-1" 14'-5"
bearing length. 40/30 18'-11" 16'-4" 14'-11" 13'4" 18'-11" 164" 14'-11" 13'-4"
P u n P n P n P n n P n P "
40 110 24-7 21'-3 19-5 17-4 23-9 21-P3 19-5 17-4
3. Maximum spans are 40/15 _23'-5" 20'-3" 18'-6" 16-6" 23'-5" 20'-3" 18'-6" 16'-6"
measured in between the 14" 40/20 22'-5" 19'-5" 17'-8" 15'-10" 22'-5" 19'-5" 17'-8" 15-10"
supports(clear span)and 40/30 20'-9" 17'-11" 16'4" 14'-7" 20'-9" 17'-11" 16'4" 14'-7"
are based on uniformly 40/10 26'-6" 22'-11" 20'-11" 18'-8" 264" 22'-11" 20'-11" 18'-8"
loaded joists. 40/15 25'-3" 21'-10" 19'-11" 17'-9" 25'-3" 21'-10" 19'-11" 17'-9"
4. Total load deflection is 16" 40/20 _24'-2" 20'-11" 19�-1ii 17�0� 24'-2" 20'-11" 19--l" 17�0
limited to L/240. 0 3 2 1 -4 - 5.9 1 '-4 17-8' 15-9
40/10 20'-10" 19'-1" 18'-0" 164- 18'-10" 17'-3" 16'-3" 15'-2"
5. Allowable spans take into 40/15 20'-10" 19'-1" _17'-5" 15'-7" 18'-10" 17'-3" 16-3" 15'-2"
consideration the composite 9'/2" 40/20 20'-10" _18'-3" 16'-8" 14'-11" 18'-10" 17'-3" 16'-3" 14'-11"
effect from the glued and 40/30 19-6" 16-11" 15'-5" 13'-9" 18'-10" 16'-11" 15'-5" 13'-9"
nailed subfloor for deflection 40/10 24'-9" 22'-8" 20'-10" 18'-7" 22'-5" 20'-6" 19'-4" 18'-0"
purposes only. 40/15 24'-9" 21'-9" 19'-10" 17'-9" 22'-5" 20'-6" 19'4" 17'-9"
8 11%" 40/20 24'-1" 20--10" 19'-0" - 1T-0" 22'-5" 20'-6" 19'-0" 1T-0"
6. The adhesives used should 40/30 22'-3" 19'-3" 17'-7" 15'-8" 22'-3" 19'-3" 17'-7" 15'-8"
be approved for Field-gluing 40/10 28'-1" _ 25'-1" 22'-10" _20'-5" 25'-5" 23'-2" 21'-11" 20'-5"
Plywood to Lumbe
for Floor Systems. Apply per r Framing 40/15 27'-7" 23'-10" _21'-9" 19'-6" 25'-5" 23'-2" 21'-9" 19'-6"
14" 40/20 _ 26'-5" _22'-10" 20'-10" 18'-7" 25'-5" 22'-10" 20'-10" 18'-7"
manufacturer's written 40/30 _24'-5" 21'-2" 19'-3" 17'-1" 24'-5" 21'-2" 19'-3" 17'-1"
instructions. 40/10 31'-1" 2T-0". 24'-7" 22'-0" 28'-l" 25'-8" 24'-3" 22'-0"
7. This table was designed to 40/15 _29'-9" 25'-9" _23'-6" 20'-10" 28'-1" 25'-8" 23'-6" 20'40"
apply to a broad range of
16" 40/20 28'-5" 24'-7" 22'-5" 19'-11" 28'-1" 24'-7" 22'-5" 19'-11"
applications.It may be
40 0 26'4" 22'-9" 20'-7" 18'-5" 22'-9" 20'-7" 18'-5"
possible to exceed the 40/10 22'-11" 21'-0" 19'-10" 18'-6" 20'-9" 18'-1 " 1fT-10'" 16-8"
limitations of this table by
40/15 22'-11" 21'-0" 19'-10" 18'-6" 20'-9" 18'-11" 17'-10" _ 16'-8"
analyzing a specific
91/2" 40/20 22'-11" 21'-0" 19'-10" 17'-9" 20'-9" 18'-11" 17'-10" 16-8"
application with the 40/30 21'-9" 19'-10" 18'-4" 16-3" 20'-9"_ 18'-11" 17'-10" 16-T, _
BC CALL®software. " 40/10 2T-3" 24'-11" 23'-6" _21'-11" 24'-8" 22'-6" 21'-3" 19'-9"
40/15 2T-3" 24'-11" 23'-6" 21'-0" 24'-8" 22'-6" 21'-3" 19'-9"
11%" 40/20 27'-3" 24'-11" 22'-8" 20'-1" 24'-8" 22'-6" 21'-3" 19'-9"
40/30 25'-10" 22'-11" 20'-9" 18'4" 24'-8" 22'-6" 20'-9" 18'-6"
_ 40/10 30'-11" 28'-2" 26'-8" 24'-2" 2T-11" 25'-6" 24'-1" 22'-5"
40/15 30'-11" 28'-2" 25'-10" 23--0" 27'-11" 25-6" 24'-1" 22'-5"
14" 40/20 30'-11" 27'-3" 24'-8" 22'.0" 27'-11" _ 25'-6" 24'-1" 22'-0"
40/30 29'-2" 25'-0" 22'-10" 19'-6" 27'-11" 25-0" 22'-10" 19'-6"
40/10 34'-2" 31'-3" 29'-6" 26'-1" 30'-11" 28'-3" 26'-7" 24'-9"
40/15 34'-2" 30'-8" 27'-10" 24'-10" 30'-11" 28'-3 �26W' 24'-91'—
16" 40/20 33'-11" 29'-2'" 26'-7" 22'-9" 30'-11" 28'-3" 26'-7" 22'-9"
40/30 1 31'-5" 27'4" 24'-5" 19'-6" 30'-11 27'-0" 24'-5" 19'-6"
s
Oct 2OO4 � �a ► _ 1 a; a `" E� ' s;
P
4 Section Properties
AJSTM 140 / 20 AJSTm 25
31/2"
21/2"
t 91/2"
9 1
1 ��
3/s
3/8", 117/811 "�► 1411
1411 16"
611
11/2"1 11/2" 1 C�b
. o o - o == %ft L@ . oDNS , o
Allowable Shear
Bending Allowable Allowable Reaction Bending Deformation
Moment Shear Stiffness Coefficient
Mr Vr End Intermediate El K Weight
Joist Depth Ibs ft Ibs Ibs Ibs x 10`Ibs-in' x 10`lb s Ibs I ft
9 Y2" 2,452 1,160 1,144 2929 173 U 2.2
11%8" 3,175 1,490 1,144 2929 295 6.6 2.5
[G@l 14" 3,824 1,792 1,144 2929 434 7.8 2.8
16" 4,434 2,066 1,144 2,929 593 9.0 3.1
9Y2" 3,397 1,160 1,144 2929 220 5.2 2.5
11%8" 4,399 1,490 1,144 2929 372 6.6 2.8
IMES - 1r 14" 5,297 1,792 1,144 2929 546 7.8 3.0
16" 6,141 2,066 1,144 Z929 743 9.0 3.3
ESR-1144 9 Y2" 4,813 1,160 1,144 Z929 307 5.3 3.1
11 Ye" 6,235 1,490 1,144 Z929 519 6.7 3.4
14" 7,509 1,792 1,144 2,929 759 7.9 3.7
16" 1 8,707 1 2,066 11144 1 2,929 1028 9.1 3.9
Notes: 6.Deflection of uniform load and simple span is calculated by the following fomtula:
1.Minimum bearing widths are 11l:°at exterior support and Y12 at intemtedlate support 0 = deflection(in)
2.Allowable reactions am for joists without web sfilfeners. 5wla w12 w = uniform load(Ibsfin)
3.For allowable reactions using wed stiffeners,refer to the specifier Guide. + 1 = clear span(in)
4.APG means ALLJDIST"preprietaiygrade. 384 EI K El = bending stiffness(lb-in)
5.Repetitive member use factor applicable to resistive moment capacities is limited to 1.0. K%(= shear deformation coefficient(Ib)
No Web Stiffener IntermediateP
Web Stiffener 2 x 3161 Web Stiffener 2 x 4161 Bearing
End Intermediate (one each side (one each side (one each side
Bearing Bearing of the web) of the web) of the web)
a►
,Joist Min.End Min.End Min.Intermediate Min.End Min.End Min.Intermediate
Depth Bearing of 1h" Bearing of 3he" Bearing of 3Ye' Bearing of the" Bearing of 3A' Bearing of She"
914" 1144 138701 2929 1259 2484W 3257
11N" 1144 1387rq 2929 1259 2484'V 3257
14" 1144 1387 2929 1259 2484 3257
16" 1144 1387 2929 1259 2484 3257
Notes:
1. Web stiffeners are required when joist hangers do not laterally support the top flange of the joist 4. For NP 140 only.end bearing reaction for 3Y2'without web stiffener shall be reduced to 1280lbf.
2. Web stiffeners are required to prevent budding of web as Inds are being transferred to end reactions. 5. ForAJP 140 only.end bearing reaction for 3Y2"with web stiffener shall be reduced to 2070lid.
3. Ys"spacing between top flange and web stiffener. 6. See Web Stiffener requirements on page 17,Details 6E.
Oct 2004
THE Town of Barnstable
yP�pF Tp��O�
Regulatory Services
+ •
Thomas F.Geiler,Director
BARNSTABU,
9 MASS.
1639• p10 Building Division
Tens Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: �I. G2 O 7
JOB LOCATION: I 1 r I Q i2 lT✓Ci !1 r C
number street village
HOMEOWNER°°: �G�n;e+ r 1FF�Aw• So&- 746 - /6 Ace
name home phone# work phone#
CURRENT MAILING ADDRESS: S
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to
be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance-with the State Building Code and other .
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Sig a ut re of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control. .
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner,shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly .
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
tJ
SMCI DE I ACTORS REVIEWED BOJ
L.7--o-7 M 1 Dorchester Ave.
CARBON MONOXIDE ALARMS BARNSTABLE BUILDING DEPT. DATE Boston, MA 02124
MUST BE INSTALLED PER
MASSACHUSETTS BUILDING CODE
FIRE DEPARTMENT DATE
BOTH SIGNATURES ARE REQUIRED FOR PERMITTING
I 0.01 1.2'-4° I4'_g• O'-3" 3'-O^ 6'-(b'(6'
2'-5" 5'-6"
PROJECT:
14 Main St.
Renovation
v
LOCATION:
— — 14 Main St.
fiY annis, MA 02GOI
_ I
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II II �
— � � — - -JL- - — 00
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`W""5 STEEL BEAM — 35 STEEL BfMA _
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IN ❑
-
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— —� — —
REVISIONS
I I I I �' :..� NO DATE
I I I I � '_ r C)
- -� f- - — �I - — 25-A
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II II "
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v mTITLE_
PROPOSED
FIRST FLOOR
PLAN
12'-4" Id-d' 2'-4° I'-8". 2'- � 2d-I T-5-
07-02
February 9,2007
First FI-07.02.08.dwg
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BOJ
2251 Dorche5ter Ave.
Boston, MA 02124
I d-1%" 2'-Oz' 14'-O" 2'-5" 5'-G' 2'-,1' 3'-0" G'O'
PROJECT:
L F
171
14 Main St.
,7
_Qoo n boo o - Renovation
LOCATION:
r /'
2 , 14 Main St.
a�C Hyann15,MA 02601
Lp,
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0 0 1 �.
7 III
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ull
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0 C� s' Lxa - kJ O �D O II J ( OS REVISIONS
aQ II 4 �1 ,may NO DATE
I
b
2'_2" 1'_ d' 2'_2"
TITLE
PROPOSED
SECOND FLOOR
PLAN
aE<. Ea 07-02
.E
i February 9,2007
E Second FI-07.02.09.dwg
A2
t
130
2251 Dorchester.Ave.
Boston; MA 02I 24
EL +201-e
o ATTIC FLOOR PROJECT:
14 Main St.
FE FPI Renovation
EL +1o'-Io-} WWWWrA
SECOND FLOOR LOCATION:
14 Main 5t.
HH REiiEE 1lyannls,MA 02601
�0
AWHHHEL +a-o
FIRST FLOOR
a ®®®® aHHHHH
REVISIONS
NO DATE
WHHHH - _
EL +20 a"O EL +20'-J' ��
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EXTERIOR
q T
EL +10'-1 O-1" ��_
EL ELEVATIONS
+10'_1D-z' ,�
SECOND FLOOR SECOND FLOOR
i o�Ecr......
0 0 07-02
FF FIR ® E February 9,2007
EL +O-LO'OOR 0 ®® Q EL +0'-0" �_ Fl. Ext Elev-06.04.21.dwg
FIRST FL FIRST FLOOR ue _1i-0
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