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0006 CORNWALL COURT
; r _ 4. 1; ._. _ _ S �� 3 { .� 3 .� f } 1 ., � r - i 4` I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map tJ Parcel . A plication # Health Division Date Issued 3' h Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project St r t Addre s Village �J Owner 0, Address Telephone lokk*r-2�n"11t, Permit Request !I ` Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family i/ Two Family ❑ Multi-Family (# units) N --i C= CO 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 net Number of Bedrooms: existing _new w 9 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 0 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: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization Ell Appeal # Recorded ❑ Commercial ❑Yes ❑'No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address License # y U Home Improvement Contractor# Worker's Compensation # 0/oam51 Q/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE T EN TO SIGNATURE DA E r' FOR OFFICIAL USE ONLY { APPLICATION# A '$ DATE ISSUED MAP/PARCEL NO.' ADDRESS VILLAGE - OWNER r -DATE OF INSPECTION: _ �T� FOUNDATION.. }` FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT bl? ASSOCIATION PLAN NO. - - st . C ' F s a Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor W License: CS-100988 HEN12Y C CASSU# ; x_r 8 sr'o:,u Kow b � WEST YARMOi?TH rr¢` , ' , _ yz , Expiration Commissioner 11/11/2015 O • 6.' • I - l .0 1 ,larne.r Atl;:lirs �1n[a 13usuIess Rcl.11at10-11 10 .Pak PI-C-In - Suite 5170 Boston) Milssaehuserts 02116 [ tome lrriproveliient Cotitr'lctor ll\egi'str•�Ztion f;r;gislra(ion: '153 i67 1Ype: lorivate- Curllivatioll Expualion: '12/15/2•b 14 'rr-M ,11'I 1.;i7C� INSLA A-I--10N. INC SSID Y _.............. l i I FAR'D0N CIhCI.....k._ [ I '1',*1 NIOU-I-H, MA 02664 __. ....... .. Upd;lleAd[h'css ❑ id rcfuru (:.nvd. IYlurlc rc.asuu li)rchimp.. 1..'1 Address �._1 ltcncw;al 1 1 l!:111ployllwil[ I I Lnal Cnnl • !, ,�:Irll:l,lrii�,',fffit (.'l(;.l.li/�,•%llr,lisi�(.1 �. .. . :.. ..I, „u„IIII•r rklluir-., S. Itusiuess Reguln!iul, Liirnsc ur regisu;;liuu r;Ili[I for indiYi;lul use unly _.i.i ,,ll,�lr IPrINhUVI:MI`N I (';ON RACl OI: I,rfulcthe oepira[iun dalc. if fOUl,d rclul'u lu; (t Type: 01fice ulTunsun,cr .� Affairs l3 u �,irs ansiucss ltcbulu u liu .. 10 P:u'Ic I'Lrul-Suite 17U ..,;+ ,;u�.nn,n. I:'J 15!;'U'I�t 1:'1lvzlle Corhurauru . „y liuslun,Met 02116 l it ll''J• IN(; �J;I P l I inLl;u'srrrel„I'I� Ut Pill H'i1110 ! ,U;II 'i'e The Coin nionwealth oy"Afassachuserts 1 rr Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 0211.1 www.Yaass.gov/dis 1Vorkcrs' Crocu petn.satyotn Insurance Affidavit: Builders/IContractors/.Electricia nsllllxiiiibers :-4,pp cult 1.11forn.yatioll Pleiase P'rl.ut Legibly Phone#: .���_� ���5 / Z % .tC y()U Lily etYtpstoye'r? Check the appropriate box: Type of project (required): /= <4, ❑ 1 am a general contractor and l 1 .1 ULl a crllployCr with. .r- have hired the sub-conrractors 6' L� New COCS�CItICt10ll clllployccs (dill anc oe part-ti-me). l ulll a sole proprietor"or puXuler- listed on the attached sheet 7. ❑ Remodeling ;hip atld have no cnnployecs These sub-cooaactors have 8. ❑ Demolition workui ig for me in.any capacity. employees and have workers' 9 ❑ Building addition (No workcrs' comp. i.osurance comp. insurance.t 5. We are a corporation and its 10.El Electrical repairs or additions r,altwcd:f ❑ , �.❑ I Lim i homeowner doing till work officers have exercised their -1,.1.❑ Plumbing repairs or lidditions Myself. [No worker3' comp. right of exemption per IvIGL t2 ❑ hoof repairs IlliUlallC:CLCl�U1rCCi.� t c. 152, §1(4), and we have no 3,,.❑ 1 aln u horr[cowncr acting a3 a employees. [No workers' 13.[ Other Sencrul contractor(refer to #4) comp.insurance required. 'Ally applluut Ulrt cticcks box ft•1 MUst also fill out the sccdoa below showing thcirworkcn'compcnsatiotijwlicy infotuwtiou. I tlu,ucvwuc,s who subruit ctlis affidavit indicating chcy arc doing 4 work and then hire outside contractors must subulit a aew affidavit indicating such. : u,wy.u,ra dun check this box must atwched an additional sheet showing the aatna of the sub-coucnw ton wad stow Whcthcr ar not dwsc cu6ttc'j helve .:,iq,l�yccs. IPd,c sulrcun[r�u:tur3 have employees, dicy must provide their wurLm'comp.policy uumbcr. 1 tint an employer that is providing workers'comperaun.on insuraace for my employees. V low is the policy and job site ;lr�ulnruliult. in�ulwlcc Colllptuty Nwile: Policy u or 5clt-Ins. L[c, #: �,L �' , " ' �� Expiration Date: �, 1JU lltl':\lldl'Cas: �Y C[ty/State/Ztp: .vriLicts:ccupy of the workers' cotrrpeusation policy declaration page(showing the poUcy n"wher and expiration daft:). i 1�,[tluxc to securc.coycragc as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a rinc.up to I1,a00.00 and/or one-year imprisonment, as well as civil penalties iu the fonn of a STOP WORK ORDER and a fine 01'up to 'S250.00 a tray against the violator. Be advised that a copy of this statement may be forwarded to the Office of 1.m'cstigaaoa3 of the D1A for unxuraucn coverage verification. I do hereby certify, nder the crir gnat penaldes of perjury that the information provided above!s tr c and correct. Bat Q jl",W we only. Do not write in this area, to be completed by city or town offtciaL city or 1'0wty: PertuitlLicense# - lssutng Authority (circle oac): 1. tloxrd of Health 2, Buildlug DepArtaieat 3. City/Town Clerk '4. Electrical luspector 5. Pluttibing Cnspector b.Other t ollfact 1 er3Ul1: Phone#i L CAPECOD-27 MYOUNG_ ful_C T'rr;x_y ... unt'r'm liDlvYYY1 CERTIFICATE OF LIABILITY INSURANCE _ .7r8/20'13 HIS uLl:'IU-ICA'I'E IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE: CERTIFICATE I-IOLDER.THIS CEkrIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES l UkLOW. I I IIS CERTIFICATE'- OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED RtPRLSENTATIVI= OR PRODUCER, AND THE CERTIFICATE HOLDER. j IMPOH I AN I: If thu cOrtificate holder is an ADDITIONAL INSURED,tho policy(ies)must be endorsed. If SUBROGATION IS VVAIVI--D,subjucLtu kill: lurrlla and Conditions of Ulu policy, certain policies may require an endofsernont. A statement on this certificate does Uot confvr rights(U lhu 01(111C.11U Itwl(Iar in NQU Of such 0ndorsawen (( ). Lit;unsc It FIC-S14.062 coNTACT Margaret Youn NAME: I<ugcln S Gioy Insuranco Agent:y, Inc. PHONE I I Rtu 1'14 d�No. N,k.__.... �utuh Ucnula,IVIA 02660 - E-MAIL ADDRESS: r?_Cofit INSURERISLAFFORDING COVERAGE NNC0 _� _ ......_.__....._.._. .... INSURERA:PEERLE;SS INSURANCE COMPANY INSuRER8:COMMERCE INSURANCF- CORAIDANY _ _.. --- _ _.... -_......................... ..-.... .__... mWRERC:Evanston Insurance Corn�any ___i:a(JU �;Ud InSulanun, Inc. It1 1-Wardolt Cirk:IG INSURERD:ATLANI'IC CHARTER INSURANCE GROUP :iuUUt Yarn'touttt, IVIA U2664 iNSURERE: ------- IIVLNAGL` r CkR,rIFICATE NUMBER: REVISION NUIVIBER: 1;LIt III Y 'Il-IAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PL'ItIUD I-•:0R:A11:D NoI'V'JITHSTAN01NG ANY IREQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OII-IEll DOCUMENT VVITI-1 RL'SPCC1'IU WHICH THIS hlil It-ICAIL MAY 6E ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDEQ BY THE POLICIES DESCRIBED 1-1EREIN IS-SUBJECT TO ALL IHCTERMS. 1 �CLLIShIN;t AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ........._....... ... AZOISUBR� - POT.ICEK� POQCYEkP LIMITS POLICY NUMBER M,nDIY .0 AMID Y,IN IYt�C OF INSURANCE "rNLlwt_I.IAnlurr EACHOC:CURRLIACL _f I . V - MAF�TO' ETEpD � CBP8263063 411/2013 411 4 ..-_.-100,00 I I Ll 111Mti MADI= Y, UCl':Uft MED EXP(A11Y una llorwn) ... i.. .. .-5,00 { PERSONAL Zk A)V INJURY f 'I,OUD,OD GENERAL AGGRLGA'I'1 Ii .,000,00 PRODUCIJ'-COMPIOP Alit; b crn nCl�dctC�Al:t I.IMI l'APPl.lE3 PEtt; �i 2,000,00 PRO I 1 1,0110 - �.l LOC I.-...1.,1L�.._ -�- -- CCJMBINtErSIaGI.E Llt>d17--�----- 'I ul At4. `1 I I 1IAon_11Y I,000,00 U - -- '13MMBCKVMK 411/2013 0,1120.14 BQOILY`INJURY(ParPulsun)..._f_.._.... .v.t 0"V19LU SC:HEUULED BODILY INJURY(PiA eccld0119 f X Auros FRO�pE,TYI�i�tOAGE-•'�--- _ - f y A I.tl:DI I All l 115 X NQN-QvVNF0 AUTOS PL' ALCIDNNIL—.,.-_---_. _..._.__................_..— X unn11<cC.CA LIAt1 jx-'o(xUW EACH OC:CUrtRENCB _f _._ erc:cno,unq CLAIMS-MADE XONJ453512 41112413 4I1120'14 AGGI�Ec arc __ ._...._. ._... -_LOATC __.-E — �..._ -- ' x itk fENIIUN 1O OOO _—,._,__ �_—______.—_ - •* �.�._.—:.: �--�------.,—.__, -- v4L:srnru•_ aTta 1ui�c 1<p CLIMPt..N::A'rIUN 1N17 L-MN1.01'trc�'LIAdILI'1'Y1�... U rRin•RI Ii,fylrAltlNEwcXtcunve} I" WCA00525904 6/3012013 613012014 E,L,EACHACCIDEN'I" f I,UDU,OD I•11 Ht'rlt;hlcM[lEli EXCLUD[i07 NIA _-- •—_...._..._. "�000,00 (AIahUAmy In Nil) (—" E.L.DISEASE-EA I:M_PLOY_Elc f „1 _ _ _ 'nnrrv:avrinu.wmvt E.L.DISEASL--1101-CY LIMIT f -I,000,00 � i,,lUPI Il7N llf OI'lh<A I'IC.lIV5 Uulow__-_- `--,_T �_ -----• -� � - -�--•��------- I 1 1a:...um uUN.m V1�cKA PIONS 11_OCA I IONS I VEHICLES (Attach ACORD/01,AgJulunal Rnmarhe Schcdula,If Mora epau Is rcqulragl� lv-m-vs.Cunll,unsation Includoti Officers or Proprietors. iAtwmnial lnz,uiud status is Providud under the General Llability when required by written contractor agreement with the Certificate fielder. CANCELLATIONt: -- r.tt f 11=lL;A I t t•i U L D E h ----•----••---'-•�--� SHOULD ANY OF THE ABOVE OESCRIEIED POLICIES qr_CANCELLED BEFORE ��Cod II1SUIaIIUn, Inc THE EXPIRATION OATe THVRI;QF, .NQTICI' WILL BL DELIVER0 IN L:a I ACCORDANCE WITH THE POLICY PROVISIONS. AUitI0R12ED REPRESENTATIVE i . -...... 0,1988-2010 ACORD CORPORATION. All rights reserved. AL:0H0 25(20'I U/05) The ACORD name and logo are registered marks of ACORD I i mass saAA ve PERMIT AUTHORIZATION FORM '9 Ae L2/n gacwlly,owner of the property located at: /� (Owner's Name,printed) CSJ 0Q K/U�/5L( l OT . (20 I L 7 (Property Street Address) (Cityrrown) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a bui 'ng permit to perform insulation and/or weatherization work on m prop c Owner's Signature Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date Rev.12132011 %h/ 04 Town of Barnstable Yermtt# � Expires 6 months from issue dote Regulatory Services Fee NAM g Thomas F.Geiler,Director 1639. Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIA.L ONLY O 1 � Not Valid without Red X-Press Imprint ' Map/parcel Number �1 l �' Property.Address VO L L 1.�)eV r� vV 4 v�'- I/ Residential Value of Work �i Minimum fee of$35.00 for work under$6000.66 Owner's Name&Address V e v t r4 • �o Ce{t.Nw�4i,V C�-� tir�`l'V�9' IVt� ° y�b3� Contractor's Name S„�( ,, N WtN'P '/Uf1iNNtis6•^i Telephone Number Home Improvement Contractor License#(if applicable) 7 3 "rT Construction Supervisor's License#(if applicable) S b / ❑W rkman's Compensation Insurance Check one: AUG — 20�3 ❑ I am a sole proprietor ❑ I am the Homeowner Y,have Worker's Compensation Insurance /� Insurance Company Name 44 0,04,d :IWN Ct 5ARNSTABLE� Workman's Comp.Policy# A,C. Ra 7 0 O 3Sy.317 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side 2 #of doors -- �eplacement Windows/doors/sliders.U-Value L9 J O (maximum.35)#of windows- FT Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy,of the Home Improvement Contractors License&Construction Supervisors License is 1 required. SIGNATURE: - \_� Q:IWPFILESTORMSUilding permit formsUeRESS.doc Revised 053012. L f The Commonwealth of Massachusetts Print Form Department of Industrial Accidents W. Office of Investigations 1 Congress Street,Suite 100 �-r Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information A,I /I /Please Print Legibly S�1�tvte Name (Business/Organization/Individual): rjtl J,&u 9lCZiV� (NJN uC i Address: 2(o 4161 k04-6 Al City/State/Zip: L l/ c_olAl IZ--:!,:• va4e; Phone#: qV — ate$ — 9400 Are you an employer?Check the appropriate box: Type of project(required): 1.EWI am a employer with o2 d 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached'sheet. 7. [].Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' � 9. ❑ Building addition [No workers'comp.insurance comp.insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3.❑ I am a homeowner doing all work officers have exercised their l 1.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ R f repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other c comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating They are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached 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: lqroo � N rGc,N C�Ont Policy#or Self-ins.Lic.#: Al�C V 76?S 36-9 3 1 y Expiration Date: ,?l 3Job Site Address: Vl CeAw kwCl C,a rl/- City/State/Zip: _04V 'm IT o ZL 3 S Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi der the ns and enalties gtEf 1u2 that the in ormation provided above is true and correct Si afore . .__. _. _ . .. .. . -. . . . . ..I Date Phone#: g©/ a g ? ` L< P6V Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Client#:30124 SOUTNEW ACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE 5/08/2013 YY) 812013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Anita Little NAME: Willis of New Jersey,Inc. PHONE 856 914-4660 FAX 856 914-1881 1015 Briggs Road e n Lo E:t: Alc,No gg ADDRESS: Anita.Little@willis.com Mount Box INSURER(S)AFFORDING COVERAGE NAIC# Mount Laurel, NJ 08054 INSURER A:Selective Insurance Co of the S 39926 INSURED INSURER B:Argonaut Insurance Co. 19801 Southern New England Windows LLC Beacon Mutual Ins.Co. 24017 D/B/A Renewal by Andersen INSURER C 26 Albion Road INSURER D: Lincoln, RI 02865 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT R TypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY A GENERAL LIABILITY S202945900 8/1 O/2012 08/10/2013 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES EaE�u RENTED s50 OOO CLAIMS-MADE a OCCUR MED EXP(Any one person) s 5,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s 2,000,000 POLICY PRO- LOC $ JECT A AUTOMOBILE LIABILITY S202945900 8/10/2012 08/10/2013 COMBINED SINGLE LIMIT Ea accident $1,000,000 X ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident S A X UMBRELLA LIAB OCCUR S202945900 8/10/2012 08/10/2013 EACH OCCURRENCE s5 OOO OOO EXCESS LIAB HCLAIMS-MADE AGGREGATE s5,000,000 DED RETENTIONS $ B WORKERS COMPENSATION AIC927698352394 8/21/2012 08/21/2013 TO Y LIMIT OTH- AND EMPLOYERS'LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N 6802$ 8/21/2012 08/21/2013 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? a N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln, RI 02865 AUTHORIZED REPRESENTATIVE H ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S214638/M214631 AXL _ JUL-12-2008 16:28 FROM:LA 5084440418 TO:4016336602 P.1/5 Renewal MA �It�,�N -0rt IUR NI79��5 _ rAnderserL RENEWAL BY ERSBN byA n'ua,ew NDn3,$55 ■u.swe a .nAode.mQvPrp 2fh Alhinn Road • Uncoln,Rl 02863 LeW Firm ON37 Phune 8136.563.2235•Fax 4111.633.6602 rcckml Tax ID Nds 0.9000 Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT B.yer(s)Nssne tbteefAgsrxsnent _.. &e_t4AJ 6 S I B. s)Street Adds&Chy,Solo emd Zip Code/P.O.Bin. G¢! w ;t M4 0163.' 6M.Ji Add— None T,lephero Nienber WatkTOgAw Number 1 C i ?- lluyct s)N. by jointly quad severally agrees to purchase thr pnaducul and/or setvicr%of Southern New.England Windrms,Ur-d/b/a Renewal by Andersen of Srmthcrn New England("Contractor"),in awnytiance with the terms and tumclidwts described on thr rnsrtt and the reverse of this agrrrrnrnt and on the attached specifiention ahvei(s)(rollrctivel)%this:"Agreemen4'). Cl Historic 13 Condo ❑HOA7 MCo1' SV9/U Ch"k �+U Cash Tool JobAmount Exm+aaed Starting Data Method payn+enc U ChcNt Cash U Financed Deposit Received(33%):. /T�9. WK� . Credlc Cards are accepted for deposit only-maximum 1/3 of the Ballrnco tie Start of Job(33�): Z project cost(Pleeise see Credit Card ATnem Form)By signing this Eadmitod Completion Date: � Agreement you acknowledge that the Balance at Start of Job and the Balance on Substantial 9—(—j. Balance at Substantial Completion of Job cannot be made by credit Completion of Job(33%): Z9 Card and must be made by personal check bank check,or cash. Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties`and that there are no verbal understandings changing any of the torms of this Agreement.Buyer(s)acknowledges that Buyer(s) (1)has read this Agreement,understands the terms of this Agreement,and has received a completed`signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first,written above and(2)was orally inforused of Buyer's right to cagiest this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Stiles Only)Notice to Stayer.(1)Do act sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available Information are left blank.(2)You ate entitled to a(Copy of this Agreement at the time you sign it.(3)You may at any time pay off the full unpaid balance due under this Agreements and in so doing you may be entitled to receive a partial rebate of the finance and insurance chargm(4)The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased Lander this Agreement.(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall he posted not later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.See the accompanying notice of cancellation form for an txplanaf buyers rights. Buycr(s)recrived the cunsumer educatinn materials provided by the Rhode Island Cunu:al-Mrs Re risu atiun Board. (Baydh Ini6n4) Renewal by Andersen of Southern New England Suycr Bnyer(s) BY I ,art:tge Signaturr. Signature Print Nance of product Manager Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE TIM ATTACHED NOTICE OF CANCELLATION FORMS FOR AN MCPI.ANATION OF THIS RIGHT. �xg- - - - - - - - - - - - - - - - - - - - - � �- - - - - - - - - - - - - - - N.OTIC�L d N.OTJ.CLOF CANCELLATION Dune of Transaction You may,cancel l Clto of Train 1 -d m is A IVI 5 You map cancel this transaction,wlthout aby piianality or obOgadon,within this transaction.whbouean# peaky or obligation,within three business days from the above date.If you cancel,any I three budoesa days from the above dabs.If you aaneeL any property traded In,any,payments made by you under the property traded in.any payments made by you under the Contract or Sale,and any nesodable instrument executed i Cont;stct or Sales and nary netodable Instrttrrtt nt executed by you will be returned within ten business days folkswing I by you will be returned within tan business days following receipt by the Seller of your cancellation notice.and ANY I receipt by the Seger of your cancellation notice.and arty security Interest arising out of the transaction wig he security Irrtorost arising out of the transaction will be leeled.NyoutanceLyyooumustmakesaalbibletotheSedor l canceled.NyouaanceLyou must makemrallabletotheSeller at your residence.In substantially sa good condition as when I at your residence.in arabslantlally"wed condition as when received,any goods delivered to you under this Contract or I recclveds any goods delivered to you under this Contract or Salsa or you may.N you wish,comply with the instructions of I Sala or you may,Nyou wish,comply with the Inglisuctiona of tiro Seller regarding the return shipment otthe goods at the the Setter regarding the return ddpment of the goods at the Smilers axpmese and risk.If you do make the goods araibrble X $tillers expense and risk.If you do make the goods nvaibable to the Salller and the Seller does not pick them imp wit hles i to the Seller and the Seller does not pick them tip within twenty days of the date of cancellation,you may retain or I twenty days of the date of eaneelbid on,you may retain or dispose of the goods wltihout any further obligation.B you I dispose of the goods without any further obligation.H you fail to make the gouda avaall able to the Selieror if you agree I fall to make the goods avallable to the Seller,or N you agree to return the goods to the Saw and fall to do so,then I to return the goods to the Seller and fail to do so,then you remain liable for performance of all obigadons under you remain liable for perlbrnance of all obligations under the Congthct.To Castel this transition, mail or delver I the Contract.To cancel this transaction, mail or delver a signed and dated copy of this cancellation notice or any I a signed and dated*W of this cancellation notice or any other written notice,,or send a telegram to Renewal by I other written notice.or send a telegram to Renewal by Andersen of Southern Now England at 1137 Park East Dr., I Andersen of Southern New England at 1137 Park East Dr., Woos ant,RI 02895,NOT LATERTHAN MIDNIGHT OF I Woon trite RI 02895,NOT LAMRTHAN MIDNIGHT OF 1 HE MET NCELTHISTRANSACTION. �I 1 HOMEY CANCELTM TRANSACTION. x eaya's 547-t— Mist None one esyees ovum Matt Name osta RbA Copy:White Buyer Copy:Yellow Buyer Copy:Pink i Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts -Department of Public Safety Board of Building Regulations and Standard_s Construction Suren kor License: CS-095707 � BRIAN D DENNISON ,' 7 LAMBS POND EIRCLE Charlton MA 01507 I1 `%eG... Expiration Commissioner 09/08/2014 NJ 6746 a��b4&4daVwwem Office of Consumer 5nd Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9/192014 DENNISON BRIAN 1137 PARK EAST DRIVE WOONSOCKET,RI 02895 Update Address and return card.Mork reason for change, 5G t e zam,�t Address Renewal ❑Employment Lost Card oosomrr Alf in&Basioeu Regalal..a License or registration valid for Indlvldul am only = ffl"or CW IVROVEMEM CONiRAC70R before the espirntioo date.If found return to: Office of Consumer Affairs and Business Regulation RoBlsaadon: 173245 Type: 10 Park Plaza-Suite 5170 Expiration: 9/191ZI114 Supplement::end Boston,NA 02116 SOUTHERN NEW ENGLAND WINDOWS I.I.C. RENEWALBV ANDERSON r DENNISON PARK BRIAN - ` 1137 PARK EAST DRIVE 4;1� WOONSOCKET.RI 02895 Uod—Teary Not valid without signatum TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,;_. Map Parcel.",:. ( `Application # 1 Health Division ` `Date Issued 1 V Conservation Division :Application Fee Planning Dept. Permit Fee Date Definitive'Plan Approved by Planning Board ✓ Historic - OKH Preservation/ Hyannis ` Project Street Address Village Owner Gf�t�P /U&6;6 W/, Address edakW- 4, / 4yaae Telephone • Permit Request UWY- V Ir Square feet: 1 st floor: existin@xLproposed �,1:2nd floor: existing proposed Total new -7 Zoning District Flood Plain / 169 Groundwater Overlay Project Valuation Construction Type �1PAA_e Lot Size / Grandfathered: ; es ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family' Two Family ❑ Multi-Family(# units) Age of Existing Structure D S Historic House: ❑Yes 4'No/On Old King's Highway: ❑Yes Flo Basement Type: ull ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) /152:w Number of Baths: Full: existing_ 2 new Half: existing / new Number of Bedrooms: Yexisting onew Total Room Count (not including baths): existing �7�new _First Floor Roo ount CJ —� Heat Type and Fuel: Utas ❑Oil ❑ Electric ❑Other cn �- Central Air: ®'Yes to Fireplaces: Existing_New Existing wood/O I stove: ]Ye W No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exis ing ❑ new Vie_ Ln Attached garage: existing ❑new size _Shed: ❑ existing ❑ new size _ Other: —� •• w ti r v'i rn Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name elephone Number C? Address 9License# � � Home Improvement Contractor# IV!f, ;�;2a Worker's Compensation # ��i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO / SIGNATURE DATE 1� FOR OFFICIAL USE ONLY - ^' 4 ' ` PPLICATION# DATE ISSUED m-AP/PARCEL NO. ' ADDRESS :x VILLAGE - 'OWNER DATE OF INSPECTION: - r, FOUNDATION / ! FRAME L Z10 la /LGtr-/� INSULATION �l��U� 3 (a Co -FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .GAS: ROUGH FINAL FINAL BUILDIN Q. A� � , N 44ee.,ft _ . r DATE CLOSED OUT ASSOCIATION PLAN NO. f �- .ter .•, `, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): G6� Address: veef3®X City/State/Zip: p ` ©p? Phone.#:� Are yo employer? Check the appropriate box: Type of project(required): 1. I am a employer with . I 4. ❑ I am a general contractor and I 6. New construc.tion employees(full and/or part-time).* have hired the sub-contractors ❑ 2.❑ I am a sole proprietor or-partner- listed on the'attached sheet T. ®Remodeling ship and have no employees These sub-contractors have 8.'❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ 9. ❑Building addition [No workers'-comp.-insurance comp'insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P .3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'eompmsation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. fContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors Nava employees,they must providb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. / Insurance Company Name: Policy#or Self-ins. Lic.#: `ti; � ����„'Z xpiration Date: CJ' Job Site Address: L IJ/ --JL J-�/J' y City/State/Zip: Z Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day.against.the violator. Be advised that a copy of this statement may be forwarded to the Office of Investizations of the DIA for insurance coverage verification. I do hereby certify and pains and ltie f e-rjury that the information provided ab ve is true and correct. Si afore: Date�?�. -®. - Phone#: Official use only. Do not write in this area,to be completed by city or town offteiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i t I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of 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,parfaership,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 of on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of conmpliarice insurance the insurce requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)andphone number(s) along with their certificate(s)of . insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please-call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy'infotmation(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a horse owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license of permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusets Department of lndustrW Accidents Office of Investigatims• 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-$77-MASSAFE Fax# 617-7274749 Revised 11-22-06 s' www.mass.gov/dia rti Town of Barnstable Regulatory Services. M ASE& , Thomas F.Geiler,Director Enµ 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject.property hereby authorize ��� / C����4//�!� to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) of Owner Da Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM 1SS10N Town of Barnstable Regulatory Services Thomas F.Geiler,Director WAS. �b 0 9. .•� Building Division PjFD Tom Perry,Building Commissioner 200 Maiff•Street,--Hyannis,MA 02601.. www.town.barnsUble.ma.us Office: 508-962-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown 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 BOMEOWI%MR Persou(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 perfmrning work for,which a building permit is required shall be exempt from the provisions of this section(Section I D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)far hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exanption 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 wrould 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 hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may cart t amend and adopt such a for ✓certification for use in your eonartunity. Q:forms:homwcempt Applied Underwriters 10/14/2009 8 : 07 : 56 AM PAGE 1/001 Fax Server ■ ACORD- CERTIFICATE OF LIABILITY INSURANCE °16/14/0 9 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Applied Risk Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 10825 Old Mill Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Omaha, NE 68154-0646 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (877)234-9420 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Continental Indemnity Co. 28258 Grover, Carey dba Grover Building and Remodeling INSURER B: PO Box 1080 INSURER C: Cotult, MA 02635-1080 INSURER D: CTL 1273 477184 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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. LTR NSR TYPEOFINSURANCE POLICY NUMBER DATE MM/DDN DATE MM/DD/YV LIMITS GENERAL LIABILITY EACHOCCURANCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ CLAIMS MADE ❑OCCUR ME EX (any oneperson) $ PERSONAL 6 ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (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-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBR ELLA LIABI LITY EACHOCCURENCE $ OCCUR a CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X WTOCRY STATU- OTH- EMPLOYERS'LIABILITYLIMIT A ANY PROPRIETOR/PARTNER/EXECUTIVE 46-805700-01-02 08/31/09 08/31/10 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 I1 yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER 6 DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS ! C ) O _ —n y L CIO C.d) CERTIFICATE HOLDER CANCELLATION tau SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SWORE FlM EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE 200 Main St. Hyanns, MA 02 601 TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: Inspector REPRESENTATIVES AUTHORIZED'REPRESENTATI >�i�- 1783118 ACORD 25(2001/08) O ACORD CORPORATION 1988 I T A WC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Co�/mphancee_(780 CMR 5301.2.1.1)1 1OG� P(ZR- ACE r i[ 5 ���l�+0 S f Q Chcck Compliance 1.1 SCOPE Wind Speed(3-sec.gust).................................. ... 110 mph ................................ ........... .................................. WindExposure Category...............................................................................................................................B _! 1.2 APPLICABILITY Number of Stories(a.roof which exceeds 8 in 12 slope shall be considered a story)_L stories s 2 stories ✓' RoofPitch...........................................................................(Fig 2) ........................................... fEA:r S 12:12 ✓� Mean Roof Height ...............................................................(Fig 2).................................................g ft S 33' Building Width,W...............................................................(Fig 3)................................................_ft 5 8a x Building Length,L...............................................................(Fig 3)................................................. ft 5 80' x Building Aspect Ratio(L/W) ...............................................(Fig 4)........................... ..... 5 3:1 x......... ........ Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................T5 6'8' 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... ✓' 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete................:............................................................................................................. X ConcreteMasonry................................................................................................................................... [ 2.2 ANCHORAGE TO FOUNDATION1.3 5/8'Anchor Botts imbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general.........................................(fable 4)............................................... in. K Bolt Spacing from endQoint of plate.............................(Fig 5).................................... it in.s 6'-12' L Bolt Embedment-concrete.........................................(Fig 5).................................................!in.Z 7' /�- Bolt Embedment-masonry.........................................(Fig 5)............................................ 0 in.z 15" &�, PlateWasher................................................................(Fig 5)..............................................z 3'x 3"x'/4' 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension...................................(Fig 6).................................................. ft 512' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................... ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).....:.............................................. ft 5 d FloorBracing at Endwalls....................................................(Fig 9)...................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)..............:.................... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)......................: Floor Sheathing Fastening..................................................(fable 2).. d nails at in edge/ in field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)........................... ; ft 5 10' !/ Non-Loadbearing walls................................................(Fig 10 and Table 5)........................... ft s 20' Wall Stud Spacing -�pa g ........................................................(Fig 10 and Table 5)...................�in.5 24'o.c. c►. WallStory Offsets ........................................................(Figs 7&8)............................................ ft s d �- 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(fable 5)..............................2x ft 0 in. v' Non-Loadbearing walls................................................(fable 5)..............................2x-!t-- 9 ft O in. t/ Gable End Wall Bracing' FullHeight Endwall Studs............................................(Fig 10)................................................................. -� WSP Attic Floor Length................................................(Fig 11)...................................... .. ft ZW/3 Gypsum Ceiling Length if WSP not used YP 9 9 (� )...................(Fig 11)............................................ ft z 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11)...................................... or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays v Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).................................... ft X Splice Connection(no.of 16d common nails)..............(Table 6)........................................................_ x C0ZU(-I ? 4Y 1�6-s(rfto, u..c it sl2ofo f AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts.Checklist for Compliance(780 CMR.5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(rabies 7)..................................................... 2 �/ Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(fable 8)....................................................... 2- Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................. 3 It O in.s 11' Sill Plate Spans ..................................................... (Table 9).................................. ft 5_m.511' Full Height Studs (no.of studs)....................................(Table 9)................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans...... (fable 9).................................. ft o in.512' ....................................................... SillPlate Spans...........................................................(Table 9)..................................eft in.512° -� Full Height Studs(no.of studs)....................................(Table 9)....................................................... Z ./ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously` Minimum Building Dimension,W Nominal Height of Tallest Opening2 ....(9 s 6'8' ✓ .................................................... SheathingType..............................................(note 4)..................................................... t.-1? Edge Nail Spacing.........................................(Table 10 or note 4 if less)....................... in. Field Nail Spacing..........................................(Table 10).................................................-it in. �— Shear Connection(no.of 16d common nails)(fable 10)........,.............................................._ Percent Full-Height Sheathing.......................(Table 10).................................................... % 5%Additional Sheathing for Wall with Opening>6'8°(Design Concepts).................... Maximum Building Dimension,L Nominal Height of Tallest Opening2........................................................................G5,s 6'8" ✓' SheathingType..............................................(note 4)..................................................... WSP ✓ Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ 4 in. ✓ Field Nail Spacing..........................................(Table 11).................................................�in. .i Shear Connection(no.of 16d common nails)(Table 11)...................................................... Percent Full-Height Sheathing.......................(Table 11).............................. Wall Cladding ........... 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).................... Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) ✓ Roof Overhang ...................................................(Figure 19).............G ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U= plf Lateral.............................................(Table 12).............................................L= plf Shear...............................................(Table 12)............................................S= ptf Ridge Strap Connections,if collar ties not used per page 21... able 13 Gable Rake Outlooker..............................: ........................(Figure 20) Q ft s smaller of 2 or pi Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14).................. - Roof Sheathing Type • ••••• )... ......... Roof Sheathing Thickness........................................... a in.;!7/16'WSR Notes: Roof Sheathing Fastening............................................(Table 2)............................... ...VOLs� 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps-per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR OlP- ADD TWO-FAMILY DETACB:ED RESIDENTIAL CONSTRUCTTOT�F (7ao cnTx si.00) Applicant Nam6: Site Address: print Town: � ! Applicant Phone: Applicant Signature: Date of Application: NEW CONSTRUCTION: cho e ONE of the-followin two'o tions 780 CM R.TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAAT9,Y BUILDINGS MA,. MIN CMUM Ceiling or Slab ❑ Option 1: Basement Fenestration exposed Wall Floor Wall Perimeter �•� HSPF U-factor floors R-Value R-Value R-Valua R-Value V and Depth R: alue i atjonal Appliance-En R-10, ConscrYali°h Act(NA: .35 R-38 R-19 R-19 R-10 4 ft igg7 as amended,mini caicr as applicabic Note: This form is not required ifyou choose either of the two Versions of REScheck as listed below. ❑ Option 2: RES check Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck--Web which can-be accessed at htt --Hwww.ener codes, ov/rrsrher-ki ADp"14COIVS:OR ALVkAT1'6�S.TO MST]1�O$[TLC,DST�GS.OVER 5 'EA SOLD *k3uildi-ngs under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %° of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b a) ' SF 100 x — _ % of glazing b a (b) Glazing area equals SF i If '1azin is , :40%.ire.the chart below. If lazing is > 40 % rpcced to "SLNROOM" section 780 CIYM TABLE 6101.3 PRESCRIPT ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING. LOW-RISE RESIDENTIAL BUILDINGS . MQ�IIMUM Ceiling and Slab Peri Fenestration Exposed floors Wall Floor Basement Wall R-Val U-factor R-Value R-Value R-value R-Value and De .39 R-37 a R-13 • R-19 R-10 R-10, 4 EL R-30 ceiling insulation may be used in place of i 7 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and includingan access o enin s . ' SUNROOM—An addition or alteration to an existing building/dwelling unit whereto' to ❑ glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of 1 addition. Note: Owner to fill out Consumer lii ormation Form found in Appmdix 120.P _.._. .. . INIassactiUsctts-bcputrtmcnt of Public Satct� Q oY6ffi6F ��tigiis� (6fi��(Pll �l Board of Building'Rcgulations and StWidiU dti HOME IMPROVEMENT CONTRACTOR 7 Construction Supervisor License R6gistratlbm�: .j,S4322 7T/5 License: CS 4 Exp;a4toii' 9/b/2010 T4 2U19 . - . l�-�?Ype Di3A ' Restricted to 1G, { ,� GROVER BUILD JG+EtEMODELIhG CAREY C GROVER '' I=r BOX 1080 CAREY GRUVER ' �r.�� . PO COTUIT, MA 02635 56 BOWDOIN RD MASHPEE,MA 026'49 y Administrator I Expiration: 11/2212011 7 _ Tr#: 7783 L Yw 4*: 6 , t: S' sy' f j i . I A TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 051 Parcel O/ 7 Permit# Health Division 6� loll '1 A4 Nr i% 'e3`�V p Date Issued Conservation Division - �I��>>i1 lD4 ► �$ fir,, �, ' 7 Application Fee , Tax Collector Permit Fee 3 K - 65 Treasurer - 1►f�,—,_`� Planning Dept. EXISTING SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board LIMITED T0 _#OF BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address lea Co Y1\.Nj qj Cz U f) Village C_e,�fi yyl C, Owner N�I_ c64— " nX&' (ni kjk r,% . Address Telephone c'-;0 R H )-0, 9 0 2;5 Permit Request Square feet: 1st floor: existing 1 C proposed 2nd floor: existing proposed _0 Total new b Zoning District Flood Plain 'Nr o Groundwater Overlay 0 Project Valuation 100 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure — Q Historic House: ❑Yes dMo On Old King's Highway: ❑Yes blq'o Basement Type: (&Full ❑Crawl ❑Walkout ❑Other I Basement Finished Area(sq.ft.) c") Basement Unfinished Area(sq.ft) I LI 5 0 1 Number of Baths: Full: existing _� new ® Half:existing C) new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing 77 new T First Floor Room Count - Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes QNo Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:Pexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Q Current Use�Qq Q Proposed Use BUILDER INFORMATION Name Steakelnm, Telephone Number S U�- -y76 17 yj Address 1 _� � � �t' License# 04 Home,Improvement Contractor# Worker's Compensation# t-T—r-trr Li ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I O f c� lo F FOR OFFICIAL USE ONLY 1•,PERMIT NO. DATE ISSUED MAP/PARCEL NO. , ADDRESS VILLAGE 6, OWNER t, DATE OF INSPECTION: FOUNDATIONfDO r. FRAME INSULATION -- v FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH Piz FINAL r FINAL BUILDING A. v• r- DATE CLOSED OUT T ASSOCIATION PLAN NO. r oY Town of•Barnstable Regulatory Seer• ides . axsrasz.E~$ Thomas F.Geller,Director Building Division • Tom Perry,Building Commissioner 200 Main Street, Hyxxmis,IJA 02601 Office: 508-862.4038 Pax., 508-790-6230 Permit ao. , Date ' AFFMAYIT ' J30ME VORO'YElYlTNT CONTRACTOR LAW SU2PLEMENT TO PZPJY 'APPLICATION • MQL c,142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •improvement,removal,demolition,or construction of an additioato any pie-existing owner-occupied budding containing at least one but not more than four dwelling units or to structures which are adjacent to suoh residence or building b a done by registered contractors,with certain exceptigns,along with other requirements, Q. • 'Type of Work: d" 1� � �F1_Eattiimptted Coast Address of Work: �a sr.w�m -tea L�t�1,uAR Owner's Name• ,V a • �—��,QQQ�� c`'� A�r�, lication:—WI "�� Date of App ' I hereby certify that: Reostration is not required for the following reason(s): ' [Work excluded bylaw . []Job Under S 1,000 ' []Building not owner-occupied ❑Owner pulling own permit NoHce is hereby given that: 0yMRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CON'!'RA CTORS FOR All HOME 110ROYEMENT WORKDO NOT IOW ACCESS TO THE AMITRATION PROGRAM OR GUARANTY YUND UNDER MGL c,142A. SIGNBD MMERPBNALTIES OF PEP= Thereby apply for&permit as the agept o the owner: Data Contractor Name Repistcationrlo. OR , Owner's Name The Commonwealth of Massachusetts - — Department of Industrial Accidents' - 600'Washington Street Boston,Mass. 02111'. Workers'IC ensation.Insarance Affidavit-General Businesses // / �� �,�y ��'..•.•.:��,.�:•.?:uV.D.. .Ty.Pr-,.y:yr"•=,`,..�• , � •ti ,, �.':: ♦ ..:�,1dY2 / , name: a _ . •^ X { . . ;; ... .. • . - r state: ZIV Dhone# work site locatiozi full address)! [] I am.a sole proprietor and have no one Business T)rpes [3 Retail❑Restaurant%Bai/EatYng Establishment working in any capacity E]Office 0 Wei(including-Real Estate,Autos etc.)' ❑I am an em to er with etn to ees(full& art time. ❑ Other I am an�ployer providing:workers',compensation for my employees working on this job., ':Ai. 3 •3J .:�• .�.'l, P•+ '.,5.�;• .'r: •�•• _•!;i.y:fly •.ly�t'. .3 `{'�`Y'�� •,:•L •,.f f.t •, •1•• ' .1::• ^ Jr. '3.h• :) :•.'Cr: 'h• •'1.:� L�'��•,:.1• h .. •.7.7• ce• f 1� ••�+,I!'•• •:il•/10�••'•�'•••.•' •••��Y'•.•", .i•1: t i :i.. ��v•' g 'In� 1 �.htr phone#.::;'. �)S �'.i?' 1. '1' � .-Z:• t _ Y �_ 4 j , Insurance.ct .: / ::.' • :.:>:• ...:.:_. .; I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: „ fan .namt;: •.0 Yrl..••,+1•`J.^,:.� !•:,'.1.L['� \ f.;..: ...,,.:" :,f'�•''•'• ,�'' .•It if;• t r:.:•I'••A+f.',JJ._ :r.'. ' � yt• \•1`�' •p:4•i•1'~ ,� xi•�%• ° i 3 "_ is�' %�' -•1.. .1. 10. •rr! ,�,;� _ .:�,l...,. ,7••,f�?:'it. a:'1; .'; ''1.i' ,i�'. :•i,.4'••'r'± _ �?_•"� '_,.t• 6iL Cl :.� :•i:•:''' ,:�rri 4j;�i:' ,,").;:::' \.:,?.y^.•� 1 :;�"'"•:i.t^j.:��- i��.h;t. .'�: ,i,,.• . 2. ':t:• :1, h.ii':•vYr' '': ',..:' +: il•' t:�r,,5. .!r�.�•• -•,. ,i NYC ,: :•4 *::�}', \','+, .1., 7y/�t•'.r:•f'•, 'r�''•.¢,�l:i' ?'S`L •�:' -i••+:. IOZIC :#�•• .4),.2'i•s.::?• ':li:•.- „jt•.r .,+, t. [ ^ ;.t i,•. �tiy'J �•�;.•.•• '� •:t•i�:,f:r.id,':.J`C; 'r�., +.y....yf.J+:'•'•! !�. �, •• . 1'�:�<' •!!.f:^ .,`, :\: -1.•.t 1.�'• \J,'J, rf• :).,• .,'yn.-, t..�,• com eri. ri33vte:�i�r •��' .. `., ..r:. ••..r, .i+' • '�,,:••',� Cl' _ •,� .� .:W'`•; Sy: •'h. r.S� �� ••i•. �%�+..�' •.1.��:� _�S;'•.t: '.1::•�:. :e;r 4'.:iy:;. •, •i . •r.' ,� °'+�'.' :�•' ^i'' la':i ''�•' '�.• �S'S5• O'I1Cv:tti.? ,,'. ��,3 :!,,!?..• �:','': ': fns`tiraa Ce'Cb:'?i gOMMM FaOure to secure coverage as required under Section 25A of MGLL 152 can lead to the imposition of criminal penalties of a One up to$1,500.00 and/or one years+imprisonment as well as civil penalties In the foim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DlAfor coverage verification. I do hereby ce irj nder thepains�ndp.o,,�,ufles o p rjury that the in�`ormatia provided above is Prue and correct IN Date Sipature ' .. Print name A, --- �� Phone# (p �� y P J official use only do not write in this area to be completed by city or town official permitlliceme# ❑Building Department . city or town: ❑Licensing Board •checkif immediate response is required ❑Selectmen's Tice ❑Health Department , contact person' phone#; ❑Other _ (revised Sept 2003) bra Information and Instructions. Viassachusetts .General Laws chapter�152 section 25.requires all employers to provide Workers' compensation for their. loyees: As quoted from the law', an employee is.defined as every person in the service•of another under any contract of hire; express or imp lied; oral or written. An employer is define , association, corporation or other legal entity, or any two or more of d as an individual,gartnership the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased,employer, or the receiver or a association or other legal entity, employing employees. 'However the owner of a trustee of an individual,p .rtnershi P�. dwelling house ha`rsng'not'inore than three apartments and-who resides therein, or the.occupant:of the dwelling house bf another who employspersons to do.maintenapce, construction or repair work on such dwelling house or on the grounds or burr 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 lbcal licensing agency shall withhold the issuance or renewal of a license or permit,to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidence of corripliance with n Ito ane contract for the performance of public.work coirirnonwealth nor.any.of its political subdivisions shall y e insurance requirements of this chapter have been presented to the contracting acceptable evidence of complianoe with t� . authority. FIR Applicants Please fill in the workers''compensation affidavit completely,by checking the box that applies-to your situation.,Please supply company n'arne, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department•of Industrial Accidents-for confirmation of insurance coverage. Also'be sure to sign and date the should be returned to the city or town that the application for the permit or license is being affidavit. The affidavit not the Department of Industrial Accidents-. Should you have any questions regardin�*ffi6"law" or if you are requested, required obtain a workers'-comp ensation policy,please call the Departriaent at the number'liste�d..below. City or Towns . lete printed legibly. The Department has provided a space at the bottom of the Please be sure that the affidavit is comp affidavit for you to fill out in the everifthe Offic6 of Investigations has to contact you regarding the applicant: Please be sure to fill-in the Pe cens.e number.which will b'e used as a reference number. The.affidavits,rnay.be.retumed to the Departmentb , or FAX unless other:arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a-call.• The Department's address,telephone and-.fax number: , The Commonwealth Of Massachusetts- Department of Industrial Accidents ice of l�esti�atiens 600 Washington Street - Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 RESIDENTIAL BUILDING PERMT FEES APPLICATION FEE New Buildings $100.00 Residential Addition . $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE C square feet x$96/sq.foot= x.0041= ��S plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE a. � square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&.detached) square feet x$32/sq.R.= x.004.1= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041=. STAND ALONE PERMITS Open Porch x$30.00= . (number) . Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee v Proicost 790 CMR Appends:! Table J5.2.1b(condoned) Prescriptive Packages for One and Two-Family Residential Buildings Hated with Fossil Fuels MAXIMUM MINIMUM 0laring Glaring Ceiling. Wall Floor BasesuFul Slab Heating/Cooling Array(%) U.value= R-valued R value` R value' wall perimeter Equipment Efficieary, pne we I I I R value` R-value' 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal . R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 SS AFUE T 15% 0.36 38 13 23 N/A N/A Normal U 15% 0.46 38 19 19 10 6- Normal V 1S% 0.44 38 13 25 N/A N/A 83 AFUE w IS% 0.52 30 19• 19 10 6 85 AFUE X 18% 0.32 38 13 23 N/A N/A Normal Y . 19% OA2 38 19 25 N/A N/A Nominal Z 18•iL OA2 38 13 19 10 6 90 AFUE . AA 18•/. 0.50 30 1 19 19 1 10 6 90 AFUE 1. ADDRESS OF PROPERTY: -m - 2. SQUARE FOOTAGE OF ALL EXTERIOR WAL O / LS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 70 5: SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS. ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-fomis-f980303a t, 780 CMR Appendix J Footnotes to Table JS LIN I ° Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls 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 excluded 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) test procedure; or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and-R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example, an R-19 requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling 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 are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or.5. If you plan to install more than one puce of heating equipment.or more than one piece.of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a)Glazing areas 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 0.35. 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 J1.5.3b: 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 from this requirement(i.e.,may have a U-valuegreater than 0.35). 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.avemge.U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 41 Tom. of Barnstable vpfKNrtTOk�o� Regdatoxy Services .� Thomas� Geiier,Director Building Division FD µA TompeT* Building Commissioner . 200 Main Street, Byaanis,MA 02601 . . --• ,ta�n.b arnstable.ma,Us - Fav 508-790-6230 pffice: 508.862-403 8 Pfoperty owner Must _. Complete and Sign This Section _.. ' If Using A Builder i,r, ,as Owner of'the subject property - to act on mybAla]f, _.. I autborize . :. relative to work authorized by this building perrrmit application for. . It�=natters r • . __ _ (Address of job) - - 4 ---_ ate. &- ,,tutmof Owner priat Name �/ze �ommzo�uuea/D� 0 0aaaac/ueet Board of Building Regulations and Standards HOME 1114P,ROVEMENT CONTRACTOR Registrati P 117610 Ezpr;ton,:-9 0/25/2004 i `F YPe--individual STEVEN L. MEL STEVEN MELLOR 199 PERCIVAL .. L...r•i GA 6 iy�/26� I W BARNSTABLE, MA 02'68 Administrator . 1 7k B'OA ?onurerx�/y RID OFa ILDIfY a ac/a`r°eCQ Ucense. CONSTRUCTION SUPER SOBS Nurniltz" 5 049879 I Birf�ic�ate +.57:22' 957 I1 ,6 Tr.no: 25641 Rest•c ] STEyEN L MELLO o I 199!PERCIV/AL DF�� W BA�RNS�T°ABLE, I1'�q�� G'� Comm`issiorier ' IMPORTANT - UPGRADE REQUIRED STATE BUILDING CODE REQUIRES UPGRADING R NG OF SMOKE DETECTORS REVIEWED � SMOKE DETECTORS FOR THE ENT D '4E OR MORE SLEEPING AREAS ARE ADDED OR CREATED. i BARNSTABLE 111JILDING DEPT. DATE HWE; A SEPARATE PERMIT IS'REWIRED FOR THE I y, S' INSTALJ,TION OF SMOKE DETECTORS-THE ELECTRICAL ERMIT GOES OI SATIS IS REQUIREMENT. FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING I N� (3 CA o � r WE- BC CALC®2003 DESIGN REPORT - US Monday,November 01,200413:23 Double 1 3/4" x 9 1/2" VERSA-LAM®3100 SP File Name: Steve Mellor,Guerin Res.:F1301 Job Name: Guerin Res. Description: Address: 6 Cornwall Court Specifier: Botello Lumber City,State,Zip:Cotuit,Ma Designer: Structures Engineering Customer: Steve Mellor Company: Code reports: iCBO 5512,NER 629 Misc: Standard Load-40 psf 110 psf Tributary 91-04-M r `�,•FS' , '#`ems vc '?eau"' ✓w '•a`.drt YY J" fi @f R_. d;Y,'^ . `ts ",,.. s' a S`� jL xn, r. s.,. "!''�... :, a, QN,I ,._ma ,.sr, .t`.•" . ' ,�- ,�q � 4' .;a. ��,, erfirM ti �1 10400-00 10-00-00 BO B1 62 883 Ibs LL 1767 Ibs LL 233 Ibs LL 558 Ibs DL 1084 Ibs DL -24 Ibs DL Total Horizontal Length-20-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib: Dur. S Standard Load Unf.Area Left 00-00-00 20-00-00 Live 40 psf 01-04-00 100% Member Type: Floor Beam Dead 10 psf 01-04-00 90% Number of Spans: 2 1 Reaction from CConc.Pt.1302 aLeftaring05-00-00 05-00-00 Live 1600 lbs n/a 115% Left Cantilever: No Dead 1164 Ibs n/a 90% Right Cantilever: No Controls Summary Slope: 0/12 Control Type Value %Allowable Duration Load Case Span Location Tributary: 01-04-00 Moment 6252 ft-Ibs 39.0% 115% 4 1 -Internal Neg.Moment -3541 ft-Ibs 22.1% 115% 3 1-Right End Shear 1381 Ibs 18.7% 115% 4 1 -Left Cont.Shear 2056 Ibs 27.8% 115% 3 1 -Right Live Load: 40 psf Uplift 207 Ibs n/a 4 2-Right Dead Load: 10 psf Total Load Defl. L/730(0.164') 32.9% 4 1 Partition Load: 0 psf Live Load Defl. U1202(0.1 30.0% 4 1 Duration: 100 Total Neg.Defl. -0.061" 12.2% 4 2 Max Defl. 0.164" 16.4% 4 1 Disclosure The completeness and accuracy of Cautions the input must be verified by anyone Uplift of 207 Ibs found at span 2-Right. who would rely on the output as evidence of suitability for a Notes particular application. The output Design meets Code minimum(L240)Total load deflection criteria. above is based upon building Design meets Code minimum(L/360)Live load deflection criteria. code-accepted design properties Design meets arbitrary(1")Maximum load deflection criteria. and analysis methods. Installation Minimum bearing length for BO is 1-12". of BOISE engineered wood Minimum bearing length for B1 is 3". products must be in accordance Minimum bearing length for B2 is 1-12". with the current Installation Guide Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+12 intermediate bearing 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. BC CALC®,BC FRAMER®,BCIV, BC RIM BOARD-,BC OSB RIM BOARD-,BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRANDTM', VERSA-STUD®,ALLJOISTO and AJSTM'are trademarks of Boise Cascade Corporation. Page 1 of 2 SOLSE, BC CALC®2003 DESIGN REPORT - US Monday,November 01,200413:23 Double 1 3/4" x 9 1/2" VERSA-LAM®3100 SP File Name: Steve Mellor,Guerin Res.:FB01 Job Name: Guerin Res. Description: Address: 6 Cornwall Court Specifier: Botello Lumber City,State,Zip:Cotuit,Ma. Designer: Structures Engineering Customer: Steve Mellor Company: i Code reports: ICBO 5512,NER 629 Misc: Connection Diagram Consult project design professional of record or BOISE technical representative for connection design Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are:16d Sinker Nails a=2" b d b=3" c=2-3/4" a d=12" I C • B►QW BC CALC®2003 DESIGN REPORT - US Monday,November 01,200413:24 Single 9 1/2" AJSTm 20 MSR File Name: Building:Floor 1U_07 Job Name: Guerin Res. Description: Address: 6 Cornwall Court Specifier: Botello Lumber City,State,Zip:Cotuit,Ma. Designer: Structures Engineering Customer: Steve Mellor Company: Code reports: ISR-1144 Misc: Standard Load-.40 psf 110 psf OC Spacing 12' BO,3-1/2" B1,3-1/2" 277 Ibs LL 277 Ibs LL 69 Ibs DL 69 Ibs DL Total Horizontal Length-13-10-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 13-10-00 Live 40 psf 12" 100% Member Type: Joist Dead 10 psf 12" 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 1196 ft-Ibs 35.2% 100% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-Ibs n/a 100% OC Spacing: 12" End Reaction 346 Ibs 24.9% 100% 2 1 -Left Repetitive: Yes Total Load Defl. U899(0.185") 26.7% 2 1 Construction Type:Glued Live Load Defl. U1124(0.148') 42.7% 2 1 Max Defl. 0.185" 18.5% 2 1 Live Load: 40 psf Span/Depth 17.5 n/a 1 Dead Load: 10 psf Partition Load: 0 psf Notes Duration: 100 Design meets Code minimum(U240)Total load deflection criteria. Disclosure Design meets User specified(U480)Live load deflection criteria. Design meets arbitrary(1')Maximum load deflection criteria. The completeness and accuracy of Minimum bearing length for BO is 3-1/2". the input must be verified by anyone Minimum bearing length for B1 is 3-12". who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+ 12 intermediate bearing evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of BOISE 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. BC CALC®,BC FRAMER®,BCI®, BC RIM BOARD-,BC OSB RIM BOARD-,BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND-, VERSA-STUD®,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 i SO Ery BC CALC®2003 DESIGN REPORT - US Monday,November 01,2004 13:24 Single,9 1/2" AJSTm 20 MSR File Name: Building:Floor 1\.J_16 Job Name: Guerin Res. Description: Address: 6 Cornwall Court Specifier: Botello Lumber City,State,Zip:Cotuit,Ma. Designer: Structures Engineering Customer: Steve Mellor Company: Code reports: ISR-1144 Misc: Standard Load-40 psf 1.10 psf OC Spacing 16" Ak 09-11-00 AL09-11-00 Ak BO,3-1/2- B1,5-1/4" B2,3-1/2" 231 Ibs LL 661 Ibs LL 231 Ibs LL 50 Ibs DL 165 Ibs DL 50 Ibs DL Total Horizontal Length-19-10-00 General Data Load Summary Version:, US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 19-10-00 Live 40 psf 16" 100% Member Type: Joist Dead 10 psf 16" 90% Number of Spans: 2 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 819 ft-Ibs 24.1% 100% 2 2-Left Slope: 0/12 Neg.Moment -819 ft Ibs 24.1% 100% 2 1-Right OC Spacing: 16" End Reaction 281 Ibs 20.3% 100% 5 2-Right Repetitive: Yes Int.Reaction 826 lbs 28.2% 100% 2 2-Left Construction Type:Glued Cont.Shear 413 Ibs 35.6% 100% 2 2-Left Total Load Defi. L/2553(0.047") 9.4% 4 1 Live Load: 40 psf Live Load Defl. U2953(0.04") 16.3% 5 2 Dead Load: 10 psf Total Neg.Defl. -0.015" 2.9% 5 1 Partition Load: 0 psf Max Defl. 0.047" 4.7% 4 1 Duration: 100 Span/Depth 12.5 n/a 2 Disclosure Notes The completeness and accuracy of Design meets Code minimum(L/240)Total load deflection criteria. the input must be verified by anyone Design meets User specified(U480)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1')Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 3-1/2". particular application. The output Minimum bearing length for B1 is 5-1/4". above is based upon building Minimum bearing length for B2 is 3-1/2". code-accepted design properties Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing and analysis methods. Installation of BOISE 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. BC CALC®,BC FRAMER®,BCI®, BC RIM BOARD-,BC OSB RIM BOARD-,BOISE GLULAM-, VERSA-LAM®,VERSA-RIMS, VERSA-RIM PLUS®, VERSA-STRANDTTM, VERSA-STUD®,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 I i BC CALCO 2003 DESIGN REPORT - US Monday,November 01,2004 13:24 Double 1 3/4" x 9 1/2" VERSA-LAM@ 3100 SP File Name: Steve Mellor,Guerin Res.:RB01 Job Name: Guerin Res. Description: Address: 6 Cornwall Court Specifier: Botello Lumber City,State,Zip:Cotuit,Ma. Designer: Structures Engineering Customer: Steve Mellor Company: Code reports: ICBO 5512,NER 629 Misc: �0 ' 12 1 Standard Load-25 psf l 15 psf Tributary 1340-001 1 1 1 1 Itt „s.� ° `� '",.r'� .G, �•� -},u�� s�e���..,,���,�`L 'F as xs ..�� a�� a, � ..��"f� ,&,�' S 'n'-�Sr' �;-•�a .fie. --�§ .r {fix. ., '?I� r• :: X' .3't,d rk w.' 4- „` .'"?r 44"5F'i�+u� c*,�T.a� AL BO B1 1625 Ibs LL 1625 Ibs LL 1217 Ibs DL 1217 Ibs DL Total Horizontal Length-06-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 06-06-00 Live 25 psf 13-00-00 115% Member Type: Roof Beam Dead 15 psf 13-00-00 90% Number of Spans: 1 1 ceiling load. Unf.Area Left 00-00-00 06-06-00 Live 25 psf 07-00-00 100% Left Cantilever: No Dead 10 psf 07-00-00 90% Right Cantilever: No 2 layover roof Ioa(Unf.Lin. Left 00-00-00 06-06-00 Live 0 plf n/a 115% Slope: 0/12 Dead 100 plf n/a 90% Tributary: 13-OD-00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 4618 ft-Ibs 28.8% 115% 3 1 -Internal Live Load: 25 psf Neg.Moment 0 ft-Ibs n/a 100% End Shear 2149 Ibs 29.1/0 115/0 3 1 -Left Dead Load: 15 psf Total Load Defl. L/1111 (0.07") 16.2% 3 1 Partition Load: 0 psf Live Load Defl. L/1943(0.04") 12.4% 3 1 Duration: 115 Max Defi. 0.07" 7.0% 3 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(L/180)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(L/240)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1')Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-1/2". particular application. The output Minimum bearing length for B1 is 1-1/2". above is based upon building Member Slope=0,consider drainage. code-accepted design properties Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing and analysis methods. Installation of BOISE engineered wood Connection Diagram products must be in accordance Consult project design professional of record or BOISE technical representative for connection design with the current Installation Guide Member has no side loads. and the applicable building codes. To obtain an Installation Guide or if Connectors are:16d Sinker Nails you have any questions,please call (800)232-0788 before beginning a=2" product installation. b=3„ b d BC CALCO,BC FRAMER@,BCI@, c=2-3/4" a BC RIM BOARD-,BC OSB RIM d-12" BOARD-,BOISE GLULAM-, VERSA-LAMO,VERSA-RIM@, C VERSA-RIM PLUSO, VERSA-STRAND VERSA-STUDOUDO,ALLJOISTO and , AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 BC CALC®2003 DESIGN REPORT- US Monday,November 01,2004 13:24 Double 1 3/4" x 9 1/2" VERSA-LAM®3100 SP File Name: Steve Mellor,Guedn Res.:RB02 Job Name: Guerin Res. Description: Address: 6 Cornwall Court Specifier: Botello Lumber City,State,Zip:Cotuit,Ma. Designer: Structures Engineering i Customer: Steve Mellor Company: Code reports: ICBO 5512,NER 629 Misc: 1-10 12 2 1 Standard Load-25 psf 115 psf Tributary 01 �a yak t Fj' t fir w a n, a )� s m . Y tj Al X''f-d :yJ'!F .b..,; .•yJ }» t ,,..ta, d�>. .4w._ t`.c"`'F' atit'rer.',.,�;`.yc� ,2 i:iR.iYi 'dn t012 �Z h. a=%N ,;4+a. r rR U •. BO 61 1600 Ibs LL 659 Ibs LL 1164 Ibs DL 459 Ibs DL Total Horizontal Length-09-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 09-06-00 Live 25 psf 01-04-00 115% Member Type: Roof Beam Dead 15 psf 01-04-00 90% Number of Spans: 1 1 ceiling load. Unf.Area Left 00-00-00 09-06-00 Live 25 psf 01-04-00 100% Left Cantilever: • No Dead 10 psf 01-04-00 90% Right Cantilever: No 2 Reaction from CConc.Pt.601 aLeftaring02-00-00 02-00-00 Live 1625 Ibs n/a 115% Slope: 0/12 Dead 1217lbs n/a 90% Tributary: 01-04-00 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 5306 ft-Ibs 33.1% 115% 3 1 -Internal Live Load: 25 psf Neg.Moment 0 ft-Ibs n/a 100% End Shear 2677 Ibs 36.2% 115% 3 1 -Left Dead Load: 15 psf Total Load Defl. Lf782(0.146') 23.0% 3 1 Partition Load: 0 psf Live Load Defl. U1344(0.085") 17.9% 3 1 Duration: 115 Max Defl. 0.146" 14.6% 3 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(U180)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(U240)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-1/2". particular application. The output Minimum bearing length for 61 is 1-1/2". above is based upon building Member Slope=0,consider drainage. code-accepted design properties Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing and analysis methods. Installation of BOISE engineered wood Connection Diagram products must be in accordance Consult project design professional of record or BOISE technical representative for connection design with the current Installation Guide Member has no side loads. and the applicable building codes. Concentrated loads are not considered in side load analysis. To obtain an Installation Guide or if you have any questions,please call Connectors are:16d Sinker Nails (800)232-0788 before beginning product installation. a=2" b d BC CALC®,BC FRAMER®,BCI®, b=3" BC RIM BOARD-,BC OSB RIM c=2-3/4" a BOARD-,BOISE GLULAM-, d-12 VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, C VERSA-STRAND-, VERSASTUD®,AL ®and AJSTM'are trademarksks of of Boise Cascade Corporation. Page 1 of 1 BOISE CASCADE - BC FRAMER 2002 Piece Report File Name: Steve Mellor,Guedh Res..bcf 11/1/2004 1:40 PM BONINE' Customer: Steve Mellor Company: Botello Lumber Co. Job Name: Guerin Res. City, State: Mashpee, Ma. Address: 6 Cornwall Court Drawn By: R. Lowe Location: Cotuit, Ma. Misc: BCIO,Versa-Lam®,and Versa Rim 980 are registered trademarks of Boise Cascade Corp. NOMINALIZED MEMBERS: Product Depth Mark Qty Length Total Len. 9 1/2"AJSTm 20 MSR 9-1/2" 1 16 20'0" 320'0" 2 14 14'0" 196'0" 3 1 13'0" 13'0" 4 1 12'0" 12'0" 5 1 10,0" 10,0" 6 1 9.01. 9'0" 7 1 8'0" 8'0" 8 1 TO" 7'0" 9 1 6'0" 6'0" 10 2 5101. ,010.. 1.1 1 4'0" 4'0" 12 2 3'0" 6'0" 13 1 1'0" 1.0.. 43 602'0" 1 3/4"x 9 1/4"VERSA-LAM®3100 SP 9-1/4" 14 3 25'0" 75'0" 3 75'0" 1 3/4"x 9 1/2"VERSA-LAM®3100 SP 9-1/2" 15 2 21'0" 42'0" 16 1 18'0" 18'0" 17 1 9101. 9'0" 4 69'0" STANDARD BLOCKING: (Total Length blocking run) Product Depth Mark Std. Block Length Total Len. 9 1/2"AJS rm 20 MSR 9-1/2" 18 13-1/2" 37'0" TOTAL LENGTH PRODUCTS: Product Depth Mark Total Len. 1"x 9 1/2"VERSA-RIM®98 9-1/2" 19 83'0" ACCESSORIES: Manufacturer Product Mark Qty Description Simpson Strong-Tie SUL310 H1 4 2-1/2 x 9-1/4 to 14 Skewed Left 45' Face Mount Inc. Simpson Strong-Tie SUR310 H2 8 2-1/2 x 9-1/4 to 14 Skewed Right 450 Face Inc. Mount BC FRAMER®2002 11/1/2004 1:51:27 PM Steve Mellor,Guerin Res. 1 of 1 Assessor a and lot number k �'� t- TIC SYSTEM MUST Br 9. INSTALLED IN COMPLIANCE Sewage;-Permit numbe �� ........................ WITH ARTICLE II STATE SANITARY CODE AND TOWN �POFT�Ero�o : TOWN OF BARW9TX LE i BAWSTADLE, i MABEL 0039, o w BUKDING INSPECTOR � ar°'• • APPLICATION FOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ............................. :..... ...........:.................................................................. j6Z•Q , .................'..�3...................197. ... TO THE INSPECTOR OF BUILDINGS: The undersigned h rebyy applies for a permit a�ccordiing to followin information: Location5; L ! Gi2 .................... ....................................................................................... ............4p....... ............................. ProposedUse ..........., s ' ....................................................................................................................................... Zoning District ........... .... ...................................................Fire District Name of Owner ........... ........... ��...... L ? ..................Address........ W.............. ..1-...Q`! .................` Name of Builder .... �/ L' `.............Address ../�(......�4-,, ..... Name of Architects `fie. �.. 0 Q...........Address �A-Q ... ............................. ................./i. .................... Number of Rooms .......... Foundation .............. �� ........................%................................. Exterior ......... ......................Roofing ......... ............................................. Floors «G� / 2 � .C�L�GC�w... ................ ....................................................................Interior ..........�/.......... ...............1 Heating "! . ...... `„ ,a ...Plumbing ............ � ..../.�..........�....................................... . o 0 n Fireplace .............�.................................................................Approximate Cost .............. ......................................... .. Definitive Plan Approved by Planning Board -----------_.__---------------19________. Area .... 0 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi g the above construction. Name ....................................................... ................... ' ` Wafflatihlin, Paul No ...... Permit for .....on.e..s.t.o.ry.,./"� . ' - . . co t ' Loc,hon �. '''-'^'''- ' . ' ����� .......................................... -~--.---. ' Ovvner '.---E���.. ...................... Type'uf Construction --.�TA%�-------.. ' -----.--------------------. -/ #96 - Plot -�`'------_ �t __________.� ' ' ' . . ' ' . ' 76 Permit Granted ---�.c�o�sr ��-'.-_]q ~ , Date of | ----l9 ^ Dote Completed . ��/����1^�'�----.lV ' ' _ � - PERMIT REFUSED ^ . �.- ............... lA�_ ,\ ' .''--=.---..~---.-------.------ , � ` ----.-.,-----.------.-----.-. - . . ^ �- -.--.°-.. , ~ / . ----..-~---..—...--.-- ,~ ` '�---.'....�--,-.----.-.-.-.-----... _ ,App,o.ye6 _------------.�-.. lQ . � ' --------..-----------------.. �' ........................................................... � ^ � � 1• � Hin• S�-'bdc.F - IZI �' �, �' A L N pT 2 91 T\, A L.Or 9G � , ;�zg 2 �_ �A 32, G4i sq• ff- N. J�e60 • S.DO' C; hereby certify that_ me PL D T PLAN fAundbtion is located as shown or ctnd conforms to the Zonin - - 'L 9 x�� 9y Laws .of"the Town of t '�ti o�_ ��T�Ss G " COTIJ/T BAY SHORES Barnstable.. _ MI IN 4c+ 80HANNON ° No 26106 l COTU/T, BARNSTA84E , MASS.. . �Jste �a SCo/I / " S 40' Sep,24 , /976 "O sunk GRETE M. BOHANNON, R..L.,S. . /r ,�j, lY aocaa� West Bridgewater Mass., 02379 .- v Assessor's reap and lot number ........................................ Sewage, Permit numbe .... 9s ...........:................. �FTNEtO�♦ TOWN OF BARNSTABLE Z BABBSTSULE, i 9 "6 q .•�0 BUILDING INSPECTOR �o rraY a• APPLICATION FOR PERMIT TO ..... 't u:": �..... ..i � ................................................ TYPEOF CONSTRUCTION ................................... ...... ....................................................................;:.......... ��'................................................' ` ,9 7 TO THE INSPECTOR OF BUILDINGS: . The undersigned hereby applies for a permit according to the followi information: 4 Location ...................................................................................... ....5...:.................................................................................. ', As / ' Proposed Use .....:... ............................................................................................................................................................ ' Zoning District Fire District ..../: .' .. .....................o ........ .. ............................................. /i � �e tic - Ui Nameof Owner ........................... ...................Address ...................................................................... .� (C �. /C�- v` r S Name of Builder ? ' ,..! Address :.(... ....................�........... /.............................................................. Name of Architect � /� "W,- � .�.° n.......1U.. -: ?...........Ad'dress .....................2. t............................................... cU �! Number of Rooms ..........,�................................................:.Foundation ....��.................................... Exierior �9�d.. !�!V". ...Roofing e �. -tom � ' Floors nl� vv Interior '�^9 e4,Lz ? u.Ja ........................................................................ ........ . .................. e: ...... �'` �-ZJ.a..C�Jn, .Plumbing k /J...�' G^ Heating �...:��...... ........ ..... ............................. ..................................................... Fireplace ............. .................................................................Approximate Cost ......... ° .,............................................... Definitive Plan Approved by Planning Board ________________________________19________ , Area S�� s.r:I. ,,....... .... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 i q i ' c i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name, ......................................... ................... McLaughlin, Paul A=56-14 18737 one story, No ................. Permit for .................................... .Aingle fam6ilydwelling .......................... Laotian ........... .. . ...........Drive.............................. t .......................... ..... ...................................... Owner ...........P.a.0 1.. ....Lau.g.hlin....................... .. . .... ...... . ........ Type of Constru ion .....................frame..................... ........................... ...................... ......... ........ ... 4696 Plot ....................... .... Lot .. ...... . ........... �.�cto15 76 ......�e Permit Granted ........... .... ............19 Date of Inspection ..........;........... .............19 Date Completed ................... ....................19 PE IT REFUSED .......................I... ..................................... 19 .............. AY ........ ... .. .. .. ....... . ................... .......... ............. .......0)... ........................................ ........... h .................... ................................ V) Approved ................. ..... 19 ............................ ...... 4).......I............. .........../.�.......-...:...k ...... .......................... - F 3 � ac•F `L ii�t 1 0� tA Al • - 1. � �, zor 96 G'aN e� 0 . / hereby certify toot the PL o �' -P F,ounddtion is located as shown 96 . qnd conforms to the Zonis ?j ,Laws of the . rows -o `�o �►, sic N �O` or GR£TE ti� corulr BAY - sHoRrs Bornsfoble. _ g m, I N . _ BOHANNON ,p No. 29106'o co rt/1 r, BARNS M BL E, MASS. arsrec��a C, Sco% - / " Z 40' Sep.24 , /976 GRETE M. SOHANNON, R..L.rS West Bridgewater Mass., 02 37P TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION } Map 0 S l9 Parcel` 0114 _ Permit# Health Division 1 c�l I O O� _ Date Issued �J Conservation Division �° :) Fee ego, Tax Collector �3 Treasurer SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. — WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENWRONMIENT'AL Historic-OKH Preservation/Hyannis Project Street Address to 0_ op to lag u. 0_oC.e (P,_-T Village 0, C)TA 1 1,± Owner NI f✓( L -f- ►4L663aM Y La 6r21 Address Telephone ,1 R1• 2,3-7 F a g3 H ftC2s IMF i t=G0 , INI r+ 020S0 Permit Request E-Rn n T Po YQ CH — K)L)ef100 Id 0 EE : X 23 ' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation 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 C :Yr`s t Historic House: ❑Yes A No On Old King's Highway: ❑Yes 1$1 No Basement Type: I&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 3 new _ Total Room Count(not including baths): existing new — First Floor Room Count S Heat Type and Fuel: ❑Gas 40il ❑ Electric ❑Other Central Air: ❑Yes /10 No Fireplaces: Existing a New — Existing wood/coal stove: ❑Yes Cl No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use �- - r Proposed Use-- — BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ) / DATE , ?/ G / T FOR OFFICIAL USE ONLY PtRMIT NO. DATE ISSUED MAP/PARCEL NO. • l ADDRESS VILLAGE OWNER 4 DATE OF INSPECTION','., I ,. FOUNDATION D1'1b �tl 11) �y(E6 FRAME 1111 (61 :IM INSULATION ` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING `o DATE CLOSED OUT ASSOCIATION PLAN NO. . Town of Barns aa erne T o*IME T ExPires 6 Inon"'s%rom'ssua calf ---,. Fee • ' Regulatory Services /� gAA,45TABLE.o I �V �ei y�' s� 9� 'Thomas F.Geller,Director p�FOtM Building Division Peter F.D➢NIatteo, Building Commissioner X- 4 "` 367 Main S=ct, Hyannis,MA 02601w Office: 508-86=-=0 _ TOWN.OF Fax: ;08-790-6'=0 EMPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Impt7nt Map:parcei Number Property Address �v2v c.,��� � T co% Value of work 130 0 0 Residential Owner's:Fame 8 .address AJ 61 L � U��l A cv Telephone Number 67 - Contractor's Name Home Improvement Contractor license t(if applicable) Construction Supervisors License=(if applicable) (]Workman's Compensation Insurance Check one: [i I atn a sole proprietor I am the Homeonaer I have Worker's Compensation Insurance 2� Insurance Company Name Worianan's Comp. Policy--" (ti C 7 Permit Request(check box) Re-roof(stripping old shingles) Re-roof(not stripping. Going over existing layers of roof) Re-side Replacement Windons. U-Value ( .44) Other(spec&) issuance of this ermit does not exempt compiiance with other town d� =ent.reguiations.i.e.Hiitoric.Consen anon.::=• Where required: ' p Signature Q:Fonrs:esomtrc:r:�•-�1',060I -�...•/yw_'.O.^^s^ i�RC 10!25 f 20Ci `yy a ,m "„ , � {NROR1AATtCN ;a<.. .. . TM1ZS CERT'IPIGATE IS iSaDEO AS A MATT C i ►ReoLJotR ONLY AND©0NF16RS NO RIGHTS I�QN THE ERTI/ICATE A?= IN/UMCI sGZNCY n4C NIOLOER.THIS CERTIFICATi DOES NOT AUlNO,EXTENO OR 4 I972 IMSHINGTON ST1U IRT TENT COPE AF pRG THE Imo— — cOc_ ANTE AFF411fltN0 COVERAGE riAllt7Villt, IIIA 02239 COM►ANr KINGHM DII71'OAL s:781-e71-99a3 r:7e1-Q71-sTZ6 __ I A _.. --.. cO I A►w I.BGTON INSUPAW-s K%T"MWS, GLOM p a sox SQY rCOMPANY A>RaBLL+► pwracTION --. c Pwovas W► OZ339- COMPANY o f; F n r. h y' - ....�'h I THIS IS TO CERTIFY THAT THE POLKIES OF,NSURANCE LISTtp BELOW HAVE blEN 198UlA O'THC NSURED NAMED AYQVE FOR THE POLICY 1 NCICATtQ NJrWITrSTANOING ANY REQUIREMENT,TEAM OR CONDITION OF ANY CONTRACT OR OTNEQ O]CUMBNT WITH RESPECT TO E TE N IS, I CERTiFIGATt MAY BE ISSUED OR MAY PtFTAIN,THE 146URANCE AS°OFIDED by THE P000'ES ?fSCAIDeO HERE+N I$SUBJECT TO ALL THE TF AS, -- ! EXGlUSI0N5 AND I;ONDITIONS OF SUCH POLICIES LihIIT5 SHOWN Iv1AY HAVE BEEN REG'JCEO BY PAID CLAIMS I. --I-- - I I F'OrICY[/FCC/WE POL;iY EXPIRATION i JIg15 ` ! Ty►E OF INSURANCE POLICY NUMBER 1 OATS(MM100ml ( Dal:ltfYA0lYY1 r I �BC04Y INJURY OCC _ G6N[RAL LIAi11.ITV i O3/16/20ol 03/16/2,002 BppILY MUURY A96 t -- i p ;`.�l COI+F'REIIENIIVEFaf6M ART9700269 PRCPIRTYOAMNXocc ' l! MelMlsRitol°IRAnONa i ' roROAexTy OALMC',E AV 1IQA�p j II -•� vSCJ_rXIG ` OLIORS104TIOLIAPS1 IIAZARO I li III S PO COMSINGD Occ _ 1 1�_ I PIIOOUCTS COMR6TED OPlR I ( r— _ I I,_16i cme5 0AGc :s l.000,or r—PER —i --- i r„pNT't►.CTyAL I SONAL IWUR'f aGG•__r _. 1 INDEPENDENT CONTRACTORS i I EROAO FORM'ROPNLTY DAMAGE' 1 P2ASOPW6INJLf i ! IOOk.Y INJIXY i f 100.000 i&.tmm=wzLIAYLITY I `LP.pffew, {Qj ANY AUTO rr jALLOWNEDAVrpsIvM�Wp��I = OD4 ODDS ! 12/01/200C is/02/R001 'OODI;vINJIJRr s 3O�,c", I ,, j wr�dem1 _ , C �j.LLL AUTO _—j. I fd*Ap+yy��p g I 10:.fiDU Aline illvi+0 Pae��i ` ! �PRWlRT!DAMA6C �S iI !MAJD AUTO6 i NONdWNED AUTOS ; ,,g PE O L oROMrY aAAL! j 1 I GARA66 LUOIUTY I I COMEIIKD I i i SACMOCCUTIRFNLE _ �� i l EILC596 U,0LrTY G NEGATE UMSRELLA FORM I II jLjI1 OTHERIm" ASR&LA FORM RIORIDDIlCONIi11l>tAT10NAND 11/22/2000 11/22/YOO1 ;.1) EA "ACCIDENT 1 {5 !t:^,NC B EMPLOTERI'UAMLITY i 1PC7-0929836 EL DISEAI[•POLICY OMIT 1f__.. $00,cm THE PROPRI[TOR! 1 Imo • i i PARTNERSRIlC'!T� i •E:DISEASE•EA[MPLOrEG I E ;00,GOO I OFFICERS AM' i E1tCt i I I pnylOFit ECNL S 1 I I.3rit:u•.:.......:. { 11.. [MWLD ANY Of TMC A80VE D[BCRIB[D POLICIES v[CANC[LLEO BEFORE THE TOWN 0£ 1 Rtd8'l1►HL.1L EXPIRATION DATE TMER W,T11Y dVu,%4 COMPAMY WILL CNDEAVOR TO MAIL 020 DAYS WeirMN NOTICE TO"M CERTIFICATE NOLOCR NAMEO TO THA LEI'T, i OUT FAiLURC T9 MAIL 6UCH NOTICE$HALL IMPOii NO OW.IGATION OR 1,40LITY I f 0►ANY KIND UPON fNE OMPA7IY,ITC AO[N78 oR RRPA[aeNTATIVae- IIWHO T . AppUcoit'.. uerin locattom .property: Cotuir Lot 97 l '.. 215 . 58 n - o porch Area. Mo (9 v J ;M 1 story wel&yr O� % y d v � I cA ,24± Lot 95 re f.2387 /1I1 *0&pane:250001 0018•D f 00d/ ion -- C ��`� of :o PAIN yN e tt1!§p Ctr"on was.pr�are -f&r o T hereby Certta:bus I1t6r' ag GROVER Spillane q Fpsrsin Bank of A)terica , FSB No 31 a � tttAxU.rttg shown. �.:¢rcm does Hot�1 im a sped!as FEAI-k floo&- �o TES o� haaujj/ =cc wits L an.eff 4.t ve date of 7 -2 -92 anal, 'rthe locahbni o ° Sw the dwelling _dom'-1conf onn rto th.e local coning 6y-laws nef-ecr CLt finne of constnAaion with, respect to hori dtmen4 onal. Scale: 1" = GO' sethtX. k r+eG(Lt.Ltr11e'1'1-fiS Or is emnlMt Vkm V101ahl n a*roeYYLe1'L1 '' Date: G. 10 . 98 coc6bn under Mass. Generat Laws Chaptw40X•_5eCtl'0rv'7- File No. 98 4245 PLEASE NOTE; The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to, locate property lines. Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what o is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". W COLONIAL/LAND SURVEYING COMPANY, INC. U Y 269 Hanover Street Hanover, Mass. 02339 Phone: 781-826-7186 . Fax: 781-826-4823 °F ZHE 3•°� The Town of Barnstable . � : 9 M S�g Regulatory Services 039. Ate' Thomas F. Geiler, Director CEO MP'( Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 I HOMEOWNER LICENSE EXEMMON nn Please Print DATE: (2 07U T G W �wAe� (1t village 10B LOCATION: street nuumber oo � "HOMEOWNER": / r;�E� ��/� 6 I � work phone# name home phone# CURRENT MAILING ADDRESS: (U2&S—V zip cone city/town state ings of six units or The current exemption for"homeowners"was extended for hire who does not possess a liclense,a ova that less and to allow homeowners to engage an individvid ±e owner acts as supervisor. II�i DEFI'I'ION OF.HOMEOWNER or is o reside,on which there Person(s)who owns a parcel of land on which attahe/sched or detached strucesides or intends ttures accessory to such use•and/or intended to be,a one or two-family dwelling,attacheriod shall not be considered farm structures. A person who constructs more than one home in a two-year pthe a homeowner. Such"homeowner"shall submitBible for all Building of work cial on a Derformed under the bui cep a to ermit. Building Official,that he/she shall be reS1 (Section 109.1.1) es responsibility for compliance with the State Building Code and The undersigned"homeowner"assum other applicable codes,bylaws,rules and regulations. ing The.undersigned"homeowner"certifies that handsh nnde �n�and that he/shhe Town ofewill comply with h said Department minimum inspection proceduresrequirements 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 EXEMMON g permit is required shall be exempt from the The Code states that: "Any homeowner performing work for which a buildin p 4 .1-Licensing of construction Supervisors):provided that if the homeowner engages a provisions of this section(Section 109.1 person(s)for hire to do such work.that such Homeowner shall act as supervisor" the responsibilities of a supervisor(see re Many homeowners who use this exemption a unaware that they are assumingPo on Supervisors. oainst the Appendix Q.Rules&Reguladwhenfor the homeLicensing owaer hires unlicensed persons. i nos lie'outer Board cannot proceed ao lack of awareness often esults to serious problems.particularly responsible. unlicensed person as it-would with a licensed Supervisor. The homeowner acting as Sup co itnmunide ultimately pail of the pernut To ensure that the homeowner is fully aware of his/her responsibilities.many ace of this issue is a application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the l ourcommunti° form currently used by several towns. You may care t amend and adopt such a form/certification for use in y Q:FORMS:EXEMPTN Tile Ommon Department of Industrial Accidents Offer vaiwasMatfons asl:ingt on Street 600 W Boston,Mass. 02111 Workers' Com ensation Insurance davit ���������������������//r" • � riiii ar�iiiiii ri r aoioiiaiiirrrr locatiafL phone# 7 1 • city 8 3- $3 93 I am a homeowner performing all work myself. ❑ I am a sole etar and have no one workingin env � %//�/%/////////�DI//�/%00/„ %///%/////////// �/�//�� for ogees wo.?king on this job. ........... rvvz workers comp . sation ....... .. ....::..n?Y.::.}:::.::.;::}:;;;}}>};:.;}:::::.::.>:.}}:.:}}:.;:};::;::.::.}};:.;;}:;:.:::.::.:::.::.}:.:t.}:.:.:..;:.};:,::::.;:':::.;:.}:.:: lover ding ...:}:.::.:::::,:,::.:::::::::::.: :::::::::i.:::::::.:::::..:::.::::::::.:::::.::.::::.::,.:::::.;:.:::.:::.:.::::..:;;::::.:.:::;.::::::.:...... I am an employer : ::.....::::::::::::..:. :::...::::::::...::.::. :..::::::::...::::::::::::..:..:.:::::... >';•n sm v :cam an ..:.....::...:....:::............ »: a e e .......... .......... .:.................:::::..�:.�:�:}:>:::;r:•>::.}}}}:�i::5:�::;:ir:;:�i:�::�.`�>:.i:::::ii: ::r ::::;:�:� '�4:�f:�iS:�:'•:::%�:: :�is : :::r::: :`'::: :�:::::���::;::i:2�i'.�:::i� ............::::::::::::.>:::�:}::�>::';:::::::i:::r$:•`•�i;:�;Si::�:: ':�i::�'�::�:::;�::::;:�r::�::::::;::�::::i:::::i}i::i::�ii:;::::;%:: ::::�:%:f$::>::is� ::i::::::i:'.•'%:;:::i:::':: C{f:��::�::�`: :::':�;�•;:;.:5:;.::.:}::�>:�;:::;t.:::...;'::.,:........ insurance-ca: .::;.:.;::;;.:.::. :::::..........:: eral contractor, or homeowner(circle one and have hired the connectors listed below who ❑ I am a sole proprietor,gen have workers comp P cgs: the g .. :. ::: .....::.: ...:.:::. :...:.:::::...:::::::.:::.......::::::::::::.:::..:....::.::.::.:...:.:::::.::....:::::.:.:.::::::::..:.:::::::...:::::. . ........... ...................... ::4:•}:•:;•};:•::•::::::::.:•;}}:a}:.........}}f<•:}}:•}}}}:.;.}:•:t.:i;x:�fr:�f::+•:�:;�:i:�i�i�:�is f::::;•}:;::::;::.•':•:•:::::::t•:::: ^kffffi<ffvfif::+�'::: ,....... .........,.:.::.,.::::............................... .:::.:...::::•.:tf;:f^.,:::?ga.............:v.,v::•:::.:�:::::.v::::::. ,..n.YA-x:r..},:•.,Yv:^?tit.. :r.J„ EEEEEE:......<...v.:.?:::::v:.v:.v:v. .4:::.J%ri:<>.r4'`•:'vt..v..� ,a n...., n:...i...•:.J..,.••:::i:•;by\wxi, .++;q}}}%ttr.w.}':..w::4:r:•}:}:r:::.,.;.. ...... .. ,::::.:......tint.n..+:• ..... + .. ................ ......:......:....:.:... nsaran »>:>: ................................................. .................. .................:.::.......:.::::.......:.::..........:.::.............::.:::.:.....,..:.::::•...........:.::.........::.............:.............. ..............:.. env ,...... `�dd=es a > < : ........ . .. :.::............. r.................:::::::. . . .. ... ...... ............................. ..................... ................::::::::::vrn�:. v.}}}?:v:v}}:•}ri;xr;t•..... 4•:r}::w.:v.:•.+:.: •:...........................:.-.v.v•x{•}:tt:J:•}?:{4::0:1$iii:{ri:::.:.: :::::;:::::v:::v:••:••;•.;nv-J+::....: %. to S1�.Oo and/or FA glum" mrl-lllllllzllzlzA W Faiiu a to secure coverage as required order Section l SA of MGL iSZ can lead to the impositionof peaaltln of a tine up one yam,imprisomnent as wen as dva penalties in the forth of a STOP WORK ORDER and a 8ne of 5100.00 a day against tna I understand(bat a copy of this s may be forwarded to the OtIIte of Investigations of the DIA for coverage ven cation. I do hereby certijy under the pturu cord patalties ojperfury the the utjormatioa p above is truce and correct Date R LPhme# PriIIt name: � do not write in this area to be completed by city or fawn o>8dal 1 of9cial we only OBui1dinB Department peeadtNtwe# C311censing Bow city or town: seiecunen's Opdce chekifimmediate response is required (3$eaith Depument - ❑Other- --iiiiiiiiii— phone#, contact person: , i gtvum 9/95 PJN Information and Instructions � es all employers to provide workers' compensation for their Massa chusetts General Laws chalaw,, a_ section 25 requires employees. As quoted from the ,law,,, an employee is defined as every person in the service of another under any comrac: empl . . of hire, express or implied, oral or written. { , defined as an individual, partnership, association,.corporation or other legal entity, or any o o or more o c An employer is loge the legal representatives of a deceased employer, the foregoing engaged in a joint enterprise, and including g lo- employees.- However the owner of a trustee of an individual, partnership, association or other legal entity, emp ving having not more than three apartments and who resides therein, or the occupant�the use or on house of o: dwelling houseconstruction or repair work on such dwelling another who employs persons to do maintenance , building appurtenant thereto shall not because of such employment be deemed to be an employer. shall withhold the issuance or reneR MGL chapter 152 section 25 also states that every state or local licensing agency th for any applicant who hr of a license or permit to operate a business or to construct buildings cove in rage commonweal quir d. Additionally, t� not produced acceptable evidence of compliance with count for the performance of public work until commonwealth nor any of its political subdivisions shall enter into of this chapter have been presented to the contracting acceptable evidence of compliance with the insurance requires authority. gR Applicants ' affidavit completely,by.checking the box that applies to your won Please fill in .he workers camp easatioa along with a certificate of insurance as all affidavits maybe supplying company address *phoneof insurance coverage. Also be sure to sign and. submitted to the Department of Industrial Accidents to ce city o to application for the permit or license is date the affidavit. The affidavit should be retiimed to city or town that the the"law"or if yo. Should you have any questions regard steel, not the Department of Industrial Accidents.please the Department at the ions listed below. being ragas ensation p cy� call are required to obtain a workers' comp ii Pill ME City or Towns complete and printed legibly. The Department has provided a space at the bottom of tl Please be sure that the affidavit is comp has to contact you regarding the applicant- Please affidavit for you to fill out in the event the Office of Investigations number. The affidavits may be ret�R t^ be sure to fill is the permit/licease number which will be used as a reference the Department by mail or FAX unless other arrangements have been made.. The office of Investigations would like to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a call. FNNIF The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lnyesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375. i FEE VALUE WORKSHEET LIVING SPACE (2000 sq ft or greater) square feet x$115/sq.foot= (less than 2000 sq ft) square feet x$96/sq.foot= (affordable housing) square feet x$57/sq.foot= (40B or low income) GARAGE(UNFINISHED) square feet x$25/sq.foot= PORCH ��square feet x$20/sq.foot= ' 0 DECK square feet x$15/sq.foot= ALTERATIONS/RENOVATIONS OF EXISTING SPACE . .. .. . . cost.... . ... . .. . . ... .. Total Project Fee Value Office Use Only Permit Fee I projcost �C4 79'Gt EXIST EXIST EXIST EXIST. NOTES: EXIST 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, DETAILS,&FINISHES IN THE FIELD WITH OWNER crL y � 7.(r 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR EXPANDED r2lBz ' 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS SUNROOM A3 STATE BUILDING CODE,SEVENTH EDITION EXIST.RE-USE 5.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL wINDOw SIMPSON COMPONENTS REMOVE EXIST. 6.) THIS ADDITION DOES NOT MEET ALL OF THE REQUIREMENTS OF THE WFCM 100 MPH EXIST. PUTFORra '' L TO EXPOSURE"B"CHECKLIST.THERFORE,ALL APPLICABLE STRAPS,HOLDDOWNS,ETC. KITCHEN �i �� ATOH 5 ANDERSEN-_ANDERSEN _ ,I, Exlsrl • ;, ARE INCLUDED IN THIS DESIGN. a70 TR2IZi __ _•�� _ It l EXIST I, USE t '' ' ' EXIST n n DOOR II �� II III ` ----•� ^ d- P 5-3- e_�� a•-ta, A3 v o l l l r +/1 //� m III I 1 j IZ i t� ' JII I 1 I ID I I I I I EXPAND. Ira �I 'I' J ' as � LIVING ;, Sa I REMOD. .J ' GARAGE I t EXIST EXIST b IV EXIST EXIST. b PORCH I I 24•-0': ` PARTIAL FIRST FLOOR PLAN BOTELLO j LEGEND: JAN 1 5 EXISTING WALLS CONSTRUCTION TO BE REMOVED I NEW CONSTRUCTION ESTIMATING p• - r ,;,� COTUIT BAY DESIGN. LLC NEW ADDITION/REMODELING, FOR: THE DESIGNER GSPIBE NOTIFIED SIARIOF SCALE: DRAWING NO.: ERRORS DR OMISSIONS ARE FOUNDON TO SE RUCTIONS PRINSTRUCTION OR TONO OO OF j YOLBERESPONMOLEFORTOCOCInEW�� 1/4"EK 93 BREWSTER ROAD C; MASHPEE,MA. 02649 GUERIN RESIDENCE RJ THESE DRAYANGSIF OCNSIRUCiX7N COMMENCES WITHOUT NDTIFY.NG 111E PH.(508)2 ,MA.6 DEBIGNcROFANYERRORSORDR/ IICU DATE: ��//�� THESECRANINR ARE SO AN FOR ER USE FAX(508)539-9402 6 CORNWALL COURT COTU I�I ) NIA CN SEt4T OPERTVOSII AT ES---RUSEOF Al l THESE DRAAINOS REDUIRES THE TTUTTEII GO.NSEtR OF 7NE OCBIGNER TES---ORA\UNGS 1/8/2010 ARE PROTECTEOUYOER ,K TECIV7AL COiYRK.11T PROTECTION ACT OF IC9O 1 T 12 12 ® EXIST EXIST F NEW FASCIA.FRIEZE,8 SOFFIT BOARDS TO MATCH EXISTING t<= r NEWCORNERB 8 RIGHT SIDE E L EVAT I O N SIDING TO MATCH=XIS NG ,2 EXIST F- 12�EXIST. IV_ FTT } REAR ELEVATION EOTE LO JAN 1 5Io ESTIMATING ,, COTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR: THE DESIGNER SHALL°RTO FOUND S"NOTIFIED� SCALE: DRAWING NO.: i/ ERRORS ERATNNGSPRIOR ESIART OF 43 BREWS"TER ROAD VaLBERESON RESPONSIBLE ONiRACTOR 114" WILL SEE ORAAINGS I FOR THE CONTENT Eal:KJ MASHPEE ,MA. 02649 GUERIN RESIDENCE W,M$EORFANY ERRORS ORISICTIOt, CMNIENCES WITHOUT NOTFTINO TIE M SHP 2 ,MA.6 THESEEROFANERROOLELYF FOR THE DATE: THESE PROP NOS ARE SOLELY FORTHEUSE FAX(508)539-9402 6 CORNWALL COURT COTUIT, MA CONSETOFTHEYNOTEO THESEERIbEOr A2 THESE CRAWIN°S REOIARES THE,WWTTEtd I/8/2010 CONSENT OF THE dSIGNER THESE ORANWGS AAEPROTECTEOUNOER T@ARX"TECT"'AL COPYRIGHT PROTECTION ACT OF 1990 h 19'-G'z ————————————-- NEW ROOF CONST. ~ i 2 x 8 ROOF RAFTERS @ 16•oc 518"CDX PLYWOOD ROOF SHEATHING EXIST. t 2 15LBB FELT PAPER-MEMBRANEER ROOFING NEW 2.1 3la•x 9 1r1'LVL EXIST FASCIA BOARD TO MATCH EXIST ATTIC' FRIEZE BOARD TO MATCH EXIST' ��NEW Sr"BATT INSUL(R=30) `-SOFFIT TO MATCH EXIST ' T-a EXIST. I �SIMPSON H2 5 TIE AT EACH RAFTER SUNROOM I b e I MONOLITHIC A3 EXPAND. NEW WALL CONST. 5°F'TVEMSUM WALL POUR tt 2x 65TUDS@16'oc LIVING 2,lrZ'PLYWOOD SHEATHING, 3 6'(R=19)BATT INSULATION `REMOD. 4.'1/2'GYPSUM BOARD(INTERIOR) REMOD. w co14c SLAB) b NEW PLYWOOD SUBFLOOR GARAGE 6 516V TYPE-X'FREERATED' GARAGE EK VAPOR BARRIER NEW WALL CONST. 2x4STUDS@16'oc. FINISHED WOOD �`GYP BOARD ON GARAGE SIDE FLOOR 2-1/Z'PLYWOOD SHEATHNG ;FLOOR TO MATCH EXIST <3 AQ'.GYPSUM BOARD rNEWTILE t4 WC.SHINGLE SIDING TO MATCHr 5 TYVEK VAPOR BARRIER ' r NEW 2-P T 2 x 101s' EXIST 6 HEADERS TO MATCH EXIST NEW P.T.2.6 WALL? 7 RE-USE EXIST.WINDOWS ' A I P W2•RIGID INSUL T.2 x 10'S @ 16'o c 4'CONC.SLAB Wl �+ 3) A3 I \�-NEW(2)LAYERS OF 2' UNDER COMPACT b c 1 o O RIGID INSULATION(R=28) SOIL UNDER SLAB MONOLITHIC POURED x Fo w I 1'•a' 300D PSI CONCRETE N '(o m SUPPORTED BY 2x 2 NAILERS BARSDTOPI LAd BOTTOM SECTION @ EXPANDED SUNROOM EXIST. FULL REMOD. A3 BASEMENT GARAGE I A SECTION @ EXPANDED LIVING I A3 _ I T-o• I INSTALLSl8"ANCH0R BOLTS AT 21roc 1AAX 2 6' T W/SIMPSON BPS 518-3 BEARING PLATES; 1/' PLACE BOLTS WITHIN fi-1S OF EACH CORNER AND TO A 8'MINIMUM DEPTH _ I z r P T 2 x 6 SILL_W SEALER I — b I` IS o V V 7 11. ANCHOR BOLT DETAIL FOUNDATION/FRAMING PLAN SCALE:1/2"=1'-0" ANCHOR BOLT DETAIL INSTALL TWO FULL HEIGHT STUDS B TWO JACK SCALE:1/2"=1�-O" STUD AT EACH SIDE OF ALL ROUGH OPENINGS /�� WINDOW 2 x 6 WALL - E OTE LL�/ a I / (ROUGH OPENING) JACK STUD VAN 1 5 l a 0 to STUD DETAIL (AT ROUGH OPENINGS) ESTIMATING THE DESIGNER SHALL BE NOTIFIEDIF ANY Q coTUIT BAY DESIGN, LLC NEW ADDITION/REMODELING FOR. ERRORS OR ONSSPRIOR gNSAREFOUNDART ON SCALE: DRAWING NO.: 43 BREWSTER ROAD THESE RUCTION KESUMO COOF WIM IRE RUCTION IRLE FO THE CONTRACTOR 1/4" = 1'-0" Well BE RESPONSIBLE FOR THE CONTENT I INTHESEDRAWINGS TCOtiSIFUCRON MASHPEE,MA. 02649 GUERIN RESIDENCE C SIGNER RO AW ERR RSORINGTFI' ' PH.(508)274—(166 - OESIG ORAWN NY ERRORS OR FORT E FAX(508)539-9402 6 CORNWALL COURT COTUIT,. MA TIESENTOFTGSARESOLELYFDRTEV"N DATE: ON THE PROPERTY NOtEO"N OTHER LIEE OF THESE ORAVA.Y.S FEOUIRES TIE WRITTET7 1/g/2010 A3 CONSENT OF TH=O=SIGNER THESE DRAWINGS ARE PROW PRO UNOFA THE ARpOTECTURµ COPVRK.HT PROTECTN]N ACT OF 1BS0 r .:f f,. a ti CIO TV r FOUNDATION CERTIFICATION PLAN e C�� EAGLE POND ROAD PRIVNa 08„E_ ,�----N96'15 30 E- AS- UI T \ FOUNDATION EXISTING SEPTIC , G o SYSTEM \ J19 ���� ° �. ,o, \\ LOT 97 SCREEN . ,vim 29.5". — ^� ORCH, 2.2 \y 1628.0' 24.01 LOT 95 \moo LOT 96to \ 32,641±KF. \ _ 1'?6�? O �� 11' =88 60 � • R=15. C O ov wq � PREPARED FOR: 0 NEIL and ALBERTA GUERIN V 6 CORNWALL COURT COTUIT, MA 02635 .-"6 CORNWALL COURT - COTUIT, MASSACHUSETTS FLOOD NOTE: BY GRAPHIC PLOTTING ONLY, THIS PROPERTY IS IN ZONE "C" OF THE FLOOD INSURANCE RATE MAP, AS SHOWN ON COMMUNITY PANEL No. 250001 0018B, WHICH BEARS AN EFFECTIVE DATE OF JULY 2, 1992, AND IS NOT IN A SPECIAL FLOOD HAZARD AREA. ASSOCIATES INC . REGISTERED PROFESSIONAL ENGINEERS SCALE: 1"=40' AND LAND SURVEYORS DATE: 04/04/05 427 COLUMBIA ROAD HANOVER, MASSACHUSETTS JOB No: 99-040 TEL. (781 )826-9200 FAX (781 )826-6665 Z_ W O W zN LLJ W v Q Z) N 1 INSULATE OR SOUND-PROOF • 0 O WALLS ARWNO BATHROOM Z N AND CLOSET W w W 2'-4•WIDE x r-3' -- -O•HIGH NEW BULKHEAD �/� O � 2' _J 7• WINDOW(A251) LOCATION V J W o 11 3068 0 vAsuTt " 1 2'-7't u 2-4't O Q II - o� oo r-a- wdQ�i F— = o M 04 CLOSET 4'x4' �� --- WALK-IN L`_== Q t- �s CLOSET - 4'-o•u SHOWER f TABLE 5 I - y_31• 1-7' 4'-0' �1 QPd' r� 6 � 1 I 1 ry�0 WATER Lr ?g6,! 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MASTER 1 d 22 HIGH A CLOSET I I STUD BETWEEN 5_y' 411 L_ 5'-tt�• _ �5- 2 1 I — Cray p sae WINDOWS(3- A251) 3-6• CL I /,lAWzn �� O OSET dP 'O•F i s-a• r-9�6' I I / 1 - -WLOSEINS _ _ y�,�CLOSET-- -� /., \ - ------- 2'-6"WOE x IF I II �Zhs otr 1 11 S'HIGH WINDOW _ (WDH24210) d P ' II I I� �' • MASTER BEDROOM II I 11 08'x 20') I I 4'-7.�' EXISTING BULKHEAD--II 1 1I —-- (9-CEILING) �('' I 1 I 4x6 POST AT CORNER OF WALLS L_1_J I___. _ L=1=J SUPPORTING LVL BEAM z L _—J Z 0 -\REPLACE WINDOW BAY WITH T '�(oN ),) S-O'FRENCHWOOO PATIO DOOR L GAS STOVE /'TV Q U FWOSt6tt AL k OPTIONAL 16' @ HEARTH 4'-3'WOE x W FRENCHWOOD SIDELIGHT FYlS113611 REMOVE AND 3'-0•HIGH ~ fn RELOCATE OR 6'-0•FRENCHWOOD SLIDER `\ \ DOUBLE HUNG Q N BULKHEAD (WDH2O210-2) WITH ANCIED SIDEWALlS REFRAMED - , \ WINDOW la'-3�• Q \ Q � N 2d \LEQFND Z a EXISTING WALLS TO REMAIN 8'-0'FRENCHWOOD GLIDING �,RE'� - \ - PATIO DOOR(FWG80611R) ,bOpIJ� \ 1S'-3' W �"'U 0 __=i EXISTING WALLS TO REMOVED - I \ \I STUDY y. (9'CEILING) _J (n tL,NEW WAILS < j(n Vl \ Z i. WINDOW AND DOOR DESIGNATION BASED ON ANDERSON.GC AND OWNER \\ m O W TO RENEW ALL SIZES,LOCATIONS.SWINGS.ETC.PRIOR TO ORDERING. 4'-3•WIDE x 4'-3•WIDE x 3'-0•HIGH J (� 4' WI -0•HIGH \ DOUBLE HUNG NDOW EXISTING/PROP❑SED FLOOR PLAN LAYOUT DOUBLE.HUNG (WDH20210-2)1WTH EXISTING/PROP❑SED FLOOR PLAN DIMENSI❑NED Q F a WINDOW OPTIONAL CIRCLE TOP (00 SCALE 1/4' = 1'-0' (WOH2O36-2) WINDOW(CTN34) SCALE- 1/4' = 1'-0' a J z z W f Z W 1�•x177,§'LVL RIDGE X r12 7 1 6 OC• revisions date drby 200 016'D.C. UL7C(t-1C.1 �\ � deseri lion -- SIMPSON H2.5 AT 1 G— EVERY OTHER RAFTER 7YPICAI. ---2x4 018"O.0 9'-0• SET TO MATCH . EXISTING PLATE ' HIECHTS IN CEILING /1vJ 3 W. , v✓ OUEFR .� Y8011 } °�cisnaV° C .�✓L� (JUd�. ca � I 4 QU.) SET TO MATCH SCHEDULE0 CN� agloM STEEL PIPE COLUMN EXISTING //Ijj BASEMEN FLOOR 7 ^� drw by CM -- 10'FOUNDATION WALL (//J b nUmbe Q G A REVISED PLANS O403 �— 2'-0•xt2•DEEP +-Issue date CONTINUOUS S&TEMBER 29, 2004 4'CONCRETE%AB FOOTING sco e Date: NOTED / -drowing number CROSS - SECTION THRU MASTER BEDROOM C SCALE, 1/4' = 1'-0' J D// , `-� ! x sheet 1 of 3 — ?yo x--I yzm�� v�E�e QiggreN t .rS�Fz o�`t�. D 0 a tt••�1 D^� rp0`ZGC ORO>p>9N Fpl1rsF-� '. ' •S r 1 ! � j z n itngmvy � 02 o �J a7 g F�z'�i mr 0 z m I czi I 'v v�i rn m m m x I£ - mI � afNTI c ) ti I >ty I g ,r� cZi I I m ? I'TI - I L •zi c Z J s= I Z w 02A •�� Ov o d / I m I II n b Ou+ I µ 1 rl-I • '���`� A t y ym� O N / / I I C •/, C�0 O mN Z / / c y r Ill u / » L----- — -- — I N " d m2 \ r 3> — �..i• AC JOi'y z mm Z r NA P mm D0�9 o 'n=bt CpD £ �r� / / g�'� �' --llr voi goo€ / •. D o5� th > rn m _ =ONN gm2 10 �py m 2 0{! / •// ^ G /� •// Lj�yOCl \ / r 00 meo � o �p tZ D ,� \ b Dr I Ir� \ / . '/ g � ' �,y KI IF 20 n Z v v� / 7C'� R F M am .Z7 w 0 GZ'1 a?o G 1• o -u —� o � z I ;op z ED D •8 N I E C m D �� xr � I r I— fTI ° r I m r1 - Z xu� s c� II 0 m m N 11 G7 I Z 2 1 D a a7 o Z7� I I"1"I. m m D z p z D Z �g fag "70 \ D � Z oii nN Fg� r Z € r N O C m 4 p T�T 70 \a*~ AZ T C C W o J m n91 1 A0 ti Z a 11 Z i G-) o d rDpi �O +Z m ry ry PEE rp� m � o w o` o P . gym m o �� m o r a s,^ a D� cam NEIL & ALBERTA GUERIN ADDITION STRUCTURES ENGINEERING V I. Z II O' �� N a 6 CORNWALL COURT, MARSHFIELD PROFESSIONAL CENTER i � � E N On O2 o Mel a g T N COTUIT, MASSACHUSETTS 1020 PLAIN STREET, SUITE 240 g c f*1m �+1 W3 a 0 0 MARSHFIELD, MA 02050 9 o Q N EXISIING/PROPO$m fOUNQAnON g FIRST FLOOR FRAMING PLAN Tel. 781-834-0085 Fox 781-834-1357 a .c . WALL RCH HORIZ iD ONTAL . 04 40 DIA II III 2'CL 2"CL 2"Cl -- 30 DIA ORING �I Ld U O d 2x4 VL T.KEY Z I-- u ,I x"CL 2"a /^ Q O co V rV : 2'-D".2'-0"CORNER BARS _ Z N O W N� , ALL REINFORCING XORIZ WALL REINFORCING AT OUME FACE TO MATCH Z O 1- Q^ AT EACH FACE TO IA �' it WALL REINFORCING AND BENT DISCONTIUOUS END W c INSIDE FACE BARS w W L o 'I II AT INTERSECTION AT CORNER OPTIONAL CORNER W a Z E 01 of 2.6 LAD FLAT HORIZONTAL' WALL REINF❑RCING DETAILS CL SCALE, 1/16' = 1'-O' U V) o II �I II a POST BELOW Of CONY,TOP WALL RERff(2-95 MIN) ~ ATTIC JOIST AT PLATE HEIGHT FULLY SPIKE OR BOLT WITH OR AS OTNERWSE SXOYN Qf II I• ( I N 2- 1�'x97."LVL (SIZE TO MATCH E%IS7NC)EXCEPT 2-5/8"DIA A307 THRU-BOLTS A II HEADER BEAA1 IN MASTER BEDROOM '� II OVERFRAME II I II 40 GIA 40 DIA (SIN. iD secnoN 3) � II iI iI�� f I I II II R 4 , S-3 ,, ADD ADDITIONAL II !I I' 11 I ---- 2-/5'.AS SHOWN • I I P ry n I n 1):"IIW LVL 2xIO m16"O.C, N I ,I I n H RID( BEAM COUNG JOISTS PROVIDE FULL 3 1/2"BEARWG FOR RAFTERS ON TOP OF WALL PLATES , 3 SIZE @ SPACING TO MATCH S-3 1'-3"3 9MPSON H25 FULLY FASTENED W/10d TOP WALL RCNF(2-/5 MIN) POST BELOW 4x6 POST BELOW IN MAILS TO ALL RAFTERS(TYPICAL) 200 016"O.C. 2-1-Y"x9Yi LVL CEILING JOISTS HEADER BEAM TYPICAL DETAIL AT TOP OF STEPPED CONCRETE WALL BEARNG6*D.C.EXTERIOR WALL(TYPICAL) OR CASEMENT WIND❑W OR DOOR AT OPENING Z C� NOT TO SCALE O SIMPSON HU48 FLUSH F 4q MOUNT HANGER '( TYPICAL CEILING JOIST - TO - RAFTER GENERAL NOTES: o CONNECTI❑N DETAIL QFy- / 1.GENERAL CONTRACTOR TO CONFORM TO ALL LOCAL AND MASSACNIUSETTS STATE BUILDING LADE REQUIREMENTS, 2- 1%'x7"LVL HEADER BEAN) JF� a+�� SECTION 4 SPECIFICALLY SECTION 310107,'PLCODLO➢➢-RESISTANT CONSTRUCTION.' - Z D Q - OVER 8'-0'SLIDER(REMOVE 26"pp�� e,GENERAL CONTRACTOR TO VERIFY ALL DIMENSIONS AND EXISTING CONDITIONS AS SHOWN ON THE➢RAVINGS AND O LONER WALL PLATE IF NECESSARY) ! •(! SCALEI 3/4' = I'-O' S-3 MOTIFT THE ENGINEER OF ANY VARIATION NOTIFY THE ENGINEER OF ANY DIMENSIONAL CHANGES. J V 3.ALL EXISTING FRAMING,HEATING.PIPING,INSULATION AND OTHER REQUIREMENTS ARE THE IZESP13NSIBIL171ES OF W U OTHERS. NOTE: PROVIDE ACCESS HATCH SO NEW ATTIC AREA _ Ur N d THOU EXISTING CABLE END WALL 3D x11B LVL 4.ACCESS STAIRS NAY NOT BE SHOWN ACHU ON OUR DRAWINGS.THE DESIGN AND LAYOUT IS TO BE PROVIDED BY OTHERS RIDGE BE � AND MUST CONFORM TO THE NRSSRCIUSETTS BUILDING CODE AND FLOOD PLAIN REQUIREMENTS. Q N (' PROPOSED ROOF FRAMING PLAN 5.ALL ARCHITECTURAL LAYOUT AND DESIGN TO BE REVIEWED BY THE OWNER. 3 Q Z SCALE, 1/4' = 1'-0' FRAMING NOTES: W � 2x8 016"O.C.CEIUNG JOISTS 1.ALL FRAMING LUMBER SHALL BE II K--FIR GRADE NO.1 OR S.P.F.(SPRUCE-PINE-FIR)GRADE NO.2 OR APPROVED EQUAL (UNLESS OTHERWISE m V 5 w I I SPECIFIED)AND SHALL MEET THE REQUIREMENTS OF THE AMERICAN FOREST AND PAPER ASSOCIATION.THE MINIMUM ALLOWABLE BENDING O STRESS(Fb)SHALL BE LOOD P.S.L THE MINIMUM ALLOWABLE COMPRESSION STRESS(Fc)SHALL BE 400 P.S.I.THE MINIMUM ALLOWABLE MODULUS Q O OF ELASTIC]7Y(E)SHALL BE 1,400,000 P.S.I.OTHER FRAMING MATERIAL FOR INTERIOR NON-LOAD BEARING STUDS MAY BE SUBSTITUTED ONLY to Q Q' UPON APPROVAL OF THE ENGINEER. 2.ALL PRESSURE TREATED(CCA TREATED)DIMENSIONAL FRAMING LUMBER SHALL BE SOUTHERN PINE GRADE NEI.2.THE MINIMUM ALLOWABLE W FOUNDATION & CONCRETE NOTES: BENDING STRESS O b)SHALL BE 1.050 PSI.THE MINIMUM ALLOWABLE COKPRESSION STRESS(Fc)SHALL BE 565 PSI.THE MINIMUM ALLOWABLE J to MODULUS OF ELASTICITY(E)SHALL BE 1,600,000 PSI. O CL G 3:ALL PRESSURE TREATED(CCA TREATED)SOLID TIMBERS SHALL BE SOUTHERN PINE GRADE NO.2(UNLESS OTHERWISE SPECIFIED ON Z O I.SPREAD FOOTINGS HAVE BEEN DESIGNED 70 BEAR ON UNDISTURBED SOIL HAVING AN ASSUMED MINIMUM ALLOWABLE BEARIN DRAWINGS).THE MINIMUM ALLOWABLE BENDING STRESS(rb)SHALL BE 850 PSL THE MINIMUM ALLOWABLE COMPRESSION STRESS(Fc)SHALL BE It CAPACITY OF 2 TONS PER SQUARE FOOT. d 37S PSI.THE MINIMUM ALLOWABLE MODULUS OF ELASTICITY(E)SHALL BE 1,200,000 PSI. 2.IF BEARING MATERIALS WITH A LOVER BEARING CAPACITY THAN 2 TONS PER SQUARE FOOT ARE ENCOUNTERED AT THE SPECIFIED 4.ALL LVL's TO BE PARALLAMS OR MICROLLAKS AS MANUFACTURED BY TRUS JOIST MACMILLAN,OR APPROVED EQUAL.THE MINIMUM ALLOWABLE ELEVATIONS, THE UNDERLYING UNSUITABLE MATERIAL SHALL BE REMOVED AND REPLACED WITH SUITABLE MATERIAL TO BE APPROVED BENDING STRESS (Fb)SHALL BE 2,900 P.S.I.THE MINIMUM ALLOWABLE COMPRESSION STRESS(Fc)PERPENDICULAR TO THE GRAIN SHALL BE 750 BY THE ENGINEER,OR PROVIDE SOIL TEST RESULTS FOR ACTUAL FOUNDATION DESIGN. I P.S.I.THE MINIMUM ALLOWABLE MODULUS OF ELASTICITY (E)SHALL BE 2,000,000 P.S.I.ALL PARALLAMS EXPOSED TO THE WEATHER SHALL BE 3. THE ENGINEER ASSUMES NO RESPONSIBILITY FOR THE VALIDITY OF THE SUBSURFACE CONDITIONS. PRESSURE TREATED(CCA TREATED).INSTALL MTCRULLAMS AND PARALLAMS IN ACCORDANCE WITH THE MANUFACTURER'S INSTRUCTIONS. P@ V I S I O n S 4.NO FOUNDATION SHALL BE PLACED IN WATER OR ON FROZEN GROUND. 5.USE 3/4'TONGUE AND GROOVE STRUCTURAL GRADE FIR PLYWOOD FLUOR SHEATHING,5/8'EXTERIOR STRUCTURAL GRADE FIR(C•DJI.) dote dr by PLYWOOD ROOF$NEATHING.AND 1/2'EXTERIOR STRUCTURAL GRADE FIR(C.D.XJ AT WALLS.ALL JOINTS SHALL BE BLOCKED WITH LUMBER OR nO' description 5.FOOTINGS SHALL BE PROTECTED AGAINST FROST UNTIL PROJECT IS COMPLETED. OTHER APPROVED SUPPORTS. G. BALKFILL UNDER ANY PORTION OF THE FOUNDATIONS SHALL BE COMPACTED IN 6'LIFTS OF 93%COMPACTED GRAVEL AS 2.10 018'O.C.EXISTING 6.ALL EXTERIOR AND INTERIOR STUD WALLS TO BE 2X4 MINIMUM 2 16'O.C.UNLESS OTHERWISE NOTED. APPROVED BY 1ME ENGINEER. ROOF RAFTERS 7.PROVIDE ADEQUATE WALL RESISTANCE TO RACKING BY DIAGONAL CORNER WIND BRACING ANCHOREO TO SILL PLATES. 7. 00 NOT BACKFILL EXTERIOR WALLS ANY NIGHER THAN 3 FEET ABOVE THE TOP OF FOOTING UNTIL PERMANENT STRUCTURAL 8.PROVIDE SOLID BLOCKING BETVEEN FLOOR JOISTS AND/OR DOUBLE ALL JOISTS UNDER EACH PARTITION, SUPPORTS(FRAMED FLOORS AND SLABS)ARE IN PLACE.BRACE ALL WALLS AND GRADE BEAMS BORING BACKFILLING,IF NECESSARY. TOP WALL PLATE 9,USE FULLY NAILED METAL CONNECTORS(TECO, SIMPSON,OR EQUAL),JOIST,OR BEAM HANGERS WHEN JOISTS OR BEAMS FRAME INTO OTHER B CONCRETE WORK SMALL CONFORM TO THE LATEST AMERICAN CONCRETE INSTITUTE CODE FOR'BUILDING CO➢E REQUIREMENTS FOR (REMOVE LOWER WALL JOISTS OR BEAMS.PROVIDE METAL POST CAPS AND BASES FOR ALL POSTS. RCINFORLEU coNCRETE'AND'SPECIFICATIONS FOR STRUCTURAL CONCRETE FOR BUILDINGS'. �•y OTp ur PLATE IF NECESSARY) 2X FOR ROUGH VTN➢IIV OPENINGS AND INTERIOR ODOR OPENINGS LIP TO 3 FEET,USE 2- 2%6 HEADER BEAMS,FROM 3 TO 6 FEET,USE 2- 9.CONCRETE FOUNDATION WALLS AND FOOTINGS SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3.000 P.S.I.AT 28 DAYS AND FULLY SPIKE TO 2%B HEADER BEAMS,AND FROM 6 TO 8 FEET,USE 2 - 2X10 HEADER BEAMS,EXCEPT AS NOTED OTHERWISE ON THE PLANS OR SPECIFICATIONS. �� IOHN 3,500 P�.1.FOR SLABS, WITH A SLUMP OF NO MORE THAN 4'AND AIR ENTRAINMENT OF 4-6%, TME USE OF•CALCIUM CHLORIDE IS NOT NEW LVL'N IF MICROLLANS OR PARALLAMS ARE SPECIFIED DN PLANS.PROVIDE SOLID 4%4 POST SUPPORTS FOR DRJBLE HEADERS AND SOLID 4X6 POSTS W, SUPPORT ROOF JOISTS• B QUEEN ACCORDANCE ANC PWITHT PROPER CONCRETE PROTECTION OR HEAT IN COLD WEATHER AND MAINTAIN PROPER CURING PROCEDURES IN FOR TRIPLE HEADERS,OR AS OTHERWISE SPECIFIED ON THE PLAN, A CORDANCE WITH THE A.C.I. 1601 10 STEEL REINFORCEMENT SHALL CONFORM TO AS.7.N.615,GRADE 60. SIMPSON H2.5 11.ALL FRAMING TO BE INSTALLED IN ACCORDANCE WITH THE MASSACHUSETTS BUILDING CODE REQUIREMENTS AND GENERAL FRAMING PRACTICE '}�pfOIN AT EACH RAFTER AS DETAILED IN THE 'ARCHITECTURAL GRAPHICS STANDARDS',BY RAMSEY 6 SLEEPER. 4 c 11 ALL CONCRETE SLABS ON GROUND SHALL BE REINFORCED WITH 6x6-10/10(MIN.)WELDED WIRE FABRIC PLACED AT MID-DEPTH,OR 12.ALL PLYWOOD FLOOR SHEATHING SHALL BE GLUED TO SUPPORTING WOOD FRAMING MEMBERS USING A14ERICAN PLYWOOD ASSOCIATION(APA.) L AS OTHERWISE SHOWN ON THE DRAWINGS.NEEDED VIBE FABRIC REINFORCEMENT SHALL CONFORM TO AS.T.M.AIDS,AND SHALL LAP 6' EXISTING JOISTS GLUED FLOOR SYSTEM VWO GLUE TO BE LONTECH,INC.P1400 SUBFLOOR CONSTRUCTION ADHESIVE,OR APPROVED EQUAL. MINIMUM OR ONE SPACE, WHICHEVER IS LARGER,AND SHALL BE WIRED TOGETHER.PROVIDE SUFFICIENT CHAIR OR SUPPORT BARS AS 2-17;"x9Y."LVL 13.ALL WALL STUDS 7O ALIGN WITH FLOOR JOISTS AND ROOF RAFTERS. cl by Qhk y NECESSARY TO POSITION WELDED WIRE FABRIC. HEADER 12.WHERE CONTINUOUS BARS ARE CALLED FOR THEY SHALL BE RUN CONTINUOUSLY AROUND CORNERS AND LAPPED AT NECESSARY SNORE ATTIC QI la.TINE CROSS WALLS AND TIE BEANS ARE TO PROVIDE THE LATERAL RESTRAINT FOR THE BUILDINGS AND SHOULD BE SECURELY ATTACHED A7 GAM JQ SPLICES OR HOOKED A7 DISCONTINUOUS ENDS.LAPS SHALL HE 40 BAR DIAMETERS,UNLESS OTHERWISE SHOWN ROOF JOISTS• EACH END AND/OR TO THE EXTERIOR WALLS. )ob number SUPPORT EXISTING CEILING/ PLACEMENT OF CONCRETE. 04031 13.NOTIFY ENGINEER FOR INSPECTION OF COMPLETED INSTALLATION OFREINFORCEMENT AT LEAST 24 HOURS PRIOR TO SCHEDULED ATTIC JOISTS W/JOIST HANGERS 15.BUILT-UP BEANS(3 PIECES MAXIMUM)USING CONVENTIONAL FRAMING LUMBER.SHALL BE GLUED AND FULLY SPIKED TOGETHER WITH 3-]OD -- 14 PLACEMENT OF CONCRETE POURS FOR FOUNDATION WALLS SHOULD HAVE A VERTICAL Z'X4'KEY WITH CONTINUOUS REINFORCING NAILS a l2'O.C.AND LANU WITH 3-16D NAILS<70P AND BOTTOM)AT 12'O.C..OR AS OTHERWISE NOTED ON THE ➢RAVINGS,OR AS "I BAR DIAMETER MINIMUM)THRU THE CONSTRUCTION JOINT. RECOMMENDED BY SHE MANUFACTURER. BHue dote 16.ALL NAILS,FASTENERS,AND CONNECTORS EXPOSED TO THE WEATHER SHALL BE HOT-DIP GALVANIZED.ALL SIMPSON CONNECTORS TO BE SEPTEMBER 29, 2004 15.ALL REINFORCING BARS SHALL BE COLD BENT IN ACCORDANCE TO THE PROPER RADII ESTABLISHED BY THE AMERILAN GANCRETE •TEMPORARY SHORING BY GENERAL CONTRACTOR Z-MAX ZINC COATED. 9C0 0 INSTITUTE.UNDER NO CONDITIONS SHALL HEAT BE APPLIED TO THE BAR$ ip OBTAIN HEN OS. 17.PROVIDE CROSS TIE BEAMS AT CATHEDRAL CEILING OR STRUCTURAL RIDGE BEAMS AS REQUIRED,NOTIFY ENGINEER OF AREAS REOUIRINS NO 16. 1HE USE OF CONTROL JOINTS IN THE SLAB IS RECOMMENDED TO CONTROL CRACKING.SAW CUT TO A DEPTH ONE-OUARTER OF THE SECTION 3 DESIGN INFORKATION DEPTH OF THE SLAB.MAXIMUM SPACING NOT-TO-EXCEED 100 S.F. SCALE, 3/4' = 1'-0' S-3 17, DAMP PROOF ALL FOUNDATION WALLS BELOW GRADE,OTHER THAN FROST WALLS. 18. IF ACO OR ACZA Wp0D PRESERVATIVE PROTECTIVE WOOD TREATMENT IS USED,THEN IT IS RECOMMENDED THAT ALL FASTENERES IN drawing number CONTACT ViiN THE WOO➢BE MADE OF STAINLESS STEEL.IF GALVANIZED CONNECTORS OF FASTENERS ARE USED THEN A LAYER OF 15N FELT - CSHALLONTA BE APPLIED BE7VEEN ALL CONTACTS SURFACES. / 18.GROUT TO BE NON-SHRINK AND NON-METALLIC WITH A MINIMUM COMPRESSIVE STRENGTH OF 5,000 P.S.I.AT 28 DAYS.USE sheet 2 Oi 3 , CE14ENTITIUUS GROUT AS MANUFACTURED BY 'FIVE-STAR PRODUCTS,INC.,SIKA CORP.,FOSROC,INC,'OR APPROVED EQUAL. REVISIONS: BY: a W Framing Schedule-Nominalized Mark Qty Description Length 0- 1 16 9 1/2"AJSTM 20 MSR 20'0" O 2 14 9 1/2"AJSTM 20 MSR 14'0" m 3 1 9 1/2"AJSTM 20 MSR 13'0" y 1 4 1 9 1/2"AJSTM 20 MSR 12'0" Z W O 12 5 1 9 1/2"AJST"20 MSR 10'0"' J M iR LL 1 6 1 91/2"AJST"20 MSR 9'0" Q W j W 7 1 9 1/2"AJSTM 20 MSR 8'0" Z t=!)m H 8 1 9 1/2"AJSTM 20 MSR TO' 0 18 9 1 9 1/2"AJSTM 20 MSR 6.0., 2 7 Floor 1 Al 10 2 9 1/2"AJST"20 MSR 5'0" ' 16 91/2"AJS 20 11 1 9 1/2"AJSTM 20 MSR 4-0- 2 16"OCS/// 12 2 9 1/2"AJST"20 MSR 3'0" c 13 1 9 1/2"AJST"20 MSR 1'0" Z v 2. 0 c— . 14 3 1 3/4"x 9 1/4"VERSA-LAM®3100 SP 25'0" 0 Y y 01 15 2 1 3/4"x 9 1/2"VERSA-LAM®3100 SP 21'0" ww+ 2 16 1 1 3/4"x 9 1/2"VERSA-LAM®3100 SP 18'0" V, 3 0 y c 17 1 1 3/4"x 9 1/2"VERSA-LAM®3100 SP 9'0" _Z W v d 2 18 TL 1"x 9 1/2"VERSA-RIM®98 83'0" E o c m 0 m O v 2 Z 0 m O Ch m n c m 152 18 F 2 N N ai= \ ai- - W c M Qm 11 1 1 1 tr O\ c N..n �v 0 tnc'g° w 1 \ � EmL 3 Accessory Schedule V $ E Mark Qty Manufacturer Product Description 2 o� 2 c 1 1 H1 4 Simpson Strong-Tie Inc.ISUL310 2-1/2 x 9-1/4 to 14 Skewed Left 45"Face Mount' 2 m n H2 8 Simpson Strong-Tie Inc. SUR310 2-1/2 x 9-1/4 to 14 Skewed Right 45"Face Mount' "-0 o- 1 Z m 1 � , 1 1 18 1 2)/ 2 2 0 a y c V m m0:f0a� 2 � caE > N 0'�t fnQ O� m 1 Floor 1 A2 9 S20 12"OC OCS/// REVISED PLANS BC FRAMER®2002 Date: SCALE: 3/8"=1'o" DATE: 11/1/2004 { BY: R.Lowe Plan� View FILE: Steve Mellor,Gi DWG: 1 of 1 3/8"=1'-0" SHEET: 1/1 Last Saved Date: 11/1/2004 1:40 PM Print Date: 11/1/2004 1:41 PM ` i PLOT PLAN FOR ADDITION f ' 7 WIDE MLE POND ROAD PRNAT�r— -N81'0808 ----N86' 51 30"E------- _ 33 \ EXISTING SEPTIC \lpG o SYSTEM \ S \l�yG PROPOSED 0 \ 'o• AMMON \ LOT 97 SCREEN ' �! 2� PORCH \ 16 DpS11NG DWEWIVG \ LOT 95 yes \\ \\ \' \ LOT 96 \ \\ 32,641±S.F. \ 64 S9, C O PREPARED FOR: i NEIL and ALBERTA GUERIN ; 6 CORNWALL COURT COTUIT, MA 02635 6 CORNWALL COURT COTUIT, MASSACHUSETTS FLOOD NOTE: BY GRAPHIC PLOTTING ONLY, THIS PROPERTY IS IN ZONE "C" OF''THE FLOOD INSURANCE R OF M � RATE MAP, AS SHOWN ON COMMUNITY PANEL No. 250001 0018B, WHICH BEARS AN o�� q�yG EFFECTIVE DATE OF JULY 2, 1992, AND IS NOT IN A SPECIAL FLOOD HAZARD AREA. PLEAE. TUTTLECA `v #40767 MERRI --r ` A9�FESSIO�PQ ,.'... ASSOCIATES , INC . REGISTERED PROFESSIONAL ENGINEERS SCALE: 1"=40' AND LAND SURVEYORS DATE: 8/25/04 427 COLUMBIA ROAD HANOVER, MASSACHUSETTS JOB No: 99-040 -ILIEL. (781 )826-9200 FAX (781 )826-6665 ; FOUNDATION CERTIFICATION PLAN � WIDE PRIVATE -, EAGLE POND ROAD $ PREPARED FOR: �� -N86'15'30 E---- L, ALBERTA GUERIN 144 KING PHILLIPS PATHE MARSHFIELD, MA 02050 to \ EXISTING \�G ° SEPTIC \ �, SYSTEM \ �, s SCREE LOT 97 N PORCH EXISTING \\ LOT 95 ��s. \\ LOT 96 ' \\ moo. �o �\ 32,641± S.F. \\ 64 S9' i ��1.26'�2"w 0 . �� R�75• �► coup?, 4 FLOOD CERTIFICATION HEREBY CERTIFY THAT THE DWELLING SHOWN HEREON DOES NOT FALL IN A SPECIAL F.E.M.A. FLOOD HAZARD AREA WITH AN EFFECTIVE DATE OF JULY 2, 1992 SHOWN ON FLOOD PANEL 250001 0018D. FLOOD ZONE "C" *6 CORWAU COURT - COTUIT, MASSACHUSETTS I certify that the foundation shown on this plan has been located on the ground and conforms to the zoning by laws for the town of COTUIT, MASSACHUSETTS Residential District of MA�s,�y RF with respect to horizontal dimensional requirements. o�° PEEER TUTTLE #40767 � A9�ESSO��Q, Merrill SUR, Associates , Inc . SCALE: 1"=30REGISTERED PROFESSIONAL ENGINEERS DATE: 3 f�99 269 HANOVER STREET, HANOVER, MASSACHUSETTS 02339 NO: 99-031 -- - -- - - --- ----- - ----- -- — ----- --- - --- ---- --- - _., —- - - -- — ----.-- .. -. ...- . .. --•--.------ - - - --' _. _ _ . . -- . - --r .:.,,�- , . . .r ... .. r , a R E .. r , r .- .., ., ., {,.. f. r , ,. y 1 J Y - Ey i ,. . i r c _ �, =r r 3,7r,; Y. e. a ,, ;. y : . f, I �,� _ - .. -� - , 4 r .. F iT r Y' , , '.{ .l. .. � .1. ,. ` ,. •, r ,. .�. .• v. >. ,:. - .. - '4-. : 4 . r e , Y. .r r. L' u .. 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