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HomeMy WebLinkAbout0120 SMOKE VALLEY ROAD /Zo vallecl - ti .r. INSTALLED IN COMP WITH TITLE TOWN! RE TOWN OF - BARNSTABLE BUILDING. I.NSPECT,OR TO THE INSPECTOR OF BUILDING�: The undersign I ed hereby applies for a permit according to the following information: ' Nome of Builder �zyr *t.. Address Name of Architect Aciclressr�.�,q- Approximate Fireplace .............3........................................................... Cost ....Qk... ....................... .. ........ Definitive Plan Approved by Planning Board .......... Diagram of,Lot an d Building with Dimensions Fee .......&6..S............... SUBJECT TO APPROVAL OF BOARD OF HEALTH | / ./ � . . . ~\ , . - OCCUPANCY PENN\R3 REQUIRED FOR NEW DWELLINGS. | hereby agree to conform to all the Rules and Regulations cf the Town of Barnstable rayon6inQ the above construction. . . . ' Nome .. .......... | ~ — Construction Supervisor's License .................................... | ,.HENDERSON, RICHARD 24775 � ll� Story .............4... Permit for .................................... Single Family Dwelling ............................................................................... Location .Lot 120 Smoke Valley Road ............................................ e-10-114............... .............. Owner ....Richard Henderson .............................................................. Type of Construction ....F.ra.m.e......................... ................................................................................. Plot ............................ Lot ................................ Permit Granted ......February.....................2,.............19 83 Date of Inspection ....................................19 Date Completed ............ ..19 ell, D� p ' U W 140, L RICHARD A. a BAXTER y Na 2.1048 O �8TS�yp� V s .` A t . . v' 0 0 /' 1 a :•'`'i Q Jaw CERTIFIED PL O-r Pt=A. LCGATIOW • AL s 4 tt*s Gorr 1�3 l /83 pLAt.J R�FEtLB�.1Gt� ; CCstTtF� 'rkAT• TAM FoumVAT1oN S"0%U'j , N6.Q 'oW GoA4pLgS vV tTN TI.16 'S1IIE.t_I►aEs Lo"j' 8"7 AND . SWMAC.1G RE4UIitENtEWTs of THE Tow:V of ARN STN 5.L-r=- A."t1 IS Not' I..,G. s�Z.s - 3 7 . LoGA'TE W t T'1-1 t�1 FLOOD FU!►t W w"(e t w r.. 13 a�CTE1Z �. o014tASS��Yo'tt . THIS P�-AN 14 ut'o" 15ASE•D O►4 Au O tWS tjA&F- r .yvrzvc�Y -naE .v��S TS Si•Icww APPt_t cA.►-J- -Rtcoo NEB o^l h1GT g6 uS�u TG DeTeit:M�W�. Lv•t UWa �_ . . : �:[ '�-c:,af 'Y+`et.'�. .�.t..✓.i - . . ... - `� $'K' Y ., jP' � ;Y.,.a�` at ,.'�`.�4'3 �•..:+ r . .; ,!7--.. 4.„� ��o„�•""'.,q TOWN OF BARNST.ABLE Permit No. 2IA775 { ' - Building Inspector --� swrrsr Cash --------------=X-------,639 � ,ego. OCCUPANCY PERMIT Bond ---_-_---------- (4 Issued to Richard Henderson Address i --1 r,t- AR7 4190 gMAI P Val l Pv Rnarl. nQt-Pr^vi 11 P Wiring Inspector I-SS�a'/wiQ+�� ���.6�fi Inspection date l0 ! ",Tar Plumbing Inspector Inspection date Gas Inspector z z2 /I Inspection date ,.-Engineering Department Inspection date ,/'Board of Health "� Inspection date THIS PERMIT WILL40T BE VALID,ND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ......................................................t. r . l , 19 Q /�,0�/�/...../,!.� ............................. Building/Inspector G Assessor's map and lot number ..../...2.... ..................... THE A F 1-- Q�°� TOE♦ Sewage Permit number ...........................................`............. ��r Z BABB9T4DLE, i House number ( rasa �9 0 MPS a' TOWN OF BARNSTABLE BUILDING INSPECTOR .APPLICATION FOR PERMIT TO ...........0.1%XX................S. �y............S...c"`o`k ....................................................... TYPE OF CONSTRUCTION ................. ..........`.-&!:F: t. ............................................................. .... � .......................... 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........\. . .......,�rvY.c��c..t........�.?.���,��....... `�-�............�"C �� OS� ProposedUse .... ...p....:.............:'70,z�...............5.���1�£.............. .............................................................. Zoning District '�--fir:... Fire District • Name of Owner .... �?......... Address . . 2.2 OS'�v Nameof Builder.... ................................................ ........... .fl%`NI.......................................................... Name of Architect ^�?oY .�. V..fl' ...Address7 :s: : Number of Rooms ..Foundation ..CC-) «T—t, ................................................... ................................................................ Exterior .... ...... Roofing ..........A��t-�P�-`� ....... .......................:.......................... Floors .... ......cUg.'. ......................................Interior .............. 4c.. ......................................... Heating S ..tr.:. ::�+ a X.::... Z 5..:................................ ... .... ... ............ . Fireplace .......:...�..................................................................Approximate Cost ..... .,....� 5: �.......................... . ....... f Definitive Plan Approved by Planning Board _____ .:`�: ....... 19 ---. Area Diagram of Lot and Building with Dimensions Fee S SUBJECT TO APPROVAL OF BOARD OF HEALTH N er �t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to"conform to all the Rules and Regulation's of the Town of Barnstable regarding the above construction. A Name ./.. ..... . ........... . �.....`.!.......... Construction Supervisor's License ..:................................. HEN.nt-_RSON, RICHARD A=97-5-1-1 C7 7-C -5-OR*7 - 24775 12 Story No .................. Permit for .................................... Single Family Dwelling ............................................................................... Location ..Lot...#.8.7....1.2.0....Smoke...Valley Rd. . .. . ....... .. .. .. .... .... . Osterville ................................................................................ Richard Henderson Owner .................................................................. Frame Type of Construction .......................................... .................................I.................................................. Plot ............................ Lot ................................ Permit Granted ...........19 83 Date of Inspection .....19 Date Completed ......................................19 -Astessor's offioe (1st floor): K. Assessor's map and lot number .....CJ....7..'..,�.'...caZ.c� SEPTIC SYSTEM MUST P T"ETo�` INSTALLED IN COMPLI oard of Health (3rd floor): o Sewage Permit number ...................... .� � ... WITH TITLE.5 t 3ARASTAILE, . Engineering. Department Ord floor): 1;� VIRONMENTAL CO®. ,'oo,. "a}9- House number ................................................ .. ''rtc . .......... ..... �p p�^.... . N��I�i9H�1 ���aJ�t�1��'�'^' YAK APPLICATIONS PROCESSED 8:30-9:30 A.M• and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... ... ............. ....................... TYPE OF CONSTRUCTION .......... ��?!:?!1/.. -eQ...:. ?-�ctnz.rraz.c.c��................................................. ✓...�...� � ..............19... .T TO THE INSPECTOR 'OF BUILDINGS: The undersigned hereby applies for a /permit accor�din�g to the following information: J, Location ........I.a...1....... .O�Z.e ....�1/�i......1 �/ P ......5-!' 1�` � C...,. . ILL.GT.�..PI(rN�..... .... 764...... ProposedUse ...........�. . . ... . .. . . .......................................................................................................................... Zoning District ...........�/...c....................................................Fire District Name of Owner .. ./�. .lK!t• .�/ ,l e c:: �P.-G`?!Lr..........Address .../..QA.... � Name of Builde c d11✓LA!...�!�� ..Address ... ,�I�,GC?? .. ...�G. 6rh�.......... G Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ' l� ...../........................... �S.......Foundation ...C -................................................. Exterior ..../: . C-t/!2'L.U� Y��/.......................Roofin ....y... ........... . . . . �� -61� Floors ........ ............ .............................................................Interior .................................................................. Heating ...!.2P---k-e...................................:...........................Plumbing ..........�z1-111, ....................................................... Fireplace ........ .........................Approximate Cost Definitive Plan Approved by Planning Board ________________________________19________ . Area ll..T..` .................. r� Diagram of Lot and Building with Dimensions /3 Fee V......................... ............. . ...................... SUBJECT TO APPROVAL OF, BOARD OF HEALTH / v I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 1 Name . Gam............. Construction Supervisor's license .................................... HENDERSON, RICHARD 30,690 BUILD GREENHOUSE Na ................. Permit for .................................... Single Family Dwelling .......................................................................... Location .... 120 Smoke Valley Road............................................................ ........................................................... . ............ Richard HendersonOwner ............................ Type of Construction. ..... ......................................................................... Plot ............................ Lot ................................ , Permit Granted ...April...................30..................19 87 Date of Inspection .......... 19 Date Completed ......... .................19 A NOII VA-779 NAVY LJN1l004 31gyDNo� WIMIA//17b OX t - v1 1� t i I t o � mcck�l � Q 1� z O ZIb a � cl� i 4 . t oq l m � m . ZA -Assesso'r's offioe (1st floor); �7 Assessor's map-and lot number .....�....I.:.........!17.......v2.a�a. Board of Health (3rd floor): Sewage Permit number .-�.........��._ . .. . Z 1116Sa9TODLE, i Engineering Department (3rd floor): 039• eye Housenumber ...........t.................................................. ...::..... APPLICATIONS PROCESSED"-8:30-9:30 A.M. and 1:00-2:00..P.M. only TOWN OF BARNSTABLE l BUILDING INSPECTOR APPLICATION FOR PERMIT TO �l ........................................................... TYPE OF .CONSTRUCTION ........... :.......: -.......r.�_........c.[.�-::-................................................. ...... ...............19... �.? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �1 u . �.. �/-"y ... /�t��,d ate; � / �. 1 ., (� Location .........................::...j: ...: .:.........::::..........J........ ...... ...... ...... ProposedUse ........... ..,. P .?.? ,!.!'Lr .,-e, ...................................................................... ......................................... ....................................................Fire District Zoning District Name of Owner .../.:Z!(r`.fr,C[.`i......../A.F.I ,•��C;.. � Address 0.....01",7,.C'.? .....(,/r. / Name of Builder_r/<!n(/r/!(4.1�.. ........'/./, !.4—.1. -e4.Address ����Ec i1�f�•7!tlJ:.��!c!( Name 'of Architect ..................................................................Address ..................................................................................... Number of Rooms ...../............ S ..�`�Foundation ..!..`?fiS_-� ........ ........................... .................................................................. 1� /1.,11.1t,/7..4�?'??�....................... <� `�Exterior ......../l.:.J.,:�..y..��.!.... Roofing ..........✓....�:�:-:?...y....-.......Gt.�r?,,[,�.i,ct7TL............... .°�.. Floors ..........................................................Interior .............. Heating ...,,! 2!tX4.e................................................................Plumbing ........., �i ....................................................... Fireplace ...... 0,...................:........................................Approximate Cost ............................................. . nn ................... Definitive Plan Approved by Planning Board ___________________ V, 9 Area ... Diagram of Lot and Building with Dimensions Fee 5 / SUBJECT TO APPROVAL OF BOARD OF HEALTH U� "o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above: construction. Name .. ...... ... ...... .. / !a%ft r...!1............. k Construction Supervisor's License .................................... HENDERSON, RICHARD A=97-5-22 No ..,30690 Permit for ..Build...G.r e.en h.o u s e .. .... .. .... . Dwelling .....Sin1e Family.................................... Location 120 Smoke Valley...��,pad ............................................ ......... Osterville I................................................................. Owner .......Richard...Henderson................ .. .... .. .... .. .. Type of Construction .Glass.. /.Al.umi.nu.m. . ..... .... .. .... .. ............................................................................... Plot ............................. Lot ................................ Permit Granted .......Apr i.1....3..0..............19 87 Date of inspection .................................... 19 Date Completed ......................................19 9',Y/,3 FA& 6vf/66 111VA, Town of Barnstable _.. _ _ _ Building _ Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept anV9rABLP. � 'AS& p Posted Until Final Inspection Has Been Made. 1659. Permit �4� a+' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. f Permit No. B-19-1024 Applicant Name: KENDALL&WELCH CONSTRUCTION Approvals Date Issued: 04/24/2019 Current Use: Structurefyt,c., Permit Type: Building-Addition/Alteration- Residential Expiration Date: 10/24/2019 Foundation: �ty\I L OL + Location: 120 SMOKE VALLEY ROAD, MARSTONS MILLS Map/Lot: 097-005-001 Zoning District: RF Sheathing: 1 Owner on Record: TECENO, FREDERICK S& DIANNE L Contractor Name: KENDALL&WELCH Framing: 1 7 11 la( 'Address: 120 SMOKE VALLEY ROAD i CONSTRUCTION 2 OSTERVILLE, MA 02655 Contractor License: 128405 I � Chimney: Description: renovate existing master bedroom and master bath and add a Est. Project Cost: $75,000.00 16x18 addition for new extended master bedroom Permit Fee: $432.50 Insulation.' I Project Review Req: Fee Paid: $432.50 Final: Date:` 4/24/2019 Plumbing/Gas Rough Plumbing: Final Plumbing: i Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained openfo'r public inspection for the entire duration of the work until the completion of the same. — ---' Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:l i` Rough: 1.Foundation or Footing - --- 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department � Final: Building plans are to be available on site p�s�� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .. .. .:1.... Applic�on Number T/.... Q .................... • �(- -.�� DdA88. Permit Fee........................................Od=Fee.................:...... TotalFee Paid.............................................................. ...... TOWN OF BARNSTABLE .......on.... Permit Approval by...... ........ . .... ......._ BUILDING PERMIT Map �6` .7...................parcc . s.d�✓.............. APPLICATION Section I— Owner's Information and Project Location Project Address 1 z-0 g01051nD�e Owners Name Owners Legal Address L 2 SMe*-e tZ,41�•�1' �'�` City o State zin0 2,6 ,SS s� �. o 0 owners Cell# �� �3 6 — Sd email F� \ .T o con Section 2—Use of Structare o e Use Group ❑ Commercial Slrvcture over 35, 0 cubi ❑ Commercial Structure under 35,600 cub%feet Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System J4 Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description e I oL14Te e x is 1 l3 T Act nndatmk 7J9=I S 9 ApplicationNumber..................................................... Section 5—Detail Cost of Proposed Construction D ov Square Footage of Project Age of Structure 14 Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) ® � 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring Oil Tank Storage Smoke Detectors Plumbing ❑OK' M ❑ Fire Suppression , ❑ Heating System ❑ Masonry Chimney Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �� 141 (4 I am using a crane ❑ Yes X No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use e Lot Area Sq.Ft. k Z,2 y,,Cg Total Frontage Percentage of Lot Coverages #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required_Proposed I i Has this property had relief from the Zoning Board in the past? ❑ Yes No i Last imdatM-2/92018 Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number JO� �� s Y''f Address yl jr JZ6M 45 City " /yam State Tap ©Z GS-S License NumberCS-0 70099 License Type C- Expiration Date 4 'Z — ' 7,-a.C> Contractors Email e (a/v_,AW 1A t Cell O I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation 7d by 780 CMR and the Town of Barnstable.Attach a copy of your license. signature �? — � ! /Date -2 2— Section-10—Home Improvement Contractor Name f)/eq1)-,a1 j K-J4 Telephone Number Address Po 6®i(, y z,�, D City D S_Te C d State Zip 0 2-46 SS Registration Number Iz? `I Vj' Expiration Date 0y1©�:Z9-,P Z 1 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town ofBpstoble.Attach a copy of your EUC... Signature�G�4�— `; Date —2 O Section 11—Home Owners License Exemption Home Owners R. Telephone Number Cell or r Number I understand my responsibi'li ies under the rates 'censed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building . I understand the construction insp duures,specific inspections and documentation required by 78 and the Town of Barnstable. Signet= Date APPLICANT SIGNATURE Signature ��Yvr�' Date 7,2?-- 20�� Print Name 12iLyl D G46�G* Telephone Number L5�$ 56 6 5Y n � n E-mail permit to: ( m A we con—, T e..r q 9~1 a Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization L e D j e ce i U as Owner of the subject property hereby authorize ,q&y_yn � r (( I�`�j1 ,� I (OtA<,A act on my behalf in all matters relative t&work authorized by this build—ing permit application for: v .l le Y (Address of j ob) Signature of Owner date Print Name } Last uodatc&2/92019 Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, M�agsqchusetts 02118 Home Improvement Qgntractor Registration Type: Partnership KENDALL&WELCH CONSTRUCTION H Registration: 28405 0 P.O.BOX 490 Expiration: 4/05/2021 OSTERVILLE, MA 02655 i d r. f C -t,y 5v e Update Address and Return Card.' SCA 1 0 20M-05117 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYP_E;Partnership before the expiration date. If found return to: Regist ation Expiration Office of Consumer Affairs and Business Regulation 1 •840-5 04/05/2021 1000 Washington Street -Suite 710 = "' rnrn Boston,MA 02118 KENDALL&W E=GM=C' 'N'STF3UCTION C DAMON L.KENO 54 KOMPASS DR.2.. /�A=sIGG• / FALMOUTH,MA 02536 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Professional Licensure lug Board-of Building Regulations and Standards Con 4rvisor CS-070086 -�5' R' 'r E fires; 11121l2020 1, : 1 . 1 ^ f a, DAMON L KE;NDALLo 48 KOMPASS`��2IVE EAST FALMOUT,H M�A'02536 r a U0tn Tam Commissioner CIL I I DPFUCCI-01 RAKIETTA DATE Y CERTIFICATE OF LIABILITY INSURANCE A2/18120/18/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATWLY 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(les)must have ADDITIONAL INSURED provisions or 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 endorsements. CONTACT PRODUCER A,N ME Almeida&Carlson Insurance Agency,Inc HOONrie,Ext:(508)540-6161 a PO Box 554 c,No):(508)457-7660 Falmouth,MA 02541 ' INSURERS AFFORDING COVERAGE NAIC# INSURER A:ARBELLA PROTECTION INS CO 41360 INSURED j INSURER B:Hartford Underwriters Insurance CO D P Fuccillo Const Inc : INSURER C: 548 Thomas Landers Rd INSURER D E Falmouth,MA 02536 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 13EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE 1,000,000 CLAIMS-MADE ❑OCCUR I 8500045173 ( 10/20/2018 10/20/2019 DAMAGE TO RENTED 300,000 rence) Is X BLANKET ADD'L INSURE I i MED EXP An rso one en $ 5,000 PERSONAL&ADV INJURY 1$ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: I I I �. GENERAL AGGREGATE 21000,000 POLICY j�T _?LOC i j ! PRODUCTS-COMP/OP AGG $ 2,000,000 I OTHER: II .AUTOMOBILE LIABILITY i (CFO, OMBINED SINGLE LIMIT i ! ANY AUTO 1 I BODILY INJURY Per erson $ —I OWNED SCHEDULED ; 1 AUTOS ONLY AUTOS p I i I BODILY INJURY Per accident AUTOS ONLY I AUTOS ONY. I pPe�accldent AMAGE — 1 UMBRELLA LIAR OCCUR I EACH OCCURRENCE y$ EXCESS LIAB I— CLAIMS-MADE AGGREGATE I DED RETENTION$ B WORKERS COMPENSATION 1 PTR ETH- AND EMPLOYERS'LIABILITY Y/N ; 56659382 10/23/2018 10/23/2019 1 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT FFICER/MEM ffR EXCLUDED? n N/A Mandatory In NH) i I E.L.DISEASE-EA EMPLOYEE 500,000 If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT SOO,000 i I � DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE KENDAL&WELCH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD Client#: DATE TM CERTIFICATE OF LIABILITY INSURANCE 03/07/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. *HIS CERTIFICATE OF INSURANCE DOES NOT COKIalTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED i2EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certaln policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Guilherme Camossalo PHONE (978)726 9830 DISCOVERY INSURANCE AGENCY LLC 668 Main Street EMAIL guicdiswvery®gfiail.cam ADDRESS: HYANNIS,MA 02601 Phone:(508)771-4600 Raphaeldiscovery@gmall.com INSURERIS)AFFORDING COVERAGE NAIC INSURED INSURER A:UDW AT LLOYDS LONDON INSURER B:ARBELLA INSURANCE FB CONSTRUCTION INC INSURER C:WESTCHESTER FIRE INSURANCE COMPANY 110 ZENO CROCKER ROAD INSURER D:ACE AMERICAN INSURANCE CO CENTERVILLE,MA 02632 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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 TALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRL ADDLI SUBR POLICY EFF eULIYY TR TYPE OF INSURANCE NSR WVD POLICY NUMBER MMIODNYYY) (MMfDDf= LIMITS A GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Es acun—) S 100,000.00 CLAIMS-MADE X 1 OCCUR MED EXP(Any we palm) S 5,000.00 ATR/A/14349 ' 9/17/2018 9/17/2019 PERSONAL S ADV INJURY S 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 ' GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP ADS INCLUDED X POLICY 7PROJECT LOC B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (EO ecddmp ANY AUTO BODILY INJURY(Pa poem) S 20,000.00 ALL OS SCHEDULED 8HC 737220 .8/8/2018 8/8/2019 BODILY INJURY ft accldml) AUTOS AUTOS S 50,000.00 NOWOWNED PROPERTY DAMAGE HIREDAUTOS AUTOS (Pa ecclden0 S 250,000.00 C X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,000.00 EXCESS LIAR CLAIMS-MADE UMBMAF146229621 9/17/2018 9/17/2019 AGGREGATE $ 1,000,000.00 DED RETENTIONS D WORKERS COMPENSATION WC STAMORY OTH PllD EMPLOYERS'LIABILm' YM LIAIR9 ER ANY PROPRIETOWARTNEWEXECUTNE E.L.EACH ACCIDENT OFFICERAMEMBER EXCLUDED? FN N/A N/A S62UB1 K70192918 11/9/2018 11/9/2019 $ 1,000,000.00 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000.00 Ityes,d—&under DESCRIPTION OF OPERATIONS bekW E.L.DISEASE•POLICY LIMIT S 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees In states other than Massachusetts ifthe insured hires,or has hired those employees outside or Massachusetts. This certificate of insurance shows the policy in force on the date that this cerlificale was Issued(unless the expiralion date on the above policy precedes the issue date or this cerilacate of insurance).The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwdNJorkers-compensationlinvestigatiot)s/. General Liability for regular and usuallobs. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE KENDALL AND WELCH CONSTRUCTION,INC. EXPIRATION DATE IT IS THE CUSTOMER'S RESPONSABILITY TO INFORME ANY 108 PARKER ROAD/POBOX 490 CHANGES OR CANCELATIONS. OSTERVILLE,MA 02655 i 3 21/2�19 1 O�:196 �P�41 �T VV„L ilvG :� �041�817��Q7niv��LROM: 5087781218 IVY, cu I c Page: 1 Client#:44089 2CAPTAINSCR DATE(&%WDDIYYYY) ACORM CERTIFICATE OF LIABILITY( INSURANCE 1o►o5/zD,a THIS CERTIFICATE IS ISSUED A9 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVE',LL OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE,AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE 009S NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If 1he certlflGBie holder is an ADDITIONAL INSURED,the pollcy(lo�)muse be endorsed,If SUBROGATION Is WAIVED,subject to the terms and condltlona 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 endoraemant e . PRODUCER NAME:; Dowling&O'Neil Insurance Agy A ex ;508 775-1620 A!C N ; 5087761218 873 lyannough Road AMASL P.O,SO)(1990 INSURERS AFFORDINOCOVERAGE NAICO Hyannl6,MA 02601 INSURER A:NominwiamoGomp ny 14786 INSURED INSURER B: Captain's Crew Painting,Inc. INSURER[:: 20 Checkerberry Street INSURER D: Hyannis,MA 02601.2410 IN9URERE: 1NSUAERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBERN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESP`5CT TO WHICH THIS CERTIFICATE MAY 6E 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 R�EDUyyC��EFFDDF BY PAID CLAIMS. 67RR TYPE OF INSURANCE ADOL UBO POLICYNUMBER PMMIDIOlYYn1_ aLIDYW LIMtrS A GENERALLIABILITY MPT1779F y/11/2018 07111112019EACH X EACHOCCURNCE S11000.000 T E aoTErO GOMMEACIAGENERALLABILIYY e n CLAIMS-MADE OCCUR MED EkP me Isoa 10 000 X PDDed:280 PERSONAL&ADV INJURY $100D000 OENERALAGGREGATE $2 00D 000 GENLAGGREGATE LIMIT APPLIES PER: PRODUCTs-COMPioPAGG s2 000,D00 POLICY FRI TrIli 0 LOC 8 AUTOMOBILE LIABILITY CO eo E DSNOLE LIMIT ANY AUTO BODILY INJURY(Por pw2w) $ ALL OWNED SCHED)I.EO BODILY INJURY(Par accbent) b NONAUTOS -OWN P DEo eOt dDAMA $ HIREDAUY03 AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ FXCESS LIAR HCLAimS.MADE AOGREGATC 5 OED I I RETENTIONS A WORKERS COMPENSATION WOT1715F 7/11/2018 01/11/201a X wC37ATU• oTH• AND EMPLOYERRE'LLIIAABLITY ea OFFICEWMEIMBERMLU0ED7ECUTNE® NIA E.L EACH AGCIDE $500 000 (WandatorylnNH) E.LDISEASE-EAEMPLOYEE $600000 Ifyes deaMbe under DESCRIPTION OF OPERATIONS below E.L DISEASE•POLICY LIMIT 5500 000 DESCRIPTION OF OPERATION8I LOCATK)NS/VEHICLES(Allaeh ACORO 101,Add8lonal Rentar%o 6ehed(iM,Y mroapaco to ragdbad) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained In the certificate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Kendall 8 Welch Construction SHOULD ANY of THE ABOVE DESCRIBED POLICIES BE.CANCELLED pEpORE THEL POIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 108 Parker Road ACCORDANCE WITH THE POLICY PROVIOIONS.. Ostervllle,MA 02655 AUTMORIZ90 REPRESENTATIVE fHl ADAA_7 AAA A,-ADM rAl7gnbATIA1J All,Ihl.t6 a e.—A i CERTIFICATE DF LIABILITY INSURANCE GATE(MM/DQ Y' 10/06/18 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,EXTENDLORALTER 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,ANDS. HE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 ohd.orsement(s). PRODUCER NAME;- JIM HINDMAN Schlegel&Schlegel Ins Broker FNo E 508.771-8381 34 Main Street c o: 508-771.0663 West Yarmouth,MA 02673 ADD Ss: SCHLEGELINSURANCE MAIL.COM INSURER(S)AFFORDING COVERAGE NAIC# v INSURERA: NGM INSURANCE COMPANY 14788 INSURED INSURERB: TRAVELERS CAPE COD SPRAY FOAM INSURER C: PROGRESSIVE 49 SISSON ROAD INSURER D: HARWICHPORT,MA 02646 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE:INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POL.ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE VUR WV° POLICY NUMBER W&M MM EXP OMITS X COMMERCIAL GENERAL LIABILITY EACW OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR -PREMISES Me E eD $ 600,000 MED EXP(Any oneperson) $ 10,000. A MPK9368X 11/16/17 11/16/18 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE UMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY JECT FLOC PRODUCTS-C MPIOPAGG $ 2,000000 OTHER: $ AUTOMOBILE LIABILITY CO D SINGLE LIMI a ident) $ 11000,000 ANYAUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED i C AUTOS ONLY AUTOS 07881343-4 06/08/18 05/08/19 BODILY INJURY(Per accident) $ HIRED NON-OWNED PRO PER 0 p AUTOS ONLY AUTOS ONLY o a t $ $ UMBRELLA UAB OCCUR EACFIOCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED 7 RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN FER 'LEA I I E ANY FOEREXE ?ECUTIVE� E.L.EACHACCIDENT $ 500,000B OFFICER/MEMBER N/A 6HU66613036513 07123/18 07/23/19 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 600,000 If yes,describo under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 600,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedulo,may be attachod If more apace is roquirod) CORPORATE OFFICERS HAVE ELECTED TO BE COVERED UNDER THEIR CURRENT WORKERS COMP POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN KENDALLAND WELCH CONSTRUCTION ACCORDANCE WITH THE POLICY PROVISIONS. 32 WIANNO AVE SUITE AS OSTERVILLE MA 02656 AUTHORIZED REPRESENTATIVE bookkeeperkan dw@gmaii.com, - r1 Ar100 en�4 nnnn nn. •T,n►, .,,..,..,.... __ . ACO/o L�® DATE(MM/D__/:YYY) CERTIFICATE'OF LIABILITY INSURANCE 10/08/18 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,EXTENDIOR 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,AN HE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(le:i)must have ADDITIONAL INSURED provisions or been orsed. 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 ericlorsement(s). PRODUCER NAME: JIM HINDMAN Schlegel&Schlegel Ins Broker Eg)PHc E West Yarmouth,MA 02673 . 6 8.771-8381 AC No: 508-771.0663 34 Main Street ADDRESS: SCHLEGELINSURANCE MAIL.COM /v/ INSURER S)AFFORDING COVERAGE NA1C# INSURERA: NGM INSURANCE COMPANY 14788 INSURED INSURERS: TRAVELERS CAPE COD SPRAY FOAM INSURER C: PROGRESSIVE 49 SISSON ROAD INSURER D HARWICHPORT,MA 02646 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 MAYBE 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. L7R TYPE OF INSURANCE D POLICY NUMBER MM MM 0 EXP LIMITS X COMMERCIAL GENERAL LIABILITY ChICURRENC OCE $ 1,000,000 CLAIMS-MADE � EA OCCUR -MgMI, S(so occurrence) $ 500,000 MED EXP(Any oneperson) $ 10 0w A MPK9368X 11/16/17 11/16118 PERSONAL&ADV INJURY $ 1,000000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POL(CY JECT LOC PRODUCTS-C MP/OPAGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY C a l GI.E LIMI $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ C OWNED SCHEDULED AUTOS ONLY X AUTOS 07881343-4 06/08/18 05/08/19 BODILY INJURY(Per accident) $ HIRED NON-OWNED POPE 7 DA $ AUTOS ONLY AUTOS ONLY e a t UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION S WORKERS COMPENSATION SET E H AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N B OFFICER/MEMBEREXCLUE N N/A 6HUB61313036513 07/23118 07/23/19 C.L.EACHACCIOENT $ 600,000 (Mandatory N E.L.DISEASE-EA EMPLOYEE S 600 000 If yes.describe,under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 600,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may bo attached If more apace Is rocluirod) CORPORATE OFFICERS HAVE ELECTED TO BE COVERED UNDER THEIR CURRENT WORKERS COMP POLICY I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEIEXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN KENDALL AND WELCH CONSTRUCTION ACCORDANCE WITH THE POLICY PROVISIONS. 32 WIANNO AVE SUITE A5 OSTERVILLE MA 02656 AUTHORIZED REPRESENTATNE bookkeeperkandw@gmal l.com, O 1988 201k coRn t^n eTenfu AIt.I..w........__._� DATE(MMi=QCYYY) A6OZ@ CERTIFICATE OF LIABILITY INSURANCE 02/11/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANb 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,ANr4THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polidy(tes) 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 CONTNAME: Suzanne Harrington MURRAY& MACDONALD INSURANCE SERVICES INC (AIC.lNE 508 289-4170 ac No): E-MAIL ADDRESS: sharrington@mmisi.COm 550 MACARTHUR BLVD INSURERS AFFORDING COVERAGE NAICH BOURNE MA 02532 INSURERA: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURI=R B: KENDALL&WELCH CONSTRUCTION INC INSURERC: INSURER D: PO BOX 490 INSURER E: OSTERVILLE MA 02655 INSURR:RF: COVERAGES CERTIFICATE NUMBER: 367024 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER MMIDDIYYYY MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PRE RENTED MISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO- ,JECT �LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY CO Ea acMBINED SINGLE LIMITcident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABILITY Y/N A OF ICER M MB REXC EXCLUANYPROPRIETORIPARTNER/EXDED? NIA NIA NIA 6S60UB5033P43519 02/06/2019 02/06/2020 E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitdred.daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 I Daniel M.CroWPev.CPCU.Vice President—Residual Markat—WrRIRMA AC40 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) lkk_� 1 02/11/2019 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(fes) must be endorsed. If SUBROGATION ISWAIVED,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 CONTNAME: Suzanne Harrington MURRAY& MACDONALD INSURANCE SERVICES INC PHONE 508 289-4170 a/c Na: E-MAIL ADDRESS: Sharrington@mmisl.COm 550 MACARTHUR BLVD INSURERS AFFORDING COVERAGE NAIC# BOURNE MA 02532 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B: _ LEE ANDERSEN INSURERC: INSURER D: PO BOX 993 INSURERE: FORESTDALE MA 02644 INSURER F: COVERAGES CERTIFICATE NUMBER: 367031 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS r COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ INIED CLAIMS-MADE OCCUR DAMA E R PREMISES Ea occurrence) ccurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _(Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident)AUTOS AUTOS ) $ NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Per accident $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION X I STATUTE 'ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? N/A N/A NIA VWC10060228112019A 01/03/2019 01/03/2020 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govfiwdtworkers-compensation/investigations/. Sole proprietor has not elected coverage. I.CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kendall & Welch ACCORDANCE WITH THE POLICY PROVISIONS. Po Box 490 AUTHORIZED REPRESENTATIVE - Osterville MA 02655 , r Daniel M.Cro y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD A`®Z& CERTIFICATE OF LIABILITY INSURANCE DATIE ) 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 INSQ_RANCE 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 poliey(les) 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 Ileu of such endorsement(s). PRODUCER CONTACT Karen Bernier NAME: Eastern Insurance Group LLC HNCi No E t• 7 14-213-0873 A/C No;761-566-7704 439 State Rd. EMAIL• kbe -nier@EasternInsurance.com ADDRESS: P.O. BOX 79398 _ INSURER(S)AFFORDING COVERAGE NAIC# North Dartmouth MA 02747 INSURER A Merchants Insurance Group INSURED INSURER B Merchants Mutual Insurance Com 23329 Rons Excavating Inc. INSURER C: 81 Echo Road, Unit #1 INSURERD: INSURER E: Mashpee MA 02649 INSURI5RF: COVERAGES CERTIFICATE NUMBER:CL1843005134 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 i INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M IDD MMIDD LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A I CLAIMS-MADE ❑X OCCUR I I PREMISES Ea occurrence $ 100,000 i i CMP9148246 i 5/1/2018 i 5/1/2019 MED EXP(Any one person) $ 5,000 1,000,000 PERSONAL&ADV INJURY $ �M'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X j POLICY JE u LOC PRODUCTS-COMP/OP AGG $ 2,000,000 —1 OTHER: $ AUTOMOBILE LIABILITY I I COMBINED-TINGLE LIMIT $ j Ea accdent A I ANY AUTO ; I BODILY INJURY(Per person) $ 1,000,000 ALL OWNED X SCHEDULED i MCA7013915 8 AUTOS I7�AUTOS i I /16/2017 18/16/2018 BODILY INJURY(Per accident) $ 1,000,000 X 'HIRED AUTOS I X J NON•OVJNED PROPERTY DAMAGE $ 1,000,000 AUTOS I Per accident X I UMBRELLA LIAB ! ]{ I Medical payments $ 5,000 OCCUR I i EACH OCCURRENCE $ 1,000,000 B ; EXCESS LIAB i CLAIMS-MADE; i I 1 AGGREGATE $ 1,000,000 DED i X I RETENTION$ 10,0001 I CUP9147746 5/1/2018 j 5/1/2019 $ WORKERS COMPENSATION , R I AND EMPLOYERS'LIABILITY YIN; i X STATUTE 1 X •ER :ANY PROPRIETOR/PARTNER/EXECUTIVE n I ' OFFICER/MEMBER EXCLUDED? I N/A I B U i E.L.EACH ACCIDENT $ 1 000 000 ((Mandatory In NH) i I WCA9094537 5/1/2018 i 5/1/2019 E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below j j E.L.DISEASE-POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION catrina@kendallandwelch.co SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Kendall and Welch THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 108 PArker Rd ACCORDANCE WITH THE POLICY PROVISIONS. Osterville, MA AUTHORIZED REPRESENTATIVE /) 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 'b Name(Business/Organization/Individual): 7 C� Address: !0 E t0,gr 4f f City/State/Zip:,9,TJ;/1af !e R4 2265f Phone#: Are you an employer?Check the appropriate box: Type of project(required): l.E�I am a employer with T 4. qI 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' g ❑Building addition [No workers'comp.insurance comp.insurance? required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 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.[1 Other 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. =Contractors 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. qq Insurance Company Name: d✓G Se-7'11(l ce- Policy#or Self-ins.Lic.#: 6,S�Wt. 3 ti ! Expiration Date: Job Site Address: 2 S/hUl�ep t City/State/Zip:(".IAeS lO, 1/1 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 under the pains and penalties of perjury that the information provided above is true and correct Signafore: Date: Phone#: `7 0 (Yi S C 6 s 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#: 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,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§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-mork until acceptable evidence of compliance with the insurance 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-contractors)name(s),address(es)and phone 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 information(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 may be provided to the applicant as proof that a valid affidavit is on file for futwe permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn 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 Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia L Town of Barnstable Building :z.•"�F9y.,'"�'+'y .:.'�,�'•i'-"",����.:�" ��"`' ='�i�s%�S° w^C " .»��q',�;^c'-`--``�. '':.�„'�+.�'h"x`;.�§"(�"'G�u-`z�a.' ���55. .`��y_ .''�•:.F?�� $ ���. �,.,;z�€;�� `�" '; PostThis.Cacd�So`That rt is=VisibleFromtheStceetA roved€Plans5pMust beRetamed"onxJob and this;CardMustKept a.a. �ntwsrcati¢ �, M;►se F " ntiliFinalls 16 Posted U 57 39' r 4: ,P N. d zi a `� ' s�. :x a� z 2 axrisy' ✓ a 44 ;: Y • .: .,a'€.t,.a s., '; tS. �::,::•z".ux»v ..".sS.°&: #*"R'; a, 5....s. xco_:-.E3,: c `. `'�2..,, �F 2`U� ._s ,,.,.. ...a.-.�-za,..« _ .... `` - � Permit Where a Cectifice of Occupancy,isereucuId�ngshI Notbe Occupedund$a:Finalnspect orlas bee rade. r . Permit No. B-17-4436 Applicant Name: KENDALL&WELCH CONSTRUCTION Approvals, Date issued: 01/03/2018 Current-Use: Structure �'L,t� Permit Type: Building-Addition/Alteration-Residential Expiration Date: � '07/03/2018 Foundation: « Location: 120 SMOKE VALLEY ROAD,MARSTONS MILLS Map/Lot: 097 005 0.01 Zoning District: RF Sheathing: Owner on Record: TECENO,FREDERICK S&DIANNE L Contra tor�N meKENDALL&WELCH Framing: is C F 1 Address: 120 SMOKE VALLEY ROAD "3 ;�' & x` cONSTRU.CTION 2 ��� Con.61ktor L ense 128405' OSTERVILLE, MA 02655 ,, ; ' tip Chimney: MR %Est'Project Cost: $200,000.00 Description rRemove Garage(Part.of garage will remain)Add neMcoveeed front }�# Insulation: 3� h porch.Add two'new dormers.Add new cupola inzgreat room.Add �I PefMitFee: $ 1,070.00 _ new frenchwood doors in greatroom.Add new tin ro f amend door on Fee<Paid: S-1,070.00 Final:. existing porch (left side of house) , , ter z Date" 1/3/2018 Profect.Review Req ,� �' �� ��� ,x'*'�s Plumbing/Gas sMz Rough Plumbing: Final Plumbing: KBuilding Official Rough Gas: a x � This permit shall be deemed abandoned and invalid'unless the work authonzed,by tfiis permit is commenced within six months after.issuance. Final Gas:wilds k��x�- :_.,,,a :. �"£� Y _All work authorized by this permit shall conform to the approved application and the.approved construction documents for which his permit has been granted. All construction,alterations and changes of use of any-building and structuresshalLM in compliance with the local zonmg;by laws and codes. € � x, ;, x This permit shall be displayed.in a'location clearly visible from access street or-road and,shall be maintained open forpublic mspection for the entire duration of the Electrical work until the completion of the same. f f. 4 ' s �, Service: The Certificate of Occupancy will not be issued until all applicable signatures�by the Buildinng and-Firne Official a a provided:on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: ' 1.Foundation or Footing : ., , • ! Final:, 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection p, 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy i Health , Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. - t Fire Department `'Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth.in MGL.c.142A). 'Final: ; Building plans are to be available on site All Permit Cards are the property.of the APPLICANT-ISSUED RECIPIENT 7/27/2017 7:33:04 PM PST (GMT-8) FROM: 100005-TO: 15084284907 Page: 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDYYYn 7/27/2017 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 ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED XPRESENTATIVE,OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poHey(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, Certain policles may require an endorsement. A statement on this certificate does not confer ri Ms to the certificate holder In lieu of such endorsemen s . PRODUCER MCSHEA INS AGENCY INC CONTACT 1550 FALMOUTH RD PHONE, �X CENTERVILLE, MA 02632 ,,,, LEmil, Not: INSURE PAS)AFFORDING COVERAGE NAIL 0 INSURERA• LM Insurance corporation 33600 INSURED INSURE B: JOHN L CRAWFORD DBA PAINT SHOP INSURERC: 33 CARL LANDI CIRCLE WSURE D: EAST FALMOUTH MA 02536 INSURERS: U E COVERAGES CERTIFICATE NUMBER: 36035 46 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. INSRLTR TYPE OF INSURANCE FG 9 PO EF O CY E)(P 11r1e79 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIM"ADE F OCCUR ffu- MEDEXP(Anyondperaon) $ PERSONAL R ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY PRO-- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOINOBILE LIABILITY fEa $ ANYAVTO BODILY INJURY(Par person) $ OWNED SCHEDULED BODILY INJURY AUTOS ONLY gqUTOS (Per accident) $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY RO $ $ UMBRELIALIAB OCCUR EACH OCCURRENCE $ EXCESS I CLAIMS-MADE AGGREGATE A WORKERS COMPENSATION WC5-31S-315544-017 674/2017 6 4412018 AND a pLOYERB'UABILRY Y/N — ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBEREXCLUDE07 r 7Y N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100000 Ile doccdbe under DES IP O OF 0 TIO S below E.L.DISEASE-POLICY LIMIT S 500000 1• DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may bo atlachod I(more space Is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. C,rr ✓- ' THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR JOHN CRAW FORD. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage r� C\\. CERTIFICATE HOLDER CANCELLATION KENDALL&WELSH CONSTRUCTION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 108 PARKER RD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN OSTERVILLE MA 02655 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORUED REPRE SENTATIVE LM Insurance C orporation ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 36935746 1-315544 17-18 WC n0270256 7/27/2017 7:31:28 PM (PDT) Page 1 of 1 co CERTIFICATE OF LIABILITY INSURANCE oAre(aLnloarrrr) 7 26 17 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERIIRICAlE DOES .NOT AFFIRMAr&LY OR NEQATIVEL AaY OO,' EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERnRcAT'E OF INSURANCE DOES.NOT CONSTITUTE A ICONTWT BETWEEN THE ISSUING IMURER(S), AUTHORIZED REPRESENTAwE OR PRODUCER,AND THE CERTIFICATE HOLDER. A : if K cerw=6 Howor s an INSURED,the policyres) rrwM be andorssd. If SUBROGATION 18 WAIVED,subject to the terms and condWai ns ofthe policy,certain policies may require an endorsement. A statement on We eortf8aate does not contcr rights to the ce cats holder In lieu of such andotmmn e. PROUXER Schlegel b Schlegel Ina Broker C (508) 771-0663 34 Main attest SCHL>EGELINSURANCE MftIL.COX Went Yarmouth, MA 02673 INBURH AFFORD)NO COVERAGE NAICB —•--- INS.URERA:N(24 n4SVRA= C 14788 INSWED LERS CAPE COD SPRAY FOAM INS C: SS 49 SISSON ROAD HARWICH80RT, MA 02646 COVERAGES 'CERTIFICATE NUMBER: REVISION.NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N07WI14STANDING ANY REQUIREMENT,'tY:RNi OR CONDITION OF ANY 6o4rRACT OR OTHER DOCUMENT wrrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED' OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDTIONS OF SUCH POLICIES.LIMITS.SHOIMV MAY HAVE BEEN REDUCED.9Y PAID CLAIMS. NOR 7WEOF19SVRMM wun PAUCXMMsffR 'P umrre A GINLRAL LIABILITY MPK935@X ii/16/16 11/16/17 FACHOCCURRENOE m 1,000,000 X CO;rYalERCIALGENeBALLIABILITv r nni;�..�onI;at - O(AtIV1641ADE ®OCCUR NED 8'w(A�oriepereon) $ 10 0 PB1180NAL8 ADV INJURY O GENERAL AGGREGATE O 2.000,000 GEN'L AGGREGATE LYdJ7APP LIES PER PRODUCrB•OOMP16PAGG O 2,000,000 POLICY 7 99 J7 LOC b AUTOMOBILELu1a°m 07881343-4 8/e/17 5/8/18 _ ,000,000 AWYAUTO BODILY INJURY(Par poop+) O ALVL oewNe o x. pNc�HT�eogutso BODILY IN4uR((Per=Went) a WNEO Go HIRED AU'r08 AUTO41 S 8 UIVISR✓:ILALUAB OCCUR EACH occultRelvice a MWESSL.IAB CLAIMS-14AGE AGGREGATE s Pon RM� S B ANKM UABI Tr LwsluT AND IOY6R8' 6MM6813035513 7/29/17 7/23/18orM- L ANYPRRMEM DR/&KNU EWFEWT►vE ppppppICFFZrAEMHE P.JtCLUD o? N NIA 500,000 I110aDQubry lit NH I 500 000 r tl1PTIONfacribe°l PSRA-n NB HL.DIS -P6wOyuMrr I S 5 _ . TT In nor nu.tn nr--r.- DESCRIPnONCFOPMYIONS I LOOA*O S IVE)OCLES iAVtraG►ACORD 101,AtldiLionat Rarrarka SGr194fA9,If rttore ep�ae b rcgd,cd) -" CORPORATE OFFICERS HAVE ELECTED TO 8Z COVERED UNDER. THEIR CURRENT WORKBRS COXP POLICY `)r•n n 9 2217 TOWKI 0IF P^ ,NS ',3LE CEtTmeATEHOLDER CANCELLATION SHOULD ANY OF THE ABOVE OESCR113OD POUCES BE CANCELLED BEFORE THn EXPIRATION DATE TNaR60F, NOTICE WILL Bg DEUVHRED IN IMNDALL AMID WELCH CONSTRUCTION AODORDANCe WITH THE PO Y PROVISIONS. 32 V?1AVW0 AVE SUITE AS OSTMVILLE MA 02655 AUTNOROM REPA06rATAIWE 9)1980-2010AC R CORPORATION. All rights reserved. ACORD 26(201 OM) The ACORD name and logo are registered marks of ACORD Phone: Fax.' (500) 428-4007 E-Mail: i i co CERTIFICATE OF LIABILITY INSURANCE fain ""'a1D0 n-M OM25,2017 MS CERTIFICATE Is tS$UED AS.A MAMA OF M;6R—MAT1lON ONLY AND CONFERS NO RItiI"I DER PON THE CFJMRCATE HOLM. THIS CIUTI'IFICAT9 DOBs NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND dR'�lt,YF.R Tf?IE COVMOE AFFORDED,BY THE'POUCIES Bl OW. THIS CERTIFICATE OP INSURANCE 00M.NOT CONST"'UT8 A CONMO? OCIVOEN THE iSSM0 INSURMXS), AUTHORIZED EPRESENI'ATIVE OR PRODUCER,AND THE GATE HOLDER. ANT: If the holder is WA ,INSURED,the policy(&");lust M endorft& If SUBROGATION t$WAIVERP BUbjeOt t0 .is tarins And condHtorLs of tfLe pblky,M arefNn ;�QgtTlrs on endoreemeri t. A sfalt nwd on Oft Mwlddla*doge not oontsr rights to the oertifleste holder In lieu of"such PRODUCER Christine Davies DOWLING&O'NEIL INSURANCE AGENCY C/ 60 7 5-1e2o Way Olnq.o;m 9731YANNOUGH 110 IN s OUVERME � HYANNIS MA 02601 INSURER A: AIM MUTUAL INS CO 33758 INSURED , B DETAIL SIDING CONSTRUCTION INC uaeRc: 111=11151 D: 55 WOLLEY ROAD LNBusaaRe: HY NNIS MA 02601 ts: COVERAGES CfcitTiFICATE44111iNBEW 1 441 R>L TON NUMBEW, THIS IS TOCERTIFY THAT THE POLICIES-OF INSURANCE11STIMBELOW HAVE BEEN,ISSUEDT'O THE INSURED NAMED"ASO'VE'FOR THE P61ICY PERIOD INDIC0150 .NOTIMTHS'rANDINO ANY REQUIREMENT, TERM OR CONDIT(ON'OF ANY.CONMOT OR OTHER DOCUMENT IIMTH RESPECT TO VM ICH THIS CERTIFICATE MAY BE ISSUED OR MAY pERTAIN,,Ve INSURANCE AFFOAbED BY THE POUOIFS:DES�RISED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7VMOPNISVRANCE Y LIMtTe COMMEACIALQBr1fAr14", KITY EACHOCCURRENCE i CLAIMS MADE OCCUR i MED EXP or» i WA PERSONAL s ADV INJURY i OENL AGGREGATE L�IM�ITAPPLIESPER- GENERAL AGGREOATE III POLICY Q JpECT El LOC PRODUCTS-COWMP AGO i OTHER: i AVT+OIMOBILlLIABILITY y^ _ _ LIMIT i ANY AUTO AODILY"WRY low pinon) I! ALL 08"E0 SCHEDULED AUTOS AUT N/A BODILY INJURY(Per noaldanl) i HIRED AUTOS gwNED i UMBREi tI.AI" OCCUR EACH OCCURRENCE S SxceesLAAB HLLtlMS-MADE N/A AGGREGATE $ DE0 =1'"r"L1 M"PS! 7qN x, ANbEAM�LOYER$'WLeRITY YIN ANYP"IEVOROARTNEWEXECUTWE E.L.EACH ACCIDENT i 500-AM A OFFICERNEMSEREXQUDED9 WA WA N/A VWC10060214072017A OWIO 017 03/1012018 f e.�unldx E.L.DISEASE- EMPLOYE i S OW D OP E.L.DISEASE•POLICY LIMIT 50,000 N/A OFBC VnM of OP!RAIMS/LOCAYIO NS I VSWAEB O'ORD 101,AadltlOW R«nselto$*A* ,mar bo dtodW N nwo/MDR N►oqulrgo Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 00 B,no authorization la given to pay claim for beneths to ernptoyees In states other than Masssachusetts Nthe insured hires,or has hired those employees outside of Massachusetts. This certificate of Insurance shows the policy in force on the date that this certificate was Iss(Isd(unless the expiration date on the above policy precedes the Issue data of this certificate of insurance). The status of this coverage can be monitored Bally by accessing the Proof of Coverage,Coverage Verf4cotion Search tool at www.mass.gov/lwdAvofk6rs-=n;enastlon/inveftatlonst. CERTIRCAT H ER CANCELLATION SNQUIQ ANY OF Tits ABOVE DEED PAS BE CANCE"00 BEFORE THE EXPtM`I'!DN DATE tNSREOF; t+W'nf Wq-L BE MWERt D IN ndall &Welch Building and Remodeling ACCQR'ANCIRW'r""EMXYPOOV MS: J Box 490 AVTNORT WRVRlSENTAWA Osterville MA 02655 p L M.Cray,CPCV,Vice President—Resklual Markat-WCRiBNW 0 IW2014 ACORD OORPORATION. Alt I'll R*Woo. ACORD 20(2014MI) The ACORP name anO logo are registered marks of ACORD 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 A licant Information • v Please k1igtLeggibly Name(Business/organization/Individual): l�e� /-�f J �n�. / / r- r G Address: 0 City/State/Zip: Vl you an employer?Check the appropriate bow Phone#: b�c 2- Are 1. I am a employer with_ 4. I am a general contractor and I �e:of project(required): employees(full and/or part-time).* have lured the sub-contractors 6• ❑Now 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 working for me in any capacity, employees and have workers' 8. El Demolition [No workers'comp,insurance comp,insurance.: 9. ❑Building addition wired.] 5• ❑ We are a corporation and its 10.El Electrical repairs 3.❑ I am a homeowner doing all work officers have exercised their or additions myself[No workers'comp. right of exemption per MQL. 11•[)Plumbing repairs or additions insurance required.]t C. 152, §](4),and we have no 12.❑Roof repairs employees.[No workers' 13.[]Other comp•irisurance,required.] , *Arty 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• Contractors that check this box must attached an additional sheet showing the name of the sub-conlractors and state Whether or not those entities have employees. if tha sirb contractors have employees,they must provide their workers'comp,policy number. I am an employer thal is providing workers'compensation insurance for my employees Below is the o information. P Ucy and f ob site Insurance Company Name: Policy#or Self-ins.Lic.#: � SC� C Expiration Date: Job Site Address:_ City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and eg#iration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal ) fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOPNORR ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the pffice of Investigations of the DIA for insurance coverage verification. Idohereb -urn+nt n� • •, �-- y under the pains and penalties of, erjury that the information provided above is hue and correct Si atur � Phone#: Ftt Official use only. Do not write in this area,to be completed by city or town official City or Town: Perb*Micense# Issuing Authority(circle one): L Board of Health 2.Building Department 1 City/Town Clerk 4.Electrical,Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i ` Massachusetts Department of Public Safety ` Board of Building Regulations and Standards , . License: CS-070086 ' •. Construction Supervisor DAMON L KENDALL ;'# 48 KOMPASS DRIVE q E EAST FALMOUTH fVIA> � J �y� �. Expiration: . Commissio er 11/21/2018 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-083484 Construction Supervisor RONALD W WELCH 86 BRIGANTINE DRIV r HATCHVILLE MA OG ^^x CA— Expiration: Winmissioner 07.I1112018 Office of.Consumer Affairs . d Business Regulation -�� 1.0 Park Plaza - Suite 5170 Boston, Mai, achusetts 021.16 Home Improvem, Contractor Registration Registration: 128405 Type: Supplement Card 1J Expiration: 4/5/2017 KENDALL & WELCH CONSTRUCTI1 r N RONALD WELCH I"'; P.O. BOX 490 \t ....: . ,�.. /, OSTERVILLE, MA 02655 ' ` �:..: 1► r '!c�f'r�`•• "��='� Update Address and return card.Mark reason for change. CA II t5 26m-orwi Address Renewal F1 Employment Ej Lost Card Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massac4lsetts 02116 Home Improvement Cortctor Registration i Dnnin{r.#;— 170A/11Z i CERTIFICATE OF LIABILITY INSURANCE DATE(MM/oD/YYW) 12/8/2017 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 pollcy(les)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 certHieate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER N E Andrew Roth Murray S MacDonald Insurance Services, Inc. P�r Q . (508)540-2400� FAX�_(s0e)289-4111 550 MacArthur Blvd. ADDRESS:andy@riskadvice.com _ INSURER(SS)AFFORDING COVERAGE T_---,- 1! NAIC p Bourne MA 02532 INSURER A: _ INSURED _ - �N- INSURER B Arbella Mutual_Insurance - _ _ 17000 FB Construction Inc. INSURERC: 110 ZENO CROCKER RD INSURERD: INSURER E: CENTERVILLE MA 02632-7122 INSURER F• — COVERAGES CERTIFICATE NUM9ER:16-17 Master 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A D Usk POLICYNUMBER PO Y EFF PO Immam —�-- LIMITS --_ COMMERCIAL GENERAL'UABILITY EACH OCCURRENCE S CLAIMS-MADE 0 OCCUR PREMISES(OE Eo. ce1 f ___ _ MED EXP(Any one person) 5 PERSONAL&ADV INJURY_ S GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO. (— POLICY J JECT LOC [PRODUCTS-COMP/OP AGG S ___ _ OTHER: IDRC $ �. AUTOMOBILEUABWTY i COMBINED SINGLE LIMIT E. Want) $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) S `—_ hdALL OWNED SCHEDULED AUTOS AUTOS 1020057824 S/6/2016 B/6/2017 BODILY INJURY(Per ecddent) SHIRED AUTOS I X AAUTOS D (PRer accidentTY) GE' S L:JUndeansured motorist BI s It S 100,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB _ CLAIMS-MADE AGGREGATE — S — D ETENT O - S `- WORKERS COMPENSATION - AND EMPLOYERS'LIABILITY Y/N STATUTE ER - -- _^-- ANY PROPRIETOR/PARTNER/EXECUTIVE ' l E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? l�N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S� If yes desarlbo under — E LrRIPTION OF OPf RATIONS below E.L.DISEASE•POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,AddlUonal Remarks Schedule,may be attached It more apace Is roqulred) V ,l CERTIFICATE HOLDER CANCELLATION catrina@kendallandweloh.ao SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Kendall 6 Welch Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 108 Parker Road - PO Box 490 ACCORDANCE WITH THE POLICY PROVISIONS. Osterviile, MA 02655 `J AUTHORIZED REPRESENTATIVE Andrew Roth/AJR ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD INS026(2014m) F_ 05/08/2017 RON 12125 PAx 50891123538 southeastern IA 0001/001 coR CERTIFICATE OF LIABILITY INSURANCE EDATA(MMI,bDiYYYY) 6/0/8017 THIS CERTIFICATE 13 ISSUIM A0 A MATTER OF INFORMATION ONLY AND CONPSR3 NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS •--�RTIRCATE DOES NOT APFIRMATIVBLY OR NEGATIVELY AMI"sNp,, EXTEND OR ALTER THE: COVERAGE AFFORDED BY THE POLICIES SLOW. THIS CERTIFICATE OF INSURANCE? DOES NOT CONSTITUTE A CONTRACT 9ETWE3EN THE ISSUING.INSURER(S), AUTHORlifil) ,APREBBNTATIVO OR PRODUCER,AND THE CERTIFICATE HOLDER. PiI'gIf Meaert111COW holder Is an ADDITIONAL INSURED.th®,po oy(lea)must be endorsed, It SUBROGATION is WANED,subject to the termd'and oondltlons of the policy,OertNn policies mey require an endorsement, A statement on this aertifloate does not cornier rights to the nerd oat®holder In Ileu of ueh ondorseme s. vl+oouceR Itaron 8orn4fte southeaetern Insuranep Agancy, xna. (fi0A)997-6081 _ Iao61r 4-arsi Nil EUIIII 439 Stets Rd. let>tosnior@sot>tthoaeternine.cam _ _ P.O. Box 7989E INOURR(}(IIJAFPORDINOCOVERAOe NAICN• North Dartmouth HA 02747 _ _Y_ INDURARAMsrohalntg__ISfi,arenao GROUP_ INSURED 10161JAGA 0 Mar OI>aOtlj.Mutual Snsucanas em 3 9 Rona Excavating xno, INeyniB o Bi Echo Road, Unit #1 INDUROR 0 1. esna ea NA 02649 COVERAGES G RTIPI ATE NUMBIER:0=742003740 REVISIO RUDER: HIS IB TO CERTIFY THAT THE P0410118 OF INS, RANCE'LISTEO BELOW HAVE SEEN 1681.1Eb TO THE INSUREDWAM D-ABOVII FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY Of! 1881.190 OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES. DLBCRIBED HEREIN 18 SUBJECT TO ALL THp TERMS, EXCLUSIONS AND CONDITIONS OF SUGH POLICIES.UNIITB SHOWN MAY HAVI!.61!EN RE .DUCE08Y PAID CLAIMS. b• col ""_ .. ._. _. .... . ..._ TYPE OF NO ANCE LIM X COMM1RQL4L Ok"0RAL LIA9ILITY CASH�OOOU RENCE 1,000,000 A CLAIMS Nd1D6 I I OCCUR IiO trom) 6 100,000 CMD0140246 a/1/2017 s/1/2010 reED EX one son e_ 01000 PERSONAL 6A6V URY r} _1.,000,000 oeNI.AooREGATE LIMerf APPLIES POR: �Ner A ;RMN i 2,000,000 R POLICY I JBCT _J L00 PRODUCTS-COMPIOPAGO 1 2.000,000 AUTOMOBILE WABILITY 11 ANY AUTO BODILY INJURY(Par pamon) 6 1,000,000 AALUI S"'I'D >G dEDUIED krATOSaD18 6/16/5014 6/16/2017 BODILYIwVRY(Peraeoldeal) 6 1,000,000 AUTOS rt�71�Os % 1 00_0 000 MWEiD AUTOS AUTOSeD L i 5,000 X WERE"LIAO OCCUR BACH OCOU R NCB __,+, 4,009,000 8 EXO_N58 WAD HC!'AIM3-M/q3 A60 EGATE d 1tO0Q�Q00, X cvv914774e 8/1/8017 5/1/2015 YORXBR000MPSHRATION AND EaIPI,OYERB'LIAElLITT e.L.P.AOnACCIDenrr 6 NIA ....1 QQ0,9G4. N oppFIC6NIAAEpITp BA>FC1 RRxHCVT1VQ .� (hl0nwlnry" n�N IrC7180948E9 6/1/2017 8/1/2016 a 4,0180611-EA SMP. 0 ,1,000,000 RJL N u e-rouar ufa1T 0 o DESCRIPTION OP OPBRATIONE I LOOATIONB I V6HIOLE5 WORD 104,AddManal Romorke 4000VIe,m1y DO 0e411e6 If mery" a to required) CERTIPIC (508)420-4907 katrin0konc9allandwelch.vo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 09 CANCELLED BEFORE Kendall IS Welsh Building and Remodeling THE EXPIRATION OATS THOREIOg, NOTICE ',ALL 0E DE:KRED IN P O Box 490 ACCORDANCE WITN THE POLICY PROVISION& Oaterville, MA 02653 AVTNORBC6D ASPREEBNTATIVe Karen Bornier/KAB ; "J 01086.2014 ACORD CORD AATEON. AEI eights reserved. ACORD 28(2014/01) The ACORD name and logo are registered marks of ACQRD IN8026(201401) Sharen• Rabesa MurrayandMacDonald ( 1/1 ) 06/14/2017 01 :41 : 35 PM -0400 �c RbP CERTIFICATE OF LIABILITY INSURANCE oATE(M4/201714100 r► �•• O6/14/2017 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: If1he certificate holder is an ADDITIONAL INSURED,the policy(les)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 endorsements . PRODUCER Sharen Rabesa MURRAY& MACDONALD INSURANCE SERVICES INC ° V 508 289-4160 F,O'c Pic): FMAM sharen@riskadvice.com 550 MACARTHUR BLVD INSURER 6 AFFORDING COVERAGE NAIC0 BOURNE MA 02532 INSURERA: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B: KENDALL &WELCH CONSTRUCTION INC INSURERC: INSURER D: PO BOX 490 INSURER E: OSTERVILLE MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER: 164255 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EXP LTRTYPE OF INSURANCE POLICY N BER LIMITS COMMERCIAL GENERAL LIA ILITY EACH OCCURRENCEDAMAGE TO Kt:Nl EIT_ S CLAIMS-MADE F1 OCCUR PREMISES Eeommonool $ MEO EXP(Any one •rson 5 _ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY ERC ❑LOC PRODUCTS•COMP/OPAGG OTHER S AUTOMOBILE LIABILITY MUSINED SINGLE LIMIT $ ANY AUTO pU BODILI INJURY(Par poracn) $ AlhOS ED AU OS LED N/A B�ILY INJURY(Per ecddent) $ NON-OWNED $ HIREDAUTOS AUTOS S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIM MADE N/A AGGREGATE $ RETENTIONS WORKERS COMPENSATION X1 MUTE AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNEWEXECUTIVE Y/ E.L.EACH ACCIDENT $ 600,000 A OFFICER/MEMSEREXCLUDED? N/A wA N/A 6S60UB5033P43517 02/06/2017 02/06/2018 (Mandatory In NH) E.4 DISEASE-EA EMPLOYE' 500000 under DGIO OF OPERATIONS below E.L.DISEASE•POLICY LIMIT S 500,000 N/A _7 L „ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may bs attached If more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool atwww.mass.govAwd/workers-compensationfinvestigations/. CERTIFICATE HOLDER CANCELLATIO. N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Falmouth ACCORDANCE WITH THE POLICY PROVISIONS. 59 Town Hall Square AUTHORIZED REPRESENTATIVE Falmouth MA 02640 `- Daniei M.CrD�v,1 y,CPCU,Vice President-Residual Market-WCRIBMA 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i umce oT uonsumer HTrairs ana business Heguiation 10 Park Plaza-.Suite 5170 Boston, Massachusetts 02116 Home Improvem6nt,Contractor Registration Type: Supp ement Cana KENDALL&WELCH CONSTRUCTION Registration: 128405 P.O.BOX 490' Expiration: 04/05/2019 OSTERVILLE,MA 02855 Update Address and return card. Mark reason for change. scAt 0 2onn•o5n1 _--Addre08 R num 17 Emei9yment ❑ LoetCard k1- r��t' ffG/Ir//I(+ItI1/C'Ul/�C��%l(.CIdJ((C�ICJC'l�J "-`_-"- � Office of Consumer Affairs&Business Regulation sz HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supplement Card before the expiration date. If found return to: Realstration E iraHon Office of Consumer Affairs and Business Regulation ' 128405 04/05/2019 10 Park Plaza-Suite 5170 KENDALL&WELCH CONSTRUCTION Boston,MA 02116 RONALD WELCH 54 KOMPASS DR. FALMOUTH,MA 025a6 Undersecretary Not valid without.signature W WOWNWIOI)WAOWN 01191&ljj"� ir�; __� i y Office of Consumer Affairs and Business Regulation 1.0 Park Plaza- Suite 5170 :Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: y Partnership KENDALL&WELCH CONSTRUCTION Registration: 128405 P.O.BOX 490 Expiration: 04/05/2019 OSTERVILLE;MA 62655 Update Address and return card. Mark reason for change. SCA 1 0 2OM-05/11 _...:_..- --— - ...._ .... .�..., _ __-..—...0-Address-0 9ent,l+rgl f 1 Em i�vmsnLL7lost_C�>�__ r.��r�reutllmlrlueir�/�(/�A!'�(J.(n[�nJt•//,. . Office of Consumer Affairs&Business Regulation 'HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPErPartnershiD before the,expiration date. If found return to: Realdration Expira tion Office of Consumer Affairs and Business Reputation j 04/05/2019 10 Park Plaza-Suite 5170 KENDALL&WELCH CONSTRUCTION Boston,MA 02116 DAMON L KENDALL 54•KOMPASS DR. FALMOUTH,MA 02536 Not valid without signature Undersecretary 9ndy Roth MurrayandMacDonald ( 1/1 ) 04/18/2017 05: 00 : 09 PM -0400 ACOKO® 731 /7/2017 E(MMIODNYYY) �� CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS "^ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED °OREPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsements). PRODUCER CONTACT NAME: Andrew Roth Murray & MacDonald Insurance Services, Inc. AICNN Ext: (508)540-2400 AIC No:(508)289-4111 550 MacArthur Blvd. ADDRESS:andy®riskadvice.com Ji INSURERS AFFORDING COVERAGE NAIC# Bourne MA 02532 L\ INSURERA:Guard Insurance Group INSURED r( INSURERB: The Sandman Hardwood Floo=s Inc. INSURERC: 1398 Osterville Rd ( V INSURERD: INSURER E: West Barnstable MA i02668-1744 SU ERF• COVERAGES CERTIFICATE NUMBER:17-18 Master 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BLI FFY PAID CLAIMS. Y EXP LTR TYPE OF INSURANCE POLICY NUMBER MO DCIYYYV MM/DPOLID/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 RLNTEU- A CLAIMS-MADE 7X OCCUR PREMISES Ea occurrence $ 50,000 SASP700097 1/8/2017 1/B/2018 MED EXP(Any one person) S 5,000 PERSONAL BADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY PENT LOC PRODUCTS-COMP/OPAGG S 2,000,000 OTHER: Employee dishonesy S 10,000 AUTOMOBILE LIABILITY 0 IRaccident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED) BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S HIREDAUTOS AUTOS per $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S LIDDED RETENTIONS $ WORKERS COMPENSATION10 AND EMPLOYERS'LIABILITY ;YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A A E.E.L.EACH ACCIDENT $ 100,000 LU OFFICER/MEMBER EXCDED? (Mandatory In NH) SAWC700113 1/8/2017 1/8/2018 E.L.DISEASE-EA EMPLOYEE S 100,000 If yyes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY LIMIT IS 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more apace Is required) Kendall and Welch Construction Inc. and KTW Group LLC are listted as an additional ,insured with a hold harmless in their favor. 0\1''• r ` ^'1 CERTIFICATE HOLDER CANCELLATION (508)428-4907 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Kendall and Welch Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 32 Wianno Ave. Suite A5 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville, MA 02655 i AUTHORIZED REPRESENTATIVE Andrew Roth/AJR .--cis--r O 1988-2014ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) 9ndy Roth MurrayandMacDonald ( 1/1 ) 04/18/2017 05 : 00: 09 PM -0400 AC4/ & CERTIFICATE OF LIABILITY INSURANCE DATEI7MM2o1�I THIS CERTIFICATE 18 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 ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED a�REPRESENTATiVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the pollcy(les) 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 endorsements. PRODUCER NA E.rT Andrew Roth Murray 6 MacDonald Insurance Services, Inc. PHONE; (508)540-2400 ANC No;(508)289-4111 550 MacArthur Blvd. ADDRESS:andy®riskadvice.com �/Q INSU WS AFFORDING COVERAGE NAIC0 Bourne MA 02532 l INSURERA:Guard Insurance Group INSURED r( INSURERB: The Sandman Hardwood Floor`s Inc. INSURERC: � 1398 Osterville Rd INSURERD: j INSURER E West Barnstable MA i02668-1744 INSURER F COVERAGES CERTIFICATE NUMBER:17-18 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLIPIES 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 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 SOCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY " EACH OCCURRENCE S 1,000,000 A CLAIMS MADE Xa OCCUR PREMISES Ee occurrence) S 50,000 SABP700097 1/8/2017 1/8/2018 MEDEXP Anyoneperson) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OPAGG S 2,000,000 OTHER: Employee dlshonesy S 10,000 AUTOMOBILE LIABILITY 8 cldentl ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED i BODILY INJURY(Per accident) S AUTOS AUTOS HIREOAUTOS AUTOS ON-OWNEDFRO Per e DAMAGES Y UMBRELLA LIAB HOCCUR EACH OCCURRENCE S REXCESS CLAIMS-MADE AGGREGATE E S RED RETENTION3S WORT RS COMPENSATION AND EMPLOYERS'LIABILITY !YIN STATUTE ER ANY PROPRIETZPARTNER/EXECUTIVE a NIA A E.L.EACH ACCIDENT S 100,000 A OFFICER/M(Mandatory In MI EXCLUOED7 SAWC700113 1/8/2017 1/8/2018 E.L DISEASE-EA EMPLOYE S 100,000 (Mandatory In NH) Me describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace In required) Kendall and Welch Construation Inc. and KTW Group LLC are listted as an additional insured with a hold harmless in their favor. Y CERTIFICATE HOLDER CANCELLATION (508)428-4907 SHOULD ANY OPINE A80406CRIBED POLICIES Be CANCELLED BEFORE Kendall and Welch Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 32 Wianno Ave. Suite A5 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville, MA 02655 AUTHORIZED REPRESENTATIVE A� " Andrew Roth/AJR 01088-2014ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) cApplication Number•............................................................. Permit FCC.....I... tlo...o...........Other FCC..:::::.i.............. Total Fee Paid........:....:.:. •. TOWN OF BARNSTABLE Peffirt Approval by...:.:4:�.'J:'.. ..... .......On..:`: p.� ..... BUILDING PERMIT 0S �- APPLICATION ` ..... ......................... .. ......... ©.............. \.�� tit. � • • { � � •' Section 1 — Owners Information and Project Location Project Address 2V S/h D JZ,,1P Z4 L L e y J�A Village S Owners Name °C i Owners Legal Address_ Z O SM��� (�j�`TL City 0S Te- Iy( ( y State V11" = Zip Owners Cell# D . E-mail F!I f f}ye t"' JRLIAAo,,. Cr2/),-1 Section 2—Structural Use Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet 4 ❑ Commercial Structure under 35,000 cubic feet Section 3—Type of Permit r ❑ New Construction ❑ . Move/Relocate ❑ Accessory Str ctue ❑ Change of use El Demo/(entire struct=) ' ❑ Finish Basement ❑ Family/Alfiii sty 2,Fire Alarm Rebuild ❑ Deck ApartinEte 47, Sprinkler System W-Addition ❑ Retaining wall ❑' Solar Renovation ❑ Pool ❑ Insulation Other—Specify Section 4—Detail y � �Y . ! Cost of Proposed Construction J®p 00 Square Footage of Project " 7 6 S 12 e Age of Structure 9 g 3 Dig Safe Number 2 o `L30 2 CPL/,c-oe #Of Bedrooms Existing Total#Of Bedrooms (proposed) I , 11.0 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design East updated:11nn2ol7 i Section 5 -Work Description A 0/1IZWI �x tr car c SI �o� Section 6—Project Specifics . . i Wiring [] Oil Tank Storage . ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression A.Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private • i ,Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway 1 Debris Disposal Facility:LUeUl heSESr� (/U f}fE I am using a crane C Yes No Section 7—Flood Zone i Flood Zone Designation Ii Within or adjacent to a wetland,coastal bank? Yes ❑ No Icy Section 8—Zoning Information d Zoning District Proposed Use Lot Area S .Ft 2-� 1- q Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site)._ Setbacks Front Yard Required Proposed Rear Yard Required Proposed ._ Side Yard Required Proposed i Has this property had relief from the Zoning Board in the past? ❑ Yes No s' Last updated:11/7/2017 I j Section 9—Construction Supervisor Name 2�9/V)011 1«-�,A �k Telephone Number 50k Z I-IC206 Address Lfi (=�—Cit3' fa l'kie _(� State Zip O 2.5� I License NumberCS—D7aC66 License Type C Expiration Date 2-/— zo�p i Contractors Emu 0�/Y10n gend�1 I Dlnd W el��,•��Cell# ,5�� S-�` aj I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 i CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re by 780 CMR and the Town of Barnstable.Attach a copy of your license. Si ."', Date 09,eZ 2 7 Zo!? I 3 Section 10—Home Improvement Contractor i Name Q2j O �A �re ephone Number 50 Zf Addressj V 7�—City State _Zip 6)2�� t2� C' Registration Number Expiration Date Z� 7_0 ? F I understand my responsibilities tinder the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation by 780 CUR and the Town of Barnstable.Attach a copy of your R I.C... Side ! Date LleC 2 2e 2 C( Section 11—Home Owners License Exemption f Home Owners Name: Telephone Number Cell or Work Number EI understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Budding Code. I understand the construction inspection procedures,specific inspections and doc rnentaticn requzed by 780 CMR and the Town of Barnstable. 1 Side Date i APPLICANT SIGNATURE Signature Date l 22 -o�? Print Name 01611,1, K91 A Telephone Number 3 pllq/h � s � sG s y�E-mail permit to: Last updated.i inrz017 Section 12-Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation- For commercial work,please take your plans direcdy to the fire departneent for approval Section 13- Owner's Authorization I as Owner of the subject property hereby �1 authorize 1,(,-4- 4 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner _ date Print Name i I i i i • J t) Lot 11/7rz017 SEA&B Engineering . P.O. Box 688 Eastham, MA 02642-0688 it (508) 240-3987 December 18, 2017 Mr. Joseph Botelho P.O. Box 285 West Barnstable, MA 02668 Teceno, 120 Smoke Valley Rd., Osterville,MA Dear Joe, Invoice: Structural evaluation, member sizing and report 5 hrs. @ 110 $550.00 Please make payable to Richard P. Anderson Regards, Richard P. Anderson Q' Nea �O SEA&B Engineering ` ` P.O. Box 688 Eastham,MA 02642-0688 (508) 240-3987 December 18,2017 �OF ' P. Mr. Joseph Botelho P.O. Box 285 West Barnstable,MA 02668 Teceno, 120 Smoke Valley Rd.,Osterville,MA Dear Joe, The renovations for this home have been evaluated according to your drawings and the requirements of the 8t'edition of the building code for wind exposure B,and the WFCM guide(wood framing construction manual). General i • Beam A is to be a W 1 Ox45. The columns supporting the ends of the W 1 Ox'45 are to be connected to the beam with angle beam seats, gusset plates and welding as shown in sheet 33. The columns are to be tight fit on base plates 8 in. x 8 in. x %2 in.thick on the foundation walls. The base plates are each to be secured with two '/4 in. dia., 7 in. long Hilti bolts into the concrete with one each centered on each side of each column. The columns are to be welded to the base plates with 1/8 in. fillet welds, all around. • Beam B is to be a 5 'A x 9 '/2 Microllam LVL supported with six columns as shown on the drawings as three pairs of columns. The columns are to be connected to the beam with Simpson EPC 66 connectors at the ends and PC 66 connectors for intermediate connectors, or equivalent. The columns are to be connected to the foundation wall with Simpson ABA66 connectors, or equivalent.The LVL beam may be made up of two 1 3/4 x 11 7/8 Microllam LVLs connected together as shown in sheet 34 Assembly A with two rows of%2 in. dia. A307 through bolts and 16 in. spacing. Washers are to be used on each side. Hardware should be dry or zinc coated but not waxed. Each nut should be torqued to 25 ft. lbs.,then re-torqued. • Roof Beam C is to be a double 2x10. e Roof Beam D is to be a double 2x12. Analysis �,�A , Drawing sections E and C were evaluated to determine design loads for beamsA`and B Wind load selection is based on based on roof pitch, wall and roof surface area, and area section location. I I The main roof angle of section E is 41.52 degrees. Maximum horizontal wind load for this angle is 21.8 psf. This resolves to a vertical wind loading of 10.82 psf. The roof angle for the dormer is 18.44 degrees. Maximum horizontal wind load for this angle is 29.1 psf. This resolves to a vertical wind loading of 8.73 psf. The cupola roof of section C is 45 degrees. Maximum horizontal wind load for this angle is 21.8 psf. This resolves to a vertical wind loading of 10.9 psf. The front and back roof angles for section C are both 18.44 degrees. Again. maximum horizontal wind load for this angle is 29.lpsf. This resolves to a vertical wind loading of 8.73 psf. The horizontal wind load for external walls is 22.6 psf. Snow load is 25 psf. Total vertical loading on the roof consists of snow plus %2 vertical wind and material weight. Internal floor live loads are 40 psf. All material weight is evaluated and combined in by the computer. Analytical Sheets • Sheets 1 to 7 show the section E model, vertical loading illustration, node identification, member identification,maximum node deflections, maximum member stress, and support reactions for the vertically loaded model. • Sheets 8 to 11 show the same parameters for the wind shear model as sheets 2, 5, 6 and 7 show for the vertically loaded model. • Sheets 12 to 22 show the same parameters for the section C model as sheets 1 to I I show for the section E model. • Sheets 23 to 32 are the analytical sizing sheets for the beams and support footings for column B • Sheet 33 shows the end support requirements and connection requirements for beam A. • Sheet 34 shows connection requirements for multi member LVL and PSL beams. Please let me know if you have questions. Regards, C, \�\ Richard P. Anderson M� ;d "OF P. Amm;nm ft. 9� r Job No Sheet No Rev 1 Software licensed to Microsoft Part Job Title Ref By Dick A Date14-Dec-17 Chd Client File Teceno,Sect.E.std Datemme 15-Dec-2017 10:46 I - Z Load 1 Print Time/Date:15/12/2017 11:30 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref �O By Dick A Date14-Dec-17 Chd Client File Teceno,Sect.E.std DaT teme 15-Dec-2017 10:46 X Z Load 4 Print Time/Date:15/12/2017 11:30 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref By Dick A Date14-Dec-17 Chd Client File Teceno.std DateTme 14-DeC-2017 18:09 30\ 41 64 37 6 3 \I10 5 35 36 I/ �20 16 6�f3 \* �160 14 gg "259 33 f 57 52. �53j254 55 j 56 ,�;�Zf10 51 ` \ 3` 47 48 :Z Z 32 7 •/�`28 Load 1 1 Print Time/Date:14/12/2017 18:10 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev ' Software licensed to Microsoft Part Job Title Ref ON By DiCk A Date14-Dec-17 Chd Client File Teceno.std Datemme 14-Dec-2017 18:09 �. 19 � so 81 62 63105 16 \ \ 47 _ 58 58 I I 11044 /' 46 \ '10 57 103• 20� 6. 55 56 83 i93 ' q 77 1 89 782 �(: ' 112 1/281 gg 49 101102 i.98 00 8 5 1 i3 52�/ 31 96 � 88 148 7 ' %87 I i•72 73 7 0 75 '•6 �ag71 �� •t iA72 68 rye Z 40 1 I 31, 6 66 34 Load 1 Print Time/Date:14/12/2017 18:11 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Print Run 1 of 1 i n Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref 4/a 1101/111.4 6Y Dick A Date14-Dec-17 chd Client File Teceno,Sect.E.std Daterrime 15-Dec-2017 10:46 Node Uc X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad) 16 3 -0.055 -0.072 0.000 0.090 0.000 0.000 0.000 9 3 -0.049 -0.073 0.000 0.088 0.000 0.000 0.000 17 3 -0.049 -0.072 0.000 0.087 0.000 0.000 -0.000 18 3 -0.048 -0.072 0.000 0.086 0.000 0.000 -0.000 8 3 -0.047 -0.070 0.000 0.085 0.000 0.000 -0.000 16 4 -0.043 -0.063 0.000 0.076 0.000 0.000 0.000 19 3 -0.001 -0.075 0.000 0.075 0.000 0.000 -0.001 15 3 -0.000 -0.072 0.000 0.072 0.000 0.000 0.001 9 4 -0.030 -0.064 0.000 0.070 0.000 0.000 -0.000 18 4 -0.028 -0.060 0.000 0.066 0.000 0.000 -0.000 17 4 -0.030 -0.056 0.000 0.064 0.000 0.000 -0.000 15 4 -0.000 -0.063 0.000 0.063 0.000 0.000 0.001 8 4 -0.028 -0.057 0.000 0.063 0.000 0.000 -0.000 19 4 -0.001 -0.063 0.000 0.063 0.000 0.000 -0.001 21 3 -0.045 -0.033 0.000 0.056 0.000 0.000 -0.001 30 4 -0.021 -0.049 0.000 0.054 0.000 0.000 -0.000 30 3 -0.024 -0.046 0.000 0.052 0.000 0.000 -0.001 53 4 -0.002 -0.052 0.000 0.052 0.000 0.000 0.000 52 4 -0.002 -0.052 0.000 0.052 0.000 0.000 -0.000 34 4 -0.021 -0.047 0.000 0.051 0.000 0.000 -0.001 22 4 -0.001 -0.051 0.000 0.051 0.000 0.000 0.000 37 4 -0.020 -0.046 0.000 0.050 0.000 0.000 0.000 54 4 -0.001 -0.049 0.000 0.049 0.000 0.000 0.000 38 4 -0.020 -0.042 0.000 0.047 0.000 0.000 0.000 36 4 -0.019 -0.042 0.000 0.047 0.000 0.000 -0.000 57 4 0.005 -0.045 0.000 0.046 0.000 0.000 0.000 7 4 -0.015 -0.043 0.000 0.045 0.000 0.000 -0.000 51 4 -0.002 -0.045 0.000 0.045 0.000 0.000 -0.001 61 2 0.022 -0.039 0.000 0.045 0.000 0.000 -0.000 23 2 0.022 -0.039 0.000 0.045 0.000 0.000 0.000 62 2 0.022 -0.039 0.000 0.045 0.000 0.000 0.000 21 4 -0.025 -0.037 0.000 0.044 0.000 0.000 -0.000 61 3 -0.042 0.013 0.000 0.044 0.000 0.000 -0.000 23 3 -0.041 0.012 0.000 0.043 0.000 0.000 -0.000 55 4 -0.001 -0.043 0.000 0.043 0.000 0.000 0.000 43 4 -0.020 -0.038 0.000 0.042 0.000 0.000 -0.000 34 3 -0.042 -0.004 0.000 0.042 0.000 0.000 -0.001 45 4 -0.020 -0.037 0.000 0.042 0.000 0.000 -0.000 44 4 -0.020 -0.037 0.000 0.042 0.000 0.000 0.000 31 4 -0.020 -0.037 0.000 0.042 0.000 0.000 -0.000 56 4 0.005 -0.041 0.000 0.042 0.000 0.000 -0.000 64 4 -0.019 -0.037 0.000 0.042 0.000 0.000 0.000 34 2 0.022 -0.035 0.000 0.042 0.000 0.000 0.000 63 1 4 -0.018 -0.038 0.000 0.042 0.000 0.000 0.000 39 4 -0.020 -0.037 0.000 0.041 0.000 0.000 0.000 42 4 -0.020 -0.037 0.000 0.041 0.000 0.000 -0.000 Print Time/Date:15/12/2017 11:32 STAAD.Pro V8i(SELECTsedes 5)20.07.10.66 Print Run 1 of 6 i � Job No Sheet No 4 Software licensed to Microsoft Part Job Title Ref By Dick A Date14-Dec-17 Chd Client File Teceno,Sect.E.std DatelTme 15-Dec-2017 10:46 Beam UC Section Axial Bend-Y Bend-Z Combined Shear-Y Shear-Z (psi) (psi) (psi) (psi) (psi) (psi) 2 4 0.000 103.382 0.000 -710.951 814.333 62.180 0.000 35 4 1.000 232.899 0.000 -567.879 800.778 48.316 -0.000 2 4 0.083 103.382 0.000 -688.080 791.461 61.910 0.000 2 4 0.167 103.382 0.000 -665.308 768.689 61.639 0.000 35 4 0.917 232.916 0.000 -533.382 766.298 48.316 0.000 2 4 0.250 103.382 0.000 -642.635 746.017 61.368 0.000 35 4 0.833 232.934 0.000 -498.884 731.818 48.316 0.000 2 4 0.333 103.382 0.000 -620.063 723.445 61.098 0.000 2 4 0.417 103.382 0.000 -597.590 700.972 60.827 0.000 35 4 0.750 232.952 0.000 -464.386 697.339 48.316 0.000 2 4 0.500 103.382 0.000 -575.217 678.599 60.557 0.000 35 4 0.667 232.970 0.000 -429.889 662.859 -48.316 1 0.000 2 4 0.583 103.382 0.000 -552.944 656.326 60.286 0.000 67 4 1.000 88.162 0.000 551.636 639.798 87.193 -0.000 2 4 0.667 103.382 0.000 -530.771 634.152 60.015 0.000 67 4 0.917 88.162 0.000 541.567 629.729 87.277 0.000 35 4 0.583 232.988 0.000 -395.391 628.379 48.316 0.000 35 3 1.000 76.978 0.000 -545.898 622.876 46.044 -0.000 26 4 0.000 88.281 0.000 -533.793 622.074 110.225 0.000 67 4 0.833 88.162 0.000 531.488 619.650 87.362 0.000 2 4 0.750 103.382 0.000 -508.697 612.078 59.745 0.000 67 4 0.750 88.162 0.000 521.400 609.562 87.447 0.000 67 4 0.667 88.162 0.000 511.302 599.464 87.531 0.000 35 4 0.500 233.006 0.000 -360.894 593.899 48.316 0.000 2 4 0.833 103.382 0.000 -486.723 590.104 59.474 0.000 35 3 0.917 76.978 0.000 -513.022 590.000 46.044 0.000 67 4 0.583 88.162 0.000 501.194 589.356 87.616 0.000 67 4 0.500 88.162 0.000 491.077 579.238 87.701 0.000 67 4 0.417 88.162 0.000 480.949 569.111 87.786 0.000 2 4 0.917 103.382 0.000 464.849 568.230 59.204 0.000 35 4 0.417 233.023 0.000 -326,396 559.419 -48.316 0.000 67 4 0.333 88.162 0.000 470.812 558.974 87.870 0.000 35 3 0.833 76.978 0.000 480.147 557.125 46.044 0.000 15 4 1.000 149.997 0.000 -399.810 549.807 -23.498 -0.000 67 4 0.250 88.162 0.000 460.665 548.827 87.955 0.000 15 3 1.000 115.010 0.000 -432.470 547.480 -23.696 -0.000 2 4 1.000 103.382 0.000 -443.074 546.456 58.933 -0.000 26 4 0.083 88.281 0.000 450.667 538.948 109.670 0.000 67 4 0.167 88.162 0.000 450.508 538.670 88.040 0.000 67 4 0.083 88.162 0.000 440.342 528.504 88.125 0.000 35 4 0.333 233.041 0.000 -291.898 524.940 48.316 0.000 26 4 1.000 88.281 0.000 436.026 524.307 103.565 -0.000 35 3 0.750 76.978 0.000 -447.272 524.249 46.044 0.000 67 4 0.000 88.162 0.000 430.165 518.327 88.209 0.000 39 4 1.000 47.529 0.000 466.974 514.503 -79.834 -0.000 36 4 1.000 22.489 0.000 -474.140 496.629 1 -32.428 -0.000 Print Time/Date:15/12/2017 11:32 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Print Run 1 of 92 ^� Job No Sheet No Rev *7 Software licensed to Microsoft Part Job Title Ref P Q By Dick A Date14-Dec-17 Chd Client File Teceno,Sect.E.std DeteT.me 15-Deo-2017 10:46 Node L/C Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip-in) (kip'in) (kip'in) 28 4 0.339 2.102 0.000 0.000 0.000 -1.069 14 4 -1.289 1.974 0.000 0.000 0.000 -18.505 2 4 1.270 1.916 0.000 0.000 0.000 26.577 32 4 -0.320 1.797 0.000 0.000 0.000 -10.720 14 3 -0.939 1.655 0.000 0.000 0.000 -20.182 32 3 -0.310 1.608 0.000 0.000 0.000 -10.061 28 2 -0.007 0.965 0.000 0.000 0.000 -0.054 2 3 0.926 0.952 0.000 0.000 0.000 12.852 28 3 0.323 0.802 0.000 0.000 0.000 -0.934 2 2 0.178 0.700 0.000 0.000 0.000 9.835 28 1 0.022 0.336 0.000 0.000 0.000 -0.081 2 1 0.167 0.264 0.000 0.000 0.000 3.890 14 1 -0.169 0.229 0.000 0.000 0.000 -1.741 1 4 0.000 0.179 0.000 0.000 0.000 2.233 1 3 0.000 0.166 0.000 0.000 0.000 2.079 32 1 -0.021 0.150 0.000 0.000 0.000 -0.737 14 2 -0.182 0.090 0.000 0.000 0.000 3.419 32 2 0.011 0.039 0.000 0.000 0.000 0.078 1 1 0.000 0.012 0.000 0.000 0.000 0.154 1 2 0.000 0.000 0.000 0.000 0.000 0.000 Print Time/Date:15/12/2017 11:33 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev f�i �l Software licensed to Microsoft Part Job Title Ref By Dick A Date14-Deo-17 Chd Client File Teceno,Sect.E,wind she DateTme 15-Dec-2017 11:27 f� y r ' f I Jl;�f:Y Z Load 3 Print Time/Date:15/12/2017 11:35 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 r Job No Sheet No Rev `< Software licensed to Microsoft Part Job Title Ref By Dick A D8te14-Dec-17 Chd Client File Teceno,Sect.E,wind she Data/rme 15-Dec-2017 11:27 Node Uc X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad) 16 3 -0.055 -0.068 0.000 0.087 0.000 0.000 0.000 9 3 -0.045 -0.069 0.000 0.082 0.000 0.000 -0.000 16 2 -0.051 -0.062 0.000 0.080 0.000 0.000 0.000 18 3 -0.043 -0.066 0.000 0.079 0.000 0.000 -0.000 17 3 -0.045 -0.062 0.000 0.076 0.000 0.000 -0.000 9 2 -0.043 -0.062 0.000 0.076 0.000 0.000 -0.000 18 2 -0.042 -0.061 0.000 0.074 0.000 0.000 -0.000 17 2 -0.043 -0.057 0.000 0.071 0.000 1 0.000 -0.000 19 3 -0.001 -0.070 0.000 0.070 0.000 0.000 -0.001 8 3 -0.041 -0.057 0.000 0.070 0.000 0.000 -0.000 15 3 -0.001 -0.069 0.000 0.069 0.000 0.000 0.001 19 2 -0.001 -0.065 0.000 0.065 0.000 0.000 -0.001 8 2 -0.039 -0.051 0.000 0.065 0.000 0.000 -0.000 15 2 -0.001 -0.062 0.000 0.062 0.000 0.000 0.001 21 3 -0.041 -0.034 0.000 0.054 0.000 0.000 -0.000 21 2 -0.040 -0.032 0.000 0.051 0.000 0.000 -0.000 30 3 -0.024 -0.038 0.000 0.045 0.000 0.000 -0.001 34 3 -0.037 -0.014 0.000 0.040 0.000 0.000 -0.001 30 2 -0.022 -0.032 0.000 0.039 0.000 0.000 -0.001 61 2 -0.036 0.011 0.000 0.038 0.000 0.000 -0.000 23 2 -0.036 0.010 0.000 0.037 0.000 0.000 -0.000 34 2 -0.037 -0.006 0.000 0.037 0.000 0.000 -0.001 61 3 -0.037 0.004 0.000 0.037 0.000 0.000 -0.000 23 3 -0.036 0.003 0.000 0.036 0.000 0.000 -0.000 62 2 -0.033 0.008 0.000 0.034 0.000 0.000 -0.000 62 3 -0.034 0.000 0.000 0.034 0.000 0.000 -0.000 60 2 -0.031 0.008 0.000 0.032 0.000 0.000 0.000 63 3 -0.031 -0.003 0.000 0.032 0.000 j 0.000 -0.000 60 3 -0.031 0.001 0.000 0.031 0.000 0.000 0.000 36 3 -0.023 -0.021 0.000 0.031 0.000 0.000 -0.000 63 2 -0.031 0.005 0.000 0.031 0.000 0.000 -0.000 37 3 -0.023 -0.020 0.000 0.031 0.000 0.000 0.000 64 3 -0.028 -0.007 0.000 0.029 0.000 0.000 -0.000 7 3 -0.013 -0.025 0.000 0.028 0.000 0.000 -0.001 35 3 -0.023 -0.015 0.000 0.028 0.000 0.000 -0.000 38 3 -0.023 -0.015 0.000 0.028 0.000 0.000 0.000 31 3 -0.025 -0.011 0.000 0.027 0.000 0.000 -0.000 64 2 -0.027 0.000 0.000 0.027 0.000 0.000 -0.000 45 3 -0.023 -0.013 0.000 0.027 0.000 0.000 -0.000 36 2 -0.021 -0.014 0.000 0.026 0.000 0.000 -0.000 37 2 -0.021 -0.012 0.000 0.025 0.000 0.000 0.000 44 3 -0.023 -0.007 0.000 0.024 0.000 0.000 -0.000 39 3 -0.023 -0.006 0.000 0.024 0.000 0.000 0.000 35 2 -0.021 -0.011 0.000 0.024 0.000 0.000 -0.000 41 2 -0.022 0.011 0.000 0.024 0.000 0.000 -0.000 5 3 -0.023 -0.005 0.000 0.024 0.000 0.000 -0.001 Print Time/Date:15/12/2017 11:36 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 4 i � Job No Sheet No Rev �f0 Software licensed to Microsoft Part Job Title Ref 6y Dick A Daw14-Dec-17 Chd Client FFile Teceno,Sect.E,wind she Daleffine 15-Dec-2017 11:27 Beam UC Section Axial Bend-Y Bend-Z Combined Shear-Y Shear-Z (psi) (psi) (psi) (psi) (psi) (psi) 54 3 1.000 248.277 0.000 -791.104 1.04E+3 -30.263 -0.000 54 2 1.000 224.844 0.000 -791.449 1.02E+3 -30.270 -0.000 54 3 0.000 245.829 0.000 -710.683 956.512 29.219 0.000 54 2 0.000 224.844 0.000 -709.831 934.675 29.211 0.000 35 3 1.000 114.766 0.000 -581.588 696.354 -49.165 -0.000 54 3 0.917 248.073 0.000 -434.392 682.465 -25.306 0.000 35 3 0.917 114.783 0.000 -546.484 661.267 -49.165 0.000 54 2 0.917 224.844 0.000 -434.638 659.482 -25.314 0.000 54 3 0.500 247.053 0.000 394.594 641.647 -0.522 0.000 35 3 0.833 114.801 0.000 -511.380 626.181 -49.165 0.000 35 2 1.000 75.806 0.000 -544.405 620.211 -45.957 -0.000 54 2 0.500 224.844 0.000 394.848 619.693 -0.530 0.000 54 3 0.417 246.849 0.000 369.477 616.326 4.435 0.000 54 3 0.083 246.033 0.000 -367.375 613.408 24.262 0.000 54 3 0.583 247.257 0.000 356.073 603.330 -5.479 0.000 54 2 0.417 224.844 0.000 369.831 594.675 4.427 0.000 54 2 0.083 224.844 0.000 -366.622 591.466 24.254 0.000 35 3 0.750 114.819 0.000 -476.276 591.095 -49.165 0.000 35 2 0.917 75.806 0.000 -511.591 587.397 -45.957 0.000 54 2 0.583 224.844 0.000 356.227 581.072 -5.487 0.000 35 3 0.667 114.837 0.000 -441.172 556.009 -49.165 0.000 35 2 0.833 75.806 0.000 -478.778 554.584 -45.957 0.000 54 3 0.333 246.645 0.000 280.721 527.366 9.392 0.000 35 2 0.750 75.806 0.000 -445.965 521.771 -45.957 0.000 35 3 0.583 114.855 0.000 -406.068 520.923 -49.165 0.000 54 2 0.333 224.844 0.000 281.175 506.019 9.384 0.000 54 3 0.667 247.461 0.000 253.914 501.375 -10.436 0.000 36 3 1.000 23.271 0.000 -474.878 498.148 -32.473 -0.000 2 3 0.000 79.886 0.000 -412.960 492.846 35.449 0.000 35 2 0.667 75.806 0.000 -413.151 488.958 -45.957 0.000 35 3 0.500 114.873 0.000 -370.964 485.837 -49.165 0.000 2 3 0.083 79.886 0.000 -399.942 479.828 35.178 0.000 54 2 0.667 224.844 0.000 253.969 478.813 -10.443 0.000 15 3 1.000 64.254 0.000 -411.803 476.057 -21.522 -0.000 2 3 0.167 79.886 0.000 -387.024 466.910 34.907 0.000 36 2 1.000 21.832 0.000 -442.159 463.991 -30.237 -0.000 35 2 0.583 75.806 0.000 -380.338 456.144 -45.957 0.000 2 3 0.250 79.886 0.000 -374.206 454.092 34.637 0.000 35 3 0.417 114,890 0.000 -335.861 450.751 -49.165 0.000 44 3 0.000 59.233 0.000 -387.796 447.028 45.206 0.000 2 3 0.333 79.886 0.000 -361.488 441.374 34.366 0.000 67 3 1.000 72.181 0.000 366.904 439.085 66.648 -0.000 67 3 0.917 72.181 0.000 359.207 431.387 66.733 0.000 44 2 0.000 51.074 0.000 -379.047 430.121 42.679 0.000 2 3 0.417 79.886 0.000 -348.869 428.755 34.096 0.000 67 3 0.833 72.181 0.000 351.500 423.680 66.818 0.000 Print Time/Date:15/12/2017 11:36 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 69 I N7 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref By DickA Date14-Dec-17 Chd Client File Teceno,Sect.E,wind she DateTme 15-Dec-2017 11:27 Node UC Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip-in) (kip in) (kip-in) 32 3 -0.197 1.697 0.000 0.000 0.000 -13.137 32 2 -0.176 1.547 0.000 0.000 0.000 -12.400 14 3 -0.283 1.143 0.000 0.000 0.000 -19.191 28 3 0.345 1.127 0.000 0.000 0.000 -1.021 2 3 1.038 1.080 0.000 0.000 0.000 15.203 14 2 -0.114 0.913 0.000 0.000 0.000 -17.450 2 2 0.871 0.815 0.000 0.000 0.000 11.313 28 2 0.322 0.792 0.000 0.000 0.000 -0.940 28 1 0.022 0.336 0.000 0.000 0.000 -0.081 2 1 0.167 0.264 0.000 0.000 0.000 3.890 14 1 -0.169 0.229 0.000 0.000 0.000 -1.741 1 3 0.000 0.179 0.000 0.000 0.000 2.233 1 2 0.000 0.166 0.000 0.000 0.000 2.079 32 1 -0.021 0.150 0.000 0.000 0.000 -0.737 1 1 0.000 0.012 0.000 0.000 0.000 0.154 Print Time/Date:15/12/2017 11:37 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 l �r 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,,.. Map t 6ci, Parcel: ` 0 yApplicatior ,.... t_ Health Division " "bate Issued a'3 Conservation Division ( J'J ;Application F4 Planning Dept: i' .Permit Fee . Date Definitive;Plan Approved by Planning Board Historic ;OKH Preservation / Hyannis 1p�i Project Street Address 12 6 SM 0 K IF VA2f..W AQ 5,F/tP o T Village Owner V 1� {'��'I7z�',- -� Address 'A) Telephone ���'-4-2-6 66g.S- l7Zc�3 c7 Permit Request •fbD :. , IF ec vN IT ## ,� t�0 � : j�f 77 0 ail f'1L j�Z.C.t3Y+�Ai'NYIIV 6 (/i ti S�D Square feet: 1 st floor: existing proposed -2nd floor: existing proposed Total new Zoning District- /Z F Flood Plain Groundwater Overlay Project Valuation 0 16 06 Construction Type Lot Size Ate- Grandfathered: ❑Yes ArNo If yes, attach supporting documentation. Dwelling Type: Single Family a. Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: 'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.). Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing j new, a Number of Bedrooms: existing _new o _' Total Room Count (not including baths): existing new First Floor Roorn Count c� Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other © > ;Z Xn :�D Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/c,al stoves ❑Yes ❑ No z Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ e isting -U neW� size_ Qn m 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 Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � �/� J''f /LC.�,� Telephone Number Address �!� �' �� License # 1_3J'VNA,-'1')t6 Lf AVI 1)26)0 Home Improvement Contractor# _&Y6 50 0 } Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '1Zfi* /AA/57T/o?�5, /�G Iwlom -,4- Aewnlw 1i�S SIGNATURE 1�e� DATE L/zZ� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED. MAP/PARCEL N0: ADDRESS VILLAGE OWNER v DATE OF INSPECTION: FOUNDATION + ' FRAM INSULATION o6 fA,_4 Dk 1 o7 k9Z1 -FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 1 FINAL BUILDING r.' r DATE'CLOSED OUT. t ASSOCIATION PLAN NO. 1 r 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 Legibly Name(Business/Organization/Individual): �0� �, L /4ggg4ea 4�6t-z�,�s,�j/lse Address: � ,�''d X � ��� � �1/'Tl%F_ � oe /n/g 6263 0 City/State/Zip: Phone.#: ��42-0 S Are you an employer? Check the appropriate box: Type of project(required): 1.1I am a employer with 4. ❑ I am a general contractor and I `' � * have hired the sub-contractors 6. ❑New construction empl oyees(full and/or part-time).* .2.El am a sole proprietor or partner listed on the attached sheet. T. 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.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 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'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. 1Contractors 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: k�5&-(Al -(Q .kvLt/4 01AA9S_t NS✓/2f h'�c Policy#or Self-ins.Lic.M Ll) _ 5_00 217 .Sa/ 2©C)?_5 Expiration Date: Job Site Address: City/State/Zip: /'�r44AE : Attach a copy of the workers'compensatio 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 Investigations of the DIA for insurance coverage verification. I do hereby certify under the p ns d penalties of perjury that the information provided above is true and correct Signature: Date: /�/ 2, _ Phone#: 41FIF S_ 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#: 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,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §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 compliance with the insurance 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)and.phone number(s)along with their certificates)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 information(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 may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would 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 Massachusetts Department of Industri*al Accidents Office of Investigations. 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia oTti Town of Barnstable Regulatory Services • uxxsr�sr.� h �. Thomas F.Geiler,Director i63q. �e c � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder pktr� C , as Owner of the subject property herebyauthorize / orize ' z-1 ct, to act on my behalf, in all matters relative to work authorized by this building permit application for: _ t (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM S:O W N ERP ERM IS S I ON THE ray - Town of Barnstable o� Regulatory Services Thomas F.Geiler,Director r4tAss 16 �.�� Building Division Tom Perry,Building Commissioner __.... 200.Main.Street, Hyannis.MA 02601 _._.__._..._...----.-.__-... ......-----.. . ...... _... www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: OZ0 S rn 6 E V bi � number � '` street village "HOMEOWNER": /.1'Tyr_ 5Uj name home phone# work phone# CURRENT MAILING ADDRESS: 0 Ao�g /s ang- 02-&3 n city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWI\'ER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signah AKmtowncr Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisor,Section 2.15) This lack of awareness bflen results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responnbilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a formlcertification for use in your community. Q:fonrtic:homeexempt I • ,'kJ;3F 5`- - �/12C ZJO�I77/IItO�/lU/62GL/L ✓4(.GLOO�LLI.oeGw r}`s�r o <..Board of Building Rcgulat��/y ns and Standards Construction Supervisor License45y'i - E • r wn License: CS 40300 - Expiration 2/17/2010 Tr# 15803 i �1 estnction—Q01 DAVID A PARRELM-t-,-k �' eta._ PO BOX.1211 ' BARNSTABLE,MA 02. -- Commissioner ItoaI'd of S weal �� .,, uildiu Itc aac�uoe - g guLi[io❑ ' s a n d - — - TOME IMP ,.. 4 , ROVEMENT CONT'RAr fs, Registration .: TOf: �f 11 re i— at ion v. Expiration 145529 ;c?-" e 1i a expiration alid fqr 2/3/2009 , u it"�f of Buildin date If found rcta� ���: l Trfr 120572 �i e.asl;i;urton �Regulations and firand,!rds Type PnVate C !ace '3AR!�i orporation ;;o:;•' Rm.130T ' oil STABLE HARBOR V t !� c0 !`✓la,021()' DAVID PARRELLA ENTURES, INC: i r l7 Sk-VDDER LANE e�, C:.ERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/21/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION "n�&•U''Neil.Insurarfft ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE .gency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 973 lyannough Rd., PO-Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED Barnstable.Harbor Ventures, Inc. INSURER A- Associated Employers Insurance Compa D/B/A Barnstable Harbor Builders INSURER B: P.O. BOX 483 INSURER C: Barnstable,MA 02630 INSURER D: INSURER COVERAGES " E: 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 RESPECT.TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S DD LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE. POLICY EXPIRATION MM/DD D M/DD LIMITS . GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2 Q M DAMAGE TO RENTED CLAIMS MADE �OCCUR � 1� v $ MED EXP(Any one person) $ R PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: J GENERAL AGGREGATE POLICY PRO- LOC PRODUCTSECT -COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO By COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY S(Per person) ' HIRED AUTOS NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY - _ ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ EXCESS/UMBRELLA LIABILITY AUTO ONLY: AGG $ EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE S F ETENTION $ S OMPENSATION AND WCC5007175012008 04/16/08 04/16X $S'LIABILITY WC STATU- OTH- IETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT gSOOOOO MBER EXCLUDED?e under E.L.DISEASE-EA EMPLOYEE $500,000 OVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $SOO,000 r TION OF OPERATIONS./LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS nce coverage is limited to the terms, conditions,exclusions,other ions and endorsements. Nothing contained in the certificate of nce shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. David Parrella..is included under the workers (See Attached Descriptions) -CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 200 Main Street _10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABWTY OF ANY KIND UPON THE INSURER;IT$AGENTS OR REPRESENTATIVES. AUTHORIZED pR ESENTATIVE ACORD 25 2001/08 ?1 of 3 #52835 LS1 o ACORD CORPORATION 1988 VN Uj e, . rj � a � vi 14- v • N • h� rl . ..� r 71 s; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION„- Map CA�_ Parcely _ ; . pplication` Health Division bate Issued Conservation Division ;Application Fee . Planning'Dept: ;Permit Fee la Date Definitive';Plan Approved by Planning Board D Historic OKH Preservation/ Hyannis Project Street Address 12 0: Sm ONCE. IlAce w, .56$001T ; � Village � ' Owner 'In GGf} Address - Soe Telephone Permit Request R4�"0,6FC211,11G °Fcoo� s s wirvus e/r', ovvsr Square feet: 1st floor: existing,yproposed SOE_2nd'floor: existing proposed Total new " Zoning District; Flood Plain Groundwater Overlay 6hsn v& 4Zo j Project Valuation 160,0 00 Construction Type Lqf Size Z 32 AC Grandfathered: ❑,Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .d Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑ No Basement Type: ;aTull ❑ Crawl ❑Walkout ❑ Other az C Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing. 3new _ Half: existing `-' ne Number of Bedrooms: existing new a � Total Room Count (not including baths): existing new (9 First Floor Roo Count 9 'r D Heat Type and Fuel: ,FdTas "0 Oil ❑ Electric ❑ Other Central Air: Ayes ❑ No Fireplaces: Existing Z New Existing wood/ oal stove: 0 Yesse'No Detached garage: ❑existing 0 new size_Pool;,Zfexisting 0 new size _ Barn: ❑ existing ❑ new size_ Attached garage:Xexisting 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name BVVs` 5L_L4- 1_1f 1 Telephone Number � t Address )III 1,36 X License# 040300 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l t FOR OFFICIAL USE ONLY K APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE z OWNER DATE OF INSPECTION: FOUNDATION FRAME A20of z5/o-* ga�nn,� INSULATION FIREPLACE j ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN'NO.- 9 s The Commonwealth of Massachusetts j ,Department of Industrird Accidents Office of Investigations 600 Washington Street Boston, ALL 02111 qj www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectriciansMumbers A licant Information Please Print.LegiblY Name (Business/orkmization/lndividual): Address:_ City/State/Zip: Are you an employer? Check the appropriate box: Type of project(required): 1.� I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part.timc).* have hired the sub-coutractms 2 El I am a•sole proprietor or partner- listed on the attache Remodeling d shmt 7. ,� These sub contractors have g, ❑Demolition ship and have po employers working for mac in any capacity. employees and have workers'_ 9. ❑Building addition • . [No w ine orkers' epmp.• rrrance C011Tp:rnc7rran�,t S. �] 10_❑Electrical repairs or additions rC a quu h] We ar>: a corporation and its officers-have exercised their 11.❑Plmmbing repairs or auditions 3.❑ I am homeowner doing all work Myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs inc�ran. rcquund] t c. 152, §1(4), and we havt no 13.❑ Other employees. [No workers' comp.insurance required.] "Any applicant that chcckc box#1 mart also fry out the section below showing their worken:'eoMPMSa7ion policy infonrratiorL t Homeowncn who subrmt this of davit indicafmg they an doing all work and then hire outside contractors must rubnit I--a 5davit indirafing such. Trantractors that cbccic this box must idRchcd n additional sheet showing the name of the sub-eonbadrrrs and etatn whctha ar not those entitirs have employees. lithe sub-contractors have cr,ployees,they must proyidb their workers'comp.policy nurnber. I ant an employer ihai isproviding workers' compensation insurance for my emproyees. Befaw is thepolity and job site information. Insurance Company Name: Policy# r Self--ins. Lie. #: w �do 7 7��Z Expiration Date: Job Site Addresslzo .Sya� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a 5nc 4 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 statrmcrit may be forwarded to the Office of Investigations of the DIA for ' irancc covers e verification. I do hereby certify sand penaLacs of perjury that the information provided above is true and camera Si stare: ��7i Date: Phonc# Official use only. Do not write in this area, to be compLeled by city or lawn offtciaL City or Town: Permit/Liceum# Issuing Authority (circle one): 1. Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: _ F 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 hiie, express or implied, oral or written-" L, ; 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 ftwtre of an individual,paitnership, association or other legal entity, employing employees. However the owner of a dwelling hDUSe having not more than thrcc apartments and who resides therein, or the occupant of the iwclling house of another who employs persons to do maintcnancc,construction or repair work an such dwelling house )r on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." vlGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or -enewal of a license or'permit to operate a:business or to construct buildings in the commonwealth for any LppHcant who has not produced-acceptable evidence of compliance with the insurance coverage required." ldditionaIly,MGL ohapter 152, §25C(') states `Neither the commonwealth nor any of its political subdivisions shall ester into any contract for the periormancc of public work unti].acceptable evidence of compliznce with the in-mane: cquircments of this chapter have been presented to the contracting authority." ,pplimuts lease fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if ecessary,supply siib-eoniractor(s)name(s), addresses) and phone nil cr(s) along with their certi.fieate(s)of durance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no-employees other than the mmbers or partners, are not required to carry workers' compensation insurance. If an LLC or L12 does have nployecs, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial ccidcnts for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should returned to the city or town that the application for the pcmait or license is being requested, not the Department of idustrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' ,mpensation policy,please call the Department at the number listed below. Sclf-insured companies should enter their if ins r,o license number on the appropriate line. ity or Towm Officials case be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom 'the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant case be sure to fill in the permitlEcense number which will be used as a reference number. In addition, an applicant it must submit multiple permiVliccnse applications in any given year, need only submit onr,affidavit indicating eun-ent licy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or A copy of the affidavit that has been officially staunpcd or marked by the city or town may be provided to the plicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit.must be filled out each ir.Wherc a home owner or citizen is obtaining a license or permit not related to any business or commercial venture a dog license or pcffiit to buim Icaves etc.) said persop is NOT required to complctr this affidavit e Office of Investigations would ldce to thank you in advance for your cooperation and should you have any questions, ase do not hcsitatr,to give us a call Department's address, telcphone•and fax number. The Commonwealth of Massachusetts Departmmt of Industrial Accidents Office of Investigations 6.C*Washington Street Boston, MA 02111 Tel. # 617-727-490..0 ext 4.06 cr 1-S77-NSASSAFB Fax# 617-727-7741� 11-22-06 www.mass.gov/dia -ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL'CONSTRUCTION (780 CMR 61,00) Applicant Narne: '�d,'�� Site Address: �� ,��p&F print Town: Applicant Phone: � �—¢Z0 - nss- Applicant Signature: Date of Application: _ NEW CONSTRUCTION: (choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Basement Slab .Option 1: Fenestration exposed JV�jue all Floor Perimeter U-factor floors, R-Value WalR-Value AFUE i1SPF SI�I?R' R-Value R-Val Value and Depth National Appliviee Energy 35 J. R=3 8 R-19 R-19 R-10 1Z-10, Conservation Act(NAECA)of 4 frt., 1987 ns amended,minimums or renter ns np licable Note: This form is not required if you choose either of the two versions of REScheck.as.listed below. ] Option 2: �• REScheck Version 4.1.2 or later variant software analysis must-be completed (780 CMR.6107.3.2 REScheck—Web which can be accessed at http://www.energycodcs.goy/reschecld DpZTIO1vS=0. AI,TERA-T 0`:EXISTING.BITILUIN S:O. It5:. Al2S OLD* 31-iildings under 5 years old must use option#1 or#2 in New Construction section above: . omplete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Eb 100 x b_ a) . �SF — _ _ % of glazing (b) Glazing area equals. SF lazing is'<;40-%-use.the-chart beld.w. Ifslaziri .is•>:40`°% proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTL4-L BUILDINGS MAXIMUM MINIMUM ] Ceiling and SlabID Fenestration Exposed floors Wall Floor Basement Wall R U-factor R-Value R-value R-Value anR-Value•39R-37 a R-13 + R-19 R-10 R-1R-30 ceiling insulation may be used in placeofR-37 ifthe insulation achieves the'full R-value over the entire ceilingarea(i.e. not com ressed over exterior rYalls, and includin an access o enin s).SUNROOM—An addition or alteration to an existing building/dwelling unit where-thEl glazing area of said addition exceeds 40% of the combined gross wall anI ceiling area addition, Note:. Owner to fill out Cons timer Information Form found in A endix 120,P *iEr�,. T'ov�n. of Barnstable 0 Regulatory Services SA�� iw�ssAR �+ Thomas F. Geiler, Director. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis; MA 02601 www.town.ba rnsta ble_ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign 'Phis Section If Using A Builder /� , as Owner of the subject property hereby authorize 16 r" 'e'�� �/7�// to act on my behalf, in all matters relative to work authorized by this building permit application for: 12 0 (Address of Job) Mo� Si a e of Owner Date L All )01W,�CCA- Print Name if Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. I r Town of ]Barnstable ; ��pF-WE row o 0, Regulatory Services N . Thomas F. Geiler,Director >3witxsrwso 'K 19- Building Division PJED►u'ta Toth Perry,Building Conunissioner 200 Main Street, Hyatmis, MA 02601 vt�.town.barnstable.ma.us rice: 508-862-4038 Fax: 508-790-6230 i HOMEOWNER LICENSE EXEMPTION Please Print DATE: �/ O e JOB Z LOCATION: o 1� village number B t "HOMEOWNER": home phbnc# work phone# name �1 y( CURRENT MAILING ADDRESS: /®v a/ jCtQ)__3 _ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as . supervisor. - DEF'II+11170N OF gOMEOWNER Persons) who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a iwo-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 res onstMe 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 ninimum inspection procedures and requirements and that be/she will comply with said procedures and C.quirements. I A01M ;ignaturc of Home .pproval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the tate Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions 'this section(Section ]09.1.1 -Ijccasing of consttvction Supervisors);provided that )for hire to do such if the homeowner engages a pc son(s irk,that such Homeowner shall act as supervisor," Many homeowners who use this exemption aic unaware that they arc assuming the rosponstbilitics of a supervisor(see Appendix Q. t)cs&Regulations for Licensing Construction supervisors,Section 2.IS) This lack of awareness often results in serious problems,particularly tern the homeowner hires unlicensed persons. In this ease,our Board cannot proceed against the unlicensed person as it would with a licensed . perviser. The homeowner acting Rs 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, .t the homeowner certify that he/she understands the responstbilkirs of a Supervisor. On the last page of this issue is a form currently used by cral towns. You may care t amend and adapt such a forr✓ccrtification for use in your community. • I Client#:21607 2BARNHA ACORD. CERTIFICATE OF LIABILITY INSURANCE 07/21 as°"YYY' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 973 lyannough Rd., PO Box 1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Associated Employers Insurance Compa Barnstable Harbor Ventures, Inc.D/B/A Barnstable Harbor Builders INSURER e:INSURER C: P.O.Box 483 INSURER D: Barnstable,MA 02630 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 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER D / D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR �Lj MED EXP(Any one person) $ DQ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ .GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ P PRO- OLICY E T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO By (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 EA ACC $ OTHER THAN AUTO ONLY: AGG $ LIABILITY LIABTY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WCC5007175012008 04/16/08 04/16/09 X WC I IMI o R EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT s500,O00 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $5OO 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the ' coverage provided by the policy provisions.David Parrella is included under the workers (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1O_ DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AU� PRESENTATTVE ACORD 25(2001/08)1 of 3 #52835 LS1 O ACORD CORPORATION 1988 L _ vnwozcue o��/ aclucae(Xd Board.of Building Regulations and St l i8,�• d > >, HOME IMPROVEMENT CONTRA(TOf. Idrs`:rl nr reytration`valid for r�dr"itlil! i `��� ?? a expiration date. If found return tip: r- Registration N'145529 _ moil it o�Building Regulations and Sand n ds, Expiration:_ 2/3/2009, + f nr e Lsht,urton Place Rm.1301 Tri 126572 �+ JYPe` Private Corp ration L'o to"+:rya 02108 k 1 't 3ARNSTABLE HARBOR'VENTURES, INC: r - DAVID PARRELLA t •r { F: 7 SC�IDDER LANES uA (vSfABLE, v MA 63 !�' p _ Pv,it is t rte .r .. w=thouY S:gt J. 6T, �oaninzo�uoealr/:o ✓�aaaacc«u�aelt3 ., y4 Board of Building Rep lati ns and'Standards i Construction Supervisor License License: CS 40300 Exprra one/17/2010 Tr# 15803 Z Rest�i0 DAVID A PARREHLA "1 PO:BOX 1211 p -7—,-G i BARNSTABLE,MA 02630 Cothinissionei U At TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel S mo /-el Permit# 7 Health Division 7Wz oo� Date Issued 2 Conservation Division Fee Tax Collector, 1 Treasurer - 9 l -oZ� �- `I IC SY�3EIb1 Pr��.aT SE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board - ENVIRONMENTAL CODE AND y TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Ido ' Village, iWAr s I''VLi La Owner &4a ,e 0zd-2_ Address S#M Telephone Permit Request ay Gar - G'agaae s Square feet: 1st floor:existing 3DOD proposed 9610 2nd floor: existing proposed Total new ?ZQ Estimated Project Cost d Da0 Zoning District Flood Plain Groundwater Overlay Construction Type . Lot Size 04 -A0 Grandfathered: ❑Yes ❑No If yes, attach supporting"documentation. Dwelling Type: Single Family M Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic House: ❑Yes O-Ia"o On Old King's Highway: ❑Yes �o Basement Type: Ofull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) as-on Number of Baths: Full:existing 3 new Q Half:existing ' new Number of Bedrooms: existing 3 new O Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Comas ❑Oil ❑Electric ❑Other Central Air: @,Yes ❑No Fireplaces: Existing, Z- New Existing wood/coal stove: ❑Yes Cif No D.eta��edara -lcisti ew s' wool:❑existing ❑new size Barn:❑existing ❑new size Attached garage existing mew size 'any Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# � Current Use c lw _Proposed Use BUILDER INFORMATION ,Name PTelephone Number 7of 0 Address License# f3q 3S & Home Improvement Contractor# t 3 1 7 Worker's Compensation# To Q -96{ya 90 ? ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Lz_�" SIGNATURE DATE FOR OFFICIAL USE ONLY ' r PERMIT NO. DATE ISSUED ' MAP/PARCEL NO. el1 ' ADDRESSI . E VILLAGE .� OWNER + ' DATE OF INSPECTION:$'; 4 FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH - - FINAL GAS: ROUGH FINAL FINAL BUILDING-'~ �l(� ��-� . 05 Q�/C'I'l�i� �44seC�19 E� T'e�«(o� No 6f 5 GiEs DATE CLOSED OUT ASSOCIATION PLAN NO. + ' i, Department of Industrial Accidents ',� -:�w �� Offica nflayestf8atioas 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit name: - location- city phone 0 7;l-�-G ! G�� ❑ I am a homeowner performing all work myself.❑ 1 am a sole ��have o%/%%�in any pacity ///%/O/�''/!l///O,O///.�///////�"G� ❑ I am an emp •er providing worke:rnsatMrL' for my employees working on this job. comnnnv name: address: "A city c insurance cn. 0 oniicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors Iisted below who have the following workers' compensation polices: comnanv name: ::...•.,,•M.......... address• .. .. .. ..^... ... ..yC•.:. :H :'••i:.. •:nit; :�4:..... city phone*. insurance eel. noiiiv# WN fa comnanv name! address. phone#' .. .......... . ,. insurance co. :.,..... 011tv a ::: .."."; :. ........ ' Failure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition otario inai penaltln of a fine up to SI.500.00 and/or one vein'imphsonment as well as civil penalties in the form of a STOP WORK ORDER and a 11ne of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby—Cr- Wily un the pails and penalties of perjury that the information provided above it tru:and coned Si.tature Date —/Y —00 _ Print name " t z/1 E- �gC Lcontaci,person: nly do not writ this area to be completed by city or town olIIdal l permitNcense 0 (]Building Department ❑Licensing Board mmediate response' required ❑Seleeanen's Ounce �- �a ❑Health Department C phone#; ❑Other (trnsea r,95 FIA) Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thta employees. As quoted from the "law", an employee is defined as every person in the service of another under any cc- 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 c: the foregoing engaged in a joint enterprise, and including the Iegal representatives of a deceased employer, or the trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grrour s c. building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local Iicensing agency shall withhold the issuance or renew, of a Iicense or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha< not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither.the . commonwealth nor any of its political subdivisions shall enter into any coact for the performance of public work until acceptable evidence of compliance with the insuraz ce requirements of this chapter have been presented to the con mc^ni authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your sitnatiaa and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be :.submitted to the Departm 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 be' g requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns P1=e 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 Im=dgati=has to contact you regarding the applicant. Please be sure to fill in the permittlicease number which will be used as a reference number. The affidavits may be returned io the D epartmeut by marl 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 Deparrneat's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lmrestlpatloas 600 Washington street . • Boston; Ma. 02111 fax#: (617) 727-7749 phone #t (617) 727-4900 ext 406, 409 or 375 Table-133 lb(continued) Prescriptive Packages for 0ae and Two-Family Paid ential Boadlogi ReaW with Foad Fuels ; MAXIMUM MINIMUM Glazing Glazing Ceiling wall Floor easement Slab Heatingicooling Area'('A) U.value= R valud it-value, R valuer Wall pisimeter sopmnt Emcicacy, Pad=e It value' R value, 3"1 to 6500 Hndug Degree D&W Q 12!1. 0.40 38 13 1 19 t0 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 t0 6 85 AFUE T I5iL 0.36 38 13 23 N/A WA Normal U IS% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 23 WA WA 115 AFtJE W Is% 032 30 19 19 10 6 i9 AME X Normal 19% 0.32 38 13 25 WA N/A Y I8% 0.42 38 19 23 WA WA Normal Z 12% 0.42 38 13 19 10 6 90 AFUE . AA 19 . 0.50 30 19 19 10 1 6 90 AFUE I. ADDRESS OF PROPERTY: 1ZO .-Q I 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: yy 3. SQUARE FOOTAGE OF ALL GLAZING: ZOO 4. %GLAZING AREA(#3 DIVIDED BY #2): 5. SELECT PACKAGE(Q—AA-see chart above): U NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylight's, :an,d , 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 ft of decorative glass may be excluded from a building`design with 300 fl of glazing area. ' 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. '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 piece 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 J5.2.1 a 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 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. 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-value greater 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 average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Town of Barnstable • snansrAt659BI.E 9�A : � Regulatory Services QED .t Thomas F. Geiler, Director Building Division Ralph Crossen;Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax" 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements: ,� n Q� Type of Work: 04 F%)V- Estimated Cost Address of Work: 7-G )'V� pey( Owner's Name: Date of Application: Cr 5 -O -- -._.-_• -- :__ ---- ---- �--> -- I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied LlWwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby ply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav r 1 ✓�t6 TOG✓7LyN lY.Y[IICQ�!/L 0/- ' .j BOARD OF BUILDING,REOULATtONS , i License;-CONSTRUGfiON SUPERVISOR NurntS O43556 pi Rv.60 Tr.no: 5485 rnctei)Tt: 00 5 �� t ' OTT E CROS 62 GRbS�BY CIR OSTERVILLE,.MA 02655 Administrator. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:y 131378 Expiration 07/13/2002 ' PEACOCK&CROSBY WILDERS;^; SCOT' CROSBY 1112 MAIN STREET•UNIT.7,., �� 4 OSTERVILLE,MA 02656 Administrator j .MA ohm OLM . . t No CAIM .r f ow I a r 00 dd ty�� �,. Vi ..• vm �,CA Itl1O ODA .Y .rr ... .00 r'r so {o•. ow It ..u. w f f, If .V ow 4; A. .o c . _ffi• .�fwyf • q'1 ,� f. saw. tt f f .00 l; .V py�•Q!! ... "" f LOT 87 ..al. .00 ;•� .�. � r, I,t fir ,, .... UO .00 sip .4W cis jt, —, 777 J Insulation Certificate, e ,a ey Number and. Street City Barnstable County Subdivision Lot Number Permit Number Description of Installation ROOF Product Closed cell foam !Lot Number Thickness (inches) 7 Thermal.Retistance'(R-Value) 49 EXTERIOR WALLS Product,Closed cell foam 'L'ot.Number Thickness (inches) 3 Thermal Resistance(R=V.alue) 21 Declaration I hereby certify that the above insulation was installed,in:the,building,at the,above'locationf in conformance with. the current Building Energy Efficiency Standards. Kendall and Welch Construction_ General Contractor(Builder) License Number 07/30/2018 Signature and Title f Date —Cape Cod Spray Foa LLC CS=11187.8 Sub-Contractor(Insulation Installer) License Number _manager: Ivan Pauliuchen . _ _ __ _ _ ____ _ 07/30/2018-____ Signature and Title Date J Fo a� € :O�tt 0 J � I J� 0 o J MC J OW M 'OF 4 ! d - - �a v ;i tf� � i wa: ovevao 3 eo,waT wa iavoes ELEVATIONS NORMSmEacm �. DESIGN m m i mnmm snm�"jo. a Rd. �SSO�IA, '$ cum a. .w'remw.o' ec -- -- — oe�w�nw�scow oaoi aim�roam .��•���+. ro mime.a vna om® moi i I 0 � { DAM ELEVATIONS NOMIDE _ DESIGN . /a a RFPIDENCE oocum �"�' F iaaibb a s Jbc Jbc b b b ' � r m o d 3y {!E ,a �e 0 q fig v � # a liq ua: Wb1AD PLQOR RLAN �' OWVWT DATE NORTHS 1lN8p6 nME .DESIGN Imlw m m.al w Deal sat no Q � � ! waver.ea wave.� /� pp n „ WQM Qk41PfR/Yt PmaTES. Y4�airwinM pUQI — VZV!l CaNDUL mm olm wrml�,wm - ------------------ -- -- ------------- -- ---- ------- ------- 4 I ; I i fll •.I 1 R 1• 1 1 ! 1}ej J L J L J L J1-- I y I 1 1 ' E Y� � �• 1 o I �I I I I I L_- i I I II II ,a ; ; I I •� I a 1 Ii 1 it --- 9 I ' a ag i€ 1 ; � I 1 , • II - --------- ------ Rip FAN 111 a i DAM FOUNDATION PLAN wx a+nolo .. �Imnm o.w. ' ➢ a�lwan..aO°Yar� a'v"< -` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel �',i Permit# �Health Division 0 /off f Date Issued U2AqJ& Conservation Division ��� /7 ® Application Fee Tax Collector Permit Fee Treasurer C SY87ft MUST Planning Dept. E EDHN r�PLAI ft Date Definitive Plan Approved by Planning Board NVIR�NME E 5 Historic-OKH Preservation/Hyannis TOWN REGUL;.j 1ODNS ND Project Street Address 1 N �1 Village Q. Owner Ha o al One— Address i _ Telephone 7�0 - 4 a ' Permit Request sa (!Y Square feet: 1 st floor: existing o A proposed 2nd floor: existing AJ A- proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Cam-vAA7Ca v Lot Size Grandfathered: 0 Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family two Family ❑ Multi-Family(#units) a Age of Existing Structure S yRa►� Historic House: El Yes U-Pdo•-- On Old King s Highway: ❑Yes &Mar- Basement Type: ❑Full 0 Crawl ❑Walkout ❑Other N'V'f Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) N It _ fl Number of Baths: Full: existing N P' new Half:existing Ar14 new 2 Number of Bedrooms: existing 14.0k, new Total Room Count(not including baths): existing IV It new First Floor Room Count Heat Type and Fuel: a'Gas 0 Oil ❑ Electric ❑Other - Central Air: U,16s­O No Fireplaces: Existing tVA New Existing wood/coal stove: 0 Yes ❑No Detached garage:❑existing 0 new size Pool:❑existing 0 new size Barn:O existing ❑new size Attached garage:0 existing 0 new size 06k Shed:O existing O new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial ❑Yes (70-�o If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name .�J OL�( � Telephone Number p 1A Address License# 04 3S5(n Home Improvement Contractors 3# 113 IS Worker's Compensation# !�Y Q 549-21— 2 ALL CONSTRUCTION DEBRIS rTING FROM THIS PROJECT WILL BE TAKEN TO An SIGNATURE DATE WV S:4 9 FOR OFFICIAL USE ONLY 9 PERMIT NO. DATE;ISSUED t MAP/PARCEL`N0. ADDRESS `' '�. VILLAGE O,WNERI + � ! DATE OF INSPECTION: r FOUNDATION 7)3 6 e FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL r . PLUMBING: ROU(m To �_ FINAL Q ° GAS: ROUGO) 3 FINAL r. cob � �1 FINAL BUILDING aNNr ° DATE CLOSED OUT ASSOCIATION PLAN NO. ti r _ The Commonwealth of Massachusetts a Department of Industrial Accidents " 1 Of icle onlYes!/9at%olls - 600 Washington Street ,y f Boston, Mass. 02111 Workers' Compensation.Insurance Affidavit name: location: city hone# I am a homeowner performing all work myself. ' am a sole proprietor and have no one working in any capacity I_am an employer rovidamg workers' compensation for my employees working on this job. py eta ScyC.. ���.'•du'i` _ tt_,,,_. �W �lt•µ�i r?. 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'�.tE4' ��r�;n�t�'r-1?.c7 �k`.i' `Ll' -.,,,r `i'i �s, rr c �>�y'x s. ^W 'ray�t,.-'xMr t�Cr ��Lf�.r7r3(t r-Lti p. `' �s',�k.•a3,t•"az''�Y,M1,� �����.�3 y.P� �� axp lY�^-iq'�`' ,-.r" * ` i" rt "tag Y!'-S• _tP�ak`�`'v '� r,a r�y .l rt rr� '.F,Z i tiA v:i', "dx•�Ail kory' i. :'.'gyp _ .k 'P+F+F 8°. +ci'i�l`. $SY'.7, flddi...ss*,f v* ,. ` ;Y �t to •�>ir _PLC it{i"�k;' 4�. a'� sNja r5 c ,J f rty� � �itt�A�w �9?i 7 �,x' 4� ys[rL A# ��K.��'r..ty- .,'".-$ ..vk++N.-kuzafi, .+r7"3`syC1 �1 :�"4;d .::e7S:}•'�, 'I s^S.r,: 's^'•a-,{_S"�i.:w•iC'S :d'�Sl �s g'f57' �,y� a'•'r'^ars rFiy y9,�t q. ^ 15i{tti`^s'q'3'`rv'�C'r1sr `5 ?,' k .2� "y.�C '' " -;y�'ik� 2�y�,s'�'. - "�� w�� 4����y; f"'7 ts�vrv.i��5is•"�t'".�,��A"S�.I,. I rla.=:�2j,�, nt Sil I,1s12twS.. `F�11• ! r -r honeJ2f Ji`r�I I t �'--'$-�q<ti A.,. �9 µ �a0"�?4C X.:S..•a.rn .�C-?•° _� �r'.'�'..��`.-i ,�.�Y�. 'i..a�''`ja...st J,�t }>sn��a � -a' 1 s. ti i��fi`us±,,�it��.tiy'����,�-u_`�,ti�fa:Pr fis,�y3,�t2.i'.���t,���1�r.�t.;�h�'`,r�'r�eS•`�i' r,a�'��,?k�.,�.tr. '�li}} r.Y'+1,:.R4�u. �.�.?.r=i-��-• ��'W'�R Fi Pv. �v..n�:i' +� `Ne iy4t..11. c,,,r .Ci�t`i I'7-(iy7 f:Y�';�)•� lr{ � P�,y.,.2;`t'fm r s -t q -4 4e � .t �F,7��, --r' ;i� c- �>q d., "`'•.ig. A' f!_..- .'i-s',, i�'7 x aYz'+ i, mt' ''. r�,,y� •iw;-a: a,,w,.�t-•f:, eY" t .1!J 4v3 ,+ "#.rti ."..I..ft _...,NNS-;ri.,.rif,�` .. a...w° ++1}..4�t"i insurance co � Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition o[criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby ce ify er the in an flies of perjury that the information provided above is true and correct. Pam ii b4 Signature Date _ // Q �• Print n � �` Phone# � official use only do not write in this area to be completed by city or town official city or town: p iermit/license# (Building Department ❑Licensing Board check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; (lOthe.r (revised 9/95 PIA) a r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the-"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance ,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. MEN City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out-in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, Please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 f �0VVE, Town of Barnstable Regulatory Services ' = Thomas F.Geller,Director HAM 9q'prE 6J9�p`0� Building Division D MA Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or constriction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. qq Type.of Work: Estimated Cost ` Address of Work: L ZO Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 [Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the'agent of the owner: t&4-UT VS1 3 � Date• Contractor Nam Registration No. OR Date Owner's Name °FTC lo�ti Town of Barnstable Regulatory Services sn XAISTs. = Thomas F.Geiler,Director 9 MASS. $' � E&u. Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder I, Q�(J`1,�, V5(;P— , as Owner of the subject property hereby authorize Re—&J�OLIJ"i (2 " AKUCS to act on my behalf, in all matters relative to work authorized by Ak4 building perifut application for(address of job) lab s, 0 e- V t PJ . kl'enl(�"- AA Signature of Owner Da Ulf Pnnt Name � .� � �/e �o�,tmcon«lr! o�✓�aaaac%uaeQa I BOARD OF BUILDING REGULATIONS I License: CONSTRUCTION SUPERVISOR Number;,CS. 043556 EzPires; 1;2/13/2004 Tr,no: 4902 Restrlcted�•00 SCO E CROSBY` 62 CRO cz...y 7- OSTERVILLE, MA 02655' Administrator T/w. �omv.,w-,uura�i o�;.�aaoac/u�aelra {; Board of Building Regulations and Standards License or registration valid for individul use only t 1 HOME IMP RACTOR before the expiration date. If found return to: glstratlon: 131378 Board of Building Regulations and Standards Expiration: 7/13/2004 One Ashburton Place Rm 1301 Boston, Ma.02108 Type: Private Corporation PEACOCK& C SBY BUILDERS, StbTT CROSBY 1112 MAIN STREET UNIT 7 � OSTERVILLE, MA 02655 Administrator Not valid without signature G � 6 INE� � Town of Barnstable, BARNSTABLE. Regulatory Services MASS. 1639. �0 Building Division 200 Main Street,Hyannis,MA 02601 Office: 5,98-862-4038 i Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location/20 SWOIW t/�LLE2!�i Permit Number 4,1,o Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: art E e3C-0c r� )6- A £ � $o�t p LO Glc ,� w Lc, /.3AIF y W �v leg A)6-7- z/47'/0 4) AJ6&--2Ss 70 dE ,�ora4 fret y � uNRowx,L NE�---4s )r)1zc---AcocKtA)6s !AJ SCE ' U� O S"UPuate Ncce AA67zC— AAFW PIZ979M v&6utA5 O Ace M fd'�G W!t{ 1{�4 7t/ l � E eGLG�1 lgdi��/S- t -?Qe6zt--P Gf G—t 6"6ci/b 100, 0 Please call: . .508-862-4@ff for re-inspection. ' r Inspected by Date 0,9 ` n4i Job No Sheet No Rev � 12 Software licensed to Microsoft Part Job Title Ref By Dick A Date17-Dec-17 Chd Client File Teceno,sect.C.std DateTme 17-Dec-2017 13:46 f Z Load 7 'I i Print Time/Date:17/12/2017 13:53 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 r 7"q Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref L /f'ep pI By DiCk A Date17_Dec-17 Chd Client File Teceno,sect.C.std DateTme 17-Dec-2017 13:46 f' ff�� t� i Z Load 2 Print Time/Date:17/12/2017 13:54 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No I' Rev ,Y -ntw_ Software licensed to Microsoft Part Job Title Ref 9y Dick A Date17-Dec-17 Chd Client File Teceno,sect.C.std Daterrme 17-Dec-2017 13:46 6 9\ 16� 18 �/I✓ 15 17 2 12 Z 113 14 Load 2 1 Print Time/Date:17/12/2017 13:55 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref sy Dick A Date17-Deo-17 Chd Client File Teceno,sect.C.std Daterlime 17-Dec-2017 13:46 16, 15 31 • I17 114 i\ l %I 20• 21 4 zz— 1� 3 �10s i ���18• 24 X z6 1 J Load 2 Print Time/Date:17/12/2017 13:55 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref By Dick A Date17-Dec-17 Chd Client File Teceno,sect.C.std ° ;'me 17-Dec-2017 13:46 Node UC X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad) 9 3 -0.086 -0.095 0.000 0.128 0.000 0.000 0.001 9 2 -0.077 -0.084 0.000 0.114 0.000 0.000 0.001 8 3 -0.015 -0.096 0.000 0.097 0.000 0.000 -0.000 5 3 0.050 -0.077 0.000 0.092 0.000 0.000 -0.001 7 3 -0.007 -0.088 0.000 0.088 0.000 0.000 -0.000 8 2 -0.013 -0.085 0.000 0.086 0.000 0.000 -0.000 5 2 0.045 -0.068 0.000 0.081 0.000 0.000 -0.001 19 3 -0.052 -0.061 0.000 0.081 0.000 0.000 0.001 6 3 -0.015 -0.078 0.000 0.080 0.000 0.000 0.000 7 2 -0.006 -0.078 0.000 0.078 0.000 0.000 -0.000 19 2 -0.047 -0.055 0.000 0.072 0.000 0.000 0.001 6 2 -0.013 -0.069 0.000 0.070 0.000 0.000 0.000 4 3 0.022 -0.048 0.000 0.053 0.000 0.000 -0.001 4 2 0.020 -0.042 0.000 0.047 0.000 0.000 -0.001 15 3 0.001 j -0.024 0.000 0.024 0.000 0.000 -0.001- 15 2 0.001 -0.021 0.000 0.021 0.000 0.000 -0.000 18 3 0.010 -0.016 0.000 0.019 0.000 0.000 -0.000 18 2 0.008 -0.014 0.000 0.017 0.000 0.000 -0.000 17 3 -0.006 -0.015 0.000 0.016 0.000 0.000 -0.000 16 3 -0.009 -0.012 0.000 0.015 0.000 0.000 0.001 17 2 -0.005 -0.013 0.000 0.014 0.000 0.000 -0.000 9 1 -0.009 -0.010 0.000 0.014 0.000 0.000 0.000 16 2 -0.008 -0.011 0.000 0.014 0.000 0.000 0.001 8 1 -0.002 -0.011 0.000 0.011 0.000 0.000 -0.000- 5 1 0.006 -0.009 0.000 0.011 0.000 0.000 -0.000 7 1 -0.001 -0.010 0.000 0.010 0.000 0.000 -0.000 6 1 -0.002 -0.009 0.000 0.009 0.000 0.000 0.000 19 1 -0.006 -0.007 0.000 0.009 0.000 0.000 0.000 4 1 0.003 -0.006 0.000 0.007 0.000 0.000 -0.000 11 3 -0.005 -0.001 0.000 0.005 0.000 0.000 0.001 11 2 -0.004 -0.001 0.000 0.005 0.000 0.000 0.001 15 1 0.000 -0.003 0.000 0.003 0.000 0.000 -0.000 18 1 0.001 -0.002 0.000 0.002 0.000 0.000 -0.000 17 1 -0.001 -0.002 0.000 0.002 0.000 0.000 -0.000 16 1 -0.001 -0.001 0.000 0.002 0.000 0.000 0.000 11 1 -0.000 -0.000 0.000 0.001 0.000 0.000 0.000 14 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 14 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 14 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 10 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Print Time/Date:17/12/201713:56 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref By Dick A Date17-Dec-17 Chd Client File Teceno,sect.C.std Date/Time 17-Dec-2017 13:46 Beam L/C Section Axial Bend-Y Bend-Z Combined Shear-Y Shear-Z (psi) (psi) (psi) (psi) (psi) (psi) 17 3 1.000 35.377 0.000 533.033 568.410 12.427 -0.000 14 3 0.000 35.840 0.000 504.534 540.374 -12.427 0.000 17 2 1.000 31.608 0.000 474.666 506.274 11.053 -0.000 17 3 0.917 35.280 0.000 457.133 492.414 12.427 0.000 19 3 1.000 91.765 0.000 -395.876 487.641 -17.257 -0.000 14 2 0.000 32.024 0.000 449.022 481.046 -11.053 0.000 19 3 0.917 91.736 0.000 -378.509 470.245 -17.220 0.000 14 3 0.083 35.743 0.000 428.635 464.378 -12.427 0.000 19 3 0.833 91.706 0.000 -361.180 452.886 -17.183 0.000 14 3 1.000 34.676 0.000 -406.262 440.937 -12.427 -0.000 17 2 0.917 31.608 0.000 407.156 438.764 11.053 0.000 19 3 0.750 91.676 0.000 -343.888 435.564 -17.146 0.000 19 2 1.000 81.348 0.000 -349.485 430.832 -14.828 -0.000 19 3 0.667 91.647 0.000 -326.634 418.281 -17.108 0.000 17 3 0.833 35.183 0.000 381.234 416.417 12.427 0.000 19 2 0.917 81.348 0.000 -334.546 415.894 -14.828 0.000 14 2 0.083 32.024 0.000 381.511 413.536 -11.053 0.000 17 3 0.000 34.213 0.000 -377.763 411.976 12.427 0.000 19 3 0.583 91.617 0.000 -309.417 401.034 -17.071 0.000 19 2 0.833 81.348 0.000 -319.608 400.956 -14.828 0.000 14 2 1.000 32.024 0.000 -361.101 393.126 -11.053 -0.000 14 3 0.167 35.646 0.000 352.735 388.381 -12.427 0.000 19 2 0.750 81.348 0.000 -304.670 386.017 -14.828 0.000 19 3 0.500 91.587 0.000 -292.238 383.826 -17.034 0.000 17 2 0.833 31.608 0.000 339.646 371.254 11.053 0.000 19 2 0.667 81.348 0.000 -289.731 371.079 -14.828 0.000 17 2 0.000 31.608 0.000 -335.457 367.065 11.053 0.000 19 3 0.417 91.558 0.000 -275.097 366.655 -16.996 0.000 14 3 0.917 34.773 0.000 -330.362 365.135 -12.427 0.000 19 2 0.583 81.348 0.000 -274.793 356.141 -14.828 0.000 19 3 0.333 91.528 0.000 -257.993 349.521 -16.959 0.000 14 2 0.167 32.024 0.000 314.001 346.026 -11.053 0.000 19 2 0.500 81.348 0.000 -259.855 341.202 -14.828 0.000 17 3 0.750 35.086 0.000 305.334 340.420 12.427 0.000 17 3 0.083 34.310 0.000 -301.863 336.173 12.427 0.000 19 3 0.250 91.498 0.000 -240.927 332.425 -16.922 0.000 19 2 0.417 81.348 0.000 -244.917 326.264 -14.828 0.000 14 2 0.917 32.024 0.000 -293.591 325.616 -11.053 0.000 19 3 0.167 91.468 0.000 -223.898 315.367 -16.885 0.000 14 3 0.250 35.549 0.000 276.835 312.384 -12.427 0.000 19 2 0.333 81.348 0.000 -229.978 311.326 -14.828 0.000 17 2 0.750 31.608 0.000 272.136 303.744 11.053 0.000 17 2 0.083 31.608 0.000 -267.946 299.555 11.053 0.000 19 3 0.083 91.439 0.000 -206.907 298.346 -16.847 0.000 19 2 0.250 81.348 0.000 -215.040 296.388 -14.828 1 0.000 14 3 0.833 34.870 0.000 -254.462 289.332 1 -12.427 1 0.000 Print Time/Date:17/12/2017 13:56 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 18 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref I By Dick A Date17_Dec-17 Cnd Client File Teceno,sect.C.std Date/rme 17-Dec-2017 13:46 Node L/C Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip in) (kip-in) (kip'in) 13 3 0.002 0.870 0.000 0.000 0.000 -0.075 10 3 -0.052 0.850 0.000 0.000 0.000 -7.194 13 2 0.002 0.743 0.000 0.000 0.000 -0.066 10 2 -0.046 0.741 0.000 0.000 0.000 -6.410 12 3 -0.004 0.241 0.000 0.000 0.000 0.100 12 2 -0.003 0.233 0.000 0.000 0.000 0.090 13 1 0.000 0.128 0.000 0.000 0.000 -0.008 10 1 -0.006 0.109 0.000 0.000 0.000 -0.784 2 3 0.054 0.038 0.000 0.000 0.000 3.517 2 2 0.048 0.022 0.000 0.000 0.000 3.091 2 1 0.006 0.016 0.000 0.000 0.000 0.426 1 3 0.000 0.011 0.000 0.000 0.000 0.000 1 1 0.000 0.011 0.000 0.000 0.000 0.000 12 1 -0.000 0.008 0.000 0.000 0.000 0.010 14 1 0.000 0.003 0.000 0.000 0.000 0.000 14 3 0.000 0.003 0.000 0.000 0.000 0.000 14 2 0.000 0.000 0.000 0.000 0.000 0.000 1 2 0.000 0.000 0.000 0.000 0.000 0.000 Print Time/Date:17/12/2017 13:57 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref >Dh ay Dick A Date17-Dec-17 Chd Client File Teceno,sect.C,wind She DalefTme 17-DeC-2017 13:44 J,. Z Load 2 Print Time/Date:17/12/2017 13:58 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev 2a Software licensed to Microsoft Pert Job Title Ref ® ay DiCk A Date17-Dec-17 Chd Client File Teceno,sect.C,Wind ShE Date�me 17-Dec-2017 13:44 Node UC X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad) 8 3 -0.244 -0.097 0.000 0.263 0.000 0.000 -0.001 8 2 -0.242 -0.087 0.000 0.257 0.000 0.000 -0.001 6 3 -0.243 0.010 0.000 0.243 0.000 0.000 0.000 6 2 -0.241 0.019 0.000 0.242 0.000 0.000 0.000 7 3 -0.193 -0.043 0.000 0.198 0.000 0.000 -0.002 7 2 -0.192 -0.033 0.000 0.195 0.000 0.000 -0.002 9 3 -0.096 -0.098 0.000 0.137 0.000 0.000 0.002 9 2 -0.086 -0.088 0.000 0.123 0.000 0.000 0.002 19 3 -0.049 -0.054 0.000 0.073 0.000 0.000 0.002 19 2 -0.043 -0.047 0.000 0.064 0.000 0.000 0.001 5 2 -0.021 0.020 0.000 0.029 0.000 0.000 0.001 5 3 -0.016 0.011 0.000 0.019 0.000 0.000 0.001 9 1 -0.009 -0.010 0.000 0.014 0.000 0.000 0.000 16 3 -0.008 -0.009 0.000 0.012 0.000 0.000 0.001 8 1 -0.002 -0.011 0.000 0.011 0.000 0.000 -0.000 5 1 0.006 -0.009 0.000 0.011 0.000 0.000 -0.000 16 2 -0.007 -0.008 0.000 0.010 0.000 0.000 0.001 7 1 -0.001 -0.010 0.000 0.010 0.000 0.000 -0.000 6 1 -0.002 -0.009 0.000 0.009 0.000 0.000 0.000 19 1 -0.006 -0.007 0.000 0.009 0.000 0.000 0.000 4 1 0.003 -0.006 0.000 0.007 0.000 0.000 -0.000 11 3 -0.006 0.001 0.000 0.006 0.000 0.000 0.000 15 3 0.002 -0.005 0.000 0.005 0.000 0.000 -0.000 11 2 -0.005 0.001 0.000 0.005 0.000 0.000 0.000 4 3 0.000 -0.004 0.000 0.004 0.000 0.000 0.000 15 1 0.000 -0.003 0.000 0.003 0.000 0.000 -0.000 18 3 0.000 -0.003 0.000 0.003 0.000 0.000 -0.000 4 2 -0.003 0.002 0.000 0.003 0.000 0.000 0.000 17 3 -0.000 -0.003 0.000 0.003 0.000 0.000 -0.000 18 1 0.001 -0.002 0.000 0.002 0.000 0.000 -0.000 15 2 0.001 -0.002 0.000 0.002 0.000 0.000 -0.000 17 1 -0.001 -0.002 0.000 0.002 0.000 0.000 -0.000 16 1 -0.001 -0.001 0.000 0.002 0.000 0.000 0.000 18 2 -0.001 -0.001 0.000 0.001 0.000 0.000 -0.000 17 2 0.000 -0.001 0.000 0.001 0.000 0.000 -0.000 11 1 -0.000 -0.000 0.000 0.001 0.000 0.000 0.000 14 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 14 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 14 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 10 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Print Time/Date:17/12/2017 13:59 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 2 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref By Dick A Date17-Dec-17 Chd Client File Teceno,sect.C,wind ShE Date Time 17-Dec-2017 13:44 Beam L/C Section Axial Bend-Y Bend-Z Combined Shear-Y Shear-Z (psi) (psi) (psi) (psi) (psi) (psi) 14 3 1.000 20.059 0.000 -1.02E+3 1.04E+3 -26.756 -0.000 14 2 1.000 17.408 0.000 -976.298 993.706 -25.382 -0.000 14 3 0.000 21.224 0.000 939.569 960.793 -26.756 0.000 14 2 0.000 17.408 0.000 884.056 901.464 -25.382 0.000 14 3 0.917 20.156 0.000 -858.039 878.196 -26.756 0.000 14 2 0.917 17.408 0.000 -821.268 838.677 -25.382 0.000 14 3 0.083 21.127 0.000 776.150 797.277 -26.756 0.000 14 2 0.083 17.408 0.000 729.027 746.435 -25.382 0.000 14 3 0.833 20.253 0.000 -694.620 714.874 -26.756 0.000 14 2 0.833 17.408 0.000 -666.239 683.647 -25.382 0.000 14 3 0.167 21.030 0.000 612.731 633.761 -26.756 0.000 14 2 0.167 17.408 0.000 573.997 591.405 -25.382 0.000 14 3 0.750 20.350 0.000 -531.201 551.552 -26.756 0.000 14 2 0.750 17.408 0.000 -511.209 528.618 -25.382 0.000 14 3 0.250 20.933 0.000 449.312 470.245 -26.756 0.000 14 2 0.250 17.408 0.000 418.968 436.376 -25.382 0.000 14 3 0.667 20.448 0.000 -367.783 388.230 -26.756 0.000 14 2 0.667 17.408 0.000 -356.180 373.588 -25.382 0.000 19 3 1.000 35.257 0.000 -295.128 330.386 -9.924 -0.000 19 3 0.917 35.228 0.000 -285.150 320.377 -9.886 0.000 15 3 0.000 7.887 0.000 -311.589 319.476 7.411 0.000 19 3 0.833 35.198 0.000 -275.209 310.406 -9.849 0.000 15 2 0.000 6.844 0.000 -300.957 307.800 6.703 0.000 14 3 0.333 20.836 0.000 285.893 306.729 -26.756 0.000 19 3 0.750 35.168 0.000 -265.305 300.473 -9.812 0.000 15 3 0.083 7.822 0.000 -283.464 291.286 7.330 0.000 19 3 0.667 35.138 0.000 -255.439 290.578 -9.775 0.000 15 2 0.083 6.844 0.000 -275.380 282.224 6.703 0.000 14 2 0.333 17.408 0.000 263.938 281.346 -25.382 0.000 19 3 0.583 35.109 0.000 -245.611 280.719 -9.737 0.000 19 2 1.000 24.839 0.000 -248.737 273.577 -7.495 -0.000 31 3 0.000 20.516 0.000 -252.024 272.539 5.123 0.000 19 3 0.500 35.079 0.000 -235.820 270,899 -9.700 0.000 19 2 0.917 24.839 0.000 -241.187 266.027 -7.495 0.000 15 3 0.167 7.756 0.000 -255.650 263.407 7.248 0.000 19 3 0.417 35.049 0.000 -226.066 261.116 -9.663 0.000 19 2 0.833 24.839 0.000 -233.637 258.476 -7.495 0.000 15 2 0.167 6.844 0.000 -249.804 256.648 6.703 0.000 31 2 0.000 19.891 0.000 -233.119 253.011 4.137 0.000 19 3 0.333 35.020 0.000 -216.351 251.370 -9.625 0.000 19 2 0.750 24.839 0.000 -226.087 250.926 -7.495 0.000 19 2 0.667 24.839 0.000 -218.537 243.376 -7.495 0.000 19 3 0.250 34.990 0.000 -206.672 241.662 -9.588 0.000 15 3 0.250 7.691 0.000 -228.148 235.839 7.167 0.000 19 2 0.583 24.839 0.000 -210.986 235.826 -7.495 0.000 19 3 0.167 34.960 0.000 -197.032 231.992 -9.551 0.000 Print Time/Date:17/12/2017 14:00 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 18 Job No Sheet No Rev - Ar22 Software licensed to Microsoft Part Job Title Ref s" By Dick A Date17-Dec-17 Chd Client File Teceno,sect.C,wind shE DateTme 17-Dec-2017 13:44 Node UC Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip'in) (kip-in) (kip-in) 13 3 0.000 0.178 0.000 0.000 0.000 -0.015 13 1 0.000 0.128 0.000 0.000 0.000 -0.008 10 1 -0.006 0.109 0.000 0.000 0.000 -0.784 10 3 0.754 0.085 0.000 0.000 0.000 -6.041 2 3 0.119 0.057 0.000 0.000 0.000 0.381 13 2 0.000 0.050 0.000 0.000 0.000 -0.007 2 2 0.113 0.041 0.000 0.000 0.000 -0.045 2 1 0.006 0.016 0.000 0.000 0.000 0.426 1 1 0.000 0.011 0.000 0.000 0.000 0.000 1 3 0.000 0.011 0.000 0.000 0.000 0.000 12 1 -0.000 0.008 0.000 0.000 0.000 0.010 14 3 0.000 0.003 0.000 0.000 0.000 0.000 14 1 0.000 0.003 0.000 0.000 0.000 0.000 1 2 0.000 0.000 0.000 0.000 0.000 0.000 14 2 0.000 0.000 0.000 0.000 0.000 0.000 10 2 0.759 -0.024 0.000 0.000 0.000 -5.257 12 3 0.108 -0.059 0.000 0.000 0.000 -1.548 12 2 0.108 -0.067 0.000 0.000 0.000 -1.558 Print Time/Date:17/12/2017 14:00 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 23 Teceno, Beam A, W10x45 Beam Length: 284.34 in Location: 0.0 in 0.0 in 0.7828633 Deflection 0.0 0.5021587 deg -0.5021587 Slope 0.5021587 670578.9 lb-in 4fl 0.0 Moment 0.0 8991.919 TIF umumm-��� lb -8991.919 Shear 8991.919 13654.93 Ib/in2 13654.93 Bending Stress Tensile:0.0 Compressive:0.0 676.0841 Ib/in2 0.0 Average Shear Stress 676.0841 i ** Teceno, Beam A, W10x45 ** BEAM LENGTH = 284.34 in MATERIAL PROPERTIES Modulus of elasticity = 29000000.0 Wine CROSS-SECTION PROPERTIES Moment of inertia = 248.0 in^4 Top height = 5.05 in Bottom height = 5.05 in Area = 13.3 in EXTERNAL CONCENTRATED FORCES 906.0 lb at 105.73 in 906.0 lb at 178.61 in UNIFORMLY DISTRIBUTED FORCES 3.75 lb/in at 0.0 over 284.34 in 53.125 Win at 0.0 over 284.34 in SUPPORT REACTIONS *** Simple at 0.0 in Reaction Force =-8991.919 lb Simple at 284.34 in Reaction Force =-8991.919 lb MAXIMUM DEFLECTION *** 0.7828633 in at 142.17 in No Limit specified MAXIMUM BENDING MOMENT *** 670578.9 lb-in at 142.17 in MAXIMUM SHEAR FORCE *** 8991.919 lb at 0.0 in -8991.919 lb at 284.34 in MAXIMUM STRESS *** Tensile = 13654.93 lb/in2 No Limit specified Compressive = 13654.93 lb/in2 No Limit specified Shear (Avg) = 676.0841 lb/in2 No Limit specified 240-1 Teceno, Beam B, 51-4 x 9 1-2 Microllam LVL . L . I .1 __.ti . __ k . Beam Length: 339.77 in Location: 9.490782 in — -6.76116e-3 in 0.207825 Deflection -0.004868803 0.2063943 deg -0.2069784 Slope -0.01889845 73557.71 - III IIIII1 11311h, II lb-in 115164.5 Moment -41854.68 4495.792 IL I I 111� 111111 1 lb III -5441.119 Shear 4664.15 ____--- ----- 1458.75 I I I II 2 Win 1458.75 Bending Stress Tensile:530.1592 Compressive:530.1592 109.0951 lb/in� � I� II II 0.0 Average Shear Stress 93.5168 ** Teceno, Beam B, 5 1-4 x 9 1-2 Microllam LVL ** BEAM LENGTH = 339.77 in MATERIAL PROPERTIES Modulus of elasticity = 1900000.0 lb/in2 CROSS-SECTION PROPERTIES Moment of inertia = 375.0 in^4 Top height = 4.75 in Bottom height = 4.75 in Area = 49.875 in2 UNIFORMLY DISTRIBUTED FORCES 1.3 Win at 0.0 over 339.77 in 52.25 Win at 0.0 over 339.77 in SUPPORT REACTIONS *** Simple at 0.0 in Reaction Force = 4155.919 lb Simple at 24.0 in Reaction Force =-9936.911 lb Simple at 191.25 in Reaction Force =-8673.822 lb Simple at 215.25 in Reaction Force = 417.1381 lb Simple at 315.77 in Reaction Force =-5374.503 lb Simple at 339.77 in Reaction Force = 1217.495 lb MAXIMUM DEFLECTION *** 0.207825 in at 107.905 in No Limit specified MAXIMUM BENDING MOMENT *** -115164.5 lb-in at 24.0 in MAXIMUM SHEAR FORCE *** -5441.119 lb at 24.0 in MAXIMUM STRESS *** Tensile = 1458.75 lb/in2 No Limit specified Compressive = 1458.75 lb/in2 No Limit specified Shear (Avg) = 109.0951 lb/inz No Limit specified I 27 Teceno, Roof Beam C, Double 2x10 9N-SlY �Z�—�K� ----- Beam Length: 120.4 in Location: 0.0 in 0.0 in 0.167655 Deflection 0.0 0.2553069 deg -0.2553069 Slope 0.2553069 28557.44 lb-in 0.0 Moment 0.0 948.752 I -948.752 Shear 948.752 632.8628 Ib/inz 632.8628 Bending Stress Tensile:0.0 Compressive:0.0 33.28954 Wine 0.0 Average Shear Stress 33.28954 �.d ** Teceno, Roof Beam C, Double 2x10 ** BEAM LENGTH = 120.4 in MATERIAL PROPERTIES Modulus of elasticity = 1200000.0 lb/in2 CROSS-SECTION PROPERTIES Moment of inertia = 214.34 in^4 Top height = 4.75 in Bottom height = 4.75 in Area = 28.5 in UNIFORMLY DISTRIBUTED FORCES 0.66 Win at 0.0 over 120.4 in 15.1 Win at 0.0 over 120.4 in SUPPORT REACTIONS *** Simple at 0.0 in Reaction Force =-948.752 lb Simple at 120.4 in Reaction Force =-948.752 lb MAXIMUM DEFLECTION *** 0.167655 in at 60.2 in No Limit specified MAXIMUM BENDING MOMENT *** 28557.44 lb-in at 60.2 in MAXIMUM SHEAR FORCE *** 948.752 lb at 0.0 in -948.752 lb at 120.4 in MAXIMUM STRESS *** Tensile = 632.8628 lb/in2 No Limit specified Compressive = 632.8628 lb/in2 No Limit specified Shear (Avg) = 33.28954 lb/in2 No Limit specified f 2� Teceno, Roof Beam D, Double 2x12 Beam Length: 179.9 in Location: 0.0 in -0.01748222 in 0.4805647 Deflection -0.01748222 0.500831 deg -0.500831 Slope 0.5008281 68034.58 lb-in -35.2 Moment 0.0 1547.92 lb -1547.92 Shear 0.0 1028.929 Wine 1028.929 Bending Stress Tensile:0.0 Compressive:0.0 44.86724 lb/in' 0.0 Average Shear Stress 0.0 r �o ** Teceno, Roof Beam D, Double 2x12 ** BEAM LENGTH = 179.9 in MATERIAL PROPERTIES Modulus of elasticity = 1200000.0 Win CROSS-SECTION PROPERTIES Moment of inertia = 380.2 in^4 Top height = 5.75 in Bottom height = 5.75 in Area = 34.5 in UNIFORMLY DISTRIBUTED FORCES 0.8 Win at 0.0 over 179.9 in 16.8 Win at 0.0 over 179.9 in SUPPORT REACTIONS *** Simple at 2.0 in Reaction Force =-1583.12 lb Simple at 177.9 in Reaction Force =-1583.12 lb MAXIMUM DEFLECTION *** 0.4805647 in at 89.95 in No Limit specified MAXIMUM BENDING MOMENT *** 68034.58 lb-in at 89.95 in MAXIMUM SHEAR FORCE *** 1547.92 lb at 2.0 in -1547.92 lb at 177.9 in MAXIMUM STRESS *** Tensile = 1028.929 lb/in2 No Limit specified Compressive = 1028.929 lb/inz No Limit specified Shear (Avg) = 44.86724 lb/inz No Limit specified 3/ Teneco,footings for the six columns supporting Beam B P L 2 a,, 6 Input Constants Description Input Constants P,column load,pounds Sc,soil load capacity,psf P := 8816•lbf fc,compression stress limit for concrete,psi lbf 2 al.(tyo a fs,tensile stress for steel SC := 3000 z 3 hi. reinforcing bars ft I,I, .003 (for 60 ksi rebar,fs=36000 psi) fc := 3000•psi I� II (for 40 ksi rebar,fs=24,000 psi) Fc Ec,modulus of elasticity for fs := 60000-psi 71 Fs concrete(3,122,019 psi for 3000 psi concrete) 004 Ec := 3122019•psi 0.007 Fc=0.003 in./in., concrete compression strain limit Size of footing surface area required Fs=0.004 in./in., steel reinforcing bar tensile strain limit P Sa := Sc Sa =2.937,ft2 For balanced condition,Fc=Fs Depth of footing required Min. length of side required Ls := Sao-' b '= Ls Ls =20.564-in 2 b =10.282-in Min. base for "Big Foot" or sonos Depth of lower rebar (Ls)2 o.s d := b - 0.2s•ft B ._ 2 7C B =23.204-in d =0.607-ft Moment Balance Pressure on soil due to weight of concrete 0.9 flexural resistance factor We := b•t s0•lbf lbf We = 128.525 As(fs)((3)d=P(Ls)/4 W ft2 Min. cross sectional area of steel required at bottom unless As <0.17 Remaining soil capacity after applying footing Ls weight As := P Sc := Sc — We Sc =2.871.103 �lbf 4-fs•(3•d ft2 As =0.115-in2 1 32 Check if upper compression steel is required For balanced condition,Fc=Fs By similar triangles, c/d+0.003/0.007 =0.42857 for the balanced condition of Fc=Fs. If c/d>0.42857,then upper compression controls and upper compression steel requirements must be evaluated. B ;= Ls 2•b a .= As• fs (R•B•fc•in) a =2.56-in a c := — R c =2.844-in c — =0.391 If c/d>0.42857,then upper compression steel is d required unless Acs <0.17 If compression steel is necessary e := b— 2.00004-in from the illustration and depth of footing calculation Acs .= P Ls 4•fs•R•e Acs =uol-in2 Footings are to be a Big Foot BF 24s with 10 in. dia. tubes 2 33 ,-Y; ypl Roo Z7,w1 wiaX44t Jllo�Wit: j — . 74 jr — 6ti � ,�, - MULTIPLE-MEMBER CONNECTIONS FOR SIDE-LOADED BEAMS Maximum Uniform Load Applied to Either Outside Member (PLF) Assembly A Assembly B Assembly C Assembly D Assembly E Assembly IF 2' 2'2- X Connector Pattern icc 2- -1 zi 1� 2- F2- E-4 1 Y4. 13A" 3 1h' I W 3 W 144' 3 1h' 13A" Connector Type Number of Connector 31/2" 51/4" 51/4' 7- 1" 7- Rows On-Center 2-ply 3-ply 2-ply 3-ply -ply I 4-ply Spacingl 2- 1 3l 2 10d(0.128"x 3") 2 12" 370 1 280 1 280 I 250 Box Nail0) 3 12" 560 1 420 1 420 370 1/2"A307 24- 510 1 380 1 520 j 465 i 860 1 340 Through BoltSUM) 2 19.2" 640 1 475 1 650 j 580 1,075 1 425 16" 765 1 570 780 700 1,290 510 SOS 1/4"x 31/z" 24" 460 1 345 345 305 or WS35(4) 2 19.2' 575 i 430 430 380 16" 690 520 520 460 SOS 1/4"X 6" 24" j j 305 j 460 1 305 or WS60)(4) 2 19.2" I 380 575 380 16" 460 690 460 33/a" 24" 525 395 I 395 358 TrussLok(4) 2 19.2" 655 495 495 440 16" 790 j 595 I 595 525 1 5. 24" 375 410 365 590 365 TrussLok(4) 2 19.2" 470 I 515 j 455 625 455 16" 565 615 550 750 559 63/4" 24" 335 550 335 TrussLok(4) 2 19.21j 420 690 j 420 F_16- i j j 505 j 825 j 505 (1)Nailed connection values may be doubled for 6'on-center or tripled for 4"on-center nail spacing. (2)Washers required.Bolt holes to he 346"maximum. (3)6"SOS or WS screws can be used with ParallamO PSL and Microllams LVL but are not recommended for TimberStrandD LSL. (4)24*on-center bolted and screwed connection values may be doubled for 12*on-center spacing. Multiple-Member Connection Example 300 PLF 420 PLF General Notes • Connections are based on NDSO 2001. • Use specific gravity of 0.5 when designing lateral connections. • Values listed are for 100%stress level.Increase 15%for snow-loaded roof conditions or 25%for non-snow roof conditions,where code allows. • Bold Italic cells indicate Connector Pattern must be installed on both sides. Stagger fasteners on opposite side of beam by�the required Connector Spacing. • Verity adequacy of beam in allowable load tables on pages 16-33. First,check the allowable load tables on pages 16-33 to verify that 3 • 7"wide beams should be side-loaded only when loads are applied to both sides pieces can carry the total load of 720 plf with proper live load deflection of the members(to minimize rotation). criteria.Maximum load applied to either outside member is 420 plf.For a • Minimum end distance for bolts and screws is 6'. 3-ply 13/4"assembly,2 rows of 10d(Y)nails at 12"on-center is good for only 280 plf.Therefore,use 3 rows of 10d(3")nails at 12'on-center(good • Beams widerthan 7"require special consideration by the design professional. for 420 plf). Alternates: 2 rows of 1/2"bolts or SOS W x 31/2"screws at 19.2"on-center. iLevel Trus Joists Beam,Header.and Column Specifier's Guide TJ-9000 November 2006 Town of Barnstable Regulatory Services �"E Thomas F.Geiler,Director Building Division senivsr+sLe, Tom Perry,Building Commissioner `0� 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 1, 2012 Tecendo, Frederick& Diane 120 Smoke Valley Rd. Osterville, MA 02655 RE: 120 Smoke Valley Rd., Marstons Mills, Dear Property Owners: This letter is to inquire about the status of permit number 200805401. As you may recall, this office performed inspections for the above referenced address in conjunction with the said permit. To date; however, there has not been a final building inspection. The last . inspection conducted by this office for the above permit was done in 2009. Additionally, our records show no final inspections for electric. Please arrange for final inspections or contact this office to explain your lack of progress. Thank you for your immediate attention in this matter. Respectfully, Robert McKechnie Building Inspector 508-862-4033 I Q:\WPFILES\MCKECHNIE\UNFWlSHED PERMITS\2008SMOI{EVALLEYRD120(12).DOC 1 ti �I � I i i gr C 'Q ul� y� wm aL M ROOF FRAMING PLAN 112NORPE , w�K DA DE "n In O ASSOCIATES .Oi_t,�o�'wr vU11 MW /� AIR'o�(I�pd101�tOYpOa cOOn K :. ` RITXL vnfTINC eTSTa•Ir RIOGC w TO T4T01 OoeT. ` ROOF eMVY6Le TO. . TNTOI fOOeTIMG No vDmNa emm II✓ ow w To l4T01 onrr. ' rTwucrY *wag . __ AT 3 woa ewwuae TO myT q1t . } _ evoT rR rnr w OFFICE R•Ta•.•r•oc. I ffggAfiC :I ' .. •-Litl GILT �' NO IIRL MTT9 W � �. . DASEM aW►.t.GILL G1T.OR IYW I. � .. is .� � �ISY•v. ^"', Cltell c ACTTm or 48 f .cTm aMvn Q oor+rwcTc eue � A SECTION PROPOSED OFFICE B SECTION PROPOSED GARAGE A7 er••..v�'-I'=o - A7 etas•V4...-w q 1 i � I . RArTR eTtil - PLAN . -- SOFFIT DETAIL A7 .rrs.KT. - roa e ..R, W".-- WAARC.. '° a Sep 19 00 12: 35p Peacock & Crosbtj Builders f508) 428-3399 p. 2 CNA CNA Plena Chicago IL W865 400f David i3! Wroe Senior Vice Prealdont 8 Chlet Technology Officer Telophone 312-622-6307 September 19,2000 Facsimile 312-822.4053 P hitemer • david.wmeecne.com Barnstable Building Department Barnstable,MA To Whom it May Concern: TI1ls is to confirm that the office addition to be made to my home at 120 Smoke Valley Road in Osterville is for my personal use only. David Wroe cc; Scott Peacock- Peacock Crosby Builders - ��- .�. r,-i a. i .uir .n rirr Ul'1 iiuC r.•G: !:JrtA7'GT 'J'�C 4PEngineeringDept. (3rd floor) Map ci Parcel S Permit# Z9 3 / House# Date Issued "" Z-'' S Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) v'S—A Fee r Conservation Office(4th floor)(8:30-9:30/1:00-2:00) ���f'�a•�� NST,7 Sys FO Planning Dep' t.(1st floor/School Admin. Bldg.) Definitive Plan ed by Planning Board 19 '� G� tit TOWN OF BARNSTABLE Buil ing Permit Ap lication Proj a reet Address Village Owner p _{�-0 Address Telephone D " Permit Request srp+ First Floor �a sJ square feet Second Floor /D o square feet Construction Type L J Zak 7k, Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 Historic House ❑Yes 2'11;ro— On Old King's Highway ❑Yes ZR416- Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 2�3— New Half: Existing / New No. of Bedrooms: Existing SNew ' Total Room Count(not including baths): Existing New First Floor Room Count S Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air @11es ❑No Fireplaces: Existing Z- New Existing wood/coal stove ❑Yes Q4115� Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) Jq X - ❑Barn(size) ❑None 2,9'hed(size) - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial Eyes 10o If yes, site plan review# Current Use Proposed Use ' der Information c' _ Name � L Lty�D u° Telephone Number �'b `k� 5 Address License# � � Home Improvement Contractor# to 3 Svc Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO G �. SIGNATURE V DATE BUILDING P MIT DENIED FOR THE FOIaOWING REASON(S) - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED -.S MAP/PARCEL NO. ADDRESS VILLAGE z '•� OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ;FINAL r PLUMBING:'•, --,ROUGH FINAL • GAS: �� ~^ YOUGH FINAL FINAL BUILD,INO • .yam,� �✓ DATE CLOSED OUT; ASSOCIATION PLAN.NO.i i - i °F1HE °wti The Town of Barnstable • RAR SS. E. ASS. Department of Health Safety and Environmental Services 9 MASS. 67q. �0 P�FDMA+p Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location 0 S46 Q Permit Number U � . Owner Builder 'L,q�:6 One notice to remain on job site, one notice on file in Building Department. he following items need correcting: GQ Az �'J k&q:— v�PeJLO 5;c�z) a-6 t3 --�o � \l 2, G "le 1-w� CAS' ? r �1 Z6v C, <�� L(A�, Call �►... ►,.� vi-�o �� law-v-�, - 1�b �r►-,; fig Please call: 508-862-4038 for re-inspection. Inspected by S t WQ S Date f ' I ' I , �O QQ 1 ' I j I f (o N/F EDWARD K. o ; DAVIS y 88 LOT j87 Of -00 I p PO C7 S.409 Q � I n MORTGAGE LOIN- - INSPECTION- . SAGAMORE SURVEY ASSOCIATES SCALE: !1 j it .- 0 FT, P.O. BOX 28 DATE: QECEMBE 10, 1997 SAG MORE BEACH MA. 02562 "* °°•� �•''°� �'' (508 888 8667 I ',� ' ��� TH rfA s C. s� I CERTIFY TO i u Poi TICRIA ,D THAT THE LOCATION OF THE BUILDING SHIOWNi HEREON CONFORMS , NO,34314 • ,� TO THE ZONING OF THE TOWN OF OSTERVILLIE =� •''o P" ' •• t fi�c5t0� � I CERTIFY THAT LOCUS DOES NOT LIE W�THiINi THE FLOOD HAZARD y �sv�v1✓'�°y ZONE AS DELINIATED ON MAP 0018C COMMUNITY NO. 250001 PLAN REFERENCE: BARNSTABLE REGISTRY l 0-F EE S S 0 BOOK/PAGE: LC NO 5725T37 LOT NO.: 87 PLAN BY: BARNES ENGINEERING COMPANY, INIC, BUYER: DATED: bCTOSER 24, 1980 THIS INSPECTION NOT MADE FROM AN I S R M NT S RV —AND S USED FOR FENCES, HEDGES OR TO ESTABLISH LOTUINES. FOR USE OF BANK ONLY. I I I I ' , I Z'd 198.ON SOP d3t11S 60IN3S UN0 WdEZ:6 8665 'TT •6dW 5r Pre . .::v `°? °� The Town of ]Barnstable x . y. RNSTABIM MASS. Department of Health Safety and Environmental Services Building Division "'.t_ .' 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508 775-3344 Building Commissioner For office use only k 1 r Permit no. Date AFFIDAVIT HOME UVIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION t MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, _. improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent W. . to such residence or building be done by registered contractors,with certain exceptions, along with other '. . requirements. Type of Work: JI&O Est. Cost l d,DDT Address of Work: IPA O%ancr Name: RI&C-q Date of Permit Application: iv- `•:I hereb, ceitifv that: .._. Registration is not required for the following rcason(s): 3'.. Work excluded by law Job under S1,000 Building not owner-occupied Ovmcr pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERNUT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS, TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: o Date Contractor mime Registration No. OR Date Owner's name � •�••� IIIC b•//IIIIIN....�.._... •, ./IIIJ1f/L/111........' `: ! jt;; • ---jam: DeparlZuellt of IsidjuvialAccidents lr=AOfllcPalloyestlgalloas \ fit'• i=�` 601111 ashbr/•tna Strut Workers' Compensation Insurance Affidavit anriiica`tinfornt�ti�n= —' — Plc:tse pRiNT''1� lv ,�,_l,,, • Rome, �W y1 IXt It,O-•Q [� I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any opacity I am an entplr10 providing workers' compensation f�}•employees working on this job. cn ttr ,r :tm•Rome• �� atlrirccc• � � � � ll,l � N ''� Girt• �� nhnne lt! inciirsnce cn. ��-- o�1S nniict•1! �� -Rs6oaga� [; am a sole proprietor. general contractor.or homeowner(edrede otie)and have hired the contractors listed beiow who the following workers' compensation polices: cmmr1lnt• name! adtlrrcc• cirv- nhnne 0! incnr�nrr•rn. nniirt•# cnntnlnv m:ttnr- :ftkrlrrcc• •its• nhnne 0! nsurinre rn nniiet•o Vlach 8dditi0_n21 sheet if neteiiiry: .....—;.r•^_.. .d;':..'.T.►i:�ii.i�;��~ir .�'........ •...."•i.'.�.".'..a" �"�" .`. '._ awie�+�+�i�..: ailure tit secure coverace:u requiredunder Section 3A of AIGL 153 an lead to the imposition otcnmtnal penalties ota lineup to SIMMUD antlr ne t cars' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a line of S100.00 a day apttittst me. I undesmad thai ON.of this matcment mar be furtvarded to the 01race of tavestigations of the DIA for coverage verification. do hercht•c iJ•r ier the it: attd penaldet ojpcdut:r that the injormarion prm-ded above it arse and corrrCL 1 ^nature Date 'rint name �� `f�JCQ�}_ ��14CUC17� Phone# �i _6� — oRcial ttse unly do not write in this area to be completed by cisy or town olncial city or town: permit/lieense# rtlluildinq Department ❑Uccasin0 Board [ check. if immediate response is required QSeleetmen's office C311nith Department contact perxnn: phone#: nOther_�� i. 03 f I Tl- .9 Y) •. ✓�ie�amonovuvea�/ o�./�aooiu/ccsaetla I _ -- - Restricted To; 00 DEPARTMENT OF PUBLIC SAFETY 83188 CONSTRUCTION SUPERVISOR LICENSE 00 - None Rua ber:;=;-- K Expires: 1G - 1 & 2 Family Homes. Rest cted Por=100 Failure to possess a current editioa'of the Massachusetts State Building Code 0v CROSBY ,.ia* cause for revocation of".Ws license 62 CROSBY CIR OSTERVILLE,- MA 02655 .. ...._.`ta:' $41Ko9iiK@Ldd ';3� '.M' _.._�....�'i..._.�5..__:. :.. �r�:k7 �`:F.'9'�c�?Ty^:sya�!�'` � e.+ -a my u� �:` - ::xg •,x• �,,,.,,.., .._�._ i%�' � e' � t Legend lip —Parcels a�, { —Town Boundary ry Railroad Trades Buildings � s J Avprox.SuMN 5 � 3 D Buildings t Painted Lines 0970Q5©b3 ; ., _ Parking Lots #38 Iy ' , � k'' N Paved unpaved K � Driveways 097005002 d � ` ' .',5 (,. '3, e'� ` �'�� �i Paved 1 #2 6 Y.' �w. "unpaved k r y 3 Roads q ( k• e` r 8 Paved Road ._ 697023 unpaved Road ••�r# ~�"`'-•. - '� - �Bridge AN #90 ® Paved Median Streams F I" Marsh Am 114 Water Bodies A097005001 LU 9y�PL - £{�ny� ,'>(1 �c� �i .yam` � '# •�' �� -. /'� � >a ^ r. , q z b �• a 097019 097 005005 5,5 wsCtf r r :.. , f #77 �. / l� 5 If * ) 50 r Parcel lines shown on this map are only graphic representations of A k S i' Assessor's tau parcels.They are not true property boundaries and do not represent accurate relationships to t s r physical objects on the map such as 4 f building locations. 09700.4 R; `�- J ibis map is for illustration purposes #170 a: a ` p.r. �= only.R is not adequate for legal ..— r boundary determination or . . regulatory interpretation.This map a. does not represent an on-the-ground survey.It may be generalized,may - l _ not reflect current conditions,and Q9701 a may contain cartographic errors or omissions. #125 y y _ Town of Barnstable GIS Unit 367 Main Street,Hyannis,MA o2601 , 1 rf 1 5o8-862-4624 gis@town.barnstaible.ma.us Feet , a 0 42 83 /Y Approx Scale:cinch= 2 feet : ®97006 .. 4 #155 - „ Map printed on: 3/28/2029 s , ------------------ EXIST. EXIST. O M/BATH W.I.G. ----------------------------------------- 11-7 ® EXISTING - - LAUNDRY - NEW WALLS ® 12 T P. IX8/IX AKE BIRDS. P. IX5 SOFFIT EXISTING WALL& IXS FREIZE/BED M... ® EXISTING - MASTER OOD BEDROOM Barnstable Bldg. Dept. MINGLES TYP. IX5/IX6 ApprOVed by: NR.BIRDS. Permit#: PROPOSED RIGHT ELEVATION EXISTING FIRST FLOOR PLAN 6'S" l'-10" 8'Z'I IVl KE DETE TORS REVIEWED W3D,= EMP.1T .2TEMP. BA B ILDI GqAPT. ATE Rm — o bo°TUB CEDAR Za ROOFING M FIRE DEPARTME T • D j --NOTE: ERII AN=I-3 THAT BEAM EXISTS . .-_________ ___ BOTH,SIGNATUR�SARt REOUIRED FOR PERMITING ==- a/-R, 5o C,J, 7---7---4 7-i ..... •�.:++ �...•. LAUNDRY O ® MASTER M ® NG LINE till I'll I ' I� 9-IV ____ BATH I4-4�� l._.1L_JIII r-e• DOD -0„ 3.$I,,, A' ri HINGLES j LAV• N U ----- - --`- -- ------ - - -------- U O TYP. IX5/IX6 __�_ _______ ____ _ _•,y,,y l°. OM r O NR. BRDS. m ' v .._ _.�. '..;ti I 0 io 1 PROPOSED REAR ELEVATION NOTE:VERIFI •� - THAT BEAM EXISTS E,; • pG 2 S,. .. - M CEILING LINE a TN BENON � CEDAR V V�( V- 3-4� A=sl 8'-II" A=sl 3 9 ROOFINGS C F ' i OOD � PROPOSED FIRST FLOOR PLAN I � � � SHINGLE !. Ill 1111 1111 sill till suBFLoOR,-JTYP. IX5/IX6, , NR. BIRDS. *� PROPOSED FRONT ELEVATION BUILDER JOB ADDRESS DESIGN DATE REVISION DRAWN BY PAGE SCALE TECENO RESIDENCE RENOVATION AND �C %�oCJ�U�/�0� OV�o�00 0 3-25-19 �+ JB •�oFA_ 120 SMOKE VALLEY RD EXTEND EXISTINCs W IH PURCH49E OF DRAWING=LEAVES FVRCNABER RE':PON=IBLE FOR COMPLIANCE WTN ALL RJ IXACT SIZE AND REINFORCEMENT OF ALL CONCRETE FOOTING= I-)ALL FOOTINGS=HALL EME=ID BELOW FRO=TLINE vERIFT DEPTH. LOCAL BUILDING CODE=AND ORDINANCE=,JB DE.'•IGN9 MAY NOT BE HELD RESPONSI9LE MAST BE DETERI'INED BY LOCAL BOIL CONDITIONS AND ACCEPTABLE !�)VERIFY STRUCTURAL ELEMENT=FOR DEIGN:912E �rJOBJV 494-9534 • ,14 OSTER V ILLE, MA, MASTER BEDROOM, ZI FOR SITE CONDITIONS OR FOR THE 115E OF THESE DRAt1Al GS DURING C-0NSTRIICTION. PRACTICES OF CONSTRUCTION.VERIFY DESIGN WTH LOCAL ENGINEER. WITH LOCAL ENGINEER AND BUILDING OGFCIAL=. b¢9T BARN9TABLE M4.Onae• 1- ° o• �° 3 E O O r = = z �n O �03 o� CI -p DX N tP N � W mNz ® z A 0 0 o X N r m m W �1 • p °-p -p•'� o o°-p TYP.30"X30"XI5" -p r D CONG.FTG.W/3-I/2"RD. N a ° D z CONC.FILLED COL. �gCCE65 3 D 10 O ^ .o o .o y o .n 1 N o 0 D Z N z o r -P.sie-Roos E o .Is•oc. :2XIO'e o W'D.C. 2 IO's a 16"O.G.I Q r (ABOVE) (ABOVE) 0 0 i Ml-v . _ Im� D X m Z. O p p A . N db m Z W 5 �. �. 9,-0" �. �-0" A C7 D m O O N F : juJ Z' m .. g� X I O_ 0 rtm1 --•••- N Z i D 4.6 9:O ^ 4.6 Z 0 z z (1 �' �° °.o•�.o•°.o°°.o°o°.o•°.o° m m . ---------- s = xx=== ------------ --- NOTE _._..- ------------- -------------------- Ir D o N tmt� O o A B X m E � F b0 ------- i�: x x _ _ ___ _ _ ----- ------- ---- --- b i y y pU 11=v__ _ _ ___ - e.._. m4x 4 KI. _ t1L%.dO.G. gkr ? r 11 113 Alp � Q 7F? 3 mmm m T P.BLOCKING s �m� 4 o UA ' D 1 _�� � D m �Z A • D B _ x N s� m of Ti32 A 3 I Icnnn = 8 § W o D min Q n m a p D A fo m A Im ~ � - U N z � m N <� C_. y ^ •.\� : E 4'-0" ',11 'I'-101i"t 3'-0oo �� ± 3�-0° 3�-0�� \\-X p z z r m�m o ID O 2 W D D Z X m JD m Nrg (� D A p A n y I�r�7� `3 yZ A \. Q� 3� O p $k �� 0 A� z r Z z RIP c. 10'•3" m �m im D33 D '\ \ \ �' n Mz m1 r _ G cm1>Zo E NmZy A AZ r rWALL LENGTH-IEV-0" ❑ I FULL HEIGHT SHEATHING- JV-A" I ' C_ ACTUAL SHEATHING.-kZ% J I (Min.Required.) RATIO' 1.25 EDGE NA NG• 6"O.C. 'FIELD NAILING°JZO.C. ' L-------------- a 12 ..SHEA :SHEAR."::'.r' ..SHEAF WALLWALL WALL SHEAR WALL RIGHT ELEVATION ------------- rWALL LENGTH. y-n" RILL HEIGHT SHEATHING.6•�0° ACTUAL SHEATHING°__4Q_% r-------- ----� I (Min.Required r %) WALL LENGTN•16'-0' RATIO- 125 FULL HEIGHT SHEATHING-IO•-0°I F7 EDGE NAILING•_.2�_O.C. ACTUAL SHEATHING=__e!j_% 'FIELD NAILING•�O.C. ' (Min. Required�Q_%) I L------------ J RATIO, 1.25 EDGE NAILING=_4_O.C. L IELD NAILING*_12—O.C. _ J p,Cn ((/C E(/O�0T G ,',�,:,�,:;�,•,..:;�.:.� 1NOdl9 HEAD s P . ..SHEAR::.•. . s eP WALL �:�SHEAR'..���. ��:���SHEAR�{; .�.•.•:.�:.. . WALL ..:WALL LEH �'.'�F'•-('�' '' '' SHEAR WALL FRONT ELEVATION SHEAR WALL REAR ELEVATION BUILDER JOB ADDRESS DESIGN QQ�QQ�QQQ //_ p �Q DATE REVISION DRAWN BY PAGE SCALE TECENO RESIDENCE RENOVATION AND �-✓w✓ocJ�f140MEDEslas0 s,com 3-28-19 u JB 0FL_4_ va°.ro" JB 1��s�9'ns 120 SMOKE VALLEY RD EXTEND EXISTING W !N MRCNASE OF DRAWINGS LEAVER FLR ASER RESPONSIBLE FOR CAM ANCE—ALL a)EXACT 912E AND REINFORCR ENT OF ALL CONCRETE FDOTTNGS W ALL FOOTINGS SHALL EXTEND BELOW FROSTLIKE VERIFY DEPTH. OSTERVILLE, MA, MASTER BEDROOM. zl LOCAL EB1Dn�RFOR°HE1LBeOF,�MDaU�S�a T�TI�IBLE �_mDETERMINED LOCALVERFFT NpWMLOCALENGMEER. 4.11. 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BE i z Il.' r _ 6 ee a®M ................ t 4 Sur -ro El 113 • o ' mill . 4 rs ra' r+• h W.O. rr FRI Q �r revNo - aws s j .......... (IN WO WW C� D W-W i N fi, r r i '.r A N c VA i .35 r � d W X E w N Y V $ �� uj •©` a Ike TLegend 1,�1• _ Spot Heights(NAVD88) Intermediate — Index Contourso(NAVD88 f Barriers rr+- ..! r • � .. +. � t'r?� 1 //• ;�f--- / ' —FCr100s 77 to F t' �,.. I � f � '" •--Guardrails .^ ,97t'u�oC�3 C ii IY11D01 I r � _ - j •• Ratnining Walls stone Walls 111 �� I t' Other Lvalls to 1 ((( 1f' —Hedges Paths Sidewalks/Walkways Q Paved r 1.�• ryor `�` r' 1 ' + -- Unpaved M r S•`��'� i% _ \ , Og702d i Swimming Pools ` 0y7�5170 4 ! J t 097005 002 r i . �0 ❑Above Ground swfmmGig Pools n In Ground Swimming Pools l J {� _ � Exterior Structures �,.1 I F `4•� J J� am~ 1 �� eQ Ci Decks ! / 1] Pubus J ' JJJJ J f El Exterior Stalrwuys ^� 1, 40 r..I ' ,e, I1 Docks Piers O 8oardvmlks (1 Tanks ❑Fuel Tanks / O water Tanks �' Jetties/Revetments 0 Stone Jett as Revatments ¢� n Concrete Jeuies Revetments ❑Wood James Revetments Recreation Facilities Spurts Anus .s y _ Golf AreNs k� ; a, .' r1 Wooded Areas 17 4 r, < \ I .-� 'Parcels k i $_ �, � "Town Boundary Railroad Tracks Buildings C37t1��I1t15 _ �q t ="Q� `f,.• Painted Lines »� tto �0 f' i \� , Parking Lots ,a {•, f r ' C �• , Paved •�. S� ,� � 11 � �, ` Unpaved 'S Driveways Paved Unpaved , 10'� Roads ❑Paved Rned i u. r' IJ l l ` r _ " ' Q •1,.rx Parcel litter shown ott this snap e onip graphic representations of t j Assessor's tact parcels.They are t ``' t �� 41 t true property boundaries and do it ti �� , �i �` J •S1+t' L ' represent physical objects on the map such r + hips �- _ building loealinzw. This map is for illustration purpt only.it is not adequate for legal boundary determination or 1 a7(�rl.i rf' i t regulatory interpretnlian.This rr �� ." I .} r—- t ..•• ' �r clones nit represent tin fin-Ihe-grit 1 7lr rl may��t �� a�tt.11 -J •( ItOt r`Et�eLt cm-re at conditions,an may containcartographic errors 4 • s f+ !F omissions. IL 11'l7Ul�Ir " Town of Barnstable GIS t 367]Main Street,llyannis,AMA o36 5o8-862-4624 gis(u?town.harnstahle.ma.uc Pect a 155 Q":f � ❑ q 83 167 ' / y r Approx.Scale: 1 inch= 83 feet lot ' % — — - t 1_i— Map printed on_ 12/27/2o17 ,; i i d s�, Imo' d d � � I I - - - - - - - - - - - - - , • I 1 , f sc r{-�t�ci►-E - I I — .oa I 1 zra Nw s r-Ai 4C th S>r fzI 1F5 it�-(' I � J I I I L}Gc``�IiC�IFS- I A ^ A I ° l gfbeovm-t+= C4 IDA s BED ROOM 93 I I y •r � d 4 I zoa��• a I h�•a�z a -- °"-- �RI��� L�fr?�LS I �ry SJ"iN w - BED ROOM g S �\ -_ --_- CLO. ,iTnC CLO. — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - M2 4 zo.x _ __ __ �. I - - --- ATTIC — — — — — — — — — — — ATTIC 9 - - - - - - Pm,2rrecco}. rz—zz-� � zra Asa SECOND FLOOR PLAN I 16O S.F. OLSON DESIGN ASSOCIATES jJ��o PcSr� _ OD 55 ELM AVENUE Hyannis.Massachusetts 02601 5M775-43W smell-asondeslgn®vmumnel 5CALE 1/4" = 1'-0" EXISTING CONDITIONS 120 SMOKE VALLEY BARNSTABLE,OSTERVILLE DRAWN FOR: BARNSTABLE HARBOR VENTURES,INC. EXISTING SECOND FLOOR PLAN � D.O. Av 9/15/08 ` a 2 s°`114'- 1'-0' ••ww rL z S is � artie/q �fin.wMo COPE lfl� OR CIS On MAIM, ell A QCL AP ® �- $ GENERAL NOTESIft 1 I i W stee ar W nM e A 1FDIt asap SK easne A►ae as 1 j i % \ �, , )was Aerie ate,+e=aF: t C. , ASSEMRs HAP a PAR M 5 LAND MW FLM 8725-V-ear ea cenmz a wee papa f ` 1 t �'ti 1 I i \\ osenut w oar r ma amr� l , ; \ a)FROM asarvx:TOP Cr HVPW SFMW t¢er r } x ! t AvaemoLOW=nh wtSHMN>,TaEreN a< een U aaaa aFaTSAToe otasElEFM AND MuRkYseo a 00"Y Uffo=av aeaa Inn FeoersaN .ON OUR BW INTERP N ae Tne- �r �aD asasaa FWW=wear rimer 1 MIND z me sraRwnoel wAr twler►2aai RataHB/e / _ i war C :AaE prm) .5 - ___-- FNUrtAar ur 1• -----______f T 1 ( ��'� Y FAW YAW.JW SK&JnR YMa.16' ; / ( •J ------ - --1 f oeopoS Eo / ,.,a p`v U A MW Wwwa wv WT DDic rar 20=3=0 oc K Rena®a san ae FEWOMO BY oases U IwraM ®oY°s w�ie r5 a ai asm mum aoao a { i.6'_ 2 / NE 'i ' ' i / ►•�t \ ' I , \ RaD��RI'9WM RK�eo�&2R21 MON AN 1 a�a man 7)oanwrr rwe NAM Ia000l ame a ac nam URnANa WE MW CUM ass Aaw As ZW 4 o:.o M AM OF eeaea eoaars. s s i a) Do •SKa Off�MA^r^(M aF COl ell a7®M �! -SRO ae a MAW W EMW Name a eae anrr Fm MIN MP � 1 ; -� 'I � � � � ', 1 \ �, ' � : � _ 0.a8 L 2>a�NIMO?�aa¢.ass•eaR ter apl>x M . 1 I 1 � , , I ,�/� oAYi R1�O1,OaAaAltre�fl0 as t�• ! �� { _I ,�� �� \ �—.` o- •51E aae3 ear aaau A a�tetea esal eet N@ rP aa�e.2701 <t a< __ - '� ; rA,a Baas• \ , \ \ \ l\ Arr NEW RR ses amlee MOSO aae BOOM sass Ass �--2v ,, ` 1` t\\ �\ ,\�`- .,� �� __ P,• \\ �,,M, :aua>16.Qtf `� iFee KOW FOUR/20000 FLAGPOLE •d,e 00 oc \t `'� \ \ \ \�� '����, \ \� Existing Conditions at -- - \ \ \ 120 Smoke Valley Road O Ostemile,Massachusetts 02655 ce On POUND _ \ MA6lot -`\ o�a1.o \ ' `� \'\\ �T \\ Barnstable Harbor Ventures,Inc. o \. \\ �\ `� ��• �� '\ \ Existing Conditions Plan BAXTER NYE ENGINEERING&SURVEYING / v i ? // � •/'7��, \ ,\ \\ \ ,\ Registered Proressianal Engineers and land Surveyors 78 Noah Shea,3rd Floor,Hyannis,MA 02601 FOUNDne 'Pho -(508)771-7502 Fu-(508)T)1-7622 QCD . 20 0 20 40 :( \♦ \ " - ,,,� SCALE a FEET a Pam``�,, \, ION FOUND P,eaP6s o �,•.� 0 11 ', t BARNSTABLE HARBOR VENTURES, INC N P 0 Box 483 o "i f`� r ` :., BARNSTABLE MA 02630 .ate o: eaes- "' 1 \ k 6 570 152000-we a� 91'A 2•'A 2TA 1.'a 26'A Y-6'.9'-6' Y-6'•1'-6' 5'a 2— `P § DINING § CLO. CLO. 2r.f{• Y{'.a'.6' 00 ®® MASTER BATH § lAV GARAGE ENTRY _-_ KITCHEN C ®® O O 6a p§ N T § n MASTER BED ROOM DEN/DIN Y _ _ 4 2v-2— - -- - i LIVING zr.sr zc.r{' FOYER zr.4- zc.�•r {• zr.•.,6. BRICK PORCH soa i za zea z i•a 91'A OLSON DESIGN ASSOCIATES AVENUE EXISTING FIRST FLOOR PLAN 18GO 5.F. OD Hyannis,MLassa6husetts 02601 SM775-4300 email-oisonaesign@"rizon.nat EXISTING CONDITIONS SCALE 1/4" = 1'-O" 120 SMOKE VALLEY BARNSTABLE,OSTERVILLE DRAWN FOR: BARNSTABLE HARBOR VENTURES,INC. EXISTING FIRST FLOOR PLAN D.O. -9,15/O6 A- 1 1/4'= 1'-0' t, .L I I 6 I'd I I �Od I I 21'd I I I I I I I I I I — — — — — — — — — — — — — — — — — — — — — — — - I I I I I I I I I I I I I I I I I I ATTIC I I I I sa cnr I BATH __ BATH § • JLJ ' BED ROOM N3 e CLO. I a § I n I i i•a irz• 4 ___°N I — — — — — — — — — — — — — — — — — — — — — — — — — — — — — BED ROOM B2 CLO. CLO. CLO. CLO. I zo.z irz• I " "" "" ATTIC L - - - - — — — — — — — ATTIC 9 § 2— �9d EXISTING SECOND FLOOR PLAN 1 1 GO S.F. °`S°5 ELMAVENLIE ASSOCIATES O� Hyannis,Massachusetts 02601 508-775-4300 email-olsonaasi0n@verizon.net SCALE 1/4" = I'-O" EXISTING CONDITIONS 120 SMOKE VALLEY BARNSTABLE,OSTERVILLE DRAWN FOR: BARNSTABLE HARBOR VENTURES,INC. EXISTING SECOND FLOOR PLAN :} awmer. D.O. 9/15/OB A 2 a"'1/4'= P-O' - - - - - - - - - - - - - - - I I i I ♦OO I I 21'O , I I I I I I I I I I I I i I I I p ATTIC I ` �BATt1 ucnr • ' "�•(�(� t"'— • � uun ucm� ._______. _ Q • • • ' r\7 BED ROOM 83 � I 'a I i ra�2 9 ---vx--- zoa ia• I HCLO. a BED ROOM 82 -------- C10. CIA. CLO. I w zo.z i2• _ ______ [:: ATTIC - - - - - - - - - - - - ATTIC 9 zi•v �9O EXISTING SECOND FLOOR PLAN I 16O S.F. 1TT1l, OLSO55 NESII NASS OIATES OL Hyannis.Massachusetts 02601 508-775-4300 email.olsondmIgn®vertzon.mt 5CALE 1/4" = 1'-O" EXISTING CONDITIONS 120 SMOKE VALLEY BARNSTABLE,OSTERVILLE DRAWN FOR: 7d"A BARNSTABLE HARBOR VENTURES,INC. EXISTING SECOND FLOOR PLAN --I. D.O. mar /� /�/ 6 A 'e'er ei I sroa L> 2 LEGEND 22, d� R011� EQge of ement _Ov wow Pipe GO Una _E Beetrfe Line N WARRENS OVE T Telephone line C I- - I!'. �\ L S Catch Bovine se= .. % rye' i Water Cale `,x light Pole i� 'i/ I ' O• UGMV Pole If If contoure LOCUS MAP tar ee.y ; . Feet At �z---- �j Melers SCAR I.Acw �' _ " VcNe pMAP 97 T / i `o / ao`'•T - § OQ _ G'ae • • Post 6 RcO Fence GENERAL NOTES: 1.)THE INTENT OF OS �OSA CONCEPTUALLY DETAIL THE LOCAnoN of PROPOSEDp L CONSTRUCTION AT Ad1 THIS PLAN IS NOT TO BE USED FOR CONSTUCTION, /• i ,''. -- 2)LOWS AREA IS COMPRISED OF: /' �`•1 /i % /' / -_ ASSESSOR'S MAP 97 PARCEL 5-1 LAND COURT PLAN 5725-37-LOT 87 / / ,�' •� C.B. END. `'-•--. CERTIFICATE OF TITLE:/146,660 OWNERS DAVID W.ROE 4 MARGARET M.WROE 26 REACH PLUM HILL AM 07 PCL 23 OSTERNLLE,,MA D.02655 C I)PRO.ECT BENCHMARK:TOP OF HYDRANT SPINDLE P69 0 EL PLUM HILL ROAD 30.18 y+.��' '�/ %' /•`/, %' s 4.)ZDNMG INFORMATION ZONMG DISTRICTS: RF p`'� OVERLAY DISTRICT:GP GROUNDWATER PROTECTION / �� i •.;,,- / �. RPOD RESOURCE PROTECTION OVERLAY DISTRICT MINIMUM CURRENT ZONING REQUIREMENTS UK"AREA: 2 ACRES(RPOO) MINIMUM FRONTAGE 150' YARD ,'- '•'.�^'„yL �"::"."'pryy,- 6 �' FRONT =JO' SIDE•REAR YARD S)A TITLE SEARCH WAS NOT DONE FOR THIS SITE SHOULD ONE BE REWIRED IT SHALL BE PERFORMED BY OTHERS C.B. iND. 6.) THE PROPERTY LINE INFORMATION SHOWN IS BASED 4 ,/�' ' 1 y'''1aYf+1T{'.'Fe �• ON CURRENT AVAILABLE RECORD INFORMATION IN 6y a CONSISTING OF PLANS AND DEEDS. r! r vis,Y � THE E70STNG FEATURES SHOWN HEREON WERE ,W FWD. r /, i •YO x,: ��� OBTAINED FROM AN ON THE GROUND FIELD SURVEY / N �l0 !• PERFORMED BY BAXTER, NYE k HOLMGREN,INC. - 14.57' ! �'•, 1. • � APRIL 2000. I l ' ( L� __ r' ' •\ PLAN REFERENCES: .8.`FND.N �, / PROXIMATE LOCATION OF SA'S. LC. PLAN 5725-57 •`� —PER/INSTALLER'S CARD-PERMIT®2600-546 Z) COMMUNITY PANEL NUMBER 250001 0018 D THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE G AN AREA OF MINIMAL FLOODING IS)) INFORNIATION SHOWN HEREIN, '1 } I' - l/ \ \ ,' � P• LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND MUST r ,•II I \ �� N \ 1 BE VIIBnED IN FED BY THE CONTRACTOR AND APPROPRIATE UTILITY r., \ Y COMPANIES PRIOR TO ANY CONSTRUCTION. `T •` Qp'CO Z" \ SEPTIC SYSTEM LOCATION IS APPROTOMATE PER SEWAGE c SOIL ABSORPTION SYRMITSTEM LOCATION MUST BE VERIFIED BY LICENSED ; ' 1 ' `T L ''00 tiC `� i' I (� \ 1L INSPECTOR PRIOR TO CONSTRUCTION. E }, 87 At 120 Smoke NIII Road C, 97520 ISO. Ft. ti . 2.24 ACRES ostervllle,Massachusetts \ V74 °• o• i \ l 1G PREPARED FOR David W.&Margaret M.Wroe TITLE Proposed Pool Pda G A �,� BAXTER,NYE&HOLMGREN INC. EngineersRc&WW Professional )! \� G 812 Main Street,OSWNWe,Ma.M95 O a % \ ]�/ \ v T Phone-(508)428-9131 Fax-(508)428-3750 G 20 0 20 40 SCALE IN FEET spa►�� SG1LE: i --20' DATE: 5/06/2004 26 E T V �; !ty e i T�1T REV. DATE: iI Rto ♦g dt5 !tom I REMARKS 00, RrV2O.0 jS/t IIRLKINO MA@R 0:\2004\2004-018\2000-018—POOLDWG G" �' 2000-18 i t • k 144 IQ Lq W 14 W 14, W� v W �Q� ►. Q►��aQ Q� Q� IZI Li 44 I' PN j tc h a11� p kI�QTN, gyprZ ,to O 3r1 lih a 5 It l� O 40 3 tticNip amp �j N o vQ � e o "'I- Zev � o p o e U \ O Ra h�V�� �pv 2 oq � � e� t )tk L�,00b �' • _ � `' tz,RVQ QPctl �OJ cjtl, �Qtz a � �; ��4p W �. oavv � I � �o v � �a � 4o �g4 v o� •, �o ZZt tot) 14� U, Q v � o3 " L L tt uj q - ' o �j ° k LI • ' 0 0 tk '• � °' ,mil � o pv� �J !Q� e I I,, W R`- U V Lj W �0 H 1� ` L v Q �Z 2 Q ¢ t Wit cz a • ,F 4 d 0 �� v�oo VR r , y: h I I ip ip tit m mNm o -- O s9f� r. A m s •�• N O u - - ��i �c m z Dr• m o 8 k p mlu m A Z m ,� N D b 0 z 7 —=ml I •_ � �R r •: m NOTE _ ' — j L p --- —— _n -_ I � III I��z � - s s O � _ Z m 8 oo { IT UINJ -, L:::�P4 EEO z_ n n _ 8 i Z 1 A ik- �mm .O . €� .o = A 10 • D Z ro DF r-3 V CYN c rr. 1 � I cr�w W' m z j - - 3 { E a • - i.'.'. - GABLE t•= N�B11 R.C.SHINGLES _ J NEW `z _ MGTCH i � E(IBT RIDGE VENT 2X8 RAFTERS O 16 O.G. 2XI0 RIDGE ROOF 1/2"ROOF SHEATHING D I I I II NEW TIN 15•ASPHALT PAPER INEW TIN ASPHALT SHINGLES b ROOF I ROOF c IF t IXb T/G BRDS. Dflp' f � ,k COVERED 1• PORCH. . ...... .......... . ... .. .. _®r � k I 'C6NC.BLAB. CROSS SECTION lA) AND LEFT ELEVATION �—NEW ��❑ I I --c�V=` i -ABLE _ R.C.SHINGLES_ TYP.NEW IX8/IX3 RAKE BRDS. j TYP.NEW IX5 SOFFIT - ��_ - IX5 FREIZE/BED MLDG. ANEW NEW II III I I I II I PROPOSED RIGHT ELEVATION -..-- ---- -- --_-BUILDER--- -- - __ --- -JOB-ADDRESS- — •-- - - -- DESIGN- -�-- - .. mom ��J DATE - REVISION DRAWN BY PAGE SCALE - _- TECENO'RESIDENGE" `RENOVATION '�alw,,i; �/o/- UEDESInfqs0 coo 0 12-1-1� ' " JB •�oF1Q va°.r-0" JB Desl�,ns 120 SMOKE VALLEY RD - - _ _ .. - W LOON.BUIBUIIDIN6. ND.ORDRiAP�NC�,ES��DF9 MA`Y NOT LIANCQEBPOM9IHLE (71 MUST DETERMINED BT LOCAL SOIL DOIm1i1ON9 Alm ACC6�fABLE r1)IM-BTrd1DT11RAL ELEMENTS FOR DF�.O G8N bIZEV9tIFY D PA.BOX AM OSTER V I LLE, MA. ' _ - Z I-r�FOR ertE co mmoNS oR aR NE u9E oc n�bE vRAunNGS D4R NG cDNeTRucnoN - PRAcncEB ov coNSTRuc ION.vexrvY DEbwN WrtN LOCAL ERGMEIIi. WRN LOCAL ENGINES 3R Arm BUILDING OF VC - uEzt eavmTmLE rTA am FPTI. - -' _' (5p81 494-9534 �-+ x�� �?�.:3� __��j._�:__:� s.-��i- �•..eF-� -��.��--.,�.-�.. ,;..�-._.�.-•r -.rr �: F --- -- _ - - - _ - ''.Y. ---- "fir .� -'z•— ..a--,a1 �_:� - - - { i i a 1 L-—-—-- C D r N ' Om # _ mcrz r r NEW WALL m m N _ 3DC7 Drz m $ mn - X ------- '^ � m C1 0' < i r ! {, O --------------- - 14, { ----------------- -- -- UNEXCAVATED . r r . -------- - c - -- --------------------- - ----- ---- m \o \ i 1 0 X z -n _ NOTE D t {D--------- - ---- -- - - - - o 0 \ p y N D (� Q IIQ"^ �6x6 PT P08T� g ygygyg� T-315" o W D Q Q D D 2 OzD •� �. . ?fil $ �fl 3 c m _ UNE CAVATED o A 8 8 A (Zl E •I'�II - ___ T\ r f v N z \ D N D \1T1 A W e n \\ m 4 F+ U IU1 �r-0n 8'_2- O j Jig 0 A: g Q fp r-------I IZ X_ r , m o , --- -------------------- ---- '--------------------------------------------------------------------------------- LP n� m I n m� m A DT1 R u ' � b E ; F � I Q ------------ - 3 EXISTING n GARAGE EXISTING DECK EXISTING EXISTING LIVING AREA DECK ______ -- T _ ------------------------- 6b OR 66 R 66 R i _ - _---_______________________________________ EXIST. FILING LINE 23'-Illy"z EXIT. O M/BATH T -------_-------------_____________ --------------- ---------------- TYP.SIZED STEEL COL.- NEW SIZED!A)WIO BEAM ---- W.I.G. 0 O 1 ._—_---:.— __._._ - -Nev coLB+G LBrE T NEW �P _ EXISTING m COVERED EXISTING EXISTING FEII SITTING iX, a PORCH O, ;; IXISTIN o a: ;; ;; 1 KITCHEN SITTINGG AREA LAUNDRY W / •..-"� "-----'---------i� � AREA I EXISTING - ----------------- .�. 1 -_ --------- n �,ggg��I GREAT RM. 0. O NEW CUPOLA a uev cATHEaRAL ��: C m; F.P. a ABOVE .I m a, ;a 2X6 C.J.—� � ■ 8 EXIST. O 3� ■ BATH m Q EXISTING ... . NEW a � ,f� MASTER GLASS GLk88'- "CaCA99 x7 GLA55tNELU ��= I r`:... BEDROOM ❑ -D' 32X26 3bt2b 325�16 :] 32X26UDNIT yt_ ���� NEW ; •• COVERED . .. PORCH -_ ----- --------rNK IIII ^ EXISTING �OR ONC.SLAB DINING isiS'Roos II FOYER O E EXISTING TYP.12'CUSTOM COLUMNS OFFICE �, IN F.10•-214°z 9�'9y*�� ID.-0" NEW -U F—2X6 C.J. IIII COVERED U M e 16"O.C. PORCH x e EXISTING AND NEW Q a= EW SIZED(B)91/2"LVL'• COVERED PORCH `1 ------------------------ 20'-0"z 10'-0" B'-416" il'-lly": 28'-915"z NEm STEP PROPOSED FIRST FLOOR PLAN (NEW GABLE) (NEW CABLE) BUILDER JOB ADDRESS - DESIGN _ n n n�a n� n p� n n DATE REVISION DRAWN B7 PAGE SCALE TEGENO RESIDENCE RENOVATION O O �L/� l/l/\\ill/CL��o 12-1-I� • JB •A-PF I 1/a".,'o" J8 Destg�ns 120 SMOKE VALLEY RD (We.)494-9534 DMIGN.w A BY DE RE LU fl,PURC1,ABE DF DRAW,NGB LEAVES FYRCHABH2 REBFONS®LE FOR COMPLIANCE WRH ALL z E--81= RE NFORGFS ENT a A 1 CONCRE E FDDTBN S 9)ALL FOOTINGS SHALL EMEND BELOW FROBTLINE L VER F DEPM. OSTERv ILLE, MA, OCAL BN3D CODES AND ORDINANCES.b DESIGNS NAY NO BE 4 E1D 9PONBISLE NWT BE TERMINED LOCAL BOIL CON ffI ND 4CC�Teu c VERB BTRW:L RAl ELEMENTS FOR SIZE ro.Sax m _ZI�__�WE C ITIONB OR FOR THE WE OF iHFBE ORAU "DURING CONDTRNCTtON. FRACTCED OF CON8IRULTION.VBifFY DESIGN WffH LOCAL ETYaP®i. WRN LOCAL ENGM!£R ACID BUILDWG OFFICIALS. flpT BARNS rAaLE MA 02ME _ ; 9 a EXISTING GARAGE L ------------------------- EXISTING DECK a F EXISTING D DECK EXISTING LIVING AREA ------------------------------------------------ O ____________________________ ® . EXIST, EXIST. ® M/BATH W.I.G. 0 ---------- ------------------------------ -------- ---------- aD :on] EXISTING EXIST. SITTING EXISTING LAV. EXISTING KITCHEN LAUNDRY AREA EXISTING 91TTING EXISTING AREA GREAT RM. k ■ il BATH EXISTING MASTER a [71 BEDROOM EXISTING DINING FOYER EXISTING OFFICE EXISTING FIRST FLOOR PLAN L F-1 1 (No,To EXISTING COVERED PORCH EXISTING COVERED PORCH BUILDER JOB ADDRESS = . . . - - DESIGN DATE REVISION DRAWN BY PAGE SCALE - - fo �1'7D �D �o�Ol rJB Des t - ns TECENO RESIDENCE RENOVATION 12-I-1� • JB •�oF]Q va".ro' g 120"SMO<E VAL`L'E-CRD UI .(U PURCHASE OF DRAWI-S.LEAVES.FVRCNASETi RESPONSIBLE FOR COMPLIANCE WRN 4LL (L ExACT SIM AND REINFORCET1ENf OF 4LL CONCRETE FOOTNGS A)ALL FOOTINGS SMALL EMEND BELWI FROSTLIKE vF]aliT DEF'TN. OStERY ILLE,-MA. LOCAL B RDR G CODES AND ORDWANGES, 9 pESGN9.MAT NOf BE HB D RESPONSBLE MST EE DETERMINED BT LOCAL SOIL DONDITION AND ACCEP ABLE (A)vERST STRYC URAL ELEMENTS FOR DESIGN(SIM p,O,@O ru 3OB-494-9594 ._ZIP•-FORBRE CAI�RIONS OR FOR Tla:WE OF THESE ORAY.KGB DURING CONBTRIlCTION. PRACTICES OF CONSTRUCTION,vB31FY DEBWN WRN LOCAL ENGSiEER. 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W N RIRGNABE OF ORAWING9 LEAVER F'URCNABER RE0PON0EiLE FOR COMPLIANCE WRN ALL lZJ EXACT SIZE AND RmNFORGBTIEM OF ALL CONCRETE FDOTINGB !e)ALL FOOTINGO ONALL EXTEND BELOW FR00TLINE VERIFY DEPTH. - - O W TNE e DE E B!l1 A E P BE D OSTERY ILLE, MA. — DCAL 01 BN DIHG AND ORDP ANCEO,UB FS GN9 MAY NOT HELD REBPON903LE WT BY BE DETERMINED LOCAL 00L CO IDRIONB AND ACCEP ABLE VERIFY RUGTURAL E EN 8 FOR DE 101ZA. au m9 3OBJV 4SQ_�t ^ _ZI. -FOR TE CONDRICODER ONB OR FOR THE UBE OF BE ORAWINGO WRING COHBTRUCTION. PRACTICER OF CONSTRUCTION.VERILY DE81GN WRN LOCAL ENGBIEEit. RN LOCAL ENGINEER AND BUILDING FFIGIALO. UE9T BARN9TAeItY MA.oases• ��'—� -,ate -. �._:- - - �_.._ �_ -E- =` 1•_.-..r _-�_r - �-..•.__,.. - _ `�`�" - - _ _ n 2X6 RAFTERS m IrvO.C. 1/2"ROOF SHEATHING nD 15•ASPHALT PAPER COPPER ROOF in Fix UNIT GLASS 24X24-2 gS? 2X8 RAFTERS m it,"O.C. 2X4'e a I6' �� 4�sr X4'B m 16" a 2-2XIO,6 1/2"ROOF SHEATHING n C 5'$" 2X8 RAFTERS m I6"O.C. y�"� 4/ 15•ASPHALT PAPER 4 1 'i 1/2"ROOF SHEATHING n �� s�Hc ASPHALT SHINGLES i . .. .. ......... TYP:_6Xb_BE_C.M[.._____-_ 15•ASPHALT PAPER _ --1-YP _ _ I ASPHALT SHINGLES --- - __ ----- - - ---- --' n 6X8 B__ -- R4i INSUL. 'Ys" ® IX6 T/G BROS. IX3 STRAPPING SIZED R4S INSUL. 32XIO'e In"WALLBOARD N ® Ixb TIC.BROS. yl IX3 STRAPPING WIO BEAM 3-Dao'e N SIZED NEW In"WALLBOARD WIO BEAM COVERED « Q « NEW o PORCH O EXISTING 4: COVERED '- EXISTING o GREAT ROOM ,p PORCH •Q GREAT ROOM cWTOM COLUMN d CUSTOM COLUMN 5°CONC.SLA 3 ... ... ... . ... ... ... ^.I I I 5"CONC,BLAB CROSS SECTION (5) CROSS SECTION (C) 2XI0 RAFTERS m I6"O.C. RIDGE VENT In"ROOF SHEATHING 2XI2 RIDGE 15•ASPHALT PAPER ASPHALT SHINGLES EXISTING BEDROOM I (9 f EXISTING 2XB RAFTERS m IS O.C. 1+1 EXISTING 1/2"ROOF SHEATHING n ET. EXISTING BEDROOM BA IS-ASPHALT PAPER 3� I CLOSET '• '• •' •• " ASPHALT SHINGLES ® IX6 T/G B S. -----_----------------- 32X X O'B m 16" EXISTING JOIST ® Dtb T)G BRDB, NBII SIZED LVL'e COVERED = �l« EXISTING m PORCH IGITCHEN ExmTw� EXISTING `p AND r� DINING EXISTING EXISTING SITTING LIVING PORw CUSTOM COLUMN ' AREA >> cuBion OOWMN F' 51 GONG.SL - -'-- - B'mNc.aLAB EXISTING JOIST Q / EXISTING =4 vW BASEMENT p EXISTING ---- - _- BASEMENT F F i% CROSS SECTION (D) GROSS SECTION (E) y •_ -_:._BUILDER JOB ADDRESS. _ _ -,. DESIGN _ - p_ p p �j �pp�j . . DATE - REVISION DRAWN BY PAGE SCALE - TECENO' RESIDENCE RENOVATION alum.,9momEDEs1cv s com 12-I-I� « JB •�OF1Q 1/4".1'-0" JB Designs 120-SMOKE VALLEY RD WE3T E W N DRAWMG6 LEAVES P RCJ ABER FDR COMPL ANOE WrtN ALL z ExAO B AND RE NFORCEMQ m•ALL CONCREYE FOO 1NG0 n)ALL FOO NG9•HALL EX END BELOW ��Y DEPTH. ' . . . . . . OSTERV ILLE, MA. LOCAL BWLOw OOOEe AND Or NANCEO.M DM "MAY NOT SE NB.O REBPONBIBLE M l BE DETERMINED BY LOCAL BOIL GONDRON9 ANp ACCEPTABLE 1.)V —BTRYGTYRA),ELEMENT6 FOR OU-1•81ZE PA.Enxau (50gJ 494-9934 z � 6 I- rtE eomomo- THE DRAW aR a x u6E of NEBE w D ,R ccN muenoN. PRAOTIGEB OF CONHTR C 0N.V WY DEB— LO WRN CAL ENGRBER Wm LOCAL NGINEER AND B DING OFFlC 46. BTARNBTABtP MA 0, 1/2"WALLBOARD - 2X4'e m 16"O.C. R21 INSULATION 1/2"WALL SHEATHING 2X6 RAFTERS m Ir."O.G. ' HOUSE WRAP OR EQUAL 1/2"ROOF SHEATHING SI ING 12 IS-ASPHALT PAPER DD COPPER ROOF TIN ROOF PER MANF. 2X8 RAFTERS m 16"O.G. 15•ASPHALT PAPER 1/2"ROOF SHEATHING : :: :: :: :: :: :: :: 1/2"SHEATHING 15•ASPHALT PAPER ------ ASPHALT SHINGLES RIDGE VENT TYP.H2.5A TIES 2XIO RIDGE DRIP EDGE --- --'-----------------'----------.......-----_..._..... _.... .. 2X8'e G.J.m I6"O.G. ;: " 5"GUTTER ------------- -----= = - ---------------------- --------------- L ,TYP.6X8 BEAM — IXB FACIA IX SOFFIT(MATCH EXIST) EXISTING EXISTING NEW U EXISTING 2-1/4"VENT SITTING BATH COVERED GREAT 1-3/9"BED MLDG. AREA PORCH ROOM 3-2XI0'e CAtMEDRAL r TYP.BC6 CAP O ; (UPLIFT 1050) - - - ---------------- - - - - ----------------------- -- -_ a EXISTING BASEMENT E»vE EAVE DETAILS CROSS SECTION (F) TYP. ABUfo6 SASE (UPLIFT 2300) 4'm 5" POURED GONG. SLAB TYP. 5/8" RODS •� ''e •S 'G 'e 'S U'G a•� 'S 'G .S C RIDGE ENT RIDGE VENT V 2XIO RIDGE 2X8 RAFTERS m HI O.C. 2XIO RIDGE j Q 2X8 RAFTERS a Ir."O.G. 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