BLD-22-007214 . Pa 1e/&//�1--- cr /i-j
61e11'S
CONE & TWO FAMILY ONLY- BUILDING PERMIT
oF r' .
1146 Route 28, South Yarmouth,MA 02664-4492
508-398-2231 ext. 1261 Fax 508-398-0836 f
Massachusetts State Building Code,780 CMR ,,;,
Building Permit Application To Construct, Repair, Renovate Or Demolish ,; ':'-'�
a One-or Two-Family Dwelling R E C E V E D
This Section For Official Use Only
Building Permit Number: -00/1 1.i' Date A 'ed: JUN 0 2022
I►h SegC — ' C-F7. BUILDING DEP.RTMENT
tT By:
Building Official(Print Name) Signature
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers �/
23 Fo re.r� C _� /l'Z ,..?/C Li- C,�-�"
1.I a Is this an accepted street?yes ✓no Map Number Parcel Number n r
1.3 Zoning Information: 1.4 Property Dimensions: i`"t
/?— y0 c44.,e .2 Y44 2z
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required 1 Provided Required i Provided
Z z ' 9.6/ 1 /0.7f^
1.6 Water Supply: (M.G.L c.40,§54) 1,7 Fl o Zone Information: 1.8 Sewage Disposal System:
Private Zone: /X` Outside Flood Zone?
Publicf r;vate Gdisposal y
Municipal 0 On site system
Check if yes p _
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of /ecord: , / �/
,AornglL4, / elite)... /4iM ✓�dct Ail //ii o2 r
Name(Print) City,State,ZIP
a lare„jt CAfL (o113?b35J ct//capel�y4`ihoo,COM_
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Ii Existing Building'4 1 Owner-Occupied yl i Repairs(s) 0 1 Alteration(s) Addition ❑
Demolition 0 I Accessory Bldg. 0 Number of Units / 1 Other 0 Specify:
Brief Description of Proposed Work': ,14.r/r// Dpu, 9nd8/n Car?Ale,e I r',i I tv ,,,-, 94 Ye-ioi
Qnd SA!y/o; g; AateArar� in 6are4.. 471' H.9//. Alitele Ire n Cw)7,-w.04fo41/ JAI.'Cl"
9/14s410t',
SECTION 4: ESTIMATED CONSTRUCTION COSTS .
} t
Item Estimated Costs: Official Use Only
(Labor and Materials)
I. Building $ 1. Building Permit Fee:$/9) _Indicate how fee is determined:
121 Standard City/Town Application Fee
2. Electrical $ ,`j�
0 Total Project Cost' I em 6)x multiplier x (L1�
3.Plumbing $ 2. Other Fees: $ CI ��� c
4.Mechanical (HVAC) � $
List: s C4
5.Mechanical (Fire �Ii �
Su ression) j $ Total All Fees:$
{ Check No. Check Amount: Cash Arno 1.:
6.Total Project Cost: $ S p 0 0 t C Paid in Full l�Outstanding Balance Du . 1l i 5 ,
kfI ^1
11I
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu. ft.)
R Restricted I&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
• WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
City/Town, State,ZIP Telephone
SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes ❑ No ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNERI OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of peijmy that all of the information
contained' pli ion is true accurate to the best of my knowledge and understanding.
I - • -›z
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at
www.mass.sov/oca Information on the Construction Supervisor License can be found at www.mass.cov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
. , . The Commonwealth of Massachusetts
=..,,, ,.,. ..--.t—,:
w.,...... ,:
(I,
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston, MA 02114-2017
'',-.., .w.-$,•' M;IV w.mass•z:,aov/dia
\Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organizatio 411110: 7.-/)0 44 9.t Ec742 .4-a
Address: Z? F0e-r- rf rqh
City/State/Zip: )19rtheso 4 149.t1 MA 04AS" Phone #: T°,- 032-ait?
/
I
Are you an employer? Check the appropriate box:
Type of project(required):
am a employer with employees(full andior part-time).' 7. El New construction
2,D I am a sole proprietor or partnership and have no employees working for me in 8. Di4 Remodeling •
any capacity.[No workers'comp. insurance required.]
9. Li_ Demolition
3.1 I am a homeowner doing all work myself.[No workers comp.insurance required.]1
10 7 Building addition
4.s 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole I 1.17__ , Electricai repairs or additions
proprietors with no employees.
12.1-1 Plumbing repairs or additions
5.D I am a general contractor and I have hired the sub-contractors listed or.the acached sheet.
3.0 Roof repairs
These sub-contractors have employees and have workers'comp.insurance.t 1
14.E Other 6.0 We are a corporation and officers have exercised their right of exemption per NIGE.c.
152,§:(4),and we have no employees.(No workers'comp.insurance required.)
'Any applicant that checks box r'-!:must also fill out the section below showing their workers'compensation policy information_
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
lantractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether Cr not those entities have
employees_ If the sub-contractors have erriployers,they must provide their workers'contp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date;
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL.c. 152, §25A is a criminal violation punishable by a fine up to S1,500.00
anclior 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. A copy of this swement may be forwarded to the Office of investigations of the DIA for insurance
coverasze verification.
Ida hereby certify wider the pail and penalties of perjury that the information provided above is true and correct.
Si2nature: .e1470,...- 4,tizeas...--r_..: __ . Date: „- ,?" 2.2.
Phone 4: '..e)8-2,,77- 4...?::5.'
Official use only. Do not write in this area, to be completed by city or town officiaL
City or Town: Permit/License tr' .
Issuing Authority(circle one :
1 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
i
6. Other
Contact Person: Phone 4: -_,
• oy YA TOWN OF YARMOIUTH
°' BUILDING DEPARTMENT
MST=x�n ?3`,xa4 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1261
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
DA'th: 7 ,
JOB LOCATION: 1-0,r, r el�►Ys4d%(an 23 rot Core_ Ye;r oq.uf / 'iL
NAME / STREET ADDRESS SECTION OF TOWN
"HOMEOWNER" 47,,� G d*Ay 4 4 SOc- Zir% -°.?-r?
NAME HOME PHONE / WORK PHONE
PRESENT MAILING ADDRESS CG fe y.r ag /Ja-)` p26>tie
CITY OR TOWN STA'I t; ZIP CODE
The current exemption for `Homeowner' was extended to include owner--occupied dwellings of one or two units
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that such
homeowner shall act as supervisor. (State Building Code Section 110 R5.1.3.1)
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 attached or detached structure assessory 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 110 R5.1.3.1)
The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other
applicable codes,by-laws, rules and regulations.
The undersigned 'homeowner' certifies that he / she understands the Town of Yarmouth Building Department
minimum inspection procedures and requirements and that he / she will comply with said procedures and
requirements.
HOIVIEOWNER S SIGNATURE /1f 40=-4-f-
APPROVAL OF BUILDING OFFICIAL
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL
Ch.142. Yes No
If you have checked ves, please indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent
h:horneownrlicexemp
KINGS WAY CONDOMINIUMS .
Request for review by the Architectural Modiflcal3on Committee
gL WNERS MUST BE ustED ANDS R€
First Name:
Last Name: C_.,,.1 M OA) 5&1
Address: A&S7 ,4
Unit:
Email: 7i dCv ; .
Best contact phone:
woe -v. o 400 A/7
Description of Work; 1
(ye-oefars_
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_Luse-Air S '! JS. Lv CA r o rV
forms
NOTE; Please attach plan drawings and/or photographs nd each request specifications
before they can be reviewed.i Please send
must
be completed and all required information included withManagement Office.
completed form and requested informa 'on to the Prop y
Homeowner signature: -� � `h
Date: //-Z ce. -21
.rf
Property Management signature:
Date: �
•
Date: Z'
AMC Committee Approvals: `
Board Approval Received:
Date: IS
NOT APPROVED:
_ Date:
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Andersen.. 400 SERIES
4-413/16" 4'-8112° 4'-11tte° 5'-1' 5'-23/4' S'-413/16° 6-11518" 5'-11718° T-0s/e a
(1341) (1435) (1521) (1549) (1594) (1646) (1819) (1826) (2149) ___,
ox
6� Similar jamb profiles enable ci.,E a
AFC cwz L l these standard size windows 4
to be combined in multiple
combinations.Custom-sae
t7tTh windows are also available.
cicw2- CrcX2 CTC3 Window widths and heights
shown.See individual
II , ag V 1 v . —1 I, Itl rr it, —_-il ) - r t _,,,i size charts for additional
PTR4510 ICTR4810 PTR5010 CTR5110 CTR5210 PTR5510 CTR51110 CTR6010 PTR6010 CTR7010 dimensions.
CTR22410 CTR31810 CTR22810 CTR23010 CTR32010 CTR32410
In addition to venting
-'' ' 7 L•"1 ''-1 i. =-,i ="—1 _; ., configurations shown,other
" "
AR451 AR2251 AR51 AR2281 AR551 Art231 AR61 AR321 AR3251 standard configurations are
AN451 AN2251 AN51 AN2281 AN551^^ AN231 AN61 113211 AN3251 available.
A451 A2251 A51 A2281 4551 4231 / 461 4321 251 .
Eini
1
AW451 AW2251 AW51 A 8 /AW551\ AW231 1� AW61 ������111111 AW321 AW3251
AX451 AX2251 AX61 1 ,AX551 1i ', ,� �,`
/ ♦ ♦ A A w\ ' ,\ , AX\ AX3251
61
/ \ L - � \\ i ` , . /y1 \ / \ L----fit._._�i / \ `------ \
AXW451 AXW51 AXW2281 AXW551 AXW 31 AXW61
CW22 CN3 C32 CW32
I LE
--I JI �.
CW225 CN325
<.T. ,„ Di 1-1 ft ',--"--`f = iii
_5 1 _ CW325
/
P4530 CW23 P5030 0133 CX23 P5530 01W23 C33 P6030 CW33 --
< ry ii } als , „ ,
P4535 CW235 P5035 014335 CX235 P5535 CXW23 C335 P6035 0W335
" i — --- -
', N
/ \
/I
II
P4540 CW24 P5040 CA34 CX24 P5540 08A1R24 C34 P6040 CW34
P4545 CW245 P5045 CN345 01245 P5545 `08W245 0345 P6045 CW345
Fl
// ♦♦ E' flh] L1LL[ *-
P4551 CW25 P5050 CN35 CX225 P5550 5 C35 06050 CW35
P4555 CW255 P5055
,`
•
\ /
P4560 CW26 P5060
•Dimensions in parentheses are in millimeters.
23
400 SERIES CASEMENT & AWNING WINDOWS ' ANQERSEN
WINDOWS S DOORS
Casement Window Opening and Area Specifications
Clear Opening Area pear opening a Fir 8 Open Pcsaion Vent Area lop of Sutifoci
Window Hinge for Widest Hinge with Hinge for Widest Hinge with Glass Hinge for Widest Hinge with to Top of inside Overall Window
Mamba Clear Opening Wash Made Clear Opening Wash Mode Height Area Clear Opening Wash Mode Sill Stop Area
So.11.1(m=1 Sq.FL/(m) Inct'es;'(mrn) Inches/(mm) Inches/(mm) Sc.F1,'(7,) Sq.Ft/Pre) Sq.Ft./(:') Inches/(m'r) Sq.FL/(rn
C255. 7.6 ;0.)17 6.0 (0.56) (8 '455 :4 1367) 59�, ' i1522) 16.4 ,1.523 15.3 ((.42) 15.0 11.39) 19• ' :e !: (5051 21.6 (2.01j
C26 6.5 (0.73) 6.7 (0.62) 18 14557 147".;" (267) 67' 07)12) 18.4 (1.71) 17.1 (1.59) 16.8 (1.56) 12"7., ()25) 24.0 (2.23)
C32 2.5 (0.23) 1.9 (0.18) 18 (466, 14 13.67) 19 (489) 7.8 10.73) 5.0 (()A6) 4.8 (0.45) 60 (1538) 12.0 (1.12)
C325 3.0 (0.28) 2.1 (0.22) 18 11651 11 (367) 23 (595) 9.6 (0.89) 6.0 (0.56) 5,8 (0.54) 56'r° (1432) 14.1 (1.31)
C33 4.0 (0.37) 3.1 (0.29) 183 (465) 1477." (367) 31',,:"' (7891 12.8 (1.19) 7.9 (0,73) 7.8 :0.73) 48-37 (1238) 17.9 (1.66).
C335 4.6 (0.43) 3.6 (0.33) 18 ' 1465 74";" (367) 35-.'' (913) 14.8 (1.38) 9.2 (0.86) 9.0 (0)34) 13 /' (1114) 20.4 (1.90)
C34 5.5 (0.51) 4.3 10.40) 18'. ' f455) 14 (367) 43'1.' (1095) 17.7 11.64) 11.0 (1.02) 10,8 (1.00) 36"'/«„" (932) 24.0 (223)
C345 6.1 (0.57) 4.8 (0.45) 18 •.` 1465) 14'1." 1367) 47 12161 19.7 (1.63 122 (L13) 12.0
', �(_' ( ) 71.12) 31':I,' (810) 26.4 (2,45)
C35 7.0 (0.65) _..5.5 (0.51) 18'7_" 1465) 14'1; (367) 55' (1397) 22.6 (2.10) 14.0 (1.30) 13.8 (128) 24 '.o (630) 29.9 (2.78)
CW12• 31) (428) 2.5 (0,231 22 (5711 18 57: (475) 19'7,' (489) 3.2 (0.301 3.0 (028) 3.0 (028) fill,,," (1538) 4.8 (0.45)
CW125' 3.7 0.34) -....3.0 (028) 22 ,' 1573; 18 11: (475) 23 ',; (5951 3.9 (0.36) 3.7 (0-347 3.6 (033) 56/; (1i321. 5.6 (0.52)
CW13' 4.9 (0.46) 4.0 (0,37) 22";,,' (573) 18 7," (475) 31 (789) 5.2 (0.48) 4.9 (2.46) 4.8 (0.45) 48'/, -(1238; 7.1 (0.66)
CW1350• 5.7 (0.53) 5.1....(0.47)...22 (573) 20' (508) 36';,' (9241 6.0-...(0561 5,7 (0.53).... 5,5 (051) 43'2, 01t4i 9.0 (0.74;
CW140' 6.8 (0.63) 6.0 1056) 22=',." (573) 20' (508) 43 7 (109.51 72 (0-671 6-8 10,553) 6-6....(0,61) 36-'i.n' 19321.... 9.5 (0.88)
CW1450• 7.5 (0.70) 6.7 (0.62) 22- '573;, 20" '508) 47",',.' (1218) 8.0 (0.74) 7.5 (0.70) 7.3 (0.68) 311/' (810) 10.4 (097)
CW150' 8.6 (0.80) 7.5 (0.71) 22 15573; 20' 11508) 55' (1397) 9.2 (0.86) 8.6 (0,80; 8.4 (0.78) 24 (630) 11.8 (1,10)
CW1550' 9.4 (0.87) 8.3 (0.77) 22"._" 1573) 20' 508) 59�`J,-; (1522) 10.0 '0.93) 9.4 (187) 9.1. (0.85) 19-/,' (505) 12.8 (1.19)
CV/160' 10.5 (0.98) -..9.3 (0.86) 22 1573) 20' 1508) 67' (1702; 11.1 111)4) 10.5 .0.98) 10-2 (0.95) 12::/h.._(325) 14.2 1(327
CW22' 3.0 10.28) 2,5 (0.23) 22 7;' 573:, 18 1, (475) 19v,' (455) 6.4 0059) 6.0 10.56) 6.0 (0.56) 6017;r i1538) 9.6 0.89)
CW225• 3.7 (0.34) 3,0 (0.28) 22 7, (573) 18 '/,," (475) 23 V.," (5951 7.8 (0.72) 7.4 10.69) 7.2 (0.67) 567; (1432) 11.2 (1.04)
CW23" 4,9 (0.46) 4.0 (0.37) 22";," (513) 18'/..' (475) 31''," (789) 10.4 (0.97) 9.8 (0.91) 9.6 0.89; 48 7; (1138) 14.1 (1.31)
CW2350• 5.1 (0.531 5.1 (0.47) 22''„' (573) 20' (508) 36'77' (924) 12,0 i1.12) 11.4 (1.06) 11.1 (1,03j 43 (1114) 16.0 (1A9)
CW240• 6.8 (0.63) 6.0 (0.56) 22'1"" (573) 20' (508) 437,' (1095) 14.4 (1.34) 13.5 (1.25) 13.1 (1.22) 36 '/,,," (932) 18.8 (1.75)
0W2450• 7.5 (0.70) 6.7 10.62) 22 (573) 20' (508) 47-7/,' (1218) 16.0 (1.49) 15.0 11.39) 14.6 11.36) 317; (810) 20.8 (1.93)
CW250' 8.6...(0.80) 7.6...(0.71) 22 " (573) 20" (508) 55' ,7397) 18.3...(1.70) 17,3 (1.61) 16.7 ((.55) 24'/,6 (630) 23.5 (2.18).
CW2550' 3.4 (0.87) 8,3 (0.77) 22";:" (573) 20' (508) 59 1522) 20.0 0.86) 18,3 (1.75) 16.2 (1.69) 19 7," (505) 25.6 (238)
CW260' 10.5 (0.98) 93 (0.86) 22" _' '573; 20' (508) 6r° (1702) 22.3 (207) 21.0 (1.95) 20.4 (1.90) 12 %_,' (325) 28.2 (2.62)
CW32' 3.0 )0.28) 2.5 (0.23) 22' ' ,.5731 18-'/. (475) 19',',' (1891 9.6 (0.89) 6.0
-.. .._... .. ___-. _ (0.56) 6.0 (0.56) 60' ' 11538) 11.1 (134)
CW325' 3.7 ( _34) 3.0 (0.28) 22- ;5734 16'/, (475) 23•.r' (595) 11.7 (1.C9) 7.4 10.59) 7.2 10.67) 56'i` (1432) 16,8 0.56)
CW33' 4.9 00.467 4.0 (0,37) 22" " '567, 18-'/,' (475) 31'':' (789) 15.6 111.455) 9.8 (0.91) 2.6 (0.89) 48'7; (1238) 21,1 (1.96)
CW3350' 5.7 (0.53) 5.1 (0.47) 22"3," 1567) 20' (508) 36 7," (924) 18.0 (157) 11.4 (1.06) 11.1 i1.03y 437/,' (1114) 24.0 (2.23)
CW340' 6.8 (0.63) 6.0 10.56) 22'/,: (567) 20°.... 1508) 43'1,' (1095) 21.6 (281) 13.6 41.26) 13.1 (122) 36 7: (932) 28.2 (2.62)
CW3450' 7.5 (0.70) 6.7 10n2) 22";:" (56T) 20' (508) 47 /;: (1218) 24.0 (2.23) 15.0 (1.39) 14.6 (1.36) 31 4' (810) 31.0 (2.88)
CW350• 8.6 (0.84.) 7.6 10.71) 22";:" 1567) 20" 1508) 55' (1397) 27.6 (2.56) 17.2 (1.60) 16.7 (1.55) 24 ,,,' (530) 35.2 (3.27)
CX125 1.2 10.391 3.5 (0.33) 25°5.; (653) 21 7 15521) 23'',: (595) 4.4 (0.41) 42 (0,391 4.1 10,38) 567/' (1432) 6.2 (0.58)
CX13 5.5 '0.571 4.7 (0,44) 15"t' 1653) 21 ;',' (554) 31'"' (7891 5.9 (0.54) 5.5 10.52) 5.4 (0.51) 48 7," (1238) 7,9 (0.73)
CX1350 64 (0.50 5A :0.51) 25',, 1653, 2' 1554) 35"1.` (913) 6.8 (0,63) 6A 10.661 6.3 (0.59) 43'jr (1114) 8.9 (0.83)
CX140 7.7 (0.72) 6.5 (0.61) 25 )".„" (653; 21 7•," 1554; 43 5" (1095) 8.1 (0.76) 7.7 (0.72) 7.6 (0.70) 36 '/;;' (932) 10.5 (0,98)
CX145 0 8.6 (0.60) 7.3 (0.67) 2 "3: 1653) 21 •554) 47-`,' (1218) 9.0 ;0.84) 8.5 (0.60) 8,4 (0.78) 31 777 (810) 11.6 (1.07)
CX150 9.8 .2.91, 8.3 (0.77) 25' .6.51 21 :7," 7554) 55' 11397) 10.4 (0.96) 9.6 (0.911 9.7 10.90) 24 -'!,, (630) 13.1 (1.22)
CX1550 10.7 (0.99) 9.1 (0.84) 2532 (653,' 21 ';:. (554) 59 '7; ,1522) 11.3 11.05) 10.7 (3.99) 10.5 (098) 197,'' (54:51 14.2 11.32)
CXI60 12.0 71.11) 10.1 (094) 25" ' '653, 2= ","" '554) 07°' 417021 12.6 3.171 12,0 (1.11) 11.8 1.09) 12 (3251 15.7 (1.46)
CX23 5.5 (0.52) 4.7 (0.44) 25 ',--' (653`, 21 .554) 31.t'..' (789) 11,7 11.09) 11.1. (1.03` 109 1,01 48';. } 1 / (I238) 15.7 (1,46)
CX2350 6.4 (0.60) 5.4 (0.51)...25`.7: (65.31 1' >_,' i554) 35^:r; 1913) 13.6 (1.26) 123 (1.19) 12.6.
(l. 13 y' (t t I4) 17.8 (1.551
CX240 7.7 (0.72) 65 ...(0.611 25"i: (653) 'L;' :554) 43'!,' (1095r 16.3 (1.51) 15.4 (1.43 15.i 3'"�. %1.41) .,� ;'„" (932)... 20,9 0.94)
C72450 8.6 )0.80) 7.3 10.67) 25"/; ;653) 2. ;, '554) 47-"." (1218) 18.1 0.68) 17.1 (1.591 16.8 (1.56) 31',°.' (810) 23.0 (2.14)
08250 9.8 10.91) 8.3 (077) 2503; (653; 21-7/: (554) 55' (13974 20.7 (1.93) 19.6 (1.821 19.3 (1.79; 24 .' (6301 26.1 (2.42)
C898130 6.5 (0.60) 5.6 10.53) 3017; (765) 26'j; (667) 3111; (789) 6.8 (0,63) 6.5 10.60) 6.1 (0,57) 4f,7, (1238) 9.0 (0.84)
CXW1350 7.5 (0.70) 6.6 (0.61) 39'/ (765; 261/i (667) 35 (913) 7.9 (0.73) 7.5 (0.70) 7.0 (0.65) 43 /: (1114) 10.2 (0,95)
CXW140 9.0 (0.84) 7.9 (U.73) 30 /,' (765) 267; (667) 43/,' ((0954 9.5 (0.88) 9.11 (0.54) 64 (0.78) 15 '7,,; (932) 12.0 (1.12)
CXW1450 10.0 (1931 8.8 (0.821 30'/;' (765; 261/,' (667) 47"/.," (1218) 10.5 (098) 10.0 (0.93) 9.4 (0/37) 31.','" (810) 13.2 (1.23)
CXW150"' 11.5 (1.07) - 30'1" (765; - 55" ;1397) 12.1 (1.12) 11.5 (1.07) - 24-'/„' (630) 14.9 (1.38)
C1WW1550'• 12.6 (1.171 - 307; (765, 59 7,.,' 11522; 13.1 (122) 12.6 (1.17i 19'/," (505) 16.2 (1.51
CXW16O" 14.0 (1.30) - 30'4` ;765, - 61' (1702) 14.7 (13 14.0 30 12'1; (3251 17.9
CXW23 6.5 (0.60) 5.6 (0.53) 30'/; :'755 26171,' (667) 31':,," (789) 13.6 (1261 13.0 (1.21) 12.2 i0.57) 38'!; (1238) 17.9 (1.66)
CON2350 7.5 (0.70) 6.5 10.61) 307(e '7557 26177 '367) "5'.'.," (913) 15.8 (1.47) 15.0 11.3911 14.0 1057) 43y1." (1114) 20.3 (129)
CXW240 93) (0.84) 7.9 (073)...a(1:,,` (765) 2674' (667) 4.i'1,' ; 0597 19.0 (I.77) DLO (1.67) 163 (057) 36.',., (932) 23.9 12.22)
CXW2450 10.0 '0.93) 8.7 (0.81) 30'/,' (7651 26'I,` 1667) 17 ' (1218' 21.0 (1.95) 20.0 i1.86) 18.8 (0.57) 31 (3101 26.3 (2.44)
CXW250" 11.5 .11.07) - 30'C (7651.. .. - 55" i139'1 24.2 (225)... 23.0 2.14) - 24 _ 19.8 -.(2.7i)
•'Top of Suonoor to lop of Inside 81 Slop'is calculated based open a structural header he,g11 of 6:10 '(2096).
•Dimensions in parentheses are in millimeters or souare meters.
OMeet or e.ceed clear opening area o15.7 sq.ft or 0.53 en'clear opening width of 20'(508)and clear opening neight of 24"(610)with appropriate hinge specified,
'Meet clear opening width of 20°15081 using hinge w(th wash mode and control bracket(bracket can be plated for cleaning pes'08n)and meet cleat opening width of 22'(559)using hinge lot'00e5l clear opening.
•AnMe4 att�hll. a {7t7r.s.inged for aides(clear opening)only.
Page 2 of 3
ONE or TWO FAMILY- AU|D|NGPERMIT
APPLICATION REGULATORY APPROVALS NOTICE
Address OfProposed Work: Z2
- , -
Scope of Proposed Work: zwv 4��� �/ 4me�x+/ e,.f
Date:
Based on the scope of work described above, the applicant is required to obtain approval sign-
offs from the following departments as checked-of below:
Health Dept. -5O8']98-ZZ]I ext. 2Z4l
Conservation-5OQ-]98'IZ3lext. I2OD
Water Dept. -99 Buck Island Road, 588'771'7921
' Old Kings HWY. Hist. Comm. -5O8-39D'IZ63% ext. I29Z OH'
Engineering Dept. -5O8-]9Q-32]l ext. l2S0
FireDmpt.- Kevin Huch/ScottSnnith, 96 Old Main Street, 3Y
Note: Please call Fire Department for an appointment. 588-388'2212
Other
Appropriate plans and/or application shall be provided to each departments checked-off above.
Each of these regulatory authorities has their own requirements outside the jurisdiction ofthe
Building Department, Al! applicable approvals shall be obtained prior to submitting a building
permit application to the Building Dept,
Thank you for your cooperation.
Receipt A k n '
Applicant's Signature Date
Rev. Jan. Z0I9
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ONE or TWO FAMILY- BULDING PERMIT
APPLICATION REGULATORY APPROVALS NOTICE
Address of Proposed Work: Z.. J FP r6e7I �j�G / ygr>Cla� li fe),I,
Scope of Proposed Work: 42d1 / qv ti/<v Joy, Ivr'*r/e / eA //
Date: 4, y - Z 2
Based on the scope of work described above, the applicant is required to obtain approval sign-
offs from the following departments as checked-of below:
Health Dept. —508-398-2231 ext. 1241
Conservation —508-398-2231 ext. 1288
Water Dept. —99 Buck Island Road, 508-771-7921
Old Kings HWY. Hist. Comm. —508-398-22631 ext. 1292
Engineering Dept. —508-398-2231 ext. 1250
Fire Dept. — Kevin Huck/Scott Smith, 96 Old Main Street, SY
Note: Please call Fire Department for an appointment. 508-398-2212
Other
Appropriate plans and/or application shall be provided to each departments checked-off above.
Each of these regulatory authorities has their own requirements outside the jurisdiction of the
Building Department. All applicable approvals shall be obtained prior to submitting a building
permit application to the Building Dept.
Thank you for your cooperation.
Receipt Ackl dgement
Applicant's Signature Date
Rev. Jan. 2019