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0043 OLD TOWN ROAD
�^ ACTIVE Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 8-24-15 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St.Hyannis,MA 02601 RE: Building Permit#201504842 TO: Building Inspector(s), This affidavit is to certify that all work completed for 43 Old Town Road,Hyannis has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey F. J� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a 6 Parcel I Application # c�2d 5 q j qa. Health Division Date Issued 14 Conservation Division Application Fee Planning Dept. Permit Fee o Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 45 011 Te wn 'K o c, Village Owner I COL e I $ + o n r �^. Address S am e, Telephone 508 418 9 510 Permit Request P►�� {2-�D _v 111Jose -&n J 1Z- I I -�� rT4�s 4-e +�e 441 c e lPensC hack „ dts with R- 1.3 cc l(u 193C . iW 'iZ•19 �I fills 4e weMCQ4 box 51111, Air seal 4e atia Aland and LmP,li�- kn4 exprn inc 76/0, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 500 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes, ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: Li-existing ❑ new =size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 4 =; Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ U0 Commercial ❑Yes K No If yes, site plan review # ' 7 rn Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name IC#-0 g c5&ye _rAr_ . - - Telephone Number 5A 3 9$ 03 9 — Address D H'10+1654vn f .Y ,=., License # TC 10X941 S Gfla t + 09.6 6 Home Improvement Contractor# 4 3 g Email Worker's Compensation # W W C 3 13 a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �Ia� /I FOR OFFICIAL USE ONLY ti APPLICATION# DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME `s INSULATION t FIREPLACE r `t ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents d I Congress Stree4.Suite 100 < Poston,MA 02114-201.7 www.massgov/dia N'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbets. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information. Please Print Legibly Name(Business/Organization/Individual):Cape Save Inc .Address:7-D Huntington Avenue City/State/Zip:South Yarmouth; MA 02664 Phone#:508-398. 0398 Are you an employer?Check the.appropriate hog: Type of project(requil ed): 1, ✓ I am a employer with 20 employees(full and/or part-time):* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in: 0 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. Q Demolition 3.[ ]I am a homeowner doingall work myself - y [No workers`comp.insurance requrred.] 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property: I will 10 Q Building addition ensure that all contractors either bave-workers'compensation insurance.or are sole 11,Q Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs'or additions 50 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13 ❑Roof repairs These sub-contractors have employees and have workers'comp.insurance:( 6.Q We are a corporation and its officers have exercised their right of exemption.per MGL c. 14. .Other lnsulatiorl 152,§i(4),and we have no employees.[No workers'comp.insurance required:] *Any applicant that checks box#1 must also fill out the section below showing tbeir workers'compensation policy,information. t Homeowners who submit this affidavit indicating they are doing.all,workand then hire outside contractors must submit a new;affidavit indicating:such. Contractors that check this box mustiattached an additional sheet showing the name of the sub=contractors and state whether or'.not those entities have employees. If the sub-contractors have employees,they must provide.their workers'comp,policy number; I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Wesco Insurance Company t , Policy#or Self--ins.Lic.#:WWC3136274 Expiration.Date:04/09/2016 Job Site Address: 43 Old Town Road City/State/Zip: Hyannis Attach a copy of the workers'compensation policy declaration page(showing the policy number and:expiration:date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by a fine up to$ ,500.00 , and/or one-year imprisonment;as well:as civil penalties:in the:Torm of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator.A copy of.this statement may be forwarded to the Office of Investigations of the 131A for.insurance coverage verification. I do hereby certify undee th pains and penaides of perjury that the information provided-above is:true and correct Signature: Date: 7/28/2015 Phone#:508-398 4398 Official use only. Do not write in this area,to be completed by city or"town official.. City or Town; PermiflLicense Issuing Authority(circle one): L.Board of Health 2;Building Department 3.City/Town Clerk 4.Electrical Inspector 5.:Plumbing:Inspector b.Other. Contact Person:._ - Phone:#:77 . . _ . .4� 7 CERIWIC ATE . E(MIMiM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY.AND._CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR'FILTER THE COVERAGE,AFFORDED.BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT GONSTiTiTE A C.QNTRACT BETWEEN THE IS&1lING INSURER{S}, AUTHORIZED REPRESENTATIVE QR PROD.UCER,AND THE:CERTIFICATE fiOLDER. IMPORTANT: If ttte-c80I9cate 1 W&r fs an ADDITIONAL INSURIP,the Puflcy(fes)must be-endorsed. tfi StJI3fit3i3AT90I7 is i�fAi�t3; subject to the.terms and conditions of the policy,certain policies may require an'endorserrtent.::A statement on this certificate does not:c,onfer rights to the certiticatefiolder in Ifeu of such endoisement s. PRODUCER NAME:CONIACT COI]een Cr ey Risk Strategies Camp any PHONE: JAIC ° cell 1 fC o:tT8115 Pa (78 1963-4420 D :.' .ccrowley@risk-strateges.com Suite 240 _ . . INSU-. RER(3)AFFORDiNGCOVERAGE NAIC*_. Ia�n�iph MA 't3368 INSURERA:Se7.ective "ins.. . aE' America,.: INURED INSURERS-Allmrica LPinanaial Aiiiagce 102,12 Cape Save., InC INSURERc CO insurance. an 7 D Huntington Ave INSURER IX* - INSURERE South YAMUth ! 02654 IPsURERF. COVERAGES CERTIFICATE NUM$ER:CL15324$1501 REVISION NUMBER: TtfIS 1S TO CERTIFY TMAT THE POLICIES QF-INS 9RANCE tiSTED'SEtOW,HAVE BEEN 1SSUED TO TKE'WSURED`NA•fi�lED ABOt�T.OR F}1E°POL9CY"'PERIOt? INDICATED. 1Vt�T111rTlf STANP ANYREQUIREMENt,TERM OR C<3NDITiON OF ANY CONTRACT OR OTHER QOCUINENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE"SUED'OR MAY-:PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN>IS SUBJECT To ALL THE TERMS, `DCCLUSIONS EUVD CONDII IONS OF SUCH;-POLICIES.LIMrm SHOWN - HAVE BEEN REDUCED BY PAID CLAIMS. 1LTRI 8R TYPE OF INSURANCE.:.. POLICY EFF .:POLICY EXP r POLICY MJp7BER 1 LIC LIMITSs GENERAL LIABILrrY EACH OCCURRENCE $ 1,000,QOl) X COMMERCIAL'GENERALLIABILITYDAMAG PREMISES Ea cr;urre $ 100,000 A CLAIMSMRDE`aOCCUR s194480 0f16/2679 0/16/2015 M ED EJ(P(Any one person) $ 10 000 PERSONA{:R ADV INJURY 74 i D00,400` GENERAL AGGREGATE: $:` 2;0001000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTSI C.I OPAGG $ 2,000,OOA POLICY X PRO X.:LOG ALrromoBILELtAeXrrY ' Ea cciIIN dent 1 000 000 B ANY AUTO BODILY INJURY(Per person} $ ALL OWNED SCHEDULED 46796600: 1 AUTOS. AUTOS /6/2014. 1/6/2015 ',BODILY INJURY(Per.acadent),:$ X HIRED AUTOS X .AUTQSVV♦*A FD _ � •' ;F'RO i'f;UPJN+YFi€`5 Xr ' Peraec{de X UNBRELtA LIAR ', X OCCUR ,.: ` , EACH OCCURRENCE $ 1,.Q00,000 A EXCE$3LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION fII 19944Q 0/I6/2414 0/I5/243541 (; WORKI:RSCQMPENSATiON ffiea+?4 Irto];ut for V4CSTATU TH AND EMPLOYERS'LIABILITY, Yl N X R ANY PROPRIElORIPARTNEREXECUIVE OV9Lage OrRCEPIMEMBEREXCLUDEC9 NIA EL EACH ACCIDENT $: 500,000 (MandetoryIn:NH) ]3fi"'7a %/9f201'5 /9/20r1b €.L.DISEASE-EA,EMFLQYE 3: 50€� 4t}4" if.yes desenfie under , l3ESCRIPTION.OF OPERATIONS blow EI.DISEASE-POLICY LIMIT .$ 506 060 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(Att.6h ACORD 104,Addt Ip*Remarks Schedule,<if more space is requlnetl) Issued as evidence of. insurance .; .:. t Thielsch Engineering, Inc. is listed as. additional ins=e as-respects>aseneral I.iabiZit <as �zrittn roaact:.. Y r ctuired.hy CERTIFICATE.WOLDER. CANCELLATION SOALJ Ca I"i�h c jai.# Ox,g OF THE ABOVE DESCRIBED't�&Ielf:$i3H CANCELLED'BEFORE `• THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN Cape Light Coup'4qt ACCORDANCE WITftTHEPOLiCYPROVISIONS.. Attn t' Mar aret rQ wX 07/ack AU'rH0mZEDREPRESEWATIVE 3195 Main street 84_rnstable,:1N p2630-:; ehael- Chrstian/CLC - `.�.�_'= iACC7R0 2b(2xi i0/05� _ ACOIdL14:9RPORt TIOR4 ,IkII YYghtC FOSBTUBd. INS025Izolooslos: The ACORD name di ogo are registered marks of ACO1.RD HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. I ` 5�1��'j rug CG hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic& basement insulation; exterior wail insulation; ventilation measures In consideration of the weatherization work to be done at my home I agree to the following: 1. I give permission to Housing Assistance Corporation the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signature) Home Owner email Date: `3-- Agent: (signature) A nature D — t 9 s ) ate. �- I � .S Weatherization Contractors: Adam T Inc a e Save All Cape Energy Frontier nergy Solutions Alternative Weatherization Lohr Home Improvement Building Science Construction Resolution Energy a Cape Cod Insulation Tupper Construction ��ie �L�a�zln-�1�ulea��f�• a:: �iG C.��zf.�1a'�c�u��"� Office of Consumer Affairs and Business Regulation �0 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration w Registration: 171380 Type: Corporation Li Expiration: 3/14/2016 Tr# 249649 CAPE SAVE INC. WILLIAM MCCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. sCA 1 0 20M-05/11 Address Ej,Renewal E] Employment Q Lost Card -— ---- -.---- ��1��frrieric(�scuelcl��Cr;l�rt��rr�icre/t' Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 4171380 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 krxpiration3/1%201.6: Corporation Boston,MA 02116 CAPE SAVE INC. -y F WILLIAM McCLUSKEYS " 7-D HUNTINGTON AVENUE• 0� � SOUTH YARMOUTH,MA 02664 Undersecretary Not vali rthout signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards r_ ,o_ -- ��iii `aiiiCiii�3:�tiiS E�riit�e.setc�int«� License GSSL-102776 :r ri:ti WILLIAM J NIC µ' 37 NAUSET ROAD West Yarmouth 113A Expiration Cornmiss ones 06J281201:7 o , 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 7 �►-7 l Map �-•� Parcel ! / Permit# Health Division 9/z Date Issued 'Z Conservation Division /', �• 7/Ofdl�0 Fee. _ ®d Tax Collector_ .� s /off I tom yo Treasurer SEA m 6C SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGIJLATIONS Historic-OKH Preservation/Hyannis' >° Project Street Address ' Village Owner -7$fq[Uk 9AJ�7 lq'aL ^Address 4, o0 -rU0iV tu:2519D Telephone 7-� S 70 0C Permit Request ' A)G7 Cl C� l�/D Iq'( lA.�l HO(.1 Sr, le5 Square feet: st floor: existing proposed 2nd floor: existing proposed Total new 1 Valuation �� . Zoning District Flood Plain ti6 Groundwater Overlay, Construction Type GAO l��N Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. w Dwelling Type: Single Famil y� Two Family ❑ Multi-Family(#.units) Age of Existing Structure �7 7` �L��s Historic House: ❑Yes ONo On Old King's Highway: ❑Yes 2TNo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count A Heat Type and Fuel: ❑Gas Cl Oil ❑Electric ❑Other A)MAc!�-- Central Air: ❑Yes CNo Fireplaces: Existing A10 New Existing wood/coal stove: ❑Yes KNo Detached garage:❑existing ❑new sizeZQ_j 3 7-Pool: ❑existing ❑new size A)O Barn: ❑existing ❑new size A-)0 Attached garage:❑existing ❑new size 'Jo Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION a Name ��/V�1� S /�lI wA) Telephone Number � 6 ` e7 Address Z lauf:Tpy "e7K/Uc License# C._ s C0 s—/ y e- /y!�/Vi���S Home Improvement Contractor# 40 3 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO y�i -�cu7H SIGNATURE 141 ZIA, DATE FOR OFFICIAL USE ONLY - . Imo- MIT140. . ,DATE ISSUED t•' MAP/PARCEL NO VILLAGE ADDRESS '" " " OWNER DATE OF INSPECTIOI��' te pt FOUNDATION FRAME y - { f __ -41 INSULATION FIREPLACE =� •. z , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL E GAS: ROUGH !-* FINAL :-,' 4 FINAL BUILDING ¢yTwST 7aiy-^lrs iL- ` DATE CLOSED OUT '; - "M ,- . ASSOCIATION PLAN NO 3 'T BOISE CASCADE - BC CALCTm 2000b DESIGN REPORT - US Wednesday,April 04,200107:04 File Triple - 1 3/4" x 91/2" V-L SP 2900 Name: D VINSUN STEP.BCC Job Name - STEPNIK Customer - DENNIS VINSUN Address - 43 OLD TOWN ROAD Specifier - Designer - Joe Madera City,State,Zip - HYANNIS,MA Company: - SHEPLEY WOOD PRODUCTS Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: - Member Diagram ROOF HEADER �0 12 2n n3 t Standard Load-40 PSF 115 PSF T' 01-03-15 w .... sKhn. S,'€ * �s r ;+x'v'rc ¢ ? x .. .,� t y..a �'�'�3�t`a' r „ s7yrar'�i#„ u;?`i•, g+ tfdb'��..'�a d _rz..*lG�� .. .n 751 lbs LL 751 lbs LL 59 lbs DL 598 lbs X Total Horizontal Length-15-09-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 15-09-00 40 PSF 15 PSF 01-03-15 115 Member Type: - Roof Beam 1 Unf.Lin.Load Left 05-02-00 10-07-00 0 PLF 60 PLF n/a 100 Number of Spans - 1 2 Conc.Pt.Load Left 05-02-00 05-02-00 333 lbs 168 lbs n/a 100 Left Cantilever - No 3 Conc.Pt.Load Right 05-02-00 05-02-00 333 lbs 168 lbs n/a t00 Right Cantilever - No Controls Summary Slope 0/12 Control Type Value %Allowable Duration Loadcase Span Location Tributary 01-03-15 Moment 6348 ft-lbs 28.2% @ 115% 3 1 -Internal Repetitive n/a End Shear 1280 lbs- 11.5% @ 115% 3 1-Right Construction Type n/a Total Deflection U501 (0.377') 35.9% 3 1 Live Deflection U929(0.203') 25.8% 3 1 Live Load 40 PSF Span/Depth 19.9 1 Dead Load 15 PSF Part Load 0 PSF Duration 115 NOTES: Design meets Code minimum(U180)Total load deflection criteria. Disclosure Design meets Code minimum(L/240)Live load deflection criteria. The completeness and accuracy of Slope=0,consider drainage. the input must be verified by anyone Minimum End bearing length is 1-1/2". who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and- analysis-methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call / (800)232-0788 before beginning U(� product installation. Page 1 of 1 BCI®and Versa-Lam®are registered trademarks of Boise Cascade Corp. BOISE CASCADE - QC: C;ALCr TM 2000b DESIGN REPORT- US Wednesday,April 04,2001 07:06 File Single - 9 1/2" AJ, 10 Name: Untitled Job Name - STEPNIK Customer - DENNIS VINSUN Address - 43 OLD TOWN ROAD Specifier - Designer - Joe Madera City;State,Zip - HYANNIS,MA Company: - SHEPLEY WOOD PRODUCTS Code Reports - BOCA 99-23,SBCCI 9707A,ICBO 5504 Misc: - Member Diagram ROOF RAFTER 0 12 Standard Load-40 PSF 115 PSF OC Spacing 16" 05 427 Ibs LL 427 Ibs LL 100 lbs DL 160 Ibs,pL l Total Horizontal Length-16-00-00 General Data Load Summary_ Version: US Imperial ID Description Load Type Ref. Start End Live Dead OCS Dur. S Standard Unf.Area Load Left 00-00-00 16-00-00 40 PSF 15 PSF 16" 115 Member Type: --Rafter Number of Spans - 1 Controls Summary Left Cantilever - No .Control Type Value %Allowable Duration Loadcase Span Location Right Cantilever - No Moment 2347 ft-lbs 80.5% @ 115% 2 1 -Internal End Reaction 587 ibs- 44.6% @ 115% 2 1 -Left Slope. 0112 Total Deflection U358(0.535') 50.1% 2 -- 1 OC Spacing 16" Live Deflection U493(0.389') 48.6% 2 1 Repetitive . Yes. Span/Depth 20.2 1 Construction Type n/a Live Load 40 PSF NOTES: Dead.Load, 15 PSF Design me.ets,CociP.minim«m.(,U180)„Total load deflection criteria.. Part Load 0 PSF Design meets Code minimum-(U240)Live load deflection criteria. Duration 115 Slope=0,consider drainage. Minimum End bearing length is 1-3/4". Disclosure The completeness and accuracy of the input must be-verified by anyone- who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have.any questions,.please.call. (800)232-0788 before beginning. product installation. I Page 1 of 1 BCIV and Versa-Lam®are registered trademarks of Boise Cascade Corp. O o > ED AO[ L SS lQ FOF�QR AlT AS IrI III AC NT AS A 'W1bp ID C E BA A ON D R J. T OF SARNICITALLl 13(I1LDIlvTG ;'E1MI'T r PAPCH", _'D 267 071 GE BA.)E: 1:D 1.6882 ADDREU:, 43 OLD '..'OWN ROAD PHONE W HYANNI SPOR1:' 71P _ LO' '�3T_iC)l IC LOT :SIZE DDA DEVELOPMENT DISTRICT H°( ---- PEI-Ml T 50304 DESC:RI Pr('1 ON TEMP. 10 'x 16' SHED BRING REMOVEJE-) IN' 6 MON . PERMIT I'Y1'�� EA1_:)ll,> PT:TLF BI1TI_DINC pl;1;MIT ADD SHED CONTRACTORS: PROPERTY OWNS ) Department of Health, Safety A RC11I T:E C'1_S- and Environmental Services $2..I . 00 130IvrTi �,. Cs O �THE ONSTR( CT CON CCJ;,'I'S $500. ()() 3'23 OTHER NONRESIDENTIAL BLD, 1 PRIVATE :tP Q • * BARNSTABLE, MASS. —. i639. Ep�l A BUILDINCy D V T�rj By DA'I"EE: 1ASS'I)ED 12/0:1.:21`00 EXP I.RA'T ION DATE �— I DATE !� NO. 8o22 - m RECEIVED FRO 0 �� ' o coADDRESS cc —��IlCDOLLARS.$ Q� FOR •A ■ AMT.OF II�II�'r ACCOUNT I CASH Qf Ir I'I!f 'I AMT.PAID CHECK - BALANCE NLY DUE I DRDEF3 I BY OWII OF{ BAhNSTABLE PARCEL 11) 267 071. c.;EOBAS3? D 16862 ADDRESS- 43 OLD '1'()Wlq ROAD P1-+'r,)NF W HYANNISPORT — 1P LOOT BLOCK LOT S)lZE _ DMA DEVELOPMENT N DISTRICT H`r PERMI'i 50304 DESCRI P73I0"N TEMP- 10',r 16' SHED Hsi'I NG REMOVED IN 6 MON . PERMIT `I'Y1PE EADDS TITLE L—'UI-L.DING PERMIT ADD SHED CONTRAC'VOR S_ PR0PER`1'Y OWNER ARCHITEC' S- Department of Health, Safety and Environmental Services TOTAL FEES- $25 . 00 BOND $ 0O OxTIDE CONSTRUCTION COSTS I t $503 . 0 3''28 OTHER N0NRE;S:ID.ENTIA1, FIL.D=; i PRIVATE P (Z * BARNSTABLE. • MASS. 1639. ED M1r►I A - BUILDIIN D V BY 5`JEC 1`1.; .. .1./2.,"")u .EXP.i.I.Al .t314 DA E GEOBASE 1:0 1,681,32 `A.L DI) E-; j�3 OLD ._ VIP# ),C-A.I. 1 ''i� l It r";1UN.L 1 T11 �'11e..f Li I.. 1.J,).L iJ ..._-- 1 D13A DE.'UP'LOPM1 ,'C' F E-Z M I 1 503011 D H:J-...N1 ..1•0 N J. -,Mtt 11.1 'i. F1 {L'l) L�7..,.1.r.`3.i i�i;_1, )J� 14, i h yip; 'HA DE" r I-' }?111:%,1� :H(' 1 .C...v..t1.' } �;��I"1 << r;l'� 1))t' >ii��,.�t.}�`I":' Os:;�j� Department of Health, Safety and Environmental Services �> �: �tNE 0 3•.s3 L�t.'.�r{ N,,?t,?..i,11 L' '.AL, bL,L .., _J BARNSTABLE, MASS. 039. Ep Mpl BUILDINCI, QI47 V S QN BY` '1 LZ�, i_Jc'.�it kt,r '.1.R � 011:� . A'i.L�'. i 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 THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS 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 WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION t PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- 1 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. I 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST-THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 i I 2 2 2 F f } 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT i 2 BOARD OF HEALTH l OTHER: SITE PLAN REVIEW APPROVAL 1 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS 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- TION. NOTED ABOVE. TION. I I i t , i i I I i , I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 6o7— Parcel Permit# d 34V Health Division Date Issued / Jd le© Conservation Division r S f I . ZZ/-PC) Feed Tax Collector SEPTIC SYSTEM MUST RE Treasurer t L INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 ENVIRONMENTAL CC!E Date Definitive Plan'Approved by Planning Board TOWN RE UU41,� ` Historic-OKH Preservation/Hyannis Project Street Address 43 (o cA T'b 6o 17 a�Q Village Owner Q L S% I r Address Telephone 7 u- c1 3 Permit Request B y L I d Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation X�=,ov ' Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new s Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil _ ❑'Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 'Detached garage:O existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:O existing ❑new size Shed:0 existing ❑new size Other: Zoning Board f Appeals Authorization o g oa d o ppea s Autho zat on ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use n /� BUILDER INFORMATION Name Y� A U L S /% U"�`I Telephone Number ���� ^� Address 4 3 © O Lu/-,k V 40 License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOO LO�J= �� O IV_i/y2 I- Fl SIGNATURE P ag� ,,•, DATE y 1 FOR OFFICIAL USE ONLY PER,'�I IT NO. DATE ISSUED ` r .� MAP/PARCEL NO. a a _ ADDRESS ,.-K, VILLAGE OWNER-' t , `J' - ♦j � T / <:ram h DATE OF INSPECTION i FOUNDATION ' FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH i i FINAL PLUMBING: ROUGH FINAL f5.43 f>I ry GAS: ROUGq � r FINAL _ r FINAL BUILDING - - DATE CLOSED OUT t. ASSOCIATION PLAN NO. y :t r J O . 3 �., ,! • - �.� - ,. • :' ,. s 1 .�-.� � r f-r e - " f _ a - _ �.. r • ... t " . . �_ . . 3- ^7 i. D�. .. - .. j � r. «. , � - .. '. t / � � t �. - • Y $ . . F�rqy, . . �°� The Town of Barnstable . 9` MAM g Regulatory Services 16 9. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Ar JOB LOCATION: 3 G �— � 6 �� e Al lJ village number street n -ms "HOMEOWNER": �h' V t✓ v 7 H AI h / `r work hone# name nn home phone# p CURRENT MAILING ADDRESS: 0 LL 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. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the . provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN - 1.�- 1 The Commonwealth of Massachusetts . • ' Department of Industrial Accidents � __ ?X - _ � .; _ .1 600 Washington Street . I., Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit 1. name: 6 Az o L ,3 / /�P.y location: � 30 L�o l O Lo LP � .it, N44/i 1s. 0)A a 3 phone# / 7�S' / f R I am a homeowner performing all work myself. ❑ I am an employer providing workers' compensation for my employees working on this job :.... .::::.:.::....:::..... 4. comaanv name.. ::<•:.:>:::..:: ...:::.:...:.:>:::::... 11 »: .: _.. :< �::::.::;;:.;;:.::.;:•::..:..:.::::.. . city :::::»::::;:>. .:;;phone#. ::::;:::::::.: .:.:...:.::.:::.:::::.:::.:..:.::. ::::::::..:::..::::.:. insurance co: :; oiicv#::..:.: - ...... .. ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have ' the following.workers' compensation polices:::,::..: .,.:.:.:,::::..:::::::::::::::.::::::,:::::::.:::::::.::::,:.:.._::::::. .:.::.:::::.:::.:.::..:.::.............._..:.:........:.:..::.:::::::.:::. ::.:.;:.::.: ::..::.::.:;.:.:.:.:::...... ....:.:.:..::::.: .:..:::.. COmt) . .. ... ..._.............. ._ .::...:...:.........:::....:..:....:..:........:.......::......................:_......:::::....... >;. :::> :::.::::.............................:.............................-.......................................................................................-.. :::............................................................... ::::::::::::::::.::._::::::.::::.:::::k::..:::::::::.::::::.,.,.:.,,,.:::::::::::::::: :.::.::::::::::::::.:::::::::::.:.:::.;.:::::;::::::.:.:::.:::::::::::.::::.::::.::.:::::.:.:..:.::::: -::.:::::.:.::::::::::.::;::.::::;:;................:................:...............-..............-........................ :........ .............. :>`::>>::'::>::>:>:::>;>::':::;:::::;::<:: :':::::::`:::<:::>:>::':>:;::hone#. :.::.:.:::.:. ::::;:.;::.....::.:.;:.;:. ;. cilY`... n { <: >:., z <: hanranteca:::. -.: .:::. :::.: ,::.;::::::::::.::::.:;:.::;:>::::;;•;;:-;>:•:;:::s;:......:;:;::s...,--:----::::::>::;:: "oev .... /l//////%/ ... :camaanv tame:..... .... .:... address. city ...:. :..:,.::.. ::::.:..,;:. .::;: :.:;;:.phone# :;;.>::::: ::;:>:>;:::<:::;::<>:::::«<::::.::::.::> >:;::::;::>::;:::::::::.>:.:' <::>:;::::>: . . :...:. .... . ... iii:.:::. lieu#:'> ?< .'< '' `:> _ ':'':'; . "'ce co: .:i::. 0 ":';mn ntn FaOm a to seem a coverage as required under Section 2SA of MGL 152 can lead to the imposftlon of criminal penalties of a fine up to 51400.00 and/or One years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I undetstand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verincation. I do hereby certify under the pains and penalties of perjury that the information provided above is tru,and correct -11 Signature P 0 Q,P__ — 'L�ii"_ Date l I— 2 — oa Print name P4y L- S/ ePl,i I Lj Phone# 7'7 S�'7 — Ccheck do not write in this area to be completed by city or town official town: peitnit/llcense# (]Building Departmmt ❑Licensing Board ate response 1,required ❑Selectmen's Office ❑Health DeQartment phone#; ❑Other_ (tovaed 9195 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. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or,renewal of a Icense or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants -4 Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situatiim and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be for confirmation of insurance coverage. Also be sure to sip and ....„submitted to the Department of Industrial Accidents vemag gn =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. City or Towns If a be sure that the affidavit is lets and rioted legibly. The Department has provided a ace at the bottom of the Pleas comp P eP P sP 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 permrt/license mrmber which wm71 be used as a reference number. The affidavits may be retained io the Department by mail or FAX unless other arrangemeaLs 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 ImtesugauOus 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 oFTMe r� The Town of Barnstable 9 NASM& Regulatory Services 059.'01ED5.(► Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 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. • 'T CotType of Work: Est ic< OD Address of Work: Owner's Name: C, S �7 Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ®Job Under$1,000 []Building not owner-occupied EqOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 11 a9 Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav STANDARD LEGEND NOTE:not all symbols will appear on a`pop M 67 r GOLF COURSE FAIRWAY . P 2 MAP 26 ��'� EDGE OF DECIDUOUS TR;S MAP 267 65 EDGE OF BRUSH # � 52 - �_�' ORCHARD OR NURSERY 58 J # 38 v—v v v EDGE OF CONIFEROUS TREES MAP 26 # 14 MARSH AREA - EDGE OF WATER K3, # 22 =_-_ DIRT ROAD P 267 DRIVEWAY �—PARKING LOT PAVED ROAD # 46 - DRAINAGE DITCH ———--- PATH/TRAIL PARCEL LINE /. MAP 110-< --MAP# ` 21 E PARCEL NUMBER #tern E HOUSE NUMBER M P 267° MA 67; 2 FOOT CONTOUR LINE MAP 26 �- 10 FOOT CONTOU R LI NE (�' # # 3 • Elevation based on NGVD29 >/4.9 SPOT ELEVATION # 1 9 STONE WALL -X—X— FENCE C"% / f RETAINING WALL -G RAIL ROAD TRACK `•� STONE JETTY O \ SWIMMING POOL PORCH/DECK �] BUILDING/STRUCTURE \MA 67 DOCK/PIER /T MAP 267 HYDRANT 7 O e VALVE O MANHOLE .1 # 29 I 8 0 POST 0eP FLAG POLE T O W N O F B A R N S T A B L E O E O O R. A P H 1 G 1 N F O R M A T 1 O N S Y S T E M S U N 1 T .v SIGN ® STORM DRAIN IN PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE n TOWER we 0 25 50 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Plonimetrics,topography,and vegetation were mopped to meet National Map Accuracy Standards enlarged scale. on the at o scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. ¢ LIGHT POLE o ELECTRIC BOX s 1 INCH=SO FEET* 0 P� mo ...\Barn\sitemaps\Public\m267.dgn 11/16/2000 10:09:13 AM Client : 724900 2VINSUNDE ACORD CERTIFICATE OF LIABILITY INSURANCE 09/(21/00 PRODUCER' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & O' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Agency, 'I�11C . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St . PO Box 1990 Hyannis, -MA 02601 INSURERS AFFORDING COVERAGE INSURED INSURERA:St . Paul Companies Dennis Vinsun INSURER B: 32 Blue Jay Drive INSURER C: Hyannis, MA 02601 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY IREQUREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY Y) LIMITS LTR DATE MM/DD/Y DATE MM/D MM/DD/Y/Y A GENERAL LIABILITY BKO0682440 08/13/00 08/13/01 EACH OCCURRENCE $500 000 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Anyone tire) $5 0 0 0 0 CLAIMS MADE❑X OCCUR ME EXP(Any one person) $1 O 0 0 0 �> PD Ded:2 5 0 PERSONAL&ADV INJURY $5 0 O 0 O 0 GENERAL AGGREGATE $1 O O O 000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $1 000, 000 POLICY PRO LOC AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EAACCI DENT $ ANYAUTO OTHERTHAN EAACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WCST_ OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICYLIMI $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS AD DE BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTOMAILl-O—DAYSWRITTEN South Street NOTICETOTHECERTIFICATE HOLDER NAMED TO THE LEFT,BUTFAILURETODOSOSHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S(7/97)1 of 2 $#20005 O ACORD CORPORATION 1988 ES TIMA TED PROJE LIVING SPACE Value (high end construction) - oars feet X$115/sq. foot= (above average construction) 6� square feet X$96/sq. foot (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$151sq. foot= OTHER ��C/�ST z square feet X$??/sq. foot= Total Estimated Project Value For Of j`tce Use Only Inclusionary Affordable. Housing Fee Residential —E3 Commercial" Property Owner's Name ,Project Location43 D/; /70- Lx �pz) ot s Project ValueZS Permit Number ** ew S .Ft. �Z . Ft. l�� � **proposedN q **Existing Sq Fee $ 24( IAHFORM 1!3/00 - - _ - Ez� - ice__ . - _ LU H (11V r1e)1V CO/✓rt 0 T MIC5 .....�S... - reAe _...........-. F.Cf?r'2�1F CN.cJE'�'TNC� / �/if/ /?OUS£ CXi 7-1 6 L.v�.HaNc sox�P cooie ycU 5- sip <✓<,h/A1Ak,,£&<-' -lzQ iK� "fi��/Jt�f�P .2 X/p h2��s 3Qa'LicJ7� �/E ✓C F•t'nMG TG� Cr9E'2 SKV IF /T N .!/c; Zi9Y fn)IA-)L J IOU W Tf zZon< iNpF7T/ CIO I y � ,t32/c�Ftoo�2 or/�e or H .D Al I (� dCi7c�'S �-'/ 11141 /NTp �iPl`L/ifJ1� --rR It, It SK`/UHT r SyX O�Cc �£e� r�gi1L.. �yti i;S t/iNsu� CIO io"S�ytJO TU3fS --� �ir-/,�S'� //l103ly cb,✓oP T£ 32'4O' 5'-2' p a 300 # SKYLIGHT 15'-W V-5. il` � 5'50H X V-01 WIDE I `i `4 = OF THE The Town of Barnstable BARNTA9 MASS. Regulatory Services E&659. Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 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: CG;Estimated Cos MV. Address of Work: Owner's Name1 Date of Application: . I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE - ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c..142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav IV # STANDARD LEGEND 5 g # 52 NOTE:not all symbols will appear on o map # 14 GOLF COURSE FAIRWAY �„„� EDGE OF DECIDUOUS TREES EDGE OF BRUSH r \ ORCHARD OR NURSERY P267 V-V-V-V EDGE OF CONIFEROUS TREES MARSH AREA -- EDGE OF WATER # 46 =-__ DIRT ROAD DRIVEWAY -PARKING LOT PAVED ROAD - DRAINAGE DITCH ----- PATH/TRAIL PARCEL LINE** M P 267 _ MAP 110 -_ -MAP# 21-< PARCEL NUMBER #1860 —HOUSE NUMBER 6 2 FOOT CONTOUR LINE 10 FOOT CONTOUR LINE Elevation based on NGVD29 q 4.9 SPOT ELEVATION / c STONE WALL 1 1 -X—X- FENCE RETAINING WALL RAIL ROAD TRACK �—� STONE JETTY SWIMMING POOL PORCH/DECK BUILDING/STRUCTURE DOCK/PIER \ i Q HYDRANT MA 67 e VALVE O MANHOLE MAP 26770 POST 0 FLAG POLE T O W N O F B A R N S T- A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y 'S T E M S U N I T v SIGN ® STORM DRAIN IN PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of o **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimehics(man-mode features)were interpreted from 1995 aerial photographs by The lames 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE n TOWER w e 0 " 20 40 National Mae Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetria,topography,and vegetation were mopped to meet National Mop Accuracy Standards ¢ LIGHT POLE a 1 INCH=40 FEET.* enlarged sca e. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax mops. o EIECfR1C BOX \Barn\sitemaps\Pub1ic\m267.dgn 09/21/2000 01:16.:21 PM f The Commonwealth of Massachusetts Department of Industrial Accidents #Iffcr aflnYesrigati0ns `�>.,•�=.�L.=.:�'� 600 Washington Street Boston,Mass. 02111 Workers' Compensation insurance Affidavit / /�•///„����,,,. Agin i i c. u tii a�rrai ���������� ��. rriiii�i i ������//��/i%<: nae: J �rVfd m 3 Z�L�� py on locati . Soli 'r'TS-�7 1f city 9 N�'S S S hone# I am a homeowner performing all work myself: I am a sole vronrietor and have no one working in any capacity I a an emplover providing workers' compensation for.mv.emplovees working on this job m _ comonnv name: .:..::_.. address: .... hone.#:... city: incurnncc cn. oiicv#: I am a sole proprietor general contractor, r.homeowner(circle-one)=and have hired the contractors listed below who- have the .-olloi%ing workers' compensation polices: :. . comnanv name , ::- address: — :.: .......... _.: ._. hone:#:..>;>:::.: , ci tv: ce co. insurnn // ...:::.:.:........................ . :............ :::::....: :........ ...... cmmrnnv name: ><::: address: a nhibne#. cilh ......insurn-ice co. :......::,. ... ; Euwaf 3 Failure to secure coverage a+required ender Section ZSA of MGL 152 t:su lead to the imposition of criminal penalties of tine up to SI,500.00 and/or one yeah'imprisonment a well as civil penalties m the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Omce of tigatiom of the DIA for coverage veriffcation, I do hereby certi} der the pains and en of perjury that the information provided above is true and correct Date j� Signature AJ//�� ` \ Phone# `/ f (G LS 1 Print name ame ! ` use„nIv do not write in this area to be completed by city or town official s, permit/IIcense# ❑Building Department city or town: ❑Llcensittg Board ❑Selectmen's Office check if immediate response is required ❑Health Department contact person• phone#; ❑Other_ ;5 Information and Instructions 152 section 25 requires all employers to provide workers' compensation for their Massachusetts General Laws chapter to ee is defined as every person in the service of another under any conic- employees. As quoted from the"law",an eMP .Y of hire, express or implied, oral or written• association, corporation or other legal entity, or any two or more c: An employer is defined as an individual,partnership. , the foregoing engaged in a joint enterprise'and including the legal representatives of a deceased employer, or the room e- trustee of an individual,partnership, association or other legal eatily, employing employees. However the owner of a dwelling house having not more than three ap���who resides��' °f the occupant of the dwelling house of to persons to do maintenance, ca ast otm or mP�wO&on such dwelling house or on the grounds another who employs P 1 be deemed to be an employer. . •�. building appurtenant thereto shall not because of such emp oyment MGL chapter 152 section 25 also states that every state or local Iicensing agency shall withhold the issuance or renev of a license or permit-to-oper-ate-a business or.to construct buildings in the commonwealth for any Additionally, er�° h not produced acceptable evidence of compliance with the insurance coverage� required.he erformanc ublic work until commonwealth nor.any of i#s political subdivisions shall enter into a chapter have been presented to the couir.,.c". acceptable evidence of compliance with-the ce authority. MEN Applicants the workers' ensatim affidavit completely,by the box that applies to your situa#ian and S Please fill in �P of insurance as all affidavits ma, pply�g company names, address and phone numbers along with a certificate e• Also be sure to si=n and of hmu=ce caverag . submitted to the Department of_Indust rial Acciderrts for * `�M _ _. . be rearmed to the..cityar town that the application for the permit or.. ~k date the_.s�idavtt The affidavit should • Accidents. $h�ouid you have any questionsregarding� w or -5 being requested,not the Deparlmeat of Ind at the ma�nber. • below. am • .. ensation policy,Please call the Department / to obtain a workers_ comp T City or Towns_ - - - • 1 The Department has provided a space at the bottom of t Please bezure that ihe.affidavrt is.:complete:andprintedlegit Y• the ficant. Please to fill out in the event the Office of has to contact you regarding app - tn affidavit for you- - beslue to fill is the permti!!ic®se number whkh.will be-used as a reference.manber. The affdavits may bereturned the Department by mafi-ar FAX unless other have been made. "Me 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, y The Department's address,telephone and faxnumber. ¢ ' " `. - �`• The Commonwealth Of Massachusetts Department of Industrial Accidents alike of Inesduations 600 Washington street - Boston;Ma. 02111 far.#: (617) 727-7749 phone#: (617) 7274900 eat,. 406, 409 or 375 7= C=A"mmdfiJ TsbbJS2.ib(eo�aad� �ritb Fowl Fade .. - .:p�ssciptfre parJcoRQ for Qae aaa'rwo•Fiadlr tlsddaadai Balldla�SW� MAXIMUM B�Coolin8 czzcd=s3 c carte won mm a mm W AesaS(K) uvdtie� its ... � � SMI&O � f SlDI to 6d00 t3esda;Dew D Normal Q 1=12 0.40 3f 13 19 10 6 NmW R IZ% am 30 i9 19 All 6 U AFUE om 13 ZS WA WA Noma _ T 13% 036 3a � 6 Normal u 15% (kA6 33 19 19 =- 10 Z. WA Ia tS aEVE IISAM W 15'S a3Z.__. ..... 30 19 19 10• Nmrial x 18Y. a3z 33 13 WA NIA Q42 � 19 25 WA WA y IVA Now 6 - "AM z IE'/. a.4I 32 _19 "AM AA tm. wl) 30 19 19 10 6 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE O WALLS:_ 3. SQUARE FOOTA O AL G G: 4. % AZ A (#3 DIV ED BY#2): S LE T P GE( —AA-see chart above): NO : O R MORE INVOLVED METHODS OF DE I RMR*HNG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a 80 CMR Appen= Footnotes to Table JSZlb: skylights, and ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, sky _ , basement windows if located in watts that enclose conditioned space,but excluding opaque doors) to the gross wall area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be Occluded from a building design with 300 fl of glazing area. 2 After January 1, 1999,glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) hest Procedure, or taken from Table J1.53a. U-values are for whole units:center-of-glass U-valus catmot be used ' The ceiling R-values do not assume a raised`cr oversized.truss construction- If the insulation achieves the fulI insulation thickness-over the exterior walls without compression, R 30 insulation may be substituted for R-3 8 insulation aad,R 38 insulation may be substituted for R-49 insulatiom',Cetling R:values represent the sum of cavity insulation plus insulating sheuddag(if used). For ventilated ceilings, insulating sheathing must be placed between the can non=*spat=aria the ventilaw pwddan ofth•:n.c.-L 'Wall R-values represent the snm of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing- and interior drywall.For example,an R-I9 requirement could be met EITHER R-19 cavity insulation OR R-13 cavity insula>ion plus R-S hmdating sheathing. Nall requirements apply to � � coon. wood-flame or mass concrete,masomY,log)wall content Lions,but do not apply to metal-frame construction. The floor requirements apply to floors over tinconditkoned spaces(such as unconditioned crawlspaces,bas=menu. or garages).Floors over outside air must meet the ce ing requirements.. .. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R value requirement as above-grade walls- Windows-.and.,sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements;bm for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heatiag_use compliance approach 3,:4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest" efficiency must meet or exceed the eTwiency tequired.by the selected package. _ 'For Heating Degree Day requirements ofthe closest city or town see Table J52-la rti NOTES: a) Glazing arras and U-values are maximum_acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and-do not include structural components. b) Opaque doors in the building envelope-must have.a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in,accordance with the NFRC_test procedure or taken from the door U-value in Table J1.53b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded fttmn this requirement(i.r.,may Have a U-value lVem than 035). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 SEP 15 100 10:36AM FURMAN WESTFIELD EWP P.1 BOISE CASCADE-BC CALCTm 99 DESIGN REPORT Friday,September 15,200010:36 DOUBLE - 1 3/4" X 9 1/2" V-L SP 2900 Name; Untided Job Name - Customer - Address - Specifier - Designer - NATE OLIVERI City,Stag,Zip- Company: - Boise Cascade Corporation Code Reports - IC80 5512,BOCA 98-52,313CCI U52 Misc:. - Member Diagram --- _ Load (P50 7520 LL 561rt OL 132# LL 5614 DL I Total Horizontal Length -,19-09-00 General Data Load Summary Base Unit FeetAnches ID Description Load Type fief. start End Live Dead Trib. Dur. S Standard Unf.Aras Load Left 00-00-00 15.0940 4n 15 ni-o-v6 toll Member Type; - Floor Beam 1 Unf.Lin.Load Left 05.02-00 10.07.00 0 60 n/a 100 Numberof Spans - 1 2 Conc.Pl.Load Left 05-02.00 05.02-00• 333 168 n/a 115 Left Cantilever - No 3 Conc.Pt,Load Right 06.02.00 05.02.00 333 168 n!a 116 Right Cantilever - No Controls Summary Slope(in/ft) - 0.00 Control Type Value U Allowable Duration Loadcase Span Location Tributary(ft) - 01-03-16 Moment 6206 ft-lbs 41.3% ®115% 3 1-Internal Repetitive - rile End Shear 1248 Ibs 16.9% a 115% 3 1-Left Construction Type - n/a Total Defl. U 342(0.552in) 70.1% 3 1 Live Defl. U 819(0.305in) 68.1% 3 1 Live Load(psf) - 40 Dead Load(psf) - 15 Partition Load(pof) - 0 Duration(96} - 100 NOTES: Design meets Code minimum(U240)Total load deflection criteria. Disclosure Design meets Cade minimum(L/360)Live load deflection criteria. The completeness 8nd accuracy of Minimum End bearing length is 1.5 in, the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design propeMes and analysis methods. Installation of Boise Cascade engineered wood Products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. SCIS and Versa-Lamdf are registered trademarks of Boise Cascade Corp. SEP 15 100 10:36AM FURMAN WESTFIEL.D EWP P.1 BOISE CASCADE-BC CALCTN 99 DESIGN REPORT Friday,September 15,200010:36 DOUBLE - 1 3/4" X 91/2" V-L SP 2900 Name: Untitled Job Name Customer Address - Specifier - Designer - NATE OLIVERI City,State,Zip- Company: - Boise Cascade Corporation Code Reports - ICSO 5512,BOCA 98-52,SBCCI 9852 Mica - Member Diagram Z: 3• �standard Load (Fsr) 40/15 r7ribu'tary 003-19 7520 LL 7525 LL 5611r AL S61A DL l Total Norizantal Length - 15-09-00 General Data Load Summary Base Unit Feet/Inches ID Description Load Type Ref. Start End Live Dead Trib. Our. S Standard Unf.Area Load Left 00-00-00 15.O9= 4n 19 nt_03-15 ion Member Type; - Floor Beam 1 Unf.Lin.Load Left 05-02-00 10.07.00 0 60 n/a 100 Number of Spans - 1 2 COnc-Pt.Load Left 05-02.00 05-02-00- 333 188 n/a 115 Loft Cantilever - No 3 Conc.Pt Load Right 06.02.00 05-02-00 333 168 n1s 115 Right Cantilever - No Controls Summary Slope(in/ft) - 0.00 Control Type Value %Allowable Duration Loadcase Span Location Tributary(ft) - 01-03-16 Moment 6206 ft-lbe 41.3% (9115% 3 1-Internal Repetitive - n/a End Sheaf 1248 Ibs 16.9% G 115% 3 1-Left Construction Type - n/a Total Defl. U 342(0.552in) 70.1% 3 1 Live Load(psf) . 40 Live Defl. U 819(0.305in) 58.1% 3 1 Dead Load(psf) - 15 Partition Lead Oaf) - 0 Duration(%) - 100 NOTES; Design masts Code minimum(U240)Total toad deflection criteria. Disclosure Design meets Cade minimum(t1360)Live load deflection criteria. The oompleteness 8nd accuracy of Minimum End bearing length is 1.6 in, the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above A based upon building code-accepted design propetties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (a00)232-0788 before beginning product installation. BCIrD and Versa-Lams are registered trademarks of 86ise Cascade Corp, SEP 15 '00 10:36AM FURMAN WESTFIELD EWP P.1 BOISE CASCADE -BC CALCTM 99 DESIGN REPORT Friday,September 15,20M 10:36 File DOUBLE - 1 3/4" X 91/2" V-L SP 2900 Name: Untitled ob Name Customer - aJ ddress - Specifier - Designer - NATE OLIVERI ity,$late,Zip- Company: - Boise Cascade Corporation ode Reports - iCBO 5512,BOCA 98.52,SBCC19852 MI= Member Diagram b` 3•' • + t a i li _ Load (y5F7 7520 LL 752# ILL 561# OL 561# DL I Total Horizontal Length - 15-0940 General Data Load Summary Base Unit Feet/Inches ID Description Load Type Ref. start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-M 15-0940 4n 1.rs 01-03-15 10n Member Type: - Floor Beam 1 Unf.Lin.Load Left 06-02-00 10.07-00 0 60 n/a 100 Number of Spans - 1 2 Conc.Pt.Load Left 0542.00 05.02-00• 333 188 n/a 115 Left Cantilever - No 3 Conc.Pt.Load Right 05.02.00 05.02-00 333 168 nla 115 Right Cantilever - No Controls Summary Slope(in/ft) - 0.00 Control Type Value %Allowable Duration Loadease Span Location Tributary(ft) - 01-03-16 Moment 6206 ft•Ibs 41.3% 0 115% 3 1-Internal Repetitive - n/a End Shear 1248Ibs 16.9% 0 its% 3 1-Left Construction Type - n/a Total Defl. U 342(0.552in) 70.1% 3 1 Live Load(psf) 40 Live Defl. U 819(0.305in) 58.1% 3 1 - Dead Load(psf) 15 PaMbon Load(pef) 0 Duration(%) - 100 NOTES: Design masts Code minimum(U240)Total load deflection criteria. Disclosure Design meets Code minimum(U360)Live load deflection criteria. The completeness 8nd accuracy of Minimum End bearing length is 1.5 in. the input must be verified by anyone who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in aoco(donee with the current installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BCIS)and Versa-Laing are registered trademarks of$oise Cascade Corp. I. r t UCY1fVYt , - p r 9 _ ka- MM,GF SULDING_REGUL ATIONS SOR ' -006136 Y _ 7460 DENNIS 1i1[� ZW - e.:'l 4•:�+,'z.._tom - _� - - .raa. r 1•. _ � l 1 . a��Z:c� t, G� d � �� �� �� BOISE CASCADE - BC CALC''m 99 DESIGN REPORT Tuesday,September 26,2000 13:58 File TRIPLE - 1 3/4°' x 9 1/2" V-L. SP 2900 Name: Untitled Job Name - Customer - DENNIS VINSUN Address - 43 OLD TOWN ROAD Specifier - Designer - Joe Madera City,State,Zip - HYANNIS,MA Company: - Shepley Woad Products Code Reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc: - Member Diagram � 0 12 � p 3 Standard Load (PSF) - 40/15 Tributary O1-03-15 751# LL 751# LL 598# DL 598# DL Total Horizontal Length - 15-09-00 General Data Load Summary Base Unit Feet/Inches ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard UnfArea Load Left 00-00-00 15-MOO 40 15 01-03-15 115 Member Type: - Roof Beam 1 Unf.Lin.Load Left 05-02-00 10-07-00 0 60 n/a 100 Number of Spans - 1 2 Conc.Pt.Load Left 05-02-00 05-02-00 333 168 n/a 100 Left Cantilever - No 3 Conc.Pt.Load Right 05-02-00 05-02-00 333 168 n/a 100 Right Cantilever - No Controls Summary Slope(in/it) - 0.00 Control Type Value %Allowable Duration Loadcase Span Location Tributary(ft) - 01-03-15 Moment 6348 ft-Ibs 28.2% @ 115% 3 1 -Internal Repetitive - n/a End Shear 1280 Ibs 11.5% @ 115% 3 1 -Left Construction Type - n/a Total Defl. U 501 (0.377in) 35.9% 3 1 Live Dell. U 929(0.203in) 25.8% 3 1 Live Load(pso - 40 Dead Load(psf) - 15 Partition Load(psf) - 0 Duration(%) - 115 NOTES: Design meets Code minimum(U180)Total load deflection criteria. Disclosure Design meets Code minimum(L/240)Live load deflection criteria. The completeness and accuracy of Slope=0,consider drainage. the input must be verified by anyone Minimum End bearing length is 1.5 in. who would rely on the output as evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BUS and Versa-Lam®are registered trademarks of Boise Cascade Corp. s AM COMPANY PROJECT Shepley Wood Products 43 OLD TOWN ROAD ALLJ 216 Thornton Drive HYANNIS, MA Hyannis, MA FLAT ROOF MEMBER 14 Sep. 26,2000 13:59:54 Beam1 Design Check Calculation Sheet LOADS: (lbs, psf, or plf) Load Type Distribution Magnitude Location [ft] Pattern Start End Start End Load? 1 Dead Full Area 15 (16.0)w No 2 Live Full Area 40 (16.0) Yes *Tributary Width (in) MAXIMUM REACTIONS (Ibs) and BEARING LENGTHS : 0. 15-9" Dead 157 157 Live 420 420 Total 577 ' 577 Bearing: Capacity 1144 1144 Length 1-1/2" 1-1/2" Stiffener No No AJS-10, 9-1/2" Depth,APG 2x3 Flange, Spaced at 16"c/c; nailed subfloor This section PASSES the design code check. SECTION vs. DESIGN CODE NDS-1997:(Ibs, Ibs-ft,or in) Criterion Analysis Value Design Value Analysis/Design Shear V = 577 Vr = 1160 V/Vr = 0.50 Bending(+) M = 2274 Mr = 2723 M/Mr = 0.84 Live Defl'n 0.36 = L/522 0.53 = L/360 0.69 Total Defl'n 0.57 = L/334 0.79 = L/240 0.72 ADDITIONAL DATA: FACTORS: F CD CM Ct CL CF CV Cfu Cr LC# Fb'+= n/a 1.00 1.00 1.00 1.000 1.00 1.000 1.00 1.15 2 Fv' = n/a 1.00 1.00 1.00 2 E' = n/a 1.00 1.00 2 Bending(+) : LC# 2 = D+L, M = 2274 lbs-ft Shear : LC# 2 = D+L, V = 577 lbs Deflection: LC# 2 = D+L EI= 222.64e06 lb-in2 K= 5.20e06 lbs Total Deflection = 1.50(Defln dead) + Defln Live. (D=dead L=live S=snow W=wind I=impact C=construction) (All LC's are listed in the Analysis output) (Load Pattern: s=S/2, X=L+S or L+C, =no pattern load in this span) DESIGN NOTES: 1. Please verify that the default deflection limits are appropriate for your application. 2. Refer to appropriate sections of the ALUoist Product Manual for installation guidelines and construction details. 3. USA: listed in BOCA Report 97-89, SBCCI Report 9707A, NY City MEA-247-97-M Vol.11, NY State Certificate of Acceptability. 4. Canada: listed in CCMC 12787-R. [ M R267 071. ] LOC]00f#J OLD TOWN ROAD CTY]09 TDS] 400 HY KEY] 168829 --- ,.MAILING ADDRESS------- PCA] 1011 PCS]00 YR]00 PARENT] 0 STEPNIK, ISABEL G MAP] AREA]55BC JV] MTG]0000 G43;OLD--TOWN--RDA SP1] SP2] SP3] UT1] UT21 .32 SQ FT] 2256 �HYANNIS--:^ MA 02601 AYB] 1949 EYB] 1975 OBS] CONST] 0000 LAND 29700 IMP 142100 OTHER - -LEGAL DESCRIPTION---- TRUE MKT 171800 REA CLASSIFIED #LAND 1 29,700 ASD LND 29700 ASD IMP 142100 ASD OTH #BLDG(S)-CARD-1 1 92,400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #BLDG(S)-CARD-2 1 49,700 TAX EXEMPT #PL 43 OLD TOWN RD RESIDENT'L 171800 171800 171800 #RR 1177 0130 0831 0102 OPEN SPACE #SR KENNEDY CIRCLE COMMERCIAL #TAB 225.26 INDUSTRIAL #FAB 68.64 EXEMPTIONS SALE]05/91 PRICE] 1 ORB]7538/256 AFD] I A LAST ACTIVITY]08/09/94 PCR]Y R267 07A, . A P P R A I SAL DATA KEY 168829 STEPNIK :.. ISABEL G LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 23, 100 120,800 2 A-COST 143,900 B-MKT 118,500 BY 00/ BY ML 7/91 C-INCOME PCA=1011 PCS=00 SIZE= 2256 JUST-VAL 143,900 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 55BC =- --MAY NOT BE COMPARABLE-- NEIGHBORHOOD 55BC HYANNIS PARCEL CONTROL AREA TREND STANDARD 10] 10 . LAND-TYPE 23100] LAND-MEAN +0% 143900] 73020 IMPROVED-MEAN +65% 25% ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA-MEASUREMENTS NOR]NOTES COM]MARKET INC]INCOME PMR]PERMITS GRR]GRAPHIC FUNCTION-[ ] STRUCTURE-CARD NO-[000] DATA-[ ] XMT[?] R267' 0.71. P E R M I T [PMT] ACTION[R] CARD[000] KEY 168829 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B33937] [08] [90] [AD] 16001 [LK] [03] [91] [ 100] [NEW ] [HY DECK ] [ J [ ] [ ] [ l l [ J [ l [ l [ ] [ l [ l ?] '"r >ar '^ryr{' ..,'. ::Gf:,:.;a?{ae if".F,'v1."NF �.rqt 4, 7E�,.AtRxe'4^; t:.+ ,4,'�*:ji" s '•ryS;S+'+. lk '��'°`'aS?ytp' f"' ti-i. . .ry A.,.,.� x r- :� Assessor's office(1st Floor): 0 Assessor's map and lot number Board of Health 3rd floor): WQ o Sewage Permit number �••JJ (( G l\ _ Engineering Department(3rd floor): Drus tt J House number ` °o �+_b3o• Definitive Plan Approved by Planning Board 19 .0 rlk'(d• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only `n 1 TOWN OF BARNSTABLE BUILDING INSPECTOR _ APPLICATION FOR PERMIT TO �JG//� �.% J`LI/l.� ZC�'� TYPE OF CONSTRUCTION /V 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the Poll/owind\informa`tio/n: Location 3 04. %Ot,-31L G1_ / 1 VkV�lrU1 S Proposed Use ���� J✓�� Zoning District Fire District Name of Owner Address Name of Builder ,- S Address Name of Architect Address Number of Rooms N Foundation 4 oAi OeF- � Exterior G� Roofing Floors _ Interior /0r�-S Heating Plumbing Fireplace �-' C Approximate Cost l �_ Area Diagram of Lot and Building with Dimensions Fee (0 o i N fl ' f x 1 - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I_hereby agree to conform to all the Rules and Regulations of the Town of Barq1table regarding the above construction. Nam �i`//���//�//,/ Construction Supervisor's License 00 } STEPNIK, PAUL A=267-071 ` No 33937 Permit For Build Sun Deck Single . Family Dwelling Location 43 Old Town Road Hyannis Owner Paul Stepnik Type of Construction Frame Plot Lot Permit Granted August 27, 19 90 ' Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 111/-cill- jaT,,� MUST BE IC� '�TEIM Assessor's office 1st Floor): ''J P Assessor's map and lot number o L L EID 1N COMPLIANC Qypf THE Board of Health(3rd floor): ��'991(�TITILE 5 Sewage Permit numberCODE AN �� ��� Engineering Department(3rd floor): asaasTsntL �`.; 1 ,. clue House number r °o 1639• Definitive Plan Approved by Planning Board 19 �0 MAY APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-i0o P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 2J ,l' z,f1e TYPE OF CONSTRUCTIONC� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit /according to the following information': Location 143 040 000J 9G ._� ��Y�AjAJI•SI Proposed Use SUw Zoning District Fire District ���/�� S Name of Owner �/� S /C/�!/C Address ��� -7-0-(,3AJ �o�� Name of Builder �L��t S V (�Sa� Address s2 � ayLt-- ����Nl J Name of Architect f( Address Number of Rooms - Foundation �— ��� Exterior ND`V Roofing A)LI J Floors Interior kJ QA Heating Plumbing ne Approximate fir Fireplace PP Area Diagram of Lot and Building with Dimensions Fee T N N� 1 � i-loci S>_ o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barn able egarding the above c struction. w Nam /� Q' Construction Supervisor's License 00 S-� u }y Y (?_ r STEPNIK, PAUL . r ` No 33937 Permit For Build Sun Deck Single Family Dwelling _ Location 43 Old Town Road T Hyannis f Owner. Paul .Stepnik i Type of Construction Frame ^ Plot Lot Permit Granted August 2 7, 19 90 r Date of Inspection 19 c Date Completed. �� d '19 f I a J F